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Sample records for guidelines capital adequacy

  1. 12 CFR Appendix C to Part 3 - Capital Adequacy Guidelines for Banks: Internal-Ratings-Based and Advanced Measurement Approaches

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 1 2011-01-01 2011-01-01 false Capital Adequacy Guidelines for Banks: Internal-Ratings-Based and Advanced Measurement Approaches C Appendix C to Part 3 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY MINIMUM CAPITAL RATIOS; ISSUANCE OF DIRECTIVES Pt. 3, App. C Appendix C to Part 3—Capital Adequacy...

  2. 12 CFR Appendix B to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies and State Member Banks: Leverage Measure

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... through year-end 1990 for implementation of the risk-based capital guidelines contained in appendix A to...-end 1990 minimum risk-based capital standard set forth in appendix A to this part and appendix A to... 1990 risk-based capital standard will be deemed to be in compliance with the capital adequacy...

  3. 12 CFR Appendix D to Part 325 - Capital Adequacy Guidelines for Banks: Internal-Ratings-Based and Advanced Measurement Approaches

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Capital Adequacy Guidelines for Banks: Internal-Ratings-Based and Advanced Measurement Approaches D Appendix D to Part 325 Banks and Banking FEDERAL DEPOSIT INSURANCE CORPORATION REGULATIONS AND STATEMENTS OF GENERAL POLICY CAPITAL MAINTENANCE Pt. 325, App. D Appendix D to Part 325—Capital...

  4. 12 CFR Appendix B to Part 208 - Capital Adequacy Guidelines for State Member Banks: Tier 1 Leverage Measure

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Banks: Tier 1 Leverage Measure B Appendix B to Part 208 Banks and Banking FEDERAL RESERVE SYSTEM BOARD... RESERVE SYSTEM (REGULATION H) Pt. 208, App. B Appendix B to Part 208—Capital Adequacy Guidelines for State... state member banks are outlined in Appendix A to this part. b. The guidelines apply to all state...

  5. 12 CFR Appendix B to Part 208 - Capital Adequacy Guidelines for State Member Banks: Tier 1 Leverage Measure

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... critically undercapitalized under prompt corrective action (12 CFR 208.43(b)(1)); and (ii) Reclassifying a... 12 Banks and Banking 2 2012-01-01 2012-01-01 false Capital Adequacy Guidelines for State Member Banks: Tier 1 Leverage Measure B Appendix B to Part 208 Banks and Banking FEDERAL RESERVE SYSTEM...

  6. 12 CFR Appendix B to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies and State Member Banks: Leverage Measure

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... of Mandatory Convertible Securities a. The securities must mature in 12 years or less. b. The issuer... 12 Banks and Banking 3 2012-01-01 2012-01-01 false Capital Adequacy Guidelines for Bank Holding Companies and State Member Banks: Leverage Measure B Appendix B to Part 225 Banks and Banking...

  7. 12 CFR Appendix B to Part 208 - Capital Adequacy Guidelines for State Member Banks: Tier 1 Leverage Measure

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... critically undercapitalized under prompt corrective action (12 CFR 208.43(b)(1)); and (ii) Reclassifying a... 12 Banks and Banking 2 2013-01-01 2013-01-01 false Capital Adequacy Guidelines for State Member Banks: Tier 1 Leverage Measure B Appendix B to Part 208 Banks and Banking FEDERAL RESERVE SYSTEM...

  8. 12 CFR Appendix D to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Tier 1 Leverage Measure

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Companies: Tier 1 Leverage Measure D Appendix D to Part 225 Banks and Banking FEDERAL RESERVE SYSTEM... CONTROL (REGULATION Y) Pt. 225, App. D Appendix D to Part 225—Capital Adequacy Guidelines for Bank Holding... substantially above minimum supervisory levels, without significant reliance on intangible assets....

  9. 12 CFR Appendix B to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies and State Member Banks: Leverage Measure

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... COMPANIES AND CHANGE IN BANK CONTROL (REGULATION Y) Pt. 225, App. B Appendix B to Part 225—Capital Adequacy... guidelines from time to time for possible adjustment commensurate with changes in the economy, financial... competitive equity, the degree of leverage common in banking should not automatically extend to nonbanking...

  10. 12 CFR Appendix A to Part 208 - Capital Adequacy Guidelines for State Member Banks: Risk-Based Measure

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 2 2010-01-01 2010-01-01 false Capital Adequacy Guidelines for State Member Banks: Risk-Based Measure A Appendix A to Part 208 Banks and Banking FEDERAL RESERVE SYSTEM BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM MEMBERSHIP OF STATE BANKING INSTITUTIONS IN THE FEDERAL RESERVE SYSTEM (REGULATION H) Pt. 208, App. A Appendix...

  11. 12 CFR Appendix A to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Risk-Based Measure

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Capital Adequacy Guidelines for Bank Holding Companies: Risk-Based Measure A Appendix A to Part 225 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM BANK HOLDING COMPANIES AND CHANGE IN BANK CONTROL (REGULATION Y) Pt. 225, App. A Appendix A to...

  12. 12 CFR Appendix A to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Risk-Based Measure

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...-based capital measure to assist in the assessment of the capital adequacy of bank holding companies... overall assessment of capital adequacy must take account of these other factors, including, in particular... included in tier 2 capital, will be taken into account by the Federal Reserve in its overall assessment of...

  13. 12 CFR Appendix A to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Risk-Based Measure

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... risk-based capital measure to assist in the assessment of the capital adequacy of bank holding... overall assessment of capital adequacy must take account of these other factors, including, in particular... adjusted periodically in relation to an independent index based solely on general market interest rates...

  14. 12 CFR Appendix A to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Risk-Based Measure

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...-based capital measure to assist in the assessment of the capital adequacy of bank holding companies... overall assessment of capital adequacy must take account of these other factors, including, in particular... adjusted periodically in relation to an independent index based solely on general market interest rates...

  15. 12 CFR Appendix A to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Risk-Based Measure

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... risk-based capital measure to assist in the assessment of the capital adequacy of bank holding... overall assessment of capital adequacy must take account of these other factors, including, in particular... adjusted periodically in relation to an independent index based solely on general market interest rates...

  16. 76 FR 35959 - Capital Adequacy Guidelines; Small Bank Holding Company Policy Statement: Treatment of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-21

    ... Board issued an interim final rule (CPP interim rule) (74 FR 26077) to allow bank holding companies that... Board published a final rule on the capital treatment of the Senior Perpetual Preferred Stock. See 74 FR.... See 74 FR 26077, 26079 (June 1, 2009). The Board received two comments on the CPP interim rule....

  17. 12 CFR Appendix B to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies and State Member Banks: Leverage Measure

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... unsecured long-term debt of the parent company and its nonbank subsidiaries. Restrictions Relating to... through year-end 1990 for implementation of the risk-based capital guidelines contained in appendix A to...-end 1990 minimum risk-based capital standard set forth in appendix A to this part and appendix A...

  18. 12 CFR Appendix B to Part 208 - Capital Adequacy Guidelines for State Member Banks: Tier 1 Leverage Measure

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Income (Call Reports), less goodwill; amounts of mortgage servicing assets, nonmortgage servicing assets... perpetual preferred stock. In addition, as a general matter, Tier 1 capital excludes goodwill; amounts...

  19. 12 CFR 208.4 - Capital adequacy.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 2 2010-01-01 2010-01-01 false Capital adequacy. 208.4 Section 208.4 Banks and Banking FEDERAL RESERVE SYSTEM BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM MEMBERSHIP OF STATE BANKING INSTITUTIONS IN THE FEDERAL RESERVE SYSTEM (REGULATION H) General Membership and...

  20. 12 CFR Appendix A to Part 208 - Capital Adequacy Guidelines for State Member Banks: Risk-Based Measure

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... and investment policies; and management's overall ability to monitor and control financial and.... Advances (that is, loans, extensions of credit, guarantees, commitments, or any other forms of credit... capital. Rather, such advances generally will be included in the bank's consolidated assets and...

  1. 12 CFR Appendix D to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Tier 1 Leverage Measure

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Companies: Tier 1 Leverage Measure D Appendix D to Part 225 Banks and Banking FEDERAL RESERVE SYSTEM... Holding Companies: Tier 1 Leverage Measure I. Overview a. The Board of Governors of the Federal Reserve System has adopted a minimum ratio of tier 1 capital to total assets to assist in the assessment of...

  2. 12 CFR Appendix A to Part 208 - Capital Adequacy Guidelines for State Member Banks: Risk-Based Measure

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... and investment policies; and management's overall ability to monitor and control financial and.... Advances (that is, loans, extensions of credit, guarantees, commitments, or any other forms of credit... capital. Rather, such advances generally will be included in the bank's consolidated assets and...

  3. 12 CFR Appendix A to Part 208 - Capital Adequacy Guidelines for State Member Banks: Risk-Based Measure

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... factors, including, in particular, the level and severity of problem and classified assets as well as a... qualify as Tier 1 and Tier 2 capital for bank holding companies. Reciprocal holdings are cross-holdings... intentional cross-holdings. At present, the Board does not intend to require banks to deduct non-reciprocal...

  4. 12 CFR Appendix D to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Tier 1 Leverage Measure

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... bank holding companies), and for bank holding companies that have implemented the Board's risk-based capital measure for market risk as set forth in appendices A and E of this part. For all other bank... if warranted by its particular circumstances or risk profile. In all cases, bank holding companies...

  5. 12 CFR Appendix D to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Tier 1 Leverage Measure

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... warranted for supervisory purposes. 2 2 c. The tier 1 leverage guidelines are to be used in the inspection... assets of 3.0 percent for strong bank holding companies (rated composite “1” under the BOPEC rating... adjustments are discussed more fully in section II.B. of appendix A of this part. c. Whenever...

  6. 76 FR 37620 - Risk-Based Capital Standards: Advanced Capital Adequacy Framework-Basel II; Establishment of a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-28

    ... 208 and 225 RIN 7100-AD62 FEDERAL DEPOSIT INSURANCE CORPORATION 12 CFR Part 325 RIN 3064-AD58 Risk-Based Capital Standards: Advanced Capital Adequacy Framework--Basel II; Establishment of a Risk-Based... the advanced risk-based capital adequacy standards (advanced approaches rules) in a manner that is...

  7. 78 FR 55339 - Regulatory Capital Rules: Regulatory Capital, Implementation of Basel III, Capital Adequacy...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-10

    ... leverage capital requirements and on methodologies for calculating risk-weighted assets under the... ``Regulatory Capital Rules: Standardized Approach for Risk-weighted Assets; Market Discipline and Disclosure...-weighted assets in the agencies' general risk-based capital rules \\7\\ (the general risk-based capital rules...

  8. Pacemaker follow-up and adequacy of Medicare guidelines.

    PubMed

    Vallario, L E; Leman, R B; Gillette, P C; Kratz, J M

    1988-07-01

    The time of occurrence of cardiac pacemaker problems after implantation was identified to assess the adequacy of published federal guidelines for clinic and transtelephonic follow-up. One hundred eighty-nine pacemaker patients' charts were examined retrospectively to identify pacemaker problems: inadequate sensing, non-capture, battery failure, myoinhibition, muscle stimulation, and inadequate threshold safety margin. Twenty-nine patients (15%) were identified as having pacemaker problems. A total of 41 problems were identified, of which 28 (68%) were corrected by reprogramming. Sixty-one percent of the problems were found during a clinic visit. Problems occurred more frequently during the first year in dual-chamber devices (62%) vs single-chamber devices (35%). During years 1 to 4, when few problems are expected, 30% of all problems of single-chamber devices occurred and 39% of all problems of dual-chamber devices occurred. This is a period of time that Medicare guidelines allow for one clinic visit per year for single- and two visits per year for dual-chamber devices. These data suggest: (1) Many pacemaker problems will be missed with transtelephonic follow-up alone. (2) The majority of problems involving dual-chamber devices occurred in the first year. (3) For both dual- and single-chamber devices, an unexpected significant percentage of problems occurred in 1 to 4 years. (4) Medicare guidelines may be inadequate for follow-up during this time period.

  9. 78 FR 62417 - Regulatory Capital Rules: Regulatory Capital, Implementation of Basel III, Capital Adequacy...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-22

    ... Assets, Market Discipline and Disclosure Requirements, Advanced Approaches Risk-Based Capital Rule, and..., Prompt Corrective Action, Standardized Approach for Risk-weighted Assets, Market Discipline...

  10. 78 FR 62017 - Regulatory Capital Rules: Regulatory Capital, Implementation of Basel III, Capital Adequacy...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-11

    ... 1 Capital a. Goodwill and Other Intangibles (Other Than Mortgage Servicing Assets) b. Gain-on-sale... Margin Period of Risk 3. Internal Models Methodology a. Recognition of Wrong-Way Risk b. Increased Asset... calculating the three risk-based capital ratios using total risk-weighted assets under the standardized...

  11. 78 FR 76973 - Regulatory Capital Rules: Regulatory Capital, Implementation of Basel III, Capital Adequacy...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-20

    ..., and 225 Regulations H, Q, and Y RIN 7100-AD 87 Regulatory Capital Rules: Regulatory Capital... System. ACTION: Correction, final rule. SUMMARY: The Board of Governors of the Federal Reserve System..., 2013. Robert deV. Frierson, Secretary of the Board. BILLING CODE 6210-01-P...

  12. Resource adequacy, capital adequacy and investment uncertainty in the Australian power market

    SciTech Connect

    Simshauser, Paul

    2010-01-15

    Ignoring the importance of capital markets risks overlooking one of the most fundamental drivers of investment and price in the utilities industry. While the worst effects of the financial crisis are beginning to subside, the residual fallout will be more than a passing fad for energy utilities. (author)

  13. 75 FR 4635 - Risk-Based Capital Guidelines; Capital Adequacy Guidelines; Capital Maintenance: Regulatory...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-28

    ... affected by FAS 166 and FAS 167) will remain substantially in excess of regulatory minimums. The agencies... percent of the inclusion amount. The banking organization's ALLL in excess of 50 percent of the inclusion... decrease in a VIE's excess spread (that is, the amount of income the VIE receives from assets in excess...

  14. Guidelines for Receiving State Capital Outlay Funds.

    ERIC Educational Resources Information Center

    Georgia State Dept. of Education, Atlanta. Facilities Services Unit.

    This document presents Georgia's guidelines for receiving state capital outlay funds. The procedure is divided into three parts: preliminary planning, design and preconstruction, and construction. The guide describes how the preliminary planning phase utilizes the state's schedule of events for project administration and provides explicit…

  15. 78 FR 43829 - Risk-Based Capital Guidelines; Market Risk

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-22

    ... CFR Parts 208 and 225 RIN 7100 AD-98 Risk-Based Capital Guidelines; Market Risk AGENCY: Board of... Governors of the Federal Reserve System (Board) proposes to revise its market risk capital rule (market risk... Organization for Economic Cooperation and Development (OECD), which are referenced in the Board's market risk...

  16. 78 FR 76521 - Risk-Based Capital Guidelines; Market Risk

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-18

    ... RIN 7100 AD-98 Risk-Based Capital Guidelines; Market Risk AGENCY: Board of Governors of the Federal...) is adopting a final rule that revises its market risk capital rule (market risk rule) to address... Cooperation and Development (OECD), which are referenced in the Board's market risk rule; to clarify the...

  17. 12 CFR Appendix B to Part 325 - Statement of Policy on Capital Adequacy

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... OF GENERAL POLICY CAPITAL MAINTENANCE Pt. 325, App. B Appendix B to Part 325—Statement of Policy on... capital but, for risk-based capital purposes, is included in Tier 2 capital as a “hybrid...

  18. 12 CFR Appendix B to Part 325 - Statement of Policy on Capital Adequacy

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... capital but, for risk-based capital purposes, is included in Tier 2 capital as a “hybrid capital..., regardless of the form that the organization's corporate structure takes, it will be necessary, for the... the activities conducted, or other factors) or where the affiliated organizations are...

  19. 12 CFR Appendix B to Part 325 - Statement of Policy on Capital Adequacy

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... capital but, for risk-based capital purposes, is included in Tier 2 capital as a “hybrid capital..., regardless of the form that the organization's corporate structure takes, it will be necessary, for the... the activities conducted, or other factors) or where the affiliated organizations are...

  20. 12 CFR Appendix B to Part 325 - Statement of Policy on Capital Adequacy

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... capital but, for risk-based capital purposes, is included in Tier 2 capital as a “hybrid capital..., regardless of the form that the organization's corporate structure takes, it will be necessary, for the... the activities conducted, or other factors) or where the affiliated organizations are...

  1. Guidelines for Successful Supervision of School District Capital Construction Projects.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Office of Facilities Planning.

    Successfully completing school district capital construction requires the proper execution of the construction project itself involving the cooperation and understanding by all parties involved. This document presents guidelines that clarify the interrelationships and expected actions on the part of school representatives, the architect or…

  2. 76 FR 12611 - Risk-Based Capital Standards: Advanced Capital Adequacy Framework-Basel II; Establishment of a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-08

    ... June 2006 release entitled ``International Convergence of Capital Measurement and Capital Standards: A... Bank for International Settlements' Web site at http://www.bis.org . The advanced approaches rules... institution is not authorized to hold the asset under applicable law other than under debt...

  3. 12 CFR Appendix B to Part 325 - Statement of Policy on Capital Adequacy

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...-based capital ratio of qualifying total capital to risk-weighted assets of 8 percent, with at least one..., mortgage servicing portfolios, and credit card portfolios. Notwithstanding the authority to report all... that mortgage servicing assets, nonmortgage servicing assets and purchased credit card relationships...

  4. 76 FR 1889 - Risk-Based Capital Guidelines: Market Risk

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-11

    ... regulatory measurement methodologies; and increase transparency through enhanced disclosures. The proposal.... Plain Language I. Introduction A. Background The first international capital framework for banks \\1\\ entitled International Convergence of Capital Measurement and Capital Standards (1988 Capital Accord)...

  5. Ohio Board of Regents Guidelines for Preparing FY 2009-FY 2014 Capital Plans

    ERIC Educational Resources Information Center

    Ohio Board of Regents, 2007

    2007-01-01

    As with past practice, publishing this set of guidelines officially launches the higher education capital planning and budgeting process for fiscal years 2009-2014. The guidelines include a schedule, definitions, planning assumptions, statewide considerations, and instructions for presenting a six year capital plan. Contents include: (1)…

  6. Ohio Board of Regents Guidelines for Preparing FY 2007-FY 2012 Capital Plans

    ERIC Educational Resources Information Center

    Ohio Board of Regents, 2005

    2005-01-01

    As with past practice, publishing this set of guidelines officially launches the higher education capital planning and budgeting process for fiscal years 2007-2012. The guidelines include a schedule, definitions, planning assumptions, statewide considerations, and instructions for presenting a six-year capital plan. Contents include: (1)…

  7. 12 CFR Appendix E to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Market Risk

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... securitization. Correlation trading position means: (1) A securitization position for which all or substantially... position described in paragraph (1) of this definition; and (3) A correlation trading position does not... securitization position or a correlation trading position and that has a value that reacts primarily to changes...

  8. 12 CFR Appendix E to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Market Risk

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... securitization. Correlation trading position means: (1) A securitization position for which all or substantially... position described in paragraph (1) of this definition; and (3) A correlation trading position does not... securitization position or a correlation trading position and that has a value that reacts primarily to changes...

  9. 77 FR 53059 - Risk-Based Capital Guidelines: Market Risk

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-30

    ... complexity. The agencies have incorporated a number of changes into the final rule based on feedback received... would generate a risk-based capital requirement for a specific covered position or portfolio of covered positions that is not commensurate with the risks of the covered position or portfolio. In...

  10. Construction Management Guidelines for Capital Outlay Program Projects.

    ERIC Educational Resources Information Center

    Georgia State Dept. of Education, Atlanta. Facilities Services Unit.

    The Georgia State Department of Education recognizes two separate methods for utilizing construction management services by local school systems when state capital outlay funds are involved. This report details those two methods. The report first describes the Construction Management (CM)-Agency approach, which allows a CM-Agency manager to enter…

  11. 12 CFR 225.8 - Capital planning.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... goals; the quantitative or qualitative guidelines for dividend and stock repurchases; the strategies for... likely to have a material impact on the firm's capital adequacy or liquidity. (3) Data collection. Upon... liquidity profile and management; and (vi) Any other relevant qualitative or quantitative information...

  12. A Pilot Study of Personal Classified Ads Appearing in Capital-City Daily Newspapers: The Kinds, the Guidelines, the Trends.

    ERIC Educational Resources Information Center

    Lazier-Smith, Linda

    A pilot study examined trends in the appearance of personal advertisements (individuals seeking dates/mates) in the classified columns of daily newspapers located in state capital cities, as well as newspaper guidelines for the acceptance of personal ads. Daily newspapers in the capital city of each state and some of the larger nationally…

  13. A Pilot Study of Personal Classified Ads Appearing in Capital-City Daily Newspapers: The Kinds, the Guidelines, the Trends.

    ERIC Educational Resources Information Center

    Lazier-Smith, Linda

    A pilot study examined trends in the appearance of personal advertisements (individuals seeking dates/mates) in the classified columns of daily newspapers located in state capital cities, as well as newspaper guidelines for the acceptance of personal ads. Daily newspapers in the capital city of each state and some of the larger nationally…

  14. 12 CFR Appendix A to Part 208 - Capital Adequacy Guidelines for State Member Banks: Risk-Based Measure

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... prior to March 13, 2000, or that was made by the bank after such date pursuant to a binding written.... 24 A “binding written commitment” means a legally binding written agreement that requires the bank to...

  15. 12 CFR Appendix G to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Internal-Ratings-Based and Advanced...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... systems, the internal models methodology, double default excessive correlation detection process, IMA for..., principal, expenses, losses, fees, recoveries, and other cash flows from the underlying exposures based on... servicing assets) and that obligate a bank holding company to protect another party from losses arising from...

  16. 12 CFR Appendix D to Part 325 - Capital Adequacy Guidelines for Banks: Internal-Ratings-Based and Advanced Measurement Approaches

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ..., the internal models methodology, double default excessive correlation detection process, IMA for... amortization period), there is the same pro rata sharing of interest, principal, expenses, losses, fees... another party from losses arising from the credit risk of the underlying exposures. Credit-enhancing...

  17. 12 CFR Appendix C to Part 3 - Capital Adequacy Guidelines for Banks: Internal-Ratings-Based and Advanced Measurement Approaches

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ..., double default excessive correlation detection process, IMA for equity exposures, and IAA for..., principal, expenses, losses, fees, recoveries, and other cash flows from the underlying exposures based on...) and that obligate a bank to protect another party from losses arising from the credit risk of the...

  18. 12 CFR Appendix C to Part 3 - Capital Adequacy Guidelines for Banks: Internal-Ratings-Based and Advanced Measurement Approaches

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... uses the following systems, the internal models methodology, double default excessive correlation..., principal, expenses, losses, fees, recoveries, and other cash flows from the underlying exposures based on...) and that obligate a bank to protect another party from losses arising from the credit risk of the...

  19. 12 CFR Appendix G to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Internal-Ratings-Based and Advanced...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... correlation detection process, IMA for equity exposures, and IAA for securitization exposures to ABCP programs..., principal, expenses, losses, fees, recoveries, and other cash flows from the underlying exposures based on... servicing assets) and that obligate a bank holding company to protect another party from losses arising from...

  20. 12 CFR Appendix E to Part 208 - Capital Adequacy Guidelines for State Member Banks; Market Risk Measure

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... is defined in the instructions to the Call Report. (b) Market risk means the risk of loss resulting... its corresponding daily trading profits and losses. (4) The bank must conduct independent reviews of... capture differences in volatility and less than perfect correlation of rates along the yield curve. (d...

  1. 12 CFR Appendix G to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Internal-Ratings-Based and Advanced...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... systems, the internal models methodology, double default excessive correlation detection process, IMA for..., principal, expenses, losses, fees, recoveries, and other cash flows from the underlying exposures based on... servicing assets) and that obligate a bank holding company to protect another party from losses arising from...

  2. 12 CFR Appendix F to Part 208 - Capital Adequacy Guidelines for Banks: Internal-Ratings-Based and Advanced Measurement Approaches

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., double default excessive correlation detection process, IMA for equity exposures, and IAA for..., principal, expenses, losses, fees, recoveries, and other cash flows from the underlying exposures based on...) and that obligate a bank to protect another party from losses arising from the credit risk of the...

  3. 12 CFR Appendix F to Part 208 - Capital Adequacy Guidelines for Banks: Internal-Ratings-Based and Advanced Measurement Approaches

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ..., double default excessive correlation detection process, IMA for equity exposures, and IAA for..., principal, expenses, losses, fees, recoveries, and other cash flows from the underlying exposures based on...) and that obligate a bank to protect another party from losses arising from the credit risk of the...

  4. 12 CFR Appendix E to Part 208 - Capital Adequacy Guidelines for State Member Banks; Market Risk Measure

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... is defined in the instructions to the Call Report. (b) Market risk means the risk of loss resulting... its corresponding daily trading profits and losses. (4) The bank must conduct independent reviews of... capture differences in volatility and less than perfect correlation of rates along the yield curve. (d...

  5. 12 CFR Appendix D to Part 325 - Capital Adequacy Guidelines for Banks: Internal-Ratings-Based and Advanced Measurement Approaches

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ..., the internal models methodology, double default excessive correlation detection process, IMA for... amortization period), there is the same pro rata sharing of interest, principal, expenses, losses, fees... another party from losses arising from the credit risk of the underlying exposures. Credit-enhancing...

  6. 12 CFR Appendix C to Part 3 - Capital Adequacy Guidelines for Banks: Internal-Ratings-Based and Advanced Measurement Approaches

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... models methodology, double default excessive correlation detection process, IMA for equity exposures, and...), there is the same pro rata sharing of interest, principal, expenses, losses, fees, recoveries, and other... losses arising from the credit risk of the underlying exposures. Credit-enhancing representations and...

  7. 12 CFR Appendix F to Part 208 - Capital Adequacy Guidelines for Banks: Internal-Ratings-Based and Advanced Measurement Approaches

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ..., double default excessive correlation detection process, IMA for equity exposures, and IAA for..., principal, expenses, losses, fees, recoveries, and other cash flows from the underlying exposures based on...) and that obligate a bank to protect another party from losses arising from the credit risk of the...

  8. 12 CFR Appendix E to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Market Risk Measure

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... instructions to the Call Report. (b) Market risk means the risk of loss resulting from movements in market... VAR measures to its corresponding daily trading profits and losses. (4) The organization must conduct... yield curve—at least six—to capture differences in volatility and less than perfect correlation of rates...

  9. 12 CFR Appendix E to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Market Risk Measure

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... instructions to the Call Report. (b) Market risk means the risk of loss resulting from movements in market... VAR measures to its corresponding daily trading profits and losses. (4) The organization must conduct... yield curve—at least six—to capture differences in volatility and less than perfect correlation of rates...

  10. 12 CFR Appendix G to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Internal-Ratings-Based and Advanced...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... systems, the internal models methodology, double default excessive correlation detection process, IMA for..., principal, expenses, losses, fees, recoveries, and other cash flows from the underlying exposures based on... servicing assets) and that obligate a bank holding company to protect another party from losses arising from...

  11. 12 CFR Appendix D to Part 325 - Capital Adequacy Guidelines for Banks: Internal-Ratings-Based and Advanced Measurement Approaches

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ..., the internal models methodology, double default excessive correlation detection process, IMA for... amortization period), there is the same pro rata sharing of interest, principal, expenses, losses, fees... another party from losses arising from the credit risk of the underlying exposures. Credit-enhancing...

  12. 12 CFR Appendix F to Part 208 - Capital Adequacy Guidelines for Banks: Internal-Ratings-Based and Advanced Measurement Approaches

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ..., double default excessive correlation detection process, IMA for equity exposures, and IAA for..., principal, expenses, losses, fees, recoveries, and other cash flows from the underlying exposures based on...) and that obligate a bank to protect another party from losses arising from the credit risk of the...

  13. 12 CFR Appendix D to Part 325 - Capital Adequacy Guidelines for Banks: Internal-Ratings-Based and Advanced Measurement Approaches

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., the internal models methodology, double default excessive correlation detection process, IMA for... amortization period), there is the same pro rata sharing of interest, principal, expenses, losses, fees... another party from losses arising from the credit risk of the underlying exposures. Credit-enhancing...

  14. 12 CFR Appendix E to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Market Risk Measure

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... included are derivatives (including written and purchased options) for which the underlying instrument is a.... (2) Specific risk means changes in the market value of specific positions due to factors other than... and over-the-counter derivative positions) 7 and receivables arising from the posting of...

  15. 12 CFR Appendix E to Part 208 - Capital Adequacy Guidelines for State Member Banks; Market Risk Measure

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... equity instruments. Also included are derivatives (including written and purchased options) for which the... positions due to factors other than broad market movements and includes event and default risk as well as... positions (except foreign-exchange positions outside the trading account and over-the-counter...

  16. 12 CFR Appendix D to Part 225 - Capital Adequacy Guidelines for Bank Holding Companies: Tier 1 Leverage Measure

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... holding company on or after September 19, 2008, from an SEC-registered open-end investment company that holds itself out as a money market mutual fund under SEC Rule 2a-7 (17 CFR 270.2a-7) and (ii) pledged by... assets (the denominator of the ratio). The ratio will also be calculated using period-end assets...

  17. 12 CFR Appendix B to Part 208 - Capital Adequacy Guidelines for State Member Banks: Tier 1 Leverage Measure

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... commercial paper (i) purchased by the bank on or after September 19, 2008, from an SEC-registered open-end investment company that holds itself out as a money market mutual fund under SEC Rule 2a-7 (17 CFR 270.2a-7... of the ratio). The ratio will also be calculated using period-end assets whenever necessary, on...

  18. 12 CFR Appendix A to Part 3 - Risk-Based Capital Guidelines

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... essentially the same risks as an equity instrument. (16) Exchange rate contracts include: Cross-currency... holdings of bank capital instruments means cross-holdings or other formal or informal arrangements in which...

  19. 12 CFR Appendix A to Part 3 - Risk-Based Capital Guidelines

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... essentially the same risks as an equity instrument. (16) Exchange rate contracts include: Cross-currency... holdings of bank capital instruments means cross-holdings or other formal or informal arrangements in which...

  20. 12 CFR Appendix A to Part 3 - Risk-Based Capital Guidelines

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... essentially the same risks as an equity instrument. (16) Exchange rate contracts include: Cross-currency... holdings of bank capital instruments means cross-holdings or other formal or informal arrangements in which...

  1. 12 CFR 3.11 - Capital conservation buffer and countercyclical capital buffer amount.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 1 2014-01-01 2014-01-01 false Capital conservation buffer and countercyclical capital buffer amount. 3.11 Section 3.11 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY CAPITAL ADEQUACY STANDARDS Capital Ratio Requirements and Buffers § 3.11 Capital conservation...

  2. 12 CFR 324.10 - Minimum capital requirements.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... POLICY CAPITAL ADEQUACY OF FDIC-SUPERVISED INSTITUTIONS Capital Ratio Requirements and Buffers § 324.10... maintain the following minimum capital ratios: (1) A common equity tier 1 capital ratio of 4.5 percent. (2) A tier 1 capital ratio of 6 percent. (3) A total capital ratio of 8 percent. (4) A leverage ratio...

  3. Hyperglycemia management in patients admitted to internal medicine in Spain: A point-prevalence survey examining adequacy of glycemic control and guideline adherence.

    PubMed

    Ena, Javier; Gómez-Huelgas, Ricardo; Romero-Sánchez, Marta; Gaviria, Antonio Zapatero; Calzada-Valle, Ana; Varela-Aguilar, Jose Manuel; Calero-Bernal, Maria de la Luz; Garcia-Contreras, Rosa; Berdún-Chéliz, Miguel Angel; Gracia-Tello, Borja; Mejias-Real, Inmaculada; González-Becerra, Concepción

    2015-07-01

    Despite the increasing prevalence of hospitalized diabetic patients, there are few studies that evaluate the glycemic control and the rate of adherence to clinical practice guidelines for glucose monitoring and management in the hospital setting. Crossover study using one-day surveys of all inpatients admitted to internal medicine wards from voluntary participating hospitals across Spain. Retrospective review of medical records was used to identify patients with hyperglycemia, causes for hospitalization, patients' demographic characteristics, appropriateness of glycemic monitoring and treatment during hospitalization. Among 5439 hospitalized patients studied there were 1000 (18.4%) with hyperglycemia in 111 participating hospitals. Patients mean age was 76.0±8.5 years (51.6% male). On admission, 91% had known diabetes (disease duration of 10.9±8.5 years), 5% had unknown diabetes and 4% had stress hyperglycemia. The comorbidity index (Charslon score) was 4 (interquartile range: 2 to 6) and 31% showed a high level of disability (Rankin scale). Main infringement in the process of care included lack of a recent HbA1c value (43.7%), use of sliding scale insulin therapy (20.7%), use of oral antidiabetic agents (8.9%), and less than three bedside point-of-care (POC) blood glucose test per day (17%). Glycemic target pre-meal and bedtime were achieved in 47% to 79.5% of POC. The rates of hypoglycemia (<70 mg/dL and <50mg/dL) were 10.3% and 2.4%, respectively. Our results suggest that there is an important gap between the clinical guidelines and both the management and the grade of glycemic control of diabetic inpatients. Copyright © 2015 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

  4. 76 FR 57992 - Assessment Rate Adjustment Guidelines for Large and Highly Complex Institutions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ... to material concentrations, risk management practices, strategic risk, stress test results, interest... authorities, such as stress test results, capital adequacy assessments, or information detailing the risk... stress test results and internal capital adequacy assessment will be used qualitatively to help...

  5. Adequacy of kinetic models

    SciTech Connect

    Kiperman, S.L.

    1995-01-01

    The problems associated with the accuracy of kinetic models in heterogeneous catalysis and their adequacy to experimental data and reaction mechanisms are considered. The prospects for the further improvement and use of these models is also explored.

  6. Taj Mahals of Decaying Shacks: Patterns in Local School Capital Stock and Unmet Capital Need

    ERIC Educational Resources Information Center

    Arsen, David; Davis, Thomas

    2006-01-01

    Despite growing interest in the condition of school facilities as a dimension of school finance adequacy, reliable measures of capital stock for large samples of schools are hard to come by. In this article, we offer new methods for (a) measuring the existing capital stock of public schools, (b) defining adequacy in school facilities, and (c)…

  7. Comparing Resource Adequacy Metrics

    SciTech Connect

    Ibanez, Eduardo; Milligan, Michael

    2014-11-13

    As the penetration of variable generation (wind and solar) increases around the world, there is an accompanying growing interest and importance in accurately assessing the contribution that these resources can make toward planning reserve. This contribution, also known as the capacity credit or capacity value of the resource, is best quantified by using a probabilistic measure of overall resource adequacy. In recognizing the variable nature of these renewable resources, there has been interest in exploring the use of reliability metrics other than loss of load expectation. In this paper, we undertake some comparisons using data from the Western Electricity Coordinating Council in the western United States.

  8. Adequacy, Litigation, and Student Achievement

    ERIC Educational Resources Information Center

    Glenn, William

    2008-01-01

    The court system has been an increasingly important forum in the attempts to remedy the persistent achievement gaps in American education. In the past twenty years, school finance adequacy litigation has replaced desegregation as the most widely used legal strategy in these efforts. Despite the widespread use of adequacy litigation, few…

  9. Adequacy Model for School Funding

    ERIC Educational Resources Information Center

    Banicki, Guy; Murphy, Gregg

    2014-01-01

    This study considers the effectiveness of the Evidence-Based Adequacy model of school funding. In looking at the Evidence-Based Adequacy model for school funding, one researcher has been centrally associated with the development and study of this model. Allen Odden is currently a professor in the Department of Educational Leadership and Policy…

  10. 12 CFR 3.403 - Standards for determination of appropriate individual minimum capital ratios.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... individual minimum capital ratios. 3.403 Section 3.403 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY CAPITAL ADEQUACY STANDARDS Establishment of Minimum Capital Ratios for an... individual minimum capital ratios. The appropriate minimum capital ratios for an individual national bank...

  11. Conformity Adequacy Review: Region 8

    EPA Pesticide Factsheets

    Resources are for air quality and transportation government and community leaders. Information on the adequacy/inadequacy of state implementation plans (SIPs) in EPA Region 3 (CO, MT, ND, SD, UT, WY) is provided here.

  12. Conformity Adequacy Review: Region 5

    EPA Pesticide Factsheets

    Resources are for air quality and transportation government and community leaders. Information on the conformity SIP adequacy/inadequacy of state implementation plans (SIPs) in EPA Region 5 (IL, IN, MI, OH, WI) is provided here.

  13. Conformity Adequacy Review: Region 2

    EPA Pesticide Factsheets

    Resources are for air quality and transportation government and community leaders. Information on the adequacy/inadequacy of state implementation plans (SIPs) in EPA Region 2 (NJ, NY, PR, VI) is provided here.

  14. Conformity Adequacy Review: Region 1

    EPA Pesticide Factsheets

    Resources are for air quality and transportation government and community leaders. Information on the adequacy/inadequacy of state implementation plans (SIPs) in EPA Region 1 (CT, ME, MA, NH, RI, VT) is provided here.

  15. Conformity Adequacy Review: Region 4

    EPA Pesticide Factsheets

    Resources are for air quality and transportation government and community leaders. Information on the adequacy/inadequacy of state implementation plans (SIPs) in EPA Region 4 (AL, FL, GA, KY, MS, NC, SC, TN) is provided here.

  16. Conformity Adequacy Review: Region 9

    EPA Pesticide Factsheets

    Resources are for air quality and transportation government and community leaders. Information on the adequacy/inadequacy of state implementation plans (SIPs) in EPA Region 9 (AZ, CA, HI, NV, AS, GU) is provided here.

  17. Conformity Adequacy Review: Region 3

    EPA Pesticide Factsheets

    Resources are for air quality and transportation government and community leaders. Information on the adequacy/inadequacy of state implementation plans (SIPs) in EPA Region 3 (DE, DC, MD, PA, VA, WV) is provided here.

  18. Conformity Adequacy Review: Region 6

    EPA Pesticide Factsheets

    Resources are for air quality and transportation government and community leaders. Information on the adequacy/inadequacy of state implementation plans (SIPs) in EPA Region 6 (AR, LA, NM, OK, TX) is provided here.

  19. Conformity Adequacy Review: Region 7

    EPA Pesticide Factsheets

    Resources are for air quality and transportation government and community leaders. Information on the adequacy/inadequacy of state implementation plans (SIPs) in EPA Region 7 (IA, KS, MO, NE) is provided here.

  20. Conformity Adequacy Review: Region 10

    EPA Pesticide Factsheets

    Resources are for air quality and transportation government and community leaders. Information on the adequacy/inadequacy of state implementation plans (SIPs) in EPA Region 10 (AK, ID, OR, WA) is provided here.

  1. 12 CFR 615.5200 - Capital planning.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... the capital adequacy plan: (1) Capability of management and the board of directors; (2) Quality of... of Directors of each Farm Credit System institution shall determine the amount of total capital, core surplus, total surplus, and unallocated surplus needed to assure the institution's continued financial...

  2. 12 CFR 217.10 - Minimum capital requirements.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... process for assessing its overall capital adequacy in relation to its risk profile and a comprehensive... ratio of the Board-regulated institution's common equity tier 1 capital to standardized total risk... ratio of the Board-regulated institution's tier 1 capital to standardized total risk-weighted assets;...

