KSC-2012-2009

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft coasts down the runway at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Jim Grossmann

KSC-2012-1998

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft parks near the mate/demate device at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Kim Shiflett

KSC-2012-2013

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft approaches the mate/demate device at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Jim Grossmann

KSC-2012-1999

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft parks near the mate/demate device at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Kim Shiflett

KSC-2012-1988

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft touches down at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Frankie Martin

KSC-2012-2008

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft glides down the runway at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Jim Grossmann

KSC-2012-2004

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – This overhead view shows Shuttle Carrier Aircraft parked on the apron of the runway at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Kim Shiflett

KSC-2012-2005

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft approaches the runway of the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Jim Grossmann

KSC-2012-2002

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The newly arrived Shuttle Carrier Aircraft is seen through the platforms of the mate-demate device at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Kim Shiflett

KSC-2012-1992

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft glides down the runway of the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Kim Shiflett

KSC-2012-2012

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft glides onto the apron of the runway at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Jim Grossmann

KSC-2012-2001

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – Preparations are under way at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida for the pilots of the newly arrived Shuttle Carrier Aircraft to disembark. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Kim Shiflett

KSC-2012-1997

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft approaches the mate/demate device at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Kim Shiflett

KSC-2012-1995

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – NASA pilot Jeff Moultrie guides the Shuttle Carrier Aircraft along the apron of the runway at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Kim Shiflett

KSC-2012-2007

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft makes contact with the runway at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Jim Grossmann

KSC-2012-2010

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – NASA pilot Jeff Moultrie guides the Shuttle Carrier Aircraft along the runway at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Jim Grossmann

KSC-2012-1994

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft approaches the apron of the runway at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Kim Shiflett

KSC-2012-2006

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft prepares to touch down on the runway at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Jim Grossmann

KSC-2012-1989

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft glides down the runway of the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Frankie Martin

KSC-2012-2000

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft comes to a stop on the apron of the runway at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Kim Shiflett

KSC-2012-1987

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft touches down at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Frankie Martin

KSC-2012-1986

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The Shuttle Carrier Aircraft approaches the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Frankie Martin

KSC-2012-2003

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – The newly arrived Shuttle Carrier Aircraft is framed by a grappling fixture on the mate-demate device at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Kim Shiflett

KSC-2012-1996

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – NASA pilot Jeff Moultrie guides the Shuttle Carrier Aircraft onto the apron of the runway at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Kim Shiflett

Surgery and Adjuvant Chemotherapy Use Among Veterans With Colon Cancer: Insights From a California Study

PubMed Central

Hynes, Denise M.; Tarlov, Elizabeth; Durazo-Arvizu, Ramon; Perrin, Ruth; Zhang, Qiuying; Weichle, Thomas; Ferreira, M. Rosario; Lee, Todd; Benson, Al B.; Bhoopalam, Nirmala; Bennett, Charles L.

2010-01-01

Purpose US veterans have been shown to be a vulnerable population with high cancer rates, and cancer care quality in Veterans Affairs (VA) hospitals is the focus of a congressionally mandated review. We examined rates of surgery and chemotherapy use among veterans with colon cancer at VA and non-VA facilities in California to gain insight into factors associated with quality of cancer care. Methods A retrospective cohort of incident colon cancer patients from the California Cancer Registry, who were ≥ 66 years old and eligible to use VA and Medicare between 1999 and 2001, were observed for 6 months after diagnosis. Results Among 601 veterans with colon cancer, 72% were initially diagnosed and treated in non-VA facilities. Among veterans with stage I to III cancer, those diagnosed and initially treated in VA facilities experienced similar colectomy rates as those at non-VA facilities. Stage III patients diagnosed and initially treated in VA versus non-VA facilities had similar odds of receiving adjuvant chemotherapy. In both settings, older patients had lower odds of receiving chemotherapy than their younger counterparts even when race and comorbidity were considered (age 76 to 85 years: odds ratio [OR] = 0.18; 95% CI, 0.07 to 0.46; age ≥ 86 years: OR = 0.17; 95% CI, 0.04 to 0.73). Conclusion In California, older veterans with colon cancer used both VA and non-VA facilities for cancer treatment, and odds of receiving cancer-directed surgery and chemotherapy were similar in both systems. Among stage III patients, older age lowered odds of receiving adjuvant chemotherapy in both systems. Further studies should continue to explore potential health system effects on quality of colon cancer care across the United States. PMID:20406940

FACILITIES FOR EDUCATION IN VA HOSPITALS. FINAL REPORT.

ERIC Educational Resources Information Center

GREEN, ALAN C.; AND OTHERS

THIS STUDY WAS AUTHORIZED BY THE VA DEPARTMENT OF MEDICINE AND SURGERY FOR THE PURPOSE OF IDENTIFYING AND DETERMINING THE FACILITIES NEEDED TO PROPERLY HOUSE AND SUPPORT EDUCATION ACTIVITIES IN EXISTING AND FUTURE VA HOSPITALS AND TO PRODUCE ARCHITECTURAL GUIDANCE IN THE DESIGN OF THE FACILITIES. CURRENT PRACTICES AND SIGNIFICANT TRENDS IN MEDICAL…

Resources and Capabilities of the Department of Veterans Affairs to Provide Timely and Accessible Care to Veterans

PubMed Central

Hussey, Peter S.; Ringel, Jeanne S.; Ahluwalia, Sangeeta; Price, Rebecca Anhang; Buttorff, Christine; Concannon, Thomas W.; Lovejoy, Susan L.; Martsolf, Grant R.; Rudin, Robert S.; Schultz, Dana; Sloss, Elizabeth M.; Watkins, Katherine E.; Waxman, Daniel; Bauman, Melissa; Briscombe, Brian; Broyles, James R.; Burns, Rachel M.; Chen, Emily K.; DeSantis, Amy Soo Jin; Ecola, Liisa; Fischer, Shira H.; Friedberg, Mark W.; Gidengil, Courtney A.; Ginsburg, Paul B.; Gulden, Timothy; Gutierrez, Carlos Ignacio; Hirshman, Samuel; Huang, Christina Y.; Kandrack, Ryan; Kress, Amii; Leuschner, Kristin J.; MacCarthy, Sarah; Maksabedian, Ervant J.; Mann, Sean; Matthews, Luke Joseph; May, Linnea Warren; Mishra, Nishtha; Miyashiro, Lisa; Muchow, Ashley N.; Nelson, Jason; Naranjo, Diana; O'Hanlon, Claire E.; Pillemer, Francesca; Predmore, Zachary; Ross, Rachel; Ruder, Teague; Rutter, Carolyn M.; Uscher-Pines, Lori; Vaiana, Mary E.; Vesely, Joseph V.; Hosek, Susan D.; Farmer, Carrie M.

2016-01-01

Abstract The Veterans Access, Choice, and Accountability Act of 2014 addressed the need for access to timely, high-quality health care for veterans. Section 201 of the legislation called for an independent assessment of various aspects of veterans' health care. The RAND Corporation was tasked with an assessment of the Department of Veterans Affairs (VA) current and projected health care capabilities and resources. An examination of data from a variety of sources, along with a survey of VA medical facility leaders, revealed the breadth and depth of VA resources and capabilities: fiscal resources, workforce and human resources, physical infrastructure, interorganizational relationships, and information resources. The assessment identified barriers to the effective use of these resources and capabilities. Analysis of data on access to VA care and the quality of that care showed that almost all veterans live within 40 miles of a VA health facility, but fewer have access to VA specialty care. Veterans usually receive care within 14 days of their desired appointment date, but wait times vary considerably across VA facilities. VA has long played a national leadership role in measuring the quality of health care. The assessment showed that VA health care quality was as good or better on most measures compared with other health systems, but quality performance lagged at some VA facilities. VA will require more resources and capabilities to meet a projected increase in veterans' demand for VA care over the next five years. Options for increasing capacity include accelerated hiring, full nurse practice authority, and expanded use of telehealth. PMID:28083424

38 CFR 17.1006 - Decisionmakers.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Reimbursement for Emergency Services for Nonservice-Connected Conditions in Non-Va Facilities § 17.1006 Decisionmakers. The Chief of the Health Administration Service or an equivalent official at the VA medical.... 1725, except that the Fee Service Review Physician or equivalent officer at the VA medical facility of...

38 CFR 17.1006 - Decisionmakers.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Reimbursement for Emergency Services for Nonservice-Connected Conditions in Non-Va Facilities § 17.1006 Decisionmakers. The Chief of the Health Administration Service or an equivalent official at the VA medical.... 1725, except that the Fee Service Review Physician or equivalent officer at the VA medical facility of...

KSC-2012-1990

NASA Image and Video Library

2012-04-10

CAPE CANAVERAL, Fla. – NASA pilot Jeff Moultrie guides the Shuttle Carrier Aircraft to a picture-perfect touchdown at the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida with NASA co-pilot Bill Rieke at his side. The aircraft, known as an SCA, arrived at 5:35 p.m. EDT to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. This SCA, designated NASA 905, is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Frankie Martin

LADEE NASA Social

NASA Image and Video Library

2013-09-05

A participant at a NASA Social on the Lunar Atmosphere and Dust Environment Explorer (LADEE) mission asks a question, Thursday, Sept. 5, 2013 on Wallops Island, VA. Fifty of NASA's social media followers are attending a two-day event in support of the LADEE launch. Data from LADEE will provide unprecedented information about the environment around the moon and give scientists a better understanding of other planetary bodies in our solar system and beyond. LADEE is scheduled to launch at 11:27 p.m. Friday, Sept. 6, from NASA's Wallops Flight Facility. Photo Credit: (NASA/Carla Cioffi)

National Guard Support to Drug Interdiction.

DTIC Science & Technology

1994-10-28

Passenger Analysis Unit, Sterling, VA Enforcement Branch, Birmingham, AL Inspection Facility, Birmingham, AL JFK Airport Contraband Enforcement Team...Operations, New York, NY JFK Airport Mail Facility Operations, New York, NY Mail Facility, Sterling, VA Office of Enforcement, Jackson, MS Office

38 CFR 17.1000 - Payment or reimbursement for emergency services for nonservice-connected conditions in non-VA...

Code of Federal Regulations, 2010 CFR

2010-07-01

... for emergency services for nonservice-connected conditions in non-VA facilities. 17.1000 Section 17.1000 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Payment Or Reimbursement for Emergency Services for Nonservice-Connected Conditions in Non-Va Facilities § 17.1000 Payment...

78 FR 72865 - Export Trade Certificate of Review

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-04

...., Carson City, NV Cobham, Arlington, VA Colt Defense, LLC, West Hartford, CT Computer Sciences Corporation...., Exton, PA ARINC Aerospace, Annapolis, MD Aurora Flight Sciences Corporation, Manassas, VA AUSCO, Inc... Springs, CA Science Applications International Corporation, McLean, VA Seal Science, Inc., Irvine, CA...

77 FR 59087 - Fisher House and Other Temporary Lodging

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-26

... 60 prior to this revision, versus the phrase ``VA medical facility.'' The public therefore should be...'' and ``VA medical facility'' in the proposed rule indicates that the public did not understand these... care facility'' when describing substantive criteria to the public. Therefore, consistent use of the...

Care coordination in epilepsy: Measuring neurologists' connectivity using social network analysis.

PubMed

Altalib, Hamada Hamid; Fenton, Brenda T; Cheung, Kei-Hoi; Pugh, Mary Jo V; Bates, Jonathan; Valente, Thomas W; Kerns, Robert D; Brandt, Cynthia A

2017-08-01

The study sought to quantify coordination of epilepsy care, over time, between neurologists and other health care providers using social network analysis (SNA). The Veterans Health Administration (VA) instituted an Epilepsy Center of Excellence (ECOE) model in 2008 to enhance care coordination between neurologists and other health care providers. Provider networks in the 16 VA ECOE facilities (hub sites) were compared to a subset of 33 VA facilities formally affiliated (consortium sites) and 14 unaffiliated VA facilities. The number of connections between neurologists and each provider (node degree) was measured by shared epilepsy patients and tallied to generate estimates at the facility level separately within and across facilities. Mixed models were used to compare change of facility-level node degree over time across the three facility types, adjusted for number of providers per facility. Over the time period 2000-2013, epilepsy care coordination both within and across facilities significantly increased. These increases were seen in all three types of facilities namely hub, consortium, and unaffiliated site, relatively equally. The increase in connectivity was more dramatic with providers across facilities compared to providers within the same facilities. Establishment of the ECOE hub and spoke model contributed to an increase in epilepsy care coordination both within and across facilities from 2000 to 2013, but there was substantial variation across different facilities. SNA is a tool that may help measure coordination of specialty care. Published by Elsevier Inc.

LADEE NASA Social

NASA Image and Video Library

2013-09-05

A participant at a NASA Social on the Lunar Atmosphere and Dust Environment Explorer (LADEE) mission asks NASA Associate Administrator for the Science Mission Directorate John Grunsfeld a question, Thursday, Sept. 5, 2013 on Wallops Island, VA. Fifty of NASA's social media followers are attending a two-day event in support of the LADEE launch. Data from LADEE will provide unprecedented information about the environment around the moon and give scientists a better understanding of other planetary bodies in our solar system and beyond. LADEE is scheduled to launch at 11:27 p.m. Friday, Sept. 6, from NASA's Wallops Flight Facility. Photo Credit: (NASA/Carla Cioffi)

Comparing VA and private sector healthcare costs for end-stage renal disease.

PubMed

Hynes, Denise M; Stroupe, Kevin T; Fischer, Michael J; Reda, Domenic J; Manning, Willard; Browning, Margaret M; Huo, Zhiping; Saban, Karen; Kaufman, James S

2012-02-01

Healthcare for end-stage renal disease (ESRD) is intensive, expensive, and provided in both the public and private sector. Using a societal perspective, we examined healthcare costs and health outcomes for Department of Veterans Affairs (VA) ESRD patients comparing those who received hemodialysis care at VA versus private sector facilities. Dialysis patients were recruited from 8 VA medical centers from 2001 through 2003 and followed for 12 months in a prospective cohort study. Patient demographics, clinical characteristics, quality of life, healthcare use, and cost data were collected. Healthcare data included utilization (VA), claims (Medicare), and patient self-report. Costs included VA calculated costs, Medicare dialysis facility reports and reimbursement rates, and patient self-report. Multivariable regression was used to compare costs between patients receiving dialysis at VA versus private sector facilities. The cohort comprised 334 patients: 170 patients in the VA dialysis group and 164 patients in the private sector group. The VA dialysis group had more comorbidities at baseline, outpatient and emergency visits, prescriptions, and longer hospital stays; they also had more conservative anemia management and lower baseline urea reduction ratio (67% vs. 72%; P<0.001), although levels were consistent with guidelines (Kt/V≥1.2). In adjusted analysis, the VA dialysis group had $36,431 higher costs than those in the private sector dialysis group (P<0.001). Continued research addressing costs and effectiveness of care across public and private sector settings is critical in informing health policy options for patients with complex chronic illnesses such as ESRD.

Patient and Facility Variation in Costs of VHA Heart Failure Patients

PubMed Central

Yoon, Jean; Fonarow, Gregg C.; Groeneveld, Peter W.; Teerlink, John; Whooley, Mary A.; Sahay, Anju; Heidenreich, Paul

2017-01-01

Objectives To determine the variation in annual health care costs among heart failure patients in the VA system. Background Heart failure is associated with considerable use of health care resources, but little is known about patterns in patient characteristics related to higher costs. Methods We obtained VA utilization and cost records for all patients with a diagnosis of heart failure in fiscal year 2010. We compared total VA costs by patient demographic factors, comorbid conditions, and facility where they were treated in bivariate analyses. We regressed total costs on patient factors alone; VA facility alone; and all factors combined to determine the relative contribution of patient factors and facility to explaining cost differences. Results There were 117,870 patients with heart failure, and their mean annual VA costs were $30,719 (SD=49,180) with more than half of their costs due to inpatient care. Patients at younger ages, of Hispanic or black race/ethnicity, diagnosed with comorbid drug use disorders, or who died during the year had the highest costs (all P<0.01). There was variation in costs by facility as mean adjusted costs ranged from approximately $15,000 to $48,000. In adjusted analyses patient factors alone explained more of the variation in health care costs (R2=0.116) compared to the facility where the patient was treated (R2=0.018). Conclusion A large variation in costs of heart failure patients was observed across facilities although this was explained largely by patient factors. Improving the efficiency of VA resource utilization may require increased scrutiny of high-cost patients to determine if adequate value is being delivered to those patients. PMID:26970829

Identifying Homelessness among Veterans Using VA Administrative Data: Opportunities to Expand Detection Criteria.

PubMed

Peterson, Rachel; Gundlapalli, Adi V; Metraux, Stephen; Carter, Marjorie E; Palmer, Miland; Redd, Andrew; Samore, Matthew H; Fargo, Jamison D

2015-01-01

Researchers at the U.S. Department of Veterans Affairs (VA) have used administrative criteria to identify homelessness among U.S. Veterans. Our objective was to explore the use of these codes in VA health care facilities. We examined VA health records (2002-2012) of Veterans recently separated from the military and identified as homeless using VA conventional identification criteria (ICD-9-CM code V60.0, VA specific codes for homeless services), plus closely allied V60 codes indicating housing instability. Logistic regression analyses examined differences between Veterans who received these codes. Health care services and co-morbidities were analyzed in the 90 days post-identification of homelessness. VA conventional criteria identified 21,021 homeless Veterans from Operations Enduring Freedom, Iraqi Freedom, and New Dawn (rate 2.5%). Adding allied V60 codes increased that to 31,260 (rate 3.3%). While certain demographic differences were noted, Veterans identified as homeless using conventional or allied codes were similar with regards to utilization of homeless, mental health, and substance abuse services, as well as co-morbidities. Differences were noted in the pattern of usage of homelessness-related diagnostic codes in VA facilities nation-wide. Creating an official VA case definition for homelessness, which would include additional ICD-9-CM and other administrative codes for VA homeless services, would likely allow improved identification of homeless and at-risk Veterans. This also presents an opportunity for encouraging uniformity in applying these codes in VA facilities nationwide as well as in other large health care organizations.

Identifying Homelessness among Veterans Using VA Administrative Data: Opportunities to Expand Detection Criteria

PubMed Central

Peterson, Rachel; Gundlapalli, Adi V.; Metraux, Stephen; Carter, Marjorie E.; Palmer, Miland; Redd, Andrew; Samore, Matthew H.; Fargo, Jamison D.

2015-01-01

Researchers at the U.S. Department of Veterans Affairs (VA) have used administrative criteria to identify homelessness among U.S. Veterans. Our objective was to explore the use of these codes in VA health care facilities. We examined VA health records (2002-2012) of Veterans recently separated from the military and identified as homeless using VA conventional identification criteria (ICD-9-CM code V60.0, VA specific codes for homeless services), plus closely allied V60 codes indicating housing instability. Logistic regression analyses examined differences between Veterans who received these codes. Health care services and co-morbidities were analyzed in the 90 days post-identification of homelessness. VA conventional criteria identified 21,021 homeless Veterans from Operations Enduring Freedom, Iraqi Freedom, and New Dawn (rate 2.5%). Adding allied V60 codes increased that to 31,260 (rate 3.3%). While certain demographic differences were noted, Veterans identified as homeless using conventional or allied codes were similar with regards to utilization of homeless, mental health, and substance abuse services, as well as co-morbidities. Differences were noted in the pattern of usage of homelessness-related diagnostic codes in VA facilities nation-wide. Creating an official VA case definition for homelessness, which would include additional ICD-9-CM and other administrative codes for VA homeless services, would likely allow improved identification of homeless and at-risk Veterans. This also presents an opportunity for encouraging uniformity in applying these codes in VA facilities nationwide as well as in other large health care organizations. PMID:26172386

Harbors.

DTIC Science & Technology

1981-07-01

CONTRACT OR GRANT NUMBER(e) Naval Facilities Engineering Command 200 Stovall Street r Alexandria, VA 22332 (Code 0453) s. PERFORMING ORGANIZATION NAME...AND ADDRESS 10. PROGRAM ELEMENT. PROJECT. TASK • Naval Facilities Engineering Command AREA & WORK UNIT NUMBERS < 200 Stovall Street Engineering and...Design Alexandria, VA 22332 It. CONTROLLING OFFICE NAME AND ADDRESS 12. REPORT DATE ~ Naval Facilities Engineering Command (Code10432) July 1981 200

“They’re Going to Die Anyway”: Smoking Shelters at Veterans’ Facilities

PubMed Central

Smith, Elizabeth A.; Malone, Ruth E.

2013-01-01

Military personnel and veterans are disadvantaged by inadequate tobacco control policies. We conducted a case study of a Department of Veterans Affairs (VA) effort to disallow smoking and tobacco sales in VA facilities. Despite strong VA support, the tobacco industry created a public relations–focused grassroots veterans’ opposition group, eventually pushing the US Congress to pass a law requiring smoking areas in every VA health facility. Arguing that it would be unpatriotic to deny veterans this “freedom” they had ostensibly fought for and that banning smoking could even harm veterans’ health, industry consultants exploited veterans’ organizations to protect tobacco industry profits. Civilian public health advocates should collaborate with veterans to expose the industry’s manipulation, reframe the debate, and repeal the law. PMID:23409899

Flight Display Integration

DTIC Science & Technology

2006-10-01

public, including foreign nationals. National Technical Information Service 5285 Port Royal Road, Springfield VA 22161 Federal Government...Technical Information Center 8725 John J. Kingman Rd., STE 0944, Ft Belvoir VA 22060-6218 TECHNICAL REVIEW AND APPROVAL AFRL-HE-WP-TR-2006...and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction

75 FR 24510 - Drug and Drug-Related Supply Promotion by Pharmaceutical Company Sales Representatives at VA...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-05

... VA facilities and the business relationships between VA staff and sales representatives promoting..., and provide sales representatives with a consistent standard of permissible business practice at VA... include suspension of a sales representative's access privileges, or, in extreme cases, denying access to...

Failed Rocket Payload Included Research Experiments

NASA Astrophysics Data System (ADS)

Showstack, Randy

2014-11-01

About an hour and a half before the launch of the Orbital Sciences Corporation's Antares rocket and Cygnus cargo spacecraft at 6:22 p.m. on 28 October, Jeff Goldstein arrived at his vantage point on Arbuckle Neck Road in Assawoman, Va. It was just 1.5 miles from launchpad 0A at NASA's Wallops Flight Facility. Goldstein, director of the National Center for Earth and Space Science Education (NCESSE) had come with about 35 elementary school through college students, as well as some parents, teachers, and school administrators, to watch the liftoff that would deliver the students' microgravity experiments to the International Space Station (ISS).

38 CFR 60.2 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 60.2 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) FISHER HOUSES... House which is a housing facility that is located at or near a VA health care facility, that is... donated to VA by the Zachary and Elizabeth M. Fisher Armed Services Foundation or Fisher House Foundation...

38 CFR 60.2 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 60.2 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) FISHER HOUSES... House which is a housing facility that is located at or near a VA health care facility, that is... donated to VA by the Zachary and Elizabeth M. Fisher Armed Services Foundation or Fisher House Foundation...

38 CFR 21.4235 - Programs of education that include flight training.

Code of Federal Regulations, 2010 CFR

2010-07-01

... DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Administration of Educational Assistance Programs Programs of Education § 21.4235 Programs of education that include flight... educational assistance for pursuit of flight training. See § 21.4263 for approval of flight courses for VA...

38 CFR 21.4235 - Programs of education that include flight training.

Code of Federal Regulations, 2011 CFR

2011-07-01

... DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Administration of Educational Assistance Programs Programs of Education § 21.4235 Programs of education that include flight... educational assistance for pursuit of flight training. See § 21.4263 for approval of flight courses for VA...

38 CFR 51.180 - Pharmacy services.

Code of Federal Regulations, 2010 CFR

2010-07-01

... consultation. The facility management must employ or obtain the services of a pharmacist licensed in a State in which the facility is located or a VA pharmacist under VA contract who— (1) Provides consultation on all... be reviewed at least once a month by a licensed pharmacist. (2) The pharmacist must report any...

38 CFR 51.180 - Pharmacy services.

Code of Federal Regulations, 2013 CFR

2013-07-01

... consultation. The facility management must employ or obtain the services of a pharmacist licensed in a State in which the facility is located or a VA pharmacist under VA contract who— (1) Provides consultation on all... be reviewed at least once a month by a licensed pharmacist. (2) The pharmacist must report any...

38 CFR 51.180 - Pharmacy services.

Code of Federal Regulations, 2012 CFR

2012-07-01

... consultation. The facility management must employ or obtain the services of a pharmacist licensed in a State in which the facility is located or a VA pharmacist under VA contract who— (1) Provides consultation on all... be reviewed at least once a month by a licensed pharmacist. (2) The pharmacist must report any...

38 CFR 51.180 - Pharmacy services.

Code of Federal Regulations, 2011 CFR

2011-07-01

... consultation. The facility management must employ or obtain the services of a pharmacist licensed in a State in which the facility is located or a VA pharmacist under VA contract who— (1) Provides consultation on all... be reviewed at least once a month by a licensed pharmacist. (2) The pharmacist must report any...

38 CFR 51.180 - Pharmacy services.

Code of Federal Regulations, 2014 CFR

2014-07-01

... consultation. The facility management must employ or obtain the services of a pharmacist licensed in a State in which the facility is located or a VA pharmacist under VA contract who— (1) Provides consultation on all... be reviewed at least once a month by a licensed pharmacist. (2) The pharmacist must report any...

38 CFR 60.4 - Application.

Code of Federal Regulations, 2012 CFR

2012-07-01

.... (Authority: 38 U.S.C. 501, 1708) (The Office of Management and Budget has approved the information collection... the VA health care facility of jurisdiction. This may be done by letter, electronic means (including telephone, e-mail, or facsimile), or in person at the VA health care facility of jurisdiction. The veteran...

75 FR 17832 - Proposed Information Collection (Monthly Certification of Flight Training) Activity: Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-07

... (Monthly Certification of Flight Training) Activity: Comment Request AGENCY: Veterans Benefits... to ensure that the amount of benefits payable to a student pursuing flight training is correct. DATES.... Title: Monthly Certification of Flight Training, VA Form 22-6553c. OMB Control Number: 2900-0162. Type...

Determinants of Contraceptive Availability at Medical Facilities in the Department of Veterans Affairs

PubMed Central

Cope, Jacqueline R; Yano, Elizabeth M; Lee, Martin L; Washington, Donna L

2006-01-01

OBJECTIVE To describe the variation in provision of hormonal and intrauterine contraception among Veterans Affairs (VA) facilities. DESIGN Key informant, cross-sectional survey of 166 VA medical facilities. Data from public use data sets and VA administrative databases were linked to facility data to further characterize their contextual environments. PARTICIPANTS All VA hospital-based and affiliated community-based outpatient clinics delivering services to at least 400 unique women during fiscal year 2000. MEASUREMENTS Onsite availability of hormonal contraceptive prescription and intrauterine device (IUD) placement. RESULTS Ninety-seven percent of facilities offered onsite prescription and management of hormonal contraception whereas 63% offered placement of IUDs. After adjusting for facility caseload of reproductive-aged women, 3 organizational factors were independently associated with onsite IUD placement: (1) onsite gynecologist (adjusted odds ratio [OR], 20.35; 95% confidence interval [CI], 7.02 to 58.74; P<.001); (2) hospital-based in contrast to community-based practice (adjusted OR, 5.49; 95% CI, 1.16 to 26.10; P=.03); and (3) availability of a clinician providing women's health training to other clinicians (adjusted OR, 3.40; 95% CI 1.19 to 9.76; P=.02). CONCLUSIONS VA's provision of hormonal and intrauterine contraception is in accordance with community standards, although onsite availability is not universal. Although contraception is a crucial component of a woman's health maintenance, her ability to obtain certain contraceptives from the facility where she obtains her primary care is largely influenced by the availability of a gynecologist. Further research is needed to determine how fragmentation of women's care into reproductive and nonreproductive services impacts access to contraception and the incidence of unintended pregnancy. PMID:16637943

Bringing the war back home: mental health disorders among 103,788 US veterans returning from Iraq and Afghanistan seen at Department of Veterans Affairs facilities.

PubMed

Seal, Karen H; Bertenthal, Daniel; Miner, Christian R; Sen, Saunak; Marmar, Charles

2007-03-12

Veterans of Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) have endured high combat stress and are eligible for 2 years of free military service-related health care through the Department of Veterans Affairs (VA) health care system, yet little is known about the burden and clinical circumstances of mental health diagnoses among OEF/OIF veterans seen at VA facilities. US veterans separated from OEF/OIF military service and first seen at VA health care facilities between September 30, 2001 (US invasion of Afghanistan), and September 30, 2005, were included. Mental health diagnoses and psychosocial problems were assessed using International Classification of Diseases, Ninth Revision, Clinical Modification codes. The prevalence and clinical circumstances of and subgroups at greatest risk for mental health disorders are described herein. Of 103 788 OEF/OIF veterans seen at VA health care facilities, 25 658 (25%) received mental health diagnosis(es); 56% of whom had 2 or more distinct mental health diagnoses. Overall, 32 010 (31%) received mental health and/or psychosocial diagnoses. Mental health diagnoses were detected soon after the first VA clinic visit (median of 13 days), and most initial mental health diagnoses (60%) were made in nonmental health clinics, mostly primary care settings. The youngest group of OEF/OIF veterans (age, 18-24 years) were at greatest risk for receiving mental health or posttraumatic stress disorder diagnoses compared with veterans 40 years or older. Co-occurring mental health diagnoses and psychosocial problems were detected early and in primary care medical settings in a substantial proportion of OEF/OIF veterans seen at VA facilities. Targeted early detection and intervention beginning in primary care settings are needed to prevent chronic mental illness and disability.

76 FR 59502 - Establishment of Class E Airspace; Gordonsville, VA

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-27

... at Gordonsville, VA, to accommodate the new Standard Instrument Approach Procedures serving Gordonsville Municipal Airport. This action enhances the safety and airspace management of Instrument Flight... approach procedures developed for Gordonsville Municipal Airport. This action is necessary for the safety...

VA and DOD Health Care: Department-Level Actions Needed to Assess Collaboration Performance, Address Barriers, and Identify Opportunities

DTIC Science & Technology

2012-09-01

approximately 150 hospitals, 130 nursing homes, 800 community-based outpatient clinics, as well as other facilities to provide care to veterans. VA also...receive care and have to return for rescheduled appointments. Such missed appointments can lead to lost revenue for the military treatment facility

38 CFR 17.71 - Revocation of VA approval.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Community Residential Care § 17.71 Revocation of VA approval. (a) If a hearing official determines under § 17.70 of this part that a community residential care facility does not comply with the standards set forth in § 17.63 of this part and determines that the community residential care facility shall not have...

76 FR 71442 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-17

... DEPARTMENT OF VETERANS AFFAIRS Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development of a Skilled and Intermediate Nursing Home Care Facility in Mather... construct, renovate, operate, and maintain a permanent long-term care facility (skilled nursing home and...

76 FR 34576 - Amendment of Class E Airspace; Waynesboro, VA

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-14

... Waynesboro, VA, to accommodate the additional airspace need for the Standard Instrument Approach Procedures developed for Eagle's Nest Airport. This action enhances the safety and management of Instrument Flight... upward from 700 feet above the surface to accommodate new standard instrument approach procedures...

Accessing VA Healthcare During Large-Scale Natural Disasters.

PubMed

Der-Martirosian, Claudia; Pinnock, Laura; Dobalian, Aram

2017-01-01

Natural disasters can lead to the closure of medical facilities including the Veterans Affairs (VA), thus impacting access to healthcare for U.S. military veteran VA users. We examined the characteristics of VA patients who reported having difficulty accessing care if their usual source of VA care was closed because of natural disasters. A total of 2,264 veteran VA users living in the U.S. northeast region participated in a 2015 cross-sectional representative survey. The study used VA administrative data in a complex stratified survey design with a multimode approach. A total of 36% of veteran VA users reported having difficulty accessing care elsewhere, negatively impacting the functionally impaired and lower income VA patients.

38 CFR 26.8 - Assistance to applicants.

Code of Federal Regulations, 2010 CFR

2010-07-01

... improvement of state veterans' health care facilities or cemeteries. (c) Public notices or other means used to... provided to non-VA groups, VA element affected will initiate the NEPA process pursuant to these regulations... process and ensure compliance with VA environmental program. The environmental documents prepared by the...

Enhanced health event detection and influenza surveillance using a joint Veterans Affairs and Department of Defense biosurveillance application.

PubMed

Lucero, Cynthia A; Oda, Gina; Cox, Kenneth; Maldonado, Frank; Lombardo, Joseph; Wojcik, Richard; Holodniy, Mark

2011-09-19

The establishment of robust biosurveillance capabilities is an important component of the U.S. strategy for identifying disease outbreaks, environmental exposures and bioterrorism events. Currently, U.S. Departments of Defense (DoD) and Veterans Affairs (VA) perform biosurveillance independently. This article describes a joint VA/DoD biosurveillance project at North Chicago-VA Medical Center (NC-VAMC). The Naval Health Clinics-Great Lakes facility physically merged with NC-VAMC beginning in 2006 with the full merger completed in October 2010 at which time all DoD care and medical personnel had relocated to the expanded and remodeled NC-VAMC campus and the combined facility was renamed the Lovell Federal Health Care Center (FHCC). The goal of this study was to evaluate disease surveillance using a biosurveillance application which combined data from both populations. A retrospective analysis of NC-VAMC/Lovell FHCC and other Chicago-area VAMC data was performed using the ESSENCE biosurveillance system, including one infectious disease outbreak (Salmonella/Taste of Chicago-July 2007) and one weather event (Heat Wave-July 2006). Influenza-like-illness (ILI) data from these same facilities was compared with CDC/Illinois Sentinel Provider and Cook County ESSENCE data for 2007-2008. Following consolidation of VA and DoD facilities in North Chicago, median number of visits more than doubled, median patient age dropped and proportion of females rose significantly in comparison with the pre-merger NC-VAMC facility. A high-level gastrointestinal alert was detected in July 2007, but only low-level alerts at other Chicago-area VAMCs. Heat-injury alerts were triggered for the merged facility in June 2006, but not at the other facilities. There was also limited evidence in these events that surveillance of the combined population provided utility above and beyond the VA-only and DoD-only components. Recorded ILI activity for NC-VAMC/Lovell FHCC was more pronounced in the DoD component, likely due to pediatric data in this population. NC-VAMC/Lovell FHCC had two weeks of ILI activity exceeding both the Illinois State and East North Central Regional baselines, whereas Hines VAMC had one and Jesse Brown VAMC had zero. Biosurveillance in a joint VA/DoD facility showed potential utility as a tool to improve surveillance and situational awareness in an area with Veteran, active duty and beneficiary populations. Based in part on the results of this pilot demonstration, both agencies have agreed to support the creation of a combined VA/DoD ESSENCE biosurveillance system which is now under development.

78 FR 66803 - Privacy Act of 1974; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-06

... information to appropriate agencies, entities, or persons when VA suspects or has confirmed that the integrity...; tracking information as to file location and employee productivity information. Material in this system... to alert them to the presence of dangerous persons in VA facilities or at VA activities conducted in...

38 CFR 17.66 - Notice of noncompliance with VA standards.

Code of Federal Regulations, 2010 CFR

2010-07-01

... AFFAIRS MEDICAL Community Residential Care § 17.66 Notice of noncompliance with VA standards. If the hearing official determines that an approved community residential care facility does not comply with the... standards must be met in order to avoid revocation of VA approval; (c) The community residential care...

Developing Ideal Student and Residency Programs.

ERIC Educational Resources Information Center

Selvin, Gerald J.

1993-01-01

The Veterans Administration (VA) is a primary educator of optometry students, with each college of optometry being affiliated with at least one VA hospital. Ideally, fourth-year optometry students rotate through a specific VA facility for about 12 weeks. Guidelines are designed to provide optimum care in a rich learning environment. (MSE)

Initial Results from the Survey of Organizational Research Climates (SOuRCe) in the U.S. Department of Veterans Affairs Healthcare System.

PubMed

Martinson, Brian C; Nelson, David; Hagel-Campbell, Emily; Mohr, David; Charns, Martin P; Bangerter, Ann; Thrush, Carol R; Ghilardi, Joseph R; Bloomfield, Hanna; Owen, Richard; Wells, James A

2016-01-01

In service to its core mission of improving the health and well-being of veterans, Veterans Affairs (VA) leadership is committed to supporting research best practices in the VA. Recognizing that the behavior of researchers is influenced by the organizational climates in which they work, efforts to assess the integrity of research climates and share such information with research leadership in VA may be one way to support research best practices. The Survey of Organizational Research Climate (SOuRCe) is the first validated survey instrument specifically designed to assess the organizational climate of research integrity in academic research organizations. The current study reports on an initiative to use the SOuRCe in VA facilities to characterize the organizational research climates and pilot test the effectiveness of using SOuRCe data as a reporting and feedback intervention tool. We administered the SOuRCe using a cross-sectional, online survey, with mailed follow-up to non-responders, of research-engaged employees in the research services of a random selection of 42 VA facilities (e.g., Hospitals/Stations) believed to employ 20 or more research staff. We attained a 51% participation rate, yielding more than 5,200 usable surveys. We found a general consistency in organizational research climates across a variety of sub-groups in this random sample of research services in the VA. We also observed similar SOuRCe scale score means, relative rankings of these scales and their internal reliability, in this VA-based sample as we have previously documented in more traditional academic research settings. Results also showed more substantial variability in research climate scores within than between facilities in the VA research service as reflected in meaningful subgroup differences. These findings suggest that the SOuRCe is suitable as an instrument for assessing the research integrity climates in VA and that the tool has similar patterns of results that have been observed in more traditional academic research settings. The local and specific nature of organizational climates in VA research services, as reflected in variability across sub-groups within individual facilities, has important policy implications. Global, "one-size-fits-all" type initiatives are not likely to yield as much benefit as efforts targeted to specific organizational units or sub-groups and tailored to the specific strengths and weaknesses documented in those locations.

The Veterans Administration Library Network: VALNET.

PubMed Central

van Vuren, D D

1982-01-01

Given substantial federal budget cuts and ever-increasing quantities of print and nonprint material, Veterans Administration (VA) Library Services have pooled their resources in a network to improve the scope and efficiency of the services they provide. The VA Library Network, VALNET, composed of 176 libraries, serves health care facilities throughout the continental United States and Puerto Rico. This paper outlines VALNET's organization and the range of individual VA Library Services. It also describes centrally provided services and resource-sharing tools being developed by the VA, as well as significant sharing arrangement among VA Library Services and between the VA and non-VA libraries. PMID:7052164

38 CFR 17.1006 - Decisionmakers.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Reimbursement for Emergency Services for Nonservice-Connected Conditions in Non-Va Facilities § 17.1006 Decisionmakers. The Chief of the Health Administration Service or an equivalent official at the VA medical...

38 CFR 17.1006 - Decisionmakers.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Reimbursement for Emergency Services for Nonservice-Connected Conditions in Non-Va Facilities § 17.1006 Decisionmakers. The Chief of the Health Administration Service or an equivalent official at the VA medical...

38 CFR 17.1006 - Decisionmakers.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Reimbursement for Emergency Services for Nonservice-Connected Conditions in Non-Va Facilities § 17.1006 Decisionmakers. The Chief of the Health Administration Service or an equivalent official at the VA medical...

75 FR 63120 - Release of Information From Department of Veterans Affairs Records

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-14

... information concerning the procedures for obtaining a copy of VA's Annual Report. 1.553 Public Reading Rooms... public for inspection and copying; and (3) that public reading facilities will be maintained by VA... that VA maintains a public reading room electronically at its FOIA home page on the Internet, which...

75 FR 33216 - Payment or Reimbursement for Emergency Treatment Furnished by Non-VA Providers in Non-VA...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-11

... treatment of eligible veterans at non-VA facilities and expand the circumstances under which payment for..., potentially eligible veterans would be appropriately afforded ample opportunity to qualify for this expanded...; 64.010, Veterans Nursing Home Care; and 64.011, Veterans Dental Care. Signing Authority The Secretary...

VA Construction: Improved Processes Needed to Monitor Contract Modifications, Develop Schedules, and Estimate Costs

DTIC Science & Technology

2017-03-01

address challenges in managing projects to build medical facilities. In response to statutory requirements and additional congressional direction, VA...is outsourcing management of certain such projects to the U.S. Army Corps of Engineers (USACE). As of October 2016, VA had 23 ongoing projects...costing $100 million or more. VA and USACE have entered into interagency agreements for 12 of these 23 projects. The agreements entail USACE’s managing

Comparing Catheter-Associated Urinary Tract Infection Prevention Programs Between Veterans Affairs Nursing Homes and Non-Veterans Affairs Nursing Homes.

PubMed

Mody, Lona; Greene, M Todd; Saint, Sanjay; Meddings, Jennifer; Trautner, Barbara W; Wald, Heidi L; Crnich, Christopher; Banaszak-Holl, Jane; McNamara, Sara E; King, Beth J; Hogikyan, Robert; Edson, Barbara S; Krein, Sarah L

2017-03-01

OBJECTIVE The impact of healthcare system integration on infection prevention programs is unknown. Using catheter-associated urinary tract infection (CAUTI) prevention as an example, we hypothesize that US Department of Veterans Affairs (VA) nursing homes have a more robust infection prevention infrastructure due to integration and centralization compared with non-VA nursing homes. SETTING VA and non-VA nursing homes participating in the AHRQ Safety Program for Long-Term Care collaborative. METHODS Nursing homes provided baseline information about their infection prevention programs to assess strengths and gaps related to CAUTI prevention via a needs assessment questionnaire. RESULTS A total of 353 of 494 nursing homes from 41 states (71%; 47 VA and 306 non-VA facilities) responded. VA nursing homes reported more hours per week devoted to infection prevention-related activities (31 vs 12 hours; P<.001) and were more likely to have committees that reviewed healthcare-associated infections. Compared with non-VA facilities, a higher percentage of VA nursing homes reported tracking CAUTI rates (94% vs 66%; P<.001), sharing CAUTI data with leadership (94% vs 70%; P=.014) and with nursing personnel (85% vs 56%, P=.003). However, fewer VA nursing homes reported having policies for appropriate catheter use (64% vs 81%; P=.004) and catheter insertion (83% vs 94%; P=.004). CONCLUSIONS Among nursing homes participating in an AHRQ-funded collaborative, VA and non-VA nursing homes differed in their approach to CAUTI prevention. Best practices from both settings should be applied universally to create an optimal infection prevention program within emerging integrated healthcare systems. Infect Control Hosp Epidemiol 2017;38:287-293.

Flight Testing an Integrated Synthetic Vision System

NASA Technical Reports Server (NTRS)

Kramer, Lynda J.; Arthur, Jarvis J., III; Bailey, Randall E.; Prinzel, Lawrence J., III

2005-01-01

NASA's Synthetic Vision Systems (SVS) project is developing technologies with practical applications to eliminate low visibility conditions as a causal factor to civil aircraft accidents while replicating the operational benefits of clear day flight operations, regardless of the actual outside visibility condition. A major thrust of the SVS project involves the development/demonstration of affordable, certifiable display configurations that provide intuitive out-the-window terrain and obstacle information with advanced pathway guidance for transport aircraft. The SVS concept being developed at NASA encompasses the integration of tactical and strategic Synthetic Vision Display Concepts (SVDC) with Runway Incursion Prevention System (RIPS) alerting and display concepts, real-time terrain database integrity monitoring equipment (DIME), and Enhanced Vision Systems (EVS) and/or improved Weather Radar for real-time object detection and database integrity monitoring. A flight test evaluation was jointly conducted (in July and August 2004) by NASA Langley Research Center and an industry partner team under NASA's Aviation Safety and Security, Synthetic Vision System project. A Gulfstream GV aircraft was flown over a 3-week period in the Reno/Tahoe International Airport (NV) local area and an additional 3-week period in the Wallops Flight Facility (VA) local area to evaluate integrated Synthetic Vision System concepts. The enabling technologies (RIPS, EVS and DIME) were integrated into the larger SVS concept design. This paper presents experimental methods and the high level results of this flight test.

Enhanced health event detection and influenza surveillance using a joint Veterans Affairs and Department of Defense biosurveillance application

PubMed Central

2011-01-01

Background The establishment of robust biosurveillance capabilities is an important component of the U.S. strategy for identifying disease outbreaks, environmental exposures and bioterrorism events. Currently, U.S. Departments of Defense (DoD) and Veterans Affairs (VA) perform biosurveillance independently. This article describes a joint VA/DoD biosurveillance project at North Chicago-VA Medical Center (NC-VAMC). The Naval Health Clinics-Great Lakes facility physically merged with NC-VAMC beginning in 2006 with the full merger completed in October 2010 at which time all DoD care and medical personnel had relocated to the expanded and remodeled NC-VAMC campus and the combined facility was renamed the Lovell Federal Health Care Center (FHCC). The goal of this study was to evaluate disease surveillance using a biosurveillance application which combined data from both populations. Methods A retrospective analysis of NC-VAMC/Lovell FHCC and other Chicago-area VAMC data was performed using the ESSENCE biosurveillance system, including one infectious disease outbreak (Salmonella/Taste of Chicago-July 2007) and one weather event (Heat Wave-July 2006). Influenza-like-illness (ILI) data from these same facilities was compared with CDC/Illinois Sentinel Provider and Cook County ESSENCE data for 2007-2008. Results Following consolidation of VA and DoD facilities in North Chicago, median number of visits more than doubled, median patient age dropped and proportion of females rose significantly in comparison with the pre-merger NC-VAMC facility. A high-level gastrointestinal alert was detected in July 2007, but only low-level alerts at other Chicago-area VAMCs. Heat-injury alerts were triggered for the merged facility in June 2006, but not at the other facilities. There was also limited evidence in these events that surveillance of the combined population provided utility above and beyond the VA-only and DoD-only components. Recorded ILI activity for NC-VAMC/Lovell FHCC was more pronounced in the DoD component, likely due to pediatric data in this population. NC-VAMC/Lovell FHCC had two weeks of ILI activity exceeding both the Illinois State and East North Central Regional baselines, whereas Hines VAMC had one and Jesse Brown VAMC had zero. Conclusions Biosurveillance in a joint VA/DoD facility showed potential utility as a tool to improve surveillance and situational awareness in an area with Veteran, active duty and beneficiary populations. Based in part on the results of this pilot demonstration, both agencies have agreed to support the creation of a combined VA/DoD ESSENCE biosurveillance system which is now under development. PMID:21929813

77 FR 12997 - Drug and Drug-Related Supply Promotion by Pharmaceutical Company Representatives at VA Facilities

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-05

... reduce or eliminate any potential for disruption in the patient care environment, manage activities and... activities that VA staff would otherwise perform during duty hours, including patient care and other... important that VA be able to limit the effects of such promotion on patient care. Again, we make no changes...

Airborne radar and radiometer experiment for quantitative remote measurements of rain

NASA Technical Reports Server (NTRS)

Kozu, Toshiaki; Meneghini, Robert; Boncyk, Wayne; Wilheit, Thomas T.; Nakamura, Kenji

1989-01-01

An aircraft experiment has been conducted with a dual-frequency (10 GHz and 35 GHz) radar/radiometer system and an 18-GHz radiometer to test various rain-rate retrieval algorithms from space. In the experiment, which took place in the fall of 1988 at the NASA Wallops Flight Facility, VA, both stratiform and convective storms were observed. A ground-based radar and rain gauges were also used to obtain truth data. An external radar calibration is made with rain gauge data, thereby enabling quantitative reflectivity measurements. Comparisons between path attenuations derived from the surface return and from the radar reflectivity profile are made to test the feasibility of a technique to estimate the raindrop size distribution from simultaneous radar and path-attenuation measurements.

Initial Results from the Survey of Organizational Research Climates (SOuRCe) in the U.S. Department of Veterans Affairs Healthcare System

PubMed Central

Martinson, Brian C.; Nelson, David; Hagel-Campbell, Emily; Mohr, David; Charns, Martin P.; Bangerter, Ann; Thrush, Carol R.; Ghilardi, Joseph R.; Bloomfield, Hanna; Owen, Richard; Wells, James A.

