Sample records for fax referral program

  1. Promoting a smokers' quitline in Ontario, Canada: an evaluation of an academic detailing approach.

    PubMed

    Kirst, Maritt; Schwartz, Robert

    2015-06-01

    This study assesses the impact of an academic detailing quitline promotional outreach program on integration of patient referrals to the quitline by fax in healthcare settings and quitline utilization in Ontario, Canada. The study employed a mixed methods approach for evaluation, with trend analysis of quitline administrative data from the year before program inception (2005) to 2011 and qualitative interviews with quitline stakeholders. Participants in the qualitative interviews included academic detailing program staff, regional tobacco control stakeholders and quitline promotion experts. Quantitative outcomes included the number of fax referral partners and fax referrals received, and quitline reach. Trends in proximal and distal outreach program outcomes were assessed. The qualitative data were analysed through a process of data coding involving the constant comparative technique derived from grounded theory methods. The study identified that the outreach program has had some success in integrating the fax referral program in healthcare settings through evidence of increased fax referrals since program inception. However, organizational barriers to program partner engagement have been encountered. While referral from health professionals through the fax referral programs has increased since the inception of the outreach program, the overall reach of the quitline has not increased. The study findings highlight that an academic detailing approach to quitline promotion can have some success in achieving increased fax referral program integration in healthcare settings. However, findings suggest that investment in a comprehensive promotional strategy, incorporating academic detailing, media and the provision of free cessation medications may be a more effective approach to quitline promotion. © The Author (2013). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  2. Implementing a fax referral program for quitline smoking cessation services in urban health centers: a qualitative study.

    PubMed

    Cantrell, Jennifer; Shelley, Donna

    2009-12-17

    Fax referral services that connect smokers to state quitlines have been implemented in 49 U.S. states and territories and promoted as a simple solution to improving smoker assistance in medical practice. This study is an in-depth examination of the systems-level changes needed to implement and sustain a fax referral program in primary care. The study involved implementation of a fax referral system paired with a chart stamp prompting providers to identify smoking patients, provide advice to quit and refer interested smokers to a state-based fax quitline. Three focus groups (n = 26) and eight key informant interviews were conducted with staff and physicians at two clinics after the intervention. We used the Chronic Care Model as a framework to analyze the data, examining how well the systems changes were implemented and the impact of these changes on care processes, and to develop recommendations for improvement. Physicians and staff described numerous benefits of the fax referral program for providers and patients but pointed out significant barriers to full implementation, including the time-consuming process of referring patients to the Quitline, substantial patient resistance, and limitations in information and care delivery systems for referring and tracking smokers. Respondents identified several strategies for improving integration, including simplification of the referral form, enhanced teamwork, formal assignment of responsibility for referrals, ongoing staff training and patient education. Improvements in Quitline feedback were needed to compensate for clinics' limited internal information systems for tracking smokers. Establishing sustainable linkages to quitline services in clinical sites requires knowledge of existing patterns of care and tailored organizational changes to ensure new systems are prioritized, easily integrated into current office routines, formally assigned to specific staff members, and supported by internal systems that ensure adequate tracking and follow up of smokers. Ongoing staff training and patient self-management techniques are also needed to ease the introduction of new programs and increase their acceptability to smokers.

  3. A Perioperative Smoking Cessation Intervention With Varenicline, Counseling, and Fax Referral to a Telephone Quitline Versus a Brief Intervention: A Randomized Controlled Trial.

    PubMed

    Wong, Jean; Abrishami, Amir; Riazi, Sheila; Siddiqui, Naveed; You-Ten, Eric; Korman, Jennifer; Islam, Sazzadul; Chen, Xin; Andrawes, Maged S M; Selby, Peter; Wong, David T; Chung, Frances

    2017-08-01

    The effectiveness of perioperative interventions to quit smoking with varenicline has not been compared with brief interventions. Our objective was to determine the efficacy of a comprehensive smoking cessation program versus a brief intervention for smoking cessation. In this prospective, multicenter study, 296 patients were randomized to participate in a smoking cessation program (one 10- to 15-minute counseling session, pharmacotherapy with varenicline, an educational pamphlet, and a fax referral to a telephone quitline); or brief advice and self-referral to a telephone quitline. The primary outcome was the 7-day point prevalence (PP) abstinence at 12 months after surgery. Secondary outcomes included abstinence at 1, 3, and 6 months. Multivariable generalized linear regression was used to identify independent variables related to abstinence. The 7-day PP abstinence for the smoking cessation program versus brief advice group was 42.4% vs 26.2% (relative risk [RR], 1.62; 95% confidence interval [CI], 1.16-2.25; P = .003) at 12 months. The 7-day PP abstinence at 1, 3, and 6 months was higher in the smoking cessation group versus the brief advice group: 45.7% vs 25.5% (RR, 1.79; 95% CI, 1.29-2.49; P < .001), 46.4% vs 26.9% (RR, 1.72; 95% CI, 1.25-2.37; P< .001), and 45.0% vs 26.2% (RR, 1.72; 95% CI, 1.24-2.38; P < .001), respectively. Participating in the smoking cessation group predicted abstinence at 12 months (RR, 1.58; 95% CI, 1.12-2.21; P = .0087). A perioperative smoking cessation program with counseling, pharmacotherapy with varenicline, an educational pamphlet, and a fax referral to a quitline increased abstinence from smoking 1, 3, 6, and 12 months after surgery versus a brief intervention.

  4. Quality of referral of short children to the paediatric endocrinologist and impact of a fax communication system.

    PubMed

    Chiniara, Lyne; Perry, Rebecca J; Van Vliet, Guy; Huot, Céline; Deal, Cheri

    2013-12-01

    In 2001, a chart review of children referred to the authors' endocrine clinic because of short stature revealed that many were referred with insufficient baseline data, had normal height velocity and were within genetic target height. Therefore, a two-way fax communication system was implemented between referring physicians and the authors' service before the first visit. Aspects that were assessed included whether this system increased the information accompanying the patient at referral, resulted in children with nonpathological shortness not being seen in the clinic, and was used differently by paediatricians and general practitioners. Between January and December 2006, 138 referrals for short stature, diagnosed with familial short stature, constitutional delay or idiopathic short stature, were audited (69 with and 69 without previous fax communication). Data collected included source of referral, clinical information provided, available growth measurements, and results from laboratory and imaging studies. Fax communication resulted in growth curves being provided more often (95.6% of cases versus 40.5% of cases without fax communication [P<0.001]) and more investigations being performed by the referring physician (median [range]: six [zero to 13] investigations versus one [zero to 11]; P<0.001), as well as a diagnosis of nonpathological short stature being given to 31 children based on the growth curve, laboratory and imaging results, without the children being seen in the endocrine clinic. Fax communication was also used more frequently by paediatricians (84%) than by general practitioners (15%). The fax communication system resulted in a more complete evaluation of referred patients by their physicians and reduced the number of unnecessary visits to the authors' specialty clinic while promoting medical education.

  5. The effect of an online referral system on referrals to bariatric surgery.

    PubMed

    Doumouras, Aristithes G; Anvari, Sama; Breau, Ruth; Anvari, Mehran; Hong, Dennis; Gmora, Scott

    2017-12-01

    The Ontario Bariatric Network implemented an online referral system to completely replace a fax-based system in 2015. Strategies such as electronic information transfer have been suggested to improve the bariatric referral process but few studies exist demonstrating their efficacy. Therefore, the purpose of this study was to determine the impact on referral rates to bariatric surgery after converting to an online referral system from a fax-based system. All referrals from 2011 to 2015 were included in the study. The main outcomes included the total number of referrals and whether a practitioner increased referrals after the implementation of the online referral system. A hierarchical logistic regression model was used for the final analysis. Predictors of interest included physician and neighbourhood level factors RESULTS: Referrals more than doubled overall and increased significantly across all health regions. Compared to practitioners in their first five years, all other experience groups were approximately 50% less likely to increase referrals. Compared to those within 50 km of a bariatric facility, practitioners 50-99 km (OR 0.76 95% CI 0.58-0.98 p = 0.04) and 100-199 km (OR 0.73 95% CI 0.55-0.96 p = 0.03) away were both significantly less likely to increase referrals. This study found that referrals increased significantly after implementing an online referral system. Furthermore, physicians in their first five years of practice as well as those practicing closer to bariatric centers were more likely to increase referrals. Our findings demonstrate that an online referral system may aid in increasing referrals to bariatric surgery.

  6. Patient care outcomes of a tobacco use registry in an academic family practice.

    PubMed

    Ripley-Moffitt, Carol; Neutze, Dana; Gwynne, Mark; Goldstein, Adam O

    2015-01-01

    While the potential benefit of a chronic disease registry for tobacco use is great, outcome reports have not been generated. We examined the effect of implementing a tobacco use registry, including a decision support tool, on treatment outcomes within an academic family medicine clinic. A chart review of 200 patients who smoked and attended the clinic before and after registry implementation assessed the number of patients with clinic notes documenting (1) counseling for tobacco use, (2) recommendations for cessation medication, (3) a set quit date, (4) referrals to the on-site Nicotine Dependence Program (NDP) and/or QuitlineNC, and (5) pneumococcal vaccine. Data from the NDP, QuitlineNC, and clinic billing records before and after implementation compared the number of clinic-generated QuitlineNC fax referrals, new scheduled appointments for the NDP, and visits coded for tobacco counseling reimbursement. Significant increases in documentation occurred across most chart review variables. Significant increases in the number of clinic-generated fax referrals to QuitlineNC (from 27 to 96), initial scheduled appointments for the NDP (from 84 to 148), and coding for tobacco counseling (from 101 to 287) also occurred when compared with total patient visits during the same time periods. Patient attendance at the NDP (52%) and acceptance of QuitlineNC services (31%) remained constant. The tobacco use registry's decision support tool increased evidenced-based tobacco use treatment (referrals, medications, and counseling) for patients at an academic family medicine clinic. This novel tool offers standardized care for all patients who use tobacco, ensuring improved access to effective tobacco use counseling and medication treatments. © Copyright 2015 by the American Board of Family Medicine.

  7. The Computer-Assisted Brief Intervention for Tobacco (CABIT) program: a pilot study.

    PubMed

    Boudreaux, Edwin D; Bedek, Kristyna L; Byrne, Nelson J; Baumann, Brigitte M; Lord, Sherrill A; Grissom, Grant

    2012-12-03

    Health care providers do not routinely carry out brief counseling for tobacco cessation despite the evidence for its effectiveness. For this intervention to be routinely used, it must be brief, be convenient, require little investment of resources, require little specialized training, and be perceived as efficacious by providers. Technological advances hold much potential for addressing the barriers preventing the integration of brief interventions for tobacco cessation into the health care setting. This paper describes the development and initial evaluation of the Computer-Assisted Brief Intervention for Tobacco (CABIT) program, a web-based, multimedia tobacco intervention for use in opportunistic settings. The CABIT uses a self-administered, computerized assessment to produce personalized health care provider and patient reports, and cue a stage-matched video intervention. Respondents interested in changing their tobacco use are offered a faxed referral to a "best matched" tobacco treatment provider (ie, dynamic referral). During 2008, the CABIT program was evaluated in an emergency department, an employee assistance program, and a tobacco dependence program in New Jersey. Participants and health care providers completed semistructured interviews and satisfaction ratings of the assessment, reports, video intervention, and referrals using a 5-point scale. Mean patient satisfaction scores (n = 67) for all domains ranged from 4.00 (Good) to 5.00 (Excellent; Mean = 4.48). Health care providers completed satisfaction forms for 39 patients. Of these 39 patients, 34 (87%) received tobacco resources and referrals they would not have received under standard care. Of the 45 participants offered a dynamic referral, 28 (62%) accepted. The CABIT program provided a user-friendly, desirable service for tobacco users and their health care providers. Further development and clinical trial testing is warranted to establish its effectiveness in promoting treatment engagement and tobacco cessation.

  8. The Computer-Assisted Brief Intervention for Tobacco (CABIT) Program: A Pilot Study

    PubMed Central

    Bedek, Kristyna L; Byrne, Nelson J; Baumann, Brigitte M; Lord, Sherrill A; Grissom, Grant

    2012-01-01

    Background Health care providers do not routinely carry out brief counseling for tobacco cessation despite the evidence for its effectiveness. For this intervention to be routinely used, it must be brief, be convenient, require little investment of resources, require little specialized training, and be perceived as efficacious by providers. Technological advances hold much potential for addressing the barriers preventing the integration of brief interventions for tobacco cessation into the health care setting. Objective This paper describes the development and initial evaluation of the Computer-Assisted Brief Intervention for Tobacco (CABIT) program, a web-based, multimedia tobacco intervention for use in opportunistic settings. Methods The CABIT uses a self-administered, computerized assessment to produce personalized health care provider and patient reports, and cue a stage-matched video intervention. Respondents interested in changing their tobacco use are offered a faxed referral to a “best matched” tobacco treatment provider (ie, dynamic referral). During 2008, the CABIT program was evaluated in an emergency department, an employee assistance program, and a tobacco dependence program in New Jersey. Participants and health care providers completed semistructured interviews and satisfaction ratings of the assessment, reports, video intervention, and referrals using a 5-point scale. Results Mean patient satisfaction scores (n = 67) for all domains ranged from 4.00 (Good) to 5.00 (Excellent; Mean = 4.48). Health care providers completed satisfaction forms for 39 patients. Of these 39 patients, 34 (87%) received tobacco resources and referrals they would not have received under standard care. Of the 45 participants offered a dynamic referral, 28 (62%) accepted. Conclusions The CABIT program provided a user-friendly, desirable service for tobacco users and their health care providers. Further development and clinical trial testing is warranted to establish its effectiveness in promoting treatment engagement and tobacco cessation. PMID:23208070

  9. Warm Handoff Versus Fax Referral for Linking Hospitalized Smokers to Quitlines.

    PubMed

    Richter, Kimber P; Faseru, Babalola; Shireman, Theresa I; Mussulman, Laura M; Nazir, Niaman; Bush, Terry; Scheuermann, Taneisha S; Preacher, Kristopher J; Carlini, Beatriz H; Magnusson, Brooke; Ellerbeck, Edward F; Cramer, Carol; Cook, David J; Martell, Mary J

    2016-10-01

    Few hospitals treat patients' tobacco dependence. To be effective, hospital-initiated cessation interventions must provide at least 1 month of supportive contact post-discharge. Individually randomized clinical trial. Recruitment commenced July 2011; analyses were conducted October 2014-June 2015. The study was conducted in two large Midwestern hospitals. Participants included smokers who were aged ≥18 years, planned to stay quit after discharge, and spoke English or Spanish. Hospital-based cessation counselors delivered the intervention. For patients randomized to warm handoff, staff immediately called the quitline from the bedside and handed the phone to participants for enrollment and counseling. Participants randomized to fax were referred on the day of hospital discharge. Outcomes at 6 months included quitline enrollment/adherence, medication use, biochemically verified cessation, and cost effectiveness. Significantly more warm handoff than fax participants enrolled in quitline (99.6% vs 59.6%; relative risk, 1.67; 95% CI=1.65, 1.68). One in four (25.4% warm handoff, 25.3% fax) were verified to be abstinent at 6-month follow-up; this did not differ significantly between groups (relative risk, 1.02; 95% CI=0.82, 1.24). Cessation medication use in the hospital and receipt of a prescription for medication at discharge did not differ between groups; however, significantly more fax participants reported using cessation medication post-discharge (32% vs 25%, p=0.01). The average incremental cost-effectiveness ratio of enrolling participants into warm handoff was $0.14. Hospital-borne costs were significantly lower in warm handoff than in fax ($5.77 vs $9.41, p<0.001). One in four inpatient smokers referred to quitline by either method were abstinent at 6 months post-discharge. Among motivated smokers, fax referral and warm handoff are efficient and comparatively effective ways to link smokers with evidence-based care. For hospitals, warm handoff is a less expensive and more effective method for enrolling smokers in quitline services. Copyright © 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  10. Using "warm handoffs" to link hospitalized smokers with tobacco treatment after discharge: study protocol of a randomized controlled trial.

    PubMed

    Richter, Kimber P; Faseru, Babalola; Mussulman, Laura M; Ellerbeck, Edward F; Shireman, Theresa I; Hunt, Jamie J; Carlini, Beatriz H; Preacher, Kristopher J; Ayars, Candace L; Cook, David J

    2012-08-01

    Post-discharge support is a key component of effective treatment for hospitalized smokers, but few hospitals provide it. Many hospitals and care settings fax-refer smokers to quitlines for follow-up; however, less than half of fax-referred smokers are successfully contacted and enrolled in quitline services. "Warm handoff" is a novel approach to care transitions in which health care providers directly link patients with substance abuse problems with specialists, using face-to-face or phone transfer. Warm handoff achieves very high rates of treatment enrollment for these vulnerable groups. The aim of this study-"EQUIP" (Enhancing Quitline Utilization among In-Patients)-is to determine the effectiveness, and cost-effectiveness, of warm handoff versus fax referral for linking hospitalized smokers with tobacco quitlines. This study employs a two-arm, individually randomized design. It is set in two large Kansas hospitals that have dedicated tobacco treatment interventionists on staff. At each site, smokers who wish to remain abstinent after discharge will be randomly assigned to groups. For patients in the fax group, staff will provide standard in-hospital intervention and will fax-refer patients to the state tobacco quitline for counseling post-discharge. For patients in the warm handoff group, staff will provide brief in-hospital intervention and immediate warm handoff: staff will call the state quitline, notify them that a warm handoff inpatient from Kansas is on the line, then transfer the call to the patients' mobile or bedside hospital phone for quitline enrollment and an initial counseling session. Following the quitline session, hospital staff provides a brief check-back visit. Outcome measures will be assessed at 1, 6, and 12 months post enrollment. Costs are measured to support cost-effectiveness analyses. We hypothesize that warm handoff, compared to fax referral, will improve care transitions for tobacco treatment, enroll more participants in quitline services, and lead to higher quit rates. We also hypothesize that warm handoff will be more cost-effective from a societal perspective. If successful, this project offers a low-cost solution for more efficiently linking millions of hospitalized smokers with effective outpatient treatment-smokers that might otherwise be lost in the transition to outpatient care. Clinical Trials Registration NCT01305928.

  11. A cluster randomized pilot trial of a tailored worksite smoking cessation intervention targeting Hispanic/Latino construction workers: Intervention development and research design.

    PubMed

    Asfar, Taghrid; Caban-Martinez, Alberto J; McClure, Laura A; Ruano-Herreria, Estefania C; Sierra, Danielle; Gilford Clark, G; Samano, Daniel; Dietz, Noella A; Ward, Kenneth D; Arheart, Kristopher L; Lee, David J

    2018-04-01

    Construction workers have the highest smoking rate among all occupations (39%). Hispanic/Latino workers constitute a large and increasing group in the US construction industry (over 2.6 million; 23% of all workers). These minority workers have lower cessation rates compared to other groups due to their limited access to cessation services, and lack of smoking cessation interventions adapted to their culture and work/life circumstances. Formative research was conducted to create an intervention targeting Hispanic/Latino construction workers. This paper describes the intervention development and the design, methods, and data analysis plans for an ongoing cluster pilot two-arm randomized controlled trial comparing an Enhanced Care worksite cessation program to Standard Care. Fourteen construction sites will be randomized to either Enhanced Care or Standard Care and 126 participants (63/arm) will be recruited. In both arms, recruitment and intervention delivery occur around "food trucks" that regularly visit the construction sites. Participants at Enhanced Care sites will receive the developed intervention consisting of a single face-to-face group counseling session, 2 phone calls, and a fax referral to Florida tobacco quitline (QL). Participants at Standard Care sites will receive a fax referral to the QL. Both groups will receive eight weeks of nicotine replacement treatment and two follow-up assessments at three and six months. Feasibility outcomes are estimated recruitment yield, barriers to delivering the intervention onsite, and rates of adherence/compliance to the intervention, follow-ups, and QL enrollment. Efficacy outcomes are point-prevalence and prolonged abstinence rates at six month follow-up confirmed by saliva cotinine <15 ng/ml. Copyright © 2018. Published by Elsevier Inc.

  12. Assessing Care of Vulnerable Elders – Alzheimer's Disease: A Pilot Study of a Practice Redesign Intervention to Improve the Quality of Dementia Care

    PubMed Central

    Reuben, David B.; Roth, Carol P.; Frank, Janet C.; Hirsch, Susan H.; Katz, Diane; McCreath, Heather; Younger, Jon; Murawski, Marta; Edgerly, Elizabeth; Maher, Joanne; Maslow, Katie; Wenger, Neil S.

    2013-01-01

    Objectives To determine whether a practice redesign intervention coupled with referral to local Alzheimer's Association chapters can improve the quality of dementia care. Design Pre-post intervention Setting Two community-based physician practices Participants Five physicians in each practice and their patients age 75 and older with dementia Intervention Adaptation of the Assessing Care of Vulnerable Elders (ACOVE)-2 intervention (screening, efficient collection of clinical data, medical record prompts, patient education/empowerment materials, and physician decision support/education). In addition, physicians faxed referral forms to local Alzheimer's Association chapters who assessed patients, provided counseling and education, and faxed information back to the physicians. Measurements Audits of pre- (5 per physician) and post- (10 per physician) intervention medical records using ACOVE-3 quality indicators for dementia to measure the quality of care provided. Results Based on 47 pre- and 90 post-intervention audits, the percentage of quality indicators satisfied rose from 38% to 46% with significant differences on quality indicators measuring the assessment of functional status (20% versus 51%), discussion of risk/benefits of antipsychotics (32% versus 100%), and counseling caregivers (2% versus 30%). Referral of patients to Alzheimer's Association chapters increased from 0 to 17%. Referred patients had higher quality scores (65% versus 41%) and better counseling about driving (50% versus 14%), caregiver counseling (100% versus 15%) and surrogate decision-maker specification (75% versus 44%). However, some quality indicators related to cognitive assessment and examination did not improve. Conclusions This pilot study suggests that a practice-based intervention can increase referral to AA chapters and improve quality of dementia care. PMID:20374405

  13. Development and preliminary pilot evaluation of a brief tablet computer intervention to motivate tobacco quitline use among smokers in substance use treatment.

    PubMed

    Brown, Richard A; Hecht, Jacki; Bloom, Erika L; Minami, Haruka; Kahler, Christopher W; Abrantes, Ana M; Dubreuil, Mary E; Gordon, Alan; Price, Lawrence H; Ondersma, Steven J

    2017-09-01

    The majority of individuals in substance use disorder (SUD) treatment also smoke cigarettes; yet, the availability of smoking cessation services in SUD treatment remains limited. In this study, we developed and piloted a brief intervention for smokers in SUD treatment intended to motivate engagement in tobacco quitline treatment (TIME-TQ). First, we interviewed 19 smokers in SUD treatment to inform the development of TIME-TQ (Phase 1). Second, we delivered a prototype TIME-TQ to 16 smokers in the same SUD treatment program and followed them for 3 months post-discharge (Phase 2). Feedback from Phase 1 participants was used to refine response choices and video segments included in the prototype TIME-TQ. Phase 2 participants rated TIME-TQ high on relevance, interest, respectfulness, and helpfulness. Additionally, they reported significant increases in readiness to quit and perceived importance of quitting after receiving TIME-TQ. A total of 8 of the 16 accepted a quitline referral, and 8 of 13 reached for follow-up (four referral acceptors, four decliners) reported efforts to quit or reduce smoking during the follow-up period. However, only three received quitline counseling and none achieved a sustained period of abstinence. Our results suggest that TIME-TQ activated these patients to quit smoking, but our referral method (standard fax referral) was unsuccessful in helping participants fully engage in quitline treatment or achieving a period of abstinence. We are now conducting an RCT to evaluate TIME-TQ with a revised referral procedure intended to increase treatment engagement and, ultimately, abstinence rates. (Am J Addict 2017;26:587-594). © 2017 American Academy of Addiction Psychiatry.

  14. The 2012 SAGE wait times program: Survey of Access to GastroEnterology in Canada

    PubMed Central

    Leddin, Desmond; Armstrong, David; Borgaonkar, Mark; Bridges, Ronald J; Fallone, Carlo A; Telford, Jennifer J; Chen, Ying; Colacino, Palma; Sinclair, Paul

    2013-01-01

    BACKGROUND: Periodically surveying wait times for specialist health services in Canada captures current data and enables comparisons with previous surveys to identify changes over time. METHODS: During one week in April 2012, Canadian gastroenterologists were asked to complete a questionnaire (online or by fax) recording demographics, reason for referral, and dates of referral and specialist visits for at least 10 consecutive new patients (five consultations and five procedures) who had not been seen previously for the same indication. Wait times were determined for 18 indications and compared with those from similar surveys conducted in 2008 and 2005. RESULTS: Data regarding adult patients were provided by 173 gastroenterologists for 1374 consultations, 540 procedures and 293 same-day consultations and procedures. Nationally, the median wait times were 92 days (95% CI 85 days to 100 days) from referral to consultation, 55 days (95% CI 50 days to 61 days) from consultation to procedure and 155 days (95% CI 142 days to 175 days) (total) from referral to procedure. Overall, wait times were longer in 2012 than in 2005 (P<0.05); the wait time to same-day consultation and procedure was shorter in 2012 than in 2008 (78 days versus 101 days; P<0.05), but continued to be longer than in 2005 (P<0.05). The total wait time remained longest for screening colonoscopy, increasing from 201 days in 2008 to 279 days in 2012 (P<0.05). DISCUSSION: Wait times for gastroenterology services continue to exceed recommended targets, remain unchanged since 2008 and exceed wait times reported in 2005. PMID:23472243

  15. GREAT LAKES FAX-BACK SERVICE

    Science.gov Websites

    available to ships participating in the Voluntary Observing Ships (VOS) program. To register as a Fax-Back Tsunamis 406 EPIRB's National Weather Service Marine Forecasts GREAT LAKES FAX-BACK SERVICE Marine Forecast months. Did you know your body can cool 25 times faster in water than in air? That water does not need to

  16. Using web technology and Java mobile software agents to manage outside referrals.

    PubMed Central

    Murphy, S. N.; Ng, T.; Sittig, D. F.; Barnett, G. O.

    1998-01-01

    A prototype, web-based referral application was created with the objective of providing outside primary care providers (PCP's) the means to refer patients to the Massachusetts General Hospital and the Brigham and Women's Hospital. The application was designed to achieve the two primary objectives of providing the consultant with enough data to make decisions even at the initial visit, and providing the PCP with a prompt response from the consultant. The system uses a web browser/server to initiate the referral and Java mobile software agents to support the workflow of the referral. This combination provides a light client implementation that can run on a wide variety of hardware and software platforms found in the office of the PCP. The implementation can guarantee a high degree of security for the computer of the PCP. Agents can be adapted to support the wide variety of data types that may be used in referral transactions, including reports with complex presentation needs and scanned (faxed) images Agents can be delivered to the PCP as running applications that can perform ongoing queries and alerts at the office of the PCP. Finally, the agent architecture is designed to scale in a natural and seamless manner for unforeseen future needs. PMID:9929190

  17. 76 FR 28027 - State Program Requirements; Application for Program Revision to the National Pollutant Discharge...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-13

    ... copies to Hanh Shaw, Office of Water and Watersheds, Mail Stop OWW-130, 1200 Sixth Avenue, Suite 900, Seattle, WA 98101-3140. E-mail: Send electronic copies to shaw[email protected] . Fax: Fax copies to the attention of Hanh Shaw at (206) 553-0165. Hand Delivery/Courier: Deliver copies to Hanh Shaw, Office of...

  18. 50 CFR 679.90 - Allocation, use, and transfer of Amendment 80 QS permits.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Restricted Access Management Program, NMFS, P.O. Box 21668, Juneau, AK 99802-1668; (ii) Fax: 907-586-7354; or (iii) Hand delivery or carrier: NMFS, Room 713, 709 West 9th Street, Juneau, AK 99801. (2) Application... Administrator, c/o Restricted Access Management Program, NMFS, P.O. Box 21668, Juneau, AK 99802-1668; (ii) Fax...

  19. Defense Enterprise Accounting and Management System-Increment 1 (DEAMS Inc 1)

    DTIC Science & Technology

    2016-03-01

    information accurately and in conformance with Generally Accepted Accounting Principles , to comply with Congressional requirements of the Chief Financial ...2016 Major Automated Information System Annual Report Defense Enterprise Accounting and Management System-Increment 1 (DEAMS Inc 1) Defense...Phone: 937-257-2714 Fax: DSN Phone: 787-2714 DSN Fax: Date Assigned: August 17, 2015 Program Information Program Name Defense Enterprise Accounting

  20. 75 FR 15668 - Information Collection Activity; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-30

    ...., STOP 1522, Room 5159, South Building, Washington, DC 20250-1522. Telephone: (202) 690-1078. Fax: (202...., Washington, DC 20250-1522. Fax: (202) 720-8435. Title: Broadband Grant Program. OMB Control Number: 0572-0127...'' basis. The ``community-oriented connectivity'' concept integrates the deployment of broadband...

  1. 75 FR 18783 - Middle East Public Health Mission; Application Deadline Extended

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-13

    ..., Baltimore U.S. Export Assistance Center, Tel: 410- 962-4518, Fax: 410-962-4529, E-mail: [email protected] . Ms. Lisa C. Huot, U.S. Department of Commerce, Washington, DC 20230, Tel: 202-482-2796, Fax: 202-482-0115, E-Mail: Lisa[email protected] . Sean Timmins, Global Trade Programs, Commercial Service...

  2. 75 FR 2861 - Board of Scientific Counselors, Executive Committee Meeting-February 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-19

    ... Change); an ORD briefing on revisions to the program review process; a briefing from the BOSC Decision... finished. Requests for the draft agenda or for making oral presentations at the meeting will be accepted [email protected] , Attention Docket ID No. EPA-HQ-ORD-2010-0013. Fax: Fax comments to: (202) 566-0224...

  3. 50 CFR 679.90 - Allocation, use, and transfer of Amendment 80 QS permits.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., NMFS, P.O. Box 21668, Juneau, AK 99802-1668; (ii) Fax: 907-586-7354; or (iii) Hand delivery or carrier: NMFS, Room 713, 709 West 9th Street, Juneau, AK 99801. (2) Application forms. Application forms are... Administrator, c/o Restricted Access Management Program, NMFS, P.O. Box 21668, Juneau, AK 99802-1668; (ii) Fax...

  4. 50 CFR 679.90 - Allocation, use, and transfer of Amendment 80 QS permits.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ..., NMFS, P.O. Box 21668, Juneau, AK 99802-1668; (ii) Fax: 907-586-7354; or (iii) Hand delivery or carrier: NMFS, Room 713, 709 West 9th Street, Juneau, AK 99801. (2) Application forms. Application forms are... Administrator, c/o Restricted Access Management Program, NMFS, P.O. Box 21668, Juneau, AK 99802-1668; (ii) Fax...

  5. The “jaundice hotline” for the rapid assessment of patients with jaundice

    PubMed Central

    Mitchell, Jonathan; Hussaini, Hyder; McGovern, Dermot; Farrow, Richard; Maskell, Giles; Dalton, Harry

    2002-01-01

    Problem Patients with jaundice require rapid diagnosis and treatment, yet such patients are often subject to delay. Design An open referral, rapid access jaundice clinic was established by reorganisation of existing services and without the need for significant extra resources. Background and setting A large general hospital in a largely rural and geographically isolated area. Key measures for improvement Waiting times for referral, consultation, diagnosis, and treatment, length of stay in hospital, and general practitioners' and patients' satisfaction with the service. Strategies for change Referrals were made through a 24 hour telephone answering machine and fax line. Initial assessment of patients was carried out by junior staff as part of their working week. Dedicated ultrasonography appointments were made available. Effects of change Of 107 patients seen in the first year of the service, 62 had biliary obstruction. The mean time between referral and consultation was 2.5 days. Patients who went on to endoscopic retrograde cholangiopancreatography waited 5.7 days on average. The mean length of stay in hospital in the 69 patients who were admitted was 6.1 days, compared with 11.5 days in 1996, as shown by audit data. Nearly all the 36 general practices (95%) and the 30 consecutive patients (97%) that were surveyed rated the service as above average or excellent. Lessons learnt An open referral, rapid access service for patients with jaundice can shorten time to diagnosis and treatment and length of stay in hospital. These improvements can occur through the reorganisation of existing services and with minimal extra cost. PMID:12142314

  6. 50 CFR 86.51 - To whom must I apply?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM How..., Fax: 303-236-8192 7 Alaska Division of Federal Aid, U.S. Fish & Wildlife Service, 1011 East Tudor Road...

  7. Genetic and Epigenetic Determinants of Lung Cancer Subtype: Adenocarcinoma to Small Cell Conversion

    DTIC Science & Technology

    2015-08-01

    better understand critical molecular alterations in non -small cell lung cancer (NSCLC) which may lead to the identification of effective therapies...Program Official: Email: kimke@mail.nih.gov; Phone: 301-496-8639; Fax: 301-402-7819 EGFR Mutations in Non Small Cell Lung Cancer The aims of the study...forryscs@mail.nih.gov; Phone: (301) 435-9147; Fax: 301-402-5200 Protein Kinase Therapeutic Targets for Non Small Cell Lung Carcinoma The overall goal

  8. Six easy steps on how to create a lean sigma value stream map for a multidisciplinary clinical operation.

    PubMed

    Lee, Emily; Grooms, Richard; Mamidala, Soumya; Nagy, Paul

    2014-12-01

    Value stream mapping (VSM) is a very useful technique to visualize and quantify the complex workflows often seen in clinical environments. VSM brings together multidisciplinary teams to identify parts of processes, collect data, and develop interventional ideas. An example involving pediatric MRI with general anesthesia VSM is outlined. As the process progresses, the map shows a large delay between the fax referral and the date of the scheduled and registered appointment. Ideas for improved efficiency and metrics were identified to measure improvement within a 6-month period, and an intervention package was developed for the department. Copyright © 2014. Published by Elsevier Inc.

  9. 75 FR 64692 - Green Technology Pilot Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-20

    ... DEPARTMENT OF COMMERCE Patent and Trademark Office Green Technology Pilot Program ACTION: Proposed...- 0062 Green Technology Pilot Program comment'' in the subject line of the message. Fax: 571-273-0112... permits patent applications pertaining to green technologies, including greenhouse gas reduction, to be...

  10. Participation Rates, Process Monitoring, and Quality Improvement Among Cardiac Rehabilitation Programs in the United States: A NATIONAL SURVEY.

    PubMed

    Pack, Quinn R; Squires, Ray W; Lopez-Jimenez, Francisco; Lichtman, Steven W; Rodriguez-Escudero, Juan P; Lindenauer, Peter K; Thomas, Randal J

    2015-01-01

    Although strategies exist for improving cardiac rehabilitation (CR) participation rates, it is unclear how frequently these strategies are used and what efforts are being made by CR programs to improve participation rates. We surveyed all CR program directors in the American Association of Cardiovascular and Pulmonary Rehabilitation's database. Data collection included program characteristics, the use of specific referral and recruitment strategies, and self-reported program participation rates. Between 2007 and 2012, 49% of programs measured referral of inpatients from the hospital, 21% measured outpatient referral from office/clinic, 71% measured program enrollment, and 74% measured program completion rates. Program-reported participation rates (interquartile range) were 68% (32-90) for hospital referral, 35% (15-60) for office/clinic referral, 70% (46-80) for enrollment, and 75% (62-82) for program completion. The majority of programs utilized a hospital-based systematic referral, liaison-facilitated referral, or inpatient CR program referral (64%, 68%, and 60% of the time, respectively). Early appointments (<2 weeks) were utilized by 35%, and consistent phone call appointment reminders were utilized by 50% of programs. Quality improvement (QI) projects were performed by about half of CR programs. Measurement of participation rates was highly correlated with performing QI projects (P < .0001.) : Although programs are aware of participation rate gaps, the monitoring of participation rates is suboptimal, QI initiatives are infrequent, and proven strategies for increasing patient participation are inconsistently utilized. These issues likely contribute to the national CR participation gap and may prove to be useful targets for national QI initiatives.

  11. Contact Us - Division of Mining, Land, and Water

    Science.gov Websites

    Lands Coal Regulatory Program Large Mine Permits Mineral Property and Rights Mining Index Land Coal Regulatory Program 550 W. 7th Ave., Suite 900D Anchorage, AK 99501-3577 Phone: (907) 269-8650 Fax

  12. Design and Implementation of a Physician Coaching Pilot to Promote Value-Based Referrals to Specialty Care.

    PubMed

    Tuzzio, Leah; Ludman, Evette J; Chang, Eva; Palazzo, Lorella; Abbott, Travis; Wagner, Edward H; Reid, Robert J

    2017-01-01

    Referral rates to specialty care from primary care physicians vary widely. To address this variability, we developed and pilot tested a peer-to-peer coaching program for primary care physicians. To assess the feasibility and acceptability of the coaching program, which gave physicians access to their individual-level referral data, strategies, and a forum to discuss referral decisions. The team designed the program using physician input and a synthesis of the literature on the determinants of referral. We conducted a single-arm observational pilot with eight physicians which made up four dyads, and conducted a qualitative evaluation. Primary reasons for making referrals were clinical uncertainty and patient request. Physicians perceived doctor-to-doctor dialogue enabled mutual learning and a pathway to return joy to the practice of primary care medicine. The program helped physicians become aware of their own referral data, reasons for making referrals, and new strategies to use in their practice. Time constraints caused by large workloads were cited as a barrier both to participating in the pilot and to practicing in ways that optimize referrals. Physicians reported that the program could be sustained and spread if time for mentoring conversations was provided and/or nonfinancial incentives or compensation was offered. This physician mentoring program aimed at reducing specialty referral rates is feasible and acceptable in primary care settings. Increasing the appropriateness of referrals has the potential to provide patient-centered care, reduce costs for the system, and improve physician satisfaction.

  13. 76 FR 20799 - Intermediary Lending Pilot Program Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-13

    ... Pilot (ILP) program established by the Small Business Jobs Act of 2010. The meetings will be open to the... holding open meetings to discuss the ILP program established in the Small Business Jobs Act of 2010 (Pub... program public meeting, please contact: 1. San Francisco--Steve Bangs, (415) 744-6792, fax (415) 744-6812...

  14. National Directory of Financial Assistance Programs for Post-Secondary Students with Disabilities.

    ERIC Educational Resources Information Center

    Estey, Steven; Alphonse, Laurie

    This directory is intended to provide a comprehensive source of information on financial assistance for Canadian post-secondary students with disabilities. The directory includes descriptions of funding programs, mailing addresses, telephone and fax numbers, and e-mail addresses for further information. Government funding programs described…

  15. 78 FR 57099 - Avocados Grown in South Florida; Increased Assessment Rate

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-17

    ... and Agreement Division, Fruit and Vegetable Program, AMS, USDA, 1400 Independence Avenue SW., STOP... Agreement Division, Fruit and Vegetable Program, AMS, USDA; Telephone: (863) 324-3375, Fax: (863) 325-8793... Division, Fruit and Vegetable Program, AMS, USDA, 1400 Independence Avenue SW., STOP 0237, Washington, DC...

  16. Identifying, screening and engaging high-risk clients in private non-profit child abuse prevention programs.

    PubMed

    Barth, R P; Ash, J R; Hacking, S

    1986-01-01

    Child abuse prevention programs rely on varied strategies to identify, screen, obtain referrals of, and engage high risk parents. Available literature on community-based child abuse prevention projects is not conclusive about project outcomes nor sufficiently descriptive about implementation. From the literature, experience and interviews with staff from more than 20 programs, barriers to implementation are identifiable. Barriers arise during identifying and screening at-risk families, referral, continued collaboration with referrers, and engaging clients in services. The paper describes a diverse set of strategies for surmounting these barriers. Staff characteristics and concrete services partially predict the success of program implementation. So does the program's relationship to other agencies. Child abuse prevention programs assume independent, interdependent, and dependent relationships with other agencies and referrers. Interdependent programs appear to have the best chance of obtaining referrals and maintaining clients who match their program's intent.

  17. 75 FR 80040 - Manufacturing Council

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-21

    ..., developing and marketing programs in support of manufacturing industries, job creation in the manufacturing... relevant contact information such as mailing address, fax, e-mail, fixed and mobile phone numbers and...

  18. National Workplace Literacy Program. 1993 Abstracts.

    ERIC Educational Resources Information Center

    Office of Vocational and Adult Education (ED), Washington, DC. National Workplace Literacy Program.

    This publication presents the abstracts of the 57 National Workplace Literacy Program 1993 projects. Each abstract provides the following information: project title; award number; project director; awardee; address; telephone and fax numbers; funds by fiscal year (federal and nonfederal); award period; federal project officer; objectives;…

  19. 78 FR 29771 - Notice of Formula Allocations and Program Requirements for Neighborhood Stabilization Programs 1...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-21

    ... impairments may access this number via TTY by calling the Federal Relay Service at 800-877-8339. FAX inquiries... and Consumer Protection Act of 2010 (Pub. L. 111-203, approved July 21, 2010) (Dodd-Frank Act) for the...

  20. Impaired Job Performance and Critical Incidents: Factors Influencing Supervisory EAP Referrals.

    ERIC Educational Resources Information Center

    Harley, David A.

    Relatively little empirical research has been done on the supervisory referral of employees to employee assistance programs (EAPs). Inclusion of constructive confrontation (supervisory referral) into program standards and its continued promotion as a "central strategy" of program theory and operation calls for critical investigation of…

  1. 75 FR 54086 - Global Intellectual Property Academy Program Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-03

    ... Survey ACTION: Proposed collection; comment request. SUMMARY: The United States Patent and Trademark... Global Intellectual Property Academy Program Survey comment'' in the subject line of the message. Fax... INFORMATION I. Abstract The U.S. Patent and Trademark Office plans to survey participants of the Global...

  2. 76 FR 48165 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-08

    ... Management and Budget, Paperwork Reduction Project, Fax: 202-395- 7285, E-mail: [email protected] Description: The ORR-1, Cash and Medical Assistance (CMA) Program Estimates, is the application for grants... this program, estimates of the projected costs they anticipate incurring in providing cash and medical...

  3. Department of Defense Healthcare Management System Modernization (DHMSM)

    DTIC Science & Technology

    2016-03-01

    2016 Major Automated Information System Annual Report Department of Defense Healthcare Management System Modernization (DHMSM) Defense...DSN Fax: Date Assigned: November 16, 2015 Program Information Program Name Department of Defense Healthcare Management System Modernization...DHMSM) DoD Component DoD The acquiring DoD Component is Program Executive Office (PEO) Department of Defense (DoD) Healthcare Management Systems (DHMS

  4. Fax for Library Services. ERIC Digest.

    ERIC Educational Resources Information Center

    Spitzer, Kathleen L.

    This digest discusses how libraries of all types are using the facsimile (or "fax") machine to meet users' information needs. A definition of facsimile technology includes the components of a fax machine, the four types of fax machines, and the recent development of the "fax board," which allows a computer to transmit…

  5. 75 FR 77893 - Notice of Submission of Proposed Information Collection to OMB; Emergency Comment Request...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-14

    ... AIDS (HOPWA) Program: Annual Performance Reporting Requirements and Competitive/Renewal Grant Budget... ; fax: 202-395-6974. FOR FURTHER INFORMATION CONTACT: David Vos, Director, Office of HIV/ AIDS Housing... following information: Title of Proposal: Housing Opportunities for Persons with AIDS (HOPWA) Program...