  3. Translation Cost, Quality and Adequacy

    PubMed Central

    Hendrickson, Sherry G.; Harrison, Tracie C.; Lopez, Nora A.; Zegarra-Coronado, Aurea G; Ricks, Tiffany

    2013-01-01

    Purpose Although the inclusion of non-native-speaking participants in nursing research is important in every country where nursing research takes place, the literature contains little on the method of achieving quality translation while simultaneously addressing cost containment. We describe a process for evaluating translation adequacy and demonstrate its use in comparing procedures for translating data from non-native-speaking interviews. Organizing Construct This work demonstrates a process for establishing, evaluating, and achieving translation adequacy when conducting qualitative research for cross-cultural comparisons. Method In an ethnographic investigation of disability in Mexican American women, we describe a process for obtaining translation adequacy, defined here as the methodological goal whereby the quality of the translated text meets the needs of the specified study. Using a subset of responses transcribed from Spanish audiotapes into Spanish text, text was subjected to two separate translation processes, which were compared for adequacy based on error rates and accuracy of meaning as well as cost. Findings The process for discriminating translation adequacy was sensitive to differences in certified versus noncertified translators. While the non-certified translation initially appeared to be seven times less expensive than the certified process, auditing and correcting errors in noncertified translations substantially increased cost. No errors were found with the certified translations. Conclusions The level of translation adequacy needed for any qualitative study should be considered before beginning the study itself. Based on a predetermined level, translation choices can be assessed using specified methods, which can also lead to greater transparency in the research process. Clinical Relevance An ongoing process to verify translation outcomes including cost, a component minimally discussed in the current literature, is relevant to nurses worldwide

  4. [Food based approaches to improve vitamin and mineral nutrition adequacy].

    PubMed

    Oyarzún, M T; Uauy, R; Olivares, S

    2001-03-01

    This paper, using the nutrient density concept and the development of Food-Based Dietary Guidelines (FBDG), explores the nutritional adequacy of food patterns based on the main staples around the world--maize, wheat, rice and potato. The nutritional adequacy of the vitamins A, C, folates and the minerals iron, zinc and calcium in diets composed by these staples is analyzed. Projected diets modified by the addition of foods high in vitamins and minerals, based on food table composition information, are analyzed for changes in nutritional adequacy, in order to cover the nutritional requirements of all family members. This theoretical exercise shows that diets diversified by the addition of relatively small quantities (27-70 g) of foods like fruits, vegetables, legumes and meat improve substantially the nutritional adequacy of the vitamins A, C, folates, iron and zinc. In the case of calcium, the addition of a dairy source becomes essential. From the practical point of view, the implementation of the food based approach requires a national effort in order to support the production of nutrient rich foods and to promote consciousness of nutrient bioavailability, so that people may obtain all nutrient potential from foods. Simultaneously, the need of fortification programs at the national level is recognized. This is the case for critical nutrients, where requirements might be above the potential in available foods. A similar situation occurs in the case of vulnerable groups like pregnant women and infants, who need supplementation to ensure nutritional adequacy of their diets. In conclusion, the use of FBDG is a good alternative for improving the nutritional adequacy of diets based predominantly on staple foods. However, food fortification and supplementation programs directed to vulnerable groups are necessary and complementary practices to the FBDG implementation.

  5. Equality, Adequacy, and Educational Policy

    ERIC Educational Resources Information Center

    Satz, Debra

    2008-01-01

    In this article I argue that the distinction between an adequate education and an equal education has been overdrawn. In my view, a certain type of equality--civic equality--is internal to the idea of educational adequacy. An education system that completely separates the children of the poor and minorities from those of the wealthy and middle…

  6. Motivational Adequacy and Educational Faith

    ERIC Educational Resources Information Center

    Weithman, Paul

    2010-01-01

    Justice is often thought to require that students receive educations that are, in some important sense, equal. I lay out, and raise questions about, an argument that seems to support this conclusion. The questions I raise about the argument suggest that what justice requires is not equality, but adequacy, of education. More specifically, I contend…

  7. Motivational Adequacy and Educational Faith

    ERIC Educational Resources Information Center

    Weithman, Paul

    2010-01-01

    Justice is often thought to require that students receive educations that are, in some important sense, equal. I lay out, and raise questions about, an argument that seems to support this conclusion. The questions I raise about the argument suggest that what justice requires is not equality, but adequacy, of education. More specifically, I contend…

  8. 30 CFR 18.69 - Adequacy tests.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Adequacy tests. 18.69 Section 18.69 Mineral... MINING PRODUCTS ELECTRIC MOTOR-DRIVEN MINE EQUIPMENT AND ACCESSORIES Inspections and Tests § 18.69 Adequacy tests. MSHA reserves the right to conduct appropriate test(s) to verify the adequacy of...

  9. 30 CFR 18.69 - Adequacy tests.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Adequacy tests. 18.69 Section 18.69 Mineral... MINING PRODUCTS ELECTRIC MOTOR-DRIVEN MINE EQUIPMENT AND ACCESSORIES Inspections and Tests § 18.69 Adequacy tests. MSHA reserves the right to conduct appropriate test(s) to verify the adequacy of...

  10. 30 CFR 18.69 - Adequacy tests.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Adequacy tests. 18.69 Section 18.69 Mineral... MINING PRODUCTS ELECTRIC MOTOR-DRIVEN MINE EQUIPMENT AND ACCESSORIES Inspections and Tests § 18.69 Adequacy tests. MSHA reserves the right to conduct appropriate test(s) to verify the adequacy of...

  11. Toward a Policy Definition of Educational Adequacy.

    ERIC Educational Resources Information Center

    Anderson, Lascelles

    This document addresses the need to deal with the concept of minimum educational adequacy, provides possible definitions of adequacy as viewed from a policy perspective, considers the factors involved in establishing a framework for exploring the various dimensions of adequacy, and treats the issues affecting formalization of a policy model of…

  12. Psychosocial Determinants of Adequacy of Gestational Weight Gain

    PubMed Central

    Best, Jennifer L.; Siega-Riz, Anna Maria; Dole, Nancy

    2012-01-01

    Pregnancy is a critical time window for evaluating weight gain on subsequent risk for obesity among women of childbearing age. The purpose of this investigation was to determine if symptoms of depression, anxiety, stress, self-esteem and fetal health locus of control beliefs were significant risk factors for adequacy of gestational weight gain (GWG) when maternal sociodemographic characteristics and health behaviors were considered. Sixteen hundred and five women were prospectively followed from ≤20 weeks’ gestation through delivery. Participants completed standard self-report questionnaires. Adequacy of GWG was expressed as the ratio of observed/expected weight gain based on Institute of Medicine recommendations. Multivariate ANOVA models were conducted and generalized linear models were performed to calculate risk ratios.. Higher depressive symptoms reported throughout pregnancy were significantly associated with higher adequacy ratios. Stronger beliefs in chance in determining fetal health predicted inadequate relative to adequate GWG and was positively associated with larger GWG ratios overall. Several relationships were attenuated when adjusted for covariates. The relationship between psychosocial status and adequacy of GWG is significantly impacted by maternal sociodemographic factors and health practices engaged in during pregnancy. Women who tend to believe that external factors primarily determine fetal health appear to be more vulnerable to non-adherence to clinical GWG guidelines. These results have important implications for targeting prevention and intervention efforts for improving maternal and fetal outcomes secondary to GWG patterns PMID:19008871

  13. International Banking: Implementation of Risk-Based Capital Adequacy Standards

    DTIC Science & Technology

    1991-01-01

    conducting open market operations ,’ and changing the official discount rate. The Bank also uses an informal mechanism known as "window guidance" as a...distinctions have blurred, and competition between these institutions has intensified. ’ Open market operations are conducted by the central bank when

  14. 12 CFR 652.60 - Corporation board guidelines.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... developing the capital adequacy plan: (1) Capability of management; (2) Strategies and objectives in your...) Forecasted income, expense, and balance sheet statements for each year of the plan; (8) A marketing plan,...

  15. Adequacy of public maternal care services in Brazil.

    PubMed

    Bittencourt, Sonia Duarte de Azevedo; Domingues, Rosa Maria Soares Madeira; Reis, Lenice Gnocchi da Costa; Ramos, Márcia Melo; Leal, Maria do Carmo

    2016-10-17

    In Brazil, hospital childbirth care is available to all, but differences in access and quality of care result in inequalities of maternal health. The objective of this study is to assess the infrastructure and staffing of publicly financed labor and birth care in Brazil and its adequacy according to clinical and obstetric conditions potentially associated with obstetric emergencies. Nationwide cross-sectional hospital-based study "Birth in Brazil: national survey into labor and birth" conducted in 2011-2012. Data from 209 hospitals classified as public (public funding and management) or mixed (public or private funding and private management) that generate estimates for 1148 Brazilian hospitals. Interview with hospital managers provided data for the structure adequacy assessment covering four domains: human resources, medications, equipment for women emergency care and support services. We conducted analysis of the structure adequacy rate according to type of hospital (public or mixed), availability of ICU and the woman obstetric risk using the X (2) test to detect differences in categorical variables with the level of statistical significance set at p <0.05. Global rate of adequacy of 34.8 %: 42.2 % in public hospitals and 29.0 % in mixed hospitals (p < 0.001). Public and mixed hospitals with ICU had higher scores of adequacy than hospitals without ICU (73.3 % × 24.4 % public hospitals; 40.3 % × 10.6 % mixed hospitals). At a national level, 32.8 % of women with obstetric risk were cared for in hospitals without ICU and 29.5 % of women without risk were cared for in hospitals with ICU. Inequalities were observed with the North, Northeast and non-capital regions having the lower rates of hospitals with ICU. The majority of maternity wards across the country have a low rate of adequacy that can affect the quality of labor and birth care. This holds true for women at high obstetric risk, who suffer the possibility of having their care

  16. Intellectual Capital.

    ERIC Educational Resources Information Center

    Snyder, Herbert W.; Pierce, Jennifer Burek

    2002-01-01

    This review focuses on intellectual capital and its relationship to information professionals. Discusses asset recognition; national practices and the acceptance of intellectual capital; definitions of intellectual capital; measuring intellectual capital, including multiple and single variable measures; managing intellectual capital; and knowledge…

  17. Intellectual Capital.

    ERIC Educational Resources Information Center

    Snyder, Herbert W.; Pierce, Jennifer Burek

    2002-01-01

    This review focuses on intellectual capital and its relationship to information professionals. Discusses asset recognition; national practices and the acceptance of intellectual capital; definitions of intellectual capital; measuring intellectual capital, including multiple and single variable measures; managing intellectual capital; and knowledge…

  18. 12 CFR 615.5205 - Minimum permanent capital standards.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Minimum permanent capital standards. 615.5205 Section 615.5205 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM FUNDING AND FISCAL AFFAIRS, LOAN POLICIES AND OPERATIONS, AND FUNDING OPERATIONS Capital Adequacy § 615.5205 Minimum...

  19. Comparing Resource Adequacy Metrics: Preprint

    SciTech Connect

    Ibanez, E.; Milligan, M.

    2014-09-01

    As the penetration of variable generation (wind and solar) increases around the world, there is an accompanying growing interest and importance in accurately assessing the contribution that these resources can make toward planning reserve. This contribution, also known as the capacity credit or capacity value of the resource, is best quantified by using a probabilistic measure of overall resource adequacy. In recognizing the variable nature of these renewable resources, there has been interest in exploring the use of reliability metrics other than loss of load expectation. In this paper, we undertake some comparisons using data from the Western Electricity Coordinating Council in the western United States.

  20. Considering Special Education Adequacy in California

    ERIC Educational Resources Information Center

    Harr, Jenifer J.; Parrish, Tom; Chambers, Jay; Levin, Jesse; Segarra, Maria

    2006-01-01

    The ways in which the needs of special populations--students in poverty, English learners, and particularly special education students--have been addressed in studies measuring educational adequacy vary widely. This paper analyzes how these populations have been treated across various adequacy studies, with its major focus on special education…

  1. 45 CFR 800.109 - Network adequacy.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 3 2014-10-01 2014-10-01 false Network adequacy. 800.109 Section 800.109 Public... PROGRAM Multi-State Plan Program Issuer Requirements § 800.109 Network adequacy. (a) General requirement. An MSPP issuer must ensure that the provider network of each of its MSPs, as available to all...

  2. 45 CFR 800.109 - Network adequacy.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 3 2013-10-01 2013-10-01 false Network adequacy. 800.109 Section 800.109 Public... PROGRAM Multi-State Plan Program Issuer Requirements § 800.109 Network adequacy. (a) General requirement. An MSPP issuer must ensure that the provider network of each of its MSPs, as available to all...

  3. Is Educational Adequacy Adequate for Just Education?

    ERIC Educational Resources Information Center

    Almutairi, Abdullah

    2015-01-01

    In this article I raise three objections to Debra Satz's adequacy approach to education. I argue that her approach fails to see education as a positional good that opens the door to more inequalities. Second, I argue that her concept of adequacy for equal citizenship misses an essential part of students' educational experience beyond their…

  4. 12 CFR 615.5171 - Transfer of capital from banks to associations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... all of the shareholders; (2) The bank will be able to achieve its capital adequacy and business plan... in the ordinary course of business. (b) Considerations for preferential or nonroutine transfers...

  5. 12 CFR 615.5171 - Transfer of capital from banks to associations.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... all of the shareholders; (2) The bank will be able to achieve its capital adequacy and business plan... in the ordinary course of business. (b) Considerations for preferential or nonroutine transfers...

  6. Food Group Intake and Micronutrient Adequacy in Adolescent Girls

    PubMed Central

    Moore, Lynn L.; Singer, Martha R.; Qureshi, M. Mustafa; Bradlee, M. Loring; Daniels, Stephen R.

    2012-01-01

    This study explores the contribution of food group intakes to micronutrient adequacy among 2379 girls in the National Growth and Health Study during three age periods (9–13, 14–18, and 19–20 years). Data on food and nutrient intakes from 3-day diet records over 10 years were used to estimate mean intakes and percent meeting Dietary Guidelines (DGA) recommendations for food intakes and Institute of Medicine’s recommendations for vitamins and minerals. More than 90% of girls failed to consume the recommended amounts of fruit, vegetables and dairy; 75% consumed less than the recommended amounts in the “meat” group. The vast majority of girls of all ages had inadequate intakes of calcium, magnesium, potassium, and vitamins D and E. In contrast, they consumed >750 kcal/day (~40% of total energy) from the DGA category of solid fat and added sugars, about five times the recommended maximum intakes. This study shows the importance of consuming a variety of foods in all five food groups, including those that are more energy dense such as dairy and meats, in order to meet a broad range of nutrient guidelines. Diet patterns that combined intakes across food groups led to greater improvements in overall nutritional adequacy. PMID:23201841

  7. An Evaluation of Ecotoxicity Test Guidelines: Their Adequacy for Nanomaterials

    EPA Science Inventory

    Advances in nanotechnology are resulting in the production of new nanomaterials at a rapid pace. Driving the dramatic development of new materials and products is the prospect of stronger and lighter materials, better and more efficient energy systems, potential tremendous benefi...

  8. An Evaluation of Ecotoxicity Test Guidelines: Their Adequacy for Nanomaterials

    EPA Science Inventory

    Advances in nanotechnology are resulting in the production of new nanomaterials at a rapid pace. Driving the dramatic development of new materials and products is the prospect of stronger and lighter materials, better and more efficient energy systems, potential tremendous benefi...

  9. Nutritional adequacy of diets for adolescents with overweight and obesity: considerations for dietetic practice.

    PubMed

    Lister, N B; Gow, M L; Chisholm, K; Grunseit, A; Garnett, S P; Baur, L A

    2017-05-01

    Adolescents have unique nutrient requirements due to rapid growth and development. High rates of obesity in adolescents require a variety of diet interventions to achieve weight loss under clinical supervision. The aim of this study is to examine the nutritional adequacy of energy-restricted diets for adolescents. Three popular diets were modelled for 7 days and assessed by comparing the nutrient profile to the Australian Nutrient Reference Values. Three diets were: (1) a standard energy restricted diet based on current dietary guidelines; (2) a modified carbohydrate diet; and (3) a modified alternate day fasting diet. Initial modelling revealed limiting nutrients (that is, not meeting the recommended intakes) across the diets. Subsequent modelling was required to achieve nutritional adequacy for all three diets. The dietary guidelines diet design met most nutrient targets except essential fatty acids before subsequent modelling, however this diet also provided the highest energy (8.8 vs 8.0 MJ and 6.8 MJ for the modified carbohydrate and modified alternate day fasting diet, respectively). Energy-restricted diets need careful consideration to meet nutritional requirements of adolescents. A variety of eating patterns can be adapted to achieve nutritional adequacy and energy restriction, however health practitioners need to consider adequacy when prescribing diet interventions for weight loss during adolescence.

  10. 13 CFR 120.462 - What are SBA's additional requirements on capital maintenance for SBA Supervised Lenders?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    .... The board of directors (or management, if the SBA Supervised Lender is a division of another company... in developing the SBA Supervised Lender's capital adequacy plan: (i) Management capability; (ii...; (iv) Asset quality and the adequacy of the allowance for loan losses within the loan portfolio;...

  11. Intellectual Capital

    DTIC Science & Technology

    2004-12-01

    were continuously refined, most notably by Dublin and Lotka, life - insurance executives in the 1930s, who used a complex formula to determine how much... life insurance a man should carry (Wykstra, 1971). The leap from the valuation of human capital to the management of intellectual capital is more...December 2004 3. REPORT TYPE AND DATES COVERED MBA Professional Report 4. TITLE AND SUBTITLE: Intellectual Capital 6. AUTHOR( S ) Clint B Fondo

  12. Nuclear Waste Fund fee adequacy: An assessment

    SciTech Connect

    1990-11-01

    The purpose of this report is to present the Department of Energy`s (the Department) analysis of the adequacy of the 1.00 mill per kilowatt-hour (kWh) fee being paid by the utilities generating nuclear power for the permanent disposal of their spent nuclear fuel (SNF). In accordance with the Nuclear Waste Policy Act (NWPA), the SNF would be disposed of in a geologic repository to be developed by the Department. An annual analysis of the fee`s adequacy is required by the NWPA.

  13. Maximum Capital Project Management.

    ERIC Educational Resources Information Center

    Adams, Matt

    2002-01-01

    Describes the stages of capital project planning and development: (1) individual capital project submission; (2) capital project proposal assessment; (3) executive committee; and (4) capital project execution. (EV)

  14. Maximum Capital Project Management.

    ERIC Educational Resources Information Center

    Adams, Matt

    2002-01-01

    Describes the stages of capital project planning and development: (1) individual capital project submission; (2) capital project proposal assessment; (3) executive committee; and (4) capital project execution. (EV)

  15. Adequacy of Psychiatric Training: A Singaporean Perspective

    ERIC Educational Resources Information Center

    Tor, Phern-Chern; Ng, Tze-Pin; Kua, Ee-Heok

    2010-01-01

    Objective: The specialty training program for psychiatry in Singapore is transitioning to a seamless 5-year training program. It is timely to assess the perceived adequacy of current psychiatric specialty training. Methods: An anonymous survey was sent to all psychiatry trainees and psychiatrists in the public sector to assess the current adequacy…

  16. Financing Student Success: Beyond Equity and Adequacy.

    ERIC Educational Resources Information Center

    National Association of State Boards of Education, Alexandria, VA.

    A report sponsored by the National Association of State Boards of Education examines the equity and adequacy of school finance at the state level. The quality of education is still largely determined by where a child lives. Since 1989, more than a dozen school systems have been ruled unconstitutional by state high courts. It has been unclear who…

  17. Sampling Adequacy and the Semantic Differential.

    ERIC Educational Resources Information Center

    Dziuban, Charles D.; Shirkey, Edwin C.

    The Kaiser Measures of Sampling Adequacy (MSA) were derived for a typical six-concept Semantic Differential. The overall indices indicated that both concept and total correlation matrices would lead to comparable decisions regarding the psychometric quality of the sample data sets. The individual MSA's, however, revealed considerable variability…

  18. Exploring the Changing Face of Adequacy

    ERIC Educational Resources Information Center

    Alexander, Nicola A.

    2004-01-01

    Adequacy is a derived concept whose origins in the school finance literature probably stem from San Antonio Independent School District v. Rodriguez (1973), a landmark federal case. Although there is often a recycling of definitions, 3 decades later, there is still little consensus on how to operationalize that concept. The purpose of this article…

  19. Adequacy of Psychiatric Training: A Singaporean Perspective

    ERIC Educational Resources Information Center

    Tor, Phern-Chern; Ng, Tze-Pin; Kua, Ee-Heok

    2010-01-01

    Objective: The specialty training program for psychiatry in Singapore is transitioning to a seamless 5-year training program. It is timely to assess the perceived adequacy of current psychiatric specialty training. Methods: An anonymous survey was sent to all psychiatry trainees and psychiatrists in the public sector to assess the current adequacy…

  20. Parkland College LRC/Library Adequacy.

    ERIC Educational Resources Information Center

    Hecht, Alfred

    In Spring 1991, the LRC (Learning Resources Center)/library at Parkland College (PC) was quantitatively assessed in terms of staff size, collection size, budget allocation, circulation, and space allocation. Adequacy indicators from fiscal year (FY) 1991 and FY90 were compared to those from FY88. In addition, PC's LRC/library was compared to…

  1. Exploring the Changing Face of Adequacy

    ERIC Educational Resources Information Center

    Alexander, Nicola A.

    2004-01-01

    Adequacy is a derived concept whose origins in the school finance literature probably stem from San Antonio Independent School District v. Rodriguez (1973), a landmark federal case. Although there is often a recycling of definitions, 3 decades later, there is still little consensus on how to operationalize that concept. The purpose of this article…

  2. Massachusetts' "Hancock" Case and the Adequacy Doctrine

    ERIC Educational Resources Information Center

    Costrell, Robert

    2006-01-01

    The Hancock school finance case put the adequacy doctrine to its strictest test yet, to see if even a national educational leader such as Massachusetts could be found in constitutional violation. The doctrine failed this test, as the court found in favor of the defendants due to the vigorous reform program since 1993. The court credited the…

  3. 78 FR 62940 - Railroad Revenue Adequacy-2012 Determination

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-22

    ... Surface Transportation Board Railroad Revenue Adequacy--2012 Determination AGENCY: Surface Transportation... announcing the 2012 revenue adequacy determinations for the Nation's Class I railroads. Two carriers, Norfolk Southern Combined Railroad Subsidiaries and Union Pacific Railroad Company, were found to be...

  4. 76 FR 16250 - Planning Resource Adequacy Assessment Reliability Standard

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ... Energy Regulatory Commission 18 CFR Part 40 Planning Resource Adequacy Assessment Reliability Standard... Standard, BAL-502-RFC-02 (Planning Resource Adequacy Analysis, Assessment and ] Documentation), developed..., Assessment and Documentation), developed by ReliabilityFirst Corporation (RFC) and submitted to the...

  5. 76 FR 68830 - Railroad Revenue Adequacy-2010 Determination

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-07

    ... (Sub-No. 15)] Railroad Revenue Adequacy--2010 Determination AGENCY: Surface Transportation Board, DOT... revenue adequacy determinations for the Nation's Class I railroads. One carrier, Union Pacific Railroad... INFORMATION: The Board is required to make an annual determination of railroad revenue adequacy. A railroad...

  6. Program of Requirements Guidelines.

    ERIC Educational Resources Information Center

    Council of Educational Facility Planners, International, Columbus, OH.

    These guidelines describe both the role and preparation of a Program of Requirements (POR) in the planning and design of capital improvements projects. The purpose of POR is to define very clearly facility needs and objectives to the designer. The POR consists of five parts: (l) the title page; (2) part A, a summary of the project and general…

  7. Adequacy and quality of abdominal echographies requested by primary care professionals

    PubMed Central

    2010-01-01

    Background The value of abdominal echography in primary care is great because it is innocuous, inexpensive, easy to perform and provides a great deal of information making this the first examination to be requested in cases of probable abdominal disease. However, too many abdominal echographies are probably requested overcrowding the Departments of Radiodiagnosis with not always justified petitions or with repetition of tests based on little clinical criteria. Methods/Design The aim of the study is to evaluate the adequacy and quality of abdominal echographies requested by primary care physicians in the Maresme County (North of Barcelona), develop guidelines for indicating echographies and reevaluate this adequacy after implementing these guidelines. We will perform a two-phase study: the first descriptive, and retrospective evaluating the adequacy and quality of petitions for abdominal echographies, and in the second phase we will evaluate the impact of recommendations for indicating abdominal echographies for PC physicians on the adequacy and quality of echography petitions thereafter. This study will be carried out in 10 primary care centres in the Maresme (Barcelona). 1067 abdominal echographies requested by primary care physicians from the above mentioned centres from January 2007 to April 2010 and referred to the Department of Radiology and the same number of applications after the intervention. All the petitions for abdominal echographies requested will be analysed and the clinical histories will be obtained to determine demographic variables, the reason for the visit and for the echography petition and diagnostic orientation, clinical and echographic data, evaluation of the echographies according to the quality and variables characterising the professionals requesting the echographies including: age, sex, laboral situation, length of time in work post, formation, etc. To achieve a consensus of the adequacy of abdominal echography, a work group including

  8. Assessment of adequacy of hemodialysis dose at a Palestinian hospital.

    PubMed

    Adas, Heba; Al-Ramahi, Rowa; Jaradat, Nidal; Badran, Rand

    2014-03-01

    Adequacy of hemodialysis improves patient survival, quality of life and biochemical outcomes and minimizes disease complications and hospitalizations. This study was an observational cross-sectional study that was conducted in July 2012. Blood tests, weight and blood pressure were measured before and after hemodialysis. Single-pool Kt/V and urea reduction ratio (URR) were calculated. The targets based on the National Kidney Foundation Disease Outcomes Quality Initiative (KDOQI) Clinical Practice Guidelines were Kt/V ≥ 1.2 and URR ≥ 65%. Of the 64 patients, 41 (64.1%) were males. The mean age of the patients was 58.13 ± 17.2 years. The mean body mass index (BMI) was 25.04 ± 5.01 kg/m 2 . The mean Kt/V and URR were 1.06 ± 0.05 and 54.4 ± 19.3, respectively. There was no significant difference between men and women (1.06 ± 0.47 versus 1.04 ± 0.55, P = 0.863) and (54.7 ± 19.59 versus 53.81 ± 19.17, P = 0.296). Only 25 (39.1%) patients achieved the Kt/V goal and only 22 (34.4%) had target URR, and there was no significant association between hemodialysis adequacy and any of the variables such as sex, age, presence of chronic diseases or BMI. Serum potassium levels post-dialysis were significantly lower in patients who reached the target Kt/V (mean = 3.44 ± 0.48 versus 3.88 ± 0.48, P = 0.001). Most patients were inadequately dialyzed and a large percentage of the patients did not attain the targets. Attempts to achieve the desired goals are necessary. It is important to calculate Kt/V or URR and individualize the dialysis doses for each patient.

  9. Random vibration ESS adequacy prediction method

    NASA Astrophysics Data System (ADS)

    Lambert, Ronald G.

    Closed form analytical expressions have been derived and are used as part of the proposed method to quantitatively predict the adequacy of the random vibration portion of an Environmental Stress Screen (ESS) to meet its main objective for screening typical avionics electronic assemblies for workmanship defects without consuming excessive useful life. This method is limited to fatigue related defects (including initial damage/Fracture Mechanics effects) and requires defect fatigue and service environment parameter values. Examples are given to illustrate the method.

  10. Nutritional adequacy in subjects with metabolic syndrome.

    PubMed

    Mesquita de Carvalho, Cláudia; Dias Mendonça, Dayana; Haas Piovesan, Carla; Edler Macagnan, Fabrício; Pandolfo Feoli, Ana Maria

    2014-11-16

    The nutritional approach in the treatment of metabolic syndrome is a fundamental factor. It is important to raise awareness to patients about the benefits of following the treatments when you want to promote changes in lifestyle. The aim of this study was to assess nutritional adequacy in subjects with metabolic syndrome according to the dietary recommendations prescribed. Quasi-experimental research with 72 subjects with metabolic syndrome, held in southern Brazil. A nutritional orientation was conducted, related or not with physical exercise for three months. A 24-hour recall and two-day food record, were the reference method of dietary intake assessment. Nutritional adequacy was determined by the energy and nutrient intakes as defined by the Brazilian Food Guide Pyramid groups. Volunteers reached on average 80% of the energy consumption recommended. Protein and lipid intake was higher, and carbohydrate consumption was lower than recommended levels. There was a low intake of cereals, vegetables, dairy product and beans (p<0.001) as compared with the recommended servings. A high consumption of meat (p<0.001) and an adequate intake of fruit (p=0.149) were observed. The dietary intake was insufficient to meet the recommendation of energy, although the goal for weight loss was achieved. Still, the results show the need for a balance in food intake and quality of the diet to achieve nutritional adequacy. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  11. Hemodialysis Adequacy Monitoring Information System: Minimum Data Set and Capabilities Required.

    PubMed

    Jebraeily, Mohamad; Ghazisaeidi, Marjan; Safdari, Reza; Makhdoomi, Khadijeh; Rahimi, Bahlol

    2015-08-01

    In dialysis centers both nephrologists and nurses are faced with the challenge of ensuring reliable and efficient care accordance with the clinical guideline. Hemodialysis adequacy monitoring information system therefore enable the automation of tasks, which ultimately allows doctors and nursing staff more time to dedicate to the individual treatment of patients. Development of the information systems in healthcare has made the use of the Minimum data set inevitable. The purpose of this study was determined MDS and capabilities required in hemodialysis adequacy monitoring information system. This is a cross-sectional survey conducted with participation of 320 nephrology specialists in 2015. Data were collected using an electronic questionnaire which was estimated as both reliable and valid. The data were analyzed by SPSS software descriptive statistics and analytical statistics. Overall 42 data elements were determined as final set in 4 major categories (patient demographics, medical history, treatment plan and hemodialysis adequacy). The most capabilities required of hemodialysis information system were related to calculate of dialysis adequacy Index (4.80), advice optimal dose of dialysis for each patient (4.63), Easy access to information system without restrictions of time and place (4.61), providing alerts when dialysis adequacy index below the standard (4.55) and Interchange to other information systems in hospitals (4.46) respectively. In design and implementation of information systems focus on MDS and identification IS capabilities based on the users' needs, due to the wide participation users and also the success of the information system. Therefore it is necessary that MDS evaluated carefully with regard to the intended uses of the data. Also information systems based on capabilities the ability to meet the needs of their users.

  12. Hemodialysis Adequacy Monitoring Information System: Minimum Data Set and Capabilities Required

    PubMed Central

    Jebraeily, Mohamad; Ghazisaeidi, Marjan; Safdari, Reza; Makhdoomi, Khadijeh; Rahimi, Bahlol

    2015-01-01

    Introduction: In dialysis centers both nephrologists and nurses are faced with the challenge of ensuring reliable and efficient care accordance with the clinical guideline. Hemodialysis adequacy monitoring information system therefore enable the automation of tasks, which ultimately allows doctors and nursing staff more time to dedicate to the individual treatment of patients. Development of the information systems in healthcare has made the use of the Minimum data set inevitable. The purpose of this study was determined MDS and capabilities required in hemodialysis adequacy monitoring information system. Method and materials: This is a cross-sectional survey conducted with participation of 320 nephrology specialists in 2015. Data were collected using an electronic questionnaire which was estimated as both reliable and valid. The data were analyzed by SPSS software descriptive statistics and analytical statistics. Results: Overall 42 data elements were determined as final set in 4 major categories (patient demographics, medical history, treatment plan and hemodialysis adequacy). The most capabilities required of hemodialysis information system were related to calculate of dialysis adequacy Index (4.80), advice optimal dose of dialysis for each patient (4.63), Easy access to information system without restrictions of time and place (4.61), providing alerts when dialysis adequacy index below the standard (4.55) and Interchange to other information systems in hospitals (4.46) respectively. Conclusion: In design and implementation of information systems focus on MDS and identification IS capabilities based on the users’ needs, due to the wide participation users and also the success of the information system. Therefore it is necessary that MDS evaluated carefully with regard to the intended uses of the data. Also information systems based on capabilities the ability to meet the needs of their users. PMID:26483599

  13. Micronutrient intake adequacy in children from birth to 8 years. Data from the Childhood Obesity Project.

    PubMed

    Zaragoza-Jordana, Marta; Closa-Monasterolo, Ricardo; Luque, Veronica; Ferré, Natàlia; Grote, Veit; Koletzko, Berthold; Pawellek, Ingrid; Verduci, Elvira; ReDionigi, Alice; Socha, Jerzy; Stolarczyk, Anna; Poncelet, Pascale; Rousseaux, Déborah; Escribano, Joaquin

    2017-02-09

    In European countries, suboptimal intake has been reported for several micronutrients (as calcium, iron, zinc, vitamin B12, D and folate) in both adulthood and childhood. No studies to date have prospectively compiled nutrient intake from healthy children in different European countries using the same methodology. To describe the adequacy of micronutrient intake during the first eight years of life in children from 5 European countries. Prospective observational trial analyzing data from the EU Childhood Obesity Project. Infants were enrolled within the first two months of life and were followed regularly to age 8 years. Dietary intake was collected periodically with 3-day food records. Nutrient intake adequacy was estimated for calcium, phosphorus, iron, zinc, magnesium, iodine, folate and vitamins B12, A and D, following the American Institute of Medicine (IOM) guidelines at group (prevalence of adequacy >80%) and individual (high probability of adequate intake >80% of the children) level; the assessment was based on the Estimated Average Requirements of nutrients of the FAO, WHO and United Nations University (FAO/WHO/UNU) or the IOM if FAO/WHO/UNU data were not available. Intake data were available for a decreasing number of children, from 904 at 3 months to 396 at 8 years. Iron, iodine, folate and vitamin D were inadequately consumed when assessing adequacy at group level; at individual-level less than 80% of the children showed high probability of adequate intake for iron, iodine, folate and zinc at all ages, and calcium from 12 months onwards. Accurate dietary intake and adequacy assessment methodology in this prospective cohort of European children found iron, calcium, vitamin D, folate, iodine and zinc to be inadequately consumed in childhood, as described previously by epidemiologic studies. Further studies are needed to elucidate health consequences of these deficiencies. CHOP trial was registered at clinicaltrials.gov as NCT00338689. Copyright © 2017

  14. Neonatal care in Brazil: hospital structure and adequacy according to newborn obstetric risk.

    PubMed

    de Azevedo Bittencourt, Sonia Duarte; Queiroz Gurgel, Ricardo; da Silva Menezes, Maria Alexsandra; Bastos, Leonardo S; do Carmo Leal, Maria

    2015-08-01

    In Brazil, hospital birth care is available to all, but there are important differences between hospitals in the public and private sectors, geographical regions and capitals/inland cities, resulting in inequalities of infant health. To assess the hospital structure for birth care in Brazil and analyze hospital adequacy to care for newborns according to levels of risk. Data were collected as part of a nationwide hospital-based cohort study, 'Birth in Brazil'. The hospitals were classified according to whether they had a neonatal intensive care unit and divided into two models of governance: public and private financing. Three structure domains were assessed: human resources, medications and equipment for post-natal women and newborn emergency care. Newborns were classified according to the obstetric risk. There are more NICUs in private hospitals and they cater mostly for low obstetric risk newborns; the public sector serves 50% of at-risk patients in hospitals without an NICU. The differences between hospital service structures according to geographic region and capital/inland cities were evident. Hospitals in less developed regions and inland cities had poorer adequacy in the three domains. The distribution of neonatal care to Brazilian infants varied between the public and private sectors. The public sector offered less complex services for newborns at risk, and infants without obstetric risk were born in facilities with an NICU, creating the possibility of unnecessary intervention, especially in the private sector.

  15. Comparison of Kt/V and urea reduction ratio in measuring dialysis adequacy in paediatric haemodialysis in England.

    PubMed

    Dunne, Nina; Campbell, Malcolm; Fitzpatrick, Maggie; Callery, Peter

    2014-06-01

    The National Kidney Foundation-Dialysis Outcomes Quality Initiative (KDOQI) guidelines and the Renal Association recommend the use of either Kt/V or urea reduction ratio (URR) to measure haemodialysis adequacy. To determine the methods used to measure paediatric haemodialysis adequacy and to assess consistency between calculations of single pool Kt/V (spKt/V) and URR. A service evaluation was conducted to establish current practices in measuring dialysis adequacy. A prospective longitudinal study was conducted to compare spKt/V and URR. Thirty-two children were recruited consisting of 13 males and 19 females in five paediatric dialysis centres. Inconsistencies were reported of the method of post-urea sampling with 4 of the 10 centres using the KDOQI recommended sampling method. Five dialysis centres reported using URR and five reported using spKt/V. There were substantial differences between the two measures. Using URR suggested that up to 44% of children did not receive adequate dialysis, whereas measurement by spKt/V suggested no more than 6% of the same dialysis sessions were not adequate. One standard measure should be used to assess dialysis adequacy in paediatric centres in England. KDOQI guidelines were not consistently followed in obtaining a post-urea blood sample and this procedure should be standardised. © 2014 European Dialysis and Transplant Nurses Association/European Renal Care Association.

  16. Capital Campaigns.

    ERIC Educational Resources Information Center

    Dalessandro, David; And Others

    1989-01-01

    Eight articles focus on capital campaigns including setting goals (D. Dalessandro), the lead gift (D. A. Campbell), motivating trustees (J. J. Ianolli, Jr.), alumni associations (W. B. Adams), role of public relations officers (R. L. Williams), special events( H.R. Gilbert), the campaign document (R. King), and case statements (D. R. Treadwell,…

  17. Capital Campaigns.

    ERIC Educational Resources Information Center

    Dalessandro, David; And Others

    1989-01-01

    Eight articles focus on capital campaigns including setting goals (D. Dalessandro), the lead gift (D. A. Campbell), motivating trustees (J. J. Ianolli, Jr.), alumni associations (W. B. Adams), role of public relations officers (R. L. Williams), special events( H.R. Gilbert), the campaign document (R. King), and case statements (D. R. Treadwell,…

  18. 12 CFR 652.60 - Corporation board guidelines.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... interest rate risks, contingent and off-balance sheet liabilities, or other conditions warranting... that is sufficient to ensure continued financial viability and—provide for growth. In addition, your... developing the capital adequacy plan: (1) Capability of management; (2) Strategies and objectives in your...

  19. Developing Nursing Computer Interpretable Guidelines: a Feasibility Study of Heart Failure Guidelines in Homecare.

    PubMed Central

    Topaz, Maxim; Shalom, Erez; Masterson-Creber, Ruth; Rhadakrishnan, Kavita; Monsen, Karen A.; Bowles, Kathryn H.

    2013-01-01

    Homecare is the fastest growing healthcare sector and evidence based information systems are critically needed. Nurses provide most of the care in homecare setting, yet there is a lack of knowledge on the feasibility of applying existing methodologies to generate computer interpretable nursing guidelines for home care. This study examined the feasibility of encoding homecare nursing heart failure guideline into a computer interpretable format. First, we achieved experts’ consensus on the relevant guideline. Then, after training on the graphical tool for gradual knowledge specification (Gesher), we generated a comprehensive, hierarchical and time-oriented computer interpretable guideline using one of the guideline modeling languages (Asbru). The final guideline included 167 recommendations and experts’ evaluation confirmed the adequacy of guideline knowledge representation. Future work should expand the applicability of our methodology and tools to nursing specialties other than heart failure and develop methods for comprehensive quality evaluation of the resulting guidelines. PMID:24551412

  20. Developing nursing computer interpretable guidelines: a feasibility study of heart failure guidelines in homecare.

    PubMed

    Topaz, Maxim; Shalom, Erez; Masterson-Creber, Ruth; Rhadakrishnan, Kavita; Monsen, Karen A; Bowles, Kathryn H

    2013-01-01

    Homecare is the fastest growing healthcare sector and evidence based information systems are critically needed. Nurses provide most of the care in homecare setting, yet there is a lack of knowledge on the feasibility of applying existing methodologies to generate computer interpretable nursing guidelines for home care. This study examined the feasibility of encoding homecare nursing heart failure guideline into a computer interpretable format. First, we achieved experts' consensus on the relevant guideline. Then, after training on the graphical tool for gradual knowledge specification (Gesher), we generated a comprehensive, hierarchical and time-oriented computer interpretable guideline using one of the guideline modeling languages (Asbru). The final guideline included 167 recommendations and experts' evaluation confirmed the adequacy of guideline knowledge representation. Future work should expand the applicability of our methodology and tools to nursing specialties other than heart failure and develop methods for comprehensive quality evaluation of the resulting guidelines.

  1. A Basis for Determining the Adequacy of Evaluation Designs

    ERIC Educational Resources Information Center

    Sanders, James R.; Nafziger, Dean N.

