49 CFR 40.65 - What does the collector check for when the employee presents a specimen?

Code of Federal Regulations, 2012 CFR

2012-10-01

... PROCEDURES FOR TRANSPORTATION WORKPLACE DRUG AND ALCOHOL TESTING PROGRAMS Urine Specimen Collections § 40.65.... You must check to ensure that the specimen contains at least 45 mL of urine. (1) If it does not, you... of tampering) also exists. (3) You are never permitted to combine urine collected from separate voids...

Position Paper External Tank Thermal Protection System (TPS) Manually Sprayed fly-as-is Foam Certification

NASA Technical Reports Server (NTRS)

Stadler, John H.

2009-01-01

During manufacture of the existing External Tanks (ETs), the Thermal Protection System (TPS) foam manual spray application processes lacked the enhanced controls/procedures to ensure that defects produced were less than the critical size. Therefore the only remaining option to certify the "fly-as-is" foam is to verify ET120 tank hardware meets the new foam debris requirements. The ET project has undertaken a significant effort studying the existing "fly-as-is" TPS foam. This paper contains the findings of the study.

The Earth Science Afternoon Constellation Contingency Procedures

NASA Technical Reports Server (NTRS)

Case, Warren F.; Richon, Karen

2005-01-01

The Earth Science Afternoon Constellation comprises NASA missions Aqua, Aura, CloudSat and the Orbiting Carbon Observatory (OCO), the joint NASA/CNES mission CALIPSO and the CNES mission PARASOL. Both NASA and CNES offices are responsible for ensuring that contingency plans or other arrangements exist to cope with contingencies within their respective jurisdictions until the conclusion of all Afternoon Constellation operations. The Mission Operations Working Group, comprised of members from each of the missions, has developed the high-level procedures for maintaining the safety of this constellation. Each contingency situation requires detailed analyses before any decisions are made. This paper describes these procedures, and includes defining what constitutes a contingency situation, the pertinent parameters involved in the contingency analysis and guidelines for the actions required, based on the results of the contingency analyses.

Procedure: Ensuring EPA Public Content in the EPA Web Environment

EPA Pesticide Factsheets

This document outlines the procedures for ensuring access to EPA information by hosting EPA data and information on the epa.gov server. Additionally, it provides the procedures for obtaining waivers of this requirement.

76 FR 302 - Pesticides; Satisfaction of Data Requirements; Procedures To Ensure Protection of Data Submitters...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-04

... Pesticides; Satisfaction of Data Requirements; Procedures To Ensure Protection of Data Submitters' Rights..., concerning the revision of its regulations which govern procedures for the satisfaction of data requirements... regulations which govern procedures for the satisfaction of data requirements under the Federal Insecticide...

An XML Representation for Crew Procedures

NASA Technical Reports Server (NTRS)

Simpson, Richard C.

2005-01-01

NASA ensures safe operation of complex systems through the use of formally-documented procedures, which encode the operational knowledge of the system as derived from system experts. Crew members use procedure documentation on the ground for training purposes and on-board space shuttle and space station to guide their activities. Investigators at JSC are developing a new representation for procedures that is content-based (as opposed to display-based). Instead of specifying how a procedure should look on the printed page, the content-based representation will identify the components of a procedure and (more importantly) how the components are related (e.g., how the activities within a procedure are sequenced; what resources need to be available for each activity). This approach will allow different sets of rules to be created for displaying procedures on a computer screen, on a hand-held personal digital assistant (PDA), verbally, or on a printed page, and will also allow intelligent reasoning processes to automatically interpret and use procedure definitions. During his NASA fellowship, Dr. Simpson examined how various industries represent procedures (also called business processes or workflows), in areas such as manufacturing, accounting, shipping, or customer service. A useful method for designing and evaluating workflow representation languages is by determining their ability to encode various workflow patterns, which depict abstract relationships between the components of a procedure removed from the context of a specific procedure or industry. Investigators have used this type of analysis to evaluate how well-suited existing workflow representation languages are for various industries based on the workflow patterns that commonly arise across industry-specific procedures. Based on this type of analysis, it is already clear that existing workflow representations capture discrete flow of control (i.e., when one activity should start and stop based on when other activities start and stop), but do not capture the flow of data, materials, resources or priorities. Existing workflow representation languages are also limited to representing sequences of discrete activities, and cannot encode procedures involving continuous flow of information or materials between activities.

The importance of standard operating procedures in clinical trials.

PubMed

Sajdak, Rebecca; Trembath, Lisaann; Thomas, Kathy S

2013-09-01

This special contribution provides insight into the role that standard operating procedures (SOPs) play in an imaging department and their value in building a high-quality research site. If you have ever participated in a clinical trial, many of the principles described in this article should be familiar. However, this article goes a step further by presenting information from a pharmaceutical or device sponsor's point of view-what the sponsor expects from a site during the course of a research study. This article is intended not to provide a complete set of instructions on how to create a great SOP but, instead, to present guidelines to ensure that the key elements are included. After reading the article, you will be able to define SOPs as they pertain to the clinical trial environment, describe key components of an SOP, list the clinical research SOPs that exist in your institution and imaging department, identify which additional SOPs might improve site performance, and describe how the sponsor relies on SOPs to ensure that the highest quality of research is attained.

Ensuring Sample Quality for Biomarker Discovery Studies - Use of ICT Tools to Trace Biosample Life-cycle.

PubMed

Riondino, Silvia; Ferroni, Patrizia; Spila, Antonella; Alessandroni, Jhessica; D'Alessandro, Roberta; Formica, Vincenzo; Della-Morte, David; Palmirotta, Raffaele; Nanni, Umberto; Roselli, Mario; Guadagni, Fiorella

2015-01-01

The growing demand of personalized medicine marked the transition from an empirical medicine to a molecular one, aimed at predicting safer and more effective medical treatment for every patient, while minimizing adverse effects. This passage has emphasized the importance of biomarker discovery studies, and has led sample availability to assume a crucial role in biomedical research. Accordingly, a great interest in Biological Bank science has grown concomitantly. In biobanks, biological material and its accompanying data are collected, handled and stored in accordance with standard operating procedures (SOPs) and existing legislation. Sample quality is ensured by adherence to SOPs and sample whole life-cycle can be recorded by innovative tracking systems employing information technology (IT) tools for monitoring storage conditions and characterization of vast amount of data. All the above will ensure proper sample exchangeability among research facilities and will represent the starting point of all future personalized medicine-based clinical trials. Copyright© 2015, International Institute of Anticancer Research (Dr. John G. Delinasios), All rights reserved.

Quality assurance procedures for environmental control and monitoring in plant growth facilities. Report of the North Central Regional 101 Committee on Growth Chamber Use

NASA Technical Reports Server (NTRS)

Tibbitts, T. W. (Principal Investigator)

1986-01-01

This report includes procedures for ensuring the quality of the environment provided for plant growth in controlled environment facilities. Biologists and engineers may use these procedures for ensuring quality control during experiments or for ensuring quality control in the design of plant growth facilities. Environmental monitoring prior to and during experiments is included in these procedures. Specific recommendations cover control, acquisition, and calibration for sensor types for the separate parameters of radiation (light), temperature, humidity, carbon dioxide, and air movement.

Safety Sufficiency for NextGen: Assessment of Selected Existing Safety Methods, Tools, Processes, and Regulations

NASA Technical Reports Server (NTRS)

Xu, Xidong; Ulrey, Mike L.; Brown, John A.; Mast, James; Lapis, Mary B.

2013-01-01

NextGen is a complex socio-technical system and, in many ways, it is expected to be more complex than the current system. It is vital to assess the safety impact of the NextGen elements (technologies, systems, and procedures) in a rigorous and systematic way and to ensure that they do not compromise safety. In this study, the NextGen elements in the form of Operational Improvements (OIs), Enablers, Research Activities, Development Activities, and Policy Issues were identified. The overall hazard situation in NextGen was outlined; a high-level hazard analysis was conducted with respect to multiple elements in a representative NextGen OI known as OI-0349 (Automation Support for Separation Management); and the hazards resulting from the highly dynamic complexity involved in an OI-0349 scenario were illustrated. A selected but representative set of the existing safety methods, tools, processes, and regulations was then reviewed and analyzed regarding whether they are sufficient to assess safety in the elements of that OI and ensure that safety will not be compromised and whether they might incur intolerably high costs.

75 FR 68297 - Pesticides; Satisfaction of Data Requirements; Procedures To Ensure Protection of Data Submitters...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-05

... Pesticides; Satisfaction of Data Requirements; Procedures To Ensure Protection of Data Submitters' Rights... regulations governing procedures for the satisfaction of data requirements under the Federal Insecticide... ground water. C. Satisfaction of Data Requirements EPA regulations in 40 CFR part 152, subpart E...

Dimming LEDs with Phase-Cut Dimmers: The Specifier's Process for Maximizing Success

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

Miller, Naomi J.; Poplawski, Michael E.

2013-10-01

This report reviews how phase-cut dimmers work, how LEDs differ from the incandescent lamps that the dimmers were historically designed to control, and how these differences can lead to complications when trying to dim LEDs. Compatibility between a specific LED source and a specific phase-cut dimmer is often unknown and difficult to assess, and ensuring compatibility adds complexity to the design, specification, bidding, and construction observation phases for new buildings and major remodel projects. To maximize project success, this report provides both general guidance and step-by-step procedures for designing phase-controlled LED dimming on both new and existing projects, as wellmore » as real-world examples of how to use those procedures.« less

Development of Tasks and Evaluation of a Prototype Forceps for NOTES

PubMed Central

Addis, Matthew; Aguirre, Milton; Haluck, Randy; Matthew, Abraham; Pauli, Eric; Gopal, Jegan

2012-01-01

Background and Objectives: Few standardized testing procedures exist for instruments intended for Natural Orifice Translumenal Endoscopic Surgery. These testing procedures are critical for evaluating surgical skills and surgical instruments to ensure sufficient quality. This need is widely recognized by endoscopic surgeons as a major hurdle for the advancement of Natural Orifice Translumenal Endoscopic Surgery. Methods: Beginning with tasks currently used to evaluate laparoscopic surgeons and instruments, new tasks were designed to evaluate endoscopic surgical forceps instruments. Results: Six tasks have been developed from existing tasks, adapted and modified for use with endoscopic instruments, or newly designed to test additional features of endoscopic forceps. The new tasks include the Fuzzy Ball Task, Cup Drop Task, Ring Around Task, Material Pull Task, Simulated Biopsy Task, and the Force Gauge Task. These tasks were then used to evaluate the performance of a new forceps instrument designed at Pennsylvania State University. Conclusions: The need for testing procedures for the advancement of Natural Orifice Translumenal Endoscopic Surgery has been addressed in this work. The developed tasks form a basis for not only testing new forceps instruments, but also for evaluating individual performance of surgical candidates with endoscopic forceps instruments. PMID:22906337

[Legal aspects of the REACH regulation. The control system of the REACH regulation--new approaches in the EU chemical legislation].

PubMed

Pache, Eckhard

2008-12-01

The REACH regulation from 2006 shall overcome the deficiencies of the previously existing inconsistent legal system of chemicals and build an efficient and innovative regulation for industrial chemicals in the EU. For this purpose, the REACH regulation is not inventing a completely new legislation for chemical substances, but refers to the existing rules, regulates and structures them in a new manner and complements them. With REACH a consistent control system for chemicals in Europe has been created, which basically is managed and coordinated by the newly established European Chemicals Agency (ECHA). In the first phases of the REACH system, information about chemicals is generated and afterwards evaluated. Then this information is used in a process of authorization and restriction, to ensure adequate proliferation and safe exposure to chemical substances. Numerous duties to furnish information complement the readjustment's procedural steps, particularly with regard to the supply chain and down to the consumer. It is mainly affected by the abrogation of the determination between new and existing substances, the principle of substitution and is based on the idea that industry itself is best suited to ensure that the substances it manufactures and places on the market in the EU do not adversely affect human health or the environment.

49 CFR 213.234 - Automated inspection of track constructed with concrete crossties.

Code of Federal Regulations, 2011 CFR

2011-10-01

... procedure that ensures correlation between measurements made on the ground and those recorded by the... procedure that ensures correlation between measurements made on the ground and those recorded by the...

Proactive Alleviation Procedure to Handle Black Hole Attack and Its Version

PubMed Central

Babu, M. Rajesh; Dian, S. Moses; Chelladurai, Siva; Palaniappan, Mathiyalagan

2015-01-01

The world is moving towards a new realm of computing such as Internet of Things. The Internet of Things, however, envisions connecting almost all objects within the world to the Internet by recognizing them as smart objects. In doing so, the existing networks which include wired, wireless, and ad hoc networks should be utilized. Moreover, apart from other networks, the ad hoc network is full of security challenges. For instance, the MANET (mobile ad hoc network) is susceptible to various attacks in which the black hole attacks and its versions do serious damage to the entire MANET infrastructure. The severity of this attack increases, when the compromised MANET nodes work in cooperation with each other to make a cooperative black hole attack. Therefore this paper proposes an alleviation procedure which consists of timely mandate procedure, hole detection algorithm, and sensitive guard procedure to detect the maliciously behaving nodes. It has been observed that the proposed procedure is cost-effective and ensures QoS guarantee by assuring resource availability thus making the MANET appropriate for Internet of Things. PMID:26495430

Proactive Alleviation Procedure to Handle Black Hole Attack and Its Version.

PubMed

Babu, M Rajesh; Dian, S Moses; Chelladurai, Siva; Palaniappan, Mathiyalagan

2015-01-01

The world is moving towards a new realm of computing such as Internet of Things. The Internet of Things, however, envisions connecting almost all objects within the world to the Internet by recognizing them as smart objects. In doing so, the existing networks which include wired, wireless, and ad hoc networks should be utilized. Moreover, apart from other networks, the ad hoc network is full of security challenges. For instance, the MANET (mobile ad hoc network) is susceptible to various attacks in which the black hole attacks and its versions do serious damage to the entire MANET infrastructure. The severity of this attack increases, when the compromised MANET nodes work in cooperation with each other to make a cooperative black hole attack. Therefore this paper proposes an alleviation procedure which consists of timely mandate procedure, hole detection algorithm, and sensitive guard procedure to detect the maliciously behaving nodes. It has been observed that the proposed procedure is cost-effective and ensures QoS guarantee by assuring resource availability thus making the MANET appropriate for Internet of Things.

Dimming LEDs with Phase-Cut Dimmers. The Specifier's Process for Maximizing Success

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

Miller, N. J.; Poplawski, M. E.

2013-10-01

DOE GATEWAY program report reviewing how phase-cut dimmers work, how LEDs differ from the incandescent lamps these dimmers were originally designed to control, and how those differences can lead to complications when attempting to dim LEDs. Providing both general guidance and step-by-step procedures for designing phase-controlled LED dimming on both new and existing projects—as well as real-world examples of how to use those procedures—the report aims to reduce the chance of experiencing compatibility-related problems and, if possible, ensure good dimming performance.

Microarrays in brain research: the good, the bad and the ugly.

PubMed

Mirnics, K

2001-06-01

Making sense of microarray data is a complex process, in which the interpretation of findings will depend on the overall experimental design and judgement of the investigator performing the analysis. As a result, differences in tissue harvesting, microarray types, sample labelling and data analysis procedures make post hoc sharing of microarray data a great challenge. To ensure rapid and meaningful data exchange, we need to create some order out of the existing chaos. In these ground-breaking microarray standardization and data sharing efforts, NIH agencies should take a leading role

Chapter 8. Medical procedures. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.

PubMed

Zimmerman, Janice L; Sprung, Charles L

2010-04-01

To provide recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza pandemic or mass disaster with a specific focus on ensuring that adequate resources are available and appropriate protocols are developed to safely perform procedures in patients with and without influenza illness. Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including performing medical procedures. Key recommendations include: (1) specify high-risk procedures (aerosol generating-procedures); (2) determine if certain procedures will not be performed during a pandemic; (3) develop protocols for safe performance of high-risk procedures that include appropriateness, qualifications of personnel, site, personal protection equipment, safe technique and equipment needs; (4) ensure adequate training of personnel in high-risk procedures; (5) procedures should be performed at the bedside whenever possible; (6) ensure safe respiratory therapy practices to avoid aerosols; (7) provide safe respiratory equipment; and (8) determine criteria for cancelling and/or altering elective procedures. Judicious planning and adoption of protocols for safe performance of medical procedures are necessary to optimize outcomes during a pandemic.

The Challenge of Timely, Responsive and Rigorous Ethics Review of Disaster Research: Views of Research Ethics Committee Members.

PubMed

Hunt, Matthew; Tansey, Catherine M; Anderson, James; Boulanger, Renaud F; Eckenwiler, Lisa; Pringle, John; Schwartz, Lisa

2016-01-01

Research conducted following natural disasters such as earthquakes, floods or hurricanes is crucial for improving relief interventions. Such research, however, poses ethical, methodological and logistical challenges for researchers. Oversight of disaster research also poses challenges for research ethics committees (RECs), in part due to the rapid turnaround needed to initiate research after a disaster. Currently, there is limited knowledge available about how RECs respond to and appraise disaster research. To address this knowledge gap, we investigated the experiences of REC members who had reviewed disaster research conducted in low- or middle-income countries. We used interpretive description methodology and conducted in-depth interviews with 15 respondents. Respondents were chairs, members, advisors, or coordinators from 13 RECs, including RECs affiliated with universities, governments, international organizations, a for-profit REC, and an ad hoc committee established during a disaster. Interviews were analyzed inductively using constant comparative techniques. Through this process, three elements were identified as characterizing effective and high-quality review: timeliness, responsiveness and rigorousness. To ensure timeliness, many RECs rely on adaptations of review procedures for urgent protocols. Respondents emphasized that responsive review requires awareness of and sensitivity to the particularities of disaster settings and disaster research. Rigorous review was linked with providing careful assessment of ethical considerations related to the research, as well as ensuring independence of the review process. Both the frequency of disasters and the conduct of disaster research are on the rise. Ensuring effective and high quality review of disaster research is crucial, yet challenges, including time pressures for urgent protocols, exist for achieving this goal. Adapting standard REC procedures may be necessary. However, steps should be taken to ensure that ethics review of disaster research remains diligent and thorough.

The Challenge of Timely, Responsive and Rigorous Ethics Review of Disaster Research: Views of Research Ethics Committee Members

PubMed Central

Hunt, Matthew; Tansey, Catherine M.

2016-01-01

Background Research conducted following natural disasters such as earthquakes, floods or hurricanes is crucial for improving relief interventions. Such research, however, poses ethical, methodological and logistical challenges for researchers. Oversight of disaster research also poses challenges for research ethics committees (RECs), in part due to the rapid turnaround needed to initiate research after a disaster. Currently, there is limited knowledge available about how RECs respond to and appraise disaster research. To address this knowledge gap, we investigated the experiences of REC members who had reviewed disaster research conducted in low- or middle-income countries. Methods We used interpretive description methodology and conducted in-depth interviews with 15 respondents. Respondents were chairs, members, advisors, or coordinators from 13 RECs, including RECs affiliated with universities, governments, international organizations, a for-profit REC, and an ad hoc committee established during a disaster. Interviews were analyzed inductively using constant comparative techniques. Results Through this process, three elements were identified as characterizing effective and high-quality review: timeliness, responsiveness and rigorousness. To ensure timeliness, many RECs rely on adaptations of review procedures for urgent protocols. Respondents emphasized that responsive review requires awareness of and sensitivity to the particularities of disaster settings and disaster research. Rigorous review was linked with providing careful assessment of ethical considerations related to the research, as well as ensuring independence of the review process. Conclusion Both the frequency of disasters and the conduct of disaster research are on the rise. Ensuring effective and high quality review of disaster research is crucial, yet challenges, including time pressures for urgent protocols, exist for achieving this goal. Adapting standard REC procedures may be necessary. However, steps should be taken to ensure that ethics review of disaster research remains diligent and thorough. PMID:27327165

SUPPORTING THE INDUSTRY BY DEVELOPING A DESIGN GUIDANCE FOR COMPUTER-BASED PROCEDURES FOR FIELD WORKERS

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

Oxstrand, Johanna; LeBlanc, Katya

The paper-based procedures currently used for nearly all activities in the commercial nuclear power industry have a long history of ensuring safe operation of the plants. However, there is potential to greatly increase efficiency and safety by improving how the human interacts with the procedures, which can be achieved through the use of computer-based procedures (CBPs). A CBP system offers a vast variety of improvements, such as context driven job aids, integrated human performance tools and dynamic step presentation. As a step toward the goal of improving procedure use performance, the U.S. Department of Energy Light Water Reactor Sustainability Programmore » researchers, together with the nuclear industry, have been investigating the possibility and feasibility of replacing current paper-based procedures with CBPs. The main purpose of the CBP research conducted at the Idaho National Laboratory was to provide design guidance to the nuclear industry to be used by both utilities and vendors. After studying existing design guidance for CBP systems, the researchers concluded that the majority of the existing guidance is intended for control room CBP systems, and does not necessarily address the challenges of designing CBP systems for instructions carried out in the field. Further, the guidance is often presented on a high level, which leaves the designer to interpret what is meant by the guidance and how to specifically implement it. The authors developed a design guidance to provide guidance specifically tailored to instructions that are carried out in the field based.« less

Automation practices in large molecule bioanalysis: recommendations from group L5 of the global bioanalytical consortium.

PubMed

Ahene, Ago; Calonder, Claudio; Davis, Scott; Kowalchick, Joseph; Nakamura, Takahiro; Nouri, Parya; Vostiar, Igor; Wang, Yang; Wang, Jin

2014-01-01

In recent years, the use of automated sample handling instrumentation has come to the forefront of bioanalytical analysis in order to ensure greater assay consistency and throughput. Since robotic systems are becoming part of everyday analytical procedures, the need for consistent guidance across the pharmaceutical industry has become increasingly important. Pre-existing regulations do not go into sufficient detail in regard to how to handle the use of robotic systems for use with analytical methods, especially large molecule bioanalysis. As a result, Global Bioanalytical Consortium (GBC) Group L5 has put forth specific recommendations for the validation, qualification, and use of robotic systems as part of large molecule bioanalytical analyses in the present white paper. The guidelines presented can be followed to ensure that there is a consistent, transparent methodology that will ensure that robotic systems can be effectively used and documented in a regulated bioanalytical laboratory setting. This will allow for consistent use of robotic sample handling instrumentation as part of large molecule bioanalysis across the globe.

Development and Validation of a Kit to Measure Drink Antioxidant Capacity Using a Novel Colorimeter.

PubMed

Priftis, Alexandros; Stagos, Dimitrios; Tzioumakis, Nikolaos; Konstantinopoulos, Konstantinos; Patouna, Anastasia; Papadopoulos, Georgios E; Tsatsakis, Aristides; Kouretas, Dimitrios

2016-08-30

Measuring the antioxidant capacity of foods is essential, as a means of quality control to ensure that the final product reaching the consumer will be of high standards. Despite the already existing assays with which the antioxidant activity is estimated, new, faster and low cost methods are always sought. Therefore, we have developed a novel colorimeter and combined it with a slightly modified DPPH assay, thus creating a kit that can assess the antioxidant capacity of liquids (e.g., different types of coffee, beer, wine, juices) in a quite fast and low cost manner. The accuracy of the colorimeter was ensured by comparing it to a fully validated Hitachi U-1900 spectrophotometer, and a coefficient was calculated to eliminate the observed differences. In addition, a new, user friendly software was developed, in order to render the procedure as easy as possible, while allowing a central monitoring of the obtained results. Overall, a novel kit was developed, with which the antioxidant activity of liquids can be measured, firstly to ensure their quality and secondly to assess the amount of antioxidants consumed with the respective food.

Aboriginal and Torres Strait Islander community governance of health research: Turning principles into practice.

PubMed

Gwynn, Josephine; Lock, Mark; Turner, Nicole; Dennison, Ray; Coleman, Clare; Kelly, Brian; Wiggers, John

2015-08-01

Gaps exist in researchers' understanding of the 'practice' of community governance in relation to research with Aboriginal and Torres Strait Islander peoples. We examine Aboriginal community governance of two rural NSW research projects by applying principles-based criteria from two independent sources. One research project possessed a strong Aboriginal community governance structure and evaluated a 2-year healthy lifestyle program for children; the other was a 5-year cohort study examining factors influencing the mental health and well-being of participants. The National Health and Medical Research Council of Australia's 'Values and ethics: guidelines for ethical conduct in Aboriginal and Torres Strait Islander research' and 'Ten principles relevant to health research among Indigenous Australian populations' described by experts in the field. Adopt community-based participatory research constructs. Develop clear governance structures and procedures at the beginning of the study and allow sufficient time for their establishment. Capacity-building must be a key component of the research. Ensure sufficient resources to enable community engagement, conduct of research governance procedures, capacity-building and results dissemination. The implementation of governance structures and procedures ensures research addresses the priorities of the participating Aboriginal and Torres Strait Islander communities, minimises risks and improves outcomes for the communities. Principles-based Aboriginal and Torres Strait Islander community governance of research is very achievable. Next steps include developing a comprehensive evidence base for appropriate governance structures and procedures, and consolidating a suite of practical guides for structuring clear governance in health research. © 2015 National Rural Health Alliance Inc.

Building Energy Simulation Test for Existing Homes (BESTEST-EX) (Presentation)

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

Judkoff, R.; Neymark, J.; Polly, B.

2011-12-01

This presentation discusses the goals of NREL Analysis Accuracy R&D; BESTEST-EX goals; what BESTEST-EX is; how it works; 'Building Physics' cases; 'Building Physics' reference results; 'utility bill calibration' cases; limitations and potential future work. Goals of NREL Analysis Accuracy R&D are: (1) Provide industry with the tools and technical information needed to improve the accuracy and consistency of analysis methods; (2) Reduce the risks associated with purchasing, financing, and selling energy efficiency upgrades; and (3) Enhance software and input collection methods considering impacts on accuracy, cost, and time of energy assessments. BESTEST-EX Goals are: (1) Test software predictions of retrofitmore » energy savings in existing homes; (2) Ensure building physics calculations and utility bill calibration procedures perform up to a minimum standard; and (3) Quantify impact of uncertainties in input audit data and occupant behavior. BESTEST-EX is a repeatable procedure that tests how well audit software predictions compare to the current state of the art in building energy simulation. There is no direct truth standard. However, reference software have been subjected to validation testing, including comparisons with empirical data.« less

Animal welfare: European legislation and future perspectives.

PubMed

Bonafos, Laurence; Simonin, Denis; Gavinelli, Andrea

2010-01-01

Although animals are central to the life of all societies, substantial differences exist in the level of understanding or attitudes toward animal-welfare issues between agrarian and urban societies in developing or industrial countries. These differences are largely dependent on people's degree of contact with animals. Other than domestic species, people in industrialized nations tend to have limited contact with farm and wild animals. With this reduced or lack of daily animal contact, there can be a parallel lack of understanding of or appreciation for animal-welfare issues. As a result, different nations have adopted various policies, procedures, and laws to ensure that their societies protect the welfare of animals. In this article, we chronicle 30 years of actions by European nations through the European Commission to enact legislation that ensures uniform standards of animal-welfare practices to protect farm animals, animals used in research, and wild animals held in captivity.

[Training of interviewers in the utilization of standardized questionnaires in psychiatry: studies realized with the Present State Examination (PSE)].

PubMed

Lesage, A D; Cyr, M; Toupin, J; Cormier, H; Valiquette, C

1991-01-01

Interview questionnaires offer more validity than self-administered format in exploring psychopathological or psychosocial phenomena of interest in psychiatric research. If used, special care needs to be paid to interviewers' training and ensuring that they maintain their reliability. No widespread training standards exist and each schedule may carry its own procedure. Our aims are to indicate how we trained interviewers with the French version of the Present State Examination (Wing, Cooper and Sartorius, 1974) and how we checked and kept acceptable interraters reliability during one study. We will provide data on the interraters reliability during the training and the study, as well as the test-retest reliability. These results will be used to support some guidelines when using this sort of psychiatric research questionnaires in order to ensure comparability both within the study and between studies.

36 CFR 907.14 - Corporation decision making procedures.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 36 Parks, Forests, and Public Property 3 2012-07-01 2012-07-01 false Corporation decision making... CORPORATION ENVIRONMENTAL QUALITY § 907.14 Corporation decision making procedures. To ensure that at major... Corporation's decision making process to ensure adequate consideration of environmental factors. (b) The...

36 CFR 907.14 - Corporation decision making procedures.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 36 Parks, Forests, and Public Property 3 2014-07-01 2014-07-01 false Corporation decision making... CORPORATION ENVIRONMENTAL QUALITY § 907.14 Corporation decision making procedures. To ensure that at major... Corporation's decision making process to ensure adequate consideration of environmental factors. (b) The...

36 CFR 907.14 - Corporation decision making procedures.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 36 Parks, Forests, and Public Property 3 2011-07-01 2011-07-01 false Corporation decision making... CORPORATION ENVIRONMENTAL QUALITY § 907.14 Corporation decision making procedures. To ensure that at major... Corporation's decision making process to ensure adequate consideration of environmental factors. (b) The...

Study of structural reliability of existing concrete structures

NASA Astrophysics Data System (ADS)

Druķis, P.; Gaile, L.; Valtere, K.; Pakrastiņš, L.; Goremikins, V.

2017-10-01

Structural reliability of buildings has become an important issue after the collapse of a shopping center in Riga 21.11.2013, caused the death of 54 people. The reliability of a building is the practice of designing, constructing, operating, maintaining and removing buildings in ways that ensure maintained health, ward suffered injuries or death due to use of the building. Evaluation and improvement of existing buildings is becoming more and more important. For a large part of existing buildings, the design life has been reached or will be reached in the near future. The structures of these buildings need to be reassessed in order to find out whether the safety requirements are met. The safety requirements provided by the Eurocodes are a starting point for the assessment of safety. However, it would be uneconomical to require all existing buildings and structures to comply fully with these new codes and corresponding safety levels, therefore the assessment of existing buildings differs with each design situation. This case study describes the simple and practical procedure of determination of minimal reliability index β of existing concrete structures designed by different codes than Eurocodes and allows to reassess the actual reliability level of different structural elements of existing buildings under design load.

36 CFR § 907.14 - Corporation decision making procedures.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 36 Parks, Forests, and Public Property 3 2013-07-01 2012-07-01 true Corporation decision making... CORPORATION ENVIRONMENTAL QUALITY § 907.14 Corporation decision making procedures. To ensure that at major... Corporation's decision making process to ensure adequate consideration of environmental factors. (b) The...

32 CFR 80.5 - Responsibilities.

Code of Federal Regulations, 2014 CFR

2014-07-01

... FAMILIES, AND SPECIAL EDUCATION CHILDREN WITH DISABILITIES WITHIN THE SECTION 6 SCHOOL ARRANGEMENTS § 80.5... conformity with the procedures in appendix A to this part. (2) Ensure that preschool children and children... children and children with disabilities are met using the procedures established by this part. (3) Ensure...

32 CFR 80.5 - Responsibilities.

Code of Federal Regulations, 2012 CFR

2012-07-01

... FAMILIES, AND SPECIAL EDUCATION CHILDREN WITH DISABILITIES WITHIN THE SECTION 6 SCHOOL ARRANGEMENTS § 80.5... conformity with the procedures in appendix A to this part. (2) Ensure that preschool children and children... children and children with disabilities are met using the procedures established by this part. (3) Ensure...

32 CFR 80.5 - Responsibilities.

Code of Federal Regulations, 2011 CFR

2011-07-01

... FAMILIES, AND SPECIAL EDUCATION CHILDREN WITH DISABILITIES WITHIN THE SECTION 6 SCHOOL ARRANGEMENTS § 80.5... conformity with the procedures in appendix A to this part. (2) Ensure that preschool children and children... children and children with disabilities are met using the procedures established by this part. (3) Ensure...

32 CFR 80.5 - Responsibilities.

Code of Federal Regulations, 2010 CFR

2010-07-01

... FAMILIES, AND SPECIAL EDUCATION CHILDREN WITH DISABILITIES WITHIN THE SECTION 6 SCHOOL ARRANGEMENTS § 80.5... conformity with the procedures in appendix A to this part. (2) Ensure that preschool children and children... children and children with disabilities are met using the procedures established by this part. (3) Ensure...

32 CFR 80.5 - Responsibilities.

Code of Federal Regulations, 2013 CFR

2013-07-01

... FAMILIES, AND SPECIAL EDUCATION CHILDREN WITH DISABILITIES WITHIN THE SECTION 6 SCHOOL ARRANGEMENTS § 80.5... conformity with the procedures in appendix A to this part. (2) Ensure that preschool children and children... children and children with disabilities are met using the procedures established by this part. (3) Ensure...

NREL Improves Building Energy Simulation Programs Through Diagnostic Testing (Fact Sheet)

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

Not Available

2012-01-01

This technical highlight describes NREL research to develop Building Energy Simulation Test for Existing Homes (BESTEST-EX) to increase the quality and accuracy of energy analysis tools for the building retrofit market. Researchers at the National Renewable Energy Laboratory (NREL) have developed a new test procedure to increase the quality and accuracy of energy analysis tools for the building retrofit market. The Building Energy Simulation Test for Existing Homes (BESTEST-EX) is a test procedure that enables software developers to evaluate the performance of their audit tools in modeling energy use and savings in existing homes when utility bills are available formore » model calibration. Similar to NREL's previous energy analysis tests, such as HERS BESTEST and other BESTEST suites included in ANSI/ASHRAE Standard 140, BESTEST-EX compares software simulation findings to reference results generated with state-of-the-art simulation tools such as EnergyPlus, SUNREL, and DOE-2.1E. The BESTEST-EX methodology: (1) Tests software predictions of retrofit energy savings in existing homes; (2) Ensures building physics calculations and utility bill calibration procedures perform to a minimum standard; and (3) Quantifies impacts of uncertainties in input audit data and occupant behavior. BESTEST-EX includes building physics and utility bill calibration test cases. The diagram illustrates the utility bill calibration test cases. Participants are given input ranges and synthetic utility bills. Software tools use the utility bills to calibrate key model inputs and predict energy savings for the retrofit cases. Participant energy savings predictions using calibrated models are compared to NREL predictions using state-of-the-art building energy simulation programs.« less

40 CFR 98.294 - Monitoring and QA/QC requirements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... scales or methods used for accounting purposes. (3) Document the procedures used to ensure the accuracy of the monthly measurements of trona consumed. (b) If you calculate CO2 process emissions based on... your facility, or methods used for accounting purposes. (3) Document the procedures used to ensure the...

105KE Basin Area Radiation Monitor System (ARMS) Acceptance Test Procedure

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

KINKEL, C.C.

1999-12-14

This procedure is intended for the Area Radiation Monitoring System, ARMS, that is replacing the existing Programmable Input-Output Processing System, PIOPS, radiation monitoring system in the 105KE basin. The new system will be referred to as the 105KE ARMS, 105KE Area Radiation Monitoring System. This ATP will ensure calibration integrity of the 105KE radiation detector loops. Also, this ATP will test and document the display, printing, alarm output, alarm acknowledgement, upscale check, and security functions. This ATP test is to be performed after completion of the 105KE ARMS installation. The alarm outputs of the 105KE ARMS will be connected tomore » the basin detector alarms, basin annunciator system, and security Alarm Monitoring System, AMS, located in the 200 area Central Alarm Station (CAS).« less

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR ADMINISTERING FIELD QUESTIONNAIRES--GENERAL (UA-T-2.0)

EPA Science Inventory

The purpose of this SOP is to outline the objectives of and instructions for questionnaire administration in order to ensure consistency among the instructions given to respondents in the field. This procedure was followed to ensure consistent data retrieval during the Arizona N...

20 CFR 670.545 - How does Job Corps ensure that students receive due process in disciplinary actions?

Code of Federal Regulations, 2010 CFR

2010-04-01

... receive due process in disciplinary actions? 670.545 Section 670.545 Employees' Benefits EMPLOYMENT AND... process in disciplinary actions? The center operator must ensure that all students receive due process in disciplinary proceedings according to procedures developed by the Secretary. These procedures must include, at...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR ADMINISTERING FIELD QX--GENERAL (UA-T-2.0)

EPA Science Inventory

The purpose of this SOP is to outline the objectives of and instructions for questionnaire administration in order to ensure consistency among the instructions given to respondents in the field. This procedure was followed to ensure consistent data retrieval during the Arizona N...

