Federal Register 2010, 2011, 2012, 2013, 2014
2011-12-28
... Source Ozone Modeling K. Comments That Address Cumulative Air Quality Impacts IV. Final Action V... (section 110(a)(2)(J)); air quality modeling/data (section 110(a)(2)(K)); permitting fees (section 110(a)(2...
25 CFR 36.13 - Standard IV-Curriculum development.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 25 Indians 1 2010-04-01 2010-04-01 false Standard IV-Curriculum development. 36.13 Section 36.13... § 36.13 Standard IV—Curriculum development. (a) Each school shall implement an organized program of curriculum development involving certified and non-certified staff and shall provide the opportunity for...
25 CFR 36.13 - Standard IV-Curriculum development.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 25 Indians 1 2011-04-01 2011-04-01 false Standard IV-Curriculum development. 36.13 Section 36.13... § 36.13 Standard IV—Curriculum development. (a) Each school shall implement an organized program of curriculum development involving certified and non-certified staff and shall provide the opportunity for...
Horticulture III, IV, and V. Task Analyses. Competency-Based Education.
ERIC Educational Resources Information Center
Henrico County Public Schools, Glen Allen, VA. Virginia Vocational Curriculum Center.
This task analysis guide is intended to help teachers and administrators develop instructional materials and implement competency-based education in the horticulture program. Section 1 contains a validated task inventory for horticulture III, IV, and V. For each task, applicable information pertaining to performance and enabling objectives,…
40 CFR 63.5776 - Who implements and enforces this subpart?
Code of Federal Regulations, 2010 CFR
2010-07-01
... resin operations. (iii) § 63.5731(a)—Standards for resin and gel coat mixing operations. (iv) § 63.5734...)(2)(ii) and (f), the authority to approve alternatives to the test methods listed in paragraphs (b)(2)(i) through (iv) of this section is not delegated. (i) § 63.5719(b)—Method for determining whether an...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-08-15
..., particulate matter (PM), and sulfur dioxide (SO 2 ). Because certain provisions of section 176(c) of the CAA...), ``Prohibition'', was modified to remove obsolete provisions in (a)(iii) and now makes this section reserved. 2. Section 3(a), ``Prohibition'', was modified to define NEPA in (a)(iv) and to add a new section (v) that...
12 CFR 563.41 - Transactions with affiliates.
Code of Federal Regulations, 2011 CFR
2011-01-01
... “OTS,” except for references at 12 CFR 223.2(a)(9)(iv), 223.3(h), 223.3(z), 223.14(c)(4), 223.43, and... identify the circumstance listed in paragraph (c)(4)(i) of this section that supports the imposition of the... implements section 11(a) of the Home Owners' Loan Act (12 U.S.C. 1468(a)). Section 11(a) applies sections 23A...
12 CFR 563.41 - Transactions with affiliates.
Code of Federal Regulations, 2010 CFR
2010-01-01
... “OTS,” except for references at 12 CFR 223.2(a)(9)(iv), 223.3(h), 223.3(z), 223.14(c)(4), 223.43, and... identify the circumstance listed in paragraph (c)(4)(i) of this section that supports the imposition of the... implements section 11(a) of the Home Owners' Loan Act (12 U.S.C. 1468(a)). Section 11(a) applies sections 23A...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-05-29
... III. Basis and Purpose IV. Background V. Discussion of Comments and Changes VI. Regulatory Analyses A...) Implementation of the 1995 Amendments to the International Convention on Standards of Training, Certification and... 11216) and implemented changes to the other definitions listed within the section. The Coast Guard is...
Tribal child welfare. Interim final rule.
2012-01-06
The Administration for Children and Families (ACF) is issuing this interim final rule to implement statutory provisions related to the Tribal title IV-E program. Effective October 1, 2009, section 479B(b) of the Social Security Act (the Act) authorizes direct Federal funding of Indian Tribes, Tribal organizations, and Tribal consortia that choose to operate a foster care, adoption assistance and, at Tribal option, a kinship guardianship assistance program under title IV-E of the Act. The Fostering Connections to Success and Increasing Adoptions Act of 2008 requires that ACF issue interim final regulations which address procedures to ensure that a transfer of responsibility for the placement and care of a child under a State title IV-E plan to a Tribal title IV-E plan occurs in a manner that does not affect the child's eligibility for title IV-E benefits or medical assistance under title XIX of the Act (Medicaid) and such services or payments; in-kind expenditures from third-party sources for the Tribal share of administration and training expenditures under title IV-E; and other provisions to carry out the Tribal-related amendments to title IV-E. This interim final rule includes these provisions and technical amendments necessary to implement a Tribal title IV-E program.
Consortia for Known Good Die (KGD), phase 1
NASA Astrophysics Data System (ADS)
Andrews, Marshall; Carey, David; Fellows, Mary M.; Gilg, Larry; Murphy, Cindy; Noddings, Chad; Pitts, Greg; Rathmell, Claude; Spooner, Charles
1994-02-01
This report describes the results of Phase 1 of the Infrastructure for KGD program at MCC. The objective of the work is to resolve the issues for supplying and procuring Known Good Die (KGD) in a way that fosters industry acceptance and confidence in Application Specific Electronic Modules (ASEM's for military systems) and MultiChip Modules (MCM's for commercial systems). This report is divided into four sections. Section 1 describes the technical assessment of proposed industry approaches to KGD implementation. Section 2 of the report contains an outline for the plan for industry and government cooperation for the demonstration, validation, and implementation of KGD methodologies identified in this Phase 1 study. Section 3 of the report contains the industry-generated requirements for KGD implementation. Section IV of the report contains the KGD specifications for TAB and flip chip IC's.
Surmounting elusive barriers: the case for bioethics mediation.
Bergman, Edward J
2013-01-01
This article describes, analyzes, and advocates for management of clinical healthcare conflict by a process commonly referred to as bioethics mediation. Section I provides a brief introduction to classical mediation outside the realm of clinical healthcare. Section II highlights certain distinguishing characteristics of bioethics mediation. Section III chronicles the history of bioethics mediation and references a number of seminal writings on the subject. Finally, Section IV analyzes barriers that have, thus far, limited the widespread implementation of bioethics mediation.
2017-09-01
analyzing Snort alerts. The first section covers the Snort alert-generation program, the methodology involved in developing it, and how it accelerates...guide on system setup. The methodologies described can be translated to the setup and use of the ELK stack for storing and visualizing any data...Figures iv List of Tables iv 1. Introduction 1 2. Methodology 2 2.1. Snort Alert Generation 2 2.2 The SELK Stack 8 3. Discussion and Conclusion 11
Federal Register 2010, 2011, 2012, 2013, 2014
2011-05-18
... Program B. Fine PM and the NAAQS for PM 2.5 C. How is the PSD program for PM 2.5 implemented? IV... ? B. Why did EPA propose to repeal the grandfather provision for PM 2.5 ? C. Summary of Comments and... maintain the NAAQS and to meet the other requirements of section 110(a) of the Act. Part C of title I of...
20 CFR 638.507 - Work experience.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Work experience. 638.507 Section 638.507... TITLE IV-B OF THE JOB TRAINING PARTNERSHIP ACT Center Operations § 638.507 Work experience. (a) The center operator shall emphasize and implement programs of work experience for students through center...
20 CFR 638.507 - Work experience.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Work experience. 638.507 Section 638.507... TITLE IV-B OF THE JOB TRAINING PARTNERSHIP ACT Center Operations § 638.507 Work experience. (a) The center operator shall emphasize and implement programs of work experience for students through center...
14 CFR 417.19 - Registration of space objects.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 4 2011-01-01 2011-01-01 false Registration of space objects. 417.19 Section 417.19 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION... Registration of space objects. (a) To assist the U.S. Government in implementing Article IV of the 1975...
14 CFR 417.19 - Registration of space objects.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 14 Aeronautics and Space 4 2014-01-01 2014-01-01 false Registration of space objects. 417.19 Section 417.19 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION... Registration of space objects. (a) To assist the U.S. Government in implementing Article IV of the 1975...
14 CFR 417.19 - Registration of space objects.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Registration of space objects. 417.19 Section 417.19 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION... Registration of space objects. (a) To assist the U.S. Government in implementing Article IV of the 1975...
14 CFR 417.19 - Registration of space objects.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 14 Aeronautics and Space 4 2013-01-01 2013-01-01 false Registration of space objects. 417.19 Section 417.19 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION... Registration of space objects. (a) To assist the U.S. Government in implementing Article IV of the 1975...
14 CFR 417.19 - Registration of space objects.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 14 Aeronautics and Space 4 2012-01-01 2012-01-01 false Registration of space objects. 417.19 Section 417.19 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION... Registration of space objects. (a) To assist the U.S. Government in implementing Article IV of the 1975...
29 CFR 779.301 - Statutory provisions.
Code of Federal Regulations, 2013 CFR
2013-07-01
..., institution, or school described in section 3(s)(4), if more than 50 per centum of such establishment's annual..., or a school for physically or mentally handicapped or gifted children, or (iv) Is in such an... establishment which is primarily engaged in the business of selling automobiles, trucks, or farm implements. (5...
29 CFR 779.301 - Statutory provisions.
Code of Federal Regulations, 2011 CFR
2011-07-01
..., institution, or school described in section 3(s)(4), if more than 50 per centum of such establishment's annual..., or a school for physically or mentally handicapped or gifted children, or (iv) Is in such an... establishment which is primarily engaged in the business of selling automobiles, trucks, or farm implements. (5...
29 CFR 779.301 - Statutory provisions.
Code of Federal Regulations, 2014 CFR
2014-07-01
..., institution, or school described in section 3(s)(4), if more than 50 per centum of such establishment's annual..., or a school for physically or mentally handicapped or gifted children, or (iv) Is in such an... establishment which is primarily engaged in the business of selling automobiles, trucks, or farm implements. (5...
29 CFR 779.301 - Statutory provisions.
Code of Federal Regulations, 2012 CFR
2012-07-01
..., institution, or school described in section 3(s)(4), if more than 50 per centum of such establishment's annual..., or a school for physically or mentally handicapped or gifted children, or (iv) Is in such an... establishment which is primarily engaged in the business of selling automobiles, trucks, or farm implements. (5...
NASA Astrophysics Data System (ADS)
Sardar, Shahid; Xu, Xin; Xu, Long-Quan; Zhu, Lin-Fan
2018-02-01
In this paper we present photoionization cross-sections of the ground and excited states of Li-like carbon (C IV) in the framework of fully relativistic R-matrix formalism as implemented in Dirac atomic R-matrix code. For target wavefunctions expansion, Multiconfiguration Dirac Hartree Fock calculations are performed for the lowest 17 target states of He-like carbon (C V) arising from 1s2 and 1snl, with n = 2, 3 and l = s, p, d configurations. Our target energy levels and transition parameters belonging to these levels are ascertained to be in excellent agreement with the experimental and the well-established theoretical results. We use the principle of detailed balance to get the photorecombination (PR) cross-sections of the ground state of C V. Both photoionization and PR cross-sections manifest important KLL and KLM resonance structures which are in very good agreement with the accurate measurements at Advanced Light Source (ion photon end beam station) and CRYRING (synchrotron storage ring).
Federal Register 2010, 2011, 2012, 2013, 2014
2010-02-02
... for which the increased FMAP is not available under title XIX include expenditures for...), and expenditures that are paid at an enhanced FMAP rate. The increased FMAP is available for expenditures under part E of title IV (including Foster Care, Adoption Assistance and Guardianship Assistance...
Code of Federal Regulations, 2010 CFR
2010-10-01
...(s) in determining eligibility for adoption assistance payments. (d) In the event an adoptive family... SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER CARE MAINTENANCE PAYMENTS, ADOPTION ASSISTANCE, AND CHILD AND FAMILY SERVICES REQUIREMENTS APPLICABLE TO TITLE IV-E § 1356.40 Adoption assistance...
Agricultural Production: Task Analysis for Livestock Production. Competency-Based Education.
ERIC Educational Resources Information Center
Henrico County Public Schools, Glen Allen, VA. Virginia Vocational Curriculum Center.
This task analysis guide is intended to help teachers and administrators develop instructional materials and implement competency-based education in the agricultural production program. Section 1 contains a validated task inventory for the livestock production portion of agricultural production IV and V. Tasks are divided into six duty areas:…
10 CFR 4.91 - Effect on other regulations.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 10 Energy 1 2011-01-01 2011-01-01 false Effect on other regulations. 4.91 Section 4.91 Energy... FEDERAL FINANCIAL ASSISTANCE FROM THE COMMISSION Regulations Implementing Title VI of the Civil Rights Act of 1964 and Title IV of the Energy Reorganization Act of 1974 Effect on Other Regulations; Forms and...
10 CFR 4.91 - Effect on other regulations.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 10 Energy 1 2010-01-01 2010-01-01 false Effect on other regulations. 4.91 Section 4.91 Energy... FEDERAL FINANCIAL ASSISTANCE FROM THE COMMISSION Regulations Implementing Title VI of the Civil Rights Act of 1964 and Title IV of the Energy Reorganization Act of 1974 Effect on Other Regulations; Forms and...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-07-02
... requirement of the Act. Michigan's maintenance plan submission includes a budget for the mobile source... (Section 107(d)(3)(E)(iv)) 5. Motor Vehicle Emissions Budget (MVEBs) for the Mobile Source Contribution to.... 4. Describe any assumptions and provide any technical information and/or data that you used. 5. If...
Federal Register 2010, 2011, 2012, 2013, 2014
2010-01-13
... NO X 12. Definition of ``Major Source'' 13. Sunset Provision for Section 185 Fees III. EPA Action IV... from Ted Steichen, dated September 18, 2009. 3. Association of Irritated Residents, letter from Brent... or emissions during the baseline period, or the amount of VOC or NO X emissions allowed under the...
Using failure mode and effects analysis to plan implementation of smart i.v. pump technology.
Wetterneck, Tosha B; Skibinski, Kathleen A; Roberts, Tanita L; Kleppin, Susan M; Schroeder, Mark E; Enloe, Myra; Rough, Steven S; Hundt, Ann Schoofs; Carayon, Pascale
2006-08-15
Failure mode and effects analysis (FMEA) was used to evaluate a smart i.v. pump as it was implemented into a redesigned medication-use process. A multidisciplinary team conducted a FMEA to guide the implementation of a smart i.v. pump that was designed to prevent pump programming errors. The smart i.v. pump was equipped with a dose-error reduction system that included a pre-defined drug library in which dosage limits were set for each medication. Monitoring for potential failures and errors occurred for three months postimplementation of FMEA. Specific measures were used to determine the success of the actions that were implemented as a result of the FMEA. The FMEA process at the hospital identified key failure modes in the medication process with the use of the old and new pumps, and actions were taken to avoid errors and adverse events. I.V. pump software and hardware design changes were also recommended. Thirteen of the 18 failure modes reported in practice after pump implementation had been identified by the team. A beneficial outcome of FMEA was the development of a multidisciplinary team that provided the infrastructure for safe technology implementation and effective event investigation after implementation. With the continual updating of i.v. pump software and hardware after implementation, FMEA can be an important starting place for safe technology choice and implementation and can produce site experts to follow technology and process changes over time. FMEA was useful in identifying potential problems in the medication-use process with the implementation of new smart i.v. pumps. Monitoring for system failures and errors after implementation remains necessary.
Federal Register 2010, 2011, 2012, 2013, 2014
2010-10-29
... effort requirement, which are not part of the calculation process. Expenditures for which the increased... paid at a rate of 100 percent and therefore not subject to increase), and expenditures that are paid at an enhanced FMAP rate. The increased FMAP is available for expenditures under part E of title IV...
Federal Register 2010, 2011, 2012, 2013, 2014
2010-08-26
... of the ARRA provides for a temporary increase in FMAP rates for Medicaid and title IV-E Foster Care... effort requirement, which are not part of the calculation process. Expenditures for which the increased... paid at a rate of 100 percent and therefore not subject to increase), and expenditures that are paid at...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-01-09
...)(xi).... A-I.B.10 D-II.A.5 Baseline Area definition. Yes 51.166(b)(15)....... EPA is approving this... Certain Nonattainment Area Requirements). N/A D-V.A.7.d Documents available for No 51.165(a)(7... Exemptions from Certain Yes 51.165, Appx. EPA is approving this Nonattainment Area S.IV.B... section...
ERIC Educational Resources Information Center
Thompson, John A.; Chock, Mona K.O.
Part of a 13-volume series designed to be used as a group inservice or a self-learning system to train school administrators and counselors for their role in career education, this first section (4.1) of module 4 (Planning) is designed to assist principals and other school administrators to develop plans for curriculum preparation and infusion of…
Sociocultural Behavior Research and Engineering in the Department of Defense Context
2011-09-01
return on investment. Section IV provides a set of principles and practices to ensure that DoD investments are cost effective and have high...projects. The U.S. Army Training and Doctrine Command (TRADOC) Analysis Center (TRAC), the Naval Postgraduate School (NPS), the OSD’s Cost Assessment... cost -effectively allocating resources targeted toward relevant problems. The OSD HSCB Modeling Program is using that approach to rapidly implement a
Surfactant-Enhanced Aquifer Remediation (SEAR) Implementation Manual
2003-04-01
UTCHEM University of Texas Chemical Flooding Simulator VOC volatile organic compound wt% weight percent iv Section 1.0: INTRODUCTION 1.1...proper sample spacing that captures the peak breakthrough curve and tailing concentrations caused by post- surfactant water flooding. UTCHEM design...90 100 110 120 130 140 Time Since Surf. Injection, days D iss ol ve d PC E C on c. , m g/ l Field data UTCHEM (Run ISA26m) End of surfactant
Sabry, Nirmeen; Dawoud, Dalia; Alansary, Adel; Hounsome, Natalia; Baines, Darrin
2015-12-01
Timely switching from intravenous to oral therapy ensures optimized treatment and efficient use of health care resources. Intravenous (IV) paracetamol is widely used for post-operative pain management but not always switched to the oral form in a timely manner, leading to unnecessary increase in expenditure. This study aims to evaluate the impact of a multifaceted intervention to promote timely switching from the IV to oral form in the post-operative setting. An evidence-based prescribing protocol was designed and implemented by the clinical pharmacy team in a single district general hospital in Egypt. The protocol specified the criteria for appropriate prescribing of IV paracetamol. Doctors were provided with information and educational sessions prior to implementation. A prospective, quasi-experimental study was undertaken to evaluate its impact on IV paracetamol utilization and costs. Data on monthly utilization and costs were recorded for 12 months before and after implementation (January 2012 to December 2013). Data were analysed using interrupted time series analysis. Prior to implementation, in 2012, total spending on IV paracetamol was 674 154.00 Egyptian Pounds (L.E.) ($23,668.00). There was a non-significant (P > 0.05) downward trend in utilization (-32 ampoules per month) and costs [reduction of 632 L.E. ($222) per month]. Following implementation, immediate decrease in utilization and costs (P < 0.05) and a trend change over the follow-up period were observed. Average monthly reduction was 26% (95% CI: 24% to 28%, P < 0.001). A multifaceted, protocol-based intervention to ensure timely switching from IV-to-oral paracetamol achieved significant reduction in utilization and cost of IV paracetamol in the first 5 months of its implementation. © 2015 John Wiley & Sons, Ltd.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Venezuela
This report contains the results of efforts under the six tasks of the Tenth Amendment anti Extension of Annex IV, Enhanced Oil Recovery Thermal Processes of the Venezuela/USA Energy Agreement. This report is presented in sections (for each of the six Tasks) and each section contains one or more reports that were prepared to describe the results of the effort under each of the Tasks. A statement of each Task, taken from the Agreement Between Project Managers, is presented on the first page of each section. The Tasks are numbered 68 through 73. The first through tenth report on researchmore » performed under Annex IV Venezuela MEM/USA-DOE Fossil Energy Report Number IV-1, IV-2, IV-3, IV-4, IV-5, IV-6, IV-7, IV-8, IV-9, IV-10 contain the results of the first 67 Tasks. These reports are dated April 1983, August 1984, March 1986, July 1987, November 1988, December 1989, October 1991, February 1993, March 1995, and December 1997, respectively.« less
Impact E-Learning Platform Moodle on the Physic's Learning Process in the High School's Students
NASA Astrophysics Data System (ADS)
Torres-Montealban, Jonas; Ruiz-Chavarria, Gregorio; Gomez-Lozoya, Enrique Armando
2011-03-01
As a didactic proposal, moodle e-learning platform was implemented in one of two Physics High School's group at UACH, in order to show how the use of new technologies can improve the learning progress linked to physics concepts. As a result, the first group worked at the same time with inside class activities as well as outside resources from the moodle e-platform. The second group only worked with inside class activities. This teaching application was developed in six sections. Section I defines the educational framework. Section II identifies the key physic's concepts to be studied in each proposed activity. Section III describes the didactic model. Section IV displays the compared results between similarities and differences in both groups. Section VI shows the gathered information in order to be discussed as a topic related on how new technologies improve the Physic's learning process in the high school' students.