    2011-01-01

    The purpose of this paper is to provide a basis for judging the adequacy of evaluation plans or, as they are commonly called, evaluation designs. The authors assume that using the procedures suggested in this paper to determine the adequacy of evaluation designs in advance of actually conducting evaluations will lead to better evaluation designs,…

  2. Perception of Adequacy of Resources with a Turkish Sample

    ERIC Educational Resources Information Center

    Copur, Zeynep; Safak, Sukran; Terzioglu, Gunsel; Dodder, Richard A.

    2009-01-01

    This study examines the validity and reliability of the Perceptions of Adequacy of Resources inventory--developed for American society--in a sample from Turkey and determines the correlations between perceived adequacy of resources and selected socioeconomic and family composition characteristics in Turkey. Participants of this study consist of…

  3. 45 CFR 156.230 - Network adequacy standards.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Network adequacy standards. 156.230 Section 156... Qualified Health Plan Minimum Certification Standards § 156.230 Network adequacy standards. (a) General requirement. A QHP issuer must ensure that the provider network of each of its QHPs, as available to all...

  4. 45 CFR 156.230 - Network adequacy standards.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Network adequacy standards. 156.230 Section 156... Qualified Health Plan Minimum Certification Standards § 156.230 Network adequacy standards. (a) General requirement. A QHP issuer must ensure that the provider network of each of its QHPs, as available to all...

  5. 78 FR 64442 - NASA FAR Supplement: Proposal Adequacy Checklist

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-29

    ... SPACE ADMINISTRATION 48 CFR Parts 1815 and 1852 RIN 2700-AE13 NASA FAR Supplement: Proposal Adequacy Checklist AGENCY: National Aeronautics and Space Administration. ACTION: Proposed rule. SUMMARY: NASA is proposing to amend the NASA FAR Supplement (NFS) to incorporate a proposal adequacy checklist for...

  6. Rawls, Republicanism, and the Adequacy-Equity Debate

    ERIC Educational Resources Information Center

    Burroughs, Nathan A.

    2016-01-01

    In this article, I critique the foremost proponents of the adequacy and equity approaches to educational equality. I identify tensions within the adequacy approach related to positionality in education, fostering a democratic elite through higher education, and its defense of private schooling. In contrast, equity theorists are vulnerable to the…

  7. Rawls, Republicanism, and the Adequacy-Equity Debate

    ERIC Educational Resources Information Center

    Burroughs, Nathan A.

    2016-01-01

    In this article, I critique the foremost proponents of the adequacy and equity approaches to educational equality. I identify tensions within the adequacy approach related to positionality in education, fostering a democratic elite through higher education, and its defense of private schooling. In contrast, equity theorists are vulnerable to the…

  8. 40 CFR 51.112 - Demonstration of adequacy.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... REQUIREMENTS FOR PREPARATION, ADOPTION, AND SUBMITTAL OF IMPLEMENTATION PLANS Control Strategy § 51.112 Demonstration of adequacy. (a) Each plan must demonstrate that the measures, rules, and regulations contained in... implements. (1) The adequacy of a control strategy shall be demonstrated by means of applicable air...

  9. 48 CFR 9903.202-6 - Adequacy of Disclosure Statement.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Adequacy of Disclosure Statement. 9903.202-6 Section 9903.202-6 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS... determination of adequacy shall be distributed to all affected agencies. Agencies are urged to coordinate on...

  10. Hang-Gliding or Looking for an Updraft. A Study of College and University Finance in the 1980s--The Capital Margin.

    ERIC Educational Resources Information Center

    Jenny, Hans H.; And Others

    A set of concepts that governing boards and senior administrators can use in analyzing the physical capital requirements of their institutions are described, based on the study of two samples of private colleges. Attention is focused on the question of the relative adequacy of college and university cash flows for financing the capital margin.…

  11. Region 1: Connecticut Adequacy Letter (2/20/2013)

    EPA Pesticide Factsheets

    This is a letter from Anne E. Arnold, Manger, Air Quality Planning Unit, to Anne Gobi, Bureau of Air Management, Connecticut Department of Energy & Environmental Protection, regarding adequacy status of transportation conformity motor vehicle emissions bud

  12. "Me Tarzan, You Jane!" Adequacy, Expressiveness, and the Creole Speaker.

    ERIC Educational Resources Information Center

    Rickford, John R.

    1986-01-01

    Argues that the adequacy of pidgins and creoles as expressive instruments requires systematic empirical research. This research would be based on two sound approaches: a macro-survey of language resources and a micro-analysis of language samples. (CB)

  13. Surrogate nutrition markers, malnutrition, and adequacy of nutrition support.

    PubMed

    Seres, David S

    2005-06-01

    Surrogate nutrition markers are used to assess adequacy of nourishment and to define malnutrition despite evidence that fails to link nourishment, surrogate markers, and outcomes. Markers such as serum levels of albumin, prealbumin, transferrin, and IGF-1 and delayed hypersensitivity and total lymphocyte count may be valid to help stratify risk. However, it is not appropriate to consider these as markers of adequacy of nourishment in the sick patient.

  14. On the Assessment of Psychometric Adequacy in Correlation Matrices.

    ERIC Educational Resources Information Center

    Dziuban, Charles D.; Shirkey, Edwin C.

    Three techniques for assessing the adequacy of correlation matrices for factor analysis were applied to four examples from the literature. The methods compared were: (1) inspection of the off diagonal elements of the anti-image covariance matrix S(to the 2nd) R(to the -1) and S(to the 2nd); (2) the Measure of Sampling Adequacy (M.S.A.), and (3)…

  15. The Texas Energy-Only Resource Adequacy Mechanism

    SciTech Connect

    Schubert, Eric S.; Hurlbut, David; Adib, Parviz; Oren, Shmuel

    2006-12-15

    On Sept. 13, 2006, the Public Utility Commission of Texas put into effect a new Resource Adequacy and Market Power Rule which establishes an Energy-Only resource adequacy mechanism in the ERCOT electricity market, relaxes the $1,000 per MWh offer cap, and replaced existing market mitigation procedures with more market transparency and prompt information disclosure. The authors describe the motivation and rationale underlying the new rule, its development process, and its implementation details. (author)

  16. Dietary adequacy in Asian Indians with HIV.

    PubMed

    Wig, N; Bhatt, S P; Sakhuja, A; Srivastava, S; Agarwal, S

    2008-03-01

    Malnutrition is endemic in developing countries, which also bear the brunt of the human immunodeficiency virus (HIV) pandemic. HIV and its complications have a significant impact on nutritional status. Malnutrition and HIV have deleterious interactions. Dietary inadequacy is a major cause of malnutrition and few studies have been done to assess dietary adequacy in HIV-infected individuals and the factors affecting intake. Dietary intake of 71 consecutive patients was determined using 24-hour dietary recall, with the help of a questionnaire and a structured interview, and then compared with the recommended dietary allowances (RDA). The dietary intake of energy, total fat, fibre, vitamin C and iron were significantly less than the recommended RDA. There was no difference in protein intake. Only 5.7% of males and 16.7% of females reached the recommended energy allowance. The recommended protein allowance was reached by 43.4% males and 44.4% females and 41.5% males and 38.9% females consumed more than the upper limit of the recommended fat intake. Intake of major nutrients was also significantly less when compared to the national average intake. On bivariate analysis, the factors affecting these inadequacies were found to be annual per-capita income, dependency on another for livelihood, CD4 counts more than 200/cubic millimeter and absence of antiretroviral therapy. On multivariate analysis, only dependency on another was found to significantly influence energy intake. Dietary intake of many food constituents is significantly less in HIV patients than that recommended. Dietary counselling and efforts to improve food security are important in management of these patients.

  17. 75 FR 82317 - Risk-Based Capital Standards: Advanced Capital Adequacy Framework-Basel II; Establishment of a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-30

    ... the methods described above. Board: You may submit comments, identified by Docket No. R-1402 and RIN... electronically or in paper form in Room MP-500 of the Board's Martin Building (20th and C Streets, NW.) between 9... the hearing impaired only, Telecommunication Device for the Deaf (TDD), (202) 263-4869. FDIC:...

  18. Dairy intake, dietary adequacy, and lactose intolerance.

    PubMed

    Heaney, Robert P

    2013-03-01

    Despite repeated emphasis in the Dietary Guidelines for Americans on the importance of calcium in the adult American diet and the recommendation to consume 3 dairy servings a day, dairy intake remains well below recommendations. Insufficient health professional awareness of the benefits of calcium and concern for lactose intolerance are among several possible reasons, This mini-review highlights both the role of calcium (and of dairy, its principal source in modern diets) in health maintenance and reviews the means for overcoming lactose intolerance (real or perceived).

  19. Capital disadvantage: America's failing capital investment system.

    PubMed

    Porter, M E

    1992-01-01

    The U.S. system of allocating investment capital is failing, putting American companies at a serious disadvantage and threatening the long-term growth of the nation's economy. The problem, says Michael Porter, goes beyond the usual formulation of the issue: accusations of "short-termism" by U.S. managers, ineffective corporate governance by directors, or a high cost of capital. The problem involves the external capital allocation system by which capital is provided to companies, as well as the system by which companies allocate capital internally. America's system is marked by fluid capital and a financial focus. Other countries--notably Japan and Germany--have systems with dedicated capital and a focus on corporate position. In global competition, where investment increasingly determines a company's capacity to upgrade and innovate, the U.S. system does not measure up. These conclusions come out of a two-year research project sponsored by the Harvard Business School and the Council on Competitiveness. Porter recommends five far-reaching reforms to make the U.S. system superior to Japan's and Germany's: 1. Improve the present macroeconomic environment. 2. Expand true ownership throughout the system so that directors, managers, employees, and even customers and suppliers hold positions as owners. 3. Align the goals of capital providers, corporations, directors, managers, employees, customers, suppliers, and society. 4. Improve the information used in decision making. 5. Foster more productive modes of interaction and influence among capital providers, corporations, and business units.

  20. Retirement plans, personal saving, and saving adequacy.

    PubMed

    Yakoboski, P

    2000-03-01

    This Issue Brief addresses three questions raised by recent trends in personal saving: How are national savings measured and what is the meaning of the trends in measured personal saving rates, given what is included and what is not included in those measures? What is the effect of retirement saving programs--in particular, 401(k) plans and individual retirement accounts (IRAs)--on personal saving levels? What are the implications of existing saving behavior for the retirement income security of today's workers? The National Income and Product Accounts (NIPA), the most commonly referenced gauge of personal saving, is a widely misunderstood measure. One could argue that a complete measure of saving would include increases in wealth through capital gains, but NIPA does not factor accrued and realized capital gains on stocks and other assets into the saving rate. By one measure, accounting for capital gains results in an aggregate personal saving rate of 33 percent--more than double the rate of four decades ago. A major policy question is the impact of tax-qualified retirement saving plans (i.e., IRAs and 401(k) plans) on personal saving rates. Empirical analysis of this issue is extremely challenging and findings have been contradictory. These programs now represent an enormous store of retirement-earmarked wealth in tax-deferred vehicles: Combined, such tax-deferred retirement accounts currently have assets of about $4 trillion. Ninety percent of IRA contributions are now the result of "rollovers" as employees leave employer plans, like 401(k) plans. While leakage from the system remains a challenge, the majority of the assets in the system can be expected to be available to fund workers' retirements. One could argue that, from a retirement income security perspective, workers in general are better off because IRA and 401(k) programs exist. Surely, many of the dollars in these programs would have been saved even without the programs; but they would not necessarily

  1. School feeding contributes to micronutrient adequacy of Ghanaian schoolchildren.

    PubMed

    Abizari, Abdul-Razak; Buxton, Christiana; Kwara, Lugutuah; Mensah-Homiah, Joseph; Armar-Klemesu, Margaret; Brouwer, Inge D

    2014-09-28

    Without gains in nutritional outcomes, it is unlikely that school feeding programmes (SFP) could improve cognition and academic performance of schoolchildren despite the improvements in school enrolment. We compared the nutrient intake adequacy and Fe and nutritional status of SFP and non-SFP participants in a cross-sectional survey involving 383 schoolchildren (aged 5-13 years). Quantitative 24 h recalls and weighed food records, repeated in 20% subsample, were used to estimate energy and nutrient intakes adjusted for day-to-day variations. The probability of adequacy (PA) was calculated for selected micronutrients and the mean of all PA (MPA) was calculated. The concentrations of Hb, serum ferritin, and soluble transferrin receptor (sTfR) and anthropometric measurements were used to determine Fe and nutritional status. Energy and nutrient intakes and their adequacies were significantly higher among SFP participants (P<0·001). The MPA of micronutrients was significantly higher among SFP participants (0·61 v. 0·18; P<0·001), and the multiple-micronutrient-fortified corn soya blend was a key contributor to micronutrient adequacy. In SFP participants, 6 g/l higher Hb concentrations (P<0·001) and about 10% points lower anaemia prevalence (P=0·06) were observed. The concentration of sTfR was significantly lower among SFP participants (11·2 v. 124 mg/l; P=0·04); however, there was no difference in the prevalence of Fe deficiency and Fe-deficiency anaemia between SFP and non-SFP participants. There was also no significant difference in the prevalence of thinness, underweight and stunting. In conclusion, the present results indicate that school feeding is associated with higher intakes and adequacies of energy and nutrients, but not with the prevalence of Fe and nutritional status indicators. The results also indicate an important role for micronutrient-dense foods in the achievement of micronutrient adequacy within SFP.

  2. Relationship between dialysis adequacy and sleep quality in haemodialysis patients.

    PubMed

    Tosun, Nuran; Kalender, Nurten; Cinar, Fatma Ilknur; Bagcivan, Gulcan; Yenicesu, Mujdat; Dikici, Dilek; Kaya, Dilek

    2015-10-01

    The aim of this study is to examine the relationship between dialysis adequacy and sleep quality in haemodialysis patients. Sleep problems are common in haemodialysis patients. Dialysis adequacy is one of the factors associated with sleep quality. Studies evaluating the association between dialysis adequacy and sleep quality in haemodialysis patients present different results. Descriptive and cross-sectional study. This study was performed with a total of 119 patients who had applied to dialysis centres for haemodialysis treatment between January and March 2014. The data collection form consists of socio-demographic and medical characteristics as well as laboratory parameters. A modified Post-Sleep Inventory was used to examine sleep quality in the research. There were no statistically significant relationship between sleep quality and dialysis adequacy (p > 0·05). When the Post-Sleep Inventory scores were evaluated according to sleep quality, 63·0% of patients had poor sleep quality, and 37·0% had good sleep quality. Sleep quality was worse in unemployed patients (X(2) = 4·852; p = 0·025) and patients who smoked heavily (Z = 2·289; p = 0·022). In this study, there is no statistically significant relationship between dialysis adequacy and sleep quality. However, it was found that the majority of haemodialysis patients had poor sleep quality. Even if the dialysis adequacy of patients is at the recommended level, their sleep qualities may be poor. Therefore, evaluations of the sleep quality of haemodialysis patients during the clinical practice must be taken into consideration. © 2015 John Wiley & Sons Ltd.

  3. Best Practice No 177: Best practice guideline: writing a business case for service development in pathology.

    PubMed

    Galloway, M J

    2004-04-01

    This guideline reviews the introduction and development of business planning in the National Health Service. A guideline for writing a business case for service development that would form part of a pathology business plan has been developed. This guideline outlines six steps that are required in the preparation of a business case. The format of the guideline has been developed largely from other national guidelines that have been published for the development of capital projects. In view of the publication of these guidelines, the scope of this guideline excludes business cases for information, management, and technology projects and large capital projects.

  4. Slipped capital femoral epiphysis

    MedlinePlus

    ... page: //medlineplus.gov/ency/article/000972.htm Slipped capital femoral epiphysis To use the sharing features on this page, please enable JavaScript. A slipped capital femoral epiphysis is a separation of the ball ...

  5. Reaching Nutritional Adequacy Does Not Necessarily Increase Exposure to Food Contaminants: Evidence from a Whole-Diet Modeling Approach.

    PubMed

    Barré, Tangui; Vieux, Florent; Perignon, Marlène; Cravedi, Jean-Pierre; Amiot, Marie-Josèphe; Micard, Valérie; Darmon, Nicole

    2016-10-01

    Dietary guidelines are designed to help meet nutritional requirements, but they do not explicitly or quantitatively account for food contaminant exposures. In this study, we aimed to test whether dietary changes needed to achieve nutritional adequacy were compatible with acceptable exposure to food contaminants. Data from the French national dietary survey were linked with food contaminant data from the French Total Diet Study to estimate the mean intake of 204 representative food items and mean exposure to 27 contaminants, including pesticides, heavy metals, mycotoxins, nondioxin-like polychlorinated biphenyls (NDL-PCBs) and dioxin-like compounds. For each sex, 2 modeled diets that departed the least from the observed diet were designed: 1) a diet respecting only nutritional recommendations (NUT model), and 2) a diet that met nutritional recommendations without exceeding Toxicological Reference Values (TRVs) and observed contaminant exposures (NUTOX model). Food, nutrient, and contaminant contents in observed diets and NUT and NUTOX diets were compared with the use of paired t tests. Mean observed diets did not meet all nutritional recommendations, but no contaminant was over 48% of its TRV. Achieving all the nutrient recommendations through the NUT model mainly required increases in fruit, vegetable, and fish intake and decreases in meat, cheese, and animal fat intake. These changes were associated with significantly increased dietary exposure to some contaminants, but without exceeding 57% of TRVs. The highest increases were found for NDL-PCBs (from 26% to 57% of TRV for women). Reaching nutritional adequacy without exceeding observed contaminant exposure (NUTOX model) was possible but required further departure from observed food quantities. Based on a broad range of nutrients and contaminants, this first assessment of compatibility between nutritional adequacy and toxicological exposure showed that reaching nutritional adequacy might increase exposure to food

  6. 12 CFR 211.2 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Guidelines for State Member Banks: Risk-Based Measure” (12 CFR part 208, app. A) or the “Capital Adequacy Guidelines for Bank Holding Companies: Risk-Based Measure” (12 CFR part 225, app. A). (c) Capital and surplus... Guidelines: (i) Tier 1 and tier 2 capital included in an organization's risk-based capital (under the Capital...

  7. 40 CFR 221.4 - Adequacy of information in application.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... DUMPING APPLICATIONS FOR OCEAN DUMPING PERMITS UNDER SECTION 102 OF THE ACT § 221.4 Adequacy of... dumping of any material which is not accurately and adequately described in the application. No permittee shall be relieved of any liability which may arise as a result of the transportation or dumping...

  8. Relative Deprivation and Perception of Financial Adequacy among the Aged.

    ERIC Educational Resources Information Center

    Liang, Jersey; Fairchild, Thomas J.

    1979-01-01

    Presents a conceptual framework that incorporates the notion of relative deprivation to explain the perceived financial adequacy among the elderly. Financial satisfaction is directly related to relative deprivation while income only indirectly affects one's sense of financial well-being. (Author)

  9. Synthesis of School Facility Assessments and Educational Adequacy

    ERIC Educational Resources Information Center

    Hackenwerth, W. Ben; Randles, Shawn B.; Tucker, M. Jeremy

    2009-01-01

    A commonly applied term in the field of education is "educational adequacy." While often used in reference to school finance, curriculum and instruction, and in other educational functions, the phrase is also applicable to the quality of school facilities in which students learn. The Problem-Based Learning approach identified the need to…

  10. A 50-State Strategy to Achieve School Finance Adequacy

    ERIC Educational Resources Information Center

    Odden, Allan R.; Picus, Lawrence O.; Goetz, Michael E.

    2010-01-01

    This article estimates the costs of school finance adequacy in each of the 50 states and Washington, D.C. by applying the recommendations from an evidence-based model to the student characteristics of each individual state. Using two different prices, (a) the national average teacher salaries adjusted by a comparable wage index and (b) individual…

  11. School Money Trials: The Legal Pursuit of Educational Adequacy

    ERIC Educational Resources Information Center

    West, Martin R., Ed.; Peterson, Paul E., Ed.

    2006-01-01

    "Adequacy lawsuits" have emerged as an alternative strategy in pursuit of improved public education in America. Plaintiffs allege insufficient resources to provide students with the quality of education promised in their state's constitution, hoping the courts will step in and order the state to increase its level of aid. Since 1980, 45…

  12. School Finance Adequacy Litigation and Student Achievement: A Longitudinal Analysis

    ERIC Educational Resources Information Center

    Glenn, William J.

    2009-01-01

    School finance adequacy litigation has become a widely-used means in the efforts to improve educational outcomes for children. This form of litigation has been attempted in nearly every state over the past two decades. Despite its prevalence, its effectiveness remains questionable due to a lack of study relating finance litigation to student…

  13. A Study of Adequacy: The New Jersey Area Libraries.

    ERIC Educational Resources Information Center

    Yankielun, Judith E.

    Research methods and a comparative analysis of quantitative results of a study of the adequacy of collections and efficiency of reference services in 25 New Jersey public and county libraries are presented. Methods include use of a prepared bibliography on paleontology and a test question, both designed to be asked of reference librarians by…

  14. School Money Trials: The Legal Pursuit of Educational Adequacy

    ERIC Educational Resources Information Center

    West, Martin R., Ed.; Peterson, Paul E., Ed.

    2006-01-01

    "Adequacy lawsuits" have emerged as an alternative strategy in pursuit of improved public education in America. Plaintiffs allege insufficient resources to provide students with the quality of education promised in their state's constitution, hoping the courts will step in and order the state to increase its level of aid. Since 1980, 45…

  15. The Adequacy of Educational Cost Functions: Lessons from Texas

    ERIC Educational Resources Information Center

    Gronberg, Timothy J.; Jansen, Dennis W.; Taylor, Lori L.

    2011-01-01

    Adequacy studies based on cost functions have come under attack. A recent Texas court battle featured two cost function studies that reached markedly different conclusions about the additional funding needed to meet designated performance goals. Some critics see such disparities as indicators of a general futility in the whole education cost…

  16. Synthesis of School Facility Assessments and Educational Adequacy

    ERIC Educational Resources Information Center

    Hackenwerth, W. Ben; Randles, Shawn B.; Tucker, M. Jeremy

    2009-01-01

    A commonly applied term in the field of education is "educational adequacy." While often used in reference to school finance, curriculum and instruction, and in other educational functions, the phrase is also applicable to the quality of school facilities in which students learn. The Problem-Based Learning approach identified the need to…

  17. A Study of Adequacy: The New Jersey Area Libraries.

    ERIC Educational Resources Information Center

    Yankielun, Judith E.

    Research methods and a comparative analysis of quantitative results of a study of the adequacy of collections and efficiency of reference services in 25 New Jersey public and county libraries are presented. Methods include use of a prepared bibliography on paleontology and a test question, both designed to be asked of reference librarians by…

  18. Gambling on a Settlement: The Baltimore City Schools Adequacy Litigations.

    ERIC Educational Resources Information Center

    Cipollone, Diane W.

    1998-01-01

    In 1983, Maryland's highest court rejected a constitutional challenge to the state's education finance system. In 1994, the American Civil Liberties Union and Baltimore City instituted new adequacy suits against the state. An eve-of-trial settlement provided a moderate school funding increase in return for changes in school governance structure.…

  19. The Adequacy of Educational Cost Functions: Lessons from Texas

    ERIC Educational Resources Information Center

    Gronberg, Timothy J.; Jansen, Dennis W.; Taylor, Lori L.

    2011-01-01

    Adequacy studies based on cost functions have come under attack. A recent Texas court battle featured two cost function studies that reached markedly different conclusions about the additional funding needed to meet designated performance goals. Some critics see such disparities as indicators of a general futility in the whole education cost…

  20. The Psychometric Adequacy of Three Selected Sex Role Instruments.

    ERIC Educational Resources Information Center

    Pearson, Judy C.

    The psychometric adequacy of three sex role instruments was determined by performing a factor analysis on the items in the Bem Sex Role Inventory, the Personal Attributes Questionnaire, and Heilbrun's Masculinity and Feminity Subscales. Subjects were 400 college students who responded to 116 bipolar items from the three instruments. The eleven…

  1. New Hampshire Public Schools Facilities Adequacy and Condition Study Report.

    ERIC Educational Resources Information Center

    2000

    This report presents New Hampshire survey data, methodology, and the survey instrument used to measure a school's physical quality and educational effectiveness. The survey instrument collects data in the following categories: school site; building; building systems; building maintenance; building safety and security; space adequacy; and building…

  2. Assessment of the adequacy of a criticality incident detection system

    SciTech Connect

    Cartwright, C.M.; Finnerty, M.D.

    1993-12-31

    The primary purpose of a criticality incident detection (CID) and alarm system is to minimize, by means of building evacuation, the radiation doses received by plant personnel. The adequacy of a CID systems installed in a nuclear plant within the UK was investigated. Results are described.

  3. Cognitive Adequacy in Structural-Functional Theories of Language

    ERIC Educational Resources Information Center

    Butler, Christopher S.

    2008-01-01

    This paper discusses the role played by cognition in three linguistic theories which may be labelled as "structural-functional": Functional (Discourse) Grammar, Role and Reference Grammar and Systemic Functional Grammar. It argues that if we are to achieve true cognitive adequacy, we must go well beyond the grammar itself to include the processes…

  4. Test Design Project: Studies in Test Adequacy. Annual Report.

    ERIC Educational Resources Information Center

    Wilcox, Rand R.

    These studies in test adequacy focus on two problems: procedures for estimating reliability, and techniques for identifying ineffective distractors. Fourteen papers are presented on recent advances in measuring achievement (a response to Molenaar); "an extension of the Dirichlet-multinomial model that allows true score and guessing to be…

  5. School Money Trials: The Legal Pursuit of Educational Adequacy

    ERIC Educational Resources Information Center

    West, Martin R., Ed.; Peterson, Paul E., Ed.

    2007-01-01

    Adequacy lawsuits have, with little fanfare, emerged as a major alternative strategy in the pursuit of improved public education in the United States. Plaintiffs allege insufficient resources to provide students with the quality of education promised in their state's constitution, hoping the courts will step in and order the state to increase…

  6. School Money Trials: The Legal Pursuit of Educational Adequacy

    ERIC Educational Resources Information Center

    West, Martin R., Ed.; Peterson, Paul E., Ed.

    2007-01-01

    Adequacy lawsuits have, with little fanfare, emerged as a major alternative strategy in the pursuit of improved public education in the United States. Plaintiffs allege insufficient resources to provide students with the quality of education promised in their state's constitution, hoping the courts will step in and order the state to increase…

  7. Cognitive Adequacy in Structural-Functional Theories of Language

    ERIC Educational Resources Information Center

    Butler, Christopher S.

    2008-01-01

    This paper discusses the role played by cognition in three linguistic theories which may be labelled as "structural-functional": Functional (Discourse) Grammar, Role and Reference Grammar and Systemic Functional Grammar. It argues that if we are to achieve true cognitive adequacy, we must go well beyond the grammar itself to include the processes…

  8. 45 CFR 156.230 - Network adequacy standards.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ....230 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS HEALTH INSURANCE ISSUER STANDARDS UNDER THE AFFORDABLE CARE ACT, INCLUDING STANDARDS RELATED TO EXCHANGES Qualified Health Plan Minimum Certification Standards § 156.230 Network adequacy standards. (a)...

  9. 12 CFR 652.60 - Corporation board guidelines.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 652.60 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM FEDERAL AGRICULTURAL MORTGAGE CORPORATION FUNDING AND FISCAL AFFAIRS Risk-Based Capital Requirements § 652.60 Corporation board guidelines... targets necessary to achieve the minimum, critical and risk-based capital standards specified by the...

  10. Emergency department equipment for obese patients: perceptions of adequacy.

    PubMed

    Singh, Navneet; Arthur, Heather M; Worster, Andrew; Iacobellis, Gianluca; Sharma, Arya M

    2007-07-01

    This study reports an investigation to assess patients' and nurses' perceptions of equipment adequacy for obese patients presenting at an emergency department and to assess nurses' knowledge of equipment weight limits in the emergency department. The increasing weight of populations in many societies is a challenge to healthcare providers and facilities. Emergency department equipment, specifically, may be inadequate for patient care. Two questionnaires were developed. One was administered to 134 emergency department patients with suspected cardiac ischaemia; the other was administered to their respective nurses. Patient and nurse equipment adequacy scores were computed. Patients' self-reported height and weight were used to calculate body mass index. Waist circumference was measured. The data were collected in Canada in 2005. Patient equipment adequacy scores correlated inversely with both body mass index (r = -0.55, 95% CI = -0.70 to -0.41, P < 0.01) and waist circumference (r = -0.62, 95% CI = -0.75 to -0.48, P < 0.01). Nurse equipment adequacy scores were also inversely related to patient body mass index (r = -0.34, 95% CI = -0.50 to -0.18, P < 0.01) and waist circumference (r = -0.40, 95% CI = -0.56 to -0.24, P < 0.01). There was a weak correlation between nurse and patient equipment adequacy scores (r = 0.27, 95% CI = -0.44 to -0.10, P < 0.01). Small minorities of nurses reported accurate knowledge of weight limits for beds, commodes and toilets. Specialized equipment and staff education are needed for adequate management of obese patients in the emergency department.

  11. Eating out of home and dietary adequacy in preschool children.

    PubMed

    Moreira, Teresa; Severo, Milton; Oliveira, Andreia; Ramos, Elisabete; Rodrigues, Sara; Lopes, Carla

    2015-07-01

    The present study aims to describe dietary intake and dietary adequacy according to eating location in preschool children. A sub-sample of 2414 children from the Generation XXI birth cohort (Porto, Portugal), evaluated during the follow-up between 2009 and 2011, was included. Dietary intake was assessed by 3 d food diaries and four groups of children were defined according to the eating location: 'Home' ( ≥ 80% of meals at home), 'Other homes', 'Preschool' and 'Restaurants'. A dietary adequacy index was developed based on general recommendations for children; a higher score represents a better dietary adequacy. The comparison of nutrients and foods daily intake according to the eating location groups was performed by ANOVA and ANCOVA to adjust for potential confounders. Children classified in 'Preschool' group ate significantly more vegetables, fruit, bread and fish, and less meat, compared to children classified into the 'Home' group. Children classified in the 'Restaurants' group ate more cakes, salty snacks and fruit juices than children in 'Home' group; and less vegetables, dairy products and pasta/rice/potatoes. In 'Restaurants' children obtained the lowest mean score of the dietary adequacy index (15.5, 95% CI 14.8, 16.3) and in 'Preschool' children had the highest mean score (18.3, 95% CI 18.1, 18.4), corresponding to a better dietary adequacy. Preschools seem to have a relevant role in promoting the intake of healthy foods in preschool children. The consumption in restaurants/coffee shops seems to contribute to energy-dense food intake and reduced consumption of nutrient-dense foods.

  12. Does speculum lubricant affect liquid-based Papanicolaou test adequacy?

    PubMed

    Lin, Stephanie N; Taylor, Jolyn; Alperstein, Susan; Hoda, Rana; Holcomb, Kevin

    2014-03-01

    There is a paucity of data on the effect of vaginal lubricants on specimen adequacy in the era of liquid-based Papanicolaou (Pap) tests. Current manufacturer recommendations advise against the use of lubricants, especially those that contain carbomers or carbopol polymers. There is, however, no conclusive evidence to support this recommendation. Moreover, the data that does exist is conflicting. Retrospective review was performed of all liquid-based Pap tests collected between January 2010 and March 2012 by the Gynecologic Oncology division at a single hospital. Specimen adequacy was compared for vaginal and cervical specimens that were collected with and without a lubricant. Results were also compared for specimens collected with lubricants that did or did not contain carbomers. There was no significant difference in specimen adequacy for cervical or vaginal Pap test specimens collected with a water-soluble lubricant not containing carbomers, compared to those collected without a lubricant. There was, however, a significantly higher rate of insufficient specimens when a water-soluble lubricant containing carbomers was used. This difference was most pronounced for vaginal Pap tests (26.9% versus 1.2%, OR = 30.3, 95% CI = 16.6-55.1, P < .0001). Lubricants containing carbomers should be avoided when collecting liquid-based Pap tests because they can significantly decrease specimen adequacy. Lubricants that do not contain these substances do not significantly affect specimen adequacy. If there is an unusual increase in unsatisfactory Pap tests, the cytology laboratory should notify clinicians and work with them to determine the cause. © 2013 American Cancer Society.

  13. 77 FR 25164 - Adequacy Status of the Eagle River, Alaska Particulate Matter Limited Maintenance Plan for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-27

    ... Transportation Conformity Purposes AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of adequacy..., is adequate for conformity purposes. EPA made this finding pursuant to the adequacy process established at 40 CFR 93.118(f)(1). As a result of our adequacy finding, conformity requirements will...

  14. 19 CFR 207.62 - Rulings on adequacy and nature of Commission review.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 3 2014-04-01 2014-04-01 false Rulings on adequacy and nature of Commission review. 207.62 Section 207.62 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION NONADJUDICATIVE... adequacy and nature of Commission review. (a) Basis for rulings on adequacy. The Commission will assess the...

  15. 19 CFR 207.62 - Rulings on adequacy and nature of Commission review.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 3 2013-04-01 2013-04-01 false Rulings on adequacy and nature of Commission review. 207.62 Section 207.62 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION NONADJUDICATIVE... adequacy and nature of Commission review. (a) Basis for rulings on adequacy. The Commission will assess the...

  16. 19 CFR 207.62 - Rulings on adequacy and nature of Commission review.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 3 2011-04-01 2011-04-01 false Rulings on adequacy and nature of Commission review. 207.62 Section 207.62 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION NONADJUDICATIVE... adequacy and nature of Commission review. (a) Basis for rulings on adequacy. The Commission will assess the...

  17. 19 CFR 207.62 - Rulings on adequacy and nature of Commission review.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 3 2010-04-01 2010-04-01 false Rulings on adequacy and nature of Commission review. 207.62 Section 207.62 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION NONADJUDICATIVE... adequacy and nature of Commission review. (a) Basis for rulings on adequacy. The Commission will assess the...

  18. 19 CFR 207.62 - Rulings on adequacy and nature of Commission review.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 3 2012-04-01 2012-04-01 false Rulings on adequacy and nature of Commission review. 207.62 Section 207.62 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION NONADJUDICATIVE... adequacy and nature of Commission review. (a) Basis for rulings on adequacy. The Commission will assess the...

  19. Effluent Guidelines

    EPA Pesticide Factsheets

    Effluent guidelines are national standards for wastewater discharges to surface waters and municipal sewage treatment plants. We issue the regulations for industrial categories based on the performance of treatment and control technologies.

  20. Interconnection Guidelines

    EPA Pesticide Factsheets

    The Interconnection Guidelines provide general guidance on the steps involved with connecting biogas recovery systems to the utility electrical power grid. Interconnection best practices including time and cost estimates are discussed.

  1. NASA guidelines for assuring the adequacy and appropriateness of security safeguards in sensitive applications

    NASA Technical Reports Server (NTRS)

    Tompkins, F. G.

    1984-01-01

    The Office of Management and Budget (OMB) Circular A-71, transmittal Memorandum No. 1, requires that each agency establish a management control process to assure that appropriate administrative, physical and technical safeguards are incorporated into all new computer applications. In addition to security specifications, the management control process should assure that the safeguards are adequate for the application. The security activities that should be integral to the system development process are examined. The software quality assurance process to assure that adequate and appropriate controls are incorporated into sensitive applications is also examined. Security for software packages is also discussed.

  2. Impact of lipid-based nutrient supplementation (LNS) on children's diet adequacy in Western Uganda.

    PubMed

    Ickes, Scott B; Adair, Linda S; Brahe, Catherine A; Thirumurthy, Harsha; Charles, Baguma; Myhre, Jennifer A; Bentley, Margaret E; Ammerman, Alice S

    2015-12-01

    Lipid-based nutrient supplements (LNS) can help treat undernutrition; however, the dietary adequacy of children supplemented with LNS, and household utilisation patterns are not well understood. We assessed diet adequacy and the quality of complementary foods by conducting a diet assessment of 128 Ugandan children, ages 6-59 months, who participated in a 10-week programme for children with moderate acute malnutrition (MAM, defined as weight-for-age z-score < -2). Caregivers were given a weekly ration of 650 kcal day(-1) (126 g day(-1) ) of a peanut/soy LNS. Two 24-h dietary recalls were administered per child. LNS was offered to 86% of targeted children at least once. Among non-breastfed children, over 90% met their estimated average requirement (EAR) cut-points for all examined nutrients. Over 90% of breastfed children met EAR cut-points for nutrient density for most nutrients, except for zinc where 11.7% met cut-points. A lower proportion of both breastfed and non-breastfed children met adjusted EARs for the specific nutritional needs of MAM. Fewer than 20% of breastfed children met EAR nutrient-density guidelines for MAM for zinc, vitamin C, vitamin A and folate. Underweight status, the presence of a father in the child's home, and higher programme attendance were all associated with greater odds of feeding LNS to targeted children. Children in this community-based supplemental feeding programme who received a locally produced LNS exhibited substantial micronutrient deficiencies given the special dietary needs of this population. These results can help inform programme strategies to improve LNS targeting, and highlight potential nutrient inadequacies for consumers of LNS in community-based settings. © 2015 John Wiley & Sons Ltd.

  3. On defining "mental disorder": purposes and conditions of adequacy.

    PubMed

    Brülde, Bengt

    2010-02-01

    All definitions of mental disorder are backed up by arguments that rely on general criteria (e.g., that a definition should be consistent with ordinary language). These desiderata are rarely explicitly stated, and there has been no systematic discussion of how different definitions should be assessed. To arrive at a well-founded list of desiderata, we need to know the purpose of a definition. I argue that this purpose must be practical; it should, for example, help us determine who is entitled to publicly funded health care. I then propose eight conditions of adequacy that can be used to assess competing definitions (e.g., the ordinary language condition, the coherence condition, and the condition of normative adequacy). These conditions pull in different directions, however, and we must decide which are most important. I also suggest that there is no single definition that can help us deal with all the relevant practical issues.

  4. Nutrient adequacy of a very low-fat vegan diet.

    PubMed

    Dunn-Emke, Stacey R; Weidner, Gerdi; Pettengill, Elaine B; Marlin, Ruth O; Chi, Christine; Ornish, Dean M

    2005-09-01

    This study assessed the nutrient adequacy of a very low-fat vegan diet. Thirty-nine men (mean age=65 years) with early stage prostate cancer who chose the "watchful waiting" approach to disease management, were instructed by a registered dietitian and a chef on following a very low-fat (10%) vegan diet with the addition of a fortified soy protein powdered beverage. Three-day food diaries, excluding vitamin and mineral supplements, were analyzed and nutrient values were compared against Dietary Reference Intakes (DRI). Mean dietary intake met the recommended DRIs. On the basis of the Adequate Intake standard, a less than adequate intake was observed for vitamin D. This demonstrates that a very low-fat vegan diet with comprehensive nutrition education emphasizing nutrient-fortified plant foods is nutritionally adequate, with the exception of vitamin D. Vitamin D supplementation, especially for those with limited sun exposure, can help assure nutritional adequacy.

  5. [Adequacy of prenatal care according to maternal characteristics in Brazil].

    PubMed

    Domingues, Rosa Maria Soares Madeira; Viellas, Elaine Fernandes; Dias, Marcos Augusto Bastos; Torres, Jacqueline Alves; Theme-Filha, Mariza Miranda; Gama, Silvana Granado Nogueira da; Leal, Maria do Carmo

    2015-03-01

    To verify the degree of adequacy of prenatal care in Brazil and to determine whether it is associated with sociodemographic characteristics of women. This nationwide hospital-based study was performed with 23 894 women in 2011 and 2012. Data were obtained from interviews with puerperal women and from the prenatal card recording prenatal care appointments. Adequate prenatal care was defined as that started no later than the 12th gestational week, with performance of at least six consultations (with number of consultations adjusted for gestational age at delivery), record in the prenatal card of at least one result for each of the recommended routine prenatal tests, and guidance regarding the maternity hospital for delivery. Multivariate logistic regression was performed to verify the association between maternal characteristics and the adequacy of prenatal care. Early onset of prenatal care was observed in 53.9% of participants, adequate number of consultations in 73.2%, record of at least one of each recommended test in 62.9%, guidance regarding maternity hospital in 58.7%, and overall adequate prenatal care in 21.6%. Less adequate prenatal care was observed in women who were younger, black, multiparous, who did not have a partner, without paid employment, having fewer years of formal schooling, belonging to lower socioeconomic classes, and living in the North and Northeast of Brazil. After adjustment of maternal characteristics, no differences were observed between public or private health care services regarding adequacy of prenatal care. Even though the coverage of prenatal care is virtually universal in Brazil, regional and social differences in the access and adequacy of care still persist. The implementation of strategies to facilitate early access to prenatal care is essential.