  6. 77 FR 70413 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-26

    ..., Office of Management and Budget (OMB), [email protected] or fax (202) 395-5806 and to... it displays a currently valid OMB control number. Food and Nutrition Service Title: WIC Program... Program is authorized by the Child Nutrition Act of 1966, as amended, and is administered by State...

  7. 75 FR 45568 - Approval and Promulgation of Air Quality Implementation Plans; Minnesota

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-03

    ... Promulgation of Air Quality Implementation Plans; Minnesota AGENCY: Environmental Protection Agency (EPA.... Fax: (312) 629-2054. 4. Mail: Jay Bortzer, Chief, Air Programs Branch (AR-18J), U.S. Environmental..., Air Programs Branch (AR-18J), U.S. Environmental Protection Agency, 77 West Jackson Boulevard, Chicago...

  8. Survival analysis to explore the characteristics of employee assistance program (EAP) referrals that remain employed.

    PubMed

    Macdonald, S; Albert, W; Maynard, M; French, P

    1989-02-01

    This study examined characteristics of referrals to employee assistance programs (EAP) associated with subsequent termination of employment. As well, relationships between characteristics of the referrals and program characteristics were explored. Longitudinal data were collected at several time periods for 163 referrals to EAPs from five organizations. Survival analysis was conducted to determine which variables were associated with termination of employment. Females, cohabitating couples, and employees who worked for the organization for 5 or more years were most likely to remain employed. One interesting finding was that people with alcohol problems were significantly more likely to be formal referrals.

  9. Indian Ocean METOC Imager

    DTIC Science & Technology

    2002-09-30

    onr.navy.mil Mr. Wallace Harrison, GIFTS Program Manager NASA EO-3, New Millenium Program, Langley Research Center phone: 757-864-6680 fax: 757-864...Observing 3 Geostationary Imaging Fourier Transform Spectrometer ( GIFTS ) sensor development to provide this advanced capability. The IOMI program will...share costs for the GIFTS sensor development, the spacecraft bus, provide lifetime enhancements to the GIFTS sensor, and 1 Report Documentation Page

  10. Air Force Integrated Personnel and Pay System (AFIPPS)

    DTIC Science & Technology

    2016-03-01

    2016 Major Automated Information System Annual Report Air Force Integrated Personnel and Pay System (AFIPPS) Defense Acquisition Management...DSN Fax: 665-1207 Date Assigned: February 1, 2016 Program Information Program Name Air Force Integrated Personnel and Pay System (AFIPPS) DoD...therefore, no Original Estimate has been established. AFIPPS 2016 MAR UNCLASSIFIED 4 Program Description Air Force Integrated Personnel and Pay

  11. Biometrics Enabling Capability Increment 1 (BEC Inc 1)

    DTIC Science & Technology

    2016-03-01

    2016 Major Automated Information System Annual Report Biometrics Enabling Capability Increment 1 (BEC Inc 1) Defense Acquisition Management...Phone: 227-3119 DSN Fax: Date Assigned: July 15, 2015 Program Information Program Name Biometrics Enabling Capability Increment 1 (BEC Inc 1) DoD...therefore, no Original Estimate has been established. BEC Inc 1 2016 MAR UNCLASSIFIED 4 Program Description The Biometrics Enabling Capability (BEC

  12. 48 CFR 619.602-1 - Referral.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Referral. 619.602-1 Section 619.602-1 Federal Acquisition Regulations System DEPARTMENT OF STATE SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS Certificates of Competency and Determinations of Eligibility 619.602-1 Referral. The...

  13. 48 CFR 2819.602-1 - Referral.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Referral. 2819.602-1 Section 2819.602-1 Federal Acquisition Regulations System DEPARTMENT OF JUSTICE Socioeconomic Programs SMALL BUSINESS PROGRAMS Certificates of Competency and Determinations of Eligibility 2819.602-1 Referral...

  14. A workplace breast cancer screening program. Costs and components.

    PubMed

    Schrammel, P; Griffiths, R I; Griffiths, C B

    1998-11-01

    Screening for breast cancer can result in early detection of malignancies and lives saved. Many employers now offer periodic screening as an employee health benefit, and some have established screening programs in the workplace. This study was performed to identify the employer costs of breast cancer screening in the workplace, referrals for suspicious findings, and initial treatment of malignant disease. Additionally, the costs for these same services, had they been obtained outside of a workplace screening program, were estimated. Data on program components and associated costs for an established employer based breast cancer screening program were obtained. These costs were compared to those among a hypothetical cohort of women not enrolled in the workplace screening program. From 1989 through 1995, 1,416 women participated in the program. Nearly 2,500 screening mammograms and approximately 2,773 clinical breast examinations were performed, resulting in 292 referrals to physicians outside of the program for additional diagnostic procedures and treatment as needed. These referrals resulted in the detection of 12 malignancies: 8 Stage I; 3 Stage II; and 1 Stage III. Mammographic and clinical breast examination screening cost $249,041; referrals resulting in benign disease or no detectable disease cost $185,002; and referrals resulting in malignant disease, followed by initial treatment, cost $148,530. Therefore, the total cost was $582,573. Approximately 47% of the cost of referrals and initial treatment were due to employee lost productivity. Total cost in the hypothetical cohort was $1,067,948 under the assumptions that all women received screening outside of the workplace, and that the same number of malignancies were detected at the same stage as in the workplace program. These findings indicate referrals resulting in detection of benign disease or no disease accounted for a substantial proportion of the total cost of the program. In addition, employee lost productivity accounted for almost 50% of the cost of all referrals and initial treatment. Workplace screening is a relatively efficient approach for early detection of breast cancer when compared to off site screening or no screening. The efficiency could be improved with a reduction in the number and cost of unnecessary referrals.

  15. The effect of a contingent monetary reward on probation referrals to a drug abuse program.

    PubMed

    Hunsaker, A C

    1985-01-01

    Faced with reductions in public funds and calls for greater accountability, substance abuse programs can possibly increase revenues through patient fees by increasing referrals from the criminal justice system. Accountability can be improved through the use of organizational behavior management techniques. This study demonstrates the utility of behavioral techniques to increase referrals and revenue in an outpatient drug abuse program. The rate of criminal justice referrals increased substantially when counselors were offered "commissions" based on patient fees. These results are discussed with respect to the practicality of behavioral techniques in the management of drug abuse programs and with regard to policy implications.

  16. 42 CFR 455.13 - Methods for identification, investigation, and referral.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... referral. 455.13 Section 455.13 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PROGRAM INTEGRITY: MEDICAID Medicaid... referral. The Medicaid agency must have— (a) Methods and criteria for identifying suspected fraud cases; (b...

  17. 48 CFR 919.602-1 - Referral.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Referral. 919.602-1 Section 919.602-1 Federal Acquisition Regulations System DEPARTMENT OF ENERGY SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS Certificates of Competency and Determinations of Eligibility 919.602-1 Referral. (a)(2...

  18. 76 FR 76424 - Biologics Price Competition and Innovation Act of 2009; Proposed Recommendations for a User Fee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-07

    ...] Biologics Price Competition and Innovation Act of 2009; Proposed Recommendations for a User Fee Program for... meeting to discuss the proposed recommendations for a user fee program for biosimilar biological products... 20993-0002, (301) 796-4463, Fax: (301) 847-8443, Email: BiosimilarsUser[email protected

  19. 76 FR 44394 - Public Transportation on Indian Reservations Program; Tribal Transit Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-25

    ...) 366-0893, e-mail: [email protected] . A TDD is available at 1-800-877-8339 (TDD/FIRS.... Eligible Applicants B. Eligible Projects C. Cost Sharing and Matching D. Proposal Content E. Evaluation... grants.gov . E-mail, mail and fax submissions will not be accepted. Complete proposals for the Tribal...

  20. Joint Space Operations Center (JSpOC) Mission System Increment 3 (JMS Inc 3)

    DTIC Science & Technology

    2016-03-01

    2016 Major Automated Information System Annual Report Joint Space Operations Center (JSpOC) Mission System Increment 3 (JMS Inc 3) Defense...1725 DSN Phone: DSN Fax: Date Assigned: May 16, 2014 Program Information Program Name Joint Space Operations Center (JSpOC) Mission System...approved program baseline; therefore, no Original Estimate has been established. JMS Inc 3 2016 MAR UNCLASSIFIED 4 Program Description The Joint Space

  1. Referral decisions of teachers and school psychologists for twice-exceptional students

    NASA Astrophysics Data System (ADS)

    Hoffman, Jennifer Marie

    The accurate and timely referral and identification of twice-exceptional students remains a challenge. In a statewide study, the referral decisions for both special education and gifted programming evaluations made by four participant groups (i.e., general education teachers, special education teachers, gifted education teachers, and school psychologists) were compared. Participants were randomly assigned to read one of three identically described students in a vignette that differed only in the presence of a diagnostic label--- autism spectrum disorder (ASD), specific learning disability (SLD), or no diagnostic label. In all, special education teachers made the most special education referrals, while gifted education teachers made the most gifted programming referrals, both regardless of the diagnostic label present. The students with diagnostic labels were recommended for special education referrals significantly more than for gifted programming, while this difference was not evident in the no diagnostic label condition. Moreover, the student with the ASD label was the most likely to be referred for evaluations for both special education and gifted programming out of all three vignette conditions. Overall findings indicated the importance of considering the referral source as well as how the presence of a diagnostic label might influence educational referral decisions, particularly in how this might influence overall multidisciplinary team decisions for these unique learners.

  2. The Marriage of Fax and Online.

    ERIC Educational Resources Information Center

    Basch, Reva

    1995-01-01

    Discusses the use of fax transmissions. Highlights include searching by fax, including online service, print and electronic publishing, and database producers; customer service, including documentation updates, new product announcements, and marketing materials; document delivery; problems; and fax messaging. (four references) (LRW)

  3. Proceedings of the Government Users Workshop on Ground Penetrating Radar Applications and Equipment 26-27 March 1992 Vicksburg, Mississippi

    DTIC Science & Technology

    1992-12-01

    Allison P.O. Box 946 USDA Tifton , GA 31794 Box 946 Phone: 912-386-3899 Tifton , GA 31794 FAX: 912-386-7215 Phone: 912-386-7075 FAX: 912-386-7215 Paul...FAX: 603-889-3984 FAX: 071-724-1433 Ricky Fletcher S. V. Cosvay USDA-ARS-SEWRL Sensors and Software, Inc. Rt. 4, Box 1390 5566 Tomken Road Tifton , GA ... Tifton , GA 31793 Phone: 305-634-4507 Phone: 912-386-7174 FAX: 305-635-4901 FAX: 912-386-7215 8 GOVERNMENT USERS WORKSHOP ON GROUND PENETRATING RADAR

  4. 78 FR 20883 - Notice of Solicitation of Applications for the Intermediary Relending Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-08

    ... Development State Office 700 West Capitol Avenue, Room 3416 Little Rock, AR 72201-3225 (501) 301-3200/FAX (501..., age, disability, and, where applicable, sex, marital status, familial status, parental status...

  5. Union-related correlates of employee referrals to an occupational alcoholism project in a health maintenance organization.

    PubMed

    Putnam, S L; Stout, R L

    1982-03-01

    A number of union-related factors, including the degree of unionization and the skill level of the work force, the quality of union-management relations, the extent of union involvement in program development, as well as the provision of supervisory training, have been found to be important in explaining occupational alcoholism program outcome. This study attempted to determine the relationship of such factors to an unusual measure of program outcome, employee referrals to the treatment component of an occupational alcoholism project housed in the counseling department of a health maintenance organization. Multiple-regression techniques were used, with data collected for unionized companies that adopted formal, written employee assistance program (EAP) policies and those that did not. The adoption of an EAP policy seems more important than any other factor in predicting referrals to treatment, In unionized companies without policies, the union-related factors bear no relationship to referrals, while in unionized companies with policies, these variables, particularly the quality of union-management relations, are strong predictors. Supervisory training has only a modest positive effect on referrals. The adoption of an employee assistance policy itself was found to be crucial to program outcome, measured by increased chances of referrals.

  6. National Skills Standards Development Project. Study of the State of the Art of Certification and Accreditation Programs.

    ERIC Educational Resources Information Center

    Electronic Industries Foundation, Washington, DC.

    A study of 10 organizations explored how their various certification or accreditation programs were developed, structured, and managed and made observations to guide the development of certification or accreditation for the electronics industry. From November 1994 through January 1995, a phone and fax survey was conducted of these organizations:…

  7. 76 FR 19527 - Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-07

    ... one of the addresses provided below, no later than 5 p.m. on June 6, 2011. ADDRESSES: In commenting... comments by facsimile (FAX) transmission. You may submit comments in one of four ways (please choose only one of the ways listed): 1. Electronically. You may submit electronic comments on this regulation to...

  8. 77 FR 36287 - Receipt of Application for the Amendment of the Incidental Take Permit for the Multiple Species...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-18

    ... location: Fax: Field Supervisor, 760-918-0638, Attn. MSCP Subarea Plan. FOR FURTHER INFORMATION CONTACT: Ms... Conservation Program County of San Diego Subarea Plan, County of San Diego, California AGENCY: Fish and...-840414) issued for the Multiple Species Conservation Program County of San Diego Subarea Plan (MSCP...

  9. FAX1, a Novel Membrane Protein Mediating Plastid Fatty Acid Export

    PubMed Central

    Li, Nannan; Gügel, Irene Luise; Giavalisco, Patrick; Zeisler, Viktoria; Schreiber, Lukas; Soll, Jürgen; Philippar, Katrin

    2015-01-01

    Fatty acid synthesis in plants occurs in plastids, and thus, export for subsequent acyl editing and lipid assembly in the cytosol and endoplasmatic reticulum is required. Yet, the transport mechanism for plastid fatty acids still remains enigmatic. We isolated FAX1 (fatty acid export 1), a novel protein, which inserts into the chloroplast inner envelope by α-helical membrane-spanning domains. Detailed phenotypic and ultrastructural analyses of FAX1 mutants in Arabidopsis thaliana showed that FAX1 function is crucial for biomass production, male fertility and synthesis of fatty acid-derived compounds such as lipids, ketone waxes, or pollen cell wall material. Determination of lipid, fatty acid, and wax contents by mass spectrometry revealed that endoplasmatic reticulum (ER)-derived lipids decreased when FAX1 was missing, but levels of several plastid-produced species increased. FAX1 over-expressing lines showed the opposite behavior, including a pronounced increase of triacyglycerol oils in flowers and leaves. Furthermore, the cuticular layer of stems from fax1 knockout lines was specifically reduced in C29 ketone wax compounds. Differential gene expression in FAX1 mutants as determined by DNA microarray analysis confirmed phenotypes and metabolic imbalances. Since in yeast FAX1 could complement for fatty acid transport, we concluded that FAX1 mediates fatty acid export from plastids. In vertebrates, FAX1 relatives are structurally related, mitochondrial membrane proteins of so-far unknown function. Therefore, this protein family might represent a powerful tool not only to increase lipid/biofuel production in plants but also to explore novel transport systems involved in vertebrate fatty acid and lipid metabolism. PMID:25646734

  10. 48 CFR 1552.219-71 - Procedures for Participation in the EPA Mentor-Protege Program.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...)), including historically black colleges and universities. Further, in accordance with Public Law 102-389 (the... King Drive, Cincinnati, OH 45268, Telephone: (513) 487-2024 Fax: (513) 487-2004. (End of provision) [67...

  11. 48 CFR 1552.219-71 - Procedures for Participation in the EPA Mentor-Protege Program.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...)), including historically black colleges and universities. Further, in accordance with Public Law 102-389 (the... King Drive, Cincinnati, OH 45268, Telephone: (513) 487-2024 Fax: (513) 487-2004. (End of provision) [67...

  12. 48 CFR 1552.219-71 - Procedures for Participation in the EPA Mentor-Protege Program.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...)), including historically black colleges and universities. Further, in accordance with Public Law 102-389 (the... King Drive, Cincinnati, OH 45268, Telephone: (513) 487-2024 Fax: (513) 487-2004. (End of provision) [67...

  13. 48 CFR 1552.219-71 - Procedures for Participation in the EPA Mentor-Protege Program.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...)), including historically black colleges and universities. Further, in accordance with Public Law 102-389 (the... King Drive, Cincinnati, OH 45268, Telephone: (513) 487-2024 Fax: (513) 487-2004. (End of provision) [67...

  14. 20 CFR 628.530 - Referrals of participants to non-title II programs.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... programs. 628.530 Section 628.530 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR PROGRAMS UNDER TITLE II OF THE JOB TRAINING PARTNERSHIP ACT Program Design Requirements for Programs Under Title II of the Job Training Partnership Act § 628.530 Referrals of participants to non...

  15. Consultation and referral between physicians in new medical practice environments.

    PubMed

    Schaffer, W A; Holloman, F C

    1985-10-01

    The traditional exchange of medical expertise between physicians for patient benefit has been accomplished by referral. Physicians have traditionally decided when and to whom to refer patients. Health care "systems" now dominate medical practice, and their formats can alter spontaneous collegial interaction in referral. Institutional programs now pursue patient referrals as part of a marketing strategy to attract new patients who then become attached to the institution, rather than to a physician. Referral behavior can affect a physician's personal income in prepaid insurance programs where referrals are discouraged. The referring physician may bear legal liability for actions of the consultant. New practice arrangements and affiliations may place physicians in financial conflict-of-interest situations, challenge ethical commitments, and add new moral responsibility.

  16. The Effects of Implementing a Positive Behavior Intervention Support Program on Office Discipline Referrals

    ERIC Educational Resources Information Center

    Thomas, Cheryl Denise

    2015-01-01

    The purpose of this study was to determine if the implementation of PBIS (Positive Behavioral Intervention Support) program had a positive significant effect in decreasing office discipline referrals in a local elementary school. A sample independent t-Test was used to examine data on the school's average office discipline referrals for two years…

  17. Technology in rural transportation. Simple solution #5, traveler information using fax machines

    DOT National Transportation Integrated Search

    1997-01-01

    This application was identified as a promising rural Intelligent Transportation Systems (ITS) solution under a project sponsored by the Federal Highway Administration (FHWA) and the ENTERPRISE program. This summary describes the solution as well as o...

  18. 77 FR 33290 - National Organic Program (NOP); Sunset Review (2012)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-06

    ... the SUPPLEMENTARY INFORMATION. FOR FURTHER INFORMATION CONTACT: Melissa R. Bailey, Ph.D., Director, Standards Division, Telephone: (202) 720-3252; Fax: (202) 205-7808. SUPPLEMENTARY INFORMATION: I. Background... sprout production according to EPA label directions. (i) Calcium hypochlorite. (ii) Chlorine dioxide...

  19. 75 FR 48696 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-11

    ... Management and Budget, Paperwork Reduction Project. Fax: 202-395-7285. Email: [email protected] OMB Review; Comment Request Title: ORR Requirements for Refugee Cash Assistance; and Refugee Medical... cash and medical assistance, child welfare, social services, and targeted assistance programs. State-by...

  20. 75 FR 54939 - Generalized System of Preferences (GSP): Notice Changing the Date of the Country Practices Review...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-09

    ....m. FOR FURTHER INFORMATION CONTACT: Tameka Cooper, GSP Program, Office of the United States Trade... fax number is (202) 395-2961, and the e-mail address is Tameka_Cooper@ustr.eop.gov . Elena Bryan...

  1. Verifax: Biometric instruments measuring neuromuscular disorders/performance impairments

    NASA Astrophysics Data System (ADS)

    Morgenthaler, George W.; Shrairman, Ruth; Landau, Alexander

    1998-01-01

    VeriFax, founded in 1990 by Dr. Ruth Shrairman and Mr. Alex Landau, began operations with the aim of developing a biometric tool for the verification of signatures from a distance. In the course of developing this VeriFax Autograph technology, two other related applications for the technologies under development at VeriFax became apparent. The first application was in the use of biometric measurements as clinical monitoring tools for physicians investigating neuromuscular diseases (embodied in VeriFax's Neuroskill technology). The second application was to evaluate persons with critical skills (e.g., airline pilots, bus drivers) for physical and mental performance impairments caused by stress, physiological disorders, alcohol, drug abuse, etc. (represented by VeriFax's Impairoscope prototype instrument). This last application raised the possibility of using a space-qualified Impairoscope variant to evaluate astronaut performance with respect to the impacts of stress, fatigue, excessive workload, build-up of toxic chemicals within the space habitat, etc. The three applications of VeriFax's patented technology are accomplished by application-specific modifications of the customized VeriFax software. Strong commercial market potentials exist for all three VeriFax technology applications, and market progress will be presented in more detail below.

  2. Integrated Personnel and Pay System-Army Increment 2 (IPPS-A Inc 2)

    DTIC Science & Technology

    2016-03-01

    2016 Major Automated Information System Annual Report Integrated Personnel and Pay System-Army Increment 2 (IPPS-A Inc 2) Defense Acquisition...703-325-3747 DSN Phone: 865-2915 DSN Fax: 221-3747 Date Assigned: May 2, 2014 Program Information Program Name Integrated Personnel and Pay System...Program Description The Integrated Personnel and Pay System-Army (IPPS-A) will provide the Army with an integrated, multi-Component (Active, National

  3. Pharmacy experience with facsimile prescriptions.

    PubMed

    Huntzinger, Paul E

    2010-11-01

    The purpose of this mixed qualitative/quantitative study was to review the impact of a policy to accept facsimile (fax) prescriptions as standard operating procedure. Between February and April 2009 the pharmacy processed 4,792 new prescriptions of which 363 (7.6%) were received through fax. Of the fax prescriptions, 19 (5.2%) concerned clarification of information, which took approximately 30 minutes to resolve. The fax prescription process allowed the pharmacy to adjust the distribution of its workload, provided quicker service for new prescriptions, and allowed more time for medication consultation that resulted in a high level of customer satisfaction. It appeared the policy allowing fax prescriptions was a "win-win" situation for both the pharmacy and its customers. Military pharmacies should consider running trials of accepting fax prescriptions to see whether it improves their prescription filling process.

  4. Combatting Global Infectious Diseases: A Network Effect of Specimen Referral Systems.

    PubMed

    Fonjungo, Peter N; Alemnji, George A; Kebede, Yenew; Opio, Alex; Mwangi, Christina; Spira, Thomas J; Beard, R Suzanne; Nkengasong, John N

    2017-02-13

    The recent Ebola virus outbreak in West Africa clearly demonstrated the critical role of laboratory systems and networks in responding to epidemics. Because of the huge challenges in establishing functional laboratories at all tiers of health systems in developing countries, strengthening specimen referral networks is critical. In this review article, we propose a platform strategy for developing specimen referral networks based on 2 models: centralized and decentralized laboratory specimen referral networks. These models have been shown to be effective in patient management in programs in resource-limited settings. Both models lead to reduced turnaround time and retain flexibility for integrating different specimen types. In Haiti, decentralized specimen referral systems resulted in a 182% increase in patients enrolling in human immunodeficiency virus treatment programs within 6 months. In Uganda, cost savings of up to 62% were observed with a centralized model. A platform strategy will create a network effect that will benefit multiple disease programs.

  5. Referral to Cardiac Rehabilitation After Percutaneous Coronary Intervention, Coronary Artery Bypass Surgery, and Valve Surgery: Data From the Clinical Outcomes Assessment Program.

    PubMed

    Beatty, Alexis L; Bradley, Steven M; Maynard, Charles; McCabe, James M

    2017-06-01

    Despite guideline recommendations that patients undergoing percutaneous coronary intervention (PCI), coronary artery bypass surgery, or valve surgery be referred to cardiac rehabilitation, cardiac rehabilitation is underused. The objective of this study was to examine hospital-level variation in cardiac rehabilitation referral after PCI, coronary artery bypass surgery, and valve surgery. We analyzed data from the Clinical Outcomes Assessment Program, a registry of all nonfederal hospitals performing PCI and cardiac surgery in Washington State. We included eligible PCI, coronary artery bypass surgery, and valve surgery patients from 2010 to 2015. We analyzed PCI and cardiac surgery separately by performing multivariable hierarchical logistic regression for the outcome of cardiac rehabilitation referral at discharge, clustered by hospital. Patient-level covariates included age, sex, race/ethnicity, comorbidities, and procedure indication/status. Cardiac rehabilitation referral was reported in 48% (34 047/71 556) of PCI patients and 91% (21 831/23 972) of cardiac surgery patients. The hospital performing the procedure was a stronger predictor of referral than any individual patient characteristic for PCI (hospital referral range 3%-97%; median odds ratio, 5.94; 95% confidence interval, 4.10-9.49) and cardiac surgery (range 54%-100%; median odds ratio, 7.09; 95% confidence interval, 3.79-17.80). Hospitals having an outpatient cardiac rehabilitation program explained only 10% of PCI variation and 0% of cardiac surgery variation. Cardiac rehabilitation referral at discharge was less prevalent after PCI than cardiac surgery. The strongest predictor of cardiac rehabilitation referral was the hospital performing the procedure. Efforts to improve cardiac rehabilitation referral should focus on increasing referral after PCI, especially in low referral hospitals. © 2017 American Heart Association, Inc.

  6. 50 CFR 86.115 - How should I administer the survey?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG... to collect data, which may include telephone, mail, fax, or other inventory means. We do not expect you to use automated, electronic, mechanical, or similar means of information collection. (d) Data...

  7. 50 CFR 86.115 - How should I administer the survey?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG... to collect data, which may include telephone, mail, fax, or other inventory means. We do not expect you to use automated, electronic, mechanical, or similar means of information collection. (d) Data...

  8. 76 FR 16434 - Merchant Marine Personnel Advisory Committee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ... Advisory Committee AGENCY: Coast Guard, DHS. ACTION: Committee Management; Notice of Committee... instructions for submitting comments. (2) Fax: 202-493-2251. (3) Mail: Docket Management Facility (M-30), U.S... viewing or submitting material to the docket, call Renee V. Wright, Program Manager, Docket Operations...

  9. 50 CFR 679.80 - Initial allocation of rockfish QS.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Act of 2004 (Public Law 108-199). Additional regulations that implement specific portions of the...) Duration. The Rockfish Program authorized under this part expires on December 31, 2011. (3) Seasons. The... social security number, permanent business mailing address, business telephone number, and business fax...

  10. 78 FR 29359 - Commission Information Collection Activities (Ferc-604); Comment Request; Extension

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-20

    ... Regulatory Commission (Commission or FERC) is soliciting public comment on FERC- 604, Cash Management... fax at (202) 273-0873. SUPPLEMENTARY INFORMATION: Title: FERC-604, Cash Management Agreements. OMB... requirements. Abstract: Cash management or ``money pool'' programs typically concentrate affiliates' cash...

  11. 50 CFR 86.115 - How should I administer the survey?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG... to collect data, which may include telephone, mail, fax, or other inventory means. We do not expect you to use automated, electronic, mechanical, or similar means of information collection. (d) Data...

  12. 77 FR 54555 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-05

    ..., Office of Management and Budget (OMB), [email protected] or fax (202) 395-5806 and to... it displays a currently valid OMB control number. Food and Nutrition Service Title: Supplemental Nutrition Assistance Program--Supplemental Nutrition Assistance for Victims of Disasters. OMB Control Number...

  13. 78 FR 77094 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-20

    ..., Office of Management and Budget (OMB), [email protected] or fax (202) 395-5806 and to... it displays a currently valid OMB control number. Food and Nutrition Service Title: Supplemental Nutrition Assistance Program Regulations, Part 275--Quality Control. OMB Control Number: 0584-0303. Summary...

  14. Patient navigation to facilitate early intervention referral completion among poor urban children.

    PubMed

    Guevara, James P; Rothman, Brooke; Brooks, Elizabeth; Gerdes, Marsha; McMillon-Jones, Fayetta; Yun, Katherine

    2016-09-01

    Few eligible children participate in early intervention (EI) programs. The objective of this study was to determine feasibility and outcomes of a novel patient navigation program on EI referrals among a diverse group of at-risk children. During a 6-month period, a patient navigator was assigned to an urban pediatric clinic to engage families, provide education on early child development and EI, and assist families with completing multidisciplinary evaluations. Families were eligible to participate if they spoke English, had a child <34 months old with a suspected developmental delay, and were referred to EI for evaluation. Families completed measures of demographics, language preference, and the Newest Vital Sign, a validated literacy measure. Outcomes on completion of EI referrals were obtained from the county EI provider. Of 88 EI referrals during the study period, 53 patients were eligible and enrolled. Patients were predominantly male, racially diverse, on public health insurance, with a mean age of 18.4 months. Most caregivers of patients had less than a high school education, spoke a non-English language at home, and had limited literacy. Forty-two families (79.2%) completed a referral, and 34 (81.0%) of those were eligible for EI services. There were no significant differences in demographic, language, or literacy measures between those who completed and did not complete EI referrals. A patient navigation program to facilitate EI referrals was feasible in a diverse urban patient population. Preliminary results of the patient navigation program on EI referral completion were promising and warrant further study. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  15. US Navy FY 1997 Research Program

    DTIC Science & Technology

    1997-09-30

    US NAVY FY 1997 RESEARCH PROGRAM Henry E. Bass National Center for Physical Acoustics University of Mississippi University, MS 38677 Phone: (601...232-5905 Fax: (601) 232-7494 Email: pabass@olemiss.edu Award Number: N00014-95-1-1306 LONG-TERM GOALS The National Center for Physical Acoustics ...NCPA) provides an integrated physical acoustics laboratory to facilitate research in sound propagation and attenuation, molecular and chemical physics

  16. Differential referral of women and men to employee assistance programs: the role of supervisory attitudes.

    PubMed

    Young, D W; Reichman, W R; Levy, M F

    1987-01-01

    Potential factors underlying sex differences in the referral of problem-drinking subordinates to employee assistance programs (EAPs) were explored in interviews with 120 supervisors in four organizations. Analyses of data obtained in these interviews assessed the relative ability of eight variables to predict supervisor's actual identification and referral of female and male problem drinkers. In addition to numbers of employees supervised, the supervisors' judgment of the EAP's effectiveness was the best predictor of referral and identification, regardless of the sex of the referred subordinate. Knowledge and training in the EAP was a secondary contributor to referral of men, but played no role in female referrals. When controlling for all other variables, the extent to which supervisors held an egalitarian attitude toward women's rights and roles was found to be marginally positively related to identification of female drinkers. Similarly, a less stigmatized, stereotyped view of women's use and abuse of alcohol was marginally associated with a greater likelihood of referral of a female drinker to the EAP. Neither of these attitudinal variables was related to identification or referral of male problem drinkers.

  17. 75 FR 34336 - Reimbursement Transportation Cost Payment Program for Geographically Disadvantaged Farmers and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-17

    ..., 2010. FOR FURTHER INFORMATION CONTACT: Solomon Whitfield, Director, Price Support Division, Farm...., Washington, DC 20250-0512; telephone (202) 720-7901; fax (202) 690- 3307; e-mail, Solomon[email protected], group of individuals, partnership, corporation, estate, trust, association, cooperative, or other...

  18. Alternative Fuels Data Center

    Science.gov Websites

    Employer Invested Emissions Reduction Funding - South Coast The South Coast Air Quality Management District (SCAQMD) administers the Air Quality Investment Program (AQIP). AQIP provides funding to allow Coast Air Quality Management District Phone: (909) 396-3296 Fax: (909) 396-3252 vyardemian@aqmd.gov http

  19. Analysis of the Small Business Administration 8(a) Business Development Program

    DTIC Science & Technology

    2015-06-01

    Parent DUNS Number: Address, line 1: 9656 E Empress Ave Address, line 2: City: Mesa State: AZ Zip: 85208-3156 Phone Number: 480-220-9226 Fax...products): https://www.imgnetworks.com Contact Person: RAY RODRIGUEZ County Code (3 digit): 073 Congressional District: 51 Metropolitan

  20. 77 FR 3228 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-23

    ..., Office of Management and Budget (OMB), [email protected] or fax (202) 395-5806 and to... it displays a currently valid OMB control number. Food and Nutrition Service Title: Quality Control... perform Quality Control (QC) review for the Supplemental Nutrition Assistance Program (SNAP). The FNS-380...

  1. 78 FR 11134 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-15

    ..., Office of Management and Budget (OMB), [email protected] or fax (202) 395-5806 and to... it displays a currently valid OMB control number. Food and Nutrition Service Title: Special Nutrition... the Special Nutrition Program Operations Study (SNPOS) is to collect timely data on policies...

  2. 50 CFR 648.92 - Effort-control program for monkfish limited access vessels.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    .... Limited access NE multispecies and limited access sea scallop permit holders who also possess a limited... letter or fax to the Regional Administrator within 24 hours after tags have been discovered lost... Aids section of the printed volume and at www.fdsys.gov. ...

  3. 50 CFR 648.92 - Effort-control program for monkfish limited access vessels.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    .... Limited access NE multispecies and limited access sea scallop permit holders who also possess a limited... letter or fax to the Regional Administrator within 24 hours after tags have been discovered lost... Aids section of the printed volume and at www.fdsys.gov. ...

  4. Project Towards No Drug Abuse (TND): Needs Assessment of a Social Service Referral Telephone Program for High Risk Youth

    PubMed Central

    SUSSMAN, STEVE; SKARA, SILVANA; PUMPUANG, PATCHAREEYA

    2011-01-01

    The purpose of this study was to conduct a needs assessment of a potential social service resource telephone program component among high risk youth who received the Project Towards No Drug Abuse (TND) classroom-based program (approximately 1 year earlier). Results supported youths’ overwhelming receptiveness of a social service referral program. The vast majority of respondents indicated a strong desire for resource and referral information on vocational, educational, recreational, transportation, and mental health and drug counseling. Further research is needed to investigate the effectiveness of the provision of social service resource information on drug use among emerging adults. PMID:18720266

  5. Impact of faxed health alerts on the preparedness of general practitioners during communicable disease outbreaks.

    PubMed

    Rosewell, Alexander; Patel, Mahomed; Viney, Kerri; Marich, Andrew; Lawrence, Glenda L

    2010-03-01

    The NSW Department of Health (NSW Health) faxed health alerts to general medical practitioners during measles outbreaks in March and May 2006. We conducted a retrospective cohort study of randomly selected general practitioners (GPs) (1 per medical practice) in New South Wales to investigate the effectiveness of faxing health alerts to GPs during a communicable disease outbreak. Fax transmission data allowed comparison of GPs sent and not sent the measles alert for self-reported awareness and practice actions aimed at the prevention and control of measles. A total of 328 GPs participated in the study. GPs who were sent the alert were more likely to be aware of the measles outbreak (RR 1.18, 95% CI 1.02, 1.38). When analysed by whether a fax had been received from either NSW Health or the Australian General Practice Network, GPs who reported receiving a faxed measles alert were more likely to be aware of the outbreak (RR 2.56, 95% CI 1.84, 3.56), to offer vaccination to susceptible staff (RR 6.46, 95% CI 2.49, 16.78), and be aware of other infection control recommendations. Respondents reported that the faxed alerts were useful with 65% reporting that the alerts had reminded them to consider measles in the differential diagnosis. This study shows that faxed health alerts were useful for preparing GPs to respond effectively to a communicable disease outbreak. The fax alert system could be improved by ensuring that all general practices in New South Wales are included in the faxstream database and that their contact details are updated regularly.

  6. Wave Attenuation on Muddy Bottoms - A Multidisciplinary Field Study Offshore Cassino Beach, Southern Brazil

    DTIC Science & Technology

    2005-09-30

    Rio de Janeiro Ocean Engineering Program / COPPE CP 68508 - Centro de Tecnologia - C203 21945-970 Rio de Janeiro , Brazil Phone/fax...NAME(S) AND ADDRESS(ES) Federal University of Rio de Janeiro ,Ocean Engineering Program / COPPE, CP 68508 - Centro de Tecnologia - C203,21945-970 Rio ...activities of the project: From Brazilian Institutions: 1- Federal University of Rio de Janeiro (UFRJ) / Laboratory for

  7. 75 FR 35025 - Clean Air Act Advisory Committee (CAAAC); Request for Nominations for 2010 Clean Air Excellence...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-21

    ... 202-564-1082 or 202- 564-1352 (Fax), mailing address: Office of Air and Radiation (6102A), 1200.../caaac by clicking on Awards Program or by contacting Mr. Pat Childers, U.S. EPA at 202-564-1082 or 202...

  8. 76 FR 5323 - Determination of Attainment for PM10

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-31

    ...: freeman.crystal@epa.gov . Fax: (303) 312-6064 (please alert the individual listed in the FOR FURTHER... FURTHER INFORMATION CONTACT: Crystal Freeman, U.S. Environmental Protection Agency, Region 8, Air Program, Mail Code 8P-AR, 1595 Wynkoop Street, Denver, Colorado 80202-1129, (303) 312-6602, freeman.crystal@epa...

  9. 76 FR 37139 - Notice of Submission of Proposed Information Collection to OMB Sustainable Communities Regional...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-24

    ... Proposed Information Collection to OMB Sustainable Communities Regional Grant Program AGENCY: Office of the.... This data collection is designed to provide HUD information regarding the Sustainable Communities... Executive Office Building, Washington, DC 20503; e-mail: [email protected] fax: 202-395- 5806. FOR...

  10. 75 FR 27118 - Additional Designations, Foreign Narcotics Kingpin Designation Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-13

    ... OFAC's Web site ( http://www.treas.gov/ofac ) or via facsimile through a 24-hour fax-on demand service... establishes a program targeting the activities of significant foreign narcotics traffickers and their organizations on a worldwide basis. It provides a statutory framework for the President to impose sanctions...

  11. Apocalypse Soon? The Bug.

    ERIC Educational Resources Information Center

    Clyde, Anne

    1999-01-01

    Discussion of the Year 2000 (Y2K) problem, the computer-code problem that affects computer programs or computer chips, focuses on the impact on teacher-librarians. Topics include automated library systems, access to online information services, library computers and software, and other electronic equipment such as photocopiers and fax machines.…

  12. 76 FR 8917 - Pears Grown in Oregon and Washington; Continuance Referendum

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-16

    ...: Teresa Hutchinson, Marketing Specialist, or Gary D. Olson, Regional Manager, Northwest Marketing Field...) 326-2724, Fax: (503) 326-7440, or E-mail: [email protected] or GaryD.Olson@ams.usda.gov.... Teresa Hutchinson and Gary D. Olson of the Northwest Marketing Field Office, Fruit and Vegetable Programs...

  13. 76 FR 69146 - Agricultural Career and Employment Grants Program; Withdrawal

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-08

    ..., Departmental Management, USDA. ACTION: Proposed rule; withdrawal. SUMMARY: On October 27, 2011, USDA submitted... Regulations section of this issue of the Federal Register, USDA is publishing the interim rule. DATES: As of..., Voice: (202) 205-4215, Fax: (202) 720-7136, Email: [email protected]usda.gov . SUPPLEMENTARY...

  14. 75 FR 17368 - Information Collection Activity; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-06

    ..., mechanical, or other technological collection techniques or other forms of information technology. Comments...., Washington, DC 20250- 1522. FAX: (202) 720-8435. Title: Assistance to High Energy Cost Rural Communities. OMB... 2000 to create a new program to help rural communities with extremely high energy costs (Pub. L. 106...

  15. Gatekeepers to home and community care services: the link between client characteristics and source of referral.

    PubMed

    Vecchio, Nerina

    2013-06-01

    To identify characteristics associated with the likelihood of a client receiving a referral to the Home and Community Care (HACC) program from various sources. Data were collected from 73809 home care clients during 2007-08. Binary logistic and multinomial logistic regression were used to investigate the likelihood of a client being referred by health workers v. non-health workers. Females and clients cared for by their parents were less likely to receive referrals from health workers than non-health workers after confounding variables were controlled for. While poorer functional ability of clients increased the probability of receiving a referral from a health worker, the opposite was true for those with behavioural problems. Over 43% of the sample either self-referred or was referred by family or friends. Eligible individuals may miss out on services unless they or their family take the initiative to refer. There is a need for improved methods and incentives to support and encourage health workers to refer eligible individuals to the program. What is known about the topic? The absence or inappropriate referral to a suitable home care program can place pressure on formalised institutions and increase burdens on family members and the community. Factors largely unrelated to healthcare needs carry significant weight in determining hospital discharge decisions and home care referrals by practitioners. What does this paper add? The effectiveness of the HACC program is dependent on the referrer who acts to inform and facilitate individuals to the program. The purpose of this study is to identify the characteristics associated with the likelihood of individuals receiving a referral to the HACC program from various sources. What are the implications for practitioners? This study will assist policy makers and practitioners in developing effective strategies that transition individuals to suitable home care services in a timely manner. An effective referral process would provide opportunities for implementing preventative strategies that reduce disability rates among individuals and the burden of care for the community. For instance, individuals with unmet needs may be at higher risk from injury at home through inadequate monitoring of nutrient and medication intake and inappropriate home surroundings. Improving knowledge about care options and providing appropriate incentives that encourage health workers to refer individuals would be an effective start in improving the health outcomes of an ageing population.

  16. 48 CFR 419.602-1 - Referral.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Referral. 419.602-1 Section 419.602-1 Federal Acquisition Regulations System DEPARTMENT OF AGRICULTURE SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS Certificates of Competency and Determinations of Responsibility 419.602-1...

  17. 48 CFR 1319.602-1 - Referral.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Referral. 1319.602-1 Section 1319.602-1 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS Certificates of Competency and Determination of Responsibility 1319.602-1...

  18. Implementation of a food insecurity screening and referral program in student-run free clinics in San Diego, California.

    PubMed

    Smith, Sunny; Malinak, David; Chang, Jinnie; Perez, Maria; Perez, Sandra; Settlecowski, Erica; Rodriggs, Timothy; Hsu, Ming; Abrew, Alexandra; Aedo, Sofia

    2017-03-01

    Food insecurity is associated with many poor health outcomes yet is not routinely addressed in clinical settings. The purpose of this study was to implement a food insecurity screening and referral program in Student-run Free Clinics (SRFC) and to document the prevalence of food insecurity screening in this low-income patient population. All patients seen in three SRFC sites affiliated with one institution in San Diego, California were screened for food insecurity using the 6-item United States Department of Agriculture (USDA) Food Security Survey between January and July 2015 and referred to appropriate resources. The percentage of patients who were food insecure was calculated. The screening rate was 92.5% (430/463 patients), 74.0% (318/430) were food insecure, including 30.7% (132/430) with very low food security. A food insecurity registry and referral tracking system revealed that by January 2016, 201 participants were receiving monthly boxes of food onsite, 66 used an off-site food pantry, and 64 were enrolled in the Supplemental Nutrition Assistance Program (SNAP). It is possible to implement a food insecurity screening and referral program into SRFCs. The prevalence of food insecurity in this population was remarkably high yet remained largely unknown until this program was implemented. Other health care settings, particularly those with underserved patient populations, should consider implementing food insecurity screening and referral programs.