46 CFR 53.01-3 - Adoption of section IV of the ASME Boiler and Pressure Vessel Code.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 46 Shipping 2 2012-10-01 2012-10-01 false Adoption of section IV of the ASME Boiler and Pressure Vessel Code. 53.01-3 Section 53.01-3 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING HEATING BOILERS General Requirements § 53.01-3 Adoption of section IV of the ASME Boiler and Pressure Vessel Code. (a) Heating...
46 CFR 53.01-3 - Adoption of section IV of the ASME Boiler and Pressure Vessel Code.
Code of Federal Regulations, 2014 CFR
2014-10-01
... 46 Shipping 2 2014-10-01 2014-10-01 false Adoption of section IV of the ASME Boiler and Pressure Vessel Code. 53.01-3 Section 53.01-3 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING HEATING BOILERS General Requirements § 53.01-3 Adoption of section IV of the ASME Boiler and Pressure Vessel Code. (a) Heating...
46 CFR 53.01-3 - Adoption of section IV of the ASME Boiler and Pressure Vessel Code.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 46 Shipping 2 2010-10-01 2010-10-01 false Adoption of section IV of the ASME Boiler and Pressure Vessel Code. 53.01-3 Section 53.01-3 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING HEATING BOILERS General Requirements § 53.01-3 Adoption of section IV of the ASME Boiler and Pressure Vessel Code. (a) Heating...
46 CFR 53.01-3 - Adoption of section IV of the ASME Boiler and Pressure Vessel Code.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 46 Shipping 2 2013-10-01 2013-10-01 false Adoption of section IV of the ASME Boiler and Pressure Vessel Code. 53.01-3 Section 53.01-3 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING HEATING BOILERS General Requirements § 53.01-3 Adoption of section IV of the ASME Boiler and Pressure Vessel Code. (a) Heating...
46 CFR 53.01-3 - Adoption of section IV of the ASME Boiler and Pressure Vessel Code.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 46 Shipping 2 2011-10-01 2011-10-01 false Adoption of section IV of the ASME Boiler and Pressure Vessel Code. 53.01-3 Section 53.01-3 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING HEATING BOILERS General Requirements § 53.01-3 Adoption of section IV of the ASME Boiler and Pressure Vessel Code. (a) Heating...
International VLBI Service for Geodesy and Astrometry 2000 Annual Report
NASA Technical Reports Server (NTRS)
Vandenberg, N. R. (Editor); Baver, K. D. (Editor); Smith, David E. (Technical Monitor)
2000-01-01
This volume of reports is the 2000 Annual Report of the International Very Long Base Interferometry (VLBI) Service for Geodesy and Astrometry (IVS). The individual reports were contributed by VLBI groups in the international geodetic and astrometric community who constitute the permanent components of IVS. The IVS 2000 Annual Report documents the work of the IVS components for the period March 1, 1999 (the official inauguration date of IVS) through December 31, 2000. The reports document changes, activities, and progress of the IVS. The entire contents of this Annual Report also appear on the IVS web site at http://ivscc.gsfc.nasa.gov/publications/ar2000. This book and the web site are organized as follows: (1) The first section contains general information about IVS, a map showing the location of the components, information about the Directing Board members, and the report of the IVS Chair; (2) The second section of Special Reports contains a status report of the IVS Working Group on GPS phase center mapping, a reproduction of the resolution making IVS a Service of the International Astronomical Union (IAU), and a reprint of the VLBI Standard Interface (VSI); (3) The next seven sections hold the component reports from the Coordinators, Network Stations, Operation Centers, Correlators, Data Centers, Analysis Centers, and Technology Development Centers; and (4) The last section includes reference information about IVS: the Terms of Reference, the lists of Member and Affiliated organizations, the IVS Associate Member list, a complete list of IVS components, the list of institutions contributing to this report, and a list of acronyms. The 2000 Annual Report demonstrates the vitality of the IVS and the outstanding progress we have made during our first 22 months.
Slow Control System for the NIFFTE Collaboration TPC
NASA Astrophysics Data System (ADS)
Ringle, Erik; Niffte Collaboration Collaboration
2011-10-01
As world energy concerns continue to dominate public policy in the 21st century, the need for cleaner and more efficient nuclear power is necessary. In order to effectively design and implement plans for generation IV nuclear reactors, more accurate fission cross-section measurements are necessary. The Neutron Induced Fission Fragment Tracking Experiment (NIFFTE) collaboration, in an effort to meet this need, has constructed a Time Projection Chamber (TPC) which aims to reduce the uncertainty of the fission cross-section to less than 1%. Using the Maximum Integration Data Acquisition System (MIDAS) framework, slow control measurements are integrated into a single interface to facilitate off-site monitoring. The Hart Scientific 1560 Black Stack will be used with two 2564 Thermistor Scanner Modules to monitor internal temperature of the TPC. A Prologix GPIB to Ethernet controller will be used to interface the hardware with MIDAS. This presentation will detail the design and implementation of the slow control system for the TPC. This work was supported by the U.S. Department of Energy Division of Energy Research.
Code of Federal Regulations, 2010 CFR
1996-10-01
... requirements for titles IV PUBLIC WELFARE Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN.... 1355.21 State plan requirements for titles IV-E and IV-B. (a) The State plans for titles IV-E and IV-B... contained in section 471(a)(8) of the Act. (b) The State plans for titles IV-E and IV-B must provide for...
International VLBI Service for Geodesy and Astrometry 2013 Annual Report
NASA Technical Reports Server (NTRS)
Baver, Karen D.; Behrend, Dirk; Armstrong, Kyla L.
2014-01-01
This volume of reports is the 2013 Annual Report of the International VLBI Service for Geodesy and Astrometry (IVS). The individual reports were contributed by VLBI groups in the international geodetic and astrometric community who constitute the permanent components of IVS. The IVS 2013 Annual Report documents the work of the IVS components for the calendar year 2013, our fifteenth year of existence. The reports describe changes, activities, and progress of the IVS. Many thanks to all IVS components who contributed to this Annual Report. With the exception of the first section and the last section, the contents of this Annual Report also appear on the IVS Web site at http://ivscc.gsfc.nasa.gov/publications/ar2013.
International VLBI Service for Geodesy and Astrometry 2012 Annual Report
NASA Technical Reports Server (NTRS)
Baver, Karen D.; Behrend, Dirk; Armstrong, Kyla L.
2013-01-01
This volume of reports is the 2012 Annual Report of the International VLBI Service for Geodesy and Astrometry (IVS). The individual reports were contributed by VLBI groups in the international geodetic and astrometric community who constitute the permanent components of IVS. The IVS 2012 Annual Report documents the work of the IVS components for the calendar year 2012, our fourteenth year of existence. The reports describe changes, activities, and progress ofthe IVS. Many thanks to all IVS components who contributed to this Annual Report. With the exception of the first section and parts of the last section (described below), the contents of this Annual Report also appear on the IVS Web site athttp:ivscc.gsfc.nasa.gov/publications/ar2012
DOE Office of Scientific and Technical Information (OSTI.GOV)
Evans, V.; Foltz, D.
In 1990, the Clean Air Act was amended amidst a flurry of lobbying. One of the special provisions added was Section 404(d) (see also 40 CFR 72.42) to extend the deadline for compliance under Title IV from 1995 to 1997 for units that committed to install high-efficiency SO{sub 2} scrubbers. Title IV created the Acid Rain Program to reduce emissions of SO{sub 2} and NO{sub x} from electric utility boilers. Section 404(d) was added as a result of the efforts to encourage the continued use of high sulfur coal. Congress allocated 3.5 million allowances for EPA to award under thesemore » provisions. To reduce the uncertainty of being selected to receive extension allowances through EPA`s lottery system, utilities interested in participating in the Program formed the Extension Allowance Pool. The Extension Allowance Pooling Agreement was executed as of March 1992 by 16 utilities. The underlying principle of the Pool is that those utilities whose control units were selected to receive extension allowances would share a portion of those allowances with those Pool participants that were not chosen by EPA. The Pool also provided for the various activities required to implement these arrangements.« less
Integrating technology to improve medication administration.
Prusch, Amanda E; Suess, Tina M; Paoletti, Richard D; Olin, Stephen T; Watts, Starann D
2011-05-01
The development, implementation, and evaluation of an i.v. interoperability program to advance medication safety at the bedside are described. I.V. interoperability integrates intelligent infusion devices (IIDs), the bar-code-assisted medication administration system, and the electronic medication administration record system into a bar-code-driven workflow that populates provider-ordered, pharmacist-validated infusion parameters on IIDs. The purpose of this project was to improve medication safety through the integration of these technologies and decrease the potential for error during i.v. medication administration. Four key phases were essential to developing and implementing i.v. interoperability: (a) preparation, (b) i.v. interoperability pilot, (c) preliminary validation, and (d) expansion. The establishment of pharmacy involvement in i.v. interoperability resulted in two additional safety checks: pharmacist infusion rate oversight and nurse independent validation of the autoprogrammed rate. After instituting i.v. interoperability, monthly compliance to the telemetry drug library increased to a mean ± S.D. of 72.1% ± 2.1% from 56.5% ± 1.5%, and the medical-surgical nursing unit's drug library monthly compliance rate increased to 58.6% ± 2.9% from 34.1% ± 2.6% (p < 0.001 for both comparisons). The number of manual pump edits decreased with both telemetry and medical-surgical drug libraries, demonstrating a reduction from 56.9 ± 12.8 to 14.2 ± 3.9 and from 61.2 ± 15.4 to 14.7 ± 3.8, respectively (p < 0.001 for both comparisons). Through the integration and incorporation of pharmacist oversight for rate changes, the telemetry and medical-surgical patient care areas demonstrated a 32% reduction in reported monthly errors involving i.v. administration of heparin. By integrating two stand-alone technologies, i.v. interoperability was implemented to improve medication administration. Medication errors were reduced, nursing workflow was simplified, and pharmacists became involved in checking infusion rates of i.v. medications.
Effect of closed-loop order processing on the time to initial antimicrobial therapy.
Panosh, Nicole; Rew, Richardd; Sharpe, Michelle
2012-08-15
The results of a study comparing the average time to initiation of i.v. antimicrobial therapy with closed-versus open-loop order entry and processing are reported. A retrospective cohort study was performed to compare order-to-administration times for initial doses of i.v. antimicrobials before and after a closed-loop order-processing system including computerized prescriber order entry (CPOE) was implemented at a large medical center. A total of 741 i.v. antimicrobial administrations to adult patients during designated five-month preimplementation and postimplementation study periods were assessed. Drug-use reports generated by the pharmacy database were used to identify order-entry times, and medication administration records were reviewed to determine times of i.v. antimicrobial administration. The mean ± S.D. order-to-administration times before and after the implementation of the CPOE system and closed-loop order processing were 3.18 ± 2.60 and 2.00 ± 1.89 hours, respectively, a reduction of 1.18 hours (p < 0.0001). Closed-loop order processing was associated with significant reductions in the average time to initiation of i.v. therapy in all patient care areas evaluated (cardiology, general medicine, and oncology). The study results suggest that CPOE-based closed-loop order processing can play an important role in achieving compliance with current practice guidelines calling for increased efforts to ensure the prompt initiation of i.v. antimicrobials for severe infections (e.g., sepsis, meningitis). Implementation of a closed-loop order-processing system resulted in a significant decrease in order-to-administration times for i.v. antimicrobial therapy.
Implementing the UCSD PASCAL system on the MODCOMP computer. [deep space network
NASA Technical Reports Server (NTRS)
Wolfe, T.
1980-01-01
The implementation of an interactive software development system (UCSD PASCAL) on the MODCOMP computer is discussed. The development of an interpreter for the MODCOMP II and the MODCOMP IV computers, written in MODCOMP II assembly language, is described. The complete Pascal programming system was run successfully on a MODCOMP II and MODCOMP IV under both the MAX II/III and MAX IV operating systems. The source code for an 8080 microcomputer version of the interpreter was used as the design for the MODCOMP interpreter. A mapping of the functions within the 8080 interpreter into MODCOMP II assembly language was the method used to code the interpreter.
Implementing smart infusion pumps with dose-error reduction software: real-world experiences.
Heron, Claire
2017-04-27
Intravenous (IV) drug administration, especially with 'smart pumps', is complex and susceptible to errors. Although errors can occur at any stage of the IV medication process, most errors occur during reconstitution and administration. Dose-error reduction software (DERS) loaded on to infusion pumps incorporates a drug library with predefined upper and lower drug dose limits and infusion rates, which can reduce IV infusion errors. Although this is an important advance for patient safety at the point of care, uptake is still relatively low. This article discuses the challenges and benefits of implementing DERS in clinical practice as experienced by three UK trusts.
30 CFR 950.16 - Required program amendments.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Required program amendments. 950.16 Section 950... shall submit a revision to its permanent program rules at chapter IV, section 3(i) or otherwise propose... rules at chapter IV, section 3(u) or otherwise propose to amend its program to give the State the...
Leszcz, Molyn; Sherman, Allen; Mosier, Julie; Burlingame, Gary M; Cleary, Trish; Ulman, Kathleen Hubbs; Simonton, Stephanie; Latif, Umaira; Strauss, Bernhard; Hazelton, Lara
2004-10-01
Group interventions have assumed a growing role in primary prevention and supportive care for cancer and HIV disease. Earlier sections of this Special Report examined empirical findings for these interventions and provided recommendations for future research. The current section offers brief recommendations for service providers, policymakers, and stakeholders. Group services now occupy an increasingly prominent place in primary prevention programs and medical settings. In previous sections of this Special Report (Sherman, Leszcz et al., 2004; Sherman, Mosier et al., 2004a, 2004b) we examined the efficacy of different group interventions at different phases of cancer or HIV disease, considered characteristics of the intervention and the participants that might influence outcomes, and discussed mechanisms of action. Methodological challenges and priorities for future research were highlighted. In this, the final section, we offer brief recommendations for service providers, policymakers, and other stakeholders. We consider some of the barriers that constrain use of empirically-based group interventions and note how these programs might be implemented more widely and effectively.
Comparison of Hansen--Roach and ENDF/B-IV cross sections for $sup 233$U criticality calculations
DOE Office of Scientific and Technical Information (OSTI.GOV)
McNeany, S. R.; Jenkins, J. D.
A comparison is made between criticality calculations performed using ENDF/B-IV cross sections and the 16-group Hansen-- Roach library at ORNL. The area investigated is homogeneous systems of highly enriched $sup 233$U in simple geometries. Calculations are compared with experimental data for a wide range of H/$sup 233$U ratios. Results show that calculations of k/sub eff/ made with the Hansen--Roach cross sections agree within 1.5 percent for the experiments considered. Results using ENDF/B-IV cross sections were in good agreement for well-thermalized systems, but discrepancies up to 7 percent in k/sub eff/ were observed in fast and epithermal systems. (auth)
Naito, Ichiro; Ninomiya, Yoshifumi; Nomura, Shinsuke
2003-03-01
Alport's syndrome (AS) is a hereditary renal disease caused by mutations in the genes encoding collagen type IV. Immunohistochemical analysis of the alpha chains of collagen type IV has been found to be useful for the diagnosis of this disease. The monoclonal antibodies (mAbs) generated by us recognize alpha 1(IV) through alpha 6(IV) chains of collagen type IV on fresh-frozen sections but not on paraffin-embedded sections. Antigen retrieval by autoclave heating has been found to restore the epitopes recognized by the mAbs; however the heating conditions had not been well established. In this study, the heating conditions were carefully examined using renal sections obtained from AS and non-AS patients. The heating was performed in an autoclave, at 105 degrees -127 degrees C for 6-8 min. During the heating, the sections were immersed in 0.2 N HCl solution (pH 0.9). Then, the mAbs were applied for 30 min, and the bound mAbs were detected using the LSAB kit. The optimal temperature for the antigen retrieval varied among specimens, and was dependent on the type of basement membrane examined. Thus, it was considered that heating at two or three different temperatures could be helpful for the precise diagnosis of AS. Adopting the antigen retrieval method could extend the possibility of immunohistochemical diagnosis of AS to cases without using fresh-frozen sections.
Federal Register 2010, 2011, 2012, 2013, 2014
2010-06-01
... closely the governance structure of the FINRA Board. Section 4.3--Qualifications The proposed rule change would amend Article IV, section 4.3(a) to reflect FINRA's current governance structure by establishing... to Article IV, section 4.3 as follows: Re-structure the Board to remove the President of NASD Dispute...
42 CFR 494.120 - Condition: Special purpose renal dialysis facilities.
Code of Federal Regulations, 2014 CFR
2014-10-01
... section); (iii) Reuse of hemodialyzers at § 494.50 (if reuse is performed); (iv) Patients' rights and posting of patients' rights at § 494.70(a) and § 494.70(c); (v) Laboratory services at § 494.130; (vi... 494.60 (physical environment). (iii) Section 494.70(a) through section 494.70(c) (patient rights). (iv...
42 CFR 494.120 - Condition: Special purpose renal dialysis facilities.
Code of Federal Regulations, 2011 CFR
2011-10-01
... section); (iii) Reuse of hemodialyzers at § 494.50 (if reuse is performed); (iv) Patients' rights and posting of patients' rights at § 494.70(a) and § 494.70(c); (v) Laboratory services at § 494.130; (vi... 494.60 (physical environment). (iii) Section 494.70(a) through section 494.70(c) (patient rights). (iv...
42 CFR 494.120 - Condition: Special purpose renal dialysis facilities.
Code of Federal Regulations, 2013 CFR
2013-10-01
... section); (iii) Reuse of hemodialyzers at § 494.50 (if reuse is performed); (iv) Patients' rights and posting of patients' rights at § 494.70(a) and § 494.70(c); (v) Laboratory services at § 494.130; (vi... 494.60 (physical environment). (iii) Section 494.70(a) through section 494.70(c) (patient rights). (iv...
42 CFR 494.120 - Condition: Special purpose renal dialysis facilities.
Code of Federal Regulations, 2012 CFR
2012-10-01
... section); (iii) Reuse of hemodialyzers at § 494.50 (if reuse is performed); (iv) Patients' rights and posting of patients' rights at § 494.70(a) and § 494.70(c); (v) Laboratory services at § 494.130; (vi... 494.60 (physical environment). (iii) Section 494.70(a) through section 494.70(c) (patient rights). (iv...
40 CFR 52.2465 - Original identification of plan section.
Code of Federal Regulations, 2010 CFR
2010-07-01
..., 2FSD, and pre-dryer 3FSD from Part IV, Rule EX-4, Section 4.41(i) until December 15, 1981, submitted on...) Appendix K (7) Appendix N (8) Appendix P (9) Appendix R I., II.B., II.D., II.E., II.F., II.G., II.H., II.I...) Amendments to Part I, Subpart 1.01 (Certain Terms Defined) and to Part IV, Section 4.52 (former Section 4.705...
Code of Federal Regulations, 2010 CFR
1996-10-01
... (title IV PUBLIC WELFARE Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN DEVELOPMENT... TO TITLE IV-B Sec. 1357.30 Fiscal requirements (title IV-B). (a) The requirements of this section shall apply to all funds allotted or reallotted to States under title IV-B and to all funds not needed...
ERIC Educational Resources Information Center
Scott, George A.
2009-01-01
The Carl D. Perkins Career and Technical Education Act of 2006 (Perkins IV) supports career and technical education (CTE) in high schools and postsecondary institutions, such as community colleges. Perkins IV established student performance measures at the secondary and postsecondary levels for state agencies, such as state educational agencies,…
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-10
... SMALL BUSINESS ADMINISTRATION [License No. 02/02-0662, 02/02-0661] DeltaPoint Capital IV, L.P., DeltaPoint Capital IV (New York), L.P.; Notice Seeking Exemption Under Section 312 of the Small Business Investment Act, Conflicts of Interest Notice is hereby given that DeltaPoint Capital IV, L.P. and DeltaPoint...
40 CFR 144.23 - Class IV wells.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 40 Protection of Environment 23 2011-07-01 2011-07-01 false Class IV wells. 144.23 Section 144.23... INJECTION CONTROL PROGRAM Authorization of Underground Injection by Rule § 144.23 Class IV wells. (a) Injection into existing Class IV wells is authorized for up to six months after approval or promulgation of...