2016-01-01

Background In service to its core mission of improving the health and well-being of veterans, Veterans Affairs (VA) leadership is committed to supporting research best practices in the VA. Recognizing that the behavior of researchers is influenced by the organizational climates in which they work, efforts to assess the integrity of research climates and share such information with research leadership in VA may be one way to support research best practices. The Survey of Organizational Research Climate (SOuRCe) is the first validated survey instrument specifically designed to assess the organizational climate of research integrity in academic research organizations. The current study reports on an initiative to use the SOuRCe in VA facilities to characterize the organizational research climates and pilot test the effectiveness of using SOuRCe data as a reporting and feedback intervention tool. Methods We administered the SOuRCe using a cross-sectional, online survey, with mailed follow-up to non-responders, of research-engaged employees in the research services of a random selection of 42 VA facilities (e.g., Hospitals/Stations) believed to employ 20 or more research staff. We attained a 51% participation rate, yielding more than 5,200 usable surveys. Results We found a general consistency in organizational research climates across a variety of sub-groups in this random sample of research services in the VA. We also observed similar SOuRCe scale score means, relative rankings of these scales and their internal reliability, in this VA-based sample as we have previously documented in more traditional academic research settings. Results also showed more substantial variability in research climate scores within than between facilities in the VA research service as reflected in meaningful subgroup differences. These findings suggest that the SOuRCe is suitable as an instrument for assessing the research integrity climates in VA and that the tool has similar patterns of results that have been observed in more traditional academic research settings. Conclusions The local and specific nature of organizational climates in VA research services, as reflected in variability across sub-groups within individual facilities, has important policy implications. Global, “one-size-fits-all” type initiatives are not likely to yield as much benefit as efforts targeted to specific organizational units or sub-groups and tailored to the specific strengths and weaknesses documented in those locations. PMID:26967736

Leading causes of cardiovascular hospitalization in 8.45 million US veterans

PubMed Central

Krishnamurthi, Nirupama; Francis, Joseph; Fihn, Stephan D.; Meyer, Craig S.

2018-01-01

Background We sought to determine the leading causes of cardiovascular (CV) hospitalization, and to describe and compare national rates of CV hospitalization by age, gender, race, ethnicity, region, and year, among U.S. veterans. Methods We evaluated the electronic health records of all veterans aged ≥18 years who had accessed any healthcare services at either a VA healthcare facility or a non-VA healthcare facility that was reimbursed by the VA, between January 1 2010 and December 31 2014. Among these 8,452,912 patients, we identified the 5 leading causes of CV hospitalization and compared rates of hospitalization by age, gender, race, ethnicity, region, year and type of VA healthcare user. Results The top 5 causes of CV hospitalization were: coronary atherosclerosis, heart failure, acute myocardial infarction, stroke and atrial fibrillation. Overall, 297,373 (3.5%) veterans were hospitalized for one or more of these cardiovascular conditions. The percentage of veterans hospitalized for one or more of these CV conditions decreased over time, from 1.23% in 2010 to 1.18% in 2013, followed by a slight increase to 1.20% in 2014. There was significant variation in rates of CV hospitalization by gender, race, ethnicity, geographic region, and urban vs. rural zip code. In particular, older, male, Black, non-Hispanic, urban and Continental region veterans experienced the highest rates of CV hospitalizations. Conclusions Among 8.5 million patients enrolled in the VA healthcare system from 2010 to 2014, there was substantial variation in rates of CV hospitalization by age, gender, race, geographical distribution, year, and use of non-VA (vs. VA only) healthcare care facilities. PMID:29566396

Biologically-Inspired Anisotropic Flexible Wing for Optimal Flapping Flight

DTIC Science & Technology

2013-07-01

AFRL-OSR-VA-TR-2013-0400 Biologically-Inspired, Anisotropic Flexible Wing for Optimal Flapping Flight Luis Bernal, Wei Shyy...Final Report Contract Number: FA9550-07-1-0547 Biologically-Inspired, Anisotropic Flexible Wing for Optimal Flapping Flight University of...minimize power consumption; 2. The interactions of unsteady aerodynamic loading with flexible structures; 3. Flexible , light-weight, multifunctional

78 FR 72753 - Notice of Funds Availability for Grants for Transportation of Veterans in Highly Rural Areas...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-03

... June 9, 2013 through September 9, 2013, 4 p.m. eastern standard time. The NOFA includes eligibility and... services to travel to VA and non-VA facilities and otherwise assist in providing transportation services in connection with the provision of VA medical care. To allow applicants more time to complete the application...

76 FR 35950 - Agency Information Collection Activity (Living Will and Durable Power of Attorney for Health Care...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-20

... (Living Will and Durable Power of Attorney for Health Care) Under OMB Review AGENCY: Department of... INFORMATION Title: Living Will and Durable Power of Attorney for Health Care, VA Form 10-0137. OMB Control... admitted to a VA medical facility complete VA Form 10-0137 to appoint a health care agent to make decision...

VA Health Care: Improved Monitoring Needed for Effective Oversight of Care for Women Veterans

DTIC Science & Technology

2016-12-01

November 2014. VHA officials also said that after reviewing information from sources such as veteran surveys and feedback from regional VA business...authorizations for care (of both men and women) from early calendar year 2016. In one case, almost a month and a half elapsed from the time of the...veteran’s initial pregnancy confirmation appointment at VA (when she was 6 weeks pregnant) to when the Choice authorization was sent by the VA facility to

Impact of low altitude coverage requirements on air-ground communications

NASA Astrophysics Data System (ADS)

Magenheim, B.

1981-03-01

A representative area of Appalachia surrounding Charleston, West Virginia is analyzed in terms of existing helicopter traffic patterns and communications facilities. Traffic patterns were established from telephone interviews with pilots flying this area regularly. Communications coverage was established from computer generated coverage contours obtained from the Electromagnetic Compatibility Analysis Center (ECAC) and verified by pilot interviews and one flight test (as reported by the FAA Technical Center). Techniques for improving coverage are discussed. These include two new remote communication outlets located in the mountains west and south of Beckley, W. Va., a high gain antenna at Charleston pointed in a southerly direction, the use of mobile radio telephone to permit pilots to access nearby telephone facilities when on the ground at a remote site, short range less than 150 miles, hf radio, and a discrete frequency for exclusive use by low-flying aircraft. FAA activities directed at improving communications to helicopter flying to and from offshore oil and gas platforms in the Gulf of Mexico is presented in an Appendix.

Projectile Follower System.

DTIC Science & Technology

1986-12-01

HALSTEAD, "The Flight Follower - a Device for the Cinematography of Objects in Rapid Transitional Flight’, 6th International Congress High Speed...Photography, Hague, 1962. 3. Fuller, P.W.W., ’The Flight Follower - a Device for Cinematography ef Objects in Rapid Transitional Flight’, RARDE Paper presented...5 Ames Research Center Alexandria, VA 22304-6145 Moffett Field, CA 94035-1099 HQDA 1 Commander DANA- ART -M US Army Communications- Washington, DC

Organization of nursing and quality of care for veterans at the end of life.

PubMed

Kutney-Lee, Ann; Brennan, Caitlin W; Meterko, Mark; Ersek, Mary

2015-03-01

The Veterans Health Administration (VA) has improved the quality of end-of-life (EOL) care over the past several years. Several structural and process variables are associated with better outcomes. Little is known, however, about the relationship between the organization of nursing care and EOL outcomes. To examine the association between the organization of nursing care, including the nurse work environment and nurse staffing levels, and quality of EOL care in VA acute care facilities. Secondary analysis of linked data from the Bereaved Family Survey (BFS), electronic medical record, administrative data, and the VA Nursing Outcomes Database. The sample included 4908 veterans who died in one of 116 VA acute care facilities nationally between October 2010 and September 2011. Unadjusted and adjusted generalized estimating equations were used to examine associations between nursing and BFS outcomes. BFS respondents were 17% more likely to give an excellent overall rating of the quality of EOL care received by the veteran in facilities with better nurse work environments (P ≤ 0.05). The nurse work environment also was a significant predictor of providers listening to concerns and providing desired treatments. Nurse staffing was significantly associated with an excellent overall rating, alerting of the family before death, attention to personal care needs, and the provision of emotional support after the patient's death. Improvement of the nurse work environment and nurse staffing in VA acute care facilities may result in enhanced quality of care received by hospitalized veterans at the EOL. Copyright © 2015 American Academy of Hospice and Palliative Medicine. All rights reserved.

The quality of feeding assistance care practices for long-term care veterans: implications for quality improvement efforts.

PubMed

Simmons, Sandra F; Sims, Nichole; Durkin, Daniel W; Shotwell, Matthew S; Erwin, Scott; Schnelle, John F

2013-09-01

The primary purpose of this study was to determine the quality of feeding assistance care and identify areas in need of improvement for a sample of long-term care veterans. A secondary purpose was to compare these findings with the results of previous studies in community facilities to determine ways in which the VA sample might differ. A repeated measures observational study was conducted in two VA facilities with 200 long-stay residents. Research staff conducted standardized observations during and between meals for 3 months. There was a trend for better feeding assistance care quality during meals in the VA sample, but there were still multiple aspects of care in need of improvement both during and between meals. Higher licensed nurse staffing levels in the VA should enable effective supervision and management, but observation-based measures of care quality are necessary for accurate information about daily feeding assistance care provision.

CARI NAIRAS: Calculating Flight Doses from NAIRAS Data using CARI

DTIC Science & Technology

2014-12-01

Oklahoma City, Oklahoma 73125 Christopher Mertens Langley Research Center National Aeronautics and Space Administration Hampton, VA 23681 December...OK 73125 2National Aeronautics and Space Administration Langley Research Center Hampton, VA 23681 11. Contract or Grant No. 12...information the software provides is also used by research scientists to investigate health effects of chronic exposure to low levels of ionizing

76 FR 8571 - Federal Property Suitable as Facilities To Assist the Homeless

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-14

... sanitary facilities, exact street address), providers should contact the appropriate landholding agencies... sanitary or heating facilities, Natl Register of Historic Places Bldg. 10 Property Number: 97199810002 VA...

38 CFR 14.627 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... functioning representative of another organization. (k) Facilities means equipment and furnishings that... claimants: (a) Accreditation means the authority granted by VA to representatives, agents, and attorneys to... of original jurisdiction means the VA activity or administration that made the initial determination...

Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans Health Administration.

PubMed

Brennan, Penny L; Del Re, Aaron C; Henderson, Patricia T; Trafton, Jodie A

2016-12-01

This study provides an example of how healthcare system-wide progress in implementation of opioid-therapy guideline recommendations can be longitudinally assessed and then related to subsequent opioid-prescribed patient health and safety outcomes. Using longitudinal linear mixed effects analyses, we determined that in the Department of Veterans Affairs (VA) healthcare system (n = 141 facilities), over the 4-year interval from 2010 to 2013, a key opioid therapy guideline recommendation, urine drug screening (UDS), increased from 29 to 42 %, with an average within-facility increase rate of 4.5 % per year. Higher levels of UDS implementation from 2010 to 2013 were associated with lower risk of suicide and drug overdose events among VA opioid-prescribed patients in 2013, even after adjusting for patients' 2012 demographic characteristics and medical and mental health comorbidities. Findings suggest that VA clinicians and healthcare policymakers have been responsive to the 2010 VA/Department of Defense (DOD) UDS treatment guideline recommendation, resulting in improved patient safety for VA opioid-prescribed patients.

Multimethod evaluation of the VA's peer-to-peer Toolkit for patient-centered medical home implementation.

PubMed

Luck, Jeff; Bowman, Candice; York, Laura; Midboe, Amanda; Taylor, Thomas; Gale, Randall; Asch, Steven

2014-07-01

Effective implementation of the patient-centered medical home (PCMH) in primary care practices requires training and other resources, such as online toolkits, to share strategies and materials. The Veterans Health Administration (VA) developed an online Toolkit of user-sourced tools to support teams implementing its Patient Aligned Care Team (PACT) medical home model. To present findings from an evaluation of the PACT Toolkit, including use, variation across facilities, effect of social marketing, and factors influencing use. The Toolkit is an online repository of ready-to-use tools created by VA clinic staff that physicians, nurses, and other team members may share, download, and adopt in order to more effectively implement PCMH principles and improve local performance on VA metrics. Multimethod evaluation using: (1) website usage analytics, (2) an online survey of the PACT community of practice's use of the Toolkit, and (3) key informant interviews. Survey respondents were PACT team members and coaches (n = 544) at 136 VA facilities. Interview respondents were Toolkit users and non-users (n = 32). For survey data, multivariable logistic models were used to predict Toolkit awareness and use. Interviews and open-text survey comments were coded using a "common themes" framework. The Consolidated Framework for Implementation Research (CFIR) guided data collection and analyses. The Toolkit was used by 6,745 staff in the first 19 months of availability. Among members of the target audience, 80 % had heard of the Toolkit, and of those, 70 % had visited the website. Tools had been implemented at 65 % of facilities. Qualitative findings revealed a range of user perspectives from enthusiastic support to lack of sufficient time to browse the Toolkit. An online Toolkit to support PCMH implementation was used at VA facilities nationwide. Other complex health care organizations may benefit from adopting similar online peer-to-peer resource libraries.

Elective surgical case cancellation in the Veterans Health Administration system: identifying areas for improvement.

PubMed

Argo, Joshua L; Vick, Catherine C; Graham, Laura A; Itani, Kamal M F; Bishop, Michael J; Hawn, Mary T

2009-11-01

This study evaluated elective surgical case cancellation (CC) rates, reasons for these cancellations, and identified areas for improvement within the Veterans Health Administration (VA) system. CC data for 2006 were collected from the scheduling software for 123 VA facilities. Surveys were distributed to 40 facilities (10 highest and 10 lowest CC rates for high- and low-volume facilities). CC reasons were standardized and piloted at 5 facilities. Of 329,784 cases scheduled by 9 surgical specialties, 40,988 (12.4%) were cancelled. CC reasons (9,528) were placed into 6 broad categories: patient (35%), work-up/medical condition change (28%), facility (20%), surgeon (8%), anesthesia (1%), and miscellaneous (8%). Survey results show areas for improvement at the facility level and a standardized list of 28 CC reasons was comprehensive. Interventions that decrease cancellations caused by patient factors, inadequate work-up, and facility factors are needed to reduce overall elective surgical case cancellations.

Empirical-Based Typology of Health Care Utilization by Medicare Eligible Veterans.

PubMed

Vaughan Sarrazin, Mary; Rosenthal, Gary E; Turvey, Carolyn L

2018-06-12

Up to 70 percent of patients who receive care through Veterans Health Administration (VHA) facilities also receive care from non-VA providers. Using applied classification techniques, this study sought to improve understanding of how elderly VA patients use VA services and complementary use of non-VA care. The study included 1,721,900 veterans age 65 and older who were enrolled in VA and Medicare during 2013 with at least one VA encounter during 2013. Outpatient and inpatient encounters and medications received in VA were classified, and mutually exclusive patient subsets distinguished by patterns of VA service use were derived empirically using latent class analysis (LCA). Patient characteristics and complementary use of non-VA care were compared by patient subset. Five patterns of VA service use were identified that were distinguished by quantity of VA medical and specialty services, medication complexity, and mental health services. Low VA Medical users tend to be healthier and rely on non-VA services, while High VA users have multiple high cost illnesses and concentrate their care in the VA. VA patients distinguished by patterns of VA service use differ in illness burden and the use of non-VA services. This information may be useful for framing efforts to optimize access to care and care coordination for elderly VA patients. © Health Research and Educational Trust.

Elucidating Carbon Exchange at the Regional Scale Via Airborne Eddy Covariance Flux Measurements

NASA Astrophysics Data System (ADS)

Hannun, R. A.; Wolfe, G. M.; Kawa, S. R.; Newman, P. A.; Hanisco, T. F.; Diskin, G. S.; DiGangi, J. P.; Nowak, J. B.; Barrick, J. D. W.; Thornhill, K. L., II; Noormets, A.; Vargas, R.; Clark, K. L.; Kustas, W. P.

2017-12-01

Direct flux observations from aircraft provide a unique tool for probing greenhouse gas (GHG) sources and sinks on a regional scale. Airborne eddy covariance, which relies on high-frequency, simultaneous measurements of fluctuations in concentration and vertical wind speed, is a robust method for quantifying surface-atmosphere exchange. We have assembled and flown an instrument payload onboard the NASA C-23 Sherpa aircraft capable of measuring CO2, CH4, H2O, and heat fluxes. Flights for the Carbon Airborne Flux Experiment (CARAFE) took place during September 2016 and May 2017 based out of Wallops Flight Facility, VA. Flight tracks covered a variety of ecosystems and land-use types in the Mid-Atlantic, including forests, croplands, and wetlands. Carbon fluxes are derived using eddy covariance and wavelet analysis. Our results show a strong drawdown of CO2 and near-zero CH4 emissions from crops and dry-land forest, but seasonally strong CH4 flux from wetland forest. CARAFE flux data will also be compared with observations from several flux towers along the flight path to complement the airborne measurements. We will further assess the effects of land surface type and seasonal variability in carbon exchange. Regional-scale flux observations from CARAFE supply a useful constraint for improving top-down and bottom up estimates of carbon sources and sinks.

NPDES Permit for Eastern Colorado Health Care System (VA Hospital) in Colorado

EPA Pesticide Factsheets

Under NPDES permit CO-0034991, the U.S. Department of Veterans Affairs (VA) is authorized to discharge from its wastewater treatment facility in Adams County, Colorado, to a storm sewer to Toll Gate Creek, a tributary of Sand Creek.

Mental Health Disorders, Suicide Risk, and Treatment seeking among Formerly Deployed National Guardand Reserve Service Member seen in Non VA Facilities

DTIC Science & Technology

2016-10-01

1 AWARD NUMBER: W81XWH-15-1-0506 TITLE: Mental Health Disorders, Suicide Risk, and Treatment seeking among Formerly Deployed National Guard... Suicide Risk, and Treatment seeking among Formerly Deployed National Guard and Reserve Service Member seen in Non-VA Facilities 5b. GRANT NUMBER W81XWH...and Reserve veterans. The prevalence of current PTSD was 7% (95% CI = 5.7-8.5). Preliminary analyses indicated that PTSD, depression , mental health

Nitric oxide measurements at a nonurban eastern United States site - Wallops instrument results from July 1983 GTE/CITE mission

NASA Technical Reports Server (NTRS)

Torres, A. L.

1985-01-01

The NASA Goddard Space Flight Center/Wallops Flight Facility nitric oxide detector used in the July 1983 GTE/CITE 1 instrument intercomparison is a chemiluminescence system which, at that time, had a detection limit of about 2 pptv (S/N = 1) for 60-s integrations. A substantial amount of NO concentration data was taken with this system at Wallops Island, VA, a site that should be typical of numerous nonurban coastal areas of the eastern United States and for which little other data are available. Midday concentrations under conditions of northwest winds averaged about 200 pptv, a value low enough to imply lower NO(x) amounts than are generally thought to exist in the eastern United States. During a 2-day period when the sampled air had spent 1-2 days over the Atlantic Ocean, average NO concentrations of 70 and 33 ptv were observed. Measurements at night indicated an average NO concentration of 16 pptv under wind conditions making contamination of the sampled air by local anthropogenic sources unlikely.

Population mental health among U.S. military veterans: results of the Veterans Health Module of the Behavioral Risk Factor Surveillance System, 2011-2012.

PubMed

Blosnich, John R; Brenner, Lisa A; Bossarte, Robert M

2016-08-01

To examine mental health indicators, in aggregate and stratified by sex, among a population-based sample of U.S. military veterans. Data are from veteran who completed the Veterans Health Module (VHM) of the 2011 and 2012 Behavioral Risk Factor Surveillance System (n = 10,406). VHM items included lifetime diagnoses of mental illnesses, service in a combat zone, sources of mental health care, and past 12-month suicidal ideation and attempt. We used weighted, multiple logistic regression models, adjusted for sociodemographics, to examine differences in suicidal ideation and attempt among men and women. Overall, 5.0% of the sample reported recent suicidal ideation and 1.0% reported attempting suicide. Among men, unemployment was positively associated with suicidal ideation, and combat exposure was negatively associated with suicidal ideation. Being separated, divorced, or widowed was positively associated with suicidal ideation among women. After adjusting for sociodemographic and VHM variables, veterans who sought mental health treatment from both Veterans Affairs (VA) and non-VA facilities had more than fourfold increased odds of suicidal ideation than veteran who sought mental health treatment from only VA facilities (adjusted odds ratio = 4.02; 95% confidence interval 1.23-13.13). Correlates of suicidal ideation differ between male and female veterans. Veterans who use both non-VA and VA facilities for mental health services may have greater risk of self-directed violence. Published by Elsevier Inc.

Dengue Surveillance in Veterans Affairs Healthcare Facilities, 2007–2010

PubMed Central

Schirmer, Patricia L.; Lucero-Obusan, Cynthia A.; Benoit, Stephen R.; Santiago, Luis M.; Stanek, Danielle; Dey, Achintya; Martinez, Mirsonia; Oda, Gina; Holodniy, Mark

2013-01-01

Background Although dengue is endemic in Puerto Rico (PR), 2007 and 2010 were recognized as epidemic years. In the continental United States (US), outside of the Texas-Mexico border, there had not been a dengue outbreak since 1946 until dengue re-emerged in Key West, Florida (FL), in 2009–2010. The objective of this study was to use electronic and manual surveillance systems to identify dengue cases in Veterans Affairs (VA) healthcare facilities and then to clinically compare dengue cases in Veterans presenting for care in PR and in FL. Methodology Outpatient encounters from 1/2007–12/2010 and inpatient admissions (only available from 10/2009–12/2010) with dengue diagnostic codes at all VA facilities were identified using VA's Electronic Surveillance System for Early Notification of Community-based Epidemics (ESSENCE). Additional case sources included VA data from Centers for Disease Control and Prevention BioSense and VA infection preventionists. Case reviews were performed. Categorical data was compared using Mantel-Haenszel or Fisher Exact tests and continuous variables using t-tests. Dengue case residence was mapped. Findings Two hundred eighty-eight and 21 PR and FL dengue cases respectively were identified. Of 21 FL cases, 12 were exposed in Key West and 9 were imported. During epidemic years, FL cases had significantly increased dengue testing and intensive care admissions, but lower hospitalization rates and headache or eye pain symptoms compared to PR cases. There were no significant differences in clinical symptoms, laboratory abnormalities or outcomes between epidemic and non-epidemic year cases in FL and PR. Confirmed/probable cases were significantly more likely to be hospitalized and have thrombocytopenia or leukopenia compared to suspected cases. Conclusions Dengue re-introduction in the continental US warrants increased dengue surveillance and education in VA. Throughout VA, under-testing of suspected cases highlights the need to emphasize use of diagnostic testing to better understand the magnitude of dengue among Veterans. PMID:23516642

38 CFR 17.500 - General.

Code of Federal Regulations, 2014 CFR

2014-07-01

... of Healthcare Quality Assurance Review Records § 17.500 General. (a) Section 5705, title 38, United... §§ 17.500 through 17.511, the VA's medical quality assurance program consists of systematic healthcare... utilization of healthcare resources in VA medical facilities. These review activities may involve continuous...

38 CFR 17.500 - General.

Code of Federal Regulations, 2013 CFR

2013-07-01

... of Healthcare Quality Assurance Review Records § 17.500 General. (a) Section 5705, title 38, United... §§ 17.500 through 17.511, the VA's medical quality assurance program consists of systematic healthcare... utilization of healthcare resources in VA medical facilities. These review activities may involve continuous...

38 CFR 17.500 - General.

Code of Federal Regulations, 2011 CFR

2011-07-01

... of Healthcare Quality Assurance Review Records § 17.500 General. (a) Section 5705, title 38, United... §§ 17.500 through 17.511, the VA's medical quality assurance program consists of systematic healthcare... utilization of healthcare resources in VA medical facilities. These review activities may involve continuous...

38 CFR 17.500 - General.

Code of Federal Regulations, 2012 CFR

2012-07-01

... of Healthcare Quality Assurance Review Records § 17.500 General. (a) Section 5705, title 38, United... §§ 17.500 through 17.511, the VA's medical quality assurance program consists of systematic healthcare... utilization of healthcare resources in VA medical facilities. These review activities may involve continuous...

38 CFR 17.500 - General.

Code of Federal Regulations, 2010 CFR

2010-07-01

... of Healthcare Quality Assurance Review Records § 17.500 General. (a) Section 5705, title 38, United... §§ 17.500 through 17.511, the VA's medical quality assurance program consists of systematic healthcare... utilization of healthcare resources in VA medical facilities. These review activities may involve continuous...

Promoting a Strategic Approach to Clinical Nurse Leader Practice Integration.

PubMed

Williams, Marjory; Avolio, Alice E; Ott, Karen M; Miltner, Rebecca S

2016-01-01

The Office of Nursing Services of the Department of Veterans Affairs (VA) piloted implementation of the clinical nurse leader (CNL) into the care delivery model and established a strategic goal in 2011 to implement the CNL role across the VA health care system. The VA Office of Nursing Services CNL Implementation and Evaluation (CNL I&E) Service was created as one mechanism to facilitate that goal in response to a need identified by facility nurse executives for consultative support for CNL practice integration. This article discusses strategies employed by the CNL I&E consultative team to help facility-level nursing leadership integrate CNLs into practice. Measures of success include steady growth in CNL practice capacity as well as positive feedback from nurse executives about the value of consultative engagement. Future steps to better integrate CNL practice into the VA include consolidation of lessons learned, collaboration to strengthen the evidence base for CNL practice, and further exploration of the transformational potential of CNL practice across the care continuum.

The X-43A hypersonic research aircraft and its modified Pegasus® booster rocket mounted to NASA's NB-52B carrier aircraft at the Dryden Flight Research Center, Edwards, California

NASA Image and Video Library

2001-03-13

The first of three X-43A hypersonic research aircraft and its modified Pegasus® booster rocket recently underwent combined systems testing while mounted to NASA's NB-52B carrier aircraft at the Dryden Flight Research Center, Edwards, California. The combined systems test was one of the last major milestones in the Hyper-X research program before the first X-43A flight. One of the major goals of the Hyper-X program is flight validation of airframe-integrated, air-breathing propulsion system, which so far have only been tested in ground facilities, such as wind tunnels. The X-43A flights will be the first actual flight tests of an aircraft powered by a revolutionary supersonic-combustion ramjet ("scramjet") engine capable of operating at hypersonic speeds above Mach 5 (five times the speed of sound). The X-43A design uses the underbody of the aircraft to form critical elements of the engine. The forebody shape helps compress the intake airflow, while the aft section acts as a nozzle to direct thrust. The 12-foot, unpiloted research vehicle was developed and built by MicroCraft Inc., Tullahoma, Tenn., under NASA contract. The booster, built by Orbital Sciences Corp., Dulles, Va., will accelerate the X-43A after the X-43A/booster "stack" is air-launched from NASA's venerable NB-52 mothership. The X-43A will separate from the rocket at a predetermined altitude and speed and fly a pre-programmed trajectory, conducting aerodynamic and propulsion experiments until it descends into the Pacific Ocean. Three research flights are planned, two at Mach 7 and one at Mach 10.

Providing culturally competent services for American Indian and Alaska Native veterans to reduce health care disparities.

PubMed

Noe, Timothy D; Kaufman, Carol E; Kaufmann, L Jeanne; Brooks, Elizabeth; Shore, Jay H

2014-09-01

We conducted an exploratory study to determine what organizational characteristics predict the provision of culturally competent services for American Indian and Alaska Native (AI/AN) veterans in Department of Veterans Affairs (VA) health facilities. In 2011 to 2012, we adapted the Organizational Readiness to Change Assessment (ORCA) for a survey of 27 VA facilities in the Western Region to assess organizational readiness and capacity to adopt and implement native-specific services and to profile the availability of AI/AN veteran programs and interest in and resources for such programs. Several ORCA subscales (Program Needs, Leader's Practices, and Communication) statistically significantly predicted whether VA staff perceived that their facilities were meeting the needs of AI/AN veterans. However, none predicted greater implementation of native-specific services. Our findings may aid in developing strategies for adopting and implementing promising native-specific programs and services for AI/AN veterans, and may be generalizable for other veteran groups.

Providing Culturally Competent Services for American Indian and Alaska Native Veterans to Reduce Health Care Disparities

PubMed Central

Kaufman, Carol E.; Kaufmann, L. Jeanne; Brooks, Elizabeth; Shore, Jay H.

2014-01-01

Objectives. We conducted an exploratory study to determine what organizational characteristics predict the provision of culturally competent services for American Indian and Alaska Native (AI/AN) veterans in Department of Veterans Affairs (VA) health facilities. Methods. In 2011 to 2012, we adapted the Organizational Readiness to Change Assessment (ORCA) for a survey of 27 VA facilities in the Western Region to assess organizational readiness and capacity to adopt and implement native-specific services and to profile the availability of AI/AN veteran programs and interest in and resources for such programs. Results. Several ORCA subscales (Program Needs, Leader’s Practices, and Communication) statistically significantly predicted whether VA staff perceived that their facilities were meeting the needs of AI/AN veterans. However, none predicted greater implementation of native-specific services. Conclusions. Our findings may aid in developing strategies for adopting and implementing promising native-specific programs and services for AI/AN veterans, and may be generalizable for other veteran groups. PMID:25100420

A Triangulated Qualitative Study of Veteran Decision-Making to Seek Care During Heart Failure Exacerbation: Implications of Dual Health System Use

PubMed Central

Pope, Charlene A.; Davis, Boyd H.; Wine, Leticia; Nemeth, Lynne S.; Axon, Robert N.

2018-01-01

Among Veterans, heart failure (HF) contributes to frequent emergency department visits and hospitalization. Dual health care system use (dual use) occurs when Veterans Health Administration (VA) enrollees also receive care from non-VA sources. Mounting evidence suggests that dual use decreases efficiency and patient safety. This qualitative study used constructivist grounded theory and content analysis to examine decision making among 25 Veterans with HF, for similarities and differences between all-VA users and dual users. In general, all-VA users praised specific VA providers, called services helpful, and expressed positive capacity for managing HF. In addition, several Veterans who described inadvertent one-time non-VA health care utilization in emergent situations more closely mirrored all-VA users. By contrast, committed dual users more often reported unmet needs, nonresponse to VA requests, and faster services in non-VA facilities. However, a primary trigger for dual use was VA telephone referral for escalating symptoms, instead of care coordination or primary/specialty care problem-solving. PMID:29482411

KSC-2012-1446

NASA Image and Video Library

2012-02-18

CAPE CANAVERAL, Fla. -- NASA Kennedy Space Center Director Bob Cabana talks to guests in Orbiter Processing Facility-1 OPF-1 where space shuttle Discovery is being prepared for public display during a 50th anniversary celebration of the first orbital flight of an American. The astronaut who made that first flight, John Glenn, is at the space center to commemorate that achievement. Glenn orbited the Earth three times in the NASA Mercury Project's Friendship 7 capsule on Feb. 20, 1962. He later returned to space in October 1998 as a payload specialist aboard Discovery's STS-95 mission. Glenn's launch aboard an Atlas rocket took with it the hopes of an entire nation and ushered in a new era of space travel that eventually led to Americans walking on the moon by the end of the 1960s. Glenn soon was followed into orbit by Scott Carpenter, Walter Schirra and Gordon Cooper. Their fellow Mercury astronauts Alan Shepard and Virgil "Gus" Grissom flew earlier suborbital flights. Deke Slayton, a member of NASA's original Mercury 7 astronauts, was grounded by a medical condition until the Apollo-Soyuz Test Project in 1975. Shuttle Discovery currently is being prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Photo credit: Cory Huston

Evaluating and improving pressure ulcer care: the VA experience with administrative data.

PubMed

Berlowitz, D R; Halpern, J

1997-08-01

A number of state initiatives are using databases originally developed for nursing home reimbursements to assess the quality of care. Since 1991 the Department of Veterans Affairs (VA; Washington, DC) has been using a long term care administrative database to calculate facility-specific rates of pressure ulcer development. This information is disseminated to all 140 long term care facilities as part of a quality assessment and improvement program. Assessments are performed on all long term care residents on April 1 and October 1, as well as at the time of admission or transfer to a long term care unit. Approximately 18,000 long term care residents are evaluated in each six-month period; the VA rate of pressure ulcer development is approximately 3.5%. Reports of the rates of pressure ulcer development are then disseminated to all facilities, generally within two months of the assessment date. The VA's more than five years' experience in using administrative data to assess outcomes for long term care highlights several important issues that should be considered when using outcome measures based on administrative data. These include the importance of carefully selecting the outcome measure, the need to consider the structure of the database, the role of case-mix adjustment, strategies for reporting rates to small facilities, and methods for information dissemination. Attention to these issues will help ensure that results from administrative databases lead to improvements in the quality of care.

VA's expansion of supportive housing: successes and challenges on the path toward Housing First.

PubMed

Austin, Erika Laine; Pollio, David E; Holmes, Sally; Schumacher, Joseph; White, Bert; Lukas, Carol Vandeusen; Kertesz, Stefan

2014-05-01

The U.S. Department of Veterans Affairs (VA) is transitioning to a Housing First approach to placement of veterans in permanent supportive housing through the use of rental vouchers, an ambitious organizational transformation. This qualitative study examined the experiences of eight VA facilities undertaking this endeavor in 2012. A multidisciplinary team interviewed facility leadership, midlevel managers, and frontline staff (N=95 individuals) at eight VA facilities representing four U.S. regions. The team used a semistructured interview protocol and the constant comparative method to explore how individuals throughout the organizations experienced and responded to the challenges of transitioning to a Housing First approach. Frontline staff faced challenges in rapidly housing homeless veterans because of difficult rental markets, the need to coordinate with local public housing authorities, and a lack of available funds for move-in costs. Staff sought to balance their time spent on housing activities with intensive case management of highly vulnerable veterans. Finding low-demand sheltering options (that is, no expectations regarding sobriety or treatment participation, as in the Housing First model) for veterans waiting for housing presented a significant challenge to implementation of Housing First. Facility leadership supported Housing First implementation through resource allocation, performance monitoring, and reliance on midlevel managers to understand and meet the challenges of implementation. The findings highlight the considerable practical challenges and innovative solutions arising from a large-scale effort to implement Housing First, with particular attention to the experiences of individuals at all levels within an organization.

"To care for him who shall have borne the battle and for his widow and his orphan" (Abraham Lincoln): the Department of Veterans Affairs polytrauma system of care.

PubMed

Sigford, Barbara J

2008-01-01

The initiation of combat in Iraq and Afghanistan has resulted in a new cohort of active-duty service members and veterans seeking rehabilitation care through the U.S. Department of Veterans Affairs (VA). Service members injured in combat most often sustain multiple injuries (polytrauma) and require a unique service delivery model to meet their needs. The VA recognized this need and responded with the development of the Polytrauma System of Care (PSC). This national system of care balances access and expertise to provide specialized life-long care to the combat injured. The PSC is comprised of: 4 specialized regional rehabilitation centers that are accredited in brain injury by the Commission on Accreditation of Rehabilitation Facilities; 21 specialized outpatient and subacute rehabilitation programs; designated polytrauma teams at smaller, more remote VA facilities; and a point of contact at all other VA facilities. In addition, the PSC has developed a proactive case-management model, a specialized telehealth network, guidelines for long-term follow-up, and services for those individuals who are unable to return home. The following commentary and articles provide additional detail on this new and unique system of care.

38 CFR 21.294 - Selecting the training or rehabilitation facility.

Code of Federal Regulations, 2010 CFR

2010-07-01

... AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and Employment Under... the veteran's preference for a particular training or rehabilitation facility but VA has final...

78 FR 32124 - Community Residential Care

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-29

... DEPARTMENT OF VETERANS AFFAIRS 38 CFR Part 17 RIN 2900-AO62 Community Residential Care AGENCY...) amends its regulations concerning approval of non-VA community residential care facilities to allow VA to... deficiencies in standards that cannot be corrected, and into more restrictive and/or costly care. In addition...

Enhancing Cross-Cultural Collaboration between DoD and VA

DTIC Science & Technology

2012-04-27

James A. Lovell Federal Health Care Center ( FHCC ). The NDAA 2010 authorized the DoD and VA to establish a five-year demonstration project...integrating the North Chicago VA Medical Center and the Naval Health Clinic Great Lakes.50 The FHCC is named in 15 honor of retired U.S. Naval officer...and Illinois resident, Captain James A. Lovell , who was an astronaut on Apollo 13. The joint facility serves the medical needs of active duty service

Medicare: Comparison of Catastropic Health Insurance Proposals--an Update.

DTIC Science & Technology

1987-10-01

Accounting Office ICF intermediate care facility SNF skilled nursing facility VA Veterans Administration d4 ....... ’. - --- MEDICARE: COMPARISON OF...optional woe services, such as home and community-based services; services in an intermediate care facility (ICF); and prescribed drugs, dentures

Medicare: Comparison of Catastrophic Health Insurance Proposals.

DTIC Science & Technology

1987-06-01

GAO General Accounting Office ICF intermediate care facility SNF skilled nursing facility VA Veterans Administration -4 MEDICARE: COMPARISON OF...community-based services; services in an intermediate care facility (ICF); and prescribed drugs, dentures, and eyeglasses. In recent years, the number of

38 CFR 17.61 - Eligibility.

Code of Federal Regulations, 2010 CFR

2010-07-01

... or VA medical center, domiciliary, or nursing home care; or (2) Such care or services were furnished... Residential Care § 17.61 Eligibility. VA health care personnel may assist a veteran by referring such veteran for placement in a privately or publicly-owned community residential care facility if: (a) At the time...

78 FR 35950 - Federal Property Suitable as Facilities To Assist the Homeless

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-14

... yrs. vacant Virginia Tract 03-183 Dent House 9325 Pland Road Spotsylvania VA 22553 Landholding Agency... interior for more info. 03-181; Dulin House 9401 Plank Road Spotsvania VA 22553 Landholding Agency... & no piping; contact interior for more into. Tract 02-103 Richardson House 700 Sunken Road...

78 FR 38810 - Proposed Information Collection (Application for Furnishing Long-Term Care Service to...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-27

... (Application for Furnishing Long- Term Care Service to Beneficiaries of Veterans Affairs, and Residential Care.... 2900-0616.'' SUPPLEMENTARY INFORMATION: Title: Residential Care Home Program--Sponsor Application, VA... collection. Abstract: VA Form 10-2407 is an application used by a residential care facility or home that...

76 FR 10524 - Restricted Area, Potomac River, Marine Corps Base Quantico, Quantico, VA

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-25

... DEPARTMENT OF DEFENSE Department of the Army, Corps of Engineers 33 CFR Part 334 Restricted Area, Potomac River, Marine Corps Base Quantico, Quantico, VA AGENCY: United States Army Corps of Engineers... Facility (MCAF) at Marine Corps Base Quantico (MCB Quantico), located in Quantico, Virginia. DATES...

Rocket flight performance of a preprototype Apollo 17 UV spectrometer S-169

NASA Technical Reports Server (NTRS)

Fastie, W. G.

1971-01-01

The design, construction, testing, calibration, flight performance and flight data of an Ebert ultraviolet spectrometer are described which is an accurate representation of the conceptual design of the Apollo 17 UV spectrometer. The instrument was flown in an Aerobee 350 rocket from Wallops Island, Va., at 7:10 p.m. EDT on June 10, 1971 to an altitude of 328 km with a solar elevation angle of about 11 deg.

Use of the Decision Support System for VA cost-effectiveness research.

PubMed

Barnett, P G; Rodgers, J H

1999-04-01

The Department of Veterans Affairs is adopting the Decision Support System (DSS), computer software and databases which include a cost-accounting system which determines the cost of health care products and patient encounters. A system for providing cost data for cost-effectiveness analysis should be provide valid, detailed, and comprehensive data that can be aggregated. The design of DSS is described and compared with those criteria. Utilization data from DSS was compared with other VA utilization data. Aggregate DSS cost data from 35 medical centers was compared with relative resource weights developed for the Medicare program. Data on hospital stays at 3 facilities found that 3.7% of the stays in DSS were not in the VA discharge database, whereas 7.6% of the stays in the discharge data were not in DSS. DSS reported between 68.8% and 97.1% of the outpatient encounters reported by six facilities in the ambulatory care data base. Relative weights for each Diagnosis Related Group based on DSS data from 35 VA facilities correlated with Medicare weights (correlation coefficient of .853). DSS will be useful for research if certain problems are overcome. It is difficult to distinguish long-term from acute hospital care. VA does not have a complete database of all inpatient procedures, so DSS has not assigned them a specific cost. The authority to access encounter-level DSS data needs to be centralized. Researchers can provide the feedback needed to improve DSS cost estimates. A comprehensive encounter-level extract would facilitate use of DSS for research.

KSC-2012-2031

NASA Image and Video Library

2012-04-11

CAPE CANAVERAL, Fla. – At NASA’s Kennedy Space Center in Florida, a maintenance technician from NASA’s Dryden Flight Research Center in California checks controls inside NASA’s Shuttle Carrier Aircraft modified 747 jet, or SCA, after arriving at the Shuttle Landing Facility from Edwards Air Force Base in California. During the Space Shuttle Program’s transition and retirement processing, Discovery was prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Discovery is scheduled to be transported atop the SCA, designated NASA 905, to Dulles International Airport in Virginia on April 17 and then moved to the Smithsonian for permanent public display on April 19. The SCA is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. For more information, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Frankie Martin

KSC-2012-2034

NASA Image and Video Library

2012-04-11

CAPE CANAVERAL, Fla. – At the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida, maintenance technicians from NASA’s Dryden Flight Research Center in California and Kennedy check NASA’s Shuttle Carrier Aircraft modified 747 jet, or SCA, after arriving from Edwards Air Force Base in California. During the Space Shuttle Program’s transition and retirement processing, Discovery was prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Discovery is scheduled to be transported atop the SCA, designated NASA 905, to Dulles International Airport in Virginia on April 17 and then moved to the Smithsonian for permanent public display on April 19. The SCA is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. For more information, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Frankie Martin

KSC-2012-2029

NASA Image and Video Library

2012-04-11

CAPE CANAVERAL, Fla. – At NASA’s Kennedy Space Center in Florida, maintenance technicians from NASA’s Dryden Flight Research Center in California check equipment inside NASA’s Shuttle Carrier Aircraft modified 747 jet, or SCA, after arriving at the Shuttle Landing Facility from Edwards Air Force Base in California. During the Space Shuttle Program’s transition and retirement processing, Discovery was prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Discovery is scheduled to be transported atop the SCA, designated NASA 905, to Dulles International Airport in Virginia on April 17 and then moved to the Smithsonian for permanent public display on April 19. The SCA is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. For more information, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Frankie Martin

KSC-2012-2033

NASA Image and Video Library

2012-04-11

CAPE CANAVERAL, Fla. – At the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida, maintenance technicians from NASA’s Dryden Flight Research Center in California and Kennedy check NASA’s Shuttle Carrier Aircraft modified 747 jet, or SCA, after arriving from Edwards Air Force Base in California. During the Space Shuttle Program’s transition and retirement processing, Discovery was prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Discovery is scheduled to be transported atop the SCA, designated NASA 905, to Dulles International Airport in Virginia on April 17 and then moved to the Smithsonian for permanent public display on April 19. The SCA is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. For more information, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Frankie Martin

KSC-2012-2028

NASA Image and Video Library

2012-04-11

CAPE CANAVERAL, Fla. – At NASA’s Kennedy Space Center in Florida, maintenance technicians from NASA’s Dryden Flight Research Center in California check equipment inside NASA’s Shuttle Carrier Aircraft modified 747 jet, or SCA, after arriving at the Shuttle Landing Facility from Edwards Air Force Base in California. During the Space Shuttle Program’s transition and retirement processing, Discovery was prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Discovery is scheduled to be transported atop the SCA, designated NASA 905, to Dulles International Airport in Virginia on April 17 and then moved to the Smithsonian for permanent public display on April 19. The SCA is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. For more information, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Frankie Martin

Combining Surveillance Systems: Effective Merging of U.S. Veteran and Military Health Data

DTIC Science & Technology

2016-08-04

respectively, and better in VA data for 34% and 15%. The VA system tended to alert earlier with a typical H3N2 seasonal influenza affecting older...manageable effect on customary alert rates. Citation: Pavlin JA, Burkom HS, Elbert Y, Lucero-Obusan C, Winston CA, et al. (2013) Combining...facilities within the CBSA. We applied ESSENCE alerting algorithms [11] to weekly CBSA-level outpatient data and analyzed the two data streams (DoD and VA

The X-43A hypersonic research aircraft and its modified Pegasus booster rocket mounted to NASA's NB

NASA Technical Reports Server (NTRS)

2001-01-01

The first of three X-43A hypersonic research aircraft and its modified Pegasus booster rocket recently underwent combined systems testing while mounted to NASA's NB-52B carrier aircraft at the Dryden Flight Research Center, Edwards, California. The combined systems test was one of the last major milestones in the Hyper-X research program before the first X-43A flight. One of the major goals of the Hyper-X program is flight validation of airframe-integrated, air-breathing propulsion system, which so far have only been tested in ground facilities, such as wind tunnels. The X-43A flights will be the first actual flight tests of an aircraft powered by a revolutionary supersonic-combustion ramjet ('scramjet') engine capable of operating at hypersonic speeds above Mach 5 (five times the speed of sound). The X-43A design uses the underbody of the aircraft to form critical elements of the engine. The forebody shape helps compress the intake airflow, while the aft section acts as a nozzle to direct thrust. The 12-foot, unpiloted research vehicle was developed and built by MicroCraft Inc., Tullahoma, Tenn., under NASA contract. The booster, built by Orbital Sciences Corp., Dulles, Va., will accelerate the X-43A after the X-43A/booster 'stack' is air-launched from NASA's venerable NB-52 mothership. The X-43A will separate from the rocket at a predetermined altitude and speed and fly a pre-programmed trajectory, conducting aerodynamic and propulsion experiments until it descends into the Pacific Ocean. Three research flights are planned, two at Mach 7 and one at Mach 10.

Case-Mix Adjustment of the Bereaved Family Survey.

PubMed

Kutney-Lee, Ann; Carpenter, Joan; Smith, Dawn; Thorpe, Joshua; Tudose, Alina; Ersek, Mary

2018-01-01

Surveys of bereaved family members are increasingly being used to evaluate end-of-life (EOL) care and to measure organizational performance in EOL care quality. The Bereaved Family Survey (BFS) is used to monitor EOL care quality and benchmark performance in the Veterans Affairs (VA) health-care system. The objective of this study was to develop a case-mix adjustment model for the BFS and to examine changes in facility-level scores following adjustment, in order to provide fair comparisons across facilities. We conducted a cross-sectional secondary analysis of medical record and survey data from veterans and their family members across 146 VA medical centers. Following adjustment using model-based propensity weighting, the mean change in the BFS-Performance Measure score across facilities was -0.6 with a range of -2.6 to 0.6. Fifty-five (38%) facilities changed within ±0.5 percentage points of their unadjusted score. On average, facilities that benefited most from adjustment cared for patients with greater comorbidity burden and were located in urban areas in the Northwest and Midwestern regions of the country. Case-mix adjustment results in minor changes to facility-level BFS scores but allows for fairer comparisons of EOL care quality. Case-mix adjustment of the BFS positions this National Quality Forum-endorsed measure for use in public reporting and internal quality dashboards for VA leadership and may inform the development and refinement of case-mix adjustment models for other surveys of bereaved family members.

75 FR 61861 - Privacy Act of 1974; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-06

... and other research facilities approved by the Chief Medical Director to obtain data from those... research purposes determined to be necessary and proper by the Chief Medical Director. 5. The name(s) of a...) regional offices, VA Medical Centers, the VA Records Management Center, St. Louis, Missouri, and at the...

76 FR 71441 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-17

... DEPARTMENT OF VETERANS AFFAIRS Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development of Permanent Housing Facilities in Augusta, ME AGENCY: Department of Veterans Affairs. ACTION: Notice of intent to enter into an Enhanced-Use Lease (EUL). SUMMARY: The...