  19. Food Insecurity Screening in Pediatric Primary Care: Can Offering Referrals Help Identify Families in Need?

    PubMed

    Bottino, Clement J; Rhodes, Erinn T; Kreatsoulas, Catherine; Cox, Joanne E; Fleegler, Eric W

    2017-07-01

    To describe a clinical approach for food insecurity screening incorporating a menu offering food-assistance referrals, and to examine relationships between food insecurity and referral selection. Caregivers of 3- to 10-year-old children presenting for well-child care completed a self-administered questionnaire on a laptop computer. Items included the US Household Food Security Survey Module: 6-Item Short Form (food insecurity screen) and a referral menu offering assistance with: 1) finding a food pantry, 2) getting hot meals, 3) applying for Supplemental Nutrition Assistance Program (SNAP), and 4) applying for Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Referrals were offered independent of food insecurity status or eligibility. We examined associations between food insecurity and referral selection using multiple logistic regression while adjusting for covariates. A total of 340 caregivers participated; 106 (31.2%) reported food insecurity, and 107 (31.5%) selected one or more referrals. Forty-nine caregivers (14.4%) reported food insecurity but selected no referrals; 50 caregivers (14.7%) selected one or more referrals but did not report food insecurity; and 57 caregivers (16.8%) both reported food insecurity and selected one or more referrals. After adjustment, caregivers who selected one or more referrals had greater odds of food insecurity compared to caregivers who selected no referrals (adjusted odds ratio 4.0; 95% confidence interval 2.4-7.0). In this sample, there was incomplete overlap between food insecurity and referral selection. Offering referrals may be a helpful adjunct to standard screening for eliciting family preferences and identifying unmet social needs. Copyright © 2016 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

  20. Partner Services in STD Prevention Programs: A Review

    PubMed Central

    Hogben, Matthew; Collins, Dayne; Hoots, Brooke; O’Connor, Kevin

    2015-01-01

    Background Partner services have been a mainstay of public health sexually transmitted disease (STD) prevention programs for decades. The principal goals are to interrupt transmission and reduce STD morbidity and sequelae. In this paper, we review current literature with the goal of informing STD prevention programs. Methods We searched the literature for systematic reviews. We found nine reviews published between 2005 and 2014 (covering 108 studies). The reviews varied by study inclusion criteria (e.g., study methods, geographic location, infections). We abstracted major conclusions and recommendations from the reviews. Results Conclusions and recommendations were divided into patient referral interventions and provider referral interventions. For patient referral, there was evidence supporting the use of expedited partner therapy and interactive counseling, but not purely didactic instruction. Provider referral through Disease Intervention Specialists was efficacious and particularly well-supported for HIV. For other studies, modeling data and testing outcomes showed that partner notification in general reached high-prevalence populations. Reviews also suggested more focus on using technology and population-level implementation strategies. However, partner services may not be the most efficient means to reach infected persons. Conclusions Partner services programs constitute a large proportion of program STD prevention activities. Value is maximized by balancing a portfolio of patient and provider referral interventions and by blending partner notification interventions with other STD prevention interventions in overall partner services program structure. STD prevention needs program-level research and development to generate this portfolio. PMID:26779688

  1. Responding to cough presentations: an interview study with Cambodian pharmacies participating in a National Tuberculosis Referral Program.

    PubMed

    Bell, Carolyn A; Pichenda, Koeut; Ilomäki, Jenni; Duncan, Gregory J; Eang, Mao Tan; Saini, Bandana

    2016-04-01

    Asia-Pacific carries a high burden of respiratory-related mortality. Timely referral and detection of tuberculosis cases optimizes patient and public health outcomes. Registered private pharmacies in Cambodia participate in a National Tuberculosis Referral Program to refer clients with cough suggestive of tuberculosis to public sector clinics for diagnosis and care. The objective of this study was to investigate clinical intentions of pharmacy staff when presented with a hypothetical case of a client with prolonged cough suggestive of tuberculosis. A random sample of 180 pharmacies was selected. Trained interviewers administered a hypothetical case scenario to trained pharmacy staff. Participants provided 'yes'/'no' responses to five clinical actions presented in the scenario. Actions were not mutually exclusive. Data were tabulated and compared using chi-square tests or Fisher's exact tests. Overall, 156 (92%) participants would have referred the symptomatic client in the case scenario. Participants who would have referred the client were less likely to sell a cough medicine (42% vs. 100%, P < 0.001) and less likely to sell an antibiotic (19% vs. 79%, P < 0.001) than those who would not have referred the client. Involving pharmacies in a Referral Program may have introduced concepts of appropriate clinical care when responding to clients presenting with cough suggestive of tuberculosis. However, results showed enhancing clinical competence among all referral programme participants particularly among non-referring pharmacies and those making concurrent sales of cough-related products would optimize pharmacy-initiated referral. Further research into actual clinical practices at Referral Program pharmacies would be justified. © 2015 John Wiley & Sons, Ltd.

  2. 48 CFR 1419.602-1 - Referral.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Referral. 1419.602-1 Section 1419.602-1 Federal Acquisition Regulations System DEPARTMENT OF THE INTERIOR SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS Certificates of Competency and Determinations of Responsibility 1419.602-1...

  3. A Simple and Effective Program to Increase Faculty Knowledge of and Referrals to Counseling Centers

    ERIC Educational Resources Information Center

    Nolan, Susan A.; Pace, Kristi A.; Iannelli, Richard J.; Palma, Thomas V.; Pakalns, Gail P.

    2006-01-01

    The authors describe a simple, cost-effective, and empirically supported program to increase faculty referrals of students to counseling centers (CCs). Incoming faculty members at 3 universities received a mailing and personal telephone call from a CC staff member. Faculty assigned to the outreach program had greater knowledge of and rates of…

  4. 48 CFR 19.602-1 - Referral.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... SMALL BUSINESS PROGRAMS Certificates of Competency and Determinations of Responsibility 19.602-1 Referral. (a) Upon determining and documenting that an apparent successful small business offeror lacks..., except that referral is not necessary if the small business concern— (i) Is determined to be unqualified...

  5. 48 CFR 19.602-1 - Referral.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... SMALL BUSINESS PROGRAMS Certificates of Competency and Determinations of Responsibility 19.602-1 Referral. (a) Upon determining and documenting that an apparent successful small business offeror lacks..., except that referral is not necessary if the small business concern— (i) Is determined to be unqualified...

  6. 48 CFR 19.602-1 - Referral.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... SMALL BUSINESS PROGRAMS Certificates of Competency and Determinations of Responsibility 19.602-1 Referral. (a) Upon determining and documenting that an apparent successful small business offeror lacks..., except that referral is not necessary if the small business concern— (i) Is determined to be unqualified...

  7. 48 CFR 19.602-1 - Referral.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... SMALL BUSINESS PROGRAMS Certificates of Competency and Determinations of Responsibility 19.602-1 Referral. (a) Upon determining and documenting that an apparent successful small business offeror lacks..., except that referral is not necessary if the small business concern— (i) Is determined to be unqualified...

  8. 78 FR 43768 - Airworthiness Directives; Learjet Inc. Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-22

    ..., KS 67209-2942; telephone 316-946-2000; fax 316-946-2220; email [email protected] ; Internet... 67209; phone: 316-946-4156; fax: 316-946-4107; email: [email protected] . SUPPLEMENTARY INFORMATION... Airport, Wichita, Kansas 67209; phone: 316-946-4156; fax: 316-946- 4107; email: [email protected] . (2...

  9. 75 FR 63064 - Airworthiness Directives; Learjet Inc. Model 45 Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-14

    ...-2942; telephone 316-946-2000; fax 316-946-2220; e-mail [email protected] ; Internet http://www...; telephone (316) 946-4135; fax (316) 946-4107; e-mail [email protected] . SUPPLEMENTARY INFORMATION... Road, Room 100, Mid-Continent Airport, Wichita, Kansas 67209; telephone (316) 946- 4135; fax (316) 946...

  10. 77 FR 24349 - Airworthiness Directives; Learjet Inc. Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-24

    ..., Kansas 67209-2942; telephone 316-946-2000; fax 316-946-2220; email [email protected] ; Internet... 100, Mid- Continent Airport, Wichita, Kansas 67209; phone: 316-946-4135; fax: 316-946-4107; email... Road, Room 100, Mid-Continent Airport, Wichita, Kansas 67209; phone: 316- 946-4135; fax: 316-946-4107...

  11. 76 FR 78520 - Airworthiness Directives; Learjet Inc. Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-19

    ... Learjet, Inc., One Learjet Way, Wichita, Kansas 67209-2942; telephone (316) 946-2000; fax (316) 946-2220... Road, Room 100, Mid-Continent Airport, Wichita, KS 67209; phone: (316) 946-4152; fax: (316) 946-4129... 100, Mid-Continent Airport, Wichita, KS 67209; phone: (316) 946-4152; fax: (316) 946-4129; email: paul...

  12. 76 FR 74010 - Airworthiness Directives; Learjet Inc. Model 60 Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-30

    ... (316) 946-2000; fax (316) 946-2220; email [email protected] ; Internet http://www.bombardier...- Continent Airport, Wichita, Kansas 67209; phone: (316) 946-4135; fax: (316) 946-4107; email: james.galstad...: (316) 946-4135; fax: (316) 946-4107; email: [email protected] . (2) For service information...

  13. Marking 15 years of the Genetic and Rare Diseases Information Center

    PubMed Central

    Lewis, Janine; Snyder, Michelle; Hyatt-Knorr, Henrietta

    2017-01-01

    BACKGROUND: The Genetic and Rare Diseases Information Center (GARD), a program of the National Center for Advancing Translational Sciences, was established in 2002 to assist the public in finding reliable, timely, and easy-to-understand information about genetic and/or rare diseases in English or Spanish. OBJECTIVE: A review of longitudinal data on GARD inquiries from 2002 to 2016 and assessment of the results of two user satisfaction surveys were conducted to understand the demographics and needs of GARD customers over time. METHODS: Since 2002, GARD has collected anonymized data while responding to questions received via e-mail, website, telephone, fax, letter, or TTY. Between 2002 and 2016 GARD received a total of 60,106 inquiries. User satisfaction surveys were conducted in 2006 and 2014, in which users self-selected to participate. RESULTS: The annual number of inquiries has risen steadily since 2002. Inquiries are overwhelmingly from educated female patients, family, and friends seeking disease-specific information, treatment options, referrals, and research studies. Most users report satisfaction with the experience. CONCLUSIONS: Rare disease patients and their families face challenges in finding information about their symptoms or diagnosis, prognosis, treatment options, significance for family members, and research opportunities. Lack of available clinical expertise can leave patients, their family, and friends with little choice but to become knowledgeable on their own. GARD fills a critical need by providing the public with vetted, evidence-based information that empowers people to engage in their own health care and seek research studies of relevance. PMID:29152459

  14. 75 FR 43478 - Rhode Island: Final Authorization of State Hazardous Waste Management Program Revisions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-26

    ... submitting comments. E-mail: biscaia.robin@epa.gov . Fax: (617) 918-0642, to the attention of Robin Biscaia. Mail: Robin Biscaia, RCRA Waste Management Section, Office of Site Remediation and Restoration (OSRR 07... Delivery or Courier: Deliver your comments to: Robin Biscaia, RCRA Waste Management Section, Office of Site...

  15. 78 FR 41720 - CampCo Petition to Allow Commercial Distribution of Tritium Markers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-11

    ...: Vanessa Cox, Office of Federal and State Materials and Environmental Management Programs, U.S. Nuclear...: The U.S. Nuclear Regulatory Commission (NRC) is publishing for comment a petition for rulemaking (PRM... 301-415-1677. Fax comments to: Secretary, U.S. Nuclear Regulatory Commission at 301-415-1101. Mail...

  16. 75 FR 28100 - Agency Information Collection Activities: Notice of Request for Extension of Currently Approved...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-19

    ... for submitting comments. Fax: 1-202-493-2251. Mail: Docket Management Facility, U.S. Department of... is to advance transportation education and research, and attract qualified students to the field of... information from student transportation education programs, also serving as a management tool to measure...

  17. 75 FR 63441 - Notice of Availability for Public Comment on the Interagency Ocean Observation; Committee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-15

    ... Integrated Ocean Observing System (IOOS) Program publishes this notice on behalf of the Interagency Ocean... process mandated by the Integrated Coastal and Ocean Observation System Act of 2009 (ICOOS Act). The IOOC... Ocean Observing System (System). DATES: Written, faxed or e-mailed comments must be received no later...

  18. 76 FR 26746 - Information Collection Requests to Office of Management and Budget; OMB Control Numbers: 1625...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-09

    ... Office of Management and Budget; OMB Control Numbers: 1625-0077, 1625-0085 and 1625-0112 AGENCY: Coast...-0085, Streamlined Inspection Program; and 1625-0112, Enhanced Maritime Domain Awareness via Electronic... Information Management, telephone 202-475-3652, or fax 202-475-3929, for questions on these documents. Contact...

  19. 78 FR 41342 - Approval and Promulgation of Air Quality Implementation Plans; State of Colorado Second Ten-Year...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-10

    ... instructions for submitting comments. Email: ostigaard.crystal@epa.gov . Fax: (303) 312-6064 (please alert the.... FOR FURTHER INFORMATION CONTACT: Crystal Ostigaard, Air Program, U.S. Environmental Protection Agency....crystal@epa.gov . SUPPLEMENTARY INFORMATION: In the Rules section of this Federal Register, EPA is...

  20. 78 FR 57573 - Approval and Promulgation of Air Quality Implementation Plans; State of Colorado Second Ten-Year...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-19

    ... submitting comments. Email: ostigaard.crystal@epa.gov . Fax: (303) 312-6064 (please alert the individual.... FOR FURTHER INFORMATION CONTACT: Crystal Ostigaard, Air Program, U.S. Environmental Protection Agency....crystal@epa.gov . SUPPLEMENTARY INFORMATION: In the Rules section of this Federal Register, EPA is...

  1. 78 FR 39305 - 30-Day Notice of Proposed Information Collection: OSHC Progress Report Template

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-01

    ... Building, Washington, DC 20503; fax: 202-395-5806. Email: [email protected] . FOR FURTHER... proposed use: The Appropriations Act, provided a total of $100,000,000 to HUD for a Sustainable Communities... Sustainable Communities Regional Planning Grant Program, and $30,000,000 is available for the Community...

  2. 76 FR 64298 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-18

    ... Regulatory Affairs, Office of Management and Budget (OMB), [email protected] or fax (202) 395-5806..., and community and business programs on an equal opportunity basis. The laws implemented in 7 CFR part... types of information by race, color, and national origin. Need and Use of the Information: RD will use...

  3. 77 FR 74507 - Endangered Species; Marine Mammals; Issuance of Permits

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-14

    ... not operate to the disadvantage of the endangered species, and (3) the granted permit would be.... Zoological Park. 2012. 82880A Big Game Studio 77 FR 54604; September 5, October 17, 2012. 2012. 83520A Donald...; fax (703) 358-2280. Brenda Tapia, Program Analyst/Data Administrator, Branch of Permits, Division of...

  4. 78 FR 22530 - Application for New Awards; Training for Realtime Writers Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-16

    ... significantly increase efficiency in the use of time, staff, money, or other resources while improving student... or have been released under an intellectual property license that permits their free use or... 22304. Telephone, toll free: 1-877-433-7827. FAX: (703) 605-6794. If you use a telecommunications device...

  5. 75 FR 53679 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-01

    ...: CPSC Desk Officer, fax: 202-395-6974, or e-mailed to [email protected] . Written comments... cigarette. The standard requires manufacturers to perform prototype tests of each combination of materials... of the reduced testing program will have to maintain records on the cigarette test performed, but...

  6. 75 FR 61998 - Programs for Specific Positions and Examinations (Miscellaneous)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-07

    ...-mail at [email protected] ; or fax at (202) 606-2329. FOR FURTHER INFORMATION CONTACT: Ms. Linda Watson [email protected] . SUPPLEMENTARY INFORMATION: On March 20, 2007, OPM published a final rule at 72 FR 12947..., the potential differences between the ethical requirements that pertain to an advocate and those...

  7. 75 FR 4818 - Notice of Public Information Collection Being Reviewed by the Federal Communications Commission...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-29

    ... and Budget (OMB), via fax at (202) 395-5167, or via the Internet at [email protected] and.... Total Annual Cost: None. Privacy Act Impact Assessment: No impact(s). Nature and Extent of... things, the Second Order adopts a children's programming preemption policy. This policy requires all...

  8. 75 FR 1662 - Small Business Size Standards: Waiver of the Nonmanufacturer Rule

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-12

    ... Garcia, Program Analyst, U.S. Small Business Administration, Office of Government Contracting, 409 3rd Street, SW., Suite 8800, Washington, DC 20416. FOR FURTHER INFORMATION CONTACT: Amy Garcia, by telephone at (202) 205- 6842; by FAX at (202) 481-1630; or by e-mail at Amy.garcia@sba.gov . SUPPLEMENTARY...

  9. 50 CFR 86.115 - How should I administer the survey?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... (BIG) PROGRAM How States Will Complete Access Needs Surveys § 86.115 How should I administer the survey... methodology to collect data, which may include telephone, mail, fax, or other inventory means. We do not expect you to use automated, electronic, mechanical, or similar means of information collection. (d) Data...

  10. 50 CFR 86.115 - How should I administer the survey?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... (BIG) PROGRAM How States Will Complete Access Needs Surveys § 86.115 How should I administer the survey... methodology to collect data, which may include telephone, mail, fax, or other inventory means. We do not expect you to use automated, electronic, mechanical, or similar means of information collection. (d) Data...

  11. 77 FR 2741 - Draft Guidance Regarding Inspection and Certification of Vessels Under the Maritime Security Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-19

    ... traditional inspection methods to newly reflagged vessels, while at the same time apply a less stringent level... any one of the following methods: (1) Federal eRulemaking Portal: http://www.regulations.gov . (2) Fax... methods. See the ``Public Participation and Request for Comments'' portion of the SUPPLEMENTARY...

  12. 77 FR 74862 - OneCPD Technical Assistance and Capacity Building Needs Assessment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-18

    ... the Office of Management and Budget (OMB) for review, as required by the Paperwork Reduction Act. The... programs funded by CPD and enable HUD and the TA provider to better understand the scope of assistance... Desk Officer, Office of Management and Budget, New Executive Office Building, Washington, DC 20503; fax...

  13. 76 FR 57983 - Notice of the Availability of the Draft Framework for the U.S.-Mexico Environmental Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ...]a de Medio Ambiente y Recursos Naturales (Mexico's Secretariat of Environment and Natural Resources..., El Paso, TX 79902. Fax: (915) 544-6026. Secretaria del Medio Ambiente y Recursos Naturales (SEMARNAT...). ACTION: Notice. SUMMARY: The U.S. Environmental Protection Agency (EPA) and the Secretaria de Medio...

  14. 76 FR 59701 - Agency Information Collection Request. 30 Day Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-27

    ... and Medicaid programs for children. To answer these questions, ASPE will draw on three new primary... notice directly to the OS OMB Desk Officer; faxed to OMB at 202-395-5806. Proposed Project: The Children... collection to provide the federal government with new and detailed insights into how the Children's Health...

  15. 15 CFR Supplement No. 3 to Part 730 - Other U.S. Government Departments and Agencies With Export Control Responsibilities

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    .... Nuclear Materials and Equipment * Nuclear Regulatory Commission, Office of International Programs, Tel. (301) 415-2344, Fax: (301) 415-2395. 10 CFR part 110. Nuclear Technologies and Services Which Contribute to the Production of Special Nuclear Material (Snm). Technologies Covered Include Nuclear Reactors...

  16. Evaluating the Effectiveness of the LifeSkills Training Program in Reducing Non-Attendance, Suspensions, and Referrals to Student Assistance Program

    ERIC Educational Resources Information Center

    Lantz, Stacy Stairs

    2017-01-01

    The purpose of this study was to determine the effects of participation in the LifeSkills Training (LST) program on student outcomes regarding attendance, discipline, and mental health referrals. Four middle schools located in Western and Central Pennsylvania participated in the study. A total number of 231 participants from three schools…

  17. Institutional Incorporation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Residency Training: Achieving a Sustainable Curriculum

    ERIC Educational Resources Information Center

    Scott, Denise M.; McLaurin-Jones, TyWanda; Brown, Fannie D.; Newton, Robin; Marshall, Vanessa J.; Kalu, Nnenna; Cain, Gloria E.; Taylor, Robert E.

    2012-01-01

    The success of implementing a screening, brief intervention and referral to treatment (SBIRT) program within a medical residency program for sustainability is contingent upon a well-crafted training curriculum that incorporates substance abuse education and clinical practice skills. The goal of the Howard University (HU) SBIRT program is to train…

  18. 49 CFR 199.243 - Referral, evaluation, and treatment.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... ALCOHOL TESTING Alcohol Misuse Prevention Program § 199.243 Referral, evaluation, and treatment. (a) Each... abuse professionals and counseling and treatment programs. (b) Each covered employee who engages in conduct prohibited under §§ 199.215 through 199.223 shall be evaluated by a substance abuse professional...

  19. 49 CFR 199.243 - Referral, evaluation, and treatment.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... ALCOHOL TESTING Alcohol Misuse Prevention Program § 199.243 Referral, evaluation, and treatment. (a) Each... abuse professionals and counseling and treatment programs. (b) Each covered employee who engages in conduct prohibited under §§ 199.215 through 199.223 shall be evaluated by a substance abuse professional...

  20. 49 CFR 199.243 - Referral, evaluation, and treatment.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... ALCOHOL TESTING Alcohol Misuse Prevention Program § 199.243 Referral, evaluation, and treatment. (a) Each... abuse professionals and counseling and treatment programs. (b) Each covered employee who engages in conduct prohibited under §§ 199.215 through 199.223 shall be evaluated by a substance abuse professional...

  1. 49 CFR 199.243 - Referral, evaluation, and treatment.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... ALCOHOL TESTING Alcohol Misuse Prevention Program § 199.243 Referral, evaluation, and treatment. (a) Each... abuse professionals and counseling and treatment programs. (b) Each covered employee who engages in conduct prohibited under §§ 199.215 through 199.223 shall be evaluated by a substance abuse professional...

  2. 49 CFR 199.243 - Referral, evaluation, and treatment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... ALCOHOL TESTING Alcohol Misuse Prevention Program § 199.243 Referral, evaluation, and treatment. (a) Each... abuse professionals and counseling and treatment programs. (b) Each covered employee who engages in conduct prohibited under §§ 199.215 through 199.223 shall be evaluated by a substance abuse professional...

  3. 28 CFR 541.41 - Institutional referral.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... INMATE DISCIPLINE AND SPECIAL HOUSING UNITS Control Unit Programs § 541.41 Institutional referral. (a) The Warden shall submit a recommendation for referral of an inmate for placement in a control unit to... following factors in a recommendation for control unit placement. (1) Any incident during confinement in...

  4. 20 CFR 628.510 - Intake, referrals and targeting.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Intake, referrals and targeting. 628.510 Section 628.510 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR PROGRAMS... II of the Job Training Partnership Act § 628.510 Intake, referrals and targeting. (a) Collection of...

  5. Factors associated to referral of tuberculosis suspects by private practitioners to community health centres in Bali Province, Indonesia.

    PubMed

    Artawan Eka Putra, I Wayan Gede; Utami, Ni Wayan Arya; Suarjana, I Ketut; Duana, I Made Kerta; Astiti, Cok Istri Darma; Putra, I W; Probandari, Ari; Tiemersma, Edine W; Wahyuni, Chatarina Umbul

    2013-10-28

    The contrast between the low proportion of tuberculosis (TB) suspects referred from private practitioners in Bali province and the high volume of TB suspects seeking care at private practices suggests problems with TB suspect referral from private practitioners to the public health sector. We aimed to identify key factors associated with the referral of TB suspects by private practitioners. We conducted a case-control study conducted in Bali province, Indonesia. The cases were private practitioners who had referred at least one TB suspect to a community health centre between 1 January 2007 and the start of data collection, while the controls were private practitioners who had not referred a single TB suspect in the same time. The following factors were independently associated with referral of TB suspects by private practitioners: having received information about the directly observed treatment short-course (DOTS) strategy (OR 2.0; 95% CI 1.1-3.8), ever having been visited by a district TB program officer (OR 2.1; 95% CI 1.0-4.5), availability of TB suspect referral forms in the practice (OR 2.8; 95% CI 1.5-5.2), and less than 5 km distance between the private practice and the laboratory for smear examination (OR 2.2; 95% CI 1.2-4.0). Education and exposure of private practitioners to the TB program improves referral of TB suspects from private practitioners to the national TB program. We recommend that the TB program provides all private practitioners with information about the DOTS strategy and TB suspect referral forms, and organizes regular visits to private practitioners.

  6. Factors associated to referral of tuberculosis suspects by private practitioners to community health centres in Bali Province, Indonesia

    PubMed Central

    2013-01-01

    Background The contrast between the low proportion of tuberculosis (TB) suspects referred from private practitioners in Bali province and the high volume of TB suspects seeking care at private practices suggests problems with TB suspect referral from private practitioners to the public health sector. We aimed to identify key factors associated with the referral of TB suspects by private practitioners. Methods We conducted a case-control study conducted in Bali province, Indonesia. The cases were private practitioners who had referred at least one TB suspect to a community health centre between 1 January 2007 and the start of data collection, while the controls were private practitioners who had not referred a single TB suspect in the same time. Results The following factors were independently associated with referral of TB suspects by private practitioners: having received information about the directly observed treatment short-course (DOTS) strategy (OR 2.0; 95% CI 1.1 – 3.8), ever having been visited by a district TB program officer (OR 2.1; 95% CI 1.0 – 4.5), availability of TB suspect referral forms in the practice (OR 2.8; 95% CI 1.5-5.2), and less than 5 km distance between the private practice and the laboratory for smear examination (OR 2.2; 95% CI 1.2-4.0). Conclusions Education and exposure of private practitioners to the TB program improves referral of TB suspects from private practitioners to the national TB program. We recommend that the TB program provides all private practitioners with information about the DOTS strategy and TB suspect referral forms, and organizes regular visits to private practitioners. PMID:24165352

  7. 78 FR 18529 - Airworthiness Directives; Learjet Inc. Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-27

    ... Learjet Way, Wichita, KS 67209-2942; telephone 316- 946-2000; fax 316-946-2220; email [email protected] 100, Mid-Continent Airport, Wichita, Kansas 67209; phone: 316-946-4156; fax: 316-946-4107; email: adam... Airport, Wichita, Kansas 67209; phone: 316-946-4156; fax: 316-946- 4107; email: [email protected] . (2...

  8. 78 FR 39574 - Airworthiness Directives; Learjet Inc. Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-02

    ...., One Learjet Way, Wichita, KS 67209-2942; telephone 316- 946-2000; fax 316-946-2220; email [email protected] Continent Airport, Wichita, KS 67209; phone: 316-946-4120; fax: 316- 946-4107; email: [email protected], Wichita, KS 67209; phone: 316-946- 4120; fax: 316-946-4107; email: [email protected] . (l) Material...

  9. 75 FR 38941 - Airworthiness Directives; Learjet Inc. Model 45 Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-07

    ..., Wichita, Kansas 67209-2942; telephone 316-946-2000; fax 316-946-2220; e-mail [email protected] Road, Room 100, Mid-Continent Airport, Wichita, Kansas 67209; telephone (316) 946-4135; fax (316) 946...) 946-4135; fax (316) 946-4107. (2) To request a different method of compliance or a different...

  10. Direct Commercial and Foreign Military Sales: Chemical Defense Equipment, an Introductory Brochure

    DTIC Science & Technology

    1991-06-01

    60128 CGHCH CM ______________Fax: (86] (028)583-520 COLOMBIA Bogota Tel: [57](1)285-1300/1688 Telex: 44843 ______________Fax: (5711 (1)288-5687...CONSULATES Palermo Tel: (39](91)343-532 Telex: 910313 USA CON I Commercial Section: (39] (91)346-036, 345-1923 Fax: (39] (91)343-546 Florence Tel: [39

  11. 77 FR 13562 - Marine Mammals; File No. 14241

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-07

    ..., 55 Great Republic Drive, Gloucester, MA 01930; phone (978) 281-9328; fax (978) 281-9394; and... Resources, NMFS, 1315 East-West Highway, Room 13705, Silver Spring, MD 20910; phone (301) 427-8401; fax (301...; phone (206) 526-6150; fax (206) 526-6426; Southwest Region, NMFS, 501 West Ocean Blvd., Suite 4200, Long...

  12. Discipline Referral Outcomes: Meeting the Needs of Students

    ERIC Educational Resources Information Center

    Bergh, Bethney; Cowell, Joan

    2013-01-01

    In this study, school disciplinary procedures/programs used in response to disciplinary referrals and programs that schools have in place to prevent, intervene, and respond to behaviors that result in suspensions or expulsions from the classroom or school were investigated. The focus of this study was school leaders' concerns regarding the…

  13. Primary care referral management: a marketing strategy for hospitals.

    PubMed

    Bender, A D; Geoghegan, S S; Lundquist, S H; Cantone, J M; Krasnick, C J

    1990-06-01

    With increasing competition among hospitals, primary care referral development and management programs offer an opportunity for hospitals to increase their admissions. Such programs require careful development, the commitment of the hospital staff to the strategy, an integration of hospital activities, and an understanding of medical practice management.

  14. Effectiveness of a multifaceted implementation strategy on physicians' referral behavior to an evidence-based psychosocial intervention in dementia: a cluster randomized controlled trial.

    PubMed

    Döpp, Carola M E; Graff, Maud J L; Teerenstra, Steven; Nijhuis-van der Sanden, Maria W G; Olde Rikkert, Marcel G M; Vernooij-Dassen, Myrra J F J

    2013-05-30

    To evaluate the effectiveness of a multifaceted implementation strategy on physicians' referral rate to and knowledge on the community occupational therapy in dementia program (COTiD program). A cluster randomized controlled trial with 28 experimental and 17 control clusters was conducted. Cluster included a minimum of one physician, one manager, and two occupational therapists. In the control group physicians and managers received no interventions and occupational therapists received a postgraduate course. In the experimental group physicians and managers had access to a website, received newsletters, and were approached by telephone. In addition, physicians were offered one outreach visit. In the experimental group occupational therapists received the postgraduate course, training days, outreach visits, regional meetings, and access to a reporting system. Main outcome measure was the number of COTiD referrals received by each cluster which was assessed at 6 and 12 months after the start of the intervention. Referrals were included from both participating physicians (enrolled in the study and received either the control or experimental intervention) and non-participating physicians (not enrolled but of whom referrals were received by participating occupational therapists). Mixed model analyses were used to analyze the data. All analyses were based on the principle of intention-to-treat. At 12 months experimental clusters received significantly more referrals with an average of 5,24 referrals (SD 5,75) to the COTiD program compared to 2,07 referrals in the control group (SD 5,14). The effect size at 12 months was 0.58. Although no difference in referral rate was found for the physicians participating in the study, the number of referrals from non-participating physicians (t -2,55 / 43 / 0,02) differed significantly at 12 months. Passive dissemination strategies are less likely to result in changes in professional behavior. The amount of physicians exposed to active strategies was limited. In spite of this we found a significant difference in the number of referrals which was accounted for by more referrals of non-participating physicians in the experimental clusters. We hypothesize that the increase in referrals was caused by an increase in occupational therapists' efforts to promote their services within their network. NCT01117285.

  15. Sustaining SBIRT in the wild: simulating revenues and costs for Screening, Brief Intervention and Referral to Treatment programs.

    PubMed

    Cowell, Alexander J; Dowd, William N; Mills, Michael J; Hinde, Jesse M; Bray, Jeremy W

    2017-02-01

    To examine the conditions under which Screening, Brief Intervention and Referral to Treatment (SBIRT) programs can be sustained by health insurance payments. A mathematical model was used to estimate the number of patients needed for revenues to exceed costs. Three medical settings in the United States were examined: in-patient, out-patient and emergency department. Components of SBIRT were delivered by combinations of health-care practitioners (generalists) and behavioral health specialists. Practitioners in seven SBIRT programs who received grants from the US Substance Abuse and Mental Health Services Administration (SAMHSA). Program costs and revenues were measured using data from grantees. Patient flows were measured from administrative data and adjusted with prevalence and screening estimates from the literature. SBIRT can be sustained through health insurance reimbursement in out-patient and emergency department settings in most staffing mixes. To sustain SBIRT in in-patient programs, a patient flow larger than the national average may be needed; if that flow is achieved, the range of screens required to maintain a surplus is narrow. Sensitivity analyses suggest that the results are very sensitive to changes in the proportion of insured patients. Screening, Brief Intervention and Referral to Treatment programs in the United States can be sustained by health insurance payments under a variety of staffing models. Screening, Brief Intervention and Referral to Treatment programs can be sustained only in an in-patient setting with above-average patient flow (more than 2500 screens). Screening, Brief Intervention and Referral to Treatment programs in out-patient and emergency department settings can be sustained with below-average patient flows (fewer than 125 000 out-patient visits and fewer than 27 000 emergency department visits). © 2017 Society for the Study of Addiction.

  16. A Quantitative Study of the Reading First Initiative Teacher Training Program in Reducing Student Referrals for Special Education Services

    ERIC Educational Resources Information Center

    Maestas, Gary E.

    2010-01-01

    The problem investigated in this research study relates to the referral rate for special education evaluations between students of teachers who were exposed to the professional development and resources associated with the federally funded Reading First program and students of teachers who were not exposed to the program. The purpose of this study…

  17. Development of a quarterly referral productivity report.

    PubMed

    Wu, Cai; Sandoval, Alex; Hicks, Katrina N; Edwards, Tim J; Green, Lyle D

    2007-10-11

    The Office of Physician Relations at The University of Texas M. D. Anderson Cancer Center (MDACC) has developed a dynamic referral productivity reporting tool for its Multidisciplinary Care Centers (MCC). The tool leverages information within the institution's Enterprise Information Warehouse (EIW) using business intelligent software Hyperion Intelligent Explorer Suite 8.3. the referral productivity reports are intended to provide each MCC with detailed referral and registration data outlining how, and from where, patients arrive here for treatment. The reports supports operational and strategic initiatives aimed at improving referral processes and market related program development.

  18. Cleared DoD Employees at Risk - Report 2 A Study of Barriers to Seeking Help

    DTIC Science & Technology

    2002-01-01

    PERSEREC examined the relationship between DoD security policy and federally mandated employee assistance programs ( EAPs ) for civilians and...counseling/referral services for military personnel to identify any barriers for cleared DoD employees to using these programs . The study, based largely on...appendices that provides background information for the interested reader on such topics as the EAP movement, military counseling/referral programs , and DoD personnel security policies and programs .

  19. 75 FR 25295 - Workforce Investment Act of 1998 (WIA); Notice of Incentive Funding Availability Based on Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ...-free number). Fax: 202-693- 3490. E-mail: [email protected] and [email protected] . Information may... INFORMATION: Ten states (see Appendix) qualify to receive a share of the $9.7 million available for incentive... from appropriations for the Adult Education and Family Literacy Act, are available for the eligible...

  20. 76 FR 55693 - Privacy Act of 1974; Department of Homeland Security National Protection and Programs Directorate...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-08

    ... instructions for submitting comments. Fax: 703-483-2999. Mail: Mary Ellen Callahan, Chief Privacy Officer... approval of the Chief Privacy Officer in consultation with counsel, when there exists a legitimate public... obtain forms for this purpose from the Chief Privacy Officer and Chief Freedom of Information Act Officer...

  1. 77 FR 29961 - Fisheries of the Exclusive Economic Zone off Alaska and Pacific Halibut Fisheries; Observer Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-21

    ... Science Center, 7600 Sand Point Way NE., Building 4, Observer Training Room (1055), Seattle, WA 98115..., Sustainable Fisheries Division, Alaska Region NMFS, Attn: Ellen Sebastian. Mail comments to P.O. Box 21668..., Sustainable Fisheries Division, Alaska Region NMFS, Attn: Ellen Sebastian. Fax comments to 907-586-7557. Hand...

  2. 7 CFR 999.500 - Safeguard procedures for walnuts, certain dates, and pistachios exempt from grade, size, quality...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... entry of 8e commodities must be submitted online, mailed or faxed to the Marketing Order and Agreement...” (FV-6) with the Marketing Order and Agreement Division, Fruit and Vegetable Programs, AMS, USDA, and...

  3. 7 CFR 999.500 - Safeguard procedures for walnuts, certain dates, and pistachios exempt from grade, size, quality...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... entry of 8e commodities must be submitted online, mailed or faxed to the Marketing Order and Agreement...” (FV-6) with the Marketing Order and Agreement Division, Fruit and Vegetable Programs, AMS, USDA, and...

  4. Environment, Health and Safety (EH&S): Division Liaisons

    Science.gov Websites

    , NSD, PHY EHS Groups: Training Name Role Phone James Basore EHS Training Manager (510) 486-7524 Carmen Ayala EHS Training Program Assistant (510-495-2228) Fax (510) 486-2384 EHS Groups: Waste Management Name Hazardous Waste Electronic Requisition For training on use of the electronic requisition, see your Generator

  5. National Guard Counterdrug Programs

    DTIC Science & Technology

    2001-02-14

    comparisons to locate indoor Marijuana grows, outdoor infrastructure - Monitor activity at known sites - Meth labs, stash houses, marijuana grows - Real...Identifies key signatures of structures for indoor growth of cannabis - Vehiclelvessel surveillance * Video capabilities for evidence e Global Positioning...System Navigational Equipment - Identify marijuana locations for ground recovery Contact Information Voice (703) 607-5665 DSN Voice 327-5665 FAX (703

  6. 77 FR 10727 - Applications for New Awards; Fulbright-Hays Group Projects Abroad Program-Short-Term Projects and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-23

    ... improve foreign language studies, area studies, or both at elementary and secondary schools by including K... the Internet, use the following address: http://grants.gov . To obtain a copy from ED Pubs, write, fax... written statement to the Department that you qualify for one of these exceptions. Further information...

  7. 75 FR 48957 - Office of Special Education and Rehabilitative Services; Overview Information; Technology and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-12

    ... providing video description for educational program content delivered via the Internet (e.g., YouTube, YouTube EDU, Second Life, and virtual on-line courses) or through technological devices (e.g., smart.... Box 22207, Alexandria, VA 22304. Telephone, toll free: 1-877-433-7827. FAX: (703) 605-6794. If you use...

  8. The Defense and Veterans Brain Injury Center Care Coordination Program: Assessment of Program Structure, Activities, and Implementation

    DTIC Science & Technology

    2013-01-01

    referrals from other sources will need to grow . After LRMC, the second most common referral source is other MTFs (16 percent in 2011). As part of...Christine Walker, Leonie Segal, Patricia Dunning, James Best, Irene Blackberry , Ralph Audehm, Nabil Sulaiman, James Dunbar, and Patty Chondros

  9. 42 CFR 422.105 - Special rules for self-referral and point of service option.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Special rules for self-referral and point of service option. 422.105 Section 422.105 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM MEDICARE ADVANTAGE PROGRAM Benefits and...

  10. Promoting Early Intervention Referral through a Randomized Controlled Home-Visiting Program

    ERIC Educational Resources Information Center

    Schwarz, Donald F.; O'Sullivan, Ann L.; Guinn, Judith; Mautone, Jennifer A.; Carlson, Elyse C.; Zhao, Huaqing; Zhang, Xuemei; Esposito, Tara L.; Askew, Megan; Radcliffe, Jerilynn

    2012-01-01

    The MOM Program is a randomized, controlled trial of an intervention to promote mothers' care for the health and development of their children, including accessing early intervention (EI) services. Study aims were to determine whether, relative to controls, this intervention increased receipt of and referral to EI services. Mothers (N = 302)…

  11. Organizational Hierarchy, Employee Status, and Use of Employee Assistance Programs.

    ERIC Educational Resources Information Center

    Gerstein, Lawrence; And Others

    1993-01-01

    Examined role of organizational hierarchy and staff status in number of Employee Assistance Program (EAP) referrals made by potential helpers and relationship of these variables to personal EAP use among 157 supervisors and 232 employees. Supervisors suggested more EAP referrals than did employees. Middle level staff received EAP services more…

  12. Enrollment success in state children's health insurance program after free clinic referral.

    PubMed

    Brown, Ann-Marie; Glazer, Greer

    2004-01-01

    More than 11 million children remain uninsured and receive no primary health care despite the advent of the State Children's Health Insurance Program (S-CHIP). The purpose of this pilot study was to evaluate whether each child in a northeast Ohio county free pediatric clinic is referred to S-CHIP and whether the enrollment process is successful. A record review was done to evaluate documentation indicating that such a referral was made. A phone call was made to each family for whom there was no evidence of application to S-CHIP. Twenty-eight referrals to Ohio's S-CHIP were documented (60%). Only 12% of families submitted an application to S-CHIP. Ten parents agreed to share their reasons for nonsubmission, the most common reason being that they thought their household income too high, followed by they did not think the program was needed. The mere existence of or referral to such a program is not adequate to ensure utilization of health care resources. Recommendations are made to increase enrollment and access to health care for low-income children.

  13. An Information and Referral Model for Improving Self-Help Group Utilization.

    ERIC Educational Resources Information Center

    Wollert, Richard

    This paper describes the Self-Help Information Service (SIS), and summarizes data evaluating the program. Associated with a generally focused information and referral service (I&R), SIS was designed to facilitate research on self-help groups. Its specific goals were to develop and maintain a telephone referral service disseminating self-help…

  14. 13 CFR 120.926 - Referral fee.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Loan Program (504) Third Party Loans § 120.926 Referral fee. The CDC can receive a reasonable referral fee from the Third Party Lender if the CDC secured the Third Party Lender for the Borrower under a written contract between the CDC and the Third Party Lender. Both the CDC and the Third Party Lender are...

  15. 13 CFR 120.926 - Referral fee.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Loan Program (504) Third Party Loans § 120.926 Referral fee. The CDC can receive a reasonable referral fee from the Third Party Lender if the CDC secured the Third Party Lender for the Borrower under a written contract between the CDC and the Third Party Lender. Both the CDC and the Third Party Lender are...

  16. 13 CFR 120.926 - Referral fee.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Loan Program (504) Third Party Loans § 120.926 Referral fee. The CDC can receive a reasonable referral fee from the Third Party Lender if the CDC secured the Third Party Lender for the Borrower under a written contract between the CDC and the Third Party Lender. Both the CDC and the Third Party Lender are...

  17. 13 CFR 120.926 - Referral fee.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Loan Program (504) Third Party Loans § 120.926 Referral fee. The CDC can receive a reasonable referral fee from the Third Party Lender if the CDC secured the Third Party Lender for the Borrower under a written contract between the CDC and the Third Party Lender. Both the CDC and the Third Party Lender are...

  18. 13 CFR 120.926 - Referral fee.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Loan Program (504) Third Party Loans § 120.926 Referral fee. The CDC can receive a reasonable referral fee from the Third Party Lender if the CDC secured the Third Party Lender for the Borrower under a written contract between the CDC and the Third Party Lender. Both the CDC and the Third Party Lender are...

  19. Utilization of services and referrals through dental outreach programs in rural areas of India. A two year study.

    PubMed

    Asawa, Kailash; Bhanushali, Nikhil V; Tak, Mridula; Kumar, Dola Rama Venkata; Rahim, Muhammad Furqon Bin Abd; Alshahran, Obaid Abdullah; Divakar, Darshan Devang

    2015-01-01

    Oral health care services are often sparse and inconsistent in India therefore it is often difficult for poor people to get access to the oral health care services. The approach by dental institutions with the help of community outreach programs is a step ahead in overcoming this situation. The study was conducted to evaluate the number of patients, disease pattern and the services provided in the outreach programmes and also effectiveness of patient referral. A retrospective study was conducted and the data were obtained from records of outreach programs conducted, in last 2 years by Pacific Dental College and Hospital. The data were analysed using descriptive statistics for the computation of percentages Chi-square test was applied to know the association of effectiveness of referral with age and gender. Confidence level and level of significance was fixed at 95% and 5% respectively. A total of 22982 individuals in the age group of 4-80 years attended the outreach program. Dental caries (42.3%), periodontal diseases (63.2-69.0%) and dental fluorosis (33.7-35.0%) were commonly observed diseases. Effectiveness of referral was significantly high among the middle age adults and females (P<0.05). The effectiveness of referral was highly improved in 2013 after establishment of certain guidelines and strategies. The approaches by dental institutions with the help of community outreach programs can spread awareness and disseminate treatment and thereby enhancing access to care and eliminating access to care within the rural communities.