40 CFR 144.23 - Class IV wells.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 40 Protection of Environment 24 2012-07-01 2012-07-01 false Class IV wells. 144.23 Section 144.23... INJECTION CONTROL PROGRAM Authorization of Underground Injection by Rule § 144.23 Class IV wells. (a) Injection into existing Class IV wells is authorized for up to six months after approval or promulgation of...
40 CFR 144.23 - Class IV wells.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 40 Protection of Environment 22 2010-07-01 2010-07-01 false Class IV wells. 144.23 Section 144.23... INJECTION CONTROL PROGRAM Authorization of Underground Injection by Rule § 144.23 Class IV wells. (a) Injection into existing Class IV wells is authorized for up to six months after approval or promulgation of...
21 CFR 880.5025 - I.V. container.
Code of Federal Regulations, 2014 CFR
2014-04-01
... I.V. container. (a) Identification. An I.V. container is a container made of plastic or glass used... 21 Food and Drugs 8 2014-04-01 2014-04-01 false I.V. container. 880.5025 Section 880.5025 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES...
21 CFR 880.5025 - I.V. container.
Code of Federal Regulations, 2013 CFR
2013-04-01
... I.V. container. (a) Identification. An I.V. container is a container made of plastic or glass used... 21 Food and Drugs 8 2013-04-01 2013-04-01 false I.V. container. 880.5025 Section 880.5025 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES...
21 CFR 880.5025 - I.V. container.
Code of Federal Regulations, 2012 CFR
2012-04-01
... I.V. container. (a) Identification. An I.V. container is a container made of plastic or glass used... 21 Food and Drugs 8 2012-04-01 2012-04-01 false I.V. container. 880.5025 Section 880.5025 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES...
21 CFR 880.5025 - I.V. container.
Code of Federal Regulations, 2011 CFR
2011-04-01
... I.V. container. (a) Identification. An I.V. container is a container made of plastic or glass used... 21 Food and Drugs 8 2011-04-01 2011-04-01 false I.V. container. 880.5025 Section 880.5025 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES...
45 CFR 308.1 - Self-assessment implementation methodology.
Code of Federal Regulations, 2010 CFR
2010-10-01
... selects statistically valid samples of cases from the IV-D program universe of cases; and (3) The State establishes a procedure for the design of samples and assures that no portions of the IV-D case universe are...
45 CFR 308.1 - Self-assessment implementation methodology.
Code of Federal Regulations, 2012 CFR
2012-10-01
... selects statistically valid samples of cases from the IV-D program universe of cases; and (3) The State establishes a procedure for the design of samples and assures that no portions of the IV-D case universe are...
45 CFR 308.1 - Self-assessment implementation methodology.
Code of Federal Regulations, 2011 CFR
2011-10-01
... selects statistically valid samples of cases from the IV-D program universe of cases; and (3) The State establishes a procedure for the design of samples and assures that no portions of the IV-D case universe are...
45 CFR 308.1 - Self-assessment implementation methodology.
Code of Federal Regulations, 2013 CFR
2013-10-01
... selects statistically valid samples of cases from the IV-D program universe of cases; and (3) The State establishes a procedure for the design of samples and assures that no portions of the IV-D case universe are...
45 CFR 308.1 - Self-assessment implementation methodology.
Code of Federal Regulations, 2014 CFR
2014-10-01
... selects statistically valid samples of cases from the IV-D program universe of cases; and (3) The State establishes a procedure for the design of samples and assures that no portions of the IV-D case universe are...
76 FR 23970 - Notice of Proposed Changes to Section IV of the Virginia State Technical Guide
Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-29
... DEPARTMENT OF AGRICULTURE Natural Resources Conservation Service Notice of Proposed Changes to Section IV of the Virginia State Technical Guide AGENCY: Natural Resources Conservation Service (NRCS), U..., 395, Stream Habitat Improvement and Management, 422, Hedgerow Planting, 643, Restoration and...
The impact of using an intravenous workflow management system (IVWMS) on cost and patient safety.
Lin, Alex C; Deng, Yihong; Thaibah, Hilal; Hingl, John; Penm, Jonathan; Ivey, Marianne F; Thomas, Mark
2018-07-01
The aim of this study was to determine the financial costs associated with wasted and missing doses before and after the implementation of an intravenous workflow management system (IVWMS) and to quantify the number and the rate of detected intravenous (IV) preparation errors. A retrospective analysis of the sample hospital information system database was conducted using three months of data before and after the implementation of an IVWMS System (DoseEdge ® ) which uses barcode scanning and photographic technologies to track and verify each step of the preparation process. The financial impact associated with wasted and missing >IV doses was determined by combining drug acquisition, labor, accessory, and disposal costs. The intercepted error reports and pharmacist detected error reports were drawn from the IVWMS to quantify the number of errors by defined error categories. The total number of IV doses prepared before and after the implementation of the IVWMS system were 110,963 and 101,765 doses, respectively. The adoption of the IVWMS significantly reduced the amount of wasted and missing IV doses by 14,176 and 2268 doses, respectively (p < 0.001). The overall cost savings of using the system was $144,019 over 3 months. The total number of errors detected was 1160 (1.14%) after using the IVWMS. The implementation of the IVWMS facilitated workflow changes that led to a positive impact on cost and patient safety. The implementation of the IVWMS increased patient safety by enforcing standard operating procedures and bar code verifications. Published by Elsevier B.V.
Cho, Han-Jin; Lee, Kyung Yul; Nam, Hyo Suk; Kim, Young Dae; Song, Tae-Jin; Jung, Yo Han; Choi, Hye-Yeon; Heo, Ji Hoe
2014-10-01
Process improvement (PI) is an approach for enhancing the existing quality improvement process by making changes while keeping the existing process. We have shown that implementation of a stroke code program using a computerized physician order entry system is effective in reducing the in-hospital time delay to thrombolysis in acute stroke patients. We investigated whether implementation of this PI could further reduce the time delays by continuous improvement of the existing process. After determining a key indicator [time interval from emergency department (ED) arrival to intravenous (IV) thrombolysis] and conducting data analysis, the target time from ED arrival to IV thrombolysis in acute stroke patients was set at 40 min. The key indicator was monitored continuously at a weekly stroke conference. The possible reasons for the delay were determined in cases for which IV thrombolysis was not administered within the target time and, where possible, the problems were corrected. The time intervals from ED arrival to the various evaluation steps and treatment before and after implementation of the PI were compared. The median time interval from ED arrival to IV thrombolysis in acute stroke patients was significantly reduced after implementation of the PI (from 63.5 to 45 min, p=0.001). The variation in the time interval was also reduced. A reduction in the evaluation time intervals was achieved after the PI [from 23 to 17 min for computed tomography scanning (p=0.003) and from 35 to 29 min for complete blood counts (p=0.006)]. PI is effective for continuous improvement of the existing process by reducing the time delays between ED arrival and IV thrombolysis in acute stroke patients.
Controlling postoperative use of i.v. acetaminophen at an academic medical center.
Vincent, William R; Huiras, Paul; Empfield, Jennifer; Horbowicz, Kevin J; Lewis, Keith; McAneny, David; Twitchell, David
2018-04-15
Results of an interprofessional formulary initiative to decrease postoperative prescribing of i.v. acetaminophen are reported. After a medical center added i.v. acetaminophen to its formulary, increased prescribing of the i.v. formulation and a 3-fold price increase resulted in monthly spending of more than $40,000, prompting an organizationwide effort to curtail that cost while maintaining effective pain management. The surgery, anesthesia, and pharmacy departments applied the Institute for Healthcare Improvement's Model for Improvement to implement (1) pharmacist-led enforcement of prescribing restrictions, (2) retrospective evaluation of i.v. acetaminophen's impact on rates of opioid-related adverse effects, (3) restriction of prescribing of the drug to 1 postoperative dose on select patient care services, and (4) guideline-driven pain management according to an enhanced recovery after surgery (ERAS) protocol. Monitored metrics included the monthly i.v. acetaminophen prescribing rate, the proportion of i.v. acetaminophen orders requiring pharmacist intervention to enforce prescribing restrictions, and prescribing rates for select adjunctive analgesics. Within a year of project implementation, the mean monthly i.v. acetaminophen prescribing rate decreased by 83% from baseline to about 6 doses per 100 patient-days, with a decline in the monthly drug cost to about $4,000. Documented pharmacist interventions increased 2.7-fold, and use of oral acetaminophen, ketorolac, and gabapentin in ERAS areas increased by 18% overall. An interprofessional initiative at a large medical center reduced postoperative use of i.v. acetaminophen by more than 80% and yielded over $400,000 in annual cost savings. Copyright © 2018 by the American Society of Health-System Pharmacists, Inc. All rights reserved.
Implementing Classification on a Munitions Response Project
2011-12-01
Detection Dig List IVS/Seed Site Planning Decisions Dig All Anomalies Site Characterization Implementing Classification on a Munitions Response...Details ● Seed emplacement ● EM61-MK2 detection survey RTK GPS ● Select anomalies for further investigation ● Collect cued data using MetalMapper...5.2 mV in channel 2 938 anomalies selected ● All QC seeds detected using this threshold Some just inside the 60-cm halo ● IVS reproducibility
75 FR 34974 - Notice of Proposed Change to Section IV of the Virginia State Technical Guide
Federal Register 2010, 2011, 2012, 2013, 2014
2010-06-21
... DEPARTMENT OF AGRICULTURE Natural Resources Conservation Service Notice of Proposed Change to Section IV of the Virginia State Technical Guide AGENCY: Natural Resources Conservation Service (NRCS), U... Road, Suite 209, Richmond, Virginia 23229-5014; Telephone number (804) 287-1691; Fax number (804) 287...
77 FR 55180 - Notice of Proposed Changes to Section IV of the Virginia State Technical Guide
Federal Register 2010, 2011, 2012, 2013, 2014
2012-09-07
... DEPARTMENT OF AGRICULTURE Natural Resources Conservation Service Notice of Proposed Changes to Section IV of the Virginia State Technical Guide AGENCY: Natural Resources Conservation Service (NRCS), U..., Virginia 23229-5014; Telephone number (804) 287-1691 or [email protected] Copies of the practice...
Day Camp Manual: Program. Book IV.
ERIC Educational Resources Information Center
Babcock, William
Book IV in a 5-book day camp manual discusses the camp program. Section I describes the organization, definition, and elements essential to successful day camp programs. Section II, which addresses the benefits and special considerations of mass programs, includes rainy day contingencies, materials to have on hand, and activity suggestions.…
76 FR 59382 - Notice of Proposed Change to Section IV of the Virginia State Technical Guide
Federal Register 2010, 2011, 2012, 2013, 2014
2011-09-26
... DEPARTMENT OF AGRICULTURE Natural Resources Conservation Service Notice of Proposed Change to Section IV of the Virginia State Technical Guide AGENCY: Natural Resources Conservation Service (NRCS), U... Harvest Management, 657, Wetland Restoration, 658, Wetland Creation, and 659, Wetland Enhancement. These...
2011-08-08
This final rule updates the payment rates used under the prospective payment system for skilled nursing facilities (SNFs) for fiscal year 2012. In addition, it recalibrates the case-mix indexes so that they more accurately reflect parity in expenditures between RUG-IV and the previous case-mix classification system. It also includes a discussion of a Non-Therapy Ancillary component currently under development within CMS. In addition, this final rule discusses the impact of certain provisions of the Affordable Care Act, and reduces the SNF market basket percentage by the multi-factor productivity adjustment. This rule also implements certain changes relating to the payment of group therapy services and implements new resident assessment policies. Finally, this rule announces that the proposed provisions regarding the ownership disclosure requirements set forth in section 6101 of the Affordable Care Act will be finalized at a later date.
Code of Federal Regulations, 2010 CFR
2010-10-01
... IV-D Systems and Office Automation? 310.15 Section 310.15 Public Welfare Regulations Relating to... AND OFFICE AUTOMATION Requirements for Computerized Tribal IV-D Systems and Office Automation § 310.15... ensure the security and privacy of Computerized Tribal IV-D Systems and Office Automation? (a...
Code of Federal Regulations, 2010 CFR
2010-10-01
... records for monitoring Computerized Tribal IV-D Systems and Office Automation? 310.40 Section 310.40... COMPUTERIZED TRIBAL IV-D SYSTEMS AND OFFICE AUTOMATION Accountability and Monitoring Procedures for... monitoring Computerized Tribal IV-D Systems and Office Automation? In accordance with Part 95 of this title...
45 CFR 1355.21 - Plan requirements for titles IV-E and IV-B.
Code of Federal Regulations, 2012 CFR
2012-10-01
... agency and the Indian Tribe must make available for public review and inspection the Child and Family... 45 Public Welfare 4 2012-10-01 2012-10-01 false Plan requirements for titles IV-E and IV-B. 1355.21 Section 1355.21 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN...
45 CFR 1355.21 - State plan requirements for titles IV-E and IV-B.
Code of Federal Regulations, 2011 CFR
2011-10-01
... and the Indian Tribe must make available for public review and inspection the Child and Family... 45 Public Welfare 4 2011-10-01 2011-10-01 false State plan requirements for titles IV-E and IV-B. 1355.21 Section 1355.21 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF...
45 CFR 1355.21 - Plan requirements for titles IV-E and IV-B.
Code of Federal Regulations, 2014 CFR
2014-10-01
... agency and the Indian Tribe must make available for public review and inspection the Child and Family... 45 Public Welfare 4 2014-10-01 2014-10-01 false Plan requirements for titles IV-E and IV-B. 1355.21 Section 1355.21 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN...
Leveraging Information Technology. Track IV: Support Services.
ERIC Educational Resources Information Center
CAUSE, Boulder, CO.
Seven papers from the 1987 CAUSE conference's Track IV, Support Services, are presented. They include: "Application Development Center" (John F. Leydon); "College Information Management System: The Design and Implementation of a Completely Integrated Office Automation and Student Information System" (Karen L. Miselis);…
Spoendlin, Julia; Schneeweiss, Sebastian; Tsacogianis, Theodore; Paik, Julie M; Fischer, Michael A; Kim, Seoyoung C; Desai, Rishi J
2018-06-08
Medicare's 2011 prospective payment system (PPS) was introduced to curb overuse of separately billable injectable drugs. After epoietin, intravenous (IV) vitamin D analogues are the biggest drug cost drivers in hemodialysis (HD) patients, but the association between PPS introduction and vitamin D therapy has been scarcely investigated. Interrupted time-series analyses. Adult US HD patients represented in the US Renal Data System between 2008 and 2013. PPS implementation. The cumulative dose of IV vitamin D analogues (paricalcitol equivalents) per patient per calendar quarter in prevalent HD patients. The average starting dose of IV vitamin D analogues and quarterly rates of new vitamin D use (initiations/100 person-months) in incident HD patients within 90 days of beginning HD therapy. Segmented linear regression models of the immediate change and slope change over time of vitamin D use after PPS implementation. Among 359,600 prevalent HD patients, IV vitamin D analogues accounted for 99% of the total use, and this trend was unchanged over time. PPS resulted in an immediate 7% decline in the average dose of IV vitamin D analogues (average baseline dose = 186.5 μg per quarter; immediate change = -13.5 μg [P < 0.001]; slope change = 0.43 per quarter [P = 0.3]) and in the starting dose of IV vitamin D analogues in incident HD patients (average baseline starting dose = 5.22 μg; immediate change = -0.40 μg [P < 0.001]; slope change = -0.03 per quarter [P = 0.03]). The baseline rate of vitamin D therapy initiation among 99,970 incident HD patients was 44.9/100 person-months and decreased over time, even before PPS implementation (pre-PPS β = -0.46/100 person-months [P < 0.001]; slope change = -0.19/100 person-months [P = 0.2]). PPS implementation was associated with an immediate change in initiation levels (by -4.5/100 person-months; P < 0.001). Incident HD patients were restricted to those 65 years or older. PPS implementation was associated with a 7% reduction in the average dose and starting dose of IV vitamin D analogues and a 10% reduction in the rate of vitamin D therapy initiation. Copyright © 2018 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.
75 FR 47259 - Notice of Proposed Change to Section IV of the Virginia State Technical Guide
Federal Register 2010, 2011, 2012, 2013, 2014
2010-08-05
... DEPARTMENT OF AGRICULTURE Natural Resources Conservation Service Notice of Proposed Change to Section IV of the Virginia State Technical Guide AGENCY: Natural Resources Conservation Service (NRCS), U..., Virginia 23229-5014; Telephone number (804) 287-1691; Fax number (804) 287-1737. Copies of the practice...
Federal Register 2010, 2011, 2012, 2013, 2014
2010-03-26
... SMALL BUSINESS ADMINISTRATION [License No. 01/01-0410] Gemini Investors IV, L.P., Notice Seeking Exemption Under Section 312 of the Small Business Investment Act, Conflicts of Interest Notice is hereby..., Financings which Constitute Conflicts of Interest of the Small Business Administration (``SBA'') Rules and...
46 CFR 390.12 - Liquidated damages.
Code of Federal Regulations, 2011 CFR
2011-10-01
... restrictions applicable to the vessel is 20 years in accordance with paragraph (b)(1)(i) of this section; (B... accordance with paragraphs (b)(1) (ii), (iii) or (iv) of this section; or (C) for 5 years, if the duration of the trading restrictions applicable to the vessel is 5 years in accordance with paragraph (b)(1)(iv...
Code of Federal Regulations, 2010 CFR
2010-10-01
...-D program application, plan or plan amendment? 309.35 Section 309.35 Public Welfare Regulations... ENFORCEMENT (IV-D) PROGRAM Tribal IV-D Program Application Procedures § 309.35 What are the procedures for review of a Tribal IV-D program application, plan or plan amendment? (a) The Secretary will promptly...
76 FR 22878 - Defense Transportation Regulation, Part IV
Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-25
... Military Services, DFAS and SDDC. In addition, the proposed electronic billing processes will compliment... in the Defense Transportation Regulation (DTR) Part IV (DTR 4500.9R). This process proposes mandatory... Transportation Service Providers (TSP). Implementation of electronic payments for NTS at all Military Services...
DOE Office of Scientific and Technical Information (OSTI.GOV)
Favorite, Jeffrey A.
SENSMG is a tool for computing first-order sensitivities of neutron reaction rates, reaction-rate ratios, leakage, k eff, and α using the PARTISN multigroup discrete-ordinates code. SENSMG computes sensitivities to all of the transport cross sections and data (total, fission, nu, chi, and all scattering moments), two edit cross sections (absorption and capture), and the density for every isotope and energy group. It also computes sensitivities to the mass density for every material and derivatives with respect to all interface locations. The tool can be used for one-dimensional spherical (r) and two-dimensional cylindrical (r-z) geometries. The tool can be used formore » fixed-source and eigenvalue problems. The tool implements Generalized Perturbation Theory (GPT) as discussed by Williams and Stacey. Section II of this report describes the theory behind adjoint-based sensitivities, gives the equations that SENSMG solves, and defines the sensitivities that are output. Section III describes the user interface, including the input file and command line options. Section IV describes the output. Section V gives some notes about the coding that may be of interest. Section VI discusses verification, which is ongoing. Section VII lists needs and ideas for future work. Appendix A lists all of the input files whose results are presented in Sec. VI.« less
32 CFR 2003.4 - Membership (Article IV).
Code of Federal Regulations, 2014 CFR
2014-07-01
... 32 National Defense 6 2014-07-01 2014-07-01 false Membership (Article IV). 2003.4 Section 2003.4 National Defense Other Regulations Relating to National Defense INFORMATION SECURITY OVERSIGHT OFFICE...) BYLAWS, RULES, AND APPEAL PROCEDURES Bylaws § 2003.4 Membership (Article IV). (a) Member organizations...
32 CFR 2003.4 - Membership (Article IV).
Code of Federal Regulations, 2013 CFR
2013-07-01
... 32 National Defense 6 2013-07-01 2013-07-01 false Membership (Article IV). 2003.4 Section 2003.4 National Defense Other Regulations Relating to National Defense INFORMATION SECURITY OVERSIGHT OFFICE...) BYLAWS, RULES, AND APPEAL PROCEDURES Bylaws § 2003.4 Membership (Article IV). (a) Member organizations...