75 FR 26160 - Drug and Drug-Related Supply Promotion by Pharmaceutical Company Sales Representatives at VA...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-11

... consistent standard of permissible business practice at VA facilities. It would also facilitate mutually... include suspension of a sales representative's access privileges, or, in extreme cases, denying access to... corrective action by the individual or company will suffice. In most cases, we expect that the infraction...

Academic Affiliations with the Department of Veterans Affairs: Characteristics of the Ohio State University Model.

ERIC Educational Resources Information Center

Newcomb, Robert D.; Hill, Richard M.

1993-01-01

The Ohio State University School of Optometry affiliation with four Veterans Administration (VA) health care facilities is characterized by a central governing committee, regular faculty appointments for all participating VA staff, substantial interaction with each site, strong orientation for rotating senior optometry students, and joint…

Network of fully integrated multispecialty hospital imaging systems

NASA Astrophysics Data System (ADS)

Dayhoff, Ruth E.; Kuzmak, Peter M.

1994-05-01

The Department of Veterans Affairs (VA) DHCP Imaging System records clinically significant diagnostic images selected by medical specialists in a variety of departments, including radiology, cardiology, gastroenterology, pathology, dermatology, hematology, surgery, podiatry, dental clinic, and emergency room. These images are displayed on workstations located throughout a medical center. All images are managed by the VA's hospital information system, allowing integrated displays of text and image data across medical specialties. Clinicians can view screens of `thumbnail' images for all studies or procedures performed on a selected patient. Two VA medical centers currently have DHCP Imaging Systems installed, and others are planned. All VA medical centers and other VA facilities are connected by a wide area packet-switched network. The VA's electronic mail software has been modified to allow inclusion of binary data such as images in addition to the traditional text data. Testing of this multimedia electronic mail system is underway for medical teleconsultation.

Aerodynamic Characteristics and Flying Qualities of a Tailless Triangular-wing Airplane Configuration as Obtained from Flights of Rocket-propelled Models at Transonic and Supersonic Speeds

NASA Technical Reports Server (NTRS)

Mitcham, Grady L; Stevens, Joseph E; Norris, Harry P

1956-01-01

A flight investigation of rocket-powered models of a tailless triangular-wing airplane configuration was made through the transonic and low supersonic speed range at the Langley Pilotless Aircraft Research Station at Wallops Island, Va. An analysis of the aerodynamic coefficients, stability derivatives, and flying qualities based on the results obtained from the successful flight tests of three models is presented.

Balancing Demand and Supply for Veterans' Health Care: A Summary of Three RAND Assessments Conducted Under the Veterans Choice Act.

PubMed

Farmer, Carrie M; Hosek, Susan D; Adamson, David M

2016-06-20

In response to concerns that the Department of Veterans Affairs (VA) has faced about veterans' access to care and the quality of care delivered, Congress enacted the Veterans Access, Choice, and Accountability Act of 2014 ("Veterans Choice Act") in August 2014. The law was passed to help address access issues by expanding the criteria through which veterans can seek care from civilian providers. In addition, the law called for a series of independent assessments of the VA health care system across a broad array of topics related to the delivery of health care services to veterans in VA-owned and -operated facilities, as well as those under contract to VA. RAND conducted three of these assessments: Veteran demographics and health care needs (A), VA health care capabilities (B), and VA authorities and mechanisms for purchasing care (C). This article summarizes the findings of our assessments and includes recommendations from the reports for improving the match between veterans' needs and VA's capabilities, including VA's ability to purchase necessary care from the private sector.

Overview of the NASA Dryden Flight Research Facility aeronautical flight projects

NASA Technical Reports Server (NTRS)

Meyer, Robert R., Jr.

1992-01-01

Several principal aerodynamics flight projects of the NASA Dryden Flight Research Facility are discussed. Key vehicle technology areas from a wide range of flight vehicles are highlighted. These areas include flight research data obtained for ground facility and computation correlation, applied research in areas not well suited to ground facilities (wind tunnels), and concept demonstration.

75 FR 10347 - Federal Property Suitable as Facilities To Assist the Homeless

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-05

... plan, existing sanitary facilities, exact street address), providers should contact the appropriate... story stone structure, no sanitary or heating facilities, Natl Register of Historic Places Bldg. 10 VA..., State Hwy 52 Celina Co: Clay TN 38551 Landholding Agency: COE Property Number: 31199140006 Status...

Rapid prototyping facility for flight research in artificial-intelligence-based flight systems concepts

NASA Technical Reports Server (NTRS)

Duke, E. L.; Regenie, V. A.; Deets, D. A.

1986-01-01

The Dryden Flight Research Facility of the NASA Ames Research Facility of the NASA Ames Research Center is developing a rapid prototyping facility for flight research in flight systems concepts that are based on artificial intelligence (AI). The facility will include real-time high-fidelity aircraft simulators, conventional and symbolic processors, and a high-performance research aircraft specially modified to accept commands from the ground-based AI computers. This facility is being developed as part of the NASA-DARPA automated wingman program. This document discusses the need for flight research and for a national flight research facility for the rapid prototyping of AI-based avionics systems and the NASA response to those needs.

75 FR 33899 - Advisory Committee on Structural Safety of Department of Veterans Affairs Facilities; Notice of...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-15

... Construction & Facilities Management (00CFM1A), Department of Veterans Affairs, 810 Vermont Avenue, NW... Affairs Facilities; Notice of Meeting The Department of Veterans Affairs (VA) gives notice under Public... Safety of Department of Veterans Affairs Facilities will be held on June 24-25, 2010, in Room 442, Export...

76 FR 21108 - Advisory Committee on Structural Safety of Department of Veterans Affairs Facilities; Notice of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-14

... Quality Service, Office of Construction and Facilities Management (00CFM1A), Department of Veterans... Affairs Facilities; Notice of Meeting The Department of Veterans Affairs (VA) gives notice under Public... Safety of Department of Veterans Affairs Facilities will be held on May 12-13, 2011, in Room 442, at the...

KSC-2012-2036

NASA Image and Video Library

2012-04-11

CAPE CANAVERAL, Fla. – Painted graphics line the side of NASA 905 depicting the various ferry flights the Shuttle Carrier Aircraft has supported during the Space Shuttle Program. The names of the pilots and flight engineers who have flown the aircraft also are listed. The aircraft, known as an SCA, is at Kennedy to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. The SCA is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Ben Smegelsky

Association of Inpatient Antimicrobial Utilization Measures with Antimicrobial Stewardship Activities and Facility Characteristics of Veterans Affairs Medical Centers.

PubMed

Graber, Christopher J; Jones, Makoto M; Chou, Ann F; Zhang, Yue; Goetz, Matthew Bidwell; Madaras-Kelly, Karl; Samore, Matthew H; Glassman, Peter A

2017-05-01

Antimicrobial stewardship programs (ASPs) have been advocated to improve antimicrobial utilization, but program implementation is variable. Antimicrobial stewardship programs (ASPs) have been advocated to improve antimicrobial utilization, but program implementation is variable. To determine associations between ASPs and facility characteristics, and inpatient antimicrobial utilization measures in the Veterans Affairs (VA) system in 2012. In 2012, VA administered a survey on antimicrobial stewardship practices to designated ASP contacts at VA acute care hospitals. From the survey, we identified 34 variables across 3 domains (evidence, organizational context, and facilitation) that were assessed using multivariable least absolute shrinkage and selection operator regression against 4 antimicrobial utilization measures from 2012: aggregate acute care antimicrobial use, antimicrobial use in patients with non-infectious primary discharge diagnoses, missed opportunities to convert from parenteral to oral antimicrobial therapy, and double anaerobic coverage. All 130 VA facilities with acute care services. Variables associated with at least 3 favorable changes in antimicrobial utilization included presence of postgraduate physician/pharmacy training programs, number of antimicrobial-specific order sets, frequency of systematic de-escalation review, presence of pharmacists and/or infectious diseases (ID) attendings on acute care ward teams, and formal ID training of the lead ASP pharmacist. Variables associated with 2 unfavorable measures included bed size, the level of engagement with VA Antimicrobial Stewardship Task Force online resources, and utilization of antimicrobial stop orders. Formalization of ASP processes and presence of pharmacy and ID expertise are associated with favorable utilization. Systematic de-escalation review and order set establishment may be high-yield interventions. Journal of Hospital Medicine 2017;12:301-309. © 2017 Society of Hospital Medicine

48 CFR 801.602-78 - Processing solicitations and contract documents for legal or technical review-Veterans Health...

Code of Federal Regulations, 2011 CFR

2011-10-01

..., Central Office (except Office of Construction and Facilities Management), the National Acquisition Center... facilities, Central Office (except Office of Construction and Facilities Management), the National... takes exception to the accord and satisfaction language VA specifies, assignment of claims, changes to...

76 FR 67022 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-28

... DEPARTMENT OF VETERANS AFFAIRS Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development of a Permanent Housing Facility in Northampton, MA AGENCY: Department of Veterans Affairs. ACTION: Notice of intent to enter into an Enhanced-Use Lease (EUL). SUMMARY: The...

78 FR 10117 - Use of Medicare Procedures To Enter Into Provider Agreements for Extended Care Services

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-13

..., when provided as an alternative to nursing home care. Under this proposed rule, VA would be able to... provide extended care services to eligible veterans, including geriatric evaluation, nursing home care... nursing home care in non-VA facilities of eligible veterans and eligible members of the Armed Forces...

Use of VA and Medicare Services By Dually Eligible Veterans with Psychiatric Problems

PubMed Central

Carey, Kathleen; Montez-Rath, Maria E; Rosen, Amy K; Christiansen, Cindy L; Loveland, Susan; Ettner, Susan L

2008-01-01

Objective To examine how service accessibility measured by geographic distance affects service sector choices for veterans who are dually eligible for veterans affairs (VA) and Medicare services and who are diagnosed with mental health and/or substance abuse (MH/SA) disorders. Data Sources Primary VA data sources were the Patient Treatment (acute care), Extended Care (long-term care), and Outpatient Clinic files. VA cost data were obtained from (1) inpatient and outpatient cost files developed by the VA Health Economics and Resource Center and (2) outpatient VA Decision Support System files. Medicare data sources were the denominator, Medicare Provider Analysis Review (MEDPAR), Provider-of-Service, Outpatient Standard Analytic and Physician/Supplier Standard Analytic files. Additional sources included the Area Resource File and Census Bureau data. Study Design We identified dually eligible veterans who had either an inpatient or outpatient MH/SA diagnosis in the VA system during fiscal year (FY)'99. We then estimated one- and two-part regression models to explain the effects of geographic distance on both VA and Medicare total and MH/SA costs. Principal Findings Results provide evidence for substitution between the VA and Medicare, demonstrating that poorer geographic access to VA inpatient and outpatient clinics decreased VA expenditures but increased Medicare expenditures, while poorer access to Medicare-certified general and psychiatric hospitals decreased Medicare expenditures but increased VA expenditures. Conclusions As geographic distance to VA medical facility increases, Medicare plays an increasingly important role in providing mental health services to veterans. PMID:18355256

KSC-2012-1453

NASA Image and Video Library

2012-02-18

CAPE CANAVERAL, Fla. -- John Glenn and NASA astronaut Stephen Robinson sit in the flight deck of space shuttle Discovery in Orbiter Processing Facility-1 OPF-1 at NASA's Kennedy Space Center in Florida. Glenn is at the space center to mark the 50th anniversary of being the first American astronaut to orbit the Earth inside the NASA Mercury Project's Friendship 7 capsule on Feb. 20, 1962. Glenn later returned to space in October 1998 as a payload specialist aboard Discovery's STS-95 mission. Robinson was the payload commander of STS-95. Glenn's launch aboard an Atlas rocket took with it the hopes of an entire nation and ushered in a new era of space travel that eventually led to Americans walking on the moon by the end of the 1960s. Glenn soon was followed into orbit by Scott Carpenter, Walter Schirra and Gordon Cooper. Their fellow Mercury astronauts Alan Shepard and Virgil "Gus" Grissom flew earlier suborbital flights. Deke Slayton, a member of NASA's original Mercury 7 astronauts, was grounded by a medical condition until the Apollo-Soyuz Test Project in 1975. Shuttle Discovery currently is being prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Photo credit: Cory Huston

KSC-2012-1454

NASA Image and Video Library

2012-02-18

CAPE CANAVERAL, Fla. -- John Glenn and NASA Kennedy Space Center Director Bob Cabana sit in the flight deck of space shuttle Discovery in Orbiter Processing Facility-1 OPF-1. Glenn is at the space center to mark the 50th anniversary of being the first American astronaut to orbit the Earth inside the NASA Mercury Project's Friendship 7 capsule on Feb. 20, 1962. Glenn later returned to space in October 1998 as a payload specialist aboard Discovery's STS-95 mission. Glenn's launch aboard an Atlas rocket took with it the hopes of an entire nation and ushered in a new era of space travel that eventually led to Americans walking on the moon by the end of the 1960s. Glenn soon was followed into orbit by Scott Carpenter, Walter Schirra and Gordon Cooper. Their fellow Mercury astronauts Alan Shepard and Virgil "Gus" Grissom flew earlier suborbital flights. Deke Slayton, a member of NASA's original Mercury 7 astronauts, was grounded by a medical condition until the Apollo-Soyuz Test Project in 1975. Shuttle Discovery currently is being prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Photo credit: Cory Huston

KSC-2012-1455

NASA Image and Video Library

2012-02-18

CAPE CANAVERAL, Fla. -- NASA Kennedy Space Center Director Bob Cabana sits at the controls in the flight deck of space shuttle Discovery in Orbiter Processing Facility-1 OPF-1. At the space center in Florida, Cabana is helping John Glenn mark the 50th anniversary of being the first American astronaut to orbit the Earth inside the NASA Mercury Project's Friendship 7 capsule on Feb. 20, 1962. Glenn later returned to space in October 1998 as a payload specialist aboard Discovery's STS-95 mission. Glenn's launch aboard an Atlas rocket took with it the hopes of an entire nation and ushered in a new era of space travel that eventually led to Americans walking on the moon by the end of the 1960s. Glenn soon was followed into orbit by Scott Carpenter, Walter Schirra and Gordon Cooper. Their fellow Mercury astronauts Alan Shepard and Virgil "Gus" Grissom flew earlier suborbital flights. Deke Slayton, a member of NASA's original Mercury 7 astronauts, was grounded by a medical condition until the Apollo-Soyuz Test Project in 1975. Shuttle Discovery currently is being prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Photo credit: Cory Huston

KSC-2012-1456

NASA Image and Video Library

2012-02-18

CAPE CANAVERAL, Fla. -- NASA astronaut Stephen Robinson sits at the controls in the flight deck of space shuttle Discovery in Orbiter Processing Facility-1 OPF-1 at NASA's Kennedy Space Center in Florida. Robinson is helping John Glenn mark the 50th anniversary of being the first American astronaut to orbit the Earth inside the NASA Mercury Project's Friendship 7 capsule on Feb. 20, 1962. Glenn later returned to space in October 1998 as a payload specialist aboard Discovery's STS-95 mission. Robinson was the payload commander of STS-95. Glenn's launch aboard an Atlas rocket took with it the hopes of an entire nation and ushered in a new era of space travel that eventually led to Americans walking on the moon by the end of the 1960s. Glenn soon was followed into orbit by Scott Carpenter, Walter Schirra and Gordon Cooper. Their fellow Mercury astronauts Alan Shepard and Virgil "Gus" Grissom flew earlier suborbital flights. Deke Slayton, a member of NASA's original Mercury 7 astronauts, was grounded by a medical condition until the Apollo-Soyuz Test Project in 1975. Shuttle Discovery currently is being prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Photo credit: Cory Huston

An Interpolation Procedure to Patch Holes in a Ground and Flight Test Data Base (MARS)

DTIC Science & Technology

2010-08-01

FAIRFAX VA 22030 DR N RAO CHAGANTY 1 DEPT OF MATHEMATICS AND STATISTICS OLD DOMINION UNIVERSITY HAMPTON BLVD NORFOLK VA 23529 DR SAID E SAID 1 DEPT OF...DR EDWARD R SCHEINERMAN 1 DEPT OF MATHEMATICS JOHNS HOPKINS UNIVERSITY 104 WHITEHEAD HALL BALTIMORE MD 21218 DR BENJAMIN KADEM 1 DEPT OF MATHEMATICS ... ACTUARIAL SCIENCE UNIVERSITY OF IOWA 241 SCHAEFFER HALL IOWA CITY IA 52242-1409 DR JOHN E BOYER 1 DEPT OF STATISTICS KANSAS STATE UNIVERSITY DICKENS HALL

Palliative Care Matters: Lessons From the Loss of a Facility Dog.

PubMed

Holman, Elizabeth; Levy, Cari; Kennedy, Brenda

2018-01-01

Animal-assisted intervention is gaining attention as a stress reduction modality. Quantitative data demonstrate its effectiveness, as a recent study published in AJHPM supported that a Veterans Affairs (VA) hospital facility dog paired with a palliative care psychologist had a measurable impact on salivary cortisol levels and heart rate in hospitalized veterans. There remains an important role for qualitative insights. The Denver VA palliative care team learned a range of lessons from the sudden loss of their facility dog, many of which relate directly to palliative care. The importance of communication, adjusting to changing teams, and the need for consultation and support based in shared goals and values all became evident in the course of the facility dog's illness. After her death, lessons shifted to grief and loss and how providers, patients, and a community care for each other. People's connection to the facility dog ultimately proved to be a critical factor in helping them connect with one another.

Factors affecting the use of patient survey data for quality improvement in the Veterans Health Administration

PubMed Central

2011-01-01

Background Little is known about how to use patient feedback to improve experiences of health care. The Veterans Health Administration (VA) conducts regular patient surveys that have indicated improved care experiences over the past decade. The goal of this study was to assess factors that were barriers to, or promoters of, efforts to improve care experiences in VA facilities. Methods We conducted case studies at two VA facilities, one with stable high scores on inpatient reports of emotional support between 2002 and 2006, and one with stable low scores over the same period. A semi-structured interview was used to gather information from staff who worked with patient survey data at the study facilities. Data were analyzed using a previously developed qualitative framework describing organizational, professional and data-related barriers and promoters to data use. Results Respondents reported more promoters than barriers to using survey data, and particularly support for improvement efforts. Themes included developing patient-centered cultures, quality improvement structures such as regular data review, and training staff in patient-centered behaviors. The influence of incentives, the role of nursing leadership, and triangulating survey data with other data on patients' views also emerged as important. It was easier to collect data on current organization and practice than those in the past and this made it difficult to deduce which factors might influence differing facility performance. Conclusions Interviews with VA staff provided promising examples of how systematic processes for using survey data can be implemented as part of wider quality improvement efforts. However, prospective studies are needed to identify the most effective strategies for using patient feedback to improve specific aspects of patient-centered care. PMID:22151714

Building capacity in VA to provide emergency gynecology services for women.

PubMed

Cordasco, Kristina M; Huynh, Alexis K; Zephyrin, Laurie; Hamilton, Alison B; Lau-Herzberg, Amy E; Kessler, Chad S; Yano, Elizabeth M

2015-04-01

Visits to Veterans Administration (VA) emergency departments (EDs) are increasingly being made by women. A 2011 national inventory of VA emergency services for women revealed that many EDs have gaps in their resources and processes for gynecologic emergency care. To guide VA in addressing these gaps, we sought to understand factors acting as facilitators and/or barriers to improving VA ED capacity for, and quality of, emergency gynecology care. Semistructured interviews with VA emergency and women's health key informants. ED directors/providers (n=14), ED nurse managers (n=13), and Women Veteran Program Managers (n=13) in 13 VA facilities. Leadership, staff, space, demand, funding, policies, and community were noted as important factors influencing VA EDs building capacity and improving emergency gynecologic care for women Veterans. These factors are intertwined and cross multiple organizational levels so that each ED's capacity is a reflection not only of its own factors, but also those of its local medical center and non-VA community context as well as VA regional and national trends and policies. Policies and quality improvement initiatives aimed at building VA's emergency gynecologic services for women need to be multifactorial and aimed at multiple organizational levels. Policies need to be flexible to account for wide variations across EDs and their medical center and community contexts. Approaches that build and encourage local leadership engagement, such as evidence-based quality improvement methodology, are likely to be most effective.

A rapid prototyping facility for flight research in advanced systems concepts

NASA Technical Reports Server (NTRS)

Duke, Eugene L.; Brumbaugh, Randal W.; Disbrow, James D.

1989-01-01

The Dryden Flight Research Facility of the NASA Ames Research Facility of the NASA Ames Research Center is developing a rapid prototyping facility for flight research in flight systems concepts that are based on artificial intelligence (AI). The facility will include real-time high-fidelity aircraft simulators, conventional and symbolic processors, and a high-performance research aircraft specially modified to accept commands from the ground-based AI computers. This facility is being developed as part of the NASA-DARPA automated wingman program. This document discusses the need for flight research and for a national flight research facility for the rapid prototyping of AI-based avionics systems and the NASA response to those needs.

Correlations and risk contagion between mixed assets and mixed-asset portfolio VaR measurements in a dynamic view: An application based on time varying copula models

NASA Astrophysics Data System (ADS)

Han, Yingying; Gong, Pu; Zhou, Xiang

2016-02-01

In this paper, we apply time varying Gaussian and SJC copula models to study the correlations and risk contagion between mixed assets: financial (stock), real estate and commodity (gold) assets in China firstly. Then we study the dynamic mixed-asset portfolio risk through VaR measurement based on the correlations computed by the time varying copulas. This dynamic VaR-copula measurement analysis has never been used on mixed-asset portfolios. The results show the time varying estimations fit much better than the static models, not only for the correlations and risk contagion based on time varying copulas, but also for the VaR-copula measurement. The time varying VaR-SJC copula models are more accurate than VaR-Gaussian copula models when measuring more risky portfolios with higher confidence levels. The major findings suggest that real estate and gold play a role on portfolio risk diversification and there exist risk contagion and flight to quality between mixed-assets when extreme cases happen, but if we take different mixed-asset portfolio strategies with the varying of time and environment, the portfolio risk will be reduced.

Clinical Practice Guideline Implementation Strategy Patterns in Veterans Affairs Primary Care Clinics

PubMed Central

Hysong, Sylvia J; Best, Richard G; Pugh, Jacqueline A

2007-01-01

Background The Department of Veterans Affairs (VA) mandated the system-wide implementation of clinical practice guidelines (CPGs) in the mid-1990s, arming all facilities with basic resources to facilitate implementation; despite this resource allocation, significant variability still exists across VA facilities in implementation success. Objective This study compares CPG implementation strategy patterns used by high and low performing primary care clinics in the VA. Research Design Descriptive, cross-sectional study of a purposeful sample of six Veterans Affairs Medical Centers (VAMCs) with high and low performance on six CPGs. Subjects One hundred and two employees (management, quality improvement, clinic personnel) involved with guideline implementation at each VAMC primary care clinic. Measures Participants reported specific strategies used by their facility to implement guidelines in 1-hour semi-structured interviews. Facilities were classified as high or low performers based on their guideline adherence scores calculated through independently conducted chart reviews. Findings High performing facilities (HPFs) (a) invested significantly in the implementation of the electronic medical record and locally adapting it to provider needs, (b) invested dedicated resources to guideline-related initiatives, and (c) exhibited a clear direction in their strategy choices. Low performing facilities exhibited (a) earlier stages of development for their electronic medical record, (b) reliance on preexisting resources for guideline implementation, with little local adaptation, and (c) no clear direction in their strategy choices. Conclusion A multifaceted, yet targeted, strategic approach to guideline implementation emphasizing dedicated resources and local adaptation may result in more successful implementation and higher guideline adherence than relying on standardized resources and taxing preexisting channels. PMID:17355583

KSC-2012-2032

NASA Image and Video Library

2012-04-11

CAPE CANAVERAL, Fla. – At the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida, maintenance technicians from NASA’s Dryden Flight Research Center in California check attach points on top of NASA’s Shuttle Carrier Aircraft modified 747 jet, or SCA, after arriving from Edwards Air Force Base in California. During the Space Shuttle Program’s transition and retirement processing, Discovery was prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Discovery is scheduled to be transported atop the SCA, designated NASA 905, to Dulles International Airport in Virginia on April 17 and then moved to the Smithsonian for permanent public display on April 19. The SCA is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. For more information, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Frankie Martin

Comparing Catheter-associated Urinary Tract Infection Prevention Programs Between VA and Non-VA Nursing Homes

PubMed Central

Mody, Lona; Greene, M. Todd; Saint, Sanjay; Meddings, Jennifer; Trautner, Barbara W.; Wald, Heidi L.; Crnich, Christopher; Banaszak-Holl, Jane; McNamara, Sara E.; King, Beth J.; Hogikyan, Robert; Edson, Barbara; Krein, Sarah L.

2018-01-01

OBJECTIVE The impact of healthcare system integration on infection prevention programs is unknown. Using catheter-associated urinary tract infection (CAUTI) prevention as an example, we hypothesize that U.S. Department of Veterans Affairs (VA) nursing homes have a more robust infection prevention infrastructure due to integration and centralization compared with non-VA nursing homes. SETTING VA and non-VA nursing homes participating in the “AHRQ Safety Program for Long-term Care” collaborative. METHODS Nursing homes provided baseline information about their infection prevention programs to assess strengths and gaps related to CAUTI prevention. RESULTS A total of 353 (71%; 47 VA, 306 non-VA) of 494 nursing homes from 41 states responded. VA nursing homes reported more hours/week devoted to infection prevention-related activities (31 vs. 12 hours, P<.001), and were more likely to have committees that reviewed healthcare-associated infections. Compared with non-VA facilities, a higher percentage of VA nursing homes reported tracking CAUTI rates (94% vs. 66%, P<.001), sharing CAUTI data with leadership (94% vs. 70%, P=.014) and nursing personnel (85% vs. 56%, P=.003). However, fewer VA nursing homes reported having policies for appropriate catheter use (64% vs. 81%, P=.004) and catheter insertion (83% vs. 94%, P=.004). CONCLUSIONS Among nursing homes participating in an AHRQ-funded collaborative, VA and non-VA nursing homes differed in their approach to CAUTI prevention. Best practices from both settings should be applied universally to create an optimal infection prevention program within emerging integrated healthcare systems. PMID:27917728

Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership.

PubMed

Elwy, A Rani; Bokhour, Barbara G; Maguire, Elizabeth M; Wagner, Todd H; Asch, Steven M; Gifford, Allen L; Gallagher, Thomas H; Durfee, Janet M; Martinello, Richard A; Schiffner, Susan; Jesse, Robert L

2014-12-01

The Department of Veterans Affairs (VA) mandates disclosure of large-scale adverse events to patients, even if risk of harm is not clearly present. Concerns about past disclosures warranted further examination of the impact of this policy. Through a collaborative partnership between VA leaders, policymakers, researchers and stakeholders, the objective was to empirically identify critical aspects of disclosure processes as a first step towards improving future disclosures. Semi-structured interviews were conducted with participants at nine VA facilities where recent disclosures took place. Ninety-seven stakeholders participated in the interviews: 38 employees, 28 leaders (from facilities, regions and national offices), 27 Veteran patients and family members, and four congressional staff members. Facility and regional leaders were interviewed by telephone, followed by a two-day site visit where employees, patients and family members were interviewed face-to-face. National leaders and congressional staff also completed telephone interviews. Interviews were analyzed using rapid qualitative assessment processes. Themes were mapped to the stages of the Crisis and Emergency Risk Communication model: pre-crisis, initial event, maintenance, resolution and evaluation. Many areas for improvement during disclosure were identified, such as preparing facilities better (pre-crisis), creating rapid communications, modifying disclosure language, addressing perceptions of harm, reducing complexity, and seeking assistance from others (initial event), managing communication with other stakeholders (maintenance), minimizing effects on staff and improving trust (resolution), and addressing facilities' needs (evaluation). Through the partnership, five recommendations to improve disclosures during each stage of communication have been widely disseminated throughout the VA using non-academic strategies. Some improvements have been made; other recommendations will be addressed through implementation of a large-scale adverse event disclosure toolkit. These toolkit strategies will enable leaders to provide timely and transparent information to patients and families, while reducing the burden on employees and the healthcare system during these events.

The use of an automated flight test management system in the development of a rapid-prototyping flight research facility

NASA Technical Reports Server (NTRS)

Duke, Eugene L.; Hewett, Marle D.; Brumbaugh, Randal W.; Tartt, David M.; Antoniewicz, Robert F.; Agarwal, Arvind K.

1988-01-01

An automated flight test management system (ATMS) and its use to develop a rapid-prototyping flight research facility for artificial intelligence (AI) based flight systems concepts are described. The ATMS provides a flight test engineer with a set of tools that assist in flight planning and simulation. This system will be capable of controlling an aircraft during the flight test by performing closed-loop guidance functions, range management, and maneuver-quality monitoring. The rapid-prototyping flight research facility is being developed at the Dryden Flight Research Facility of the NASA Ames Research Center (Ames-Dryden) to provide early flight assessment of emerging AI technology. The facility is being developed as one element of the aircraft automation program which focuses on the qualification and validation of embedded real-time AI-based systems.

77 FR 63437 - Advisory Committee on Structural Safety of Department of Veterans Affairs Facilities, Notice of...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-16

..., Office of Construction & Facilities Management (003C2B), Department of Veterans Affairs, 425 I Street NW... Affairs Facilities, Notice of Meeting The Department of Veterans Affairs (VA) gives notice under the... Safety of Department of Veterans Affairs Facilities will be held on October 29-30, 2012, in Room 6W405...

78 FR 21198 - Advisory Committee on Structural Safety of Department of Veterans Affairs Facilities; Notice of...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-09

... Construction and Facilities Management (003C2B), Department of Veterans Affairs, 810 Vermont Avenue NW... Affairs Facilities; Notice of Meeting The Department of Veterans Affairs (VA) gives notice under the... Safety of Department of Veterans Affairs Facilities will be held on April 25-26, 2013, in Room 6W405, 425...

X43 Hyper-X

NASA Image and Video Library

2004-02-11

NASA's Hyper-x Program Manager, Vince Rausch talks about the upcoming launch of the X43A vehicle over the Pacific Ocean later this month from his office at NASA Langley Research Center in Hampton, VA. Hyper X is a high risk, high payoff program. The flight of the X43 A will demonstrated in flight for the first time, air breathing hypersonic propulsion technology. (Photo by Jeff Caplan)

Authorities and Mechanisms for Purchased Care at the Department of Veterans Affairs

PubMed Central

Greenberg, Michael D.; Batka, Caroline; Buttorff, Christine; Dunigan, Molly; Lovejoy, Susan L.; McGovern, Geoffrey; Pace, Nicholas M.; Pillemer, Francesca; Williams, Kayla M.; Apaydin, Eric; Aranibar, Clara; Buenaventura, Maya; Carter, Phillip; Cherney, Samantha; Davis, Lynn E.; Donohue, Amy Grace; Geyer, Lily; Hemler, Joslyn; Roshan, Parisa; Skrabala, Lauren; Simmons, Stephen; Thompson, Joseph; Welch, Jonathan; Hosek, Susan D.; Farmer, Carrie M.

2016-01-01

Abstract The Veterans Access, Choice, and Accountability Act of 2014 addressed the need for access to timely, high-quality health care for veterans. Section 201 of the legislation called for an independent assessment of various aspects of veterans' health care. The RAND Corporation was tasked with an assessment of the authorities and mechanisms by which the Department of Veterans Affairs (VA) pays for health care services from non-VA providers. Purchased care accounted for 10 percent, or around $5.6 billion, of VA's health care budget in fiscal year 2014, and the amount of care purchased from outside VA is growing rapidly. VA purchases non-VA care through an array of programs, each with different payment processes and eligibility requirements for veterans and outside providers. A review and analysis of statutes, regulations, legislation, and literature on VA purchased care, along with interviews with expert stakeholders, a survey of VA medical facilities, and an evaluation of local-level policy documents revealed that VA's purchased care system is complex and decentralized. Inconsistencies in procedures, unclear goals, and a lack of cohesive strategy for purchased care could have ramifications for veterans' access to care. Adding to the complexity of VA's purchased care system is a lack of systematic data collection on access to and quality of care provided through VA's purchased care programs. The analysis also explored concepts of “episodes of care” and their implications for purchased care by VA. PMID:28083425

The Effect of Increased Travel Reimbursement Rates on Health Care Utilization in the VA

ERIC Educational Resources Information Center

Nelson, Richard E.; Hicken, Bret; West, Alan; Rupper, Randall

2012-01-01

Purpose: The reimbursement rate that eligible veterans receive for travel to Department of Veterans Affairs (VA) facilities increased from 11 to 28.5 cents per mile on February 1, 2008. We examined the effect of this policy change on utilization of outpatient, inpatient, and pharmacy services, stratifying veterans based on distance from a VA…

77 FR 64386 - Agency Information Collection Activities (Per Diem for Nursing Home Care of Veterans in State...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-19

... Activities (Per Diem for Nursing Home Care of Veterans in State Homes; Per Diem for Adult Day Care of.... Abstract: VA pays per diem to State homes providing nursing home and adult day health services care to Veterans. VA requires facilities providing nursing home and adult day health care to furnish an application...

78 FR 46497 - Amendment of Class D and E Airspace, and Establishment of Class E Airspace; Oceana NAS, VA

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-01

... Soucek Field) now operating on a part time basis. This action enhances the safety and airspace management... Soucek Field), VA, as the air traffic control tower is transitioning from a full time facility to part... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration 14 CFR Part 71 [Docket No. FAA-2013...

Impact of the REACH II and REACH VA Dementia Caregiver Interventions on Healthcare Costs.

PubMed

Nichols, Linda O; Martindale-Adams, Jennifer; Zhu, Carolyn W; Kaplan, Erin K; Zuber, Jeffrey K; Waters, Teresa M

2017-05-01

Examine caregiver and care recipient healthcare costs associated with caregivers' participation in Resources for Enhancing Alzheimer's Caregivers Health (REACH II or REACH VA) behavioral interventions to improve coping skills and care recipient management. RCT (REACH II); propensity-score matched, retrospective cohort study (REACH VA). Five community sites (REACH II); 24 VA facilities (REACH VA). Care recipients with Alzheimer's disease and related dementias (ADRD) and their caregivers who participated in REACH II study (analysis sample of 110 caregivers and 197 care recipients); care recipients whose caregivers participated in REACH VA and a propensity matched control group (analysis sample of 491). Previously collected data plus Medicare expenditures (REACH II) and VA costs plus Medicare expenditures (REACH VA). There was no increase in VA or Medicare expenditures for care recipients or their caregivers who participated in either REACH intervention. For VA care recipients, REACH was associated with significantly lower total VA costs of care (33.6%). VA caregiver cost data was not available. In previous research, both REACH II and REACH VA have been shown to provide benefit for dementia caregivers at a cost of less than $5/day; however, concerns about additional healthcare costs may have hindered REACH's widespread adoption. Neither REACH intervention was associated with additional healthcare costs for caregivers or patients; in fact, for VA patients, there were significantly lower healthcare costs. The VA costs savings may be related to the addition of a structured format for addressing the caregiver's role in managing complex ADRD care to an existing, integrated care system. These findings suggest that behavioral interventions are a viable mechanism to support burdened dementia caregivers without additional healthcare costs. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

Use of DHCP to provide essential information for care and management of HIV patients.

PubMed

Pfeil, C N; Ivey, J L; Hoffman, J D; Kuhn, I M

1991-01-01

The Department of Veterans' Affairs (VA) has reported over 10,000 Acquired Immune Deficiency Syndrome (AIDS) cases since the beginning of the epidemic. These cases were distributed throughout 152 of the VA's network of 172 medical centers and outpatient clinics. This network of health care facilities presents a unique opportunity to provide computer based information systems for clinical care and resource monitoring for these patients. The VA further facilitates such a venture through its commitment to the Decentralized Hospital Computer Program (DHCP). This paper describes a new application within DHCP known as the VA's HIV Registry. This project addresses the need to support clinical information as well as the added need to manage the resources necessary to care for HIV patients.

KSC-2012-2037

NASA Image and Video Library

2012-04-11

CAPE CANAVERAL, Fla. – Painted graphics line the side of NASA 905 depicting the various ferry flights the Shuttle Carrier Aircraft has supported during the Space Shuttle Program, including the tests using the space shuttle prototype Enterprise. The aircraft, known as an SCA, is at Kennedy to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. The SCA is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Ben Smegelsky

KSC-2012-2035

NASA Image and Video Library

2012-04-11

CAPE CANAVERAL, Fla. – Painted graphics line the side of NASA 905 depicting the various ferry flights the Shuttle Carrier Aircraft has supported during the Space Shuttle Program, including the tests using the space shuttle prototype Enterprise. The aircraft, known as an SCA, is at Kennedy to prepare for shuttle Discovery’s ferry flight to the Washington Dulles International Airport in Sterling, Va., on April 17. The SCA is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Ben Smegelsky

76 FR 72048 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for a Mixed-Use...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-21

...The Secretary of VA intends to enter into an EUL on an approximately 59.4-acre parcel of land which includes 8 historic structures at the VA Nebraska-Western Iowa Health Care System (Lincoln Community-Based Outpatient Clinic) in Lincoln, Nebraska. As consideration for the lease, the lessee will be required to construct, renovate, operate, and maintain a mixed-use development. A permanent housing facility will be included in the development, which will offer preference and priority placement for Veterans and their families, and a supportive services program.

Vascular access in patients receiving hemodialysis in Libya.

PubMed

Alashek, Wiam A; McIntyre, Christopher W; Taal, Maarten W

2012-01-01

A native arteriovenous fistula (AVF) represents the optimal form of Vascular Access (VA) for patients receiving hemodialysis (HD). In Libya there are several barriers to AVF creation including lack of adequate preparation for dialysis and surgical services. We aimed to conduct the first comprehensive study of VA utilisation in HD patients in Libya. A prospective observational study included all adult patients receiving HD treatment in 25 HD facilities in Libya from May 2009 to Nov 2011. Researchers gathered data regarding VA through interviews with staff and patients as well as medical records. Patients with definitive VA were re-interviewed after 1 year. At baseline the majority of patients (91.9%; n=1573) were using permanent VA in the form of AVF or arteriovenous graft. Patients with permanent VA were more likely to be male and less likely to be diabetic than those with CVCs. Most patients had commenced HD using a temporary CVC (91.8%). VA-related complications were: thrombosis (46.7%), aneurysm (22.6%), infection (11.5%) and haemorrhage (10.2%). Incident VA thrombosis was reported by 14.7% in 1 year. Independent risk factors for incident thrombosis were female gender and diabetes. Hospitalisation for VA related complications was reported by 31.4%. Few patients in Libya initiate HD with definitive VA, but most achieve it thereafter. Improved dialysis preparation and increased provision of surgical services are required to increase the proportion of patients initiating HD with definitive VA and should be a priority in rebuilding health services in Libya after the recent conflict.

BUILDING 67 CENTER, ENGINEERING AND FACILITIES MANAGEMENT TO THE RIGHT. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

BUILDING 67 CENTER, ENGINEERING AND FACILITIES MANAGEMENT TO THE RIGHT. BUILDING 67 IS SURMISED TO HAVE BEEN A RAILROAD STATION DAYS WHEN SITE WAS A RESORT - National Home for Disabled Volunteer Soldiers, Eastern Branch, 1 VA Center, Augusta, Kennebec County, ME

Expedition 38 State Commission

NASA Image and Video Library

2013-11-06

President of RSC Energia, Designer General V.A. Lopota, talks during the State Commission meeting to approve the Soyuz rocket launch of Expedition 38 Soyuz Commander Mikhail Tyurin of Roscosmos, Flight Engineer Koichi Wakata of the Japan Aerospace Exploration Agency, and, Flight Engineer Rick Mastracchio of NASA for a six month mission aboard the International Space Station, Wednesday, Nov. 6, 2013 at the Cosmonaut Hotel in Baikonur, Kazakhstan. Photo Credit: (NASA/Bill Ingalls)

Health Care Provided by Military Treatment Facilities to Contractors in Southwest Asia

DTIC Science & Technology

2009-05-04

UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Department of Defense Inspector General,ODIG-AUD,400 Army Navy Drive,Arlington,VA...Department of Defense Inspector General 400 Army Navy Drive (Room 801) Arlington, VA 22202-4704 Acronyms ASD(HA...Central Command USD(AT&L) Under Secretary of Defense (Acquisition, Technology, and Logistics) INSPECTOR GENERAL DEPARTMENT OF DEFENSE 400 ARMY NAVY

Promotion of Orange-Fleshed Sweet Potato Increased Vitamin A Intakes and Reduced the Odds of Low Retinol-Binding Protein among Postpartum Kenyan Women.

PubMed

Girard, Amy Webb; Grant, Frederick; Watkinson, Michelle; Okuku, Haile Selassie; Wanjala, Rose; Cole, Donald; Levin, Carol; Low, Jan

2017-05-01

Background: Orange-fleshed sweet potato (OFSP) improves vitamin A (VA) status of young children; research with pregnant and lactating women is limited. Objective: We examined the effectiveness of the Mama SASHA (Sweetpotato Action for Security and Health in Africa) program to improve nutrition knowledge, diets, and nutritional status of pregnant and lactating women (PLW) in Western Kenya. Methods: Eight health facilities were allocated to the Mama SASHA intervention or comparison arms. PLW in intervention facilities received enhanced nutrition counseling at health clinics, were linked with community-based maternal support groups, and received vouchers for OFSP vine cuttings. Control PLW received clinic-based nutrition counseling only. A total of 505 women in early and midpregnancy, attending their first antenatal care visit, and with no previous engagement in project activities were enrolled from the 8 facilities. Nutrition and health-seeking knowledge, food security, dietary patterns, and anthropometric measurements were collected at 4 time points at ≤9 mo postpartum. VA intakes were assessed with multipass 24-h recalls in a subsample of 206 mothers at 8-10 mo postpartum. VA status was assessed by using serum retinol-binding protein (RBP). Impacts were estimated with multilevel mixed models adjusted for clustering and differences at enrollment. Results: At enrollment, 22.9% of women had RBP <1.17 μmol/L. By 9 mo postpartum, intervention women had significantly higher intakes of VA [adjusted difference = 297.0 retinol activity equivalent (RAE) units; 95% CI: 82, 513 RAE units; P = 0.01; n = 206], greater consumption of VA-rich fruit and vegetables in the previous 7 d (difference-in-difference estimate: 0.40 d; 95% CI: 0.23, 0.56 d; P < 0.01), and a 45% reduction in the odds of RBP <1.17 μmol/L (OR: 0.55; 95% CI: 0.33, 0.92; P = 0.01). Conclusion: Promotion of OFSP to PLW through health services is a feasible strategy to improve women's nutrition knowledge, VA intakes, and maternal RBP.

Factors Associated With Utilization of Cardiac Rehabilitation Among Patients With Ischemic Heart Disease in the Veterans Health Administration: A QUALITATIVE STUDY.

PubMed

Schopfer, David W; Priano, Susan; Allsup, Kelly; Helfrich, Christian D; Ho, P Michael; Rumsfeld, John S; Forman, Daniel E; Whooley, Mary A

2016-01-01

Cardiac rehabilitation (CR) programs reduce morbidity and mortality in patients with ischemic heart disease but are vastly underutilized in the United States, including the Veterans Health Administration (VA) Healthcare System. Numerous barriers affecting utilization have been identified in other health care systems, but the specific factors affecting Veterans are unknown. We sought to identify barriers and facilitators associated with utilization of CR in VA facilities. We performed a qualitative study of 56 VA patients, providers, and CR program managers at 30 VA facilities across the United States. We conducted semistructured interviews with key informants to explore their attitudes and knowledge toward CR. Interviews were conducted until thematic saturation occurred. Analyses using grounded theory to identify key themes were conducted using the qualitative data analysis package ATLAS.ti. We identified 6 themes as barriers and 5 as facilitators. The most common barriers to participation in CR were patient transportation issues (68%), lack of patient willingness to participate (41%), and no access to a nearby VA hospital with a CR program (30%). The most common facilitators were involvement of a dedicated provider or "clinical champion" (50%), provider knowledge of or experience with CR (48%), and patient desire for additional medical support (32%). Our findings suggest that addressing access issues and educating and activating providers on CR may increase utilization of CR programs. Targeting these specific factors may improve utilization of CR programs.

John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety.

PubMed

Heget, Jeffrey R; Bagian, James P; Lee, Caryl Z; Gosbee, John W

2002-12-01

In 1998 the Veterans Health Administration (VHA) created the National Center for Patient Safety (NCPS) to lead the effort to reduce adverse events and close calls systemwide. NCPS's aim is to foster a culture of safety in the Department of Veterans Affairs (VA) by developing and providing patient safety programs and delivering standardized tools, methods, and initiatives to the 163 VA facilities. To create a system-oriented approach to patient safety, NCPS looked for models in fields such as aviation, nuclear power, human factors, and safety engineering. Core concepts included a non-punitive approach to patient safety activities that emphasizes systems-based learning, the active seeking out of close calls, which are viewed as opportunities for learning and investigation, and the use of interdisciplinary teams to investigate close calls and adverse events through a root cause analysis (RCA) process. Participation by VA facilities and networks was voluntary. NCPS has always aimed to develop a program that would be applicable both within the VA and beyond. NCPS's full patient safety program was tested and implemented throughout the VA system from November 1999 to August 2000. Program components included an RCA system for use by caregivers at the front line, a system for the aggregate review of RCA results, information systems software, alerts and advisories, and cognitive acids. Following program implementation, NCPS saw a 900-fold increase in reporting of close calls of high-priority events, reflecting the level of commitment to the program by VHA leaders and staff.

Use of DHCP to provide essential information for care and management of HIV patients.

PubMed Central

Pfeil, C. N.; Ivey, J. L.; Hoffman, J. D.; Kuhn, I. M.

1991-01-01

The Department of Veterans' Affairs (VA) has reported over 10,000 Acquired Immune Deficiency Syndrome (AIDS) cases since the beginning of the epidemic. These cases were distributed throughout 152 of the VA's network of 172 medical centers and outpatient clinics. This network of health care facilities presents a unique opportunity to provide computer based information systems for clinical care and resource monitoring for these patients. The VA further facilitates such a venture through its commitment to the Decentralized Hospital Computer Program (DHCP). This paper describes a new application within DHCP known as the VA's HIV Registry. This project addresses the need to support clinical information as well as the added need to manage the resources necessary to care for HIV patients. PMID:1807575

Implementing a user-driven online quality improvement toolkit for cancer care.

PubMed

Luck, Jeff; York, Laura S; Bowman, Candice; Gale, Randall C; Smith, Nina; Asch, Steven M

2015-05-01

Peer-to-peer collaboration within integrated health systems requires a mechanism for sharing quality improvement lessons. The Veterans Health Administration (VA) developed online compendia of tools linked to specific cancer quality indicators. We evaluated awareness and use of the toolkits, variation across facilities, impact of social marketing, and factors influencing toolkit use. A diffusion of innovations conceptual framework guided the collection of user activity data from the Toolkit Series SharePoint site and an online survey of potential Lung Cancer Care Toolkit users. The VA Toolkit Series site had 5,088 unique visitors in its first 22 months; 5% of users accounted for 40% of page views. Social marketing communications were correlated with site usage. Of survey respondents (n = 355), 54% had visited the site, of whom 24% downloaded at least one tool. Respondents' awareness of the lung cancer quality performance of their facility, and facility participation in quality improvement collaboratives, were positively associated with Toolkit Series site use. Facility-level lung cancer tool implementation varied widely across tool types. The VA Toolkit Series achieved widespread use and a high degree of user engagement, although use varied widely across facilities. The most active users were aware of and active in cancer care quality improvement. Toolkit use seemed to be reinforced by other quality improvement activities. A combination of user-driven tool creation and centralized toolkit development seemed to be effective for leveraging health information technology to spread disease-specific quality improvement tools within an integrated health care system. Copyright © 2015 by American Society of Clinical Oncology.