A decision support system-based procedure for evaluation and monitoring of protected areas sustainability for the Mediterranean region

NASA Astrophysics Data System (ADS)

Pediaditi, K.; Buono, F.; Pompigna, F.; Bogliotti, C.; Nurlu, E.; Ladisa, G.; Petropoulos, G. P.

2011-10-01

Despite common acknowledgement of the value of protected areas as instruments in ensuring sustainability, and their promotion for the achievement of policies on halting the loss of biodiversity, there is no common approach today for monitoring and evaluating them. This paper presents a novel integrated nature conservation management procedure developed to monitor and evaluate the sustainability of Mediterranean protected areas. This procedure was successfully implemented and formally evaluated by protected area managers in six Mediterranean countries, results of which are presented here together with an overview of the web-based Decision Support System (DSS) developed to facilitate its wide adoption. The DSS and procedure has been designed and evaluated by managers as a useful tool, which facilitates and provides needed procedural guidance for protected area monitoring whilst minimizing input requirements to do so. The procedure and DSS were developed following a review of existing protected area assessment tools and a detailed primary investigation of the needs and capacity of its intended users. Essentially, the procedure and DSS guides provide the facilities for protected area managers, in following a participatory approach to develop a context-specific sustainability monitoring strategy, for their protected area. Consequently, the procedure is, by design, participatory, context specific, holistic and relevant to protected area management and institutional procedures. The procedure was piloted and formally evaluated in Greece, Italy, Turkey, Egypt, Malta and Cyprus. Feedback collected from the pilot evaluations is also summarised herein.

Reflections on the implementation of governance structures for early-stage clinical innovation.

PubMed

Cowie, Luke; Sandall, Jane; Ehrich, Kathryn

2013-12-01

This paper seeks to further explore the question of how best to monitor and govern innovative clinical procedures in their earliest phase of development. We examine the potential value of proposed governance frameworks, such as the IDEAL model, and examine the functioning of a novel procedures review committee. The paper draws upon 20 qualitative, semi-structured interviews. Nine interviews were conducted with members of a committee that was established as a means of governing innovative procedures within a large National Health Service Foundation Trust hospital in the UK. Eleven interviews were conducted with health providers involved with the development of a variety of novel clinical procedures. Prominent themes from the data include the potential willingness of clinicians to engage with regulatory frameworks for innovative procedures, existing ways in which clinicians and others attempt to ensure patient's safety and manage uncertainty in the context of novel procedures, views on the potential benefits and drawbacks of engaging with a review committee for novel procedures, and the pragmatic considerations and potential unintended consequences that are entailed in the implementation of regulatory requirements for the monitoring of innovative procedures. The views of committee members and clinical innovators help us to understand the practical issues of implementing governance structures for novel clinical procedures. The data illustrate those factors that must be taken into account if governance is to support innovation rather than act as an inhibiting factor in the development of new clinical procedures. © 2012 John Wiley & Sons Ltd.

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR FREEZER MAINTENANCE AND TEMPERATURE VERIFICATION FOR SAMPLE INTEGRITY (BCO-L-25.0)

EPA Science Inventory

The purpose of this SOP is to ensure suitable temperature maintenance of freezers used for storage of samples. This procedure was followed to ensure consistent data retrieval during the Arizona NHEXAS project and the "Border" study. Keywords: freezers; operation.

The National H...

Macroergonomic study of food sector company distribution centres.

PubMed

García Acosta, Gabriel; Lange Morales, Karen

2008-07-01

This study focussed on the work system design to be used by a Colombian food sector company for distributing products. It considered the concept of participative ergonomics, where people from the commercial, logistics, operation, occupational health areas worked in conjunction with the industrial designers, ergonomists who methodologically led the project. As a whole, the project was conceived as having five phases: outline, diagnosis, modelling the process, scalability, instrumentation. The results of the project translate into procedures for selecting, projecting a new distribution centre, the operational process model, a description of ergonomic systems that will enable specific work stations to be designed, the procedure for adapting existing warehouses. Strategically, this work helped optimise the company's processes and ensure that knowledge would be transferred within it. In turn, it became a primary prevention strategy in the field of health, aimed at reducing occupational risks, improving the quality of life at work.

Efficient kinetic method for fluid simulation beyond the Navier-Stokes equation.

PubMed

Zhang, Raoyang; Shan, Xiaowen; Chen, Hudong

2006-10-01

We present a further theoretical extension to the kinetic-theory-based formulation of the lattice Boltzmann method of Shan [J. Fluid Mech. 550, 413 (2006)]. In addition to the higher-order projection of the equilibrium distribution function and a sufficiently accurate Gauss-Hermite quadrature in the original formulation, a regularization procedure is introduced in this paper. This procedure ensures a consistent order of accuracy control over the nonequilibrium contributions in the Galerkin sense. Using this formulation, we construct a specific lattice Boltzmann model that accurately incorporates up to third-order hydrodynamic moments. Numerical evidence demonstrates that the extended model overcomes some major defects existing in conventionally known lattice Boltzmann models, so that fluid flows at finite Knudsen number Kn can be more quantitatively simulated. Results from force-driven Poiseuille flow simulations predict the Knudsen's minimum and the asymptotic behavior of flow flux at large Kn.

Maximizing Efficiency and Reducing Robotic Surgery Costs Using the NASA Task Load Index.

PubMed

Walters, Carrie; Webb, Paula J

2017-10-01

Perioperative leaders at our facility were struggling to meet efficiency targets for robotic surgery procedures while also maintaining the satisfaction of the surgical team. We developed a human resources time and motion study tool and used it in conjunction with the NASA Task Load Index to observe and analyze the required workload of personnel assigned to 25 robotic surgery procedures. The time and motion study identified opportunities to enlist the help of nonlicensed support personnel to ensure safe patient care and improve OR efficiency. Using the NASA Task Load Index demonstrated that high temporal, effort, and physical demands existed for personnel assisting with and performing robotic surgery. We believe that this process could be used to develop cost-effective staffing models, resulting in safe and efficient care for all surgical patients. Copyright © 2017 AORN, Inc. Published by Elsevier Inc. All rights reserved.

Mammography status using patient self-reports and computerized radiology database.

PubMed

Thompson, B; Taylor, V; Goldberg, H; Mullen, M

1999-10-01

This study sought to compare self-reported mammography use of low-income women utilizing an inner-city public hospital with a computerized hospital database for tracking mammography use. A survey of all age-eligible women using the hospital's internal medicine clinic was done; responses were matched with the radiology database. We examined concordance among the two data sources. Concordance between self-report and the database was high (82%) when using "ever had a mammogram at the hospital," but low (58%) when comparing self-reported last mammogram with the information contained in the database. Disagreements existed between self-reports and the database. Because we sought to ensure that women would know exactly what a mammogram entailed by including a picture of a woman having a mammogram, it is possible that women's responses were accurate, leading to concerns that discrepancies might be present in the database. Physicians and staff must ensure that they understand the full history of a woman's experience with mammography before recommending for or against the procedure.

Design and Development of a Flight Route Modification, Logging, and Communication Network

NASA Technical Reports Server (NTRS)

Merlino, Daniel K.; Wilson, C. Logan; Carboneau, Lindsey M.; Wilder, Andrew J.; Underwood, Matthew C.

2016-01-01

There is an overwhelming desire to create and enhance communication mechanisms between entities that operate within the National Airspace System. Furthermore, airlines are always extremely interested in increasing the efficiency of their flights. An innovative system prototype was developed and tested that improves collaborative decision making without modifying existing infrastructure or operational procedures within the current Air Traffic Management System. This system enables collaboration between flight crew and airline dispatchers to share and assess optimized flight routes through an Internet connection. Using a sophisticated medium-fidelity flight simulation environment, a rapid-prototyping development, and a unified modeling language, the software was designed to ensure reliability and scalability for future growth and applications. Ensuring safety and security were primary design goals, therefore the software does not interact or interfere with major flight control or safety systems. The system prototype demonstrated an unprecedented use of in-flight Internet to facilitate effective communication with Airline Operations Centers, which may contribute to increased flight efficiency for airlines.

Right Care for the Right Patient Each and Every Time.

PubMed

Basavatia, Amar; Fret, Jose; Lukaj, Alex; Kuo, Hsiang; Yaparpalvi, Ravindra; Tome, Wolfgang A; Kalnicki, Shalom

2016-02-12

To implement a biometric patient identification system in the field of radiation oncology. A biometric system using palm vein scanning technology has been implemented to ensure the delivery of treatment to the correct patient each and every time. By interfacing a palm vein biometrics system (PVBS) (PatientSecure®, Imprivata, Lexington, Massachusetts) with the radiation oncology patient management system (ROPMS) (ARIA®, Varian Medical Systems, Palo Alto, California) one can integrate patient check-in at the front desk and identify and open the correct treatment record of the patient at the point of care prior to the initiation of the radiation therapy treatment. The learning time for the use of the software and palm scanner was extremely short. The staff at the front desk and treatment machines learned the procedures to use, clean, and care for the device in one hour's time. The first key to the success of the system is to have a policy and procedure in place; such a procedure was created and put in place in the department from the first day. The second key to the success is the actual hand placement on the scanner. Learning the proper placement and gently reminding patients from time to time was found to be efficient and to work well. The use of a biometric patient identification system employing palm vein technology allows one to ensure that the right care is delivered to the right patient each and every time. Documentation through the PVBS database now exists to show that this has taken place.

Procedures For Microbial-Ecology Laboratory

NASA Technical Reports Server (NTRS)

Huff, Timothy L.

1993-01-01

Microbial Ecology Laboratory Procedures Manual provides concise and well-defined instructions on routine technical procedures to be followed in microbiological laboratory to ensure safety, analytical control, and validity of results.

The importance of employee participation and perceptions of changes in procedures in a teamworking intervention

PubMed Central

Nielsen, Karina; Randall, Raymond

2012-01-01

The powerful positive results of implementing teamwork are not always achieved. It has been suggested that attempts to implement theories regarding teamwork do not always lead to those theories being put into practice, and as a result positive outcomes are not always found. The participation of employees in the development and implementation of an intervention may help to ensure that changes take place. In this longitudinal study (N = 583) of teamwork implementation in Denmark we examined the links between pre-intervention working conditions and well-being, levels of participation in planning and implementation, employees’ reports of changes in procedures, and intervention outcomes. Pre-intervention levels of autonomy and job satisfaction predicted the degree of employee participation in the planning and implementation of the intervention. Pre-intervention well-being and social support were linked directly to the degree to which employees reported changes in existing work practices concerning teamwork. In addition, participation and changes in work procedures were significantly associated with post-intervention autonomy, social support and well-being. The results indicate that employee participation in intervention processes is crucial in what appears to be an important association with perceived changes in procedures and, therefore, in intervention outcomes. PMID:22745519

Knowledge discovery by accuracy maximization

PubMed Central

Cacciatore, Stefano; Luchinat, Claudio; Tenori, Leonardo

2014-01-01

Here we describe KODAMA (knowledge discovery by accuracy maximization), an unsupervised and semisupervised learning algorithm that performs feature extraction from noisy and high-dimensional data. Unlike other data mining methods, the peculiarity of KODAMA is that it is driven by an integrated procedure of cross-validation of the results. The discovery of a local manifold’s topology is led by a classifier through a Monte Carlo procedure of maximization of cross-validated predictive accuracy. Briefly, our approach differs from previous methods in that it has an integrated procedure of validation of the results. In this way, the method ensures the highest robustness of the obtained solution. This robustness is demonstrated on experimental datasets of gene expression and metabolomics, where KODAMA compares favorably with other existing feature extraction methods. KODAMA is then applied to an astronomical dataset, revealing unexpected features. Interesting and not easily predictable features are also found in the analysis of the State of the Union speeches by American presidents: KODAMA reveals an abrupt linguistic transition sharply separating all post-Reagan from all pre-Reagan speeches. The transition occurs during Reagan’s presidency and not from its beginning. PMID:24706821

[Dual Antiplatelet Therapy in the Perioperative Period - To Continue or Discontinue Treatment?

PubMed

Koscielny, Jürgen; von Heymann, Christian; Zeymer, Uwe; Cremer, Jochen; Spannagl, Michael; Labenz, Joachim; Giannitsis, Evangelos; Goss, Franz

2017-08-01

Background  For secondary prevention of acute coronary syndrome, guidelines recommend dual antiplatelet therapy (DAPT) with acetylsalicylic acid and a P2Y12 receptor antagonist such as clopidogrel, prasugrel or ticagrelor for a period of 12 months. Often, uncertainty exists with respect to surgical or diagnostic procedures in these high-risk patients: can the DAPT be continued without interruption? If not, what is the recommended withdrawal strategy? What should be considered for the perioperative management? Methods  An interdisciplinary group of experienced experts in the fields of cardiology, cardiac surgery, gastroenterology, anaesthesiology, intensive care and haemostaseology developed recommendations relevant to daily clinical practice based on the current scientific evidence. Results  These recommendations include instructions for evaluating the patient- and procedure-specific risks of bleeding and ischaemia, general recommendations regarding the DAPT withdrawal strategy, and specific guidance for frequent surgical or diagnostic procedures. Discussion  This article aims to facilitate the management of patients with DAPT for all medical disciplines involved, thereby ensuring optimal care of patients during the perioperative period. © Georg Thieme Verlag KG Stuttgart · New York.

The Leader-Clinician Advocate in Advancing Student Clinical Learning.

PubMed

Bleich, Michael R

2017-03-01

The visionary, think-ahead leader realizes a responsibility to ensure that a steady pipeline of qualified professionals exists. In the settings where they lead, academic partnerships can ensure that students are socialized and adequately prepared for existing and emerging job roles. Concept-based learning, NCLEX-RN test plans, and 12 strategies to ensure leader-clinician engagement with students are presented. J Contin Educ Nurs. 2017;48(3):99-101. Copyright 2017, SLACK Incorporated.

[Project to enhance bone bank tissue storage and distribution procedures].

PubMed

Huang, Jui-Chen; Wu, Chiung-Lan; Chen, Chun-Chuan; Chen, Shu-Hua

2011-10-01

Organ and tissue transplantation are now commonly preformed procedures. Improper organ bank handling procedures may increase infection risks. Execution accuracy in terms of tissue storage and distribution at our bone bank was 80%. We thus proposed an execution improvement project to enhance procedures in order to fulfill the intent of donors and ensure recipient safety. This project was designed to raise nurse professionalism, and ensure patient safety through enhanced tissue storage and distribution procedures. Education programs developed for this project focus on teaching standard operating procedures for bone and ligament storage and distribution, bone bank facility maintenance, trouble shooting and solutions, and periodic inspection systems. Cognition of proper storage and distribution procedures rose from 81% to 100%; Execution accuracy also rose from 80% to 100%. The project successfully conveyed concepts essential to the correct execution of organ storage and distribution procedures and proper organ bank facility management. Achieving and maintaining procedural and management standards is crucial to continued organ donations and the recipient safety.

14 CFR 431.39 - Mission rules, procedures, contingency plans, and checklists.

Code of Federal Regulations, 2012 CFR

2012-01-01

... mission rules, procedures, checklists, emergency plans, and contingency abort plans, if any, that ensure..., procedures, checklists, emergency plans, and contingency abort plans must be contained in a safety directive...

14 CFR 431.39 - Mission rules, procedures, contingency plans, and checklists.

Code of Federal Regulations, 2014 CFR

2014-01-01

... mission rules, procedures, checklists, emergency plans, and contingency abort plans, if any, that ensure..., procedures, checklists, emergency plans, and contingency abort plans must be contained in a safety directive...

14 CFR 431.39 - Mission rules, procedures, contingency plans, and checklists.

Code of Federal Regulations, 2013 CFR

2013-01-01

... mission rules, procedures, checklists, emergency plans, and contingency abort plans, if any, that ensure..., procedures, checklists, emergency plans, and contingency abort plans must be contained in a safety directive...

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

Code of Federal Regulations, 2014 CFR

2014-04-01

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

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

Code of Federal Regulations, 2010 CFR

2010-04-01

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

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

Code of Federal Regulations, 2011 CFR

2011-04-01

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

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

Code of Federal Regulations, 2012 CFR

2012-04-01

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

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

Code of Federal Regulations, 2013 CFR

2013-04-01

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

10 CFR 835.104 - Written procedures.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 10 Energy 4 2012-01-01 2012-01-01 false Written procedures. 835.104 Section 835.104 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Management and Administrative Requirements § 835.104 Written procedures. Written procedures shall be developed and implemented as necessary to ensure...

10 CFR 835.104 - Written procedures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 10 Energy 4 2010-01-01 2010-01-01 false Written procedures. 835.104 Section 835.104 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Management and Administrative Requirements § 835.104 Written procedures. Written procedures shall be developed and implemented as necessary to ensure...

10 CFR 835.104 - Written procedures.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 10 Energy 4 2011-01-01 2011-01-01 false Written procedures. 835.104 Section 835.104 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Management and Administrative Requirements § 835.104 Written procedures. Written procedures shall be developed and implemented as necessary to ensure...

10 CFR 835.104 - Written procedures.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 10 Energy 4 2013-01-01 2013-01-01 false Written procedures. 835.104 Section 835.104 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Management and Administrative Requirements § 835.104 Written procedures. Written procedures shall be developed and implemented as necessary to ensure...

10 CFR 835.104 - Written procedures.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 10 Energy 4 2014-01-01 2014-01-01 false Written procedures. 835.104 Section 835.104 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Management and Administrative Requirements § 835.104 Written procedures. Written procedures shall be developed and implemented as necessary to ensure...

48 CFR 45.202 - Evaluation procedures.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Evaluation procedures. 45... MANAGEMENT GOVERNMENT PROPERTY Solicitation and Evaluation Procedures 45.202 Evaluation procedures. (a) The... evaluation purposes only, a rental equivalent evaluation factor. (b) The contracting officer shall ensure the...

21 CFR 113.40 - Equipment and procedures.

Code of Federal Regulations, 2011 CFR

2011-04-01

... ensure a supply of clean, dry air. (3) Pressure gages. Each retort should be equipped with a pressure... should have adequate filter systems to ensure a supply of clean, dry air. (3) Pressure gages. (i) Each... controllers should have adequate filter systems to ensure a supply of clean, dry air. (3) Pressure gages. Each...

21 CFR 113.40 - Equipment and procedures.

Code of Federal Regulations, 2014 CFR

2014-04-01

... have adequate filter systems to ensure a supply of clean, dry air. A steam controller activated by the... ensure a supply of clean, dry air. (5) Steam introduction. Steam shall be distributed in the bottom of... temperature controllers should have adequate filter systems to ensure a supply of clean, dry air. (5) Bleeders...

21 CFR 113.40 - Equipment and procedures.

Code of Federal Regulations, 2013 CFR

2013-04-01

... have adequate filter systems to ensure a supply of clean, dry air. A steam controller activated by the... ensure a supply of clean, dry air. (5) Steam introduction. Steam shall be distributed in the bottom of... temperature controllers should have adequate filter systems to ensure a supply of clean, dry air. (5) Bleeders...

21 CFR 113.40 - Equipment and procedures.

Code of Federal Regulations, 2012 CFR

2012-04-01

... have adequate filter systems to ensure a supply of clean, dry air. A steam controller activated by the... ensure a supply of clean, dry air. (5) Steam introduction. Steam shall be distributed in the bottom of... temperature controllers should have adequate filter systems to ensure a supply of clean, dry air. (5) Bleeders...

Controlled Donation After Circulatory Determination of Death.

PubMed

Dalle Ave, Anne L; Shaw, David M

2017-03-01

Controlled donation after circulatory determination of death (cDCDD) concerns donation after withdrawal of life-sustaining therapy (W-LST). We examine the ethical issues raised by W-LST in the cDCDD context in the light of a review of cDCDD protocols and the ethical literature. Our analysis confirms that W-LST procedures vary considerably among cDCDD centers and that despite existing recommendations, the conflict of interest in the W-LST decision and process might be difficult to avoid, the process of W-LST might interfere with usual end-of-life care, and there is a risk of hastening death. In order to ensure that the practice of W-LST meets already well-established ethical recommendations, we suggest that W-LST should be managed in the ICU by an ICU physician who has been part of the W-LST decision. Recommending extubation for W-LST, when this is not necessarily the preferred procedure, is inconsistent with the recommendation to follow usual W-LST protocol. As the risk of conflicts of interest in the decision of W-LST and in the process of W-LST exists, this should be acknowledged and disclosed. Finally, when cDCDD programs interfere with W-LST and end-of-life care, this should be transparently disclosed to the family, and specific informed consent is necessary.

77 FR 32645 - Revision of Performance Standards for State Medicaid Fraud Control Units

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-01

... Procedures A Unit establishes written policies and procedures for its operations and ensures that staff are familiar with, and adhere to, policies and procedures. To determine whether a Unit meets this standard, OIG... contain current policies and procedures, consistent with these performance standards, for the...

The Importance of Method Selection in Determining Product Integrity for Nutrition Research1234

PubMed Central

Mudge, Elizabeth M; Brown, Paula N

2016-01-01

The American Herbal Products Association estimates that there as many as 3000 plant species in commerce. The FDA estimates that there are about 85,000 dietary supplement products in the marketplace. The pace of product innovation far exceeds that of analytical methods development and validation, with new ingredients, matrixes, and combinations resulting in an analytical community that has been unable to keep up. This has led to a lack of validated analytical methods for dietary supplements and to inappropriate method selection where methods do exist. Only after rigorous validation procedures to ensure that methods are fit for purpose should they be used in a routine setting to verify product authenticity and quality. By following systematic procedures and establishing performance requirements for analytical methods before method development and validation, methods can be developed that are both valid and fit for purpose. This review summarizes advances in method selection, development, and validation regarding herbal supplement analysis and provides several documented examples of inappropriate method selection and application. PMID:26980823

Being accountable for care of the poor. CHA's social accountability budget helps facilities keep track of charitable activity.

PubMed

Trocchio, J; Eckels, T

1989-06-01

The Catholic Health Association's social accountability budget is a set of tools to help Catholic healthcare facilities plan for, administer, and report benefits provided to their communities, especially the poor. It defines a full roster of community benefits that a healthcare organization may provide. The benefits fall into three major categories: activities and services, policies and procedures, and community leadership. The social accountability budget also presents guidelines for assessing the facility's existing services, activities, policies, and procedures and discusses how the facility can conduct or be part of a community needs assessment. Information collected through this assessment is used in the planning and budgeting processes. This ensures that uncompensated care and charitable services receive consideration along with traditional planning and budgeting items. Additional guidelines show the facility how to track and measure its services to the community. The final step, often absent from Catholic healthcare facilities' programs, is reporting community benefits.

The Importance of Method Selection in Determining Product Integrity for Nutrition Research.

PubMed

Mudge, Elizabeth M; Betz, Joseph M; Brown, Paula N

2016-03-01

The American Herbal Products Association estimates that there as many as 3000 plant species in commerce. The FDA estimates that there are about 85,000 dietary supplement products in the marketplace. The pace of product innovation far exceeds that of analytical methods development and validation, with new ingredients, matrixes, and combinations resulting in an analytical community that has been unable to keep up. This has led to a lack of validated analytical methods for dietary supplements and to inappropriate method selection where methods do exist. Only after rigorous validation procedures to ensure that methods are fit for purpose should they be used in a routine setting to verify product authenticity and quality. By following systematic procedures and establishing performance requirements for analytical methods before method development and validation, methods can be developed that are both valid and fit for purpose. This review summarizes advances in method selection, development, and validation regarding herbal supplement analysis and provides several documented examples of inappropriate method selection and application. © 2016 American Society for Nutrition.

Evaluating the Emergency Notification Systems of the NASA White Sands Test

NASA Technical Reports Server (NTRS)

Chavez, Alfred Paul

2004-01-01

The problem was that the NASA Fire and Emergency Services did not know if the current emergency notification systems on the NASA White Sands Test Facility were appropriate for alerting the employees of an emergency. The purpose of this Applied Research Project was to determine if the current emergency notification systems of the White Sands Test Facility are appropriate for alerting the employees of an emergency. This was a descriptive research project. The research questions were: 1) What are similar facilities using to alert the employees of an emergency?; 2) Are the current emergency notification systems suitable for the community hazards on the NASA White Sands Test Facility?; 3) What is the NASA Fire and Emergency Services currently using to measure the effectiveness of the emergency notification systems?; and 4) What are the current training methods used to train personnel to the emergency notification systems at the NASA White Sands Test Facility? The procedures involved were to research other established facilities, research published material from credible sources, survey the facility to determine the facility perception of the emergency notification systems, and evaluate the operating elements of the established emergency notification systems for the facility. The results were that the current systems are suitable for the type of hazards the facility may endure. The emergency notification systems are tested frequently to ensure effectiveness in the event of an emergency. Personnel are trained and participate in a yearly drill to make certain personnel are educated on the established systems. The recommendations based on the results were to operationally improve the existing systems by developing and implementing one system that can overall notify the facility of a hazard. Existing procedures and training should also be improved to ensure that all personnel are educated on what to do when the emergency notification systems are activated.

Mortuary operations in the aftermath of the 2009 Victorian bushfires.

PubMed

Leditschke, Jodie; Collett, Sarsha; Ellen, Rebecca

2011-02-25

On the day of the 2009 Victorian bushfires the Victorian Institute of Forensic Medicine activated its emergency plan. Within 48 h a temporary body storage facility was constructed adjacent to the existing mortuary. This temporary facility had the capacity to store up to 300 deceased persons. Pathologists, anthropologists, odontologists, police and mortuary assistants responded from all around Australia, New Zealand and Indonesia. The existing forensic mortuary and staff were divided into two areas: DVI (disaster victim identification) and "routine operations". A high priority for the mortuary was to ensure the casework of the "routine" deceased persons (those cases which were not related to the bushfires) was handled concurrently and in a timely manner. On admission each set of victim remains was given both a Coroner's case number in addition to the DVI number allocated at the scene. The case was CT scanned, examined by a pathologist, an anthropologist, and odontologist and in some instances a fingerprint expert. Where possible a DNA sample was taken. All processes, samples, labels and paperwork underwent a quality assurance check prior to the case completion. Regular audits were conducted. All of post mortem examinations were completed within 20 days of admission. Occupational health and safety issues of the staff were a high priority; this included correct manual handling, infection control and psychological debriefings. During the operation it was found that some remains were contaminated with asbestos. Procedures were set in place to manage these cases individually and each was isolated to reduce the risk of exposure by staff to asbestos. This overall mortuary operation identified a number of significant challenges, in particular the management of multiple parts of human remains for one individual. A new procedure was developed to ensure that all human remains, where possible, were reconciled with identified deceased persons prior to the release to the funeral director. It also highlighted the need to have well documented plans in place including plans for temporary mortuary facilities. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

14 CFR 431.37 - Mission readiness.

Code of Federal Regulations, 2014 CFR

2014-01-01

... contingency abort plans and procedures, if any, as required under § 431.39; (vi) Unresolved safety issues.... (2) Procedures that ensure mission constraints, rules, contingency abort and emergency abort...

14 CFR 431.37 - Mission readiness.

Code of Federal Regulations, 2012 CFR

2012-01-01

... contingency abort plans and procedures, if any, as required under § 431.39; (vi) Unresolved safety issues.... (2) Procedures that ensure mission constraints, rules, contingency abort and emergency abort...

14 CFR 431.37 - Mission readiness.

Code of Federal Regulations, 2013 CFR

2013-01-01

... contingency abort plans and procedures, if any, as required under § 431.39; (vi) Unresolved safety issues.... (2) Procedures that ensure mission constraints, rules, contingency abort and emergency abort...

14 CFR 431.37 - Mission readiness.

Code of Federal Regulations, 2011 CFR

2011-01-01

... contingency abort plans and procedures, if any, as required under § 431.39; (vi) Unresolved safety issues.... (2) Procedures that ensure mission constraints, rules, contingency abort and emergency abort...

14 CFR 431.37 - Mission readiness.

Code of Federal Regulations, 2010 CFR

2010-01-01

... contingency abort plans and procedures, if any, as required under § 431.39; (vi) Unresolved safety issues.... (2) Procedures that ensure mission constraints, rules, contingency abort and emergency abort...

Evaluating the importance of sham controlled trials in the investigation of medical devices in interventional cardiology.

PubMed

Byrne, Robert A; Capodanno, Davide; Mahfoud, Felix; Fajadet, Jean; Windecker, Stephan; Jüni, Peter; Baumbach, Andreas; Wijns, William; Haude, Michael

2018-05-22

Cardiovascular medicine is one of the specialties that has relied most heavily on evidence from randomized clinical trials in determining best practice for the management of common disease conditions. When comparing treatment approaches, trials incorporating random allocation are the most appropriate method for protecting against treatment allocation bias. In order to protect against performance and ascertainment bias, trial designs including placebo control are preferable where feasible. In contrast to testing of medicines, treatments based on procedures or use of medical devices are more challenging to assess, as sham procedures are necessary to facilitate blinding of participants. However, in many cases, ethical concerns exist, as individual patients allocated to sham procedure are exposed only to risk without potential for benefit. Accordingly, the potential benefits to the general patient population must be carefully weighed against the risks of the exposed individuals. For this reason, trial design and study conduct are critically important to ensure that the investigation has the best chance of answering the study question at hand. In the current manuscript, we aim to review issues relating to the conduct of sham-controlled trials and discuss a number of recent examples in the field of interventional cardiology.

Communication: Density functional theory embedding with the orthogonality constrained basis set expansion procedure

NASA Astrophysics Data System (ADS)

Culpitt, Tanner; Brorsen, Kurt R.; Hammes-Schiffer, Sharon

2017-06-01

Density functional theory (DFT) embedding approaches have generated considerable interest in the field of computational chemistry because they enable calculations on larger systems by treating subsystems at different levels of theory. To circumvent the calculation of the non-additive kinetic potential, various projector methods have been developed to ensure the orthogonality of molecular orbitals between subsystems. Herein the orthogonality constrained basis set expansion (OCBSE) procedure is implemented to enforce this subsystem orbital orthogonality without requiring a level shifting parameter. This scheme is a simple alternative to existing parameter-free projector-based schemes, such as the Huzinaga equation. The main advantage of the OCBSE procedure is that excellent convergence behavior is attained for DFT-in-DFT embedding without freezing any of the subsystem densities. For the three chemical systems studied, the level of accuracy is comparable to or higher than that obtained with the Huzinaga scheme with frozen subsystem densities. Allowing both the high-level and low-level DFT densities to respond to each other during DFT-in-DFT embedding calculations provides more flexibility and renders this approach more generally applicable to chemical systems. It could also be useful for future extensions to embedding approaches combining wavefunction theories and DFT.

Report of the FELASA Working Group on evaluation of quality systems for animal units.

PubMed

Howard, B; van Herck, H; Guillen, J; Bacon, B; Joffe, R; Ritskes-Hoitinga, M

2004-04-01

This report compares and considers the merits of existing, internationally available quality management systems suitable for implementation in experimental animal facilities. These are: the Good Laboratory Practice Guidelines, ISO 9000:2000 (International Organization for Standardization) and AAALAC International (Association for Assessment and Accreditation of Laboratory Animal Care International). Good laboratory practice (GLP) is a legal requirement for institutions undertaking non-clinical health and environmental studies for the purpose of registering or licensing for use and which have to be 'GLP-compliant'. GLP guidelines are often only relevant for and obtainable by those institutions. ISO is primarily an external business standard, which provides a management tool to master and optimize a business activity; it aims to implement and enhance 'customer satisfaction'. AAALAC is primarily a peer-reviewed system of accreditation which evaluates the organization and procedures in programmes of animal care and use to ensure the appropriate use of animals, safeguard animal well-being (ensuring state-of-the-art housing, management, procedural techniques, etc.) as well as the management of health and safety of staff. Management needs to determine, on the basis of a facility's specific goals, whether benefits would arise from the introduction of a quality system and, if so, which system is most appropriate. The successful introduction of a quality system confers peer-recognition against an independent standard, thereby providing assurance of standards of animal care and use, improving the quality of animal studies, and contributing to the three Rs-reduction, refinement and replacement.

34 CFR 300.304 - Evaluation procedures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Educational Placements Evaluations and Reevaluations § 300.304 Evaluation procedures. (a) Notice. The public... conducting the evaluation, the public agency must— (1) Use a variety of assessment tools and strategies to... evaluation procedures. Each public agency must ensure that— (1) Assessments and other evaluation materials...

Is sports safety policy being translated into practice: what can be learnt from the Australian rugby union Mayday procedure?

PubMed

Poulos, Roslyn G; Donaldson, Alex

2012-06-01

To investigate the level of translation of the Australian Rugby Union 'Mayday' safety procedure into practice among community rugby union coaches in New South Wales (Australia). All registered coaches of senior community rugby union teams in five zones/associations in the north-eastern region of the state were invited to complete a short online questionnaire at the end of the 2010 rugby season. The questionnaire was designed around the five RE-AIM dimensions and assessed: Reach, perceived Effectiveness, Adoption, Implementation and Maintenance of the Mayday procedure. Seventy (39%) coaches participated. There was a high level of awareness of the Mayday procedure, and most coaches believed it was effective in preventing injuries. The majority reported training their players in the procedure, although training was generally infrequent. Coaches were confident that their own players could implement the procedure appropriately if required to do so, but less confident that other teams or referees could do so. Barriers to providing training included not enough players at training, players not taking training seriously and technical difficulties (eg, verbalisation of instructions for physical tasks). The findings suggest that the translation of the Mayday 'policy' could be improved by building individual coach, and club or zone organisational capacity by ensuring that coaches have the resources and skills in 'how' to train their players to complement their existing knowledge on 'what' to train them; setting expectations that encourage coaches to provide regular training for players; and regular monitoring of player competency to perform the procedure appropriately.

45 CFR 261.62 - What must a State do to verify the accuracy of its work participation information?

Code of Federal Regulations, 2010 CFR

2010-10-01

..., DEPARTMENT OF HEALTH AND HUMAN SERVICES ENSURING THAT RECIPIENTS WORK How Do We Ensure the Accuracy of Work... internal controls to ensure compliance with the procedures; and (5) Submit to the Secretary for approval... countable work activity; and (5) A description of the internal controls that the State has implemented to...

49 CFR 238.503 - Inspection, testing, and maintenance requirements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... inspection, testing, or maintenance task under this part. (i) Standard procedures. The program under paragraph (a) of this section shall include the railroad's written standard procedures for performing all... this section shall contain the railroad's written procedures to ensure that all systems and components...

34 CFR 303.419 - Mediation.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 34 Education 2 2010-07-01 2010-07-01 false Mediation. 303.419 Section 303.419 Education... DISABILITIES Procedural Safeguards Mediation and Due Process Procedures for Parents and Children § 303.419 Mediation. (a) General. Each State shall ensure that procedures are established and implemented to allow...

77 FR 59192 - Agency Information Collection Activities: Submission for OMB Review; Comment Request...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-26

.... Financial Institution Policies and Procedures for Ensuring Employee- Mortgage Loan Originator Compliance... Burden: 244,800 hours. C. Financial Institution Procedures for the Collection and Maintenance of Employee.... F. Financial Institution Procedures for the Collection of Employee Mortgage Loan Originator's...

34 CFR 300.304 - Evaluation procedures.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Placements Evaluations and Reevaluations § 300.304 Evaluation procedures. (a) Notice. The public agency must... evaluation, the public agency must— (1) Use a variety of assessment tools and strategies to gather relevant... procedures. Each public agency must ensure that— (1) Assessments and other evaluation materials used to...

Impact of North Atlantic Treaty Organization Policies and Procedures on Combined Medical Operations: Food and Water Safety and Veterinary Support.

PubMed

Stevenson, Timothy H; Chevalier, Nicole A; Scher, Gregory R; Burke, Ronald L

2016-01-01

Effective multilateral military operations such as those conducted by the North Atlantic Treaty Organization (NATO) require close cooperation and standardization between member nations to ensure interoperability. Failure to standardize policies, procedures, and doctrine prior to the commencement of military operations will result in critical interoperability gaps, which jeopardize the health of NATO forces and mission success. To prevent these gaps from occurring, US forces must be actively involved with NATO standardization efforts such as the Committee of the Chiefs of Medical Services to ensure US interests are properly represented when NATO standards are developed and US doctrine and procedures will meet the established NATO requirements.

29 CFR 34.33 - Methods of Administration.

Code of Federal Regulations, 2010 CFR

2010-07-01

... training plans, contracts, assurances, and other similar agreements; (iii) Procedures for ensuring that... OF THE JOB TRAINING PARTNERSHIP ACT OF 1982, AS AMENDED (JTPA) Governor's Responsibilities To... training to ensure that members of the recipients' staffs who have been assigned responsibilities pursuant...