Intravenous volume tomographic pulmonary angiography imaging
NASA Astrophysics Data System (ADS)
Ning, Ruola; Strang, John G.; Chen, Biao; Conover, David L.; Yu, Rongfeng
1999-05-01
This study presents a new intravenous (IV) tomographic angiography imaging technique, called intravenous volume tomographic digital angiography (VTDA) for cross sectional pulmonary angiography. While the advantages of IV-VTDA over spiral CT in terms of volume scanning time and resolution have been validated and reported in our previous papers for head and neck vascular imaging, the superiority of IV-VTDA over spiral CT for cross sectional pulmonary angiography has not been explored yet. The purpose of this study is to demonstrate the advantage of isotropic resolution of IV-VTDA in the x, y and z directions through phantom and animal studies, and to explore its clinical application for detecting clots in pulmonary angiography. A prototype image intensifier-based VTDA imaging system has been designed and constructed by modifying a GE 8800 CT scanner. This system was used for a series of phantom and dog studies. A pulmonary vascular phantom was designed and constructed. The phantom was scanned using the prototype VTDA system for direct 3D reconstruction. Then the same phantom was scanned using a GE CT/i spiral CT scanner using the routine pulmonary CT angiography protocols. IV contrast injection and volume scanning protocols were developed during the dog studies. Both VTDA reconstructed images and spiral CT images of the specially designed phantom were analyzed and compared. The detectability of simulated vessels and clots was assessed as the function of iodine concentration levels, oriented angles, and diameters of the vessels and clots. A set of 3D VTDA reconstruction images of dog pulmonary arteries was obtained with different IV injection rates and isotropic resolution in the x, y and z directions. The results of clot detection studies in dog pulmonary arteries have also been shown. This study presents a new tomographic IV angiography imaging technique for cross sectional pulmonary angiography. The results of phantom and animal studies indicate that IV-VTDA is superior to spiral CT for cross sectional pulmonary angiography.
Telemetry Simulation Assembly Implementation in the DSN
NASA Technical Reports Server (NTRS)
Alberda, M. E.
1984-01-01
The telemetry simulation was implemented as part of the MARK IV network implementation project. The telemetry simulation assembly (TSA) is replacing the Simulation Conversion Assembly (SCA) throughout the DSN. The development of the TSA is discussed, and the design is described to the block diagram level.
Dumpa, Vikramaditya; Adler, Bonny; Allen, Delena; Bowman, Deborah; Gram, Amy; Ford, Pat; Sannoh, Sulaiman
2016-01-01
Advances in neonatology led to survival of micro-preemies, who need central lines. Central line-associated bloodstream infection (CLABSI) causes prolonged hospitalization, morbidities, and mortality. Health care team education decreases CLABSIs. The objective was to decrease CLABSIs using evidence-based measures. The retrospective review compared CLABSI incidence during and after changes in catheter care. In April 2011, intravenous (IV) tubing changed from Interlink to Clearlink; IV tubing changing interval increased from 24 to 72 hours. CLABSIs increased. The following measures were implemented: July 2011, reeducation of neonatal intensive care staff on Clearlink; August 2011, IV tubing changing interval returned to 24 hours; September 2011, changed from Clearlink back to Interlink; November 2011, review of entire IV process and in-service on hand hygiene; December 2011, competencies on IV access for all nurses. CLABSIs were compared during and after interventions. Means were compared using the t test and ratios using the χ(2) test; P <.05. CLABSIs decreased from 4.4/1000 to 0/1000 catheter-days; P < .05. Evidence-based interventions reduced CLABSIs. © The Author(s) 2014.
DOT National Transportation Integrated Search
1987-08-01
This report contains an evaluation of a specialized volunteer, rural : transportation program implemented in April of 1986. The Area IV Agency on : Aging and Community Services received a grant from the Urban Mass Transit : Administration for this pr...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-10
... Small Business Investment Act of 1958, as amended (``the Act''), in connection with the financing of a... SMALL BUSINESS ADMINISTRATION [License No. 02/02-0662, 02/02-0661] DeltaPoint Capital IV, L.P., DeltaPoint Capital IV (New York), L.P.; Notice Seeking Exemption Under Section 312 of the Small Business...
Lean methodology in i.v. medication processes in a children's hospital.
L'Hommedieu, Timothy; Kappeler, Karl
2010-12-15
The impact of lean methodology in i.v. medication processes in a children's hospital was studied. Medication orders at a children's hospital were analyzed for 30 days to identify the specific times when most medications were changed or discontinued. Value-stream mapping was used to define the current state of preparation and identify non-value-added tasks in the i.v. medication preparation and dispensing processes. An optimization model was created using specific measurements to establish the optimal number of batches and batch preparation times of batches. Returned i.v. medications were collected for 7 days before and after implementation of the lean process to determine the impact of the lean process changes. Patient-days increased from 1,836 during the first collection period to 2,017 during the second, and the total number of i.v. doses dispensed increased from 8,054 to 9,907. Wasted i.v. doses decreased from 1,339 (16.6% of the total doses dispensed) to 853 (8.6%). With the new process, Nationwide Children's Hospital was projected to realize a weekly savings of $8,197 ($426,244 annually), resulting in a 2.6% reduction in annual drug expenditure. The annual savings is a conservative estimate, due to the 10% increase in patient-days after the lean collection period compared with baseline. The differences in wasted doses and their costs were significant (p < 0.05). Implementing lean concepts in the i.v. medication preparation process had a positive effect on efficiency and drug cost.
40 CFR 147.2800 - State-administered program-Class I, II, III, IV, and V wells.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 40 Protection of Environment 23 2011-07-01 2011-07-01 false State-administered program-Class I, II, III, IV, and V wells. 147.2800 Section 147.2800 Protection of Environment ENVIRONMENTAL PROTECTION... Federal Register effective July 31, 1985. (1) CNMI Environmental Protection Act, 2 CMC sections 3101, et...
40 CFR 147.2800 - State-administered program-Class I, II, III, IV, and V wells.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 40 Protection of Environment 23 2014-07-01 2014-07-01 false State-administered program-Class I, II, III, IV, and V wells. 147.2800 Section 147.2800 Protection of Environment ENVIRONMENTAL PROTECTION... Federal Register effective July 31, 1985. (1) CNMI Environmental Protection Act, 2 CMC sections 3101, et...
40 CFR 147.2800 - State-administered program-Class I, II, III, IV, and V wells.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 40 Protection of Environment 22 2010-07-01 2010-07-01 false State-administered program-Class I, II, III, IV, and V wells. 147.2800 Section 147.2800 Protection of Environment ENVIRONMENTAL PROTECTION... Federal Register effective July 31, 1985. (1) CNMI Environmental Protection Act, 2 CMC sections 3101, et...
40 CFR 147.2800 - State-administered program-Class I, II, III, IV, and V wells.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 40 Protection of Environment 24 2012-07-01 2012-07-01 false State-administered program-Class I, II, III, IV, and V wells. 147.2800 Section 147.2800 Protection of Environment ENVIRONMENTAL PROTECTION... Federal Register effective July 31, 1985. (1) CNMI Environmental Protection Act, 2 CMC sections 3101, et...
40 CFR 147.2800 - State-administered program-Class I, II, III, IV, and V wells.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 40 Protection of Environment 24 2013-07-01 2013-07-01 false State-administered program-Class I, II, III, IV, and V wells. 147.2800 Section 147.2800 Protection of Environment ENVIRONMENTAL PROTECTION... Federal Register effective July 31, 1985. (1) CNMI Environmental Protection Act, 2 CMC sections 3101, et...
75 FR 33761 - Notice of Proposed Change to Section IV of the Virginia State Technical Guide
Federal Register 2010, 2011, 2012, 2013, 2014
2010-06-15
... Section IV of the Virginia State Technical Guide AGENCY: Natural Resources Conservation Service (NRCS), U... Rosa Road, Suite 209, Richmond, Virginia 23229-5014; Telephone number (804) 287-1691; Fax number (804) 287-1737. Copies of the practice standards will be made available upon written request to the address...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-07-18
... SMALL BUSINESS ADMINISTRATION Ascent Venture Partners IV-A, L.P., License No. 01/01-0404; Notice Seeking Exemption Under Section 312 of the Small Business Investment Act, Conflicts of Interest Notice is... Act and Section 107.730, Financings which Constitute Conflicts of Interest of the Small Business...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-12-28
... SMALL BUSINESS ADMINISTRATION [License No. 02/02-0644] GC SBIC IV, L.P.; Notice Seeking Exemption Under Section 312 of the Small Business Investment Act, Conflicts of Interest Notice is hereby given... which Constitute Conflicts of Interest of the Small Business Administration (``SBA'') Rules and...
45 CFR 302.52 - Distribution of support collected in Title IV-E foster care maintenance cases.
Code of Federal Regulations, 2010 CFR
2010-10-01
... under paragraphs (b) (1) and (2) of this section, but not the total unreimbursed foster care maintenance... foster care maintenance cases. 302.52 Section 302.52 Public Welfare Regulations Relating to Public... Distribution of support collected in Title IV-E foster care maintenance cases. Effective October 1, 1984, the...
Federal Register 2010, 2011, 2012, 2013, 2014
2011-02-07
... the primary statistical area in which the halibut were caught and retained. 4. Section 300.65(d)(2)(iv... adds language to the introductory text in paragraph (d)(2)(iv) to specify that these requirements must... described in the section ``Changes from the Proposed Rule.'' Comment 2: ADF&G revised statistical areas...
Health impact assessment in a network of European cities.
Ison, Erica
2013-10-01
The methodology of health impact assessment (HIA) was introduced as one of four core themes for Phase IV (2003-2008) of the World Health Organization European Healthy Cities Network (WHO-EHCN). Four objectives for HIA were set at the beginning of the phase. We report on the results of the evaluation of introducing and implementing this methodology in cities from countries across Europe with widely differing economies and sociopolitical contexts. Two main sources of data were used: a general questionnaire designed for the Phase IV evaluation and the annual reporting template for 2007-2008. Sources of bias included the proportion of non-responders and the requirement to communicate in English. Main barriers to the introduction and implementation of HIA were a lack of skill, knowledge and experience of HIA, the newness of the concept, the lack of a legal basis for implementation and a lack of political support. Main facilitating factors were political support, training in HIA, collaboration with an academic/public health institution or local health agency, a pre-existing culture of intersectoral working, a supportive national policy context, access to WHO materials about or expertise in HIA and membership of the WHO-EHCN, HIA Sub-Network or a National Network. The majority of respondents did not feel that they had had the resources, knowledge or experience to achieve all of the objectives set for HIA in Phase IV. The cities that appear to have been most successful at introducing and implementing HIA had pre-existing experience of HIA, came from a country with a history of applying HIA, were HIA Sub-Network members or had made a commitment to implementing HIA during successive years of Phase IV. Although HIA was recognised as an important component of Healthy Cities' work, the experience in the WHO-EHCN underscores the need for political buy-in, capacity building and adequate resourcing for the introduction and implementation of HIA to be successful.
Comparison of the Rome IV and Rome III criteria for IBS diagnosis: A cross-sectional survey.
Bai, Tao; Xia, Jing; Jiang, Yudong; Cao, Huan; Zhao, Yong; Zhang, Lei; Wang, Huan; Song, Jun; Hou, Xiaohua
2017-05-01
The aims of this study were to investigate the proportion of clinical irritable bowel syndrome (IBS) at a tertiary hospital in China, to compare the Rome III and Rome IV criteria with regard to IBS diagnosis, to describe the agreement between the Rome III and Rome IV criteria, and to identify differences between Rome IV-positive and -negative IBS patients. A cross-sectional survey was performed among outpatients in the gastrointestinal (GI) department of a tertiary hospital. The patients were categorized as having IBS using Rome III and Rome IV criteria. In total, 1,376 (91.7%) patients completed a GI symptom questionnaire. Among them, 352 were suspected of having IBS and 175 were diagnosed with IBS using the Rome III or Rome IV criteria. In particular, 170 (12.4%) patients were diagnosed with IBS using the Rome III criteria, and 84 (6.1%) patients were diagnosed using the Rome IV criteria. Rome IV IBS patients experienced more pain symptoms (P<0.01) and showed higher IBS severity scores. In contrast, no significant differences were noted for demographic characteristics, stool frequency, IBS subtype, disease course, operation history or GI infection history between Rome IV IBS patients and IBS patients not diagnosed with the Rome IV criteria. Rome IV-positive IBS patients represented approximately half of Rome III-positive IBS patients at a tertiary hospital in China. More specifically, Rome IV-positive IBS was mainly a subgroup of Rome III-positive IBS with more serious symptoms. © 2016 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.
45 CFR 95.601 - Scope and applicability.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 45 Public Welfare 1 2012-10-01 2012-10-01 false Scope and applicability. 95.601 Section 95.601 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION GENERAL ADMINISTRATION... IV-B, IV-D, IV-E, XIX or XXI of the Social Security Act. The conditions of approval of this subpart...
45 CFR 95.601 - Scope and applicability.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 45 Public Welfare 1 2013-10-01 2013-10-01 false Scope and applicability. 95.601 Section 95.601 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION GENERAL ADMINISTRATION... IV-B, IV-D, IV-E, XIX or XXI of the Social Security Act. The conditions of approval of this subpart...
45 CFR 1355.53 - Conditions for approval of funding.
Code of Federal Regulations, 2010 CFR
2010-10-01
... title IV-A, (ii) National Child Abuse and Neglect Data Systems (NCANDS), (iii) Systems operated under title XIX, and (iv) Systems operated under title IV-D; (3) Support the provisions of section 422(a) by... system, which is effective and efficient, to improve the program management and administration of the...
Assuring NASA's Safety and Mission Critical Software
NASA Technical Reports Server (NTRS)
Deadrick, Wesley
2015-01-01
What is IV&V? Independent Verification and Validation (IV&V) is an objective examination of safety and mission critical software processes and products. Independence: 3 Key parameters: Technical Independence; Managerial Independence; Financial Independence. NASA IV&V perspectives: Will the system's software: Do what it is supposed to do?; Not do what it is not supposed to do?; Respond as expected under adverse conditions?. Systems Engineering: Determines if the right system has been built and that it has been built correctly. IV&V Technical Approaches: Aligned with IEEE 1012; Captured in a Catalog of Methods; Spans the full project lifecycle. IV&V Assurance Strategy: The IV&V Project's strategy for providing mission assurance; Assurance Strategy is driven by the specific needs of an individual project; Implemented via an Assurance Design; Communicated via Assurance Statements.
12 CFR Appendix A to Part 1720 - Policy Guidance; Minimum Safety and Soundness Requirements
Code of Federal Regulations, 2011 CFR
2011-01-01
... effectively and to model the effect of differing interest rate scenarios on the Enterprise's financial... liquidity under varying scenarios. IV. Information technology. An Enterprise should establish and implement... functions; iv. Adequate testing and review of audited areas together with adequate documentation of findings...
Arnautovic, Tamara; Sommese, Kathryn; Mullan, Paul C; Frazier, Steven Barron; Vazifedan, Turaj; Ramirez, Dana Erikson
2017-12-01
This study aimed to assess physician comfort, knowledge, and implementation barriers regarding the use of intranasal fentanyl (INF) for pain management in patients with long-bone fractures in a pediatric emergency department (ED) with an INF pain pathway. A retrospective chart review was conducted of patients, 3 to 21 years old, in our ED with an International Classification of Diseases-9th Revision code for a long-bone fracture from September 1, 2013, to August 31, 2015. Patients were divided into 4 groups: (1) received INF on the pathway appropriately; (2) "missed opportunities" to receive INF, defined as either INF was ordered and then subsequently canceled (for pain ratings, ≥6/10), or INF was ordered, cancelled, and intravenous (IV) morphine given, or INF was not ordered and a peripheral IV line was placed to give IV morphine as first-line medication; (3) peripheral IV established upon ED arrival; (4) no pain medication required. Additionally, a survey regarding practice habits for pain management was completed to evaluate physician barriers to utilization of the pathway. A total of 1374 patients met the inclusion criteria. Missed opportunities were identified 41% of the time. Neither younger patient age nor more years of physician experience in the ED were associated with increased rates of missed opportunities. The survey (95% response rate) revealed greater comfort with and preference for IV morphine over INF. The high rate of missed opportunities, despite the implementation of an INF pain pathway, indicates the need for further exploration of the barriers to utilization of the INF pain pathway.
NASA Technical Reports Server (NTRS)
Mortensen, L. O.
1982-01-01
The Mark IV ground communication facility (GCF) as it is implemented to support the network consolidation program is reviewed. Changes in the GCF are made in the area of increased capacity. Common carrier circuits are the medium for data transfer. The message multiplexing in the Mark IV era differs from the Mark III era, in that all multiplexing is done in a GCF computer under GCF software control, which is similar to the multiplexing currently done in the high speed data subsystem.
Revision to Planetary Protection Policy for Mars Missions
NASA Technical Reports Server (NTRS)
DeVincenzi, D. L.; Stabekis, P.; Barengoltz, J.; Morrison, David (Technical Monitor)
1994-01-01
Under existing COSPAR policy adopted in 1984, missions to Mars (landers, probes, and some orbiters) are designated as Category IV missions. As such, the procedures for implementing planetary protection requirements could include trajectory biasing, cleanrooms, bioload reduction, sterilization of hardware, and bioshields, i. e. requirements could be similar to Viking. However, in 1992, a U. S. National Academy of Sciences study recommended that controls on forward contamination of Mars be tied to specific mission objectives. The report recommended that Mars landers with life detection instruments be subject to at least Viking-level sterilization procedures for bioload reduction, while spacecraft (including orbiters) without life detection instruments be subject to at least Viking-level pre sterilization procedures for bioload reduction but need not be sterilized. In light of this, it is proposed that the current policy's Category IV missions and their planetary protection requirements be divided into two subcategories as follows: Category IV A, for missions comprising landers and probes without life detection experiments and some orbiters, which will meet a specified bioburden limit for exposed surfaces; Category IV B, for landers and probes with life detection experiments, which will require complete system sterilization. For Category IV A missions, bioburden specifications will be proposed and implementing procedures discussed. A resolution will be proposed to modify the existing COSPAR policy to reflect these changes. Similar specifications, procedures, and resolution for Category IV B missions will be the subject of a later study.
ERIC Educational Resources Information Center
Texas A and M Univ., College Station. Vocational Instructional Services.
Part of a series of eight student learning modules in vocational agriculture, this booklet deals with crop-related activities. The first section is on harvesting methods and equipment. The following portions address the handling, grading, and packing of crops; and the classification and selection of fruits, vegetables, and ornamental plants. There…
Federal Register 2010, 2011, 2012, 2013, 2014
2013-05-29
... Small Business Investment Act of 1958, as amended (``the Act''), in connection with the financing of a... SMALL BUSINESS ADMINISTRATION DeltaPoint Capital IV, L.P., DeltaPoint Capital IV (New York), L.P., License No. 02/02-0662,02/02-0661; Notice Seeking Exemption Under Section 312 of the Small Business...
Marini, Michelle A; Giangregorio, Maeve; Kraskinski, Joanna C
2004-03-01
Preventing the transmission of bloodborne pathogens to healthcare workers has been a mission and a challenge of the healthcare industry for over 20 years. The development of the Occupational Safety and Health Administration Bloodborne Pathogens Standard in 1991 and the passing of the Needlestick Safety Act in 2000 mandated hospitals to develop an Exposure Control Plan to protect workers from these pathogens. Children's Hospital Boston began implementation of a needleless system in 1993. Employees readily accepted these systems into practice, because they were convenient and easy to use. A marked decrease in exposures to bloodborne pathogens naturally followed, which is consistent with the national data. The transition to intravenous (i.v.) safety devices at Children's Hospital began in 2000 and proved to be more of a challenge. First, the clinicians must choose a safety product, which requires developing and implementing a trial plan with potential catheters. This selection process is especially difficult in pediatrics where successful placement of the smallest-gauge catheter, no. 24, is imperative. After choosing an i.v. safety product, successful transition is dependent upon the thoroughness of i.v. safety device training and a commitment by the clinicians to the use of these products. Although the number of needlestick injuries and subsequent transmission of bloodborne pathogens have been further reduced with the use of i.v. safety devices, needlestick injuries still occur. This results from a lack of familiarity with the engineering of the device and therefore poor technique or a failure to activate the safety mechanism. Staff resistance due to loss of expertise with the new device and patient care concerns are additional barriers to the use of these new products. Addressing these obstacles and providing adequate training for all clinicians were required for successful implementation of these i.v. safety devices.
1982-05-01
FOUNDATION PREPARATION. All areas upon which embankment material were placed, plus at least a 10-foot contiguous strip, were cleared of all brush, trees ...feet below the ground surface. Thin surface layers containing sod, humus , and other undesirable material were stripped and wasted. Depressions were...section consisting of the thick IV on 15R berm section and the thinner IV on 411 upper main embankment section. The speci - fications allowed the material
Code of Federal Regulations, 2010 CFR
2010-10-01
... to conduct automated data processing and recordkeeping activities through Office Automation... IV-D Systems and office automation? 310.5 Section 310.5 Public Welfare Regulations Relating to Public... AUTOMATION Requirements for Computerized Tribal IV-D Systems and Office Automation § 310.5 What options are...