Posttraumatic Stress Disorder Symptom Severity and Socioeconomic Factors Associated with Veterans Health Administration Use among Women Veterans.

PubMed

Lehavot, Keren; O'Hara, Ruth; Washington, Donna L; Yano, Elizabeth M; Simpson, Tracy L

2015-01-01

The Veterans Health Administration (VA) has historically focused on treating men. Although women veterans' VA use is increasing, they remain more likely than male veterans to receive their care in non-VA settings. To date, there is limited research on factors associated with VA use among women. We examined the relationship between demographic, civilian, military, and health-related variables with past-year VA use among women veterans. Women veterans were recruited over the internet to participate in an anonymous national survey (n = 617) in 2013. An empirically derived decision tree was computed using signal detection software for iterative receiver operator characteristics (ROC) to identify variables with the best sensitivity/specificity balance associated with past-year VA use. ROC analysis indicated that 85% of participants with high posttraumatic stress disorder (PTSD) and depressive symptoms and who were younger than 54 years of age used VA in the past year. Of those who were 54 years of age or older and had very high PTSD symptoms, 94% used the VA in the last year. By contrast, only 40% of participants with relatively lower PTSD symptoms had VA past-year use, although among these individuals, VA past-year use increased to 65% for those with a relatively lower income. Findings suggest that greater PTSD symptoms, depressive symptoms, and low income correlate with VA use, with very high PTSD symptoms in older groups, high PTSD symptoms coupled with high depressive symptoms in younger groups, and low income in those with lower PTSD symptoms each associated with greater past-year VA use. Ensuring PTSD assessment and treatment, and addressing socioeconomic factors, may be key strategies for health care delivered directly or through contract with VA facilities. Published by Elsevier Inc.

Preliminary assessment report for Virginia Army National Guard Army Aviation Support Facility, Richmond International Airport, Installation 51230, Sandston, Virginia

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

Dennis, C.B.

This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Virginia Army National Guard (VaARNG) property in Sandston, Virginia. The Army Aviation Support Facility (AASF) is contiguous with the Richmond International Airport. Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a basis for establishing corrective actions in response to releases of hazardous substances. The PA is designed to characterize the site accurately and determine the need for further action by examining site activities, quantities of hazardous substances present, and potential pathwaysmore » by which contamination could affect public health and the environment. The AASF, originally constructed as an active Air Force interceptor base, provides maintenance support for VaARNG aircraft. Hazardous materials used and stored at the facility include JP-4 jet fuel, diesel fuel, gasoline, liquid propane gas, heating oil, and motor oil.« less

Spaceflight induces changes in the synaptic circuitry of the postnatal developing neocortex

NASA Technical Reports Server (NTRS)

DeFelipe, J.; Arellano, J. I.; Merchan-Perez, A.; Gonzalez-Albo, M. C.; Walton, K.; Llinas, R.

2002-01-01

The establishment of the adult pattern of neocortical circuitry depends on various intrinsic and extrinsic factors, whose modification during development can lead to alterations in cortical organization and function. We report the effect of 16 days of spaceflight [Neurolab mission; from postnatal day 14 (P14) to P30] on the neocortical representation of the hindlimb synaptic circuitry in rats. As a result, we show, for the first time, that development in microgravity leads to changes in the number and morphology of cortical synapses in a laminar-specific manner. In the layers II/III and Va, the synaptic cross-sectional lengths were significantly larger in flight animals than in ground control animals. Flight animals also showed significantly lower synaptic densities in layers II/III, IV and Va. The greatest difference was found in layer II/III, where there was a difference of 344 million synapses per mm(3) (15.6% decrease). Furthermore, after a 4 month period of re-adaptation to terrestrial gravity, some changes disappeared (i.e. the alterations were transient), while conversely, some new differences also appeared. For example, significant differences in synaptic density in layers II/III and Va after re-adaptation were no longer observed, whereas in layer IV the density of synapses increased notably in flight animals (a difference of 185 million synapses per mm(3) or 13.4%). In addition, all the changes observed only affected asymmetrical synapses, which are known to be excitatory. These results indicates that terrestrial gravity is a necessary environmental parameter for normal cortical synaptogenesis. These findings are fundamental in planning future long-term spaceflights.

Validation of verbal autopsy: determination of cause of deaths in Malaysia 2013.

PubMed

Ganapathy, Shubash Shander; Yi Yi, Khoo; Omar, Mohd Azahadi; Anuar, Mohamad Fuad Mohamad; Jeevananthan, Chandrika; Rao, Chalapati

2017-08-11

Mortality statistics by age, sex and cause are the foundation of basic health data required for health status assessment, epidemiological research and formation of health policy. Close to half the deaths in Malaysia occur outside a health facility, are not attended by medical personnel, and are given a lay opinion as to the cause of death, leading to poor quality of data from vital registration. Verbal autopsy (VA) is a very useful tool in diagnosing broad causes of deaths for events that occur outside health facilities. This article reports the development of the VA methods and our principal finding from a validation study. A cross sectional study on nationally representative sample deaths that occurred in Malaysia during 2013 was used. A VA questionnaire suitable for local use was developed. Trained field interviewers visited the family members of the deceased at their homes and conducted face to face interviews with the next of kin. Completed questionnaires were reviewed by trained physicians who assigned multiple and underlying causes. Reference diagnoses for validation were obtained from review of medical records (MR) available for a sample of the overall study deaths. Corresponding MR diagnosis with matched sample of the VA diagnosis were available in 2172 cases for the validation study. Sensitivity scores were good (>75%) for transport accidents and certain cancers. Moderate sensitivity (50% - 75%) was obtained for ischaemic heart disease (64%) and cerebrovascular disease (72%). The validation sample for deaths due to major causes such as ischaemic heart disease, pneumonia, breast cancer and transport accidents show low cause-specific mortality fraction (CSMF) changes. The scores obtained for the top 10 leading site-specific cancers ranged from average to good. We can conclude that VA is suitable for implementation for deaths outside the health facilities in Malaysia. This would reduce ill-defined mortality causes in vital registration data, and yield more accurate national mortality statistics.

Results of a Veterans Affairs employee education program on antimicrobial stewardship for older adults.

PubMed

Heath, Barbara; Bernhardt, Jaime; Michalski, Thomas J; Crnich, Christopher J; Moehring, Rebekah; Schmader, Kenneth E; Olds, Danielle; Higgins, Patricia A; Jump, Robin L P

2016-03-01

We describe a course in the Veterans Affairs (VA) Employee Education System designed to engage nursing staff working in VA long-term care facilities as partners in antimicrobial stewardship. We found that the course addressed an important knowledge gap. Our outcomes suggest opportunities to engage nursing staff in advancing antimicrobial stewardship, particularly in the long-term care setting. Published by Elsevier Inc.

KSC-2012-1450

NASA Image and Video Library

2012-02-18

CAPE CANAVERAL, Fla. -- NASA Kennedy Space Center Director Bob Cabana, right, talks to guests in Orbiter Processing Facility-1 OPF-1 where space shuttle Discovery is being prepared for public display during a 50th anniversary celebration of the first orbital flight of an American. The astronaut who made that first flight, John Glenn, is at the space center to commemorate that achievement. Glenn orbited the Earth three times in the NASA Mercury Project's Friendship 7 capsule on Feb. 20, 1962. He later returned to space in October 1998 as a payload specialist aboard Discovery's STS-95 mission. Also in the photo are Glenn's wife, Annie, NASA astronaut Stephen Robinson, and Bob Sieck, a former shuttle launch director. Robinson was the payload commander of STS-95. Glenn's launch aboard an Atlas rocket took with it the hopes of an entire nation and ushered in a new era of space travel that eventually led to Americans walking on the moon by the end of the 1960s. Glenn soon was followed into orbit by Scott Carpenter, Walter Schirra and Gordon Cooper. Their fellow Mercury astronauts Alan Shepard and Virgil "Gus" Grissom flew earlier suborbital flights. Deke Slayton, a member of NASA's original Mercury 7 astronauts, was grounded by a medical condition until the Apollo-Soyuz Test Project in 1975. Shuttle Discovery currently is being prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Photo credit: Cory Huston

History of a Building Automation System.

ERIC Educational Resources Information Center

Martin, Anthony A.

1984-01-01

Having successfully used computer control in the solar-heated and cooled Terraset School, the Fairfax County, VA, Public Schools are now computerizing all their facilities. This article discusses the configuration and use of a countywide control system, reasons for the project's success, and problems of facility automation. (MCG)

38 CFR 51.70 - Resident rights.

Code of Federal Regulations, 2010 CFR

2010-07-01

... to participate in experimental research, and to formulate an advance directive as specified in.... (g) Examination of survey results. A resident has the right to— (1) Examine the results of the most recent VA survey with respect to the facility. The facility management must make the results available...

38 CFR 51.70 - Resident rights.

Code of Federal Regulations, 2011 CFR

2011-07-01

... to participate in experimental research, and to formulate an advance directive as specified in.... (g) Examination of survey results. A resident has the right to— (1) Examine the results of the most recent VA survey with respect to the facility. The facility management must make the results available...

38 CFR 51.70 - Resident rights.

Code of Federal Regulations, 2014 CFR

2014-07-01

... to participate in experimental research, and to formulate an advance directive as specified in.... (g) Examination of survey results. A resident has the right to— (1) Examine the results of the most recent VA survey with respect to the facility. The facility management must make the results available...

38 CFR 51.70 - Resident rights.

Code of Federal Regulations, 2012 CFR

2012-07-01

... to participate in experimental research, and to formulate an advance directive as specified in.... (g) Examination of survey results. A resident has the right to— (1) Examine the results of the most recent VA survey with respect to the facility. The facility management must make the results available...

38 CFR 51.70 - Resident rights.

Code of Federal Regulations, 2013 CFR

2013-07-01

... to participate in experimental research, and to formulate an advance directive as specified in.... (g) Examination of survey results. A resident has the right to— (1) Examine the results of the most recent VA survey with respect to the facility. The facility management must make the results available...

Facile synthesis, phase transition, optical switching and oxidation resistance properties of belt-like VO{sub 2}(A) and VO{sub 2}(M) with a rectangular cross section

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

Zhang, Yifu; Huang, Yanfen; Zhang, Juecheng

2012-08-15

Highlights: ► Belt-like VO{sub 2}(A) with a rectangular cross section was synthesized. ► The formation mechanism of belt-like VO{sub 2}(A) was proposed. ► Belt-like VO{sub 2}(M) was prepared by the irreversible transformation of VO{sub 2}(A). ► VO{sub 2}(A) and VO{sub 2}(M) can be used as the optical switching materials. ► VO{sub 2}(A) and VO{sub 2}(M) have good oxidation resistance below 400 °C in air. -- Abstract: Belt-like VO{sub 2}(A) with a rectangular cross section (VA-RCS) was successfully synthesized using V{sub 2}O{sub 5}, H{sub 2}C{sub 2}O{sub 4}·2H{sub 2}O and H{sub 2}O as the starting materials by a facile hydrothermal approach. Somemore » synthetic parameters, such as, the reaction time, reaction temperature and concentration of H{sub 2}C{sub 2}O{sub 4}·2H{sub 2}O, were systematically investigated to control the fabrication of belt-like VA-RCS. The formation mechanism of belt-like VA-RCS was proposed. Subsequently, belt-like VO{sub 2}(M) with a rectangular cross section (VM-RCS) was prepared by the irreversible transformation of VA-RCS at 700 °C for 2 h under the inert atmosphere. The phase transition temperature (T{sub c}) of VA-RCS and VM-RCS was evaluated by DSC test. The optical switching properties of VA-RCS and VM-RCS were studied by the variable-temperature infrared spectra, and it was found that the as-obtained VA-RCS and VM-RCS could be used as the optical switching materials. Furthermore, the oxidation resistance properties of VA-RCS and VM-RCS were investigated by TGA, indicating that they have good thermal stability and oxidation resistance below 400 °C in air.« less

Resident smoking in long-term care facilities--policies and ethics.

PubMed Central

Kochersberger, G; Clipp, E C

1996-01-01

Objective: To characterize smoking behavior, facility policies related smoking, and administrators' views of smoking-related problems in Veterans Affairs nursing home care units nationwide. Methods: An anonymous mail survey of long-term care facilities was administered to 106 nursing home supervisors at VA Medical Centers with nursing home care units. The response rate was 82%. Results: Administrators from 106 VA nursing home units reported smoking rates ranging from 5% to 80% of long-term care residents, with an average of 22%. Half of the nursing homes had indoor smoking areas. Frequent complaints from nonsmokers about passive smoke exposure were reported in 23% of the nursing homes. The nursing administrators reported that patient safety was their greatest concern. Seventy- eight percent ranked health effects to the smokers themselves a "major concern," while 70% put health effects to exposed nonsmokers in that category. Smoking in the nursing home was described as a "right" by 59% of respondents and a ¿privilege¿ by 67%. Some individuals reported that smoking was both a right and a privilege. Conclusion: Smoking is relatively common among VA long-term care patients. The promotion of personal autonomy and individual resident rights stressed in the Omnibus Budget Reconciliation Act of 1987 may conflict with administrative concerns about the safety of nursing home smokers and those around them. PMID:8610194

Optometry within hospitals at the Veterans Administration.

PubMed

Soroka, Mort; Crump, Trafford; Bennett, Amy

2005-11-01

This study was designed to determine the use of optometrists with the Veterans Health Administration hospital system and to develop accurate statistics regarding the number and type of services these doctors provide. The findings help describe their responsibilities in the treatment and management of ocular diseases and their use of diagnostic and therapeutic drugs. The study also investigated what, if any, role optometrists play beyond care in the education and research practices of the hospital. A descriptive analysis was conducted through the use of surveys and interviews of department chiefs or medical directors. A survey was sent out to 149 Veterans Affairs (VA) Hospitals, located using the VA facility locator Web site. Data were tabulated, aggregated, and analyzed. A response rate of 81% was achieved (122 surveys returned), 98% of which (120 facilities) provide eye services to their patients in either an outpatient or inpatient capacity. One hundred seventeen (98%) of these had optometrists affiliated with their facility. These optometrists were responsible for providing a range of services, prescribing the use of diagnostic or therapeutic drugs, and participating in educational training of other health personnel. Optometry has developed a strong partnership with the Veterans Health Administration, and act as an integral part of its hospital services. The VA has developed a workforce mix that should serve as a model for managed care organizations.

14 CFR 135.97 - Aircraft and facilities for recent flight experience.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Aircraft and facilities for recent flight experience. 135.97 Section 135.97 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... Flight Operations § 135.97 Aircraft and facilities for recent flight experience. Each certificate holder...

14 CFR 135.97 - Aircraft and facilities for recent flight experience.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Aircraft and facilities for recent flight experience. 135.97 Section 135.97 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... Flight Operations § 135.97 Aircraft and facilities for recent flight experience. Each certificate holder...

14 CFR 135.97 - Aircraft and facilities for recent flight experience.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Aircraft and facilities for recent flight experience. 135.97 Section 135.97 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... Flight Operations § 135.97 Aircraft and facilities for recent flight experience. Each certificate holder...

14 CFR 135.97 - Aircraft and facilities for recent flight experience.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Aircraft and facilities for recent flight experience. 135.97 Section 135.97 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... Flight Operations § 135.97 Aircraft and facilities for recent flight experience. Each certificate holder...

14 CFR 135.97 - Aircraft and facilities for recent flight experience.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Aircraft and facilities for recent flight experience. 135.97 Section 135.97 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... Flight Operations § 135.97 Aircraft and facilities for recent flight experience. Each certificate holder...

Review of health maintenance program findings, 1960-1974

NASA Technical Reports Server (NTRS)

White, E. S.

1975-01-01

A preliminary analysis of the employee's examination records of the automated medical data base at the NASA Wallops Flight Center, Va., with an emphasis on the primary mission of the program-the early detection and control of cardiovascular disease, is presented.

5. VIEW NORTH OF TEST SECTION IN FULLSCALE WIND TUNNEL ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. VIEW NORTH OF TEST SECTION IN FULL-SCALE WIND TUNNEL WITH FREE-FLIGHT MODEL OF A BOEING 737 SUSPENDED FROM A SAFETY CABLE. - NASA Langley Research Center, Full-Scale Wind Tunnel, 224 Hunting Avenue, Hampton, Hampton, VA

38 CFR 17.70 - Written decision following a hearing.

Code of Federal Regulations, 2011 CFR

2011-07-01

... shall consider the safety and health of the residents of the community residential care facility and the... AFFAIRS MEDICAL Community Residential Care § 17.70 Written decision following a hearing. (a) The hearing... community residential care facility's noncompliance with VA standards shall be based on the preponderance of...

38 CFR 17.70 - Written decision following a hearing.

Code of Federal Regulations, 2010 CFR

2010-07-01

... shall consider the safety and health of the residents of the community residential care facility and the... AFFAIRS MEDICAL Community Residential Care § 17.70 Written decision following a hearing. (a) The hearing... community residential care facility's noncompliance with VA standards shall be based on the preponderance of...

38 CFR 17.67 - Request for a hearing.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Community Residential Care § 17.67 Request for a hearing. The community residential care facility operator... of VA approval until the hearing official issues a written decision on the community residential care... after the time limit, if the community residential care facility shows that the failure of the request...

KSC-05pd2377

NASA Image and Video Library

2005-11-01

KENNEDY SPACE CENTER, FLA. - STS-114 Mission Commander Eileen Collins (left) is greeted at the entrance to the V.A. Outpatient Clinic in Viera, Fla., by Dr. Thomas Howard (center), chief medical officer, and Dr. Michael Doukas (right), chief of staff with the Orlando V.A. Medical Center. Collins is participating in the dedication of a hospital wing in honor of space shuttle Discovery, to be known as the Discovery wing. Collins and her crew have returned to Florida especially for a celebration in the KSC Visitor Complex of the successful return to flight mission that launched July 26 of this year.

An Evaluation of an Ada Implementation of the Rete Algorithm for Embedded Flight Processors

DTIC Science & Technology

1990-12-01

computers was desired. The VAX VMS operating system has many built-in methods for determining program performance (including VAX PCA), but these methods... overviev , of the target environment-- the MIL-STD-1750A VHSIC Avionic Modular Processor ( VA.IP, running under the Ada Avionics Real-Time Software (AARTS... computers . Mil-STD-1750A, the Air Force’s standard flight computer architecture, however, places severe constraints on applications software processing

Main outcomes of an RCT to pilot test reporting and feedback to foster research integrity climates in the VA.

PubMed

Martinson, Brian C; Mohr, David C; Charns, Martin P; Nelson, David; Hagel-Campbell, Emily; Bangerter, Ann; Bloomfield, Hanna E; Owen, Richard; Thrush, Carol R

2017-01-01

Assessing the integrity of research climates and sharing such information with research leaders may support research best practices. We report here results of a pilot trial testing the effectiveness of a reporting and feedback intervention using the Survey of Organizational Research Climate (SOuRCe). We randomized 41 Veterans Health Administration (VA) facilities to a phone-based intervention designed to help research leaders understand their survey results (enhanced arm) or to an intervention in which results were simply distributed to research leaders (basic arm). Primary outcomes were (1) whether leaders took action, (2) whether actions taken were consistent with the feedback received, and (3) whether responses differed by receptivity to quality improvement input. Research leaders from 25 of 42 (59%) VA facilities consented to participate in the study intervention and follow-up, of which 14 were at facilities randomized to the enhanced arm. We completed follow-up interviews with 21 of the 25 leaders (88%), 12 from enhanced arm facilities. While not statistically significant, the proportion of leaders reporting taking some action in response to the feedback was twice as high in the enhanced arm than in the basic arm (67% vs. 33%, p = .20). While also not statistically significant, a higher proportion of actions taken among facilities in the enhanced arm were responsive to the survey results than in the basic arm (42% vs. 22%, p = .64). Enhanced feedback of survey results appears to be a promising intervention that may increase the likelihood of responsive action to improve organizational climates. Due to the small sample size of this pilot study, even large percentage-point differences between study arms are not statistically distinguishable. This hypothesis should be tested in a larger trial.

Optimizing the patient-centered environment: results of guided tours with health care providers and employees.

PubMed

Locatelli, Sara M; Turcios, Stephanie; LaVela, Sherri L

2015-01-01

To examine providers' perspectives on the care environment and patient-centered care (PCC) through the eyes of the veteran patient, using guided tours qualitative methodology. Environmental factors, such as attractiveness and function, have the potential to improve patients' experiences. Participatory qualitative methods allow researchers to explore the environment and facilitate discussion. Guided tours were conducted with 25 health care providers/employees at two Veterans Affairs (VA) health care facilities. In guided tours, participants lead the researcher through an environment, commenting on their surroundings, thoughts, and feelings. The researcher walks along with the participant, asking open-ended questions as needed to foster discussion and gain an understanding of the participant's view. Participants were asked to walk through the facility as though they were a veteran. Tours were audio recorded, with participant permission, and transcribed verbatim by research assistants. Three qualitative researchers were responsible for codebook development and coding transcripts and used data-driven coding approaches. Participants discussed physical appearance of the environment and how that influences perceptions about care. Overall, participants highlighted the need to shed the "institutional" appearance. Differences between VA and non-VA health care facilities were discussed, including availability of private rooms and staff to assist with navigating the facility. They reviewed resources in the facility, such as the information desk to assist patients and families. Finally, they offered suggestions for future improvements, including improvements to waiting areas and quiet areas for patients to relax and "get away" from their rooms. Participants highlighted many small changes to the care environment that could enhance the patient experience. Additionally, they examined the environment from the patient's perspective, to identify elements that enhance, or detract from, the patient's care experience. © The Author(s) 2015.

Home-based primary care and the risk of ambulatory care-sensitive condition hospitalization among older veterans with diabetes mellitus.

PubMed

Edwards, Samuel T; Prentice, Julia C; Simon, Steven R; Pizer, Steven D

2014-11-01

Primary care services based at home have the potential to reduce the likelihood of hospitalization among older adults with multiple chronic diseases. To characterize the association between enrollment in Home-Based Primary Care (HBPC), a national home care program operated by the US Department of Veterans Affairs (VA), and hospitalizations owing to an ambulatory care-sensitive condition among older veterans with diabetes mellitus. Retrospective cohort study. Patients admitted to VA and non-VA hospitals were followed up from January 1, 2006, through December 31, 2010. Veterans 67 years or older who were fee-for-service Medicare beneficiaries, were diagnosed as having diabetes mellitus and at least 1 other chronic disease, and had at least 1 admission to a VA or non-VA hospital in 2005 or 2006. Enrollment in HBPC, defined as a minimum of 2 HBPC encounters during the study period. Admission to VA and non-VA hospitals owing to an ambulatory care-sensitive condition, as measured by the Agency for Healthcare Research and Quality's Prevention Quality Indicators in VA medical records and Medicare claims. Outcomes were analyzed using distance from the veteran's residence to a VA facility that provides HBPC as an instrumental variable. Among 56 608 veterans, 1978 enrolled in HBPC. These patients were older (mean age, 79.1 vs 77.1 years) and had more chronic diseases (eg, 59.2% vs 53.5% had congestive heart failure). Multivariable predictors for HBPC enrollment included paralysis (odds ratio [OR], 2.11; 95% CI, 1.63-2.74), depression (OR, 1.99; 95% CI, 1.70-2.34), congestive heart failure (OR, 1.36; 95% CI, 1.17-1.58), and distance from the nearest HBPC-providing VA facility (OR, 0.59; 95% CI, 0.50-0.70 for >10-30 vs <5 miles). After controlling for selection using an instrumental variable analysis, HBPC was associated with a significant reduction in the probability of experiencing a hospitalization owing to an ambulatory care-sensitive condition (hazard ratio, 0.71; 95% CI, 0.57-0.89), with an absolute reduction in the probability of hospitalization of 5.8% in 1 year. Home-Based Primary Care is associated with a decreased probability of ambulatory care-sensitive condition hospitalization among elderly veterans with diabetes mellitus. In accountable care models, HBPC may have an important role in the management of older adults with multiple chronic diseases.

Varicella infection modeling.

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

Jones, Katherine A.; Finley, Patrick D.; Moore, Thomas W.

2013-09-01

Infectious diseases can spread rapidly through healthcare facilities, resulting in widespread illness among vulnerable patients. Computational models of disease spread are useful for evaluating mitigation strategies under different scenarios. This report describes two infectious disease models built for the US Department of Veteran Affairs (VA) motivated by a Varicella outbreak in a VA facility. The first model simulates disease spread within a notional contact network representing staff and patients. Several interventions, along with initial infection counts and intervention delay, were evaluated for effectiveness at preventing disease spread. The second model adds staff categories, location, scheduling, and variable contact rates tomore » improve resolution. This model achieved more accurate infection counts and enabled a more rigorous evaluation of comparative effectiveness of interventions.« less

Commentary: building human capital: discovery, learning, and professional satisfaction.

PubMed

Cox, Malcolm; Kupersmith, Joel; Jesse, Robert L; Petzel, Robert A

2011-08-01

Physician satisfaction is an important contributor to a well-functioning health system. Mohr and Burgess report that physicians in the Veterans Health Administration (VA) who spend time in research have greater overall job satisfaction, that satisfaction tracks with aggregate facility research funding, and that satisfaction is higher among physicians working in VA facilities located on the same campus or within walking distance of an affiliated medical school. An environment conducive to research therefore not only advances science but also seems to be a key element of physician satisfaction. In addition to advancing scientific discovery and promoting greater physician satisfaction, these findings suggest that an environment of discovery and learning may yield benefits beyond specific academic endeavors and contribute more broadly to supporting health system performance.

The development of an automated flight test management system for flight test planning and monitoring

NASA Technical Reports Server (NTRS)

Hewett, Marle D.; Tartt, David M.; Duke, Eugene L.; Antoniewicz, Robert F.; Brumbaugh, Randal W.

1988-01-01

The development of an automated flight test management system (ATMS) as a component of a rapid-prototyping flight research facility for AI-based flight systems concepts is described. The rapid-prototyping facility includes real-time high-fidelity simulators, numeric and symbolic processors, and high-performance research aircraft modified to accept commands for a ground-based remotely augmented vehicle facility. The flight system configuration of the ATMS includes three computers: the TI explorer LX and two GOULD SEL 32/27s.

77 FR 38179 - Autopsies at VA Expense

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-27

... 38 CFR Part 17 Administrative practice and procedure; Alcohol abuse; Alcoholism; Claims; Day care... care; Health facilities; Health professions; Health records; Homeless; Mental health programs; Nursing...

Synthesis and Investigation of Millimeter-Scale Vertically Aligned Boron Nitride Nanotube Arrays

NASA Astrophysics Data System (ADS)

Tay, Roland; Li, Hongling; Tsang, Siu Hon; Jing, Lin; Tan, Dunlin; Teo, Edwin Hang Tong

Boron nitride nanotubes (BNNTs) have shown potential in a wide range of applications due to their superior properties such as exceptionally high mechanical strength, excellent chemical and thermal stabilities. However, previously reported methods to date only produced BNNTs with limited length/density and insufficient yield at high temperatures. Here we present a facile and effective two-step synthesis route involving template-assisted chemical vapor deposition at a relatively low temperature of 900 degree C and subsequent annealing process to fabricate vertically aligned (VA) BN coated carbon nanotube (VA-BN/CNT) and VA-BNNT arrays. By using this method, we achieve the longest VA-BN/CNTs and VA-BNNTs to date with lengths of over millimeters (exceeding two orders of magnitude longer than the previously reported length of VA-BNNTs). In addition, the morphology, chemical composition and microstructure of the resulting products, as well as the mechanism of coating process are systematically investigated. This versatile BN coating technique and the synthesis of millimeter-scale BN/CNT and BNNT arrays pave a way for new applications especially where the aligned geometry of the NTs is essential such as for field-emission, interconnects and thermal management.

77 FR 55208 - Transcontinental Gas Pipe Line Company, LLC; Notice of Intent To Prepare an Environmental...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-07

... Southside Expansion Project (Project) involving construction and operation of facilities by Transcontinental... Beginning at 6:30 p.m., Brian's Restaurant (upstairs room), 625 East Atlantic Ave., South Hill, VA 23970.... The Project would include construction and operation of the following facilities: Approximately 91.4...

76 FR 55570 - Per Diem Payments for the Care Provided to Eligible Veterans Evacuated From a State Home as a...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-08

.... Hayes, MPH, RN, Office of Patient Care Services (114), Veterans Health Administration, Department of... health care in State home facilities that are recognized and certified by VA. Section 1742 specifically... programs-- veterans, Health care, Health facilities, Health professions, Health records, Homeless, Medical...

76 FR 71439 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-17

...) Real Property for the Development of a Permanent Supportive Housing Facility in Tuscaloosa, AL AGENCY..., maintain and operate the EUL development as an affordable permanent housing facility; provide preference... independence and self- sufficiency. FOR FURTHER INFORMATION CONTACT: Edward Bradley, Office of Asset Enterprise...

38 CFR 51.210 - Administration.

Code of Federal Regulations, 2010 CFR

2010-07-01

... FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Standards § 51.210 Administration. A facility must be... (annual at time of survey); (6) The number of nursing home patients who are veterans and non-veterans, the... Veterans. The percent of the facility residents eligible for VA nursing home care must be at least 75...

38 CFR 51.210 - Administration.

Code of Federal Regulations, 2011 CFR

2011-07-01

... FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Standards § 51.210 Administration. A facility must be... (annual at time of survey); (6) The number of nursing home patients who are veterans and non-veterans, the... Veterans. The percent of the facility residents eligible for VA nursing home care must be at least 75...

38 CFR 51.210 - Administration.

Code of Federal Regulations, 2012 CFR

2012-07-01

... FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Standards § 51.210 Administration. A facility must be... (annual at time of survey); (6) The number of nursing home patients who are veterans and non-veterans, the... Veterans. The percent of the facility residents eligible for VA nursing home care must be at least 75...

38 CFR 51.210 - Administration.

Code of Federal Regulations, 2013 CFR

2013-07-01

... FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Standards § 51.210 Administration. A facility must be... (annual at time of survey); (6) The number of nursing home patients who are veterans and non-veterans, the... Veterans. The percent of the facility residents eligible for VA nursing home care must be at least 75...

78 FR 48079 - Proposed Amendment of Class E Airspace; Danville, VA

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-07

... Aviation Administration (FAA), DOT. ACTION: Notice of proposed rulemaking (NPRM). SUMMARY: This action...). This action would enhance the safety and airspace management of Instrument Flight Rules (IFR) operations at the airport. This action also would update the airport's geographic coordinates. DATES...

LITTLE JOE 2 - LAUNCH VEHICLES - VA

NASA Image and Video Library

1961-04-13

G61-00030 (4 Nov. 1959) --- Launch of Little Joe-2 from Wallops Island carrying Mercury spacecraft test article. The suborbital test flight of the Mercury capsule was to test the escape system. Vehicle functioned perfectly, but escape rocket ignited several seconds too late. Photo credit: NASA

76 FR 52230 - Establishment of Class E Airspace; Forest, VA

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-22

... Instrument Approach Procedures serving New London Airport. This action enhances the safety and airspace management of Instrument Flight Rules (IFR) operations within the National Airspace System. DATES: Effective... to support the new RNAV GPS standard instrument approach procedures developed for New London Airport...

38 CFR 21.7576 - Entitlement charges.

Code of Federal Regulations, 2011 CFR

2011-07-01

...) Correspondence training; (3) Cooperative training; or (4) Apprenticeship or other on-job training. (Authority: 10... for those pursuing flight training, correspondence training, cooperative training, apprenticeship or... cooperative training, VA will make a charge against entitlement of .8 of a month for each month in which the...

Chaplaincy and mental health in the department of Veterans affairs and department of defense.

PubMed

Nieuwsma, Jason A; Rhodes, Jeffrey E; Jackson, George L; Cantrell, William C; Lane, Marian E; Bates, Mark J; Dekraai, Mark B; Bulling, Denise J; Ethridge, Keith; Drescher, Kent D; Fitchett, George; Tenhula, Wendy N; Milstein, Glen; Bray, Robert M; Meador, Keith G

2013-01-01

Chaplains play important roles in caring for Veterans and Service members with mental health problems. As part of the Department of Veterans Affairs (VA) and Department of Defense (DoD) Integrated Mental Health Strategy, we used a sequential approach to examining intersections between chaplaincy and mental health by gathering and building upon: 1) input from key subject matter experts; 2) quantitative data from the VA / DoD Chaplain Survey (N = 2,163; response rate of 75% in VA and 60% in DoD); and 3) qualitative data from site visits to 33 VA and DoD facilities. Findings indicate that chaplains are extensively involved in caring for individuals with mental health problems, yet integration between mental health and chaplaincy is frequently limited due to difficulties between the disciplines in establishing familiarity and trust. We present recommendations for improving integration of services, and we suggest key domains for future research.

Multiclonal methicillin-resistant Staphylococcus aureus (MRSA) outbreak and its control after use of the Veterans Affairs (VA) MRSA bundle in a VA long-term care facility, 2004-2014.

PubMed

Webb, Risa M; Denton, Carmelita; Spruill, Emily; Henson, Gay; Bruce, Lisa; Woods, Gail L; Swiatlo, Andrea; Walker, Erica D; Peel, Chere; Sullivan, Donna

2016-06-01

A multiclonal methicillin-resistant Staphylococcus aureus (MRSA) outbreak with 91 infections occurred in our Veterans Affairs (VA) community living center over 46 months. Both similar and unique strains were shown by repetitive polymerase chain reaction to contribute to the outbreak, including 1 strain causing infections over a 33-month period. Most infections were soft tissue infections (67%). For 21 months after the initiation of the VA MRSA bundle, no infections were identified, and low rates of infection have been sustained an additional 4 years. The average annual rate of MRSA infection decreased by 62% (P < .001) from 0.6 per 1,000 resident days for 4 years prior to the bundle implementation to 0.09 per 1,000 resident days for 4 years after the bundle implementation. Published by Elsevier Inc.

Coal-Oil Mixtures Problems and Opportunities,

DTIC Science & Technology

1982-01-15

Ernest C. Friedrich Ashland Oil, Inc. New Richmond, Ohio Cleveland, Ohio Florida Power Corporation American Refining Co., Inc. 3201 34th St. South...Room 1A 518, The Pentagon USAF Institute of Technology Washington, DC 20310 AFIT/DED Wright Patterson AFB, OH 45433 Commander-in-Chief USA, Europe...Engineer Facilities Engineer Fort A P Hill Lone Star Army Ammunition Plant Bowling Green, VA 22427 Texarkana , TX 75501 Facilities Engineer Facilities

Why They Fly: An Expectancy-Based Analysis of the Factors that Motivate Commissioned Army Aviators to Gain Flying Experience

DTIC Science & Technology

2007-06-15

Davis Highway, Suite 1204, Arlington, VA 22202- 4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be... Moroze and Snow (1999) controlled flight into terrain (CFIT) accidents, where the crew unintentionally flies the aircraft into the earth or a man...number of CFIT accidents for the pilots with more flight hours was based on the behavior patterns that result from experience ( Moroze & Snow, 1999

Measurements of the global distribution of carbon monoxide in the troposphere

NASA Technical Reports Server (NTRS)

Hinton, R. R.

1982-01-01

Carbon monoxide and methane grab samples were obtained simultaneously with ozone, aerosol, nitric oxide and DACOM CO measurements. Eighty grab samples were collected at various altitudes up to 19,000 ft. along a north-south flight path from Wallops Flight Center, VA to 11 N. CO and CH were analyzed by flame ionization gas chromatography with cryogenic preconcentration. The relationship between CO and O3 concentrated is examined. A comparative analysis between trends in aerosol and CO concentration is performed.

Variations in the implementation and characteristics of chiropractic services in VA.

PubMed

Lisi, Anthony J; Khorsan, Raheleh; Smith, Monica M; Mittman, Brian S

2014-12-01

In 2004, the US Department of Veterans Affairs expanded its delivery of chiropractic care by establishing onsite chiropractic clinics at select facilities across the country. Systematic information regarding the planning and implementation of these clinics and describing their features and performance is lacking. To document the planning, implementation, key features and performance of VA chiropractic clinics, and to identify variations and their underlying causes and key consequences as well as their implications for policy, practice, and research on the introduction of new clinical services into integrated health care delivery systems. Comparative case study of 7 clinics involving site visit-based and telephone-based interviews with 118 key stakeholders, including VA clinicians, clinical leaders and administrative staff, and selected external stakeholders, as well as reviews of key documents and administrative data on clinic performance and service delivery. Interviews were recorded, transcribed, and analyzed using a mixed inductive (exploratory) and deductive approach. Interview data revealed considerable variations in clinic planning and implementation processes and clinic features, as well as perceptions of clinic performance and quality. Administrative data showed high variation in patterns of clinic patient care volume over time. A facility's initial willingness to establish a chiropractic clinic, along with a higher degree of perceived evidence-based and collegial attributes of the facility chiropractor, emerged as key factors associated with higher and more consistent delivery of chiropractic services and higher perceived quality of those services.

40 HP Electro-Mechanical Actuator

NASA Technical Reports Server (NTRS)

Fulmer, Chris

1996-01-01

This report summarizes the work performed on the 40 BP electro-mechanical actuator (EMA) system developed on NASA contract NAS3-25799 for the NASA National Launch System and Electrical Actuation (ELA) Technology Bridging Programs. The system was designed to demonstrate the capability of large, high power linear ELA's for applications such as Thrust Vector Control (TVC) on rocket engines. It consists of a motor controller, high frequency power source, drive electronics and a linear actuator. The power source is a 25kVA 20 kHz Mapham inverter. The drive electronics are based on the pulse population modulation concept and operate at a nominal frequency of 40 kHz. The induction motor is a specially designed high speed, low inertia motor capable of a 68 peak HP. The actuator was originally designed by MOOG Aerospace under an internal R & D program to meet Space Shuttle Main Engine (SSME) TVC requirements. The design was modified to meet this programs linear rate specification of 7.4 inches/second. The motor and driver were tested on a dynamometer at the Martin Marietta Space Systems facility. System frequency response and step response tests were conducted at the Marshall Space Flight Center facility. A complete description of the system and all test results can be found in the body of the report.

Low Gravity Freefall Facilities

NASA Technical Reports Server (NTRS)

1981-01-01

Composite of Marshall Space Flight Center's Low-Gravity Free Fall Facilities.These facilities include a 100-meter drop tower and a 100-meter drop tube. The drop tower simulates in-flight microgravity conditions for up to 4.2 seconds for containerless processing experiments, immiscible fluids and materials research, pre-flight hardware design test and flight experiment simulation. The drop tube simulates in-flight microgravity conditions for up to 4.6 seconds and is used extensively for ground-based microgravity convection research in which extremely small samples are studied. The facility can provide deep undercooling for containerless processing experiments that require materials to remain in a liquid phase when cooled below the normal solidification temperature.

Flight-Test Evaluation of the Longitudinal Stability and Control Characteristics of 0.5-Scale Models of the Fairchild Lark Pilotless-Aircraft Configuration: Standard Configuration with Wing Flaps Deflected 60 Degrees and Model having Tail in Line with Wings, TED No. NACA 2387

NASA Technical Reports Server (NTRS)

Stone, David G.

1947-01-01

Flight tests were conducted at the Flight Test Station of the Pilotless Aircraft Research Division at Wallop Island, Va., to determine the longitudinal control and stability characteristics of 0.5-scale models of the Fairchild Lark pilotless aircraft with the tail in line with the wings a d with the horizontal wing flaps deflected 60 deg. The data were obtained by the use of a telemeter and by radar tracking.

Ares I-X Vibroacoustic Environments

NASA Technical Reports Server (NTRS)

Larsen, Curtis E.; Schuster, David M.; Kaufman, Daniel S.

2009-01-01

This paper provides a summary of the NASA Engineering and Safety Center (NESC) team recommendations and observations following participation with the Ares I-X Vibroacoustic (VA) Environments Panel in meetings at the Kennedy Space Center (KSC) and the Marshall Space Flight Center (MSFC) in March and April 2008, respectively.

76 FR 34196 - Proposed Establishment of Class E Airspace; Forest, VA

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-13

...) Global Positioning System (GPS) Standard Instrument Approach Procedures serving New London Airport. This action would enhance the safety and airspace management of Instrument Flight Rules (IFR) operations...; Airspace Docket No. 11-AEA-11) and be submitted in triplicate to the Docket Management System (see...

Flight Test of the Aerojet 7KS-6000 T-27 Jato Rocket Motor

NASA Technical Reports Server (NTRS)

Bond, Aleck C.; Thibodaux, Joseph G., Jr.

1949-01-01

A flight test of the Aero jet Engineering Corporation's 7KS-6000 T-27 Jato rocket motor was conducted at the Langley Pilotless Aircraft Research Station at Wallops Island, Va, to determine the flight performance characteristics of the motor. The flight test imposed an absolute longitudinal acceleration of 9.8 g upon the rocket motor at 2.8 seconds after launching. The total impulse developed by the motor was 43,400 pound-seconds, and the thrusting time was 7.58 seconds. The maximum thrust was 7200 pounds and occurred at 4.8 seconds after launching. No thrust irregularities attributable to effects of the flight longitudinal acceleration were observed. Certain small thrust irregularities occurred in the flight test which appear to correspond to irregularities observed in static tests conducted elsewhere. A hypothesis regarding the origin of these small irregularities is presented.

An inventory of aeronautical ground research facilities. Volume 4: Engineering flight simulation facilities

NASA Technical Reports Server (NTRS)

Pirrello, C. J.; Hardin, R. D.; Capelluro, L. P.; Harrison, W. D.

1971-01-01

The general purpose capabilities of government and industry in the area of real time engineering flight simulation are discussed. The information covers computer equipment, visual systems, crew stations, and motion systems, along with brief statements of facility capabilities. Facility construction and typical operational costs are included where available. The facilities provide for economical and safe solutions to vehicle design, performance, control, and flying qualities problems of manned and unmanned flight systems.

Noise measurements in a free-jet, flight simulation facility - Shear layer refraction and facility-to-flight corrections

NASA Technical Reports Server (NTRS)

Morfey, C. L.; Tester, B. J.

1976-01-01

The conversion of free-jet facility into equivalent flyover results is discussed. The essential problem is to 'calibrate out' the acoustic influence of the outer free-jet shear layer on the measurement, since this is absent in the flight case. Results are presented which illustrate the differences between current simplified models (vortex-sheet and geometric acoustics), and a more complete model based on the Lilley equation. Finally, the use of geometric acoustics for facility-to-flight data conversion is discussed.

Ballistocraft: a novel facility for microgravity research.

PubMed

Mesland, D; Paris, D; Huijser, R; Lammertse, P; Postema, R

1995-05-01

One of ESA's aims is to provide the microgravity research community with various microgravity exposure facilities. Those facilities include drop towers, sounding rockets, and parabolic flights on board aircraft, in addition to orbital spacecraft. Microgravity flights are usually achieved using large aircraft like the French 'Caravelle' that offer a large payload volume and where a person can be present to perform the experiments and to participate as a human test-subject. However, the microgravity community is also very interested in a flexible, complementary facility that would allow frequent and repetitive exposure to microgravity for a laboratory-type of payload. ESA has therefore undertaken a study of the potential of using a 'ballistocraft', a small unmanned aircraft, to provide a low-cost facility for short-duration (30-40 seconds) microgravity experimentation. Fokker Space & Systems performed the study under an ESA contract, supported by Dutch national funding. To assess the ballistocraft, a simple breadboard of the facility was built and flight tests were performed. The ability of the on-board controller to achieve automated parabolic flights was demonstrated, and the performance of the controller in one-g level flights, and in flights with both zero-g and partial-g setpoints, was evaluated. The partial-g flights are a unique and valuable feature of the facility.

VIEW OF FLIGHT CREW SYSTEMS, FLIGHT KITS FACILITY, ROOM NO. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

VIEW OF FLIGHT CREW SYSTEMS, FLIGHT KITS FACILITY, ROOM NO. 1N12, FACING NORTH - Cape Canaveral Air Force Station, Launch Complex 39, Vehicle Assembly Building, VAB Road, East of Kennedy Parkway North, Cape Canaveral, Brevard County, FL

VIEW OF FLIGHT CREW SYSTEMS, FLIGHT KITS FACILITY, ROOM NO. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

VIEW OF FLIGHT CREW SYSTEMS, FLIGHT KITS FACILITY, ROOM NO. 1N12, FACING SOUTH - Cape Canaveral Air Force Station, Launch Complex 39, Vehicle Assembly Building, VAB Road, East of Kennedy Parkway North, Cape Canaveral, Brevard County, FL

Development of a EUV Test Facility at the Marshall Space Flight Center

NASA Technical Reports Server (NTRS)

West, Edward; Pavelitz, Steve; Kobayashi, Ken; Robinson, Brian; Cirtain, Johnathan; Gaskin, Jessica; Winebarger, Amy

2011-01-01

This paper will describe a new EUV test facility that is being developed at the Marshall Space Flight Center (MSFC) to test EUV telescopes. Two flight programs, HiC - high resolution coronal imager (sounding rocket) and SUVI - Solar Ultraviolet Imager (GOES-R), set the requirements for this new facility. This paper will discuss those requirements, the EUV source characteristics, the wavelength resolution that is expected and the vacuum chambers (Stray Light Facility, Xray Calibration Facility and the EUV test chamber) where this facility will be used.

38 CFR 17.52 - Hospital care and medical services in non-VA facilities.

Code of Federal Regulations, 2011 CFR

2011-07-01

... the life or health of a veteran receiving hospital care or medical services in a facility over which... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false Hospital care and medical... VETERANS AFFAIRS MEDICAL Use of Public Or Private Hospitals § 17.52 Hospital care and medical services in...

38 CFR 17.52 - Hospital care and medical services in non-VA facilities.

Code of Federal Regulations, 2012 CFR

2012-07-01

... the life or health of a veteran receiving hospital care or medical services in a facility over which... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false Hospital care and medical... VETERANS AFFAIRS MEDICAL Use of Public Or Private Hospitals § 17.52 Hospital care and medical services in...

Three-phase foam analysis and development of a lab-scale foaming capacity and stability test for swine manure

USDA-ARS?s Scientific Manuscript database

Foam accumulation on the manure slurry at deep pit swine facilities has been linked to flash fire incidents, making it a serious safety concern for pork producers. In order to investigate this phenomenon, samples of swine manure were collected from over 50 swine production facilities in Iowa with va...

78 FR 28949 - Fund Availability Under VA's Homeless Providers Grant and Per Diem Program (Rehabilitation)

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-16

... Per Diem Program as a part of the effort to increase the useful life of the facilities of grantees... grantees are required to ensure that facilities rehabilitated under this NOFA meet the Life Safety Code of the National Fire and Protection Association. Please note, typically the Life Safety Code is more...

Identification and characterization of individual airborne volcanic ash particles by Raman microspectroscopy.

PubMed

Ivleva, Natalia P; Huckele, Susanne; Weinzierl, Bernadett; Niessner, Reinhard; Haisch, Christoph; Baumann, Thomas

2013-11-01

We present for the first time the Raman microspectroscopic identification and characterization of individual airborne volcanic ash (VA) particles. The particles were collected in April/May 2010 during research aircraft flights, which were performed by Deutsches Zentrum für Luft- und Raumfahrt in the airspace near the Eyjafjallajökull volcano eruption and over Europe (between Iceland and Southern Germany). In addition, aerosol particles were sampled by an Electrical Low Pressure Impactor in Munich, Germany. As references for the Raman analysis, we used the spectra of VA collected at the ground near the place of eruption, of mineral basaltic rock, and of different minerals from a database. We found significant differences in the spectra of VA and other aerosol particles (e.g., soot, nitrates, sulfates, and clay minerals), which allowed us to identify VA among other atmospheric particulate matter. Furthermore, while the airborne VA shows a characteristic Raman pattern (with broad band from ca. 200 to ca. 700 cm(-1) typical for SiO₂ glasses and additional bands of ferric minerals), the differences between the spectra of aged and fresh particles were observed, suggesting differences in their chemical composition and/or structure. We also analyzed similarities between Eyjafjallajökull VA particles collected at different sampling sites and compared the particles with a large variety of glassy and crystalline minerals. This was done by applying cluster analysis, in order to get information on the composition and structure of volcanic ash.