  6. Nutritional adequacy according to carbohydrates and fat quality.

    PubMed

    Sánchez-Tainta, Ana; Zazpe, Itziar; Bes-Rastrollo, Maira; Salas-Salvadó, Jordi; Bullo, Mónica; Sorlí, José Vicente; Corella, Dolores; Covas, M Isabel; Arós, Fernando; Gutierrez-Bedmar, Mario; Fiol, Miquel; de la Corte, F García; Serra-Majem, Lluis; Pinto, Xavier; Schröeder, Helmut; Ros, Emilio; López-Sabater, M Carmen; Estruch, Ramón; Martínez-González, Miguel Angel

    2016-02-01

    To investigate the association between carbohydrate quality, fat quality or adherence to the Mediterranean diet and intake adequacy of 19 micronutrients in the PREDIMED (PREvención con DIeta MEDiterránea) trial, a multicenter, randomized, controlled, parallel group and primary prevention trial conducted in Spain. We assessed baseline dietary intake of 6,542 elderly subjects at high cardiovascular risk through a validated food frequency questionnaire (FFQ) and a validated 14-item Mediterranean diet (Med-diet) score. We used a multidimensional carbohydrate quality index (CQI) using four criteria and a fat quality index (FQI) according to the ratio (MUFA + PUFA)/(SFA + TFA). The probability of intake adequacy was calculated comparing the intakes to DRI, and also using the probabilistic approach. Absolute and adjusted probability of having inadequate intake for either ≥6 DRI or ≥8 DRI were estimated to assess nutritional adequacy according to quintiles of each index. The lowest prevalence of inadequate micronutrient intake (≥8 DRI) was found in the highest quintile of CQI or Med-diet score, and in the lowest quintile of FQI (adjusted fold risk: 1.4, 3.4 and 10.2 respectively in comparison with the lowest quintile). P for trend <0.001 in three multivariable models. A higher CQI or Med-Diet score and a lower FQI were significantly associated with a lower fold risk of unmet EAR values. A multidimensional assessment of CQI can be a useful tool to evaluate the quality of carbohydrates. This score and a 14-item Med-diet score were positively related to overall micronutrient adequacy in elderly participants.

  7. Adequacy and accuracy of salivary gland fine needle aspiration cytology.

    PubMed

    Mohammed Nur, M; Murphy, M

    2016-08-01

    Fine needle aspiration cytology (FNAC) is a widely utilized procedure in the preoperative assessment of salivary gland mass lesions. The aim of this study was to determine the adequacy of salivary gland FNA specimens and the accuracy of the cytological diagnoses made at a single institution over a 13-year period. All salivary gland FNAs performed at University Hospital Waterford between 2000 and 2013 were reviewed. Specimens were categorized into those performed by pathologists, radiologists or surgeons and adequacy determined for each. Cases with subsequent surgery had their histology reviewed and compared with cytology for concordance. Of 262 salivary gland FNAs 93.1 % were from parotids and 6.9 % from submandibular glands. Thirty-four FNAs (13 %) were inadequate. The inadequacy rates for pathologists, radiologists and surgeons were 11, 9.1 and 20 %, respectively (p = 0.101). Pleomorphic adenoma was the most frequent cytological diagnosis (53.5 %) followed by primary and secondary malignancies (15.8 %), inflammatory conditions (11.4 %) and Warthin tumour (10.1 %). The histology and cytology were discordant in 13.3 % of 143 cases. The sensitivity and specificity for malignancies were 80.7 and 98.2 %, respectively. Salivary gland FNAC has good sensitivity and specificity. Radiologists and pathologists have the best adequacy rates and image guidance makes radiologists good aspirators.

  8. Evaluation of dialysis adequacy in hemodialysis patients: A systematic review.

    PubMed

    Barzegar, Hengameh; Moosazadeh, Mahmoud; Jafari, Hedayat; Esmaeili, Ravanbakhsh

    2016-08-25

    Hemodialysis is the common kidney replacement therapy in Iran. Doing an adequate and effective dialysis can improve patients' quality of life and reduce kidney failure complications. Additionally, dialysis quality is an important factor in reducing mortality in patients with chronic kidney failure. This systematic review has investigated the adequacy of dialysis in studies done on hemodialysis patients of Iran. All articles related to the dialysis adequacy in hemodialysis patients in English and Farsi (contemporary Persian) were identified by searching the related keywords in various electronic databases. According to the inclusion criteria 21 studies were identified. The results were analyzed using Stata software version 11. A number of 6677 patients had been enrolled in 21 studies that were chosen for this systematic review. Based on the random effects model, the overall dialysis adequacy (KT/V) (K: clearance of urea, T: duration of dialysis, V: distribution of urea) more than 1.2 and confidence interval were 36.3% and 46.2-26.4, respectively. Also, based on random effects model more than 65% urea reduction ratio in all studies was 28.8% and the confidence interval was 43.3-14.4. KT/V and urea reduction ratio were much less desirable in hemodialysis patients and the dialysis quality was also undesirable. It seems that inadequate dialysis prescription, use of inappropriate filters, low pump speed (blood flow speed), and the short duration and few times of dialysis are the major causes of this inadequacy. .

  9. Pregnancy Requires Major Changes in the Quality of the Diet for Nutritional Adequacy: Simulations in the French and the United States Populations

    PubMed Central

    Bianchi, Clélia M.; Mariotti, François; Verger, Eric O.; Huneau, Jean-François

    2016-01-01

    Background Maternal nutrition is critical to the health of both mother and offspring, but there is a paucity of data on the nutritional adequacy of diets during pregnancy. Objective Our objective was to identify to what extent pregnancy reduces the nutritional adequacy of the expecting mother’s diet and if this nutritional gap can be resolved by simple quantitative or qualitative changes in the diet. Materials and Methods We evaluated the observed overall nutritional adequacy of diets of French and American women of childbearing age participating in ENNS (n = 344) and NHANES (n = 563) using the probabilistic approach of the PANDiet system, resulting in a 100-point score. Then, we simulated the changes in the PANDiet scores of women of childbearing age who would remain on their diet during pregnancy. Finally, by either increasing the quantity of consumed foods or using eleven snacks recommended during pregnancy, we simulated the effect of a 150-kcal increase in the energy intake of French women. Results Observed PANDiet scores were equal to 59.3 ± 7.0 and 58.8 ± 9.3 points respectively in France and in the US. Simulation of pregnancy for women of childbearing age led to a decrease in nutritional adequacy for key nutrients during pregnancy and resulted in reducing PANDiet scores by 3.3 ± 0.1 and 3.7 ± 0.1 points in France and in the US. Simulated 150-kcal increases in energy intake proved to be only partially effective in filling the gap both when the quantity of food consumed was increased and when recommended snacks were used. Conclusions The decrease in nutritional adequacy induced by pregnancy cannot be addressed by simply following generic dietary guidelines. PMID:26959492

  10. Pregnancy Requires Major Changes in the Quality of the Diet for Nutritional Adequacy: Simulations in the French and the United States Populations.

    PubMed

    Bianchi, Clélia M; Mariotti, François; Verger, Eric O; Huneau, Jean-François

    2016-01-01

    Maternal nutrition is critical to the health of both mother and offspring, but there is a paucity of data on the nutritional adequacy of diets during pregnancy. Our objective was to identify to what extent pregnancy reduces the nutritional adequacy of the expecting mother's diet and if this nutritional gap can be resolved by simple quantitative or qualitative changes in the diet. We evaluated the observed overall nutritional adequacy of diets of French and American women of childbearing age participating in ENNS (n = 344) and NHANES (n = 563) using the probabilistic approach of the PANDiet system, resulting in a 100-point score. Then, we simulated the changes in the PANDiet scores of women of childbearing age who would remain on their diet during pregnancy. Finally, by either increasing the quantity of consumed foods or using eleven snacks recommended during pregnancy, we simulated the effect of a 150-kcal increase in the energy intake of French women. Observed PANDiet scores were equal to 59.3 ± 7.0 and 58.8 ± 9.3 points respectively in France and in the US. Simulation of pregnancy for women of childbearing age led to a decrease in nutritional adequacy for key nutrients during pregnancy and resulted in reducing PANDiet scores by 3.3 ± 0.1 and 3.7 ± 0.1 points in France and in the US. Simulated 150-kcal increases in energy intake proved to be only partially effective in filling the gap both when the quantity of food consumed was increased and when recommended snacks were used. The decrease in nutritional adequacy induced by pregnancy cannot be addressed by simply following generic dietary guidelines.

  11. Assessment of substitution model adequacy using frequentist and Bayesian methods.

    PubMed

    Ripplinger, Jennifer; Sullivan, Jack

    2010-12-01

    In order to have confidence in model-based phylogenetic methods, such as maximum likelihood (ML) and Bayesian analyses, one must use an appropriate model of molecular evolution identified using statistically rigorous criteria. Although model selection methods such as the likelihood ratio test and Akaike information criterion are widely used in the phylogenetic literature, model selection methods lack the ability to reject all models if they provide an inadequate fit to the data. There are two methods, however, that assess absolute model adequacy, the frequentist Goldman-Cox (GC) test and Bayesian posterior predictive simulations (PPSs), which are commonly used in conjunction with the multinomial log likelihood test statistic. In this study, we use empirical and simulated data to evaluate the adequacy of common substitution models using both frequentist and Bayesian methods and compare the results with those obtained with model selection methods. In addition, we investigate the relationship between model adequacy and performance in ML and Bayesian analyses in terms of topology, branch lengths, and bipartition support. We show that tests of model adequacy based on the multinomial likelihood often fail to reject simple substitution models, especially when the models incorporate among-site rate variation (ASRV), and normally fail to reject less complex models than those chosen by model selection methods. In addition, we find that PPSs often fail to reject simpler models than the GC test. Use of the simplest substitution models not rejected based on fit normally results in similar but divergent estimates of tree topology and branch lengths. In addition, use of the simplest adequate substitution models can affect estimates of bipartition support, although these differences are often small with the largest differences confined to poorly supported nodes. We also find that alternative assumptions about ASRV can affect tree topology, tree length, and bipartition support. Our

  12. Linguistic Capital Pays Dividends

    ERIC Educational Resources Information Center

    Linse, Caroline

    2013-01-01

    Some 37 million U.S. residents speak Spanish at home and more than 55% of them say they also speak English. That creates what is called linguistic capital. Although linguistic capital is difficult to quantify, it is enormously valuable and is determined by an individual's language competency, and is too frequently wasted instead of being…

  13. Productivity and Capital Goods.

    ERIC Educational Resources Information Center

    Zicht, Barbara, Ed.; And Others

    1981-01-01

    Providing teacher background on the concepts of productivity and capital goods, this document presents 3 teaching units about these ideas for different grade levels. The grade K-2 unit, "How Do They Do It?," is designed to provide students with an understanding of how physical capital goods add to productivity. Activities include a field trip to…

  14. A Social Capital Index

    NASA Astrophysics Data System (ADS)

    Gonzàlez-Aranguena, Enrique; Khmelnitskaya, Anna; Manuel, Conrado; del Pozo, Mónica

    2011-09-01

    We define an index of social capital using game-theoretical concepts. We assume that interests of individuals are presented by means of a cooperative game which take into account possible different players abilities whereas the network of relations is modeled by a graph. The social capital of each actor is then measured as the difference between his Myerson value and his Shapley value.

  15. Capital Outlay and Bonding.

    ERIC Educational Resources Information Center

    Wood, R. Craig

    This chapter of "Principles of School Business Management" provides a generic overview of the major tasks associated with financing a school district's large capital programs. The chapter opens with a brief historical review of the limited provisions made for capital outlay prior to the 1960s and of the trends in financing in recent decades. The…

  16. Linguistic Capital Pays Dividends

    ERIC Educational Resources Information Center

    Linse, Caroline

    2013-01-01

    Some 37 million U.S. residents speak Spanish at home and more than 55% of them say they also speak English. That creates what is called linguistic capital. Although linguistic capital is difficult to quantify, it is enormously valuable and is determined by an individual's language competency, and is too frequently wasted instead of being…

  17. Beware Capital Charge Rates

    SciTech Connect

    Stauffer, Hoff

    2006-04-15

    The capital charge rate has a material effect in cost comparisons. Care should be taken to calculate it correctly and use it properly. The most common mistake is to use a nominal, rather than real, capital charge rate. To make matters worse, the common short-cut formula does not work well. (author)

  18. Productivity and Capital Goods.

    ERIC Educational Resources Information Center

    Zicht, Barbara, Ed.; And Others

    1981-01-01

    Providing teacher background on the concepts of productivity and capital goods, this document presents 3 teaching units about these ideas for different grade levels. The grade K-2 unit, "How Do They Do It?," is designed to provide students with an understanding of how physical capital goods add to productivity. Activities include a field trip to…

  19. CAPIT Toy Catalog.

    ERIC Educational Resources Information Center

    Cohen, Davene

    This catalog, a product of the CAPIT program (Children and Parents Involved Together), is designed to familiarize parents with durable, aesthetically appealing toys, games, tools, and materials which are readily available and have potential educational value. Home visitors in the CAPIT program use the catalog during their visits to help families…

  20. 76 FR 42768 - Capital Distribution

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-19

    ... Office of Thrift Supervision Capital Distribution AGENCY: Office of Thrift Supervision (OTS), Treasury... concerning the following information collection. Title of Proposal: Capital Distribution. OMB Number: 1550..., the information provides the OTS with a mechanism for monitoring capital distributions since...

  1. Indicators of Economic Status and Social Capital in South African Townships: What Do They Reveal about the Material and Social Conditions in Families of Poor Children?

    ERIC Educational Resources Information Center

    Barbarin, Oscar A.; Khomo, Ngokoana

    1997-01-01

    Employed a method for assessing material well-being and social resources using a set of observable indicators such as adequacy of food, quality of housing, financial assets, consumer goods, and social resources. Identified two dimensions, consumption and social/financial capital, which when used to assign SES were predictive of a family's ability…

  2. Copyright Guidelines.

    ERIC Educational Resources Information Center

    National Center for Educational Communication (DHEW/OE), Washington, DC.

    The U.S. Office of Education has prepared Guidelines on authorizing copyright protection for materials developed under project grants or contracts as effective June 8, 1970. A supplement is available as LI 002 915. This booklet supersedes OE-11018 entitled "Limited Copyright Protection for Materials Developed Under Project Grants and…

  3. Scoring Guidelines.

    ERIC Educational Resources Information Center

    Tamir, Pinchas; Doran, Rodney L.

    1992-01-01

    Scoring guidelines are given for four forms of the practical skills tests of the Second International Association for the Evaluation of Educational Improvement Science Study conducted in the following countries in the 1980s: (1) Hungary; (2) Japan; (3) Korea; (4) Singapore; (5) Israel; and (6) the United States. (SLD)

  4. Adequacy of energy and protein balance of enteral nutrition in intensive care: what are the limiting factors?

    PubMed Central

    Ribeiro, Lia Mara Kauchi; Oliveira, Ronaldo Sousa; Caruso, Lucia; Lima, Patricia Azevedo; Damasceno, Nágila Raquel Teixeira; Soriano, Francisco Garcia

    2014-01-01

    Objective To determine the factors that influence the adequacy of enteral nutritional therapy in an intensive care unit. Methods This prospective observational study was conducted in an intensive care unit between 2010 and 2012. Patients >18 years of age underwent exclusive enteral nutritional therapy for ≥72 hours. The energy and protein requirements were calculated according to the ICU protocols. The data regarding enteral nutrition, the causes of non-compliance, and the biochemical test results were collected daily. Results Ninety-three patients admitted to the intensive care unit were evaluated. Among these patients, 82% underwent early enteral nutritional therapy, and 80% reached the nutritional goal in <36 hours. In addition, 81.6%±15.4% of the enteral nutrition volume was infused, with an adequacy of 82.2%±16.0% for calories, 82.2%±15.9% for proteins, and a mean energy balance of -289.9±277.1kcal/day. A negative correlation of C-reactive protein with the volume infused and the energy and protein balance was observed. In contrast, a positive correlation was found between C-reactive protein and the time required to reach nutritional goals. Extubation was the main cause for interrupting the enteral nutritional therapy (29.9% of the interruption hours), and the patients >60 years of age exhibited a lower percentage of recovery of the oral route compared with the younger patients (p=0.014). Conclusion Early enteral nutritional therapy and the adequacy for both energy and protein of the nutritional volume infused were in accordance with the established guidelines. Possible inadequacies of energy and protein balance appeared to be associated with an acute inflammatory response, which was characterized by elevated C-reactive protein levels. The main cause of interruption of the enteral nutritional therapy was the time spent in extubation. PMID:25028950

  5. EMODnet Black Sea Checkpoint First Data Adequacy Report

    NASA Astrophysics Data System (ADS)

    Pinardi, Nadia; Lyubartsev, Vladyslav; Manzella, Giuseppe; Palazov, Atanas; Slabakova, Violeta; Buga, Luminita; Kallos, George; Zodiatis, George; Stylianou, Stavros; Blanc, Frederique; Cesarini, Claudia

    2017-04-01

    The aim of the first Data Adequacy Report (DAR) of the EMODnet Black Sea Checkpoint project is to assess the basin scale monitoring systems on the basis of input data sets for 11 prescribed Challenges. The first step in this process involved the definition of a "Data Adequacy Framework", which was derived from the ISO 9004:2009 standards. Data Adequacy is essentially defined as the fitness for use of the monitoring data required by the Challenges. The CheckPoint adequacy relates to both the requirements as well as the needs of the Challenges and was developed considering the ISO 9001 Quality Management System. The quality assessment is subdivided into two major "territories": "appropriateness" and "availability". In the first DAR only the "availability" indicators are explored and analyzed. The second step in the analysis is to set up a metadatabase containing standardized information about the input datasets potentially usable by the Challenges to generate their products. The metadatabase is at the back-end of an INSPIRE Web and GIS platform, known as Sextant, and uses the SeaDataNet common vocabulary to identify the categories of characteristics needed by the Challenges and to analyze the statistics of indicators. The DAR contains the first assessment of the Black Sea monitoring system on the basis of the analysis of the availability indicators across all Challenges for the 452 input data sets and the 40 characteristic categories. The 8 availability indicators are classified based upon a three value range color system: "red" meaning "not adequate", "yellow" "partly adequate" and "green" "fully adequate". The analysis shows that for most of the indicators half are "not adequate" and the other half are "adequate". The single most negative score is for the "INSPIRE catalogue service" indicator, which is generally not adequate. Furthermore, the "Pricing" indicator is split in half between "not well documented pricing policy" and "open and free data policy". In

  6. Osteoporosis guidelines.

    PubMed

    Barlow, D H

    2007-10-01

    The Position Statement from the International Menopause Society (IMS) in 2004 recommends the use of hormone therapy for the 'avoidance of bone-wasting and fractures'. It also states that 'prevention, not treatment, is the most feasible goal'. In updating the Statement, this paper considers the relevance of Osteoporosis Guidelines. Relevant documents will be of two broad types. These may be consensus statements/position statements that summarize the 'state of the art' for practitioners, based on the work of expert groups, or they may be formal Guidelines generated through formal 'evidence-based' methodology. The former approach is generally used by Societies and can be generated through relatively efficient consensus processes. The latter approach will normally involve extensive work and cost, necessarily becomes very detailed, involving systematic review and technology appraisal and can lead to highly specific recommendations on intervention thresholds. For the revision of the general IMS Position Statement, the specific IMS Paper on Postmenopausal Osteoporosis (2005) must be a key reference document. This provides a description of the international consensus on the management of osteoporosis up to late 2004 and which remains relevant today. Additionally, other consensus statements and systematic guidelines need to be considered. Across these documents providing guidance, the substantial influence of the International Osteoporosis Foundation/National Osteoporosis Foundation Position Paper, defining a 'New approach to the development of assessment guidelines for osteoporosis', can be seen. This flagged the importance of a shift from guidance, tying the diagnostic threshold to the intervention threshold, and instead advised linking the intervention threshold to estimated fracture risk probability. This moves the intervention decision away from a simple bone density threshold to a more complex, but more realistic, threshold estimate, taking into account a range of

  7. Endometrial Samples From Postmenopausal Women: A Proposal for Adequacy Criteria.

    PubMed

    Sakhdari, Ali; Moghaddam, Parnian A; Liu, Yuxin

    2016-11-01

    Approximately 75% of endometrial cancer occurs in women older than 55 yr of age. Postmenopausal bleeding is often considered endometrial cancer until proven otherwise. One diagnostic challenge is that endometrial biopsy or curettage generally yields limited samples from elderly patients. There are no well-defined and unified diagnostic criteria for adequacy of endometrial samples. Pathologists who consider any sample including those lacking endometrial tissue as "adequate" run the risk of rendering false-negative reports; on the contrary, pathologists requiring ample endometrial glands along with stroma tend to designate a greater number of samples as "inadequate," leading to unnecessary follow-up. We undertook a quantitative study of 1768 endometrial samples from women aged 60 yr and older aiming to propose validated adequacy criteria for diagnosing or excluding malignancy. Using repeat-procedure outcomes as reference, we found that samples exceeding 10 endometrial strips demonstrated high negative predictive value close to 100%. Such samples can be scant, yet appear to be sufficient in excluding malignant conditions. When tissue diminished to <10 strips, negative predictive value dropped significantly to 81%. The risk of undersampled malignancy rose to 19%. Among 274 malignant cases, only 4 cases yielded limited tissue yet >10 strips. In conclusion, we propose 10 endometrial strips as the minimum for adequate samples from postmenopausal women. Applying such validated adequacy criteria will greatly reduce false-negative errors and avoid unnecessary procedures while ultimately improving diagnostic accuracy. Our criteria may serve as a reference point in unifying the pathology community on this important and challenging topic.

  8. Adequacy of palmaris longus and plantaris tendons for tendon grafting.

    PubMed

    Jakubietz, Michael G; Jakubietz, Danni F; Gruenert, Joerg G; Zahn, Robert; Meffert, Rainer H; Jakubietz, Rafael G

    2011-04-01

    The reconstruction of tendon defects is challenging. The palmaris longus and plantaris tendon are generally considered best for tendon grafting. Only a few studies have examined whether these tendons, when present, meet criteria for successful grafting. The purpose of this study was to evaluate these tendons in regard to adequacy as tendon grafts. To evaluate adequacy for grafting, the palmaris longus and plantaris tendons were harvested from 92 arms and legs of 46 cadavers. Macroscopic evaluation and measurements concerning presence, length, and diameter of the tendons were obtained. Criteria for adequacy were a minimum length of 15 cm with diameter of 3 mm or, alternatively, 30 cm with a diameter of 1.5 mm. The palmaris longus tendon was present bilaterally in 36 cases and was absent bilaterally in 4 cases. The plantaris tendon was present bilaterally in 38 cases and absent bilaterally in 4 cases. In 29 cadavers, the palmaris longus tendon did not meet the criteria to be used as a tendon graft. Only in 8 cases were the tendons satisfactory for grafting bilaterally. The plantaris tendon met criteria for grafting in 20 cases bilaterally. In 17 cases, the tendons were considered inadequate bilaterally. Despite their presence, the palmaris longus and plantaris tendons are adequate for grafting less often than previously thought. In less than 50%, the tendons, although present, would serve as useful grafts. Our findings underscore the importance of choosing a second donor site before surgery in case the primarily selected tendon is not found to be suitable. Copyright © 2011 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  9. Adequacy indices for dialysis in acute renal failure: kinetic modeling.

    PubMed

    Debowska, Malgorzata; Lindholm, Bengt; Waniewski, Jacek

    2010-05-01

    Many aspects of the management of renal replacement therapy in acute renal failure (ARF), including the appropriate assessment of dialysis adequacy, remain unresolved, because ARF patients often are not in a metabolic steady state. The aim of this study was to evaluate a system of adequacy indices for dialysis in ARF patients using urea and creatinine kinetic modeling. Kinetic modeling was performed for two different fictitious patients (A and B) with characteristics described by the average parameters for two patient groups and for two blood purification treatments: sustained low efficiency daily dialysis (SLEDD) in Patient A and continuous venovenous hemofiltration (CVVH) in Patient B, based on data from a clinical report. Urea and creatinine generation rates were estimated according to the clinical data on the solute concentrations in blood. Then, using estimated generation rates, two hypothetical treatments were simulated, CVVH in Patient A and SLEDD in Patient B. KT/V, fractional solute removal (FSR) and equivalent renal clearance (EKR) were calculated according to the definitions developed for metabolically unstable patients. CVVH appeared as being more effective than SLEDD because KT/V, FSR, and EKR were higher for CVVH than SLEDD in Patients A and B. Creatinine KT/V, FSR, and EKR were lower and well correlated to the respective indices for urea. Urea and creatinine generation rates were overestimated more than twice in Patient A and by 30-40% in Patient B if calculated assuming the metabolically stable state than if estimated by kinetic modeling. Adequacy indices and solute generation rates for ARF patients should be estimated using the definition for unsteady metabolic state. EKR and FSR were higher for urea and creatinine with CVVH than with SLEDD, because of higher K.T and minimized compartmental effects for CVVH.

  10. [Nutricional adequacy of students of compulsory secondary education in Badajoz].

    PubMed

    Córdoba-Caro, L G; Luego Pérez, L M; García Preciado, V

    2012-01-01

    To evaluate nutricional adequacy of students of compulsory secondary education (ESO) in Badajoz, Spain. We included 1197 students of ESO from 12 to 18 years old, 49.9% male and 50.1% female, which is a representative sample of this population. They filled in a food frequency questionnaire (FFQ) self-administered and previously validated in a pilot study. Nutrients were quantified from FFQ with a food composition table (Novartis, 2004) and nutritional Adequacy Index (AI) was calculated according to Spanish Recommended Dietary Allowances (RDA). Nutritional adequacy of a nutrient was measured by the following relation: mean daily intake of the nutrient / RDA of that nutrient * 100. Average caloric intake of secondary education students is not very high, protein AI is over 200%, and cholesterol over 150%, being appropriate the intake of carbohydrates and lipids. The intake of fiber, vitamin E and iodine was lower than 50% in both genders; the one of iron less than 90% in females and there were no other differences between both genders. Only 1% to 3% of students reach RDA of fiber, iodine and vitamin E, and 37.3% of female reach RDA of iron. Cholesterol dietary intake of 17.2% males and 25.3% females is high, and saturated fatty acids intake is high in 46.1% males and 50.0% females. Diet of students of secondary education in Badajoz is normocaloric, hyperproteic, appropriate in carbohydrates and lipids, without differences between genders; it is very deficient in fiber, iodine and vitamin E in both genders and deficient in iron in females. We can see their diet is far from Mediterranean diet, and this is why education plans about food intake are advised to the students and their families.

  11. The Effects of the Capital Accumulation Ratio on Wealth

    ERIC Educational Resources Information Center

    Harness, Nathaniel J.; Finke, Michael S.; Chatterjee, Swarn

    2009-01-01

    The capital accumulation ratio (CAR) is commonly used in academic research as a measure of household portfolio quality. This study tested whether a higher initial CAR impacts change in wealth over a decade among households in the accumulation life cycle stage. Meeting the 25% CAR guideline resulted in a 28.1% increase in net worth between 1994 and…

  12. Antibiotic prophylaxis adequacy in knee arthroplasty and surgical wound infection: Prospective cohort study.

    PubMed

    Del-Moral-Luque, J A; Checa-García, A; López-Hualda, Á; Villar-Del-Campo, M C; Martínez-Martín, J; Moreno-Coronas, F J; Montejo-Sancho, J; Rodríguez-Caravaca, G

    Antibiotic prophylaxis is the most suitable tool for preventing surgical wound infection. This study evaluated adequacy of antibiotic prophylaxis in surgery for knee arthroplasty and its effect on surgical site infection. Prospective cohort study. We assessed the degree of adequacy of antibiotic prophylaxis, the causes of non-adequacy, and the effect of non-adequacy on surgical site infection. Incidence of surgical site infection was studied after a maximum incubation period of a year. To assess the effect of prophylaxis non-adequacy on surgical site infection we used the relative risk adjusted with the aid of a logistic regression model. The study covered a total of 1749 patients. Antibiotic prophylaxis was indicated in all patients and administered in 99.8% of cases, with an overall protocol adequacy of 77.6%. The principal cause of non-compliance was the duration of prescription of the antibiotics (46.5%). Cumulative incidence of surgical site infection was 1.43%. No relationship was found between prophylaxis adequacy and surgical infection (RR=1.15; 95% CI: .31-2.99) (P>.05). Surveillance and infection control programs enable risk factors of infection and improvement measures to be assessed. Monitoring infection rates enables us to reduce their incidence. Adequacy of antibiotic prophylaxis was high but could be improved. We did not find a relationship between prophylaxis adequacy and surgical site infection rate. Copyright © 2017 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.

  13. The Replacement Rate: An Imperfect Indicator of Pension Adequacy in Cross-Country Analyses.

    PubMed

    Chybalski, Filip; Marcinkiewicz, Edyta

    Pension systems are usually evaluated from the perspective of two basic criteria: pension adequacy and financial sustainability. The first criterion concerns the level of pension benefits and protection of the elderly from poverty. The second criterion applies to financial liquidity. This paper is primarily of methodological nature. We discuss the problem of measuring pension adequacy, focusing mainly on the replacement rate, which, defined in a number of ways, is the most common measure of pension adequacy. However, as we argue in this paper, it covers only one of its dimensions, namely consumption smoothing. Meanwhile, an equally important dimension, often discussed in the literature and included in most definitions of pension adequacy, is protection of old-age pensioners from poverty. Accordingly, we have proved the thesis that the replacement rate is not a sufficient measure of broadly understood pension adequacy in cross-country studies. Consequently, we have proposed alternative (or possibly complementary) measures called the synthetic pension adequacy indicators (SPAI1-3), defined in basic form as a quotient of relative median income and the at-risk-of-poverty rate. These indicators provide for both the above-mentioned dimensions of adequacy and, according to statistical analysis, also represent them very well. Moreover, the indicators, calculated separately for men and for women, enables evaluation of the third dimension of pension adequacy, namely gender-related differences in pension adequacy.

  14. Knowledge Adequacy on Cervical Cancer Among African Refugee and Non-Refugee Women in Brisbane, Australia.

    PubMed

    Anaman, Judith A; Correa-Velez, Ignacio; King, Julie

    2016-10-28

    Cervical cancer is a significant public health issue, especially in the developing countries of sub-Saharan Africa. To examine knowledge adequacy on cervical cancer and screening test among African refugee and non-refugee women in Brisbane and further examine whether the level of knowledge vary between refugee and non-refugee women. A cross-sectional survey was conducted among 254 African-born women conveniently sampled from the Brisbane local government area. The outcome measures were knowledge on cervical cancer and Pap smear. In the multivariate logistic regression analysis non-refugees were more likely than refugees to have adequate knowledge about cervical cancer. Also, non-refugee women who were older and educated beyond secondary school, were more likely to have good knowledge about Pap smear test than refugee women. Overall, knowledge level about cervical cancer is limited among the participants and non-refugee women were more likely than refugee women to have good knowledge about cervical cancer and the screening test. These findings may inform the development of health education interventions for the targeted population to improve knowledge and awareness about cervical cancer and the screening guidelines in Australia.

  15. [Dialysis adequacy: the clinical illogicality of Kt/V urea].

    PubMed

    Basile, Carlo

    2011-01-01

    In the 1980s Gotch and Sargent proposed a mathematical model based on the dialytic removal of urea, introducing the concept of Kt/V urea. The main issue which justifies the fact that Kt/V urea be considered the key of the adequacy of dialysis is that it is related to mortality. However, many studies have highlighted the limits of Kt/V urea: mainly, scaling for the volume of distribution is a confounding factor since gender and body mass index directly affect morbidity and mortality in dialysis patients. On the other hand, several observational studies and preliminary randomized controlled trials have suggested that longer and/or more frequent treatments may lead to better outcomes. In conclusion, an assessment of the amount of dialysis delivered is vital. Kt/V urea, although not perfect, is a useful marker of adequacy. However, the most logical approach in order to diminish the mortality on dialysis must be the individualized prescription of the duration and/or frequency of dialysis treatment, developed through a global assessment of the proven predictors of morbidity and mortality. These parameters include nutrition, albuminemia, mineral metabolism, inflammatory markers, volume control, blood pressure, maintenance of residual renal function, and hemodynamic stability. Each of these variables seems to be associated with the duration and/or frequency of dialysis treatments. Even though several observational studies and preliminary randomized controlled trials seem to confirm these associations, time has come for interventional studies to confirm these complex relationships.

  16. Are dialysis adequacy indices independent of solute generation rate?

    PubMed

    Waniewski, Jacek; Debowska, Malgorzata; Lindholm, Bengt

    2014-01-01

    KT/V is by definition independent of solute generation rate. Alternative dialysis adequacy indices (DAIs) such as equivalent renal clearance (EKR), standard KT/V (stdKT/V), and solute removal index (SRI) are estimated as the ratio of solute mass removed to an average solute mass in the body or solute concentration in blood; both nominator and denominator in these formulas depend on the solute generation rate. Our objective was to investigate whether and under which conditions the alternative DAIs are independent of solute generation rate. By using general compartment modeling, we show that for the metabolically stable patient (in whom the solute generated during the dialysis cycle, typically, 1 week, is equal to the solute removed from the body), DAIs estimated for the dialysis cycle are in general independent of the average solute generation rate (although they may depend on the pattern of oscillations in the generation rate). However, the alternative adequacy parameters (such as EKR, stdKT/V, and SRI) may depend on solute generation rate for metabolically unstable patients.

  17. The Mediterranean Diet and Nutritional Adequacy: A Review

    PubMed Central

    Castro-Quezada, Itandehui; Román-Viñas, Blanca; Serra-Majem, Lluís

    2014-01-01

    The Mediterranean dietary pattern, through a healthy profile of fat intake, low proportion of carbohydrate, low glycemic index, high content of dietary fiber, antioxidant compounds, and anti-inflammatory effects, reduces the risk of certain pathologies, such as cancer or Cardiovascular Disease (CVD). Nutritional adequacy is the comparison between the nutrient requirement and the intake of a certain individual or population. In population groups, the prevalence of nutrient inadequacy can be assessed by the probability approach or using the Estimated Average Requirement (EAR) cut-point method. However, dietary patterns can also be used as they have moderate to good validity to assess adequate intakes of some nutrients. The objective of this study was to review the available evidence on the Nutritional Adequacy of the Mediterranean Diet. The inclusion of foods typical of the Mediterranean diet and greater adherence to this healthy pattern was related to a better nutrient profile, both in children and adults, with a lower prevalence of individuals showing inadequate intakes of micronutrients. Therefore, the Mediterranean diet could be used in public health nutrition policies in order to prevent micronutrient deficiencies in the most vulnerable population groups. PMID:24394536

  18. Physical Activity Guidelines

    MedlinePlus

    ... gov Physical Activity Guidelines Physical Activity Guidelines The Physical Activity Guidelines for Americans (PAG or the Guidelines) are an essential resource for health professional and policymakers. Based on the latest science, they provide guidance on how children and adults ...

  19. The Potential of Energy Storage Systems with Respect to Generation Adequacy and Economic Viability

    NASA Astrophysics Data System (ADS)

    Bradbury, Kyle Joseph

    Intermittent energy resources, including wind and solar power, continue to be rapidly added to the generation fleet domestically and abroad. The variable power of these resources introduces new levels of stochasticity into electric interconnections that must be continuously balanced in order to maintain system reliability. Energy storage systems (ESSs) offer one potential option to compensate for the intermittency of renewables. ESSs for long-term storage (1-hour or greater), aside from a few pumped hydroelectric installations, are not presently in widespread use in the U.S. The deployment of ESSs would be most likely driven by either the potential for a strong internal rate of return (IRR) on investment and through significant benefits to system reliability that independent system operators (ISOs) could incentivize. To assess the potential of ESSs three objectives are addressed. (1) Evaluate the economic viability of energy storage for price arbitrage in real-time energy markets and determine system cost improvements for ESSs to become attractive investments. (2) Estimate the reliability impact of energy storage systems on the large-scale integration of intermittent generation. (3) Analyze the economic, environmental, and reliability tradeoffs associated with using energy storage in conjunction with stochastic generation. First, using real-time energy market price data from seven markets across the U.S. and the physical parameters of fourteen ESS technologies, the maximum potential IRR of each technology from price arbitrage was evaluated in each market, along with the optimal ESS system size. Additionally, the reductions in capital cost needed to achieve a 10% IRR were estimated for each ESS. The results indicate that the profit-maximizing size of an ESS is primarily determined by its technological characteristics (round-trip charge/discharge efficiency and self-discharge) and not market price volatility, which instead increases IRR. This analysis demonstrates

  20. Long-term adequacy of exclusive breast-feeding: how scientific research has led to revised opinions.

    PubMed

    Whitehead, R G; Paul, A A

    2000-02-01

    The present paper reviews the research of the authors and their colleagues over the past 20 years to provide improved nutritional and anthropometric guidelines for the assessment of lactational adequacy and for when the weaning process might be initiated. The nutritional guidelines are based on revised dietary energy requirements. The basic assumption is that since breast milk is a well-balanced food, if energy needs are satisfied so will those for essential nutrients. Energy requirements for young babies have been derived from the application of the doubly-labelled-water technique. This approach indicated that 460 kJ (110 kcal)/kg per d at 1 month and 397 and 355 kJ (95 and 85 kcal)/kg per d at 3 and 6 months respectively would be satisfactory for a nutrient content of high bioavailability. Translated into a breast-milk intake of 850 ml/d the latter would cover the dietary energy needs of the average child growing along the 50th centile until at least 4 months, but the typical child from many developing countries following the 25th centile until 6 months. The importance of revised growth reference values for infancy, equally crucial for assessing lactational adequacy, is also reviewed. In contrast with the shapes of earlier reference patterns, growth trajectories are different when babies are fed in accordance with modern paediatric advice. Mothers and health professionals using the older growth charts to assess the progress of a baby can be misled into assuming that the weaning process needs to be introduced sooner than necessary. Examples of this situation within the context of a developing country are provided.

  1. 12 CFR 1777.20 - Capital classifications.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... notice of proposed capital classification, holds core capital equaling or exceeding the minimum capital... classification, holds core capital equaling or exceeding the minimum capital level. (3) Significantly... the date specified in the notice of proposed capital classification, holds core capital less than...

  2. Capital Expert System

    NASA Astrophysics Data System (ADS)

    Dowell, Laurie; Gary, Jack; Illingworth, Bill; Sargent, Tom

    1987-05-01

    Gathering information, necessary forms, and financial calculations needed to generate a "capital investment proposal" is an extremely complex and difficult process. The intent of the capital investment proposal is to ensure management that the proposed investment has been thoroughly investigated and will have a positive impact on corporate goals. Meeting this requirement typically takes four or five experts a total of 12 hours to generate a "Capital Package." A Capital Expert System was therefore developed using "Personal Consultant." The completed system is hybrid and as such does not depend solely on rules but incorporates several different software packages that communicate through variables and functions passed from one to another. This paper describes the use of expert system techniques, methodology in building the knowledge base, contexts, LISP functions, data base, and special challenges that had to be overcome to create this system. The Capital Expert System is the successful result of a unique integration of artificial intelligence with business accounting, financial forms generation, and investment proposal expertise.

  3. [Kt calculation as a quality indicator of haemodialysis adequacy].