40 CFR 147.251 - EPA-administered program-Class I, III, IV and V wells and Indian lands.
Code of Federal Regulations, 2011 CFR
2011-07-01
..., IV and V wells and Indian lands. 147.251 Section 147.251 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) STATE, TRIBAL, AND EPA-ADMINISTERED UNDERGROUND INJECTION CONTROL PROGRAMS California § 147.251 EPA-administered program—Class I, III, IV and V wells and...
40 CFR 147.301 - EPA-administered program-Class I, III, IV, V wells and Indian lands.
Code of Federal Regulations, 2011 CFR
2011-07-01
..., IV, V wells and Indian lands. 147.301 Section 147.301 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) STATE, TRIBAL, AND EPA-ADMINISTERED UNDERGROUND INJECTION CONTROL PROGRAMS Colorado § 147.301 EPA-administered program—Class I, III, IV, V wells and Indian...
40 CFR 147.251 - EPA-administered program-Class I, III, IV and V wells and Indian lands.
Code of Federal Regulations, 2010 CFR
2010-07-01
..., IV and V wells and Indian lands. 147.251 Section 147.251 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) STATE, TRIBAL, AND EPA-ADMINISTERED UNDERGROUND INJECTION CONTROL PROGRAMS California § 147.251 EPA-administered program—Class I, III, IV and V wells and...
40 CFR 147.301 - EPA-administered program-Class I, III, IV, V wells and Indian lands.
Code of Federal Regulations, 2010 CFR
2010-07-01
..., IV, V wells and Indian lands. 147.301 Section 147.301 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) STATE, TRIBAL, AND EPA-ADMINISTERED UNDERGROUND INJECTION CONTROL PROGRAMS Colorado § 147.301 EPA-administered program—Class I, III, IV, V wells and Indian...
Code of Federal Regulations, 2014 CFR
2014-10-01
... titles I, IV-A, X, XIV and XVI of the Social Security Act. 233.145 Section 233.145 Public Welfare... FINANCIAL ASSISTANCE PROGRAMS § 233.145 Expiration of medical assistance programs under titles I, IV-A, X..., enacted July 30, 1965, no payment may be made to any State under title I, IV-A, X, XIV or XVI of the...
Code of Federal Regulations, 2010 CFR
2010-10-01
... titles I, IV-A, X, XIV and XVI of the Social Security Act. 233.145 Section 233.145 Public Welfare... FINANCIAL ASSISTANCE PROGRAMS § 233.145 Expiration of medical assistance programs under titles I, IV-A, X..., enacted July 30, 1965, no payment may be made to any State under title I, IV-A, X, XIV or XVI of the...
Code of Federal Regulations, 2011 CFR
2011-10-01
... titles I, IV-A, X, XIV and XVI of the Social Security Act. 233.145 Section 233.145 Public Welfare... FINANCIAL ASSISTANCE PROGRAMS § 233.145 Expiration of medical assistance programs under titles I, IV-A, X..., enacted July 30, 1965, no payment may be made to any State under title I, IV-A, X, XIV or XVI of the...
Code of Federal Regulations, 2012 CFR
2012-10-01
... titles I, IV-A, X, XIV and XVI of the Social Security Act. 233.145 Section 233.145 Public Welfare... FINANCIAL ASSISTANCE PROGRAMS § 233.145 Expiration of medical assistance programs under titles I, IV-A, X..., enacted July 30, 1965, no payment may be made to any State under title I, IV-A, X, XIV or XVI of the...
Code of Federal Regulations, 2013 CFR
2013-10-01
... titles I, IV-A, X, XIV and XVI of the Social Security Act. 233.145 Section 233.145 Public Welfare... FINANCIAL ASSISTANCE PROGRAMS § 233.145 Expiration of medical assistance programs under titles I, IV-A, X..., enacted July 30, 1965, no payment may be made to any State under title I, IV-A, X, XIV or XVI of the...
1994-09-01
wife, Margie, for her patience and understanding. Graduate school definitely affects the family . Margie allowed me to use many valuable family hours...Consolidations and reorganizations, in which the face of logistics is changing day -by- day , are taking place throughout the Department of Defense. Two...will focus on Type IV F-15 and Type IV F-16 PMELs. Imporane of Research The two-level maintenance concept significantly alters the structure of
Modeling and Implementation of Visibility in Programming Languages
1987-12-01
Birtwistle et al. 1973] [Goldberg and Robson 1983] [Maurer 1976] [Rees et al. 1984] [Rees and Adams IV 1982] [Jones and Muchnick 1978] Table 2.1...Word and Object, MIT Press, Cambridge, 1960. REES, J. A. and ADAMS IV, N. I., "T: a dialect of LISP or, L AMBDA: the ultimate software tool...34, Conference record of the 1982 ACM symposium on USP and functional progranuning, 1982. REES, J. A., ADAMS IV, N. 1., and MEEHAN, J. R., The T man ual
Code of Federal Regulations, 2014 CFR
2014-07-01
... IMPLEMENTATION PLANS California § 52.227 Control strategy and regulations: Particulate matter, Metropolitan Los... Los Angeles Intrastate Region. (1) Los Angeles County Air Pollution Control District: (i) Regulation IV, Rule 68.1. (2) Riverside County Air Pollution Control District: (i) Regulation IV, Rule 54 for...
Code of Federal Regulations, 2013 CFR
2013-07-01
... IMPLEMENTATION PLANS California § 52.227 Control strategy and regulations: Particulate matter, Metropolitan Los... Los Angeles Intrastate Region. (1) Los Angeles County Air Pollution Control District: (i) Regulation IV, Rule 68.1. (2) Riverside County Air Pollution Control District: (i) Regulation IV, Rule 54 for...
Code of Federal Regulations, 2012 CFR
2012-07-01
... IMPLEMENTATION PLANS California § 52.227 Control strategy and regulations: Particulate matter, Metropolitan Los... Los Angeles Intrastate Region. (1) Los Angeles County Air Pollution Control District: (i) Regulation IV, Rule 68.1. (2) Riverside County Air Pollution Control District: (i) Regulation IV, Rule 54 for...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-03
...; Student Assistance General Provisions Non-Title IV Revenue Requirements (90/10) SUMMARY: The Department of... resources other than Title IV Higher Education Act (HEA) funds, and implements the Net Present Value (NPV... the complete title of the information collection and OMB Control Number when making your request...
Code of Federal Regulations, 2010 CFR
2010-07-01
... recording under the limitation on exclusive rights specified by 17 U.S.C. 114(d)(1)(C)(iv) and that obtains... of a sound recording under the limitations on exclusive rights specified by 17 U.S.C. 114(d)(1)(C)(iv... exclusive rights specified in section 114(d)(1)(c)(iv). Licensee is: (1) A person or entity that has...
Code of Federal Regulations, 2010 CFR
2010-10-01
... (title IV-B, subpart 1, child welfare services). 1357.40 Section 1357.40 Public Welfare Regulations... SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER CARE MAINTENANCE PAYMENTS, ADOPTION ASSISTANCE, AND CHILD AND FAMILY SERVICES REQUIREMENTS APPLICABLE TO TITLE IV-B § 1357.40 Direct payments to...
Fault Management Architectures and the Challenges of Providing Software Assurance
NASA Technical Reports Server (NTRS)
Savarino, Shirley; Fitz, Rhonda; Fesq, Lorraine; Whitman, Gerek
2015-01-01
Fault Management (FM) is focused on safety, the preservation of assets, and maintaining the desired functionality of the system. How FM is implemented varies among missions. Common to most missions is system complexity due to a need to establish a multi-dimensional structure across hardware, software and spacecraft operations. FM is necessary to identify and respond to system faults, mitigate technical risks and ensure operational continuity. Generally, FM architecture, implementation, and software assurance efforts increase with mission complexity. Because FM is a systems engineering discipline with a distributed implementation, providing efficient and effective verification and validation (V&V) is challenging. A breakout session at the 2012 NASA Independent Verification & Validation (IV&V) Annual Workshop titled "V&V of Fault Management: Challenges and Successes" exposed this issue in terms of V&V for a representative set of architectures. NASA's Software Assurance Research Program (SARP) has provided funds to NASA IV&V to extend the work performed at the Workshop session in partnership with NASA's Jet Propulsion Laboratory (JPL). NASA IV&V will extract FM architectures across the IV&V portfolio and evaluate the data set, assess visibility for validation and test, and define software assurance methods that could be applied to the various architectures and designs. This SARP initiative focuses efforts on FM architectures from critical and complex projects within NASA. The identification of particular FM architectures and associated V&V/IV&V techniques provides a data set that can enable improved assurance that a system will adequately detect and respond to adverse conditions. Ultimately, results from this activity will be incorporated into the NASA Fault Management Handbook providing dissemination across NASA, other agencies and the space community. This paper discusses the approach taken to perform the evaluations and preliminary findings from the research.
Kirchhof, Paulus; Lip, Gregory Y.H.; Van Gelder, Isabelle C.; Bax, Jeroen; Hylek, Elaine; Kaab, Stefan; Schotten, Ulrich; Wegscheider, Karl; Boriani, Giuseppe; Brandes, Axel; Ezekowitz, Michael; Diener, Hans; Haegeli, Laurent; Heidbuchel, Hein; Lane, Deirdre; Mont, Luis; Willems, Stephan; Dorian, Paul; Aunes-Jansson, Maria; Blomstrom-Lundqvist, Carina; Borentain, Maria; Breitenstein, Stefanie; Brueckmann, Martina; Cater, Nilo; Clemens, Andreas; Dobrev, Dobromir; Dubner, Sergio; Edvardsson, Nils G.; Friberg, Leif; Goette, Andreas; Gulizia, Michele; Hatala, Robert; Horwood, Jenny; Szumowski, Lukas; Kappenberger, Lukas; Kautzner, Josef; Leute, Angelika; Lobban, Trudie; Meyer, Ralf; Millerhagen, Jay; Morgan, John; Muenzel, Felix; Nabauer, Michael; Baertels, Christoph; Oeff, Michael; Paar, Dieter; Polifka, Juergen; Ravens, Ursula; Rosin, Ludger; Stegink, W.; Steinbeck, Gerhard; Vardas, Panos; Vincent, Alphons; Walter, Maureen; Breithardt, Günter; Camm, A. John
2012-01-01
While management of atrial fibrillation (AF) patients is improved by guideline-conform application of anticoagulant therapy, rate control, rhythm control, and therapy of accompanying heart disease, the morbidity and mortality associated with AF remain unacceptably high. This paper describes the proceedings of the 3rd Atrial Fibrillation NETwork (AFNET)/European Heart Rhythm Association (EHRA) consensus conference that convened over 60 scientists and representatives from industry to jointly discuss emerging therapeutic and diagnostic improvements to achieve better management of AF patients. The paper covers four chapters: (i) risk factors and risk markers for AF; (ii) pathophysiological classification of AF; (iii) relevance of monitored AF duration for AF-related outcomes; and (iv) perspectives and needs for implementing better antithrombotic therapy. Relevant published literature for each section is covered, and suggestions for the improvement of management in each area are put forward. Combined, the propositions formulate a perspective to implement comprehensive management in AF. PMID:21791573
Brown, Timothy A.; Barlow, David H.
2010-01-01
A wealth of evidence attests to the extensive current and lifetime diagnostic comorbidity of the DSM-IV anxiety and mood disorders. Research has shown that the considerable cross-sectional covariation of DSM-IV emotional disorders is accounted for by common higher-order dimensions such as neuroticism/behavioral inhibition (N/BI) and low positive affect/behavioral activation. Longitudinal studies have indicated that the temporal covariation of these disorders can be explained by changes in N/BI and in some cases, initial levels of N/BI are predictive of the temporal course of emotional disorders. Moreover, the marked phenotypal overlap of the DSM-IV anxiety and mood disorder constructs is a frequent source of diagnostic unreliability (e.g., temporal overlap in the shared features of generalized anxiety disorder and mood disorders, situation specificity of panic attacks in panic disorder and specific phobia). Although dimensional approaches have been considered as a method to address the drawbacks associated with the extant prototypical nosology (e.g., inadequate assessment of individual differences in disorder severity), these proposals do not reconcile key problems in current classification such as modest reliability and high comorbidity. The current paper considers an alternative approach that emphasizes empirically supported common dimensions of emotional disorders over disorder-specific criteria sets. The selection and assessment of these dimensions are discussed along with how these methods could be implemented to promote more reliable and valid diagnosis, prognosis, and treatment planning. For instance, the advantages of this classification system are discussed in context of current transdiagnostic treatment protocols that are efficaciously applied to a variety of disorders by targeting their shared features. PMID:19719339
Berghuis, Han; Ingenhoven, Theo J M; van der Heijden, Paul T; Rossi, Gina M P; Schotte, Chris K W
2017-11-09
The six personality disorder (PD) types in DSM-5 section III are intended to resemble their DSM-IV/DSM-5 section II PD counterparts, but are now described by the level of personality functioning (criterion A) and an assigned trait profile (criterion B). However, concerns have been raised about the validity of these PD types. The present study examined the continuity between the DSM-IV/DSM-5 section II PDs and the corresponding trait profiles of the six DSM-5 section III PDs in a sample of 350 Dutch psychiatric patients. Facets of the Dimensional Assessment of Personality Pathology-Basic Questionnaire (DAPP-BQ) were presumed as representations (proxies) of the DSM-5 section III traits. Correlational patterns between the DAPP-BQ and the six PDs were consistent with previous research between DAPP-BQ and DSM-IV PDs. Moreover, DAPP-BQ proxies were able to predict the six selected PDs. However, the assigned trait profile for each PD didn't fully match the corresponding PD.
IVS Technology Coordinator Report
NASA Technical Reports Server (NTRS)
Whitney, Alan
2013-01-01
This report of the Technology Coordinator includes the following: 1) continued work to implement the new VLBI2010 system, 2) the 1st International VLBI Technology Workshop, 3) a VLBI Digital- Backend Intercomparison Workshop, 4) DiFX software correlator development for geodetic VLBI, 5) a review of progress towards global VLBI standards, and 6) a welcome to new IVS Technology Coordinator Bill Petrachenko.
ERIC Educational Resources Information Center
Glockner-Rist, Angelika; Pedersen, Anya; Rist, Fred
2013-01-01
Objective: Adult "Diagnostic and Statistical Manual of Mental Disorders" (4th ed.; "DSM-IV") and retrospective childhood Wender-Utah ADHD criteria are implemented in self-report measures to assess adult ADHD and its required onset in childhood. Yet their dimensional structure and relationship to adult ADHD depressivity is still…
ERIC Educational Resources Information Center
Kessler, Ronald C.; Avenevoli, Shelli; Green, Jennifer; Gruber, Michael J.; Guyer, Margaret; He, Yulei; Jin, Robert; Kaufman, Joan; Sampson, Nancy A.; Zaslavsky, Alan M.; Merikangas, Kathleen R.
2009-01-01
The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) diagnoses that was based on the World Health Organization's Composite International Diagnostic Interview (CIDI) and implemented in the National comorbidity survey replication adolescent supplement is found to have good individual-level concordance with diagnosis based on blinded…
7 CFR 1466.21 - Contract requirements.
Code of Federal Regulations, 2014 CFR
2014-01-01
... environmental significance that include methane digesters, other innovative technologies, and projects that will... practices, consistent with the provisions of § 1466.25; (iv) Implement a comprehensive nutrient management plan when the EQIP contract includes an animal waste management facility; (v) Implement a forest...
van Niekerk, Anida C; Venter, Daniel J L; Boschmans, Shirley-Anne
2012-03-01
The design and implementation of an antibiotic intravenous (iv) to oral switch therapy (IVOST) guideline in a Third World health setting. The guideline was developed and integrated into daily practice by a ward pharmacist over a period of 7 weeks. Patients were switched once they were deemed clinically stable according to IVOST criteria. The final decision to switch was left to the attending physician. One pre- and two post-implementation audits (150 patient medical records per audit) were compared. Implementation of the IVOST guideline was successful in increasing (P<0.0005) the number of patients switched from 16% (19/119) pre-implementation to 43.9% (47/107) immediately after implementation; however, the change was not sustained 3 months after implementation (20.8%; 25/120). The intervention was also successful in decreasing the overall duration of iv therapy (P<0.0005) from 7.2 ± 3.5 days pre-implementation to 5.2 ± 3.0 days immediately post-implementation. The change was not sustained 3 months after implementation (6.5 ± 3.5 days). Despite the challenges encountered in a Third World environment, an antibiotic IVOST guideline can be successfully implemented. Continual, active integration of the guideline into daily practice by a ward pharmacist is essential if positive IVOST outcomes are to be maintained.
Axis IV--psychosocial and environmental problems--in the DSM-IV.
Ramirez, A; Ekselius, L; Ramklint, M
2013-11-01
The aim of this study was to further explore the properties of axis IV in the Diagnostic and statistical manual of mental disorders, 4th edition (DSM-IV). In a naturalistic cross-sectional design, a group (n = 163) of young (18-25 years old) Swedish psychiatric outpatients was assessed according to DSM-IV. Psychosocial and environmental problems/axis IV were evaluated through structured interviewing by a social worker and by self-assessment on a questionnaire. Reliability between professional assessment and self-assessment of axis IV was examined. Concurrent validity of axis IV was also examined. Reliability between professional and self-assessed axis IV was fair to almost perfect, 0.31-0.83, according to prevalence and bias-adjusted kappa. Categories of psychosocial stress and environmental problems were related to the presence of axis I disorders, co-morbidity, personality disorders and decreasing Global Assessment of Functioning (GAF) values. The revised axis IV according to DSM-IV seems to have concurrent validity, but is still hampered by limited reliability. © 2013 John Wiley & Sons Ltd.
20 CFR 410.591 - Eligibility for services and supplies under part C of title IV of the act.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Eligibility for services and supplies under part C of title IV of the act. 410.591 Section 410.591 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK LUNG BENEFITS (1969- ) Payment of...
The 1976 Chapel Hill Study of Services to the Handicapped in Region IV Head Start.
ERIC Educational Resources Information Center
Sanford, Anne R.; And Others
Presented are the findings of the 1976 Chapel Hill Study of the Region IV status of services to Head Start handicapped children. Brief introductory sections cover the roles of various Region IV network components in the provision of comprehensive services to special needs children and the design of the data collection system to investigate the…
ERIC Educational Resources Information Center
Collins, Ashleigh; Burkhauser, Mary
2008-01-01
The implementation of high-quality evidence-based practices cannot occur without facilitative administration, systems-level partnerships, and decision-support data systems. The authors believe that understanding "what works" in program "implementation" is just as important as understanding "what works" in a program "model." Recently, researchers…
Dubrofsky, Lisa; Kerzner, Ryan S; Delaunay, Chloë; Kolenda, Camille; Pepin, Jocelyne; Schwartz, Blair C
2016-01-01
Intravenous (IV) hydration is considered a protective factor in reducing the incidence of acyclovir-induced nephrotoxicity. A systems-based review of cases of acyclovir-associated acute kidney injury can be used to examine institution-, care provider-, and task-related factors involved in administering the drug and can serve as a basis for developing a quality improvement intervention to achieve safer administration of acyclovir. To explore the effectiveness of the study institution's inter-disciplinary quality improvement intervention in increasing the dilution of acyclovir before IV administration. After conducting a systems-based review for intervention development, a retrospective analysis was undertaken to compare IV administration of acyclovir in the 6-month periods before and after implementation of the intervention. The study population was a sequential sample of all patients over 18 years of age who were seen in the emergency department or admitted to a ward and who received at least one IV dose of acyclovir at the study institution. The primary outcome was the volume in which each acyclovir dose was delivered. The secondary outcomes were the hourly rate of fluid administration, the frequency of an increase in hourly hydration rate, and the incidence of acute kidney injury. Eighty-four patients (44 in the pre-intervention period and 40 in the post-intervention period) received IV acyclovir and had evaluable data for the primary outcome. The median volume in which the acyclovir dose was administered was significantly higher in the post-intervention group (250 mL versus 100 mL, p < 0.001). In this study, an easily implemented intervention significantly increased the volume of IV fluid administered to patients receiving acyclovir. Adequately powered prospective studies are suggested to investigate the effectiveness of this intervention on the clinically relevant incidence of acyclovir-induced nephrotoxicity.
Predictors of nurses' acceptance of an intravenous catheter safety device.