32 CFR 806.26 - Addressing FOIA requests.

Code of Federal Regulations, 2010 CFR

2010-07-01

.../SCTC, 230 East Flight Line Road, Langley AFB VA 23665-2781. (2) Air Education and Training Command... AFCEE/MSI, 3207 North Road, Brooks AFB, TX 78235-5363. (4) Air Force Civil Engineering Support Agency... Inspection Agency (AFIA): (Shared FOIA office/function, AFIA and Air Force Safety Agency) AFSA/JAR, 9700...

Options for Organizing the Tanker Airlift Control Center Flight Dispatch Function: An Exploratory Concept Study

DTIC Science & Technology

2000-06-01

it poised to fall? Am I prepared to pay the applicable capital gains tax ? Each of these questions could represent a decision frame. The...Center (FEDSIM). AMC Corporate Systems Analysis, Design , and Implementation PEP 18 TACC Project. Falls Chruch , VA: Federal Systems Integration and

76 FR 14820 - Proposed Amendment of Class E Airspace; Waynesboro, VA

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-18

... Instrument Approach Procedures (SIAPs) developed for Eagle's Nest Airport. This action would enhance the safety and airspace management of Instrument Flight Rules (IFR) operations at the airport. DATES: 0901... submitted in triplicate to the Docket Management System (see ADDRESSES section for address and phone number...

76 FR 72838 - Amendment of Class E Airspace; Luray, VA

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-28

... Instrument Flight Rules (IFR) operations within the National Airspace System. This action also makes a minor adjustment to the geographic coordinates of the airport. DATES: Effective 0901 UTC, February 9, 2012. The... geographic coordinates of the airport needed to be adjusted. This action makes that adjustment. Class E...

Development of an integrated set of research facilities for the support of research flight test

NASA Technical Reports Server (NTRS)

Moore, Archie L.; Harney, Constance D.

1988-01-01

The Ames-Dryden Flight Research Facility (DFRF) serves as the site for high-risk flight research on many one-of-a-kind test vehicles like the X-29A advanced technology demonstrator, F-16 advanced fighter technology integration (AFTI), AFTI F-111 mission adaptive wing, and F-18 high-alpha research vehicle (HARV). Ames-Dryden is on a section of the historic Muroc Range. The facility is oriented toward the testing of high-performance aircraft, as shown by its part in the development of the X-series aircraft. Given the cost of research flight tests and the complexity of today's systems-driven aircraft, an integrated set of ground support experimental facilities is a necessity. In support of the research flight test of highly advanced test beds, the DFRF is developing a network of facilities to expedite the acquisition and distribution of flight research data to the researcher. The network consists of an array of experimental ground-based facilities and systems as nodes and the necessary telecommunications paths to pass research data and information between these facilities. This paper presents the status of the current network, an overview of current developments, and a prospectus on future major enhancements.

38 CFR 17.72 - Availability of information.

Code of Federal Regulations, 2010 CFR

2010-07-01

... MEDICAL Community Residential Care § 17.72 Availability of information. VA standards will be made... otherwise regulating or inspecting community residential care facilities. (Authority: 38 U.S.C. 1730) [54 FR...

A flight test facility design for examining digital information transfer

NASA Technical Reports Server (NTRS)

Knox, Charles E.

1990-01-01

Information is given in viewgraph form on a flight test facility design for examining digital information transfer. Information is given on aircraft/ground exchange, data link research activities, data link display format, a data link flight test, and the flight test setup.

40 CFR 63.866 - Recordkeeping requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

...; (3) Records of parameter monitoring data required under § 63.864, including any period when the... existing semichemical combustion units at their Big Island, VA facility. [66 FR 3193, Jan. 12, 2001, as...

40 CFR 63.866 - Recordkeeping requirements.

Code of Federal Regulations, 2010 CFR

2010-07-01

...; (3) Records of parameter monitoring data required under § 63.864, including any period when the... existing semichemical combustion units at their Big Island, VA facility. [66 FR 3193, Jan. 12, 2001, as...

40 CFR 63.866 - Recordkeeping requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

...; (3) Records of parameter monitoring data required under § 63.864, including any period when the... existing semichemical combustion units at their Big Island, VA facility. [66 FR 3193, Jan. 12, 2001, as...

40 CFR 63.866 - Recordkeeping requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

...; (3) Records of parameter monitoring data required under § 63.864, including any period when the... existing semichemical combustion units at their Big Island, VA facility. [66 FR 3193, Jan. 12, 2001, as...

40 CFR 63.866 - Recordkeeping requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

...; (3) Records of parameter monitoring data required under § 63.864, including any period when the... existing semichemical combustion units at their Big Island, VA facility. [66 FR 3193, Jan. 12, 2001, as...

75 FR 11638 - Geriatrics and Gerontology Advisory Committee; Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-11

... health care facilities and programs to meet the medical, psychological, and social needs of older... research activities, update on VA's geriatric workforce (to include training, recruitment and retention...

NASA Wallops Flight Facility Air-Sea Interaction Research Facility

NASA Technical Reports Server (NTRS)

Long, Steven R.

1992-01-01

This publication serves as an introduction to the Air-Sea Interaction Research Facility at NASA/GSFC/Wallops Flight Facility. The purpose of this publication is to provide background information on the research facility itself, including capabilities, available instrumentation, the types of experiments already done, ongoing experiments, and future plans.

Creating space for relationships.

PubMed

Maataoui, Susan L; Hardwick, Jodi S; Lundquist, Tessa S

2017-08-01

Sexuality is a key component of personality and behavior, encompassing basic human needs for touch, intimacy, love, affection, and sexual behavior. The design of long-term care facilities makes it almost impossible for a resident to be sexually intimate, to share romantic moments, or to have a meal in a private setting. This case study describes the rationale and process used to establish a private guestroom called the Family Room at Patriots Place, the specialized dementia unit in the Veterans Affairs (VA) Maine Healthcare System Community Living Center (CLC). As part of an overall commitment to culture change at VA Maine, the Family Room addresses needs for privacy and sexual intimacy as expressed by residents and their partners. Supporting the dignity and independence of individuals with dementia provided the basis for the policies established to support this project. Despite potential challenges, (e.g., staff acceptance, nursing coverage, facility space needs) residents, partners, and health care staff at VA Maine have expressed positive support for the Family Room. This resource is a way to accommodate the ongoing needs for privacy, intimacy, relational continuity, and sexual expression of long-term care residents with dementia and to support their autonomy and dignity. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

NASA Launches Five Rockets in Five Minutes

NASA Image and Video Library

2017-12-08

NASA image captured March 27, 2012 NASA successfully launched five suborbital sounding rockets this morning from its Wallops Flight Facility in Virginia as part of a study of the upper level jet stream. The first rocket was launched at 4:58 a.m. EDT and each subsequent rocket was launched 80 seconds apart. Each rocket released a chemical tracer that created milky, white clouds at the edge of space. Tracking the way the clouds move can help scientists understand the movement of the winds some 65 miles up in the sky, which in turn will help create better models of the electromagnetic regions of space that can damage man-made satellites and disrupt communications systems. The launches and clouds were reported to be seen from as far south as Wilmington, N.C.; west to Charlestown, W. Va.; and north to Buffalo, N.Y. Credit: NASA/Wallops To watch a video of the launch and to read more go to: www.nasa.gov/mission_pages/sunearth/missions/atrex-launch... NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

NASA Launches Five Rockets in Five Minutes

NASA Image and Video Library

2012-03-27

NASA image captured March 27, 2012 NASA successfully launched five suborbital sounding rockets this morning from its Wallops Flight Facility in Virginia as part of a study of the upper level jet stream. The first rocket was launched at 4:58 a.m. EDT and each subsequent rocket was launched 80 seconds apart. Each rocket released a chemical tracer that created milky, white clouds at the edge of space. Tracking the way the clouds move can help scientists understand the movement of the winds some 65 miles up in the sky, which in turn will help create better models of the electromagnetic regions of space that can damage man-made satellites and disrupt communications systems. The launches and clouds were reported to be seen from as far south as Wilmington, N.C.; west to Charlestown, W. Va.; and north to Buffalo, N.Y. Credit: NASA/Wallops To watch a video of the launch and to read more go to: www.nasa.gov/mission_pages/sunearth/missions/atrex-launch... NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Feasibility and acceptability of interventions to delay gun access in VA mental health settings.

PubMed

Walters, Heather; Kulkarni, Madhur; Forman, Jane; Roeder, Kathryn; Travis, Jamie; Valenstein, Marcia

2012-01-01

The majority of VA patient suicides are completed with firearms. Interventions that delay patients' gun access during high-risk periods may reduce suicide, but may not be acceptable to VA stakeholders or may be challenging to implement. Using qualitative methods, stakeholders' perceptions about gun safety and interventions to delay gun access during high-risk periods were explored. Ten focus groups and four individual interviews were conducted with key stakeholders, including VA mental health patients, mental health clinicians, family members and VA facility leaders (N=60). Transcripts were consensus-coded by two independent coders, and structured summaries were developed and reviewed using a consensus process. All stakeholder groups indicated that VA health system providers had a role in increasing patient safety and emphasized the need for providers to address gun access with their at-risk patients. However, VA mental health patients and clinicians reported limited discussion regarding gun access in VA mental health settings during routine care. Most, although not all, patients and clinicians indicated that routine screening for gun access was acceptable, with several noting that it was more acceptable for mental health patients. Most participants suggested that family and friends be involved in reducing gun access, but expressed concerns about potential family member safety. Participants generally found distribution of trigger locks acceptable, but were skeptical about its effectiveness. Involving Veteran Service Organizations or other individuals in temporarily holding guns during high-risk periods was acceptable to many participants but only with numerous caveats. Patients, clinicians and family members consider the VA health system to have a legitimate role in addressing gun safety. Several measures to delay gun access during high-risk periods for suicide were seen as acceptable and feasible if implemented thoughtfully. Published by Elsevier Inc.

EAARL Coastal Topography - Northeast Barrier Islands 2007: Bare Earth

USGS Publications Warehouse

Nayegandhi, Amar; Brock, John C.; Sallenger, A.H.; Wright, C. Wayne; Yates, Xan; Bonisteel, Jamie M.

2008-01-01

These remotely sensed, geographically referenced elevation measurements of Lidar-derived bare earth (BE) topography were produced collaboratively by the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL, and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of the northeast coastal barrier islands in New York and New Jersey, acquired April 29-30 and May 15-16, 2007. The datasets are made available for use as a management tool to research scientists and natural resource managers. An innovative airborne Lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) Lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive Lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multi-spectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers and an integrated miniature digital inertial measurement unit, which provide for submeter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a Lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of Lidar data in an interactive or batch mode. Modules for presurvey flight line definition, flight path plotting, Lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is routinely used to create maps that represent submerged or first surface topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations.

EAARL Topography - Natchez Trace Parkway 2007: First Surface

USGS Publications Warehouse

Nayegandhi, Amar; Brock, John C.; Wright, C. Wayne; Segura, Martha; Yates, Xan

2008-01-01

These remotely sensed, geographically referenced elevation measurements of Lidar-derived first surface (FS) topography were produced as a collaborative effort between the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL; the National Park Service (NPS), Gulf Coast Network, Lafayette, LA; and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of a portion of the Natchez Trace Parkway in Mississippi, acquired on September 14, 2007. The datasets are made available for use as a management tool to research scientists and natural resource managers. An innovative airborne Lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) Lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive Lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multi-spectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit, which provide for submeter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a Lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of Lidar data in an interactive or batch mode. Modules for presurvey flight line definition, flight path plotting, Lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is used routinely to create maps that represent submerged or first surface topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations.

EAARL Topography - Vicksburg National Military Park 2008: Bare Earth

USGS Publications Warehouse

Nayegandhi, Amar; Brock, John C.; Wright, C. Wayne; Segura, Martha; Yates, Xan

2008-01-01

These remotely sensed, geographically referenced elevation measurements of Lidar-derived bare earth (BE) topography were produced as a collaborative effort between the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL; the National Park Service (NPS), Gulf Coast Network, Lafayette, LA; and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of the Vicksburg National Military Park in Mississippi, acquired on March 6, 2008. The datasets are made available for use as a management tool to research scientists and natural resource managers. An innovative airborne Lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) Lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive Lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multi-spectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit, which provide for submeter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a Lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of Lidar data in an interactive or batch mode. Modules for presurvey flight line definition, flight path plotting, Lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is used routinely to create maps that represent submerged or first surface topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations.

EAARL Coastal Topography - Northeast Barrier Islands 2007: First Surface

USGS Publications Warehouse

Nayegandhi, Amar; Brock, John C.; Sallenger, A.H.; Wright, C. Wayne; Yates, Xan; Bonisteel, Jamie M.

2009-01-01

These remotely sensed, geographically referenced elevation measurements of Lidar-derived first surface (FS) topography were produced collaboratively by the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL, and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of the northeast coastal barrier islands in New York and New Jersey, acquired April 29-30 and May 15-16, 2007. The datasets are made available for use as a management tool to research scientists and natural resource managers. An innovative airborne Lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) Lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive Lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multi-spectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit, which provide for submeter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a Lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of Lidar data in an interactive or batch mode. Modules for presurvey flight line definition, flight path plotting, Lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is routinely used to create maps that represent submerged or first surface topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations.

EAARL Topography-Vicksburg National Military Park 2007: First Surface

USGS Publications Warehouse

Nayegandhi, Amar; Brock, John C.; Wright, C. Wayne; Segura, Martha; Yates, Xan

2009-01-01

These remotely sensed, geographically referenced elevation measurements of Lidar-derived first-surface (FS) topography were produced as a collaborative effort between the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL; the National Park Service (NPS), Gulf Coast Network, Lafayette, LA; and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of the Vicksburg National Military Park in Mississippi, acquired on September 12, 2007. The datasets are made available for use as a management tool to research scientists and natural resource managers. An innovative airborne Lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) Lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive Lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multi-spectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit, which provide for submeter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a Lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of Lidar data in an interactive or batch mode. Modules for presurvey flight line definition, flight path plotting, Lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is used routinely to create maps that represent submerged or first surface topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations.

EAARL Coastal Topography - Sandy Hook 2007

USGS Publications Warehouse

Nayegandhi, Amar; Brock, John C.; Wright, C. Wayne; Stevens, Sara; Yates, Xan; Bonisteel, Jamie M.

2008-01-01

These remotely sensed, geographically referenced elevation measurements of Lidar-derived topography were produced as a collaborative effort between the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL; the National Park Service (NPS), Northeast Coastal and Barrier Network, Kingston, RI; and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of Gateway National Recreation Area's Sandy Hook Unit in New Jersey, acquired on May 16, 2007. The datasets are made available for use as a management tool to research scientists and natural resource managers. An innovative airborne Lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL) was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) Lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive Lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multi-spectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers and an integrated miniature digital inertial measurement unit, which provide for submeter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a Lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of Lidar data in an interactive or batch mode. Modules for pre-survey flight line definition, flight path plotting, Lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is routinely used to create maps that represent submerged or first surface topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations.

Microgravity

NASA Image and Video Library

1998-09-30

The Electrostatic Levitator (ESL) Facility established at Marshall Space Flight Center (MSFC) supports NASA's Microgravity Materials Science Research Program. NASA materials science investigations include ground-based, flight definition and flight projects. Flight definition projects, with demanding science concept review schedules, receive highest priority for scheduling experiment time in the Electrostatic Levitator (ESL) Facility.

Updating fire safety standards. Final rule; affirmation.

PubMed

2011-11-16

This document affirms as final, without changes, a provision included in a final rule with request for comments that amended the Department of Veterans Affairs (VA) regulations concerning community residential care facilities, contract facilities for certain outpatient and residential services, and State home facilities. That provision established a five-year period within which all covered buildings with nursing home facilities existing as of June 25, 2001, must conform to the automatic sprinkler requirement of the 2009 edition of the National Fire Protection Association (NFPA) 101. This rule helps ensure the safety of veterans in the affected facilities.

Subscale Flight Testing for Aircraft Loss of Control: Accomplishments and Future Directions

NASA Technical Reports Server (NTRS)

Cox, David E.; Cunningham, Kevin; Jordan, Thomas L.

2012-01-01

Subscale flight-testing provides a means to validate both dynamic models and mitigation technologies in the high-risk flight conditions associated with aircraft loss of control. The Airborne Subscale Transport Aircraft Research (AirSTAR) facility was designed to be a flexible and efficient research facility to address this type of flight-testing. Over the last several years (2009-2011) it has been used to perform 58 research flights with an unmanned, remotely-piloted, dynamically-scaled airplane. This paper will present an overview of the facility and its architecture and summarize the experimental data collected. All flights to date have been conducted within visual range of a safety observer. Current plans for the facility include expanding the test volume to altitudes and distances well beyond visual range. The architecture and instrumentation changes associated with this upgrade will also be presented.

In-flight simulation studies at the NASA Dryden Flight Research Facility

NASA Technical Reports Server (NTRS)

Shafer, Mary F.

1992-01-01

Since the late 1950's, the National Aeronautics and Space Administration's Dryden Flight Research Facility has found in-flight simulation to be an invaluable tool. In-flight simulation has been used to address a wide variety of flying qualities questions, including low-lift-to-drag ratio approach characteristics for vehicles like the X-15, the lifting bodies, and the Space Shuttle; the effects of time delays on controllability of aircraft with digital flight-control systems, the causes and cures of pilot-induced oscillation in a variety of aircraft, and flight-control systems for such diverse aircraft as the X-15 and the X-29. In-flight simulation has also been used to anticipate problems and to avoid them and to solve problems once they appear. Presented here is an account of the in-flight simulation at the Dryden Flight Research Facility and some discussion. An extensive bibliography is included.

In-flight simulation studies at the NASA Dryden Flight Research Facility

NASA Technical Reports Server (NTRS)

Shafer, Mary F.

1994-01-01

Since the late 1950's the National Aeronautics and Space Administration's Dryden Flight Research Facility has found in-flight simulation to be an invaluable tool. In-flight simulation has been used to address a wide variety of flying qualities questions, including low lift-to-drag ratio approach characteristics for vehicles like the X-15, the lifting bodies, and the space shuttle; the effects of time delays on controllability of aircraft with digital flight control systems; the causes and cures of pilot-induced oscillation in a variety of aircraft; and flight control systems for such diverse aircraft as the X-15 and the X-29. In-flight simulation has also been used to anticipate problems, avoid them, and solve problems once they appear. This paper presents an account of the in-flight simulation at the Dryden Flight Research Facility and some discussion. An extensive bibliography is included.

Electronic alerts and clinician turnover: the influence of user acceptance.

PubMed

Hysong, Sylvia J; Spitzmuller, Christiane; Espadas, Donna; Sittig, Dean F; Singh, Hardeep

2014-11-01

Use of certain components of electronic health records (EHRs), such as EHR-based alerting systems (EASs), might reduce provider satisfaction, a strong precursor to turnover. We examined the impact of factors likely to influence providers' acceptance of an alerting system, designed to facilitate electronic communication in outpatient settings, on provider satisfaction, intentions to quit, and turnover. We conducted a cross-sectional Web-based survey of EAS-related practices from a nationwide sample of primary care providers (PCPs) practicing at Department of Veterans Affairs (VA) medical facilities. Of 5001 invited VA PCPs, 2590 completed the survey. We relied on Venkatesh's Unified Theory of Acceptance and Use of Technology to create survey measures of 4 factors likely to impact user acceptance of EAS: supportive norms, monitoring/ feedback, training, and providers' perceptions of the value (PPOV) of EASs to provider effectiveness. Facility-level PCP turnover was measured via the VA's Service Support Center Human Resources Cube. Hypotheses were tested using structural equation modeling. After accounting for intercorrelations among predictors, monitoring/feedback regarding EASs significantly predicted intention to quit (b = 0.30, P < .01), and PPOV of EASs predicted both overall provider satisfaction (b = 0.58, P < .01) and facility-level provider turnover levels (b = -0.19, P < .05), all without relying on any intervening mechanisms. Design, implementation, and use of EASs might impact provider satisfaction and retention. Institutions should consider strategies to help providers perceive greater value in these clinical tools.

Flight Tests of the Sikorsky HNS-1 (Army YR-4B) Helicopter. 2 - Hovering and Vertical-Flight Performance with the Original and an Alternative Set of Main-Rotor Blades, Including a Comparison with Hovering Performance Theory

DTIC Science & Technology

1945-04-01

sustentation at various altitudes in the ground-effect region is shown in figure 2. A hovering point obtained at approximately 400 feet altitude and a...power required. DISCUSSION Ground-effect data.- The effect of rpm on the power— .— required for sustentation is clearly indicated by figure 2. A ret...Alfred ORIG. AGENCY : Langley Memorial Aeronautical Lab., Langley Field, Va. PUBLISHED BY : National Advisory Committee for Aeronautics

(abstract) Airborne Emission Spectrometer (AES)

NASA Technical Reports Server (NTRS)

Beer, Reinhard

1994-01-01

AES is a low-cost analog of the TES downlooking modes. Because AES operates at ambient temperature, limb-viewing is not possible. The first flight of AES took place in April 1994 on the NASA P3B aircraft out of Wallops Island, VA. While planned as an engineering test flight, spectra were successfully acquired both over the Atlantic Ocean and the area of the Great Dismal Swamp on the Virginia-North Carolina border. At this writing (July 1994), a second series of flights on the NASA DC8 aircraft out of Ames RC,CA is in progress. By the time of the workshop, a third series using the NASA C130 should have been accomplished.

Lapse in Institutional Animal Care and Use Committee Continuing Reviews.

PubMed

Tsan, Min-Fu; Grabenbauer, Michael; Nguyen, Yen

2016-01-01

The United States federal animal welfare regulations and the Public Health Service Policy on Humane Care and Use of Laboratory Animals require that institutional animal care and use committees (IACUCs) conduct continuing reviews of all animal research activities. However, little is known about the lapse rate of IACUC continuing reviews, and how frequently investigators continue research activities during the lapse. It is also not clear what factors may contribute to an institution's lapse in IACUC continuing reviews. As part of the quality assurance program, the Department of Veterans Affairs (VA) has collected performance metric data for animal care and use programs since 2011. We analyzed IACUC continuing review performance data at 74-75 VA research facilities from 2011 through 2015. The IACUC continuing review lapse rates improved from 5.6% in 2011 to 2.7% in 2015. The rate of investigators continuing research activities during the lapse also decreased from 47.2% in 2012 to 7.4% in 2015. The type of IACUCs used and the size of animal research programs appeared to have no effect in facility's rates of lapse in IACUC continuing reviews. While approximately 80% of facilities reported no lapse in IACUC continuing reviews, approximately 14% of facilities had lapse rates of >10% each year. Some facilities appeared to be repeat offenders. Four facilities had IACUC lapse rates of >10% in at least 3 out of 5 years, suggesting a system problem in these facilities requiring remedial actions to improve their IACUC continuing review processes.

Interactive internet-based clinical education: an efficient and cost-savings approach to point-of-care test training.

PubMed

Knapp, Herschel; Chan, Kee; Anaya, Henry D; Goetz, Matthew B

2011-06-01

We successfully created and implemented an effective HIV rapid testing training and certification curriculum using traditional in-person training at multiple sites within the U.S. Department of Veterans Affairs (VA) Healthcare System. Considering the multitude of geographically remote facilities in the nationwide VA system, coupled with the expansion of HIV diagnostics, we developed an alternate training method that is affordable, efficient, and effective. Using materials initially developed for in-person HIV rapid test in-services, we used a distance learning model to offer this training via live audiovisual online technology to educate clinicians at a remote outpatient primary care VA facility. Participants' evaluation metrics showed that this form of remote education is equivalent to in-person training; additionally, HIV testing rates increased considerably in the months following this intervention. Although there is a one-time setup cost associated with this remote training protocol, there is potential cost savings associated with the point-of-care nurse manager's time productivity by using the Internet in-service learning module for teaching HIV rapid testing. If additional in-service training modules are developed into Internet-based format, there is the potential for additional cost savings. Our cost analysis demonstrates that the remote in-service method provides a more affordable and efficient alternative compared with in-person training. The online in-service provided training that was equivalent to in-person sessions based on first-hand supervisor observation, participant satisfaction surveys, and follow-up results. This method saves time and money, requires fewer personnel, and affords access to expert trainers regardless of geographic location. Further, it is generalizable to training beyond HIV rapid testing. Based on these consistent implementation successes, we plan to expand use of online training to include remote VA satellite facilities spanning several states for a variety of diagnostic devices. Ultimately, Internet-based training has the potential to provide "big city" quality of care to patients at remote (rural) clinics.

Night and day in the VA: associations between night shift staffing, nurse workforce characteristics, and length of stay.

PubMed

de Cordova, Pamela B; Phibbs, Ciaran S; Schmitt, Susan K; Stone, Patricia W

2014-04-01

In hospitals, nurses provide patient care around the clock, but the impact of night staff characteristics on patient outcomes is not well understood. The aim of this study was to examine the association between night nurse staffing and workforce characteristics and the length of stay (LOS) in 138 veterans affairs (VA) hospitals using panel data from 2002 through 2006. Staffing in hours per patient day was higher during the day than at night. The day nurse workforce had more educational preparation than the night workforce. Nurses' years of experience at the unit, facility, and VA level were greater at night. In multivariable analyses controlling for confounding variables, higher night staffing and a higher skill mix were associated with reduced LOS. © 2014 Wiley Periodicals, Inc.

Field determination of multipollutant, open area combustion source emission factors with a hexacopter unmanned aerial vehicle

EPA Science Inventory

An emission sensor/sampler system was coupled to a NASA hexacopter unmanned aerial system (UAS) to characterize gases and particles in the plume emitted from open burning of military ordnance. The UAS/sampler was tested at two field sites resulting in 33 flights at Radford, VA a...

KSC-2012-2111

NASA Image and Video Library

2012-04-14

CAPE CANAVERAL, Fla. – Painted graphics line the side of NASA 905 depicting the various ferry flights the Shuttle Carrier Aircraft has supported during the Space Shuttle Program, including the tests using the space shuttle prototype Enterprise. The aircraft, known as an SCA, will ferry space shuttle Discovery to the Washington Dulles International Airport in Sterling, Va., on April 17. The SCA is a modified Boeing 747 jet airliner, originally manufactured for commercial use. One of two SCAs employed over the course of the Space Shuttle Program, NASA 905 is assigned to the remaining ferry missions, delivering the shuttles to their permanent public display sites. NASA 911 was decommissioned at the NASA Dryden Flight Research Center in California in February. Discovery will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center in Chantilly, Va. For more information on the SCA, visit http://www.nasa.gov/centers/dryden/news/FactSheets/FS-013-DFRC.html. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Tim Jacobs

Investigation into Deep-Draft Vessel Berthing Problems at Selected U. S. Naval Facilities.

DTIC Science & Technology

1980-10-01

AOR I WICHITA Alameda, CA 1-24-75 AOR 2 MILWAUKEE Norfolk, VA 1-01-74 AOR 3 KANSAS CITY Alameda, CA 2-16-74 AOR 4 SAVANNAH Norfolk, VA 12-05-70 AOR...auger-cutter assembly dislodges and delivers the material to the pump suction intake. The slurry is pumped to a pipeline for transmission to a remote...complete loss of control of the course steered. Large current eddies having the same effect are found in the vicinity of the foundation piers of the San

Racial and Ethnic Disparities in the VA Health Care System: A Systematic Review

PubMed Central

Freeman, Michele; Toure, Joahd; Tippens, Kimberly M.; Weeks, Christine; Ibrahim, Said

2008-01-01

Objectives To better understand the causes of racial disparities in health care, we reviewed and synthesized existing evidence related to disparities in the “equal access” Veterans Affairs (VA) health care system. Methods We systematically reviewed and synthesized evidence from studies comparing health care utilization and quality by race within the VA. Results Racial disparities in the VA exist across a wide range of clinical areas and service types. Disparities appear most prevalent for medication adherence and surgery and other invasive procedures, processes that are likely to be affected by the quantity and quality of patient–provider communication, shared decision making, and patient participation. Studies indicate a variety of likely root causes of disparities including: racial differences in patients’ medical knowledge and information sources, trust and skepticism, levels of participation in health care interactions and decisions, and social support and resources; clinician judgment/bias; the racial/cultural milieu of health care settings; and differences in the quality of care at facilities attended by different racial groups. Conclusions Existing evidence from the VA indicates several promising targets for interventions to reduce racial disparities in the quality of health care. PMID:18301951

Interprofessional transformation of clinical education: The first six years of the Veterans Affairs Centers of Excellence in Primary Care Education.

PubMed

Harada, Nancy D; Traylor, Laural; Rugen, Kathryn Wirtz; Bowen, Judith L; Smith, C Scott; Felker, Bradford; Ludke, Deborah; Tonnu-Mihara, Ivy; Ruberg, Joshua L; Adler, Jayson; Uhl, Kimberly; Gardner, Annette L; Gilman, Stuart C

2018-02-20

This paper describes the Centers of Excellence in Primary Care Education (CoEPCE), a seven-site collaborative project funded by the Office of Academic Affiliations (OAA) within the Veterans Health Administration of the United States Department of Veterans Affairs (VA). The CoEPCE was established to fulfill OAA's vision of large-scale transformation of the clinical learning environment within VA primary care settings. This was accomplished by funding new Centers within VA facilities to develop models of interprofessional education (IPE) to teach health professions trainees to deliver high quality interprofessional team-based primary care to Veterans. Using reports and data collected and maintained by the National Coordinating Center over the first six years of the project, we describe program inputs, the multicomponent intervention, activities undertaken to develop the intervention, and short-term outcomes. The findings have implications for lessons learned that can be considered by others seeking large-scale transformation of education within the clinical workplace and the development of interprofessional clinical learning environments. Within the VA, the CoEPCE has laid the foundation for IPE and collaborative practice, but much work remains to disseminate this work throughout the national VA system.

LRC-Katherine-Johnson-interview-2017-0914

NASA Image and Video Library

2017-09-14

Sept. 14, 2017: An interview with Katherine Johnson discussing her career and her reaction to the dedication of the Katherine G. Johnson Computational Research Facility at NASA's Langley Research Center in Hampton, Va., in her honor.

Strategic plan for the Turner-Fairbank Highway Research Center.

DOT National Transportation Integrated Search

2014-01-01

Located in McLean, VA, the Turner-Fairbank Highway Research Center (TFHRC), is the Federal Highway Administrations (FHWA) core facility for research, development, and technology within the broader transportation research community. This document d...

National remote computational flight research facility

NASA Technical Reports Server (NTRS)

Rediess, Herman A.

1989-01-01

The extension of the NASA Ames-Dryden remotely augmented vehicle (RAV) facility to accommodate flight testing of a hypersonic aircraft utilizing the continental United States as a test range is investigated. The development and demonstration of an automated flight test management system (ATMS) that uses expert system technology for flight test planning, scheduling, and execution is documented.

Automated flight test management system

NASA Technical Reports Server (NTRS)

Hewett, M. D.; Tartt, D. M.; Agarwal, A.

1991-01-01

The Phase 1 development of an automated flight test management system (ATMS) as a component of a rapid prototyping flight research facility for artificial intelligence (AI) based flight concepts is discussed. The ATMS provides a flight engineer with a set of tools that assist in flight test planning, monitoring, and simulation. The system is also capable of controlling an aircraft during flight test by performing closed loop guidance functions, range management, and maneuver-quality monitoring. The ATMS is being used as a prototypical system to develop a flight research facility for AI based flight systems concepts at NASA Ames Dryden.

Annual Data Summary for 1986 CERC (Coastal Engineering Research Center) Field Research Facility. Volume 1. Main Text and Appendix A

DTIC Science & Technology

1988-08-01

Waterways Experiment Station, Corps of Engineers PO Box 631, Vicksburg, Mississippi 39180-0631 DTI ~;~c~v ~ jAUG 291988 : H Ke August 1988 Final Report...PART I: INTRODUCTION ................................................ 3 Background ........................................................ 3...Information Service, 5285 Port Royal Road, Springfield, VA. 22161. 2 ANNUAL DATA SUMMARY FOR 1986 CERC FIELD RESEARCH FACILITY PART I: INTRODUCTION

Microgravity

NASA Image and Video Library

1981-03-30

Composite of Marshall Space Flight Center's Low-Gravity Free Fall Facilities.These facilities include a 100-meter drop tower and a 100-meter drop tube. The drop tower simulates in-flight microgravity conditions for up to 4.2 seconds for containerless processing experiments, immiscible fluids and materials research, pre-flight hardware design test and flight experiment simulation. The drop tube simulates in-flight microgravity conditions for up to 4.6 seconds and is used extensively for ground-based microgravity convection research in which extremely small samples are studied. The facility can provide deep undercooling for containerless processing experiments that require materials to remain in a liquid phase when cooled below the normal solidification temperature.

KSC-07pd0913

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- The Starfighter F-104 approaches the runway at the KSC Shuttle Landing Facility for a landing after its test flight. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

KSC-07pd0914

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- The Starfighter F-104 lands on the runway at the KSC Shuttle Landing Facility after its test flight. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

Remediation System Evaluation, Greenwood Chemical Superfund Site

EPA Pesticide Factsheets

The Greenwood Chemical Site (“site”) is an inactive chemical manufacturing facility located inNewtown, Albemarle County, Virginia on VA Route 690 approximately 0.75 miles west of the town ofGreenwood, Virginia and approximately 20 miles west...

77 FR 63734 - Security Zone; James River, Kingsmill Resort, Williamsburg, VA

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-17

... attacks to human life, vessels, mariners and waterfront facilities at or near this event. C. Discussion of... on the human environment. This rule is categorically excluded, under figure 2-1, paragraph (34)(g...

77 FR 31376 - Federal Property Suitable as Facilities to Assist the Homeless

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-25

..., Arlington, VA 22202; GSA: Mr. John E.B. Smith, General Services Administration, Office of Real Property..., 1330 Patterson Ave. SW., Suite 1000, Washington, DC 20374; (202) 685-9426, (202) 501-0084; (These are...

Combining Surveillance Systems: Effective Merging of U.S. Veteran and Military Health Data

PubMed Central

Pavlin, Julie A.; Burkom, Howard S.; Elbert, Yevgeniy; Lucero-Obusan, Cynthia; Winston, Carla A.; Cox, Kenneth L.; Oda, Gina; Lombardo, Joseph S.; Holodniy, Mark

2013-01-01

Background The U.S. Department of Veterans Affairs (VA) and Department of Defense (DoD) had more than 18 million healthcare beneficiaries in 2011. Both Departments conduct individual surveillance for disease events and health threats. Methods We performed joint and separate analyses of VA and DoD outpatient visit data from October 2006 through September 2010 to demonstrate geographic and demographic coverage, timeliness of influenza epidemic awareness, and impact on spatial cluster detection achieved from a joint VA and DoD biosurveillance platform. Results Although VA coverage is greater, DoD visit volume is comparable or greater. Detection of outbreaks was better in DoD data for 58% and 75% of geographic areas surveyed for seasonal and pandemic influenza, respectively, and better in VA data for 34% and 15%. The VA system tended to alert earlier with a typical H3N2 seasonal influenza affecting older patients, and the DoD performed better during the H1N1 pandemic which affected younger patients more than normal influenza seasons. Retrospective analysis of known outbreaks demonstrated clustering evidence found in separate DoD and VA runs, which persisted with combined data sets. Conclusion The analyses demonstrate two complementary surveillance systems with evident benefits for the national health picture. Relative timeliness of reporting could be improved in 92% of geographic areas with access to both systems, and more information provided in areas where only one type of facility exists. Combining DoD and VA data enhances geographic cluster detection capability without loss of sensitivity to events isolated in either population and has a manageable effect on customary alert rates. PMID:24386335

One-year incidence and predictors of homelessness among 300,000 U.S. Veterans seen in specialty mental health care.

PubMed

Tsai, Jack; Hoff, Rani A; Harpaz-Rotem, Ilan

2017-05-01

The Department of Veterans Affairs (VA) is committed to preventing and ending homelessness among U.S. veterans, but there have been few estimates of the incidence of veteran homelessness and prospective studies to identify predictors of homelessness. This study examines the 1-year incidence of homelessness among veterans seen in VA specialty mental health clinics and identified sociodemographic and clinical predictors of homelessness. Using a retrospective cohort study design, data were extracted from the VA medical records of 306,351 veterans referred to anxiety and posttraumatic stress disorder clinics across 130 VA facilities from 2008-2012 and followed for 1 year after referral. Homeless incidence was defined as new use of any VA homeless services or a documented International Classification of Diseases (9th rev.) V60.0 (lack of housing) code during the year. Of the total sample, 5.6% (7.8% for women and 5.4% for men) experienced homelessness within 1 year after referral to VA specialty mental health care. Veterans who were unmarried or diagnosed with a drug use disorder were more than twice as likely to become homeless; those who were Black or had annual incomes less than $25,000 were more than one and a half times as likely to become homeless. Together, these findings suggest a notable and important percentage of veterans seen in VA specialty mental health clinics newly experience homelessness annually. Monitoring early signs of housing vulnerability and preventing homelessness in this vulnerable but treatment-engaged population may be important in the VA's efforts to end veteran homelessness. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

ATM Coastal Topography-Alabama 2001

USGS Publications Warehouse

Nayegandhi, Amar; Yates, Xan; Brock, John C.; Sallenger, A.H.; Bonisteel, Jamie M.; Klipp, Emily S.; Wright, C. Wayne

2009-01-01

These remotely sensed, geographically referenced elevation measurements of Lidar-derived first surface (FS) topography were produced collaboratively by the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL, and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of the Alabama coastline, acquired October 3-4, 2001. The datasets are made available for use as a management tool to research scientists and natural resource managers. An innovative scanning Lidar instrument originally developed by NASA, and known as the Airborne Topographic Mapper (ATM), was used during data acquisition. The ATM system is a scanning Lidar system that measures high-resolution topography of the land surface, and incorporates a green-wavelength laser operating at pulse rates of 2 to 10 kilohertz. Measurements from the laser ranging device are coupled with data acquired from inertial navigation system (INS) attitude sensors and differentially corrected global positioning system (GPS) receivers to measure topography of the surface at accuracies of +/-15 centimeters. The nominal ATM platform is a Twin Otter or P-3 Orion aircraft, but the instrument may be deployed on a range of light aircraft. Elevation measurements were collected over the survey area using the ATM system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of Lidar data in an interactive or batch mode. Modules for pre-survey flight line definition, flight path plotting, Lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is routinely used to create maps that represent submerged or first surface topography.

ATM Coastal Topography-Florida 2001: Eastern Panhandle

USGS Publications Warehouse

Yates, Xan; Nayegandhi, Amar; Brock, John C.; Sallenger, A.H.; Bonisteel, Jamie M.; Klipp, Emily S.; Wright, C. Wayne

2009-01-01

These remotely sensed, geographically referenced elevation measurements of Lidar-derived first surface (FS) topography were produced collaboratively by the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL, and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of the eastern Florida panhandle coastline, acquired October 2, 2001. The datasets are made available for use as a management tool to research scientists and natural resource managers. An innovative scanning Lidar instrument originally developed by NASA, and known as the Airborne Topographic Mapper (ATM), was used during data acquisition. The ATM system is a scanning Lidar system that measures high-resolution topography of the land surface and incorporates a green-wavelength laser operating at pulse rates of 2 to 10 kilohertz. Measurements from the laser-ranging device are coupled with data acquired from inertial navigation system (INS) attitude sensors and differentially corrected global positioning system (GPS) receivers to measure topography of the surface at accuracies of +/-15 centimeters. The nominal ATM platform is a Twin Otter or P-3 Orion aircraft, but the instrument may be deployed on a range of light aircraft. Elevation measurements were collected over the survey area using the ATM system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of Lidar data in an interactive or batch mode. Modules for presurvey flight line definition, flight path plotting, Lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is routinely used to create maps that represent submerged or first surface topography.

Design and utilization of a Flight Test Engineering Database Management System at the NASA Dryden Flight Research Facility

NASA Technical Reports Server (NTRS)

Knighton, Donna L.

1992-01-01

A Flight Test Engineering Database Management System (FTE DBMS) was designed and implemented at the NASA Dryden Flight Research Facility. The X-29 Forward Swept Wing Advanced Technology Demonstrator flight research program was chosen for the initial system development and implementation. The FTE DBMS greatly assisted in planning and 'mass production' card preparation for an accelerated X-29 research program. Improved Test Plan tracking and maneuver management for a high flight-rate program were proven, and flight rates of up to three flights per day, two times per week were maintained.

Partnered research in healthcare delivery redesign for high-need, high-cost patients: development and feasibility of an Intensive Management Patient-Aligned Care Team (ImPACT).

PubMed

Zulman, Donna M; Ezeji-Okoye, Stephen C; Shaw, Jonathan G; Hummel, Debra L; Holloway, Katie S; Smither, Sasha F; Breland, Jessica Y; Chardos, John F; Kirsh, Susan; Kahn, James S; Asch, Steven M

2014-12-01

We employed a partnered research healthcare delivery redesign process to improve care for high-need, high-cost (HNHC) patients within the Veterans Affairs (VA) healthcare system. Health services researchers partnered with VA national and Palo Alto facility leadership and clinicians to: 1) analyze characteristics and utilization patterns of HNHC patients, 2) synthesize evidence about intensive management programs for HNHC patients, 3) conduct needs-assessment interviews with HNHC patients (n = 17) across medical, access, social, and mental health domains, 4) survey providers (n = 8) about care challenges for HNHC patients, and 5) design, implement, and evaluate a pilot Intensive Management Patient-Aligned Care Team (ImPACT) for a random sample of 150 patients. HNHC patients accounted for over half (52 %) of VA facility patient costs. Most (94 %) had three or more chronic conditions, and 60 % had a mental health diagnosis. Formative data analyses and qualitative assessments revealed a need for intensive case management, care coordination, transitions navigation, and social support and services. The ImPACT multidisciplinary team developed care processes to meet these needs, including direct access to team members (including after-hours), chronic disease management protocols, case management, and rapid interventions in response to health changes or acute service use. Two-thirds of invited patients (n = 101) enrolled in ImPACT, 87 % of whom remained actively engaged at 9 months. ImPACT is now serving as a model for a national VA intensive management demonstration project. Partnered research that incorporated population data analysis, evidence synthesis, and stakeholder needs assessments led to the successful redesign and implementation of services for HNHC patients. The rigorous design process and evaluation facilitated dissemination of the intervention within the VA healthcare system. Employing partnered research to redesign care for high-need, high-cost patients may expedite development and dissemination of high-value, cost-saving interventions.

Validation of verbal autopsy methods using hospital medical records: a case study in Vietnam.

PubMed

Tran, Hong Thi; Nguyen, Hoa Phuong; Walker, Sue M; Hill, Peter S; Rao, Chalapati

2018-05-18

Information on causes of death (COD) is crucial for measuring the health outcomes of populations and progress towards the Sustainable Development Goals. In many countries such as Vietnam where the civil registration and vital statistics (CRVS) system is dysfunctional, information on vital events will continue to rely on verbal autopsy (VA) methods. This study assesses the validity of VA methods used in Vietnam, and provides recommendations on methods for implementing VA validation studies in Vietnam. This validation study was conducted on a sample of 670 deaths from a recent VA study in Quang Ninh province. The study covered 116 cases from this sample, which met three inclusion criteria: a) the death occurred within 30 days of discharge after last hospitalisation, and b) medical records (MRs) for the deceased were available from respective hospitals, and c) the medical record mentioned that the patient was terminally ill at discharge. For each death, the underlying cause of death (UCOD) identified from MRs was compared to the UCOD from VA. The validity of VA diagnoses for major causes of death was measured using sensitivity, specificity and positive predictive value (PPV). The sensitivity of VA was at least 75% in identifying some leading CODs such as stroke, road traffic accidents and several site-specific cancers. However, sensitivity was less than 50% for other important causes including ischemic heart disease, chronic obstructive pulmonary diseases, and diabetes. Overall, there was 57% agreement between UCOD from VA and MR, which increased to 76% when multiple causes from VA were compared to UCOD from MR. Our findings suggest that VA is a valid method to ascertain UCOD in contexts such as Vietnam. Furthermore, within cultural contexts in which patients prefer to die at home instead of a healthcare facility, using the available MRs as the gold standard may be meaningful to the extent that recall bias from the interval between last hospital discharge and death can be minimized. Therefore, future studies should evaluate validity of MRs as a gold standard for VA studies in contexts similar to the Vietnamese context.

Man-Vehicle Systems Research Facility - Design and operating characteristics

NASA Technical Reports Server (NTRS)

Shiner, Robert J.; Sullivan, Barry T.

1992-01-01

This paper describes the full-mission flight simulation facility at the NASA Ames Research Center. The Man-Vehicle Systems Research Facility (MVSRF) supports aeronautical human factors research and consists of two full-mission flight simulators and an air-traffic-control simulator. The facility is used for a broad range of human factors research in both conventional and advanced aviation systems. The objectives of the research are to improve the understanding of the causes and effects of human errors in aviation operations, and to limit their occurrence. The facility is used to: (1) develop fundamental analytical expressions of the functional performance characteristics of aircraft flight crews; (2) formulate principles and design criteria for aviation environments; (3) evaluate the integration of subsystems in contemporary flight and air traffic control scenarios; and (4) develop training and simulation technologies.

Effectiveness of a social robot, "Paro," in a VA long-term care setting.

PubMed

Lane, Geoffrey W; Noronha, Delilah; Rivera, Alexandra; Craig, Kathy; Yee, Christina; Mills, Brent; Villanueva, Eimee

2016-08-01

Interest in animal assisted interventions (AAI) has grown over the years, but acceptance of AAI by the clinical and research community has been hampered by safety, hygiene, and logistical concerns. Advances in the field of social robotics have provided a promising route to deliver AAI while avoiding these aforementioned obstacles. Although there has been promising initial research on social robotics in older adults, to date there has been no such research conducted with a veteran population. The present pilot study followed 23 veteran residents of a Veterans Affairs (VA) geropsychiatric long-term care facility over the span of approximately a year and a half. It was found that use of Paro, a social robot, resulted in increased observed positive affective and behavioral indicators, with concomitant decreases observed in negative affective and behavioral indicators. The authors concluded that Paro is likely an effective nonpharmacological approach for managing dementia-related mood and behavior problems with veterans in VA long term care facilities. They additionally observed that Paro is best presented to residents who are relatively calm and approachable, as opposed to actively exhibiting behavior or mood problems. Future research directions are discussed in light of both the positive results noted and the inherent limitations of our pilot study. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

Longitudinal Analysis of Quality of Diabetes Care and Relational Climate in Primary Care.

PubMed

Soley-Bori, Marina; Benzer, Justin K; Burgess, James F

2018-04-01

To assess the influence of relational climate on quality of diabetes care. The study was conducted at the Department of Veterans Affairs (VA). The VA All Employee Survey (AES) was used to measure relational climate. Patient and facility characteristics were gathered from VA administrative datasets. Multilevel panel data (2008-2012) with patients nested into clinics. Diabetic patients were identified using ICD-9 codes and assigned to the clinic with the highest frequency of primary care visits. Multiple quality indicators were used, including an all-or-none process measure capturing guideline compliance, the actual number of tests and procedures, and three intermediate continuous outcomes (cholesterol, glycated hemoglobin, and blood pressure). The study sample included 327,805 patients, 212 primary care clinics, and 101 parent facilities in 2010. Across all study years, there were 1,568,180 observations. Clinics with the highest relational climate were 25 percent more likely to provide guideline-compliant care than those with the lowest relational climate (OR for a 1-unit increase: 1.02, p-value <.001). Among insulin-dependent diabetic veterans, this effect was twice as large. Contrary to that expected, relational climate did not influence intermediate outcomes. Relational climate is positively associated with tests and procedures provision, but not with intermediate outcomes of diabetes care. © Health Research and Educational Trust.

Primary Care-Mental Health Integration in the VA Health System: Associations Between Provider Staffing and Quality of Depression Care.