16 CFR 1021.6 - Responsible official.

Code of Federal Regulations, 2010 CFR

2010-01-01

... important to environmental issues. (5) To ensure that environmental documents are before the Commission at... Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION GENERAL ENVIRONMENTAL REVIEW Procedures § 1021.6... following specific powers and duties: (1) To ensure that CPSC environmental review is conducted in...

7 CFR 1724.6 - Insurance requirements.

Code of Federal Regulations, 2013 CFR

2013-01-01

... AGRICULTURE ELECTRIC ENGINEERING, ARCHITECTURAL SERVICES AND DESIGN POLICIES AND PROCEDURES General § 1724.6 Insurance requirements. (a) Borrowers shall ensure that all architects and engineers working under contract... also ensure that all architects and engineers working under contract with the borrower have insurance...

7 CFR 1724.6 - Insurance requirements.

Code of Federal Regulations, 2014 CFR

2014-01-01

... AGRICULTURE ELECTRIC ENGINEERING, ARCHITECTURAL SERVICES AND DESIGN POLICIES AND PROCEDURES General § 1724.6 Insurance requirements. (a) Borrowers shall ensure that all architects and engineers working under contract... also ensure that all architects and engineers working under contract with the borrower have insurance...

7 CFR 1724.6 - Insurance requirements.

Code of Federal Regulations, 2010 CFR

2010-01-01

... AGRICULTURE ELECTRIC ENGINEERING, ARCHITECTURAL SERVICES AND DESIGN POLICIES AND PROCEDURES General § 1724.6 Insurance requirements. (a) Borrowers shall ensure that all architects and engineers working under contract... also ensure that all architects and engineers working under contract with the borrower have insurance...

7 CFR 1724.6 - Insurance requirements.

Code of Federal Regulations, 2011 CFR

2011-01-01

... AGRICULTURE ELECTRIC ENGINEERING, ARCHITECTURAL SERVICES AND DESIGN POLICIES AND PROCEDURES General § 1724.6 Insurance requirements. (a) Borrowers shall ensure that all architects and engineers working under contract... also ensure that all architects and engineers working under contract with the borrower have insurance...

7 CFR 1724.6 - Insurance requirements.

Code of Federal Regulations, 2012 CFR

2012-01-01

... AGRICULTURE ELECTRIC ENGINEERING, ARCHITECTURAL SERVICES AND DESIGN POLICIES AND PROCEDURES General § 1724.6 Insurance requirements. (a) Borrowers shall ensure that all architects and engineers working under contract... also ensure that all architects and engineers working under contract with the borrower have insurance...

20 CFR 638.538 - Disciplinary procedures and appeals.

Code of Federal Regulations, 2011 CFR

2011-04-01

... behavior, in accordance with procedures developed by the Job Corps Director. Such rules shall be established to ensure high standards of behavior and conduct. (b) The center operator shall develop reasonable...

20 CFR 638.538 - Disciplinary procedures and appeals.

Code of Federal Regulations, 2012 CFR

2012-04-01

... behavior, in accordance with procedures developed by the Job Corps Director. Such rules shall be established to ensure high standards of behavior and conduct. (b) The center operator shall develop reasonable...

12 CFR 1250.2 - Procedural requirements.

Code of Federal Regulations, 2010 CFR

2010-01-01

... requirements. (a) Procedures. An Enterprise shall implement procedures reasonably designed to ensure for any loan that is secured by improved real estate or a mobile home located in an area that has been... amended and purchased by the Enterprise, the building or mobile home and any personal property securing...

40 CFR 258.53 - Ground-water sampling and analysis requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... include consistent sampling and analysis procedures that are designed to ensure monitoring results that... testing period. If a multiple comparisons procedure is used, the Type I experiment wise error rate for...

34 CFR 303.525 - Delivery of services in a timely manner.

Code of Federal Regulations, 2011 CFR

2011-07-01

... development of procedures to ensure that services are provided to eligible children and their families in a... INFANTS AND TODDLERS WITH DISABILITIES State Administration Policies and Procedures Related to Financial...

34 CFR 303.525 - Delivery of services in a timely manner.

Code of Federal Regulations, 2010 CFR

2010-07-01

... development of procedures to ensure that services are provided to eligible children and their families in a... INFANTS AND TODDLERS WITH DISABILITIES State Administration Policies and Procedures Related to Financial...

32 CFR 57.5 - Responsibilities.

Code of Federal Regulations, 2010 CFR

2010-07-01

... services to infants, toddlers and children. (4) Ensure the implementation of procedural safeguards... a DoD-wide comprehensive child-find system to identify eligible infants, toddlers, and children ages... Defense (GC, DoD) and the Secretaries of the Military Departments: (i) Ensure that eligible infants and...

32 CFR 57.5 - Responsibilities.

Code of Federal Regulations, 2013 CFR

2013-07-01

... services to infants, toddlers and children. (4) Ensure the implementation of procedural safeguards... a DoD-wide comprehensive child-find system to identify eligible infants, toddlers, and children ages... Defense (GC, DoD) and the Secretaries of the Military Departments: (i) Ensure that eligible infants and...

32 CFR 57.5 - Responsibilities.

Code of Federal Regulations, 2014 CFR

2014-07-01

... services to infants, toddlers and children. (4) Ensure the implementation of procedural safeguards... a DoD-wide comprehensive child-find system to identify eligible infants, toddlers, and children ages... Defense (GC, DoD) and the Secretaries of the Military Departments: (i) Ensure that eligible infants and...

32 CFR 57.5 - Responsibilities.

Code of Federal Regulations, 2011 CFR

2011-07-01

... services to infants, toddlers and children. (4) Ensure the implementation of procedural safeguards... a DoD-wide comprehensive child-find system to identify eligible infants, toddlers, and children ages... Defense (GC, DoD) and the Secretaries of the Military Departments: (i) Ensure that eligible infants and...

32 CFR 57.5 - Responsibilities.

Code of Federal Regulations, 2012 CFR

2012-07-01

... services to infants, toddlers and children. (4) Ensure the implementation of procedural safeguards... a DoD-wide comprehensive child-find system to identify eligible infants, toddlers, and children ages... Defense (GC, DoD) and the Secretaries of the Military Departments: (i) Ensure that eligible infants and...

17 CFR 23.605 - Conflicts of interest policies and procedures.

Code of Federal Regulations, 2014 CFR

2014-04-01

... subject to this rule must adopt and implement written policies and procedures reasonably designed to... information in the research report, to provide for non-substantive editing, to format the layout or style of... swap participant must establish written policies and procedures reasonably designed to ensure the...

NHEXAS PHASE I REGION 5 STUDY--STANDARD OPERATING PROCEDURE FOR TRAINING FILE INSPECTIONS (NHX/SOP-815-004)

EPA Science Inventory

This procedure details the procedure for inspecting training files. Training file inspections are performed primarily to ensure that the program requirements are being met and that a current summary of training and experience is being maintained for each individual engaged in the...

Space Geodesy Project Information and Configuration Management Procedure

NASA Technical Reports Server (NTRS)

Merkowitz, Stephen M.

2016-01-01

This plan defines the Space Geodesy Project (SGP) policies, procedures, and requirements for Information and Configuration Management (CM). This procedure describes a process that is intended to ensure that all proposed and approved technical and programmatic baselines and changes to the SGP hardware, software, support systems, and equipment are documented.

76 FR 62074 - Proposed Revision of Performance Standards for State Medicaid Fraud Control Units

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-06

... volume of case referrals and workload for each location. Performance Standard 3--Policies and Procedures A Unit establishes written policies and procedures for its operations and ensures that staff are familiar with, and adhere to, policies and procedures. In meeting this standard, the following performance...

17 CFR 240.15d-15 - Controls and procedures.

Code of Federal Regulations, 2011 CFR

2011-04-01

... control framework that is established by a body or group that has followed due-process procedures..., without limitation, controls and procedures designed to ensure that information required to be disclosed... disclosure. (f) The term internal control over financial reporting is defined as a process designed by, or...

17 CFR 240.15d-15 - Controls and procedures.

Code of Federal Regulations, 2010 CFR

2010-04-01

... control framework that is established by a body or group that has followed due-process procedures..., without limitation, controls and procedures designed to ensure that information required to be disclosed... disclosure. (f) The term internal control over financial reporting is defined as a process designed by, or...

75 FR 2122 - Additional Guidance Regarding Application of Current Procedures for Testing Energy Consumption of...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-14

... prescribed or amended under this section shall be reasonably designed to produce test results which measure... Energy's (DOE) guidance to ensure the consistent application of DOE's current test procedure to...) to prescribe standardized test procedures to measure the energy consumption of certain consumer...

36 CFR 1010.13 - Trust decision-making procedures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Trust decision-making procedures. 1010.13 Section 1010.13 Parks, Forests, and Public Property PRESIDIO TRUST ENVIRONMENTAL QUALITY § 1010.13 Trust decision-making procedures. To ensure that at major decision-making points all relevant...

Parent experiences and information needs relating to procedural pain in children: a systematic review protocol.

PubMed

Gates, Allison; Shave, Kassi; Featherstone, Robin; Buckreus, Kelli; Ali, Samina; Scott, Shannon; Hartling, Lisa

2017-06-06

There exist many evidence-based interventions available to manage procedural pain in children and neonates, yet they are severely underutilized. Parents play an important role in the management of their child's pain; however, many do not possess adequate knowledge of how to effectively do so. The purpose of the planned study is to systematically review and synthesize current knowledge of the experiences and information needs of parents with regard to the management of their child's pain and distress related to medical procedures in the emergency department. We will conduct a systematic review using rigorous methods and reporting based on the PRISMA statement. We will conduct a comprehensive search of literature published between 2000 and 2016 reporting on parents' experiences and information needs with regard to helping their child manage procedural pain and distress. Ovid MEDLINE, Ovid PsycINFO, CINAHL, and PubMed will be searched. We will also search reference lists of key studies and gray literature sources. Two reviewers will screen the articles following inclusion criteria defined a priori. One reviewer will then extract the data from each article following a data extraction form developed by the study team. The second reviewer will check the data extraction for accuracy and completeness. Any disagreements with regard to study inclusion or data extraction will be resolved via discussion. Data from qualitative studies will be summarized thematically, while those from quantitative studies will be summarized narratively. The second reviewer will confirm the overarching themes resulting from the qualitative and quantitative data syntheses. The Critical Appraisal Skills Programme Qualitative Research Checklist and the Quality Assessment Tool for Quantitative Studies will be used to assess the quality of the evidence from each included study. To our knowledge, no published review exists that comprehensively reports on the experiences and information needs of parents related to the management of their child's procedural pain and distress. A systematic review of parents' experiences and information needs will help to inform strategies to empower them with the knowledge necessary to ensure their child's comfort during a painful procedure. PROSPERO CRD42016043698.

Knowledge which Cannot be Used is Useless.

ERIC Educational Resources Information Center

Cox, Ken

1987-01-01

The medical school is responsible for ensuring that its graduating doctors can apply scientific principles to health problems. That responsibility requires (1) selection of content; (2) presentation of content in appropriate ways; and (3) examination of students. Discussed are procedures for ensuring desired outcomes. (Author/RH)

Digging up the Dirt.

ERIC Educational Resources Information Center

Knuffman, Susan M.

1997-01-01

Explores ways of maintaining school floors and carpeting that ensure students and staff are comfortable, safe, and healthy. Carpet maintenance for high- to low-traffic areas and cleaning procedures are examined, as are ways maintenance staff can work together to help ensure a successful flooring-maintenance plan. (GR)

40 CFR 257.23 - Ground-water sampling and analysis requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... and analysis procedures that are designed to ensure monitoring results that provide an accurate... procedure is used, the Type I experiment wise error rate for each testing period shall be no less than 0.05...

Finance issue brief: consumer grievance procedures: internal and independent appeals.

PubMed

Stauffer, M

1999-10-01

State lawmakers across the country have begun to play an important role in ensuring that managed care plans establish and maintain grievance and appeals procedures that are responsive to the needs of their constituents.

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR PREPARATION OF STANDARD OPERATING PROCEDURES (SOPS) (UA-G-1.0)

EPA Science Inventory

The purpose of this SOP is to establish a uniform format for the preparation of SOPs. Use of these protocols ensures consistent implementation of project tasks, documents the preparation and implementation of the procedures used, describes quality control measures and the limits...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR CALIBRATION, MAINTENANCE AND OPERATION OF ELECTRONIC BALANCES (BCO-L-23.0)

EPA Science Inventory

The purpose of this SOP is to describe the general procedures to be followed for the operation, calibration and maintenance of electronic balances. This procedure was followed to ensure consistent data retrieval during the Arizona NHEXAS project and the "Border" study. Keywords: ...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR RECEIPT OF EQUIPMENT AND IMPLEMENTATION SUPPLIES (UA-G-5.0)

EPA Science Inventory

The purpose of this SOP is to outline procedures for the receipt of equipment and field implementation supplies at the NHEXAS Arizona research project. This procedure was followed to ensure consistent data custody, storage, transfer, and analysis of a high quality during the Ari...

Quality-assurance procedures: Method 5G determination of particulate emissions from wood heaters from a dilution tunnel sampling location

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

Ward, T.E.; Hartman, M.W.; Olin, R.C.

1989-06-01

Quality-assurance procedures are contained in this comprehensive document intended to be used as an aid for wood-heater manufacturers and testing laboratories in performing particulate matter sampling of wood heaters according to EPA protocol, Method 5G. These procedures may be used in research and development, and as an aid in auditing and certification testing. A detailed, step-by-step quality assurance guide is provided to aid in the procurement and assembly of testing apparatus, to clearly describe the procedures, and to facilitate data collection and reporting. Suggested data sheets are supplied that can be used as an aid for both recordkeeping and certificationmore » applications. Throughout the document, activity matrices are provided to serve as a summary reference. Checklists are also supplied that can be used by testing personnel. Finally, for the purposes of ensuring data quality, procedures are outlined for apparatus operation, maintenance, and traceability. These procedures combined with the detailed description of the sampling and analysis protocol will help ensure the accuracy and reliability of Method 5G emission-testing results.« less

34 CFR 303.226 - Fiscal control.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 34 Education 2 2013-07-01 2013-07-01 false Fiscal control. 303.226 Section 303.226 Education... DISABILITIES State Application and Assurances Assurances § 303.226 Fiscal control. The State must ensure that fiscal control and fund accounting procedures will be adopted as necessary to ensure proper disbursement...

MetaMapping the nursing procedure manual.

PubMed

Peace, Jane; Brennan, Patricia Flatley

2006-01-01

Nursing procedure manuals are an important resource for practice, but ensuring that the correct procedure can be located when needed is an ongoing challenge. This poster presents an approach used to automatically index nursing procedures with standardized nursing terminology. Although indexing yielded a low number of mappings, examination of successfully mapped terms, incorrect mappings, and unmapped terms reveals important information about the reasons automated indexing fails.

Bifurcation Analysis of a Predator-Prey System with Ratio-Dependent Functional Response

NASA Astrophysics Data System (ADS)

Jiang, Xin; She, Zhikun; Feng, Zhaosheng; Zheng, Xiuliang

2017-12-01

In this paper, we are concerned with the structural stability of a density dependent predator-prey system with ratio-dependent functional response. Starting with the geometrical analysis of hyperbolic curves, we obtain that the system has one or two positive equilibria under various conditions. Inspired by the S-procedure and semi-definite programming, we use the sum of squares decomposition based method to ensure the global asymptotic stability of the positive equilibrium through the associated polynomial Lyapunov functions. By exploring the monotonic property of the trace of the Jacobian matrix with respect to r under the given different conditions, we analytically verify that there is a corresponding unique r∗ such that the trace is equal to zero and prove the existence of Hopf bifurcation, respectively.

Forensic examination of ink by high-performance thin layer chromatography--the United States Secret Service Digital Ink Library.

PubMed

Neumann, Cedric; Ramotowski, Robert; Genessay, Thibault

2011-05-13

Forensic examinations of ink have been performed since the beginning of the 20th century. Since the 1960s, the International Ink Library, maintained by the United States Secret Service, has supported those analyses. Until 2009, the search and identification of inks were essentially performed manually. This paper describes the results of a project designed to improve ink samples' analytical and search processes. The project focused on the development of improved standardization procedures to ensure the best possible reproducibility between analyses run on different HPTLC plates. The successful implementation of this new calibration method enabled the development of mathematical algorithms and of a software package to complement the existing ink library. Copyright © 2010 Elsevier B.V. All rights reserved.

Bioreactor performance: a more scientific approach for practice.

PubMed

Lübbert, A; Bay Jørgensen, S

2001-02-13

In practice, the performance of a biochemical conversion process, i.e. the bioreactor performance, is essentially determined by the benefit/cost ratio. The benefit is generally defined in terms of the amount of the desired product produced and its market price. Cost reduction is the major objective in biochemical engineering. There are two essential engineering approaches to minimizing the cost of creating a particular product in an existing plant. One is to find a control path or operational procedure that optimally uses the dynamics of the process and copes with the many constraints restricting production. The other is to remove or lower the constraints by constructive improvements of the equipment and/or the microorganisms. This paper focuses on the first approach, dealing with optimization of the operational procedure and the measures by which one can ensure that the process adheres to the predetermined path. In practice, feedforward control is the predominant control mode applied. However, as it is frequently inadequate for optimal performance, feedback control may also be employed. Relevant aspects of such performance optimization are discussed.

Development and evolution of The Knowledge Hub for Pathology and related electronic resources.

PubMed

Hardwick, David F; Sinard, John; Silva, Fred

2011-06-01

The Knowledge Hub for Pathology was created to provide authenticated and validated knowledge for United States and Canadian Academy of Pathology members and pathologists worldwide with access to the Web. Using the material presented at the annual meeting of the United States and Canadian Academy of Pathology with existing selection and review procedures ensured that these criteria were met without added costly procedures. Further submissions for courses and research papers are provided in electronic format and funded by universities and hospitals for their creation; thus, the principal costs borne by the United States and Canadian Academy of Pathology are Web site-posting costs. Use has escalated rapidly from 2 million hits in 2002 to 51 million in 2009 with use by 35,000 pathologists from now a total of 180 countries. This true "freemium" model is a successful process as are more traditional continuing professional development course structures such as Anatomic Pathology Electronic Case Series, a "premium" model for learning electronically also sponsored by the United States and Canadian Academy of Pathology. Copyright © 2011 Elsevier Inc. All rights reserved.

Employee Retirement Income Security Act of 1974: rules and regulations for administration and enforcement; claims procedure. Pension and Welfare Benefits Administration, Labor. Final regulation.

PubMed

2000-11-21

This document contains a final regulation revising the minimum requirements for benefit claims procedures of employee benefit plans covered by Title I of the Employee Retirement Income Security Act of 1974 (ERISA or the Act). The regulation establishes new standards for the processing of claims under group health plans and plans providing disability benefits and further clarifies existing standards for all other employee benefit plans. The new standards are intended to ensure more timely benefit determinations, to improve access to information on which a benefit determination is made, and to assure that participants and beneficiaries will be afforded a full and fair review of denied claims. When effective, the regulation will affect participants and beneficiaries of employee benefit plans, employers who sponsor employee benefit plans, plan fiduciaries, and others who assist in the provision of plan benefits, such as third-party benefits administrators and health service providers or health maintenance organizations that provide benefits to participants and beneficiaries of employee benefit plans.

Response of School Districts to the New York State Concussion Awareness and Management Act: Review of Policies and Procedures.

PubMed

Kajankova, Maria; Oswald, Jennifer M; Terranova, Lauren M; Kaplen, Michael V; Ambrose, Anne F; Spielman, Lisa A; Gordon, Wayne A

2017-06-01

By 2014, all states implemented concussion laws that schools must translate into daily practice; yet, limited knowledge exists regarding implementation of these laws. We examined the extent to which concussion management policies and procedure (P&P) documents of New York State school districts comply with the State's Concussion Awareness and Management Act (the Act). We also aimed to identify barriers to compliance. Forty-seven school districts provided P&P documents. We examined compliance with the Act and the relationship between compliance and each district's demographics. Compliance varied across school districts, with higher overall compliance in large city school districts compared to county districts. However, there was low compliance for several critical items. We found no statistically significant relationship between compliance and demographics. School districts need to increase compliance with concussion legislation to ensure the adequate implementation necessary for the law to impact health and educational outcomes. The results provide important information to individuals charged with the responsibility of implementation and ultimately reducing the negative outcomes associated with brain injuries in schools. © 2017, American School Health Association.

Online Calibration of Polytomous Items Under the Generalized Partial Credit Model

PubMed Central

Zheng, Yi

2016-01-01

Online calibration is a technology-enhanced architecture for item calibration in computerized adaptive tests (CATs). Many CATs are administered continuously over a long term and rely on large item banks. To ensure test validity, these item banks need to be frequently replenished with new items, and these new items need to be pretested before being used operationally. Online calibration dynamically embeds pretest items in operational tests and calibrates their parameters as response data are gradually obtained through the continuous test administration. This study extends existing formulas, procedures, and algorithms for dichotomous item response theory models to the generalized partial credit model, a popular model for items scored in more than two categories. A simulation study was conducted to investigate the developed algorithms and procedures under a variety of conditions, including two estimation algorithms, three pretest item selection methods, three seeding locations, two numbers of score categories, and three calibration sample sizes. Results demonstrated acceptable estimation accuracy of the two estimation algorithms in some of the simulated conditions. A variety of findings were also revealed for the interacted effects of included factors, and recommendations were made respectively. PMID:29881063

Staged margin-controlled excision (SMEX) for lentigo maligna melanoma in situ.

PubMed

Beveridge, Julie; Taher, Muba; Zhu, Jay; Mahmood, Muhammad N; Salopek, Thomas G

2018-06-24

No consensus exists regarding the best surgical strategy to achieve clear surgical margins while minimizing tissue excision when definitely excising lentigo maligna melanoma in situ (LM). The staged margin controlled excision (SMEX) technique is a modification of the spaghetti technique that allows surgeons to minimize margins and ensure complete excision of LM. Our objectives were twofold: a) to evaluate the effectiveness of SMEX for treatment of LM and b) detail the SMEX technique. A retrospective chart review of adult patients who underwent the SMEX technique for treatment of LM from 2011 to 2016 was conducted. Twenty-four patients were identified with predominantly facial lesions. The mean defect size was 12.1 cm 2 . A mean number of two SMEX procedures, with an average margin of 9 mm, were required to obtain complete excision of the LM. Using SMEX, we achieved 100% clearance of LM over a median follow up period of 18 months, with a range of 1-63 months. SMEX offers a reliable surgical excision method that ensures complete excision of LM in a cosmetically sensitive manner. The recurrence outcomes of SMEX are comparable, if not better, than those of alternative excision techniques in the literature. © 2018 Wiley Periodicals, Inc.

Validated measurements of microbial loads on environmental surfaces in intensive care units before and after disinfecting cleaning.

PubMed

Frickmann, H; Bachert, S; Warnke, P; Podbielski, A

2018-03-01

Preanalytic aspects can make results of hygiene studies difficult to compare. Efficacy of surface disinfection was assessed with an evaluated swabbing procedure. A validated microbial screening of surfaces was performed in the patients' environment and from hands of healthcare workers on two intensive care units (ICUs) prior to and after a standardized disinfection procedure. From a pure culture, the recovery rate of the swabs for Staphylococcus aureus was 35%-64% and dropped to 0%-22% from a mixed culture with 10-times more Staphylococcus epidermidis than S. aureus. Microbial surface loads 30 min before and after the cleaning procedures were indistinguishable. The quality-ensured screening procedure proved that adequate hygiene procedures are associated with a low overall colonization of surfaces and skin of healthcare workers. Unchanged microbial loads before and after surface disinfection demonstrated the low additional impact of this procedure in the endemic situation when the pathogen load prior to surface disinfection is already low. Based on a validated screening system ensuring the interpretability and reliability of the results, the study confirms the efficiency of combined hand and surface hygiene procedures to guarantee low rates of bacterial colonization. © 2017 The Society for Applied Microbiology.

A cross-sectional pilot study to investigate patient attitudes and perception regarding the use of real time digital recording of urological procedures for research and teaching purposes

PubMed Central

Sharp, Gary; Mazzon, Giorgio; Thilagarajah, Ranjan

2015-01-01

Little conclusive evidence exists regarding the best way to educate and evaluate skill acquisition of advanced surgical trainees, despite it being recognised as one of the most important aspects of training. Many laparoscopic trainers have been produced with complex engineering at great cost, but, there seems to be a reluctance to use the most precious entity available to us; the patient. We thus propose the use of real time digital recording of urological procedures for research and teaching purposes. This study was prompted by the lack of literature regarding such issues. A 19 question questionnaire was circulated at a single urology out-patient department (Essex, England) over a 6 month period to evaluate attitudes and perceptions of urological patients on potentially having their procedure digitally recorded for educational and research purposes. 11 patients declined, 187 questionnaires were included in the final analysis. Male patients are more willing to consent than female patients. Older patients resulted to have a higher propensity in being recorded for medical teaching. Greater than 50% believe being recorded is intrusive but the majority do not think privacy is an issue. Lastly, the vast majority require a formal debrief post operatively. Our results show that a percentage of the public are potentially willing to be digitally recorded but many financial and social barriers exist. We have also highlighted areas of possible future research, namely the reluctance behind young urology patients to consent and questions regarding how best to educate possible study participants to ensure proper informed consent is gained. PMID:26005568

RMP Guidance for Chemical Distributors - Chapter 8: Emergency Response Program

EPA Pesticide Factsheets

Depending on the level of processes at your facility, part 68 may require an emergency response program: an emergency response plan, emergency response equipment procedures, employee training, and procedures to ensure the program is up-to-date.

Party Time

ERIC Educational Resources Information Center

Fuentes, Sarah Quebec; Quebec, Rachael

2016-01-01

"Ensuring Mathematical Success for All" (NCTM 2010) outlines eight teaching practices for effective teaching and learning of mathematics. One of the teaching practices, building procedural fluency from conceptual understanding, states the following: Effective teaching of mathematics builds fluency with procedures on a foundation of…

Critical review of ADOT's hot mix asphalt specifications : final report 630.

DOT National Transportation Integrated Search

2008-12-01

The Arizona Department of Transportation (ADOT) has developed specifications and procedures to : ensure the quality of the hot mix asphalt materials purchased by the Department. The document : recording these specifications and procedures is the Stan...

Training for laparoscopic pancreaticoduodenectomy.

PubMed

Kuroki, Tamotsu; Fujioka, Hikaru

2018-05-10

In recent years, laparoscopic procedures have developed rapidly, and the reports of laparoscopic pancreatic resection including laparoscopic pancreaticoduodenectomy (LPD) have increased in number. Although LPD is a complex procedure with high mortality, the training system for LPD remains unestablished. Ensuring patient safety is extremely important, even in challenging surgeries such a LPD. At present, several tools have been developed for surgical education to ensure patient safety preoperatively, such as video learning, virtual reality simulators, and cadaver training. Although LPD is reported as a safe and feasible choice, LPD is still a challenging operation. An LPD training system should be established with a board-certified system.

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR COLLECTION, STORAGE, AND SHIPMENT OF HUMAN HAIR (UA-F-26.0)

EPA Science Inventory

The purpose of this SOP is to describe how to collect, store, and ship human hair for analysis of mercury. This SOP provides a brief description of the sample containers, collection, storage, shipping and custody procedures. This procedure was followed to ensure consistent data ...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR RECEIPT OF EQUIPMENT AND FIELD IMPLEMENTATION SUPPLIES (UA-G-5.0)

EPA Science Inventory

The purpose of this SOP is to outline procedures for the receipt of equipment and field implementation supplies for the Arizona Border Study. This procedure was followed to ensure consistent data custody, storage, transfer, and analysis of a high quality during the Arizona NHEXA...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR OPERATION AND INITIALIZATION OF THE MAGELLAN GPS SATELLITE NAVIGATOR (UA-F-22.1)

EPA Science Inventory

The purpose of this SOP is to describe the general procedures for the operation and initialization of the Magellan Global Positioning System (GPS) Satellite Navigator. This procedure was followed to ensure consistent data retrieval during the Arizona NHEXAS project and the Borde...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR PREPARATION OF STANDARD OPERATING PROCEDURES (SOPS) (UA-G-1.0)

EPA Science Inventory

The purpose of this SOP is to establish a uniform format for the preparation of SOPs. Use of these protocols ensures consistent implementation of project tasks, documents the preparation and implementation of the procedures used, describes quality control measures and the limits...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR FIELD COLLECTION OF YARD COMPOSITE SOIL SAMPLES (UA-F-5.1)

EPA Science Inventory

The purpose of this SOP is to establish a uniform procedure for the collection of yard composite soil samples in the field. This procedure was followed to ensure consistent and reliable collection of outdoor soil samples during the Arizona NHEXAS project and the "Border" study. ...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR EXTRACTION OF SOIL/HOUSE DUST FOR GC/MS ANALYSIS OF PESTICIDES (BCO-L-14.0)

EPA Science Inventory

The purpose of this SOP is to describe procedures for extracting and preparing dust or soil samples for gas chromatography/mass spectrometry (GC/MS) analysis of pesticides. This procedure was followed to ensure consistent data retrieval during the Arizona NHEXAS project and the "...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR OPERATION, CALIBRATION AND MAINTENANCE OF FIXED AND ADJUSTABLE VOLUME PIPETTE GUNS (BCO-L-9.0)

EPA Science Inventory

The purpose of this SOP is to describe the general procedures for the operation, calibration, and maintenance of fixed- and adjustable-volume pipette guns. This procedure was followed to ensure consistent data retrieval during the Arizona NHEXAS project and the "Border" study. Ke...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR FIELD COLLECTION OF RESIDENTIAL FOUNDATION SOIL SAMPLES (UA-F-6.1)

EPA Science Inventory

The purpose of this SOP is to establish a uniform procedure for the collection of residential foundation soil samples in the field. This procedure was followed to ensure consistent and reliable collection of outdoor soil samples during the Arizona NHEXAS project and the "Border"...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR EXTRACTION OF PESTICIDES FROM DERMAL WIPE SAMPLES (BCO-L-12.1)

EPA Science Inventory

The purpose of this SOP is to describe procedures for extracting and preparing a dermal wipe sample for GC/MS analysis of pesticides. This procedure was followed to ensure consistent data retrieval during the Arizona NHEXAS project and the "Border" study. Keywords: dermal wipe;...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR COLLECTION OF SURFACE WIPE SAMPLES FOR PESTICIDES OR METALS (UA-F-8.1)

EPA Science Inventory

The purpose of this SOP is to describe the procedures for collecting surface wipe samples inside a home for analysis of either metals or pesticides. This procedure covers the preparation of the surface wipe material and field activities. This protocol was followed to ensure con...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR PREPARATION OF MULTISORBENT TUBES FOR ACTIVELY-PUMPED VOC SAMPLERS (BCO-L-18.1)

EPA Science Inventory

The purpose of this SOP is to describe the procedures followed in the preparation of carbon-based multisorbent tubes for the collection of volatile organic compounds (VOCs) in air using actively-pumped samplers. This procedure was followed to ensure consistent data retrieval duri...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR CLEANING GLASSWARE TO BE USED FOR INORGANIC METALS ANALYSIS (BCO-L-10.0)

EPA Science Inventory

The purpose of this SOP is to describe the general procedures to be followed for cleaning glassware used in preparing and analyzing soil, house dust, air filter, surface wipe, or dermal wash samples for inorganic metals. This procedure was followed to ensure consistent data retr...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR OPERATION AND INITIALIZATION OF THE MAGELLAN GPS SATELLITE NAVIGATOR (UA-F-22.1)

EPA Science Inventory

The purpose of this SOP is to describe the general procedures for the operation and initialization of the Magellan Global Positioning System (GPS) Satellite Navigator. This procedure was followed to ensure consistent data retrieval during the Arizona NHEXAS project and the "Bord...

Environmental Requirements Management

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

Cusack, Laura J.; Bramson, Jeffrey E.; Archuleta, Jose A.

2015-01-08

CH2M HILL Plateau Remediation Company (CH2M HILL) is the U.S. Department of Energy (DOE) prime contractor responsible for the environmental cleanup of the Hanford Site Central Plateau. As part of this responsibility, the CH2M HILL is faced with the task of complying with thousands of environmental requirements which originate from over 200 federal, state, and local laws and regulations, DOE Orders, waste management and effluent discharge permits, Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) response and Resource Conservation and Recovery Act (RCRA) corrective action documents, and official regulatory agency correspondence. The challenge is to manage this vast number ofmore » requirements to ensure they are appropriately and effectively integrated into CH2M HILL operations. Ensuring compliance with a large number of environmental requirements relies on an organization’s ability to identify, evaluate, communicate, and verify those requirements. To ensure that compliance is maintained, all changes need to be tracked. The CH2M HILL identified that the existing system used to manage environmental requirements was difficult to maintain and that improvements should be made to increase functionality. CH2M HILL established an environmental requirements management procedure and tools to assure that all environmental requirements are effectively and efficiently managed. Having a complete and accurate set of environmental requirements applicable to CH2M HILL operations will promote a more efficient approach to: • Communicating requirements • Planning work • Maintaining work controls • Maintaining compliance« less

47 CFR 101.75 - Involuntary relocation procedures.

Code of Federal Regulations, 2013 CFR

2013-10-01

... adjustments, determine comparability, and ensure a seamless handoff. (d) Twelve-month trial period. If, within... SERVICES FIXED MICROWAVE SERVICES Applications and Licenses License Transfers, Modifications, Conditions and Forfeitures § 101.75 Involuntary relocation procedures. (a) If no agreement is reached during the...

47 CFR 101.75 - Involuntary relocation procedures.

Code of Federal Regulations, 2011 CFR

2011-10-01

... adjustments, determine comparability, and ensure a seamless handoff. (d) Twelve-month trial period. If, within... SERVICES FIXED MICROWAVE SERVICES Applications and Licenses License Transfers, Modifications, Conditions and Forfeitures § 101.75 Involuntary relocation procedures. (a) If no agreement is reached during the...

47 CFR 101.75 - Involuntary relocation procedures.

Code of Federal Regulations, 2012 CFR

2012-10-01

... adjustments, determine comparability, and ensure a seamless handoff. (d) Twelve-month trial period. If, within... SERVICES FIXED MICROWAVE SERVICES Applications and Licenses License Transfers, Modifications, Conditions and Forfeitures § 101.75 Involuntary relocation procedures. (a) If no agreement is reached during the...

47 CFR 101.75 - Involuntary relocation procedures.

Code of Federal Regulations, 2014 CFR

2014-10-01

... adjustments, determine comparability, and ensure a seamless handoff. (d) Twelve-month trial period. If, within... SERVICES FIXED MICROWAVE SERVICES Applications and Licenses License Transfers, Modifications, Conditions and Forfeitures § 101.75 Involuntary relocation procedures. (a) If no agreement is reached during the...

49 CFR 1106.1 - Purpose.

Code of Federal Regulations, 2012 CFR

2012-10-01

... TRANSPORTATION RULES OF PRACTICE PROCEDURES FOR SURFACE TRANSPORTATION BOARD CONSIDERATION OF SAFETY INTEGRATION.... This part is designed to ensure adequate and coordinated consideration of safety integration issues, by... subject to the Board's jurisdiction. It establishes the procedures by which the Board will consider safety...

49 CFR 1106.1 - Purpose.

Code of Federal Regulations, 2013 CFR

2013-10-01

... TRANSPORTATION RULES OF PRACTICE PROCEDURES FOR SURFACE TRANSPORTATION BOARD CONSIDERATION OF SAFETY INTEGRATION.... This part is designed to ensure adequate and coordinated consideration of safety integration issues, by... subject to the Board's jurisdiction. It establishes the procedures by which the Board will consider safety...

49 CFR 1106.1 - Purpose.

Code of Federal Regulations, 2011 CFR

2011-10-01

... TRANSPORTATION RULES OF PRACTICE PROCEDURES FOR SURFACE TRANSPORTATION BOARD CONSIDERATION OF SAFETY INTEGRATION.... This part is designed to ensure adequate and coordinated consideration of safety integration issues, by... subject to the Board's jurisdiction. It establishes the procedures by which the Board will consider safety...