Rivers, Dianna Lipp; Aday, Lu Ann; Frankowski, Ralph F; Felknor, Sarah; White, Donna; Nichols, Brenda
2003-01-01
It is important to determine the factors that predict whether nurses accept and use a new intravenous (IV) safety device because there are approximately 800,000 needlesticks per year with the risk of contracting a life-threatening bloodborne disease such as HIV or hepatitis C. To determine the predictors of nurses' acceptance of the Protectiv Plus IV catheter safety needle device at a teaching hospital in Texas. A one-time cross-sectional survey of nurses (N = 742) was conducted using a 34-item questionnaire. A framework was developed identifying organizational and individual predictors of acceptance. The three principal dimensions of acceptance were (a) satisfaction with the device, (b) extent to which the device is always used, and (c) nurse recommendations over other safety devices. Measurements included developing summary subscales for the variables of safety climate and acceptance. Descriptive statistics and multiple linear and logistic regression models were computed. The findings showed widespread acceptance of the device. Nurses who had adequate training and a positive institutional safety climate were more accepting (p
Arts and Crafts of the Mississippi Hills. ESEA, Title IV-C, 1982-83.
ERIC Educational Resources Information Center
Eaton, Barbara; Weatherford, Martha
An overview is presented of a 1982-83 Elementary and Secondary Education Act (ESEA), Title IV-C project, designed for 50 talented high school art students, to preserve the arts and crafts in the Mississippi hills area and to enrich existing arts and crafts curriculum. Steps are listed for implementing such a program, a simple program budget is…
An Application of the PMI Model at the Project Level Evaluation of ESEA Title IV-C Projects.
ERIC Educational Resources Information Center
McBeath, Marcia
All of the papers presented as part of a symposium concerned the application of the Planning, Monitoring, and Implementation Model (PMI) to the evaluation of the District of Columbia Public Schools' programs supported by the Elementary Secondary Education Act (ESEA) Title IV-C. PMI was developed to provide a model for systematic evaluation of…
ERIC Educational Resources Information Center
BLAKE, ELIAS, JR.
THIS PAPER REVIEWS SOME OF THE PROBLEMS IN IMPLEMENTING TITLE IV OF THE CIVIL RIGHTS ACT OF 1964. THERE WAS CONFUSION ABOUT THE INTENT OF THE DIRECTIVES FOR INSTITUTES TO IMPROVE THE ABILITY OF SCHOOL PERSONNEL "TO DEAL EFFECTIVELY WITH SPECIAL EDUCATIONAL PROBLEMS" STEMMING FROM DESEGREGATION. THE TRAINING INSTITUTES ON TEACHING THE…
ERIC Educational Resources Information Center
Walker, Ruth
2010-01-01
Five years after implementation, the Certificate IV in Training and Assessment (TAA40104, and hereafter also referred to as the Certificate IV) remains a pivotal qualification in the national vocational education and training (VET) system. Under the Australian Quality Training Framework (AQTF) it is the qualification required by both workplace…
ERIC Educational Resources Information Center
Steinemann, John H.
The investigation is part of continuing Navy research on the Trainability of Group IV (low ability) personnel intended to maximize the utilization and integration of marginal personnel in the fleet. An experimental Training Methods Development School (TMDS) was initiated to provide an experimental training program, with research controls, for…
DOE Office of Scientific and Technical Information (OSTI.GOV)
McNeany, S.R.; Jenkins, J.D.
Eleven /sup 233/U solution critical assemblies spanning an H//sup 233/U ratio range of 40 to 2000 and an unreflected metal /sup 233/U assembly were calculated with ENDF/B-IV and Hansen--Roach cross sections. Results from these calculations are compared with the experimental results and with each other. An increasing disagreement is observed between calculations with ENDF/B and Hansen--Roach data with decreasing H//sup 233/U ratio, indicative of large differences in their intermediate-energy cross sections. The Hansen--Roach cross sections appeared to give reasonably good agreement with experiments over the whole range, whereas the ENDF/B calculations yielded high values for k/sub eff/ on assemblies ofmore » low moderation. It is concluded that serious problems exist in the ENDF/B-IV representation of the /sup 233/U cross sections in the intermediate energy range and that further evaluation of this nuclide is warranted. In addition, it is recommended that an experimental program be undertaken to obtain /sup 233/U criticality data at low H//sup 233/U ratios for verification of generalized criticality safety guidelines. 3 figures, 15 tables.« less
ERIC Educational Resources Information Center
Brown, Timothy A.; Barlow, David H.
2009-01-01
A wealth of evidence attests to the extensive current and lifetime diagnostic comorbidity of the "Diagnostic and Statistical Manual of Mental Disorders" (4th ed., "DSM-IV") anxiety and mood disorders. Research has shown that the considerable cross-sectional covariation of "DSM-IV" emotional disorders is accounted for by common higher order…
DOE Office of Scientific and Technical Information (OSTI.GOV)
King, David A.
The U.S. Department of Energy (DOE) Oak Ridge Office of Environmental Management selected Oak Ridge Associated Universities (ORAU), through the Oak Ridge Institute for Science and Education (ORISE) contract, to perform independent verification (IV) at Zone 2 of the East Tennessee Technology Park (ETTP) in Oak Ridge, Tennessee. ORAU has concluded IV surveys, per the project-specific plan (PSP) (ORAU 2013a) covering exposure units (EUs) Z2-24, -31, -32, and -36. The objective of this effort was to verify the target EUs comply with requirements in the Zone 2 Record of Decision (ROD) (DOE 2005), as implemented by using the dynamic verificationmore » strategy presented in the dynamic work plan (DWP) (BJC 2007); and confirm commitments in the DWP were adequately implemented, as verified via IV surveys and soil sampling.« less
ERIC Educational Resources Information Center
New York City Board of Education, Brooklyn, NY. Div. of Curriculum and Instruction.
Designed to assist teachers and supervisors in the implementation of the global history course, this bulletin presents learning activities which include the rationale, performance objectives, and teaching strategies related to Theme IV entitled, "Developing Democratic and Nationalist Movements Have Had an Effect around the World." There are four…
ERIC Educational Resources Information Center
McNaught, Keith
2013-01-01
In response to the poor performance of students in 2007 who had used a Certificate IV to meet minimum entry requirements, The University of Notre Dame Australia, Fremantle campus, developed a specific intervention. A compulsorily-required "primer" course was developed and taught by a staff member with extensive experience in both…
The Role of Independent V&V in Upstream Software Development Processes
NASA Technical Reports Server (NTRS)
Easterbrook, Steve
1996-01-01
This paper describes the role of Verification and Validation (V&V) during the requirements and high level design processes, and in particular the role of Independent V&V (IV&V). The job of IV&V during these phases is to ensure that the requirements are complete, consistent and valid, and to ensure that the high level design meets the requirements. This contrasts with the role of Quality Assurance (QA), which ensures that appropriate standards and process models are defined and applied. This paper describes the current state of practice for IV&V, concentrating on the process model used in NASA projects. We describe a case study, showing the processes by which problem reporting and tracking takes place, and how IV&V feeds into decision making by the development team. We then describe the problems faced in implementing IV&V. We conclude that despite a well defined process model, and tools to support it, IV&V is still beset by communication and coordination problems.
Hurdowar, Amanda; Urmson, Lynn; Bohn, Desmond; Geary, Denis; Laxer, Ronald; Stevens, Polly
2009-01-01
The occurrence of acute hyponatremia associated with cerebral edema in hospitalized children has been increasingly recognized, with over 50 cases of neurological morbidity and mortality reported in the past decade. This condition most commonly occurs in previously healthy children where maintenance intravenous (IV) fluids have been prescribed in the form of hypotonic saline (e.g., 0.2 or 0.3 NaCl). In response to similar problems at The Hospital for Sick Children (six identified through hospital morbidity and mortality reviews and safety reports prior to fall 2007), an interdisciplinary clinician group from our institution developed a clinical practice guideline (CPG) to guide fluid and electrolyte administration for pediatric patients. This article reviews the evaluation of one patient safety improvement to change the prescribing practice for IV fluids in an acute care pediatric hospital, including the removal of the ability to prescribe hypotonic IV solutions with a sodium concentration of < 75 mmol/L. The evaluation of key components of the CPG included measuring practice and process changes pre- and post-implementation. The evaluation showed that the use of restricted IV fluids was significantly reduced across the organization. Success factors of this safety initiative included the CPG development, forcing functions, reminders, team engagement and support from the hospital leadership. A key learning was that a project leader with considerable dedicated time is required during the implementation to develop change concepts, organize and liaise with stakeholders and measure changes in practice. This project highlights the importance of active implementation for policy and guideline documents.
Resolving the paradigm crisis in intravenous iron and erythropoietin management.
Besarab, A
2006-05-01
Despite the proven benefits of intravenous (i.v.) iron therapy in anemia management, it remains underutilized in the hemodialysis population. Although overall i.v. iron usage continues to increase slowly, monthly usage statistics compiled by the US Renal Data System suggest that clinicians are not implementing continued dosing regimens following repletion of iron stores. Continued therapy with i.v. iron represents a key opportunity to improve patient outcomes and increase the efficiency of anemia treatment. Regular administration of low doses of i.v. iron prevents the recurrence of iron deficiency, enhances response to recombinant human erythropoietin therapy, minimizes fluctuation of hemoglobin levels, hematocrit levels, and iron stores, and may reduce overall costs of care. This article reviews the importance of i.v. iron dosing on a regular basis in the hemodialysis patient with iron-deficiency anemia and explores reasons why some clinicians may still be reluctant to employ these protocols in the hemodialysis setting.
Cost savings using a protocol approach to manage anemia in a hemodialysis unit.
Charlesworth, Emily C; Richardson, Robert M; Battistella, Marisa
2014-01-01
National guidelines recommend using anemia management protocols to guide treatment. The objective of this study was to determine if an anemia management protocol would improve hemoglobin (Hgb) indices in hemodialysis patients and to measure whether the protocol would reduce the use and cost of darbepoetin alfa (DBO) and intravenous (IV) iron in hemodialysis patients. An anemia management protocol was created and implemented for hemodialysis patients at our institution. A retrospective observational review of the use of DBO and IV iron as well as changes in Hgb, transferrin saturation and ferritin in 174 patients was conducted 6 months before and after implementation of the anemia protocol. The number of Hgb measurements in the target range increased from 44.3 to 46.0% (p = 0.48) after protocol implementation. The mean weekly dose of DBO was reduced from 34.56 ± 31.12 to 31.11 ± 28.64 μg post-protocol implementation (p = 0.011), which translated to a cost savings of USD 41,649 over 6 months. The mean monthly IV iron dose also decreased from 139.56 ± 98.83 to 97.65 ± 79.05 mg (p < 0.005), a cost savings of USD 18,594 over the same time period. The use of an anemia management protocol resulted in the deprescribing of DBO and iron agents while increasing the number of patients in the target Hgb range, which led to significant cost savings in the treatment of anemia.
Defense Depot Mechanicsburg Total Quality Management Implementation Plan
1989-06-01
B T I TLEE 5 . FUNDING NUMBERS Defense Depot Mechanicsburg Total Quality Management Implementation Plan 6. AUTHOR(S) 7. PERFORMING ORGANIZATION NAME...Form 298 (Rev. 2-89) L296- 102 Acces.ion For NYI J ... I:: ted DEFENSE DEPOT MECHANICSBURG PENNSYLVANIAL--I By_ TOTAL QUALITY MANAGEMENT K_~ t buty-n...IMPLEMENTATION PLAN Avmail-t!Ilty Codes IvLl c 2Dd/or JUN 3 0 1989 iDizt Special PURPOSE The purpose of this Total Quality Management Implementation
30 CFR 57.22235 - Actions at 1.0 percent methane (I-C, II-A, II-B, and IV mines).
Code of Federal Regulations, 2011 CFR
2011-07-01
... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Actions at 1.0 percent methane (I-C, II-A, II-B, and IV mines). 57.22235 Section 57.22235 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION... Actions at 1.0 percent methane (I-C, II-A, II-B, and IV mines). (a) If methane reaches 1.0 percent in the...
12 CFR 325.105 - Mandatory and discretionary supervisory actions under section 38.
Code of Federal Regulations, 2010 CFR
2010-01-01
... this subpart (section 38(e)(2)); (iv) Restricting the growth of the bank's assets (section 38(e)(3... in the usual course of business, including any investment, expansion, acquisition, sale of assets, or...
Marwani, Hadi M; Alsafrani, Amjad E; Asiri, Abdullah M; Rahman, Mohammed M
2016-06-29
A new ionic liquid loaded silica gel amine (SG-APTMS-N,N-EPANTf₂) was developed, as an adsorptive material, for selective adsorption and determination of zirconium, Zr(IV), without the need for a chelating intermediate. Based on a selectivity study, the SG-APTMS-N,N-EPANTf₂ phase showed a perfect selectivity towards Zr(IV) at pH 4 as compared to other metallic ions, including gold [Au(III)], copper [Cu(II)], cobalt [Co(II)], chromium [Cr(III)], lead [Pb(II)], selenium [Se(IV)] and mercury [Hg(II)] ions. The influence of pH, Zr(IV) concentration, contact time and interfering ions on SG-APTMS-N,N-EPANTf₂ uptake for Zr(IV) was evaluated. The presence of incorporated donor atoms in newly synthesized SG-APTMS-N,N-EPANTf₂ phase played a significant role in enhancing its uptake capacity of Zr(IV) by 78.64% in contrast to silica gel (activated). The equilibrium and kinetic information of Zr(IV) adsorption onto SG-APTMS-N,N-EPANTf₂ were best expressed by Langmuir and pseudo second-order kinetic models, respectively. General co-existing cations did not interfere with the extraction and detection of Zr(IV). Finally, the analytical efficiency of the newly developed method was also confirmed by implementing it for the determination of Zr(IV) in several water samples.
Programmable Infusion Pumps in ICUs: An Analysis of Corresponding Adverse Drug Events
Bower, Anthony G.; Paddock, Susan M.; Hilborne, Lee H.; Wallace, Peggy; Rothschild, Jeffrey M.; Griffin, Anne; Fairbanks, Rollin J.; Carlson, Beverly; Panzer, Robert J.; Brook, Robert H.
2007-01-01
Background Patients in intensive care units (ICUs) frequently experience adverse drug events involving intravenous medications (IV-ADEs), which are often preventable. Objectives To determine how frequently preventable IV-ADEs in ICUs match the safety features of a programmable infusion pump with safety software (“smart pump”) and to suggest potential improvements in smart-pump design. Design Using retrospective medical-record review, we examined preventable IV-ADEs in ICUs before and after 2 hospitals replaced conventional pumps with smart pumps. The smart pumps alerted users when programmed to deliver duplicate infusions or continuous-infusion doses outside hospital-defined ranges. Participants 4,604 critically ill adults at 1 academic and 1 nonacademic hospital. Measurements Preventable IV-ADEs matching smart-pump features and errors involved in preventable IV-ADEs. Results Of 100 preventable IV-ADEs identified, 4 involved errors matching smart-pump features. Two occurred before and 2 after smart-pump implementation. Overall, 29% of preventable IV-ADEs involved overdoses; 37%, failures to monitor for potential problems; and 45%, failures to intervene when problems appeared. Error descriptions suggested that expanding smart pumps’ capabilities might enable them to prevent more IV-ADEs. Conclusion The smart pumps we evaluated are unlikely to reduce preventable IV-ADEs in ICUs because they address only 4% of them. Expanding smart-pump capabilities might prevent more IV-ADEs. PMID:18095043
Loading the Saturn I S-IV Stage into Pregnant Guppy
NASA Technical Reports Server (NTRS)
1965-01-01
The photograph shows the loading operation of the Saturn I S-IV stage (second stage) into the Pregnant Guppy at the Redstone Airfield, Huntsville, Alabama. The Pregnant Guppy was a Boeing B-377 Stratocruiser modified to transport various stages of Saturn launch vehicles. The modification project called for lengthening the fuselage to accommodate the S-IV stage. After the flight test of that modification, phase two called for the enlargement of the plane's cabin section to approximately double its normal volume. The fuselage separated just aft of the wing's trailing edge to load and unload the S-IV and other cargoes.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Stewart, J.R.
1954-04-28
This document provides Part VII, Section III and Section IV of the report of the Material and Equipment Section`s activities at the New York Shipbuilding Corporation. The fabrication, inspection, and testing of reactor components is detailed.
GEN IV reactors: Where we are, where we should go
DOE Office of Scientific and Technical Information (OSTI.GOV)
Locatelli, G.; Mancini, M.; Todeschini, N.
2012-07-01
GEN IV power plants represent the mid-long term option of the nuclear sector. International literature proposes many papers and reports dealing with these reactors, but there is an evident difference of type and shape of information making impossible each kind of detailed comparison. Moreover, authors are often strongly involved in some particular design; this creates many difficulties in their super-partes position. Therefore it is necessary to put order in the most relevant information to understand strengths and weaknesses of each design and derive an overview useful for technicians and policy makers. This paper presents the state-of the art for GENmore » IV nuclear reactors providing a comprehensive literature review of the different designs with a relate taxonomy. It presents the more relevant references, data, advantages, disadvantages and barriers to the adoptions. In order to promote an efficient and wide adoption of GEN IV reactors the paper provides the pre-conditions that must be accomplished, enabling factors promoting the implementation and barriers limiting the extent and intensity of its implementation. It concludes outlying the state of the art of the most important R and D areas and the future achievements that must be accomplished for a wide adoption of these technologies. (authors)« less
48 CFR 1315.204-570 - Part IV representations and instructions.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Part IV representations and instructions. 1315.204-570 Section 1315.204-570 Federal Acquisition Regulations System DEPARTMENT.... Contracting officers shall tailor the provision to suit their acquisition. (3) The contracting officer shall...
25 CFR 36.13 - Standard IV-Curriculum development.
Code of Federal Regulations, 2012 CFR
2012-04-01
... 25 Indians 1 2012-04-01 2011-04-01 true Standard IV-Curriculum development. 36.13 Section 36.13 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION MINIMUM ACADEMIC STANDARDS FOR THE BASIC EDUCATION OF INDIAN CHILDREN AND NATIONAL CRITERIA FOR DORMITORY SITUATIONS Educational Management...
48 CFR 1315.204-570 - Part IV representations and instructions.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Part IV representations and instructions. 1315.204-570 Section 1315.204-570 Federal Acquisition Regulations System DEPARTMENT.... Contracting officers shall tailor the provision to suit their acquisition. (3) The contracting officer shall...
48 CFR 1315.204-570 - Part IV representations and instructions.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Part IV representations and instructions. 1315.204-570 Section 1315.204-570 Federal Acquisition Regulations System DEPARTMENT.... Contracting officers shall tailor the provision to suit their acquisition. (3) The contracting officer shall...
48 CFR 1315.204-570 - Part IV representations and instructions.
Code of Federal Regulations, 2014 CFR
2014-10-01
... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Part IV representations and instructions. 1315.204-570 Section 1315.204-570 Federal Acquisition Regulations System DEPARTMENT.... Contracting officers shall tailor the provision to suit their acquisition. (3) The contracting officer shall...
48 CFR 1315.204-570 - Part IV representations and instructions.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Part IV representations and instructions. 1315.204-570 Section 1315.204-570 Federal Acquisition Regulations System DEPARTMENT.... Contracting officers shall tailor the provision to suit their acquisition. (3) The contracting officer shall...
40 CFR 300.315 - Phase IV-Documentation and cost recovery.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 40 Protection of Environment 28 2014-07-01 2014-07-01 false Phase IV-Documentation and cost recovery. 300.315 Section 300.315 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW PROGRAMS NATIONAL OIL AND HAZARDOUS SUBSTANCES...
40 CFR 300.315 - Phase IV-Documentation and cost recovery.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 40 Protection of Environment 29 2013-07-01 2013-07-01 false Phase IV-Documentation and cost recovery. 300.315 Section 300.315 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW PROGRAMS NATIONAL OIL AND HAZARDOUS SUBSTANCES...
40 CFR 300.315 - Phase IV-Documentation and cost recovery.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 40 Protection of Environment 29 2012-07-01 2012-07-01 false Phase IV-Documentation and cost recovery. 300.315 Section 300.315 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW PROGRAMS NATIONAL OIL AND HAZARDOUS SUBSTANCES...
25 CFR 36.13 - Standard IV-Curriculum development.
Code of Federal Regulations, 2014 CFR
2014-04-01
... 25 Indians 1 2014-04-01 2014-04-01 false Standard IV-Curriculum development. 36.13 Section 36.13 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION MINIMUM ACADEMIC STANDARDS FOR THE BASIC EDUCATION OF INDIAN CHILDREN AND NATIONAL CRITERIA FOR DORMITORY SITUATIONS Educational Management...
25 CFR 36.13 - Standard IV-Curriculum development.
Code of Federal Regulations, 2013 CFR
2013-04-01
... 25 Indians 1 2013-04-01 2013-04-01 false Standard IV-Curriculum development. 36.13 Section 36.13 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION MINIMUM ACADEMIC STANDARDS FOR THE BASIC EDUCATION OF INDIAN CHILDREN AND NATIONAL CRITERIA FOR DORMITORY SITUATIONS Educational Management...