  20. Alaska Department of Natural Resources

    Science.gov Websites

    , Fairbanks, Alaska 99709 Phone: 907-822-5534, Fax: 907-451-2690 Delta Area Office PO Box 1149, Delta Junction Fairbanks Office 3700 Airport Way, Fairbanks, AK 99709-4613 Phone: 907-451-2695, Fax: 907-451-2754 Delta Junction Office PO Box 318, Delta Junction, AK 99737 Phone: 907-895-2113, Fax: 907-895-5043 Southeast

  1. 77 FR 9166 - Airworthiness Directives; Airplanes Originally Manufactured by Lockheed for the Military as P2V...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-16

    ...; phone: 303-342-1086; fax: 303-342-1088; e-mail: [email protected] . SUPPLEMENTARY INFORMATION..., Attention: Roger Caldwell, 26805 East 68th Avenue, Denver, CO 80249; phone: 303-342-1086; fax: 303-342-1088... Avenue, Denver, CO 80249; phone: 303-342-1086; fax: 303- 342-1088; e-mail: [email protected] . (n...

  2. Surgical referral coordination from a first-level hospital: a prospective case study from rural Nepal.

    PubMed

    Fleming, Matthew; King, Caroline; Rajeev, Sindhya; Baruwal, Ashma; Schwarz, Dan; Schwarz, Ryan; Khadka, Nirajan; Pande, Sami; Khanal, Sumesh; Acharya, Bibhav; Benton, Adia; Rogers, Selwyn O; Panizales, Maria; Gyorki, David; McGee, Heather; Shaye, David; Maru, Duncan

    2017-09-25

    Patients in isolated rural communities typically lack access to surgical care. It is not feasible for most rural first-level hospitals to provide a full suite of surgical specialty services. Comprehensive surgical care thus depends on referral systems. There is minimal literature, however, on the functioning of such systems. We undertook a prospective case study of the referral and care coordination process for cardiac, orthopedic, plastic, gynecologic, and general surgical conditions at a district hospital in rural Nepal from 2012 to 2014. We assessed the referral process using the World Health Organization's Health Systems Framework. We followed the initial 292 patients referred for surgical services in the program. 152 patients (52%) received surgery and four (1%) suffered a complication (three deaths and one patient reported complication). The three most common types of surgery performed were: orthopedics (43%), general (32%), and plastics (10%). The average direct and indirect cost per patient referred, including food, transportation, lodging, medications, diagnostic examinations, treatments, and human resources was US$840, which was over 1.5 times the local district's per capita income. We identified and mapped challenges according to the World Health Organization's Health Systems Framework. Given the requirement of intensive human capital, poor quality control of surgical services, and the overall costs of the program, hospital leadership decided to terminate the referral coordination program and continue to build local surgical capacity. The results of our case study provide some context into the challenges of rural surgical referral systems. The high relative costs to the system and challenges in accountability rendered the program untenable for the implementing organization.

  3. EOS Directory

    NASA Technical Reports Server (NTRS)

    1994-01-01

    This Earth Observing System (EOS) directory is divided into two main sections: white and yellow pages. The white pages list alphabetically the names and addresses -- including e-mail, phone, and fax when available -- of all individuals involved with EOS, from graduate students to panel members to program management and more. The yellow pages list the names, affiliation, and phone number of participants divided by project management, program management, individual project participants, interdisciplinary investigations (listed alphabetically by PI), the Science Executive Committee, various panels, platforms, working groups, fellowships, and contractors.

  4. Effects of Schools Attuned on Special Education Referrals for African American Boys

    ERIC Educational Resources Information Center

    Rodriguez, Andrea B.

    2010-01-01

    This study compared the number of special education referrals for African American boys before and after the implementation of the training program, "Schools Attuned". The purpose of the research was to ascertain if the number of special education referrals for African American boys generated in schools with teachers trained in "Schools Attuned"…

  5. 45 CFR 79.11 - Referral of complaint and answer to the ALJ.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Referral of complaint and answer to the ALJ. 79.11 Section 79.11 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION PROGRAM FRAUD CIVIL REMEDIES § 79.11 Referral of complaint and answer to the ALJ. Upon receipt of an answer, the...

  6. 6 CFR 13.11 - Referral of Complaint and answer to the ALJ.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 6 Domestic Security 1 2010-01-01 2010-01-01 false Referral of Complaint and answer to the ALJ. 13.11 Section 13.11 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY PROGRAM FRAUD CIVIL REMEDIES § 13.11 Referral of Complaint and answer to the ALJ. Upon receipt of an answer, the...

  7. 78 FR 8032 - Misuse of Internet Protocol (IP) Captioned Telephone Service; Telecommunications Relay Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-05

    ... believe that this growth is being caused by the offering of incentives for referrals to use this service... precipitated largely by new referral programs that offer monetary rewards for the referral of customers who... cost to the consumer. In short, offering such rewards may have the effect of enlisting customers who...

  8. 12 CFR 308.510 - Referral of complaint and answer to the ALJ.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Referral of complaint and answer to the ALJ. 308.510 Section 308.510 Banks and Banking FEDERAL DEPOSIT INSURANCE CORPORATION PROCEDURE AND RULES OF PRACTICE RULES OF PRACTICE AND PROCEDURE Program Fraud Civil Remedies and Procedures § 308.510 Referral of...

  9. 12 CFR 308.510 - Referral of complaint and answer to the ALJ.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 5 2013-01-01 2013-01-01 false Referral of complaint and answer to the ALJ. 308.510 Section 308.510 Banks and Banking FEDERAL DEPOSIT INSURANCE CORPORATION PROCEDURE AND RULES OF PRACTICE RULES OF PRACTICE AND PROCEDURE Program Fraud Civil Remedies and Procedures § 308.510 Referral of...

  10. 10 CFR 13.11 - Referral of complaint and answer to the ALJ.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Referral of complaint and answer to the ALJ. 13.11 Section 13.11 Energy NUCLEAR REGULATORY COMMISSION PROGRAM FRAUD CIVIL REMEDIES § 13.11 Referral of complaint and answer to the ALJ. Upon receipt of an answer, the reviewing official shall file the complaint and...

  11. 10 CFR 13.11 - Referral of complaint and answer to the ALJ.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 1 2013-01-01 2013-01-01 false Referral of complaint and answer to the ALJ. 13.11 Section 13.11 Energy NUCLEAR REGULATORY COMMISSION PROGRAM FRAUD CIVIL REMEDIES § 13.11 Referral of complaint and answer to the ALJ. Upon receipt of an answer, the reviewing official shall file the complaint and...

  12. Adult Education Information and Referral Hot-Line. Adult Education Special Project. Final Report, July 1980-June 1981.

    ERIC Educational Resources Information Center

    Morgan, Jim

    A toll-free adult education information and referral hotline provided information and referral services to approximately 1500 adults in Region IX in Texas from September 1980 to June 1981. Adult education co-ops and testing centers forwarded pertinent program information (class schedules, General Educational Development testing information) to the…

  13. 20 CFR 628.530 - Referrals of participants to non-title II programs.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...-title II programs. (a) When it is determined, through the objective assessment and the ISS, that a... ISS. (b) In cases where there will be a continuing relationship with a participant, a referral to... will be recorded in the ISS. (c) When there will not be a continuing relationship with a participant as...

  14. 20 CFR 628.530 - Referrals of participants to non-title II programs.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...-title II programs. (a) When it is determined, through the objective assessment and the ISS, that a... ISS. (b) In cases where there will be a continuing relationship with a participant, a referral to... will be recorded in the ISS. (c) When there will not be a continuing relationship with a participant as...

  15. An Australian hospital's training program and referral pathway within a multi-disciplinary health-justice partnership addressing family violence.

    PubMed

    Forsdike, Kirsty; Humphreys, Cathy; Diemer, Kristin; Ross, Stuart; Gyorki, Linda; Maher, Helena; Vye, Penelope; Llewelyn, Fleur; Hegarty, Kelsey

    2018-06-01

    An innovative health-justice partnership was established to deliver legal assistance to women experiencing family violence who attended an Australian hospital. This paper reports on a multifaceted response to build capacity and willingness of health professionals to identify signs of family violence and engage with referral pathways to on-site legal assistance. A Realistic Evaluation analysed health professionals' knowledge and attitudes towards identification, response and referral for family violence before and after training; and use of referral pathways. Of 123 health professionals participating in training, 67 completed baseline and follow-up surveys. Training improved health professionals' self-reported knowledge of, and confidence in, responding to family violence and understanding of lawyers' roles in hospitals. Belief that patients should be referred to on-site legal services increased. Training did not correspond to actual increased referrals to legal assistance. The program built capacity and willingness of health professionals to identify signs of, and respond to, family violence. Increase in referral rates to legal assistance was not shown. Potential improvements include better data capture and greater availability of legal services. Implications for public health: Strong hospital system supports and reliable recording of family violence referrals need to be in place before introducing such partnerships to other hospitals. © 2017 The Authors.

  16. Appealing to an important customer. Physicians should be the target of marketing.

    PubMed

    Weiss, R

    1989-05-01

    Although many healthcare professionals are turning to the general public to increase market share and referrals, they should be directing their attention to physicians instead. One of the major challenges facing hospitals is determining physician needs. A survey may be necessary to identify physicians' perceptions, attitudes, values, expectations, market, and hospital loyalty. Another important research document is the physician profile, which includes each doctor by age, specialty, office location, admitting and outpatient referral activity, financial contribution, and referral and other affiliations. Surveying should not end with the physician. One of the best means of evaluating patient and physician satisfaction is by questioning physicians' office staff. To centralize physician services, a number of hospitals have established physician liaison programs, which bridge the gap between the hospital and the physician's office, heighten physician satisfaction, and increase referrals. Physician orientation is a key element of most outreach programs, providing an opportunity to develop relationships with new physicians. Other means of directly aiding physicians are physician referral services and practice enhancement and assistance.

  17. Wireless teleradiology and fax using cellular phones and notebook PCs for instant access to consultants.

    PubMed

    Yamamoto, L G

    1995-03-01

    The feasibility of wireless portable teleradiology and facsimile (fax) transmission using a pocket cellular phone and a notebook computer to obtain immediate access to consultants at any location was studied. Modems specially designed for data and fax communication via cellular systems were employed to provide a data communication interface between the cellular phone and the notebook computer. Computed tomography (CT) scans, X-rays, and electrocardiograms (ECGs) were transmitted to a wireless unit to measure performance characteristics. Data transmission rates ranged from 520 to 1100 bytes per second. Typical image transmission times ranged from 1 to 10 minutes; however, using joint photographic experts group or fractal image compression methods would shorten typical transmission times to less than one minute. This study showed that wireless teleradiology and fax over cellular communication systems are feasible with current technology. Routine immediate cellular faxing of ECGs to cardiologists may expedite thrombolytic therapy decisions in questionable cases. Routine immediate teleradiology of CT scans may reduce operation room preparation times in severe head trauma.

  18. 32 CFR 806.20 - Records of non-U.S. government source.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 6 2012-07-01 2012-07-01 false Records of non-U.S. government source. 806.20... ADMINISTRATION AIR FORCE FREEDOM OF INFORMATION ACT PROGRAM § 806.20 Records of non-U.S. government source. (a... notify their MAJCOM (or equivalent) FOIA office, in writing, via fax or e-mail when the Department of...

  19. 32 CFR 806.20 - Records of non-U.S. government source.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 6 2014-07-01 2014-07-01 false Records of non-U.S. government source. 806.20... ADMINISTRATION AIR FORCE FREEDOM OF INFORMATION ACT PROGRAM § 806.20 Records of non-U.S. government source. (a... notify their MAJCOM (or equivalent) FOIA office, in writing, via fax or e-mail when the Department of...

  20. Health promotion communications system: a model for a dispersed population.

    PubMed

    Foran, M; Campanelli, L C

    1995-11-01

    1. Corporations with geographically dispersed populations need to provide flexible health promotion programs tailored to meet specific employee interests and needs. 2. Bell Atlantic developed a dispersed model approach based on the transtheoretical model of behavior change. The key to this model is to identify at which stage the individual is operating and provide appropriate information and behavior change programs. 3. Components of the program include: health risk appraisal; exercise/activity tracking system; on line nurse health information service; network of fitness facilities; employee assistance programs; health library available by fax; health film library; network of health promotion volunteers; and targeted health and marketing messaged via corporate media.

  1. 75 FR 78599 - Airworthiness Directives; Pacific Aerospace Limited Model FU24-954 and FU24A-954 Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-16

    ...; telephone: +(64) 7-843-6144; fax +(64) 7-843-6134; e-mail: [email protected]nz . You may review copies..., Hamilton, New Zealand; telephone: +(64) 7-843-6144; fax +(64) 7-843- 6134; e-mail: [email protected]nz... Zealand; telephone: +(64) 7-843-6144; fax +(64) 7-843- 6134; e-mail: [email protected]nz . (3) You may...

  2. Referral patterns and service utilization in a pediatric hospital-wide intimate partner violence program.

    PubMed

    Cruz, Mario; Cruz, Patricia B; Weirich, Christine; McGorty, Ryan; McColgan, Maria D

    2013-08-01

    To describe the referral patterns and utilization of on-site intimate partner violence (IPV) services in both inpatient and outpatient settings at a large urban children's hospital. Retrospective review of case records from IPV victims referred to an on-site IPV counselor between September 2005 and February 2010. Descriptive statistics were used to examine IPV victim demographics, number of referrals per hospital department, referral source (type of staff member), time spent by IPV counselor for initial consultation, and services provided to IPV victims. A total of 453 unique referrals were made to the IPV counselor: 81% were identified by universal screening and 19% by risk-based screening. Thirty-six percent of IPV victims were referred from primary care clinics; 26% from inpatient units; 13% from outpatient subspecialty clinics; 12.5% from the emergency department; 5% from the Child Protection Program; and 4% were employee self-referrals. Social workers generated the most referrals (55%), followed by attending physicians (17%), residents (13%), nurses (7%), and other individuals (self-referrals) (4%). The median initial IPV intervention required 42 minutes. Supportive counseling and safety planning were the services most often utilized by IPV victims. IPV screening can be successfully integrated in both inpatient and outpatient settings by a multidisciplinary group of hospital staff. Most referrals were generated by universal screening outside of the primary care setting. IPV victims generally desired supportive counseling and safety planning over immediate housing relocation. Many IPV screening opportunities were missed by using verbal screening alone. Copyright © 2013 Elsevier Ltd. All rights reserved.

  3. 78 FR 11666 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-19

    ...; Office of Juvenile Justice and Delinquency Prevention-- Brief Intervention and Referral to Treatment... Labor Statistics 4. Screening, Brief Intervention, Treatment and Referral (SBIRT) grant program: * 27...

  4. Effective Partnering of State Agencies to Achieve Early Hearing Detection and Intervention Benchmarks

    ERIC Educational Resources Information Center

    Corwin, Joanne

    2011-01-01

    Relative to Early Hearing Detection and Intervention (EHDI), New Mexico struggles with multiple points of referral into early intervention in the same way most states do. Referrals are not systematized through a single point of entry. The Step*Hi (statewide Parent-Infant) Program of the New Mexico School for the Deaf (NMSD) receives referrals from…

  5. Effect of a Counseling Intervention Program on Tenth Grade Students' Attendance, Discipline Referrals, and Academic Achievement

    ERIC Educational Resources Information Center

    Austin, Dorothy Deona Martin

    2013-01-01

    Poor student achievement, high discipline referrals, and student absenteeism were issues in a rural school with a population of approximately 400 students. The purpose of this study was to examine the influence of Effective Teens training on the attendance, discipline referrals, and academic achievement of 10th grade students. The theoretical…

  6. 49 CFR 40.291 - What is the role of the SAP in the evaluation, referral, and treatment process of an employee who...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... employee to an appropriate education and/or treatment program; (3) Conducting a face-to-face follow-up evaluation to determine if the employee has actively participated in the education and/or treatment program..., referral, and treatment process of an employee who has violated DOT agency drug and alcohol testing...

  7. Alaska: Improving Referrals of Victims of Maltreatment to the IDEA Part C Program. State Spotlight: Data Sharing

    ERIC Educational Resources Information Center

    Derrington, Taletha; Peters, Mary Louise; Mauzy, Denise; Ruggiero, Robert

    2015-01-01

    This 2015 state spotlight document describes how Alaska Part C improved the referral of children from Child Welfare to the Individuals with Disabilities Education Act (IDEA) Part C Program by an automated transfer of data from Child Welfare to Part C for substantiated cases of child maltreatment (i.e., child abuse and/or neglect).

  8. Causes and patterns of referral to a tertiary, multidisciplinary program for the treatment of childhood obesity.

    PubMed

    Yaeger-Yarom, Gili; Nemet, Dan; Eliakim, Alon

    2011-01-01

    Despite the childhood obesity epidemic, few obese children receive therapy and relatively few weight management multidisciplinary programs exist. The objective of this study was to examine the patterns and causes for obese children referrals to a tertiary multidisciplinary childhood obesity treatment program. A total of 227 children (10.6 +/- 2.6 years; 108 boys, 119 girls) were evaluated at the beginning of the programs for personal and familial demographic and anthropometric details, the referring agent to the program, and the main reasons for participation and for the child's desire to lose weight. The majority of participants had an obese family member (83%), in particular an obese parent (62%). The majority of patients were self-referred (86.8%), mainly by their mothers (74%). Only a small fraction were referred by healthcare providers (15.4%). The desire to improve appearance (44.5%), social/psychological issues (39.2%) and the will to improve fitness (29.5%) were the main reasons for joining the program. Understanding the motives for participation and referral patterns can improve recruitment and participation of obese children in weight reduction intervention programs.

  9. New developments in employee assistance programs.

    PubMed

    White, R K; McDuff, D R; Schwartz, R P; Tiegel, S A; Judge, C P

    1996-04-01

    Employee assistance programs have developed from alcoholism assessment and referral centers to specialized behavioral health programs. Comprehensive employee assistance programs are defined by six major components: identification of problems based on job performance, consultation with supervisors, constructive confrontation, evaluation and referral, liaison with treatment providers, and substance abuse expertise. Other services have been added as enhancements to the basic model and include managed behavioral health activities and professional assistance committees, which provide services for impaired professionals and executives. Recent developments in the field are illustrated through examples from the experience of the employee assistance program at the University of Maryland Medical System in Baltimore.

  10. Genetic counseling for schizophrenia: a review of referrals to a provincial medical genetics program from 1968–2007

    PubMed Central

    Hunter, MJ; Hippman, Catriona; Honer, William G; Austin, Jehannine C.

    2014-01-01

    Purpose Recent studies have shown that individuals with schizophrenia and their family members are interested in genetic counseling, but few have received this service. We conducted an exploratory, retrospective study to describe (a) the population of individuals who were referred to the provincial program for genetic counseling for a primary indication of schizophrenia, and (b) trends in number of referrals between 1968 and 2007. Methods Referrals for a primary indication of schizophrenia were identified through the provincial program database. Charts were reviewed and the following information was recorded: discipline of referring physician, demographics, psychiatric diagnosis, referred individual’s and partner’s (if applicable) family history, and any current pregnancy history. Data were characterized using descriptive statistics. Results Between 1968 and 2007, 288 referrals were made for a primary indication of schizophrenia. Most referrals were made: (a) for individuals who had a first-degree family member with schizophrenia, rather than for affected individuals, (b) for preconception counseling, and (c) by family physicians (69%), with only 2% by psychiatrists. Conclusions In British Columbia, individuals affected with schizophrenia and their family members are rarely referred for psychiatric genetic counseling. There is a need to identify barriers to psychiatric genetic counseling and develop strategies to improve access. PMID:20034078

  11. Anion-Driven Self-Assembly Processes Based on Halogen-Bonding

    DTIC Science & Technology

    2007-07-10

    23993041 Fax: +39-02-23993180 E-mail: pierangelo.metrangolo@polimi.it Sede Leonardo : Piazza L.Da Vinci , 32 – 20133 Milano Tel. ++39-02...02-23993180 E-mail: pierangelo.metrangolo@polimi.it Sede Leonardo : Piazza L.Da Vinci , 32 – 20133 Milano Tel. ++39-02 2399.3200 Fax ++39-02...Pierangelo Metrangolo Ph. +39-02-23993041 Fax: +39-02-23993180 E-mail: pierangelo.metrangolo@polimi.it Sede Leonardo : Piazza L.Da Vinci , 32

  12. A systematic review of community-to-facility neonatal referral completion rates in Africa and Asia.

    PubMed

    Kozuki, Naoko; Guenther, Tanya; Vaz, Lara; Moran, Allisyn; Soofi, Sajid B; Kayemba, Christine Nalwadda; Peterson, Stefan S; Bhutta, Zulfiqar A; Khanal, Sudhir; Tielsch, James M; Doherty, Tanya; Nsibande, Duduzile; Lawn, Joy E; Wall, Stephen

    2015-09-30

    An estimated 2.8 million neonatal deaths occur annually worldwide. The vulnerability of newborns makes the timeliness of seeking and receiving care critical for neonatal survival and prevention of long-term sequelae. To better understand the role active referrals by community health workers play in neonatal careseeking, we synthesize data on referral completion rates for neonates with danger signs predictive of mortality or major morbidity in low- and middle-income countries. A systematic review was conducted in May 2014 of the following databases: Medline-PubMed, Embase, and WHO databases. We also searched grey literature. In addition, an investigator group was established to identify unpublished data on newborn referral and completion rates. Inquiries were made to the network of research groups supported by Save the Children's Saving Newborn Lives project and other relevant research groups. Three Sub-Saharan African and five South Asian studies reported data on community-to-facility referral completion rates. The studies varied on factors such as referral rates, the assessed danger signs, frequency of home visits in the neonatal period, and what was done to facilitate referrals. Neonatal referral completion rates ranged from 34 to 97 %, with the median rate of 74 %. Four studies reported data on the early neonatal period; early neonatal completion rates ranged from 46 to 97 %, with a median of 70 %. The definition of referral completion differed by studies, in aspects such as where the newborns were referred to and what was considered timely completion. Existing literature reports a wide range of neonatal referral completion rates in Sub-Saharan Africa and South Asia following active illness surveillance. Interpreting these referral completion rates is challenging due to the great variation in study design and context. Often, what qualifies as referral and/or referral completion is poorly defined, which makes it difficult to aggregate existing data to draw appropriate conclusions that can inform programs. Further research is necessary to continue highlighting ways for programs, governments, and policymakers to best aid families in low-resource settings in protecting their newborns from major health consequences.

  13. The Impact of Positive Behavior Intervention Training for Teachers on Referral Rates for Misbehavior, Special Education Evaluation and Student Reading Achievement in the Elementary Grades

    ERIC Educational Resources Information Center

    Polirstok, Susan; Gottlieb, Jay

    2006-01-01

    A professional development program which trained whole school staffs in the use of positive behavioral interventions for the purpose of reducing referral rates of students for misbehavior and special education evaluation. The program focused on training teachers and paraprofessionals in behavior management strategies to increase "high approval…

  14. The Impact of Multiple Intelligence Theory on Teacher Perception of Giftedness and the Referral of African American Students to Gifted and Talented Education Programs

    ERIC Educational Resources Information Center

    Fisher, Tanya A.

    2013-01-01

    Programs for gifted students have been criticized for narrowly defining giftedness as merely cognitive or academic performance. Teacher referrals are usually an important component of identifying gifted students. Teacher perceptions, low expectations, and lack of cultural competence are perceived as barriers to the access of Gifted and Talented…

  15. Power Systems Modeling for the ONR SSL-TM Program

    DTIC Science & Technology

    2015-10-01

    PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) The University of Texas at Austin Center for Electromechanics 10100 Burnet Road, Bid 133 Austin...Postgraduate School (NPS) and the University of Texas Center for Electromechanics (UT) have collaborated to develop simulation models of electrical... Electromechanics The University of Texas at Austin PRC, Mail Code R7000 Austin, TX 78712 (512) 471-4496 (512) 471-0781 fax For further

  16. Brain Imaging and rTMS Studies of Individual Differences in Cognitive Processing

    DTIC Science & Technology

    2013-08-09

    Institution: Address: Phone: Fax: Email : Web Page: Contract: Project Title: Program Officer: Dr. Marcel Adam Just Carnegie Mellon University...and multitasking ) are included in the progress report using well established sets of materials. In the sentence and discourse tasks, participants...compensatory partnerships and the re-emergence of the primary regions. 3. Cortical reorganization induced by rTMS during multitasking (listening to

  17. 43 CFR Appendix A to Part 2 - Department of the Interior FOIA and Public Affairs Contacts, and Reading Rooms

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... OfficerSenior FOIA Program Officer “Policy Only-No Requests” MS-7438-MIB 1849 C St., NW. Washington, DC... Reading Room—DOI's LibraryMIB (C Street Entrance) 1849 C St., NW. Washington, DC 20240 Telephone No. (202... Fax No. (202) 208-5133 Reading Room—DOI's LibraryMIB (C Street Entrance) 1849 C St., NW. Washington...

  18. 77 FR 63837 - Draft Guidance for Industry and Food and Drug Administration Staff; eCopy Program for Medical...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-17

    ... Radiological Health (CDRH), Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 4613, Silver... request, or fax your request to CDRH at 301-847-8149. The draft guidance may also be obtained by mail by... using the Internet. A search capability for all CDRH guidance documents is available at http://www.fda...

  19. Concurrency Attacks and Defenses

    DTIC Science & Technology

    2016-10-04

    Enter name(s) of person(s) responsible for writing the report, performing the research, or credited with the content of the report. The form of...Amsterdam Avenue New York, NY 10027-7003 Tel.: 212-939-7012 Fax: 212-666-0140 Email : junfeng@cs.columbia.edu 2. Research Objectives...Multithreaded programs are getting increasingly pervasive and critical. Unfortunately, they remain extremely difficult to write . This difficulty has led to

  20. Organizing uninsured safety-net access to specialist physician services.

    PubMed

    Hall, Mark A

    2013-05-01

    Arranging referrals for specialist services is often the greatest difficulty that safety-net access programs face in attempting to provide fairly comprehensive services for the uninsured. When office-based community specialists are asked to care for uninsured patients, they cite the following barriers: difficulty determining which patients merit charity care, having to arrange for services patients need from other providers, and concerns about liability for providing inadequate care. Solutions to these barriers to specialist access can be found in the same institutional arrangements that support primary care and hospital services for the uninsured. These safety-net organization structures can be extended to include specialist physician care by funding community health centers to contract for specialist referrals, using free-standing referral programs to subsidize community specialists who accept uninsured patients at discounted rates, and encouraging hospitals through tax exemption or disproportionate share funding to require specialists on their medical staffs to accept an allocation of uninsured office-based referrals.

  1. Networking and Information Technology Research and Development. Advanced Foundations for American Innovation. Supplement to the President’s FY 2004 Budget

    DTIC Science & Technology

    2003-09-01

    sensors – now generating more empirical data annually than existed in the field of astronomy before 1980 – and the ability of researchers to make use of it...9701 cray@hpcmo.hpc.mil David W. Hislop , Ph.D. Program Manager, Software and Knowledge Based Systems U.S. Army Research Office P.O. Box 12211 Research...Triangle Park, NC 27709 (919) 549-4255 FAX: (919) 549-4354 hislop @aro-emh1.army.mil Rodger Johnson Program Manager, Defense Research and Engineering

  2. Factors predicting crisis counselor referrals to other crisis counseling, disaster relief, and psychological services: a cross-site analysis of post-Katrina programs.

    PubMed

    Rosen, Craig S; Matthieu, Monica M; Norris, Fran H

    2009-05-01

    An important aspect of crisis counseling is linking survivors with services for their unmet needs. We examined determinants of referrals for disaster relief, additional crisis counseling, and psychological services in 703,000 crisis counseling encounters 3-18 months after Hurricane Katrina. Referrals for disaster relief were predicted by clients' losses, age (adults rather than children), and urbanicity. Referrals for additional counseling and psychological services were predicted by urbanicity, losses and trauma exposure, prior trauma, and preexisting mental health problems. Counseling and psychological referrals declined over time despite continuing mental health needs. Results confirm large urban-rural disparities in access to services.

  3. NATO-Advances Study Institute, Diamond and Diamond-Like Films and Coatings, Held in Il Ciocco, Castelvecchio Pascoli, Italy on July 22-August 3, 1990

    DTIC Science & Technology

    1990-08-03

    Coimbra P-3000 Coimbra, Portugal Phone: FAX: 351-39-29158 Dr. Jean - Jacques Dubray Ccrarnic Science & Engineering Department 217, Steidle Building...Corso Duca degli Abruzzi, 24 10129 Torino, Italy Phone: 39-11-3358240 FAX: 39-11-5567399 Ms. Filomena Pinto DosSantos Physics Department University of...474223 Mr. Jean Mercier IEPES BP 166 38092 Grenoble Cedex, France Phone: 33-76-881183 FAX: 33-76-887988 Dr. Koichi Miyata Kobe Steel Research

  4. 77 FR 64695 - Airworthiness Directives; Hawker Beechcraft Corporation Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-23

    ...; phone: (316) 946-4128; fax: (316) 946-4107; email: [email protected] . SUPPLEMENTARY INFORMATION...; phone: (316) 946-4128; fax: (316) 946-4107; email: [email protected] . (m) Material Incorporated...

  5. An Integrated Nurse Practitioner-Run Subspecialty Referral Program for Incontinent Children.

    PubMed

    Jarczyk, Kimberly S; Pieper, Pam; Brodie, Lori; Ezzell, Kelly; D'Alessandro, Tina

    Evidence suggests that urinary and fecal incontinence and abnormal voiding and defecation dynamics are different manifestations of the same syndrome. This article reports the success of an innovative program for care of children with incontinence and dysfunctional elimination. This program is innovative because it is the first to combine subspecialty services (urology, gastroenterology, and psychiatry) in a single point of care for this population and the first reported independent nurse practitioner-run specialty referral practice in a free-standing pediatric ambulatory subspecialty setting. Currently, services for affected children are siloed in the aforementioned subspecialties, fragmenting care. Retrospective data on financial, patient satisfaction, and patient referral base were compiled to assess this program. Analysis indicates that this model is fiscally sound, has similar or higher patient satisfaction scores when measured against physician-run subspecialty clinics, and has an extensive geographic referral base in the absence of marketing. This model has potential transformative significance: (a) the impact of children achieving continence cannot be underestimated, (b) configuration of services that cross traditional subspecialty boundaries may have broader application to other populations, and (c) demonstration of effectiveness of non-physician provider reconfiguration of health care delivery in subspecialty practice may extend to the care of other populations. Copyright © 2017 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.

  6. Hypophosphatasia

    MedlinePlus

    ... 210 Gaithersburg, MD 20878 (800) 981-2663 (301) 947-0083 Fax: (301) 947-0456 Internet: www.oif.org Email: bonelink@oif. ... 800-981-2663 (free of charge) or 301-947-0083 Fax: 301-947-0456 Internet: www.oif. ...

  7. Primary care physician referral patterns in Ontario, Canada: a descriptive analysis of self-reported referral data.

    PubMed

    Liddy, Clare; Arbab-Tafti, Sadaf; Moroz, Isabella; Keely, Erin

    2017-08-22

    In many countries, the referral-consultation process faces a number of challenges from inefficiencies and rising demand, resulting in excessive wait times for many specialties. We collected referral data from a sample of family doctors across the province of Ontario, Canada as part of a larger program of research. The purpose of this study is to describe referral patterns from primary care to specialist and allied health services from the primary care perspective. We conducted a prospective study of patient referral data submitted by primary care providers (PCP) from 20 clinics across Ontario between June 2014 and January 2016. Monthly referral volumes expressed as a total number of referrals to all medical and allied health professionals per month. For each referral, we also collected data on the specialty type, reason for referral, and whether the referral was for a procedure. PCPs submitted a median of 26 referrals per month (interquartile range 11.5 to 31.8). Of 9509 referrals eligible for analysis, 97.8% were directed to medical professionals and 2.2% to allied health professionals. 55% of medical referrals were directed to non-surgical specialties and 44.8% to surgical specialties. Medical referrals were for procedures in 30.8% of cases and non-procedural in 40.9%. Gastroenterology received the largest share (11.2%) of medical referrals, of which 62.3% were for colonoscopies. Psychology received the largest share (28.3%) of referrals to allied health professionals. We described patterns of patient referral from primary care to specialist and allied health services for 30 PCPs in 20 clinics across Ontario. Gastroenterology received the largest share of referrals, nearly two-thirds of which were for colonoscopies. Future studies should explore the use of virtual care to help manage non-procedural referrals and examine the impact that procedural referrals have on wait times for gastroenterology.

  8. 77 FR 47568 - Airworthiness Directives; Hawker Beechcraft Corporation Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-09

    ..., Kansas 67209; phone: (316) 946-4128; fax: (316) 946-4107; email: [email protected] . SUPPLEMENTARY..., Kansas 67209; phone: (316) 946- 4128; fax: (316) 946-4107; email: [email protected] . (2) For...

  9. 78 FR 1155 - Airworthiness Directives; Cessna Aircraft Company Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-08

    ... Road, Wichita, KS 67209; phone: (316) 946-4123; fax: (316) 946-4107; email: [email protected]) 946-4123; fax: (316) 946-4107; email: [email protected] . (2) For service information identified in...

  10. Hemochromatosis

    MedlinePlus

    ... Fax: 407–333–1284 Email: mail@ americanhs. org Internet: www. americanhs. org American Liver Foundation 39 Broadway, ... or 212–668–1000 Fax: 212–483–8179 Internet: www. liverfoundation. org 7 Hemochromatosis Iron Disorders Institute ...

  11. Sources of Financial Assistance for the Environmental Restoration of Former Military Lands.

    DTIC Science & Technology

    1998-01-01

    York, NY 10152 Phone: (212)339-8330 Fax: (212)339-8359 Warsaw: Ryszard Kruk (Vice President) Phone: (48-22)625-1964 Slovak...312-353-8098 Houston 713-589-8182 713-589-8184 Los Angeles 310- 322 -1152 310- 322 -2041 C...issues before going to the EBRD’s Board of Directors for its approval. 1. Joint Environmental Action Program The April 1993 Ministerial Conference

  12. Regulation and Function of Cytokines that Predict Prostate Cancer Metastasis

    DTIC Science & Technology

    2011-08-01

    Ph.D. Cedar-Sinai Medical Center Los Angeles, CA 90048 W81XWH-09-1-0503 11 bhowmickn@cshs.org Table of Contents Introduction...Professor, Medicine Uro -Oncology Research Program Samuel Oschin Comprehensive Cancer Institute Cedars-Sinai Medical Center 8750 Beverly Blvd...Atrium 103 Los Angeles, CA 90048 Tel: (310) 423-5992 Fax: (310) 423-8543 Email: bhowmickn@cshs.org Please note the grant has been transferred

  13. Geomorphic Modeling of Macro-Tidal Embayment with Extensive Tidal Flats: Skagit Bay, Washington

    DTIC Science & Technology

    2011-09-30

    tidal flats: Skagit Bay , Washington Lyle Hibler Battelle-Pacific Northwest Division Marine Sciences Laboratory Sequim , WA 98382 phone: (360) 681...3616 fax: (360) 681-4559 email: lyle.hibler@pnnl.gov Adam Maxwell Battelle-Pacific Northwest Division Marine Sciences Laboratory Sequim , WA...Geomorphic modeling of macro-tidal embayment with extensive tidal flats: Skagit Bay , Washington 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT

  14. Guide to Canadian Aerospace-Related Industries

    DTIC Science & Technology

    1990-08-01

    Quebec PLANT SIZE: 28,700 sq ft Canada H4L 4X8 EXPERIENCE: Barringer experience is worldwide. Recent R &D clients Plan t include Transport Canada, Revenue...Products, Ampheno Canada, ard J R Longts!affe"tel: (604) 530-2324 Fax: (604) 530-6242 CAPABILITY: Bruce D Vallillee Electronics Ltd, Marketing Consultants...Helicopters) BRISTOL AEROSPACE Ltd Instrumentation R &O (Helicopters) CANADIAN HELICOPTERS Ltd Quality Assurance Programs BRUCE D VALLILLEE R &O

  15. Pilot in the Loop CFD Method Development

    DTIC Science & Technology

    2016-07-31

    Aerospace Engineering 231C Hammond Building University Park, PA 16802 Attn: Joseph F. Horn Phone: 814-865-6434, Fax: 814-865-7092 Email: joehorn...larger main rotor provides propulsion and lift, and thus induces significant flow disturbances on the surrounding air . The CFD coupling interface...J., “UH-60A Black Hawk Engineering Simulation Program: Volume I – Mathematical Model,” NASA CR166309, 1981. 5. Transitions/Impact No major

  16. Faxed document image restoration method based on local pixel patterns

    NASA Astrophysics Data System (ADS)

    Akiyama, Teruo; Miyamoto, Nobuo; Oguro, Masami; Ogura, Kenji

    1998-04-01

    A method for restoring degraded faxed document images using the patterns of pixels that construct small areas in a document is proposed. The method effectively restores faxed images that contain the halftone textures and/or density salt-and-pepper noise that degrade OCR system performance. The halftone image restoration process, white-centered 3 X 3 pixels, in which black-and-white pixels alternate, are identified first using the distribution of the pixel values as halftone textures, and then the white center pixels are inverted to black. To remove high-density salt- and-pepper noise, it is assumed that the degradation is caused by ill-balanced bias and inappropriate thresholding of the sensor output which results in the addition of random noise. Restored image can be estimated using an approximation that uses the inverse operation of the assumed original process. In order to process degraded faxed images, the algorithms mentioned above are combined. An experiment is conducted using 24 especially poor quality examples selected from data sets that exemplify what practical fax- based OCR systems cannot handle. The maximum recovery rate in terms of mean square error was 98.8 percent.

  17. Physicians' choice in using Internet and fax for patient recruitment and follow-up in a randomized controlled trial.

    PubMed

    Rahman, M; Morita, S; Fukui, T; Sakamoto, J

    2004-01-01

    To examine the physicians' preference between Web and fax-based remote data entry (RDE) system for an ongoing randomized controlled trial (RCT) in Japan. We conducted a survey among all the collaborating physicians (n = 512) of the CASE-J (Candesartan Antihypertensive Survival Evaluation in Japan) trial, who have been recruiting patients and sending follow-up data using the Web or a fax-based RDE system. The survey instrument assessed physicians' choice between Web and fax-based RDE systems, their practice pattern, and attitudes towards these two modalities. A total of 448 (87.5%) responses were received. The proportions of physicians who used Web, fax, and the combination of these two were 45.9%, 33.3% and 20.8%, respectively. Multivariate logistic regression analyses revealed that physicians 55 years or younger [odds ratio (OR) = 1.9, 95% confidence interval (CI) = 1.1-3.3] and regular users of computers (OR = 4.2, 95% CI = 2.1-8.2) were more likely to use the Web-based RDE system. This information would be useful in designing an RCT with a Web-based RDE system in Japan and abroad.

  18. Analysis of Mass Averaged Tissue Doses in CAM, CAF, MAX, and FAX

    NASA Technical Reports Server (NTRS)

    Slaba, Tony C.; Qualls, Garry D.; Clowdsley, Martha S.; Blattnig, Steve R.; Simonsen, Lisa C.; Walker, Steven A.; Singleterry, Robert C.

    2009-01-01

    To estimate astronaut health risk due to space radiation, one must have the ability to calculate exposure-related quantities averaged over specific organs and tissue types. In this study, we first examine the anatomical properties of the Computerized Anatomical Man (CAM), Computerized Anatomical Female (CAF), Male Adult voXel (MAX), and Female Adult voXel (FAX) models by comparing the masses of various tissues to the reference values specified by the International Commission on Radiological Protection (ICRP). Major discrepancies are found between the CAM and CAF tissue masses and the ICRP reference data for almost all of the tissues. We next examine the distribution of target points used with the deterministic transport code HZETRN to compute mass averaged exposure quantities. A numerical algorithm is used to generate multiple point distributions for many of the effective dose tissues identified in CAM, CAF, MAX, and FAX. It is concluded that the previously published CAM and CAF point distributions were under-sampled and that the set of point distributions presented here should be adequate for future studies involving CAM, CAF, MAX, or FAX. It is concluded that MAX and FAX are more accurate than CAM and CAF for space radiation analyses.

  19. Data collection as the first step in program development: the experience of a chronic care palliative unit.

    PubMed

    Munn, B; Worobec, F

    1997-01-01

    This retrospective descriptive study of 73 patients who died in St. Peter's Hospital examines and contrasts the patients profile and referral sources of a palliative care unit in a chronic care hospital over two six-month periods during 1994 and 1995. Shortened length of stay (83.8 and 43.2 days respectively), documentation issues, CPR practices (CPR was desired by seven patients up to the time of death), and lack of referrals from long-term care facilities have led St. Peter's Hospital to ask further questions of its palliative care program, e.g. given the lack of referrals from long-term care facilities, how is palliative care being managed in this sector? In Ontario, palliative care has been placed under the domain of chronic care and program development depends in part on the knowledge of the population it serves. This study is a first step.

  20. 77 FR 64693 - Airworthiness Directives; Hawker Beechcraft Corporation Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-23

    ..., 1801 Airport Road, Room 100, Wichita, Kansas 67209; phone: (316) 946-4128; fax: (316) 946-4107; email..., Kansas 67209; phone: (316) 946-4128; fax: (316) 946-4107; email: [email protected] . (k) Material...

  1. 40 CFR 304.21 - Referral of claims.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 28 2011-07-01 2011-07-01 false Referral of claims. 304.21 Section 304.21 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW PROGRAMS ARBITRATION PROCEDURES FOR SMALL SUPERFUND COST RECOVERY...

  2. 40 CFR 304.21 - Referral of claims.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 29 2012-07-01 2012-07-01 false Referral of claims. 304.21 Section 304.21 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW PROGRAMS ARBITRATION PROCEDURES FOR SMALL SUPERFUND COST RECOVERY...

  3. 40 CFR 304.21 - Referral of claims.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 29 2013-07-01 2013-07-01 false Referral of claims. 304.21 Section 304.21 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW PROGRAMS ARBITRATION PROCEDURES FOR SMALL SUPERFUND COST RECOVERY...

  4. 38 CFR 21.4212 - Referral to Committee on Educational Allowances.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Educational Allowances. 21.4212 Section 21.4212 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Administration of Educational Assistance Programs Schools § 21.4212 Referral to Committee on Educational Allowances. (a) Form and content of...

  5. 38 CFR 21.4212 - Referral to Committee on Educational Allowances.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Educational Allowances. 21.4212 Section 21.4212 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Administration of Educational Assistance Programs Schools § 21.4212 Referral to Committee on Educational Allowances. (a) Form and content of...

  6. Predictors of primary care referrals to a vascular disease prevention lifestyle program among participants in a cluster randomised trial.