PubMed

Levine, Debra S; McCarthy, John F; Cornwell, Brittany; Brockmann, Laurie; Pfeiffer, Paul N

2017-05-01

The study examined whether staffing of Primary Care-Mental Health Integration (PCMHI) services in the Department of Veterans Affairs (VA) health system is related to quality of depression care. Site surveys and administrative data from 349 VA facilities for fiscal year 2013 were used to calculate PCMHI staffing (full-time equivalents) per 10,000 primary care patients and discipline-specific staffing proportions for PCMHI psychologists, social workers, nurses, and psychiatric medication prescribers. Multivariable regression analyses were conducted at the facility level and assessed associations between PCMHI staffing ratios and the following indicators of depression treatment in the three months following a new episode of depression: any antidepressant receipt, adequacy of antidepressant receipt, any psychotherapy receipt, and psychotherapy engagement (three or more visits). Higher facility PCMHI staffing ratios were associated with a greater percentage of patients who received any psychotherapy treatment (B=1.16, p<.01) and who engaged in psychotherapy (B=.39, p<.01). When analyses controlled for total PCMHI staffing, the proportion of social workers as part of PCMHI was positively correlated with the percentage of patients with adequate antidepressant treatment continuation (B=3.16, p=.03). The proportion of nurses in PCMHI was negatively associated with the percentage of patients with engagement in psychotherapy (B=-2.83, p=.02). PCMHI programs with greater overall staffing ratios demonstrated better performance on indicators of psychotherapy for depression but not on indicators of antidepressant treatment. Further investigation is needed to determine whether differences in discipline-specific staffing play a causal role in driving associated differences in receipt of treatment.

Shuttle Enterprise Flight To New York

NASA Image and Video Library

2012-04-27

Space shuttle Enterprise, mounted atop a NASA 747 Shuttle Carrier Aircraft (SCA), is seen as it takes off for New York from Washington Dulles International Airport, Friday, April 27, 2012, in Sterling, VA. Enterprise was the first shuttle orbiter built for NASA performing test flights in the atmosphere and was incapable of spaceflight. Originally housed at the Smithsonian's Steven F. Udvar-Hazy Center, Enterprise will be demated from the SCA and placed on a barge that will eventually be moved by tugboat up the Hudson River to the Intrepid Sea, Air & Space Museum in June. Photo Credit: (NASA/Scott Andrews)

Shuttle Enterprise Flight To New York

NASA Image and Video Library

2012-04-27

Space shuttle Enterprise, mounted atop a NASA 747 Shuttle Carrier Aircraft (SCA), is seen as it takes off for New York from Washington Dulles International Airport, Friday, April 27, 2012, in Sterling, VA. Enterprise was the first shuttle orbiter built for NASA performing test flights in the atmosphere and was incapable of spaceflight. Originally housed at the Smithsonian's Steven F. Udvar-Hazy Center, Enterprise will be demated from the SCA and placed on a barge that will eventually be moved by tugboat up the Hudson River to the Intrepid Sea, Air & Space Museum in June. Photo Credit: (NASA/Smithsonian Institution/Mark Avino)

Shuttle Enterprise Flight To New York

NASA Image and Video Library

2012-04-27

Space shuttle Enterprise, mounted atop a NASA 747 Shuttle Carrier Aircraft (SCA), is seen prior to taking off for New York from Washington Dulles International Airport, Friday, April 27, 2012, in Sterling, VA. Enterprise was the first shuttle orbiter built for NASA performing test flights in the atmosphere and was incapable of spaceflight. Originally housed at the Smithsonian's Steven F. Udvar-Hazy Center, Enterprise will be demated from the SCA and placed on a barge that will eventually be moved by tugboat up the Hudson River to the Intrepid Sea, Air & Space Museum in June. Photo Credit: (NASA/Scott Andrews)

KSC-07pd0904

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- On the KSC Shuttle Landing Facility, a Starfighter F-104 aircraft is being prepared for test flights. Behind the plane is Dave Waldrop, co-pilot. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

KSC-07pd0905

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- On the KSC Shuttle Landing Facility, a Starfighter F-104 aircraft is being prepared for test flights. Ready to climb into the cockpit is the pilot, Rick Svetkoff. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

KSC-07pd0915

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- The Starfighter F-104 comes to a stop on the KSC Shuttle Landing Facility after its test flight. The pilot is Rick Svetkoff; the co-pilot is Dave Waldrop.The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

78 FR 40730 - Meeting of the National Commission on the Structure of the Air Force

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-08

... building at 2521 South Clark Street, Suite 200, Crystal City, VA 22202 is fully handicap accessible. Several public parking facilities are nearby. All visitors will be asked to show current, picture...

76 FR 67021 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-28

... facility; provide preference and priority placement for senior and disabled Veterans and their families... Asset Enterprise Management (044), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington... [[Page 67022

76 FR 38086 - Safety Zone; Labor Day Fireworks, Ancarrows Landing Park, James River, Richmond, VA

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-29

... know that they reached the Facility, please enclose a stamped, self-addressed postcard or envelope. We... discharge of fireworks, dangerous projectiles, and falling hot embers or other debris, vessel traffic will...

The Relationship between Costs and Quality in Veterans Health Administration Community Living Centers: An Analysis Using Longitudinal Data.

PubMed

Burgess, James F; Shwartz, Michael; Stolzmann, Kelly; Sullivan, Jennifer L

2018-05-18

To examine the relationship between cost and quality in Veterans Health Administration (VA) nursing homes (called Community Living Centers, CLCs) using longitudinal data. One hundred and thirty CLCs over 13 quarters (from FY2009 to FY2012) were studied. Costs, resident days, and resident severity (RUGs score) were obtained from the VA Managerial Cost Accounting System. Clinical quality measures were obtained from the Minimum Data Set, and resident-centered care (RCC) was measured using the Artifacts of Culture Change Tool. We used a generalized estimating equation model with facilities included as fixed effects to examine the relationship between total cost and quality after controlling for resident days and severity. The model included linear and squared terms for all independent variables and interactions with resident days. With the exception of RCC, all other variables had a statistically significant relationship with total costs. For most poorer performing smaller facilities (lower size quartile), improvements in quality were associated with higher costs. For most larger facilities, improvements in quality were associated with lower costs. The relationship between cost and quality depends on facility size and current level of performance. © Published 2018. This article is a U.S. Government work and is in the public domain in the USA.

Facility-level association of preoperative stress testing and postoperative adverse cardiac events.

PubMed

Valle, Javier A; Graham, Laura; Thiruvoipati, Thejasvi; Grunwald, Gary; Armstrong, Ehrin J; Maddox, Thomas M; Hawn, Mary T; Bradley, Steven M

2018-06-22

Despite limited indications, preoperative stress testing is often used prior to non-cardiac surgery. Patient-level analyses of stress testing and outcomes are limited by case mix and selection bias. Therefore, we sought to describe facility-level rates of preoperative stress testing for non-cardiac surgery, and to determine the association between facility-level preoperative stress testing and postoperative major adverse cardiac events (MACE). We identified patients undergoing non-cardiac surgery within 2 years of percutaneous coronary intervention in the Veterans Affairs (VA) Health Care System, from 2004 to 2011, facility-level rates of preoperative stress testing and postoperative MACE (death, myocardial infarction (MI) or revascularisation within 30 days). We determined risk-standardised facility-level rates of stress testing and postoperative MACE, and the relationship between facility-level preoperative stress testing and postoperative MACE. Among 29 937 patients undergoing non-cardiac surgery at 131 VA facilities, the median facility rate of preoperative stress testing was 13.2% (IQR 9.7%-15.9%; range 6.0%-21.5%), and 30-day postoperative MACE was 4.0% (IQR 2.4%-5.4%). After risk standardisation, the median facility-level rate of stress testing was 12.7% (IQR 8.4%-17.4%) and postoperative MACE was 3.8% (IQR 2.3%-5.6%). There was no correlation between risk-standardised stress testing and composite MACE at the facility level (r=0.022, p=0.81), or with individual outcomes of death, MI or revascularisation. In a national cohort of veterans undergoing non-cardiac surgery, we observed substantial variation in facility-level rates of preoperative stress testing. Facilities with higher rates of preoperative stress testing were not associated with better postoperative outcomes. These findings suggest an opportunity to reduce variation in preoperative stress testing without sacrificing patient outcomes. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Comparison of Accessibility, Cost, and Quality of Elective Coronary Revascularization Between Veterans Affairs and Community Care Hospitals

PubMed Central

Hong, Juliette S.; Carey, Evan; Grunwald, Gary K.; Joynt Maddox, Karen; Maddox, Thomas M.

2018-01-01

Importance The Veterans Affairs (VA) Community Care (CC) Program supplements VA care with community-based medical services. However, access gains and value provided by CC have not been well described. Objectives To compare the access, cost, and quality of elective coronary revascularization procedures between VA and CC hospitals and to evaluate if procedural volume or publicly reported quality data can be used to identify high-value care. Design, Setting, and Participants Observational cohort study of veterans younger than 65 years undergoing an elective coronary revascularization, controlling for differences in risk factors using propensity adjustment. The setting was VA and CC hospitals. Participants were veterans undergoing elective percutaneous coronary intervention (PCI) and veterans undergoing coronary artery bypass graft (CABG) procedures between October 1, 2008, and September 30, 2011. The analysis was conducted between July 2014 and July 2017. Exposures Receipt of an elective coronary revascularization at a VA vs CC facility. Main Outcomes and Measures Access to care as measured by travel distance, 30-day mortality, and costs. Results In the 3 years ending on September 30, 2011, a total of 13 237 elective PCIs (79.1% at the VA) and 5818 elective CABG procedures (83.6% at the VA) were performed in VA or CC hospitals among veterans meeting study inclusion criteria. On average, use of CC was associated with reduced net travel by 53.6 miles for PCI and by 73.3 miles for CABG surgery compared with VA-only care. Adjusted 30-day mortality after PCI was higher in CC compared with VA (1.54% for CC vs 0.65% for VA, P < .001) but was similar after CABG surgery (1.33% for CC vs 1.51% for VA, P = .74). There were no differences in adjusted 30-day readmission rates for PCI (7.04% for CC vs 7.73% for VA, P = .66) or CABG surgery (8.13% for CC vs 7.00% for VA, P = .28). The mean adjusted PCI cost was higher in CC ($22 025 for CC vs $15 683 for VA, P < .001). The mean adjusted CABG cost was lower in CC ($55 526 for CC vs $63 144 for VA, P < .01). Neither procedural volume nor publicly reported mortality data identified hospitals that provided higher-value care with the exception that CABG mortality was lower in small-volume CC hospitals. Conclusions and Relevance In this veteran cohort, PCIs performed in CC hospitals were associated with shorter travel distance but with higher mortality, higher costs, and minimal travel savings compared with VA hospitals. The CABG procedures performed in CC hospitals were associated with shorter travel distance, similar mortality, and lower costs. As the VA considers expansion of the CC program, ongoing assessments of value and access gains are essential to optimize veteran outcomes and VA spending. PMID:29299607

Comparison of Accessibility, Cost, and Quality of Elective Coronary Revascularization Between Veterans Affairs and Community Care Hospitals.

PubMed

Barnett, Paul G; Hong, Juliette S; Carey, Evan; Grunwald, Gary K; Joynt Maddox, Karen; Maddox, Thomas M

2018-02-01

The Veterans Affairs (VA) Community Care (CC) Program supplements VA care with community-based medical services. However, access gains and value provided by CC have not been well described. To compare the access, cost, and quality of elective coronary revascularization procedures between VA and CC hospitals and to evaluate if procedural volume or publicly reported quality data can be used to identify high-value care. Observational cohort study of veterans younger than 65 years undergoing an elective coronary revascularization, controlling for differences in risk factors using propensity adjustment. The setting was VA and CC hospitals. Participants were veterans undergoing elective percutaneous coronary intervention (PCI) and veterans undergoing coronary artery bypass graft (CABG) procedures between October 1, 2008, and September 30, 2011. The analysis was conducted between July 2014 and July 2017. Receipt of an elective coronary revascularization at a VA vs CC facility. Access to care as measured by travel distance, 30-day mortality, and costs. In the 3 years ending on September 30, 2011, a total of 13 237 elective PCIs (79.1% at the VA) and 5818 elective CABG procedures (83.6% at the VA) were performed in VA or CC hospitals among veterans meeting study inclusion criteria. On average, use of CC was associated with reduced net travel by 53.6 miles for PCI and by 73.3 miles for CABG surgery compared with VA-only care. Adjusted 30-day mortality after PCI was higher in CC compared with VA (1.54% for CC vs 0.65% for VA, P < .001) but was similar after CABG surgery (1.33% for CC vs 1.51% for VA, P = .74). There were no differences in adjusted 30-day readmission rates for PCI (7.04% for CC vs 7.73% for VA, P = .66) or CABG surgery (8.13% for CC vs 7.00% for VA, P = .28). The mean adjusted PCI cost was higher in CC ($22 025 for CC vs $15 683 for VA, P < .001). The mean adjusted CABG cost was lower in CC ($55 526 for CC vs $63 144 for VA, P < .01). Neither procedural volume nor publicly reported mortality data identified hospitals that provided higher-value care with the exception that CABG mortality was lower in small-volume CC hospitals. In this veteran cohort, PCIs performed in CC hospitals were associated with shorter travel distance but with higher mortality, higher costs, and minimal travel savings compared with VA hospitals. The CABG procedures performed in CC hospitals were associated with shorter travel distance, similar mortality, and lower costs. As the VA considers expansion of the CC program, ongoing assessments of value and access gains are essential to optimize veteran outcomes and VA spending.

Procedures and equipment for staining large numbers of plant root samples for endomycorrhizal assay.

PubMed

Kormanik, P P; Bryan, W C; Schultz, R C

1980-04-01

A simplified method of clearing and staining large numbers of plant roots for vesicular-arbuscular (VA) mycorrhizal assay is presented. Equipment needed for handling multiple samples is described, and two formulations for the different chemical solutions are presented. Because one formulation contains phenol, its use should be limited to basic studies for which adequate laboratory exhaust hoods are available and great clarity of fungal structures is required. The second staining formulation, utilizing lactic acid instead of phenol, is less toxic, requires less elaborate laboratory facilities, and has proven to be completely satisfactory for VA assays.

A population approach to disease management: hepatitis C direct-acting antiviral use in a large health care system.

PubMed

Belperio, Pamela S; Backus, Lisa I; Ross, David; Neuhauser, Melinda M; Mole, Larry A

2014-06-01

The introduction of the first direct-acting antiviral agents (DAAs) for the treatment of hepatitis C virus (HCV), telaprevir and boceprevir, marked a unique event in which 2 disease-changing therapies received FDA approval at the same time. Comparative safety and effectiveness data in real-world populations upon which to make formulary decisions did not exist. To describe the implementation, measurement, and outcomes of an enduring population-based approach of surveillance of medication management for HCV. The foundation of the population approach to HCV medication management used by the Department of Veterans Affairs (VA) relied upon a basic framework of (a) providing data for effective regional and local management, (b) education and training, (c) real-time oversight and feedback from a higher organization level, and (d) prompt outcome sharing. These population-based processes spanned across the continuum of the direct-acting antiviral oversight process. We used the VA's HCV Clinical Case Registry-which includes pharmacy, laboratory, and diagnosis information for all HCV-infected veterans from all VA facilities-to assess DAA treatment eligibility, DAA uptake and timing, appropriate use of DAAs including HCV RNA monitoring and medication possession ratios (MPR), nonconcordance with guidance for adjunct erythropoiesis-stimulating agent (ESA) and granulocyte colony-stimulating factor (GCSF) use, hematologic adverse effects, discontinuation rates, and early and sustained virologic responses. Training impact was assessed via survey and change in pharmacist scope of practice. One year after FDA approval, DAAs had been prescribed at 120 of 130 VA facilities. Over 680 VA providers participated in live educational training programs including 380 pharmacists, and pharmacists with a scope of practice for HCV increased from 59 to 110 pharmacists (86%). HCV RNA futility testing improved such that only 1%-3% of veterans did not have appropriate testing compared with 15%-17% 6 months earlier. By facility, the median proportion of veterans with MPR ≥ 0.95 remained 80% for those prescribed boceprevir; for telaprevir, the median proportion was 75% and improved to 80% 6 months later. Nonconcordance with VA medication guidance was as follows: receipt of an ESA without dose reducing ribavirin, 30% boceprevir, 45% telaprevir; ESA initiated with a hemoglobin greater than 10 g/dL, 42% boceprevir, 25% telaprevir; receipt of GCSF with absolute neutrophil count above the criteria threshold, 84%. This clinically focused, comprehensive, population-based medication management approach affected real-time change in health services, practice, and outcomes evidenced by widespread and rapid DAA uptake, improved HCV RNA monitoring, attention to adherence, and more appropriate management of DAA-related anemia. Timely outcome sharing provided decision makers and clinicians evidence to support current HCV practices.

Fabrication and gas sensing properties of vertically aligned Si nanowires

NASA Astrophysics Data System (ADS)

Mirzaei, Ali; Kang, Sung Yong; Choi, Sun-Woo; Kwon, Yong Jung; Choi, Myung Sik; Bang, Jae Hoon; Kim, Sang Sub; Kim, Hyoun Woo

2018-01-01

In this study, a peculiar configuration for a gas sensor consisting of vertically aligned silicon nanowires (VA-Si NWs) synthesized by metal-assisted chemical etching (MACE) is reported. Si NWs were prepared via a facile MACE method and subsequent thermal annealing. Etching was performed by generation of silver nanoparticles (Ag NPs) and subsequent etching in HF/H2O2 aqueous solution; the growth conditions were optimized by changing the process parameters. Highly vertically oriented arrays of Si NWs with a straight-line morphology were obtained, and a top-top electrode configuration was applied. The VA-Si NW gas sensor showed good sensing performance, and the VA-Si NWs exhibited a remarkable response (Rg/Ra = 11.5 ∼ 17.1) to H2 gas (10-50 ppm) at 100 °C which was the optimal working temperature. The formation mechanism and gas sensing mechanism of VA-Si NWs are described. The obtained results can suggest new approaches to making inexpensive, versatile, and portable sensors based on Si NWs having a novel top-top electrode structure that are fully compatible with well-developed Si technologies.

Adult day health care evaluation study: methodology and implementation. Adult Day Health Care Evaluation Development Group.

PubMed Central

Hedrick, S C; Rothman, M L; Chapko, M; Inui, T S; Kelly, J R; Ehreth, J

1991-01-01

The Adult Day Health Care Evaluation Study was developed in response to a congressional mandate to study the medical efficacy and cost effectiveness of the Adult Day Health Care (ADHC) effort in the Department of Veterans Affairs (VA). Four sites providing ADHC in VA facilities are participating in an ongoing randomized controlled trial. Three years of developmental work prior to the study addressed methodological issues that were problematic in previous studies. This developmental work resulted in the methodological approaches described here: (1) a patient recruitment process that actively recruits and screens all potential candidates using empirically developed admission criteria based on predictors of nursing home placement in VA; (2) the selection and development of measures of medical efficacy that assess a wide range of patient and caregiver outcomes with sufficient sensitivity to detect small but clinically important changes; and (3) methods for detailed, accurate, and efficient measurement of utilization and costs of health care within and outside VA. These approaches may be helpful to other researchers and may advance the methodological sophistication of long-term care program evaluation. PMID:1991678

The Department of Veterans Affairs Nursing Academy (VANA): forging strategic alliances with schools of nursing to address nursing's workforce needs.

PubMed

Bowman, Candice C; Johnson, Linda; Cox, Malcolm; Rick, Catherine; Dougherty, Mary; Alt-White, Anna C; Wyte, Tamar; Needleman, Jack; Dobalian, Aram

2011-01-01

In 2007, the Department of Veterans Affairs (VA) established the VA Nursing Academy (VANA), a 5-year, $60-million pilot program funding 15 partnerships between schools of nursing and local VA health care facilities nationwide, to expand nursing faculty, enhance clinical faculty development, increase nursing student enrollment, and promote educational innovations. VA is an ideal setting for educating nursing students owing to a well-educated registered nurse staff, an array of traditional and nontraditional settings, a state-of-the-art computerized electronic health record system, and a unique patient population. Challenges related to the complex nature of VANA partnerships, conceptualized as strategic alliances created between disparate subunits, each embedded in a larger organization, require careful governance to ensure smooth implementation. To ensure the program's aims are met, a 6-year national evaluation has been funded to help identify which strategies best achieve VANA's goals. The speed of economic recovery and the resulting changes in the nursing workforce are important determinants of VANA's future. Published by Mosby, Inc.

NASA Langley's AirSTAR Testbed: A Subscale Flight Test Capability for Flight Dynamics and Control System Experiments

NASA Technical Reports Server (NTRS)

Jordan, Thomas L.; Bailey, Roger M.

2008-01-01

As part of the Airborne Subscale Transport Aircraft Research (AirSTAR) project, NASA Langley Research Center (LaRC) has developed a subscaled flying testbed in order to conduct research experiments in support of the goals of NASA s Aviation Safety Program. This research capability consists of three distinct components. The first of these is the research aircraft, of which there are several in the AirSTAR stable. These aircraft range from a dynamically-scaled, twin turbine vehicle to a propeller driven, off-the-shelf airframe. Each of these airframes carves out its own niche in the research test program. All of the airplanes have sophisticated on-board data acquisition and actuation systems, recording, telemetering, processing, and/or receiving data from research control systems. The second piece of the testbed is the ground facilities, which encompass the hardware and software infrastructure necessary to provide comprehensive support services for conducting flight research using the subscale aircraft, including: subsystem development, integrated testing, remote piloting of the subscale aircraft, telemetry processing, experimental flight control law implementation and evaluation, flight simulation, data recording/archiving, and communications. The ground facilities are comprised of two major components: (1) The Base Research Station (BRS), a LaRC laboratory facility for system development, testing and data analysis, and (2) The Mobile Operations Station (MOS), a self-contained, motorized vehicle serving as a mobile research command/operations center, functionally equivalent to the BRS, capable of deployment to remote sites for supporting flight tests. The third piece of the testbed is the test facility itself. Research flights carried out by the AirSTAR team are conducted at NASA Wallops Flight Facility (WFF) on the Eastern Shore of Virginia. The UAV Island runway is a 50 x 1500 paved runway that lies within restricted airspace at Wallops Flight Facility. The facility provides all the necessary infrastructure to conduct the research flights in a safe and efficient manner. This paper gives a comprehensive overview of the development of the AirSTAR testbed.

47 CFR 87.307 - Cooperative use of facilities.

Code of Federal Regulations, 2010 CFR

2010-10-01

... SERVICES AVIATION SERVICES Flight Test Stations § 87.307 Cooperative use of facilities. (a) The Commission will license only one flight test land station per airport, except as provided in paragraph (d) of this section. (b) Flight test land stations located at an airport are required to provide service without...

View of new centrifuge at Flight Acceleration Facility

NASA Technical Reports Server (NTRS)

1966-01-01

View of the new centrifuge at the Manned Spacecraft Center (MSC), located in the Flight Acceleration Facility, bldg 29. The 50-ft. arm can swing the three man gondola to create g-forces astronauts will experience during controlled flight and during reentry. The centrifuge was designed primarily for training Apollo astronauts.

Alternate Reality Teaching: OurSpace

DTIC Science & Technology

2012-06-08

including Sony (Uncharted), THQ (WWE) and Game of Thrones. With Flint Dille, Michael reinvented EA’s first million-selling videogame franchise with...judges WGA videogame scripts, and holds two patents. 9. FACILITIES AND EQUIPMENT Intific, Inc. is headquartered in Hampton, VA, with design and

The NASA integrated test facility and its impact on flight research

NASA Technical Reports Server (NTRS)

Mackall, D. A.; Pickett, M. D.; Schilling, L. J.; Wagner, C. A.

1988-01-01

The Integrated Test Facility (ITF), being built at NASA Ames-Dryden Flight Research Facility, will provide new test capabilities for emerging research aircraft. An overview of the ITF and the challenges being addressed by this unique facility are outlined. The current ITF capabilities, being developed with the X-29 Forward Swept Wing Program, are discussed along with future ITF activities.

Characterization of in-flight performance of ion propulsion systems

NASA Astrophysics Data System (ADS)

Sovey, James S.; Rawlin, Vincent K.

1993-06-01

In-flight measurements of ion propulsion performance, ground test calibrations, and diagnostic performance measurements were reviewed. It was found that accelerometers provided the most accurate in-flight thrust measurements compared with four other methods that were surveyed. An experiment has also demonstrated that pre-flight alignment of the thrust vector was sufficiently accurate so that gimbal adjustments and use of attitude control thrusters were not required to counter disturbance torques caused by thrust vector misalignment. The effects of facility background pressure, facility enhanced charge-exchange reactions, and contamination on ground-based performance measurements are also discussed. Vacuum facility pressures for inert-gas ion thruster life tests and flight qualification tests will have to be less than 2 mPa to ensure accurate performance measurements.

Characterization of in-flight performance of ion propulsion systems

NASA Technical Reports Server (NTRS)

Sovey, James S.; Rawlin, Vincent K.

1993-01-01

In-flight measurements of ion propulsion performance, ground test calibrations, and diagnostic performance measurements were reviewed. It was found that accelerometers provided the most accurate in-flight thrust measurements compared with four other methods that were surveyed. An experiment has also demonstrated that pre-flight alignment of the thrust vector was sufficiently accurate so that gimbal adjustments and use of attitude control thrusters were not required to counter disturbance torques caused by thrust vector misalignment. The effects of facility background pressure, facility enhanced charge-exchange reactions, and contamination on ground-based performance measurements are also discussed. Vacuum facility pressures for inert-gas ion thruster life tests and flight qualification tests will have to be less than 2 mPa to ensure accurate performance measurements.

Variation in Postsepsis Readmission Patterns: A Cohort Study of Veterans Affairs Beneficiaries.

PubMed

Prescott, Hallie C

2017-02-01

Rehospitalization is common after sepsis, but little is known about the variation in readmission patterns across patient groups and care locations. To examine the variation in postsepsis readmission rates and diagnoses by patient age, nursing facility use, admission year, and hospital among U.S. Veterans Affairs (VA) beneficiaries. Observational cohort study of VA beneficiaries who survived a sepsis hospitalization (2009-2011) at 114 VA hospitals, stratified by age (<65 vs. ≥65 yr), nursing home usage (none, chronic, or acute), year of admission (2009, 2010, 2011), and hospital. In the primary analysis, sepsis hospitalizations were identified using a previously validated method. Sensitivity analyses were performed using alternative definitions with explicit International Classification of Diseases, Ninth Revision, Clinical Modification, codes for sepsis, and separately for severe sepsis and septic shock. The primary outcomes were rate of 90-day all-cause hospital readmission after sepsis hospitalization and proportion of readmissions resulting from specific diagnoses, including the proportion of "potentially preventable" readmissions. Readmission diagnoses were similar from 2009 to 2011, with little variation in readmission rates across hospitals. The top six readmission diagnoses (heart failure, pneumonia, sepsis, urinary tract infection, acute renal failure, and chronic obstructive pulmonary disease) accounted for 30% of all readmissions. Although about one in five readmissions had a principal diagnosis for infection, 58% of all readmissions received early systemic antibiotics. Infection accounted for a greater proportion of readmissions among patients discharged to nursing facilities compared with patients discharged to home (25.0-27.1% vs. 16.8%) and among older vs. younger patients (22.2% vs. 15.8%). Potentially preventable readmissions accounted for a quarter of readmissions overall and were more common among older patients and patients discharged to nursing facilities. Hospital readmission rates after sepsis were similar by site and admission year. Heart failure, pneumonia, sepsis, and urinary tract infection were common readmission diagnoses across all patient groups. Readmission for infection and potentially preventable diagnoses were more common in older patients and patients discharged to nursing facilities.

A New Cure for Medical Errors

NASA Technical Reports Server (NTRS)

2002-01-01

In May 2000, senior officials of the U.S. Department of Veterans Affairs (VA) and NASA signed an agreement that would commit the two agencies to create the Patient Safety Reporting System (PSRS) to report: events or situations that could have resulted in accident, injury, or illness, but did not, either by chance or through timely intervention (close-calls); unexpected serious occurrences that involved a patient or employee's death, physical injury, or psychological injury; lessens learned; and safety ideas. The VA provided NASA with funding for the initial development of the new system, which automatically removes all personal names, facility names and locations, and other potentially identifying information before entering reports into its database. Designed to complement the VA's current internal reporting systems, the PSRS is modeled after NASA's Aviation Safety Reporting System, which was established in 1975 under a Memorandum of Agreement between the Federal Aviation Administration and NASA and began operation in 1976.

FY 1985 scientific and technical reports, articles, papers and presentations

NASA Technical Reports Server (NTRS)

Turner, Joyce E. (Compiler)

1985-01-01

This document presents formal NASA technical reports, papers published in technical journals, and presentations by Marshal Space Flight Center (MSFC) personnel in FY 85. It also includes papers of MSFC contractors. After being announced in STAR, all of the NASA series reports may be obtained from the National Technical Information Service (NTIS), 5285 Port Royal Road, Springfield, Va. 22161.

Modeling, Analysis, and Optimization Issues for Large Space Structures.

DTIC Science & Technology

1983-02-01

There are numerous opportunities - provided by new advances in computer hardware, firmware, software , CAD/CAM systems, computational algorithms and...Institute Department of Mechanical Engineering Dept. of Civil Engineering & Mechanics Troy, NY 12181 Drexel University Philadelphia, PA 19104 Dr...Mechanical Engineering Hampton, VA 23665 Washington, DC 20059 Dr. K. T. Alfriend Mr. Siva S. Banda Department of the Navy Flight Dynamics LaboratoryNaval

The Army Needs to Recoup Funds Expended on Property Damaged in an Accident at a Development Subcontractor’s Facility (Redacted)

DTIC Science & Technology

2012-05-24

liability for the JLENS prope1iy damaged in an accident at a subcontractor’s facility. The accident occmTed when high winds caused an Airship ...modernization proponent for space, high - altitude and global missile defense, is the Almy operational integrator for global missile defense, and conducts...Alexandria, VA 22350-1500 Acronyms and Abbreviations AMS Airship Management Services DCMA Defense Contract

The Army Did Not Properly Account For and Manage Force Provider Equipment in Afghanistan

DTIC Science & Technology

2014-07-31

1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to a penalty for...RESPONSIBLE PERSON a. REPORT unclassified b. ABSTRACT unclassified c. THIS PAGE unclassified Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std...and dining facilities, hygiene services, and morale, welfare and recreation facilities. FP modules accommodate up to 600 personnel and can also be

Another Setting for Stewardship: High Rate of Unnecessary Antimicrobial Use in a VA Long-Term Care Facility

PubMed Central

Peron, Emily P.; Hirsch, Amy A.; Jury, Lucy A.; Jump, Robin L.P.; Donskey, Curtis J.

2015-01-01

BACKGROUND/OBJECTIVE Antimicrobials are frequently prescribed in long-term care facilities (LTCFs). In order to develop effective stewardship interventions, there is a need for data on current patterns of unnecessary antimicrobial prescribing among LTCF residents. The objective of this study was to examine the frequency of, reasons for, and adverse effects of unnecessary antimicrobial use in our Veterans Affairs (VA) LTCF. DESIGN Retrospective chart review. SETTING Cleveland VA Medical Center LTCF. PARTICIPANTS Randomly selected patients receiving antimicrobial therapy from October 1, 2008 to March 31, 2009. MEASUREMENTS Days of necessary and unnecessary antimicrobial therapy determined using Infectious Diseases Society of America guidelines, syndromes treated with unnecessary antimicrobials, and the frequency of development of Clostridium difficile infection (CDI), colonization or infection with antimicrobial resistant pathogens, and other adverse effects. RESULTS Of 1351 days of therapy prescribed in 100 regimens, 575 days (42.5%) were deemed unnecessary. Of the 575 unnecessary days of therapy, 334 (58%) were for antimicrobial regimens that were entirely unnecessary (n=42). Asymptomatic bacteriuria was the most common reason for entirely unnecessary regimens (n=21), resulting in 173 days of unnecessary therapy. Regimens that were partially unnecessary resulted in 241 (42%) days of unnecessary therapy, with longer than recommended treatment duration accounting for 226 (94%) unnecessary days of therapy. Within 30 days of completing the antimicrobial regimens, 5 patients developed CDI, 5 had colonization or infection with antimicrobial-resistant pathogens, and 10 experienced other adverse drug events. CONCLUSIONS In our VA LTCF, 43% of all days of antimicrobial therapy were unnecessary. Our findings suggest that antimicrobial stewardship interventions in LTCFs should focus on improving adherence to recommended treatment durations and eliminating inappropriate treatment of asymptomatic bacteriuria. PMID:23405923

Using photovoice to explore patient perceptions of patient-centered care in the Veterans Affairs health care system

PubMed Central

Balbale, Salva Najib; Morris, Megan A.; LaVela, Sherri L.

2015-01-01

Background Accounting for patient views and context is essential in evaluating and improving patient-centered care initiatives, yet few studies have examined the patient perspective. In the Veterans Affairs (VA) Health Care System, several VA facilities have transitioned from traditionally disease- or problem-based care to patient-centered care. We used photovoice to explore perceptions and experiences related to patient-centered care among Veterans receiving care in VA facilities that have implemented patient-centered care initiatives. Design Participants were provided prompts to facilitate their photography, and were asked to capture salient features in their environment that may describe their experiences and perceptions related to patient-centered care. Follow-up interviews were conducted with each participant to learn more about their photographs and intended meanings. Participant demographic data were also collected. Results Twenty-two Veteran patients (n=22) across two VA sites participated in the photovoice protocol. Participants defined patient-centered care broadly as caring for a person as a whole while accommodating for individual needs and concerns. Participant-generated photography and interview data revealed various contextual factors influencing patient-centered care perceptions, including patient-provider communication and relationships, physical and social environments of care, and accessibility of care. Conclusions This study contributes to the growing knowledge base around patient views and preferences regarding their care, care quality, and environments of care. Factors that shaped patient-centered care perceptions and the patient experience included communication with providers and staff, décor and signage, accessibility and transportation, programs and services offered, and informational resources. Our findings may be integrated into system redesign innovations and care design strategies that embody what is most meaningful to patients. PMID:24452963

Using photovoice to explore patient perceptions of patient-centered care in the Veterans Affairs Health Care System.

PubMed

Balbale, Salva Najib; Morris, Megan A; LaVela, Sherri L

2014-01-01

Accounting for patient views and context is essential in evaluating and improving patient-centered care initiatives, yet few studies have examined the patient perspective. In the Veterans Affairs (VA) Health Care System, several VA facilities have transitioned from traditionally disease- or problem-based care to patient-centered care. We used photovoice to explore perceptions and experiences related to patient-centered care among Veterans receiving care in VA facilities that have implemented patient-centered care initiatives. Participants were provided prompts to facilitate their photography, and were asked to capture salient features in their environment that may describe their experiences and perceptions related to patient-centered care. Follow-up interviews were conducted with each participant to learn more about their photographs and intended meanings. Participant demographic data were also collected. Twenty-two Veteran patients (n = 22) across two VA sites participated in the photovoice protocol. Participants defined patient-centered care broadly as caring for a person as a whole while accommodating for individual needs and concerns. Participant-generated photography and interview data revealed various contextual factors influencing patient-centered care perceptions, including patient-provider communication and relationships, physical and social environments of care, and accessibility of care. This study contributes to the growing knowledge base around patient views and preferences regarding their care, care quality, and environments of care. Factors that shaped patient-centered care perceptions and the patient experience included communication with providers and staff, décor and signage, accessibility and transportation, programs and services offered, and informational resources. Our findings may be integrated into system redesign innovations and care design strategies that embody what is most meaningful to patients.

Wallops: The Management of Rapid Change

NASA Technical Reports Server (NTRS)

Kremer, Steven E.

2016-01-01

A unique national resource, Wallops Flight Facility's Research Range enables flexible, low-cost space access, in-flight science, and technology research for all of NASA and the nation. It is the only launch range that NASA owns. This is for Keynote Address and charts are primarily an overview of activities performed at Wallops Flight Facility.

KSC-07pd0889

NASA Image and Video Library

2007-04-16

KENNEDY SPACE CENTER, FLA. -- Pilot Rick Svetkoff taxis a Starfighter F-104 down the runway on the Shuttle Landing Facility at Kennedy Space Center. The aircraft will take part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

KSC-07pd0888

NASA Image and Video Library

2007-04-16

KENNEDY SPACE CENTER, FLA. -- A Starfighter F-104 piloted by Rick Svetkoff lands on the Shuttle Landing Facility at Kennedy Space Center. The aircraft will take part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

KSC-07pd0887

NASA Image and Video Library

2007-04-16

KENNEDY SPACE CENTER, FLA. -- A Starfighter F-104 piloted by Rick Svetkoff approaches the Shuttle Landing Facility at Kennedy Space Center. The aircraft will take part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

KSC-07pd0908

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- On the KSC Shuttle Landing Facility, pilot Rick Svetkoff settles into the cockpit of the Starfighter F-104. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

78 FR 42455 - Medications Prescribed by Non-VA Providers

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-16

... abuse, Alcoholism, Claims, Day care, Dental health, Drug abuse, Government contracts, Grant programs--health, Grant programs--veterans, Health care, Health facilities, Health professions, Health records... veterans of a period of war who are receiving increased pension because they are permanently housebound or...

76 FR 74077 - National Science Board; Sunshine Act Meetings; Notice

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-30

... NATIONAL SCIENCE FOUNDATION National Science Board; Sunshine Act Meetings; Notice The National Science Board's Subcommittee on Facilities, Committee on Strategy and Budget, pursuant to NSF regulations... Office, National Science Foundation, 4201 Wilson Blvd., Arlington, VA 22230. A public listening room will...

75 FR 30306 - Responding To Disruptive Patients

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-01

... visitations and communications, clothing, personal possessions, money, social interaction, exercise, and... order, these restrictions would take effect upon the signature of the Chief of Staff or designee. We... the proposed rule. VA provides medical care through 21 networks of medical facilities known as...

76 FR 10246 - Updating Fire Safety Standards

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-24

... DEPARTMENT OF VETERANS AFFAIRS 38 CFR Parts 17 and 59 RIN 2900-AN57 Updating Fire Safety Standards... regulations and update the standards for VA approval of such facilities, including standards for fire safety... to ``RIN 2900-AN57--Updating Fire Safety [[Page 10247

38 CFR 1.218 - Security and law enforcement at VA facilities.

Code of Federal Regulations, 2012 CFR

2012-07-01

... the influence of alcoholic beverages, narcotic drugs, hallucinogens, marijuana, barbiturates, or amphetamines is prohibited. Entering property under the influence of any narcotic drug, hallucinogen, marijuana... property of any narcotic drug, hallucinogen, marijuana, barbiturate, or amphetamine (unless prescribed by a...

38 CFR 1.218 - Security and law enforcement at VA facilities.

Code of Federal Regulations, 2010 CFR

2010-07-01

... the influence of alcoholic beverages, narcotic drugs, hallucinogens, marijuana, barbiturates, or amphetamines is prohibited. Entering property under the influence of any narcotic drug, hallucinogen, marijuana... property of any narcotic drug, hallucinogen, marijuana, barbiturate, or amphetamine (unless prescribed by a...

38 CFR 1.218 - Security and law enforcement at VA facilities.

Code of Federal Regulations, 2013 CFR

2013-07-01

... the influence of alcoholic beverages, narcotic drugs, hallucinogens, marijuana, barbiturates, or amphetamines is prohibited. Entering property under the influence of any narcotic drug, hallucinogen, marijuana... property of any narcotic drug, hallucinogen, marijuana, barbiturate, or amphetamine (unless prescribed by a...

38 CFR 1.218 - Security and law enforcement at VA facilities.

Code of Federal Regulations, 2014 CFR

2014-07-01

... the influence of alcoholic beverages, narcotic drugs, hallucinogens, marijuana, barbiturates, or amphetamines is prohibited. Entering property under the influence of any narcotic drug, hallucinogen, marijuana... property of any narcotic drug, hallucinogen, marijuana, barbiturate, or amphetamine (unless prescribed by a...

38 CFR 1.218 - Security and law enforcement at VA facilities.

Code of Federal Regulations, 2011 CFR

2011-07-01

... the influence of alcoholic beverages, narcotic drugs, hallucinogens, marijuana, barbiturates, or amphetamines is prohibited. Entering property under the influence of any narcotic drug, hallucinogen, marijuana... property of any narcotic drug, hallucinogen, marijuana, barbiturate, or amphetamine (unless prescribed by a...

A Longitudinal Assessment of the Effect of Resident-Centered Care on Quality in Veterans Health Administration Community Living Centers.

PubMed

Sullivan, Jennifer L; Shwartz, Michael; Stolzmann, Kelly; Afable, Melissa K; Burgess, James F

2018-06-01

To examine whether changes in resident-centered care (RCC) over time were associated with changes in quality. Data sources were the Minimum Dataset quality indicators (which consist of measures of both prevalence and incidence of adverse events) and the Artifacts of Culture Change Tool (which measures RCC; FYs 2009-2012) from 130 Veterans Health Administration community living centers. A retrospective longitudinal study. Data were from VA secondary data sources. The overall relationship between RCC and quality was not statistically significant (p = .22), although there was a weakly significant negative relationship (i.e., increased RCC was associated with poorer quality) in the seven quarters after implementation of an automated version of the Artifacts Tool (p = .08). In facility-specific analyses, there were 15 facilities with a weakly significant (p < .10) positive relationship between RCC and quality and 21 with a weakly significant negative relationship. Adjusted cost per patient day was over 50 percent higher in the 21 facilities with a negative relationship than in the 15 facilities with a positive relationship (p < .05). The Artifacts score is a formal performance metric in the VA, and thus, facilities were explicitly incentivized to increase RCC. Using qualitative methods to identify characteristics that distinguished those facilities able to increase both RCC and quality from those that suffered declines in quality as RCC was improved is an important follow-up to this study. © Published 2017. This article is a U.S. Government work and is in the public domain in the USA.

KENNEDY SPACE CENTER, FLA. -- Sharon Edney, with Dynamac Corp., measures photosynthesis on Bibb lettuce being grown hydroponically for study in the Space Life Sciences Lab. The 100,000 square-foot facility houses labs for NASA’s ongoing research efforts, microbiology/microbial ecology studies and analytical chemistry labs. Also calling the new lab home are facilities for space flight-experiment and flight-hardware development, new plant growth chambers, and an Orbiter Environment Simulator that will be used to conduct ground control experiments in simulated flight conditions for space flight experiments. The SLS Lab, formerly known as the Space Experiment Research and Processing Laboratory or SERPL, provides space for NASA’s Life Sciences Services contractor Dynamac Corporation, Bionetics Corporation, and researchers from the University of Florida. NASA’s Office of Biological and Physical Research will use the facility for processing life sciences experiments that will be conducted on the International Space Station. The SLS Lab is the magnet facility for the International Space Research Park at KSC being developed in partnership with Florida Space Authority.

NASA Image and Video Library

2004-01-05

KENNEDY SPACE CENTER, FLA. -- Sharon Edney, with Dynamac Corp., measures photosynthesis on Bibb lettuce being grown hydroponically for study in the Space Life Sciences Lab. The 100,000 square-foot facility houses labs for NASA’s ongoing research efforts, microbiology/microbial ecology studies and analytical chemistry labs. Also calling the new lab home are facilities for space flight-experiment and flight-hardware development, new plant growth chambers, and an Orbiter Environment Simulator that will be used to conduct ground control experiments in simulated flight conditions for space flight experiments. The SLS Lab, formerly known as the Space Experiment Research and Processing Laboratory or SERPL, provides space for NASA’s Life Sciences Services contractor Dynamac Corporation, Bionetics Corporation, and researchers from the University of Florida. NASA’s Office of Biological and Physical Research will use the facility for processing life sciences experiments that will be conducted on the International Space Station. The SLS Lab is the magnet facility for the International Space Research Park at KSC being developed in partnership with Florida Space Authority.

KENNEDY SPACE CENTER, FLA. -- Sharon Edney, with Dynamac Corp., checks the roots of green onions being grown hydroponically for study in the Space Life Sciences Lab. The 100,000 square-foot facility houses labs for NASA’s ongoing research efforts, microbiology/microbial ecology studies and analytical chemistry labs. Also calling the new lab home are facilities for space flight-experiment and flight-hardware development, new plant growth chambers, and an Orbiter Environment Simulator that will be used to conduct ground control experiments in simulated flight conditions for space flight experiments. The SLS Lab, formerly known as the Space Experiment Research and Processing Laboratory or SERPL, provides space for NASA’s Life Sciences Services contractor Dynamac Corporation, Bionetics Corporation, and researchers from the University of Florida. NASA’s Office of Biological and Physical Research will use the facility for processing life sciences experiments that will be conducted on the International Space Station. The SLS Lab is the magnet facility for the International Space Research Park at KSC being developed in partnership with Florida Space Authority.

NASA Image and Video Library

2004-01-05

KENNEDY SPACE CENTER, FLA. -- Sharon Edney, with Dynamac Corp., checks the roots of green onions being grown hydroponically for study in the Space Life Sciences Lab. The 100,000 square-foot facility houses labs for NASA’s ongoing research efforts, microbiology/microbial ecology studies and analytical chemistry labs. Also calling the new lab home are facilities for space flight-experiment and flight-hardware development, new plant growth chambers, and an Orbiter Environment Simulator that will be used to conduct ground control experiments in simulated flight conditions for space flight experiments. The SLS Lab, formerly known as the Space Experiment Research and Processing Laboratory or SERPL, provides space for NASA’s Life Sciences Services contractor Dynamac Corporation, Bionetics Corporation, and researchers from the University of Florida. NASA’s Office of Biological and Physical Research will use the facility for processing life sciences experiments that will be conducted on the International Space Station. The SLS Lab is the magnet facility for the International Space Research Park at KSC being developed in partnership with Florida Space Authority.

KENNEDY SPACE CENTER, FLA. -- Lanfang Levine, with Dynamac Corp., helps install a Dionex DX-500 IC/HPLC system in the Space Life Sciences Lab. The equipment will enable analysis of volatile compounds, such as from plants. The 100,000 square-foot facility houses labs for NASA’s ongoing research efforts, microbiology/microbial ecology studies and analytical chemistry labs. Also calling the new lab home are facilities for space flight-experiment and flight-hardware development, new plant growth chambers, and an Orbiter Environment Simulator that will be used to conduct ground control experiments in simulated flight conditions for space flight experiments. The SLS Lab, formerly known as the Space Experiment Research and Processing Laboratory or SERPL, provides space for NASA’s Life Sciences Services contractor Dynamac Corporation, Bionetics Corporation, and researchers from the University of Florida. NASA’s Office of Biological and Physical Research will use the facility for processing life sciences experiments that will be conducted on the International Space Station. The SLS Lab is the magnet facility for the International Space Research Park at KSC being developed in partnership with Florida Space Authority.

NASA Image and Video Library

2004-01-05

KENNEDY SPACE CENTER, FLA. -- Lanfang Levine, with Dynamac Corp., helps install a Dionex DX-500 IC/HPLC system in the Space Life Sciences Lab. The equipment will enable analysis of volatile compounds, such as from plants. The 100,000 square-foot facility houses labs for NASA’s ongoing research efforts, microbiology/microbial ecology studies and analytical chemistry labs. Also calling the new lab home are facilities for space flight-experiment and flight-hardware development, new plant growth chambers, and an Orbiter Environment Simulator that will be used to conduct ground control experiments in simulated flight conditions for space flight experiments. The SLS Lab, formerly known as the Space Experiment Research and Processing Laboratory or SERPL, provides space for NASA’s Life Sciences Services contractor Dynamac Corporation, Bionetics Corporation, and researchers from the University of Florida. NASA’s Office of Biological and Physical Research will use the facility for processing life sciences experiments that will be conducted on the International Space Station. The SLS Lab is the magnet facility for the International Space Research Park at KSC being developed in partnership with Florida Space Authority.