49 CFR 1106.1 - Purpose.

Code of Federal Regulations, 2014 CFR

2014-10-01

... TRANSPORTATION RULES OF PRACTICE PROCEDURES FOR SURFACE TRANSPORTATION BOARD CONSIDERATION OF SAFETY INTEGRATION.... This part is designed to ensure adequate and coordinated consideration of safety integration issues, by... subject to the Board's jurisdiction. It establishes the procedures by which the Board will consider safety...

Finance issue brief: consumer grievance procedures: internal and independent appeals: year end report-2002.

PubMed

Morgan, Rachel; MacEachern, Lillian

2002-12-31

State lawmakers across the country have begun to play an important role in ensuring that managed care plans establish and maintain grievance and appeals procedures that are responsive to the needs of their constituents.

21 CFR 820.70 - Production and process controls.

Code of Federal Regulations, 2011 CFR

2011-04-01

... process control procedures that describe any process controls necessary to ensure conformance to specifications. Where process controls are needed they shall include: (1) Documented instructions, standard operating procedures (SOP's), and methods that define and control the manner of production; (2) Monitoring...

21 CFR 820.70 - Production and process controls.

Code of Federal Regulations, 2013 CFR

2013-04-01

... process control procedures that describe any process controls necessary to ensure conformance to specifications. Where process controls are needed they shall include: (1) Documented instructions, standard operating procedures (SOP's), and methods that define and control the manner of production; (2) Monitoring...

21 CFR 820.70 - Production and process controls.

Code of Federal Regulations, 2014 CFR

2014-04-01

... to ensure that a device conforms to its specifications. Where deviations from device specifications... specifications. Where process controls are needed they shall include: (1) Documented instructions, standard... establish and maintain procedures for changes to a specification, method, process, or procedure. Such...

21 CFR 820.70 - Production and process controls.

Code of Federal Regulations, 2012 CFR

2012-04-01

... to ensure that a device conforms to its specifications. Where deviations from device specifications... specifications. Where process controls are needed they shall include: (1) Documented instructions, standard... establish and maintain procedures for changes to a specification, method, process, or procedure. Such...

Reporting Qualitative Research: Standards, Challenges, and Implications for Health Design.

PubMed

Peditto, Kathryn

2018-04-01

This Methods column describes the existing reporting standards for qualitative research, their application to health design research, and the challenges to implementation. Intended for both researchers and practitioners, this article provides multiple perspectives on both reporting and evaluating high-quality qualitative research. Two popular reporting standards exist for reporting qualitative research-the Consolidated Criteria for Reporting Qualitative Research (COREQ) and the Standards for Reporting Qualitative Research (SRQR). Though compiled using similar procedures, they differ in their criteria and the methods to which they apply. Creating and applying reporting criteria is inherently difficult due to the undefined and fluctuating nature of qualitative research when compared to quantitative studies. Qualitative research is expansive and occasionally controversial, spanning many different methods of inquiry and epistemological approaches. A "one-size-fits-all" standard for reporting qualitative research can be restrictive, but COREQ and SRQR both serve as valuable tools for developing responsible qualitative research proposals, effectively communicating research decisions, and evaluating submissions. Ultimately, tailoring a set of standards specific to health design research and its frequently used methods would ensure quality research and aid reviewers in their evaluations.

75 FR 50731 - Federal Acquisition Regulation; Unique Procurement Instrument Identifiers (PIID)

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-17

... accordance with FAR 4.605(a), agencies are required to have in place a process that ensures that each PIID... standardization of contract data beyond FPDS, thereby causing the potential for duplication of contract data... lack of specific policies and procedures necessary to ensure standardization of unique PIIDs identified...

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

Code of Federal Regulations, 2010 CFR

2010-01-01

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

Internal Controls for Accounting Areas. Alliance Action Information Sheets

ERIC Educational Resources Information Center

Technical Assistance ALLIANCE for Parent Centers, 2006

2006-01-01

Internal controls are important to ensure your Parent Center's resources are well protected. Steps should be taken to ensure that finance transactions are authorized by management, executed properly and on time, and recorded appropriately. Some centers may not have staff with all of the titles used in the procedures presented in this paper.…

34 CFR 674.19 - Fiscal procedures and records.

Code of Federal Regulations, 2010 CFR

2010-07-01

... institution shall establish and maintain an internal control system of checks and balances that ensures that.... (3)(i) The institution shall ensure that the cash balances of the accounts into which it deposits Federal Perkins Loan Fund cash assets do not fall below the amount of Fund cash assets deposited in those...

75 FR 63609 - Oil and Gas and Sulphur Operations in the Outer Continental Shelf-Safety and Environmental...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-15

... safety of the offshore facility, including ensuring that all contractors and subcontractors have safety... safety analysis (task level); (3) Procedures to verify that contractors are conducting their activities in accordance with the operator's SEMS program and an evaluation to ensure that contractors have the...

9 CFR 318.305 - Equipment and procedures for heat processing systems.

Code of Federal Regulations, 2011 CFR

2011-01-01

... ensure a supply of clean, dry air. The recorder timing mechanism shall be accurate. (i) Chart-type... filter systems to ensure a supply of clean, dry air. (ii) Pressure recording device. Each retort shall be... section. (2) Cooling canal water shall be chlorinated or treated with a chemical approved by the...

Economic Value of Greater Access to Bariatric Procedures for Patients With Severe Obesity and Diabetes.

PubMed

Kim, David D; Arterburn, David E; Sullivan, Sean D; Basu, Anirban

2018-05-12

Designing optimal insurance is important to ensure access to care for individuals that are most likely to benefit. We examined the potential impact of lowering patient cost-sharing for bariatric procedures. After defining 10 subgroups by body mass index (BMI) and type 2 diabetes mellitus (T2DM), we analyzed the National Health and Nutrition Examination Survey datasets to estimate the prevalence of each subgroup. The MarketScan claims database provided utilization rates and costs of bariatric procedures. Using an existing cost-effectiveness model, we estimated the economic value of bariatric procedures under various cost-sharing levels (0%-25%) with 2 frameworks: (1) a traditional cost-effectiveness analysis and (2) a new approach that incorporates utilization effects across subgroups. The utilization rate was higher among individuals with T2DM than those without T2DM (90.4 vs. 59.1 cases per 100,000) for bariatric procedures, which were more cost-effective for those with T2DM and a higher BMI. After accounting for utilization effects, the economic value of bariatric surgery was $177 and $63 per individual from a lifetime and a 5-year time horizon, respectively. Under no patient cost-sharing for individuals with BMI≥40 and T2DM, utilization rates were expected to increase by 21 cases per 100,000, resulting in additional $2 realized value per patient and $7.07 million in returns at the US population level. Cost-sharing is a barrier to uptake of a clinical and cost-effective treatment for severe obesity. Reducing cost-sharing for patients with severe obesity and T2DM could potentially increase the utilization of bariatric procedures and result in greater economic value to payers.

10 CFR 2.1009 - Procedures.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Applicable to Proceedings for the Issuance of Licenses for the Receipt of High-Level Radioactive Waste at a... to provide electronic files of documentary material ; (2) Establish procedures to implement the... responsibility to provide electronic files of documentary material; (4) Ensure that all documents carry the...

10 CFR 2.1009 - Procedures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Applicable to Proceedings for the Issuance of Licenses for the Receipt of High-Level Radioactive Waste at a... to provide electronic files of documentary material ; (2) Establish procedures to implement the... responsibility to provide electronic files of documentary material; (4) Ensure that all documents carry the...

10 CFR 2.1009 - Procedures.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Applicable to Proceedings for the Issuance of Licenses for the Receipt of High-Level Radioactive Waste at a... to provide electronic files of documentary material ; (2) Establish procedures to implement the... responsibility to provide electronic files of documentary material; (4) Ensure that all documents carry the...

24 CFR 7.13 - Responsibilities of the Assistant Secretary for Administration.

Code of Federal Regulations, 2010 CFR

2010-04-01

.... The Assistant Secretary for Administration shall: (a) Provide leadership in developing and maintaining personnel management policies, programs, automated systems, and procedures that will promote and ensure... the personnel management policies, programs, automated systems, and EEO procedures; (c) Participate at...

Administrator Accountability Plan, 1986-87.

ERIC Educational Resources Information Center

Council Bluffs Community School District, IA.

This summary outline presents performance evaluation procedures of the 1986-87 administrator accountability plan adopted by the Council Bluffs Community Schools, Iowa. Procedures ensure that a cooperative evaluation plan is established, there is continuity between evaluation cycles, guidance and assistance are provided, and due process is…

NHEXAS PHASE I REGION 5 STUDY--STANDARD OPERATING PROCEDURE--REFRIGERATORS AND FREEZERS (NHX/SOP-163-001)

EPA Science Inventory

This procedure describes the calibration and maintenance activities of a refrigerator custodian in ensuring that refrigerators and freezers are functioning within acceptable temperature ranges. Refrigerators and freezers were used as temperature-controlled repositories for reagen...

36 CFR 1010.4 - NEPA Compliance Coordinator.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) Develop procedures within the Trust's planning and decision-making processes to ensure that environmental... and documentation of the environmental aspects of the Trust's planning and decision-making processes... decisions of the NEPA Compliance Coordinator in accordance with the Trust's regulations and procedures. (b...

49 CFR 1562.1 - Scope and definitions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Maryland Three Airports: Enhanced Security Procedures for Operations at Certain Airports in the Washington... security coordinator means the official at a Maryland Three Airport who is responsible for ensuring that the airport's security procedures are implemented and followed. Maryland Three Airport means any of...

49 CFR 1562.1 - Scope and definitions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Maryland Three Airports: Enhanced Security Procedures for Operations at Certain Airports in the Washington... security coordinator means the official at a Maryland Three Airport who is responsible for ensuring that the airport's security procedures are implemented and followed. Maryland Three Airport means any of...

49 CFR 1562.1 - Scope and definitions.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Maryland Three Airports: Enhanced Security Procedures for Operations at Certain Airports in the Washington... security coordinator means the official at a Maryland Three Airport who is responsible for ensuring that the airport's security procedures are implemented and followed. Maryland Three Airport means any of...

49 CFR 1562.1 - Scope and definitions.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Maryland Three Airports: Enhanced Security Procedures for Operations at Certain Airports in the Washington... security coordinator means the official at a Maryland Three Airport who is responsible for ensuring that the airport's security procedures are implemented and followed. Maryland Three Airport means any of...

49 CFR 1562.1 - Scope and definitions.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Maryland Three Airports: Enhanced Security Procedures for Operations at Certain Airports in the Washington... security coordinator means the official at a Maryland Three Airport who is responsible for ensuring that the airport's security procedures are implemented and followed. Maryland Three Airport means any of...

[Indication: scientific and ethical basis of medical practice].

PubMed

Neitzke, G

2014-02-01

The medical indication provides a rational foundation for treatment decisions. An indication can be defined as the reasonable professional judgement that a medical procedure is suitable and useful to reach a specific therapeutic goal with a certain probability. An indication includes empirical, causal and purposive considerations and justifications, and a scrutiny of the individual case. This ensures that medical aspects of the patient, therapeutic goals and evidence-based knowledge are integrated and represented in the indication. An indication justifies a treatment proposal to the patient, which may only be carried out after a procedure of informed consent. Indications can be considered as the ethical basis of treatment decisions and as the heart of professionalism: indications should be used as a professional tool to protect against irrational therapeutic expectations, while ensuring the patient's right for reasonable treatment. In health care that is increasingly shaped by economic constraints, conscientious indications ensure the professional and ethical basis of medical treatment decisions.

Training, Simulation, the Learning Curve, and How to Reduce Complications in Urology.

PubMed

Brunckhorst, Oliver; Volpe, Alessandro; van der Poel, Henk; Mottrie, Alexander; Ahmed, Kamran

2016-04-01

Urology is at the forefront of minimally invasive surgery to a great extent. These procedures produce additional learning challenges and possess a steep initial learning curve. Training and assessment methods in surgical specialties such as urology are known to lack clear structure and often rely on differing operative flow experienced by individuals and institutions. This article aims to assess current urology training modalities, to identify the role of simulation within urology, to define and identify the learning curves for various urologic procedures, and to discuss ways to decrease complications in the context of training. A narrative review of the literature was conducted through December 2015 using the PubMed/Medline, Embase, and Cochrane Library databases. Evidence of the validity of training methods in urology includes observation of a procedure, mentorship and fellowship, e-learning, and simulation-based training. Learning curves for various urologic procedures have been recommended based on the available literature. The importance of structured training pathways is highlighted, with integration of modular training to ensure patient safety. Valid training pathways are available in urology. The aim in urology training should be to combine all of the available evidence to produce procedure-specific curricula that utilise the vast array of training methods available to ensure that we continue to improve patient outcomes and reduce complications. The current evidence for different training methods available in urology, including simulation-based training, was reviewed, and the learning curves for various urologic procedures were critically analysed. Based on the evidence, future pathways for urology curricula have been suggested to ensure that patient safety is improved. Copyright © 2016 European Association of Urology. Published by Elsevier B.V. All rights reserved.

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR EXTRACTION OF PESTICIDES FROM DERMAL WIPE SAMPLES (BCO-L-12.1)

EPA Science Inventory

The purpose of this SOP is to describe procedures for extracting and preparing a dermal wipe sample for GC/MS analysis of pesticides. This procedure was followed to ensure consistent data retrieval during the Arizona NHEXAS project and the Border study. Keywords: dermal wipe; p...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR COLLECTION, STORAGE, AND SHIPMENT OF URINE SAMPLES FOR METALS AND PESTICIDES ANALYSIS (UA-F-20.1)

EPA Science Inventory

The purpose of this SOP is to guide the collection, storage, and shipment of urine samples collected. This SOP provides a brief description of sample, collection, preservation, storage, shipping, and custody procedures. This procedure was followed to ensure consistent data retri...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR OPERATION, CALIBRATION AND MAINTENANCE OF FIXED AND ADJUSTABLE VOLUME PIPETTE GUNS (BCO-L-9.0)

EPA Science Inventory

The purpose of this SOP is to describe the general procedures for the operation, calibration, and maintenance of fixed- and adjustable-volume pipette guns. This procedure was followed to ensure consistent data retrieval during the Arizona NHEXAS project and the Border study. Keyw...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR TRAINING GUIDE AND EXPOSITION OF INTERVIEWER RESPONSIBILITIES AND BEHAVIOR (UA-T-1.0)

EPA Science Inventory

The purpose of this SOP is to outline the field staff's responsibilities in public contact and behavior with study respondents. The procedure applies to all staff who interact with the respondents. This procedure was followed to ensure consistent data retrieval during the Arizo...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR COLLECTION, STORAGE, AND SHIPMENT OF BLOOD SAMPLES FOR SELECTED METALS, PESTICIDES, AND VOCS (UA-F-19.1)

EPA Science Inventory

The purpose of this SOP is to guide the collection, storage, and shipment of blood samples collected. This SOP provides a brief description of sample collection, preservation, storage, and custody procedures. This procedure was followed to ensure consistent data retrieval during...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR FIELD COLLECTION OF YARD COMPOSITE SOIL SAMPLES (UA-F-5.1)

EPA Science Inventory

The purpose of this SOP is to establish a uniform procedure for the collection of yard composite soil samples in the field. This procedure was followed to ensure consistent and reliable collection of outdoor soil samples during the Arizona NHEXAS project and the Border study. Ke...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR CLEANING GLASSWARE TO BE USED FOR INORGANIC METALS ANALYSIS (BCO-L-10.0)

EPA Science Inventory

The purpose of this SOP is to describe the general procedures to be followed for cleaning glassware used in preparing and analyzing soil, house dust, air filter, surface wipe, or dermal wash samples for inorganic metals. This procedure was followed to ensure consistent data retr...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR COLLECTION OF SURFACE WIPE SAMPLES FOR PESTICIDES OR METALS ANALYSIS (UA-F-8.1)

EPA Science Inventory

The purpose of this SOP is to describe the procedures for collecting surface wipe samples inside a home for analysis of either metals or pesticides. This procedure covers the preparation of the surface wipe material and field activities. This protocol was followed to ensure con...

Procedure-Authoring Tool Improves Safety on Oil Rigs

NASA Technical Reports Server (NTRS)

2014-01-01

Dark, cold, and dangerous environments are plentiful in space and on Earth. To ensure safe operations in difficult surroundings, NASA relies heavily on procedures written well ahead of time. Houston-based TRACLabs Inc. worked with Ames Research Center through the SBIR program to create an electronic procedure authoring tool, now used by NASA and companies in the oil and gas industry.

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR EXTRACTION OF SOIL AND HOUSE DUST SAMPLES FOR GC/MS ANALYSIS OF PESTICIDE AND PAH (BCO-L-28.0)

EPA Science Inventory

The purpose of this SOP is to describe procedures for extracting and preparing a dust or soil sample for gas chromatography mass spectrometry (GC/MS) analysis of pesticides and polyaromatic hydrocarbons (PAHs). This procedure was followed to ensure consistent data retrieval durin...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR COLLECTION, STORAGE AND SHIPMENT OF BLOOD SAMPLES FOR SELECTED METALS AND VOCS (UA-F-19.1)

EPA Science Inventory

The purpose of this SOP is to guide the collection, storage, and shipment of blood samples collected for the NHEXAS Arizona project. This SOP provides a brief description of sample collection, preservation, storage, and custody procedures. This procedure was followed to ensure c...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR FIELD COLLECTION OF INDOOR FLOOR SAMPLES AND POST FIELD SAMPLE HANDLING (UA-F-7.1)

EPA Science Inventory

The purpose of this SOP is to establish a uniform procedure for the collection of indoor floor dust samples in the field. This procedure was followed to ensure consistent data retrieval of dust samples during the Arizona NHEXAS project and the "Border" study. Keywords: field; va...

Hybrid Grid Techniques for Propulsion Applications

NASA Technical Reports Server (NTRS)

Koomullil, Roy P.; Soni, Bharat K.; Thornburg, Hugh J.

1996-01-01

During the past decade, computational simulation of fluid flow for propulsion activities has progressed significantly, and many notable successes have been reported in the literature. However, the generation of a high quality mesh for such problems has often been reported as a pacing item. Hence, much effort has been expended to speed this portion of the simulation process. Several approaches have evolved for grid generation. Two of the most common are structured multi-block, and unstructured based procedures. Structured grids tend to be computationally efficient, and have high aspect ratio cells necessary for efficently resolving viscous layers. Structured multi-block grids may or may not exhibit grid line continuity across the block interface. This relaxation of the continuity constraint at the interface is intended to ease the grid generation process, which is still time consuming. Flow solvers supporting non-contiguous interfaces require specialized interpolation procedures which may not ensure conservation at the interface. Unstructured or generalized indexing data structures offer greater flexibility, but require explicit connectivity information and are not easy to generate for three dimensional configurations. In addition, unstructured mesh based schemes tend to be less efficient and it is difficult to resolve viscous layers. Recently hybrid or generalized element solution and grid generation techniques have been developed with the objective of combining the attractive features of both structured and unstructured techniques. In the present work, recently developed procedures for hybrid grid generation and flow simulation are critically evaluated, and compared to existing structured and unstructured procedures in terms of accuracy and computational requirements.

Telephone-based Assessments to Minimize Missing Data in Longitudinal Depression Trials: A Project IMPACTS Study Report

PubMed Central

Claassen, Cindy; Kurian, Ben; Trivedi, Madhukar H.; Grannemann, Bruce D.; Tuli, Ekta; Pipes, Ronny; Preston, Anne Marie; Flood, Ariell

2012-01-01

Purpose Missing data in clinical efficacy and effectiveness trials continue to be a major threat to the validity of study findings. The purpose of this report is to describe methods developed to ensure completion of outcome assessments with public mental health sector subjects participating in a longitudinal, repeated measures study for the treatment of major depressive disorder. We developed longitudinal assessment procedures that included telephone-based clinician interviews in order to minimize missing data commonly encountered with face-to-face assessment procedures. Methods A pre-planned, multi-step strategy was developed to ensure completeness of data collection. The procedure included obtaining multiple pieces of patient contact information at baseline, careful education of both staff and patients concerning the purpose of assessments, establishing good patient rapport, and finally being flexible and persistent with phone appointments to ensure the completion of telephone-based follow-up assessments. A well-developed administrative and organizational structure was also put in place prior to study implementation. Results The assessment completion rate for the primary outcome for 310 of 504 subjects who enrolled and completed 52 weeks (at the time of manuscript) of telephone-based follow-up assessments was 96.8%. Conclusion By utilizing telephone-based follow-up procedures and adapting our easy-to-use pre-defined multi-step approach, researchers can maximize patient data retention in longitudinal studies. PMID:18761427

75 FR 6434 - Procedures for Monitoring Secrecy Act Compliance

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-09

... Act commonly known as the `Bank Secrecy Act' (``BSA''). The Money Laundering Control Act of 1986... Deposit Insurance Act, which applies to savings associations. Specifically, Section 1359 of the Anti-Drug... examine savings association procedures periodically to ensure their effectiveness; OTS is therefore...

20 CFR 416.919s - Authorizing and monitoring the consultative examination.

Code of Federal Regulations, 2011 CFR

2011-04-01

...) A process for orientation, training, and review of new consultative examination providers, with.... (7) procedures for the ongoing review of consultative examination results to ensure compliance with...) Procedures for evaluating claimant reactions to key providers; and (11) A program of systematic, onsite...

29 CFR 1926.761 - Training.

Code of Federal Regulations, 2010 CFR

2010-07-01

... following activities. (1) Multiple lift rigging procedure. The employer shall ensure that each employee who performs multiple lift rigging has been provided training in the following areas: (i) The nature of the hazards associated with multiple lifts; and (ii) The proper procedures and equipment to perform multiple...

29 CFR 1926.761 - Training.

Code of Federal Regulations, 2011 CFR

2011-07-01

... following activities. (1) Multiple lift rigging procedure. The employer shall ensure that each employee who performs multiple lift rigging has been provided training in the following areas: (i) The nature of the hazards associated with multiple lifts; and (ii) The proper procedures and equipment to perform multiple...

40 CFR 264.1201 - Design and operating standards.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 26 2014-07-01 2014-07-01 false Design and operating standards. 264... FACILITIES Hazardous Waste Munitions and Explosives Storage § 264.1201 Design and operating standards. (a... Operating Procedure specifying procedures to ensure safety, security, and environmental protection. If these...

40 CFR 264.1201 - Design and operating standards.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 27 2012-07-01 2012-07-01 false Design and operating standards. 264... FACILITIES Hazardous Waste Munitions and Explosives Storage § 264.1201 Design and operating standards. (a... Operating Procedure specifying procedures to ensure safety, security, and environmental protection. If these...

40 CFR 264.1201 - Design and operating standards.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 27 2013-07-01 2013-07-01 false Design and operating standards. 264... FACILITIES Hazardous Waste Munitions and Explosives Storage § 264.1201 Design and operating standards. (a... Operating Procedure specifying procedures to ensure safety, security, and environmental protection. If these...

40 CFR 265.1201 - Design and operating standards.

Code of Federal Regulations, 2012 CFR

2012-07-01

... be stored in accordance with a Standard Operating Procedure specifying procedures to ensure safety... 40 Protection of Environment 27 2012-07-01 2012-07-01 false Design and operating standards. 265... operating standards. (a) Hazardous waste munitions and explosives storage units must be designed and...

40 CFR 265.1201 - Design and operating standards.

Code of Federal Regulations, 2014 CFR

2014-07-01

... be stored in accordance with a Standard Operating Procedure specifying procedures to ensure safety... 40 Protection of Environment 26 2014-07-01 2014-07-01 false Design and operating standards. 265... operating standards. (a) Hazardous waste munitions and explosives storage units must be designed and...

40 CFR 265.1201 - Design and operating standards.

Code of Federal Regulations, 2013 CFR

2013-07-01

... be stored in accordance with a Standard Operating Procedure specifying procedures to ensure safety... 40 Protection of Environment 27 2013-07-01 2013-07-01 false Design and operating standards. 265... operating standards. (a) Hazardous waste munitions and explosives storage units must be designed and...

40 CFR 265.1201 - Design and operating standards.

Code of Federal Regulations, 2011 CFR

2011-07-01

... be stored in accordance with a Standard Operating Procedure specifying procedures to ensure safety... 40 Protection of Environment 26 2011-07-01 2011-07-01 false Design and operating standards. 265... operating standards. (a) Hazardous waste munitions and explosives storage units must be designed and...

40 CFR 264.1201 - Design and operating standards.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 26 2011-07-01 2011-07-01 false Design and operating standards. 264... FACILITIES Hazardous Waste Munitions and Explosives Storage § 264.1201 Design and operating standards. (a... Operating Procedure specifying procedures to ensure safety, security, and environmental protection. If these...

12 CFR 240.13 - Trading and operational standards.

Code of Federal Regulations, 2014 CFR

2014-01-01

... operational standards. (a) Internal rules, procedures, and controls required. A banking institution engaging in retail forex transactions shall establish and implement internal rules, procedures, and controls designed, at a minimum, to: (1) Ensure, to the extent reasonable, that each order received from a retail...

32 CFR 233.6 - Procedures.

Code of Federal Regulations, 2013 CFR

2013-07-01

... education initiative, establish a means to inform absent uniformed services members of absentee voting... Post Card Application (FPCA)” or National Mail Voter Registration Form. (C) Ensure that voting... registration and absentee ballot procedures. This can be met by providing the applicant with the SF 76, SF 186...

32 CFR 233.6 - Procedures.

Code of Federal Regulations, 2014 CFR

2014-07-01

... education initiative, establish a means to inform absent uniformed services members of absentee voting... Post Card Application (FPCA)” or National Mail Voter Registration Form. (C) Ensure that voting... registration and absentee ballot procedures. This can be met by providing the applicant with the SF 76, SF 186...

40 CFR 35.6270 - Standards for financial management systems.

Code of Federal Regulations, 2010 CFR

2010-07-01

... § 35.6270 Standards for financial management systems. (a) Accounting system standards—(1) General. The... Agreement. (6) Accounting system control procedures. Except as provided for in paragraph (a)(3) of this section, accounting system control procedures must ensure that accounting information is: (i) Accurate...

Assessment of the transportation route of oversize and excessive loads in relation to the load-bearing capacity of existing bridges

NASA Astrophysics Data System (ADS)

Doležel, Jiří; Novák, Drahomír; Petrů, Jan

2017-09-01

Transportation routes of oversize and excessive loads are currently planned in relation to ensure the transit of a vehicle through critical points on the road. Critical points are level-intersection of roads, bridges etc. This article presents a comprehensive procedure to determine a reliability and a load-bearing capacity level of the existing bridges on highways and roads using the advanced methods of reliability analysis based on simulation techniques of Monte Carlo type in combination with nonlinear finite element method analysis. The safety index is considered as a main criterion of the reliability level of the existing construction structures and the index is described in current structural design standards, e.g. ISO and Eurocode. An example of a single-span slab bridge made of precast prestressed concrete girders of the 60 year current time and its load bearing capacity is set for the ultimate limit state and serviceability limit state. The structure’s design load capacity was estimated by the full probability nonlinear MKP analysis using a simulation technique Latin Hypercube Sampling (LHS). Load-bearing capacity values based on a fully probabilistic analysis are compared with the load-bearing capacity levels which were estimated by deterministic methods of a critical section of the most loaded girders.

Framework conditions and requirements to ensure the technical functional safety of reprocessed medical devices.

PubMed

Kraft, Marc

2008-09-03

Testing and restoring technical-functional safety is an essential part of medical device reprocessing. Technical functional tests have to be carried out on the medical device in the course of the validation of reprocessing procedures. These ensure (in addition to the hygiene tests) that the reprocessing procedure is suitable for the medical device. Functional tests are, however, also a part of reprocessing procedures. As a stage in the reprocessing, they ensure for the individual medical device that no damage or other changes limit the performance. When determining which technical-functional tests are to be carried out, the current technological standard has to be taken into account in the form of product-specific and process-oriented norms. Product-specific norms primarily define safety-relevant requirements. The risk management method described in DIN EN ISO 14971 is the basis for recognising hazards; the likelihood of such hazards arising can be minimised through additional technical-functional tests, which may not yet have been standardised. Risk management is part of a quality management system, which must be bindingly certified for manufacturers and processors of critical medical devices with particularly high processing demands by a body accredited by the competent authority.

Framework conditions and requirements to ensure the technical functional safety of reprocessed medical devices

PubMed Central

Kraft, Marc

2008-01-01

Testing and restoring technical-functional safety is an essential part of medical device reprocessing. Technical functional tests have to be carried out on the medical device in the course of the validation of reprocessing procedures. These ensure (in addition to the hygiene tests) that the reprocessing procedure is suitable for the medical device. Functional tests are, however, also a part of reprocessing procedures. As a stage in the reprocessing, they ensure for the individual medical device that no damage or other changes limit the performance. When determining which technical-functional tests are to be carried out, the current technological standard has to be taken into account in the form of product-specific and process-oriented norms. Product-specific norms primarily define safety-relevant requirements. The risk management method described in DIN EN ISO 14971 is the basis for recognising hazards; the likelihood of such hazards arising can be minimised through additional technical-functional tests, which may not yet have been standardised. Risk management is part of a quality management system, which must be bindingly certified for manufacturers and processors of critical medical devices with particularly high processing demands by a body accredited by the competent authority. PMID:20204095

Design Guidance for Computer-Based Procedures for Field Workers

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

Oxstrand, Johanna; Le Blanc, Katya; Bly, Aaron

Nearly all activities that involve human interaction with nuclear power plant systems are guided by procedures, instructions, or checklists. Paper-based procedures (PBPs) currently used by most utilities have a demonstrated history of ensuring safety; however, improving procedure use could yield significant savings in increased efficiency, as well as improved safety through human performance gains. The nuclear industry is constantly trying to find ways to decrease human error rates, especially human error rates associated with procedure use. As a step toward the goal of improving field workers’ procedure use and adherence and hence improve human performance and overall system reliability, themore » U.S. Department of Energy Light Water Reactor Sustainability (LWRS) Program researchers, together with the nuclear industry, have been investigating the possibility and feasibility of replacing current paper-based procedures with computer-based procedures (CBPs). PBPs have ensured safe operation of plants for decades, but limitations in paper-based systems do not allow them to reach the full potential for procedures to prevent human errors. The environment in a nuclear power plant is constantly changing, depending on current plant status and operating mode. PBPs, which are static by nature, are being applied to a constantly changing context. This constraint often results in PBPs that are written in a manner that is intended to cover many potential operating scenarios. Hence, the procedure layout forces the operator to search through a large amount of irrelevant information to locate the pieces of information relevant for the task and situation at hand, which has potential consequences of taking up valuable time when operators must be responding to the situation, and potentially leading operators down an incorrect response path. Other challenges related to use of PBPs are management of multiple procedures, place-keeping, finding the correct procedure for a task, and relying on other sources of additional information to ensure a functional and accurate understanding of the current plant status (Converse, 1995; Fink, Killian, Hanes, and Naser, 2009; Le Blanc, Oxstrand, and Waicosky, 2012). This report provides design guidance to be used when designing the human-system interaction and the design of the graphical user interface for a CBP system. The guidance is based on human factors research related to the design and usability of CBPs conducted by Idaho National Laboratory, 2012 - 2016.« less

First clinical use of the EchoTrack guidance approach for radiofrequency ablation of thyroid gland nodules.

PubMed

Franz, Alfred Michael; Seitel, Alexander; Bopp, Nasrin; Erbelding, Christian; Cheray, Dominique; Delorme, Stefan; Grünwald, Frank; Korkusuz, Hüdayi; Maier-Hein, Lena

2017-06-01

Percutaneous radiofrequency ablation (RFA) of thyroid nodules is an alternative to surgical resection that offers the benefits of minimal scars for the patient, lower complication rates, and shorter treatment times. Ultrasound (US) is the preferred modality for guiding these procedures. The needle is usually kept within the US scanning plane to ensure needle visibility. However, this restricts flexibility in both transducer and needle movement and renders the procedure difficult, especially for inexperienced users. Existing navigation solutions often involve electromagnetic (EM) tracking, which requires placement of an external field generator (FG) in close proximity of the intervention site in order to avoid distortion of the EM field. This complicates the clinical workflow as placing the FG while ensuring that it neither restricts the physician's workspace nor affects tracking accuracy is awkward and time-consuming. The EchoTrack concept overcomes these issues by combining the US probe and the EM FG in one modality, simultaneously providing both real-time US and tracking data without requiring the placement of an external FG for tracking. We propose a system and workflow to use EchoTrack for RFA of thyroid nodules. According to our results, the overall error of the EchoTrack system resulting from errors related to tracking and calibration is below 2 mm. Navigated thyroid RFA with the proposed concept is clinically feasible. Motion of internal critical structures relative to external markers can be up to several millimeters in extreme cases. The EchoTrack concept with its simple setup, flexibility, improved needle visualization, and additional guidance information has high potential to be clinically used for thyroid RFA.

42 CFR 431.972 - Claims sampling procedures.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Estimating Improper Payments in Medicaid and CHIP § 431.972 Claims sampling procedures. (a) Claims universe. (1) The PERM claims universe includes payments that were originally paid (paid claims) and for which... must establish controls to ensure FFS and managed care universes are accurate and complete, including...

42 CFR 431.972 - Claims sampling procedures.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Estimating Improper Payments in Medicaid and CHIP § 431.972 Claims sampling procedures. (a) Claims universe. (1) The PERM claims universe includes payments that were originally paid (paid claims) and for which... must establish controls to ensure FFS and managed care universes are accurate and complete, including...

42 CFR 431.972 - Claims sampling procedures.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Estimating Improper Payments in Medicaid and CHIP § 431.972 Claims sampling procedures. (a) Claims universe. (1) The PERM claims universe includes payments that were originally paid (paid claims) and for which... must establish controls to ensure FFS and managed care universes are accurate and complete, including...

Advanced Lockouts: Reengineering Safety Programs for Efficiency.

PubMed

Michalscheck, Jimi

2015-08-01

Remember one golden rule when engineering out lockout/tagout: No additional risk can be introduced to the employees by using alternative procedures. If you can design alternative procedures and an overall alternative program to ensure equivalent protection for specific tasks...the sky is the limit to enhancing productivity.

Procedure to establish inspection intervals of regularity maintained in-service units subject to failure

DOT National Transportation Integrated Search

1996-05-01

Procedures have been developed for determining the period between regular inspections that is required to ensure, with a : specified level of confidence, that no more than a certain percentage of the units of a population that is in service is : fail...

36 CFR 907.14 - Corporation decision making procedures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Corporation decision making... CORPORATION ENVIRONMENTAL QUALITY § 907.14 Corporation decision making procedures. To ensure that at major decision making points all relevant environmental concerns are considered by the Decision Maker, the...

77 FR 47800 - Adoption of Recommendations

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-10

... recommendations designed to ensure that agencies satisfy the existing requirements in the most efficient and... make decisions on their implementation. The Conference based these recommendations on research reports... sweeping measures designed to ensure that agencies' regulations advance legitimate goals, such as Executive...

42 CFR 137.297 - If the environmental review procedures of a Federal agency are adopted by a Self-Governance Tribe...

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 1 2010-10-01 2010-10-01 false If the environmental review procedures of a Federal agency are adopted by a Self-Governance Tribe, is the Self-Governance Tribe responsible for ensuring the... Process § 137.297 If the environmental review procedures of a Federal agency are adopted by a Self...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR FIELD COLLECTION AND POST-FIELD SAMPLE HANDLING OF INDOOR FLOOR DUST SAMPLES (UA-F-7.1)

EPA Science Inventory

The purpose of this SOP is to establish a uniform procedure for the collection of indoor floor dust samples in the field. This procedure was followed to ensure consistent data retrieval of dust samples during the Arizona NHEXAS project and the Border study. Keywords: field; vacu...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR OPERATION AND MAINTENANCE OF THE ECOCHEM REAL-TIME AMBIENT AIR PAH MONITOR (UA-F-24.0)

EPA Science Inventory

The purpose of this SOP is to describe the general procedures to be followed for the operation and maintenance of the EcoChem real-time ambient air PAH monitor. This procedure was followed to ensure consistent data retrieval of PAH measurements during the Arizona NHEXAS project ...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR PREPARATION OF FILTERS AND PUF FOR FIELD COLLECTION OF METALS AND PESTICIDES IN AIR (BCO-L-2.0)

EPA Science Inventory

The purpose of this SOP is to describe the procedures for pre-cleaning filters and polyurethane foam (PUF) plug prior to air sampling with these media. The sampling media are used for sampling indoor air, outdoor air, and personal air. This procedure was followed to ensure consi...