    PubMed

    Passey, Megan E; Laws, Rachel A; Jayasinghe, Upali W; Fanaian, Mahnaz; McKenzie, Suzanne; Powell-Davies, Gawaine; Lyle, David; Harris, Mark F

    2012-08-03

    Cardiovascular disease accounts for a large burden of disease, but is amenable to prevention through lifestyle modification. This paper examines patient and practice predictors of referral to a lifestyle modification program (LMP) offered as part of a cluster randomised controlled trial (RCT) of prevention of vascular disease in primary care. Data from the intervention arm of a cluster RCT which recruited 36 practices through two rural and three urban primary care organisations were used. In each practice, 160 eligible high risk patients were invited to participate. Practices were randomly allocated to intervention or control groups. Intervention practice staff were trained in screening, motivational interviewing and counselling and encouraged to refer high risk patients to a LMP involving individual and group sessions. Data include patient surveys; clinical audit; practice survey on capacity for preventive care; referral records from the LMP. Predictors of referral were examined using multi-level logistic regression modelling after adjustment for confounding factors. Of 301 eligible patients, 190 (63.1%) were referred to the LMP. Independent predictors of referral were baseline BMI ≥ 25 (OR 2.87 95%CI:1.10, 7.47), physical inactivity (OR 2.90 95%CI:1.36,6.14), contemplation/preparation/action stage of change for physical activity (OR 2.75 95%CI:1.07, 7.03), rural location (OR 12.50 95%CI:1.43, 109.7) and smaller practice size (1-3 GPs) (OR 16.05 95%CI:2.74, 94.24). Providing a well-structured evidence-based lifestyle intervention, free of charge to patients, with coordination and support for referral processes resulted in over 60% of participating high risk patients being referred for disease prevention. Contrary to expectations, referrals were more frequent from rural and smaller practices suggesting that these practices may be more ready to engage with these programs. ACTRN12607000423415.

  7. Access to cardiac rehabilitation among South-Asian patients by referral method: a qualitative study.

    PubMed

    Grewal, Keerat; Leung, Yvonne W; Safai, Parissa; Stewart, Donna E; Anand, Sonia; Gupta, Milan; Parsons, Cynthia; Grace, Sherry L

    2010-01-01

    People of South-Asian origin have an increased prevalence of coronary artery disease. Although cardiac rehabilitation (CR) is effective, South Asians are among the least likely people to participate in these programs. Automatic referral increases CR use and may reduce access inequalities. This study qualitatively explored whether CR referral knowledge and access varied among South-Asian patients. Participants were South-Asian cardiac patients receiving treatment at hospitals in Ontario, Canada. Each hospital refers to CR via one offour methods: automatically through paper or electronically, through discussion with allied health professionals (liaison referral), or through referral at the physician's discretion. Data were collected via interviews and analyzed using interpretive-descriptive analysis. Four themes emerged: the importance of predischarge CR discussions with healthcare providers, limited knowledge of CR, ease of the referral process for facilitators of CR attendance, and participants'needs for personal autonomy regarding their decision to attend CR. Liaison referral was perceived to be the most suitable referral method for participants. It facilitated communication between patients and providers, ensuring improved understanding of CR. Automatic referral may not be as well suited to this population because of reduced patient-provider communication.

  8. Preliminary Investigations on the Fate of Terrestrial Sediments in the Coastal Ocean Discharged From Taiwanese Small Mountainous Rivers

    DTIC Science & Technology

    2009-01-01

    Central University 300 Jung-da Rd., Jhongli, Taiwan 32001 phone: +886-3-422-3354, fax: +886-3-422-2894, email: kkliu@ncu.edu.tw Wen-Son Chiang...Tainan Hydraulics Laboratory, National Cheng-Kung University 500 An-Ming Road Sec. 3, Tainan, Taiwan 701 phone: +886-6-237-1938 ext 232, fax: +886-6...Taoyuan, Taiwan 32001 phone: +886-3-422-7151 ext 65690, fax: +886-3-422-2894, email: hchien@ncu.edu.tw Shu-Kun Hsu Department of Earth Science

  9. The CIRP International Workshop on Concurrent Engineering for Product Realization (1st) Held in Tokyo, Japan on June 27 - 28, 1992

    DTIC Science & Technology

    1992-11-01

    7075 Dr. Samuel K.M.HO Dept. of Engineering Warwick University Coventry CV 47 AL UK 15 Tel.(44)203 524173 Fax.(44)203 524307 Mr. Mikio Inagaki...Nishi-8, Kita-ku Sapporo 060, JAPAN Tel. +81-11-716-211 ex.6447 Fax. +81-11-758-1619 Mr. Mikio Kitano 16 Motomachi Plant Toyota Moter Corporation 1...Hirosawa 2-1, Wako, Saitama 351-01 JAPAN Tel 81-484-65-6641 Fax 81-484-67-5942 Professor Hisayoshi Sato Director, Mechanical Engineering Laboratory

  10. Reducing Wait Time for Lung Cancer Diagnosis and Treatment: Impact of a Multidisciplinary, Centralized Referral Program.

    PubMed

    Common, Jessica L; Mariathas, Hensley H; Parsons, Kaylah; Greenland, Jonathan D; Harris, Scott; Bhatia, Rick; Byrne, SuzanneC

    2018-06-04

    A multidisciplinary, centralized referral program was established at our institution in 2014 to reduce delays in lung cancer diagnosis and treatment following diagnostic imaging observed with the traditional, primary care provider-led referral process. The main objectives of this retrospective cohort study were to determine if referral to a Thoracic Triage Panel (TTP): 1) expedites lung cancer diagnosis and treatment initiation; and 2) leads to more appropriate specialist consultation. Patients with a diagnosis of lung cancer and initial diagnostic imaging between March 1, 2015, and February 29, 2016, at a Memorial University-affiliated tertiary care centre in St John's, Newfoundland, were identified and grouped according to whether they were referred to the TTP or managed through a traditional referral process. Wait times (in days) from first abnormal imaging to biopsy and treatment initiation were recorded. Statistical analysis was performed using the Wilcoxon rank-sum test. A total of 133 patients who met inclusion criteria were identified. Seventy-nine patients were referred to the TTP and 54 were managed by traditional means. There was a statistically significant reduction in median wait times for patients referred to the TTP. Wait time from first abnormal imaging to biopsy decreased from 61.5 to 36.0 days (P < .0001). Wait time from first abnormal imaging to treatment initiation decreased from 118.0 to 80.0 days (P < .001). The percentage of specialist consultations that led to treatment was also greater for patients referred to the TTP. A collaborative, centralized intake and referral program helps to reduce wait time for diagnosis and treatment of lung cancer. Copyright © 2018 Canadian Association of Radiologists. Published by Elsevier Inc. All rights reserved.

  11. Physician awareness of enhanced prenatal services for medicaid-insured pregnant women.

    PubMed

    Raffo, Jennifer E; Gary, Monica; Forde, Gareth K; Meghea, Cristian I; Roman, Lee Anne

    2014-01-01

    Medicaid enhanced prenatal service (EPS) programs, including care coordination, were developed to improve birth outcomes for low-income pregnant women. In Michigan, less than a third of eligible pregnant women are enrolled in services. Physician or medical clinics provide referrals to community-based EPS. The objective of this study was to examine physician knowledge and perceptions of EPS. A cross-sectional survey of obstetric providers was conducted in 2009. A questionnaire was created to assess understanding of the EPS program. The study was conducted in an urban Michigan community. Participants included a convenience sample (N = 56) of community Obstetrics and Gynecology attending physicians and resident physicians within a single, large health system. Outcome measures included knowledge of the program and patient participation, referral practices, perceptions of the program, value for patients and providers, appropriateness of physicians to provide program referrals, and barriers to referring. Findings indicated that most physicians (84%) had little familiarity with EPS, 60% did not personally refer to EPS, 54% did not know whether other office staff referred to EPS, and 65% were unaware whether their patients received EPS. Yet, more than 90% of physicians reported that EPS would benefit their patients and believed that it was appropriate for them to refer all their eligible patients. Further efforts should be made to better understand how physicians and EPS providers could function together on behalf of patients. Statewide Medicaid-sponsored EPS programs could serve as a valuable patient and physician resource for psychosocial risk screening, care management, education, and referral support if better utilized.

  12. Feasibility of a computer-assisted alcohol screening, brief intervention and referral to treatment program for DWI offenders.

    PubMed

    Mullen, Jillian; Ryan, Stacy R; Mathias, Charles W; Dougherty, Donald M

    2015-11-09

    Alcohol use patterns that are hazardous for one's health is prevalent among DWI (driving while intoxicated) offenders and is a key predictor of recidivism. The aim of this program evaluation was to determine the feasibility and usability of implementing a computer-assisted screening, brief intervention and referral to treatment (SBIRT) program for DWI offenders to enable the identification of those in need of treatment services soon after arrest. Our treatment program consisted of a web-based, self-guided screening tool for assessing alcohol use patterns and generating a personalized feedback report that is then used to deliver a brief motivational intervention and if needed, a referral to treatment. Between August and November 2014, all DWI offenders attending orientation for pre-trial supervision were assessed for eligibility. Of the 129 eligible offenders, 53.5 percent enrolled and the first 50 were asked to complete a usability and satisfaction questionnaire. The results demonstrated that the majority of those screened reported at-risk alcohol use patterns requiring referral to treatment. Clients reported high ratings of usability and satisfaction with the screening tool and personalized feedback report, which did not significantly differ depending on alcohol use patterns. There were relatively few technical difficulties, and the majority of clients reported high levels of satisfaction with the overall SBIRT program. Results of this program evaluation suggest that computer-assisted SBIRT may be successfully implemented within the criminal justice system to DWI offenders soon after arrest; however, further research is required to examine its effects on treatment utilization and recidivism.

  13. FAQ Question Submission

    Science.gov Websites

    , fax, or phone. Use this area to send us your question. Your name: Your E-Mail address: Your Phone Number (voice): Please include area code. Your Fax Number: Please include area code. Send Your Question

  14. A project investigating music therapy referral trends within palliative care: an Australian perspective.

    PubMed

    Horne-Thompson, Anne; Daveson, Barbara; Hogan, Bridgit

    2007-01-01

    The purpose of this project is to analyze music therapy (MT) referral trends from palliative care team members across nine Australian inpatient and community-based palliative care settings. For each referral 6 items were collected: referral source, reason and type; time from Palliative Care Program (PCP) admission to MT referral; time from MT referral to death/discharge; and profile of referred patient. Participants (196 female, 158 male) were referred ranging in age from 4-98 years and most were diagnosed with cancer (91%, n = 323). Nurses (47%, n = 167) referred most frequently to music therapy. The mean average time in days for all referrals from PCP admission to MT referral was 11.47 and then 5.19 days to time of death. Differences in length of time to referral ranged from 8.19 days (allied health staff) to 43.75 days (families). Forty-eight percent of referrals (48.5%, n = 172) were completed when the patient was rated at an Eastern Cooperative Oncology Group Performance (ECOG) of three. Sixty-nine percent (n = 244) were living with others at the time of referral and most were Australian born. Thirty-six percent (36.7%, n = 130) were referred for symptom-based reasons, and 24.5% (n = 87) for support and coping. Implications for service delivery of music therapy practice, interdisciplinary care and benchmarking of music therapy services shall be discussed.

  15. 34 CFR 361.37 - Information and referral programs.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... State agency will implement an information and referral system adequate to ensure that individuals with... receiving vocational rehabilitation services if the agency is operating on an order of selection, are... statewide workforce investment system. (b) The State unit must refer to local extended employment providers...

  16. Efficiency improvements in US Office equipment: Expected policy impacts and uncertainties

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

    Koomey, J.G.; Cramer, M.; Piette, M.A.

    This report describes a detailed end-use forecast of office equipment energy use for the US commercial sector. We explore the likely impacts of the US Environmental Protection Agency`s ENERGY STAR office equipment program and the potential impacts of advanced technologies. The ENERGY STAR program encourages manufacturers to voluntarily incorporate power saving features into personal computers, monitors, printers, copiers, and fax machines in exchange for allowing manufacturers to use the EPA ENERGY STAR logo in their advertising campaigns. The Advanced technology case assumes that the most energy efficient current technologies are implemented regardless of cost.

  17. 75 FR 67613 - Airworthiness Directives; McCauley Propeller Systems Five-Blade Propeller Assemblies

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-03

    ... 100, Wichita, KS 67209, telephone: (316) 946- 4148; fax: (316) 946-4107; e-mail: [email protected] 67209, telephone: (316) 946-4148; fax: (316) 946-4107, for more information about this AD. Material...

  18. 78 FR 67018 - Airworthiness Directives; Embraer S.A. Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-08

    ... dos Campos, Sao Paulo, Brasil; phone: (+55 12) 3927-1000; Fax: (+55 12) 3927-6600, Ext. 1448; email..., CEP: 12227-901, Sao Jose dos Campos, Sao Paulo, Brasil; phone: (+55 12) 3927-1000; Fax: (+55 12) 3927...

  19. Preventing and Treating Compression Fractures of the Spine

    MedlinePlus

    ... 210 Gaithersburg, MD 20878 (800) 981-2663 (301) 947-0083 Fax: (301) 947-0456 Internet: www.oif.org Email: bonelink@oif. ... 800-981-2663 (free of charge) or 301-947-0083 Fax: 301-947-0456 Internet: www.oif. ...

  20. 34 CFR 361.37 - Information and referral programs.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... State agency will implement an information and referral system adequate to ensure that individuals with... statewide workforce investment system. (b) The State unit must refer to local extended employment providers....e., employment in an integrated setting); (2) Consistent with § 361.52 of this part, provide the...

  1. 34 CFR 361.37 - Information and referral programs.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... State agency will implement an information and referral system adequate to ensure that individuals with... statewide workforce investment system. (b) The State unit must refer to local extended employment providers....e., employment in an integrated setting); (2) Consistent with § 361.52 of this part, provide the...

  2. 34 CFR 361.37 - Information and referral programs.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... State agency will implement an information and referral system adequate to ensure that individuals with... statewide workforce investment system. (b) The State unit must refer to local extended employment providers....e., employment in an integrated setting); (2) Consistent with § 361.52 of this part, provide the...

  3. 34 CFR 361.37 - Information and referral programs.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... State agency will implement an information and referral system adequate to ensure that individuals with... statewide workforce investment system. (b) The State unit must refer to local extended employment providers....e., employment in an integrated setting); (2) Consistent with § 361.52 of this part, provide the...

  4. 42 CFR 412.96 - Special treatment: Referral centers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... MEDICARE PROGRAM PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Special Treatment of Certain Facilities Under the Prospective Payment System for Inpatient Operating Costs § 412.96 Special treatment... 42 Public Health 2 2010-10-01 2010-10-01 false Special treatment: Referral centers. 412.96 Section...

  5. Referring physician satisfaction: toward a better understanding of hospital referrals.

    PubMed

    Ponzurick, T G; France, K R; Logar, C M

    1998-01-01

    Customer satisfaction literature has contributed significantly to the development of marketing strategies in the health-care arena. The research has led to the development of hospital-driven relationship marketing programs. This study examines the inclusion of referring physicians as partners in the hospital's relationship marketing program. In exploring this relationship, medical and hospital facility characteristics that referring physicians find important in making patient referrals to specialty care hospitals are identified and analyzed. The results lead to the development of strategic initiatives which hospital marketers should consider when developing relationship marketing programs designed to satisfy their referring physicians.

  6. Forecasting and Hindcasting Waves With the SWAN Model in the Southern California Bight

    DTIC Science & Technology

    2007-01-01

    2006, there are active relevant websites run by the Coastal Data Information Program ( CDIP ). * Corresponding author. Fax: +1 228 688 4759. An...word "blocking" here implies that an island is completely output locations are locations of CDIP instruments (all buoys, blocking wave energy from some...direction. Blocking is not the except for 073). Some CDIP locations are referred to by three- only problem associated with geographic resolution, of

  7. The Ninth U.S. - Japan Seminar on Dielectric and Piezoelectric Ceramics. Program and Evaluations

    DTIC Science & Technology

    1999-11-05

    Yamamoto DeptElectrical Eng. National Defense Academy 1-10-20 Hashirimizu, Yokosuka, 239-8686 Japan Phone: 81-468-41-3810 (ext.2585) Fax: 81-468...Takashi Yamamoto , National Defense Academy 9:00-10:00 Plenary Lectures page PI-1 MLCs Technologies of Today and Future, Yukin Sakahp...of PbTi03 Single Crystals by Kelvin Force Microscope, 19 Takashi Yamamoto , Shinobu Omika, Junichi Sakamoto and Eiji Matsuzaki National Defense

  8. Ruggedized Portable Instrumentation Package for Marine Mammal Evoked Potential Hearing Measurements (DURIP)

    DTIC Science & Technology

    2011-09-30

    NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Hawaii Institute of Marine Biology,Marine Mammal...Program Hawaii Institute of Marine Biology P.O. Box 1106 Kailua, Hawaii 96734 phone: (808) 247-5297 fax: (808) 247-5831 email: nachtiga...portable equipment was used at the Hilo Stranding Center to obtain the audiograms. Ready and available for RIMPAC excercises. 2 IMPACT

  9. Defense Finance and Accounting Service Commercial Activities Program

    DTIC Science & Technology

    1999-07-08

    Defns 19980g7 Additional Copies To obtain additional copies of the draft report, contact the Secondary Reports Distribution Unit of the Audit ...www.dodig.osd.mil. Suggestions for Future Audits To suggest ideas for or to request audits , contact the Audit Followup and Technical Support Directorate at...703) 604-8940 (DSN 664-8940) or fax (703) 604-8932. Ideas and requests can also be mailed to: OAIG-AUD (ATTN: AFTS Audit Suggestions) Inspector General

  10. Successful Tobacco Dependence Treatment in Low-Income Emergency Department Patients: A Randomized Trial.

    PubMed

    Bernstein, Steven L; D'Onofrio, Gail; Rosner, June; O'Malley, Stephanie; Makuch, Robert; Busch, Susan; Pantalon, Michael V; Toll, Benjamin

    2015-08-01

    Tobacco use is common among emergency department (ED) patients, many of whom have low income. Our objective is to study the efficacy of an intervention incorporating motivational interviewing, nicotine replacement, and quitline referral for adult smokers in an ED. This was a 2-arm randomized clinical trial conducted from October 2010 to December 2012 in a northeastern urban US ED with 90,000 visits per year. Eligible subjects were aged 18 years or older, smoked, and were self-pay or had Medicaid insurance. Intervention subjects received a motivational interview by a trained research assistant, 6 weeks' worth of nicotine patches and gum initiated in the ED, a faxed referral to the state smokers' quitline, a booster call, and a brochure. Control subjects received the brochure, which provided quitline information. The primary outcome was biochemically confirmed tobacco abstinence at 3 months. Secondary endpoints included quitline use. Of 778 enrolled subjects, 774 (99.5%) were alive at 3 months. The prevalence of biochemically confirmed abstinence was 12.2% (47/386) in the intervention arm versus 4.9% (19/388) in the control arm, for a difference in quit rates of 7.3% (95% confidence interval 3.2% to 11.5%). In multivariable logistic modeling controlling for age, sex, and race or ethnicity, study subjects remained more likely to be abstinent than controls (odds ratio 2.72; 95% confidence interval 1.55 to 4.75). An intensive intervention improved tobacco abstinence rates in low-income ED smokers. Because approximately 20 million smokers, many of whom have low income, visit US EDs annually, these results suggest that ED-initiated treatment may be an effective technique to treat this group of smokers. Copyright © 2015 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

  11. Is an "ideal" service institution image the same for all referral sources? The case of chemical dependency treatment programs.

    PubMed

    Johnson, K; LaTour, M S

    1993-01-01

    In a competitive market like chemical dependency treatment, segmenting the professional referral market according to an "ideal" service image may offer a service institution a strategic advantage. Results of this study suggest that while different professionals in a referral market may attach differential importance to the same service feature, a favorable or unfavorable "image" seems to encompass how well both the professional and the professionals' client are treated by the service institution.

  12. Staff - Ken A. Woods | Alaska Division of Geological & Geophysical Surveys

    Science.gov Websites

    Communications Address: 3354 College Road Fairbanks, AK 99709-3707 Phone: (907)451-5022 Fax: (907)451-5050 Email ) 3354 College Road, Fairbanks, AK 99709 Phone: (907) 451-5000 Fax: (907) 451-5050 Contact DGGS Privacy

  13. Staff - Alicja Wypych | Alaska Division of Geological & Geophysical Surveys

    Science.gov Websites

    Resources Address: 3354 College Road Fairbanks, AK 99709-3707 Phone: (907)451-5016 Fax: (907)451-5050 Email ) 3354 College Road, Fairbanks, AK 99709 Phone: (907) 451-5000 Fax: (907) 451-5050 Contact DGGS Privacy

  14. Staff - Melanie B. Werdon | Alaska Division of Geological & Geophysical

    Science.gov Websites

    Resources Address: 3354 College Road Fairbanks, AK 99709-3707 Phone: (907)451-5082 Fax: (907)451-5050 Email ) 3354 College Road, Fairbanks, AK 99709 Phone: (907) 451-5000 Fax: (907) 451-5050 Contact DGGS Privacy

  15. Sandia Corporate Ombuds Office

    Science.gov Websites

    (925) 294-2065 (925) 294-2072 Fax (800) 472-6342 ext. 4-2065 Toll-Free PO Box 969, MS 9911 Livermore -9763 (505) 845-0608 FAX (866) 236-9874 Toll-Free PO Box 5800, MS0918 Albuquerque, NM, 87185-0918 Sandia

  16. 77 FR 44268 - National Register of Historic Places; Notification of Pending Nominations and Related Actions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-27

    ... Eye St. NW., 8th floor, Washington, DC 20005; or by fax, 202-371-6447. Written or faxed comments..., Crown Hill Cemetery, Dry Creek, Keswick, Lowell Main & Pine Sts., McCormick Blvd., Clifton Forge...

  17. 75 FR 76426 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-08

    ..., access control lists, file system permissions, intrusion detection and prevention systems and log..., address, mailing address, country, organization, phone, fax, mobile, pager, Defense Switched Network (DSN..., address, mailing address, country, organization, phone, fax, mobile, pager, Defense Switched Network (DSN...

  18. 77 FR 33334 - Airworthiness Directives; Embraer S.A. Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-06

    ...-- BRASIL; telephone +55 12 3927-5852 or +55 12 3309-0732; fax +55 12 3927-7546; email [email protected]Brasil; telephone +55 12 3927-5852 or +55 12 3309-0732; fax +55 12 3927-7546; email [email protected

  19. Staff - Jean A. Riordan | Alaska Division of Geological & Geophysical

    Science.gov Websites

    Penland Pkwy Anchorage, AK 99508 Phone: (907)754-3596 Fax: (907)696-0078 Email: jean.riordan@alaska.gov , Fairbanks, AK 99709 Phone: (907) 451-5000 Fax: (907) 451-5050 Contact DGGS Privacy Copyright State of Alaska

  20. Adjustment Problems of Sibling and Nonsibling Pairs Referred to a School Mental Health Program

    ERIC Educational Resources Information Center

    Gallagher, Richard; Cowen, Emory L.

    1976-01-01

    In this study, siblings who developed school adjustment problems had more similar referral patterns than demographically matched, unrelated referral pairs. This effect was strongest among like sex pairs. Common environmental characteristics leading to similar coping patterns were seen to explain the results. (NG)

  1. Outcome of referrals for deceased organ donation to the government organ procurement organization.

    PubMed

    Suguitan, G A; Cabanayan-Casasola, C B; Danguilan, R A; Jaro, J M A

    2014-05-01

    The Human Organ Preservation Effort is a government organ procurement organization that pioneered the Deceased Organ Donation Program in the Philippines. Deceased organ donation comprises only 20% of kidney transplantation in the Philippines in the last 3 years. Various measures were implemented to improve deceased organ donor referrals and organ retrieval. To compare outcome of deceased organ donor referrals from 2002 to 2008 and 2009 to 2012 in the Philippines. This retrospective study reviewed the deceased organ donor referrals from 2002 to 2008 and 2009 to 2012. There were 437 referrals for potential deceased organ donors from 2009 to 2012, compared to 434 referrals from 2002 to 2008. Referrals were mainly trauma victims (76%) followed by those with cerebrovascular accidents (12%). In the recent cohort, 81% were approached and 60% consented for donation, but only 23% were retrieved and transplanted. Among those not retrieved, the majority (19%) were medically unsuitable and 6% retracted their consent. Although there was an increasing trend of organ donation referrals in the last 4 years, only 25% were procured. The reasons for nonprocurement should be addressed. Copyright © 2014 Elsevier Inc. All rights reserved.

  2. Sandia Corporate Ombuds Office

    Science.gov Websites

    maramos@sandia.gov (925) 294-2065 (925) 294-2072 Fax (800) 472-6342 ext. 4-2065 Toll-Free PO Box 969, MS or (505) 844-9763 (505) 845-0608 FAX (866) 236-9874 Toll-Free PO Box 5800, MS0918 Albuquerque, NM

  3. 76 FR 62442 - National Register of Historic Places; Notification of Pending Nominations and Related Actions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-07

    ... Service, 1201 Eye St., NW., 8th floor, Washington, DC 20005; or by fax, 202-371-6447. Written or faxed.... Hwy., Corbett, 11000771 WYOMING Johnson County Blue Gables Motel, (Motor Courts and Motels in Wyoming...

  4. 77 FR 32133 - National Register of Historic Places; Notification of Pending Nominations and Related Actions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-31

    ..., 1201 Eye St. NW., 8th floor, Washington, DC 20005; or by fax, 202-371-6447. Written or faxed comments... CAROLINA Durham County Scott and Roberts Dry Cleaning Plant, Office, and Store, 733 Foster St., Durham...

  5. 75 FR 25840 - Endangered and Threatened Species; Recovery Plans; Recovery Plan for the Kemp's Ridley Sea Turtle

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-10

    ...-1401, fax 301-713-0376) or Tom Shearer (ph. 361-994-9005, fax 361-994-8626). SUPPLEMENTARY INFORMATION... Therese Conant or Tom Shearer (see FOR FURTHER INFORMATION CONTACT). Background On March 16, 2010, we...

  6. EAP: An Important Supervisory Tool.

    ERIC Educational Resources Information Center

    Wright, Jim

    1984-01-01

    Discusses elements of the Employee Assistance Program: why employees need it, their acceptance of the program, when to refer an employee to the program, counseling, formal referral, plan of action, and how the program helps the supervisor. (CT)

  7. Referrals between Public Sector Health Institutions for Women with Obstetric High Risk, Complications, or Emergencies in India – A Systematic Review

    PubMed Central

    Singh, Samiksha; Doyle, Pat; Campbell, Oona M.; Mathew, Manu; Murthy, G. V. S.

    2016-01-01

    Emergency obstetric care (EmOC) within primary health care systems requires a linked referral system to be effective in reducing maternal death. This systematic review aimed to summarize evidence on the proportion of referrals between institutions during pregnancy and delivery, and the factors affecting referrals, in India. We searched 6 electronic databases, reviewed four regional databases and repositories, and relevant program reports from India published between 1994 and 2013. All types of study or reports (except editorials, comments and letters) which reported on institution-referrals (out-referral or in-referral) for obstetric care were included. Results were synthesized on the proportion and the reasons for referral, and factors affecting referrals. Of the 11,346 articles identified by the search, we included 232 articles in the full text review and extracted data from 16 studies that met our inclusion criteria Of the 16, one was RCT, seven intervention cohort (without controls), six cross-sectional, and three qualitative studies. Bias and quality of studies were reported. Between 25% and 52% of all pregnancies were referred from Sub-centres for antenatal high-risk, 14% to 36% from nurse run delivery or basic EmOC centres for complications or emergencies, and 2 to 7% were referred from doctor run basic EmOC centres for specialist care at comprehensive EmOC centres. Problems identified with referrals from peripheral health centres included low skills and confidence of staff, reluctance to induce labour, confusion over the clinical criteria for referral, non-uniform standards of care at referral institutions, a tendency to by-pass middle level institutions, a lack of referral communication and supervision, and poor compliance. The high proportion of referrals from peripheral health centers reflects the lack of appropriate clinical guidelines, processes, and skills for obstetric care and referral in India. This, combined with inadequate referral communication and low compliance, is likely to contribute to gaps and delays in the provision of emergency obstetric care. PMID:27486745

  8. Who do Australian general practitioners refer to physiotherapy?

    PubMed

    Dennis, Sarah; Watts, Ian; Pan, Ying; Britt, Helena

    2017-06-01

    Physiotherapy plays an important role in the health of many Australians. The aims of this study were to assess changes in the rate of general practitioner (GP) referral to physiotherapists in Australia from 1998 to 2014, and to determine patient characteristics associated with increased likelihood of such referral. Secondary analysis was undertaken of data from the Bettering the Evaluation and Care of Health program using weighted encounter data years 1998-99 to 2014-15 inclusive. The rate of GP referral to physiotherapists remained steady until 2010, when referrals increased. Patients were more likely to be referred to physiotherapy if they had a Department of Veterans' Affairs card; did not have a Health Care Card; were female aged 45-64 years; or male aged 25-44 years. Musculoskeletal problems accounted for 80% of referrals, but only 6.8% of all musculoskeletal problems managed were referred. Allied health Medicare Benefits Schedule item numbers have increased referrals to physiotherapy. However, there are some population groups who are not referred but might benefit from physiotherapy.

  9. 78 FR 14640 - Airworthiness Directives; Cessna Aircraft Company Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-07

    ...), 1801 Airport Road, Room 100, Mid-Continent Airport, Wichita, Kansas 67209; phone: 316-946-4165; fax: 316-946-4107; email: [email protected] . SUPPLEMENTARY INFORMATION: Discussion We issued a...: 316-946-4165; fax: 316-946-4107; email: [email protected] . (m) Material Incorporated by...

  10. 75 FR 39801 - Airworthiness Directives; McCauley Propeller Systems Model 4HFR34C653/L106FA Propellers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-13

    ...) 946-4148; fax (316) 946-4107. SUPPLEMENTARY INFORMATION: The FAA proposed to amend 14 CFR part 39 with....gov ; telephone (316) 946-4148; fax: (316) 946-4107, for more information about this AD. Material...

  11. 78 FR 36569 - National Register of Historic Places; Notification of Pending Nominations and Related Actions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-18

    ... Service,1201 Eye St. NW., 8th floor, Washington, DC 20005; or by fax, 202-371-6447. Written or faxed...), (Santa Fe Trail MPS) US 56, Garfield, 13000493 Pawnee Fork Crossing (Santa Fe Trail Dry Route) and Boyd's...

  12. 75 FR 76428 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-08

    ..., country, organization, phone, fax, mobile, pager, Defense Switched Network (DSN) phone, other fax, other... to populate and maintain personal data elements in DoD Component networks and systems, such as.../Transport Layer Security (SSL/ TLS) connections, access control lists, file system permissions, intrusion...

  13. 76 FR 26959 - Airworthiness Directives; Embraer-Embraer-Empresa Brasileira de Aeronautica S.A. (EMBRAER) Model...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-10

    ...-- SP, CEP: 12227-901--PO Box: 36/2, Brasil; telephone: ++55 12 3927-5383; fax: ++55 12 3927-2619; E...: 36/2, Brasil; telephone: ++55 12 3927-5383; fax: ++55 12 3927-2619; E- mail: phenom.reliability...

  14. 77 FR 33230 - Notice of Intent To Prepare an Environmental Impact Statement for Proposed Strategies for Lake...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-05

    ... by July 5, 2012. ADDRESSES: You may mail, hand carry, or fax written comments to either Tom McDonald... above, fax (406) 676-2605. FOR FURTHER INFORMATION CONTACT: Tom McDonald, (406) 675-2700, extension 7288...

  15. 75 FR 33883 - Notice of Extension of Public Comment Period for the Proposed Keystone XL Pipeline Project; Draft...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-15

    ... mail can be delayed due to security screening. Fax to: (202) 647-1052, attention Elizabeth Orlando. FOR... by fax at (202) 647-1052. You may also visit the Project Web site: http://www.keystonepipeline-xl...

  16. 75 FR 22890 - Notice of Extension of Public Comment Period for the Proposed Keystone XL Pipeline Project Draft...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-30

    ... screening. Fax to: (202) 647-1052, attention Elizabeth Orlando. FOR FURTHER INFORMATION CONTACT: For... of State, Washington, DC 20520, or by telephone (202) 647- 4284, or by fax at (202) 647-1052. You may...

  17. 76 FR 76386 - Marine Mammals; File No. 14241, Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-07

    ... Resources, NMFS, 1315 East-West Highway, Room 13705, Silver Spring, MD 20910; phone (301) 427-8401; fax (301) 713-0376; Northeast Region, NMFS, 55 Great Republic Drive, Gloucester, MA 01930; phone (978) 281-9300...; phone (727) 824-5312; fax (727) 824-5309. [[Page 76387

  18. Influence of place of residence on indications for genetic amniocentesis in the Pomeranian region of Poland before and after introduction of the Prenatal Screening Program in 2008

    PubMed Central

    Ciach, Katarzyna; Świątkowska-Freund, Małgorzata; Preis, Krzysztof

    2014-01-01

    Background The aim of the study was to analyze differences in the indications for amniocentesis in patients living in urban and rural areas before and after introduction of the Prenatal Screening Program by Polish National Health Insurance agency in the Pomeranian region in 2008. Material/Methods Indications for 2578 amniocenteses performed in the Department of Obstetrics of the Medical University of Gdansk between 1996 and 2010 were recorded. Results Advanced maternal age accounted for 69% of women in urban areas and 61% of women in rural areas being referred for amniocentesis (p<0.001). There was also a significant difference between locations in chromosomal abnormality in previous pregnancy, accounting for 4% of referrals for amniocentesis in urban areas compared with 7% of referrals in rural areas. In urban areas, advanced maternal age accounted for 73% of referrals between 1996–2007 compared with 60% of referrals for amniocentesis between 2008 and 2010 (p=0.004), and in rural areas it was 66% and 54%, respectively (p<0.001). Abnormal result of biochemical screening surprisingly accounted for 13% of referrals for amniocenteses between 1996–2007 in urban areas compared with 28% after 2008 (p<0.001). In rural areas this indication accounted for 12% referrals before 2008 and for 28% from 2008 onward (p<0.001). Conclusions The results of the study suggest that in both urban and rural areas there was a significant decrease in advanced maternal age as a reason for referral for amniocentesis, but a significant increase in abnormal results of biochemical screening as an indication for amniocentesis after 2008. PMID:24785299

  19. From home deliveries to health care facilities: establishing a traditional birth attendant referral program in Kenya.

    PubMed

    Tomedi, Angelo; Stroud, Sophia R; Maya, Tania Ruiz; Plaman, Christopher R; Mwanthi, Mutuku A

    2015-07-16

    To assess the effectiveness of a traditional birth attendant (TBA) referral program on increasing the number of deliveries overseen by skilled birth attendants (SBA) in rural Kenyan health facilities before and after the implementation of a free maternity care policy. In a rural region of Kenya, TBAs were recruited to educate pregnant women about the importance of delivering in healthcare facilities and were offered a stipend for every pregnant woman whom they brought to the healthcare facility. We evaluated the percentage of prenatal care (PNC) patients who delivered at the intervention site compared with the percentage of PNC patients who delivered at rural control facilities, before and after the referral program was implemented, and before and after the Kenya government implemented a policy of free maternity care. The window period of the study was from July of 2011 through September 2013, with a TBA referral intervention conducted from March to September 2013. The absolute increases from the pre-intervention period to the TBA referral intervention period in SBA deliveries were 5.7 and 24.0% in the control and intervention groups, respectively (p < 0.001). The absolute increases in SBA delivery rates from the pre-intervention period to the intervention period before the implementation of the free maternity care policy were 4.7 and 17.2% in the control and intervention groups, respectively (p < 0.001). After the policy implementation the absolute increases from pre-intervention to post-intervention were 1.8 and 11.6% in the control and intervention groups, respectively (p < 0.001). The percentage of SBA deliveries at the intervention health facility significantly increased compared to control health facilities when TBAs educated women about the need to deliver with a SBA and when TBAs received a stipend for bringing women to local health facilities to deliver. Furthermore, this TBA referral program proved to be far more effective in the target region of Kenya than a policy change to provide free obstetric care.

  20. Disparities in Cardiac Rehabilitation Among Individuals from Racial and Ethnic Groups and Rural Communities-A Systematic Review.

    PubMed

    Castellanos, Luis R; Viramontes, Omar; Bains, Nainjot K; Zepeda, Ignacio A

    2018-03-13

    Despite the well-described benefits of cardiac rehabilitation (CR) on long-term health outcomes, CR is a resource that is underutilized by a significant proportion of patients that suffer from cardiovascular diseases. The main purpose of this study was to examine disparities in CR referral and participation rates among individuals from rural communities and racial and ethnic minority groups with coronary heart disease (CHD) when compared to the general population. A systematic search of standard databases including MedlLine, PubMed, and Cochrane databases was conducted using keywords that included cardiac rehabilitation, women, race and ethnicity, disparities, and rural populations. Twenty-eight clinical studies from 1990 to 2017 were selected and included 478,955 patients with CHD. The majority of available clinical studies showed significantly lower CR referral and participation rates among individuals from rural communities, women, and racial and ethnic groups when compared to the general population. Similar to geographic region, socioeconomic status (SES) appears to directly impact the use of CR programs. Patients of lower SES have significantly lower CR referral and participation rates than patients of higher SES. Data presented underscores the need for systematic referrals using electronic health records for patients with CHD in order to increase overall CR referral and participation rates of minority populations and other vulnerable groups. Educational programs that target healthcare provider biases towards racial and ethnic groups may help attenuate observed disparities. Alternative modalities such as home-based and internet-based CR programs may also help improve CR participation rates among vulnerable populations.

  1. Implementing an Employee Assistance Program.

    ERIC Educational Resources Information Center

    Gam, John; And Others

    1983-01-01

    Describes in detail the implementation of an employee assistance program in a textile plant. Reviews the historical development, referral process, and termination guidelines of the program and contains descriptive statistics for six periods of the program's operation. (Author/JAC)

  2. A system for diagnosis, referral, and rehabilitation of persons convicted of driving while intoxicated : the system and a preliminary field test of the diagnostic procedure

    DOT National Transportation Integrated Search

    1978-04-01

    A diagnostic, referral and treatment program was designed for persons convicted of driving while intoxicated. The assessment system measures the individual on an adaptability factor, a sociocultural factor and a severity factor. The assessment leads ...

  3. Athletic Training Educators' Instructional Methods and Confidence in Graduating Students' Abilities regarding Psychosocial Intervention and Referral

    ERIC Educational Resources Information Center

    Hamson-Utley, Jennifer Jordan; Stiller-Ostrowski, Jennifer L.

    2011-01-01

    Context: Graduating athletic training students must consider both physical and mental aspects of injury to fully rehabilitate the injured athlete; however, programs may not be preparing students to apply psychosocial strategies that can improve the recovery process. Objective: To examine Psychosocial Intervention and Referral (PIR) content area…

  4. Comprehensive Development Plan in Office Skills. Final Performance Report.

    ERIC Educational Resources Information Center

    Waubonsee Community Coll., Sugar Grove, IL.

    The Waubonsee Community College Comprehensive Development Plan in Office Skills served 208 students by assessment of basic skills and referral to appropriate programs or help with job skills and referral to employment during the 18-month grant period from December 1988 through June 30, 1990. The target population was minority women or economically…

  5. 48 CFR 652.206-70 - Competition Advocate/Ombudsman.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... contact the contracting activity ombudsman, [insert name], at [insert telephone and fax numbers]. For an.... Concerns, issues, disagreements, and recommendations which cannot be resolved at a contracting activity level may be referred to the Department of State Acquisition Ombudsman at (703) 516-1680, by fax at (703...

  6. 48 CFR 652.206-70 - Competition Advocate/Ombudsman.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... contact the contracting activity ombudsman, [insert name], at [insert telephone and fax numbers]. For an.... Concerns, issues, disagreements, and recommendations which cannot be resolved at a contracting activity level may be referred to the Department of State Acquisition Ombudsman at (703) 516-1680, by fax at (703...

  7. 77 FR 34945 - Agency Information Collection Activities: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-12

    ... information collection, as required by the Paperwork Reduction Act of 1995. The Marketing Fax Back Response... 20571. SUPPLEMENTARY INFORMATION: Titles and Form Number: EIB 05-01 Marketing Fax Back Response Form... EXPORT-IMPORT BANK OF THE UNITED STATES [Public Notice 2012-0101] Agency Information Collection...

  8. CD-ROM + Fax = Shared Reference Resources.

    ERIC Educational Resources Information Center

    Fitzwater, Diana; Fradkin, Bernard

    1988-01-01

    Describes the Reference by GammaFax Project, which joined nine area libraries to provide cooperative reference access to optical disk databases. The configuration of disk players, microcomputers, and facsimile equipment used by the libraries is explained, and the improvements in cost effectiveness, provision of service, and librarian expertise are…

  9. 75 FR 69644 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-15

    ..., organization, phone, fax, mobile, pager, Defense Switched Network (DSN) phone, other fax, other mobile, other.../Transport Layer Security (SSL/ TLS) connections, access control lists, file system permissions, intrusion detection and prevention systems and log monitoring. Complete access to all records is restricted to and...

  10. 78 FR 3365 - Airworthiness Directives; The Boeing Company Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-16

    ... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration 14 CFR Part 39 [Docket No. FAA-2012... submitting comments. Fax: 202-493-2251. Mail: U.S. Department of Transportation, Docket Operations, M-30...-5000, extension 1; fax 206-766-5680; Internet https://www.myboeingfleet.com . You may [[Page 3366...

  11. Medication order communication using fax and document-imaging technologies.

    PubMed

    Simonian, Armen I

    2008-03-15

    The implementation of fax and document-imaging technology to electronically communicate medication orders from nursing stations to the pharmacy is described. The evaluation of a commercially available pharmacy order imaging system to improve order communication and to make document retrieval more efficient led to the selection and customization of a system already licensed and used in seven affiliated hospitals. The system consisted of existing fax machines and document-imaging software that would capture images of written orders and send them from nursing stations to a central database server. Pharmacists would then retrieve the images and enter the orders in an electronic medical record system. The pharmacy representatives from all seven hospitals agreed on the configuration and functionality of the custom application. A 30-day trial of the order imaging system was successfully conducted at one of the larger institutions. The new system was then implemented at the remaining six hospitals over a period of 60 days. The transition from a paper-order system to electronic communication via a standardized pharmacy document management application tailored to the specific needs of this health system was accomplished. A health system with seven affiliated hospitals successfully implemented electronic communication and the management of inpatient paper-chart orders by using faxes and document-imaging technology. This standardized application eliminated the problems associated with the hand delivery of paper orders, the use of the pneumatic tube system, and the printing of traditional faxes.

  12. Youth Suicide Prevention Programs

    ERIC Educational Resources Information Center

    Kalafat, John

    2006-01-01

    Youth suicide prevention programs are described that promote the identification and referral of at-risk youth, address risk factors, and promote protective factors. Emphasis is on programs that are both effective and sustainable in applied settings.

  13. Factors affecting cardiac rehabilitation referral by physician specialty.

    PubMed

    Grace, Sherry L; Grewal, Keerat; Stewart, Donna E

    2008-01-01

    Cardiac rehabilitation (CR) is widely underutilized because of multiple factors including physician referral practices. Previous research has shown CR referral varies by type of provider, with cardiologists more likely to refer than primary care physicians. The objective of this study was to compare factors affecting CR referral in primary care physicians versus cardiac specialists. A cross-sectional survey of a stratified random sample of 510 primary care physicians and cardiac specialists (cardiologists or cardiovascular surgeons) in Ontario identified through the Canadian Medical Directory Online was administered. One hundred four primary care physicians and 81 cardiac specialists responded to the 26-item investigator-generated survey examining medical, demographic, attitudinal, and health system factors affecting CR referral. Primary care physicians were more likely to endorse lack of familiarity with CR site locations (P < .001), lack of standardized referral forms (P < .001), inconvenience (P = .04), program quality (P = .004), and lack of discharge communication from CR (P = .001) as factors negatively impacting CR referral practices than cardiac specialists. Cardiac specialists were significantly more likely to perceive that their colleagues and department would regularly refer patients to CR than primary care physicians (P < .001). Where differences emerged, primary care physicians were more likely to perceive factors that would impede CR referral, some of which are modifiable. Marketing CR site locations, provision of standardized referral forms, and ensuring discharge summaries are communicated to primary care physicians may improve their willingness to refer to CR.