    PubMed

    Molina Núñez, M; Roca Meroño, S; de Alarcón Jiménez, R M; García Hernández, M A; Jimeno Griño, C; Alvarez Fernández, G M; Navarro Parreño, M J; Pérez Silva, F M

    2010-01-01

    The haemodialysis dose is a good marker of dialysis adequacy, and we usually monitor it with Kt/V measure. The dialysis dose monitored with Kt allows a better discrimination, detecting a percentage of the patients that perhaps do not get an adequate dose for their gender or body surface area after treatment with a minimum recommended dose of Kt/V. The objective of this study was to evaluate Kt as a clinical indicator referred to dialysis adequacy in the haemodialysis population. The aim was that more than 85% of the patients would achieve the recommended Kt target for their gender (at least 50 litres in men and 45 litres in women), or their body surface area. In each of the patients (mean 129) the Kt mean value was determined for three consecutive dialysis sessions, one every two months, during the follow-up period (14 months). At the beginning, the Kt/V value was on target (> 1.3) in 93.2% of the patients, but only in 58% according to Kt measure for their gender. After 4 months, we observed that 85% of patients' Kt target increased for their gender, but only 68% did if we used the Kt individualised for their body surface area. From month 6 to the end of the follow-up period, more than 85% of patients obtained an adequate Kt for their body surface area (p < 0.001). A significant increase of Kt mean (5.4 litres) was observed at the end of the study (p < 0.001). The usual dialysis prescription parameters were modified increasing blood flow rate (34.14 ml/min, p < 0.001), session effective duration (8.04 minutes, p < 0.001), dialyser surface area (24.1% of patients changed from helixone 1.3 to 1.6 m2, p < 0.001) and haemodialysis modality (56.8% of patients changed from conventional haemodialysis to on-line haemodiafiltration, p < 0.001). We conclude that monitoring dialysis dose with Kt is a good clinical measure of adequacy, and using it as a quality indicator can be done in line with the more demanding quality standards.

  4. 45 CFR 155.1050 - Establishment of Exchange network adequacy standards.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Establishment of Exchange network adequacy standards. 155.1050 Section 155.1050 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS... Exchange network adequacy standards. (a) An Exchange must ensure that the provider network of each QHP...

  5. 45 CFR 155.1050 - Establishment of Exchange network adequacy standards.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Establishment of Exchange network adequacy standards. 155.1050 Section 155.1050 Public Welfare Department of Health and Human Services REQUIREMENTS... Exchange network adequacy standards. (a) An Exchange must ensure that the provider network of each QHP...

  6. 45 CFR 155.1050 - Establishment of Exchange network adequacy standards.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Establishment of Exchange network adequacy standards. 155.1050 Section 155.1050 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS... Exchange network adequacy standards. (a) An Exchange must ensure that the provider network of each QHP...

  7. 78 FR 28790 - Defense Federal Acquisition Regulation Supplement; Forward Pricing Rate Proposal Adequacy...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-16

    ... Regulation Supplement; Forward Pricing Rate Proposal Adequacy Checklist (DFARS Case 2012-D035) AGENCY... guidance to contractors for the submittal of forward pricing rate proposals to ensure the adequacy of forward pricing rate proposals submitted to the Government. DATES: Comments on the proposed rule should be...

  8. 78 FR 34095 - Adequacy Status of the Idaho, Northern Ada County PM10

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-06

    ... AGENCY Adequacy Status of the Idaho, Northern Ada County PM 10 State Implementation Plan for... 2023 in the Northern Ada County PM 10 State Implementation Plan, Maintenance Plan: Ten-Year Update... in Northern Ada County. The EPA's finding was made pursuant to the adequacy review process...

  9. 78 FR 26810 - Adequacy of Design Features and Functional Capabilities Identified and Described for Withstanding...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-08

    ... COMMISSION Adequacy of Design Features and Functional Capabilities Identified and Described for Withstanding... Review Plan for the Review of Safety Analysis Reports for Nuclear Power Plants: LWR Edition.'' The new section, designated as Revision 0, is Section 19.5, ``Adequacy of design features and...

  10. 30 CFR 27.37 - Tests to determine adequacy of safety devices for bulbs.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Tests to determine adequacy of safety devices for bulbs. 27.37 Section 27.37 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF... § 27.37 Tests to determine adequacy of safety devices for bulbs. The glass envelope of bulbs with the...

  11. 30 CFR 27.37 - Tests to determine adequacy of safety devices for bulbs.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Tests to determine adequacy of safety devices for bulbs. 27.37 Section 27.37 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF... § 27.37 Tests to determine adequacy of safety devices for bulbs. The glass envelope of bulbs with the...

  12. 30 CFR 27.37 - Tests to determine adequacy of safety devices for bulbs.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Tests to determine adequacy of safety devices for bulbs. 27.37 Section 27.37 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF... § 27.37 Tests to determine adequacy of safety devices for bulbs. The glass envelope of bulbs with the...

  13. 33 CFR 158.135 - Which ports and terminals must have Certificates of Adequacy?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Which ports and terminals must..., AND GARBAGE General § 158.135 Which ports and terminals must have Certificates of Adequacy? To continue to receive ships, a port or terminal must hold one or more Certificates of Adequacy to show...

  14. 33 CFR 158.135 - Which ports and terminals must have Certificates of Adequacy?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Which ports and terminals must..., AND GARBAGE General § 158.135 Which ports and terminals must have Certificates of Adequacy? To continue to receive ships, a port or terminal must hold one or more Certificates of Adequacy to show...

  15. 33 CFR 158.135 - Which ports and terminals must have Certificates of Adequacy?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Which ports and terminals must..., AND GARBAGE General § 158.135 Which ports and terminals must have Certificates of Adequacy? To continue to receive ships, a port or terminal must hold one or more Certificates of Adequacy to show...

  16. 33 CFR 158.135 - Which ports and terminals must have Certificates of Adequacy?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Which ports and terminals must..., AND GARBAGE General § 158.135 Which ports and terminals must have Certificates of Adequacy? To continue to receive ships, a port or terminal must hold one or more Certificates of Adequacy to show...

  17. 33 CFR 158.135 - Which ports and terminals must have Certificates of Adequacy?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Which ports and terminals must..., AND GARBAGE General § 158.135 Which ports and terminals must have Certificates of Adequacy? To continue to receive ships, a port or terminal must hold one or more Certificates of Adequacy to show...

  18. Report on Adequacy and Management of Services Furnished to Scholars and Researchers by Presidential Libraries.

    ERIC Educational Resources Information Center

    Congress of the U. S., Washington, DC. House Committee on Post Office and Civil Service.

    In April 1971, the chairman of the Subcommittee on Census and Statistics requested that the General Accounting Office (GAO) conduct a management-type review of the adequacy of services furnished by the Presidential libraries. The assignment called for an examination of: (1) the adequacy of the libraries' systems for cataloging materials and making…

  19. 75 FR 45057 - Adequacy Status of Motor Vehicle Emissions Budgets in Submitted Reasonable Further Progress and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-02

    ... AGENCY 40 CFR Part 52 Adequacy Status of Motor Vehicle Emissions Budgets in Submitted Reasonable Further... public that we have found that the motor vehicle emissions budgets for volatile organic compound (VOC... process and make an affirmative decision on the adequacy of these budgets before they can be used by...

  20. The Adequacy of Tools for Assessing Reading Competence: A Framework and Review

    ERIC Educational Resources Information Center

    Kame'enui, Edward J.; Fuchs, Lynn; Francis, David J.; Good, Roland, III; O'Connor, Rollanda E.; Simmons, Deborah C.; Tindal, Gerald; Torgesen, Joseph K.

    2006-01-01

    Assessment of student performance is critical for developing effective instructional policy and designing programs responsive to individual students' needs. To gauge the adequacy of available assessment tools for achieving these ends, the Reading First Assessment Committee (RFAC) developed criteria for evaluating the adequacy of reading measures…

  1. 77 FR 8252 - Adequacy Status of the Anchorage, Alaska, Carbon Monoxide Maintenance Plan for Transportation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-14

    ... AGENCY Adequacy Status of the Anchorage, Alaska, Carbon Monoxide Maintenance Plan for Transportation... budget (MVEB) in the Anchorage, Alaska, Carbon Monoxide (CO) Maintenance Plan, submitted by the State of... monoxide Maintenance Plan for Anchorage, Alaska. EPA's finding was made pursuant to the adequacy review...

  2. 31 CFR 226.4 - Adequacy of security-how computed.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Adequacy of security-how computed... TREASURY TAX AND LOAN DEPOSITARIES § 226.4 Adequacy of security—how computed. (a) In qualifying Insurance... insured accounts or deposits) to determine if the security is adequate. The ratio will be computed...

  3. Thinking strategically about capitation.

    PubMed

    Boland, P

    1997-05-01

    All managed care stakeholders--health plan members, employers, providers, community organizations, and government entitites--share a common interest in reducing healthcare costs while improving the quality of care health plan members receive. Although capitation is a usually thought of primarily as a payment mechanism, it can be a powerful tool providers and health plans can use to accomplish these strategic objectives and others, such as restoring and maintaining the health of plan members or improving a community's health status. For capitation to work effectively as a strategic tool, its use must be tied to a corporate agenda of partnering with stakeholders to achieve broader strategic goals. Health plans and providers must develop a partnership strategy in which each stakeholder has well-defined roles and responsibilities. The capitation structure must reinforce interdependence, shift focus from meeting organizational needs to meeting customer needs, and develop risk-driven care strategies.

  4. 77 FR 64185 - Railroad Revenue Adequacy-2011 Determination

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-18

    ... 49 U.S.C. 10704(a) if it achieves a rate of return on net investment equal to at least the current cost of capital for the railroad industry for 2011, determined to be 11.57% in Railroad Cost of...

  5. Alumni perceptions of adequacy of training in diagnostic radiology.

    PubMed

    Rubin, S A; Meier, R S; Schreiber, M H

    1986-06-01

    Former residents who completed an accredited university radiology residency between 1953 and 1983 were surveyed using a written questionnaire. Seventy-five percent responded with opinions concerning their satisfaction with the various aspects of their training, including whether the program had met the specific needs of their practice. Most were satisfied with their training. Many believed the program should offer formal training in nonclinical areas such as quality control, equipment selection, administration, economics, and contract negotiations. Nearly all (96%) believed they had been adequately prepared for the Board examination. The majority (75%) believed a postgraduate clinical year was important prior to entering a radiology residency. We believe the written survey is a useful means for gathering data regarding adequacy of residency training. With the current interest in residency program curricula, such data may be useful in the dynamic process of structuring residency programs.

  6. Cytotechnologists and On-Site Evaluation of Adequacy

    PubMed Central

    Collins, Jennifer A.; Novak, Anna; Ali, Syed Z.

    2013-01-01

    While fine needle aspiration (FNA) is certainly not a new biopsy technique, recent developments in advanced imaging techniques, molecular testing, and targeted therapies have coincided with a rapid increase in the number of FNA procedures being performed. Concurrently, the demand for on-site evaluation of adequacy (OSEA) has also increased, outstripping the capacity of available cytopathologists at some institutions. Among the several alternatives to cytopathologist-performed OSEA, cytotechnologist-attended OSEA stands out because it preserves the representation of the pathology service at the time of the procedure. Herein, we review the current literature about OSEA and the necessity of cytotechnologists to expand access of this useful pathology service to a broader patient population. We also examine how cytotechnologists are likely to fit into the emerging practice of telecytology. PMID:24255627

  7. [Drug package inserts and the adequacy of patient's drug information].

    PubMed

    da Silva, T; Dal-Pizzol, F; Bello, C M; Mengue, S S; Schenkel, E P

    2000-04-01

    To investigate the adequacy of the content and format of the patient information section in package inserts of commonly prescribed drugs at the internal medicine service of a school hospital. Forty eight package inserts were collected from six pharmacies of the city of Porto Alegre in June 1998. The presence of mandatory notification and other information required by Brazilian laws that regulate inserts content was examined. No one package inserts contained all the notification required by law. Warnings about medication storage and expiration date were the most frequently information found in package inserts analyzed. Important information for the drug user was not presented in package inserts analyzed, limiting the purpose of inserts as an instrument for patient education.

  8. Measuring adequacy of prenatal care: does missing visit information matter?

    PubMed

    Kurtzman, Jordan H; Wasserman, Erin B; Suter, Barbara J; Glantz, J Christopher; Dozier, Ann M

    2014-09-01

    Kotelchuck's Adequacy of Prenatal Care Utilization (APNCU) Index is frequently used to classify levels of prenatal care. In the Finger Lakes Region (FLR) of upstate New York, prenatal care visit information late in pregnancy is often not documented on the birth certificate. We studied the extent of this missing information and its impact on the validity of regional APNCU scores. We calculated the "weeks between" a mother's last prenatal care visit and her infant's date of birth. We adjusted the APNCU algorithm creating the Last Visit Adequacy of Prenatal Care (LV-APNC) Index using the last recorded prenatal care visit date as the end point of care and the expected number of visits at that time. We compared maternal characteristics by care level with each index, examining rates of reclassification and number of "weeks between" by birth hospital. Stuart-Maxwell, McNemar, chi-square, and t-tests were used to determine statistical significance. Based on 58,462 births, the mean "weeks between" was 2.8 weeks. Compared with their APNCU Index score, 42.4 percent of mothers were reclassified using the LV-APNC Index. Major movement occurred from Intermediate (APNCU) to Adequate or Adequate Plus (LV-APNC) leaving the Intermediate Care group a more at-risk group of mothers. Those with Adequate or Adequate Plus Care (LV-APNC) increased by 31.6 percent, surpassing the Healthy People 2020 objective. In the FLR, missing visit information at the end of pregnancy results in an underestimation of mothers' prenatal care. Future research is needed to determine the extent of this missing visit information on the national level. © 2014 Wiley Periodicals, Inc.

  9. Hospital capital funding.

    PubMed

    Hebert, M

    1992-01-01

    It is critical that hospitals have a long-range plan in place to ensure that buildings and equipment are replaced when necessary. A study undertaken in British Columbia contrasted the Greater Vancouver Regional Hospital District's capital plan (past and future) to a proposed capital replacement model. The model, developed using accepted industry standards and criteria, provided an asset value that was used for comparison purposes. Building and equipment expenditures of the Surrey Memorial Hospital were also compared against the model. Findings from both studies are presented in this article.

  10. Fuzzy capital rationing model

    NASA Astrophysics Data System (ADS)

    Bas, E.; Kahraman, C.

    2009-02-01

    In this paper, we study the fuzzification of Weingartner's pure capital rationing model and its analysis. We develop a primal-dual pair based on t-norm/t-conorm relation for the constraints and objective function for a fully fuzzified pure capital rationing problem except project selection variables. We define the [alpha]-interval under which the weak duality is proved. We perform sensitivity analysis for a change in a budget level or in a cash flow level of a non-basic as well as a basic variable. We analyze the problem based on duality and complementary slackness results. We illustrate the proposed model by computational analysis, and interpret the results.

  11. Analysis of adequacy levels for human resources improvement within primary health care framework in Africa

    PubMed Central

    Parent, Florence; Fromageot, Audrey; Coppieters, Yves; Lejeune, Colette; Lemenu, Dominique; Garant, Michèle; Piette, Danielle; Levêque, Alain; De Ketele, Jean-Marie

    2005-01-01

    Human resources in health care system in sub-Saharan Africa are generally picturing a lack of adequacy between expected skills from the professionals and health care needs expressed by the populations. It is, however, possible to analyse these various lacks of adequacy related to human resource management and their determinants to enhance the effectiveness of the health care system. From two projects focused on nurse professionals within the health care system in Central Africa, we present an analytic grid for adequacy levels looking into the following aspects: - adequacy between skills-based profiles for health system professionals, quality of care and service delivery (health care system /medical standards), needs and expectations from the populations, - adequacy between allocation of health system professionals, quality of care and services delivered (health care system /medical standards), needs and expectations from the populations, - adequacy between human resource management within health care system and medical standards, - adequacy between human resource management within education/teaching/training and needs from health care system and education sectors, - adequacy between basic and on-going education and realities of tasks expected and implemented by different categories of professionals within the health care system body, - adequacy between intentions for initial and on-going trainings and teaching programs in health sciences for trainers (teachers/supervisors/health care system professionals/ directors (teaching managers) of schools...). This tool is necessary for decision-makers as well as for health care system professionals who share common objectives for changes at each level of intervention within the health system. Setting this adequacy implies interdisciplinary and participative approaches for concerned actors in order to provide an overall vision of a more broaden system than health district, small island with self-rationality, and in which

  12. Factors Affecting Hemodialysis Adequacy in Cohort of Iranian Patient with End Stage Renal Disease

    PubMed Central

    Shahdadi, Hosein; Balouchi, Abbas; Sepehri, Zahra; Rafiemanesh, Hosein; Magbri, Awad; Keikhaie, Fereshteh; Shahakzehi, Ahmad; Sarjou, Azizullah Arbabi

    2016-01-01

    Background: There are many factors that can affect dialysis adequacy; such as the type of vascular access, filter type, device used, and the dose, and rout of erythropoietin stimulation agents (ESA) used. The aim of this study was investigating factors affecting Hemodialysis adequacy in cohort of Iranian patient with end stage renal disease (ESRD). Methods: This is a cross-sectional study conducted on 133 Hemodialysis patients referred to two dialysis units in Sistan-Baluchistan province in the cities of Zabol and Iranshahr, Iran. We have looked at, (the effects of the type of vascular access, the filter type, the device used, and the dose, route of delivery, and the type of ESA used) on Hemodialysis adequacy. Dialysis adequacy was calculated using kt/v formula, two-part information questionnaire including demographic data which also including access type, filter type, device used for hemodialysis (HD), type of Eprex injection, route of administration, blood groups and hemoglobin response to ESA were utilized. The data was analyzed using the SPSS v16 statistical software. Descriptive statistical methods, Mann-Whitney statistical test, and multiple regressions were used when applicable. Results: The range of calculated dialysis adequacy is 0.28 to 2.39 (units of adequacy of dialysis). 76.7% of patients are being dialyzed via AVF and 23.3% of patients used central venous catheters (CVC). There was no statistical significant difference between dialysis adequacy, vascular access type, device used for HD (Fresenius and B. Braun), and the filter used for HD (p> 0.05). However, a significant difference was observed between the adequacy of dialysis and Eprex injection and patients’ time of dialysis (p <0.05). Conclusion: Subcutaneous ESA (Eprex) injection and dialysis shift (being dialyzed in the morning) can have positive impact on dialysis adequacy. Patients should be educated on the facts that the type of device used for HD and the vascular access used has no

  13. 75 FR 6151 - Minimum Capital

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-08

    ... finance market conditions; (7) Level of reserves or retained earnings; (8) Initiatives, operations... for a periodic review of core capital maintained by an Enterprise, the amount of capital retained by...

  14. Understanding your capital options.

    PubMed

    Payne, Christopher T

    2012-05-01

    When planning capital expenditures, hospitals and health systems should understand the following financing considerations: Traditional fixed-rate tax-exempt bonds; Variable-rate financing alternatives; Basel III Accord requirements; Direct tax-exempt bank loans; Total return swaps Taxable financings; Interest-rate swaps and collateral requirements

  15. Manage "Human Capital" Strategically

    ERIC Educational Resources Information Center

    Odden, Allan

    2011-01-01

    To strategically manage human capital in education means restructuring the entire human resource system so that schools not only recruit and retain smart and capable individuals, but also manage them in ways that support the strategic directions of the organization. These management practices must be aligned with a district's education improvement…

  16. Planning for Capital Reinvestment.

    ERIC Educational Resources Information Center

    Biedenweg, Frederick; Weisburg-Swanson, Lynda; Gardner, Catherine

    1998-01-01

    Describes and evaluates four alternatives for planning and budgeting for capital reinvestment for college and university facilities: physical plant auditing; a depreciation-based approach; percentage of current replacement value; and facility subsystem modeling, or life-cycle modeling. Each has advantages and limitations in budgeting for and…

  17. Manage "Human Capital" Strategically

    ERIC Educational Resources Information Center

    Odden, Allan

    2011-01-01

    To strategically manage human capital in education means restructuring the entire human resource system so that schools not only recruit and retain smart and capable individuals, but also manage them in ways that support the strategic directions of the organization. These management practices must be aligned with a district's education improvement…

  18. Capital Outlay Financing.

    ERIC Educational Resources Information Center

    Vermont State Dept. of Education, Montpelier.

    The Vermont State Board of Education adopted a capital outlay program in February 1974, that requires local school districts to file short- and long-range facility needs plans based on Department of Education models. This document, excerpted from State Board of Education minutes, describes the minimum requirements for receiving state aid for…

  19. Towards Transnational Academic Capitalism

    ERIC Educational Resources Information Center

    Kauppinen, Ilkka

    2012-01-01

    This paper contributes to current debates on the relationship between globalisation and higher education. The main argument of the paper is that we are currently witnessing transnationalisation of academic capitalism. This argument is illustrated by examining the collaboration between transnational corporations and research universities, and how…

  20. Capitalizing on Happenstance

    ERIC Educational Resources Information Center

    Krumboltz, John D.

    2011-01-01

    Unplanned events occur every day and have a deep impact on individuals' lives. The happenstance learning theory (Krumboltz, 2009; Krumboltz & Levin, 2010), briefly summarized in this article, provides guidance for employment counselors assisting clients to clarify goals and brainstorm actions to capitalize on chance events.

  1. Towards Transnational Academic Capitalism

    ERIC Educational Resources Information Center

    Kauppinen, Ilkka

    2012-01-01

    This paper contributes to current debates on the relationship between globalisation and higher education. The main argument of the paper is that we are currently witnessing transnationalisation of academic capitalism. This argument is illustrated by examining the collaboration between transnational corporations and research universities, and how…

  2. Creating Schools without Capital.

    ERIC Educational Resources Information Center

    Kolke, Mark

    2001-01-01

    A shortage of capital and appropriate education facilities prompted the Edmonton (Alberta) Public Schools to explore creative solutions such as leasing retrofitted facilities to house new academic programs. Landlords generally like school districts, considering them reliable, long-term tenants for hard-to-rent larger buildings. (MLH)

  3. Creating Schools without Capital.

    ERIC Educational Resources Information Center

    Kolke, Mark

    2001-01-01

    A shortage of capital and appropriate education facilities prompted the Edmonton (Alberta) Public Schools to explore creative solutions such as leasing retrofitted facilities to house new academic programs. Landlords generally like school districts, considering them reliable, long-term tenants for hard-to-rent larger buildings. (MLH)

  4. Reggio Social Capital

    ERIC Educational Resources Information Center

    Stejzygier, Aneta

    2009-01-01

    The paper presents the social capital as the essential element of success of the Reggio Emilia preschools known for their unique approach to the early childhood education. The collaborative effort is introduced through examples of the currently ongoing "Reggio Narrates" project of Reggio preschools, the "Dialogue with the…

  5. 42 CFR 82.15 - How will NIOSH evaluate the completeness and adequacy of individual monitoring data?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... adequacy of individual monitoring data? 82.15 Section 82.15 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT... adequacy of individual monitoring data? (a) NIOSH will evaluate the completeness and adequacy of an individual's monitoring data provided by DOE through one or more possible measures including, but not...

  6. 42 CFR 82.15 - How will NIOSH evaluate the completeness and adequacy of individual monitoring data?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... adequacy of individual monitoring data? 82.15 Section 82.15 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT... adequacy of individual monitoring data? (a) NIOSH will evaluate the completeness and adequacy of an individual's monitoring data provided by DOE through one or more possible measures including, but not...

  7. 42 CFR 82.15 - How will NIOSH evaluate the completeness and adequacy of individual monitoring data?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... adequacy of individual monitoring data? 82.15 Section 82.15 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT... adequacy of individual monitoring data? (a) NIOSH will evaluate the completeness and adequacy of an individual's monitoring data provided by DOE through one or more possible measures including, but not...

  8. [Adequacy of antibiotic therapy for urinary tract infection in a Medical Department from the university hospital of Lille: A retrospective cohort study].

    PubMed

    Deconinck, L; Maillard, H; Lemaitre, M; Barbottin, E; Bakhache, E; Galperine, T; Puisieux, F; Hatron, P-Y; Lambert, M

    2015-11-01

    The main objective of the study was to assess the adequacy of antibiotic therapy for urinary tract infections (UTI) in a French hospital medical department. The secondary objective was to identify factors associated with inadequacy of the antibiotic therapy. A retrospective single centre cohort study was performed in the Post-Emergency Medicine Department (PEMD) of the university hospital of Lille. All patients presenting with an UTI from May 2012 to April 2014 were included. Adequacy of antibiotic therapy was assessed with reference to local guidelines. Factors associated with inadequacy of antibiotic prescription were determined using a multivariate logistic regression model. Two hundred and twenty-eight patients were included. The antibiotic prescription was fully adequate in 173 patients (76%) with appropriate use of a single or a combination antibiotic therapy in 96%, appropriate drug in 80%, appropriate dosage in 89% and appropriate route of administration in 95%. The risk for antibiotic inadequacy was significantly higher in patients with cystitis than in those with pyelonephritis (OR 12.01; 95% CI 4.17-34.65), when antibiotics were prescribed in the Emergency Department (OR 6.84; 95% CI 2.29-20.47) or before hospital admission (OR 382.46; 95% CI 19.61≥999.99) compared to when antibiotics were first administered in the PEMD, and in patients with severe UTI (OR 19.55; 95% CI 2.79-137.01). Adequacy of antibiotic therapy for UTI is relatively high in our study, reflecting the effective dissemination of antibiotic guidelines. However, antibiotic therapy is still inappropriate in cystitis, severe UTI and in case of prescription before the admission in the PEMD. Copyright © 2015 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

  9. Nutrient adequacy and diet quality in non-overweight and overweight Hispanic children of low socioeconomic status: the Viva la Familia Study.

    PubMed

    Wilson, Theresa A; Adolph, Anne L; Butte, Nancy F

    2009-06-01

    The role of diet quality and nutrient adequacy in the etiology of childhood obesity is poorly understood. The specific aims of these analyses were to assess overall diet quality and nutrient adequacy, and test for association between weight status and diet in children from low socioeconomic status (SES) Hispanic families at high risk for obesity. A cross-sectional study design was used to assess dietary intake in low-SES Hispanic children with and without overweight who were enrolled in the Viva la Familia Study. Multiple-pass 24-hour dietary recalls were recorded on two random, weekday occasions. Diet quality was evaluated according to the Dietary Guidelines for Americans. Nutrient adequacy was assessed using z scores based on estimated average requirement or adequate intake. The study included 1,030 Hispanic children and adolescents, aged 4 to 19 years, in Houston, TX, who participated between November 2000 and August 2004. STATA software (version 9.1, 2006, STATA Corp, College Station, TX) was used for generalized estimating equations and random effects regression. Diet quality did not adhere to the Dietary Guidelines for Americans for fat, cholesterol, saturated fatty acids, fiber, added sugar, and sodium. Although energy intake was significantly higher in children with overweight, food sources, diet quality, macro- and micronutrient composition were similar between non-overweight and overweight children. Relative to estimated average requirements or adequate intake levels, mean nutrient intakes were adequate (70% to 98% probability) in the children without and with overweight, except for vitamins D and E, pantothenic acid, calcium, and potassium, for which z scores cannot be interpreted given the uncertainty of their adequate intake levels. Whereas the diets of low-SES Hispanic children with and without overweight were adequate in most essential nutrients, other components of a healthful diet, which promote long-term health, were suboptimal. Knowledge of the

  10. Nutrient adequacy and diet quality in non-overweight and overweight Hispanic children of low socioeconomic status - the VIVA LA FAMILIA Study

    PubMed Central

    Wilson, Theresa A.; Adolph, Anne L.; Butte, Nancy F.

    2009-01-01

    Objective The role of diet quality and nutrient adequacy in the etiology of childhood obesity is poorly understood. The specific aims of these analyses were to 1) assess overall diet quality and nutrient adequacy, and 2) test for association between weight status and diet in children from low socioeconomic status (SES) Hispanic families at high risk for obesity. Design A cross-sectional study design was used to assess dietary intake in low-SES non-overweight and overweight Hispanic children enrolled in the VIVA LA FAMILIA Study. Multiple-pass 24-h dietary recalls were recorded on two random, weekday occasions. Diet quality was evaluated according to United States (US) Dietary Guidelines. Nutrient adequacy was assessed using z-scores based on estimated average requirement (EAR) or adequate intake (AI). Subjects/Setting The study included 1030 Hispanic children and adolescents, ages 4-19 y, in Houston, Texas who participated between November 2000 and August 2004. Statistical analysis STATA was used for generalized estimating equations and random effects regression. Results Diet quality did not adhere to US dietary guidelines for fat, cholesterol, saturated fatty acids, fiber, added sugar and sodium. Although energy intake was significantly higher in overweight children, food sources, diet quality, macro- and micronutrient composition were similar between non-overweight and overweight children. Relative to EAR or AI, mean nutrient intakes were adequate (70-98% probability) in the non-overweight and overweight children, except for vitamins D and E, pantothenic acid, calcium and potassium for which z-scores cannot be interpreted given the uncertainty of their AI's. Conclusion While the diets of low-SES, non-overweight and overweight Hispanic children were adequate in most essential nutrients, other components of a healthy diet, which promote long-term health, were suboptimal. Knowledge of the diet of high risk Hispanic children will inform nutritional interventions and

  11. 77 FR 52977 - Regulatory Capital Rules: Advanced Approaches Risk-Based Capital Rule; Market Risk Capital Rule

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-30

    ... Regulatory Capital Rules: Advanced Approaches Risk-Based Capital Rule; Market Risk Capital Rule; Proposed... 325 RIN 3064-AD97 Regulatory Capital Rules: Advanced Approaches Risk-Based Capital Rule; Market Risk... the agencies' current capital rules. In this NPR (Advanced Approaches and Market Risk NPR) the...

  12. Intellectual Capital: Comparison and Contrast.

    ERIC Educational Resources Information Center

    Madsen, Susan R.

    2001-01-01

    Suggests that one of the most important keys for improving individual and organizational performance is in developing and strengthening intellectual capital (IC) and explores the similarities and differences between the concepts of intellectual capital, human capital, and knowledge management. Presents four IC characteristics and addresses the…

  13. Cultural Capital: A Concept Analysis.

    PubMed

    Ohashi, Yuki; Taguchi, Atsuko; Omori, Junko; Ozaki, Akiko

    2017-07-01

    Harnessing community assets may help public health nurses address health inequalities. Cultural factor is one such asset, which is assumed to be capital in a community. Cultural capital is a key concept for understanding the causes of public health issues. This paper provided an in-depth analysis of "cultural capital" as a concept. Rodgers' evolutionary methodology was used for concept analysis. Forty-two studies published in English between 1998 and 2015 were retrieved from MEDLINE by searching for "cultural capital" in the title field. Antecedents of cultural capital included "educational environment," "belongingness in one's social group," "existing health/social inequalities," and "daily behavior." Cultural capital's identified attributes were "social cultivation," "reproductive rubric," "practical knowledge," and "autogenic ability." Cultural capital's consequences were "improving productivity," "reducing health/social inequality," and "enhancing well-being." Cultural capital is defined as capital characterized by cultivation, rubric, knowledge, and ability. These aspects of cultural capital are typically autogenic, and accumulate and reproduce through lifelong community membership. Cultural capital reduces inequality and ultimately enhances the well-being of individuals and the community through bonding, bridging, and linking economic and social capital. © 2017 Wiley Periodicals, Inc.

  14. Guideline on air-quality models (revised). Supplement A

    SciTech Connect

    Not Available

    1987-07-01

    This guideline recommends air quality modeling techniques that may be applied to air-pollution-control strategy evaluations and new source reviews, including prevention of significant deterioration. It is intended for use by EPA Regional Offices in judging the adequacy of modeling analyses performed by EPA, by State and local agencies, and by industry and its consultants. It also identifies modeling techniques and data bases that EPA considers acceptable. The guideline makes specific recommendations concerning air-quality models, data bases, and general requirements for concentration estimates. This is Supplement A to the guideline. It contains: (1) addition of a specific version of the Rough Terrain Diffusion Model (RTDM) as a screening model; (2) modification of the downwash algorithm in the Industrial Source Complex (ISC) model; (3) addition of the Offshore and Coastal Dispersion (OCD) model to Appendix A; and, (4) addition of the AVACTA II model to Appendix B.

  15. Treatment adequacy of anxiety disorders among young adults in Finland.

    PubMed

    Kasteenpohja, Teija; Marttunen, Mauri; Aalto-Setälä, Terhi; Perälä, Jonna; Saarni, Samuli I; Suvisaari, Jaana

    2016-03-15

    Anxiety disorders are common in early adulthood, but general population studies concerning the treatment adequacy of anxiety disorders taking into account appropriate pharmacological and psychological treatment are scarce. The aims of this study were to examine treatments received for anxiety disorders in a Finnish general population sample of young adults, and to define factors associated with receiving minimally adequate treatment and with dropping out from treatment. A questionnaire containing several mental health screens was sent to a nationally representative two-stage cluster sample of 1894 Finns aged 19 to 34 years. All screen positives and a random sample of screen negatives were invited to a mental health assessment including a SCID interview. For the final diagnostic assessment, case records from mental health treatments for the same sample were obtained. This article investigates treatment received, treatment adequacy and dropouts from treatment of 79 participants with a lifetime anxiety disorder (excluding those with a single specific phobia). Based on all available information, receiving antidepressant or buspirone medication for at least 2 months with at least four visits with any type of physician or at least eight sessions of psychotherapy within 12 months or at least 4 days of hospitalization were regarded as minimally adequate treatment for anxiety disorders. Treatment dropout was rated if the patient discontinued the visits by his own decision despite having an adequate treatment strategy according to the case records. Of participants with anxiety disorders (excluding those with a single specific phobia), 41.8 % had received minimally adequate treatment. In the multivariate analysis, comorbid substance use disorder was associated with antidepressant or buspirone medication lasting at least 2 months. Those who were currently married or cohabiting had lower odds of having at least four visits with a physician a year. None of these factors were

  16. [Slipped capital femoral epiphysis].

    PubMed

    Klein, C; Haraux, E; Leroux, J; Gouron, R

    2017-03-01

    Slipped capital femoral epiphysis (SFCE) is a disorder of the hip, characterized by a displacement of the capital femoral epiphysis from the metaphysic through the femoral growth plate. The epiphysis slips posteriorly and inferiorly. SCFE occurs during puberty and metabolic and epidemiologic risk factors, such as obesity are frequently found. Most chronic slips are diagnosed late. Sagittal hip X-rays show epiphysis slip. In case of untreated SCFE, a slip progression arises with an acute slip risk. Treatment is indicated to prevent slip worsening. The clinical and radiological classification is useful to guide treatment and it is predictive of the prognosis. In situ fixation of stable and moderately displaced SCFE with cannulated screws gives excellent results. Major complications are chondrolysis and osteonecrosis and the major sequelae are femoroacetabular impingement and early arthritis.

  17. Adequacy of selected evapotranspiration approximations for hydrologic simulation

    USGS Publications Warehouse

    Sumner, D.M.

    2006-01-01

    Evapotranspiration (ET) approximations, usually based on computed potential ET (PET) and diverse PET-to-ET conceptualizations, are routinely used in hydrologic analyses. This study presents an approach to incorporate measured (actual) ET data, increasingly available using micrometeorological methods, to define the adequacy of ET approximations for hydrologic simulation. The approach is demonstrated at a site where eddy correlation-measured ET values were available. A baseline hydrologic model incorporating measured ET values was used to evaluate the sensitivity of simulated water levels, subsurface recharge, and surface runoff to error in four ET approximations. An annually invariant pattern of mean monthly vegetation coefficients was shown to be most effective, despite the substantial year-to-year variation in measured vegetation coefficients. The temporal variability of available water (precipitation minus ET) at the humid, subtropical site was largely controlled by the relatively high temporal variability of precipitation, benefiting the effectiveness of coarse ET approximations, a result that is likely to prevail at other humid sites.

  18. [Dialysis adequacy: Kt/V on its way out?].

    PubMed

    Mandolfo, Salvatore

    2011-01-01

    The Kt/V index started being used in the 1980s to determine the adequacy of dialysis treatment. Based on a pharmacokinetic model and on urea as a marker of uremia, its use in clinical practice has allowed the development of new dialyzers that can provide high diffusive clearance but, above all, has established the knowledge that dialysis treatment should be tailored to the characteristics of the patient. After an initial period of uncertainty in which it was discussed which formula or model should be employed, there came a phase of excitement in which it was believed that the Kt/V index was synonymous with adequate dialysis. In the following years, several studies highlighted the limitations of Kt/V; in particular, the rescaling of Kt for the volume of distribution is a confounding factor because in patients on dialysis, sex and body mass index per se affect the mortality and morbidity. Doubts were also raised about urea as a marker of uremia. Whereas the measurement of Kt/V urea should not be abandoned, it should be viewed in the broader context of the definition of ''adequate dialysis'' as an index of the removal of small molecules, possibly together with Kt/V B2M as an index of the removal of middle molecules.

  19. Breakfast consumption affects adequacy of total daily intake in children.

    PubMed

    Nicklas, T A; Bao, W; Webber, L S; Berenson, G S

    1993-08-01

    Breakfast consumption patterns were assessed for 467 10-year-old children (59% white, 50% girls), who were interviewed in 1984-1985 or in 1987-1988. Consumption patterns were then related to mean daily nutrient intake patterns. More whites (56%) and more girls (46%) ate breakfast at home, whereas more blacks (58%) and more boys (49%) ate breakfast at school. Results indicated that 16% of all children skipped breakfast; the highest percentage was in black girls (24%). Breakfast consumption made a significant contribution to the child's mean daily nutrient intake. The average total energy intake was significantly lower for children who did not consume breakfast (mean = 1,821 kcal) and for children who consumed breakfast at home (mean = 2,098 kcal) compared with children who consumed breakfast at school (mean = 2,326 kcal). A similar pattern was noted for macronutrient contribution. Percentage of total energy from fat was lower in children who did not eat breakfast (34%) compared with those who did (37% to 39%), yet percentage of energy from carbohydrate was higher (53%) in children who did not eat breakfast. Children who skipped breakfast did not make up the differences in dietary intakes at other meals. A higher percentage of children who did not consume breakfast compared with those who ate breakfast did not meet two thirds of the Recommended Dietary Allowance for vitamins and minerals. These data confirm the importance of breakfast to overall dietary quality and adequacy in school-age children.

  20. Notification: Preliminary Research on the Adequacy of EPA's Oversight of State FIFRA Programs

    EPA Pesticide Factsheets

    Project #OPE-FY14-4013, November 06, 2013. The EPA OIG plans to begin preliminary research on the adequacy of the EPA’s oversight of states’ Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) programs.

  1. 76 FR 4342 - Adequacy Status of the Houston-Galveston-Brazoria, Texas Reasonable Further Progress and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-25

    ... AGENCY Adequacy Status of the Houston-Galveston-Brazoria, Texas Reasonable Further Progress and...-Galveston-Brazoria, Texas (HGB) Reasonable Further Progress (RFP) and Attainment Demonstration State...- Galveston-Brazoria (HGB) ozone nonattainment area. These submissions established motor vehicle emissions...

  2. Region 9: Nevada Adequate Letter (1/26/2002), Response to Comments, and Adequacy Review Table

    EPA Pesticide Factsheets

    A letter from Jack Broadbent, Director, to Allen Biaggi Regarding Nevada's PMlO State Implementation Plan for Clark County; EPA's response regarding the adequacy of the PM10 Transportation Conformity budgets Contained in Clark County's PM10 Attainment

  3. Adequacy of the Regular Early Education Classroom Environment for Students with Visual Impairment

    ERIC Educational Resources Information Center

    Brown, Cherylee M.; Packer, Tanya L.; Passmore, Anne

    2013-01-01

    This study describes the classroom environment that students with visual impairment typically experience in regular Australian early education. Adequacy of the classroom environment (teacher training and experience, teacher support, parent involvement, adult involvement, inclusive attitude, individualization of the curriculum, physical…

  4. 30 CFR 27.38 - Tests to determine adequacy of windows and lenses.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Tests to determine adequacy of windows and lenses. Impact tests. A 4-pound cylindrical weight with a one... in its mounting or the equivalent thereof at or near the center. At least three out of four samples...