KENNEDY SPACE CENTER, FLA. -- Sharon Edney, with Dynamac Corp., checks the growth of radishes being grown hydroponically for study in the Space Life Sciences Lab. The 100,000 square-foot facility houses labs for NASA’s ongoing research efforts, microbiology/microbial ecology studies and analytical chemistry labs. Also calling the new lab home are facilities for space flight-experiment and flight-hardware development, new plant growth chambers, and an Orbiter Environment Simulator that will be used to conduct ground control experiments in simulated flight conditions for space flight experiments. The SLS Lab, formerly known as the Space Experiment Research and Processing Laboratory or SERPL, provides space for NASA’s Life Sciences Services contractor Dynamac Corporation, Bionetics Corporation, and researchers from the University of Florida. NASA’s Office of Biological and Physical Research will use the facility for processing life sciences experiments that will be conducted on the International Space Station. The SLS Lab is the magnet facility for the International Space Research Park at KSC being developed in partnership with Florida Space Authority.

NASA Image and Video Library

2004-01-05

KENNEDY SPACE CENTER, FLA. -- Sharon Edney, with Dynamac Corp., checks the growth of radishes being grown hydroponically for study in the Space Life Sciences Lab. The 100,000 square-foot facility houses labs for NASA’s ongoing research efforts, microbiology/microbial ecology studies and analytical chemistry labs. Also calling the new lab home are facilities for space flight-experiment and flight-hardware development, new plant growth chambers, and an Orbiter Environment Simulator that will be used to conduct ground control experiments in simulated flight conditions for space flight experiments. The SLS Lab, formerly known as the Space Experiment Research and Processing Laboratory or SERPL, provides space for NASA’s Life Sciences Services contractor Dynamac Corporation, Bionetics Corporation, and researchers from the University of Florida. NASA’s Office of Biological and Physical Research will use the facility for processing life sciences experiments that will be conducted on the International Space Station. The SLS Lab is the magnet facility for the International Space Research Park at KSC being developed in partnership with Florida Space Authority.

Pre-Flight Testing of Spaceborne GPS Receivers using a GPS Constellation Simulator

NASA Technical Reports Server (NTRS)

Kizhner, Semion; Davis, Edward; Alonso, R.

1999-01-01

The NASA Goddard Space Flight Center (GSFC) Global Positioning System (GPS) applications test facility has been established within the GSFC Guidance Navigation and Control Center. The GPS test facility is currently housing the Global Simulation Systems Inc. (GSSI) STR2760 GPS satellite 40-channel attitude simulator and a STR4760 12-channel navigation simulator. The facility also contains a few other resources such as an atomic time standard test bed, a rooftop antenna platform and a radome. It provides a new capability for high dynamics GPS simulations of space flight that is unique within the aerospace community. The GPS facility provides a critical element for the development and testing of GPS based technologies i.e. position, attitude and precise time determination used on-board a spacecraft, suborbital rocket balloon. The GPS simulation system is configured in a transportable rack and is available for GPS component development as well as for component, spacecraft subsystem and system level testing at spacecraft integration and tests sites. The GPS facility has been operational since early 1996 and has utilized by space flight projects carrying GPS experiments, such as the OrbView-2 and the Argentine SAC-A spacecrafts. The SAC-A pre-flight test data obtained by using the STR2760 simulator and the comparison with preliminary analysis of the GPS data from SAC-A telemetry are summarized. This paper describes pre-flight tests and simulations used to support a unique spaceborne GPS experiment. The GPS experiment mission objectives and the test program are described, as well as the GPS test facility configuration needed to verify experiment feasibility. Some operational and critical issues inherent in GPS receiver pre-flight tests and simulations using this GPS simulation, and test methodology are described. Simulation and flight data are presented. A complete program of pre-flight testing of spaceborne GPS receivers using a GPS constellation simulator is detailed.

Pre-Flight Testing of Spaceborne GPS Receivers Using a GPS Constellation Simulator

NASA Technical Reports Server (NTRS)

Kizhner, Semion; Davis, Edward; Alonso, Roberto

1999-01-01

The NASA Goddard Space Flight Center (GSFC) Global Positioning System (GPS) applications test facility has been established within the GSFC Guidance Navigation and Control Center. The GPS test facility is currently housing the Global Simulation Systems Inc. (GSSI) STR2760 GPS satellite 40-channel attitude simulator and a STR4760 12-channel navigation simulator. The facility also contains a few other resources such as an atomic time standard test bed, a rooftop antenna platform and a radome. It provides a new capability for high dynamics GPS simulations of space flight that is unique within the aerospace community. The GPS facility provides a critical element for the development and testing of GPS based technologies i.e. position, attitude and precise time determination used on-board a spacecraft, suborbital rocket or balloon. The GPS simulator system is configured in a transportable rack and is available for GPS component development as well as for component, spacecraft subsystem and system level testing at spacecraft integration and test sites. The GPS facility has been operational since early 1996 and has been utilized by space flight projects carrying GPS experiments, such as the OrbView-2 and the Argentine SAC-A spacecrafts. The SAC-A pre-flight test data obtained by using the STR2760 simulator and the comparison with preliminary analysis of the GPS data from SAC-A telemetry are summarized. This paper describes pre-flight tests and simulations used to support a unique spaceborne GPS experiment. The GPS experiment mission objectives and the test program are described, as well as the GPS test facility configuration needed to verify experiment feasibility. Some operational and critical issues inherent in GPS receiver pre-flight tests and simulations using this GPS simulator, and test methodology are described. Simulation and flight data are presented. A complete program of pre-flight testing of spaceborne GPS receivers using a GPS constellation simulator is detailed.

EAARL Topography - George Washington Birthplace National Monument 2008

USGS Publications Warehouse

Brock, John C.; Nayegandhi, Amar; Wright, C. Wayne; Stevens, Sara; Yates, Xan

2009-01-01

These remotely sensed, geographically referenced elevation measurements of Lidar-derived bare earth (BE) and first surface (FS) topography were produced as a collaborative effort between the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL; the National Park Service (NPS), Northeast Coastal and Barrier Network, Kingston, RI; and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of the George Washington Birthplace National Monument in Virginia, acquired on March 26, 2008. The datasets are made available for use as a management tool to research scientists and natural resource managers. An innovative airborne Lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL) was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) Lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive Lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multi-spectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit, which provide for submeter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a Lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of Lidar data in an interactive or batch mode. Modules for presurvey flight line definition, flight path plotting, Lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is routinely used to create maps that represent submerged or first surface topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations.

EAARL Coastal Topography - Northern Gulf of Mexico, 2007: First Surface

USGS Publications Warehouse

Smith, Kathryn E.L.; Nayegandhi, Amar; Wright, C. Wayne; Bonisteel, Jamie M.; Brock, John C.

2009-01-01

These remotely sensed, geographically referenced elevation measurements of Lidar-derived first surface (FS) elevation data were produced as a collaborative effort between the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL; the National Park Service (NPS), Gulf Coast Network, Lafayette, LA; and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. The project provides highly detailed and accurate datasets of select barrier islands and peninsular regions of Louisiana, Mississippi, Alabama, and Florida, acquired June 27-30, 2007. The datasets are made available for use as a management tool to research scientists and natural resource managers. An innovative airborne Lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) Lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive Lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multi-spectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit which provide for submeter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a Lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of Lidar data in an interactive or batch mode. Modules for presurvey flight line definition, flight path plotting, Lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is used routinely to create maps that represent submerged or sub-aerial topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations.

EAARL Coastal Topography-Pearl River Delta 2008: Bare Earth

USGS Publications Warehouse

Nayegandhi, Amar; Brock, John C.; Wright, C. Wayne; Miner, Michael D.; Yates, Xan; Bonisteel, Jamie M.

2009-01-01

These remotely sensed, geographically referenced elevation measurements of Lidar-derived bare earth (BE) topography were produced as a collaborative effort between the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL; the University of New Orleans (UNO), Pontchartrain Institute for Environmental Sciences (PIES), New Orleans, LA; and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of a portion of the Pearl River Delta in Louisiana and Mississippi, acquired March 9-11, 2008. The datasets are made available for use as a management tool to research scientists and natural resource managers. An innovative airborne Lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) Lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive Lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multi-spectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit, which provide for submeter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a Lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of Lidar data in an interactive or batch mode. Modules for presurvey flight line definition, flight path plotting, Lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is used routinely to create maps that represent submerged or first surface topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations.

EAARL Coastal Topography-Pearl River Delta 2008: First Surface

USGS Publications Warehouse

Nayegandhi, Amar; Brock, John C.; Wright, C. Wayne; Miner, Michael D.; Michael, D.; Yates, Xan; Bonisteel, Jamie M.

2009-01-01

These remotely sensed, geographically referenced elevation measurements of Lidar-derived first surface (FS) topography were produced as a collaborative effort between the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL; the University of New Orleans (UNO), Pontchartrain Institute for Environmental Sciences (PIES), New Orleans, LA; and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of a portion of the Pearl River Delta in Louisiana and Mississippi, acquired March 9-11, 2008. The datasets are made available for use as a management tool to research scientists and natural resource managers. An innovative airborne Lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) Lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive Lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multi-spectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit, which provide for submeter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a Lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of Lidar data in an interactive or batch mode. Modules for presurvey flight line definition, flight path plotting, Lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is used routinely to create maps that represent submerged or first surface topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations.

EAARL Topography - Jean Lafitte National Historical Park and Preserve 2006

USGS Publications Warehouse

Nayegandhi, Amar; Brock, John C.; Wright, C. Wayne; Segura, Martha; Yates, Xan

2008-01-01

These remotely sensed, geographically referenced elevation measurements of Lidar-derived first surface (FS) and bare earth (BE) topography were produced as a collaborative effort between the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL; the National Park Service (NPS), Gulf Coast Network, Lafayette, LA; and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of the Jean Lafitte National Historical Park and Preserve in Louisiana, acquired on September 22, 2006. The datasets are made available for use as a management tool to research scientists and natural resource managers. An innovative airborne Lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) Lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive Lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multi-spectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit, which provide for submeter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a Lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of Lidar data in an interactive or batch mode. Modules for presurvey flight line definition, flight path plotting, Lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is used routinely to create maps that represent submerged or first surface topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations.

EAARL Coastal Topography - Northern Gulf of Mexico, 2007: Bare Earth

USGS Publications Warehouse

Smith, Kathryn E.L.; Nayegandhi, Amar; Wright, C. Wayne; Bonisteel, Jamie M.; Brock, John C.

2009-01-01

These remotely sensed, geographically referenced elevation measurements of Lidar-derived bare earth (BE) topography were produced as a collaborative effort between the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL; the National Park Service (NPS), Gulf Coast Network, Lafayette, LA; and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. The purpose of this project is to provide highly detailed and accurate datasets of select barrier islands and peninsular regions of Louisiana, Mississippi, Alabama, and Florida, acquired on June 27-30, 2007. The datasets are made available for use as a management tool to research scientists and natural resource managers. An innovative airborne Lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) Lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive Lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multi-spectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit which provide for submeter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a Lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of Lidar data in an interactive or batch mode. Modules for presurvey flight line definition, flight path plotting, Lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is used routinely to create maps that represent submerged or sub-aerial topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations.

EAARL Submerged Topography - U.S. Virgin Islands 2003

USGS Publications Warehouse

Nayegandhi, Amar; Brock, John C.; Wright, C. Wayne; Stevens, Sara; Yates, Xan; Bonisteel, Jamie M.

2008-01-01

These remotely sensed, geographically referenced elevation measurements of Lidar-derived submerged topography were produced as a collaborative effort between the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL; the National Park Service (NPS), South Florida-Caribbean Network, Miami, FL; and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate bathymetric datasets of a portion of the U.S. Virgin Islands, acquired on April 21, 23, and 30, May 2, and June 14 and 17, 2003. The datasets are made available for use as a management tool to research scientists and natural resource managers. An innovative airborne Lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) Lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive Lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multi-spectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit, which provide for submeter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a Lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of Lidar data in an interactive or batch mode. Modules for presurvey flight line definition, flight path plotting, Lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is used routinely to create maps that represent submerged or first surface topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations.

EAARL Coastal Topography-Eastern Louisiana Barrier Islands, Post-Hurricane Gustav, 2008: First Surface

USGS Publications Warehouse

Bonisteel-Cormier, J.M.; Nayegandhi, Amar; Wright, C.W.; Sallenger, A.H.; Brock, J.C.; Nagle, D.B.; Vivekanandan, Saisudha; Fredericks, Xan

2010-01-01

These remotely sensed, geographically referenced elevation measurements of lidar-derived first-surface (FS) topography datasets were produced collaboratively by the U.S. Geological Survey (USGS), St. Petersburg Coastal and Marine Science Center, St. Petersburg, FL, and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of a portion of the eastern Louisiana barrier islands, acquired post-Hurricane Gustav (September 2008 hurricane) on September 6 and 7, 2008. The datasets are made available for use as a management tool to research scientists and natural-resource managers. An innovative airborne lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multispectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit, which provide for sub-meter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of lidar data in an interactive or batch mode. Modules for presurvey flight-line definition, flight-path plotting, lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is used routinely to create maps that represent submerged or sub-aerial topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations. For more information about similar projects, please visit the Decision Support for Coastal Science and Management website.

EAARL Coastal Topography-Mississippi and Alabama Barrier Islands, Post-Hurricane Gustav, 2008

USGS Publications Warehouse

Bonisteel-Cormier, J.M.; Nayegandhi, Amar; Wright, C.W.; Sallenger, A.H.; Brock, J.C.; Nagle, D.B.; Klipp, E.S.; Vivekanandan, Saisudha; Fredericks, Xan; Segura, Martha

2010-01-01

These remotely sensed, geographically referenced elevation measurements of lidar-derived bare-earth (BE) and first-surface (FS) topography datasets were produced collaboratively by the U.S. Geological Survey (USGS), St. Petersburg Coastal and Marine Science Center, St. Petersburg, FL; the National Park Service (NPS), Gulf Coast Network, Lafayette, LA; and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of a portion of the Mississippi and Alabama barrier islands, acquired post-Hurricane Gustav (September 2008 hurricane) on September 8, 2008. The datasets are made available for use as a management tool to research scientists and natural-resource managers. An innovative airborne lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multispectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit, which provide for sub-meter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of lidar data in an interactive or batch mode. Modules for presurvey flight-line definition, flight-path plotting, lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is used routinely to create maps that represent submerged or sub-aerial topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations. For more information about similar projects, please visit the Decision Support for Coastal Science and Management website.

EAARL Coastal Topography-Chandeleur Islands, Louisiana, 2010: Bare Earth

USGS Publications Warehouse

Nayegandhi, Amar; Bonisteel-Cormier, Jamie M.; Brock, John C.; Sallenger, A.H.; Wright, C. Wayne; Nagle, David B.; Vivekanandan, Saisudha; Yates, Xan; Klipp, Emily S.

2010-01-01

These remotely sensed, geographically referenced elevation measurements of lidar-derived bare-earth (BE) and submerged topography datasets were produced collaboratively by the U.S. Geological Survey (USGS), St. Petersburg Coastal and Marine Science Center, St. Petersburg, FL, and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of a portion of the Chandeleur Islands, acquired March 3, 2010. The datasets are made available for use as a management tool to research scientists and natural-resource managers. An innovative airborne lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multispectral color-infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit, which provide for sub-meter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of lidar data in an interactive or batch mode. Modules for presurvey flight-line definition, flight-path plotting, lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is used routinely to create maps that represent submerged or sub-aerial topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations. For more information about similar projects, please visit the Decision Support for Coastal Science and Management website.

EAARL Coastal Topography-Eastern Florida, Post-Hurricane Jeanne, 2004: First Surface

USGS Publications Warehouse

Fredericks, Xan; Nayegandhi, Amar; Bonisteel-Cormier, J.M.; Wright, C.W.; Sallenger, A.H.; Brock, J.C.; Klipp, E.S.; Nagle, D.B.

2010-01-01

These remotely sensed, geographically referenced elevation measurements of lidar-derived first-surface (FS) topography datasets were produced collaboratively by the U.S. Geological Survey (USGS), St. Petersburg Coastal and Marine Science Center, St. Petersburg, FL, and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of a portion of the eastern Florida coastline beachface, acquired post-Hurricane Jeanne (September 2004 hurricane) on October 1, 2004. The datasets are made available for use as a management tool to research scientists and natural-resource managers. An innovative airborne lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multispectral color-infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit, which provide for sub-meter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of lidar data in an interactive or batch mode. Modules for presurvey flight-line definition, flight-path plotting, lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is used routinely to create maps that represent submerged or sub-aerial topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations. For more information about similar projects, please visit the Decision Support for Coastal Science and Management website.

EAARL Coastal Topography and Imagery-Naval Live Oaks Area, Gulf Islands National Seashore, Florida, 2007

USGS Publications Warehouse

Nagle, David B.; Nayegandhi, Amar; Yates, Xan; Brock, John C.; Wright, C. Wayne; Bonisteel, Jamie M.; Klipp, Emily S.; Segura, Martha

2010-01-01

These remotely sensed, geographically referenced color-infrared (CIR) imagery and elevation measurements of lidar-derived bare-earth (BE) topography, first-surface (FS) topography, and canopy-height (CH) datasets were produced collaboratively by the U.S. Geological Survey (USGS), St. Petersburg Science Center, St. Petersburg, FL; the National Park Service (NPS), Gulf Coast Network, Lafayette, LA; and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of the Naval Live Oaks Area in Florida's Gulf Islands National Seashore, acquired June 30, 2007. The datasets are made available for use as a management tool to research scientists and natural-resource managers. An innovative airborne lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multispectral CIR camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit, which provide for sub-meter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of lidar data in an interactive or batch mode. Modules for presurvey flight-line definition, flight-path plotting, lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is used routinely to create maps that represent submerged or sub-aerial topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations. For more information about similar projects, please visit the Decision Support for Coastal Science and Management website.

EAARL Coastal Topography - Fire Island National Seashore 2007

USGS Publications Warehouse

Nayegandhi, Amar; Brock, John C.; Wright, C. Wayne; Stevens, Sara; Yates, Xan; Bonisteel, Jamie M.

2008-01-01

These remotely sensed, geographically referenced elevation measurements of Lidar-derived first surface (FS) and bare earth (BE) topography were produced as a collaborative effort between the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL; the National Park Service (NPS), Northeast Coastal and Barrier Network, Kingston, RI; and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of Fire Island National Seashore in New York, acquired on April 29-30 and May 15-16, 2007. The datasets are made available for use as a management tool to research scientists and natural resource managers. An innovative airborne Lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL) was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) Lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive Lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multi-spectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers and an integrated miniature digital inertial measurement unit, which provide for submeter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a Lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of Lidar data in an interactive or batch mode. Modules for pre-survey flight line definition, flight path plotting, Lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is routinely used to create maps that represent submerged or first surface topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations.

EAARL Coastal Topography-Assateague Island National Seashore, 2008: Bare Earth

USGS Publications Warehouse

Bonisteel, Jamie M.; Nayegandhi, Amar; Brock, John C.; Wright, C. Wayne; Stevens, Sara; Yates, Xan; Klipp, Emily S.

2009-01-01

These remotely sensed, geographically referenced elevation measurements of lidar-derived bare-earth (BE) topography were produced as a collaborative effort between the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL; the National Park Service (NPS), Northeast Coastal and Barrier Network, Kingston, RI; and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of the Assateague Island National Seashore in Maryland and Virginia, acquired March 24-25, 2008. The datasets are made available for use as a management tool to research scientists and natural-resource managers. An innovative airborne lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL) was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multi-spectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit, which provide for sub-meter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of lidar data in an interactive or batch mode. Modules for pre-survey flight-line definition, flight-path plotting, lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is used routinely to create maps that represent submerged or sub-aerial topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations.

EAARL Coastal Topography-Assateague Island National Seashore, 2008: First Surface

USGS Publications Warehouse

Bonisteel, Jamie M.; Nayegandhi, Amar; Brock, John C.; Wright, C. Wayne; Stevens, Sara; Yates, Xan; Klipp, Emily S.

2009-01-01

These remotely sensed, geographically referenced elevation measurements of lidar-derived first-surface (FS) topography were produced as a collaborative effort between the U.S. Geological Survey (USGS), Florida Integrated Science Center (FISC), St. Petersburg, FL; the National Park Service (NPS), Northeast Coastal and Barrier Network, Kingston, RI; and the National Aeronautics and Space Administration (NASA), Wallops Flight Facility, VA. This project provides highly detailed and accurate datasets of the Assateague Island National Seashore in Maryland and Virginia, acquired March 24-25, 2008. The datasets are made available for use as a management tool to research scientists and natural-resource managers. An innovative airborne lidar instrument originally developed at the NASA Wallops Flight Facility, and known as the Experimental Advanced Airborne Research Lidar (EAARL), was used during data acquisition. The EAARL system is a raster-scanning, waveform-resolving, green-wavelength (532-nanometer) lidar designed to map near-shore bathymetry, topography, and vegetation structure simultaneously. The EAARL sensor suite includes the raster-scanning, water-penetrating full-waveform adaptive lidar, a down-looking red-green-blue (RGB) digital camera, a high-resolution multi-spectral color infrared (CIR) camera, two precision dual-frequency kinematic carrier-phase GPS receivers, and an integrated miniature digital inertial measurement unit, which provide for sub-meter georeferencing of each laser sample. The nominal EAARL platform is a twin-engine Cessna 310 aircraft, but the instrument may be deployed on a range of light aircraft. A single pilot, a lidar operator, and a data analyst constitute the crew for most survey operations. This sensor has the potential to make significant contributions in measuring sub-aerial and submarine coastal topography within cross-environmental surveys. Elevation measurements were collected over the survey area using the EAARL system, and the resulting data were then processed using the Airborne Lidar Processing System (ALPS), a custom-built processing system developed in a NASA-USGS collaboration. ALPS supports the exploration and processing of lidar data in an interactive or batch mode. Modules for pre-survey flight-line definition, flight-path plotting, lidar raster and waveform investigation, and digital camera image playback have been developed. Processing algorithms have been developed to extract the range to the first and last significant return within each waveform. ALPS is used routinely to create maps that represent submerged or sub-aerial topography. Specialized filtering algorithms have been implemented to determine the 'bare earth' under vegetation from a point cloud of last return elevations.

Technical publications of the NASA Wallops Flight Facility, 1980 through 1983

NASA Technical Reports Server (NTRS)

Foster, J. N.

1984-01-01

This bibliography lists the publications sponsored by the NASA Wallops Flight Center/NASA Goddard Space Flight Center, Wallops Flight Facility during the period 1980 through 1983. The compilation contains citations listed by type of publication; i.e., NASA formal report, NASA contractor report, journal article, or presentation; by contract/grant number; and by accession number. Oceanography, astrophysics, artificial satellites, fluid mechanics, and sea ice are among the topics covered.

The Dryden Flight Research Center at Edwards Air Force Base is NASA's premier center for atmospheric flight research to validate high-risk aerospace technology.

NASA Image and Video Library

2001-07-25

Since the 1940s the Dryden Flight Research Center, Edwards, California, has developed a unique and highly specialized capability for conducting flight research programs. The organization, made up of pilots, scientists, engineers, technicians, and mechanics, has been and will continue to be leaders in the field of advanced aeronautics. Located on the northwest "shore" of Rogers Dry Lake, the complex was built around the original administrative-hangar building constructed in 1954. Since then many additional support and operational facilities have been built including a number of unique test facilities such as the Thermalstructures Research Facility, Flow Visualization Facility, and the Integrated Test Facility. One of the most prominent structures is the space shuttle program's Mate-Demate Device and hangar in Area A to the north of the main complex. On the lakebed surface is a Compass Rose that gives pilots an instant compass heading. The Dryden complex originated at Edwards Air Force Base in support of the X-1 supersonic flight program. As other high-speed aircraft entered research programs, the facility became permanent and grew from a staff of five engineers in 1947 to a population in 2006 of nearly 1100 full-time government and contractor employees.

Superfluid helium on orbit transfer (SHOOT)

NASA Technical Reports Server (NTRS)

Dipirro, Michael J.

1987-01-01

A number of space flight experiments and entire facilities require superfluid helium as a coolant. Among these are the Space Infrared Telescope Facility (SIRTF), the Large Deployable Reflector (LDR), the Advanced X-ray Astrophysics Facility (AXAF), the Particle Astrophysics Magnet Facility (PAMF or Astromag), and perhaps even a future Hubble Space Telescope (HST) instrument. Because these systems are required to have long operational lifetimes, a means to replenish the liquid helium, which is exhausted in the cooling process, is required. The most efficient method of replenishment is to refill the helium dewars on orbit with superfluid helium (liquid helium below 2.17 Kelvin). To develop and prove the technology required for this liquid helium refill, a program of ground and flight testing was begun. The flight demonstration is baselined as a two flight program. The first, described in this paper, will prove the concepts involved at both the component and system level. The second flight will demonstrate active astronaut involvement and semi-automated operation. The current target date for the first launch is early 1991.

KSC-07pd0922

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- After a test flight of the Starfighter F-104, Pilot Rick Svetkoff addresses the media on the KSC Shuttle Landing Facility. Behind him are Al Wassel (left), a representative from the FAA Office of Commercial Space, and (right) Bill Parsons, director of Kennedy Space Center. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

Increased cardiovascular disease, resource use, and costs before the clinical diagnosis of diabetes in veterans in the southeastern U.S.

PubMed

Olson, Darin E; Zhu, Ming; Long, Qi; Barb, Diana; Haw, Jeehea S; Rhee, Mary K; Mohan, Arun V; Watson-Williams, Phyllis I; Jackson, Sandra L; Tomolo, Anne M; Wilson, Peter W F; Narayan, K M Venkat; Lipscomb, Joseph; Phillips, Lawrence S

2015-06-01

Screening for diabetes might be more widespread if adverse associations with cardiovascular disease (CVD), resource use, and costs were known to occur earlier than conventional clinical diagnosis. The purpose of this study was to determine whether adverse effects associated with diabetes begin prior to clinical diagnosis. Veterans with diabetes were matched 1:2 with controls by follow-up, age, race/ethnicity, gender, and VA facility. CVD was obtained from ICD-9 codes, and resource use and costs from VA datasets. VA facilities in SC, GA, and AL. Patients with and without diagnosed diabetes. Diagnosed CVD, resource use, and costs. In this study, the 2,062 diabetic patients and 4,124 controls were 63 years old on average, 99 % male, and 29 % black; BMI was 30.8 in diabetic patients vs. 27.8 in controls (p<0.001). CVD prevalence was higher and there were more outpatient visits in Year -4 before diagnosis through Year +4 after diagnosis among diabetic vs. control patients (all p<0.01); in Year -2, CVD prevalence was 31 % vs. 24 %, and outpatient visits were 22 vs. 19 per year, respectively. Total VA costs/year/veteran were higher in diabetic than control patients from Year -4 ($4,083 vs. $2,754) through Year +5 ($8,347 vs. $5,700) (p<0.003) for each, reflecting underlying increases in outpatient, inpatient, and pharmacy costs (p<0.05 for each). Regression analysis showed that diabetes contributed an average of $1,748/year to costs, independent of CVD (p<0.001). VA costs per veteran are higher--over $1,000/year before and $2,000/year after diagnosis of diabetes--due to underlying increases in outpatient, inpatient, and pharmacy costs, greater number of outpatient visits, and increased CVD. Moreover, adverse associations with veterans' health and the VA healthcare system occur early in the natural history of the disease, several years before diabetes is diagnosed. Since adverse associations begin before diabetes is recognized, greater consideration should be given to systematic screening in order to permit earlier detection and initiation of preventive management. Keeping frequency of CVD and marginal costs in line with those of patients before diabetes is currently diagnosed has the potential to save up to $2 billion a year.

17. Missile mural, third flight of stairs. Lyon Whiteman ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

17. Missile mural, third flight of stairs. Lyon - Whiteman Air Force Base, Minuteman Missile Launch Facility Trainer T-12, Northeast of Oscar-01 Missile Alert Facility, Knob Noster, Johnson County, MO

The course of vocational functioning in patients with schizophrenia: Re-examining social drift

PubMed Central

Vargas, Gabriela; Strassnig, Martin; Sabbag, Samir; Gould, Felicia; Durand, Dante; Stone, Laura; Patterson, Thomas L.; Harvey, Philip D.

2014-01-01

Vocational functioning is markedly impaired in people with schizophrenia. In addition to low rates of employment, people with schizophrenia have been reported to be underachieved compared to other family members. Among the causes of this vocational impairment may be cognitive deficits and other skills deficits, as well as social factors impacting on opportunities for employment. In this study, we examined two separate samples of people with schizophrenia who differed in their educational and social backgrounds. We compared personal and maternal education in people with schizophrenia attending an outpatient rehabilitation facility (n = 57) or receiving outpatient services at a VA medical center (n = 39). The sample as a whole showed evidence of decline in vocational status from their best job to their most recent job. Patients attending a rehabilitation facility had completed less education than their mothers, while the VA patients completed more. Differences between personal and maternal education predicted the difference in status between best and latest jobs in the sample as a whole. VA patients were more likely to be living independently and performed better on a measure of functional capacity than the rehabilitation sample. These data implicate vocational decline in schizophrenia and also suggest that this decline may originate prior to the formal onset of the illness. At the same time, vocational outcomes appear to be related to social opportunities. PMID:25254157

High-speed flight propulsion systems. Progress in Astronautics and Aeronautics. Vol. 137

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

Murthy, S.N.B.; Curran, E.T.

1991-01-01

Various papers on high-speed flight propulsion systems are presented. The topics addressed are: propulsion systems from takeoff to high-speed flight, propulsion system performance and integration for high Mach air-breathing flight, energy analysis of high-speed flight systems, waves and thermodynamics in high Mach number propulsive ducts, turbulent free shear layer mixing and combustion, turbulent mixing in supersonic combustion systems, mixing and mixing enhancement in supersonic reacting flowfields, study of combustion and heat-exchange processes in high-enthalpy short-duration facilities, and facility requirements for hypersonic propulsion system testing.

Making the connection: the VA-Regenstrief project.

PubMed

Martin, D K

1992-01-01

The Regenstrief Automated Medical Record System is a well-established clinical information system with powerful facilities for querying and decision support. My colleagues and I introduced this system into the Indianapolis Veterans Affairs (VA) Medical Center by interfacing it to the institution's automated data-processing system, the Decentralized Hospital Computer Program (DHCP), using a recently standardized method for clinical data interchange. This article discusses some of the challenges encountered in that process, including the translation of vocabulary terms and maintenance of the software interface. Efforts such as these demonstrate the importance of standardization in medical informatics and the need for data standards at all levels of information exchange.

78 FR 49511 - Clean Air Act Advisory Committee (CAAAC): Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-14

... meeting on October 16, 2013, from 8:30 a.m. to 4:00 p.m. at the EPA Conference Facility at Potomac Yard, One Potomac Yard, Potomac Yard South, 2777 S. Crystal Dr., Arlington, VA 22202. Non-EPA attendees will...

V.A. III Technical Information #1030. Revised.

ERIC Educational Resources Information Center

Texas A and M Univ., College Station. Vocational Instructional Services.

Instructional materials provided for five areas of agricultural education: animal science, soil science, plant science, agricultural mechanics, and agricultural management. Animal science consists of four units on animal reproduction, livestock, wildlife, and livestock facilities. The three units on soil science are reading and interpreting soil…

78 FR 36092 - Payment or Reimbursement for Emergency Services for Nonservice-Connected Conditions in Non-VA...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-17

... expanded veterans' eligibility for reimbursement. This document corrects a typographical error without... programs--Veterans, Health care, Health facilities, Health professions, Health records, Homeless, Medical and dental schools, Medical devices, Medical research, Mental health programs, Nursing homes...

Neutron skyshine from end stations of the Continuous Electron Beam Accelerator Facility

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

Sun, Rai-Ko S.

1991-12-01

The MORSE{_}CG code from Oak Ridge National Laboratory was applied to the estimation of the neutron skyshine from three end stations of the Continuous Electron Beam Accelerator Facility (CEBAF), Newport News, VA. Calculations with other methods and an experiment had been directed at assessing the annual neutron dose equivalent at the site boundary. A comparison of results obtained with different methods is given, and the effect of different temperatures and humidities will be discussed.

Neutron skyshine from end stations of the Continuous Electron Beam Accelerator Facility

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

Sun, Rai-Ko S.

1991-12-01

The MORSE{ }CG code from Oak Ridge National Laboratory was applied to the estimation of the neutron skyshine from three end stations of the Continuous Electron Beam Accelerator Facility (CEBAF), Newport News, VA. Calculations with other methods and an experiment had been directed at assessing the annual neutron dose equivalent at the site boundary. A comparison of results obtained with different methods is given, and the effect of different temperatures and humidities will be discussed.

KSC-07pd0906

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- On the KSC Shuttle Landing Facility, pilot Rick Svetkoff (left) and co-pilot Dave Waldrop are ready to climb into the cockpit of the Starfighter F-104. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

KSC-07pd0909

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- On the KSC Shuttle Landing Facility, the Starfighter F-104 starts to taxi to the runway. The pilot is Rick Svetkoff; the co-pilot is Dave Waldrop. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

KSC-07pd0910

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- From the KSC Shuttle Landing Facility, the Starfighter F-104 picks up speed on the runway for takeoff. The pilot is Rick Svetkoff; the co-pilot is Dave Waldrop. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

KSC-07pd0911

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- The Starfighter F-104 is airborne after taking off from the KSC Shuttle Landing Facility. The pilot is Rick Svetkoff; the co-pilot is Dave Waldrop. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

KSC-07pd0907

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- On the KSC Shuttle Landing Facility, pilot Rick Svetkoff (left) climbs toward the cockpit of the Starfighter F-104 while co-pilot Dave Waldrop settles in his seat. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

KSC-07pd0912

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- The Starfighter F-104 banks for a turn after taking off from the KSC Shuttle Landing Facility. The pilot is Rick Svetkoff; the co-pilot is Dave Waldrop. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

Classification of Air Force Aviation Accidents: Mishap trends and Prevention

DTIC Science & Technology

2006-06-02

Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), ,Wpshngrton. DC...Masters, Stone, Babcock, & Rypka, 1974; Moroze & Snow, 1999), and those specifically Mishap Trends & Prevention 4 addressing HFACS (Shappell... Moroze , M. L. & M. P. Snow (1999). Causes and remedies of controlled flight into terrain in military and civil aviation. 1 0 th International

The NASA Ames Hypervelocity Free Flight Aerodynamic Facility: Experimental Simulation of the Atmospheric Break-Up of Meteors

NASA Technical Reports Server (NTRS)

Wilder, M. C.; Bogdanoff, D. W.

2015-01-01

The Hypervelocity Free Flight Aerodynamic Facility at NASA Ames Research Center provides a potential platform for the experimental simulation of meteor breakup at conditions that closely match full-scale entry condition for select parameters. The poster describes the entry environment simulation capabilities of the Hypervelocity Free Flight Aerodynamic Facility (HFFAF) at NASA Ames Research Center and provides example images of the fragmentation of a hypersonic projectile for which break-up was initiated by mechanical forces (impact with a thin polymer diaphragm).

Implementing and Evaluating a Telephone-Based Centralized Maternity Care Coordination Program for Pregnant Veterans in the Department of Veterans Affairs.

PubMed

Mattocks, Kristin M; Kuzdeba, Judy; Baldor, Rebecca; Casares, Jose; Lombardini, Lisa; Gerber, Megan R

The purpose of this study was to develop and evaluate a comprehensive, telephonic maternity care coordination (MCC) program for all pregnant veterans enrolled for care at New England Department of Veterans Affairs (VA) facilities that comprise the Veterans Integrated Service Network 1. Telephone interviews were conducted with postpartum women veterans who had participated in the MCC program during their pregnancies. The program evaluation instrument assessed satisfaction and use of MCC services, prenatal education classes, and infant and maternal outcomes (e.g., newborn birthweight, insurance status, maternal depression) using both closed-ended and open-ended questions. A substantial majority (95%) of women enrolled in the MCC program expressed satisfaction with the services they received in the program. Women were most satisfied with help understanding VA maternity benefits and acquiring VA services and equipment, such as breast pumps and pregnancy-related medications. More than one-third of women noted their infants had experienced health problems since delivery, including neonatal intensive care unit hospitalizations. A majority of women planned to return to VA care in the future. Our findings suggest that MCC services play an important role for women veterans as they navigate both VA and non-VA care systems. MCC staff members coordinated maternity, medical, and mental health care services for women veterans. Additionally, by maintaining contact with the veteran during the postpartum period, MCC staff were able to assess the health of the mother and the infant, and refer women and their infants to medical and psychosocial services in the community as needed. Published by Elsevier Inc.

Prevalence and vision-related outcomes of cataract surgery in Gujarat, India.

PubMed

Murthy, Gudlavalleti V S; Vashist, Praveen; John, Neena; Pokharel, Gopal; Ellwein, Leon B

2009-01-01

Investigate the prevalence and vision-related outcomes of cataract surgery in an area of high cataract surgical rate. Cluster sampling was used in randomly selecting individuals > or = 50 years of age in 2007. Participants were queried regarding year and place of previous cataract surgery. Cataract surgical procedures and evidence of surgical complications were recorded. The principal cause was identified for eyes presenting with visual acuity (VA) < or = 20/40. A total of 4,738 persons were examined and 834 (17.6%) had cataract surgery. Intra-ocular lenses (IOLs) were used in 84.1% of the 1,299 cataract-operated eyes, with more than half of these having manual small incision surgery. Surgical coverage among the cataract blind (visual acuity [VA] < 20/200) was estimated as 72.2%. Coverage was associated with older age, literacy, and urban residence; gender was not significant. Among cataract-operated eyes, 18.7% presented with VA > or = 20/32 and 18.0% were < 20/200. With best-corrected acuity, the corresponding percentages were 55.7% and 11.0%. Presenting and best-corrected VA > or = 20/63 were associated with young age, literacy, and IOL surgery; urban residence and surgery in non-governmental organizations (NGO)/private facilities were also significant for presenting VA; and recent surgery was significant for best-corrected VA. Refractive error was the main cause of vision impairment/blindness in cataract-operated eyes. Refractive error and posterior capsule opacification, easily treatable causes of visual impairment, are common among the operated. A greater emphasis on the quality of visual acuity outcomes along with sustained efforts to provide access to affordable surgery is needed.

JSC Metal Finishing Waste Minimization Methods

NASA Technical Reports Server (NTRS)

Sullivan, Erica

2003-01-01

THe paper discusses the following: Johnson Space Center (JSC) has achieved VPP Star status and is ISO 9001 compliant. The Structural Engineering Division in the Engineering Directorate is responsible for operating the metal finishing facility at JSC. The Engineering Directorate is responsible for $71.4 million of space flight hardware design, fabrication and testing. The JSC Metal Finishing Facility processes flight hardware to support the programs in particular schedule and mission critical flight hardware. The JSC Metal Finishing Facility is operated by Rothe Joint Venture. The Facility provides following processes: anodizing, alodining, passivation, and pickling. JSC Metal Finishing Facility completely rebuilt in 1998. Total cost of $366,000. All new tanks, electrical, plumbing, and ventilation installed. Designed to meet modern safety, environmental, and quality requirements. Designed to minimize contamination and provide the highest quality finishes.

A unique facility for V/STOL aircraft hover testing. [Langley Impact Dynamics Research Facility

NASA Technical Reports Server (NTRS)

Culpepper, R. G.; Murphy, R. D.; Gillespie, E. A.; Lane, A. G.

1979-01-01

The Langley Impact Dynamics Research Facility (IDRF) was modified to obtain static force and moment data and to allow assessment of aircraft handling qualities during dynamic tethered hover flight. Test probe procedures were also established. Static lift and control measurements obtained are presented along with results of limited dynamic tethered hover flight.

Visual symptomatology and referral patterns for Operation Iraqi Freedom and Operation Enduring Freedom veterans with traumatic brain injury.

PubMed

Bulson, Ryan; Jun, Weon; Hayes, John

2012-01-01

Advances in protective armor technology and changes in the "patterns of war" have created a population of Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans with traumatic brain injury (TBI) that provide a unique challenge to Department of Veterans Affairs (VA) healthcare practitioners. The purpose of the study was to determine the frequency of symptomatic ocular and visual sequelae of TBI in OIF/OEF veterans at the Portland VA Medical Center, a Polytrauma Support Clinic Team site. A retrospective analysis of 100 OIF/OEF veterans with TBI was conducted to determine the prevalence of ocular and visual complaints. Referral patterns were also investigated. Visual symptoms were reported in approximately 50% of veterans with TBI. Loss of consciousness, but not number of deployments or number of blast exposures, was found to have a statistically significant association with severity of reported visual symptoms. The most commonly reported symptoms included blurred vision (67%), photosensitivity (50%), and accommodative problems (40%). Visual symptoms of OIF/OEF veterans at the Portland VA Medical Center are reported at slightly lower rates than similar studies conducted at the Palo Alto and Edward Hines Jr VA facilities.

19. Photographic copy of photograph (ca. 1962, original print in ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

19. Photographic copy of photograph (ca. 1962, original print in possession of Peter Kiewit Sons' Co., Omaha, Nebraska) Photographer unknown. Road signs for Alpha Flight Launch Facility sites 8-11 and Bravo Flight Launch Facility sites 2 and 11 - Ellsworth Air Force Base, Delta Flight, 10 mile radius around Exit 127 off Interstate 90, Interior, Jackson County, SD

NASA Langley Research Center's Simulation-To-Flight Concept Accomplished through the Integration Laboratories of the Transport Research Facility

NASA Technical Reports Server (NTRS)

Martinez, Debbie; Davidson, Paul C.; Kenney, P. Sean; Hutchinson, Brian K.

2004-01-01

The Flight Simulation and Software Branch (FSSB) at NASA Langley Research Center (LaRC) maintains the unique national asset identified as the Transport Research Facility (TRF). The TRF is a group of facilities and integration laboratories utilized to support the LaRC's simulation-to-flight concept. This concept incorporates common software, hardware, and processes for both groundbased flight simulators and LaRC s B-757-200 flying laboratory identified as the Airborne Research Integrated Experiments System (ARIES). These assets provide Government, industry, and academia with an efficient way to develop and test new technology concepts to enhance the capacity, safety, and operational needs of the ever-changing national airspace system. The integration of the TRF enables a smooth continuous flow of the research from simulation to actual flight test.

KSC-07pd0920

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- After a test flight of the Starfighter F-104, Al Wassel, a representative from the FAA Office of Commercial Space, addresses the media on the KSC Shuttle Landing Facility. At left is the F-104 pilot, Rick Svetkoff. At right is Bill Parsons, director of Kennedy Space Center. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

KSC-07pd0919

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- Bill Parsons, director of Kennedy Space Center, addresses the media at the KSC Shuttle Landing Facility after a test flight of the Starfighter F-104. Behind Parsons, at left, is the pilot Rick Svetkoff. At right is Al Wassel, a representative from the FAA Office of Commercial Space. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

Priority setting and the ethics of resource allocation within VA healthcare facilities: results of a survey.

PubMed

Foglia, Mary Beth; Pearlman, Robert A; Bottrell, Melissa M; Altemose, Jane A; Fox, Ellen

2008-01-01

Setting priorities and the subsequent allocation of resources is a major ethical issue facing healthcare facilities, including the Veterans Health Administration (VHA), the largest integrated healthcare delivery network in the United States. Yet despite the importance of priority setting and its impact on those who receive and those who provide care, we know relatively little about how clinicians and managers view allocation processes within their facilities. The purpose of this secondary analysis of survey data was to characterize staff members' perceptions regarding the fairness of healthcare ethics practices related to resource allocation in Veterans Administration (VA) facilities. The specific aim of the study was to compare the responses of clinicians, clinician managers, and non-clinician managers with respect to these survey items. We utilized a paper and web-based survey and a cross-sectional design of VHA clinicians and managers. Our sample consisted of a purposive stratified sample of 109 managers and a stratified random sample of 269 clinicians employed 20 or more hours per week in one of four VA medical centers. The four medical centers were participating as field sites selected to test the logistics of administering and reporting results of the Integrated Ethics Staff Survey, an assessment tool aimed at characterizing a broad range of ethical practices within a healthcare organization. In general, clinicians were more critical than clinician managers or non-clinician managers of the institutions' allocation processes and of the impact of resource decisions on patient care. Clinicians commonly reported that they did not (a) understand their facility's decision-making processes, (b) receive explanations from management regarding the reasons behind important allocation decisions, or (b) perceive that they were influential in allocation decisions. In addition, clinicians and managers both perceived that education related to the ethics of resource allocation was insufficient and that their facilities could increase their effectiveness in identifying and resolving ethical problems related to resource allocation. How well a healthcare facility ensures fairness in the way it allocates its resources across programs and services depends on multiple factors, including awareness by decision makers that setting priorities and allocating resources is a moral enterprise (moral awareness), the availability of a consistent process that includes important stakeholder groups (procedural justice), and concurrence by stakeholders that decisions represent outcomes that fairly balance competing interests and have a positive net effect on the quality of care (distributive justice). In this study, clinicians and managers alike identified the need for improvement in healthcare ethics practices related to resource allocation.

Randomized trial of pragmatic education for low-risk COPD patients: impact on hospitalizations and emergency department visits.

PubMed

Siddique, Haamid H; Olson, Raymond H; Parenti, Connie M; Rector, Thomas S; Caldwell, Michael; Dewan, Naresh A; Rice, Kathryn L

2012-01-01

Most interventions aimed at reducing hospitalizations and emergency department (ED) visits in patients with chronic obstructive pulmonary disease (COPD) have employed resource-intense programs in high-risk individuals. Although COPD is a progressive disease, little is known about the effectiveness of proactive interventions aimed at preventing hospitalizations and ED visits in the much larger population of low-risk (no known COPD-related hospitalizations or ED visits in the prior year) patients, some of whom will eventually become high-risk. We tested the effect of a simple educational and self-efficacy intervention (n = 2243) versus usual care (n = 2182) on COPD/breathing-related ED visits and hospitalizations in a randomized study of low-risk patients at three Veterans Affairs (VA) medical centers in the upper Midwest. Administrative data was used to track VA admissions and ED visits. A patient survey was used to determine health-related events outside the VA. Rates of COPD-related VA hospitalizations in the education and usual care group were not significantly different (3.4 versus 3.6 admissions per 100 person-years, respectively; 95% CI of difference -1.3 to 1.0, P = 0.77). The much higher patient-reported rates of non-VA hospitalizations for breathing-related problems were lower in the education group (14.0 versus 19.0 per 100 person-years; 95% CI -8.6 to -1.4, P = 0.006). Rates of COPD-related VA ED visits were not significantly different (6.8 versus 5.3; 95% CI -0.1 to 3.0, P = 0.07), nor were non-VA ED visits (32.4 versus 36.5; 95% CI -9.3 to 1.1, P = 0.12). All-cause VA admission and ED rates did not differ. Mortality rates (6.9 versus 8.3 per 100 person-years, respectively; 95% CI -3.0 to 0.4, P = 0.13) did not differ. An educational intervention that is practical for large numbers of low-risk patients with COPD may reduce the rate of breathing-related hospitalizations. Further research that more closely tracks hospitalizations to non-VA facilities is needed to confirm this finding.