  14. 76 FR 40728 - Clean Air Act Advisory Committee (CAAAC); Request for Nominations for 2011 Clean Air Excellence...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-11

    ... Childers, U.S. EPA at 202-564-1082 or 202- 564-1352 (Fax), mailing address: Office of Air and Radiation.../index.html or by contacting Mr. Pat Childers, U.S. EPA at 202-564-1082 or 202-564-1352 (Fax), mailing...

  15. 78 FR 38070 - Renewal of Approved Information Collection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-25

    ... information from individuals and entities seeking authorization for free use of mineral or vegetative... Information and Regulatory Affairs, fax 202-395-5806, or by electronic mail at [email protected] . Please provide a copy of your comments to the BLM. You may do so via mail, fax, or electronic mail. Mail...

  16. 78 FR 6830 - Renewal of Approved Information Collection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-31

    ... of information from persons who seek authorization for free use of mineral or vegetative materials...: Comments may be submitted by mail, fax, or electronic mail. Mail: U.S. Department of the Interior, Bureau.... Fax: to Jean Sonneman at 202-245-0050. Electronic mail: [email protected] . Please indicate ``Attn...

  17. 76 FR 57028 - Proposed Agency Information Collection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-15

    ... anticipate that you will be submitting comments, but find it difficult to do so within the period of time.... And to: Carol Hellmann, BudgetJust[email protected] . Fax: 720-356-1550. FOR FURTHER INFORMATION CONTACT: Carol Hellmann, BudgetJust[email protected] . Fax: 720-356-1550. The information collection instrument may...

  18. Methods of Cost Reduction for United States Coast Guard Telephone Systems.

    DTIC Science & Technology

    1981-03-01

    System (’FTS) for a single low utilization command is questionable. Small FAX machines such as EXXON’s QWIP /FAX can be purchased at approxi- mately...unsatisfactory operating condi- tion. Electrical faults, such as leakage or poor insulation, noise induction, crosstalk, or poor transmission

  19. 78 FR 52875 - Airworthiness Directives; the Boeing Company Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-27

    ... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration 14 CFR Part 39 [Docket No. FAA-2013... comments. Fax: 202-493-2251. Mail: U.S. Department of Transportation, Docket Operations, M-30, West..., extension 1; fax 206-766-5680; Internet https://www.myboeingfleet.com . You may review copies of the...

  20. 33 CFR Appendix to Subpart D of... - Ballast Water Reporting Form and Instructions for Ballast Water Reporting Form

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Internet at http://invasions.si.edu/NBIC/bwform.html; E-mail to [email protected]ORG; Fax to 301-261-4319...:Via the Internet at http://invasions.si.edu/NBIC/bwform.html; E-mail to [email protected]ORG; Fax to...

  1. 76 FR 40286 - Airworthiness Directives; Empresa Brasileira de Aeronáutica S.A. (EMBRAER) Model EMB-505 Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-08

    ..., Sao Jose dos Campos--SP, CEP: 12227-901--PO Box: 36/2, BRASIL; telephone: ++55 12 3927-5383; fax: ++55... Campos--SP, CEP: 12227-901--PO Box: 36/2, BRASIL; telephone: ++55 12 3927-5383; fax: ++55 12 3927-2619; E...

  2. 77 FR 38859 - Governors' Designees Receiving Advance Notification of Transportation of Certain Shipments of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-29

    ..., Fax: (208) 884- 7192. ILLINOIS Joseph G. Klinger, SAME. Assistant Director, Illinois Emergency..., Fax: (617) 242-3457. MICHIGAN Captain W. Thomas SAME. Sands, Michigan State Police, Emergency...) 444-1183 (State Police). SOUTH CAROLINA Susan Jenkins, SAME. Bureau of Land and Waste Management...

  3. 75 FR 32372 - Marine Mammals; File No. 14241, Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-08

    ... East-West Highway, Room 13705, Silver Spring, MD 20910; phone (301)713-2289; fax (301)713-0376; Northeast Region, NMFS, 55 Great Republic Drive, Gloucester, MA 01930; phone (978)281-9300; fax (978)281-9333; and Southeast Region, NMFS, 263 13th Avenue South, Saint Petersburg, Florida 33701; phone (727...

  4. 77 FR 29981 - Marine Mammals; File No. 17086

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-21

    ... East-West Highway, Room 13705, Silver Spring, MD 20910; phone (301) 427-8401; fax (301) 713-0376; Northeast Region, NMFS, 55 Great Republic Drive, Gloucester, MA 01930; phone (978) 281-9328; fax (978) 281-9394; and Southeast Region, NMFS, 263 13th Avenue South, Saint Petersburg, FL 33701; phone (727) 824...

  5. Oregon Elks Children's Eye Clinic vision screening results for astigmatism.

    PubMed

    Vaughan, Joannah; Dale, Talitha; Herrera, Daniel; Karr, Daniel

    2018-04-19

    In the Elks Preschool Vision Screening program, which uses the plusoptiX S12 to screen children 36-60 months of age, the most common reason for over-referral, using the 1.50 D referral criterion, was found to be astigmatism. The goal of this study was to compare the accuracy of the 2.25 D referral criterion for astigmatism to the 1.50 D referral criterion using screening data from 2013-2014. Vision screenings were conducted on Head Start children 36-72 months of age by Head Start teachers and Elks Preschool Vision Screening staff using the plusoptiX S12. Data on 4,194 vision screenings in 2014 and 4,077 in 2013 were analyzed. Area under the curve (AUC) and receiver operating characteristic curve (ROC) analysis were performed to determine the optimal referral criteria. A t test and scatterplot analysis were performed to compare how many children required treatment using the different criteria. The medical records of 136 (2.25 D) and 117 children (1.50 D) who were referred by the plusoptiX screening for potential astigmatism and received dilated eye examinations from their local eye doctors were reviewed retrospectively. Mean subject age was 4 years. Treatment for astigmatism was prescribed to 116 of 136 using the 2.25 D setting compared to 60 of 117 using the 1.50 D setting. In 2013 the program used the 1.50 D setting for astigmatism. Changing the astigmatism setting to 2.25 D; , 85% of referrals required treatment, reducing false positives by 34%. Copyright © 2018. Published by Elsevier Inc.

  6. Evolution of primary care referrals to urology. Impact of a protocol on prostate disease and continuing education.

    PubMed

    Sopeña-Sutil, R; Tejido-Sánchez, A; Galván-Ortiz de Urbina, M; Guerrero-Ramos, F; García-Álvarez, G; Passas-Martínez, J B

    2015-06-01

    To analyze the evolution of primary care referrals to the Urology Department after the implementation of a joint protocol on prostate disease and a continuing education program in our healthcare area. In January 2011, we launched an action protocol on prostate disease, which was complemented by training sessions and an e-mail-based consultation system. We analyzed primary care referrals to the Urology Department between 2011 and 2013 and determined the reasons for the consultations and the compliance with the established criteria on prostate disease. We obtained data from the "Request for Appointment in Specialized Care" program of the Community of Madrid. We calculated the sample size with a 95% confidence level and a 50% heterogeneity. A total of 19,048 referrals were conducted. The most common reason for the referrals was lower urinary tract symptoms associated with benign prostate hyperplasia, with a 27% reduction and a compliance that went from 46% at 67%. Although prostate-specific antigen consultations increased by 40%, they improved their appropriateness (from 55% to 72%). This was the main type of consultation for suspicion of malignancy (30%). Also worth mentioning were female incontinence, which doubled in number, and a 41% reduction in erectile dysfunction, which could be due to the primary care training. The collaboration between the Department of Urology and primary care succeeded in improving the appropriateness of prostate disease referrals and modified the tendency to refer the rest of the diseases included in the project. Copyright © 2014 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  7. Latent homeless risk profiles of a national sample of homeless veterans and their relation to program referral and admission patterns.

    PubMed

    Tsai, Jack; Kasprow, Wesley J; Rosenheck, Robert A

    2013-12-01

    We identified risk and need profiles of homeless veterans and examined the relation between profiles and referrals and admissions to Department of Veterans Affairs (VA) homeless service programs. We examined data from the VA's new Homeless Operations Management and Evaluation System on 120,852 veterans from 142 sites nationally in 2011 and 2012 using latent class analyses based on 9 homeless risk factors. The final 4-class solution compared both referral and admission to VA homeless services. We identified 4 latent classes: relatively few problems, dual diagnosis, poverty-substance abuse-incarceration, and disabling medical problems. Homeless veterans in the first group were more likely to be admitted to the VA's permanent supportive housing program, whereas those in the second group were more likely to be admitted to more restrictive VA residential treatment. Homeless veterans in the third group were more likely to be admitted to the VA's prisoner re-entry program, and those in the fourth group were more likely to be directed to VA medical services. The heterogeneous risk and need profiles of homeless veterans supported the diversity of VA homeless services and encouraged the development of specialized services to meet their diverse needs.

  8. Using Organizational Network Analysis to Plan Cancer Screening Programs for Vulnerable Populations

    PubMed Central

    Carothers, Bobbi J.; Lofters, Aisha K.

    2014-01-01

    Objectives. We examined relationships among organizations in a cancer screening network to inform the development of interventions to improve cancer screening for South Asians living in the Peel region of Ontario. Methods. From April to July 2012, we surveyed decision-makers, program managers, and program staff in 22 organizations in the South Asian cancer screening network in the Peel region. We used a network analytic approach to evaluate density (range = 0%–100%, number of ties among organizations in the network expressed as a percentage of all possible ties), centralization (range = 0–1, the extent of variability in centrality), and node characteristics for the communication, collaboration, and referral networks. Results. Density was similar across communication (15%), collaboration (17%), and referral (19%) networks. Centralization was greater in the collaboration network (0.30) than the communication network (0.24), and degree centralization was greater in the inbound (0.42) than the outbound (0.37) referral network. Diverse organizations were central to the networks. Conclusions. Certain organizations were unexpectedly important to the South Asian cancer screening network. Program planning was informed by identifying opportunities to strengthen linkages between key organizations and to leverage existing ties. PMID:24328613

  9. Using organizational network analysis to plan cancer screening programs for vulnerable populations.

    PubMed

    Lobb, Rebecca; Carothers, Bobbi J; Lofters, Aisha K

    2014-02-01

    We examined relationships among organizations in a cancer screening network to inform the development of interventions to improve cancer screening for South Asians living in the Peel region of Ontario. From April to July 2012, we surveyed decision-makers, program managers, and program staff in 22 organizations in the South Asian cancer screening network in the Peel region. We used a network analytic approach to evaluate density (range = 0%-100%, number of ties among organizations in the network expressed as a percentage of all possible ties), centralization (range = 0-1, the extent of variability in centrality), and node characteristics for the communication, collaboration, and referral networks. Density was similar across communication (15%), collaboration (17%), and referral (19%) networks. Centralization was greater in the collaboration network (0.30) than the communication network (0.24), and degree centralization was greater in the inbound (0.42) than the outbound (0.37) referral network. Diverse organizations were central to the networks. Certain organizations were unexpectedly important to the South Asian cancer screening network. Program planning was informed by identifying opportunities to strengthen linkages between key organizations and to leverage existing ties.

  10. Preschool Teachers' Perceptions of Factors Influencing Their Referral Decisions for Young Children with Severe Behavior Problems

    ERIC Educational Resources Information Center

    Kingsley, Susan J.

    2012-01-01

    In this study factors preschool teachers perceive as influencing their referral decisions for young children with severe behavior problems were investigated. Research questions focused on 1) teacher factors such as teachers' knowledge, beliefs and concerns; 2) program-system factors such as availability of services and inter and intra-agency…

  11. Developing and Implementing a Multispecialty Graduate Medical Education Curriculum on Screening, Brief Intervention, and Referral to Treatment (SBIRT)

    ERIC Educational Resources Information Center

    Tetrault, Jeanette M.; Green, Michael L.; Martino, Steve; Thung, Stephen F.; Degutis, Linda C.; Ryan, Sheryl A.; Martel, Shara; Pantalon, Michael V.; Bernstein, Steven L.; O'Connor, Patrick G.; Fiellin, David A.; D'Onofrio, Gail

    2012-01-01

    The authors sought to evaluate the feasibility and acceptability of initiating a Screening, Brief Intervention, and Referral to Treatment (SBIRT) for alcohol and other drug use curriculum across multiple residency programs. SBIRT project faculty in the internal medicine (traditional, primary care internal medicine, medicine/pediatrics),…

  12. Assessment, Referral and Placement Kit for Adult Literacy & Basic Education Programs in Victoria.

    ERIC Educational Resources Information Center

    Purdey, Margaret

    This kit is an aid to the assessment, referral, placement, and recognition of achievement of adult literacy and basic education students across Victoria (Australia). It is designed as a guide to the integration of current assessment with new placement processes within the context of the new Adult Basic Education Accreditation Framework and the…

  13. Information to Include in Curriculum Vitae | Cancer Prevention Fellowship Program

    Cancer.gov

    Applicants are encouraged to use their current curriculum vitae and to add any necessary information. Please include your name and a page number on each page. Some of the information requested below will not be applicable to all individuals. Personal Information Name (first middle last) Date of birth Place of birth (city, state, country) Home address Work/school address Phone number (if more than one number is provided, please indicate preferred contact) Fax num

  14. Gender Differences in Emergency Department Visits and Detox Referrals for Illicit and Nonmedical Use of Opioids.

    PubMed

    Ryoo, Hyeon-Ju; Choo, Esther K

    2016-05-01

    Visits to the emergency department (ED) for use of illicit drugs and opioids have increased in the past decade. In the ED, little is known about how gender may play a role in drug-related visits and referrals to treatment. This study performs gender-based comparison analyses of drug-related ED visits nationwide. We performed a cross-sectional analysis with data collected from 2004 to 2011 by the Drug Abuse Warning Network (DAWN). All data were coded to capture major drug categories and opioids. We used logistic regression models to find associations between gender and odds of referral to treatment programs. A second set of models were controlled for patient "seeking detox," or patient explicitly requesting for detox referral. Of the 27.9 million ED visits related to drug use in the DAWN database, visits by men were 2.69 times more likely to involve illicit drugs than visits by women (95% CI [2.56, 2.80]). Men were more likely than women to be referred to detox programs for any illicit drugs (OR 1.12, 95% CI [1.02-1.22]), for each of the major illicit drugs (e.g., cocaine: OR 1.27, 95% CI [1.15-1.40]), and for prescription opioids (OR 1.30, 95% CI [1.17-1.43]). This significant association prevailed after controlling for "seeking detox." Women are less likely to receive referrals to detox programs than men when presenting to the ED regardless of whether they are "seeking detox." Future research may help determine the cause for this gender-based difference and its significance for healthcare costs and health outcomes.

  15. Gender Differences in Emergency Department Visits and Detox Referrals for Illicit and Nonmedical Use of Opioids

    PubMed Central

    Ryoo, Hyeon-Ju; Choo, Esther K.

    2016-01-01

    Introduction Visits to the emergency department (ED) for use of illicit drugs and opioids have increased in the past decade. In the ED, little is known about how gender may play a role in drug-related visits and referrals to treatment. This study performs gender-based comparison analyses of drug-related ED visits nationwide. Methods We performed a cross-sectional analysis with data collected from 2004 to 2011 by the Drug Abuse Warning Network (DAWN). All data were coded to capture major drug categories and opioids. We used logistic regression models to find associations between gender and odds of referral to treatment programs. A second set of models were controlled for patient “seeking detox,” or patient explicitly requesting for detox referral. Results Of the 27.9 million ED visits related to drug use in the DAWN database, visits by men were 2.69 times more likely to involve illicit drugs than visits by women (95% CI [2.56, 2.80]). Men were more likely than women to be referred to detox programs for any illicit drugs (OR 1.12, 95% CI [1.02–1.22]), for each of the major illicit drugs (e.g., cocaine: OR 1.27, 95% CI [1.15–1.40]), and for prescription opioids (OR 1.30, 95% CI [1.17–1.43]). This significant association prevailed after controlling for “seeking detox.” Conclusion Women are less likely to receive referrals to detox programs than men when presenting to the ED regardless of whether they are “seeking detox.” Future research may help determine the cause for this gender-based difference and its significance for healthcare costs and health outcomes. PMID:27330662

  16. 47 CFR 25.263 - Information sharing requirements for SDARS terrestrial repeater operators.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... no less than ± 1 second latitude and longitude; (ii) The proposed operating power(s), frequency band... notification is by fax, the date of receipt is evidenced by the notifying party's fax transmission confirmation... International Bureau, in consultation with the Office of Engineering and Technology and the Wireless...

  17. Army Science Board 1991 Summer Study - Army Simulation Strategy

    DTIC Science & Technology

    1991-12-01

    force structure. What management, policy, and Resear~ ch and Development (R&D) Investment strategy will best enable the Army to capitalize on the...Arbor. HI 48106 Macon, GA 31207 313-973-9210 912-752-2453 FAX: 313-973- 7845 FAX: 912-752-2166 Dr. William H. Evers, Jr. Mr. David C. Hardison President

  18. 77 FR 17897 - National Uniform Emission Standards for Storage Vessel and Transfer Operations, Equipment Leaks...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-26

    ... Protection Agency, Research Triangle Park, North Carolina 27711; Telephone number: (919) 541-3608; Fax number... (E143-01), Office of Air Quality Planning and Standards, U.S. Environmental Protection Agency, Research..., Research Triangle Park, North Carolina 27711; Telephone number: (919) 541-5372; Fax number (919) 541-0246...

  19. 76 FR 40291 - Airworthiness Directives; Learjet Inc. Model 45 Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-08

    ..., Inc., One Learjet Way, Wichita, Kansas 67209-2942; telephone 316-946-2000; fax 316-946-2220; e-mail ac... Office, 1801 Airport Road, Room 100, Mid-Continent Airport, Wichita, KS 67209; phone: 316-946-4152; fax: 316-946-4107; e-mail: [email protected] . SUPPLEMENTARY INFORMATION: Comments Invited We invite you...

  20. 76 FR 18376 - Airworthiness Directives; CPAC, Inc. (Type Certificate Formerly Held by Commander Aircraft...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-04

    ... Engineer, Wichita Aircraft Certification Office (ACO), FAA, 1801 Airport Road, Room 100; phone: (316) 946-4155; fax: (316) 946-4107; e- mail: [email protected] . SUPPLEMENTARY INFORMATION: Discussion The FAA.... Baktha, Senior Aerospace Engineer, 1801 Airport Road, Room 100; phone: (316) 946-4155; fax: (316) 946...

  1. 75 FR 77955 - Government Securities: Call for Large Position Reports

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-14

    ... Liberty Street, New York, New York 10045; or faxed to 212-720-5030. FOR FURTHER INFORMATION CONTACT: Lori... must include the required positions and administrative information. The reports may be faxed to (212... September 2013, Series AC-2013, have a CUSIP number of 912828 NY 2, a STRIPS principal component CUSIP...

  2. 75 FR 19414 - Collection of Information Under Review by Office of Management and Budget: OMB Control Number...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-14

    ... Street, NW., Washington, DC 20503, attention Desk Officer for the Coast Guard. (3) Fax. (a) To DMF, 202... the fax, attention Desk Officer for the Coast Guard. The DMF maintains the public docket for this... Guard, Acting Assistant Commandant for Command, Control, Communications, Computers and Information...

  3. 76 FR 62667 - Airworthiness Directives; The Boeing Company Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-11

    ...: 206-766-5680; e-mail: [email protected] ; Internet: https://www.myboeingfleet.com . You may review..., Washington 98057-3356; phone: 425-917-6596; fax: 425-917-6590; e-mail: [email protected] . SUPPLEMENTARY..., 1601 Lind Avenue SW., Renton, Washington 98057-3356; phone: 425-917-6596; fax: 425-917-6590; e-mail...

  4. 78 FR 47045 - Agency Information Collection Activities: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-02

    ... clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104-13, the Paperwork... following addresses or fax numbers. (OMB), Office of Management and Budget, Attn: Desk Officer for SSA, Fax... the documentary evidence of record by placing it in the official record of the proceedings as an...

  5. 76 FR 78330 - Petition for Exemption; Summary of Petition Received

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-16

    ....regulations.gov at any time or to the Docket Management Facility in Room W12-140 of the West Building Ground... instructions for sending your comments electronically. Mail: Send comments to the Docket Management Facility; U...-140, Washington, DC 20590. Fax: Fax comments to the Docket Management Facility at (202) 493-2251. Hand...

  6. 77 FR 50760 - Petition for Exemption; Summary of Petition Received

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-22

    ....regulations.gov at any time or to the Docket Management Facility in Room W12-140 of the West Building Ground... for sending your comments electronically. Mail: Send comments to the Docket Management Facility; U.S..., Washington, DC 20590. Fax: Fax comments to the Docket Management Facility at 202-493-2251. Hand Delivery...

  7. 77 FR 24758 - Advisory Committee International Postal and Delivery Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-25

    ... speaker list must be received in writing (letter, email or fax) prior to the close of business on May 8, 2012; written comments from members of the public for distribution at this meeting must reach Ms. Jezierny by letter, email or fax by this same date. A member of the public requesting reasonable...

  8. 75 FR 57803 - Preparation for International Conference on Harmonisation Steering Committee and Expert Working...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-22

    ... Hampshire Ave., Silver Spring, MD 20993-0002, email: [email protected] , or FAX: 301-595-7937... name, address, telephone, and fax number), written material, and requests to make oral presentations to... either hardcopy or on CD-ROM, after submission of a Freedom of Information request. Written requests are...

  9. 77 FR 10033 - Advisory Committee International Postal and Delivery Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-21

    ... speaker list must be received in writing (letter, email or fax) prior to the close of business on March 13, 2012; written comments from members of the public for distribution at this meeting must reach Mr. Hillsberg by letter, email or fax by this same date. A member of the public requesting reasonable...

  10. 78 FR 41068 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-09

    ... Request; Export of Medical Devices; Foreign Letters of Approval AGENCY: Food and Drug Administration, HHS... clearance under the Paperwork Reduction Act of 1995. DATES: Fax written comments on the collection of..., OMB recommends that written comments be faxed to the Office of Information and Regulatory Affairs, OMB...

  11. 75 FR 9161 - Marine Mammals; File No. 15153

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-01

    ... Quest Hawaii, 69-425 Waikoloa Beach Drive, Waikoloa, HI 96738 has been issued a permit to import two..., Silver Spring, MD 20910; phone (301) 713-2289; fax (301) 713-0376; and Pacific Islands Region, NMFS, 1601 Kapiolani Blvd., Rm 1110, Honolulu, HI 96814-4700; phone (808) 944-2200; fax (808) 973-2941. FOR FURTHER...

  12. 12 CFR 327.12 - Prepayment of quarterly risk-based assessments.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... statement invoice for the third quarter of 2009. The FDIC will re-invoice through FDICconnect based upon any... before December 1, 2009, by electronic mail ([email protected]gov) or fax (202-898-6676). The... Protection on or before December 1, 2009, by electronic mail ([email protected]gov) or fax (202-898...

  13. 12 CFR 327.12 - Prepayment of quarterly risk-based assessments.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... statement invoice for the third quarter of 2009. The FDIC will re-invoice through FDICconnect based upon any... before December 1, 2009, by electronic mail ([email protected]gov) or fax (202-898-6676). The... Protection on or before December 1, 2009, by electronic mail ([email protected]gov) or fax (202-898...

  14. 12 CFR 327.12 - Prepayment of quarterly risk-based assessments.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... statement invoice for the third quarter of 2009. The FDIC will re-invoice through FDICconnect based upon any... before December 1, 2009, by electronic mail ([email protected]gov) or fax (202-898-6676). The... Protection on or before December 1, 2009, by electronic mail ([email protected]gov) or fax (202-898...

  15. Automated Tobacco Assessment and Cessation Support for Cancer Patients

    PubMed Central

    Warren, Graham W.; Marshall, James R.; Cummings, K. Michael; Zevon, Michael A.; Reed, Robert; Hysert, Pat; Mahoney, Martin C.; Hyland, Andrew J.; Nwogu, Chukwumere; Demmy, Todd; Dexter, Elisabeth; Kelly, Maureen; O’Connor, Richard J.; Houstin, Teresa; Jenkins, Dana; Germain, Pamela; Singh, Anurag K.; Epstein, Jennifer; Dobson Amato, Katharine A.; Reid, Mary E.

    2015-01-01

    BACKGROUND Tobacco assessment and cessation support are not routinely included in cancer care. An automated tobacco assessment and cessation program was developed to increase the delivery of tobacco cessation support for cancer patients. METHODS A structured tobacco assessment was incorporated into the electronic health record at Roswell Park Cancer Institute to identify tobacco use in cancer patients at diagnosis and during follow-up. All patients who reported tobacco use within the past 30 days were automatically referred to a dedicated cessation program that provided cessation counseling. Data were analyzed for referral accuracy and interest in cessation support. RESULTS Between October 2010 and December 2012, 11,868 patients were screened for tobacco use, and 2765 were identified as tobacco users and were referred to the cessation service. In referred patients, 1381 of those patients received only a mailed invitation to contact the cessation service, and 1384 received a mailing as well as telephone contact attempts from the cessation service. In the 1126 (81.4%) patients contacted by telephone, 51 (4.5%) reported no tobacco use within the past 30 days, 35 (3.1%) were medically unable to participate, and 30 (2.7%) declined participation. Of the 1381 patients who received only a mailed invitation, 16 (1.2%) contacted the cessation program for assistance. Three questions at initial consult and follow-up generated over 98% of referrals. Tobacco assessment frequency every 4 weeks delayed referral in <1% of patients. CONCLUSIONS An automated electronic health record-based tobacco assessment and cessation referral program can identify substantial numbers of smokers who are receptive to enrollment in a cessation support service. PMID:24496870

  16. Women's experiences accessing a women-centered cardiac rehabilitation program: a qualitative study.

    PubMed

    Rolfe, Danielle E; Sutton, Erica J; Landry, Mireille; Sternberg, Len; Price, Jennifer A D

    2010-01-01

    The health benefits of cardiac rehabilitation (CR) for women living with heart disease are well documented, yet women remain underrepresented in traditionally structured CR programs. This health service delivery gap has been attributed to a number of sex-related factors experienced by women, including lower rates of physician referral, travel-related barriers, competing work and caregiving responsibilities, greater cardiovascular disease severity, and number of comorbid health conditions. Whether a program specifically designed for women is able to address these barriers and facilitate women's participation is a question that has seldom been explored in the CR literature. As part of a larger study exploring whether 6 predefined principles of women's health (empowerment of women, accessible programs, broad definition of health care, high-quality of care, collaborative planning, and innovative and creative approaches) are reflected in the practices of the Women's Cardiovascular Health Initiative (WCHI) (a comprehensive CR and primary prevention program designed for women), the objective of this analysis was to explore how the principle of "accessible programs" is experienced by women participating in the WCHI. Fourteen women previously enrolled in the WCHI program participated in a single, in-person qualitative interview. Transcripts were analyzed using a constant-comparative approach to identify relevant themes related to program accessibility. Key themes identified included participants' experiences with acquiring physician referral, negotiating transportation issues, and navigating program schedules. Women discussed how peer support and staff members' willingness to address their health-related concerns facilitated their participation. While a women-centered CR/primary prevention program may facilitate and encourage women's participation by providing flexible program schedules as well as peer and professional support, efforts are still required to address persistent barriers for women related to physician referral and transportation to programs.

  17. Using Quality Improvement to Improve Internal and External Coordination and Referrals.

    PubMed

    Cain, Katherine L; Collins, Ragan P

    As part of accreditation, Public Health Accreditation Board site visitors recommended that the New Orleans Health Department strengthen its quality improvement program. With support from the Public Health Accreditation Board, the New Orleans Health Department subsequently embarked on a data-driven planning process through which it prioritized quality improvement projects for 2016. One of these projects aimed to improve referrals to New Orleans Health Department's direct services programs from local clinics and hospitals to better provide our most vulnerable residents with a continuum of care. After completing a cause-and-effect analysis, we implemented a solution involving increased outreach to health care institutions and saw annual participation increase in 3 out of 4 of our programs. We leveraged this work to successfully apply for funding to create a centralized referral system, which will facilitate partnerships among local health and human service agencies and improve access to services. This is one example of how accreditation has benefited our health department and our community. We have found that the accreditation process promotes a culture of quality and helps health departments identify and address areas for improvement.

  18. Lung Cancer Screening With Low-Dose CT: Implementation Amid Changing Public Policy at One Health Care System.

    PubMed

    Begnaud, Abbie; Hall, Thomas; Allen, Tadashi

    2016-01-01

    Screening for lung cancer with low-dose CT has evolved rapidly in recent years since the National Lung Screening Trial (NLST) results. Subsequent professional and governmental organization guidelines have shaped policy and reimbursement for the service. Increasingly available guidance describes eligible patients and components necessary for a high-quality lung cancer screening program; however, practical instruction and implementation experience is not widely reported. We launched a lung cancer screening program in the face of reimbursement and guideline uncertainties at a large academic health center. We report our experience with implementation, including challenges and proposed solutions. Initially, we saw less referrals than expected for screening, and many patients referred for screening did not clearly meet eligibility guidelines. We educated primary care providers and implemented system tools to encourage referral of eligible patients. Moreover, in response to the Centers for Medicare & Medicaid Services (CMS) final coverage determination, we report our programmatic adaptation to meet these requirements. In addition to the components common to all quality programs, individual health delivery systems will face unique barriers related to patient population, available resources, and referral patterns.

  19. Feasibility of shelter-based mental health screening for homeless children.

    PubMed

    Lynch, Sean; Wood, Julia; Livingood, William; Smotherman, Carmen; Goldhagen, Jeffrey; Wood, David

    2015-01-01

    Homeless children are known to be at risk for mental health and behavioral disorders due to housing instability and family and environmental risk factors, such as domestic violence. However, homeless children seldom receive screening for mental health and behavioral disorders with validated instruments. Moreover, few examples exist of programs that integrate outreach, screening, referral to appropriate diagnostic and therapeutic services, and care coordination. We describe early results of the Medical Home for Homeless Children Project, whose nurse care coordinators work with homeless families to conduct standardized nursing assessments that include evidence-based screening for child mental health and behavioral disorders with referral and case management for mental and behavioral health services. Screening identified a group of children with mental health issues that warranted referral, and many of those referrals were successfully completed.

  20. Impact of Institution of a Stroke Program upon Referral Bias at a Rural Academic Medical Center

    ERIC Educational Resources Information Center

    Riggs, Jack E.; Libell, David P.; Brooks, Claudette E.; Hobbs, Gerald R.

    2005-01-01

    Context: Referral bias reflecting the preferential hospital transfer of patients with intracerebral hemorrhage (ICH) has been demonstrated as the major contributing factor for an observed high nonrisk-adjusted in-hospital crude acute stroke mortality rate at a rural academic medical center. Purpose: This study was done to assess the impact of a…

  1. Impact of Institution of a Stroke Program Upon Referral Bias at a Rural Academic Medical Center

    ERIC Educational Resources Information Center

    Riggs, Jack E.; Libell, David P.; Brooks, Claudette E.; Hobbs, Gerald R.

    2005-01-01

    Context: Referral bias reflecting the preferential hospital transfer of patients with intracerebral hemorrhage (ICH) has been demonstrated as the major contributing factor for an observed high nonrisk-adjusted in-hospital crude acute stroke mortality rate at a rural academic medical center. Purpose: This study was done to assess the impact of a…

  2. Resources for people with dementia

    PubMed Central

    Frank, Christopher; Feldman, Sid; Schulz, Mary

    2011-01-01

    Abstract Objective To summarize services provided by the Alzheimer Society and discuss other supports and resources available for the management of people with dementia. Sources of information Ovid MEDLINE was searched using the terms dementia, Alzheimer disease, community health services utilization, and caregiver stress. Main message Early diagnosis of dementia has been shown to be of benefit to patients and caregivers. Referral to the Alzheimer Society can help with nonpharmacologic management of dementia at the time of diagnosis and at any time during the course of the illness. Services include education about dementia, caregiver support, coordination of community services, and a variety of written resources for patients and caregivers. When available, the First Link program can assist with referral by minimizing the need for patients or caregivers to contact their local society branches. Other resources, including respite care and technological approaches to managing wandering, are discussed. Conclusion The Alzheimer Society is an important part of dementia management, and family physicians should always consider referral at the time of diagnosis, regardless of the severity of the condition. First Link, when it is available, can facilitate referral. Resources such as respite care and day programs should be considered when available. PMID:22170190

  3. Resources for people with dementia: the Alzheimer Society and beyond.

    PubMed

    Frank, Christopher; Feldman, Sid; Schulz, Mary

    2011-12-01

    To summarize services provided by the Alzheimer Society and discuss other supports and resources available for the management of people with dementia. Ovid MEDLINE was searched using the terms dementia, Alzheimer disease, community health services utilization, and caregiver stress. Early diagnosis of dementia has been shown to be of benefit to patients and caregivers. Referral to the Alzheimer Society can help with nonpharmacologic management of dementia at the time of diagnosis and at any time during the course of the illness. Services include education about dementia, caregiver support, coordination of community services, and a variety of written resources for patients and caregivers. When available, the First Link program can assist with referral by minimizing the need for patients or caregivers to contact their local society branches. Other resources, including respite care and technological approaches to managing wandering, are discussed. The Alzheimer Society is an important part of dementia management, and family physicians should always consider referral at the time of diagnosis, regardless of the severity of the condition. First Link, when it is available, can facilitate referral. Resources such as respite care and day programs should be considered when available.

  4. Effects of a Clinician Referral and Exercise Program for Men Who Have Completed Active Treatment for Prostate Cancer: A Multicenter Cluster Randomized Controlled Trial (ENGAGE)

    PubMed Central

    Livingston, Patricia M; Craike, Melinda J; Salmon, Jo; Courneya, Kerry S; Gaskin, Cadeyrn J; Fraser, Steve F; Mohebbi, Mohammadreza; Broadbent, Suzanne; Botti, Mari; Kent, Bridie

    2015-01-01

    BACKGROUND The purpose of this study was to determine the efficacy of a clinician referral and exercise program in improving exercise levels and quality of life for men with prostate cancer. METHODS This was a multicenter cluster randomized controlled trial in Melbourne, Australia comprising 15 clinicians: 8 clinicians were randomized to refer eligible participants (n = 54) to a 12-week exercise program comprising 2 supervised gym sessions and 1 home-based session per week, and 7 clinicians were randomized to follow usual care (n = 93). The primary outcome was self-reported physical activity; the secondary outcomes were quality of life, anxiety, and symptoms of depression. RESULTS A significant intervention effect was observed for vigorous-intensity exercise (effect size: Cohen's d, 0.46; 95% confidence interval [CI], 0.09-0.82; P = .010) but not for combined moderate and vigorous exercise levels (effect size: d, 0.08; 95% CI, −0.28 to 0.45; P = .48). Significant intervention effects were also observed for meeting exercise guidelines (≥150 min/wk; odds ratio, 3.9; 95% CI, 1.9-7.8; P = .002); positive intervention effects were observed in the intervention group for cognitive functioning (effect size: d, 0.34; 95% CI, −0.02 to 0.70; P = .06) and depression symptoms (effect size: d, −0.35; 95% CI, −0.71 to 0.02; P = .06). Eighty percent of participants reported that the clinician's referral influenced their decision to participate in the exercise program. CONCLUSIONS The clinician referral and 12-week exercise program significantly improved vigorous exercise levels and had a positive impact on mental health outcomes for men living with prostate cancer. Further research is needed to determine the sustainability of the exercise program and its generalizability to other cancer populations. Cancer 2015;121:2646–2654. © 2015 American Cancer Society. PMID:25877784

  5. 76 FR 31468 - Division of Freedom of Information; Change of Office Name, Address, Telephone Number, and Fax...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-01

    ..., 20, 21, 314, 350, 516, and 814 [Docket No. FDA-2011-N-0318] Division of Freedom of Information... Administration (FDA) is amending the Agency's regulations to reflect changes to the Division of Freedom of Information's office name, address, telephone number, and fax number and the Division of Freedom of...

  6. 78 FR 17719 - National Register of Historic Places; Notification of Pending Nominations and Related Actions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-22

    ... Service, 1201 Eye St. NW., 8th floor, Washington, DC 20005; or by fax, 202-371-6447. Written or faxed... Buffington Island Battlefield (Boundary Increase), Roughly bounded by E. bank of Ohio R., Dry Run Creek, a... Island Battlefield (Boundary Increase), Roughly bounded by Ohio River, Dry Run Creek, a ridgeline and...

  7. 75 FR 62407 - Collection of Information Under Review by Office of Management and Budget: OMB Control Number...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-08

    ... Street, NW., Washington, DC 20503, attention Desk Officer for the Coast Guard. (3) Fax. (a) To DMF, 202... the fax, attention Desk Officer for the Coast Guard. The DMF maintains the public docket for this... Commandant for Command, Control, Communications, Computers and Information Technology. [FR Doc. 2010-25382...

  8. 21 CFR 1.337 - What information must nontransporters establish and maintain to identify the nontransporter and...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... firm, address, telephone number and, if available, the fax number and e-mail address of the... number, and, if available, the fax number and e-mail address of the transporter immediate previous source... food received, to include brand name and specific variety (e.g., brand x cheddar cheese, not just...

  9. CWC Industry Outreach III: Chemical Weapons Convention Ratification, Implementation, Compliance and Verification (CWC Video). Volume 2. Annexes.

    DTIC Science & Technology

    1995-08-01

    7515 (818) 791-8805 (FAX) (415) 742-7540 (FAX) CHEVRON CORPORATION HUISH DETERGENTS, INC. CHARLOTTE R. FARBER DON GOLLADAY 225 BUSH STREET P.O. BOX 25057...USA) TEXAS INSTRUMENTS KENT BOSSART ZAK KARAMALLY 1701 PENNSYLVANIA AVE., NW #500 TEXAS INSTRUMENTS WASHINGTON, DC 20006 ZAK KARAMALLY 202-861-0668 P

  10. 78 FR 30952 - Agency Information Collection Activities: Proposed Request and Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-23

    ... packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104... following addresses or fax numbers. (OMB), Office of Management and Budget, Attn: Desk Officer for SSA, Fax... completed form a part of the documentary evidence of record by placing it in the official record of the...

  11. 29 CFR 1917.3 - Incorporation by reference.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...: 212-642-4900; fax: 212-398-0023; Web site: http://www.ansi.org. (1) ANSI A14.1-1990, Safety..., Itasca, IL 60143-0558; telephone: 1-800-621-7619; fax: 708-285-0797; Web site: http://www.nsc.org. (5...://www.nsc.org. (6) ANSI Z87.1-2003, American National Standard Practice for Occupational and Educational...

  12. 75 FR 47594 - Board of Scientific Counselors, Executive Committee Meeting-August 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-06

    [email protected] , Attention Docket ID No. EPA-HQ-ORD-2010-0661. Fax: Fax comments to: (202) 566-0224, Attention Docket ID No. EPA-HQ-ORD-2010-0661. Mail: Send comments by mail to: Board of Scientific Counselors...., Washington, DC 20004, Attention Docket ID No. EPA-HQ-ORD-2010-0661. Hand Delivery or Courier: Deliver...

  13. 77 FR 41877 - Advisory Committee on International Postal and Delivery Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-16

    ... added to the speaker list must be received in writing (letter, email or fax) prior to the close of business on July 27, 2012; written comments from members of the public for distribution at this meeting must reach Ms. Grove by letter, email or fax by this same date. A member of the public requesting...

  14. 78 FR 27958 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-13

    ... Reduction Act of 1995. DATES: Fax or email written comments on the collection of information by June 12, 2013. ADDRESSES: Written comments should be faxed to the Office of Information and Regulatory Affairs... comments should be identified by Docket No. CPSC-2013-0005. In addition, written comments also should be...

  15. 78 FR 55773 - Advisory Committee on International Postal and Delivery Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-11

    ... list must be received in writing (letter, email or fax) prior to the close of business on Monday, September 23, 2013; written comments from members of the public for distribution at this meeting must reach Ms. Grove by letter, email or fax by this same date. A member of the public requesting reasonable...

  16. 78 FR 8683 - Advisory Committee on International Postal and Delivery Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-06

    ... list must be received in writing (letter, email or fax) prior to the close of business on March 1, 2013; written comments from members of the public for distribution at this meeting must reach Ms. Grove by letter, email or fax by this same date. A member of the public requesting reasonable accommodation should...

  17. 76 FR 11762 - Marine Mammals; File No. 15330; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-03

    ... 98501, has applied in due form for a permit to take marine mammals in the Pacific Ocean for the purposes..., Juneau, AK 99802-1668; phone (907)586-7221; fax (907)586-7249; Southwest Region, NMFS, 501 West Ocean Blvd., Suite 4200, Long Beach, CA 90802-4213; phone (562)980-4001; fax (562)980-4018; and Pacific...

  18. Enhancing Response Rates in Physician Surveys: The Limited Utility of Electronic Options

    PubMed Central

    Nicholls, Keith; Chapman, Kathryn; Shaw, Thomas; Perkins, Allen; Sullivan, Margaret Murray; Crutchfield, Susan; Reed, Eddie

    2011-01-01

    Objective To evaluate the utility of offering physicians electronic options as alternatives to completing mail questionnaires. Data Source A survey of colorectal cancer screening practices of Alabama primary care physicians, conducted May–June 2010. Study Design In the follow-up to a mail questionnaire, physicians were offered options of completing surveys by telephone, fax, email, or online. Data Collection Method Detailed records were kept on the timing and mode of completion of surveys. Principal Findings Eighty-eight percent of surveys were returned by mail, 10 percent were returned by fax, and only 2 percent were completed online; none were completed by telephone or email. Conclusions Offering fax options increases response rates, but providing other electronic options does not. PMID:21492157

  19. HIV testing, care referral and linkage to care intervals affect time to engagement in care for newly diagnosed HIV-infected adolescents in fifteen adolescent medicine clinics in the United States

    PubMed Central

    Philbin, Morgan M.; Tanner, Amanda E.; DuVal, Anna; Ellen, Jonathan M.; Xu, Jiahong; Kapogiannis, Bill; Bethel, Jim; Fortenberry, J. Dennis

    2016-01-01

    Objective To examine how the time from HIV testing to care referral and from referral to care linkage influenced time to care engagement for newly diagnosed HIV-infected adolescents. Methods We evaluated the Care Initiative, a care linkage and engagement program for HIV-infected adolescents in 15 U.S. clinics. We analyzed client-level factors, provider type and intervals from HIV testing to care referral and from referral to care linkage as predictors of care engagement. Engagement was defined as a second HIV-related medical visit within 16 weeks of initial HIV-related medical visit (linkage). Results At 32 months, 2,143 youth had been referred. Of these, 866 were linked to care through the Care Initiative within 42 days and thus eligible for study inclusion. Of the linked youth, 90.8% were ultimately engaged in care. Time from HIV testing to referral (e.g., ≤7 days versus >365 days) was associated with engagement (AOR=2.91; 95% CI: 1.43–5.94) and shorter time to engagement (Adjusted HR=1.41; 95% CI: 1.11–1.79). Individuals with shorter care referral to linkage intervals (e.g., ≤7 days versus 22–42 days) engaged in care faster (Adjusted HR=2.90; 95% CI: 2.34–3.60) and more successfully (AOR=2.01; 95% CI: 1.04–3.89). Conclusions These data address a critical piece of the care continuum, and can offer suggestions of where and with whom to intervene in order to best achieve the care engagement goals outlined in the U.S. National HIV/AIDS Strategy. These results may also inform programs and policies that set concrete milestones and strategies for optimal care linkage timing for newly diagnosed adolescents. PMID:26885804

  20. Homeless youth: Barriers and facilitators for service referrals.

    PubMed

    Black, Emma B; Fedyszyn, Izabela E; Mildred, Helen; Perkin, Rhianna; Lough, Richard; Brann, Peter; Ritter, Cheryl

    2018-06-01

    Young people who are homeless and experiencing mental health issues are reluctant to use relevant services for numerous reasons. Youth are also at risk of disengaging from services at times of referral to additional or alternative services. This study aimed to identify barriers and facilitators for inter-service referrals for homeless youth with mental health issues who have already engaged with a service. Qualitative, semi-structured interviews were conducted with homeless youth (n = 10), homelessness support workers (n = 10), and mental health clinicians (n = 10). Barriers included: resource shortages; programs or services having inflexible entry criteria; complexity of service systems; homeless youth feeling devalued; and a lack of communication between services, for example, abrupt referrals with no follow up. Referral facilitators included: services providers offering friendly and client-centred support; supported referrals; awareness of other services; and collaboration between services. Relationships with service providers and inter-service collaboration appeared essential for successful referrals for homeless youth. These facilitating factors may be undermined by sector separation and siloing, as well as resource shortages in both the homelessness and mental health sectors. Service transitions may be conceptualised as a genuine service outcome for homeless youth, and as a basis for successful future service provision. Copyright © 2018 Elsevier Ltd. All rights reserved.