32 CFR 651.38 - Existing environmental assessments.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 4 2011-07-01 2011-07-01 false Existing environmental assessments. 651.38...) ENVIRONMENTAL QUALITY ENVIRONMENTAL ANALYSIS OF ARMY ACTIONS (AR 200-2) Environmental Assessment § 651.38 Existing environmental assessments. EAs are dynamic documents. To ensure that the described setting...

Basics of compounding: considerations for implementing United States pharmacopeia chapter 797 pharmaceutical compounding-sterile preparations, part 16: suggested standard operating procedures.

PubMed

Okeke, Claudia C; Allen, Loyd V

2009-01-01

The standard operating procedures suggested in this article are presented to compounding pharmacies to ensure the quality of the environment in which a CSP is prepared. Since United States Pharmacopeia Chapter 797 provides minimum standards, each facility should aim for best practice gold standard. The standard operating procedures should be tailored to meet the expectations and design of each facility. Compounding personnel are expected to know and understand each standard operating procedure to allow for complete execution of the procedures.

MIP on the radar: the new drive to end Medicaid fraud.

PubMed

Fusto, John

2008-06-01

To ensure their billing integrity, providers should: Review every aspect of their billing integrity compliance program; Review the existing quality and methods of their statistical sampling; Examine an agency's or prosecutor's findings of loss to ensure accurate loss calculation.

40 CFR 152.86 - The cite-all method.

Code of Federal Regulations, 2011 CFR

2011-07-01

... types of data that EPA would require to be submitted if the application sought the initial registration... PESTICIDE REGISTRATION AND CLASSIFICATION PROCEDURES Procedures To Ensure Protection of Data Submitters' Rights § 152.86 The cite-all method. An applicant may comply with this subpart by citing all data in...

48 CFR 13.303-6 - Review procedures.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Review procedures. (a) The contracting officer placing orders under a BPA, or the designated representative of the contracting officer, shall review a sufficient random sample of the BPA files at least... into the BPA shall— (1) Ensure that each BPA is reviewed at least annually and, if necessary, updated...

48 CFR 13.303-6 - Review procedures.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Review procedures. (a) The contracting officer placing orders under a BPA, or the designated representative of the contracting officer, shall review a sufficient random sample of the BPA files at least... into the BPA shall— (1) Ensure that each BPA is reviewed at least annually and, if necessary, updated...

48 CFR 13.303-6 - Review procedures.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Review procedures. (a) The contracting officer placing orders under a BPA, or the designated representative of the contracting officer, shall review a sufficient random sample of the BPA files at least... into the BPA shall— (1) Ensure that each BPA is reviewed at least annually and, if necessary, updated...

48 CFR 13.303-6 - Review procedures.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Review procedures. (a) The contracting officer placing orders under a BPA, or the designated representative of the contracting officer, shall review a sufficient random sample of the BPA files at least... into the BPA shall— (1) Ensure that each BPA is reviewed at least annually and, if necessary, updated...

48 CFR 13.303-6 - Review procedures.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Review procedures. (a) The contracting officer placing orders under a BPA, or the designated representative of the contracting officer, shall review a sufficient random sample of the BPA files at least... into the BPA shall— (1) Ensure that each BPA is reviewed at least annually and, if necessary, updated...

28 CFR 104.71 - Procedures to prevent and detect fraud.

Code of Federal Regulations, 2010 CFR

2010-07-01

.... 104.71 Section 104.71 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) SEPTEMBER 11TH VICTIM... prevent and detect fraud. (a) Review of claims. For the purpose of detecting and preventing the payment of...; and (3) Ensure the quality control of claims review procedures. (b) Quality control. The Special...

32 CFR 145.6 - Procedures.

Code of Federal Regulations, 2011 CFR

2011-07-01

... proceeding before the MSPB. (iv) Ensure that information concerning members of the Armed Forces who are found... 32 National Defense 1 2011-07-01 2011-07-01 false Procedures. 145.6 Section 145.6 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN COOPERATION WITH...

32 CFR 145.6 - Procedures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... proceeding before the MSPB. (iv) Ensure that information concerning members of the Armed Forces who are found... 32 National Defense 1 2010-07-01 2010-07-01 false Procedures. 145.6 Section 145.6 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN COOPERATION WITH...

40 CFR 1065.309 - Continuous gas analyzer system-response and updating-recording verification-for gas analyzers...

Code of Federal Regulations, 2010 CFR

2010-07-01

... change the system response. (b) Measurement principles. This procedure verifies that the updating and... gas detectors used to generate a continuously combined/compensated concentration measurement signal... verifies that the measurement system meets a minimum response time. For this procedure, ensure that all...

40 CFR 98.57 - Records that must be retained.

Code of Federal Regulations, 2010 CFR

2010-07-01

... calendar year. (d) Documentation of how accounting procedures were used to estimate production rate. (e...) Performance test reports of N2O emissions. (g) Measurements, records and calculations used to determine reported parameters. (h) Documentation of the procedures used to ensure the accuracy of the measurements of...

14 CFR 1216.303 - Responsibilities of NASA officials.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 5 2011-01-01 2010-01-01 true Responsibilities of NASA officials. 1216.303... Procedures for Implementing the National Environmental Policy Act (NEPA) § 1216.303 Responsibilities of NASA... procedures of this subpart and for ensuring that environmental factors are properly considered in all NASA...

CTEPP STANDARD OPERATING PROCEDURE FOR CONDUCTING INTERNAL FIELD AUDITS AND QUALITY CONTROL (SOP-2.25)

EPA Science Inventory

This SOP describes the method for conducting internal field audits and quality control procedures. Internal field audits will be conducted to ensure the collection of high quality data. Internal field audits will be conducted by Field Auditors (the Field QA Officer and the Field...

17 CFR 240.13a-15 - Controls and procedures.

Code of Federal Regulations, 2011 CFR

2011-04-01

... based must be a suitable, recognized control framework that is established by a body or group that has..., without limitation, controls and procedures designed to ensure that information required to be disclosed... disclosure. (f) The term internal control over financial reporting is defined as a process designed by, or...

17 CFR 240.13a-15 - Controls and procedures.

Code of Federal Regulations, 2010 CFR

2010-04-01

... based must be a suitable, recognized control framework that is established by a body or group that has..., without limitation, controls and procedures designed to ensure that information required to be disclosed... disclosure. (f) The term internal control over financial reporting is defined as a process designed by, or...

16 CFR § 1501.4 - Size requirements and test procedure.

Code of Federal Regulations, 2013 CFR

2013-01-01

... dimensions shown in Figure 1, when tested in accordance with the procedure in paragraph (b) of this section. In testing to ensure compliance with this regulation, the dimensions of the Commission's test... English dimensions shall be used. The metric approximations are included only for convenience.) (b)(1...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR ASSURANCE OF RESPONDENT CONFIDENTIALITY (UA-G-3.1)

EPA Science Inventory

The purpose of this SOP is to design respondent privacy and confidentiality for all participants of the NHEXAS Arizona project. This SOP covers verbal, written and electronic data references to respondents. This procedure was followed to ensure consistent data retrieval during ...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR CUSTODY OF FIELD SAMPLES (UA-C-1.0)

EPA Science Inventory

The purpose of this SOP is to outline sample custody guidelines used by the NHEXAS Arizona research project. This procedure was followed to maintain sample integrity and ensure consistent data retrieval, transport, storage, shipment, and analysis during the Arizona NHEXAS projec...

34 CFR 303.310 - Post-referral timeline (45 days).

Code of Federal Regulations, 2012 CFR

2012-07-01

... 34 Education 2 2012-07-01 2012-07-01 false Post-referral timeline (45 days). 303.310 Section 303... Post-Referral Procedures-Screenings, Evaluations, and Assessments § 303.310 Post-referral timeline (45...) The lead agency must develop procedures to ensure that in the event the circumstances described in (b...

33 CFR 155.750 - Contents of transfer procedures.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) Monitor the level of cargo in the tank; and (ii) Shut down transfer operations in time to ensure that the... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Contents of transfer procedures... (CONTINUED) POLLUTION OIL OR HAZARDOUS MATERIAL POLLUTION PREVENTION REGULATIONS FOR VESSELS Transfer...

Nuclear Powerplant Safety: Operations.

ERIC Educational Resources Information Center

Department of Energy, Washington, DC. Nuclear Energy Office.

Powerplant systems and procedures that ensure the day-to-day health and safety of people in and around the plant is referred to as operational safety. This safety is the result of careful planning, good engineering and design, strict licensing and regulation, and environmental monitoring. Procedures that assure operational safety at nuclear…

A Handbook for Hearing Officers. Revised.

ERIC Educational Resources Information Center

McCarthy, Greg

The handbook provides information on legislation and litigation pertaining to the education of handicapped pupils in South Carolina, required procedures for ensuring due process, and suggestions for procedures to be followed by Hearing Officers prior to, during, and after a hearing. The opening section on state laws includes definitions of…

Landing Gear Integration in Aircraft Conceptual Design. Revision

NASA Technical Reports Server (NTRS)

Chai, Sonny T.; Mason, William H.

1997-01-01

The design of the landing gear is one of the more fundamental aspects of aircraft design. The design and integration process encompasses numerous engineering disciplines, e.g., structure, weights, runway design, and economics, and has become extremely sophisticated in the last few decades. Although the design process is well-documented, no attempt has been made until now in the development of a design methodology that can be used within an automated environment. As a result, the process remains to be a key responsibility for the configuration designer and is largely experience-based and graphically-oriented. However, as industry and government try to incorporate multidisciplinary design optimization (MDO) methods in the conceptual design phase, the need for a more systematic procedure has become apparent. The development of an MDO-capable design methodology as described in this work is focused on providing the conceptual designer with tools to help automate the disciplinary analyses, i.e., geometry, kinematics, flotation, and weight. Documented design procedures and analyses were examined to determine their applicability, and to ensure compliance with current practices and regulations. Using the latest information as obtained from industry during initial industry survey, the analyses were in terms modified and expanded to accommodate the design criteria associated with the advanced large subsonic transports. Algorithms were then developed based on the updated analysis procedures to be incorporated into existing MDO codes.

OptForce: An Optimization Procedure for Identifying All Genetic Manipulations Leading to Targeted Overproductions

PubMed Central

Ranganathan, Sridhar; Suthers, Patrick F.; Maranas, Costas D.

2010-01-01

Computational procedures for predicting metabolic interventions leading to the overproduction of biochemicals in microbial strains are widely in use. However, these methods rely on surrogate biological objectives (e.g., maximize growth rate or minimize metabolic adjustments) and do not make use of flux measurements often available for the wild-type strain. In this work, we introduce the OptForce procedure that identifies all possible engineering interventions by classifying reactions in the metabolic model depending upon whether their flux values must increase, decrease or become equal to zero to meet a pre-specified overproduction target. We hierarchically apply this classification rule for pairs, triples, quadruples, etc. of reactions. This leads to the identification of a sufficient and non-redundant set of fluxes that must change (i.e., MUST set) to meet a pre-specified overproduction target. Starting with this set we subsequently extract a minimal set of fluxes that must actively be forced through genetic manipulations (i.e., FORCE set) to ensure that all fluxes in the network are consistent with the overproduction objective. We demonstrate our OptForce framework for succinate production in Escherichia coli using the most recent in silico E. coli model, iAF1260. The method not only recapitulates existing engineering strategies but also reveals non-intuitive ones that boost succinate production by performing coordinated changes on pathways distant from the last steps of succinate synthesis. PMID:20419153

Informed consent: Part II.

PubMed

Murphy, E K

1988-05-01

Although the legal responsibility to inform and obtain the patient's consent lies with the surgeon, the agency may have a duty to ensure that the patient's consent has been obtained. Agency liability is limited to those cases in which the agency knew (or should have known) that informed consent was not obtained. It is still unclear whether agencies have an affirmative duty to ensure that consent has been obtained. If this duty does exist, it appears that a policy requiring documentation in the medical record of the patient's consent meets this requirement. It is clear that whatever the extent of the agency's duty, it does not include the duty to give the patient information or assess his or her level of understanding. Court opinions discourage anyone but the physician from doing so. A nurse's legal responsibility is limited to following agency policy. Courts have not recognized any independent nurse duty beyond that which accrues to them as employees of the agency. Perioperative nurses often provide the final checkpoint that consent has been obtained and documented before the procedure begins. This unique position raises additional legal concerns if the agency's policy is not followed or if the premedicated patient arrives without proper consent documentation in the record. Perioperative nursing concerns will be discussed next month in Part III.

Applicability of the Common Safety Method for Risk Evaluation and Assessment (CSM-RA) to the Space Domain

NASA Astrophysics Data System (ADS)

Moreira, Francisco; Silva, Nuno

2016-08-01

Safety systems require accident avoidance. This is covered by application standards, processes, techniques and tools that support the identification, analysis, elimination or reduction to an acceptable level of system risks and hazards. Ideally, a safety system should be free of hazards. However, both industry and academia have been struggling to ensure appropriate risk and hazard analysis, especially in what concerns completeness of the hazards, formalization, and timely analysis in order to influence the specifications and the implementation. Such analysis is also important when considering a change to an existing system. The Common Safety Method for Risk Evaluation and Assessment (CSM- RA) is a mandatory procedure whenever any significant change is proposed to the railway system in a European Member State. This paper provides insights on the fundamentals of CSM-RA based and complemented with Hazard Analysis. When and how to apply them, and the relation and similarities of these processes with industry standards and the system life cycles is highlighted. Finally, the paper shows how CSM-RA can be the basis of a change management process, guiding the identification and management of the hazards helping ensuring the similar safety level as the initial system. This paper will show how the CSM-RA principles can be used in other domains particularly for space system evolution.

29 CFR 4902.3 - Procedures for determining existence of and requesting access to records.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Procedures for determining existence of and requesting... PERTAINING TO INDIVIDUALS UNDER THE PRIVACY ACT § 4902.3 Procedures for determining existence of and... Benefit Guaranty Corporation, for the purpose of learning whether a system of records maintained by the...

Development of a virtual reality training system for endoscope-assisted submandibular gland removal.

PubMed

Miki, Takehiro; Iwai, Toshinori; Kotani, Kazunori; Dang, Jianwu; Sawada, Hideyuki; Miyake, Minoru

2016-11-01

Endoscope-assisted surgery has widely been adopted as a basic surgical procedure, with various training systems using virtual reality developed for this procedure. In the present study, a basic training system comprising virtual reality for the removal of submandibular glands under endoscope assistance was developed. The efficacy of the training system was verified in novice oral surgeons. A virtual reality training system was developed using existing haptic devices. Virtual reality models were constructed from computed tomography data to ensure anatomical accuracy. Novice oral surgeons were trained using the developed virtual reality training system. The developed virtual reality training system included models of the submandibular gland and surrounding connective tissues and blood vessels entering the submandibular gland. Cutting or abrasion of the connective tissue and manipulations, such as elevation of blood vessels, were reproduced by the virtual reality system. A training program using the developed system was devised. Novice oral surgeons were trained in accordance with the devised training program. Our virtual reality training system for endoscope-assisted removal of the submandibular gland is effective in the training of novice oral surgeons in endoscope-assisted surgery. Copyright © 2016 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Assessment of the pseudo-tracking approach for the calculation of material acceleration and pressure fields from time-resolved PIV: part I. Error propagation

NASA Astrophysics Data System (ADS)

van Gent, P. L.; Schrijer, F. F. J.; van Oudheusden, B. W.

2018-04-01

Pseudo-tracking refers to the construction of imaginary particle paths from PIV velocity fields and the subsequent estimation of the particle (material) acceleration. In view of the variety of existing and possible alternative ways to perform the pseudo-tracking method, it is not straightforward to select a suitable combination of numerical procedures for its implementation. To address this situation, this paper extends the theoretical framework for the approach. The developed theory is verified by applying various implementations of pseudo-tracking to a simulated PIV experiment. The findings of the investigations allow us to formulate the following insights and practical recommendations: (1) the velocity errors along the imaginary particle track are primarily a function of velocity measurement errors and spatial velocity gradients; (2) the particle path may best be calculated with second-order accurate numerical procedures while ensuring that the CFL condition is met; (3) least-square fitting of a first-order polynomial is a suitable method to estimate the material acceleration from the track; and (4) a suitable track length may be selected on the basis of the variation in material acceleration with track length.

75 FR 75207 - Regulation SBSR-Reporting and Dissemination of Security-Based Swap Information

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-02

...In accordance with Section 763 (``Section 763'') and Section 766 (``Section 766'') of Title VII (``Title VII'') of the Dodd-Frank Wall Street Reform and Consumer Protection Act (the ``Dodd-Frank Act''), the Securities and Exchange Commission (``SEC'' or ``Commission'') is proposing Regulation SBSR--Reporting and Dissemination of Security-Based Swap Information (``Regulation SBSR'') under the Securities Exchange Act of 1934 (``Exchange Act'').\\1\\ Proposed Regulation SBSR would provide for the reporting of security- based swap information to registered security-based swap data repositories or the Commission and the public dissemination of security-based swap transaction, volume, and pricing information. Registered security-based swap data repositories would be required to establish and maintain certain policies and procedures regarding how transaction data are reported and disseminated, and participants of registered security-based swap data repositories that are security- based swap dealers or major security-based swap participants would be required to establish and maintain policies and procedures that are reasonably designed to ensure that they comply with applicable reporting obligations. Finally, proposed Regulation SBSR also would require a registered SDR to register with the Commission as a securities information processor on existing Form SIP. ---------------------------------------------------------------------------

Effective teaching and feedback strategies in the or and beyond.

PubMed

Champagne, Bradley J

2013-12-01

Maintaining a standard of excellence for graduating surgical residents requires a comprehensive and consistent approach to surgical education. The omnipresent and increasing barriers to education must also be recognized and addressed. The implementation of effective teaching strategies is largely dependent on the resources available at each institution and the vision of education. Unfortunately, allocating time for surgeons to teach both inside and outside the operating room has become a foreign concept to administration. Furthermore, the reduction in case numbers performed by trainees now demands "quality over quantity" to ensure success. Quality teaching moments will only be realized when emphasis is placed on preparation, useful instruction during the procedure, and postoperative feedback. Ideal preparation entails a detailed discussion between the trainee and surgeon about the specific learning goals for the case. During the procedure, the faculty surgeon must strive to maximize the experience through effective communication while performing an efficient and safe operation. Numerous validated objective assessment tools exist for postprocedure evaluation but are grossly underutilized. Surgical education must thoughtfully be approached with the same fervor and detail as patient care. As faculty, it is our responsibility to train the next generation of surgeons and therefore "every case must count."

Effective Teaching and Feedback Strategies in the OR and Beyond

PubMed Central

Champagne, Bradley J.

2013-01-01

Maintaining a standard of excellence for graduating surgical residents requires a comprehensive and consistent approach to surgical education. The omnipresent and increasing barriers to education must also be recognized and addressed. The implementation of effective teaching strategies is largely dependent on the resources available at each institution and the vision of education. Unfortunately, allocating time for surgeons to teach both inside and outside the operating room has become a foreign concept to administration. Furthermore, the reduction in case numbers performed by trainees now demands “quality over quantity” to ensure success. Quality teaching moments will only be realized when emphasis is placed on preparation, useful instruction during the procedure, and postoperative feedback. Ideal preparation entails a detailed discussion between the trainee and surgeon about the specific learning goals for the case. During the procedure, the faculty surgeon must strive to maximize the experience through effective communication while performing an efficient and safe operation. Numerous validated objective assessment tools exist for postprocedure evaluation but are grossly underutilized. Surgical education must thoughtfully be approached with the same fervor and detail as patient care. As faculty, it is our responsibility to train the next generation of surgeons and therefore “every case must count.” PMID:24436685

Laboratory Evaluation of Light Obscuration Particle Counters used to Establish use Limits for Aviation Fuel

DTIC Science & Technology

2015-12-01

markings are indicated, follow agency authorization procedures , e.g. RD/FRD, PROPIN, ITAR, etc. Include copyright information. 13. SUPPLEMENTARY...Contamination in Distillate Fuels (Visual Inspection Procedures ), as a final check of fuel to ensure aviation fuel is clear and bright before flight...Laboratories at the Detroit Arsenal. The online procedure for evaluating the light obscuration particle counters was modified from the concepts found

Improving the review of standard operating procedures: a novel electronic system for compounding pharmacies.

PubMed

Brensel, Robert; Brensel, Scott; Ng, Amy

2013-01-01

Since the New England Compounding Center disaster in 2012, the importance of following correct procedures during every phase of customized pharmacy has been a focus of governmental interest and action as well as public scrutiny. Many pharmacies rely on the rote review of standard operating procedures to ensure that staff members understand and follow protocols that ensure the safety and potency of all compounds prepared, but that approach to continuing education can be cumbersome and needlessly time-consuming. In addition, documenting and retrieving evidence of employee competence can be difficult. In this article, we describe our use of online technology to improve our methods of educating staff about the full range of standard operating procedures that must be followed in our pharmacy. The system we devised and implemented has proven to be effective, easy to update and maintain, very inexpensive, and user friendly. Its use has reduced the time previously required for a read-over review of standard operating procedures from 30 or 40 minutes to 5 or 10 minutes in weekly staff meetings, and we can now easily document and access proof of employees' comprehension of that content. It is our hope that other small compounding pharmacies will also find this system of online standard operating procedure review helpful.

Fetal Endoscopic Tracheal Intubation: A New Fetoscopic Procedure to Ensure Extrauterine Tracheal Permeability in a Case with Congenital Cervical Teratoma.

PubMed

Cruz-Martinez, Rogelio; Moreno-Alvarez, Oscar; Garcia, Maritza; Méndez, Antonio; Pineda, Hugo; Cruz-Martinez, Miriam Alejandra; Cruz, Miriam A; Martinez-Morales, Cecilia

2015-01-01

Congenital neck masses are associated with high perinatal mortality and morbidity secondary to airway obstruction due to a mass effect of the tumor with subsequent neonatal asphyxia and/or neonatal death. Currently, the only technique designed to establish a secure neonatal airway is the ex utero intrapartum treatment (EXIT) procedure, which involves neonatal tracheal intubation while fetal oxygenation is maintained by the uteroplacental circulation in a partial fetal delivery under maternal general anesthesia. We present a case with a giant cervical teratoma and huge displacement and compression of the fetal trachea that was treated successfully at 35 weeks of gestation with a novel fetoscopic procedure to ensure extrauterine tracheal permeability by means of a fetal endoscopic tracheal intubation (FETI) before delivery. The procedure consisted of a percutaneous fetal tracheoscopy under maternal epidural anesthesia using an 11-Fr exchange catheter covering the fetoscope that allowed a conduit to introduce a 3.0-mm intrauterine orotracheal cannula under ultrasound guidance. After FETI, a conventional cesarean section was performed uneventfully with no need for an EXIT procedure. This report is the first to illustrate that in cases with large neck tumors involving fetal airways, FETI is feasible and could potentially replace an EXIT procedure by allowing prenatal airway control.

Suggested set-up and layout of instruments and equipment for advanced operative laparoscopy.

PubMed

Winer, W K; Lyons, T L

1995-02-01

Crucial elements that ensure the organization and smoothness of a laparoscopic procedure are clear communication among well-trained endoscopy team members, properly maintained equipment, and a sensible layout of the instruments. The team consists of the surgeon, surgical assistant, circulator, scrub nurse, laser nurse, and anesthesiologist. To promote continuity and interaction and to ensure a systematic, pleasant pace for laparoscopic procedures, the team should establish a specific routine, as well as set-up and layout of tables, equipment, and instruments. Key ingredients for advanced operative laparoscopy to be performed with optimum efficiency and effectiveness are the best organization and placement of the equipment, instrumentation, and team in a particular setting in the operating room.

Report: Significant Data Quality Deficiencies Impede EPA’s Ability to Ensure Companies Can Pay for Cleanups

EPA Pesticide Factsheets

Report #16-P-0126, March 31, 2016. Management Alert. Environmental and extensive financial risks exist from the EPA's failure to have accurate and complete data to monitor and ensure compliance with RCRA and CERCLA financial assurance requirements.

Balance in scientific impact assessment: the EGU Awards Committe experience

NASA Astrophysics Data System (ADS)

Montanari, Alberto

2016-04-01

Evaluation of scientific impact is becoming an essential step all over the world for assigning academic positions, funding and recognition. Impact is generally assessed by means of objective bibliometric indicators which are frequently integrated with a subjective evaluation by one or more individuals. An essential requirement of impact assessment is to ensure balance across several potential discriminating factors, including gender, ethnics, culture, scientific field and many others. Scientific associations need to ensure balance in any step of their activity and in particular when electing their representatives, evaluating scientific contributions, reviewing papers and assigning awards. While ensuring balance is a strict necessity, how to get to target is still a matter of vivid debates. In fact, the context of science is very different with respect to the general context of society and the need for scientific associations to maintain confidentiality in their evaluation procedures makes the application of transparent procedures more complicated. This talk aims to present the experience and the efforts of the European Geosciences Union to ensure balance, with a particular focus on gender balance. Data and statistics will be presented in the attempt to provide constructive indications to get to the target of giving equal opportunities to researchers across gender, continents and ethnic groups. Science is a unifying discipline and balance will be vital to ensure that humans and our planet co-evolve sustainably.

A method of setting limits for the purpose of quality assurance

NASA Astrophysics Data System (ADS)

Sanghangthum, Taweap; Suriyapee, Sivalee; Kim, Gwe-Ya; Pawlicki, Todd

2013-10-01

The result from any assurance measurement needs to be checked against some limits for acceptability. There are two types of limits; those that define clinical acceptability (action limits) and those that are meant to serve as a warning that the measurement is close to the action limits (tolerance limits). Currently, there is no standard procedure to set these limits. In this work, we propose an operational procedure to set tolerance limits and action limits. The approach to establish the limits is based on techniques of quality engineering using control charts and a process capability index. The method is different for tolerance limits and action limits with action limits being categorized into those that are specified and unspecified. The procedure is to first ensure process control using the I-MR control charts. Then, the tolerance limits are set equal to the control chart limits on the I chart. Action limits are determined using the Cpm process capability index with the requirements that the process must be in-control. The limits from the proposed procedure are compared to an existing or conventional method. Four examples are investigated: two of volumetric modulated arc therapy (VMAT) point dose quality assurance (QA) and two of routine linear accelerator output QA. The tolerance limits range from about 6% larger to 9% smaller than conventional action limits for VMAT QA cases. For the linac output QA, tolerance limits are about 60% smaller than conventional action limits. The operational procedure describe in this work is based on established quality management tools and will provide a systematic guide to set up tolerance and action limits for different equipment and processes.

A unified framework for developing effective hygiene procedures for hands, environmental surfaces and laundry in healthcare, domestic, food handling and other settings

PubMed Central

Bloomfield, Sally F.; Carling, Philip C.; Exner, Martin

2017-01-01

Hygiene procedures for hands, surfaces and fabrics are central to preventing spread of infection in settings including healthcare, food production, catering, agriculture, public settings, and home and everyday life. They are used in situations including hand hygiene, clinical procedures, decontamination of environmental surfaces, respiratory hygiene, food handling, laundry hygiene, toilet hygiene and so on. Although the principles are common to all, approaches currently used in different settings are inconsistent. A concern is the use of inconsistent terminology which is misleading, especially to people we need to communicate with such as the public or cleaning professionals. This paper reviews the data on current approaches, alongside new insights to developing hygiene procedures. Using this data, we propose a more scientifically-grounded framework for developing procedures that maximize protection against infection, based on consistent principles and terminology, and applicable across all settings. A key feature is use of test models which assess the state of surfaces after treatment rather than product performance alone. This allows procedures that rely on removal of microbes to be compared with those employing chemical or thermal inactivation. This makes it possible to ensure that a consistent “safety target level” is achieved regardless of the type of procedure used, and allows us deliver maximum health benefit whilst ensuring prudent usage of antimicrobial agents, detergents, water and energy. PMID:28670508

23 CFR 636.208 - May I use my existing prequalification procedures with design-build contracts?

Code of Federal Regulations, 2011 CFR

2011-04-01

... 23 Highways 1 2011-04-01 2011-04-01 false May I use my existing prequalification procedures with design-build contracts? 636.208 Section 636.208 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS DESIGN-BUILD CONTRACTING Selection Procedures, Award Criteria § 636.208 May I use my existing...

Ensuring due process in the IACUC and animal welfare setting: considerations in developing noncompliance policies and procedures for institutional animal care and use committees and institutional officials.

PubMed

Hansen, Barbara C; Gografe, Sylvia; Pritt, Stacy; Jen, Kai-Lin Catherine; McWhirter, Camille A; Barman, Susan M; Comuzzie, Anthony; Greene, Molly; McNulty, Justin A; Michele, Daniel Eugene; Moaddab, Naz; Nelson, Randall J; Norris, Karen; Uray, Karen D; Banks, Ron; Westlund, Karin N; Yates, Bill J; Silverman, Jerald; Hansen, Kenneth D; Redman, Barbara

2017-10-01

Every institution that is involved in research with animals is expected to have in place policies and procedures for the management of allegations of noncompliance with the Animal Welfare Act and the U.S. Public Health Service Policy on the Humane Care and Use of Laboratory Animals. We present here a model set of recommendations for institutional animal care and use committees and institutional officials to ensure appropriate consideration of allegations of noncompliance with federal Animal Welfare Act regulations that carry a significant risk or specific threat to animal welfare. This guidance has 3 overarching aims: 1 ) protecting the welfare of research animals; 2 ) according fair treatment and due process to an individual accused of noncompliance; and 3 ) ensuring compliance with federal regulations. Through this guidance, the present work seeks to advance the cause of scientific integrity, animal welfare, and the public trust while recognizing and supporting the critical importance of animal research for the betterment of the health of both humans and animals.-Hansen, B. C., Gografe, S., Pritt, S., Jen, K.-L. C., McWhirter, C. A., Barman, S. M., Comuzzie, A., Greene, M., McNulty, J. A., Michele, D. E., Moaddab, N., Nelson, R. J., Norris, K., Uray, K. D., Banks, R., Westlund, K. N., Yates, B. J., Silverman, J., Hansen, K. D., Redman, B. Ensuring due process in the IACUC and animal welfare setting: considerations in developing noncompliance policies and procedures for institutional animal care and use committees and institutional officials. © FASEB.

17 CFR 1.71 - Conflicts of interest policies and procedures by futures commission merchants and introducing...

Code of Federal Regulations, 2014 CFR

2014-04-01

... subject to this rule must adopt and implement written policies and procedures reasonably designed to... broker must establish structural and institutional safeguards reasonably designed to ensure that the... for non-substantive editing, to format the layout or style of the research report, or to identify any...

17 CFR 1.71 - Conflicts of interest policies and procedures by futures commission merchants and introducing...

Code of Federal Regulations, 2013 CFR

2013-04-01

... subject to this rule must adopt and implement written policies and procedures reasonably designed to... broker must establish structural and institutional safeguards reasonably designed to ensure that the... for non-substantive editing, to format the layout or style of the research report, or to identify any...

76 FR 37376 - Guidelines for Ensuring and Maximizing the Quality, Objectivity, Utility, and Integrity of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-27

... the information is not compromised through corruption or falsification. 6. ``Objectivity'' is a... procedures vary depending on the type of information being disseminated and the extent to which such... proof is on the requester to show both the necessity for and type of correction sought. Procedures for...

Conversion of School Nurse Policy and Procedure Manual to Electronic Format

ERIC Educational Resources Information Center

Randall, Joellyn; Knee, Rachel; Galemore, Cynthia

2006-01-01

Policy and procedure manuals are essential to establishing standards of practice and ensuring quality of care to students and families. The Olathe District Schools (Kansas) Technology Department created the Virtual File Cabinet to provide online access to employee policies, school board policies, forms, and other documents. A task force of school…

25 CFR 291.4 - What must a proposal requesting Class III gaming procedures contain?

Code of Federal Regulations, 2011 CFR

2011-04-01

... activities of the Indian tribe's gaming operations; (4) Internal control standards designed to ensure fiscal..., maintenance, and accessibility; (6) Conduct of games, including patron requirements, posting of game rules, and hours of operation; (7) Procedures to protect the integrity of the rules for playing games; (8...

25 CFR 291.4 - What must a proposal requesting Class III gaming procedures contain?

Code of Federal Regulations, 2010 CFR

2010-04-01

... activities of the Indian tribe's gaming operations; (4) Internal control standards designed to ensure fiscal..., maintenance, and accessibility; (6) Conduct of games, including patron requirements, posting of game rules, and hours of operation; (7) Procedures to protect the integrity of the rules for playing games; (8...

25 CFR 291.4 - What must a proposal requesting Class III gaming procedures contain?

Code of Federal Regulations, 2013 CFR

2013-04-01

... activities of the Indian tribe's gaming operations; (4) Internal control standards designed to ensure fiscal..., maintenance, and accessibility; (6) Conduct of games, including patron requirements, posting of game rules, and hours of operation; (7) Procedures to protect the integrity of the rules for playing games; (8...

25 CFR 291.4 - What must a proposal requesting Class III gaming procedures contain?

Code of Federal Regulations, 2014 CFR

2014-04-01

... activities of the Indian tribe's gaming operations; (4) Internal control standards designed to ensure fiscal..., maintenance, and accessibility; (6) Conduct of games, including patron requirements, posting of game rules, and hours of operation; (7) Procedures to protect the integrity of the rules for playing games; (8...

25 CFR 291.4 - What must a proposal requesting Class III gaming procedures contain?

Code of Federal Regulations, 2012 CFR

2012-04-01

... activities of the Indian tribe's gaming operations; (4) Internal control standards designed to ensure fiscal..., maintenance, and accessibility; (6) Conduct of games, including patron requirements, posting of game rules, and hours of operation; (7) Procedures to protect the integrity of the rules for playing games; (8...

34 CFR 303.401 - Confidentiality and opportunity to examine records.

Code of Federal Regulations, 2012 CFR

2012-07-01

... PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES Procedural Safeguards Confidentiality of Personally... records. (a) General. Each State must ensure that the parents of a child referred under this part are... procedures in §§ 303.401 through 303.417; and (2) The parents of infants or toddlers who are referred to, or...

34 CFR 303.401 - Confidentiality and opportunity to examine records.

Code of Federal Regulations, 2013 CFR

2013-07-01

... PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES Procedural Safeguards Confidentiality of Personally... records. (a) General. Each State must ensure that the parents of a child referred under this part are... procedures in §§ 303.401 through 303.417; and (2) The parents of infants or toddlers who are referred to, or...

34 CFR 303.401 - Confidentiality and opportunity to examine records.

Code of Federal Regulations, 2014 CFR

2014-07-01

... PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES Procedural Safeguards Confidentiality of Personally... records. (a) General. Each State must ensure that the parents of a child referred under this part are... procedures in §§ 303.401 through 303.417; and (2) The parents of infants or toddlers who are referred to, or...

40 CFR 65.158 - Performance test procedures for control devices.

Code of Federal Regulations, 2010 CFR

2010-07-01

... regulated material or as TOC (minus methane and ethane) according to the procedures specified. (1) Method 1... material or TOC, sampling sites shall be located at the inlet of the control device as specified in the... sampling sites shall ensure the measurement of total regulated material or TOC (minus methane and ethane...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR CUSTODY OF FIELD SAMPLES (UA-C-1.0)

EPA Science Inventory

The purpose of this SOP is to outline sample custody guidelines used by the Arizona Border Study. This procedure was followed to maintain sample integrity and ensure consistent data retrieval, transport, storage, shipment, and analysis during the Arizona NHEXAS project and the B...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR ASSURANCE OF RESPONDENT CONFIDENTIALITY (UA-G-3.1)

EPA Science Inventory

The purpose of this SOP is to design respondent privacy and confidentiality for all participants of the Arizona Border Study. This SOP covers verbal, written and electronic data references to respondents. This procedure was followed to ensure consistent data retrieval during th...

42 CFR 137.297 - If the environmental review procedures of a Federal agency are adopted by a Self-Governance Tribe...

Code of Federal Regulations, 2011 CFR

2011-10-01

... environmental laws, not the Self-Governance Tribe. ... 42 Public Health 1 2011-10-01 2011-10-01 false If the environmental review procedures of a Federal agency are adopted by a Self-Governance Tribe, is the Self-Governance Tribe responsible for ensuring the...