  5. Adequacy of the Regular Early Education Classroom Environment for Students with Visual Impairment

    ERIC Educational Resources Information Center

    Brown, Cherylee M.; Packer, Tanya L.; Passmore, Anne

    2013-01-01

    This study describes the classroom environment that students with visual impairment typically experience in regular Australian early education. Adequacy of the classroom environment (teacher training and experience, teacher support, parent involvement, adult involvement, inclusive attitude, individualization of the curriculum, physical…

  6. Guidelines for strategic planning

    SciTech Connect

    Not Available

    1991-07-01

    Strategic planning needs to be done as one of the integral steps in fulfilling our overall Departmental mission. The role of strategic planning is to assure that the longer term destinations, goals, and objectives which the programs and activities of the Department are striving towards are the best we can envision today so that our courses can then be set to move in those directions. Strategic planning will assist the Secretary, Deputy Secretary, and Under Secretary in setting the long-term directions and policies for the Department and in making final decisions on near-term priorities and resource allocations. It will assist program developers and implementors by providing the necessary guidance for multi-year program plans and budgets. It is one of the essential steps in the secretary's Strategic Planning Initiative. The operational planning most of us are so familiar with deals with how to get things done and with the resources needed (people, money, facilities, time) to carry out tasks. Operating plans like budgets, capital line item projects, R D budgets, project proposals, etc., are vital to the mission of the Department. They deal, however, with how to carry out programs to achieve some objective or budget assumption. Strategic planning deals with the prior question of what it is that should be attempted. It deals with what objectives the many programs and activities of the Department of Department should be striving toward. The purpose of this document is to provide guidance to those organizations and personnel starting the process for the first time as well as those who have prepared strategic plans in the past and now wish to review and update them. This guideline should not be constructed as a rigid, restrictive or confining rulebook. Each organization is encouraged to develop such enhancements as they think may be useful in their planning. The steps outlined in this document represent a very simplified approach to strategic planning. 9 refs.

  7. The Effect of BCAA and ISO-WHEY Oral Nutritional Supplements on Dialysis Adequacy.

    PubMed

    Afaghi, Effat; Tayebi, Ali; Ebadi, Abbas; Sobhani, Vahid; Einollahi, Behzad; Tayebi, Mehdi

    2016-11-01

    Protein-energy malnutrition is a common problem in hemodialysis patients and has different outcomes such as reduced quality of life, longer hospitalization time, lower dialysis adequacy, and higher mortality rate. Investigation of dialysis adequacy is an important method for assessing hemodialysis patients, and improving the dialysis adequacy is an important healthcare team goal. The present study aims to investigate and compare the effects of BCAA and ISO-WHEY oral nutritional supplements on dialysis adequacy. In a clinical trial study, 66 hemodialysis patients were randomly divided into three groups: Group A (n = 22), Group B (n = 22), and Group C or the control group (n = 22). In Groups A and B, as prescribed and controlled by nutritionists and nephrologists, respectively, ISO-WHEY and BCAA protein powder were used for 2 months on a daily basis. For all groups, before intervention and 1 and 2 months after intervention, the dialysis adequacy was measured using URR and Kt/V. Finally, the data were analyzed using IBM SPSS Statistics Base 21.0 software. Out of 66 patients, 61 (19 in Group A, 20 in Group B, and 22 in Group C) completed the study period, and before intervention, all groups were equal in terms of quality and quantity variables (P > 0.05). After intervention, there was a significant difference between the three groups with regard to the variables of dialysis adequacy based on Kt/V and URR to independent-t test and repeated measures ANOVA (P < 0.05). Results show that the intake of oral nutritional supplements leads to an improvement in the dialysis adequacy of hemodialysis patients. Therefore, the use of nutritional supplements along with patients' training and regular consultation will be helpful in improving the nutritional status, dialysis adequacy, and eventually the quality of life.

  8. Plant Protein Intake and Dietary Diversity Are Independently Associated with Nutrient Adequacy in French Adults.

    PubMed

    Bianchi, Clélia M; Egnell, Manon; Huneau, Jean-François; Mariotti, François

    2016-11-01

    Plant protein intake, which is favorably associated with the intake of many nutrients, is a marker of a healthy diet. However, the higher nutrient adequacy of diets rich in plant protein may also originate from overarching factors associated with more healthful dietary behaviors, such as a greater dietary diversity. Our main objective was to determine whether the relation between plant protein intake and nutrient adequacy could be explained, at least in part, by an association with overall dietary diversity. We used data from 1330 adults participating in the French Nutrition and Health Survey [Etude Nationale Nutrition Santé (ENNS); 2006-2007]. With the use of global, integrative approaches, we assessed nutrient adequacy [by using the probabilistic PANDiet (Probability of Adequate Nutrient Intake) scoring system] and overall dietary diversity (by using a 100-point score that accounts for the relative number of subgroups consumed in 7 food groups). Linear multivariate modeling was used for the analysis. We found a positive association between plant protein (but not total or animal protein) intake and dietary diversity (β = 0.08) and a strong positive association between dietary diversity and nutrient adequacy (β = 0.33). However, the association between plant protein intake and nutrient adequacy was not explained by dietary diversity (r = 0.38 and partial r = 0.36, P < 0.0001). In multivariate analysis, nutrient adequacy was positively associated with dietary diversity (β = 0.44) and plant (β = 0.37) and animal (β = 0.15) protein intakes. Associations persisted after adjustment for potential confounders (total energy, energy density, sex, body mass index, income, occupational status, educational level, region, season, and smoking status). Overall dietary diversity is greater in French adults who consume more plant protein. Both plant protein intake and dietary diversity are associated with the nutrient adequacy of the diet. But the plant protein

  9. Guidelines for Keeping the Cornell Farm Account Book. Student Manual.

    ERIC Educational Resources Information Center

    Paterson, Dale J.

    This student manual contains guidelines for keeping the Cornell Farm Account Book. The manual is divided into the following fifteen units of instruction: (1) Why Keep Records?, (2) Operating Expenses, (3) Labor Records, (4) Interest and Debt Payments, (5) Capital Purchases and Improvements, (6) Milk Sales, (7) Crop Sales, (8) Livestock Sold, (9)…

  10. Adequacy of dietary intakes and poverty in India: trends in the 1990s.

    PubMed

    Mahal, Ajay; Karan, Anup K

    2008-03-01

    Linear programming methods, indicators of nutritional adequacy from the Indian Council of Medical Research and household expenditure survey data from the National Sample Survey Organization were used to construct poverty lines for India. Poverty ratios were calculated for 1993--1994 and 1999--2000 on the basis of nutritional adequacy poverty lines and compared to official estimates of poverty based on energy requirements. Nutritional adequacy poverty lines are higher than official poverty lines, particularly in rural areas. The application of nutritional adequacy poverty lines points to greater rural-urban poverty differences than in official estimates. Declines in rural poverty during the 1990s were also slower under the nutritional adequacy definition, especially in south India. There is a greater degree of rural-urban and regional bias in nutritional adequacy poverty reduction than suggested by official data. Inter-state variations in changes in nutritional poverty and official poverty in the 1990s are largely explained by differences in assumptions on overall price movements. However, relative price movements in food items also played a role, particularly the slow increase in prices of cereals and edible oils in comparison to the prices of pulses, and in some southern states, compared to milk and vegetable prices as well.

  11. Developing clinical guidelines

    PubMed Central

    Shekelle, Paul G; Woolf, Steven H; Eccles, Martin; Grimshaw, Jeremy

    1999-01-01

    The methods of guideline development should ensure that treating patients according to guidelines will achieve the outcomes that are desired. This article presents a combination of the literature about guideline development and the results of our combined experience in guideline development in North America and Britain. It considers the 5 steps in the initial development of an evidence-based guideline. Imagesp348-a PMID:18751155

  12. Examining Nutritional Adequacy and Dietary Diversity Among Women in Niger.

    PubMed

    Cisse-Egbuonye, Nafissatou; Ishdorj, Ariun; McKyer, E L J; Mkuu, Rahma

    2017-01-19

    Objective The purpose of this study was to examine the nutritional adequacy and dietary composition among women residing in Zinder and Maradi of Niger, and the factors that affect the variety of their dietary intake. Methods Data from 3360 women of ages 15-49 were used in the analysis. The variable of interest was the Women Dietary Diversity Score (WDDS), which is the simple sum of scores of the 9 categorized food groups, ranging from 0 to 9. Lower values for WDDS indicate nutritionally inadequate dietary diversity. Analysis included descriptive, Mann-Whitney U test and linear regression. Results The majority of the participants were residing in the Maradi Region (56.7%) and were living in households with both male and female adults (94.9%). The mean WDDS was 3.5 in Zinder compared to 2.5 in Maradi (p < .05). The most frequently consumed food items in both Zinder and Maradi were starchy staple food (98.3%). Region of residence was one of the strong predictor of WDDS. A total number of farmers in the household and Household Dietary Diversity Score (HDDS) had positive and significant effects on WDDS whereas Household Hunger Scale (HHS) had a negative and significant effect on WDDS. Conclusion Niger has one of the highest concentrations of malnutrition in the world. In 2012, approximately 2.5 million Nigeriens were affected by malnutrition. Our study results reinforce the importance to conduct more studies that examine the nutritional intake of women in Niger.

  13. Social capital and psychological distress.

    PubMed

    Song, Lijun

    2011-12-01

    The author proposes a conceptual model to explain the diverse roles of social capital--resources embedded in social networks--in the social production of health. Using a unique national U.S. sample, the author estimated a path analysis model to examine the direct and indirect effects of social capital on psychological distress and its intervening effects on the relationships between other structural antecedents and psychological distress. The results show that social capital is inversely associated with psychological distress, and part of that effect is indirect through subjective social status. Social capital also acts as an intervening mechanism to link seven social factors (age, gender, race-ethnicity, education, occupational prestige, annual family income, and voluntary participation) with psychological distress. This study develops the theory of social capital as network resources and demonstrates the complex functions of social capital as a distinct social determinant of health.

  14. The development and application of a new tool to assess the adequacy of the content and timing of antenatal care

    PubMed Central

    2011-01-01

    Background Current measures of antenatal care use are limited to initiation of care and number of visits. This study aimed to describe the development and application of a tool to assess the adequacy of the content and timing of antenatal care. Methods The Content and Timing of care in Pregnancy (CTP) tool was developed based on clinical relevance for ongoing antenatal care and recommendations in national and international guidelines. The tool reflects minimal care recommended in every pregnancy, regardless of parity or risk status. CTP measures timing of initiation of care, content of care (number of blood pressure readings, blood tests and ultrasound scans) and whether the interventions were received at an appropriate time. Antenatal care trajectories for 333 pregnant women were then described using a standard tool (the APNCU index), that measures the quantity of care only, and the new CTP tool. Both tools categorise care into 4 categories, from 'Inadequate' (both tools) to 'Adequate plus' (APNCU) or 'Appropriate' (CTP). Participants recorded the timing and content of their antenatal care prospectively using diaries. Analysis included an examination of similarities and differences in categorisation of care episodes between the tools. Results According to the CTP tool, the care trajectory of 10,2% of the women was classified as inadequate, 8,4% as intermediate, 36% as sufficient and 45,3% as appropriate. The assessment of quality of care differed significantly between the two tools. Seventeen care trajectories classified as 'Adequate' or 'Adequate plus' by the APNCU were deemed 'Inadequate' by the CTP. This suggests that, despite a high number of visits, these women did not receive the minimal recommended content and timing of care. Conclusions The CTP tool provides a more detailed assessment of the adequacy of antenatal care than the current standard index. However, guidelines for the content of antenatal care vary, and the tool does not at the moment grade over

  15. The development and application of a new tool to assess the adequacy of the content and timing of antenatal care.

    PubMed

    Beeckman, Katrien; Louckx, Fred; Masuy-Stroobant, Godelieve; Downe, Soo; Putman, Koen

    2011-09-06

    Current measures of antenatal care use are limited to initiation of care and number of visits. This study aimed to describe the development and application of a tool to assess the adequacy of the content and timing of antenatal care. The Content and Timing of care in Pregnancy (CTP) tool was developed based on clinical relevance for ongoing antenatal care and recommendations in national and international guidelines. The tool reflects minimal care recommended in every pregnancy, regardless of parity or risk status. CTP measures timing of initiation of care, content of care (number of blood pressure readings, blood tests and ultrasound scans) and whether the interventions were received at an appropriate time. Antenatal care trajectories for 333 pregnant women were then described using a standard tool (the APNCU index), that measures the quantity of care only, and the new CTP tool. Both tools categorise care into 4 categories, from 'Inadequate' (both tools) to 'Adequate plus' (APNCU) or 'Appropriate' (CTP). Participants recorded the timing and content of their antenatal care prospectively using diaries. Analysis included an examination of similarities and differences in categorisation of care episodes between the tools. According to the CTP tool, the care trajectory of 10,2% of the women was classified as inadequate, 8,4% as intermediate, 36% as sufficient and 45,3% as appropriate. The assessment of quality of care differed significantly between the two tools. Seventeen care trajectories classified as 'Adequate' or 'Adequate plus' by the APNCU were deemed 'Inadequate' by the CTP. This suggests that, despite a high number of visits, these women did not receive the minimal recommended content and timing of care. The CTP tool provides a more detailed assessment of the adequacy of antenatal care than the current standard index. However, guidelines for the content of antenatal care vary, and the tool does not at the moment grade over-use of interventions as 'Inappropriate

  16. Bilateral Complete Osseous Coalition of the Capitate and Trapezoid.

    PubMed

    Christ, Alexander B; Maertens, Andrew S; Weiland, Andrew J

    2016-08-01

    Isolated capitate-trapezoid coalition is a rare form of carpal coalition with few cases described in the literature and a little insight as to how it should be addressed clinically. We present a case of bilateral, a complete osseous carpal coalition between capitate and trapezoid discovered in the setting of atraumatic, symptomatic scapholunate dissociation in a 59-year-old, right-handed mechanic. Published reports of capitate-trapezoid coalition are rare, and there is no consensus as to whether this abnormality is a symptomatic pathology or incidental finding. Most reports describe the finding, but do not recommend a course of treatment; several recommend surgery, but the patient declined or it was not mentioned whether it was performed. Capitate-trapezoid coalition is a rare condition that may present symptomatically or may be found incidentally. Reports are scant, and there are no guidelines for how to address these clinically. We present the first bilateral case report of capitate-trapezoid coalition confirmed with cross-sectional imaging and present a treatment algorithm.

  17. 47 CFR 65.304 - Capital structure.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 3 2011-10-01 2011-10-01 false Capital structure. 65.304 Section 65.304... OF RETURN PRESCRIPTION PROCEDURES AND METHODOLOGIES Exchange Carriers § 65.304 Capital structure. The proportion of each cost of capital component in the capital structure is equal to: Proportion in the capital...

  18. 47 CFR 65.304 - Capital structure.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 3 2014-10-01 2014-10-01 false Capital structure. 65.304 Section 65.304... OF RETURN PRESCRIPTION PROCEDURES AND METHODOLOGIES Exchange Carriers § 65.304 Capital structure. The proportion of each cost of capital component in the capital structure is equal to: Proportion in the capital...

  19. 47 CFR 65.304 - Capital structure.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 3 2013-10-01 2013-10-01 false Capital structure. 65.304 Section 65.304... OF RETURN PRESCRIPTION PROCEDURES AND METHODOLOGIES Exchange Carriers § 65.304 Capital structure. The proportion of each cost of capital component in the capital structure is equal to: Proportion in the capital...

  20. 47 CFR 65.304 - Capital structure.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 3 2012-10-01 2012-10-01 false Capital structure. 65.304 Section 65.304... OF RETURN PRESCRIPTION PROCEDURES AND METHODOLOGIES Exchange Carriers § 65.304 Capital structure. The proportion of each cost of capital component in the capital structure is equal to: Proportion in the capital...

  1. Social Capital, Value, and Measure: Antonio Negri's Challenge to Capitalism.

    ERIC Educational Resources Information Center

    Day, Ronald E.

    2002-01-01

    Considers one concept in knowledge management, that of social capital, focusing on the problem of measure and value in capitalism, specifically within the period and conditions of post-Fordist production. Discusses the work of Antonio Negri and suggests the importance of knowledge management as a symptom of a turn in political economy. (Author/LRW)

  2. Evaluation of buprenorphine dosage adequacy in opioid receptor agonist substitution therapy for heroin dependence: first use of the BUprenorphine-naloxone Dosage Adequacy eVAluation (BUDAVA) questionnaire.

    PubMed

    D'Amore, Antonio; Romano, Filomena; Biancolillo, Vincenzo; Lauro, Guglielmo; Armenante, Ciro; Pizzirusso, Anna; Del Tufo, Salvatore; Ruoppolo, Ciro; Auriemma, Francesco; Cassese, Francesco; Oliva, Patrizia; Amato, Patrizia

    2012-07-01

    The dosing of opioid receptor agonist medications adequately and on an individual basis is crucial in the pharmacotherapy of opioid dependence. Clinical tools that are able to measure dose appropriateness are sorely needed. The recently developed and validated Opiate Dosage Adequacy Scale (ODAS) comprehensively evaluates the main outcomes relevant for methadone dose optimization, namely relapse, cross-tolerance, objective and subjective withdrawal symptoms, craving and overdose. Based on the ODAS, we developed a new assessment tool (BUprenorphine-naloxone Dosage Adequacy eVAluation [BUDAVA]) for evaluating dosage adequacy in patients in treatment with buprenorphine-naloxone. The main goal of this observational study was to explore whether the BUDAVA questionnaire could be used to assess buprenorphine-based, long-term substitution therapy for heroin addiction. The study included heroin-dependent patients who had been in treatment with buprenorphine-naloxone for at least 3 months. Patients (n = 196) were recruited from 11 drug abuse treatment centres in Italy. Dosage adequacy was assessed with the BUDAVA questionnaire. Patients classified as inadequately treated had their dosage modified. After 1 week, they were again administered the questionnaire to assess the adequacy of the new dosage. The buprenorphine-naloxone dosage was found to be inadequate in 61 of the 196 patients. In 13 patients, the treatment scored as inadequate only in the subjective withdrawal symptoms item of the questionnaire and therefore no dosage adjustment was made in the 2 weeks that have characterized this work. The remaining 48 inadequately treated patients had their dosage modified (42 dose increases and six dose decreases). After 1 week on the modified dosage, in 24 of these patients the new regimen was found by the assessment with the questionnaire to be adequate. These preliminary results suggest that the BUDAVA questionnaire may be useful for guiding buprenorphine-naloxone maintenance

  3. FaceTime validation study: Low-cost streaming video for cytology adequacy assessment.

    PubMed

    Agarwal, Shweta; Zhao, Lichao; Zhang, Roy; Hassell, Lewis

    2016-03-01

    Adequacy assessment for fine-needle aspiration procedures is a standard of care in large medical centers. Although the benefits of this approach include higher adequacy rates with fewer passes, it costs cytopathologist time and affects other clinical responsibilities. The objective of the current study was to evaluate the use of mobile video streaming (FaceTime) technology with the help of smartphone adapters attached to microscopes for remote adequacy assessment of cytologic samples. The study consisted of 2 phases: Phase 1 was a retrospective assessment of 25 samples by a primary pathologist with simultaneous streaming to a second pathologist using a smartphone (iPhone/iPad) FaceTime connection. Data on the adequacy of each sample and preliminary diagnoses were recorded. In phase 2, live cases were assessed prospectively by an onsite primary pathologist and by a remote pathologist using an iPhone/iPad-FaceTime connection. The testing phase involved prospective assessment of additional samples with a resident or cytotechnologist as the slide driver. In phase 1, retrospective evaluation of 25 samples yielded considerable agreement (22 of 25 samples; 88%) between onsite and remote adequacy assessments. Three samples (12%) yielded results that did not agree, including 2 samples that were read as adequate in the onsite evaluation that were assessed as indeterminate using FaceTime. In phase 2 and in the testing phase, 14 samples exhibited considerable agreement on both adequacy and preliminary diagnosis (6 samples in phase 2 and 8 samples in the testing phase) and are currently available for reporting. Problems encountered include software version standardization, camera alignment, and (rarely) comprehension of the audio stream. The current data indicate that iPhone/iPad FaceTime technology can be used to perform remote adequacy assessments of fine-needle aspirations and can help save valuable time for pathologists. © 2015 American Cancer Society.

  4. [Epilepsy guidelines: Japanese and international guidelines].

    PubMed

    Akamatsu, Naoki; Tsuji, Sadatoshi

    2011-04-01

    Many guidelines for the management of epilepsy have been published since the introduction of evidence-based medicine. In Japan, the first clinical guideline for epilepsy management was published by the Japanese Society of Neurology (JSN) in 2002. The Japan Epilepsy Society (JES) has been publishing guidelines for several topics since 2005. However, owing to recent advances in epileptology and the accumulation of related knowledge, it has become necessary to revise these guidelines. Four medical societies-JSN, JES, the Japanese Society of Neurological Therapeutics, and the Japanese Society of Child Neurology-have together published new epilepsy-related clinical guidelines for practitioners. The guideline committee consists of 23 specialists representing the 4 societies. The guidelines primary target general practitioners treating epilepsy patients and are designed to be user friendly-in the form of 81 "clinical questions" (CQs). The CQs comprehensively cover various aspects of epilepsy management including those related to diagnosis, treatment, surgery, pregnancy, and social issues. Recommendations are concisely described with levels from A to D. The evidence level (I to IV) of the references is based on the literature review conducted by the committee. These guidelines were published in October 2010.

  5. Nutritional adequacy and quality control of rodent diets.

    PubMed

    Newberne, P M; Fox, J G

    1980-04-01

    One of the most often neglected variables in experimental investigations using rodents is the diet. Recent observations that diets can influence the response of a rodent to the drug, chemical or other factors under study, with biased interpretation of results, have drawn great interest. In order to be assured that the biologic response observed is a reflection of the material or condition under study, it is imperative that the diet provide essential nutrients in the proper proportions and that contaminants be kept to a minimum. Quality control is the key to these requirements; rodent diets can provide adequate nutrition, free of significant contamination. The diets which can be provided vary according to the degree of refinements; the three major types are (1) natural product, (2) semipurified and (3) chemically defined diets. Natural product diets may be open or closed formula, depending on the amount of information that the label reveals. Guaranteed analyses of proximate nutrients are provided but are of little use in assessing the nutrient value of the formulation. The National Academy of Sciences, National Research Council publications on laboratory animal nutrient requirements should be available to all investigators using experimental animals to help them evaluate the nutritional adequacy of the diets they use. Rats and mice may be considered together under some circumstances relative to crude dietary needs, but the Syrian golden hamster should be treated separately for purposes of diet. This species appears to digest foods more like a ruminant. An ideal diet for rodents is not on the horizon because of variable needs relative to different types of research and holding. Storage and shelf life of rodent diets also play important roles in providing adequate nutrition. Variations in moisture, temperature and exposure to other chemicals can affect the quality of the feed and research results. In addition, a number of chemical and biological contaminants have been

  6. Dialysis adequacy in Chinese anuric peritoneal dialysis patients.

    PubMed

    Shao, Yeqing; Ma, Sha; Tian, Xiangyin; Wang, Tao; Xu, Jiayun

    2013-10-01

    We aimed in this study to explore how lower-protein diet would affect dialysis adequacy in anuric peritoneal dialysis (PD) patients. Patients' demographic features were collected, namely age, gender, weight, height, underlying renal disease, and time on PD. Urea kinetic model was used to assess solute clearance. A consecutive 3-day dietary record was collected to evaluate dietary protein intake (DPI), and normalized protein nitrogen appearance (nPNA) was also calculated to reflect protein intake. Blood samples were collected to measure hemoglobin and biochemistry. Patient's nutritional status was assessed by biochemistry, handgrip strength, and subjective global assessment (SGA). Body fluid distribution was measured by body composition monitor. Patients were 60.8 ± 14.92 years old, and the time on PD was 40.15 ± 22.90 months. Daily prescribed dialysis dose was 7,178 ± 1,326 mL. Kt/V was 1.6 ± 0.32. DPI was 0.8 ± 0.25 g/kg/day. nPNA was 0.9 ± 0.21 g/kg/day. Serum albumin was 39.42 ± 4.83 g/L. Prevalence of malnutrition (assessed by SGA) was 20.2 %. Serum phosphate and serum bicarbonate were 1.68 ± 0.47 and 27.16 ± 3.49 mmol/L, respectively. Systolic blood pressure and diastolic blood pressure were 123.4 ± 20.0 and 74.2 ± 12.6 mmHg, respectively. Patients with nPNA less than 0.6 had significantly lower serum albumin concentrations than the average, and patients with nPNA more than 1.2 g/kg/day had significantly higher levels of serum phosphate and serum urea than the average. Our study suggested that anuric PD patients could achieve adequate dialysis even under lower solute clearance. And lower-protein diet contributed largely to adequate dialysis in these patients.

  7. Dairy Intake, Dietary Adequacy, and Lactose Intolerance12

    PubMed Central

    Heaney, Robert P.

    2013-01-01

    Despite repeated emphasis in the Dietary Guidelines for Americans on the importance of calcium in the adult American diet and the recommendation to consume 3 dairy servings a day, dairy intake remains well below recommendations. Insufficient health professional awareness of the benefits of calcium and concern for lactose intolerance are among several possible reasons, This mini-review highlights both the role of calcium (and of dairy, its principal source in modern diets) in health maintenance and reviews the means for overcoming lactose intolerance (real or perceived). PMID:23493531

  8. Capital planning: investing in excellence.

    PubMed

    Slater, G; Del Bravo, K

    1994-04-01

    Graham Slater and Kate Del Bravo describe the priorities considered and work undertaken by SETRHA to develop its capital investment strategy. Although the underlying concepts are straightforward, it represents a significant development beyond traditional NHS approaches to planning, embraces the NHS market reforms, and has reduced capital aspirations for the same service objectives by some 300m pounds.

  9. Cultural capital as a measurand

    NASA Astrophysics Data System (ADS)

    Taymanov, R.; Sapozhnikova, K.

    2016-11-01

    The necessity for developing metrology due to extension of its application sphere is noted. The efficiency of the metrological approach to measurement of multidimensional quantities in the field of humanities is shown using the development of cultural capital interpreted by L. Harrison. The cultural capital is defined as a measure of the society structure complexity and adaptive capacity.

  10. Transformative Pedagogy for Social Capital

    ERIC Educational Resources Information Center

    Willis, Peter

    2007-01-01

    This paper explores ways in which pedagogy for an elaborated form of transformative learning can be a useful catalyst for the development of social capital in community and workplace groups and networks. I begin with an example and then explore ideas of learning challenges embedded in building and maintaining social capital. I consider the…

  11. Rethinking Higher Education Capital Finance.

    ERIC Educational Resources Information Center

    King, George A.

    1988-01-01

    Capital finance in institutions of higher education is analyzed in light of changes in the Tax Reform Act of 1986 affecting the ability of institutions to finance capital projects and the likelihood of changes in the government's view of tax-exempt financing. The options for colleges and universities are analyzed in the following areas: (1)…

  12. Schools, Social Capital and Space

    ERIC Educational Resources Information Center

    Allan, Julie; Catts, Ralph

    2014-01-01

    This paper reports on the significance of social capital in relation to education, exploring its relevance to teachers and other professionals as well as among young people. It draws on aspects of five case studies undertaken by the Schools and Social Capital Network, within the Applied Educational Research Scheme in Scotland. These case studies…

  13. Rethinking Higher Education Capital Finance.

    ERIC Educational Resources Information Center

    King, George A.

    1988-01-01

    Capital finance in institutions of higher education is analyzed in light of changes in the Tax Reform Act of 1986 affecting the ability of institutions to finance capital projects and the likelihood of changes in the government's view of tax-exempt financing. The options for colleges and universities are analyzed in the following areas: (1)…

  14. San Diego's Capital Planning Process

    ERIC Educational Resources Information Center

    Lytton, Michael

    2009-01-01

    This article describes San Diego's capital planning process. As part of its capital planning process, the San Diego Unified School District has developed a systematic analysis of functional quality at each of its school sites. The advantage of this approach is that it seeks to develop and apply quantifiable metrics and standards for the more…

  15. Schools, Social Capital and Space

    ERIC Educational Resources Information Center

    Allan, Julie; Catts, Ralph

    2014-01-01

    This paper reports on the significance of social capital in relation to education, exploring its relevance to teachers and other professionals as well as among young people. It draws on aspects of five case studies undertaken by the Schools and Social Capital Network, within the Applied Educational Research Scheme in Scotland. These case studies…

  16. Social Capital and Stability Operations

    DTIC Science & Technology

    2008-03-26

    lowers drug use, criminality, and teenage pregnancies , while increasing youth academic success, economic development, and government effectiveness.49...addition to skills and knowledge , human capital also includes people’s ability to associate with each other. He defined social capital as the ability

  17. Taking Capital Requirements into Account.

    ERIC Educational Resources Information Center

    Jenny, Hans; And Others

    1982-01-01

    A comprehensive capital charge policy is recommended as an integral part of college budgeting and reporting. It includes three components: a capital renewal and replacement charge, a new equipment and library and laboratory acquisitions budget, and a debt repayment schedule using internal borrowing. (MSE)

  18. [Analysis of the implantation of the healthcare network for victims of accidents and violence following the guidelines of the National Policy for the Reduction of Morbidity and Mortality from Violence and Accidents].

    PubMed

    Minayo, Maria Cecília de Souza; Deslandes, Suely Ferreira

    2009-01-01

    In this article we problematize the results of an investigation entitled 'Diagnostic Analysis of the National Policy for Reduction of Morbidity and Mortality from Accidents and Violence (PNRMVA)' and present some thoughts for discussion. Based on a quantitative and qualitative analysis of the implantation of this policy in five Brazilian state capitals--Recife, Rio de Janeiro, Manaus, Curitiba and Brasília and vicinities--along with the participation of local academic institutions we performed a diagnosis of the situation. The article presents evaluative information regarding: the profile of morbidity and mortality from accidents and violence; the adequacy of mobile and fixed pre-hospital emergency services, hospital services and rehabilitation services to preventing the described epidemiological profile; the training of the professionals dealing with these traumas; surveillance and monitoring of violence and accidents as well as support for studies and investigations into the issue. Aimed at proposing a debate, the article concludes raising questions about the advances made in the implementation of the policy, about the fragilities of the system and about the possibilities for an efficient implementation of the PNRMVA guidelines.

  19. Assessment of hemodialysis adequacy and its relationship with individual and personal factors

    PubMed Central

    Rezaiee, Ozra; Shahgholian, Nahid; Shahidi, Shahrzad

    2016-01-01

    Background: Hemodialysis is the most common renal replacement therapy in the world, and hemodialysis adequacy is an important and influencial factor in the reduction of various complications experienced by these patients. Multiple factors influence hemodialysis adequacy. This study was conducted to determine hemodialysis adequacy and its relationship with individual and personal factors in patients undergoing hemodialysis in three hemodialysis centers of Isfahan, Iran. Materials and Methods: This descriptive, cross-sectional study was conducted in partnership with 202 patients undergoing hemodialysis in three hemodialysis centers of Isfahan. The data were collected using a researcher-made questionnaire, and hemodialysis adequacy was measured using the urea reduction ratio (URR). Data analysis was conducted using Spearman's correlation coefficient, Mann–Whitney and Kruskal–Wallis tests, and descriptive statistics (frequency distribution). In this study, the level of significance was considered to be 0.05. Results: Hemodialysis adequacy in 56.4% of patients was optimal, in 29.7% near optimum, and in 13.9% less than optimal. Statistical tests showed a significant correlation between hemodialysis adequacy and age (P = 0.05), prehemodialysis systolic blood pressure (BP) (P = 0.02) and diastolic BP (P = 0.04), the duration of hemodialysis in months (P = 0.02), and patients’ sex (P = 0.01). There was no significant correlation between hemodialysis adequacy and the number of hemodialysis cessations per week (P = 0.20), interdialytic weight gain (P = 0.40), prehemodialysis blood urea nitrogen (P = 0.40), creatinine (P = 0.10), hemoglobin (P = 0.20), hematocrit (P = 0.08), venous access type (P = 0.30), needle distance and direction (P = 0.70), underlying causes of end-stage renal disease (P = 0.50), and personnel's shift (P = 0.90). Conclusions: The results of the study showed that approximately half of the patients did not have an optimal level of hemodialysis

  20. Human capital strategy: talent management.

    PubMed

    Nagra, Michael

    2011-01-01

    Large organizations, including the US Army Medical Department and the Army Nurse Corps, are people-based organizations. Consequently, effective and efficient management of the human capital within these organizations is a strategic goal for the leadership. Over time, the Department of Defense has used many different systems and strategies to manage people throughout their service life-cycle. The current system in use is called Human Capital Management. In the near future, the Army's human capital will be managed based on skills, knowledge, and behaviors through various measurement tools. This article elaborates the human capital management strategy within the Army Nurse Corps, which identifies, develops, and implements key talent management strategies under the umbrella of the Corps' human capital goals. The talent management strategy solutions are aligned under the Nurse Corps business strategy captured by the 2008 Army Nurse Corps Campaign Plan, and are implemented within the context of the culture and core values of the organization.

  1. Measuring social capital: further insights.

    PubMed

    Carrillo Álvarez, Elena; Riera Romaní, Jordi

    Social capital is defined as the resources available to individuals and groups through membership in social networks. However, multiple definitions, distinct dimensions and subtypes of social capital have been used to investigate and theorise about its relationship to health on different scales, creating a confusing picture. This heterogeneity makes it necessary to systematise social capital measures in order to build a stronger foundation in terms of how these associations between the different aspects of social capital and each specific health indicator develop. We aim to provide an overview of the measurement approaches used to measure social capital in its different dimensions and scales, as well as the mechanisms through which it is presumed to influence health. Understanding the mechanisms through which these relationships develop may help to refine the existing measures or to identify new, more appropriate ones.

  2. Assessment of nutrient adequacy with supplement use in a sample of healthy college students.

    PubMed

    Ouellette, Catherine Davis; Yang, Meng; Wang, Ying; Yu, Caroline; Fernandez, Maria Luz; Rodriguez, Nancy R; Chun, Ock K

    2012-10-01

    Limited information is available on the nutritional status and the impact of supplements on nutrient adequacy in college students. This study aimed to assess nutritional status and evaluate the contribution of supplement use to overall nutrient adequacy in a sample of healthy college students. Sixty subjects (40 women and 20 men) were randomly recruited from those attending the University of Connecticut. Food records were collected over 30 consecutive days for each subject. In addition, health and lifestyle information was collected at the beginning and end of the study period. After excluding misreporting, only 44 subjects were eligible for assessing nutritional status. More than 40% of female students had intakes below the estimated average requirements for vitamins D and E, calcium, and magnesium. Supplement users had significantly higher average intakes than nonusers from dietary sources for protein, folate, niacin, vitamin E, magnesium, and zinc (p < 0.05). With the addition of supplements, supplement users consumed significantly more for all nutrient intakes except vitamin A than nonusers (p < 0.05). Nutritional adequacy of supplement users was significantly higher for vitamins D and E and magnesium compared with nonusers (p < 0.05). Overall, men and women were consuming intakes below adequacy for most nutrients, and supplement usage increased nutrient intake and adequacy levels in this young adult population.

  3. [Presence and adequacy of pharmaceutical preparations in the Spanish edition of Wikipedia].

    PubMed

    López Marcos, Paula; Sanz-Valero, Javier

    2013-02-01

    To determine the presence, and to evaluate the adequacy of pharmaceutical preparations in the Spanish edition of Wikipedia. Descriptive cross-sectional study. the terms studied were obtained from the Vademecum, UBM Medica Spain S.A, (http://vademécum.es). the sample was calculated by simple random sampling without replacement from the active ingredients present in the Vademecum, making the estimation of population parameters (expected value of approximately 0.5; 0.05 range accuracy and confidence level=0.95) in an infinite population. The existence and adequacy of the terminology was observed by accessing the Spanish edition of Wikipedia. The term was considered adequate when the information contained the proper use, dosage and adverse effects. The qualitative binary variable yes/no (presence of the pharmaceutical drug, use, posology, adverse effects, adequacy) were described by frequency and percentage, quantitative (number of queries, update) using mean and standard deviation. The existences of an association between qualitative variables were analyzed using chi-square, and significance of the differences of means for independent samples, using the Student t test. Of the sample studied (n=386), 171 terms were found, with 15 being adequate. Significant differences were observed between adequacy and dose (P<.001) and adverse effects (P<.001), but not with use (P=.193). Pharmaceutical preparation entries in the Spanish edition of Wikipedia are still insufficient and the adequacy of the information remains inconsistent. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  4. National Bookmobile Guidelines, 1988.

    ERIC Educational Resources Information Center

    Ohio State Library, Columbus.

    These guidelines were developed by the bookmobile community that has met in Columbus, Ohio, since 1985 for their annual conference. The guidelines comprise the collaborative effort of hundreds of conference participants and representatives from 79 libraries throughout the United States and Canada, who discussed the guidelines in regional and state…

  5. National Bookmobile Guidelines, 1992.

    ERIC Educational Resources Information Center

    Ohio State Library, Columbus.

    This publication is based on the work of The State Library of Ohio, the National Bookmobile Guidelines Committee, and staff of local Ohio bookmobile programs. Draft guidelines were approved by the 7th National Bookmobile Conference (May 31-June 2, 1992). The Guidelines provide brief statements of standards followed by specifics which indicate…

  6. National Bookmobile Guidelines, 1992.

    ERIC Educational Resources Information Center

    Ohio State Library, Columbus.

    This publication is based on the work of The State Library of Ohio, the National Bookmobile Guidelines Committee, and staff of local Ohio bookmobile programs. Draft guidelines were approved by the 7th National Bookmobile Conference (May 31-June 2, 1992). The Guidelines provide brief statements of standards followed by specifics which indicate…

  7. Prekindergarten Curriculum Guidelines.

    ERIC Educational Resources Information Center

    Fowler, Marilyn; Meyers, Margaret E.; Morris, Pam Bell; Gonzales, Peggy Freedson; Uphaus, Anita

    Following adoption of the Texas Essential Knowledge and Skills (TEKS) in 1998, new prekindergarten curriculum guidelines were developed. These voluntary guidelines articulate what 3- and 4-year-olds should know and be able to do and provide a means to align prekindergarten programs with the TEKS curriculum. The guidelines are intended to assist…

  8. Implementing a multifaceted tailored intervention to improve nutrition adequacy in critically ill patients: results of a multicenter feasibility study

    PubMed Central

    2014-01-01

    Introduction Tailoring interventions to address identified barriers to change may be an effective strategy to implement guidelines and improve practice. However, there is inadequate data to inform the optimal method or level of tailoring. Consequently, we conducted the PERFormance Enhancement of the Canadian nutrition guidelines by a Tailored Implementation Strategy (PERFECTIS) study to determine the feasibility of a multifaceted, interdisciplinary, tailored intervention aimed at improving adherence to critical care nutrition guidelines for the provision of enteral nutrition. Methods A before-after study was conducted in seven ICUs from five hospitals in North America. During a 3-month pre-implementation phase, each ICU completed a nutrition practice audit to identify guideline-practice gaps and a barriers assessment to identify obstacles to practice change. During a one day meeting, the results of the audit and barriers assessment were reviewed and used to develop a site-specific tailored action plan. The tailored action plan was then implemented over a 12-month period that included bi-monthly progress meetings. Compliance with the tailored action plan was determined by the proportion of items in the action plan that was completely implemented. We examined acceptability of the intervention through staff responses to an evaluation questionnaire. In addition, the nutrition practice audit and barriers survey were repeated at the end of the implementation phase to determine changes in barriers and nutrition practices. Results All five sites successfully completed all aspects of the study. However, their ability to fully implement all of their developed action plans varied from 14% to 75% compliance. Nurses, on average, rated the study-related activities and resources as ‘somewhat useful’ and a third of respondents ‘agreed’ or ‘strongly agreed’ that their nutrition practice had changed as a result of the intervention. We observed a statistically significant

  9. The new retirement reality: calculating the true cost of retirement income adequacy.

    PubMed

    Lucas, Lori; Steinberg, Allen

    2006-01-01

    Recognizing that 401(k) plans are emerging as many employees' sole source of employer-sponsored retirement income, plan sponsors are increasingly adding paternalistic plan features to increase the amount--and effectiveness--of dollars invested in 401(k) accounts. The authors describe the results of a study they prepared for Hewitt Associates that assesses retirement income adequacy for individuals represented in a plan participant database of 1.8 million individuals. The study includes analysis of retirement income adequacy for the aggregate population as well as the results for different subgroups, reflecting factors such as whether individuals actively contribute; the impact of different levels of retiree medical coverage; and the presence of a defined benefit pension. Finally, the authors discuss how plan sponsors can bolster the adequacy of retirement income from 401(k) plans, depending on employer objectives.