  1. Understanding health care provider barriers to hospital affiliated medical fitness center facility referral: a questionnaire survey and semi structured interviews.

    PubMed

    Smock, Carissa; Alemagno, Sonia

    2017-08-03

    The purpose of this study is to understand health care provider barriers to referring patients to Medical Fitness Center Facilities within an affiliated teaching hospital system using referral of diabetic services as an example. The aims of this study include: (1) to assess health care providers' awareness and use of facilities, (2) to determine barriers to referring patients to facilities, (3) identify current and needed resources and/or changes to increase referral to facilities. A 20-item electronic survey and requests for semi-structured interviews were administered to hospital system directors and managers (n = 51). Directors and managers instructed physicians and staff to complete the survey and interviews as applicable. Perceived barriers, knowledge, utilization, and referral of patients to Medical Fitness Center Facilities were collected and examined. Descriptive statistics were generated regarding practice characteristics, provider characteristics, and referral. Of the health care providers surveyed and interviewed (n = 25) 40% indicated verbally suggesting use of facilities, 24% provided a flyer about the facilities. No respondents indicated that they directly referred patients to the facilities. However, 16% referred patients to other locations for physical activity - including their own department's management and prevention services. 20% do not refer to Medical Fitness Center Facilities or any other lifestyle programs/locations. Lack of time (92%) and lack of standard guidelines and operating procedures (88%) are barriers to referral. All respondents indicated a strong ability to refer patients to Medical Fitness Center Facilities if given education about referral programs available as well as standard clinical guidelines and protocol for delivery. The results of this study indicate that, although few healthcare providers are currently referring patients to Medical Fitness Center Facilities, health care providers with an affiliated Medical Fitness Center Facility not only want clinical standard guidelines, protocol, and training to refer patients to Medical Fitness Center Facilities, but believe they have the ability to increase referral if given these tools. The Medical Fitness Association has a unique opportunity to bridge health care providers to Medical Fitness Center Facilities by developing clinical practice guidelines in cooperation with the American Diabetes Association.

  2. An end-of-life practice survey among clinical nephrologists associated with a single nephrology fellowship training program

    PubMed Central

    Ceckowski, Kevin A.; Little, Dustin J.; Merighi, Joseph R.; Browne, Teri

    2017-01-01

    Abstract Background Our nephrology fellowship requires specific training in recognition and referral of end-stage renal disease patients likely to benefit from palliative and hospice care. Methods To identify end-of-life (EOL) referral barriers that require greater training emphasis, we performed a cross-sectional, 17-item anonymous online survey (August–October 2015) of 93 nephrologists associated with the program since 1987. Results There was a 61% response rate (57/93 surveys). Ninety-five percent practiced clinical nephrology (54/57). Of these, 51 completed the survey (55% completion rate), and their responses were analyzed. Sixty-four percent were in practice >10 years; 65% resided in the Southern USA. Ninety-two percent felt comfortable discussing EOL care, with no significant difference between those with ≤10 versus  >10 years of practice experience (P = 0.28). Thirty-one percent reported referring patients to EOL care ‘somewhat’ or ‘much less often’ than indicated. The most frequent referral barriers were: time-consuming nature of EOL discussions (27%); difficulty in accurately determining prognosis for <6-month survival (35%); patient (63%) and family (71%) unwillingness; and patient (69%) and family (73%) misconceptions. Fifty-seven percent would refer more patients if dialysis or ultrafiltration could be performed in hospice. Some reported that local palliative care resources (12%) and hospice resources (6%) were insufficient. Conclusions The clinical nephrologists surveyed were comfortable with EOL care discussion and referral. Patient, family, prognostic and system barriers exist, and many reported lower than indicated referral rates. Additional efforts, including, but not limited to, EOL training during fellowship, are needed to overcome familial and structural barriers to facilitate nephrologist referral for EOL care. PMID:28852478

  3. Community Offender Resource Program.

    ERIC Educational Resources Information Center

    Clark County Employment and Training Office, Springfield, OH.

    This guide contains a brief orientation to the Community Offender Resource Program (CORP) implemented in the Clark County Jail (Springfield, Ohio). A brief introduction describes the CORP program which contains three integrated components: counseling, career development, and family referral. Next, a need for the program is discussed, and the CORP…

  4. A survey of marketing practices by family practice residency programs.

    PubMed

    Buckley, R L; Presley, R; Barrigar, R

    1995-06-01

    The purpose of the study reported in this article was to identify marketing practices that are being utilized by family practice residencies in the United States and to differentiate which strategies were felt to be most useful. A survey questionnaire on marketing strategies was mailed to 361 civilian family practice residencies listed in the 1992 Director of Family Practice Residency Programs. A total of 151 questionnaires were returned for a total response rate of 42.1 percent. The results were summarized using descriptive statistics and Chi-square analysis. Family practice residency programs use a number of different strategies to attract patients. The effectiveness of a given program is dependent on local factors, program strengths and the target population desired. The three most useful marketing strategies reported in the survey were HMO listings, emergency department referrals, and patient referrals. The three least effective strategies were health fairs, sports physicals, and school presentations.

  5. Program Support Communications Network (PSCN) facsimile system directory

    NASA Technical Reports Server (NTRS)

    1992-01-01

    This directory provides a system description, a station listing, and operating procedures for the Program Support Communications Network (PSCN) NASA Facsimile System. The NASA Facsimile System is a convenient and efficient means of spanning the distance, time, and cost of transmitting documents from one person to another. In the spectrum of communication techniques, facsimile bridges the gap between mail and data transmission. Facsimile can transmit in a matter of minutes or seconds what would take a day or more by mail delivery. The NASA Facsimile System is composed of several makes and models of facsimile machines. The system also supports the 3M FaxXchange network controllers located at Marshall Space Flight Center (MSFC).

  6. An analysis of marketing authorisation applications via the mutual recognition and decentralised procedures in Europe.

    PubMed

    Ebbers, Hans C; Langedijk, Joris; Bouvy, Jacoline C; Hoekman, Jarno; Boon, Wouter P C; de Jong, Jean Philippe; De Bruin, Marie L

    2015-10-01

    The aim of this study is to provide a comprehensive overview of the outcomes of marketing authorisation applications via the mutual recognition and decentralised procedures (MRP/DCP) and assess determinants of licensing failure during CMDh referral procedures. All MRP/DCP procedures to the Co-ordination group for Mutual recognition and Decentralised procedures-human (CMDh) during the period from January 2006 to December 2013 were analysed. Reasons for starting referral procedures were scored. In addition, a survey under pharmaceutical companies was performed to estimate the frequency of licensing failure prior to CMDh referrals. During the study period, 10392 MRP/DCP procedures were finalized. Three hundred seventy-seven (3.6%) resulted in a referral procedure, of which 70 (19%) resulted in licensing failure, defined as refusal or withdrawal of the application. The frequency of CMDh referrals decreased from 14.5% in 2006 to 1.6% in 2013. Of all referrals, 272 (72%) were resolved through consensus within the CMDh, the remaining 105 (28%) were resolved at the level of the CHMP. Most referrals were started because of objections raised about the clinical development program. Study design issues and objections about the demonstration of equivalence were most likely to result in licensing failure. An estimated 11% of all MRP/DCP procedures resulted in licensing failure prior to CMDh referral. Whereas the absolute number of MRP/DCP procedures resulting in a referral has reduced substantially over the past years, no specific time trend could be observed regarding the frequency of referrals resulting in licensing failure. Increased knowledge at the level of companies and regulators has reduced the frequency of late-stage failure of marketing applications via the MRP/DCP.

  7. Education of Physicians and Implementation of a Formal Referral System Can Improve Cardiac Rehabilitation Referral and Participation Rates after Percutaneous Coronary Intervention.

    PubMed

    Dahhan, Ali; Maddox, William R; Krothapalli, Siva; Farmer, Matthew; Shah, Amit; Ford, Benjamin; Rhodes, Marc; Matthews, Laurie; Barnes, Vernon A; Sharma, Gyanendra K

    2015-08-01

    Cardiac rehabilitation (CR) is an effective preventive measure that remains underutilised in the United States. The study aimed to determine the CR referral rate (RR) after percutaneous coronary intervention (PCI) at an academic tertiary care centre, identify barriers to referral, and evaluate awareness of CR benefits and indications (CRBI) among cardiologists. Subsequently, it aimed to evaluate if an intervention consisting of physicians' education about CRBI and implementation of a formal CR referral system could improve RR and consequently participation rate (PR). Data were retrospectively collected for all consecutive patients who underwent PCI over 12 months. Referral rate was determined and variables were compared for differences between referred and non-referred patients. A questionnaire was distributed among the physicians in the Division of Cardiology to assess awareness of CRBI and referral practice patterns. After implementation of the intervention, data were collected retrospectively for consecutive patients who underwent PCI in the following six months. Referral rate and changes in PRs were determined. Prior to the intervention, RR was 17.6%. Different barriers were identified, but the questionnaire revealed lack of physicians' awareness of CRBI and inconsistent referral patterns. After the intervention, RR increased to 88.96% (Odds Ratio 37.73, 95% CI 21.34-66.70, p<0.0001) and PR increased by 32.8% to reach 26%. Personal endorsement of CRBI by cardiologists known to patients increased CR program graduation rate by 35%. Cardiologists' awareness of CRBI increases CR RR and their personal endorsement improves PR and compliance. Education of providers and implementation of a formal referral system can improve RR and PR. Published by Elsevier B.V.

  8. Campus Work and Family Programs: Passing Trend or Wave of the Future?

    ERIC Educational Resources Information Center

    de Pietro, Leslie

    1995-01-01

    College and university employee assistance programs that address work and family issues are discussed. Components of such programs include child care resource and referral, parent education and support groups, elder care support and education, and management training. Issues in program creation and administration are highlighted. More programs in…

  9. Latent Homeless Risk Profiles of a National Sample of Homeless Veterans and Their Relation to Program Referral and Admission Patterns

    PubMed Central

    Kasprow, Wesley J.; Rosenheck, Robert A.

    2013-01-01

    Objectives. We identified risk and need profiles of homeless veterans and examined the relation between profiles and referrals and admissions to Department of Veterans Affairs (VA) homeless service programs. Methods. We examined data from the VA’s new Homeless Operations Management and Evaluation System on 120 852 veterans from 142 sites nationally in 2011 and 2012 using latent class analyses based on 9 homeless risk factors. The final 4-class solution compared both referral and admission to VA homeless services. Results. We identified 4 latent classes: relatively few problems, dual diagnosis, poverty–substance abuse–incarceration, and disabling medical problems. Homeless veterans in the first group were more likely to be admitted to the VA’s permanent supportive housing program, whereas those in the second group were more likely to be admitted to more restrictive VA residential treatment. Homeless veterans in the third group were more likely to be admitted to the VA’s prisoner re-entry program, and those in the fourth group were more likely to be directed to VA medical services. Conclusions. The heterogeneous risk and need profiles of homeless veterans supported the diversity of VA homeless services and encouraged the development of specialized services to meet their diverse needs. PMID:24148048

  10. Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Alcohol and Other Drug Use among Adolescents: Evaluation of a Pediatric Residency Curriculum

    ERIC Educational Resources Information Center

    Ryan, Sheryl A.; Martel, Shara; Pantalon, Michael; Martino, Steve; Tetrault, Jeanette; Thung, Stephen F.; Bernstein, Steven L.; Auinger, Peggy; Green, Michael L.; Fiellin, David A.; O'Connor, Patrick G.; D'Onofrio, Gail

    2012-01-01

    The objective of this study was to evaluate the integration of a screening, brief intervention, and referral to treatment (SBIRT) curriculum for alcohol and other drug use into a pediatric residency program. Pediatric and medicine/pediatric residents in an adolescent medicine rotation located in an urban teaching hospital participated in the…

  11. Family Adventure Questionnaire: Results and Discussion.

    ERIC Educational Resources Information Center

    Gillis, H. L.; And Others

    This article presents the results of a survey conducted with 44 adventure programs working with families. Results of the survey show that the majority of families served by family adventure programs are step families. The source of the programs' primary referrals were mental health or medical staff. Programs reported that they worked almost…

  12. School-Based Peer Mentoring in High School: A Program Evaluation Study

    ERIC Educational Resources Information Center

    Cooper, Felicia Cecile

    2017-01-01

    The dissertation is an initial investigation of a peer mentoring program in a suburban high school in the southeastern United States. Additionally, the Peer Mentoring Program (PMP) study examined whether the Program improves academic performance and attendance, and decreases referrals. Utilizing an experimental design, a Participant and a…

  13. Survey of the Statewide Impact of Payer Source on Referral of Small Burns to Burn Centers.

    PubMed

    Penny, Rachel; Coffey, Rebecca; Jones, Larry; Bailey, J Kevin

    It is generally agreed that patients with large burns will be referred to organized burn centers, however, the referral of patients with smaller burns is less certain. A two-part survey was conducted to identify referral patterns for burn patients that meet American Burn Association referral criteria, and any effect insurance type might have on the referral patterns. The emergency departments of our state hospital association's member hospitals were contacted seeking a referral for a fictitious patient with a third-degree scald of the dominant hand. The referral sites were contacted twice, first stating that the patient had commercial insurance, next stating that the patient had Medicaid. Data collected included wait time for an appointment or reasons for denial of an appointment. Of 218 hospitals, 46 were excluded because they did not offer emergency care, and eight because they were listed as burn centers on the American Burn Association website. Of the remaining 164, 119 (73%) would refer to a burn center, 21 (13%) to a plastic surgeon, 10 (6%) to a hand surgeon, 7 (4%) to a wound center, 7 (4%) to another nonburn physician resource. There was no difference in wait time to the first available appointment with regards to insurance type (6.56 ± 4.68 vs 6.53 ± 5.05 days). Our state's referral pattern gives us insight into the regional referral pattern. This information will be used to guide a focused education and communication program to provide better service for the burn victims of our state.

  14. Does a dedicated program for young breast cancer patients affect the likelihood of fertility preservation discussion and referral?

    PubMed

    Srikanthan, Amirrtha; Amir, Eitan; Warner, Ellen

    2016-06-01

    To assess whether a dedicated program for young breast cancer patients, including a nurse navigator, improves the frequency of: a) fertility discussion documentation and b) fertility preservation (FP) referrals. A retrospective chart review and prospective survey were undertaken of breast cancer patients diagnosed at age 40 or younger between 2011 and 2013 who received adjuvant or neo-adjuvant chemotherapy at two academic cancer centers in Toronto, Canada. The Odette Cancer Centre (OCC) has a dedicated program for young breast cancer patients while Princess Margaret Cancer Centre (PM) does not. Patient demographics, tumor pathology, treatment and fertility discussion documentation prior to systemic chemotherapy administration were extracted from patient records. Prospective surveys were administered to the same cohort to corroborate data collected. Eighty-one patient charts were reviewed at both OCC and PM. Forty-seven and 49 at OCC and PM returned surveys for a response rate of 58% and 60% respectively. Chart reviews demonstrated no difference in the frequency of fertility discussion documentation (78% versus 75% for OCC and PM, p = 0.71); however, surveys demonstrated higher rates of recall of fertility discussion at OCC (96% versus 80%, p = 0.02). A greater proportion of women were offered FP referrals at OCC, as observed in chart reviews (56% versus 41%, p = 0.09), and surveys (73% versus 51%, p = 0.04). Time to initiation of chemotherapy did not differ between women who underwent FP and those who did not. A dedicated program for young breast cancer patients is associated with a higher frequency of FP referrals without delaying systemic therapy. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. Management of cryotherapy-ineligible women in a “screen-and-treat” cervical cancer prevention program targeting HIV-infected women in Zambia: Lessons from the field

    PubMed Central

    Pfaendler, Krista S.; Mwanahamuntu, Mulindi H.; Sahasrabuddhe, Vikrant V.; Mudenda, Victor; Stringer, Jeffrey S.A.; Parham, Groesbeck P.

    2009-01-01

    Objective We demonstrate the feasibility of implementing a referral and management system for cryotherapy-ineligible women in a “screen-and-treat” cervical cancer prevention program targeting HIV-infected women in Zambia. Methods We established criteria for patient referral, developed a training program for loop electrosurgical excision procedure (LEEP) providers, and adapted LEEP to a resource-constrained setting. Results We successfully trained 15 nurses to perform visual inspection with acetic acid (VIA) followed by immediate cryotherapy. Women with positive tests but ineligible for cryotherapy were referred for further evaluation. We trained four Zambian physicians to evaluate referrals, perform punch biopsy, LEEP, and manage intra-operative and post-operative complications. From January 2006 through October 2007, a total of 8823 women (41.5% HIV seropositive) were evaluated by nurses in outlying prevention clinics; of these, 1477 (16.7%) were referred for physician evaluation based on established criteria. Of the 875 (59.2% of 1147 referred) that presented for evaluation, 748 (8.4% of total screened) underwent histologic evaluation in the form of punch biopsy or LEEP. Complications associated with LEEP included anesthesia reaction (n=2) which spontaneously resolved, intra-operative (n=12) and post-operative (n=2) bleeding managed by local measures, and post-operative infection (n=12) managed with antibiotics. Conclusion With adaptations for a resource-constrained environment, we have demonstrated that performing LEEP is feasible and safe, with low rates of complications that can be managed locally. It is important to establish referral and management systems using LEEP-based excisional evaluation for women with cryotherapy-ineligible lesions in VIA-based “screen-and-treat” protocols nested within HIV-care programs in resource-constrained settings. PMID:18556050

  16. Management of cryotherapy-ineligible women in a "screen-and-treat" cervical cancer prevention program targeting HIV-infected women in Zambia: lessons from the field.

    PubMed

    Pfaendler, Krista S; Mwanahamuntu, Mulindi H; Sahasrabuddhe, Vikrant V; Mudenda, Victor; Stringer, Jeffrey S A; Parham, Groesbeck P

    2008-09-01

    We demonstrate the feasibility of implementing a referral and management system for cryotherapy-ineligible women in a "screen-and-treat" cervical cancer prevention program targeting HIV-infected women in Zambia. We established criteria for patient referral, developed a training program for loop electrosurgical excision procedure (LEEP) providers, and adapted LEEP to a resource-constrained setting. We successfully trained 15 nurses to perform visual inspection with acetic acid (VIA) followed by immediate cryotherapy. Women with positive tests but ineligible for cryotherapy were referred for further evaluation. We trained four Zambian physicians to evaluate referrals, perform punch biopsy, LEEP, and manage intra-operative and post-operative complications. From January 2006 through October 2007, a total of 8823 women (41.5% HIV seropositive) were evaluated by nurses in outlying prevention clinics; of these, 1477 (16.7%) were referred for physician evaluation based on established criteria. Of the 875 (59.2% of 1147 referred) that presented for evaluation, 748 (8.4% of total screened) underwent histologic evaluation in the form of punch biopsy or LEEP. Complications associated with LEEP included anesthesia reaction (n=2) which spontaneously resolved, intra-operative (n=12) and post-operative (n=2) bleeding managed by local measures, and post-operative infection (n=12) managed with antibiotics. With adaptations for a resource-constrained environment, we have demonstrated that performing LEEP is feasible and safe, with low rates of complications that can be managed locally. It is important to establish referral and management systems using LEEP-based excisional evaluation for women with cryotherapy-ineligible lesions in VIA-based "screen-and-treat" protocols nested within HIV-care programs in resource-constrained settings.

  17. 78 FR 54385 - Airworthiness Directives; Various Aircraft Equipped With Rotax Aircraft Engines 912 A Series Engine

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-04

    ... Gunskirchen, Austria; phone: +43 7246 601 0; fax: +43 7246 601 9130; Internet: http://www.rotax-aircraft... 912 A3 HOAC-Austria DV 20 Katana........ 912 A3 Iniziative Industriali Italiane Sky Arrow 650 TC..., Welser Strasse 32, A- 4623 Gunskirchen, Austria; phone: +43 7246 601 0; fax: +43 7246 601 9130; Internet...

  18. 75 FR 12232 - Board of Scientific Counselors, Executive Committee Meeting-April 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-15

    ... business is finished. Requests for the draft agenda or for making oral presentations at the meeting will be... , Attention Docket ID No. EPA-HQ-ORD-2010-0202. Fax: Fax comments to: (202) 566-0224, Attention Docket ID No... 20004, Attention Docket ID No. EPA-HQ-ORD-2010-0202. Hand Delivery or Courier. Deliver comments to: EPA...

  19. 76 FR 25686 - ANR Pipeline Company; Notice of Request Under Blanket Authorization

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-05

    ... Company (ANR), 717 Texas Street, Suite 2400, Houston, TX 77002-2761, filed in Docket No. CP11-213-000, an... Street, Suite 2400, Houston, TX 77002-2761 at telephone (832) 320-5215, fax (832) 320-6215 or e-mail... Company, 717 Texas Street, Suite 2400, Houston, TX 77002-2761, telephone (832) 320-5509, fax (832) 320...

  20. 75 FR 28275 - Collection of Information Under Review by Office of Management and Budget; OMB Control Number...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-20

    ... Street, NW., Washington, DC 20503, attention Desk Officer for the Coast Guard. (3) Fax. (a) To DMF, 202... the fax, attention Desk Officer for the Coast Guard. The DMF maintains the public docket for this...: May 10, 2010. M.B. Lytle, Captain, U.S. Coast Guard, Acting Assistant Commandant for Command, Control...

  1. 21 CFR 1.345 - What information must nontransporters establish and maintain to identify the nontransporter and...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... release: (1) The name of the firm, address, telephone number, and, if available, the fax number and e-mail... number, and, if available, the fax number and e-mail address of the transporter immediate subsequent... description of the type of food released, to include brand name and specific variety (e.g., brand x cheddar...

  2. 75 FR 30769 - Endangered and Threatened Species; Proposed Listing of Nine Distinct Population Segments of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-02

    ... Highway, Room 13657, Silver Spring, MD 20910 or USFWS National Sea Turtle Coordinator, U.S. Fish and..., fax 301-713-0376, e-mail [email protected] ), or Emily Bizwell, USFWS (ph. 404-679-7149, fax 404- 679-7081, e-mail emily[email protected] ). Persons who use a Telecommunications device for the deaf...

  3. 78 FR 49109 - Airworthiness Directives; Pratt & Whitney Canada Corp. Turboprop Engines

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-13

    ..., J4G 1A1; phone: 800-268-8000; fax: 450-647-2888; Internet: www.pwc.ca. You may view this service... installation; or (2) Perform a one-time X-ray inspection of the affected first- stage PT blades, using...-268-8000; fax: 450-647-2888; Internet: www.pwc.ca. (4) You may view this service information at the...

  4. TVDG Contacts

    Science.gov Websites

    for Sandy Fax By Fax: 1 631 344 4583 Attention Chuck Carlson EMail By E-Mail: Send E-Mail to Chuck Group Leader James Alessi Telephone: 1-631-344-4004 E-Mail: Peter Thieberger Information can be returned 1 631 344 4581. An organizational list of staff members and how to contact them. The BNL E-Mail and

  5. 76 FR 54829 - Advisory Committee On International Postal and Delivery Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-02

    ... comments to five minutes. Requests to be added to the speaker list must be received in writing (letter, e-mail or fax) prior to the close of business on September 23, 2011; written comments from members of the public for distribution at this meeting must reach Mr. Nauage by letter, e-mail or fax by this same date...

  6. Using old technology to implement modern computer-aided decision support for primary diabetes care.

    PubMed Central

    Hunt, D. L.; Haynes, R. B.; Morgan, D.

    2001-01-01

    BACKGROUND: Implementation rates of interventions known to be beneficial for people with diabetes mellitus are often suboptimal. Computer-aided decision support systems (CDSSs) can improve these rates. The complexity of establishing a fully integrated electronic medical record that provides decision support, however, often prevents their use. OBJECTIVE: To develop a CDSS for diabetes care that can be easily introduced into primary care settings and diabetes clinics. THE SYSTEM: The CDSS uses fax-machine-based optical character recognition software for acquiring patient information. Simple, 1-page paper forms, completed by patients or health practitioners, are faxed to a central location. The information is interpreted and recorded in a database. This initiates a routine that matches the information against a knowledge base so that patient-specific recommendations can be generated. These are formatted and faxed back within 4-5 minutes. IMPLEMENTATION: The system is being introduced into 2 diabetes clinics. We are collecting information on frequency of use of the system, as well as satisfaction with the information provided. CONCLUSION: Computer-aided decision support can be provided in any setting with a fax machine, without the need for integrated electronic medical records or computerized data-collection devices. PMID:11825194

  7. Using old technology to implement modern computer-aided decision support for primary diabetes care.

    PubMed

    Hunt, D L; Haynes, R B; Morgan, D

    2001-01-01

    Implementation rates of interventions known to be beneficial for people with diabetes mellitus are often suboptimal. Computer-aided decision support systems (CDSSs) can improve these rates. The complexity of establishing a fully integrated electronic medical record that provides decision support, however, often prevents their use. To develop a CDSS for diabetes care that can be easily introduced into primary care settings and diabetes clinics. THE SYSTEM: The CDSS uses fax-machine-based optical character recognition software for acquiring patient information. Simple, 1-page paper forms, completed by patients or health practitioners, are faxed to a central location. The information is interpreted and recorded in a database. This initiates a routine that matches the information against a knowledge base so that patient-specific recommendations can be generated. These are formatted and faxed back within 4-5 minutes. The system is being introduced into 2 diabetes clinics. We are collecting information on frequency of use of the system, as well as satisfaction with the information provided. Computer-aided decision support can be provided in any setting with a fax machine, without the need for integrated electronic medical records or computerized data-collection devices.

  8. Seed-specific overexpression of AtFAX1 increases seed oil content in Arabidopsis.

    PubMed

    Tian, Yinshuai; Lv, Xueyan; Xie, Guilan; Zhang, Jing; Xu, Ying; Chen, Fang

    2018-06-02

    Biosynthesis of plant seed oil is accomplished through the coordinate action of multiple enzymes in multiple subcellular compartments. Fatty acid (FA) has to be transported from plastid to endoplasmic reticulum (ER) for TAG synthesis. However, the role of plastid FA transportation during seed oil accumulation has not been evaluated. AtFAX1 (Arabidopsis fatty acid export1) mediated the FA export from plastid. In this study, we overexpressed AtFAX1 under the control of a seed specific promoter in Arabidopsis. The resultant overexpression lines (OEs) produced seeds which contained 21-33% more oil and 24-30% more protein per seed than those of the wild type (WT). The increased oil content was probably because of the enhanced FA and TAG synthetic activity. The seed size and weight were both increased accordingly. In addition, the seed number per silique and silique number per plant had no changes in transgenic plants. Taken together, our results demonstrated that seed specific overexpression of AtFAX1 could promote oil accumulation in Arabidopsis seeds and manipulating FA transportation is a feasible strategy for increasing the seed oil content. Copyright © 2018 Elsevier Inc. All rights reserved.

  9. Emotionally Handicapped Pupils: Developing Appropriate Educational Programs.

    ERIC Educational Resources Information Center

    North Carolina State Dept. of Public Instruction, Raleigh. Div. for Exceptional Children.

    The document is designed to assist local school systems as they plan, develop, and improve programs for emotionally handicapped students. Sections cover the following areas: definition of emotionally handicapped students; pre-planninq for emotionally handicapped programs; identification, referral, screening, assessment, and placement; service…

  10. Criteria for Referring Patients With Outpatient Gastroenterological Disease for Specialist Consultation: A Review of the Literature

    PubMed Central

    De Coster, Carolyn; Cepoiu-Martin, Monica; Nash, Carla; Noseworthy, Tom W

    2011-01-01

    Background Demands on gastroenterology are growing, as a result of the high prevalence of digestive diseases, the impact of colon cancer screening programs and an aging population. Prioritizing referrals to gastroenterology would assist in managing wait times. Our objectives were (1) to assess whether there were consistent criteria to guide referrals from family physicians for gastroenterological outpatient consultation and (2) to determine if there were different levels of urgency or priority in referral criteria. Methods We conducted a scoping review, searching Medline, Embase and Cochrane databases from 1997 to 2009, using the terms referral, triage, consultation and at least one from a list of gastroenterology-specific search terms. Of 2978 initial results, 51 papers were retrieved, and 20 were retained after review by two reviewers. Additional publications were identified through hand searches of retained papers, website searches and nomination by a panel of specialists. Results Thirty-four papers, reports or websites were retained. No referral criteria covered the spectrum of disorders that might be referred by family physicians to gastroenterologists. Criteria for referral were most commonly listed for suspected colorectal cancer, followed by suspected upper GI cancer, hepatitis, and functional disorders. Conclusions A clinical panel comprised of gastroenterologists and primary care providers, informed by this literature review, are completing the work of formulating a Gastroenterology Priority Referral Score, and plan to test the reliability and validity of the tool for determining the relative urgency for referral from primary care to gastroenterology. PMID:27957014

  11. Criteria for Referring Patients With Outpatient Gastroenterological Disease for Specialist Consultation: A Review of the Literature.

    PubMed

    De Coster, Carolyn; Cepoiu-Martin, Monica; Nash, Carla; Noseworthy, Tom W

    2011-10-01

    Demands on gastroenterology are growing, as a result of the high prevalence of digestive diseases, the impact of colon cancer screening programs and an aging population. Prioritizing referrals to gastroenterology would assist in managing wait times. Our objectives were (1) to assess whether there were consistent criteria to guide referrals from family physicians for gastroenterological outpatient consultation and (2) to determine if there were different levels of urgency or priority in referral criteria. We conducted a scoping review, searching Medline, Embase and Cochrane databases from 1997 to 2009, using the terms referral, triage, consultation and at least one from a list of gastroenterology-specific search terms. Of 2978 initial results, 51 papers were retrieved, and 20 were retained after review by two reviewers. Additional publications were identified through hand searches of retained papers, website searches and nomination by a panel of specialists. Thirty-four papers, reports or websites were retained. No referral criteria covered the spectrum of disorders that might be referred by family physicians to gastroenterologists. Criteria for referral were most commonly listed for suspected colorectal cancer, followed by suspected upper GI cancer, hepatitis, and functional disorders. A clinical panel comprised of gastroenterologists and primary care providers, informed by this literature review, are completing the work of formulating a Gastroenterology Priority Referral Score, and plan to test the reliability and validity of the tool for determining the relative urgency for referral from primary care to gastroenterology.

  12. Relationship between physicians' perceived stigma toward depression and physician referral to psycho-oncology services on an oncology/hematology ward.

    PubMed

    Kim, Won-Hyoung; Bae, Jae-Nam; Lim, Joohan; Lee, Moon-Hee; Hahm, Bong-Jin; Yi, Hyeon Gyu

    2018-03-01

    This study was performed to identify relationships between physicians' perceived stigma toward depression and psycho-oncology service utilization on an oncology/hematology ward. The study participants were 235 patients in an oncology/hematology ward and 14 physicians undergoing an internal medicine residency training program in Inha University Hospital (Incheon, South Korea). Patients completed the Patient Health Questionnaire-9 (PHQ-9), and residents completed the Perceived Devaluation-Discrimination scale that evaluates perceived stigma toward depression. A total PHQ-9 score of ≥5 was defined as clinically significant depression. Physicians decided on referral on the basis of their opinions and those of their patients. The correlates of physicians' recommendation for referral to psycho-oncology services and real referrals psycho-oncology services were examined. Of the 235 patients, 143 had PHQ-9 determined depression, and of these 143 patients, 61 received psycho-oncology services. Physicians recommended that 87 patients consult psycho-oncology services. Multivariate analyses showed that lower physicians' perceived stigma regarding depression was significantly associated with physicians' recommendation for referral, and that real referral to psycho-oncology services was significantly associated with presence of a hematologic malignancy and lower physicians' perceived stigma toward depression. Physicians' perceived stigma toward depression was found to be associated with real referral to psycho-oncology services and with physician recommendation for referral to psycho-oncology services. Further investigations will be needed to examine how to reduce physicians' perceived stigma toward depression. Copyright © 2017 John Wiley & Sons, Ltd.

  13. The SBIRT program matrix: a conceptual framework for program implementation and evaluation.

    PubMed

    Del Boca, Frances K; McRee, Bonnie; Vendetti, Janice; Damon, Donna

    2017-02-01

    Screening, Brief Intervention and Referral to Treatment (SBIRT) is a comprehensive, integrated, public health approach to the delivery of services to those at risk for the adverse consequences of alcohol and other drug use, and for those with probable substance use disorders. Research on successful SBIRT implementation has lagged behind studies of efficacy and effectiveness. This paper (1) outlines a conceptual framework, the SBIRT Program Matrix, to guide implementation research and program evaluation and (2) specifies potential implementation outcomes. Overview and narrative description of the SBIRT Program Matrix. The SBIRT Program Matrix has five components, each of which includes multiple elements: SBIRT services; performance sites; provider attributes; patient/client populations; and management structure and activities. Implementation outcomes include program adoption, acceptability, appropriateness, feasibility, fidelity, costs, penetration, sustainability, service provision and grant compliance. The Screening, Brief Intervention and Referral to Treatment Program Matrix provides a template for identifying, classifying and organizing the naturally occurring commonalities and variations within and across SBIRT programs, and for investigating which variables are associated with implementation success and, ultimately, with treatment outcomes and other impacts. © 2017 Society for the Study of Addiction.

  14. Pathways to child and adolescent psychiatric clinics: a multilevel study of the significance of ethnicity and neighbourhood social characteristics on source of referral

    PubMed Central

    2011-01-01

    Background In the Swedish society, as in many other societies, many children and adolescents with mental health problems do not receive the help they need. As the Swedish society becomes increasingly multicultural, and as ethnic and economic residential segregation become more pronounced, this study utilises ethnicity and neighbourhood context to examine referral pathways to child and adolescent psychiatric (CAP) clinics. Methods The analysis examines four different sources of referrals: family referrals, social/legal agency referrals, school referrals and health/mental health referrals. The referrals of 2054 children aged 11-19 from the Stockholm Child-Psychiatric Database were studied using multilevel logistic regression analyses. Results Results indicate that ethnicity played an important role in how children and adolescents were referred to CAP-clinics. Family referrals were more common among children and adolescents with a Swedish background than among those with an immigrant background. Referrals by social/legal agencies were more common among children and adolescents with African and Asian backgrounds. Children with Asian or South American backgrounds were more likely to have been referred by schools or by the health/mental health care sector. A significant neighbourhood effect was found in relation to family referrals. Children and adolescents from neighbourhoods with low levels of socioeconomic deprivation were more likely to be referred to CAP-clinics by their families in comparison to children from other neighbourhoods. Such differences were not found in relation in relation to the other sources of referral. Conclusions This article reports findings that can be an important first step toward increasing knowledge on reasons behind differential referral rates and uptake of psychiatric care in an ethnically diverse Swedish sample. These findings have implications for the design and evaluation of community mental health outreach programs and should be considered when developing measures and strategies intended to reach and help children with mental health problems. This might involve providing information about the availability and accessibility of health care for children and adolescents with mental health problems to families in certain neighbourhoods and with different ethnic backgrounds. PMID:21385366

  15. Assisting the Troubled Employee

    ERIC Educational Resources Information Center

    Papero, Jim

    1977-01-01

    A low-cost program of counseling and referral can reap high financial and humanitarian returns. The Employee Assistance Program at Rochester Institute of Technology is described which offers counseling for financial, alcohol, family, and emotional problems. (Editor/LBH)

  16. The Continuing Education and Renewal of Employee Assistance Program Counselors.

    ERIC Educational Resources Information Center

    Beale, Andrew V.

    1984-01-01

    Surveyed 65 Virginia employee assistance program counselors to assess their continuing education needs. Results showed 86 percent of the respondents would participate in formal continuing education programs if they were available. Preferences emphasized prevention and intervention rather than assessment and referral. (JAC)

  17. A multidimensional education program at substance dependence treatment centers improves patient knowledge and hepatitis C care.

    PubMed

    Marinho, Rui Tato; Costa, António; Pires, Teodomiro; Raposo, Helena; Vasconcelos, Carlos; Polónia, Cristina; Borges, Joaquim; Soares, Mariana; Vilar, Graça; Nogueira, Ana Maria

    2016-10-12

    HCV treatment among people who inject drugs (PWID) is low. Education programs may be suitable strategies to improve patients' knowledge about their condition and to overcome barriers to access treatment. The Health Educational Program (HEP) consisted of patient workshops and educational videos and leaflets, and healthcare professionals' workshops. HEP was implemented at seven substance dependence treatment centers (STDC) in Portugal. The study comprised two cross-sectional evaluations conducted before and after HEP. At both evaluations, adult patients with confirmed HCV diagnosis and registered in the STDC were consecutively included. For patients that completed both evaluations, the overall knowledge score were calculated and compared with McNemar test. Linear regression modelling was used to evaluate factors associated with baseline knowledge. Rates of referral and attendance to referral specialist, treatment proposal, initiation and retention at both evaluations were also compared with McNemar test. Overall, 504 patients with chronic hepatitis C were included: 78 % male, mean age 42.3 ± 6.6 years, 14 % school education ≤ 4 years, disease duration 11.0 ± 6.0 years and 26 % HIV co-infected. A higher baseline knowledge was independently associated with educational level ≥ 10 years (regression coefficient [B] =15.13, p < 0.001), current use of intravenous drugs (B = 7.99, p = 0.038), previous referral for treatment (B = 4.26, p = 0.008) and previous HCV treatment (B = 5.40, p = 0.003). Following HEP, mean knowledge score increased from 69 % to 79 % (p < 0.001). The rate of patient referral to a liver specialist increased from 56.2 % to 67.5 % (p < 0.001). An HEP conducted at STDCs improved significantly patient knowledge about hepatitis C, even among patients with a high baseline knowledge. The HEP has also increased the rate of referral to the liver specialist and showed a great potential to support healthcare professionals in managing HCV. Education programs may promote treatment access among PWID, a population that represents the majority of HCV infected patients.

  18. Development of Earthquake Emergency Response Plan for Tribhuvan International Airport, Kathmandu, Nepal

    DTIC Science & Technology

    2013-02-01

    Kathmandu, Nepal 5a. CONTRACT NUMBER W911NF-12-1-0282 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER ...In the past, big earthquakes in Nepal (see Figure 1.1) have caused a huge number of casualties and damage to structures. The Great Nepal -Bihar...UBC Earthquake Engineering Research Facility 2235 East Mall, Vancouver, BC, Canada V6T 1Z4 Phone : 604 822-6203 Fax: 604 822-6901 E-mail

  19. IM and Q-D Rules: An Analysis by French Club MURAT

    DTIC Science & Technology

    1996-08-01

    and Q-D Rules: An Analysis by French Club Murat 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER...IM(1) AND Q-D RULES: AN ANALYSIS BY FRENCH CLUB MURAT by Jean ISLER (2) - Jean G. GOLIGER (3) - Daniel BOCHAND (4) Georges QUEROL (5) - Louis PICARD...6) and Joël FERRON (7) CLUB MURAT - BP 129 78 148 VELIZY CEDEX - FRANCE Tel : (33) - (1) 39.46.15.50 Fax : (33) - (1) 39.46.15.38 ABSTRACT The

  20. IEEE Workshop on Real-Time Operating Systems (8th) Held in Atlanta, Georgia on 15-17 May 1991

    DTIC Science & Technology

    1992-01-01

    and sug- posiur, pages 259-169. !988. gestions in earlier drafts of this paper. [12] L. Sha. J. Lehoczky, and R. Rajkumar. Solutions for some...Telecomunicacion, * j Ciudad Universitaria , E-28040 Madrid, Spain, jpuente@dit.upm.es, Tel:(34-1)3367342, Fax: (34-1)5432077. I Donner, Marc, IBM Research, P.O...Telecomunicacion Ciudad Universitaria E-28040 Madrid SPANJE Dear Juan, Enclosed please find the Final Report on the 17th IFAC/IFIP Workshop on Real Time Programming

  1. Impact of Pharmacists in a Community-Based Home Care Service: A Pilot Program.

    PubMed

    Walus, Ashley N; Woloschuk, Donna M M

    2017-01-01

    Historically, pharmacists have not been included on home care teams, despite the fact that home care patients frequently experience medication errors. Literature describing Canadian models of pharmacy practice in home care settings is limited. The optimal service delivery model and distribution of clinical activities for home care pharmacists remain unclear. The primary objective was to describe the impact of a pharmacist based at a community home care office and providing home visits, group education, and telephone consultations. The secondary objective was to determine the utility of acute care clinical pharmacy key performance indicators (cpKPIs) in guiding home care pharmacy services, in the absence of validated cpKPIs for ambulatory care. The Winnipeg Regional Health Authority hired a pharmacist to develop and implement the pilot program from May 2015 to July 2016. A referral form, consisting of consultation criteria used in primary care practices, was developed. The pharmacist also reviewed all patient intakes and all patients waiting in acute care facilities for initiation of home care services, with the goal of addressing issues before admission to the Home Care Program. A password-protected database was built for data collection and analysis, and the data are presented in aggregate. A total of 197 referrals, involving 184 patients, were received during the pilot program; of these, 62 were excluded from analysis. The majority of referrals (95 [70.4%]) were for targeted medication reviews, and 271 drug therapy problems were identified. Acceptance rates for the pharmacist's recommendations were 90.2% (74 of 82 recommendations) among home care staff and 47.0% (55 of 117 recommendations) among prescribers and patients. On average, 1.5 cpKPIs were identified for each referral. The pilot program demonstrated a need for enhanced access to clinical pharmacy services for home care patients, although the best model of service provision remains unclear. More research is warranted to determine the optimal pharmacy service for home care patients and the most appropriate cpKPIs to measure its effects.