78 FR 7681 - Energy Conservation Program for Consumer Products: Test Procedures for Residential Furnaces and...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-04

.... Description of AFUE Inflation Issues Associated with Omitting Cool-Down and Heat-Up Testing for Two-Stage and... to revise a provision concerning the insulation of the flue collector box in order to ensure the... furnaces and boilers that employ the optional procedure to skip [[Page 7683

New generation mix-designs : laboratory-field testing and modifications to Texas HMA mix-design procedures.

DOT National Transportation Integrated Search

2012-10-01

Recent changes to the Texas hot mix asphalt (HMA) mix-design procedures such as adaption of the higher-stiffer PG asphalt-binder grades and the Hamburg test have ensured that the mixes that are routinely used on the Texas highways are not prone to ru...

45 CFR 2551.29 - What procedures must I follow in conducting a National Service Criminal History Check?

Code of Federal Regulations, 2012 CFR

2012-10-01

... National Service Criminal History Check? 2551.29 Section 2551.29 Public Welfare Regulations Relating to... Service Criminal History Check? You are responsible for ensuring that the following procedures are... program is contingent upon the organization's review of the individual's criminal history, if any; (d...

45 CFR 2551.29 - What procedures must I follow in conducting a National Service Criminal History Check?

Code of Federal Regulations, 2011 CFR

2011-10-01

... National Service Criminal History Check? 2551.29 Section 2551.29 Public Welfare Regulations Relating to... Service Criminal History Check? You are responsible for ensuring that the following procedures are... program is contingent upon the organization's review of the individual's criminal history, if any; (d...

45 CFR 2552.29 - What procedures must I follow in conducting a National Service Criminal History Check?

Code of Federal Regulations, 2012 CFR

2012-10-01

... National Service Criminal History Check? 2552.29 Section 2552.29 Public Welfare Regulations Relating to... Service Criminal History Check? You are responsible for ensuring that the following procedures are... program is contingent upon the organization's review of the individual's criminal history, if any; (d...

45 CFR 2552.29 - What procedures must I follow in conducting a National Service Criminal History Check?

Code of Federal Regulations, 2011 CFR

2011-10-01

... National Service Criminal History Check? 2552.29 Section 2552.29 Public Welfare Regulations Relating to... Service Criminal History Check? You are responsible for ensuring that the following procedures are... program is contingent upon the organization's review of the individual's criminal history, if any; (d...

Management and Accountability Procedures: DEEP - The New Mexico State Facilitator.

ERIC Educational Resources Information Center

New Mexico Univ., Albuquerque. Coll. of Education.

Presented is a description of how DEEP (Developmental Economic Education Program) monitors activity and achievements to ensure that objectives are met effectively and efficiently, and that evidence of achievement is available for reports. The purposes of DEEP management and accountability procedures are: (1) to maintain both long term and short…

45 CFR 2552.29 - What procedures must I follow in conducting a National Service Criminal History Check?

Code of Federal Regulations, 2010 CFR

2010-10-01

... National Service Criminal History Check? 2552.29 Section 2552.29 Public Welfare Regulations Relating to... Service Criminal History Check? You are responsible for ensuring that the following procedures are... program is contingent upon the organization's review of the individual's criminal history, if any; (d...

45 CFR 2551.29 - What procedures must I follow in conducting a National Service Criminal History Check?

Code of Federal Regulations, 2010 CFR

2010-10-01

... National Service Criminal History Check? 2551.29 Section 2551.29 Public Welfare Regulations Relating to... Service Criminal History Check? You are responsible for ensuring that the following procedures are... program is contingent upon the organization's review of the individual's criminal history, if any; (d...

78 FR 42809 - Self-Regulatory Organizations; Fixed Income Clearing Corporation; Order Approving Proposed Rule...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-17

... remain subject to all of the GSD's normal risk management procedures, which include marking member portfolios to the market on an intraday basis and charging variation margins accordingly.\\19\\ These risk management procedures should help ensure the safety of the securities and funds handled by the GSD in...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR FORM QA/QC CHECKS (UA-C-2.0)

EPA Science Inventory

The purpose of this SOP is to outline the process of Field Quality Assurance and Quality Control checks. This procedure was followed to ensure consistent data retrieval during the Arizona NHEXAS project and the "Border" study. Keywords: custody; QA/QC; field checks.

The Nation...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR FIELD PERSONNEL TRAINING--GENERAL (UA-T-3.0)

EPA Science Inventory

The purpose of this SOP is to describe basic pre- and post-field visit activities and standards which are expected of every Field Team member. This procedure was followed to ensure consistent data retrieval during the Arizona NHEXAS project and the "Border" study. Keywords: tra...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR ANALYSIS OF PASSIVE FORMALDEHYDE SAMPLERS (BCO-L-16.0)

EPA Science Inventory

The purpose of this SOP is to describe the methodology used by Air Quality Research (Research Triangle Park, NC) for the analysis of the PF-1 passive formaldehyde samplers using a colorimetric method and chromotropic acid. This procedure was followed to ensure consistent data re...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR ISOLATION OF MALFUNCTIONING OR DAMAGED EQUIPMENT (UA-G-2.0)

EPA Science Inventory

The purpose of this SOP is to identify and isolate malfunctioning or damaged equipment for the NHEXAS Arizona research project. This procedure was followed to ensure consistent data custody, storage, transfer and analysis of a high quality during the Arizona NHEXAS project and t...

48 CFR 1852.245-73 - Financial reporting of NASA property in the custody of contractors.

Code of Federal Regulations, 2013 CFR

2013-10-01

... due. However, contractors' procedures must document the process for developing these estimates based... shall have formal policies and procedures, which address the validation of NF 1018 data, including data... validation is to ensure that information reported is accurate and in compliance with the NASA FAR Supplement...

48 CFR 1852.245-73 - Financial reporting of NASA property in the custody of contractors.

Code of Federal Regulations, 2012 CFR

2012-10-01

... due. However, contractors' procedures must document the process for developing these estimates based... shall have formal policies and procedures, which address the validation of NF 1018 data, including data... validation is to ensure that information reported is accurate and in compliance with the NASA FAR Supplement...

[A project to improve the validity rate for nursing staff operating single door autoclave sterilizers].

PubMed

Chen, Chun-Hung; Li, Cheng-Chang; Chou, Chuan-Yu; Chen, Shu-Hwa

2009-08-01

This project was designed to improve the low validity rate for nurses responsible to operate single door autoclave sterilizers in the operating room. By investigating the current status, we found that the nursing staff validity rate of cognition on the autoclave sterilizer was 85%, and the practice operating check validity rate was only 80%. Such was due to a lack of in-service education. Problems with operation included: 1. Unsafe behaviors - not following standard procedure, lacking relevant operating knowledge and absence of a check form; 2. Unsafe environment - the conveying steam piping was typically not covered and lacked operation marks. Recommended improvement measures included: 1. holding in-service education; 2. generating an operation procedure flow chart; 3. implementing obstacle eliminating procedures; 4. covering piping to prevent fire and burns; 5. performing regular checks to ensure all procedures are followed. Following intervention, nursing staff cognition rose from 85% to 100%, while the operation validity rate rose from 80% to 100%. These changes ensure a safer operating room environment, and helps facilities move toward a zero accident rate in the healthcare environment.

7 CFR 3022.2 - Procedures.

Code of Federal Regulations, 2011 CFR

2011-01-01

... AGRICULTURE RESEARCH INSTITUTIONS CONDUCTING USDA-FUNDED EXTRAMURAL RESEARCH; RESEARCH MISCONDUCT § 3022.2... research misconduct that ensure: (a) Appropriate separations of responsibility for inquiry, investigation...

7 CFR 3022.2 - Procedures.

Code of Federal Regulations, 2014 CFR

2014-01-01

... AGRICULTURE RESEARCH INSTITUTIONS CONDUCTING USDA-FUNDED EXTRAMURAL RESEARCH; RESEARCH MISCONDUCT § 3022.2... research misconduct that ensure: (a) Appropriate separations of responsibility for inquiry, investigation...

7 CFR 3022.2 - Procedures.

Code of Federal Regulations, 2012 CFR

2012-01-01

... AGRICULTURE RESEARCH INSTITUTIONS CONDUCTING USDA-FUNDED EXTRAMURAL RESEARCH; RESEARCH MISCONDUCT § 3022.2... research misconduct that ensure: (a) Appropriate separations of responsibility for inquiry, investigation...

Building a QC Database of Meteorological Data from NASA KSC and the United States Air Force's Eastern Range

NASA Technical Reports Server (NTRS)

Brenton, J. C.; Barbre, R. E.; Decker, R. K.; Orcutt, J. M.

2018-01-01

The National Aeronautics and Space Administration's (NASA) Marshall Space Flight Center (MSFC) Natural Environments Branch (EV44) provides atmospheric databases and analysis in support of space vehicle design and day-of-launch operations for NASA and commercial launch vehicle programs launching from the NASA Kennedy Space Center (KSC), co-located on the United States Air Force's Eastern Range (ER) at the Cape Canaveral Air Force Station. The ER complex is one of the most heavily instrumented sites in the United States with over 31 towers measuring various atmospheric parameters on a continuous basis. An inherent challenge with large datasets consists of ensuring erroneous data are removed from databases, and thus excluded from launch vehicle design analyses. EV44 has put forth great effort in developing quality control (QC) procedures for individual meteorological instruments, however no standard QC procedures for all databases currently exists resulting in QC databases that have inconsistencies in variables, development methodologies, and periods of record. The goal of this activity is to use the previous efforts to develop a standardized set of QC procedures from which to build meteorological databases from KSC and the ER, while maintaining open communication with end users from the launch community to develop ways to improve, adapt and grow the QC database. Details of the QC procedures will be described. As the rate of launches increases with additional launch vehicle programs, It is becoming more important that weather databases are continually updated and checked for data quality before use in launch vehicle design and certification analyses.

Inverse sequential procedures for the monitoring of time series

NASA Technical Reports Server (NTRS)

Radok, Uwe; Brown, Timothy J.

1995-01-01

When one or more new values are added to a developing time series, they change its descriptive parameters (mean, variance, trend, coherence). A 'change index (CI)' is developed as a quantitative indicator that the changed parameters remain compatible with the existing 'base' data. CI formulate are derived, in terms of normalized likelihood ratios, for small samples from Poisson, Gaussian, and Chi-Square distributions, and for regression coefficients measuring linear or exponential trends. A substantial parameter change creates a rapid or abrupt CI decrease which persists when the length of the bases is changed. Except for a special Gaussian case, the CI has no simple explicit regions for tests of hypotheses. However, its design ensures that the series sampled need not conform strictly to the distribution form assumed for the parameter estimates. The use of the CI is illustrated with both constructed and observed data samples, processed with a Fortran code 'Sequitor'.

Field experiment estimate of electoral fraud in Russian parliamentary elections

PubMed Central

Enikolopov, Ruben; Korovkin, Vasily; Petrova, Maria; Sonin, Konstantin; Zakharov, Alexei

2013-01-01

Electoral fraud is a widespread phenomenon, especially outside the developed world. Despite abundant qualitative and anecdotal evidence on its existence from around the world, there is very limited quantitative evidence on the extent of electoral fraud. We exploit random assignment of independent observers to 156 of 3,164 polling stations in the city of Moscow to estimate the effect of electoral fraud on the outcome of the Russian parliamentary elections held on December 4, 2011. We estimate the actual share of votes for the incumbent United Russia party to be at least 11 percentage points lower than the official count (36% instead of 47%). Our results suggest that the extent of the fraud was sufficient to have had a substantial impact on the outcome of the elections; they also confirm that the presence of observers is an important factor in ensuring the integrity of the procedure. PMID:23267093

Monotone viable trajectories for functional differential inclusions

NASA Astrophysics Data System (ADS)

Haddad, Georges

This paper is a study on functional differential inclusions with memory which represent the multivalued version of retarded functional differential equations. The main result gives a necessary and sufficient equations. The main result gives a necessary and sufficient condition ensuring the existence of viable trajectories; that means trajectories remaining in a given nonempty closed convex set defined by given constraints the system must satisfy to be viable. Some motivations for this paper can be found in control theory where F( t, φ) = { f( t, φ, u)} uɛU is the set of possible velocities of the system at time t, depending on the past history represented by the function φ and on a control u ranging over a set U of controls. Other motivations can be found in planning procedures in microeconomics and in biological evolutions where problems with memory do effectively appear in a multivalued version. All these models require viability constraints represented by a closed convex set.

Fuzzy Adaptive Output Feedback Control of Uncertain Nonlinear Systems With Prescribed Performance.

PubMed

Zhang, Jin-Xi; Yang, Guang-Hong

2018-05-01

This paper investigates the tracking control problem for a family of strict-feedback systems in the presence of unknown nonlinearities and immeasurable system states. A low-complexity adaptive fuzzy output feedback control scheme is proposed, based on a backstepping method. In the control design, a fuzzy adaptive state observer is first employed to estimate the unmeasured states. Then, a novel error transformation approach together with a new modification mechanism is introduced to guarantee the finite-time convergence of the output error to a predefined region and ensure the closed-loop stability. Compared with the existing methods, the main advantages of our approach are that: 1) without using extra command filters or auxiliary dynamic surface control techniques, the problem of explosion of complexity can still be addressed and 2) the design procedures are independent of the initial conditions. Finally, two practical examples are performed to further illustrate the above theoretic findings.

Distinguishing Acts of War in Cyberspace: Assessment Criteria, Policy Considerations, and Response Implications

DTIC Science & Technology

2014-10-01

process will help to harmonize important work on cyber policy and procedures within NATO and at the national level to ensure that the Alliance’s...conducts and practices its Emergency Action Procedures to defend the nation through interagency emergency cyber pro- cedures. During these conferences...via cyberspace, and does so in compliance with all applicable laws, policies, and procedures . The conduct of all U.S. intelligence operations is 64

Post-procedure bleeding in interventional radiology.

PubMed

Mayer, J; Tacher, V; Novelli, L; Djabbari, M; You, K; Chiaradia, M; Deux, J-F; Kobeiter, H

2015-01-01

Following interventional radiology procedures, bleeding can occur in 0.5 to 4% of the cases. Risk factors are related to the patient, to the procedure, and to the end organ. Bleeding is treated usually by interventional radiologists and consists mainly of embolization. Bleeding complications are preventable: before the procedure by checking hemostasis, during the procedure by ensuring the accurate puncture site (with ultrasound or fluoroscopy guidance) or by treating the puncture path using gelatin sponge, curaspon(®), biological glue or thermocoagulation, and after the procedure by carefully monitoring the patients. Copyright © 2015 Éditions françaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.

Operationalization of the Ghanaian Patients’ Charter in a Peri-urban Public Hospital: Voices of Healthcare Workers and Patients

PubMed Central

Yarney, Lily; Buabeng, Thomas; Baidoo, Diana; Bawole, Justice Nyigmah

2016-01-01

Background: Health is a basic human right necessary for the exercise of other human rights. Every human being is, therefore, entitled to the highest possible standard of health necessary to living a life of dignity. Establishment of patients’ Charter is a step towards protecting the rights and responsibilities of patients, but violation of patients’ rights is common in healthcare institutions, especially in the developing world. This study which was conducted between May 2013 and May 2014, assessed the operationalization of Ghana’s Patients Charter in a peri-urban public hospital. Methods: Qualitative data collection methods were used to collect data from 25 healthcare workers and patients who were purposively selected. The interview data were analyzed manually, using the principles of systematic text condensation. Results: The findings indicate that the healthcare staff of the Polyclinic are aware of the existence of the patients’ Charter and also know some of its contents. Patients have no knowledge of the existence or the contents of the Charter. Availability of the Charter, community sensitization, monitoring and orientation of staff are factors that promote the operationalization of the Charter, while institutional implementation procedures such as lack of complaint procedures and low knowledge among patients militate against operationalization of the Charter. Conclusion: Public health facilities should ensure that their patients are well-informed about their rights and responsibilities to facilitate effective implementation of the Charter. Also, patients’ rights and responsibilities can be dramatized and broadcasted on television and radio in major Ghanaian languages to enhance awareness of Ghanaians on the Charter. PMID:27694679

Operationalization of the Ghanaian Patients' Charter in a Peri-urban Public Hospital: Voices of Healthcare Workers and Patients.

PubMed

Yarney, Lily; Buabeng, Thomas; Baidoo, Diana; Bawole, Justice Nyigmah

2016-04-23

Health is a basic human right necessary for the exercise of other human rights. Every human being is, therefore, entitled to the highest possible standard of health necessary to living a life of dignity. Establishment of patients' Charter is a step towards protecting the rights and responsibilities of patients, but violation of patients' rights is common in healthcare institutions, especially in the developing world. This study which was conducted between May 2013 and May 2014, assessed the operationalization of Ghana's Patients Charter in a peri-urban public hospital. Qualitative data collection methods were used to collect data from 25 healthcare workers and patients who were purposively selected. The interview data were analyzed manually, using the principles of systematic text condensation. The findings indicate that the healthcare staff of the Polyclinic are aware of the existence of the patients' Charter and also know some of its contents. Patients have no knowledge of the existence or the contents of the Charter. Availability of the Charter, community sensitization, monitoring and orientation of staff are factors that promote the operationalization of the Charter, while institutional implementation procedures such as lack of complaint procedures and low knowledge among patients militate against operationalization of the Charter. Public health facilities should ensure that their patients are well-informed about their rights and responsibilities to facilitate effective implementation of the Charter. Also, patients' rights and responsibilities can be dramatized and broadcasted on television and radio in major Ghanaian languages to enhance awareness of Ghanaians on the Charter. © 2016 by Kerman University of Medical Sciences

77 FR 37865 - Plan for Retrospective Analysis of Existing Rules

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-25

.... The purpose of Executive Order 13579 is to ensure all agencies adhere to the key principles found in... environment while promoting economic growth, innovation, competitiveness, and job creation. The NTSB is committed to ensuring its regulations remain updated and comply with these principles, and in accordance...

40 CFR 165.90 - Operational, inspection and maintenance requirements for all new and existing containment...

Code of Federal Regulations, 2012 CFR

2012-07-01

... recovered in a manner that ensures protection of human health and the environment (including surface water... to human health or the environment. (3) Ensure that all materials resulting from spills and leaks and... Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS PESTICIDE MANAGEMENT AND DISPOSAL...

40 CFR 165.90 - Operational, inspection and maintenance requirements for all new and existing containment...

Code of Federal Regulations, 2014 CFR

2014-07-01

... recovered in a manner that ensures protection of human health and the environment (including surface water... to human health or the environment. (3) Ensure that all materials resulting from spills and leaks and... Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS PESTICIDE MANAGEMENT AND DISPOSAL...

40 CFR 165.90 - Operational, inspection and maintenance requirements for all new and existing containment...

Code of Federal Regulations, 2011 CFR

2011-07-01

... recovered in a manner that ensures protection of human health and the environment (including surface water... to human health or the environment. (3) Ensure that all materials resulting from spills and leaks and... Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS PESTICIDE MANAGEMENT AND DISPOSAL...

40 CFR 165.90 - Operational, inspection and maintenance requirements for all new and existing containment...

Code of Federal Regulations, 2013 CFR

2013-07-01

... recovered in a manner that ensures protection of human health and the environment (including surface water... to human health or the environment. (3) Ensure that all materials resulting from spills and leaks and... Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS PESTICIDE MANAGEMENT AND DISPOSAL...

40 CFR 165.90 - Operational, inspection and maintenance requirements for all new and existing containment...

Code of Federal Regulations, 2010 CFR

2010-07-01

... recovered in a manner that ensures protection of human health and the environment (including surface water... to human health or the environment. (3) Ensure that all materials resulting from spills and leaks and... Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS PESTICIDE MANAGEMENT AND DISPOSAL...

L∞-gain adaptive fuzzy fault accommodation control design for nonlinear time-delay systems.

PubMed

Wu, Huai-Ning; Qiang, Xiao-Hong; Guo, Lei

2011-06-01

In this paper, an adaptive fuzzy fault accommodation (FA) control design with a guaranteed L(∞)-gain performance is developed for a class of nonlinear time-delay systems with persistent bounded disturbances. Using the Lyapunov technique and the Razumikhin-type lemma, the existence condition of the L(∞) -gain adaptive fuzzy FA controllers is provided in terms of linear matrix inequalities (LMIs). In the proposed FA scheme, a fuzzy logic system is employed to approximate the unknown term in the derivative of the Lyapunov function due to the unknown fault function; a continuous-state feedback control strategy is adopted for the control design to avoid the undesirable chattering phenomenon. The resulting FA controllers can ensure that every response of the closed-loop system is uniformly ultimately bounded with a guaranteed L(∞)-gain performance in the presence of a fault. Moreover, by the existing LMI optimization technique, a suboptimal controller is obtained in the sense of minimizing an upper bound of the L(∞)-gain. Finally, the achieved simulation results on the FA control of a continuous stirred tank reactor (CSTR) show the effectiveness of the proposed design procedure.

Improving data sharing in research with context-free encoded missing data.

PubMed

Hoevenaar-Blom, Marieke P; Guillemont, Juliette; Ngandu, Tiia; Beishuizen, Cathrien R L; Coley, Nicola; Moll van Charante, Eric P; Andrieu, Sandrine; Kivipelto, Miia; Soininen, Hilkka; Brayne, Carol; Meiller, Yannick; Richard, Edo

2017-01-01

Lack of attention to missing data in research may result in biased results, loss of power and reduced generalizability. Registering reasons for missing values at the time of data collection, or-in the case of sharing existing data-before making data available to other teams, can save time and efforts, improve scientific value and help to prevent erroneous assumptions and biased results. To ensure that encoding of missing data is sufficient to understand the reason why data are missing, it should ideally be context-free. Therefore, 11 context-free codes of missing data were carefully designed based on three completed randomized controlled clinical trials and tested in a new randomized controlled clinical trial by an international team consisting of clinical researchers and epidemiologists with extended experience in designing and conducting trials and an Information System expert. These codes can be divided into missing due to participant and/or participation characteristics (n = 6), missing by design (n = 4), and due to a procedural error (n = 1). Broad implementation of context-free missing data encoding may enhance the possibilities of data sharing and pooling, thus allowing more powerful analyses using existing data.

The role of stents in the treatment of congenital heart disease: Current status and future perspectives

PubMed Central

Peters, Bjoern; Ewert, Peter; Berger, Felix

2009-01-01

Intravascular or intracardiac stenoses occur in many forms of congenital heart disease (CHD). Therefore, the implantation of stents has become an accepted interventional procedure for stenotic lesions in pediatric cardiology. Furthermore, stents are know to be used to exclude vessel aneurysm or to ensure patency of existing or newly created intracardiac communications. With the further refinement of the first generation of devices, a variety of “modern” stents with different design characteristics have evolved. Despite the tremendous technical improvement over the last 20 years, the “ideal stent” has not yet been developed. Therefore, the pediatric interventionalist has to decide which stent is suitable for each lesion. On this basis, currently available stents are discussed in regard to their advantages and disadvantages for common application in CHD. New concepts and designs developed to overcome some of the existing problems, like the failure of adaptation to somatic growth, are presented. Thus, in the future, biodegradable or growth stents might replace the currently used generation of stents. This might truly lead to widening indications for the use of stents in the treatment of CHD. PMID:20300265

Analysis of stroke care resources in Spain in 2012: have we benefitted from the Spanish Health System's stroke care strategy?

PubMed

López Fernández, J C; Masjuan Vallejo, J; Arenillas Lara, J; Blanco González, M; Botia Paniagua, E; Casado Naranjo, I; Deyá Arbona, E; Escribano Soriano, B; Freijo Guerrero, M M; Fuentes, B; Gállego Cullere, J; Geffners Sclarskyi, D; Gil Núñez, A; Gómez Escalonilla, C; Lago Martin, A; Legarda Ramírez, I; Maciñeiras Montero, J L; Maestre Moreno, J; Moniche Álvarez, F; Muñoz Arrondo, R; Purroy García, F; Ramírez Moreno, J M; Rebollo Álvarez Amandix, M; Roquer, J; Rubio Borrego, F; Segura, T; Serrano Ponza, M; Tejada García, J; Tejero Juste, C; Vidal Sánchez, J A

2014-09-01

The Spanish Health System's stroke care strategy (EISNS) is a consensus statement that was drawn up by various government bodies and scientific societies with the aim of improving quality throughout the care process and ensuring equality among regions. Our objective is to analyse existing healthcare resources and establish whether they have met EISNS targets. The survey on available resources was conducted by a committee of neurologists representing each of Spain's regions; the same committee also conducted the survey of 2008. The items included were the number of stroke units (SU), their resources (monitoring, neurologists on call 24h/7d, nurse ratio, protocols), SU bed ratio/100,000 inhabitants, diagnostic resources (cardiac and cerebral arterial ultrasound, advanced neuroimaging), performing iv thrombolysis, neurovascular interventional radiology (neuro VIR), surgery for malignant middle cerebral artery (MCA) infarctions and telemedicine availability. We included data from 136 hospitals and found 45 Stroke Units distributed unequally among regions. The ratio of SU beds to residents ranged from 1/74,000 to 1/1,037,000 inhabitants; only the regions of Cantabria and Navarre met the target. Neurologists performed 3,237 intravenous thrombolysis procedures in 83 hospitals; thrombolysis procedures compared to the total of ischaemic strokes yielded percentages ranging from 0.3 to 33.7%. Hospitals without SUs showed varying levels of available resources. Neuro VIR is performed in every region except La Rioja, and VIR is only available on a 24h/7 d basis in 17 cities. Surgery for malignant MCA infarction is performed in 46 hospitals, and 5 have telemedicine. Stroke care has improved in terms of numbers of participating hospitals, the increased use of intravenous thrombolysis and endovascular procedures, and surgery for malignant MCA infarction. Implementation of SUs and telemedicine remain insufficient. The availability of diagnostic resources is good in most SUs and irregular in other hospitals. Regional governments should strive to ensure better care and territorial equality, which would achieve the EISNS objectives. Copyright © 2013 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.

Standards for Radiation Effects Testing: Ensuring Scientific Rigor in the Face of Budget Realities and Modern Device Challenges

NASA Technical Reports Server (NTRS)

Lauenstein, J M.

2015-01-01

An overview is presented of the space radiation environment and its effects on electrical, electronic, and electromechanical parts. Relevant test standards and guidelines are listed. Test standards and guidelines are necessary to ensure best practices, minimize and bound systematic and random errors, and to ensure comparable results from different testers and vendors. Test standards are by their nature static but exist in a dynamic environment of advancing technology and radiation effects research. New technologies, failure mechanisms, and advancement in our understanding of known failure mechanisms drive the revision or development of test standards. Changes to standards must be weighed against their impact on cost and existing part qualifications. There must be consensus on new best practices. The complexity of some new technologies exceeds the scope of existing test standards and may require development of a guideline specific to the technology. Examples are given to illuminate the value and limitations of key radiation test standards as well as the challenges in keeping these standards up to date.

HCPCS Coding: An Integral Part of Your Reimbursement Strategy.

PubMed

Nusgart, Marcia

2013-12-01

The first step to a successful reimbursement strategy is to ensure that your wound care product has the most appropriate Healthcare Common Procedure Coding System (HCPCS) code (or billing) for your product. The correct HCPCS code plays an essential role in patient access to new and existing technologies. When devising a strategy to obtain a HCPCS code for its product, companies must consider a number of factors as follows: (1) Has the product gone through the Food and Drug Administration (FDA) regulatory process or does it need to do so? Will the FDA code designation impact which HCPCS code will be assigned to your product? (2) In what "site of service" do you intend to market your product? Where will your customers use the product? Which coding system (CPT ® or HCPCS) applies to your product? (3) Does a HCPCS code for a similar product already exist? Does your product fit under the existing HCPCS code? (4) Does your product need a new HCPCS code? What is the linkage, if any, between coding, payment, and coverage for the product? Researchers and companies need to start early and place the same emphasis on a reimbursement strategy as it does on a regulatory strategy. Your reimbursement strategy staff should be involved early in the process, preferably during product research and development and clinical trial discussions.

7 CFR 1491.2 - Administration.

Code of Federal Regulations, 2010 CFR

2010-01-01

... implementation leadership for FRPP; (2) Develop, maintain, and ensure that policies, guidelines, and procedures... CFR part 12; and (10) Provide leadership for establishing, implementing, and overseeing administrative...

Certification Systems

EPA Pesticide Factsheets

The WaterSense Product Certification System outlines the process and procedures for the product certification to ensure that all WaterSense labeled products meet EPA's criteria for efficiency and performance.

7 CFR 1491.2 - Administration.

Code of Federal Regulations, 2011 CFR

2011-01-01

... implementation leadership for FRPP; (2) Develop, maintain, and ensure that policies, guidelines, and procedures... CFR part 12; and (10) Provide leadership for establishing, implementing, and overseeing administrative...

Federally funded sterilization: time to rethink policy?

PubMed

Borrero, Sonya; Zite, Nikki; Creinin, Mitchell D

2012-10-01

In the 1970s, concern about coercive sterilization of low-income and minority women in the United States led the US Department of Health, Education, and Welfare to create strict regulations for federally funded sterilization procedures. Although these policies were instituted to secure informed consent and protect women from involuntary sterilization, there are significant data indicating that these policies may not, in fact, ensure that consent is truly informed and, further, may prevent many low-income women from getting a desired sterilization procedure. Given the alarmingly high rates of unintended pregnancy in the United States, especially among low-income populations, we feel that restrictive federal sterilization policies should be reexamined and modified to simultaneously ensure informed decision-making and honor women's reproductive choices.

Federally Funded Sterilization: Time to Rethink Policy?

PubMed Central

Zite, Nikki; Creinin, Mitchell D.

2012-01-01

In the 1970s, concern about coercive sterilization of low-income and minority women in the United States led the US Department of Health, Education, and Welfare to create strict regulations for federally funded sterilization procedures. Although these policies were instituted to secure informed consent and protect women from involuntary sterilization, there are significant data indicating that these policies may not, in fact, ensure that consent is truly informed and, further, may prevent many low-income women from getting a desired sterilization procedure. Given the alarmingly high rates of unintended pregnancy in the United States, especially among low-income populations, we feel that restrictive federal sterilization policies should be reexamined and modified to simultaneously ensure informed decision-making and honor women’s reproductive choices. PMID:22897531

Software quality assurance plan for GCS

NASA Technical Reports Server (NTRS)

Duncan, Stephen E.; Bailey, Elizabeth K.

1990-01-01

The software quality assurance (SQA) function for the Guidance and Control Software (GCS) project which is part of a software error studies research program is described. The SQA plan outlines all of the procedures, controls, and audits to be carried out by the SQA organization to ensure adherence to the policies, procedures, and standards for the GCS project.

49 CFR Appendix E to Part 240 - Recommended Procedures for Conducting Skill Performance Tests

Code of Federal Regulations, 2014 CFR

2014-10-01

... experience difficulty in establishing an objective method of measuring an individual's skill level. Any... employ a written aid to help record events and procedures that as a minimum should be observed for when... developing such a written aid so as to ensure meaningful testing. When conducting a skills performance test...

49 CFR Appendix E to Part 240 - Recommended Procedures for Conducting Skill Performance Tests

Code of Federal Regulations, 2013 CFR

2013-10-01

... experience difficulty in establishing an objective method of measuring an individual's skill level. Any... employ a written aid to help record events and procedures that as a minimum should be observed for when... developing such a written aid so as to ensure meaningful testing. When conducting a skills performance test...

49 CFR Appendix E to Part 240 - Recommended Procedures for Conducting Skill Performance Tests

Code of Federal Regulations, 2012 CFR

2012-10-01

... experience difficulty in establishing an objective method of measuring an individual's skill level. Any... employ a written aid to help record events and procedures that as a minimum should be observed for when... developing such a written aid so as to ensure meaningful testing. When conducting a skills performance test...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR FIELD PERSONNEL TRAINING--GENERAL (UA-T-3.0)

EPA Science Inventory

The purpose of this SOP is to describe basic pre- and post-field visit activities and standards which are expected of every field team member. This procedure was followed to ensure consistent data retrieval during the Arizona NHEXAS project and the Border study. Keywords: traini...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR ISOLATION OF MALFUNCTIONING OR DAMAGED EQUIPMENT (UA-G-2.0)

EPA Science Inventory

The purpose of this SOP is to identify and isolate malfunctioning or damaged equipment for the Arizona Border Study. This procedure was followed to ensure consistent data custody, storage, transfer and analysis of a high quality during the Arizona NHEXAS project and the Border s...

NHEXAS PHASE I MARYLAND STUDY--STANDARD OPERATING PROCEDURE FOR CHAIN-OF-CUSTODY AND SAMPLE TRACKING (G04)

EPA Science Inventory

The purpose of the SOP is to establish the normal procedures for ensuring data chain-of-custody and data tracking. The chain-of-custody form included in this SOP is the standard form to be used for all data collected in the field. Keywords: samples; custody; records.

The Nat...

Hallways Paved with Good Intentions: Analyzing Rules and Procedures in Non-Classroom Middle School Spaces

ERIC Educational Resources Information Center

Wellenreiter, Benjamin R.

2018-01-01

Non-classroom school spaces such as cafeterias, hallways, and locker rooms have complex structures that require analysis to maintain or improve school climate. Middle level educators are encouraged to observe, question, and evaluate rules and procedures to ensure these spaces are safe and socially just. Educators should work to view these spaces…

Ensuring Program Uniformity at the Hearing and Appeals Council Levels of the Administrative Review Process. Final rule.

PubMed

2016-12-16

We are revising our rules so that more of our procedures at the hearing and Appeals Council levels of our administrative review process are consistent nationwide. We anticipate that these nationally consistent procedures will enable us to administer our disability programs more efficiently and better serve the public.

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR PACKET ASSEMBLY, CUSTODY AND TRANSFER TO DATA SECTION (UA-C-3.0)

EPA Science Inventory

The purpose of this SOP is to outline the household (HH) packet assembly, custody, and transfer to the data section in preparation for data entry into the electronic database at the NHEXAS Arizona research project. This procedure was followed to ensure consistent data retrieval ...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR FLOW AND CUSTODY OF UA LABORATORY DATA (UA-C-8.0)

EPA Science Inventory

The purpose of this SOP is to describe the flow and custody of laboratory data generated by NHEXAS Arizona through data processing and delivery to the project data manager for creation of the master database. This procedure was followed to ensure consistent data retrieval during...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR FIELD USE OF THE MODIFIED AIR SENTINEL (UA-F-10.1)

EPA Science Inventory

The purpose of this SOP is to describe the in-field use of the modified Air Sentinel. Samples collected with this Hi-Vol instrument were analyzed for atmospheric concentrations of target metals. This procedure was followed to ensure consistent data retrieval of air and dust ana...

What does an MRI scan cost?

PubMed

Young, David W

2015-11-01

Historically, hospital departments have computed the costs of individual tests or procedures using the ratio of cost to charges (RCC) method, which can produce inaccurate results. To determine a more accurate cost of a test or procedure, the activity-based costing (ABC) method must be used. Accurate cost calculations will ensure reliable information about the profitability of a hospital's DRGs.

Review of Federal Motor Vehicle Safety Standards (FMVSS) for Automated Vehicles : Identifying Potential Barriers and Challenges for the Certification of Automated Vehicles Using Existing FMVSS

DOT National Transportation Integrated Search

2016-03-11

The purpose of this work is to identify instances where the existing Federal Motor Vehicle Safety Standards may pose challenges to the introduction of automated vehicles. It identifies standards requiring further review - both to ensure that existing...

Association of Very Low-Volume Practice With Vascular Surgery Outcomes in New York.