Nealon, William H; Bhutani, Manoop; Riall, Taylor S; Raju, Gottumukkala; Ozkan, Orhan; Neilan, Ryan
2009-05-01
Precepts about acute pancreatitis, necrotizing pancreatitis, and pancreatic fluid collections or pseudocyst rarely include the impact of pancreatic ductal injuries on their natural course and outcomes. We previously examined and established a system to categorize ductal changes. We sought a unifying concept that may predict course and direct therapies in these complex patients. We use our system categorizing ductal changes in pseudocyst of the pancreas and severe necrotizing pancreatitis (type I, normal duct; type II, duct stricture; type III, duct occlusion or "disconnected duct"; and type IV, chronic pancreatitis). From 1985 to 2006, a policy was implemented of routine imaging (cross-sectional, endoscopic retrograde cholangiopancreatography, or magnetic resonance cholangiopancreatography). Clinical outcomes were measured. Among 563 patients with pseudocyst, 142 resolved spontaneously (87% of type I, 5% of type II, and no type III, and 3% of type IV). Percutaneous drainage was successful in 83% of type I, 49% of type II, and no type III or type IV. Among 174 patients with severe acute pancreatitis percutaneous drainage was successful in 64% of type I, 38% of type II, and no type III. Operative debridement was required in 39% of type I and 83% and 85% of types II and III, respectively. Persistent fistula after debridement occurred in 27%, 54%, and 85% of types I, II, and III ducts, respectively. Late complications correlated with duct injury. Pancreatic ductal changes predict spontaneous resolution, success of nonoperative measures, and direct therapies in pseudocyst. Ductal changes also predict patients with necrotizing pancreatitis who are most likely to have immediate and delayed complications.
30 CFR 57.22232 - Actions at 0.5 percent methane (I-B, II-A, II-B, IV, V-B, and VI mines).
Code of Federal Regulations, 2011 CFR
2011-07-01
... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Actions at 0.5 percent methane (I-B, II-A, II-B, IV, V-B, and VI mines). 57.22232 Section 57.22232 Mineral Resources MINE SAFETY AND HEALTH....22232 Actions at 0.5 percent methane (I-B, II-A, II-B, IV, V-B, and VI mines). If methane reaches 0.5...
16 CFR 602.1 - Effective dates.
Code of Federal Regulations, 2010 CFR
2010-01-01
... security number in a consumer report; (iv) Section 151(a)(1), concerning the summary of rights of identity..., concerning the prevention of repollution of consumer reports; (viii) Section 155, concerning notice by debt... consumers; (x) Section 212(a)-(d), concerning the disclosure of credit scores; (xi) Section 213(c...
40 CFR 145.11 - Requirements for permitting.
Code of Federal Regulations, 2014 CFR
2014-07-01
...)-(Confidential information); (2) Section 144.6—(Classification of injection wells); (3) Section 144.7... movement of fluids into underground sources of drinking water); (7) Section 144.13—(Elimination of Class IV...—(Authorization by rule); (10) Section 144.31—(Application for a permit); (11) Section 144.32—(Signatories); (12...
40 CFR 145.11 - Requirements for permitting.
Code of Federal Regulations, 2013 CFR
2013-07-01
...)-(Confidential information); (2) Section 144.6—(Classification of injection wells); (3) Section 144.7... movement of fluids into underground sources of drinking water); (7) Section 144.13—(Elimination of Class IV...—(Authorization by rule); (10) Section 144.31—(Application for a permit); (11) Section 144.32—(Signatories); (12...
40 CFR 145.11 - Requirements for permitting.
Code of Federal Regulations, 2011 CFR
2011-07-01
...)-(Confidential information); (2) Section 144.6—(Classification of injection wells); (3) Section 144.7... movement of fluids into underground sources of drinking water); (7) Section 144.13—(Elimination of Class IV...—(Authorization by rule); (10) Section 144.31—(Application for a permit); (11) Section 144.32—(Signatories); (12...
40 CFR 145.11 - Requirements for permitting.
Code of Federal Regulations, 2010 CFR
2010-07-01
...)-(Confidential information); (2) Section 144.6—(Classification of injection wells); (3) Section 144.7... movement of fluids into underground sources of drinking water); (7) Section 144.13—(Elimination of Class IV...—(Authorization by rule); (10) Section 144.31—(Application for a permit); (11) Section 144.32—(Signatories); (12...
40 CFR 145.11 - Requirements for permitting.
Code of Federal Regulations, 2012 CFR
2012-07-01
...)-(Confidential information); (2) Section 144.6—(Classification of injection wells); (3) Section 144.7... movement of fluids into underground sources of drinking water); (7) Section 144.13—(Elimination of Class IV...—(Authorization by rule); (10) Section 144.31—(Application for a permit); (11) Section 144.32—(Signatories); (12...
78 FR 18325 - Defense Transportation Regulation, Part IV
Federal Register 2010, 2011, 2012, 2013, 2014
2013-03-26
... received in connection with the Defense Personal Property Program (DP3) Phase III Direct Procurement Method... at http://www.transcom.mil/dtr/part-iv/phaseiii.cfm (DPM SECTION). All identified changes will be... Defense Personal Property System (DPS) Phase III programming projected for FY17. FOR FURTHER INFORMATION...
75 FR 67976 - Proposed Information Collection Activity; Comment Request
Federal Register 2010, 2011, 2012, 2013, 2014
2010-11-04
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Proposed... section 479 of the Social Security Act for the collection of uniform, reliable information on children who are under the responsibility of the State title IV-B/IV-E agency for placement, care, and adoption...
Code of Federal Regulations, 2013 CFR
2013-10-01
... 45 Public Welfare 4 2013-10-01 2013-10-01 false Scope. 1355.10 Section 1355.10 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH... financial participation under titles IV-B and IV-E of the Social Security Act. [61 FR 58653, Nov. 18, 1996] ...
Code of Federal Regulations, 2010 CFR
2010-10-01
... 45 Public Welfare 4 2010-10-01 2010-10-01 false Scope. 1355.10 Section 1355.10 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH... financial participation under titles IV-B and IV-E of the Social Security Act. [61 FR 58653, Nov. 18, 1996] ...
Code of Federal Regulations, 2010 CFR
2010-04-01
... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Schedule IV. 1308.14 Section 1308.14 Food and... isomers is possible: (1) Fenfluramine 1670 (e) Stimulants. Unless specifically excepted or unless listed... the following substances having a stimulant effect on the central nervous system, including its salts...
45 CFR 309.01 - What does this part cover?
Code of Federal Regulations, 2011 CFR
2011-10-01
... Public Welfare Regulations Relating to Public Welfare OFFICE OF CHILD SUPPORT ENFORCEMENT (CHILD SUPPORT... CHILD SUPPORT ENFORCEMENT (IV-D) PROGRAM Tribal IV-D Program: General Provisions § 309.01 What does this... Social Security Act. Section 455(f) of the Act authorizes direct grants to Indian Tribes and Tribal...
50 CFR 679.25 - Inseason adjustments.
Code of Federal Regulations, 2010 CFR
2010-10-01
... area. (iii) Adjustment of TAC and PSC limits. (iv) Interim closures of statistical areas, or portions... of a statistical area, or portion thereof, under paragraph (a)(1)(iv) of this section, must be based... bycatch rates of prohibited species specified under § 679.21(b) in a statistical area, or portion thereof...
1990-09-01
35 C. HYDRAULICS ............................................. 39 iv VII. CONCLUSIONS AND RECOMMENDATIONS...requirement can be calculated. The maximum RMS torque required was obtained using the following equation: TMAX = t MAr T ZSm (15) 14 IV. RESULTS A...with the addition to added weight on the pitch arm/link 35 assemblies all related components would have to be strengthened to take the centrifugal loads
26 CFR 1.56(g)-1 - Adjusted current earnings.
Code of Federal Regulations, 2010 CFR
2010-04-01
... corporation as defined in section 1361, (ii) A regulated investment company as defined in section 851, (iii) A real estate investment trust as defined in section 856, or (iv) A real estate mortgage investment... their investment income). Items described in paragraph (c)(1) of this section must be included in...
Warren, Diane
2011-06-01
This project sought to determine nurses' understanding and management of infants with intravenous (IV) therapy. There were three specific aims: • To improve identification and management of extravasation injuries in neonates • To ensure management of extravasation injuries in neonates is classified according to IV extravasation staging guidelines • To develop a protocol that outlined actions required to manage extravasation injuries. This project utilised a pre- and post-implementation audit strategy using the Joanna Briggs Institute (JBI) Getting Research into Practice (GRIP) program. This method has been used to improve clinical practice by utilising an audit, feedback and re-audit sequence. The project was implemented in four stages over a 7-month period from 21 October 2009 to 30 May 2010. Initially, there was poor compliance with all four criteria, ranging from zero to 63%. The GRIP phase of the project identified five barriers which were addressed throughout this project. These related to education of staff and the development of a protocol for the prevention and management of extravasation injuries in the neonatal population. Following implementation of best practice, the second audit showed a marked improvement in all four criteria, ranging from 70 to 100% compliance. Overall, this project has led to improvements in clinical practice in line with current evidence. This has resulted in enhanced awareness of the risks associated with IV therapy and of measures to prevent an injury occurring within this clinical setting. © 2011 The Author. International Journal of Evidence-Based Healthcare © 2011 The Joanna Briggs Institute.
Morbach, Caroline; Wagner, Martin; Güntner, Stefan; Malsch, Carolin; Oezkur, Mehmet; Wood, David; Kotseva, Kornelia; Leyh, Rainer; Ertl, Georg; Karmann, Wolfgang; Heuschmann, Peter U; Störk, Stefan
2017-05-05
Adherence to pharmacotherapeutic treatment guidelines in patients with heart failure (HF) is of major prognostic importance, but thorough implementation of guidelines in routine care remains insufficient. Our aim was to investigate prevalence and characteristics of HF in patients with coronary heart disease (CHD), and to assess the adherence to current HF guidelines in patients with HF stage C, thus identifying potential targets for the optimization of guideline implementation. Patients from the German sample of the European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EuroAspire) IV survey with a hospitalization for CHD within the previous six to 36 months providing valid data on echocardiography as well as on signs and symptoms of HF were categorized into stages of HF: A, prevalence of risk factors for developing HF; B, asymptomatic but with structural heart disease; C, symptomatic HF. A Guideline Adherence Indicator (GAI-3) was calculated for patients with reduced (≤40%) left ventricular ejection fraction (HFrEF) as number of drugs taken per number of drugs indicated; beta-blockers, angiotensin converting enzyme inhibitors/angiotensin receptor blockers, and mineralocorticoid receptor antagonists (MRA) were considered. 509/536 patients entered analysis. HF stage A was prevalent in n = 20 (3.9%), stage B in n = 264 (51.9%), and stage C in n = 225 (44.2%) patients; 94/225 patients were diagnosed with HFrEF (42%). Stage C patients were older, had a longer duration of CHD, and a higher prevalence of arterial hypertension. Awareness of pre-diagnosed HF was low (19%). Overall GAI-3 of HFrEF patients was 96.4% with a trend towards lower GAI-3 in patients with lower LVEF due to less thorough MRA prescription. In our sample of CHD patients, prevalence of HF stage C was high and a sizable subgroup suffered from HFrEF. Overall, pharmacotherapy was fairly well implemented in HFrEF patients, although somewhat worse in patients with more reduced ejection fraction. Two major targets were identified possibly suited to further improve the implementation of HF guidelines: 1) increase patients´ awareness of diagnosis and importance of HF; and 2) disseminate knowledge about the importance of appropriately implementing the use of mineralocorticoid receptor antagonists. This is a cross-sectional analysis of a non-interventional study. Therefore, it was not registered as an interventional trial.
Cost-Benefit Analysis of Implementing a Car-Sharing Model to the Navy’s Passenger Vehicle Fleet
2016-12-01
and Public Policy iv THIS PAGE INTENTIONALLY LEFT BLANK v COST - BENEFIT ANALYSIS OF IMPLEMENTING A CAR- SHARING MODEL TO THE NAVY’S PASSENGER...the public good. This CBA will be conducted using a federal government perspective and standing (whose costs and benefits will be counted) will be...NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA MBA PROFESSIONAL REPORT COST - BENEFIT ANALYSIS OF IMPLEMENTING A CAR-SHARING
Nuclear Data Needs for Generation IV Nuclear Energy Systems
NASA Astrophysics Data System (ADS)
Rullhusen, Peter
2006-04-01
Nuclear data needs for generation IV systems. Future of nuclear energy and the role of nuclear data / P. Finck. Nuclear data needs for generation IV nuclear energy systems-summary of U.S. workshop / T. A. Taiwo, H. S. Khalil. Nuclear data needs for the assessment of gen. IV systems / G. Rimpault. Nuclear data needs for generation IV-lessons from benchmarks / S. C. van der Marck, A. Hogenbirk, M. C. Duijvestijn. Core design issues of the supercritical water fast reactor / M. Mori ... [et al.]. GFR core neutronics studies at CEA / J. C. Bosq ... [et al]. Comparative study on different phonon frequency spectra of graphite in GCR / Young-Sik Cho ... [et al.]. Innovative fuel types for minor actinides transmutation / D. Haas, A. Fernandez, J. Somers. The importance of nuclear data in modeling and designing generation IV fast reactors / K. D. Weaver. The GIF and Mexico-"everything is possible" / C. Arrenondo Sánchez -- Benmarks, sensitivity calculations, uncertainties. Sensitivity of advanced reactor and fuel cycle performance parameters to nuclear data uncertainties / G. Aliberti ... [et al.]. Sensitivity and uncertainty study for thermal molten salt reactors / A. Biduad ... [et al.]. Integral reactor physics benchmarks- The International Criticality Safety Benchmark Evaluation Project (ICSBEP) and the International Reactor Physics Experiment Evaluation Project (IRPHEP) / J. B. Briggs, D. W. Nigg, E. Sartori. Computer model of an error propagation through micro-campaign of fast neutron gas cooled nuclear reactor / E. Ivanov. Combining differential and integral experiments on [symbol] for reducing uncertainties in nuclear data applications / T. Kawano ... [et al.]. Sensitivity of activation cross sections of the Hafnium, Tanatalum and Tungsten stable isotopes to nuclear reaction mechanisms / V. Avrigeanu ... [et al.]. Generating covariance data with nuclear models / A. J. Koning. Sensitivity of Candu-SCWR reactors physics calculations to nuclear data files / K. S. Kozier, G. R. Dyck. The lead cooled fast reactor benchmark BREST-300: analysis with sensitivity method / V. Smirnov ... [et al.]. Sensitivity analysis of neutron cross-sections considered for design and safety studies of LFR and SFR generation IV systems / K. Tucek, J. Carlsson, H. Wider -- Experiments. INL capabilities for nuclear data measurements using the Argonne intense pulsed neutron source facility / J. D. Cole ... [et al.]. Cross-section measurements in the fast neutron energy range / A. Plompen. Recent measurements of neutron capture cross sections for minor actinides by a JNC and Kyoto University Group / H. Harada ... [et al.]. Determination of minor actinides fission cross sections by means of transfer reactions / M. Aiche ... [et al.] -- Evaluated data libraries. Nuclear data services from the NEA / H. Henriksson, Y. Rugama. Nuclear databases for energy applications: an IAEA perspective / R. Capote Noy, A. L. Nichols, A. Trkov. Nuclear data evaluation for generation IV / G. Noguère ... [et al.]. Improved evaluations of neutron-induced reactions on americium isotopes / P. Talou ... [et al.]. Using improved ENDF-based nuclear data for candu reactor calculations / J. Prodea. A comparative study on the graphite-moderated reactors using different evaluated nuclear data / Do Heon Kim ... [et al.].
Environmental Impact Statement, Aubrey Lake, Elm Fork, Trinity River, Texas.
1973-01-01
the most expensive site location studied. For recreation, site 4 is equal to sites 1 and 2, but less desirable than site 3. V- 9 ( 5 ) Summay. An...IV-3 9 . Agricultural Resources IV-3 10. Adverse Impacts on the Lewisville Lake Project IV- 4 Section V - Alternatives to the Proposed Action 1. No...Elements V- 4 e. Recreational Elements V- 5 2. Alternatives That Will Meet All of the Authorized Project Purposes V- 5 a. Alternate Damsite Locations V-6
30 CFR 57.22201 - Mechanical ventilation (I-A, I-B, I-C, II-A, II-B, III, IV, V-A, and V-B mines).
Code of Federal Regulations, 2010 CFR
2010-07-01
... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Mechanical ventilation (I-A, I-B, I-C, II-A, II-B, III, IV, V-A, and V-B mines). 57.22201 Section 57.22201 Mineral Resources MINE SAFETY AND HEALTH....22201 Mechanical ventilation (I-A, I-B, I-C, II-A, II-B, III, IV, V-A, and V-B mines). All mines shall...
30 CFR 57.22501 - Personal electric lamps (I-A, I-B, I-C, II-A, II-B, III, IV, V-A, and V-B mines).
Code of Federal Regulations, 2011 CFR
2011-07-01
... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Personal electric lamps (I-A, I-B, I-C, II-A, II-B, III, IV, V-A, and V-B mines). 57.22501 Section 57.22501 Mineral Resources MINE SAFETY AND... Illumination § 57.22501 Personal electric lamps (I-A, I-B, I-C, II-A, II-B, III, IV, V-A, and V-B mines...
30 CFR 57.22501 - Personal electric lamps (I-A, I-B, I-C, II-A, II-B, III, IV, V-A, and V-B mines).
Code of Federal Regulations, 2010 CFR
2010-07-01
... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Personal electric lamps (I-A, I-B, I-C, II-A, II-B, III, IV, V-A, and V-B mines). 57.22501 Section 57.22501 Mineral Resources MINE SAFETY AND... Illumination § 57.22501 Personal electric lamps (I-A, I-B, I-C, II-A, II-B, III, IV, V-A, and V-B mines...
30 CFR 57.22227 - Approved testing devices (I-A, I-B, I-C, II-A, II-B, III, IV, V-A, and V-B mines).
Code of Federal Regulations, 2011 CFR
2011-07-01
... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Approved testing devices (I-A, I-B, I-C, II-A, II-B, III, IV, V-A, and V-B mines). 57.22227 Section 57.22227 Mineral Resources MINE SAFETY AND... Ventilation § 57.22227 Approved testing devices (I-A, I-B, I-C, II-A, II-B, III, IV, V-A, and V-B mines). (a...
30 CFR 57.22201 - Mechanical ventilation (I-A, I-B, I-C, II-A, II-B, III, IV, V-A, and V-B mines).
Code of Federal Regulations, 2011 CFR
2011-07-01
... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Mechanical ventilation (I-A, I-B, I-C, II-A, II-B, III, IV, V-A, and V-B mines). 57.22201 Section 57.22201 Mineral Resources MINE SAFETY AND HEALTH....22201 Mechanical ventilation (I-A, I-B, I-C, II-A, II-B, III, IV, V-A, and V-B mines). All mines shall...
A review of somatoform disorders in DSM-IV and somatic symptom disorders in proposed DSM-V.
Ghanizadeh, Ahmad; Firoozabadi, Ali
2012-12-01
Psychiatric care providers should be trained to use current changes in the somatoform disorders criteria. New diagnostic criteria for Somatic Symptom disorders in the proposed DSM-V is discussed and compared with its older counterpart in DSM-IV. A new category called Somatic Syndrome Disorders is suggested. It includes new subcategories such as "Complex Somatic Symptom Disorder" (CSSD) and "Simple Somatic Symptom Disorder" (SSSD). Some of the subcategories of DSM-IV derived disorders are included in CSSD. While there are some changes in diagnostic criteria, there are concerns and limitations about the new classification needed to be more discussed before implementation. Functional somatic disturbance, the counterpart of converion disorder in DSM-IV, can be highly dependet on the developmental level of children. However, the role of developmental level needs to be considered.
ERIC Educational Resources Information Center
Smith, Allen G.; And Others
This interim report describes the development of program implementation and cost studies for Year II of the process evaluation of Project Developmental Continuity (PDC), a Head Start demonstration program aimed at providing educational and developmental continuity between children's Head Start and primary school experiences. Specific areas focused…
Federal Register 2010, 2011, 2012, 2013, 2014
2010-11-04
... Part IV The President Proclamation 8596--To Adjust the Rules of Origin Under the United States... Adjust the Rules of Origin Under the United States-Bahrain Free Trade Agreement, Implement Modifications... the HTS the schedule of duty reductions and rules of origin necessary or appropriate to carry out the...