  2. Addressing elder abuse: the Waterloo restorative justice approach to elder abuse project.

    PubMed

    Groh, Arlene; Linden, Rick

    2011-04-01

    The Community Care Access Centre (CCAC) of Waterloo Region, in partnership with a number of other social service agencies, designed and implemented a restorative justice model applicable to older adults who have been abused by an individual in a position of trust. The project was very successful in building partnerships, as many community agencies came together to deal with the problem of elder abuse. The program also raised the profile of elder abuse in the community. However, despite intensive efforts, referrals to the restorative justice program were quite low. Because of this, the program moved to a new organizational model, the Elder Abuse Response Team (EART), which has retained the guiding philosophy of restorative justice but has broadened the mandate. The team has evolved into a conflict management system that has multiple points of entry for cases and multiple options for dealing with elder abuse. The team has developed a broad range of community partners who can facilitate referrals to the EART and also can help to provide an individualized response to each case. The transition to the EART has been successful, and the number of referrals has increased significantly. Copyright © Taylor & Francis Group, LLC

  3. Fundamental Study of Antimonide Nanostructures by Molecular Beam Epitaxy

    DTIC Science & Technology

    2016-02-04

    Faculty of Engineering, Chulalongkorn University, Phayathai Road, Bangkok 10330, Thailand Tel. (+66) 2218-6524, Fax. (+66) 2218-6523 E-mail...Engineering Department Faculty of Engineering Chulalongkorn University, Phayathai Road, Bangkok 10330, Thailand Tel. 662-218-6524, Fax. 662-218-6523...September 2014 to July 2015 being conducted at Chulalongkorn University in Thailand . Following the research work on InAs quantum dots (QDs) and quantum

  4. Congressional Liaison Offices of Selected Federal Agencies

    DTIC Science & Technology

    2010-09-03

    Offices of Selected Federal Agencies Congressional Research Service 1 Legislative Branch Congressional Budget Office Edward “Sandy” Davis...VA 22060-6221 Tel: (703) 767-5264 Fax: (703) 767-6312 http://www.dla.mil/ Defense Security Cooperation Agency Vanessa Murray Director...Fax: (202) 685-6077 http://www.marines.mil/units/hqmc/Pages/ default.aspx For Senate offices: Lt. Col. Harold R. Van Opdorp U.S.M.C. Deputy

  5. 33 CFR 151.2041 - What are the mandatory ballast water reporting requirements for all vessels equipped with ballast...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... the equivalent zone of Canada). (i) You must fax the required information at least 24 hours before the... Canada). You must fax the information to the COTP New York (718-354-4249) at least 24 hours before the... States. If your voyage is less than 24 hours, you must report before departing your port or place of...

  6. 77 FR 24271 - Federal Plan Requirements for Hospital/Medical/Infectious Waste Incinerators Constructed on or...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-23

    ... a-and-r[email protected] , Attention Docket ID No. EPA-HQ-OAR-2011-0405. Facsimile: Fax your comments... electronic mail to a-and-r[email protected] , Attention Docket ID No. EPA-HQ-OAR-2006-0534. Facsimile: Fax your....regulations.gov Web site is an ``anonymous access'' system, which means the EPA will not know your identity or...

  7. 75 FR 31895 - National Emission Standards for Hazardous Air Pollutants for Area Sources: Industrial, Commercial...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-04

    ... the EPA Air and Radiation Docket Web site. E-mail: Comments may be sent by electronic mail (e-mail) to a-and-r[email protected] , Attention Docket ID No. EPA-HQ-OAR-2006- 0790. Fax: Fax your comments to... otherwise protected through http://www.regulations.gov or e-mail. The http://www.regulations.gov Web site is...

  8. German Deaf People Using Text Communication: Short Message Service, TTY, Relay Services, Fax, and E-Mail

    ERIC Educational Resources Information Center

    Power, Des; Power, Mary R.; Rehling, Bernd

    2007-01-01

    An online survey of German deaf people demonstrated that they use text communication through Short Message Service (SMS), e-mail, fax, and telephone typewriters (TTY) to communicate within communities of deaf and hearing people. SMS is used most, with more than 96% of respondents having access to a mobile phone. Most use is intrinsic and directed…

  9. Workshop on III-V Integrated Optoelectronics Held in Hilton Head, South Carolina on 28-30 March 1989

    DTIC Science & Technology

    1990-01-01

    Barney De Loach AT&T Bell Laboratories MH 2D-351 600 Mountain Avenue Murray Hill, NJ 07974 Tel: 201-582-3382 Fax: 201-582-2451 Dr. M.A. Di Giuseppe AT...Park, NC 27709-2211 Tel: 919-549-0641 Fax: 919-549-9399 Professor T. Ken Gustafson Department of Electrical Engineering and Computer Sciences

  10. Association of Maternal and Community Factors With Enrollment in Home Visiting Among At-Risk, First-Time Mothers

    PubMed Central

    Hall, Eric S.; Jones, David E.; Meinzen-Derr, Jareen K.; Short, Jodie A.; Ammerman, Robert T.; Van Ginkel, Judith B.

    2014-01-01

    Objectives. We identified individual and contextual factors associated with referral and enrollment in home visiting among at-risk, first-time mothers. Methods. We retrospectively studied referral and enrollment in a regional home visiting program from 2007 to 2009 in Hamilton County, Ohio. Using linked vital statistics and census tract data, we obtained individual and community measures on first-time mothers meeting eligibility criteria for home visiting (low income, unmarried, or age < 18 years). Generalized linear modeling was performed to determine factors associated with relative risk (RR) of (1) referral to home visiting among eligible mothers and (2) enrollment after referral. Results. Of 8187 first-time mothers eligible for home visiting, 2775 were referred and 1543 were enrolled. Among referred women, high school completion (RR = 1.10) and any college (RR = 1.17) compared with no high school completion were associated with increased enrollment, and enrollment was less likely for those living in communities with higher socioeconomic deprivation (RR = 0.71; P < .05). Conclusions. Barriers to enrollment in home visiting persisted at multiple ecological levels. Ongoing evaluation of enrollment in at-risk populations is critical as home visiting programs are implemented and expanded. PMID:24354835

  11. Reducing childhood obesity through coordinated care: Development of a park prescription program

    PubMed Central

    Messiah, Sarah E; Jiang, Sandy; Kardys, Jack; Hansen, Eric; Nardi, Maria; Forster, Lourdes

    2016-01-01

    Major hindrances to controlling the current childhood obesity epidemic include access to prevention and/or treatment programs that are affordable, provide minimal barriers for participation, and are available to the general public. Moreover, successful childhood obesity prevention efforts will require coordinated partnerships in multiple sectors such as government, health care, school/afterschool, and the community but very few documented sustainable programs currently exist. Effective, community-based health and wellness programs with a focus on maintaining healthy weight via physical activity and healthy eating have the potential to be a powerful referral resource for pediatricians and other healthcare professionals who have young patients who are overweight/obese. The Miami Dade County Department of Parks, Recreation and Open Spaces in partnership with the University of Miami UHealth Systems have created a “Park Prescription Program (Parks Rx 4HealthTM)” that formally coordinates pediatricians, families, parents, caregivers, and child/adolescents to provide daily obesity-prevention activities. This Parks Rx 4HealthTM program that we describe here allows UHealth pediatricians to seamlessly refer their overweight and obese patients to Fit2PlayTM, an evidence-based, park-based afterschool health and wellness program. Measurable outcomes that include body mass index, blood pressure, fitness, and nutrition knowledge are being collected at baseline and at 3-and 6-mo after referral to document patient progress. Results are then shared with the referring physician so they can follow up with the patient if necessary. Identifying successful models that integrate primary care, public health, and community-based efforts is important to accelerating progress in preventing childhood obesity. Effective, community-based health and wellness programs with a focus on physical activity and nutrition education could be a powerful referral resource for pediatricians who have obese patients. PMID:27610338

  12. Promoting Nature-Based Activity for People With Mental Illness Through the US “Exercise Is Medicine” Initiative

    PubMed Central

    Jette, Shannon

    2016-01-01

    Nature-based physical activity programming (e.g., countryside walks, hiking, horseback riding) has been found to be an effective way to help improve the health of people with mental illness. Exercise referral initiatives, whereby health practitioners prescribe exercise in an attempt to prevent or treat chronic illnesses, have helped make such nature-based activities accessible to this population in the United Kingdom and Australia; however, there is a dearth of research related to the most prominent exercise referral program in the United States: Exercise is Medicine. Taking into account the barriers to physical activity faced by people with mental illness, we explore how nature-based programming for this population might be mobilized in the United States through the growing Exercise is Medicine initiative. PMID:26985618

  13. Strategies to Recruit a Diverse Low-Income Population to Child Weight Management Programs From Primary Care Practices.

    PubMed

    Barlow, Sarah E; Butte, Nancy F; Hoelscher, Deanna M; Salahuddin, Meliha; Pont, Stephen J

    2017-12-21

    Primary care practices can be used to engage children and families in weight management programs. The Texas Childhood Obesity Research Demonstration (TX CORD) study targeted patients at 12 primary care practices in diverse and low-income areas of Houston, Texas, and Austin, Texas for recruitment to a trial of weight management programs. This article describes recruitment strategies developed to benefit both families and health care practices and the modification of electronic health records (EHRs) to reflect recruitment outcomes. To facilitate family participation, materials and programs were provided in English and Spanish, and programs were conducted in convenient locations. To support health care practices, EHRs and print materials were provided to facilitate obesity recognition, screening, and study referral. We provided brief training for providers and their office staffs that covered screening patients for obesity, empathetic communication, obesity billing coding, and use of counseling materials. We collected EHR data from 2012 through 2014, including demographics, weight, and height, for all patients aged 2 to 12 years who were seen in the 12 provider practices during the study's recruitment phase. The data of patients with a body mass index (BMI) at or above the 85th percentile were compared with the same data for patients who were referred to the study and patients who enrolled in the study. We also examined reasons that patients referred to the study declined to participate. Overall, 26% of 7,845 patients with a BMI at or above the 85th percentile were referred to the study, and 27% of referred patients enrolled. Enrollment among patients with a BMI at or above the 85th percentile was associated with being Hispanic and with more severe obesity than with patients of other races/ethnicities or less severe obesity, respectively. Among families of children aged 2 to 5 years who were referred, 20% enrolled, compared with 30% of families of older children (>5 y to 12 y). Referral rates varied widely among the 12 primary care practices, and referral rates were not associated with EHR modifications. Engagement and recruitment strategies for enrolling families in primary care practice in weight management programs should be strengthened. Further study of factors associated with referral and enrollment, better systems for EHR tools, and data on provider and office adherence to study protocols should be examined. EHRs can track referral and enrollment to capture outcomes of recruitment efforts.

  14. Strategies to Recruit a Diverse Low-Income Population to Child Weight Management Programs From Primary Care Practices

    PubMed Central

    Butte, Nancy F.; Hoelscher, Deanna M.; Salahuddin, Meliha; Pont, Stephen J.

    2017-01-01

    Purpose and Objectives Primary care practices can be used to engage children and families in weight management programs. The Texas Childhood Obesity Research Demonstration (TX CORD) study targeted patients at 12 primary care practices in diverse and low-income areas of Houston, Texas, and Austin, Texas for recruitment to a trial of weight management programs. This article describes recruitment strategies developed to benefit both families and health care practices and the modification of electronic health records (EHRs) to reflect recruitment outcomes. Intervention Approach To facilitate family participation, materials and programs were provided in English and Spanish, and programs were conducted in convenient locations. To support health care practices, EHRs and print materials were provided to facilitate obesity recognition, screening, and study referral. We provided brief training for providers and their office staffs that covered screening patients for obesity, empathetic communication, obesity billing coding, and use of counseling materials. Evaluation Methods We collected EHR data from 2012 through 2014, including demographics, weight, and height, for all patients aged 2 to 12 years who were seen in the 12 provider practices during the study’s recruitment phase. The data of patients with a body mass index (BMI) at or above the 85th percentile were compared with the same data for patients who were referred to the study and patients who enrolled in the study. We also examined reasons that patients referred to the study declined to participate. Results Overall, 26% of 7,845 patients with a BMI at or above the 85th percentile were referred to the study, and 27% of referred patients enrolled. Enrollment among patients with a BMI at or above the 85th percentile was associated with being Hispanic and with more severe obesity than with patients of other races/ethnicities or less severe obesity, respectively. Among families of children aged 2 to 5 years who were referred, 20% enrolled, compared with 30% of families of older children (>5 y to 12 y). Referral rates varied widely among the 12 primary care practices, and referral rates were not associated with EHR modifications. Implications for Public Health Engagement and recruitment strategies for enrolling families in primary care practice in weight management programs should be strengthened. Further study of factors associated with referral and enrollment, better systems for EHR tools, and data on provider and office adherence to study protocols should be examined. EHRs can track referral and enrollment to capture outcomes of recruitment efforts. PMID:29267156

  15. Increasing podiatry referrals for patients with inflammatory arthritis at a tertiary hospital in Singapore: A quality improvement project.

    PubMed

    Carter, K; Cheung, P P; Rome, K; Santosa, A; Lahiri, M

    2017-06-01

    Foot disease is highly prevalent in people with inflammatory arthritis and is often under-recognized. Podiatry intervention can significantly reduce foot pain and disability, with timely access being the key factor. The aim of this study was to plan and implement a quality improvement project to identify the barriers to, and improve, uptake of podiatry services among patients with inflammatory arthritis-related foot problems seen at a tertiary hospital in Singapore. A 6-month quality improvement program was conducted by a team of key stakeholders using quality improvement tools to identify, implement and test several interventions designed to improve uptake of podiatry services. The number of patients referred for podiatry assessment was recorded on a weekly basis by an experienced podiatrist. The criterion for appropriate referral to podiatry was those patients with current or previous foot problems such as foot pain, swelling and deformity. Interventions included education initiatives, revised workflow, development of national guidelines for inflammatory arthritis, local podiatry guidelines for the management of foot and ankle problems, routine use of outcome measures, and introduction of a fully integrated rheumatology-podiatry service with reduced cost package. Referral rates increased from 8% to 11%, and were sustained beyond the study period. Complete incorporation of podiatry into the rheumatology consultation as part of the multidisciplinary team package further increased referrals to achieve the target of full uptake of the podiatry service. Through a structured quality improvement program, referrals to podiatry increased and improved the uptake and acceptance of rheumatology-podiatry services. Copyright © 2016 Elsevier Ltd. All rights reserved.

  16. Methadone and buprenorphine prescribing and referral practices in US prison systems: results from a nationwide survey.

    PubMed

    Nunn, Amy; Zaller, Nickolas; Dickman, Samuel; Trimbur, Catherine; Nijhawan, Ank; Rich, Josiah D

    2009-11-01

    More than 50% of incarcerated individuals have a history of substance use, and over 200,000 individuals with heroin addiction pass through American correctional facilities annually. Opiate replacement therapy (ORT) with methadone or buprenorphine is an effective treatment for opiate dependence and can reduce drug-related disease and recidivism for inmates. Provision of ORT is nevertheless a frequently neglected intervention in the correctional setting. We surveyed the 50 state; Washington, District of Columbia (DC); and Federal Department of Corrections' medical directors or their equivalents about their facilities' ORT prescribing policies and referral programs for inmates leaving prison. We received responses from 51 of 52 prison systems nationwide. Twenty-eight prison systems (55%) offer methadone to inmates in some situations. Methadone use varies widely across states: over 50% of correctional facilities that offer methadone do so exclusively for pregnant women or for chronic pain management. Seven states' prison systems (14%) offer buprenorphine to some inmates. The most common reason cited for not offering ORT was that facilities "prefer drug-free detoxification over providing methadone or buprenorphine." Twenty-three states' prison systems (45%) provide referrals for some inmates to methadone maintenance programs after release, which increased from 8% in 2003; 15 states' prison systems (29%) provide some referrals to community buprenorphine providers. Despite demonstrated social, medical, and economic benefits of providing ORT to inmates during incarceration and linkage to ORT upon release, many prison systems nationwide still do not offer pharmacological treatment for opiate addiction or referrals for ORT upon release.

  17. Methadone and Buprenorphine Prescribing and Referral Practices in US Prison Systems: Results from a Nationwide Survey

    PubMed Central

    Nunn, Amy; Zaller, Nickolas; Dickman, Samuel; Trimbur, Catherine; Nijhawan, Ank; Rich, Josiah D.

    2009-01-01

    Background More than 50% of incarcerated individuals have a history of substance use, and over 200,000 individuals with heroin addiction pass through American correctional facilities annually. Opiate replacement therapy (ORT) with methadone or buprenorphine is an effective treatment for opiate dependence and can reduce drug-related disease and recidivism for inmates. Provision of ORT is nevertheless a frequently neglected intervention in the correctional setting. Objective and Methods We surveyed the 50 state; Washington, District of Columbia (DC); and Federal Department of Corrections' medical directors or their equivalents about their facilities' ORT prescribing policies and referral programs for inmates leaving prison. Results We received responses from 51 of 52 prison systems nationwide. Twenty-eight prison systems (55%) offer methadone to inmates in some situations. Methadone use varies widely across states: over 50% of correctional facilities that offer methadone do so exclusively for pregnant women or for chronic pain management. Seven states' prison systems (14%) offer buprenorphine to some inmates. The most common reason cited for not offering ORT was that facilities “prefer drug-free detoxification over providing methadone or buprenorphine.” Twenty-three states' prison systems (45%) provide referrals for some inmates to methadone maintenance programs after release, which increased from 8% in 2003; 15 states' prison systems (29%) provide some referrals to community buprenorphine providers. Conclusion Despite demonstrated social, medical, and economic benefits of providing ORT to inmates during incarceration and linkage to ORT upon release, many prison systems nationwide still do not offer pharmacological treatment for opiate addiction or referrals for ORT upon release. PMID:19625142

  18. Prevalence and referral rates in neonatal hearing screening program using two step hearing screening protocol in Chennai - A prospective study.

    PubMed

    Vignesh, S S; Jaya, V; Sasireka, B I; Sarathy, Kamala; Vanthana, M

    2015-10-01

    To estimate the prevalence and referral rates in well born and high risk babies using two step hearing screening protocol with Distortion Product Otoacoustic Emissions (DPOAE) and Automated Auditory Brainstem Response (AABR). A prospective study was carried out on 1405 neonates (983 well born babies and 422 high risk babies) who were screened during May 2013 to January 2015 at Institute of Obstetrics and Gynecology, Madras Medical College, Chennai. All neonates were screened using two step screening protocol. They were initially tested with DPOAE. Referred babies in DPOAE were screened with AABR subsequently. Among 1405 (100%) neonates 983 (69.96%) were well born babies and 422 (30.03%) were high risk babies. Total referral rate in DPOAE was found to be 311 (22.13%) among which 195 (13.87%) were well born babies and 116 (8.25%) were high risk babies. Out of 311 babies 31 (2.20%) babies were referred in AABR screening. In 31 babies referred in AABR 11(0.78%) were from well born group and 20 (1.42%) were from the high risk group. Further diagnostic evaluation of these babies, 2 (0.14%) were confirmed to have hearing loss. This study reveals, the prevalence of congenital hearing loss in our population is 1.42 per 1000 babies. Using two step protocol especially AABR along with DPOAE at the initial level of testing significantly reduces referral rates in new born screening programs. Also AABR decreases the false positive responses hence increasing the efficiency of screening program. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  19. Effectiveness of inpatient and outpatient strategies in increasing referral and utilization of cardiac rehabilitation: a prospective, multi-site study

    PubMed Central

    2012-01-01

    Background Despite the evidence of benefit, cardiac rehabilitation (CR) remains highly underutilized. The present study examined the effect of two inpatient and one outpatient strategy on CR utilization: allied healthcare provider completion of referral (a policy that had been endorsed and approved by the cardiac program leadership in advance; PRE-APPROVED); CR intake appointment booked before hospital discharge (PRE-BOOKED); and early outpatient education provided at the CR program shortly after inpatient discharge (EARLY ED). In this prospective observational study, 2,635 stable cardiac inpatients from 11 Ontario hospitals completed a sociodemographic survey, and clinical data were extracted from charts. One year later, participants were a mailed survey that assessed CR use. Participating inpatient units and CR programs to which patients were referred were coded to reflect whether each of the strategies was used (yes/no). The effect of each strategy on participants’ CR referral and enrollment was examined using generalized estimating equations. Results A total of 1,809 participants completed the post-test survey. Adjusted analyses revealed that the implementation of one of the inpatient strategies was significantly related to greater referral and enrollment (PRE-APPROVED: OR = 1.96, 95%CI = 1.26 to 3.05, and OR = 2.91, 95%CI = 2.20 to 3.85, respectively). EARLY ED also resulted in significantly greater enrollment (OR = 4.85, 95%CI = 2.96 to 7.95). Conclusions These readily-implementable strategies could significantly increase access to and enrollment in CR for the cardiac population. The impact of these strategies on wait times warrants exploration. PMID:23234558

  20. Increasing access to emergency contraception through online prescription requests.

    PubMed

    Averbach, Sarah; Wendt, Jacqueline Moro; Levine, Deborah K; Philip, Susan S; Klausner, Jeffrey D

    2010-01-01

    To describe a pilot program, Plan B Online Prescription Access, to provide easy access to prescriptions for emergency contraception via the Internet. We measured electronic prescriptions for Plan B (Duramed Pharmaceuticals, Cincinnati, Ohio) by month over time. Pharmacists faxed patient-generated prescriptions back to the Department of Public Health for confirmation. Despite no marketing, within the first 18 months of the program, 152 electronic prescriptions for Plan B were requested by 128 female San Francisco residents. Seventy-eight prescriptions were filled (51%) by pharmacists. If correctly marketed, online prescriptions for Plan B have the potential to be an effective means of increasing emergency contraception access in both urban and rural settings across the United States. Further user-acceptability studies are warranted.

  1. Career listings.

    PubMed

    1993-03-17

    Nursing Standard regrets that it is no longer able to take listings over the telephone because of unprecedented demand. Readers are reminded that the listings section is for the use of charitable and professional organisations, unions and health authorities to publicise forthcoming events. Listings should contain all relevant details and be posted or faxed to Susan Bloodworth, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX. Fax: 081-423 3867.

  2. Listings.

    PubMed

    1993-04-07

    Nursing Standard regrets that it is no longer able to take listings over the telephone because of unprecedented demand. Readers are reminded that the listings section is for the use of charitable and professional organisations, unions and health authorities to publicise forthcoming events. Listings should contain all relevant details and be posted or faxed to Susan Bloodworth, Nursing Standard, Viking House. 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX. Fax: 081-423 3867.

  3. Listings.

    PubMed

    1994-07-20

    Nursing Standard regrets that it is no longer able to take listings over the telephone because of unprecedented demand. Readers are reminded that the listings section is for the use of charitable and professional organisations, unions and health authorities to publicise forthcoming events. Listings should contain all relevant details and be posted or faxed to Susan Bloodworth, Nursing Standard, Viking House, 17-19 Peterborough Road. Harrow, Middlesex HA1 2AX. Fax: 081-423 3867.

  4. International.

    PubMed

    1994-03-16

    Nursing Standard regrets that it is no longer able to take listings over the telephone because of unprecedented demand. Readers are reminded that the listings section is for the use of charitable and professional organisations, unions and health authorities to publicise forthcoming events. Listings should contain all relevant details and be posted or faxed to Susan Blood-worth, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA 1 2AX. Fax: 081-423 3861.

  5. Listings.

    PubMed

    1994-11-23

    Nursing Standard regrets that it is no longer able to take listings over the telephone because of unprecedented demand. Readers are reminded that the listings section is for the use of charitable and professional organisations, unions and health authorities to publicise forthcoming events. Listings should contain all relevant details and be posted or faxed to Susan Bloodivorth, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX. Fax: 081-423 3867.

  6. Listings.

    PubMed

    1994-07-27

    Nursing Standard regrets that it is no longer able to take listings over the telephone because of unprecedented demand. Readers are reminded that the listings section is for the use of charitable and professional organisations, unions and health authorities to publicise forthcoming events. Listings should contain all relevant details and be posted or faxed to Susan Bloodworth, Nursing Standard. Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX. Fax: 081-423 3867.

  7. Listings.

    PubMed

    1994-02-16

    Nursing Standard regrets that it is no longer able to take listings over the telephone because of unprecedented demand. Readers are reminded that the listings section is for the use of charitable and professional organisations, unions and health authorities to publicise forthcoming events. Listings should contain all relevant details and be posted or faxed to Susan Bloodworth, Nursing Standard, Viking House, 17-19 Peterborough Road. Harrow. Middlesex HA 1 2AX. Fax: 081-423 3867.

  8. Listings.

    PubMed

    1994-09-28

    Nursing Standard regrets that it is no longer able to take listings over the telephone became of unprecedented demand. Readers are reminded that the listings section is for the use of charitable and professional organisations, unions and health authorities to publicise forthcoming events. Listings should contain all relevant details and be posted or faxed to Susan Bloodworth, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX. Fax: 081-423 3867.

  9. Listings.

    PubMed

    1994-02-23

    Nursing Standard regrets that it is no longer able to take listings over the telephone because of unprecedented demand. Readers are reminded that the listings section is for the use of charitable and professional organisations, unions and health authorities to publicise forthcoming events. Listings should contain all relevant details and be posted or faxed to Susan Bloodworth, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX. Fax: 081-423 3867.

  10. Career listings.

    PubMed

    1993-02-10

    Nursing Standard regrets that it is no longer able to take listings over the telephone because of unprecedented demand. Readers are reminded that the listings section is for the use of charitable and professional organisations, unions and health authorities to publicise forthcoming events. Listings should contain alt relevant details and be posted or faxed to Susan B/oodu'orth, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX. Fax: 081-423 3867.

  11. Career listings.

    PubMed

    1993-04-28

    Nursing Standard regrets that it is no longer able to take listings over the telephone because of unprecedented demand. Readers are reminded that the listings section is for the use of charitable and professional organisations, unions and health authorities to publicise forthcoming events. Listings should contain all relevant details and be posted or faxed to Susan Bloodworth, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX. Fax: 081-423 3867.

  12. Listings.

    PubMed

    1994-09-07

    Nursing Standard regrets that it is no longer able to take listings over the telephone because of unprecedented demand. Readers are reminded that the listings section is for the use of charitable and professional organisations, unions and health authorities to publicise forthcoming events. Listings should contain all relevant details and be posted or faxed to Susan Bloodworth, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX. Fax: 081-423 3867.

  13. Listings.

    PubMed

    1994-12-07

    Nursing Standard regrets that it is no longer able to take listings over the telephone because of unprecedented demand. Readers are reminded that the listings section is for the use of charitable and professional organisations, unions and health authorities to publicise forthcoming events. Listings should contain all relevant details and be posted or faxed to Susan Blood-worth, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrotc. Middlesex HA 1 2AX. Fax: 081-423 3867.

  14. Geomorphic Modeling of Macro-Tidal Embayment with Extensive Tidal Flats: Skagit Bay, Washington

    DTIC Science & Technology

    2010-09-30

    Geomorphic modeling of macro-tidal embayment with extensive tidal flats: Skagit Bay , Washington Lyle Hibler Battelle-Pacific Northwest Division...Marine Sciences Laboratory Sequim , WA 98382 phone: (360) 681-3616 fax: (360) 681-4559 email: lyle.hibler@pnl.gov Adam Maxwell Battelle-Pacific...Northwest Division Marine Sciences Laboratory Sequim , WA 98382 phone: (360) 681-4591 fax: (360) 681-4559 email: adam.maxwell@pnl.gov Award

  15. Employability Skills + Adult Agency Support + Family Support + On-the-Job Support = Successful Employment.

    ERIC Educational Resources Information Center

    Patton, Patricia Lucey; And Others

    1997-01-01

    This article describes a comprehensive transition program for students with mild disabilities. The program revolves around a classroom-based employability skills curriculum taught over a semester's duration. Four program components are addressed: employability skills training, family involvement, adult agency referral, and on-the-job support. (CR)

  16. Investigating the Underrepresentation of African American and Hispanic Students in Gifted Programs

    ERIC Educational Resources Information Center

    Gillard, Malcolm Jerome

    2017-01-01

    The objective of this study was to explore the relationship between the representation of African American and Hispanic students in gifted education programs, professional development and teacher training in gifted education, and teacher referral of these students to gifted programs. Administrators, general education teachers, and gifted education…

  17. A system for diagnosis, referral, and rehabilitation of persons convicted of driving while intoxicated : a special rehabilitation program for multiple offenders

    DOT National Transportation Integrated Search

    1977-11-01

    A rehabilitation program is presented for multiple DWI offenders. The program includes education related to alcohol use and abuse and therapeutic activities to help a client learn new techniques for living and alternatives to alcohol abuse. /Abstract...

  18. Impact of referral letters on scheduling of hospital appointments: a randomised control trial.

    PubMed

    Jiwa, Moyez; Meng, Xingqiong; O'Shea, Carolyn; Magin, Parker; Dadich, Ann; Pillai, Vinita

    2014-07-01

    Communication is essential for triage, but intervention trials to improve it are scarce. Referral Writer (RW), a referral letter software program, enables documentation of clinical data and extracts relevant patient details from clinical software. To evaluate whether specialists are more confident about scheduling appointments when they receive more information in referral letters. Single-blind, parallel-groups, controlled design with a 1:1 randomisation. Australian GPs watched video vignettes virtually. GPs wrote referral letters after watching vignettes of patients with cancer symptoms. Letter content was scored against a benchmark. The proportions of referral letters triagable by a specialist with confidence, and in which the specialist was confident the patient had potentially life-limiting pathology were determined. Categorical outcomes were tested with χ(2) and continuous outcomes with t-tests. A random-effects logistic model assessed the influence of group randomisation (RW versus control), GP demographics, clinical specialty, and specialist referral assessor on specialist confidence in the information provided. The intervention (RW) group referred more patients and scored significantly higher on information relayed (mean difference 21.6 [95% confidence intervals {CI} = 20.1 to 23.2]). There was no difference in the proportion of letters for which specialists were confident they had sufficient information for appointment scheduling (RW 77.7% versus control 80.6%, P = 0.16). In the logistic model, limited agreement among specialists contributed substantially to the observed differences in appointment scheduling (P = 35% [95% CI 16% to 59%]). In isolation, referral letter templates are unlikely to improve the scheduling of specialist appointments, even when more information is relayed. © British Journal of General Practice 2014.

  19. Development and Evaluation of a Web-Based Training Program for Oral Health Care Providers on Secondary Prevention of Eating Disorders

    PubMed Central

    DeBate, Rita D.; Severson, Herbert; Zwald, Marissa L.; Shaw, Tracy; Christiansen, Steve; Koerber, Anne; Tomar, Scott; Brown, Kelli McCormack; Tedesco, Lisa A.

    2009-01-01

    Although oral health care providers (OHP) are key in the secondary prevention of eating disorders (ED), the majority are not engaged in assessment, referral, and case management. This innovative pilot project developed and evaluated a web-based training program for dental and dental hygiene students and providers on the secondary prevention of ED. The intervention combined didactic and skill-based objectives to train OHP on ED and its oral health effects, OHP roles, skills in identifying the oral signs of ED, communication, treatment, and referral. Using a convenience sample of OHP (n=66), a pre-/post-test evaluated short-term outcomes and user satisfaction. Results revealed statistically significant improvements in self-efficacy (p<.001); knowledge of oral manifestations from restrictive behaviors (p<.001) and purging behaviors (p<.001); knowledge of oral treatment options (p<.001); and attitudes towards the secondary prevention of ED (p<.001). Most participants strongly agreed or agreed that the program provided more information (89 percent) and resources (89 percent) about the secondary prevention of ED than were currently available; 91 percent strongly agreed or agreed that they would access this program for information regarding the secondary prevention of ED. This pilot project provides unique training in the clinical evaluation, patient approach, referral, and oral treatment that takes a multidisciplinary approach to address ED. PMID:19491349

  20. Expertise on Call.

    ERIC Educational Resources Information Center

    Jordan, Ronald R.

    1996-01-01

    College and university planned giving program administrators are advised to establish an advisory committee of financial professionals (attorneys, certified public accountants, brokers, investment advisors, financial planners, trust officers, insurance professionals) to act as a source of referrals, advice, and program support. Member selection,…

  1. Aiding in the Abatement of Drug Abuse

    ERIC Educational Resources Information Center

    Jalkanen, Arthur W.

    1972-01-01

    Oakland Community College (Michigan) has instituted a center for drug studies that could serve as a model for other institutions. It includes in-service training programs for counselors, teachers and volunteers, referral services, and drug abuse education programs. (NF)

  2. A company-instituted program to improve blood pressure control in primary care.

    PubMed

    Alderman, M H; Melcher, L A

    1981-01-01

    An occupation-based effort to improve the outcome of antihypertensive therapy provided in the community was instituted by the Massachusetts Mutual Life Insurance Company in 1977. The goal of the program was to utilize the administrative and organizational resources of the company to enhance employee/patient adherence to treatment provided in conventional primary care settings. Key elements of the program were: companywide education and on-site screening, referral to community physicians and company assumption of all patient costs, linked to a monitoring system to permit oversight of care. Initially, 98% of employees were screened, 70% accepted referral for care and 59% fully adhered to program performance criteria. Blood pressure control has risen from 36% at the beginning to 69% at the end of the second year. Fully compliant patients have achieved the greatest lowering of blood pressure and compiled the best work attendance record. Program costs are modest and acceptance by employees and physicians supports the concept that occupation-based, systematic efforts can enhance the impact of primary care.

  3. Computer programs to characterize alloys and predict cyclic life using the total strain version of strainrange partitioning: Tutorial and users manual, version 1.0

    NASA Technical Reports Server (NTRS)

    Saltsman, James F.

    1992-01-01

    This manual presents computer programs for characterizing and predicting fatigue and creep-fatigue resistance of metallic materials in the high-temperature, long-life regime for isothermal and nonisothermal fatigue. The programs use the total strain version of Strainrange Partitioning (TS-SRP). An extensive database has also been developed in a parallel effort. This database is probably the largest source of high-temperature, creep-fatigue test data available in the public domain and can be used with other life prediction methods as well. This users manual, software, and database are all in the public domain and are available through COSMIC (382 East Broad Street, Athens, GA 30602; (404) 542-3265, FAX (404) 542-4807). Two disks accompany this manual. The first disk contains the source code, executable files, and sample output from these programs. The second disk contains the creep-fatigue data in a format compatible with these programs.

  4. Pet Allergy Quiz

    MedlinePlus

    ... Center Fellows-in-Training Grants & Awards Program Directors Practice Resources ASTHMA IQ Consultation and Referral Guidelines Practice Management Tips Practice Management Workshop Practice Tools Running ...

  5. A Retrospective Exploration of the Impact of the 'Angelina Jolie Effect' on the Single State-Wide Familial Cancer Program in Perth, Western Australia.

    PubMed

    Freedman, Rebecca; Mountain, Helen; Karina, Dian; Schofield, Lyn

    2017-02-01

    Global media has the power to influence the ways the public engage with health services. On May 14th 2013, Angelina Jolie published an article in the New York Times magazine, outlining her decision to undergo BRCA mutation testing due to a family history of cancer; then proceed with a mastectomy. The article evoked significant interest from the media and the public. During the months that followed, the Familial Cancer Program (FCP) at Genetic Services of Western Australia (GSWA) experienced a significant increase in referrals and enquiries. Resources were overstretched and it became clear we needed to adjust work practices to manage the escalating numbers. New strategies were devised to cope with the influx of enquiries, albeit without the benefit of additional resources. We conducted an audit of referrals to the FCP made between January 2012 and December 2014. This included a comparison of the months prior to and following the New York Times article. The aim of the audit was to quantify the impact of the "Angelina Jolie effect" on referrals to the FCP. Whilst the increased awareness of the role of genetic services in risk assessment and testing for familial breast and ovarian cancer was considered positive, pre-referral risk assessment at the primary health level to evaluate the appropriateness of their patients for referral could have been helpful. Potentially, many inappropriate referrals to FCP may have been avoided with primary health evaluation thus lessening the burden on our service and preventing unnecessary worry in well women who possessed minimal family history or risk factors. It is important to understand the factors driving the uptake of risk reduction activities, particularly if engagement with a genetics service is considered part of that pathway. Continued education about cancer risk due to family history, individual features and awareness surrounding genetic testing criteria, costs and availability is required for both the public and health professionals.

  6. Is there a (volunteer) doctor in the house? Free clinics and volunteer physician referral networks in the United States.

    PubMed

    Isaacs, Stephen L; Jellinek, Paul

    2007-01-01

    Although community health centers and public hospitals are the most visible safety-net providers, physicians in private practice are the main source of care for the uninsured and Medicaid enrollees. Yet the number of these physicians providing free care is declining, even as the need for their services increases. One promising strategy for halting the decline is to strengthen and increase volunteer health care programs: free clinics and physician-referral networks. This report reviews the state of these programs and suggests ways to improve them. Given the limits of volunteerism, the authors conclude that only national health insurance will solve the problem of the uninsured.

  7. PROTECT: A Pilot Program to Integrate Mental Health Treatment Into Elder Abuse Services for Older Women.

    PubMed

    Sirey, Jo Anne; Halkett, Ashley; Chambers, Stephanie; Salamone, Aurora; Bruce, Martha L; Raue, Patrick J; Berman, Jacquelin

    2015-01-01

    The goal of this pilot program was to test the usefulness of adapted Problem-Solving Therapy (PST) and anxiety management, called PROTECT, integrated into elder abuse services to reduce depression and improve self-efficacy. Depressed women victims were randomized to receive elder abuse resolution services combined with either PROTECT or a mental health referral. At follow-up, the PROTECT group showed greater reduction in depressive symptoms and endorsed greater improved self-efficacy in problem-solving when compared to those in the Referral condition. These preliminary findings support the potential usefulness of PROTECT to alleviate depressive symptoms and enhance personal resources among abused older women.

  8. Comprehensive Epilepsy Program.

    ERIC Educational Resources Information Center

    Virginia Univ., Charlottesville. Comprehensive Epilepsy Program.

    The paper describes the Comprehensive Epilepsy Program at the University of Virginia Medical Center and includes information on the following topics: basic questions about epilepsy; describing and recording seizure activity; first aid in seizure care; the inpatient and outpatient educational service component; admission and referral; international…

  9. Evaluation of a mentorship program to support chronic kidney disease care.

    PubMed

    Pang, Jocelyn; Grill, Allan; Bhatt, Monisha; Woodward, Graham L; Brimble, Scott

    2016-08-01

    Primary care providers (PCPs) are ideally situated to detect and manage patients with chronic kidney disease (CKD), but they could use more support from nephrologists to accomplish this. To improve early detection and management of CKD in primary care, and improve referrals to nephrologists through education and greater partnership between nephrologists and PCPs. Nephrologists provided mentorship to PCPs in Ontario through a collaborative relationship. Nephrologists provided PCPs with educational orientation sessions and need-based advice on patient cases. Primary care providers with more than 5 years of experience were more likely to use the program. Primary care providers expressed high satisfaction with the program and reported that it was effective in supporting routine CKD screening efforts, management of early CKD, appropriate referrals, and building a collaborative relationship with nephrologists. Copyright© the College of Family Physicians of Canada.

  10. Listings.

    PubMed

    1991-10-02

    Nursing Standard regrets that owing to unprecedented demand we are no longer able to take listings over the telephone. We would like to remind our readers that the listings section is for use by charitable organisations, unions, professional organisations and health authorities to publicise forthcoming events. Your listings should contain all relevant details and be posted or faxed to Jo Barr, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX (Fax 081-423 3867).

  11. Listings.

    PubMed

    1991-09-10

    Nursing Standard regrets that owing to unprecedented demand we are no longer able to take listings over the telephone. We would like to remind our readers that the listings section is for use by charitable organisations, unions, professional organisations and health authorities to publicise forthcoming events. Your listings should contain all relevant details and be posted or faxed to Jo Barr, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX (Fax 081-423 3867).

  12. Listings.

    PubMed

    1991-04-24

    Nursing Standard regrets that owing to unprecedented demand we are no longer able to take listings over the telephone. We would like to remind our readers that the listings section is for use by charitable organisations, unions, professional organisations and health authorities to publicise forthcoming events. Your listings should contain all relevant details and be posted or faxed to Clare Ward, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX (Fax 081-423 3867).

  13. Listings.

    PubMed

    1991-10-16

    Nursing Standard regrets that owing to unprecedented demand we are no longer able to take listings over the telephone. We would like to remind our readers that the listings section is for use by charitable organisations, unions, professional organisations and health authorities to publicise forthcoming events. Your listings should contain all relevant details and be posted or faxed to Jo Barr, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX (Fax 081-423 3867).

  14. Listings.

    PubMed

    1991-09-18

    Nursing Standard regrets that owing to unprecedented demand we are no longer able to take listings over the telephone. We would like to remind our readers that the listings section is for use by charitable organisations, unions, professional organisations and health authorities to publicise forthcoming events. Your listings should contain all relevant details and be posted or faxed to Jo Barr, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX (Fax 081-423 3867).

  15. Listings.

    PubMed

    1991-02-13

    Nursing Standard regrets that owing to unprecedented demand we are no longer able to take listings over the telephone. We would like to remind our readers that the listings section is for use by charitable organisations, unions, professional organisations and health authorities to publicise forthcoming events. Your listings should contain all relevant details and be posted or faxed to Clare Ward, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX (Fax 081-423 3867).

  16. Listings.

    PubMed

    1991-08-28

    Nursing Standard regrets that owing to unprecedented demand we are no longer able to take listings over the telephone. We would like to remind our readers that the listings section is for use by charitable organisations, unions, professional organisations and health authorities to publicise forthcoming events. Your listings should contain all relevant details and be posted or faxed to Jo Barr, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX (Fax 081-423 3867).

  17. Listings.

    PubMed

    1991-03-13

    Nursing Standard regrets that owing to unprecedented demand we are no longer able to take listings over the telephone. We would like to remind our readers that the listings section is for use by charitable organisations, unions, professional organisations and health authorities to publicise forthcoming events. Your listings should contain all relevant details and be posted or faxed to Clare Ward, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA 1 2AX (Fax 081-423 3867).

  18. Listings.

    PubMed

    1991-06-26

    Nursing Standard regrets that owing to unprecedented demand we are no longer able to take listings over the telephone. We would like to remind our readers that the listings section is for use by charitable organisations, unions, professional organisations and health authorities to publicise forthcoming events. Your listings should contain all relevant details and be posted or faxed to Clare Ward, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX (Fax 081-423 3867).

  19. Listings.

    PubMed

    1991-10-23

    Nursing Standard regrets that owing to unprecedented demand we are no longer able to take listings over the telephone. We would like to remind our readers that the listings section is for use by charitable organisations, unions, professional organisations and health authorities to publicise forthcoming events. Your listings should contain all relevant details and be posted or faxed to Jo Barr, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX (Fax 081-423 3867).

  20. Listings.

    PubMed

    1991-02-20

    Nursing Standard regrets that owing to unprecedented demand we are no longer able to take listings over the telephone. We would like to remind our readers that the listings section is for use by charitable organisations, unions, professional organisations and health authorities to publicise forthcoming events. Your listings should contain all relevant details and be posted or faxed to Clare Ward, Nursing Standard, Viking House, 17-19 Peterborough Road, Harrow, Middlesex HA1 2AX (Fax 081-423 3867).

Some links on this page may take you to non-federal websites. Their policies may differ from this site.
Top