PubMed

Mao, Jialin; Goodney, Philip; Cronenwett, Jack; Sedrakyan, Art

2017-08-01

Little research has focused on very low-volume surgery, especially in the context of decreasing vascular surgery volume with the adoption of endovascular procedures. To investigate the existence and outcomes of open abdominal aortic aneurysm repair (OAR) and carotid endarterectomy (CEA) performed by very low-volume surgeons in New York. This cohort study examined inpatient data of patients undergoing elective OAR or CEA from 2000 to 2014 from all New York hospitals. Surgeons who performed 1 or less designated procedure per year on average were considered very low volume, as opposed to higher-volume surgeons. Temporal trends of the existence of very low-volume practice were evaluated. Hierarchical logistic regression was used to compare in-hospital outcomes and health care resource use between patients treated by very low-volume surgeons and higher-volume surgeons for both OAR and CEA, adjusting for patient, surgeon, and hospital characteristics. There were 8781 OAR procedures and 68 896 CEA procedures included in the study. The mean (SD) patient age was 71.7 (8.4) years for OAR and 71.5 (9.1) years for CEA. A total of 614 surgeons performed OAR and 1071 performed CEA in New York during the study period. Of these, 318 (51.8%) and 512 (47.8%), respectively, were very low-volume surgeons. Very low-volume surgeons were less likely to be vascular surgeons. The number and proportion of very low-volume surgeons decreased over years. Compared with patients treated by higher-volume surgeons, those treated by very low-volume surgeons were more likely to have higher in-hospital mortality (odds ratio [OR], 2.09; 95% CI, 1.41-3.08) following OAR and higher risks of postoperative myocardial infarction (OR, 1.83; 95% CI, 1.03-3.26) and stroke (OR, 1.78; 95% CI, 1.21-2.62) following CEA. Patients treated by very low-volume surgeons also had greater health care resource use following both surgeries, including prolonged length of stay (OR, 1.37; 95% CI, 1.11-1.70) following OAR as well as higher charges (OR, 1.28; 95% CI, 1.01-1.62) and increased 30-day readmission (OR, 1.30; 95% CI 1.04-1.62) following CEA. The OAR and CEA procedures performed by very low-volume surgeons resulted in worse postoperative outcomes and greater lengths of stay. Although the percentage of very low-volume surgeons declined from 2000 to 2014, it remains concerning, given ready access to higher-volume surgeons. Future research is needed to understand the existence of this practice pattern in other surgical fields. Efforts to eliminate this practice pattern are warranted to ensure high-quality care for all patients.

76 FR 53326 - Airworthiness Directives; Eurocopter France (ECF) Model EC120B Helicopters

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-26

... also requires modifying the emergency switch electrical wiring and performing tests to ensure correct... the RFM after modifying the emergency switch electrical wiring and performing tests to ensure correct... likely to exist or develop on other helicopters of the same type design. Differences Between This AD and...

Strategies for Ensuring Trustworthiness in Qualitative Research Projects

ERIC Educational Resources Information Center

Shenton, Andrew K.

2004-01-01

Although many critics are reluctant to accept the trustworthiness of qualitative research, frameworks for ensuring rigour in this form of work have been in existence for many years. Guba's constructs, in particular, have won considerable favour and form the focus of this paper. Here researchers seek to satisfy four criteria. In addressing…

40 CFR 146.88 - Injection well operating requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., the owner or operator must ensure that injection pressure does not exceed 90 percent of the fracture pressure of the injection zone(s) so as to ensure that the injection does not initiate new fractures or propagate existing fractures in the injection zone(s). In no case may injection pressure initiate fractures...

40 CFR 146.88 - Injection well operating requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., the owner or operator must ensure that injection pressure does not exceed 90 percent of the fracture pressure of the injection zone(s) so as to ensure that the injection does not initiate new fractures or propagate existing fractures in the injection zone(s). In no case may injection pressure initiate fractures...

40 CFR 146.88 - Injection well operating requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

..., the owner or operator must ensure that injection pressure does not exceed 90 percent of the fracture pressure of the injection zone(s) so as to ensure that the injection does not initiate new fractures or propagate existing fractures in the injection zone(s). In no case may injection pressure initiate fractures...

40 CFR 146.88 - Injection well operating requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

..., the owner or operator must ensure that injection pressure does not exceed 90 percent of the fracture pressure of the injection zone(s) so as to ensure that the injection does not initiate new fractures or propagate existing fractures in the injection zone(s). In no case may injection pressure initiate fractures...

Ensuring Effective Curriculum Approval Processes: A Guide for Local Senates

ERIC Educational Resources Information Center

Academic Senate for California Community Colleges, 2016

2016-01-01

Curriculum is the heart of the mission of every college. College curriculum approval processes have been established to ensure that rigorous, high quality curriculum is offered that meets the needs of students. While some concerns may exist regarding the effectiveness and efficiency of local curriculum processes, all participants in the process…

Are Your S's in Effect? Ensuring Culturally Responsive Physical Education Environments

ERIC Educational Resources Information Center

Culp, Brian

2010-01-01

Schools are rapidly becoming a kaleidoscope of ethnicities and cultures represented by demographic changes in America's schools. As educators in this era of change, a unique opportunity exists to ensure quality physical education for all students. Culturally responsive practices in the classroom can assist in minimizing students' alienation as…

Strengthening Transparency in Regulatory Science

EPA Pesticide Factsheets

Where available and appropriate, EPA will use peer-reviewed information, standardized test methods, consistent data evaluation procedures, and good laboratory practices to ensure transparent, understandable, and reproducible scientific assessments.

The concept of hydropower certification in Italy and Slovenia

NASA Astrophysics Data System (ADS)

Smolar-Zvanut, Natasa; Goltara, Andrea; Conte, Gulio

2010-05-01

River regulation by building a hydropower plants (HPPs) is one of the most stressful factor influencing the aquatic and riparian ecosystem. In many countries a development of HPPs is often opposed by public bodies and NGOs, worried about the risk of adverse effects on the "good status" of water bodies, that, according to the Water Framework Directive (2000/60/EC, WFD), has to be reached by year 2015. The paper describes a technically and economically feasible certification procedure for existing hydro power generation facilities of higher environmental standard, being explicitly coherent with the requirements of the WFD, to be implemented in "green labelled" electricity products, and being integrated, as much as possible, with existing EU tools, such as Ecolabel, EMAS, EIA and SEA. The methodology was developed for Italy and Slovenia and it will be tested in different types of HPPs in both countries. In order to be certified, a given HPP has to commit to carry out appropriate measures in order to mitigate its impacts on specified environmental objectives, in such a way to fulfil predefined environmental targets and prescriptions. These measures have to be described through a specific management programme, based upon a dedicated environmental study, supported mainly by existing data, but complemented by ad-hoc assessment/monitoring when necessary. The realization of both the environmental study and the management programme must be supported by public consultation; both documents must be approved through an auditing process. For some types of HPPs, operating in totally artificial networks and not entailing direct or indirect impact on water related ecosystems, a simplified procedure is foreseen, where detailed environmental analysis, related management programme and stakeholders involvement are not requested, but just a description of the system and proof of fulfilment of the conditions and of specific prescriptions. HPPs impacting water bodies defined as Artificial or Heavily Modified (following the definitions of the WFD) in most cases have to fulfil more limited environmental targets. The involvement of local stakeholders must be ensured along the whole certification procedure and, when completed, during the lifespan of the label. The methodology includes a predefined framework where pressure factors due to hydropower production are related to potentially impacted environmental quality elements. For each of these cause-effect relationships possible mitigation measures are suggested. In the long run, it is expected that the certification will have a positive impact on hydro power generation in Europe, will help focusing the conception of new HPPs towards more sustainable solutions and making easier authorization procedure.

A novel approach to calibrate the hemodynamic model using functional Magnetic Resonance Imaging (fMRI) measurements.

PubMed

Khoram, Nafiseh; Zayane, Chadia; Djellouli, Rabia; Laleg-Kirati, Taous-Meriem

2016-03-15

The calibration of the hemodynamic model that describes changes in blood flow and blood oxygenation during brain activation is a crucial step for successfully monitoring and possibly predicting brain activity. This in turn has the potential to provide diagnosis and treatment of brain diseases in early stages. We propose an efficient numerical procedure for calibrating the hemodynamic model using some fMRI measurements. The proposed solution methodology is a regularized iterative method equipped with a Kalman filtering-type procedure. The Newton component of the proposed method addresses the nonlinear aspect of the problem. The regularization feature is used to ensure the stability of the algorithm. The Kalman filter procedure is incorporated here to address the noise in the data. Numerical results obtained with synthetic data as well as with real fMRI measurements are presented to illustrate the accuracy, robustness to the noise, and the cost-effectiveness of the proposed method. We present numerical results that clearly demonstrate that the proposed method outperforms the Cubature Kalman Filter (CKF), one of the most prominent existing numerical methods. We have designed an iterative numerical technique, called the TNM-CKF algorithm, for calibrating the mathematical model that describes the single-event related brain response when fMRI measurements are given. The method appears to be highly accurate and effective in reconstructing the BOLD signal even when the measurements are tainted with high noise level (as high as 30%). Published by Elsevier B.V.

45 CFR 155.210 - Navigator program standards.

Code of Federal Regulations, 2013 CFR

2013-10-01

... underserved and vulnerable populations; (ii) Eligibility and enrollment rules and procedures; (iii) The range... population being served by the Exchange, including individuals with limited English proficiency, and ensure...

48 CFR 37.503 - Agency-head responsibilities.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) Specific procedures are in place before contracting for services to ensure that inherently governmental functions are performed by Government personnel; and (d) Strategies are developed and necessary staff...

Improving medical device regulation: the United States and Europe in perspective.

PubMed

Sorenson, Corinna; Drummond, Michael

2014-03-01

Recent debates and events have brought into question the effectiveness of existing regulatory frameworks for medical devices in the United States and Europe to ensure their performance, safety, and quality. This article provides a comparative analysis of medical device regulation in the two jurisdictions, explores current reforms to improve the existing systems, and discusses additional actions that should be considered to fully meet this aim. Medical device regulation must be improved to safeguard public health and ensure that high-quality and effective technologies reach patients. We explored and analyzed medical device regulatory systems in the United States and Europe in accordance with the available gray and peer-reviewed literature and legislative documents. The two regulatory systems differ in their mandate and orientation, organization, pre- and postmarket evidence requirements, and transparency of process. Despite these differences, both jurisdictions face similar challenges for ensuring that only safe and effective devices reach the market, monitoring real-world use, and exchanging pertinent information on devices with key users such as clinicians and patients. To address these issues, reforms have recently been introduced or debated in the United States and Europe that are principally focused on strengthening regulatory processes, enhancing postmarket regulation through more robust surveillance systems, and improving the traceability and monitoring of devices. Some changes in premarket requirements for devices are being considered. Although the current reforms address some of the outstanding challenges in device regulation, additional steps are needed to improve existing policy. We examine a number of actions to be considered, such as requiring high-quality evidence of benefit for medium- and high-risk devices; moving toward greater centralization and coordination of regulatory approval in Europe; creating links between device identifier systems and existing data collection tools, such as electronic health records; and fostering increased and more effective use of registries to ensure safe postmarket use of new and existing devices. © 2014 Milbank Memorial Fund.

Improving Medical Device Regulation: The United States and Europe in Perspective

PubMed Central

SORENSON, CORINNA; DRUMMOND, MICHAEL

2014-01-01

Context: Recent debates and events have brought into question the effectiveness of existing regulatory frameworks for medical devices in the United States and Europe to ensure their performance, safety, and quality. This article provides a comparative analysis of medical device regulation in the two jurisdictions, explores current reforms to improve the existing systems, and discusses additional actions that should be considered to fully meet this aim. Medical device regulation must be improved to safeguard public health and ensure that high-quality and effective technologies reach patients. Methods: We explored and analyzed medical device regulatory systems in the United States and Europe in accordance with the available gray and peer-reviewed literature and legislative documents. Findings: The two regulatory systems differ in their mandate and orientation, organization, pre-and postmarket evidence requirements, and transparency of process. Despite these differences, both jurisdictions face similar challenges for ensuring that only safe and effective devices reach the market, monitoring real-world use, and exchanging pertinent information on devices with key users such as clinicians and patients. To address these issues, reforms have recently been introduced or debated in the United States and Europe that are principally focused on strengthening regulatory processes, enhancing postmarket regulation through more robust surveillance systems, and improving the traceability and monitoring of devices. Some changes in premarket requirements for devices are being considered. Conclusions: Although the current reforms address some of the outstanding challenges in device regulation, additional steps are needed to improve existing policy. We examine a number of actions to be considered, such as requiring high-quality evidence of benefit for medium-and high-risk devices; moving toward greater centralization and coordination of regulatory approval in Europe; creating links between device identifier systems and existing data collection tools, such as electronic health records; and fostering increased and more effective use of registries to ensure safe postmarket use of new and existing devices. PMID:24597558

Assessment of procedural skills in residents working in a research and training institute: An effort to ensure patient safety and quality control.

PubMed

Kumari, Kamlesh; Samra, Tanvir; Naik, B Naveen; Saini, Vikas

2018-01-01

To ensure patient safety, it is important to regularly assess the knowledge and practical skills of anesthesia trainees. This study was conducted to evaluate the competency of the residents and the impact of various corrective measures in the form of didactic lectures and clinical skill demonstrations on the conduct of various procedural skills by the residents. Ninety-five junior residents were enrolled in this study. Assessment of competency of 1 st , 2 nd , and 3 rd year residents in performing various procedure skills of anesthesia was done in two stages using procedure specific checklist (PSC) and Global Rating Scales (GRSs). Preliminary results of the first assessment (Score 1) were discussed with the residents; deficiencies were identified and corrective measures suggested by didactic lectures and clinical skill demonstrations which were followed by a subsequent assessment after 3 months (Score 2). There was a statistically significant improvement in the PSC and GRS scores after corrective measures for all the procedural interventions studied. Percentage increase in scores was maximum in 1 st year (42.98 ± 6.62) followed by 2 nd year (34.62 ± 5.49) and minimum in 3 rd year residents (18.06 ± 3.69). The percentage increase of scores was almost similar for all subset of procedural skills; low, intermediate, and high skill anesthetic procedures. For assessment of procedural skills of residents, use of PSC and GRS scores should be incorporated and the same should be used to monitor the impact of various corrective measures (didactic lectures and clinical skill demonstrations) on the conduct of various procedural skills by the resident.

Supporting the future nuclear workforce with computer-based procedures

DOE PAGES

Oxstrand, Johanna; Le Blanc, Katya

2016-05-01

Here we see that computer-based tools have dramatically increased ease and efficiency of everyday tasks. Gone are the days of paging through a paper catalog, transcribing product numbers, and calculating totals. Today, a consumer can find a product online with a simple search engine, and then purchase it in a matter of a few clicks. Paper catalogs have their place, but it is hard to imagine life without on-line shopping sites. All tasks conducted in a nuclear power plant are guided by procedures, which helps ensure safe and reliable operation of the plants. One prominent goal of the nuclear industrymore » is to minimize the risk of human errors. To achieve this goal one has to ensure tasks are correctly and consistently executed. This is partly achieved by training and by a structured approach to task execution, which is provided by procedures and work instructions. Procedures are used in the nuclear industry to direct workers' actions in a proper sequence. The governing idea is to minimize the reliance on memory and choices made in the field. However, the procedure document may not contain sufficient information to successfully complete the task. Therefore, the worker might have to carry additional documents such as turnover sheets, operation experience, drawings, and other procedures to the work site. The nuclear industry is operated with paper procedures like paper catalogs of the past. A field worker may carry a large stack of documents needed to complete a task to the field. Even though the paper process has helped keep the industry safe for decades, there are limitations to using paper. Paper procedures are static (i.e., the content does not change after the document is printed), difficult to search, and rely heavily on the field worker’s situational awareness and ability to consistently meet the high expectation of human performance excellence. With computer-based procedures (CBPs) that stack of papers may be reduced to the size of a small tablet or even a smart phone. Instead of manually matching equipment identification numbers listed in the procedure with the number on the physical equipment the field worker can simply scan a barcode to ensure the correct valve is opened while simultaneously creating a record. Instead of navigating through a maze of cross-references, CBPs enable intelligent work path navigation which accounts for past decisions and observation, thereby enabling more efficient and safe task completion.« less

Supporting the future nuclear workforce with computer-based procedures

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

Oxstrand, Johanna; Le Blanc, Katya

Here we see that computer-based tools have dramatically increased ease and efficiency of everyday tasks. Gone are the days of paging through a paper catalog, transcribing product numbers, and calculating totals. Today, a consumer can find a product online with a simple search engine, and then purchase it in a matter of a few clicks. Paper catalogs have their place, but it is hard to imagine life without on-line shopping sites. All tasks conducted in a nuclear power plant are guided by procedures, which helps ensure safe and reliable operation of the plants. One prominent goal of the nuclear industrymore » is to minimize the risk of human errors. To achieve this goal one has to ensure tasks are correctly and consistently executed. This is partly achieved by training and by a structured approach to task execution, which is provided by procedures and work instructions. Procedures are used in the nuclear industry to direct workers' actions in a proper sequence. The governing idea is to minimize the reliance on memory and choices made in the field. However, the procedure document may not contain sufficient information to successfully complete the task. Therefore, the worker might have to carry additional documents such as turnover sheets, operation experience, drawings, and other procedures to the work site. The nuclear industry is operated with paper procedures like paper catalogs of the past. A field worker may carry a large stack of documents needed to complete a task to the field. Even though the paper process has helped keep the industry safe for decades, there are limitations to using paper. Paper procedures are static (i.e., the content does not change after the document is printed), difficult to search, and rely heavily on the field worker’s situational awareness and ability to consistently meet the high expectation of human performance excellence. With computer-based procedures (CBPs) that stack of papers may be reduced to the size of a small tablet or even a smart phone. Instead of manually matching equipment identification numbers listed in the procedure with the number on the physical equipment the field worker can simply scan a barcode to ensure the correct valve is opened while simultaneously creating a record. Instead of navigating through a maze of cross-references, CBPs enable intelligent work path navigation which accounts for past decisions and observation, thereby enabling more efficient and safe task completion.« less

32 CFR Appendix A to Part 80 - Procedures for the Provision of Early Intervention Services for Infants and Toddlers With...

Code of Federal Regulations, 2011 CFR

2011-07-01

... the development of the infant or toddler with a disability. b. A mechanism to develop, for each infant... development of procedures to ensure that services are provided to infants and toddlers with disabilities and... Intervention Services for Infants and Toddlers With Disabilities, Ages 0-2 years (Inclusive), and Their...

32 CFR Appendix A to Part 80 - Procedures for the Provision of Early Intervention Services for Infants and Toddlers With...

Code of Federal Regulations, 2013 CFR

2013-07-01

... the development of the infant or toddler with a disability. b. A mechanism to develop, for each infant... development of procedures to ensure that services are provided to infants and toddlers with disabilities and... Intervention Services for Infants and Toddlers With Disabilities, Ages 0-2 years (Inclusive), and Their...

32 CFR Appendix A to Part 80 - Procedures for the Provision of Early Intervention Services for Infants and Toddlers With...

Code of Federal Regulations, 2014 CFR

2014-07-01

... the development of the infant or toddler with a disability. b. A mechanism to develop, for each infant... development of procedures to ensure that services are provided to infants and toddlers with disabilities and... Intervention Services for Infants and Toddlers With Disabilities, Ages 0-2 years (Inclusive), and Their...

32 CFR Appendix A to Part 80 - Procedures for the Provision of Early Intervention Services for Infants and Toddlers With...

Code of Federal Regulations, 2012 CFR

2012-07-01

... the development of the infant or toddler with a disability. b. A mechanism to develop, for each infant... development of procedures to ensure that services are provided to infants and toddlers with disabilities and... Intervention Services for Infants and Toddlers With Disabilities, Ages 0-2 years (Inclusive), and Their...

32 CFR Appendix A to Part 80 - Procedures for the Provision of Early Intervention Services for Infants and Toddlers With...

Code of Federal Regulations, 2010 CFR

2010-07-01

... the development of the infant or toddler with a disability. b. A mechanism to develop, for each infant... development of procedures to ensure that services are provided to infants and toddlers with disabilities and... Intervention Services for Infants and Toddlers With Disabilities, Ages 0-2 years (Inclusive), and Their...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR FORM QA AND QC CHECKS (UA-C-2.0)

EPA Science Inventory

The purpose of this SOP is to outline the process of field quality assurance and quality control checks. This procedure was followed to ensure consistent data retrieval during the Arizona NHEXAS project and the Border study. Keywords: custody; QA/QC; field checks.

The U.S.-Mex...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR PACKET ASSEMBLY, CUSTODY, AND TRANSFER TO DATA SECTION (UA-C-3.0)

EPA Science Inventory

The purpose of this SOP is to outline the household (HH) packet assembly, custody, and transfer to the data section in preparation for data entry into the electronic database for the Arizona Border Study. This procedure was followed to ensure consistent data retrieval during the...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR FLOW AND CUSTODY OF UNIVERSITY OF ARIZONA LABORATORY DATA (UA-C-8.0)

EPA Science Inventory

The purpose of this SOP is to describe the flow and custody of laboratory data generated by the Arizona Border Study through data processing and delivery to the project data manager for creation of the master database. This procedure was followed to ensure consistent data retrie...

What Makes AS Marking Reliable? An Experiment with Some Stages from the Standardisation Process

ERIC Educational Resources Information Center

Greatorex, Jackie; Bell, John F.

2008-01-01

It is particularly important that GCSE and A-level marking is valid and reliable as it affects the life chances of many young people in England. Current developments in marking technology are coinciding with potential changes in procedures to ensure valid and reliable marking. In this research the effectiveness of procedures to facilitate the…

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR FLOW AND CUSTODY OF FIELD DATA FORMS (UA-C-5.0)

EPA Science Inventory

The purpose of this SOP is to describe the flow of field data forms through the data processing system and to define who is responsible for the data at any time. It applies to field data forms collected and processed by NHEXAS Arizona. This procedure was followed to ensure consi...

Department of Defense Financial Management Regulation. Volume 8. Civilian Pay Policy Procedures

DTIC Science & Technology

1999-08-01

servicing HRO perform a review of employee records to ensure that previously reported retirement plans are correct. Ensure that frozen CSRS accounts... meal periods) occur during the hours specified. See 53 Comp. Gen. 814 (1974) (reference (p)). Shift differential also is payable when an employee is: 1...Temporary Quarters Subsistence Allowance. The TQSA is an allowance granted to an employee for the reasonable cost of temporary quarters, meals and laundry

The American History of PTSD: Civil War -- Vietnam

DTIC Science & Technology

2011-03-21

ABSTRACTION FROM, OR REPRODUCTION OF ALL OR ANY PART OF TillS DOCUI\\1ENT IS PERl\\flTTED PROVIDED PROPER ACKNOWLEDGEI\\1ENT IS MADE. Acknowledgments I would...treatment procedure for "shell shock" involved administering a hypnotic therapy designed to restore the victim’s memory through the trancelike repetition and...of the most effective methods of ensuring long lasting recovery. However, the negative cmmotations associated with hypnotism ensured that only a

23 CFR 636.208 - May I use my existing prequalification procedures with design-build contracts?

Code of Federal Regulations, 2010 CFR

2010-04-01

... design-build contracts? 636.208 Section 636.208 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS DESIGN-BUILD CONTRACTING Selection Procedures, Award Criteria... use your existing prequalification procedures for either construction or engineering design firms as a...

Systematic Review of Quality of Patient Information on Liposuction in the Internet

PubMed Central

Zuk, Grzegorz; Eylert, Gertraud; Raptis, Dimitri Aristotle; Guggenheim, Merlin; Shafighi, Maziar

2016-01-01

Background: A large number of patients who are interested in esthetic surgery actively search the Internet, which represents nowadays the first source of information. However, the quality of information available in the Internet on liposuction is currently unknown. The aim of this study was to assess the quality of patient information on liposuction available in the Internet. Methods: The quantitative and qualitative assessment of Web sites was based on a modified Ensuring Quality Information for Patients tool (36 items). Five hundred Web sites were identified by the most popular web search engines. Results: Two hundred forty-five Web sites were assessed after duplicates and irrelevant sources were excluded. Only 72 (29%) Web sites addressed >16 items, and scores tended to be higher for professional societies, portals, patient groups, health departments, and academic centers than for Web sites developed by physicians, respectively. The Ensuring Quality Information for Patients score achieved by Web sites ranged between 8 and 29 of total 36 points, with a median value of 16 points (interquartile range, 14–18). The top 10 Web sites with the highest scores were identified. Conclusions: The quality of patient information on liposuction available in the Internet is poor, and existing Web sites show substantial shortcomings. There is an urgent need for improvement in offering superior quality information on liposuction for patients intending to undergo this procedure. PMID:27482498

Systematic Review of Quality of Patient Information on Liposuction in the Internet.

PubMed

Zuk, Grzegorz; Palma, Adrian Fernando; Eylert, Gertraud; Raptis, Dimitri Aristotle; Guggenheim, Merlin; Shafighi, Maziar

2016-06-01

A large number of patients who are interested in esthetic surgery actively search the Internet, which represents nowadays the first source of information. However, the quality of information available in the Internet on liposuction is currently unknown. The aim of this study was to assess the quality of patient information on liposuction available in the Internet. The quantitative and qualitative assessment of Web sites was based on a modified Ensuring Quality Information for Patients tool (36 items). Five hundred Web sites were identified by the most popular web search engines. Two hundred forty-five Web sites were assessed after duplicates and irrelevant sources were excluded. Only 72 (29%) Web sites addressed >16 items, and scores tended to be higher for professional societies, portals, patient groups, health departments, and academic centers than for Web sites developed by physicians, respectively. The Ensuring Quality Information for Patients score achieved by Web sites ranged between 8 and 29 of total 36 points, with a median value of 16 points (interquartile range, 14-18). The top 10 Web sites with the highest scores were identified. The quality of patient information on liposuction available in the Internet is poor, and existing Web sites show substantial shortcomings. There is an urgent need for improvement in offering superior quality information on liposuction for patients intending to undergo this procedure.

Animal-assisted interventions: A national survey of health and safety policies in hospitals, eldercare facilities, and therapy animal organizations.

PubMed

Linder, Deborah E; Siebens, Hannah C; Mueller, Megan K; Gibbs, Debra M; Freeman, Lisa M

2017-08-01

Animal-assisted intervention (AAI) programs are increasing in popularity, but it is unknown to what extent therapy animal organizations that provide AAI and the hospitals and eldercare facilities they work with implement effective animal health and safety policies to ensure safety of both animals and humans. Our study objective was to survey hospitals, eldercare facilities, and therapy animal organizations on their AAI policies and procedures. A survey of United States hospitals, eldercare facilities, and therapy animal organizations was administered to assess existing health and safety policies related to AAI programs. Forty-five eldercare facilities, 45 hospitals, and 27 therapy animal organizations were surveyed. Health and safety policies varied widely and potentially compromised human and animal safety. For example, 70% of therapy animal organizations potentially put patients at risk by allowing therapy animals eating raw meat diets to visit facilities. In general, hospitals had stricter requirements than eldercare facilities. This information suggests that there are gaps between the policies of facilities and therapy animal organizations compared with recent guidelines for animal visitation in hospitals. Facilities with AAI programs need to review their policies to address recent AAI guidelines to ensure the safety of animals and humans involved. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

24 CFR 582.330 - Nondiscrimination and equal opportunity requirements.

Code of Federal Regulations, 2010 CFR

2010-04-01

... diseases). However, other eligible disabled homeless persons must be considered for housing designed for... recipient must establish additional procedures that will ensure that interested persons can obtain...

24 CFR 582.330 - Nondiscrimination and equal opportunity requirements.

Code of Federal Regulations, 2014 CFR

2014-04-01

... diseases). However, other eligible disabled homeless persons must be considered for housing designed for... recipient must establish additional procedures that will ensure that interested persons can obtain...

24 CFR 582.330 - Nondiscrimination and equal opportunity requirements.

Code of Federal Regulations, 2012 CFR

2012-04-01

... diseases). However, other eligible disabled homeless persons must be considered for housing designed for... recipient must establish additional procedures that will ensure that interested persons can obtain...

24 CFR 582.330 - Nondiscrimination and equal opportunity requirements.

Code of Federal Regulations, 2011 CFR

2011-04-01

... diseases). However, other eligible disabled homeless persons must be considered for housing designed for... recipient must establish additional procedures that will ensure that interested persons can obtain...

7 CFR 1700.30 - Water and Environmental Programs.

Code of Federal Regulations, 2010 CFR

2010-01-01

... policies for the effective, efficient, and orderly management of Water and Environmental Programs responsibilities; provides leadership to ensure execution of policies and procedures by the Water and Waste...

10 CFR 440.16 - Minimum program requirements.

Code of Federal Regulations, 2010 CFR

2010-01-01

... implement procedures to ensure that: (a) No dwelling unit may be weatherized without documentation that the... and providing weatherization assistance to: (1) Elderly persons; (2) Persons with disabilities; (3...

10 CFR 440.16 - Minimum program requirements.

Code of Federal Regulations, 2011 CFR

2011-01-01

... implement procedures to ensure that: (a) No dwelling unit may be weatherized without documentation that the... and providing weatherization assistance to: (1) Elderly persons; (2) Persons with disabilities; (3...

Perfusionist

MedlinePlus

... Perfusionists conduct extracorporeal circulation and ensure the safe management of physiologic functions by monitoring the necessary variables. Perfusion (extracorporeal circulation) procedures involve specialized instrumentation and/or advanced life-support techniques and may include a variety ...

Ward nurses' knowledge of computed tomography scanning.

PubMed

Majeed, M A; Nayeemuddin, M; Christie, M

Patients benefit from and are reassured by advance information on procedures that they are to undergo. Ward nurses should have adequate knowledge of radiological investigations to ensure proper patient preparation and good interdepartmental communication to avoid delays and cancellations. This study was conducted to assess the ward nurses' knowledge of the process of computed tomography (CT) scanning. One hundred and twenty qualified nurses were asked to complete a questionnaire regarding CT scanning. The findings revealed a suboptimal level of awareness about the process. This is probably due to lack of formal teaching for nurses on the wards in regards the different radiological procedures and patient preparation. There is a strong case for better educational talks on rapidly changing radiological techniques for ward staff to ensure high-quality patient care.

Management of the patient with a total joint replacement: the primary care practitioner's role.

PubMed

Palmer, L M

1999-01-01

The primary care practitioner assumes chief responsibility for patients with arthritis. More than 40 million Americans experience some form of arthritis. Management of the patient with arthritis may include a referral to an orthopedic surgeon for surgical intervention. As estimated, up to 500,000 total joint replacement procedures are performed by orthopedic surgeons each year in the United States. Presurgical evaluation for a total joint replacement is imperative to ensure that the patient can safely undergo this surgical procedure. Postsurgical care of a patient with total joint replacement involves coordinating care with the physical therapist and orthopedic surgeon to ensure adequate follow-through with the recommended rehabilitation program, prophylactic antibiotic coverage, and observation for any complications including infection, deep-vein thrombosis, or loosening of the total-joint prosthesis.

25 CFR 543.3 - How do tribal governments comply with this part?

Code of Federal Regulations, 2014 CFR

2014-04-01

... that do not conflict with those set out in this part. (b) TICS. TGRAs must ensure that TICS are... set forth in this part. (1) Evaluation of existing TICS. Each TGRA must, in accordance with the tribal gaming ordinance, determine whether and to what extent their TICS require revision to ensure compliance...

25 CFR 543.3 - How do tribal governments comply with this part?

Code of Federal Regulations, 2013 CFR

2013-04-01

... that do not conflict with those set out in this part. (b) TICS. TGRAs must ensure that TICS are... set forth in this part. (1) Evaluation of existing TICS. Each TGRA must, in accordance with the tribal gaming ordinance, determine whether and to what extent their TICS require revision to ensure compliance...

Medial Osteoectomy as a Routine Procedure in Rhinoplasty: Six-Year Experience with an Innovative Technique.

PubMed

Lykoudis, Efstathios G; Peristeri, Dimitra V; Lykoudis, Georgios E; Oikonomou, Georgios A

2018-02-01

Medial osteotomy is an integral part of most rhinoplasty procedures, and when improperly performed, it is associated with postoperative complications and nasal contour deformities. In this article, we present a minimally traumatic and easy-to-perform medial osteoectomy technique with a pair of pliers, as a routine procedure, instead of the traditional medial osteotomy with osteotome and hammer. We report our experience with the use of the technique in a series of rhinoplasty procedures and review in brief the existing literature. One hundred and thirty-five patients underwent rhinoplasty operations to correct aesthetic nose deformities, with the use of the suggested surgical technique. Two different types of medial osteoectomy, performed with the pliers, were used: Type I for dorsal nasal hump reduction and slight narrowing of the nose and type II for the management of a wide nasal dorsum along with or without hump removal. Postoperative results were favorable, by both clinical examination and comparison of preoperative and postoperative photographs, in 98.5% of patients. Only two patients with wide nasal dorsums had inadequate narrowing of their broad nose and underwent successful revision surgery. The suggested technique is easy to perform, has a short learning curve, provides high accuracy over the location and amount of the nasal bone to be removed, but inflicts minimal trauma. As a result of the aforementioned advantages, the risk of postoperative complications is low, and most importantly, reliable, consistent, and aesthetically pleasing results are easily ensured. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Building a Quality Controlled Database of Meteorological Data from NASA Kennedy Space Center and the United States Air Force's Eastern Range

NASA Technical Reports Server (NTRS)

Brenton, James C.; Barbre. Robert E., Jr.; Decker, Ryan K.; Orcutt, John M.

2018-01-01

The National Aeronautics and Space Administration's (NASA) Marshall Space Flight Center (MSFC) Natural Environments Branch (EV44) has provided atmospheric databases and analysis in support of space vehicle design and day-of-launch operations for NASA and commercial launch vehicle programs launching from the NASA Kennedy Space Center (KSC), co-located on the United States Air Force's Eastern Range (ER) at the Cape Canaveral Air Force Station. The ER complex is one of the most heavily instrumented sites in the United States with over 31 towers measuring various atmospheric parameters on a continuous basis. An inherent challenge with large sets of data consists of ensuring erroneous data is removed from databases, and thus excluded from launch vehicle design analyses. EV44 has put forth great effort in developing quality control (QC) procedures for individual meteorological instruments, however no standard QC procedures for all databases currently exists resulting in QC databases that have inconsistencies in variables, methodologies, and periods of record. The goal of this activity is to use the previous efforts by EV44 to develop a standardized set of QC procedures from which to build meteorological databases from KSC and the ER, while maintaining open communication with end users from the launch community to develop ways to improve, adapt and grow the QC database. Details of the QC procedures will be described. As the rate of launches increases with additional launch vehicle programs, it is becoming more important that weather databases are continually updated and checked for data quality before use in launch vehicle design and certification analyses.

75 FR 16957 - Energy Conservation Program: Test Procedures for Battery Chargers and External Power Supplies

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-02

... Procedures C. Review of Single-Voltage External Power Supply Test Procedure D. Multiple-Voltage External...) Deletions of Existing Definitions (b) Revisions to Existing Definitions (c) Additions of New Definitions 4. Test Apparatus and General Instructions (a) Confidence Intervals (b) Temperature (c) AC Input Voltage...

An examination of the potential added value of water safety plans to the United States national drinking water legislation.

PubMed

Baum, Rachel; Amjad, Urooj; Luh, Jeanne; Bartram, Jamie

2015-11-01

National and sub-national governments develop and enforce regulations to ensure the delivery of safe drinking water in the United States (US) and countries worldwide. However, periodic contamination events, waterborne endemic illness and outbreaks of waterborne disease still occur, illustrating that delivery of safe drinking water is not guaranteed. In this study, we examined the potential added value of a preventive risk management approach, specifically, water safety plans (WSPs), in the US in order to improve drinking water quality. We undertook a comparative analysis between US drinking water regulations and WSP steps to analyze the similarities and differences between them, and identify how WSPs might complement drinking water regulations in the US. Findings show that US drinking water regulations and WSP steps were aligned in the areas of describing the water supply system and defining monitoring and controls. However, gaps exist between US drinking water regulations and WSPs in the areas of team procedures and training, internal risk assessment and prioritization, and management procedures and plans. The study contributes to understanding both required and voluntary drinking water management practices in the US and how implementing water safety plans could benefit water systems to improve drinking water quality and human health. Copyright © 2015 Elsevier GmbH. All rights reserved.

Evidence and evidence gaps in the treatment of Eustachian tube dysfunction and otitis media

PubMed Central

Teschner, Magnus

2016-01-01

Evidence-based medicine is an approach to medical treatment intended to optimize patient-oriented decision-making on the basis of empirically proven effectiveness. For this purpose, a classification system has been established to categorize studies – and hence therapy options – in respect of associated evidence according to defined criteria. The Eustachian tube connects the nasopharynx with the middle ear cavity. Its key function is to ensure middle ear ventilation. Compromised ventilation results in inflammatory middle ear disorders. Numerous evidence-based therapy options are available for the treatment of impaired middle ear ventilation and otitis media, the main therapeutic approach being antibiotic treatment. More recent procedures such as balloon dilation of the Eustachian tube have also shown initial success but must undergo further evaluation with regard to evidence. There is, as yet, no evidence for some of the other long-established procedures. Owing to the multitude of variables, the classification of evidence levels for various treatment approaches calls for highly diversified assessment. Numerous evidence-based studies are therefore necessary in order to evaluate the evidence pertaining to existing and future therapy solutions for impaired middle ear ventilation and otitis media. If this need is addressed, a wealth of implications can be expected for therapeutic approaches in the years to come. PMID:28025605

Vero cell technology for rapid development of inactivated whole virus vaccines for emerging viral diseases.