Evaluation of PACS in a multihospital environment

NASA Astrophysics Data System (ADS)

Siegel, Eliot L.; Reiner, Bruce I.; Protopapas, Zenon

1998-07-01

Although a number of authors have described the challenges and benefits of filmless operation using a hospital-wide Picture Archival and Communication System (PACS), there have been few descriptions of a multi-hospital wide area PACS. The purpose of this paper is to describe our two and a half year experience with PACS in an integrated multi-facility health care environment, the Veterans Affairs Maryland Health Care System (VAMHCS). On June 17, 1995 the Radiology and Nuclear Medicine services became integrated for four medical centers forming the VA Maryland Health Care System creating a single multi-facility imaging department. The facilities consisted of the Baltimore VA (acute and outpatient care, tertiary referral center), Ft. Howard (primarily long term care), Perry Point (primarily psychiatric care), and the Baltimore Rehabilitation and extended care facility (nursing home). The combined number of studies at all four sites is slightly more than 80,000 examinations per year. In addition to residents and fellows, the number of radiologists at Baltimore was approximately seven, with two at Perry Point, one at Ft. Howard, and no radiologists at the Rehabilitation and Extended Care facility. A single HIS/RIS, which is located physically at the Baltimore VAMC is utilized for all four medical centers. The multi- facility image management and communication system utilizes two separate PAC Systems that are physically located at the Baltimore VA Medical Center (BVAMC). The commercial system (GE Medical Systems) has been in place in Baltimore for more than 41/2 years and is utilized primarily in the acquisition, storage, distribution and display of radiology and nuclear medicine studies. The second PACS is the VISTA Imaging System, which has been developed as a module of the VA's HIS/RIS by and for the Department of Veterans Affairs. All of the radiology images obtained on the commercial PACS are requested by the VISTA Imaging System using DICOM query/retrieve commands and are stored on a separate server and optical jukebox. Additionally, the VISTA system is used to store all images obtained by all specialties in the medical center including pathology, dermatology, GI medicine, surgery, podiatry, ophthalmology, etc. Using this two PAC system approach, the hospital is able to achieve redundancy with regard to image storage, retrieval, and display of radiology images. The transition to a 'virtual' multi-facility imaging department was accomplished over a period of two years. Initially, Perry Point and Ft. Howard replaced their general radiographic film processors with Computed Radiography (CR) units. The CR units and subsequently, the CT and Ultrasound systems at Perry Point were interfaced (DeJarnette Research Systems) with the commercial PACS located in Baltimore. A HIS/RIS to modality interface was developed (DeJarnette and Fuji Medical Systems) between the computed radiography and CT units and VISTA Information System at Baltimore. A digital dictation system was recently implemented across the multi- facility network. The integration of the three radiology departments into a single virtual imaging department serving four medical centers has resulted in a number of benefits. Economically, there has been the elimination via attrition of one and a half radiologist FTE's (full time equivalents) and an administrative position resulting in an annual savings of more than $375,000 per year. Additionally, the expenditures for moonlighter coverage for vacation, meeting, and sick leave have been eliminated. There is now subspecialty coverage for primary or secondary interpretation and for peer review.

High Temperature Oxidation and Electrochemical Studies Related to Hot Corrosion.

DTIC Science & Technology

1987-04-01

University of Illinois Martin Marietta Laboratories Urbana , Ill 61801 1450 South Rolling Rd. Baltimore, MD 21227-3898 Prof. H.W. Pickering Prof. P.J. Moran...N aval Facilities Engineering Defense Metals and Ceramics Com and :nfo-.a:ion Center Alexandria, VA 22331 Battelle Memoria

38 CFR 1.300 - Purpose.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false Purpose. 1.300 Section 1.300 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS GENERAL PROVISIONS Parking Fees at Va Medical Facilities § 1.300 Purpose. Sections 1.300 through 1.303 prescribe policies and...

38 CFR 1.300 - Purpose.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false Purpose. 1.300 Section 1.300 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS GENERAL PROVISIONS Parking Fees at Va Medical Facilities § 1.300 Purpose. Sections 1.300 through 1.303 prescribe policies and...

76 FR 77893 - Agency Information Collection (Request for Supplies (Chapter 31-Vocational Rehabilitation...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-14

... for Supplies (Chapter 31- Vocational Rehabilitation)): Activity Under OMB Review AGENCY: Veterans... for Supplies (Chapter 31--Vocational Rehabilitation), VA Form 28-1905m. OMB Control Number: 2900-0061... request supplies for veterans in rehabilitation programs. The official at the facility providing...

Atmosphere, Magnetosphere and Plasmas in Space (AMPS). Spacelab payload definition study. Volume 2: Mission support requirements document. Addendum: Flight 2

NASA Technical Reports Server (NTRS)

1976-01-01

The AMPS Flight 2 payload, its operation, and the support required from the Space Transportation System (STS) are described. The definition of the payload includes the flight objectives and requirements, the experiment operations, and the payload configuration. The support required from the STS includes the accommodation of the payload by the orbiter/Spacelab, use of the flight operations network and ground facilities, and the use of the launch site facilities.

Lockheed L-1011 Test Station on-board in support of the Adaptive Performance Optimization flight res

NASA Technical Reports Server (NTRS)

1997-01-01

This console and its compliment of computers, monitors and commmunications equipment make up the Research Engineering Test Station, the nerve center for a new aerodynamics experiment being conducted by NASA's Dryden Flight Research Center, Edwards, California. The equipment is installed on a modified Lockheed L-1011 Tristar jetliner operated by Orbital Sciences Corp., of Dulles, Va., for Dryden's Adaptive Performance Optimization project. The experiment seeks to improve the efficiency of long-range jetliners by using small movements of the ailerons to improve the aerodynamics of the wing at cruise conditions. About a dozen research flights in the Adaptive Performance Optimization project are planned over the next two to three years. Improving the aerodynamic efficiency should result in equivalent reductions in fuel usage and costs for airlines operating large, wide-bodied jetliners.

NASA's SR-71B and F-18 HARV aircraft left Edwards Air Force Base, Calif., on March 24, 2003

NASA Image and Video Library

2003-03-24

Dryden Flight Research Center's SR-71B Blackbird aircraft, NASA tail number 831, is destined for the Kalamazoo Air Zoo museum in Kalamazoo, Mich., and the F-18 High Angle-of-Attack Research Vehicle (HARV) aircraft, NASA tail number 840, is going to the Virginia Air and Space Center in Hampton, Va. NASA's SR-71B was one of only two SR-71 trainer aircraft built, and served NASA in that role, as well as for some high-speed research, from 1991 to 1999. The F-18 HARV provided some of the most comprehensive data on the high-angle-of-attack flight regime, flying at angles of up to 70 degrees from the horizontal. The HARV flew 385 research flights at Dryden from 1987 through 1996.

Middle atmospheric electric fields over thunderstorms

NASA Technical Reports Server (NTRS)

Holzworth, Robert H.

1992-01-01

This grant has supported a variety of investigations all having to do with the external electrodynamics of thunderstorms. The grant was a continuation of work begun while the PI was at the Aerospace Corporation (under NASA Grant NAS6-3109) and the general line of investigation continues today under NASA Grants NAG5-685 and NAG6-111. This report will briefly identify the subject areas of the research and associated results. The period actually covered by the grant NAG5-604 included the following analysis and flights: (1) analysis of five successful balloon flights in 1980 and 1981 (under the predecessor NASA grant) in the stratosphere over thunderstorms; (2) development and flight of the Hy-wire tethered balloon system for direct measurement of the atmospheric potential to 250 kV (this involved multiple tethered balloon flight periods from 1981 through 1986 from several locations including Wallops Island, VA, Poker Flat and Ft. Greely, AK and Holloman AFB, NM.); (3) balloon flights in the stratosphere over thunderstorms to measure vector electric fields and associated parameters in 1986 (2 flights), 1987 (4 flights), and 1988 (2 flights); and (4) rocket-borne optical lightning flash detectors on two rocket flights (1987 and 1988) (the same detector design that was used for the balloon flights listed under #3). In summary this grant supported 8 stratospheric zero-pressure balloon flights, tethered aerostat flights every year between 1982-1985, instruments on 2 rockets, and analysis of data from 6 stratospheric flights in 1980/81.

KENNEDY SPACE CENTER, FLA. -- In the Space Life Sciences Lab, Lanfang Levine, with Dynamac Corp., transfers material into a sample bottle for analysis. She is standing in front of new equipment in the lab that will provide gas chromatography and mass spectrometry. The equipment will enable analysis of volatile compounds, such as from plants. The 100,000 square-foot facility houses labs for NASA’s ongoing research efforts, microbiology/microbial ecology studies and analytical chemistry labs. Also calling the new lab home are facilities for space flight-experiment and flight-hardware development, new plant growth chambers, and an Orbiter Environment Simulator that will be used to conduct ground control experiments in simulated flight conditions for space flight experiments. The SLS Lab, formerly known as the Space Experiment Research and Processing Laboratory or SERPL, provides space for NASA’s Life Sciences Services contractor Dynamac Corporation, Bionetics Corporation, and researchers from the University of Florida. NASA’s Office of Biological and Physical Research will use the facility for processing life sciences experiments that will be conducted on the International Space Station. The SLS Lab is the magnet facility for the International Space Research Park at KSC being developed in partnership with Florida Space Authority.

NASA Image and Video Library

2004-01-05

KENNEDY SPACE CENTER, FLA. -- In the Space Life Sciences Lab, Lanfang Levine, with Dynamac Corp., transfers material into a sample bottle for analysis. She is standing in front of new equipment in the lab that will provide gas chromatography and mass spectrometry. The equipment will enable analysis of volatile compounds, such as from plants. The 100,000 square-foot facility houses labs for NASA’s ongoing research efforts, microbiology/microbial ecology studies and analytical chemistry labs. Also calling the new lab home are facilities for space flight-experiment and flight-hardware development, new plant growth chambers, and an Orbiter Environment Simulator that will be used to conduct ground control experiments in simulated flight conditions for space flight experiments. The SLS Lab, formerly known as the Space Experiment Research and Processing Laboratory or SERPL, provides space for NASA’s Life Sciences Services contractor Dynamac Corporation, Bionetics Corporation, and researchers from the University of Florida. NASA’s Office of Biological and Physical Research will use the facility for processing life sciences experiments that will be conducted on the International Space Station. The SLS Lab is the magnet facility for the International Space Research Park at KSC being developed in partnership with Florida Space Authority.

Simulation at Dryden Flight Research Facility from 1957 to 1982

NASA Technical Reports Server (NTRS)

Smith, John P.; Schilling, Lawrence J.; Wagner, Charles A.

1989-01-01

The Dryden Flight Research Facility has been a leader in developing simulation as an integral part of flight test research. The history of that effort is reviewed, starting in 1957 and continuing to the present time. The contributions of the major program activities conducted at Dryden during this 25-year period to the development of a simulation philosophy and capability is explained.

38 CFR 14.600 - Federal Tort Claims Act-general.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Network (VISN) Directors, and VA Medical Facility Directors; with respect to any claim for $2,500 or less..., Deputy General Counsel, and Assistant General Counsel (Professional Staff Group I) or those authorized to... Justice. (3) To the Regional Counsels and the Deputy Assistant General Counsel (Professional Staff Group I...

38 CFR 12.3 - Deceased veteran's cases.

Code of Federal Regulations, 2010 CFR

2010-07-01

... beneficiary at a field facility, as defined in § 12.0(b), a survey and inventory of the funds and effects of... occurred during hospitalization, a complete inventory (VA Form 10-2687, Inventory of Funds and Effects... death of incompetent veterans after November 30, 1959, the inventory will be completed to show...

75 FR 17641 - Updating Fire Safety Standards

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-07

... DEPARTMENT OF VETERANS AFFAIRS 38 CFR Parts 17 and 59 RIN 2900-AN57 Updating Fire Safety Standards... for VA approval of such facilities, including standards for fire safety and heating and cooling... submitted in response to ``RIN 2900-AN57--Updating Fire Safety Standards.'' Copies of comments received will...

48 CFR 833.103 - Protests to VA.

Code of Federal Regulations, 2010 CFR

2010-10-01

... review by filing a protest with the Deputy Assistant Secretary for Acquisition and Materiel Management... Management. A protest filed with the DAS for A&MM or the Director, Office of Construction and Facilities Management, will not be considered if the interested party has a protest on the same or similar issues...

76 FR 63353 - Proposed Information Collection (Payment and Reimbursement for Emergency Services for Non Service...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-12

... (Payment and Reimbursement for Emergency Services for Non Service-Connected Conditions in Non-VA Facilities... to determine a claimant's eligibility for reimbursement or payment for emergency medical treatment at... information technology. Title: Payment and Reimbursement for Emergency Services for Non Service-Connected...

38 CFR 17.63 - Approval of community residential care facilities.

Code of Federal Regulations, 2011 CFR

2011-07-01

... residential care is not the responsibility of the United States Government or VA. (2) The resident or an... resident will be greater than the average cost of care for other residents, or if the resident chooses to... State and local regulations including construction, maintenance, and sanitation regulations; (2) Meet...

38 CFR 17.63 - Approval of community residential care facilities.

Code of Federal Regulations, 2012 CFR

2012-07-01

... residential care is not the responsibility of the United States Government or VA. (2) The resident or an... resident will be greater than the average cost of care for other residents, or if the resident chooses to... State and local regulations including construction, maintenance, and sanitation regulations; (2) Meet...

38 CFR 17.63 - Approval of community residential care facilities.

Code of Federal Regulations, 2013 CFR

2013-07-01

... residential care is not the responsibility of the United States Government or VA. (2) The resident or an... resident will be greater than the average cost of care for other residents, or if the resident chooses to... State and local regulations including construction, maintenance, and sanitation regulations; (2) Meet...

38 CFR 17.63 - Approval of community residential care facilities.

Code of Federal Regulations, 2014 CFR

2014-07-01

... residential care is not the responsibility of the United States Government or VA. (2) The resident or an... resident will be greater than the average cost of care for other residents, or if the resident chooses to... State and local regulations including construction, maintenance, and sanitation regulations; (2) Meet...

KSC-2012-1449

NASA Image and Video Library

2012-02-18

CAPE CANAVERAL, Fla. -- John Glenn and his wife, Annie, and NASA astronaut Stephen Robinson stand under space shuttle Discovery in Orbiter Processing Facility-1 OPF-1 at NASA's Kennedy Space Center in Florida. Glenn is at the space center to mark the 50th anniversary of being the first American astronaut to orbit the Earth inside the NASA Mercury Project's Friendship 7 capsule on Feb. 20, 1962. Glenn later returned to space in October 1998 as a payload specialist aboard Discovery's STS-95 mission. Robinson was the payload commander of STS-95. Glenn's launch aboard an Atlas rocket took with it the hopes of an entire nation and ushered in a new era of space travel that eventually led to Americans walking on the moon by the end of the 1960s. Glenn soon was followed into orbit by Scott Carpenter, Walter Schirra and Gordon Cooper. Their fellow Mercury astronauts Alan Shepard and Virgil "Gus" Grissom flew earlier suborbital flights. Deke Slayton, a member of NASA's original Mercury 7 astronauts, was grounded by a medical condition until the Apollo-Soyuz Test Project in 1975. Shuttle Discovery currently is being prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Photo credit: Cory Huston

KSC-2012-1451

NASA Image and Video Library

2012-02-18

CAPE CANAVERAL, Fla. -- John Glenn stands in the middeck of space shuttle Discovery in Orbiter Processing Facility-1 OPF-1 at NASA's Kennedy Space Center in Florida. Glenn is at the space center to mark the 50th anniversary of being the first American astronaut to orbit the Earth inside the NASA Mercury Project's Friendship 7 capsule on Feb. 20, 1962. Glenn later returned to space in October 1998 as a payload specialist aboard Discovery's STS-95 mission. Glenn's launch aboard an Atlas rocket took with it the hopes of an entire nation and ushered in a new era of space travel that eventually led to Americans walking on the moon by the end of the 1960s. Glenn soon was followed into orbit by Scott Carpenter, Walter Schirra and Gordon Cooper. Their fellow Mercury astronauts Alan Shepard and Virgil "Gus" Grissom flew earlier suborbital flights. Deke Slayton, a member of NASA's original Mercury 7 astronauts, was grounded by a medical condition until the Apollo-Soyuz Test Project in 1975. Shuttle Discovery currently is being prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Photo credit: Cory Huston

KSC-2012-1444

NASA Image and Video Library

2012-02-18

CAPE CANAVERAL, Fla. -- John Glenn and his wife, Annie, and NASA astronaut Stephen Robinson stand under space shuttle Discovery in Orbiter Processing Facility-1 OPF-1 at NASA's Kennedy Space Center in Florida. Glenn is at the space center to mark the 50th anniversary of being the first American astronaut to orbit the Earth inside the NASA Mercury Project's Friendship 7 capsule on Feb. 20, 1962. Glenn later returned to space in October 1998 as a payload specialist aboard Discovery's STS-95 mission. Robinson was the payload commander of STS-95. Glenn's launch aboard an Atlas rocket took with it the hopes of an entire nation and ushered in a new era of space travel that eventually led to Americans walking on the moon by the end of the 1960s. Glenn soon was followed into orbit by Scott Carpenter, Walter Schirra and Gordon Cooper. Their fellow Mercury astronauts Alan Shepard and Virgil "Gus" Grissom flew earlier suborbital flights. Deke Slayton, a member of NASA's original Mercury 7 astronauts, was grounded by a medical condition until the Apollo-Soyuz Test Project in 1975. Shuttle Discovery currently is being prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Photo credit: Cory Huston

KSC-2012-1443

NASA Image and Video Library

2012-02-18

CAPE CANAVERAL, Fla. -- John Glenn and his wife, Annie, left, enter Orbiter Processing Facility-1 OPF-1 at NASA's Kennedy Space Center in Florida where space shuttle Discovery is being prepared for public display. Glenn is at the space center to mark the 50th anniversary of being the first American astronaut to orbit the Earth inside the NASA Mercury Project's Friendship 7 capsule on Feb. 20, 1962. Glenn later returned to space in October 1998 as a payload specialist aboard Discovery's STS-95 mission. Glenn's launch aboard an Atlas rocket took with it the hopes of an entire nation and ushered in a new era of space travel that eventually led to Americans walking on the moon by the end of the 1960s. Glenn soon was followed into orbit by Scott Carpenter, Walter Schirra and Gordon Cooper. Their fellow Mercury astronauts Alan Shepard and Virgil "Gus" Grissom flew earlier suborbital flights. Deke Slayton, a member of NASA's original Mercury 7 astronauts, was grounded by a medical condition until the Apollo-Soyuz Test Project in 1975. Shuttle Discovery currently is being prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Photo credit: Cory Huston

KSC-2012-1458

NASA Image and Video Library

2012-02-18

CAPE CANAVERAL, Fla. -- John Glenn signs autographs in Orbiter Processing Facility-1 OPF-1 at NASA's Kennedy Space Center in Florida where space shuttle Discovery is being prepared for public display. Glenn is at the space center to mark the 50th anniversary of being the first American astronaut to orbit the Earth inside the NASA Mercury Project's Friendship 7 capsule on Feb. 20, 1962. Glenn later returned to space in October 1998 as a payload specialist aboard Discovery's STS-95 mission. Glenn's launch aboard an Atlas rocket took with it the hopes of an entire nation and ushered in a new era of space travel that eventually led to Americans walking on the moon by the end of the 1960s. Glenn soon was followed into orbit by Scott Carpenter, Walter Schirra and Gordon Cooper. Their fellow Mercury astronauts Alan Shepard and Virgil "Gus" Grissom flew earlier suborbital flights. Deke Slayton, a member of NASA's original Mercury 7 astronauts, was grounded by a medical condition until the Apollo-Soyuz Test Project in 1975. Shuttle Discovery currently is being prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Photo credit: Cory Huston

KSC-2012-1445

NASA Image and Video Library

2012-02-18

CAPE CANAVERAL, Fla. -- John Glenn and his wife, Annie, and NASA astronaut Stephen Robinson stand under space shuttle Discovery in Orbiter Processing Facility-1 OPF-1 at NASA's Kennedy Space Center in Florida. Glenn is at the space center to mark the 50th anniversary of being the first American astronaut to orbit the Earth inside the NASA Mercury Project's Friendship 7 capsule on Feb. 20, 1962. Glenn later returned to space in October 1998 as a payload specialist aboard Discovery's STS-95 mission. Robinson was the payload commander of STS-95. Glenn's launch aboard an Atlas rocket took with it the hopes of an entire nation and ushered in a new era of space travel that eventually led to Americans walking on the moon by the end of the 1960s. Glenn soon was followed into orbit by Scott Carpenter, Walter Schirra and Gordon Cooper. Their fellow Mercury astronauts Alan Shepard and Virgil "Gus" Grissom flew earlier suborbital flights. Deke Slayton, a member of NASA's original Mercury 7 astronauts, was grounded by a medical condition until the Apollo-Soyuz Test Project in 1975. Shuttle Discovery currently is being prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Photo credit: Cory Huston

KSC-2012-1447

NASA Image and Video Library

2012-02-18

CAPE CANAVERAL, Fla. -- John Glenn stands beside the wheel of space shuttle Discovery in Orbiter Processing Facility-1 OPF-1 at NASA's Kennedy Space Center in Florida. Glenn is at the space center to mark the 50th anniversary of being the first American astronaut to orbit the Earth inside the NASA Mercury Project's Friendship 7 capsule on Feb. 20, 1962. Glenn later returned to space in October 1998 as a payload specialist aboard Discovery's STS-95 mission. Glenn's launch aboard an Atlas rocket took with it the hopes of an entire nation and ushered in a new era of space travel that eventually led to Americans walking on the moon by the end of the 1960s. Glenn soon was followed into orbit by Scott Carpenter, Walter Schirra and Gordon Cooper. Their fellow Mercury astronauts Alan Shepard and Virgil "Gus" Grissom flew earlier suborbital flights. Deke Slayton, a member of NASA's original Mercury 7 astronauts, was grounded by a medical condition until the Apollo-Soyuz Test Project in 1975. Shuttle Discovery currently is being prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Photo credit: Cory Huston

KSC-2012-1452

NASA Image and Video Library

2012-02-18

CAPE CANAVERAL, Fla. -- John Glenn and NASA astronaut Stephen Robinson stand in the middeck of space shuttle Discovery in Orbiter Processing Facility-1 OPF-1 at NASA's Kennedy Space Center in Florida. Glenn is at the space center to mark the 50th anniversary of being the first American astronaut to orbit the Earth inside the NASA Mercury Project's Friendship 7 capsule on Feb. 20, 1962. Glenn later returned to space in October 1998 as a payload specialist aboard Discovery's STS-95 mission. Robinson was the payload commander of STS-95. Glenn's launch aboard an Atlas rocket took with it the hopes of an entire nation and ushered in a new era of space travel that eventually led to Americans walking on the moon by the end of the 1960s. Glenn soon was followed into orbit by Scott Carpenter, Walter Schirra and Gordon Cooper. Their fellow Mercury astronauts Alan Shepard and Virgil "Gus" Grissom flew earlier suborbital flights. Deke Slayton, a member of NASA's original Mercury 7 astronauts, was grounded by a medical condition until the Apollo-Soyuz Test Project in 1975. Shuttle Discovery currently is being prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Photo credit: Cory Huston

KSC-2012-1457

NASA Image and Video Library

2012-02-18

CAPE CANAVERAL, Fla. -- John Glenn signs the wall of the clean room leading into space shuttle Discovery in Orbiter Processing Facility-1 OPF-1 at NASA's Kennedy Space Center in Florida. Glenn is at the space center to mark the 50th anniversary of being the first American astronaut to orbit the Earth inside the NASA Mercury Project's Friendship 7 capsule on Feb. 20, 1962. Glenn later returned to space in October 1998 as a payload specialist aboard Discovery's STS-95 mission. Glenn's launch aboard an Atlas rocket took with it the hopes of an entire nation and ushered in a new era of space travel that eventually led to Americans walking on the moon by the end of the 1960s. Glenn soon was followed into orbit by Scott Carpenter, Walter Schirra and Gordon Cooper. Their fellow Mercury astronauts Alan Shepard and Virgil "Gus" Grissom flew earlier suborbital flights. Deke Slayton, a member of NASA's original Mercury 7 astronauts, was grounded by a medical condition until the Apollo-Soyuz Test Project in 1975. Shuttle Discovery currently is being prepared for display at Smithsonian’s National Air and Space Museum, Steven F. Udvar-Hazy Center in Chantilly, Va. Photo credit: Cory Huston

A new male sex-pheromone and novel cuticular cues for chemical communication in Drosophila

PubMed Central

Dreisewerd, Klaus; Luftmann, Heinrich; Müthing, Johannes; Pohlentz, Gottfried; Kravitz, Edward A.

2009-01-01

Summary Background In many insect species, cuticular hydrocarbons serve as pheromones that can mediate complex social behaviors. In Drosophila melanogaster, several hydrocarbons including the male sex pheromone 11-cis-vaccenyl acetate (cVA) and female-specific 7,11-dienes influence courtship behavior and can function as cues for short-term memory associated with the mating experience. Behavioral and physiological studies suggest that other unidentified chemical communication cues are likely to exist. To more fully characterize the hydrocarbon profile of the D. melanogaster cuticle, we applied direct ultraviolet laser desorption/ionization orthogonal time-of-flight mass spectrometry (UV-LDI-o-TOF MS) and analyzed the surface of intact fruit flies at a spatial resolution of approximately 200 μm. Results We report the chemical and spatial characterization of 28 species of cuticular hydrocarbons, including a new major class of oxygen-containing compounds. Using UV-LDI MS, pheromones previously shown to be expressed exclusively by one sex, e.g. cVA, 7,11-heptacosadiene, and 7,11-nonacosadiene, appear to be found on both male and female flies. In males, cVA co-localizes at the tip of the ejaculatory bulb with a second acetylated hydrocarbon named CH503. We describe the chemical structure of CH503 as 3-O-acetyl-1,3-dihydroxy-octacosa-11,19-diene and show one behavioral role for this compound as a long-lived inhibitor of male courtship. Like cVA, CH503 is transferred from males to females during mating. Unlike cVA, CH503 remains on the surface of females for at least 10 days. Conclusions Oxygenated hydrocarbons comprise one major previously undescribed class of compounds on the Drosophila cuticular surface. In addition to cVA, a newly-discovered long chain acetate, CH503, serves as a mediator of courtship-related chemical communication. PMID:19615904

Terminal configured vehicle program: Test facilities guide

NASA Technical Reports Server (NTRS)

1980-01-01

The terminal configured vehicle (TCV) program was established to conduct research and to develop and evaluate aircraft and flight management system technology concepts that will benefit conventional take off and landing operations in the terminal area. Emphasis is placed on the development of operating methods for the highly automated environment anticipated in the future. The program involves analyses, simulation, and flight experiments. Flight experiments are conducted using a modified Boeing 737 airplane equipped with highly flexible display and control equipment and an aft flight deck for research purposes. The experimental systems of the Boeing 737 are described including the flight control computer systems, the navigation/guidance system, the control and command panel, and the electronic display system. The ground based facilities used in the program are described including the visual motion simulator, the fixed base simulator, the verification and validation laboratory, and the radio frequency anechoic facility.

DETAIL VIEW OF ELECTRONICS TEST AREA, FLIGHT KITS FACILITY, ROOM ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

DETAIL VIEW OF ELECTRONICS TEST AREA, FLIGHT KITS FACILITY, ROOM NO. 1N12, FACING WEST - Cape Canaveral Air Force Station, Launch Complex 39, Vehicle Assembly Building, VAB Road, East of Kennedy Parkway North, Cape Canaveral, Brevard County, FL

Use of Electronic Health Records in Disaster Response: The Experience of Department of Veterans Affairs After Hurricane Katrina

PubMed Central

Brown, Steven H.; Fischetti, Linda F.; Graham, Gail; Bates, Jack; Lancaster, Anne E.; McDaniel, David; Gillon, Joseph; Darbe, Melody; Kolodner, Robert M.

2007-01-01

Objectives. We describe electronic health data use by the Department of Veterans Affairs (VA) in the month after Katrina, including supporting technologies, the extent and nature of information accessed, and lessons learned. Methods. We conducted a retrospective study using cross-sectional panels of data collected sequentially over time. Results. By September 30, 2005, clinical data were accessed electronically for at least 38% (14941 of 39910) of patients cared for prior to Hurricane Katrina by New Orleans–area VA medical facilities. Approximately 1000 patients per day had data accessed during the month following Hurricane Katrina, a rate approximately two thirds of pre-Katrina values. Health care data were transmitted to more than 200 sites in 48 states and to at least 2300 users. Conclusions. The VA electronic health records supported continuity of care for evacuated veterans after Katrina. Our findings suggest that pharmacy and laboratory computerization alone will not be sufficient for future disaster support systems. PMID:17413082

The X-43A hypersonic research aircraft and its modified Pegasus booster rocket nestled under the wi

NASA Technical Reports Server (NTRS)

2001-01-01

The X-43A hypersonic research aircraft and its modified Pegasus booster rocket are nestled under the wing of NASA's NB-52B carrier aircraft during pre-flight systems testing at the Dryden Flight Research Center, Edwards, Calif. The combined systems test was one of the last major milestones in the Hyper-X research program before the first X-43A flight. The X-43A flights will be the first actual flight tests of an aircraft powered by a revolutionary supersonic-combustion ramjet ('scramjet') engine capable of operating at hypersonic speeds (above Mach 5, or five times the speed of sound). The 12-foot, unpiloted research vehicle was developed and built by MicroCraft Inc., Tullahoma, Tenn., under NASA contract. The booster was built by Orbital Sciences Corp., Dulles, Va. After being air-launched from NASA's venerable NB-52 mothership, the booster will accelerate the X-43A to test speed and altitude. The X-43A will then separate from the rocket and fly a pre-programmed trajectory, conducting aerodynamic and propulsion experiments until it descends into the Pacific Ocean. Three research flights are planned, two at Mach 7 and one at Mach 10.

Some innovations and accomplishments of Ames Research Center since its inception

NASA Technical Reports Server (NTRS)

1987-01-01

The innovations and accomplishments of Ames Research Center from 1940 through 1966 are summarized and illustrated. It should be noted that a number of accomplishments were begun at the NASA Dryden Flight Research Facility before that facility became part of the Ames Research Center. Such accomplishments include the first supersonic flight, the first hypersonic flight, the lunar landing research vehicle, and the first digital fly-by-wire aircraft.

Kennedy Space Center Launch and Landing Support

NASA Technical Reports Server (NTRS)

Wahlberg, Jennifer

2010-01-01

The presentations describes Kennedy Space Center (KSC) payload processing, facilities and capabilities, and research development and life science experience. Topics include launch site processing, payload processing, key launch site processing roles, leveraging KSC experience, Space Station Processing Facility and capabilities, Baseline Data Collection Facility, Space Life Sciences Laboratory and capabilities, research payload development, International Space Station research flight hardware, KSC flight payload history, and KSC life science expertise.

UTEX: integrated ultraviolet and x-ray astronomy facility on spacelab, phase a study. Volume 2: facility definition. Final report

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

Not Available

1976-07-01

The definition and feasibility study of an integrated ultraviolet and astronomy facility onboard Spacelab are presented. This is based on the scientific aims of different European countries. The accommodation of such a facility in the first and second Spacelab flights was also studied, taking into account external constraints of both flights and the possibility of future missions. Well identified possible work packages are outlined in view of future international cooperation.

Long duration exposure facility post-flight thermal analysis: Orbital/thermal environment data package

NASA Technical Reports Server (NTRS)

Berrios, William M.

1990-01-01

A post flight mission thermal environment for the Long Duration Exposure Facility was created as part of the thermal analysis data reduction effort. The data included herein is the thermal parameter data used in the calculation of boundary temperatures. This boundary temperature data is to be released in the near future for use by the LDEF principal investigators in the final analysis of their particular experiment temperatures. Also included is the flight temperature data as recorded by the LDEF Thermal Measurements System (THERM) for the first 90 days of flight.

Abort Flight Test Project Overview

NASA Technical Reports Server (NTRS)

Sitz, Joel

2007-01-01

A general overview of the Orion abort flight test is presented. The contents include: 1) Abort Flight Test Project Overview; 2) DFRC Exploration Mission Directorate; 3) Abort Flight Test; 4) Flight Test Configurations; 5) Flight Test Vehicle Engineering Office; 6) DFRC FTA Scope; 7) Flight Test Operations; 8) DFRC Ops Support; 9) Launch Facilities; and 10) Scope of Launch Abort Flight Test

KSC-07pd0923

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- The media swarm around Pilot Rick Svetkoff after his test flight of the Starfighter F-104, in the background. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

KSC-07pd0916

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- After returning from a test flight, pilot Rick Svetkoff climbs out of the cockpit of the Starfighter F-104. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

KSC-07pd0917

NASA Image and Video Library

2007-04-17

KENNEDY SPACE CENTER, FLA. -- Bill Parsons (left), director of Kennedy Space Center, greets pilot Rick Svetkoff after a test flight of the Starfighter F-104. The aircraft is taking part in a series of pathfinder test missions from the space shuttle runway. Two flights will generate test data to validate sonic boom assumptions about the potential impacts of suborbital and orbital commercial spaceflight from the facility. NASA is assessing the environmental impact of such flights. Starfighters Inc. of Clearwater, Fla., will perform the flights to help in assessing suborbital space launch trajectories from the runway and paving the way for future commercial space tourism and research flights from the facility. Photo credit: NASA/Kim Shiflett

Simulation of nap-of-the-Earth flight in helicopters

NASA Technical Reports Server (NTRS)

Condon, Gregory W.

1991-01-01

NASA-Ames along with the U.S. Army has conducted extensive simulation studies of rotorcraft in the nap-of-the-Earth (NOE) environment and has developed facility capabilities specifically designed for this flight regime. The experience gained to date in applying these facilities to the NOE flight regime are reported along with the results of specific experimental studies conducted to understand the influence of both motion and visual scene on the fidelity of NOE simulation. Included are comparisons of results from concurrent piloted simulation and flight research studies. The results of a recent simulation experiment to study simulator sickness in this flight regime is also discussed.

HL-10 on lakebed

NASA Technical Reports Server (NTRS)

1968-01-01

The HL-10 Lifting Body is seen here parked on Rogers Dry Lake, the unique location where it landed after research flights. This 1968 photo shows the vehicle after the fins were modified to remove instabilities encountered on the first flight. It involved a change to the shape of the leading edge of the fins to eliminate flow separation. It required extensive wind-tunnel testing at Langley Research Center, Hampton, Va. NASA Flight Research Center (FRC) engineer Bob Kempel than plotted thousands of data points by hand to come up with the modification, which involved a fiberglass glove backed with a metal structure on each fin's leading edge. This transformed the vehicle from a craft that was difficult to control into the best handling of the original group of lifting bodies at the FRC. The HL-10 was one of five heavyweight lifting-body designs flown at NASA's Flight Research Center (FRC--later Dryden Flight Research Center), Edwards, California, from July 1966 to November 1975 to study and validate the concept of safely maneuvering and landing a low lift-over-drag vehicle designed for reentry from space. Northrop Corporation built the HL-10 and M2-F2, the first two of the fleet of 'heavy' lifting bodies flown by the NASA Flight Research Center. The contract for construction of the HL-10 and the M2-F2 was $1.8 million. 'HL' stands for horizontal landing, and '10' refers to the tenth design studied by engineers at NASA's Langley Research Center, Hampton, Va. After delivery to NASA in January 1966, the HL-10 made its first flight on Dec. 22, 1966, with research pilot Bruce Peterson in the cockpit. Although an XLR-11 rocket engine was installed in the vehicle, the first 11 drop flights from the B-52 launch aircraft were powerless glide flights to assess handling qualities, stability, and control. In the end, the HL-10 was judged to be the best handling of the three original heavy-weight lifting bodies (M2-F2/F3, HL-10, X-24A). The HL-10 was flown 37 times during the lifting body research program and logged the highest altitude and fastest speed in the Lifting Body program. On Feb. 18, 1970, Air Force test pilot Peter Hoag piloted the HL-10 to Mach 1.86 (1,228 mph). Nine days later, NASA pilot Bill Dana flew the vehicle to 90,030 feet, which became the highest altitude reached in the program. Some new and different lessons were learned through the successful flight testing of the HL-10. These lessons, when combined with information from it's sister ship, the M2-F2/F3, provided an excellent starting point for designers of future entry vehicles, including the Space Shuttle.

Economic Analysis of Veterans Affairs Initiative to Prevent Methicillin-Resistant Staphylococcus aureus Infections.

PubMed

Nelson, Richard E; Stevens, Vanessa W; Khader, Karim; Jones, Makoto; Samore, Matthew H; Evans, Martin E; Douglas Scott, R; Slayton, Rachel B; Schweizer, Marin L; Perencevich, Eli L; Rubin, Michael A

2016-05-01

In an effort to reduce methicillin-resistant Staphylococcus aureus (MRSA) transmission through universal screening and isolation, the Department of Veterans Affairs (VA) launched the National MRSA Prevention Initiative in October 2007. The objective of this analysis was to quantify the budget impact and cost effectiveness of this initiative. An economic model was developed using published data on MRSA hospital-acquired infection (HAI) rates in the VA from October 2007 to September 2010; estimates of the costs of MRSA HAIs in the VA; and estimates of the intervention costs, including salaries of staff members hired to support the initiative at each VA facility. To estimate the rate of MRSA HAIs that would have occurred if the initiative had not been implemented, two different assumptions were made: no change and a downward temporal trend. Effectiveness was measured in life-years gained. The initiative resulted in an estimated 1,466-2,176 fewer MRSA HAIs. The initiative itself was estimated to cost $207 million during this 3-year period, while the cost savings from prevented MRSA HAIs ranged from $27 million to $75 million. The incremental cost-effectiveness ratios ranged from $28,048 to $56,944/life-years. The overall impact on the VA's budget was $131-$179 million. Wide-scale implementation of a national MRSA surveillance and prevention strategy in VA inpatient settings may have prevented a substantial number of MRSA HAIs. Although the savings associated with prevented infections helped offset some but not all of the cost of the initiative, this model indicated that the initiative would be considered cost effective. Copyright © 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Clinical Practice Informs Secure Messaging Benefits and Best Practices.

PubMed

Haun, Jolie N; Hathaway, Wendy; Chavez, Margeaux; Antinori, Nicole; Vetter, Brian; Miller, Brian K; Martin, Tracey L; Kendziora, Lisa; Nazi, Kim M; Melillo, Christine

2017-10-01

Background Clinical care team members in Department of Veterans' Affairs (VA) facilities nationwide are working to integrate the use of Secure Messaging (SM) into care delivery and identify innovative uses. Identifying best practices for proactive use of SM is a key factor in its successful implementation and sustained use by VA clinical care team members and veterans. Objectives A collaborative project solicited input from VA clinical care teams about their local practices using SM to provide access to proactive patient-centered care for veterans and enhance workflow. Methods This project implemented a single-item cross-sectional qualitative electronic survey via internal e-mail to local coordinators in all 23 Veterans Integrated Service Networks (VISNs). Content analysis was used to manage descriptive data responses. Descriptive statistics described sample characteristics. Results VA clinical care team members across 15 of 23 VISNs responded to the questionnaire. Content analysis of 171 responses produced two global domains: (1) benefits of SM and (2) SM best practices. Benefits of SM use emphasize enhanced and efficient communication and increased access to care. Care team members incorporate SM into their daily clinical practices, using it to provide services before, during, and after clinical encounters as a best practice. SM users suggest improvements in veteran care, clinical team workflow, and efficient use of health resources. Clinical team members invested in the successful implementation of SM integrate SM into their daily practices to provide meaningful and useful veteran-centered care and improve workflow. Conclusion VA clinical care team members can use SM proactively to create an integrated SM culture. With adequate knowledge and motivation to proactively use this technology, all clinical team members within the VA system can replicate best practices shared by other clinical care teams to generate meaningful and useful interactions with SM to enrich veterans' health care experience.

Crew Factors in Flight Operations XII: A Survey of Sleep Quantity and Quality in On-Board Crew Rest Facilities

NASA Technical Reports Server (NTRS)

Rosekind, Mark R.; Gregory, Kevin B.; Co, Elizabeth L.; Miller, Donna L.; Dinges, David F.

2000-01-01

Many aircraft operated on long-haul commercial airline flights are equipped with on-board crew rest facilities, or bunks, to allow crewmembers to rest during the flight. The primary objectives of this study were to gather data on how the bunks were used, the quantity and quality of sleep obtained by flight crewmembers in the facilities, and the factors that affected their sleep. A retrospective survey comprising 54 questions of varied format addressed demographics, home sleep habits, and bunk sleep habits. Crewmembers from three airlines with long-haul fleets carrying augmented crews consisting of B747-100/200, B747-400, and MD-11 aircraft equipped with bunks returned a total of 1404 completed surveys (a 37% response rate). Crewmembers from the three carriers were comparable demographically, although one carrier had older, more experienced flight crewmembers. Each group, on average, rated themselves as "good" or "very good" sleepers at home, and all groups obtained about the same average amount of sleep each night. Most were able to sleep in the bunks, and about two thirds indicated that these rest opportunities benefited their subsequent flight deck alertness and performance. Comfort, environment, and physiology (e.g., being ready for sleep) were identified as factors that most promoted sleep. Factors cited as interfering with sleep included random noise, thoughts, heat, and the need to use the bathroom. These factors, in turn, suggest potential improvements to bunk facilities and their use. Ratings of the three aircraft types suggested differences among facilities. Bunks in the MD-11 were rated significantly better than either of the B747 types, and the B747-400 bunks received better ratings than did the older, B747-100/200 facilities.

Dental Care in an Equal Access System Valuing Equity: Are There Racial Disparities?

PubMed

Boehmer, Ulrike; Glickman, Mark; Jones, Judith A; Orner, Michelle B; Wheler, Carolyn; Berlowitz, Dan R; Kressin, Nancy R

2016-11-01

Racial disparities in dental care have previously been shown in the Veterans Health Administration (VA)-a controlled access setting valuing equitable, high-quality care. The aim of this study is to examine current disparities in dental care by focusing on the receipt of root canal therapy (RCT) versus tooth extraction. This is a retrospective analysis of data contained in the VA's electronic health records. We performed logistic regressions on the independent measures along with a facility-specific random effect, using dependent binary variables that distinguished RCT from tooth extraction procedures. VA outpatients who had at least 1 tooth extraction or RCT visit in the VA in fiscal year 2011. A dependent binary measure of tooth extraction or RCT. Other measures are medical record data on medical comorbidities, dental morbidity, prior dental utilization, and demographic characteristics. The overall rate of preferred tooth-preserving RCT was 18.1% during the study period. Black and Asian patients were most dissimilar with respect to dental morbidity, medical and psychological disorders, and black patients had the least amount of eligibility for comprehensive dental care. After adjustment for known confounding factors of RCT, black patients had the lowest RCT rates, whereas Asians had the highest. Current quality improvement efforts and a value to improve the equity of care are not sufficient to address racial/ethnic disparities in VA dental care; rather more targeted efforts will be needed to achieve equity for all.

Undergraduate Student-built Experiments in Sounding-Rocket and Balloon Campaign

NASA Astrophysics Data System (ADS)

Vassiliadis, D.; Christian, J. A.; Keesee, A. M.; Lindon, M.; Lusk, G. D.

2014-12-01

Space physics and aerospace engineering experiments are becoming readily accessible to STEM undergraduates. A number of ionospheric physics experiments and guidance and navigation components were designed, built, integrated, and tested by STEM students at West Virginia University in the 2013-2014 academic year. A main payload was flown on NASA's annual RockSat-C two-stage rocket launched from Wallops Flight Facility in Chincoteague, VA on the morning of June 26, 2014. A high-altitude balloon with a reduced payload was released from Bruceton Mills, WV, prior to the rocket and reached 30,054 m. The geographic distance between the two launch points is small compared to the footprint of geomagnetic and solar-terrestrial disturbances. Aerospace sensors provided flight profiles for each of the two platforms. Daytime E region electron density was measured via a Langmuir probe as a function of altitude from 90 km to the apogee of 117 km. Geomagnetic activity was low (Dst>-7 nT, AE<500 nT) so geomagnetic disturbances were probably due to solar quiet (Sq) currents. Earlier solar wind activity included two high-plasma-density regions measured by NASA's ACE which impacted the magnetosphere producing two sudden impulses at midlatitudes (Dst=+19 and +13 nT). In an airglow experiment, the altitude range of the sodium layer was estimated to be 75-110 km based on in situ measurements of the D2emission line intensity. Acceleration, rotation-rate, and magnetic-field data are useful in reconstructing the trajectory and flight dynamics of the two vehicles and comparing with video from onboard cameras. Participation in RockSat and similar programs is useful in ushering space science and spaceflight concepts in the classroom and lab experience of STEM undergraduates. Lectures, homework, and progress reports were used to connect advanced topics of Earth's space environment and spaceflight to the students' core courses. In several cases the STEM students were guided by graduate students during lab work. Development of the flight payloads was supported by NASA's Undergraduate Student Instrument Project, NSF/AGS, and the WV Space Grant.

Passive Microwave Measurements Over Conifer Forests at L-Band and C-Band

NASA Technical Reports Server (NTRS)

LeVine, D. M.; Lang, R.; Chauhan, N.; Kim, E.; Bidwell, S.; Goodberlet, M.; Haken, M.; deMatthaeis, P.

2000-01-01

Measurements have been made at L-band and C-band over conifer forests in Virginia to study the response of passive microwave instruments to biomass and soil moisture. A series of aircraft measurements were made in July, August and November, 1999 over relatively homogenous conifer forests of varying biomass. Three radiometers participated in these measurements. These were: 1) the L-band radiometer ESTAR, a horizontally polarized synthetic aperture radiometer which has been used extensively in past measurements of soil moisture; 2) the L-band radiometer SLFMR, a vertically polarized cross-track scanner which has been used successfully in the past for mapping sea surface salinity; and 3) The ACMR, a new C-band radiometer which operates at V- and H-polarization and in the configuration for these experiments did not scan. All three radiometers were flown on the NASA P-3 aircraft based at the Goddard Space Flight Center's Wallops Flight Facility. The ESTAR and SLFMR were mounted in the bomb bay of the P-3 and imaged across track whereas the ACMR was mounted to look aft at 54 degrees up from nadir. Data was collected at altitudes of 915 meters and 457 meters. The forests consisted of relatively homogeneous "managed" stands of conifer located near Waverly, Virginia. This is a relatively flat area about 30 miles southeast of Richmond, VA with numerous stands of trees being grown for the forestry industry. The stands selected for study consisted of areas of regrowth and mature stands of pine. In addition, a small stand of very large trees was observed. Soil moisture sampling was done in each stand during the aircraft over flights. Data was collected on July 7, August 27, November 15 and November 30, 1999. Measurements were made with ESTAR on all days. The ACMR flew on the summer missions and the SLFMR was present only on the August 27 flight. Soil moisture varied from quite dry on July 7 to quite moist on November 30 (which was shortly after a period of rain). The microwave images clearly distinguish between the different forest stands. Research is continuing to seek a quantitative correlation with biomass and surface soil moisture.

Primary care practice and facility quality orientation: influence on breast and cervical cancer screening rates.

PubMed

Goldzweig, Caroline Lubick; Parkerton, Patricia H; Washington, Donna L; Lanto, Andrew B; Yano, Elizabeth M

2004-04-01

Despite the importance of early cancer detection, variation in screening rates among physicians is high. Insights into factors influencing variation can guide efforts to decrease variation and increase screening rates. To explore the association of primary care practice features and a facility's quality orientation with breast and cervical cancer screening rates. Cross-sectional study of screening rates among 144 Department of Veterans Affairs (VA) medical centers and for a national sample of women. We linked practice structure and quality improvement characteristics of individual VA medical centers from 2 national surveys (1 to primary care directors and 1 to a stratified random sample of employees) to breast and cervical cancer screening rates determined from a review of random medical records. We conducted bivariate analyses and multivariate logistic regression of primary care practice and facility features on cancer screening rates, above and below the median. While the national screening rates were high for breast (87%) and cervical cancer (90%), higher screening rates were more likely when primary care providers were consistently notified of specialty visits and when staff perceived a greater organizational commitment to quality and anticipated rewards and recognition for better performance. Organization and quality orientation of the primary care practice and its facility can enhance breast and cervical cancer screening rates. Internal recognition of quality performance and an overall commitment to quality improvement may foster improved prevention performance, with impact varying by clinical service.

76 FR 40751 - National Environmental Policy Act; Wallops Flight Facility; Site-Wide

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-11

..., and to increase the knowledge of the Earth's upper atmosphere and the near space environment. The... NATIONAL AERONAUTICS AND SPACE ADMINISTRATION [Notice (11-062)] National Environmental Policy Act; Wallops Flight Facility; Site- Wide AGENCY: National Aeronautics and Space Administration. ACTION: Notice...

Senator Doug Jones (D-AL) Tour of MSFC Facilities

NASA Image and Video Library

2018-02-22

Senator Doug Jones (D-AL.) and wife, Louise, tour Marshall Space Flight facilities. Steve Doering, manager, Stages Element, Space Launch System (SLS) program at MSFC, views the test stand 4693 where key SLS structural elements will be subjected to stress testing simulating space flight.