  10. Administrative and policy issues in reimbursement for nursing home capital investment.

    PubMed

    Boerstler, H; Carlough, T; Schlenker, R E

    1991-01-01

    The way in which states reimburse for nursing home capital costs can create incentives for nursing home owners to use the home primarily as a vehicle for real estate speculation, with potentially adverse consequences for patient care. In order to help promote and control the stability, adequacy, and quality of capital investment in long-term care, an increasing number of states are using a fair-rental approach for calculating capital reimbursement. In this article we compare the fair-rental approach with traditional cost-based capital reimbursement in terms of administration and policy. We discuss issues of concern to the state (cost and reimbursement design options) and the investor (after-tax cash flows, rate of return, etc.). Our analysis suggests that fair-rental systems may be superior to traditional cost-based reimbursement in promoting and controlling industry stability, while at the same time providing an adequate return to investors, without incurring long-term increases in the costs of administering programs.

  11. Adequacy of Prenatal Care and Gestational Weight Gain.

    PubMed

    Yeo, SeonAe; Crandell, Jamie L; Jones-Vessey, Kathleen

    2016-02-01

    The goal of prenatal care is to maximize health outcomes for a woman and her fetus. We examined how prenatal care is associated with meeting the 2009 Institute of Medicine (IOM) guidelines for gestational weight gain. The study used deidentified birth certificate data supplied by the North Carolina State Center for Health Statistics. The sample included 197,354 women (≥18 years) who delivered singleton full-term infants in 2011 and 2012. A generalized multinomial model was used to identify how adequate prenatal care was associated with the odds of gaining excessive or insufficient weight during pregnancy according to the 2009 IOM guidelines. The model adjusted for prepregnancy body size, sociodemographic factors, and birth weight. A total of 197,354 women (≥18 years) delivered singleton full-term infants. The odds ratio (OR) for excessive weight gain was 2.44 (95% CI 2.37-2.50) in overweight and 2.33 (95% CI 2.27-2.40) in obese women compared with normal weight women. The OR for insufficient weight gain was 1.15 (95% CI 1.09-1.22) for underweight and 1.34 (95% CI 1.30-1.39) for obese women compared with normal weight women. Prenatal care at the inadequate or intermediate levels was associated with insufficient weight gain (OR: 1.32, 95% CI 1.27-1.38; OR: 1.15, 95% CI 1.09-1.21, respectively) compared with adequate prenatal care. Women with inadequate care were less likely to gain excessive weight (OR: 0.88, 95% CI 0.86-0.91). Whereas prenatal care was effective for preventing insufficient weight gain regardless of prepregnancy body size, educational background, and racial/ethnic group, there were no indications that adequate prenatal care was associated with reduced risk for excessive gestational weight gain. Further research is needed to improve prenatal care programs for preventing excess weight gain.

  12. Development of a diet quality index with special reference to micronutrient adequacy for adolescent girls consuming a lacto-vegetarian diet.

    PubMed

    Chiplonkar, Shashi A; Tupe, Rama

    2010-06-01

    Recent dietary guidelines emphasize micronutrient sufficiency by giving importance to consumption of whole grains and a variety of fruits and vegetables. The objective of this study was to identify a measure of micronutrient quality of diets in adolescent girls consuming a lacto-vegetarian diet. Data were collected on the nutritional status of 630 schoolgirls (ages 10 to 16 years) from Pune city, India, in a cross-sectional survey during 2006-2007. Dietary intakes were assessed by 24-hour recall on 3 nonconsecutive days. Nutrient intakes were calculated from the Indian nutritive value databases. Micronutrient adequacy was expressed as a ratio of observed intake to reference intake. An Adolescent Micronutrient Quality Index (AMQI) was formulated using the Indian and the recent US dietary guidelines. Fasting blood samples were analyzed for plasma levels of vitamin C, beta carotene, and zinc. The average energy intake of the majority of the girls was below the Indian recommended dietary intakes, whereas micronutrient intakes were 50% to 70% lower than recommended dietary intakes. The mean AMQI score was 41.5+/-9.4. The age of subjects as well as mother's education and occupation were significantly associated with the AMQI. The AMQI was correlated with nutrient intakes and the ratio of observed intake to reference intake (P<0.01) after controlling for energy intake and sociodemographic factors. Higher AMQI scores were associated with higher concentrations of plasma vitamin C (r=0.26), beta carotene (r=0.34), and zinc (r=0.12). The AMQI is a useful measure of the dietary adequacy and micronutrient quality of the diets of adolescent girls consuming lacto-vegetarian diets. 2010 American Dietetic Association. Published by Elsevier Inc. All rights reserved.

  13. Comparing Resource Adequacy Metrics and Their Influence on Capacity Value: Preprint

    SciTech Connect

    Ibanez, E.; Milligan, M.

    2014-04-01

    Traditional probabilistic methods have been used to evaluate resource adequacy. The increasing presence of variable renewable generation in power systems presents a challenge to these methods because, unlike thermal units, variable renewable generation levels change over time because they are driven by meteorological events. Thus, capacity value calculations for these resources are often performed to simple rules of thumb. This paper follows the recommendations of the North American Electric Reliability Corporation?s Integration of Variable Generation Task Force to include variable generation in the calculation of resource adequacy and compares different reliability metrics. Examples are provided using the Western Interconnection footprint under different variable generation penetrations.

  14. Social capital in engineering education

    NASA Astrophysics Data System (ADS)

    Brown, Shane

    A theoretical argument is presented to suggest that engineering curriculum be designed to develop social capital. Additionally, the value of social capital in the retention of students in the College of Engineering, and the development, role, and value of social capital in an electrical engineering laboratory is evaluated. Data collected includes participant observations, informal and formal student interviews, and a researcher-designed survey. Social capital consists of interaction among individuals (networks), social rules that encourage interactions such as trust and reciprocity (norms), and the value of these networks and norms to the individual and the group. A large body of evidence suggests that social capital is valuable in terms of retention and multiple measures of academic achievement. The importance of social capital in retention was verified by students that have left engineering and those that remain, in terms of interactions with peers, teaching assistants, and engineering faculty; and a lack of sense of community in freshman engineering courses. Students that have left engineering differed in their perceptions of social capital from those that remain in their frustrations with teaching methods that encourage little discussion or opportunities to ask questions about assumptions or approaches. The open-ended nature of laboratory assignments, extensive required troubleshooting, and lack of specific directions from the teaching assistants were found to encourage the development of social capital in the laboratory setting. Degree centrality, a network measure of social capital as the number of ties an individual has within a social network, was found to be positively correlated with laboratory grade. Student perceptions of the importance of interactions with other students on success in the laboratory setting has a negative model effect on academic achievement in the laboratory. In contrast, student perceptions of the quality of interactions with

  15. Pediatric guidelines for dyslipidemia.

    PubMed

    Daniels, Stephen R

    2015-01-01

    Clinical guidelines are developed to assist clinicians in complex clinical decision making. Modern guideline development includes a systematic review and grading of relevant literature and then using the evidence review to construct recommendations for clinical care which are also graded regarding the level of evidence supporting them. Pediatric guidelines for dyslipidemia were first published in 1992. There was then a gap during which no formal guidelines were developed. In 2011, the National Heart, Lung, and Blood Institute Integrated Guidelines for Cardiovascular Disease Risk Reduction in Children were published. This included an evidence review and clinical recommendations regarding dyslipidemia. This review process began in 2006. The evidence review ended in 2008, and they were published in 2011 because of an extensive and prolonged review process. These guidelines recommend universal screening for dyslipidemia at age 9 to 11 y with a focus on identifying young individuals with genetic dyslipidemia such as familial hypercholesterolemia. The guidelines also include lifestyle recommendations and recommendations for pharmacologic treatment for children with markedly elevated low-density lipoprotein cholesterol. The guideline process should include review of the implementation of guidelines in practice and should also include ongoing review of the guidelines with respect to a growing evidence base with new research findings.

  16. Greening America's Capitals - Richmond, VA

    EPA Pesticide Factsheets

    Report from the Greening America's Capitals project in Richmond, VA, to help the city develop design options to protect pedestrians, bicyclists, transit users, and drivers; improve stormwater management; and spur revitalization.

  17. Greening America's Capitals - Hartford, CT

    EPA Pesticide Factsheets

    This Greening America's Capitals report gives Hartford, CT, a new vision for Capitol Avenue that highlights existing assets and fills in gaps along the mile-long area of focus and into the surrounding neighborhoods.

  18. Greening America's Capitals - Frankfort, KY

    EPA Pesticide Factsheets

    Report on the Greening America's Capitals project to help Frankfort, KY, improve the Second Street corridor to make pedestrians and bicyclists safer, improve water quality, and make the street more attractive.

  19. Greening America's Capitals - Charleston, WV

    EPA Pesticide Factsheets

    This Greening America’s Capitals report outlines design concepts that could improve Slack Plaza in Charleston, WV, by creating more opportunities for local businesses, better managing stormwater runoff, and increasing green space.

  20. Greening America's Capitals - Washington, DC

    EPA Pesticide Factsheets

    This Greening America's Capitals report describes design options for the Anacostia Metro station in Washington, DC, that could help people feel safer and more comfortable walking to and from the station.

  1. 42 CFR 82.15 - How will NIOSH evaluate the completeness and adequacy of individual monitoring data?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false How will NIOSH evaluate the completeness and... PROGRAM ACT OF 2000 Dose Reconstruction Process § 82.15 How will NIOSH evaluate the completeness and adequacy of individual monitoring data? (a) NIOSH will evaluate the completeness and adequacy of an...

  2. 19 CFR 357.104 - Determination of adequacy of petition, notice of review and opportunity for comment.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 3 2010-04-01 2010-04-01 false Determination of adequacy of petition, notice of review and opportunity for comment. 357.104 Section 357.104 Customs Duties INTERNATIONAL TRADE ADMINISTRATION, DEPARTMENT OF COMMERCE SHORT SUPPLY PROCEDURES § 357.104 Determination of adequacy of petition...

  3. Adding Soft-Skills to the Hard Target of Adequacy: The Case for Rearticulation Based on a Multifocal Analysis

    ERIC Educational Resources Information Center

    Knoeppel, Robert C.; Brewer, Curtis A.; Lindle, Jane Clark; First, Patricia F.

    2009-01-01

    The purpose of this study is to expand the definition of adequacy by adding soft skills as a measure of school productivity. The singular focus on academic standards inherent in education policy has prevented scholars from seeing the concept of adequacy through myriad perspectives and has contributed to a resegregation of schools. Education policy…

  4. Adequacy of Prenatal Care and Gestational Weight Gain

    PubMed Central

    Crandell, Jamie L.; Jones-Vessey, Kathleen

    2016-01-01

    Abstract Background: The goal of prenatal care is to maximize health outcomes for a woman and her fetus. We examined how prenatal care is associated with meeting the 2009 Institute of Medicine (IOM) guidelines for gestational weight gain. Sample: The study used deidentified birth certificate data supplied by the North Carolina State Center for Health Statistics. The sample included 197,354 women (≥18 years) who delivered singleton full-term infants in 2011 and 2012. Methods: A generalized multinomial model was used to identify how adequate prenatal care was associated with the odds of gaining excessive or insufficient weight during pregnancy according to the 2009 IOM guidelines. The model adjusted for prepregnancy body size, sociodemographic factors, and birth weight. Results: A total of 197,354 women (≥18 years) delivered singleton full-term infants. The odds ratio (OR) for excessive weight gain was 2.44 (95% CI 2.37–2.50) in overweight and 2.33 (95% CI 2.27–2.40) in obese women compared with normal weight women. The OR for insufficient weight gain was 1.15 (95% CI 1.09–1.22) for underweight and 1.34 (95% CI 1.30–1.39) for obese women compared with normal weight women. Prenatal care at the inadequate or intermediate levels was associated with insufficient weight gain (OR: 1.32, 95% CI 1.27–1.38; OR: 1.15, 95% CI 1.09–1.21, respectively) compared with adequate prenatal care. Women with inadequate care were less likely to gain excessive weight (OR: 0.88, 95% CI 0.86–0.91). Conclusions: Whereas prenatal care was effective for preventing insufficient weight gain regardless of prepregnancy body size, educational background, and racial/ethnic group, there were no indications that adequate prenatal care was associated with reduced risk for excessive gestational weight gain. Further research is needed to improve prenatal care programs for preventing excess weight gain. PMID:26741198

  5. 12 CFR 725.5 - Capital stock.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Capital stock. 725.5 Section 725.5 Banks and... ADMINISTRATION CENTRAL LIQUIDITY FACILITY § 725.5 Capital stock. (a) The capital stock of the Facility is divided... or hypothecated except to the Facility. (b) The capital stock subscriptions provided for in §§...

  6. 12 CFR 1777.20 - Capital classifications.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 9 2012-01-01 2012-01-01 false Capital classifications. 1777.20 Section 1777... DEVELOPMENT SAFETY AND SOUNDNESS PROMPT CORRECTIVE ACTION Capital Classifications and Orders Under Section 1366 of the 1992 Act § 1777.20 Capital classifications. (a) Capital classifications after the effective...

  7. 12 CFR 1777.20 - Capital classifications.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 9 2013-01-01 2013-01-01 false Capital classifications. 1777.20 Section 1777... DEVELOPMENT SAFETY AND SOUNDNESS PROMPT CORRECTIVE ACTION Capital Classifications and Orders Under Section 1366 of the 1992 Act § 1777.20 Capital classifications. (a) Capital classifications after the effective...

  8. 12 CFR 1777.20 - Capital classifications.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 10 2014-01-01 2014-01-01 false Capital classifications. 1777.20 Section 1777... DEVELOPMENT SAFETY AND SOUNDNESS PROMPT CORRECTIVE ACTION Capital Classifications and Orders Under Section 1366 of the 1992 Act § 1777.20 Capital classifications. (a) Capital classifications after the effective...

  9. 12 CFR 725.5 - Capital stock.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 7 2012-01-01 2012-01-01 false Capital stock. 725.5 Section 725.5 Banks and... ADMINISTRATION CENTRAL LIQUIDITY FACILITY § 725.5 Capital stock. (a) The capital stock of the Facility is divided... or hypothecated except to the Facility. (b) The capital stock subscriptions provided for in §§...

  10. 12 CFR 725.5 - Capital stock.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 7 2014-01-01 2014-01-01 false Capital stock. 725.5 Section 725.5 Banks and... ADMINISTRATION CENTRAL LIQUIDITY FACILITY § 725.5 Capital stock. (a) The capital stock of the Facility is divided... or hypothecated except to the Facility. (b) The capital stock subscriptions provided for in §§...

  11. 12 CFR 725.5 - Capital stock.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 7 2013-01-01 2013-01-01 false Capital stock. 725.5 Section 725.5 Banks and... ADMINISTRATION CENTRAL LIQUIDITY FACILITY § 725.5 Capital stock. (a) The capital stock of the Facility is divided... or hypothecated except to the Facility. (b) The capital stock subscriptions provided for in §§...

  12. 12 CFR 725.5 - Capital stock.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 6 2011-01-01 2011-01-01 false Capital stock. 725.5 Section 725.5 Banks and... ADMINISTRATION CENTRAL LIQUIDITY FACILITY § 725.5 Capital stock. (a) The capital stock of the Facility is divided... or hypothecated except to the Facility. (b) The capital stock subscriptions provided for in §§...

  13. 12 CFR 1777.20 - Capital classifications.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 7 2011-01-01 2011-01-01 false Capital classifications. 1777.20 Section 1777... DEVELOPMENT SAFETY AND SOUNDNESS PROMPT CORRECTIVE ACTION Capital Classifications and Orders Under Section 1366 of the 1992 Act § 1777.20 Capital classifications. (a) Capital classifications after the effective...

  14. 2 CFR 200.13 - Capital expenditures.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 2 Grants and Agreements 1 2014-01-01 2014-01-01 false Capital expenditures. 200.13 Section 200.13... REQUIREMENTS FOR FEDERAL AWARDS Acronyms and Definitions Acronyms § 200.13 Capital expenditures. Capital expenditures means expenditures to acquire capital assets or expenditures to make additions, improvements...

  15. Social capital and workplace bullying.

    PubMed

    Pihl, Patricia; Albertsen, Karen; Hogh, Annie; Andersen, Lars Peter Sønderbo

    2017-01-01

    Workplace bullying is a serious stressor with devastating short- and long-term consequences. The concept of organizational social capital may provide insights into the interactional and communicative dynamics of the bullying process and opportunities for prevention. This study aimed to explore the association between organizational social capital and being a target or observer of workplace bullying. Based on self-reported cross-sectional data from a large representative sample of the Danish working population (n = 10.037), logistic regression analyses were conducted to explore at the individual level the associations between vertical and horizontal organizational social capital with being a target or observer of workplace bullying. In the fully adjusted models, low organizational social capital (vertical and horizontal) was associated with significantly increased odds ratios of both self-labelled (vertical: OR = 3.25; CI = 2.34-4.51; horizontal: OR = 3.17; CI = 2.41-4.18) and observed workplace bullying (vertical: OR = 2.09; CI = 1.70-2.56; horizontal: OR = 1.60; CI = 1.35-1.89), when compared with high organizational social capital. This study supports that characteristics of the psychosocial work environment are of importance in the development of workplace bullying, and provides focus on the importance of self-reported organizational social capital.

  16. [Clinical guidelines for epilepsy].

    PubMed

    Tsuji, Sadatoshi

    2014-05-01

    Many international guidelines for epilepsy from the countries in Europe, USA and Asia have been published since the introduction of evidence-based medicine. In Japan, the clinical guidelines for epilepsy management were published by the Japanese Society of Neurology (JSN) in 2002 and 2010. The clinical guideline for epilepsy 2010 primarily targets general practitioners treating epilepsy patients. The Japan Epilepsy Society has been publishing 16 guidelines for several topics since 2005. The clinical guideline for epilepsy 2010 recommends that carbamazepine can be regarded for new onset partial epilepsy and sodium valproate is for new onset generalized epilepsy as anti-epileptic drug (AED) monotherapy. The new AEDs received approval by the Ministry of Health, Labour and Welfare, Japan, mainly in the add-on treatment of adults with partial epilepsy. The clinical guideline for epilepsy 2010 will contribute to improvement in the management of epilepsy in Japan.

  17. Minority Capital Resource Handbook. A Guide to Raising Capital for Minority Entrepreneurs. Second Edition.

    ERIC Educational Resources Information Center

    Ewing, Samuel D., Jr.; Maloney, Clifton H. W.

    This minority capital resource handbook consists of a guide to raising capital for minority entrepreneurs and a listing of sources that provide such capital. The first section deals with the process of raising capital. The realities of raising capital, intermediaries and financial advisors, and assessing needs are outlined. Factors considered in…

  18. Minority Capital Resource Handbook. A Guide to Raising Capital for Minority Entrepreneurs. Second Edition.

    ERIC Educational Resources Information Center

    Ewing, Samuel D., Jr.; Maloney, Clifton H. W.

    This minority capital resource handbook consists of a guide to raising capital for minority entrepreneurs and a listing of sources that provide such capital. The first section deals with the process of raising capital. The realities of raising capital, intermediaries and financial advisors, and assessing needs are outlined. Factors considered in…

  19. Public informations guidelines

    SciTech Connect

    1986-06-01

    The purpose of these Public Information Guidelines is to provide principles for the implementation of the NWPA mandate and the Mission Plan requirements for the provision of public information. These Guidelines set forth the public information policy to be followed by all Office of Civilian Radioactive Waste Management (OCRWM) performance components. The OCRWM offices should observe these Guidelines in shaping and conducting public information activities.

  20. Technical Adequacy of the Positive Experiences at School Scale with Adolescents

    ERIC Educational Resources Information Center

    Renshaw, Tyler L.

    2017-01-01

    The present study reports on an investigation of the generalizability of the technical adequacy of the Positive Experience at School Scale (PEASS) with a sample of students (N = 1,002) who differed substantially in age/grade level (i.e., adolescents in middle school as opposed to children in elementary school) and ethnic identity (i.e., majority…

  1. 78 FR 37717 - Adequacy Status of the Submitted 2009 and 2025 PM2.5

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-24

    ... changes (including the basis for any changes related to emission factors or estimates of vehicle miles... AGENCY 40 CFR Part 52 Adequacy Status of the Submitted 2009 and 2025 PM 2.5 Motor Vehicle Emission... the motor vehicle emissions budgets for PM 2.5 and NO X in the submitted maintenance plans for the...

  2. Technical Adequacy of Growth Estimates from a Computer Adaptive Test: Implications for Progress Monitoring

    ERIC Educational Resources Information Center

    Van Norman, Ethan R.; Nelson, Peter M.; Parker, David C.

    2017-01-01

    Computer adaptive tests (CATs) hold promise to monitor student progress within multitiered systems of support. However, the relationship between how long and how often data are collected and the technical adequacy of growth estimates from CATs has not been explored. Given CAT administration times, it is important to identify optimal data…

  3. Keeping Track of Characters: Factors Affecting Referential Adequacy in Children's Narratives

    ERIC Educational Resources Information Center

    Colozzo, Paola; Whitely, Cristy

    2014-01-01

    This study considered the adequacy of references used by children to introduce, maintain, and reintroduce characters in complex narratives involving multiple characters. Sixty-three English-speaking Canadian children from kindergarten to second grade (M age 7.0 years) told two multi-episode stories from wordless picture books. Analyses considered…

  4. 78 FR 8122 - Adequacy Status of Motor Vehicle Emission Budgets for Transportation Conformity Purposes...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-05

    ... AGENCY Adequacy Status of Motor Vehicle Emission Budgets for Transportation Conformity Purposes... transportation conformity purposes. The submittal includes MOVES2010 motor vehicle emissions budgets for 2017 and... submitted SIPs cannot be used for conformity determinations until EPA has affirmatively found them...

  5. 78 FR 20073 - Adequacy of Oregon's Municipal Solid Waste Landfill Permit Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-03

    ... AGENCY 40 CFR Parts 239 and 258 Adequacy of Oregon's Municipal Solid Waste Landfill Permit Program AGENCY... modification to the State of Oregon's approved Municipal Solid Waste Landfill Program. On March 22, 2004, EPA... certain municipal solid waste landfills by approved states. On June 14, 2012, Oregon submitted...

  6. 78 FR 20035 - Adequacy of Oregon Municipal Solid Waste Landfill Permit Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-03

    ... AGENCY 40 CFR Parts 239 and 258 Adequacy of Oregon Municipal Solid Waste Landfill Permit Program AGENCY... to the State of Oregon's approved Municipal Solid Waste Landfill (MSWLF) permit program. The approved.... On June 14, 2012, Oregon submitted an application to EPA Region 10 seeking Federal approval of its...

  7. Keeping Track of Characters: Factors Affecting Referential Adequacy in Children's Narratives

    ERIC Educational Resources Information Center

    Colozzo, Paola; Whitely, Cristy

    2014-01-01

    This study considered the adequacy of references used by children to introduce, maintain, and reintroduce characters in complex narratives involving multiple characters. Sixty-three English-speaking Canadian children from kindergarten to second grade (M age 7.0 years) told two multi-episode stories from wordless picture books. Analyses considered…

  8. 78 FR 46947 - Adequacy Status of the Houston-Galveston-Brazoria, Texas Reasonable Further Progress and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-02

    ... AGENCY Adequacy Status of the Houston-Galveston-Brazoria, Texas Reasonable Further Progress and... emissions budgets (MVEBs) in the Houston-Galveston-Brazoria, Texas (HGB) 1997 8-hour ozone standard... network. The MVEBs are provided in Tables 1 and 2: Table 1-- Houston-Galveston-Brazoria 1997 8-Hour Ozone...

  9. Evaluating the Adequacy of Social-Emotional Measures in Early Childhood

    ERIC Educational Resources Information Center

    Gokiert, Rebecca J.; Georgis, Rebecca; Tremblay, Melissa; Krishnan, Vijaya; Vandenberghe, Christine; Lee, Clara

    2014-01-01

    Technical adequacy and usability are important considerations in selecting early childhood social-emotional (SE) screening and assessment measures. As identification of difficulties can be tied to programming, intervention, accountability, and funding, it is imperative that practitioners and decision makers select appropriate and quality measures…

  10. Leandro: The Merging of Adequacy and Standards-Based Reforms. SERVE Policy Brief.

    ERIC Educational Resources Information Center

    McColl, Ann

    This policy brief addresses the first two rulings of the North Carolina lawsuit on the state constitutional right to education, commonly referred to as "Leandro." The "Leandro" Supreme Court opinion and subsequent court rulings add a model of adequacy that dovetails almost perfectly with standards-based education reform. Model…

  11. The influence of the adequacy of training simulators on simulator planning training

    NASA Astrophysics Data System (ADS)

    Kuatov, B. Zh; Kemalov, B. K.; Yurkov, N. K.

    2017-01-01

    The analysis of the works with attempts to verify the adequacy of both simulation and simulators themselves was carried out. However, these attempts are limited by determining the facts of adequacy or inadequacy of checking systems that cannot be used to identify the skills acquired in accordance with the input of a generalized classification. Adequacy is a concomitant sign of inadequate use of simulators, however, the established base for assessing the adequacy of simulators does not allow presenting it in the form of the indicator of the accompanying sign of inadequacy of use of simulators. And the primary task is to determine its quantitative form, which would eliminate the disparity evaluations of teaching. This research paper presents the problems of the simulator training organization that regardless of the received ideas of flight missions planning, have the real objective, which is in conflict with an aircraft application, the essence of which is the presence of contradictions between the predicted and real necessary amount of forces and means to ensure the effectiveness. The paper aims at the adaptation of the content curriculum component for eliminating inadequate use of simulators, which should be focused on developing measures to compensate false skills in order to improve the accuracy of determining the flying skills in simulator training planning.

  12. Technical Adequacy of Early Numeracy Curriculum-Based Measurement in Kindergarten

    ERIC Educational Resources Information Center

    Martinez, Rebecca S.; Missall, Kristen N.; Graney, Suzanne Bamonto; Aricak, O. Tolga; Clarke, Ben

    2009-01-01

    The current study examines the technical adequacy of four Early Numeracy Curriculum-Based Measurement (EN-CBM) screening tasks: "Oral Counting" (OC), "Number Identification" (NI), "Quantity Discrimination" (QD), and "Missing Number" (MN). Results from 59 kindergarten students assessed in the fall and spring reveal moderate to high test-retest and…

  13. On the Adequacy of Current Empirical Evaluations of Formal Models of Categorization

    ERIC Educational Resources Information Center

    Wills, Andy J.; Pothos, Emmanuel M.

    2012-01-01

    Categorization is one of the fundamental building blocks of cognition, and the study of categorization is notable for the extent to which formal modeling has been a central and influential component of research. However, the field has seen a proliferation of noncomplementary models with little consensus on the relative adequacy of these accounts.…

  14. Technical Adequacy of Early Numeracy Curriculum-Based Measurement in Kindergarten

    ERIC Educational Resources Information Center

    Martinez, Rebecca S.; Missall, Kristen N.; Graney, Suzanne Bamonto; Aricak, O. Tolga; Clarke, Ben

    2009-01-01

    The current study examines the technical adequacy of four Early Numeracy Curriculum-Based Measurement (EN-CBM) screening tasks: "Oral Counting" (OC), "Number Identification" (NI), "Quantity Discrimination" (QD), and "Missing Number" (MN). Results from 59 kindergarten students assessed in the fall and spring reveal moderate to high test-retest and…

  15. Are Breakfast Consumption Patterns Associated with Weight Status and Nutrient Adequacy in African-American Children?

    USDA-ARS?s Scientific Manuscript database

    The objective of the present study was to assess whether weight status, nutrient intake and dietary adequacy were associated with breakfast consumption patterns. A representative sample of the US population was used in a secondary analysis of nutrient intake/diet quality and weight status by breakfa...

  16. A Replication of the Technical Adequacy of the Student Subjective Wellbeing Questionnaire

    ERIC Educational Resources Information Center

    Renshaw, Tyler L.

    2015-01-01

    The present study reports on a replication of the technical adequacy of the Student Subjective Wellbeing Questionnaire (SSWQ), which is a 16-item self-report instrument for assessing youth's academic efficacy, educational purpose, joy of learning, and school connectedness, with a sample of adolescents in Grades 6 to 7 (N = 438). Findings confirmed…

  17. 33 CFR 158.140 - Applying for a Certificate of Adequacy.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Applying for a Certificate of Adequacy. 158.140 Section 158.140 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION RECEPTION FACILITIES FOR OIL, NOXIOUS LIQUID SUBSTANCES, AND GARBAGE General...

  18. 33 CFR 158.140 - Applying for a Certificate of Adequacy.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Applying for a Certificate of Adequacy. 158.140 Section 158.140 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION RECEPTION FACILITIES FOR OIL, NOXIOUS LIQUID SUBSTANCES, AND GARBAGE General...

  19. 75 FR 53268 - Adequacy of New Hampshire Municipal Solid Waste Landfill Permit Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-31

    ... AGENCY 40 CFR Parts 239 and 258 Adequacy of New Hampshire Municipal Solid Waste Landfill Permit Program... approve New Hampshire's modification of its approved Municipal Solid Waste Landfill Program. On March 22... be issued to certain municipal solid waste landfills by approved states. On June 28, 2010...

  20. 76 FR 303 - Alaska: Adequacy of Alaska's Municipal Solid Waste Landfill Permit Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-04

    ... AGENCY 40 CFR Parts 239 and 258 Alaska: Adequacy of Alaska's Municipal Solid Waste Landfill Permit... proposes to approve Alaska's modification of its approved Municipal Solid Waste Landfill (MSWLF) permit... Domenic Calabro, Office of Air, Waste, and Toxics, U.S. EPA, Region 10, 1200 Sixth Avenue, Suite...

  1. 77 FR 65875 - Adequacy of Arizona Municipal Solid Waste Landfill Permit Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-31

    ... AGENCY Adequacy of Arizona Municipal Solid Waste Landfill Permit Program AGENCY: Environmental Protection... determination to approve a modification to Arizona's municipal solid waste landfill (MSWLF) permit program to... amending the municipal solid waste landfill criteria at 40 CFR 258.4 to allow for Research,...

  2. 78 FR 5350 - Adequacy of Massachusetts Municipal Solid Waste Landfill Permit Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-25

    ... AGENCY 40 CFR Parts 239 and 258 Adequacy of Massachusetts Municipal Solid Waste Landfill Permit Program... approve Massachusetts's modification of its approved Municipal Solid Waste Landfill Program. On March 22... be issued to certain municipal solid waste landfills by approved states. On December 7,...

  3. A Note on Some Sampling Characteristics of the Measure of Sampling Adequacy (MSA)

    ERIC Educational Resources Information Center

    Shirkey, Edwin C.; Dziuban, Charles D.

    1976-01-01

    Distributional characteristics of the measure of sampling adequacy (MSA) were investigated in sample correlation matrices generated from multivariate normal populations with covariance matrix equal to the identity. Systematic variation of sample size and number of variables resulted in minimal fluctuation of the overall MSA from .50. (Author/RC)

  4. An Investigation of Some Distributional Characteristics of the Measure of Sampling Adequacy.

    ERIC Educational Resources Information Center

    Dziuban, Charles D.; And Others

    The distributional characteristics of the Kaiser-Rice measure of sampling adequacy (MSA) were investigated with sample correlation matrices from multivariate normal populations where the level of correlation (LC) was systematically varied. Two additional variables were manipulated--sample size (SS) and number of variables (NV). Ten matrices were…

  5. An Investigation of Some Distributional Characteristics of the Measure of Sampling Adequacy.

    ERIC Educational Resources Information Center

    Dziuban, Charles D.; And Others

    1979-01-01

    The distributional characteristics of Kaiser's Measure of Sampling Adequacy (MSA) were investigated in sample matrices generated from multivariate normal populations of specified correlation levels. Systematic variation of sample size and number of variables revealed the overall MSA to be most influenced by the number of variables. (Author/JKS)

  6. Evaluating the Adequacy of Social-Emotional Measures in Early Childhood

    ERIC Educational Resources Information Center

    Gokiert, Rebecca J.; Georgis, Rebecca; Tremblay, Melissa; Krishnan, Vijaya; Vandenberghe, Christine; Lee, Clara

    2014-01-01

    Technical adequacy and usability are important considerations in selecting early childhood social-emotional (SE) screening and assessment measures. As identification of difficulties can be tied to programming, intervention, accountability, and funding, it is imperative that practitioners and decision makers select appropriate and quality measures…

  7. 76 FR 10072 - Proposed Generic Communications; Draft NRC Regulatory Issue Summary 2011-XX, Adequacy of Station...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-23

    ... Electric Distribution System Voltages; Reopening of Public Comment Period AGENCY: Nuclear Regulatory..., Adequacy of Station Electric Distribution System Voltages, closes on February 17, 2011. The purpose of this... February, 2011. For the Nuclear Regulatory Commission. Roy Mathew, Acting Branch Chief, Electrical...

  8. The Adequacy of Response Rates to Online and Paper Surveys: What Can Be Done?

    ERIC Educational Resources Information Center

    Nulty, Duncan D.

    2008-01-01

    This article is about differences between, and the adequacy of, response rates to online and paper-based course and teaching evaluation surveys. Its aim is to provide practical guidance on these matters. The first part of the article gives an overview of online surveying in general, a review of data relating to survey response rates and practical…

  9. Functional Adequacy in L2 Writing: Towards a New Rating Scale

    ERIC Educational Resources Information Center

    Kuiken, Folkert; Vedder, Ineke

    2017-01-01

    The importance of functional adequacy as an essential component of L2 proficiency has been observed by several authors (Pallotti, 2009; De Jong, Steinel, Florijn, Schoonen, & Hulstijn, 2012a, b). The rationale underlying the present study is that the assessment of writing proficiency in L2 is not fully possible without taking into account the…

  10. 30 CFR 27.36 - Test for adequacy of electrical insulation and clearances.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Test for adequacy of electrical insulation and clearances. 27.36 Section 27.36 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS METHANE-MONITORING SYSTEMS Test Requirements §...

  11. 30 CFR 27.38 - Tests to determine adequacy of windows and lenses.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Tests to determine adequacy of windows and lenses. 27.38 Section 27.38 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS METHANE-MONITORING SYSTEMS Test Requirements §...

  12. 30 CFR 27.38 - Tests to determine adequacy of windows and lenses.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Tests to determine adequacy of windows and lenses. 27.38 Section 27.38 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS METHANE-MONITORING SYSTEMS Test Requirements § 27.38...

  13. 30 CFR 27.36 - Test for adequacy of electrical insulation and clearances.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Test for adequacy of electrical insulation and clearances. 27.36 Section 27.36 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS METHANE-MONITORING SYSTEMS Test Requirements § 27.36...

  14. 30 CFR 27.38 - Tests to determine adequacy of windows and lenses.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Tests to determine adequacy of windows and lenses. 27.38 Section 27.38 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS METHANE-MONITORING SYSTEMS Test Requirements § 27.38...

  15. 30 CFR 27.36 - Test for adequacy of electrical insulation and clearances.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Test for adequacy of electrical insulation and clearances. 27.36 Section 27.36 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS METHANE-MONITORING SYSTEMS Test Requirements § 27.36...

  16. 30 CFR 27.36 - Test for adequacy of electrical insulation and clearances.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Test for adequacy of electrical insulation and clearances. 27.36 Section 27.36 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS METHANE-MONITORING SYSTEMS Test Requirements § 27.36...

  17. Discharge Planning in Acute Care Hospitals in Israel: Services Planned and Levels of Implementation and Adequacy

    ERIC Educational Resources Information Center

    Auslander, Gail K.; Soskolne, Varda; Stanger, Varda; Ben-Shahar, Ilana; Kaplan, Giora

    2008-01-01

    This study aimed to examine the implementation, adequacy, and outcomes of discharge planning. The authors carried out a prospective study of 1,426 adult patients discharged from 11 acute care hospitals in Israel. Social workers provided detailed discharge plans on each patient. Telephone interviews were conducted two weeks post-discharge. Findings…

  18. 5 CFR 532.309 - Determining adequacy of specialized private industry.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... private industry. 532.309 Section 532.309 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL... Determining adequacy of specialized private industry. (a) Specialized private industry comparable to an appropriated fund dominant industry is adequate when: (1) The survey area is one of the 25 largest Standard...

  19. On the Adequacy of Current Empirical Evaluations of Formal Models of Categorization

    ERIC Educational Resources Information Center

    Wills, Andy J.; Pothos, Emmanuel M.

    2012-01-01

    Categorization is one of the fundamental building blocks of cognition, and the study of categorization is notable for the extent to which formal modeling has been a central and influential component of research. However, the field has seen a proliferation of noncomplementary models with little consensus on the relative adequacy of these accounts.…

  20. Impact of Food Stamps on the Dietary Adequacy of Poor Children.

    ERIC Educational Resources Information Center

    Cook, John T.; Sherman, Laura P.; Brown, J. Larry

    The Food Stamp Program (FSP) is the nation's primary nutrition assistance program for poor families in the United States. This study compared the dietary adequacy of children in poor families receiving food stamps to that of children in poor families not receiving such assistance. Data used were obtained from the 1986 United States Department of…

  1. 30 CFR 27.38 - Tests to determine adequacy of windows and lenses.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Tests to determine adequacy of windows and lenses. 27.38 Section 27.38 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS METHANE-MONITORING SYSTEMS Test Requirements § 27.38...

  2. 30 CFR 27.36 - Test for adequacy of electrical insulation and clearances.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Test for adequacy of electrical insulation and clearances. 27.36 Section 27.36 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS METHANE-MONITORING SYSTEMS Test Requirements § 27.36...

  3. Technical Adequacy of the Maze Task for Curriculum-based Measurement of Reading Growth.

    ERIC Educational Resources Information Center

    Shin, Jongho; Deno, Stanley L.; Espin, Christine

    2000-01-01

    A study examined the technical adequacy of curriculum-based measurement for assessing growth in 43 second-graders whose reading performance was measured monthly over the school year with the maze task. Results showed that the maze task had good alternate-form reliability, sensitively reflected improvement of student performance, and revealed…

  4. Children's Criteria for Representational Adequacy in the Perception of Simple Sonic Stimuli

    ERIC Educational Resources Information Center

    Verschaffel, Lieven; Reybrouck, Mark; Jans, Christine; Van Dooren, Wim

    2010-01-01

    This study investigates children's metarepresentational competence with regard to listening to and making sense of simple sonic stimuli. Using diSessa's (2003) work on metarepresentational competence in mathematics and sciences as theoretical and empirical background, it aims to assess children's criteria for representational adequacy of graphical…

  5. Young Cypriots on Sex Education: Sources and Adequacy of Information Received on Sexuality Issues

    ERIC Educational Resources Information Center

    Lesta, Stalo; Lazarus, Jeffrey V.; Essen, Birgitta

    2008-01-01

    Introduction: In the absence of standardised sex education and because schools usually limit their teaching to the "health" aspects of sexuality, young people in Cyprus rely on their peers and the media for information on sexuality. This study examines the sources and adequacy of the information received by young people from various…

  6. Technical Adequacy and Acceptability of Curriculum-Based Measurement and the Measures of Academic Progress

    ERIC Educational Resources Information Center

    January, Stacy-Ann A.; Ardoin, Scott P.