PubMed

Barrett, P Noel; Terpening, Sara J; Snow, Doris; Cobb, Ronald R; Kistner, Otfried

2017-09-01

Rapid development and production of vaccines against emerging diseases requires well established, validated, robust technologies to allow industrial scale production and accelerated licensure of products. Areas covered: A versatile Vero cell platform has been developed and utilized to deliver a wide range of candidate and licensed vaccines against emerging viral diseases. This platform builds on the 35 years' experience and safety record with inactivated whole virus vaccines such as polio vaccine. The current platform has been optimized to include a novel double inactivation procedure in order to ensure a highly robust inactivation procedure for novel emerging viruses. The utility of this platform in rapidly developing inactivated whole virus vaccines against pandemic (-like) influenza viruses and other emerging viruses such as West Nile, Chikungunya, Ross River and SARS is reviewed. The potential of the platform for development of vaccines against other emerging viruses such as Zika virus is described. Expert commentary: Use of this platform can substantially accelerate process development and facilitate licensure because of the substantial existing data set available for the cell matrix. However, programs to provide vaccines against emerging diseases must allow alternative clinical development paths to licensure, without the requirement to carry out large scale field efficacy studies.

Process' standardization and change management in higher education. The case of TEI of Athens

NASA Astrophysics Data System (ADS)

Chalaris, Ioannis; Chalaris, Manolis; Gritzalis, Stefanos; Belsis, Petros

2015-02-01

The establishment of mature operational procedures and the effort of standardizing and certifying these procedures is a particularly arduous and demanding task which requires strong commitment from management to the existing objectives, administrative stability and continuity, availability of resources, an adequate implementation team with support from all stakeholders and of course great tolerance until tangible results of the investment are shown. Ensuring these conditions, particularly in times of economic crisis, is an extremely difficult task for large organizations such as TEI of Athens where there is heterogeneity in personnel and changes in the administrative hierarchy arise plethora of additional difficulties and require an effective change management. In this work we depict the path of standardization and certification of administrative functions of TEI of Athens, with emphasis on difficulties encountered and how to address them and in particular issues of change management and the culture related to this effort. The requirement for infrastructure needed to be maintained in processes and tools process & strategic management is embodied, in order to evolve mechanisms for continuous improvement processes and storage / recovery of the resulting knowledge. The work concludes with a general design of a road map of internal audit and continuous improvement processes for a large institution of higher education.

32 CFR 158.6 - Procedures.

Code of Federal Regulations, 2013 CFR

2013-07-01

... with the cognizant manpower official and servicing legal office to ensure compliance with DoD... resulting from an incident in support of military operations deserve and shall receive the same dignity and...

32 CFR 158.6 - Procedures.

Code of Federal Regulations, 2012 CFR

2012-07-01

... with the cognizant manpower official and servicing legal office to ensure compliance with DoD... resulting from an incident in support of military operations deserve and shall receive the same dignity and...

32 CFR 158.6 - Procedures.

Code of Federal Regulations, 2014 CFR

2014-07-01

... with the cognizant manpower official and servicing legal office to ensure compliance with DoD... resulting from an incident in support of military operations deserve and shall receive the same dignity and...

14 CFR 21.137 - Quality system.

Code of Federal Regulations, 2012 CFR

2012-01-01

... procedures must include the following, as applicable: (1) A flight test of each aircraft produced unless that... planning, conducting, and documenting internal audits to ensure compliance with the approved quality system...

14 CFR 21.137 - Quality system.

Code of Federal Regulations, 2014 CFR

2014-01-01

... procedures must include the following, as applicable: (1) A flight test of each aircraft produced unless that... planning, conducting, and documenting internal audits to ensure compliance with the approved quality system...

14 CFR 21.137 - Quality system.

Code of Federal Regulations, 2013 CFR

2013-01-01

... procedures must include the following, as applicable: (1) A flight test of each aircraft produced unless that... planning, conducting, and documenting internal audits to ensure compliance with the approved quality system...

32 CFR 536.105 - Responsibilities generally/international agreements claims.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) Monitoring the reimbursement system to ensure that programs for the proper verification and certification of... liaison with sending State representatives and establishing procedures designed to carry out the...

Special Report on Review of "The Department of Energy's Quality Assurance Process for Prime Recipients' Reporting for the American Recovery and Reinvestment Act"

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

None

2009-10-01

The American Recovery and Reinvestment Act of 2009 (Recovery Act) was established to jumpstart the U.S. economy, create or save millions of jobs, spur technological advances in health and science, and invest in the Nation's energy future. The Department of Energy (Department) will receive an unprecedented $37 billion in Recovery Act funding to support a variety of science, energy, and environmental initiatives. The majority of the funding received by the Department will be allocated to various recipients through grants, cooperative agreements, contracts, and other financial instruments. To ensure transparency and accountability, the Office of Management and Budget (OMB) requires thatmore » recipients report on their receipt and use of Recovery Act funds on a quarterly basis to FederalReporting.gov. OMB also specifies that Federal agencies should develop and implement formal procedures to help ensure the quality of recipient reported information. Data that must be reported by recipients includes total funding received; funds expended or obligated; projects or activities for which funds were obligated or expended; and the number of jobs created and/or retained. OMB requires that Federal agencies perform limited data quality reviews of recipient data to identify material omissions and/or significant reporting errors and notify the recipients of the need to make appropriate and timely changes to erroneous reports. As part of a larger audit of recipient Recovery Act reporting and performance measurement and in support of a Government-wide review sponsored by the Recovery Accountability and Transparency Board, we completed an interim review to determine whether the Department had established a process to ensure the quality and accuracy of recipient reports. Our review revealed that the Department had developed a quality assurance process to facilitate the quarterly reviews of recipient data. The process included procedures to compare existing information from the Department's financial information systems with that reported to FederalReporting.gov by recipients. In addition, plans were in place to notify recipients of anomalies and/or errors exposed by the quality assurance process. While the Department has made a good deal of progress in this area, we did, however, identify several issues which could, if not addressed, impact the effectiveness of the quality assurance process.« less

Does ITV vaginal procedure ensure dosimetric coverage during IMRT of post-operative gynaecological tumours without instructions concerning rectal filling?

PubMed

Verges, Ramona; Giraldo, Alexandra; Seoane, Alejandro; Toral, Elisabet; Ruiz, M Carmen; Pons, Ariadna; Giralt, Jordi

2018-01-01

To find out whether the internal target volume (ITV) vaginal procedure ensures dosimetric coverage during intensity-modulated radiation therapy (IMRT) of post-operative gynaecological tumours without instructions on rectal filling. The ITV vaginal procedure does not necessarily include all movements of the bladder, and does not include changes in the rectal volume. We should know if the vaginal ITV is a useful tool in maintaining CTV coverage during treatment. A retrospective analysis of 24 patients treated between July 2012 and July 2014 with adjuvant IMRT for gynaecological cancer. All patients underwent empty and full bladder CT on simulation (CT-planning) and three weeks later (CT-control). ITV displacement was measured and the 3D vector was calculated. ITV coverage was then evaluated by comparing the volume covered by the prescription isodose on both CT's. Patients were asked to have full bladder but they did not follow recommendations for the rectum. The mean 3D vector was 0.64 ± 0.32 cm (0.09-1.30). The mean ITV coverage loss was 5.8 ± 5.7% (0-20.2). We found a significant positive correlation between the 3D vector and the loss of coverage (Pearson correlation, r  = 0.493, 95% CI: 0.111-0.748, p  = 0.0144). We did not find any significant correlation between the bladder and rectal parameters with the 3D vector and loss of dosimetric coverage. We found a trend between the maximum rectal diameter in CT-planning and 3D vector ( r  = 0.400, 95% CI: -0.004 to 0.692, p  = 0.0529). ITV vaginal procedure contributed to ensuring a good dose coverage without instructions on rectal filling.

Selective Heart, Brain and Body Perfusion in Open Aortic Arch Replacement.

PubMed

Maier, Sven; Kari, Fabian; Rylski, Bartosz; Siepe, Matthias; Benk, Christoph; Beyersdorf, Friedhelm

2016-09-01

Open aortic arch replacement is a complex and challenging procedure, especially in post dissection aneurysms and in redo procedures after previous surgery of the ascending aorta or aortic root. We report our experience with the simultaneous selective perfusion of heart, brain, and remaining body to ensure optimal perfusion and to minimize perfusion-related risks during these procedures. We used a specially configured heart-lung machine with a centrifugal pump as arterial pump and an additional roller pump for the selective cerebral perfusion. Initial arterial cannulation is achieved via femoral artery or right axillary artery. After lower body circulatory arrest and selective antegrade cerebral perfusion for the distal arch anastomosis, we started selective lower body perfusion simultaneously to the selective antegrade cerebral perfusion and heart perfusion. Eighteen patients were successfully treated with this perfusion strategy from October 2012 to November 2015. No complications related to the heart-lung machine and the cannulation occurred during the procedures. Mean cardiopulmonary bypass time was 239 ± 33 minutes, the simultaneous selective perfusion of brain, heart, and remaining body lasted 55 ± 23 minutes. One patient suffered temporary neurological deficit that resolved completely during intensive care unit stay. No patient experienced a permanent neurological deficit or end-organ dysfunction. These high-risk procedures require a concept with a special setup of the heart-lung machine. Our perfusion strategy for aortic arch replacement ensures a selective perfusion of heart, brain, and lower body during this complex procedure and we observed excellent outcomes in this small series. This perfusion strategy is also applicable for redo procedures.

PC based temporary shielding administrative procedure (TSAP)

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

Olsen, D.E.; Pederson, G.E.; Hamby, P.N.

1995-03-01

A completely new Administrative Procedure for temporary shielding was developed for use at Commonwealth Edison`s six nuclear stations. This procedure promotes the use of shielding, and addresses industry requirements for the use and control of temporary shielding. The importance of an effective procedure has increased since more temporary shielding is being used as ALARA goals become more ambitious. To help implement the administrative procedure, a personal computer software program was written to incorporate the procedural requirements. This software incorporates the useability of a Windows graphical user interface with extensive help and database features. This combination of a comprehensive administrative proceduremore » and user friendly software promotes the effective use and management of temporary shielding while ensuring that industry requirements are met.« less

12 CFR 1815.114 - Fund decisionmaking procedures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... of no significant impact, or notice of intent, in addition to being prepared at the earliest point in... decisionmaking process to ensure adequate consideration of environmental factors; (b) The Decisionmaker shall...

49 CFR 659.13 - Overview.

Code of Federal Regulations, 2010 CFR

2010-10-01

... TRANSPORTATION RAIL FIXED GUIDEWAY SYSTEMS; STATE SAFETY OVERSIGHT Role of the State Oversight Agency § 659.13... oversight agency must oversee the execution of these practices and procedures, to ensure compliance with the...

How clean is your clean room?

PubMed

Govier, J

2006-01-01

After investment in a clean room, cleanliness, sanitisation or sterility is essential to ensuring it operates at the highest standard. This article advises on the products and maintenance procedures to achieve this.

45 CFR 261.80 - How do existing welfare reform waivers affect a State's penalty liability under this part?

Code of Federal Regulations, 2010 CFR

2010-10-01

... FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES ENSURING THAT RECIPIENTS WORK How Do Welfare Reform Waivers Affect State Penalties? § 261.80 How do existing welfare reform waivers affect a State's penalty... 45 Public Welfare 2 2010-10-01 2010-10-01 false How do existing welfare reform waivers affect a...

Bureau of Indian Education (BIE), Albuquerque Service Center (ASC) Due Process Hearing Officer Manual. Resolution Session and Due Process Hearing Procedures in Special Education. Revised

ERIC Educational Resources Information Center

Copenhaver, John

2007-01-01

Due process is a set of procedures that seeks to ensure fairness of education decisions and accountability, for both parents and educational professionals. The due process hearing provides a forum where disagreements about the identification, evaluation, educational placement, and provision of a free appropriate public education for students with…

40 CFR 152.95 - Citation of all studies in the Agency's files pertinent to a specific data requirement.

Code of Federal Regulations, 2010 CFR

2010-07-01

... PROCEDURES Procedures To Ensure Protection of Data Submitters' Rights § 152.95 Citation of all studies in the... requirement. The applicant who selects this cite-all option must submit to the Agency: (a) A general offer to... may be limited to apply only to data pertinent to the specific data requirement(s) for which the cite...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR FLOW AND CUSTODY OF FIELD DATA FORMS (UA-C-5.0)

EPA Science Inventory

The purpose of this SOP is to describe the flow of field data forms through the data processing system and to define who is responsible for the data at any time. It applies to field data forms collected and processed by Arizona NHEXAS. This procedure was followed to ensure cons...

MIL-STD-1750 Certification Study.

DTIC Science & Technology

1980-02-29

act of conferring certification has associated with it certain liabilities . It is important that the study consider the procedural issues of...certification so that these liabilities are minimized. Some examples of these procedural issues follcw. Ihile the ideal goal of certification is to ensure 100...ccmponents. Vendor suplied and Air force supplied items are separately identified. Cost items are alsc identified as applying to either the vendor or to

Evaluation of Procedures for Backcalculation of Airfield Pavement Moduli

DTIC Science & Technology

2015-08-01

to develop pavement design and structural evaluation criteria, procedures, and software to ensure that its airfield pavements can support mission...aircraft. As tire pressures and aircraft weights have increased steadily during this time, the design and evaluation software– Pavement -Transportation...the remaining life for the pavement in terms of remaining pavement life (passes-to-failure) or allowable gross aircraft loads and also to design

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR OPERATION, CALIBRATION AND MAINTENANCE OF THE JOBIN-YVON MODEL 70 INDUCTIVELY COUPLED PLASMA ATOMIC ABSORPTION SPECTROMETER (BCO-L-7.1)

EPA Science Inventory

The purpose of this SOP is to detail the operation and maintenance of an Instruments, SA Inc., Jobin-Yvon Model 70 (JY-70) inductively coupled plasma atomic emissions spectrometry (ICP-AES). This procedure was followed to ensure consistent data retrieval during the Arizona NHEXA...

75 FR 52892 - Energy Conservation Program for Consumer Products: Test Procedures for Residential Water Heaters...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-30

.... Treatment of Fossil-Fuel Consumption in Existing Test Procedures for Fossil-Fuel Vented Heaters 2. Specific.... Proposed Test Procedure Amendments for Pool Heaters 1. Treatment of Fossil-Fuel Consumption in Existing.... Fossil-fuel standby mode and off mode energy use is already integrated into the vented [[Page 52895...

77 FR 58998 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-25

... reference existing standard operating procedures (SOPs) or other documents. The draft guidance specifies that a monitoring plan may reference existing policies and procedures in order to minimize the burden... risk device studies are already required under Sec. 812.25(e) to submit and maintain written procedures...

Johnson square procedure for lentigo maligna and lentigo maligna melanoma.

PubMed

Patel, A N; Perkins, W; Leach, I H; Varma, S

2014-07-01

Lentigo maligna (LM) and lentigo maligna melanoma (LMM) can be difficult to manage surgically. Predetermined margins can be inadequate because of subclinical spread, or can affect function when margins are adjacent to the eye or mouth. To describe our 5-year experience in Nottingham of using the staged square procedure (Johnson square) in excising difficult facial LM and LMM. The square procedure is a staged technique useful for ill-defined lesions and for lesions that have a high recurrence rate due to subclinical spread. It uses paraffin wax-embedded peripheral vertical sections for margin control, ensuring complete clearance as the surgical margins are usually examined at distances of 2-5 mm from the periphery of the lesion. We treated 21 patients with LM or LMM with the staged square procedure over a 5-year period. Of the 21 patients, 10 needed only one stage of surgery, 6 needed two stages, 3 needed three stages and 2 needed four stages. To date, there has been only one recurrence, which was of an extensive lesion that crossed the medial canthus, making margin control impossible because of the anatomical limitations. The staged square procedure is an effective treatment for LM and LMM. It attempts to conserve tissue while ensuring a higher clearance rate. This offers favourable cosmetic outcomes and better prognosis, especially for facial LM and LMM. © 2014 British Association of Dermatologists.

Accountability and Internal Control--Do We Really Need It?

ERIC Educational Resources Information Center

Clarke, Allan B.

1987-01-01

Briefly looks at some of the basic principles of accountability and internal control as a review of present accounting system procedures to aid administrators to ensure reliable financial records. (MLF)

32 CFR 516.59 - Duties and procedures.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Judge Advocate General's School, the U.S. Military Police School, and the U.S. Army Logistics Management Center) will ensure the following: (1) All procurement and procurement-related training includes a period...

32 CFR 516.59 - Duties and procedures.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Judge Advocate General's School, the U.S. Military Police School, and the U.S. Army Logistics Management Center) will ensure the following: (1) All procurement and procurement-related training includes a period...

32 CFR 516.59 - Duties and procedures.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Judge Advocate General's School, the U.S. Military Police School, and the U.S. Army Logistics Management Center) will ensure the following: (1) All procurement and procurement-related training includes a period...

32 CFR 516.59 - Duties and procedures.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Judge Advocate General's School, the U.S. Military Police School, and the U.S. Army Logistics Management Center) will ensure the following: (1) All procurement and procurement-related training includes a period...

Endoscopy: MedlinePlus Health Topic

MedlinePlus

... What Is Endoscopy? (American Cancer Society) Also in Spanish Related Issues Ensuring the Safety of Your Endoscopic Procedure (American Society for Gastrointestinal Endoscopy) Also in Spanish Sedation for Your Endoscopy (American College of Gastroenterology) ...

Case Resolution Manual

EPA Pesticide Factsheets

This Case Resolution Manual (CRM) is intended to provide procedural guidance to ECRCO case managers to ensure EPA’s prompt, effective, and efficient resolution of civil rights cases consistent with science and the civil rights laws.

78 FR 71011 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-27

... order imbalance tests are designed to ensure that the security price is reasonably stable at the time... rules that enhance an existing test, which is designed to ensure that securities in a halted state are... permitted under subparagraph (A). In the case of subparagraph (B), any order imbalance during the Pre-Launch...

Standard terms and conditions applicable to foreign grant recipients

EPA Pesticide Factsheets

The recipient agrees to maintain appropriate systems, policies, and procedures for ensuring the proper stewardship and financial management of EPA grant funds in accordance with the terms and conditions of this award.

29 CFR 501.34 - General.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Procedure Act, 5 U.S.C. 556, any oral or documentary evidence may be received in proceedings under this part... principles designed to ensure production of relevant and probative evidence shall guide the admission of...

36 CFR 13.50 - Closure procedures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... management considerations necessary to ensure that the activity or area is being managed in a manner... available for inspection at the park visitor center. Notice will also be posted near or within the facility...

31 CFR 10.33 - Best practices for tax advisors.

Code of Federal Regulations, 2011 CFR

2011-07-01

... engagement. For example, the advisor should determine the client's expected purpose for and use of the advice... steps to ensure that the firm's procedures for all members, associates, and employees are consistent...

Report: EPA Could Improve Processes for Managing Contractor Systems and Reporting Incidents

EPA Pesticide Factsheets

Report #2007-P-00007, January 11, 2007. Although EPA had defined the specific requirements for contractor systems, EPA had not established procedures to ensure identification of all contractor systems.

49 CFR 23.29 - What monitoring and compliance procedures must recipients follow?

Code of Federal Regulations, 2010 CFR

2010-10-01

... OF DISADVANTAGED BUSINESS ENTERPRISE IN AIRPORT CONCESSIONS ACDBE Programs § 23.29 What monitoring... agreements and management contracts, the enforcement mechanisms, and other means you use to ensure compliance...

[Quality assurance in interventional cardiology].

PubMed

Gülker, H

2009-10-01

Quality assurance in clinical studies aiming at approval of pharmaceutical products is submitted to strict rules, controls and auditing regulations. Comparative instruments to ensure quality in diagnostic and therapeutic procedures are not available in interventional cardiology, likewise in other fields of cardiovascular medicine. Quality assurance simply consists of "quality registers" with basic data not externally controlled. Based on the experiences of clinical studies and their long history of standardization it is assumed that these data may be severely flawed thus being inappropriate to set standards for diagnostic and therapeutic strategies. The precondition for quality assurance are quality data. In invasive coronary angiography and intervention medical indications, the decision making process interventional versus surgical revascularization, technical performance and after - care are essential aspects affecting quality of diagnostics and therapy. Quality data are externally controlled data. To collect quality data an appropriate infrastructure is a necessary precondition which is not existent. For an appropriate infrastructure investments have to be done both to build up as well as to sustain the necessary preconditions. As long as there are no infrastructure and no investments there will be no "quality data". There exist simply registers of data which are not proved to be a basis for significant assurance and enhancement in quality in interventional coronary cardiology. Georg Thieme Verlag KG Stuttgart, New York.

Building competencies for nurse administrators in the Republic of Georgia.

PubMed

Nishiyama, M; Wold, J L; Partskhladze, N

2008-06-01

To assess the level of competency among nurse administrators in the Republic of Georgia (Georgia) and to recommend interventions to implement effective nursing management practices in a resource constrained setting. The collapse of the Soviet Union in 1991 resulted in deterioration of the healthcare system in Georgia. Even though the 1995 healthcare reformers recognized that baccalaureate educated nurses were essential resources for quality health care, limited resources delayed further steps. Hence, Georgia has struggled to raise nursing education levels and to establish nursing as a professional occupation. Using an exploratory descriptive research technique, surveys of nurse managers were conducted in 2004 and in 2005. This study assessed the level of practice among Georgian nurse administrators compared with the international competencies of the International Council of Nurses. There were no organized procedures to evaluate competencies of nurses on a regular basis. While minimal clinical nursing practice guidelines exist, nurse managers did not fully utilize them for either mentoring the staff nurses or assuring an adequate quality of nursing care. Many nurse managers viewed financial constraints as an obstacle to delivering better nursing care. Recommendations include: (1) establishing effective protocols to evaluate the competencies of nurses, (2) mandating the use of existing nursing guidelines, (3) establishing effective resource inventory systems, and (4) mandating safety education and ensuring a safe work environment.

Advantages and disadvantages of technologies for HER2 testing in breast cancer specimens.

PubMed

Furrer, Daniela; Sanschagrin, François; Jacob, Simon; Diorio, Caroline

2015-11-01

Human epidermal growth factor receptor 2 (HER2) plays a central role as a prognostic and predictive marker in breast cancer specimens. Reliable HER2 evaluation is central to determine the eligibility of patients with breast cancer to targeted anti-HER2 therapies such as trastuzumab and lapatinib. Presently, several methods exist for the determination of HER2 status at different levels (protein, RNA, and DNA level). In this review, we discuss the main advantages and disadvantages of the techniques developed so far for the evaluation of HER2 status in breast cancer specimens. Each technique has its own advantages and disadvantages. It is therefore not surprising that no consensus has been reached so far on which technique is the best for the determination of HER2 status. Currently, emphasis must be put on standardization of procedures, internal and external quality control assessment, and competency evaluation of already existing methods to ensure accurate, reliable, and clinically meaningful test results. Development of new robust and accurate diagnostic assays should also be encouraged. In addition, large clinical trials are warranted to identify the technique that most reliably predicts a positive response to anti-HER2 drugs. Copyright© by the American Society for Clinical Pathology.

An Introduction to SPEAR (Seismogram Picking Error from Analyst Review)

NASA Astrophysics Data System (ADS)

Zeiler, C. P.; Velasco, A. A.; Anderson, D.; Pingitore, N. E.

2008-12-01

A grassroots initiative began in February of 2008 at the University of Texas at El Paso to understand how seismologists measure earthquakes. The Seismogram Picking Error from Analyst Review (SPEAR) project is designed to be a forum where seismologists can propose, discuss and experimentally test theories on proper procedures to identify and measure seismic phases. We outline the history of seismogram analysis and explore areas of seismogram analysis that still need to be defined. The main concern for SPEAR, at this time, is the impact of picking errors produced by merging earthquake catalogs. Our initial effort has been to establish a common data set for seismologists to pick. The preliminary studies from this data set have shown that significant bias between authors of catalogs may exist. We provide techniques to ensure that these biases can be identified and correctly managed to provide accurate mergers of earthquake measurements. The overall goal of SPEAR is to provide a repository of information to aid seismologists in comparing and sharing measurements. We want to document in the repository and explore all aspects of the picking process, from the basics of learning how to read a seismogram to complex transformations and enhancements of signals. Your participation in SPEAR will aid the seismological community to close the knowledge gaps that exist in seismogram analysis.

Separator Materials Used in Secondary Alkaline Batteries Characterized and Evaluated

NASA Technical Reports Server (NTRS)

1996-01-01

Nickel-cadmium (Ni/Cd) and nickel-hydrogen (Ni/H2) secondary alkaline batteries are vital to aerospace applications. Battery performance and cycle life are significantly affected by the type of separators used in those batteries. A team from NASA Lewis Research Center's Electrochemical Technology Branch developed standardized testing procedures to characterize and evaluate new and existing separator materials to improve performance and cycle life of secondary alkaline batteries. Battery separators must function as good electronic insulators and as efficient electrolyte reservoirs. At present, new types of organic and inorganic separator materials are being developed for Ni/Cd and Ni/H2 batteries. The separator material previously used in the NASA standard Ni/Cd was Pellon 2505, a 100-percent nylon-6 polymer that must be treated with zinc chloride (ZnCl2) to bond the fibers. Because of stricter Environmental Protection Agency regulation of ZnCl2 emissions, the battery community has been searching for new separators to replace Pellon 2505. As of today, two candidate separator materials have been identified; however, neither of the two materials have performed as well as Pellon 2505. The separator test procedures that were devised at Lewis are being implemented to expedite the search for new battery separators. The new test procedures, which are being carried out in the Separator Laboratory at Lewis, have been designed to guarantee accurate evaluations of the properties that are critical for sustaining proper battery operation. These properties include physical and chemical stability, chemical purity, gas permeability, electrolyte retention and distribution, uniformity, porosity, and area resistivity. A manual containing a detailed description of 12 separator test procedures has been drafted and will be used by the battery community to evaluate candidate separator materials for specific applications. These standardized procedures will allow for consistent, uniform, and reliable results that will ensure that separator materials have the desired properties for long life and good performance in secondary alkaline cells.

Prototype of a computer method for designing and analyzing heating, ventilating and air conditioning proportional, electronic control systems

NASA Astrophysics Data System (ADS)

Barlow, Steven J.

1986-09-01

The Air Force needs a better method of designing new and retrofit heating, ventilating and air conditioning (HVAC) control systems. Air Force engineers currently use manual design/predict/verify procedures taught at the Air Force Institute of Technology, School of Civil Engineering, HVAC Control Systems course. These existing manual procedures are iterative and time-consuming. The objectives of this research were to: (1) Locate and, if necessary, modify an existing computer-based method for designing and analyzing HVAC control systems that is compatible with the HVAC Control Systems manual procedures, or (2) Develop a new computer-based method of designing and analyzing HVAC control systems that is compatible with the existing manual procedures. Five existing computer packages were investigated in accordance with the first objective: MODSIM (for modular simulation), HVACSIM (for HVAC simulation), TRNSYS (for transient system simulation), BLAST (for building load and system thermodynamics) and Elite Building Energy Analysis Program. None were found to be compatible or adaptable to the existing manual procedures, and consequently, a prototype of a new computer method was developed in accordance with the second research objective.

Placing blood on the target: a challenge for visually impaired persons.

PubMed

Cleary, M E; Hamilton, J E

1993-01-01

An individualized, blood glucose self-monitoring procedure for those who are visually impaired must be developed, taught, practiced, observed, and reviewed. Effective teaching requires understanding functional vision loss, observing safety precautions, organizing the work area, obtaining an adequate blood sample, ensuring accurate placement of blood on the strip, and cleaning up. Thoroughness and repetition enable the visually impaired person to perform the procedure safely and confidently.

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR OPERATION, CALIBRATION, AND MAINTENANCE OF THE JOBIN-YVON MODEL 70 INDUCTIVELY COUPLED PLASMA ATOMIC EMISSION SPECTROMETER (BCO-L-7.1)

EPA Science Inventory

The purpose of this SOP is to detail the operation and maintenance of an Instruments, SA Inc., Jobin-Yvon Model 70 (JY-70) inductively coupled plasma atomic emissions spectrometry (ICP-AES). This procedure was followed to ensure consistent data retrieval during the Arizona NHEXA...

SNL/SRNL Joint Project on degradation of mechanical properties in structural metals and welds for GTS reservoirs.

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

Ronevich, Joseph Allen; Balch, Dorian K.; San Marchi, Christopher W.

2015-12-01

This project was intended to enable SNL-CA to produce appropriate specimens of relevant stainless steels for testing and perform baseline testing of weld heat-affected zone and weld fusion zone. One of the key deliverables in this project was to establish a procedure for fracture testing stainless steel weld fusion zone and heat affected zones that were pre-charged with hydrogen. Following the establishment of the procedure, a round robin was planned between SNL-CA and SRNL to ensure testing consistency between laboratories. SNL-CA and SRNL would then develop a comprehensive test plan, which would include tritium exposures of several years at SRNLmore » on samples delivered by SNL-CA. Testing would follow the procedures developed at SNL-CA. SRNL will also purchase tritium charging vessels to perform the tritium exposures. Although comprehensive understanding of isotope-induced fracture in GTS reservoir materials is a several year effort, the FY15 work would enabled us to jump-start the tests and initiate long-term tritium exposures to aid comprehensive future investigations. Development of a procedure and laboratory testing consistency between SNL-CA and SNRL ensures reliability in results as future evaluations are performed on aluminum alloys and potentially additively-manufactured components.« less

Improving the accuracy of operation coding in surgical discharge summaries

PubMed Central

Martinou, Eirini; Shouls, Genevieve; Betambeau, Nadine

2014-01-01

Procedural coding in surgical discharge summaries is extremely important; as well as communicating to healthcare staff which procedures have been performed, it also provides information that is used by the hospital's coding department. The OPCS code (Office of Population, Censuses and Surveys Classification of Surgical Operations and Procedures) is used to generate the tariff that allows the hospital to be reimbursed for the procedure. We felt that the OPCS coding on discharge summaries was often incorrect within our breast and endocrine surgery department. A baseline measurement over two months demonstrated that 32% of operations had been incorrectly coded, resulting in an incorrect tariff being applied and an estimated loss to the Trust of £17,000. We developed a simple but specific OPCS coding table in collaboration with the clinical coding team and breast surgeons that summarised all operations performed within our department. This table was disseminated across the team, specifically to the junior doctors who most frequently complete the discharge summaries. Re-audit showed 100% of operations were accurately coded, demonstrating the effectiveness of the coding table. We suggest that specifically designed coding tables be introduced across each surgical department to ensure accurate OPCS codes are used to produce better quality surgical discharge summaries and to ensure correct reimbursement to the Trust. PMID:26734286

Scarcity and Environmental Stress in Public Organizations: A Conjectural Essay.

ERIC Educational Resources Information Center

Bozeman, Barry; Slusher, E. Allen

1979-01-01

Assuming extreme scarcity, arguments are developed that public organizations could be expected to constrain their domain definition, allow domain selection to dictate technology, seek clientele suited to existing technologies, and, in general, take actions that will ensure that existing technologies are employed at capacity. (Author/IRT)

40 CFR 63.312 - Existing regulations and requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

... National Emission Standards for Coke Oven Batteries § 63.312 Existing regulations and requirements. (a) The..., topside port lids, coke oven doors, and charging operations in effect on September 15, 1992, or which have... method of monitoring in effect on September 15, 1992, and that ensures coke oven emission reductions...

40 CFR 63.312 - Existing regulations and requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

... National Emission Standards for Coke Oven Batteries § 63.312 Existing regulations and requirements. (a) The..., topside port lids, coke oven doors, and charging operations in effect on September 15, 1992, or which have... method of monitoring in effect on September 15, 1992, and that ensures coke oven emission reductions...

40 CFR 63.312 - Existing regulations and requirements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... National Emission Standards for Coke Oven Batteries § 63.312 Existing regulations and requirements. (a) The..., topside port lids, coke oven doors, and charging operations in effect on September 15, 1992, or which have... method of monitoring in effect on September 15, 1992, and that ensures coke oven emission reductions...

40 CFR 63.312 - Existing regulations and requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... National Emission Standards for Coke Oven Batteries § 63.312 Existing regulations and requirements. (a) The..., topside port lids, coke oven doors, and charging operations in effect on September 15, 1992, or which have... method of monitoring in effect on September 15, 1992, and that ensures coke oven emission reductions...

40 CFR 63.312 - Existing regulations and requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

... National Emission Standards for Coke Oven Batteries § 63.312 Existing regulations and requirements. (a) The..., topside port lids, coke oven doors, and charging operations in effect on September 15, 1992, or which have... method of monitoring in effect on September 15, 1992, and that ensures coke oven emission reductions...

78 FR 69606 - Record Requirements in the Mechanical Power Presses Standard

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-20

... press is implicit in the requirement in existing paragraph (e)(1)(i), which specifies that the employer... believes that adding an explicit requirement to perform necessary maintenance and repair will ensure that... weekly inspections and tests required by existing paragraph (e)(1)(ii) serve the following functions: (i...

Dissemination: Bringing Translational Research to Completion

PubMed Central

Park, Daniel J.; Burke, Janice P.

2013-01-01

Despite the availability of innovative health care research, a gap exists between research-generated knowledge and the utilization of that knowledge in real-world practice settings. This article examines the transition from research to implementation in the context of the dissemination of A. Jean Ayres’ sensory integration procedures and of the challenges currently facing the University of Southern California Well Elderly Studies research team. Drawing from the emerging field of implementation science, this article discusses how researchers can develop an implementation plan to more easily translate evidence into practice. Such plans should address the intervention’s reach (i.e., its capacity to penetrate into the intended target population), the settings for which it is applicable, the leaders who will encourage practitioner uptake, stakeholder groups, and challenges to dissemination. By taking action to ensure the more effective dissemination of research-generated knowledge, researchers can increase the likelihood that their interventions will lead to improvements in practice and more effective care for consumers. PMID:23433273

Satellite Antenna Pointing Procedure Driven by the Ground Service Quality

NASA Astrophysics Data System (ADS)

Yasui, Yoshitsugu

A satellite antenna alignment technique is proposed to ensure terrestrial service quality for users. The antenna bore sight orientation is calculated directly from measured data acquired from general ground receivers, which intercept the communication radio waves from any position on the earth's surface. The method coordinates the satellite pointing parameters with signal strength at the receivers while considering location-specific geographical and antenna radiation characteristics and control accuracy. The theoretical development and its validity are examined in the course of equation derivation. Actual measured data of an existing satellite at the maneuver was applied to the method, and the capability was demonstrated and verified. With the wide diversity of satellite usage, such as for mobile communications, temporary network deployment or post-launch positioning accommodations, the proposed method provides a direct evaluation of satellite communication performance at the service level, in conjunction with using high frequency spot beam antennas, which are highly susceptible to pointing gain. This can facilitate swift and flexible satellite service planning and deployment for operators.

Impact of cabin environment on thermal protection system of crew hypersonic vehicle

NASA Astrophysics Data System (ADS)

Zhu, Xiao Wei; Zhao, Jing Quan; Zhu, Lei; Yu, Xi Kui

2016-05-01

Hypersonic crew vehicles need reliable thermal protection systems (TPS) to ensure their safety. Since there exists relative large temperature difference between cabin airflow and TPS structure, the TPS shield that covers the cabin is always subjected to a non-adiabatic inner boundary condition, which may influence the heat transfer characteristic of the TPS. However, previous literatures always neglected the influence of the inner boundary by assuming that it was perfectly adiabatic. The present work focuses on studying the impact of cabin environment on the thermal performance. A modified TPS model is created with a mixed thermal boundary condition to connect the cabin environment with the TPS. This helps make the simulation closer to the real situation. The results stress that cabin environment greatly influences the temperature profile inside the TPS, which should not be neglected in practice. Moreover, the TPS size can be optimized during the design procedure if taking the effect of cabin environment into account.