    2015-01-01

    Curriculum-based measurement in reading (CBM-R) and the Measures of Academic Progress (MAP) are assessment tools widely employed for universal screening in schools. Although a large body of research supports the validity of CBM-R, limited empirical evidence exists supporting the technical adequacy of MAP or the acceptability of either measure for…

  7. Adequacy of visual inspection with acetic acid in women of advancing age.

    PubMed

    Cremer, Miriam; Conlisk, Elizabeth; Maza, Mauricio; Bullard, Kimberley; Peralta, Ethel; Siedhoff, Matthew; Alonzo, Todd; Felix, Juan

    2011-04-01

    The present study assessed the adequacy and predictive performance of visual inspection with acetic acid (VIA) in women over the age of 50 years and compared the specificity and sensitivity of VIA with that of the conventional cytology. In total, 588 Salvadoran women ages 50-79 underwent VIA, Pap smear, and cervical biopsy. VIA was considered adequate if the squamocolumnar junction was completely visible. A positive biopsy was defined as cervical intraepithelial neoplasia (CIN) 2 or worse. Age was negatively correlated with VIA adequacy (P=0.04). Nevertheless, the majority of women-even in the older age groups-had adequate examinations. The adequacy of VIA was positively correlated with gravida (P=0.01) and was higher in women who had been treated by cryotherapy (P=0.02). The rate of positive biopsies was unexpectedly low (n=6 [1%]) making it difficult to assess the predictive performance of VIA. In this small sample, the sensitivities of VIA (17%) and Pap (33%) were low; the high number of false negatives could not be fully explained by inadequacy of the examinations. Adequacy of VIA declined with age. However, the squamocolumnar junction was visible to the naked eye in the majority of women, indicating that they are good candidates for VIA. Copyright © 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  8. An Investigation of Some Distributional Characteristics of the Measure of Sampling Adequacy.

    ERIC Educational Resources Information Center

    Dziuban, Charles D.; And Others

    The distributional characteristics of the Kaiser-Rice measure of sampling adequacy (MSA) were investigated with sample correlation matrices from multivariate normal populations where the level of correlation (LC) was systematically varied. Two additional variables were manipulated--sample size (SS) and number of variables (NV). Ten matrices were…

  9. A Note on Some Sampling Characteristics of the Measure of Sampling Adequacy (MSA)

    ERIC Educational Resources Information Center

    Shirkey, Edwin C.; Dziuban, Charles D.

    1976-01-01

    Distributional characteristics of the measure of sampling adequacy (MSA) were investigated in sample correlation matrices generated from multivariate normal populations with covariance matrix equal to the identity. Systematic variation of sample size and number of variables resulted in minimal fluctuation of the overall MSA from .50. (Author/RC)

  10. An Investigation of Some Distributional Characteristics of the Measure of Sampling Adequacy.

    ERIC Educational Resources Information Center

    Dziuban, Charles D.; And Others

    1979-01-01

    The distributional characteristics of Kaiser's Measure of Sampling Adequacy (MSA) were investigated in sample matrices generated from multivariate normal populations of specified correlation levels. Systematic variation of sample size and number of variables revealed the overall MSA to be most influenced by the number of variables. (Author/JKS)

  11. Landscape-level regeneration adequacy for native hardwood forests of Pennsylvania

    Treesearch

    William H. McWilliams; Todd W. Bowersox; David A. Gansner; Larry H. McCormick; Susan L. Stout

    1995-01-01

    Studies of advance regeneration and post-disturbance regeneration adequacy were conducted during the recent USDA Forest Service inventory of forest resources in Pennsylvania. The first study examined advance tree-seedling regeneration in stands where stocking levels would suggest that advance regeneration should be abundant. A range of metrics was used to describe...

  12. Technical Adequacy and Cost Benefit of Four Measures of Early Literacy

    ERIC Educational Resources Information Center

    McBride, James R.; Ysseldyke, Jim; Milone, Michael; Stickney, Eric

    2010-01-01

    Technical adequacy and information/cost return were examined for four early reading measures: the Dynamic Indicators of Basic Early Literacy Skills (DIBELS), STAR Early Literacy (SEL), Group Reading Assessment and Diagnostic Evaluation (GRADE), and the Texas Primary Reading Inventory (TPRI). All four assessments were administered to the same…

  13. Membership theory, rationalism, and the claim to adequacy in health services.

    PubMed

    Falck, H S

    1997-01-01

    The immediate, practical purpose of this paper is to discuss and elaborate upon the concept of adequacy, especially when applicable to an understanding of the social work role in health policy making. The relevant topics under the general category of adequacy are (1) the perception and definition of the citizen/client; (2) the concept of rationality in health planning broken down into conditionality and prioritization, and (3) the concept of adequacy itself. Each will be addressed from the standpoint of recent experience and what may be done in the future to clarify and rationalize each. Clarity about clients, about rational approaches to policy making and planning, leading to a clear idea about adequacy in health care are presented as the indispensable elements in social work. Conditionality and prioritization are significant because no society will bring within equal reach of all members the benefits of health care, which usually means that health care is not rendered arbitrarily but as a result, among other things, of rational planning.

  14. 75 FR 33614 - Adequacy Status of the Submitted 2009 PM2.5

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-14

    ... AGENCY Adequacy Status of the Submitted 2009 PM 2.5 Motor Vehicle Emission Budgets for Transportation... budgets for PM 2.5 and NO X in the submitted attainment demonstration state implementation plans for the...-Wilmington, PA-NJ-DE, PM 2.5 nonattainment areas to be adequate for transportation conformity purposes. The...

  15. Technical Adequacy and Acceptability of Curriculum-Based Measurement and the Measures of Academic Progress

    ERIC Educational Resources Information Center

    January, Stacy-Ann A.; Ardoin, Scott P.

    2015-01-01

    Curriculum-based measurement in reading (CBM-R) and the Measures of Academic Progress (MAP) are assessment tools widely employed for universal screening in schools. Although a large body of research supports the validity of CBM-R, limited empirical evidence exists supporting the technical adequacy of MAP or the acceptability of either measure for…

  16. Psychometric Adequacy and Comparability of the Short and Full forms of the Personality Assessment Inventory

    ERIC Educational Resources Information Center

    Frazier, Thomas W.; Naugle, Richard I.; Haggerty, Kathryn A.

    2006-01-01

    The 160-item short form of the Personality Assessment Inventory (PAI) was developed for situations in which respondents complete only the 1st half of the test. The present study evaluates the adequacy and comparability of the full and short forms of the PAI in terms of a wide range of psychometric characteristics. In all, 421 participants…

  17. The Cost and Management of Program Adequacy: An Emerging Issue in Educational Policy and Finance.

    ERIC Educational Resources Information Center

    Clune, William H.

    1994-01-01

    Introduces a special issue on educational program adequacy--the cost of raising poor children's outcomes to functional levels through improved systems of finance, governance, organization, implementation, and educational practice. Essays raise numerous problems, including a weak knowledge base, low educational productivity, political resistance,…

  18. Low-Income Parental Profiles of Coping, Resource Adequacy, and Public Assistance Receipt: Links to Parenting

    ERIC Educational Resources Information Center

    Maupin, Angela N.; Brophy-Herb, Holly E.; Schiffman, Rachel F.; Bocknek, Erika L.

    2010-01-01

    Variation in perceptions of resources and in coping strategies among low-income parents likely influences parenting. The purposes of this study were to identify differences in parental profiles, as indicated by receipt of public assistance, perceptions of adequacy of resources, and coping strategies, and to examine these profiles relative to…

  19. Exploring the Practical Adequacy of the Normative Framework Guiding South Africa's National Curriculum Statement

    ERIC Educational Resources Information Center

    Lotz-Sisikta, Heila; Schudel, Ingrid

    2007-01-01

    This article examines the practical adequacy of the recent defining of a normative framework for the South African National Curriculum Statement that focuses on the relationship between human rights, social justice and a healthy environment. This politically framed and socially critical normative framework has developed in response to…

  20. Determining the Views and Adequacy of the Preschool Teachers Related to Science Activities

    ERIC Educational Resources Information Center

    Akçay, Nilüfer Okur

    2016-01-01

    In this study, it is aimed to determine the views and adequacy of the preschool teachers related to science activities. The study is based on descriptive survey model. The sample of the study consists of 47 preschool teachers working in Agri city center. Personal information form, semi-structured interview form to determine the views of the…

  1. 76 FR 72404 - Adequacy Status of Motor Vehicle Emissions Budgets in Submitted PM10

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-23

    ... [Federal Register Volume 76, Number 226 (Wednesday, November 23, 2011)] [Notices] [Page 72404] [FR Doc No: 2011-30305] ENVIRONMENTAL PROTECTION AGENCY [FRL-9495-4] Adequacy Status of Motor Vehicle... that the Agency has found that the motor vehicle emissions budgets (MVEBs) for particulate matter...

  2. Post-Retirement Benefit Increases and the Adequacy of Benefits in State Pension Plans.

    ERIC Educational Resources Information Center

    Strate, John M.

    1984-01-01

    Examines post-retirement benefit increases in 76 large state pension plans and the impact of such increases on the purchasing power and adequacy of pension benefits. Although nearly all plans increased benefits for retirees, increases were much less than needed to maintain the purchasing power of pension benefits. (Author/JAC)

  3. Young Cypriots on Sex Education: Sources and Adequacy of Information Received on Sexuality Issues

    ERIC Educational Resources Information Center

    Lesta, Stalo; Lazarus, Jeffrey V.; Essen, Birgitta

    2008-01-01

    Introduction: In the absence of standardised sex education and because schools usually limit their teaching to the "health" aspects of sexuality, young people in Cyprus rely on their peers and the media for information on sexuality. This study examines the sources and adequacy of the information received by young people from various…

  4. 78 FR 54177 - Adequacy Status of the Submitted 2009, 2017 and 2025 PM2.5

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-03

    ... AGENCY 40 CFR Part 52 Adequacy Status of the Submitted 2009, 2017 and 2025 PM 2.5 Motor Vehicle Emission... finding, the new 2009, 2017 and 2025 PM 2.5 budgets are applicable to nine of the ten counties in the New... 2009, 2017 and 2025 for use by the State's metropolitan planning organizations in making...

  5. Improving "Adequacy" Concepts in Education Finance: A Heuristic Examination of the Professional Judgment Research Protocol

    ERIC Educational Resources Information Center

    Wood, R. Craig; Rolle, R. Anthony

    2007-01-01

    State and private agencies have attempted to determine the costs of providing an "adequate" education for public elementary and secondary students. In order to identify adequacy target expenditures, four education finance models currently are found within the education finance research literature: (1) Professional Judgment Model; (2) Statistical…

  6. Evidence-Based Adequacy Model for School Funding: Success Rates in Illinois Schools that Meet Targets

    ERIC Educational Resources Information Center

    Murphy, Gregory J.

    2012-01-01

    This quantitative study explores the 2010 recommendation of the Educational Funding Advisory Board to consider the Evidence-Based Adequacy model of school funding in Illinois. This school funding model identifies and costs research based practices necessary in a prototypical school and sets funding levels based upon those practices. This study…

  7. 78 FR 73188 - Adequacy Status of Motor Vehicle Emissions Budget in Submitted State Implementation Plan...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-05

    ... AGENCY Adequacy Status of Motor Vehicle Emissions Budget in Submitted State Implementation Plan; Maricopa... vehicle emissions budget (MVEB) for particulate matter less than ten microns (PM-10) for the year 2012 in... must use the MVEB for future conformity determinations. DATES: Effective December 20, 2013. FOR FURTHER...

  8. Projection of retirement adequacy using wealth-need ratio: A case study in Malaysia

    NASA Astrophysics Data System (ADS)

    Alaudin, Ros Idayuwati; Ismail, Noriszura; Isa, Zaidi

    2015-02-01

    Adequacy of retirement income is very important to maintain a comfortable living standard during retirement. Under a life cycle model, assets are mainly accumulated during an individual's work life to finance consumption after retirement. A generally accepted goal of retirement planning is to provide enough income during retirement to prevent the level of living from dropping much below the pre-retirement level. Retirement wealth can be defined as adequate if the total retirement income is equal or greater than the desired total retirement consumption (or needs). In this study, retirement adequacy is projected using the Malaysian Household Income Survey (HIS) 2009 data which is based on 5881 sample of households and contains information on income, demographic and socioeconomic status of each household. Besides the projection of retirement adequacy, a regression of the ratio of projected wealth to needs (or wealth-needs ratio) is performed to investigate the demographic and socioeconomic determinants of retirement adequacy in Malaysia. The results show that 69% of households in Malaysia are adequately prepared for retirement.

  9. Children's Criteria for Representational Adequacy in the Perception of Simple Sonic Stimuli

    ERIC Educational Resources Information Center

    Verschaffel, Lieven; Reybrouck, Mark; Jans, Christine; Van Dooren, Wim

    2010-01-01

    This study investigates children's metarepresentational competence with regard to listening to and making sense of simple sonic stimuli. Using diSessa's (2003) work on metarepresentational competence in mathematics and sciences as theoretical and empirical background, it aims to assess children's criteria for representational adequacy of graphical…

  10. Transmission line capital costs

    SciTech Connect

    Hughes, K.R.; Brown, D.R.

    1995-05-01

    The displacement or deferral of conventional AC transmission line installation is a key benefit associated with several technologies being developed with the support of the U.S. Department of Energy`s Office of Energy Management (OEM). Previous benefits assessments conducted within OEM have been based on significantly different assumptions for the average cost per mile of AC transmission line. In response to this uncertainty, an investigation of transmission line capital cost data was initiated. The objective of this study was to develop a database for preparing preliminary estimates of transmission line costs. An extensive search of potential data sources identified databases maintained by the Bonneville Power Administration (BPA) and the Western Area Power Administration (WAPA) as superior sources of transmission line cost data. The BPA and WAPA data were adjusted to a common basis and combined together. The composite database covers voltage levels from 13.8 to 765 W, with cost estimates for a given voltage level varying depending on conductor size, tower material type, tower frame type, and number of circuits. Reported transmission line costs vary significantly, even for a given voltage level. This can usually be explained by variation in the design factors noted above and variation in environmental and land (right-of-way) costs, which are extremely site-specific. Cost estimates prepared from the composite database were compared to cost data collected by the Federal Energy Regulatory Commission (FERC) for investor-owned utilities from across the United States. The comparison was hampered because the only design specifications included with the FERC data were voltage level and line length. Working within this limitation, the FERC data were not found to differ significantly from the composite database. Therefore, the composite database was judged to be a reasonable proxy for estimating national average costs.

  11. School Siting Guidelines

    EPA Pesticide Factsheets

    EPA's voluntary school siting guidelines provide recommendations for local school districts and community members on how to evaluate environmental factors to make the best possible school siting decisions.

  12. Association Between Obesity During Pregnancy and the Adequacy of Prenatal Care.

    PubMed

    Zozzaro-Smith, Paula E; Bacak, Stephen; Conway, Ciara; Park, Jennifer; Glantz, J Christopher; Thornburg, Loralei L

    2016-01-01

    In the United States, more than a third of women are obese [body mass index (BMI) ≥ 30]. Although obese populations utilize health care at increased rates and have higher health care costs than non-obese patients, the adequacy of prenatal care in this population is not well established and assumed to be suboptimal. We therefore evaluated adequacy of prenatal care among obese women. We utilized an electronic database including 7094 deliveries with pre-pregnancy BMI ≥ 18.5 from January 2009 through December 2011. Subjects were categorized as normal weight 18.5-24.9 kg/m2, overweight 25-29.9 kg/m2, and obese ≥30 kg/m2 (class I-II-III). Adequacy of prenatal care (PNC) was evaluated using the Kotelchuck Index (KI), corrected for gestational age at delivery. Adequate care was defined as KI "adequate" or "adequate plus," and non-adequate as "intermediate" or "inadequate." Chi square and logistic regression were used for comparisons. When compared to non-obese women, obese women were more likely to have adequate PNC (74.1 vs. 68.7%; OR 1.30, 95% CI 1.15-1.47). After adjusting for age, race, education, diabetes, hypertension, and practice type, obesity remained a significant predictor of adequate prenatal care (OR 1.29, 95% CI 1.14-1.46). While age and hypertension were not significant independent predictors of adequate PNC, college education, Caucasian, diabetes, and resident or MFM care had positive associations. Maternal obesity is associated with increased adequacy of prenatal care. Although some comorbidities associated with obesity increase utilization of prenatal services, this did not explain the improvement in PNC adequacy associated with obesity. Overweight and obese women are at a higher risk of pregnancy complications with obesity contributing to increased morbidity and mortality of the mother. Several studies have evaluated barriers to routine health care services, with obese parturients perceiving their weight to be a barrier to obtaining appropriate

  13. Accuracy of reporting endocervical component adequacy--a continuous quality improvement project.

    PubMed

    Roberson, Janie; Connolly, Kathy; St John, Kay; Eltoum, Isam; Chhieng, David C

    2002-09-01

    Inaccurate reporting of the absence of an endocervical (EC) component on Pap smears often results in slide rescreens, amended reports, clinician dissatisfaction, and sometimes unnecessary repeat smears. Therefore, the accuracy of reporting EC component adequacy was selected as a quality indicator for the laboratory continuous quality improvement program (CQI). The process consisted of problem identification, analysis of the situation, collection of data, implementation of solutions, and evaluation of results. The objective of the study was to determine if the accuracy of reporting EC component adequacy on Pap smears improved after application of such a program. During the first phase, 150 Pap smears originally reported with the absence of an adequate EC component and 150 smears reported with the presence of an adequate EC component were rescreened to measure the baseline accuracy of EC component adequacy reporting. The improvement process was then implemented. A cause-and-effect diagram was developed and root cause was determined. A presentation was then made to the cytology staff. Criteria for EC component adequacy were reviewed, examples were shown, and standardized marking of EC component was implemented. Following improvement actions, a second audit of 150 Pap smears reported with the absence of an adequate EC component as well as 150 smears reported with the presence of an adequate EC component was undertaken to measure change in performance in assessing EC component adequacy. For the baseline rescreening, before initiation of the CQI program, 98% accuracy was achieved with smears that were reported as adequate for EC component present. However, the accuracy with smears reported as absence of an adequate EC component was only 71%, i.e., an adequate EC component was identified in almost 1/3 of these cases on rescreen. After the implementation of improvement actions, the accuracy with smears reported with the presence of EC component remained high (98%) and the

  14. The need for adequate ethical guidelines for qualitative health research.

    PubMed

    Guerriero, Iara Coelho Zito; Dallari, Sueli Gandolfi

    2008-01-01

    This paper discusses adequacy as to the application of Brazilian guidelines, Resolution 196/96(1) and complementaries to qualitative health researches, considering that these are based on non-positivistic paradigms. Frequently, decisions about the research are made together with the studied community. There is a concern with justice and social change. And, since subjectivity can be considered their privileged instrument, such researchers seek a balance between objectivity and subjectivity, discussing how to overcome the researcher's view. We have studied the application and the concept of research found in international and in the Brazilian guidelines. We have noticed that they adopt a positivist conception of research, which establishes 1) the hypothesis test, 2) that all procedures are previously defined by the researcher; 3) neutrality of the researcher and of the knowledge produced. We will present some characteristics of qualitative research; the ethical implications in the way as qualitative research is conceived in non-positivist paradigms and a brief history of these guidelines. Our conclusion: it is inadequate to analyze qualitative researches using these documents, and we suggest the design of specific guidelines for them.

  15. Influence of anesthetic drugs and concurrent psychiatric medication on seizure adequacy during electroconvulsive therapy.

    PubMed

    Bundy, Bogata D; Hewer, Walter; Andres, Franz-Josef; Gass, Peter; Sartorius, Alexander

    2010-06-01

    Electroconvulsive therapy (ECT) is performed under anesthesia and muscle relaxation. Only well-generalized seizures seem to have the high "adequacy" or "quality" that have been claimed to reflect positive predictive power for the outcome of an ECT course. The induction of well-generalized seizures can be potentially influenced by several variables. One major variable is concurrent medication including anesthetic drugs, since most anesthetic drugs are potent anticonvulsives. We hypothesized a negative influence of anesthetics and benzodiazepines but a positive effect of antidepressants and antipsychotics concurrently applied during ECT on seizure adequacy. We included inpatients (n = 41) with a DSM-IV-diagnosed major depressive episode treated with ECT (411 ECT sessions) during a period of 20 months (May 2005 to December 2006) in an open label and noncontrolled study. A repeated measurement regression analysis was performed with 8 seizure adequacy parameters as dependent variables. We indirectly quantified narcotic agent influence with bispectral index monitoring. In contrast to the impact of psychiatric comedication, this measure of "depth of narcosis" prior stimulation turned out to influence most seizure adequacy parameters in a highly significant manner. Thus, we concluded that the anticonvulsive properties of narcotic agents have much higher influence than concomitant psychotropic medication. Our data support the view that a significant influence of concurrent psychotropic drugs on seizure adequacy markers is missing, especially when directly compared with other confounders like stimulation energy, age, and depth of narcosis. The latter suggests to further prove the idea that lighter anesthesia is indeed an important tool to get patients faster into remission. 2010 Physicians Postgraduate Press, Inc.

  16. Nutrient adequacy and its correlation in a sub-Himalayan region of West Bengal, India

    PubMed Central

    Bhattacherjee, Sharmistha; Datta, Saikat; Ray, Kuntala; Mukhopadhyay, Dipta Kanti

    2016-01-01

    Introduction: Nutrient adequacy is the level of intake of an essential nutrient in relation to the nutrient requirement for adequate health, which is expressed as the percentage of recommended dietary allowance. To develop an effective nationwide preventive program to combat malnutrition, it is necessary not only to assess the nature and magnitude of the problem of nutrient inadequacy but to identify factors affecting it especially at the household level. Objective: To estimate the prevalence of nutrient adequacy in a sample of households in a rural area of Darjeeling district and to find out the factors associated with nutrient adequacy. Materials and Methods: A community-based cross-sectional study was carried out from January 2014 to December 2014 in 821 households of Darjeeling district, India. The major dependent variable used in this study was the mean nutrient adequacy ratio of a household and the independent variables were number of family members, number of under-five children in the family, literacy of head of the family, literacy of the wife of the head of the family, income of the family, and percentage expenditure on food. Results: The prevalence of nutrient adequate households was found to be 35.3% among the study households. It was observed that the percentage expenditure on food had the highest contribution toward nutrient adequacy, followed by number of under-five children in the family and literacy of the wife of the head of the family. Undernutrition was found to be prevalent in 56.6% of the households. Conclusion: Majority of the study population had a diet less than the required amount and expectedly, undernutrition was also present in huge proportions. PMID:27843834

  17. Relationship between adequacy of prenatal care utilization index and pregnancy outcomes.

    PubMed

    Tayebi, Tahereh; Zahrani, Shahnaz Turk; Mohammadpour, Rezaali

    2013-09-01

    Prenatal care is a comprehensive antepartum care program involving a coordinated approach to medical care and psychosocial support that is optimally offered before conception. Inadequate care during pregnancy can lead to undesirable outcomes, including preterm labor and low birth weight. One of these new, accurate, and comprehensive indicator measurements is adequacy of prenatal care utilization index. This study aimed to assess the adequacy of care and its relationship with preterm labor and low birth weight. This analytic historical cohort study was performed on 420 mothers who referred to health centers in Sari during 2010. Data were collected by interviews and questionnaires. Based on the adequacy of prenatal care utilization, this care was classified into four groups: intensive, adequate, intermediate, and inadequate. Data were analyzed using chi-square test, analysis of variance (ANOVA), Spearman correlation coefficient, and relative risk (RR). Of the 420 mothers who were studied, inadequate care was observed in 151 (36%) cases, which was the highest percentage of care. There was a significant relationship between the adequacy of prenatal care utilization and preterm labor and low birth weight (for both P < 0.05). Performing inadequate care, the rate of preterm labor was RR = 1.36 times and the rate of low birth weight was RR = 1.08 times more than in adequate and intensive care. According to the programs that reduced the number of referrals of pregnant mothers (standardization protocol for mothers in Iran), this study confirms the efficacy of adequacy of prenatal care on reducing preterm labor and low birth weight. This study emphasizes on minimum care performance and the importance of conducting further studies to assess the relationship between quantities of care and other outcomes.

  18. Association of dialysis adequacy with nutritional and inflammatory status in patients with chronic kidney failure.

    PubMed

    Hemayati, Roya; Lesanpezeshki, Mahboub; Seifi, Sepideh

    2015-11-01

    The number of patients with dialysis-dependent renal failure has increased in the past years worldwide. Several parameters have been introduced for the quantitative assessment of dialysis adequacy. The National Cooperative Dialysis Study results indicated that Kt/V and time-averaged concentration of urea (TAC) are predictors of mortality in patients who receive maintenance hemodialysis (HD). Also, the protein catabolic ratio (PCR), which is an indicator of nutritional status, can predict patients' mortality. Our aim was to assess the impact of parameters that show dialysis adequacy on indices of nutrition or inflammation. A total of 46 patients were included in the study; eight patients were excluded during the course of the study and 38 patients were enrolled in the final analysis. All patients were receiving HD for at least for three months. HD was administered three times per week and the study lasted for two months. Kt/V, TAC and PCR were assessed at the beginning of the study based on patients' urea and blood urea nitrogen in the first week of our study; these calculations were repeated at the end of the first and second months using the mean of the mentioned values in the month. Both adequacy indices significantly and positively correlated with changes in PCR (P <0.001). However, no significant correlation was detectable between Kt/V and TAC with either body mass index and albumin or C-reactive protein. Based on the Kt/V values, patients with adequate dialysis had slower decrease in the PCR (P <0.001). Our results indicate that adequacy of dialysis is correlated with patients' nutritional status. No correlation was observed between dialysis adequacy and inflammatory status.

  19. Virtual reality exposure-based therapy for the treatment of post-traumatic stress disorder: a review of its efficacy, the adequacy of the treatment protocol, and its acceptability

    PubMed Central

    Botella, Cristina; Serrano, Berenice; Baños, Rosa M; Garcia-Palacios, Azucena

    2015-01-01

    Introduction The essential feature of post-traumatic stress disorder (PTSD) is the development of characteristic symptoms following exposure to one or more traumatic events. According to evidence-based intervention guidelines and empirical evidence, one of the most extensively researched and validated treatments for PTSD is prolonged exposure to traumatic events; however, exposure therapy can present some limitations. Virtual reality (VR) can help to improve prolonged exposure because it creates fictitious, safe, and controllable situations that can enhance emotional engagement and acceptance. Objective In addition to carrying out a review to evaluate the efficacy of VR exposure-based therapy (VR-EBT) for the treatment of PTSD, the aim of this study was to contribute to analyzing the use of VR-EBT by: first, evaluating the adequacy of psychological treatment protocols that use VR-EBT to treat PTSD; and second, analyzing the acceptability of VR-EBT. Method We performed a replica search with descriptors and databases used in two previous reviews and updated to April 2015. Next, we carried out an evaluation of the efficacy, adequacy, and acceptability of VR-EBT protocols. Results Results showed that VR-EBT was effective in the treatment of PTSD. The findings related to adequacy showed that not all studies using VR-EBT reported having followed the clinical guidelines for evidence-based interventions in the treatment of PTSD. Regarding acceptability, few studies evaluated this subject. However, the findings are very promising, and patients reported high acceptability and satisfaction with the inclusion of VR in the treatment of PTSD. Conclusion The main weaknesses identified in this review focus on the need for more controlled studies, the need to standardize treatment protocols using VR-EBT, and the need to include assessments of acceptability and related variables. Finally, this paper highlights some directions and future perspectives for using VR-EBT in PTSD

  20. [Vascular access guidelines for hemodialysis].

    PubMed

    Rodríguez Hernández, J A; González Parra, E; Julián Gutiérrez, J M; Segarra Medrano, A; Almirante, B; Martínez, M T; Arrieta, J; Fernández Rivera, C; Galera, A; Gallego Beuter, J; Górriz, J L; Herrero, J A; López Menchero, R; Ochando, A; Pérez Bañasco, V; Polo, J R; Pueyo, J; Ruiz, Camps I; Segura Iglesias, R

    2005-01-01

    Quality of vascular access (VA) has a remarkable influence in hemodialysis patients outcomes. Dysfunction of VA represents a capital cause of morbi-mortality of these patients as well an increase in economical. Spanish Society of Neprhology, aware of the problem, has decided to carry out a revision of the issue with the aim of providing help in comprehensión and treatment related with VA problems, and achieving an homogenization of practices in three mayor aspects: to increase arteriovenous fistula utilization as first vascular access, to increment vascular access monitoring practice and rationalise central catheters use. We present a consensus document elaborated by a multidisciplinar group composed by nephrologists, vascular surgeons, interventional radiologysts, infectious diseases specialists and nephrological nurses. Along six chapters that cover patient education, creation of VA, care, monitoring, complications and central catheters, we present the state of the art and propose guidelines for the best practice, according different evidence based degrees, with the intention to provide help at the professionals in order to make aproppiate decissions. Several quality standars are also included.

  1. The Economic Importance of Human Capital in Modernization.

    ERIC Educational Resources Information Center

    Schultz, Theodore W.

    1993-01-01

    Human capital invests in new forms of physical capital, hence, human capital is key to economic progress. Lists eight attributes of human capital; for example, human capital cannot be separated from person who has it, and human capital is not visible. Human capital is necessary component when attempting to improve a person's income and welfare in…

  2. The Economic Importance of Human Capital in Modernization.

    ERIC Educational Resources Information Center

    Schultz, Theodore W.

    1993-01-01

    Human capital invests in new forms of physical capital, hence, human capital is key to economic progress. Lists eight attributes of human capital; for example, human capital cannot be separated from person who has it, and human capital is not visible. Human capital is necessary component when attempting to improve a person's income and welfare in…

  3. Models for guideline representation.

    PubMed

    Quaglini, S; Ciccarese, P

    2006-06-01

    Despite the great emphasis that the medical community has dedicated to clinical practice guidelines in the last few decades, it has become clear that it is difficult to adequately distribute texts (paper-based guidelines) and for them to be used by final users. The reasons for this are manifold: the large number of guidelines delivered each year, their necessary updates on the face of new scientific evidence, the text is not always free from ambiguities, etc. When these problems became evident, the medical informatics community hypothesised that more formal electronic versions would increase the probability of the effective diffusion of guidelines and also physicians' compliance to them. This claim was based on a few hypotheses: one is that formal models, such as flowcharts or other graphical metaphors, provide a more friendly and immediate way of reading a guideline, thus improving learning and absorbing of the guideline content (e. g. using formal models as educational/simulation tools); another hypothesis is that formal models allow easier guideline integration with the daily clinical workflow, raising the possibility of building real-time decision support systems, which again should improve physicians' compliance. This paper focuses on the issues that must be taken into account when modelling guidelines to ensure their effective implementation in real-world computerised environments.

  4. Engineering Technology Curriculum Guidelines

    ERIC Educational Resources Information Center

    Gershon, J. J.

    1977-01-01

    Summarizes curriculum guidelines for the following engineering technologies: chemical, industrial, mining, petroleum, nuclear, civil, mechanical, electrical, automotive, and manufacturing. In a few years, these Engineering Council for Professional Development committee guidelines are intended to become the criteria by which programs will be judged…

  5. Communication Disorders Guidelines.

    ERIC Educational Resources Information Center

    Utah State Office of Education, Salt Lake City. Special Education Services Unit.

    These guidelines outline procedures for the communication disorders specialist/speech-language pathologist employed in the Utah public schools. The guidelines are designed to ensure that all students with communication disorders, ages 3-21, will be provided with appropriate speech-language services in the public schools, that the criteria for…

  6. Measure Guideline: Ventilation Cooling

    SciTech Connect

    Springer, D.; Dakin, B.; German, A.

    2012-04-01

    The purpose of this measure guideline is to provide information on a cost-effective solution for reducing cooling system energy and demand in homes located in hot-dry and cold-dry climates. This guideline provides a prescriptive approach that outlines qualification criteria, selection considerations, and design and installation procedures.

  7. Measure Guideline: Ventilation Cooling

    SciTech Connect

    Springer, D.; Dakin, B.; German, A.

    2012-04-01

    The purpose of this measure guideline on ventilation cooling is to provide information on a cost-effective solution for reducing cooling system energy and demand in homes located in hot-dry and cold-dry climates. This guideline provides a prescriptive approach that outlines qualification criteria, selection considerations, and design and installation procedures.

  8. Guideline 3: Psychosocial Treatment.

    ERIC Educational Resources Information Center

    American Journal on Mental Retardation, 2000

    2000-01-01

    The third in seven sets of guidelines based on the consensus of experts in the treatment of psychiatric and behavioral problems in mental retardation (MR) focuses on psychosocial treatment. Guidelines cover general principles, choosing among psychosocial treatments, severity of MR and psychiatric/behavior symptoms, diagnosable disorders, target…

  9. Engineering Technology Curriculum Guidelines

    ERIC Educational Resources Information Center

    Gershon, J. J.

    1977-01-01

    Summarizes curriculum guidelines for the following engineering technologies: chemical, industrial, mining, petroleum, nuclear, civil, mechanical, electrical, automotive, and manufacturing. In a few years, these Engineering Council for Professional Development committee guidelines are intended to become the criteria by which programs will be judged…

  10. Guidelines for Career Awareness.

    ERIC Educational Resources Information Center

    Mead, Rosemary; And Others

    These extensive guidelines for integrated career education programs at the elementary level were developed by a regional coordinator, an elementary teacher, and an intermediate teacher at a 2-week regional workshop in western Kentucky. The ten chapters include: (1) a rationale for developing career awareness, (2) self-evaluation guidelines for the…

  11. Nonstructural seismic restraint guidelines

    SciTech Connect

    Butler, D.M.; Czapinski, R.H.; Firneno, M.J.; Feemster, H.C.; Fornaciari, N.R.; Hillaire, R.G.; Kinzel, R.L.; Kirk, D.; McMahon, T.T.

    1993-08-01

    The Nonstructural Seismic Restraint Guidelines provide general information about how to secure or restrain items (such as material, equipment, furniture, and tools) in order to prevent injury and property, environmental, or programmatic damage during or following an earthquake. All SNL sites may experience earthquakes of magnitude 6.0 or higher on the Richter scale. Therefore, these guidelines are written for all SNL sites.

  12. Guidelines for OPAC Displays.

    ERIC Educational Resources Information Center

    Yee, Martha M.

    This paper describes the IFLA (International Federation of Library Associations and Institutions) guidelines for librarians charged with customizing OPAC (online public access catalog) software and vendors and producers of this software. The guidelines are intended to apply to all types of catalog, including World Wide Web-based catalogs, GUI…

  13. Drug Education Guidelines.

    ERIC Educational Resources Information Center

    Michigan State Dept. of Education, Lansing.

    In order to supply drug education guidelines for its schools, the Michigan State Board of Education created an advisory council of professionals from the fields of drugs and education, parents, and high school and college students. The council developed the present set of guidelines designed to define the role of the school in drug education and…

  14. Whitebark pine planting guidelines

    Treesearch

    Ward McCaughey; Glenda L. Scott; Kay L. Izlar

    2009-01-01

    This article incorporates new information into previous whitebark pine guidelines for planting prescriptions. Earlier 2006 guidelines were developed based on review of general literature, research studies, field observations, and standard US Forest Service survival surveys of high-elevation whitebark pine plantations. A recent study of biotic and abiotic factors...

  15. Guideline 3: Psychosocial Treatment.

    ERIC Educational Resources Information Center

    American Journal on Mental Retardation, 2000

    2000-01-01

    The third in seven sets of guidelines based on the consensus of experts in the treatment of psychiatric and behavioral problems in mental retardation (MR) focuses on psychosocial treatment. Guidelines cover general principles, choosing among psychosocial treatments, severity of MR and psychiatric/behavior symptoms, diagnosable disorders, target…

  16. Dietary guidelines in singapore.

    PubMed

    Lee, Benjamin Lc

    2011-01-01

    The 2011 Dietary Guidelines were developed with the aim of providing guidance on what dietary strategies can best address increasing rates of obesity and non-communicable chronic disease in Singapore. This set of dietary guidelines was developed with a local expert committee based on a review of scientific literature and data on current dietary patterns from the 2010 National Nutrition Survey. Projected nutrient intakes from a diet adhering to the 2011 Dietary Guidelines were calculated using a local food composition database (FOCOS) and validated against nutrient recommendations. Acknowledging that dietary requirements differ between age groups, different sets of dietary guidelines have been developed and customised for different segments of the population. To date, Singapore has produced dietary guidelines for children and adolescents (focusing on establishing healthy lifelong eating patterns), adults (focusing on preventing obesity and reinforcing healthy eating patterns), and most recently, guidelines for older adults (>50 years of age) that address the issue of potential dietary insufficiency caused by age-related increases in nutrient requirements combined with a reduction in energy requirements. In Singapore, dietary guidelines have been used to inform and direct public policy and promote dietary patterns that meet nutrient requirements while reducing the risk of non-communicable chronic diseases. Examples of public policy include: national guidelines on food advertising and standards for food served in nursing homes; examples of public health promotion programmes include: the Healthier Choice Symbol Programme for packaged food products and programmes encouraging provision of healthier meals in hawker centres, restaurants, and school or workplace canteens.

  17. Maintenance Trades Guidelines

    ERIC Educational Resources Information Center

    Weidner, Theodore J.

    2008-01-01

    In 2002, APPA published "Maintenance Staffing Guidelines for Educational Facilities," the first building maintenance trades staffing guideline designed to assist educational facilities professionals with their staffing needs. addresses how facilities professionals can determine the appropriate size and mix of their organization. Contents…

  18. Financial capital and intellectual capital in physician practice management.

    PubMed

    Robinson, J C

    1998-01-01

    Medical groups need financial resources yet most retain no earnings and have no reserves. Physician practice management (PPM) companies have recognized the need for investment and the scarcity of indigenous capital in the physician sector and are rushing to fill the void. Resources are being contributed by venture capitalists, bond underwriters, private investors, pharmaceutical manufacturers, health plans, hospital systems, and public equity markets. The potential contribution of PPM firms is to nurture the intellectual capital of leading physician organizations and diffuse it throughout the health care system. The risk is that short-term financial imperatives will impede necessary long-term investments.

  19. Micronutrient Adequacy and Dietary Diversity Exert Positive and Distinct Effects on Linear Growth in Urban Zambian Infants.

    PubMed

    Mallard, Simonette R; Houghton, Lisa A; Filteau, Suzanne; Chisenga, Molly; Siame, Joshua; Kasonka, Lackson; Mullen, Anne; Gibson, Rosalind S

    2016-10-01

    In the monitoring of infant and young child feeding, dietary diversity is used as an indicator of micronutrient adequacy; however, their relation may have weakened with the increasing use of fortified complementary foods. The objectives were to assess the relation between dietary diversity and micronutrient adequacy in an urban infant population with a high consumption of fortified foods and to investigate whether dietary diversity and micronutrient adequacy were independently associated with subsequent growth. We used longitudinal data on 811 infants in the Chilenje Infant Growth, Nutrition, and Infection Study conducted in Lusaka, Zambia. The relation between mean micronutrient adequacies and dietary diversity scores derived from 24-h diet recalls at 6 mo of age was investigated with the use of Spearman rank correlation. Multiple linear regression was used to assess the association between micronutrient adequacy, dietary diversity, and subsequent growth to 18 mo of age. Overall mean micronutrient density adequacy (MMDA) and MMDA of "problem micronutrients," defined as those micronutrients (calcium, iron, zinc) with mean density adequacies less than half of estimated needs, were correlated with dietary diversity scores (ρ = 0.36 and 0.30, respectively, both P < 0.0001). Consumption of "sentinel foods" (iron rich, fortified, animal source, dairy) showed better correlation with MMDA than with dietary diversity (ρ = 0.58-0.69, all P < 0.0001). In fully adjusted analyses, MMDA calcium, iron, zinc, and dietary diversity, but not overall MMDA, were associated with linear growth to 18 mo (both P ≤ 0.028). Micronutrient adequacy in infants consuming fortified foods may be more accurately assessed using locally specific sentinel food indicators rather than dietary diversity scores. Nonetheless, dietary diversity has a positive effect on subsequent linear growth apart from that of micronutrient adequacy, warranting its continued monitoring and further investigation into

  20. Health, Human Capital, and Development.

    PubMed

    Bleakley, Hoyt

    2010-09-01

    How much does disease depress development in human capital and income around the world? I discuss a range of micro evidence, which finds that health is both human capital itself and an input to producing other forms of human capital. I use a standard model to integrate these results, and suggest a re-interpretation of much of the micro literature. I then discuss the aggregate implications of micro estimates, but note the complications in extrapolating to general equilibrium, especially because of health's effect on population size. I also review the macro evidence on this topic, which consists of either cross-country comparisons or measuring responses to health shocks. Micro estimates are 1-2 orders of magnitude smaller than the cross-country relationship, but nevertheless imply high benefit-to-cost ratios from improving certain forms of health.