2010-05-01
Eight (GS) and Twenty (G20) Summits , Francophonie Summit]. iv DRDC Suffield TR 2010-070 Somma ire An Operational Implementation of a CBRN Sensor...terrain Joint Urban 2003 effectuee a Oklahoma City, Okla- homa ), qui comprend le transport et la dispersion d’un agent a une echelle complexe urbaine
75 FR 6813 - Approval of Air Quality Implementation Plans; New Mexico; Albuquerque/Bernalillo County
Federal Register 2010, 2011, 2012, 2013, 2014
2010-02-11
...). ACTION: Direct final rule. SUMMARY: The EPA is approving revisions to the State Implementation Plan (SIP.... Background III. Summary of Changes to the New Mexico SIP IV. Final Action V. Statutory and Executive Order Reviews I. What Action Is EPA Taking? Today we are approving revisions to the New Mexico SIP, submitted by...
77 FR 3810 - New York Life Insurance and Annuity Corporation, et al., Notice of Application
Federal Register 2010, 2011, 2012, 2013, 2014
2012-01-25
... SECURITIES AND EXCHANGE COMMISSION [Release No. IC-29923; File No. 812-13902] New York Life... Act from Section 17(a) of the 1940 Act. Applicants: New York Life Insurance and Annuity Corporation... Annuity Separate Account--IV (``VA IV''), NYLIAC Variable Universal Life Separate Account--I (``VUL I...
Code of Federal Regulations, 2010 CFR
2010-07-01
... authorized by Title IV of the Higher Education Act of 1965, as amended (Title IV, HEA program). To the extent... higher education as defined in 34 CFR 600.4; (2) A proprietary institution of higher education as defined... 34 Education 3 2010-07-01 2010-07-01 false Scope. 668.1 Section 668.1 Education Regulations of the...
Code of Federal Regulations, 2011 CFR
2011-07-01
... authorized by Title IV of the Higher Education Act of 1965, as amended (Title IV, HEA program). To the extent... higher education as defined in 34 CFR 600.4; (2) A proprietary institution of higher education as defined... 34 Education 3 2011-07-01 2011-07-01 false Scope. 668.1 Section 668.1 Education Regulations of the...
Fundamentals of Title IV Administration: From Applying to Creating Reports, 2003-2004.
ERIC Educational Resources Information Center
Office of Federal Student Aid (ED), Washington, DC.
This document provides a Fundamentals of Title IV Administration Workshop Agenda. The agenda includes an introduction and high level overview: the process in general; history of the programs; laws and regulations; and overview of the programs. Following this is a section on applying to participate and understand your school's responsibilities…
45 CFR 302.80 - Medical support enforcement.
Code of Federal Regulations, 2014 CFR
2014-10-01
... 45 Public Welfare 2 2014-10-01 2012-10-01 true Medical support enforcement. 302.80 Section 302.80... PLAN REQUIREMENTS § 302.80 Medical support enforcement. (a) The State plan may provide that the IV-D agency will secure and enforce medical support obligations under a cooperative agreement between the IV-D...
75 FR 47306 - Submission for OMB Review; Comment Request
Federal Register 2010, 2011, 2012, 2013, 2014
2010-08-05
... OMB Review; Comment Request Title: Case Plan Requirement, Title IV-E of the Social Security Act. OMB No.: 0980-0140. Description: Under section 471(a)(16) of title IV-E of the Social Security Act (the... development of a case plan for each child for whom the State receives foster care maintenance payments and...
75 FR 55792 - Submission for OMB Review; Comment Request
Federal Register 2010, 2011, 2012, 2013, 2014
2010-09-14
... OMB Review; Comment Request Title: Case Plan Requirement, Title IV-E of the Social Security Act. OMB No.: 0980-0140. Description: Under section 471(a)(16) of title IV-B of the Social Security Act (the... development of a case plan for each child for whom the State receives foster care maintenance payments and...
26 CFR 1.482-2 - Determination of taxable income in specific situations.
Code of Federal Regulations, 2010 CFR
2010-04-01
... intercompany trade receivable arises at the time economic performance occurs (within the meaning of section 461...). (iv) Payment; book entries—(A) Except as otherwise provided in this paragraph (a)(1)(iv), in... may apply payments or credits against amounts owed in some other order on its books in accordance with...
45 CFR 302.80 - Medical support enforcement.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 45 Public Welfare 2 2011-10-01 2011-10-01 false Medical support enforcement. 302.80 Section 302.80... PLAN REQUIREMENTS § 302.80 Medical support enforcement. (a) The State plan may provide that the IV-D agency will secure and enforce medical support obligations under a cooperative agreement between the IV-D...
26 CFR 1.460-0 - Outline of regulations under section 460.
Code of Federal Regulations, 2013 CFR
2013-04-01
... total allocable contract costs. (iv) Pre-contracting-year costs. (v) Post-completion-year costs. (6) 10... improvements. (iv) Mixed use costs. (3) $10,000,000 gross receipts test. (i) In general. (ii) Single employer...) Computations. (3) Post-completion-year income. (4) Total contract price. (i) In general. (A) Definition. (B...
29 CFR 2510.3-37 - Multiemployer plan.
Code of Federal Regulations, 2010 CFR
2010-07-01
...)-(iv). The purpose of this regulation is to establish such requirements. (b) Plans in existence before the effective date. (1) A plan in existence before September 2, 1974, will be considered a multiemployer plan if it satisfies the requirements of section 3(37)(A)(i)-(iv) of the Act. (2) For purposes of...
29 CFR 2510.3-37 - Multiemployer plan.
Code of Federal Regulations, 2011 CFR
2011-07-01
...)-(iv). The purpose of this regulation is to establish such requirements. (b) Plans in existence before the effective date. (1) A plan in existence before September 2, 1974, will be considered a multiemployer plan if it satisfies the requirements of section 3(37)(A)(i)-(iv) of the Act. (2) For purposes of...
Cross-Section Measurements in the Fast Neutron Energy Range
NASA Astrophysics Data System (ADS)
Plompen, Arjan
2006-04-01
Generation IV focuses research for advanced nuclear reactors on six concepts. Three of these concepts, the lead, gas and sodium fast reactors (LFR, GFR and SFR) have fast neutron spectra, whereas a fourth, the super-critical water reactor (SCWR), can be configured to have a fast spectrum. Such fast neutron spectra are essential to meet the sustainability objective of GenIV. Nuclear data requirements for GenIV concepts will therefore emphasize the energy region from about 1 keV to 10 MeV. Here, the potential is illustrated of the GELINA neutron time-of-flight facility and the Van de Graaff laboratory at IRMM to measure the relevant nuclear data in this energy range: the total, capture, fission and inelastic-scattering cross sections. In particular, measurement results will be shown for lead and bismuth inelastic scattering for which the need was recently expressed in a quantitative way by Aliberti et al. for Accelerator Driven Systems. Even without completion of the quantitative assessment of the data needs for GenIV concepts at ANL it is clear that this particular effort is of relevance to LFR system studies.
12 CFR 944.6 - Bank community support programs.
Code of Federal Regulations, 2010 CFR
2010-01-01
... modification, which shall require the Bank to: (i) Conduct market research in the Bank's district; (ii... and implementing its Targeted Community Lending Plan; and (iv) Establish quantitative targeted...
12 CFR 1290.6 - Bank community support programs.
Code of Federal Regulations, 2014 CFR
2014-01-01
... to modification, which shall require the Bank to—(i) Conduct market research in the Bank's district... and implementing its Targeted Community Lending Plan; and (iv) Establish quantitative targeted...
Building Analytic Capacity and Statistical Literacy Among Title IV-E MSW Students
LERY, BRIDGETTE; PUTNAM-HORNSTEIN, EMILY; WIEGMANN, WENDY; KING, BRYN
2016-01-01
Building and sustaining effective child welfare practice requires an infrastructure of social work professionals trained to use data to identify target populations, connect interventions to outcomes, adapt practice to varying contexts and dynamic populations, and assess their own effectiveness. Increasingly, public agencies are implementing models of self-assessment in which administrative data are used to guide and continuously evaluate the implementation of programs and policies. The research curriculum described in the article was developed to provide Title IV-E and other students interested in public child welfare systems with hands-on opportunities to become experienced and “statistically literate” users of aggregated public child welfare data from California’s administrative child welfare system, attending to the often missing link between data/research and practice improvement. PMID:27429600
78 FR 20934 - National Infrastructure Advisory Council; Notice of Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-08
.... Both mandate comprehensive consultation with stakeholders in very short time lines for implementation... Members III. Opening Remarks and Introductions IV. NIAC Presentation on Regional Resilience Working Group...
33 CFR 385.26 - Project Implementation Reports.
Code of Federal Regulations, 2014 CFR
2014-07-01
... available science; (iii) Comply with all applicable Federal, State, and Tribal laws; (iv) Contain sufficient... boundary of regional computer models or projects whose effects cannot be captured in regional computer...
33 CFR 385.26 - Project Implementation Reports.
Code of Federal Regulations, 2011 CFR
2011-07-01
... available science; (iii) Comply with all applicable Federal, State, and Tribal laws; (iv) Contain sufficient... boundary of regional computer models or projects whose effects cannot be captured in regional computer...
33 CFR 385.26 - Project Implementation Reports.
Code of Federal Regulations, 2012 CFR
2012-07-01
... available science; (iii) Comply with all applicable Federal, State, and Tribal laws; (iv) Contain sufficient... boundary of regional computer models or projects whose effects cannot be captured in regional computer...
33 CFR 385.26 - Project Implementation Reports.
Code of Federal Regulations, 2013 CFR
2013-07-01
... available science; (iii) Comply with all applicable Federal, State, and Tribal laws; (iv) Contain sufficient... boundary of regional computer models or projects whose effects cannot be captured in regional computer...
12 CFR 222.1 - Purpose, scope, and effective dates.
Code of Federal Regulations, 2010 CFR
2010-01-01
...) Section 115, concerning truncation of the social security number in a consumer report; (iv) Section 151(a... consumer reports; (viii) Section 155, concerning notice by debt collectors with respect to fraudulent... part generally applies to persons that obtain and use information about consumers to determine the...
Final Environmental Impact Statement for the Galileo Mission (Tier 2)
NASA Technical Reports Server (NTRS)
1989-01-01
This Final Environmental Impact Statement (FEIS) addresses the proposed action of completing the preparation and operation of the Galileo spacecraft, including its planned launch on the Space Transportation System (STS) Shuttle in October 1989, and the alternative of canceling further work on the mission. The Tier 1 (program level) EIS (NASA 1988a) considered the Titan IV launch vehicle as an alternative booster stage for launch in May 1991 or later. The May 1991 Venus launch opportunity is considered a planetary back-up for the Magellan (Venus Radar Mapper) mission, the Galileo mission, and the Ulysses mission. Plans were underway to enable the use of a Titan IV launch vehicle for the planetary back-up. However, in November 1988, the U.S. Air Force, which procures the Titan IV for NASA, notified NASA that it could not provide a Titan IV vehicle for the May 1991 launch opportunity due to high priority Department of Defense requirements. Consequently, NASA terminated all mission planning for the Titan IV planetary back-up. A minimum of 3 years is required to implement mission-specific modifications to the basic Titan IV launch configuration; therefore, insufficient time is available to use a Titan IV vehicle in May 1991. Thus, the Titan IV launch vehicle is no longer a feasible alternative to the STS/Inertial Upper Stage (IUS) for the May 1991 launch opportunity.
Rawson, Richard A.; Rataemane, Solomon; Rataemane, Lusanda; Ntlhe, Nomvuyo; Fox, Ruthlyn Sodano; McCuller, Jason; Brecht, Mary-Lynn
2012-01-01
This study evaluated the effectiveness of 3 approaches to transferring cognitive behavioral therapy (CBT) to addiction clinicians in the Republic of South Africa (RSA). Clinicians (N = 143) were assigned to 3 training conditions: (1) An in vivo (IV) approach in which clinicians received in-person training and coaching; (2) A distance learning (DL) approach providing training via video conference and coaching through teleconferencing; and (3) A control condition (C) providing a manual and 2-hour orientation. Frequency of use of CBT skills increased significantly with the IV and DL approaches compared to the C approach, and the IV approach facilitated greater use of CBT skills than the DL approach. During the active phase of the study, skill quality declined significantly for clinicians trained in the C condition, whereas those in the DL approach maintained skill quality and those in the IV approach improved skill quality. After coaching was discontinued, clinicians in the IV and DL approaches declined in skill quality. However, those in the IV approach maintained a higher level of skill quality compared to the other approaches. Cost of the IV condition was double that of the DL condition and 10 times greater than the C condition. PMID:23577903
Shaw, Sally Jane
2017-07-12
There is a range of risk factors that can lead to peripheral intravenous (IV) cannula failure, and several failed cannulation attempts can result in the patient experiencing increased pain, discomfort and delays in receiving IV therapy. The Vessel Health and Preservation (VHP) framework is a tool that can be used to improve clinical decision-making and the patient experience in relation to vascular access and IV therapy. Use of the VHP framework can ensure the right vein and right vascular access device (VAD) is selected at the right time for each patient. This article describes how healthcare practitioners can use the VHP framework to support and enhance vein assessment and VAD selection. It outlines the various types of VAD available, focusing on short-term peripheral IV cannulae, which are the most commonly used devices. It also explores the potential benefits of implementing the VHP framework in clinical areas.
1991-09-01
iv III. THE ANALYTIC HIERARCHY PROCESS ..... ........ 15 A. INTRODUCTION ...... ................. 15 B. THE AHP PROCESS ...... ................ 16 C...INTRODUCTION ...... ................. 26 B. IMPLEMENTATION OF CERTS USING AHP ........ .. 27 1. Consistency ...... ................ 29 2. User Interface...the proposed technique into a Decision Support System. Expert Choice implements the Analytic Hierarchy Process ( AHP ), an approach to multi- criteria
Code of Federal Regulations, 2010 CFR
2010-01-01
... necessary for implementation of the obligations of the United States under chapters III and IV of the IEP that relate to the mandatory international allocation of oil by IEP participating countries. (b) Any...
12 CFR 1290.6 - Bank community support programs.
Code of Federal Regulations, 2011 CFR
2011-01-01
... modification, which shall require the Bank to—(i) Conduct market research in the Bank's district; (ii) Describe... implementing its Targeted Community Lending Plan; and (iv) Establish quantitative targeted community lending...
12 CFR 1290.6 - Bank community support programs.
Code of Federal Regulations, 2013 CFR
2013-01-01
... modification, which shall require the Bank to—(i) Conduct market research in the Bank's district; (ii) Describe... implementing its Targeted Community Lending Plan; and (iv) Establish quantitative targeted community lending...
12 CFR 1290.6 - Bank community support programs.
Code of Federal Regulations, 2012 CFR
2012-01-01
... modification, which shall require the Bank to—(i) Conduct market research in the Bank's district; (ii) Describe... implementing its Targeted Community Lending Plan; and (iv) Establish quantitative targeted community lending...
ERIC Educational Resources Information Center
Clayton, Berwyn; Meyers, Dave; Bateman, Andrea; Bluer, Robert
2010-01-01
This document supports the report "Practitioner Expectations and Experiences with the Certificate IV in Training and Assessment (TAA40104)". The first section outlines the methodology used to undertake the research and covers the design of the research, sample details, data collection processes and the strategy for data analysis and…
45 CFR 1357.20 - Child abuse and neglect programs.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 45 Public Welfare 4 2013-10-01 2013-10-01 false Child abuse and neglect programs. 1357.20 Section... APPLICABLE TO TITLE IV-B § 1357.20 Child abuse and neglect programs. The State agency must assure that, with regard to any child abuse and neglect programs or projects funded under title IV-B of the Act, the...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-09-12
... of Rulemaking on Federal Agencies IV. Methods Used by the Administrator To Determine Whether To Add... [ssquf] Rare cancers The Administrator developed a hierarchy of methods (detailed in Section IV of this... treating 9/11- exposed patients; health and research organizations; the WTC Health Program Survivors...
77 FR 75075 - Schedules of Controlled Substances: Placement of Lorcaserin Into Schedule IV
Federal Register 2010, 2011, 2012, 2013, 2014
2012-12-19
... marketing lorcaserin as a Schedule IV substance will decrease its abuse, as opposed to marketing it as an... for marketing by FDA as an addition to a reduced-calorie diet and exercise, for chronic weight... to Section 3(d)(1) of Executive Order 12866 and the principles reaffirmed in Executive Order 13563...
Code of Federal Regulations, 2010 CFR
2010-04-01
... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Coordination with programs under title IV of the Higher Education Act including the Pell grant program. 627.220 Section 627.220 Employees' Benefits... of the Higher Education Act including the Pell grant program. (a) Coordination. Financial assistance...
Federal Register 2010, 2011, 2012, 2013, 2014
2010-02-26
...)(5)(iv) was revised and redesignated (g)(4)(vi), but the old paragraph (g)(5)(iv) was retained in error. This correction restores the omitted language, unchanged in wording or content, to the paragraph on permit processing, removes the old duplicate paragraph, and redesignates the sections after it to...
21 CFR 155.190 - Canned tomatoes.
Code of Federal Regulations, 2011 CFR
2011-04-01
... in paragraph (a)(3) of this section and be prepared in one of the styles specified in paragraph (a)(4... that when the tomatoes are prepared in one of the styles specified in paragraphs (a)(4) (ii) to (iv) of... requirements of § 155.191. (4) Styles. (i) Whole. (ii) Diced. (iii) Sliced. (iv) Wedges. (5) Name of the food...
40 CFR 147.2550 - State-administered program-Class I, III, IV and V wells.
Code of Federal Regulations, 2010 CFR
2010-07-01
... Rules and Regulations, Wyoming Department of Environmental Quality, Chapter XXI: In Situ Mining... program for Class I, III, IV and V wells in the State of Wyoming, except those on Indian lands is the... section 1422 of the SDWA. Notice of this approval was published in the Federal Register on July 15, 1983...
40 CFR 147.2550 - State-administered program-Class I, III, IV and V wells.
Code of Federal Regulations, 2012 CFR
2012-07-01
... Rules and Regulations, Wyoming Department of Environmental Quality, Chapter XXI: In Situ Mining... program for Class I, III, IV and V wells in the State of Wyoming, except those on Indian lands is the... section 1422 of the SDWA. Notice of this approval was published in the Federal Register on July 15, 1983...
7 CFR 42.112 - Defects of containers: Tables IV, V, VI, VII, VIII, IX, and X.
Code of Federal Regulations, 2014 CFR
2014-01-01
..., and X. 42.112 Section 42.112 Agriculture Regulations of the Department of Agriculture AGRICULTURAL... Stationary Lot Sampling and Inspection § 42.112 Defects of containers: Tables IV, V, VI, VII, VIII, IX, and X... Table X—Unitizing [Plastic or other type of casing/unitizing] Defects Categories Major Minor Not...
Code of Federal Regulations, 2014 CFR
2014-10-01
... 45 Public Welfare 4 2014-10-01 2014-10-01 false State fiscal requirements (title IV-B, subpart 2, family preservation and family support services). 1357.32 Section 1357.32 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN...
Code of Federal Regulations, 2011 CFR
2011-10-01
... 45 Public Welfare 4 2011-10-01 2011-10-01 false State fiscal requirements (title IV-B, subpart 2, family preservation and family support services). 1357.32 Section 1357.32 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN...
Code of Federal Regulations, 2013 CFR
2013-10-01
... 45 Public Welfare 4 2013-10-01 2013-10-01 false State fiscal requirements (title IV-B, subpart 2, family preservation and family support services). 1357.32 Section 1357.32 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN...
Code of Federal Regulations, 2012 CFR
2012-10-01
... 45 Public Welfare 4 2012-10-01 2012-10-01 false State fiscal requirements (title IV-B, subpart 2, family preservation and family support services). 1357.32 Section 1357.32 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN...
Development of a Solid Rocket Propellant Nonlinear Constitutive Theory
1975-05-01
14 21 29 15 28 27 45 34 44 28 43 22 16 41 lü 40 58 35 57 59 56 23 55 17 54 11 53 36 30 24 18 1? J 6 0.0 0.1 0.2 0.3...Analysis 123 SECTION 6 - TASK IV - FINITE ELEMENT CODE DEMONSTRATION 139 A. Work to be Accomplished 139 B. Original Task IV Effort 139 C. Task IV...Vlscoelastlc Predictions 55 and Fyperimental Data for Sollthane 113 6 Comparison of Linear Vlscoelastlc Predictions 56 and Experimental Data for
DOE Office of Scientific and Technical Information (OSTI.GOV)
King, David A.
2012-08-16
Oak Ridge Associated Universities (ORAU) conducted in-process inspections and independent verification (IV) surveys in support of DOE's remedial efforts in Zone 1 of East Tennessee Technology Park (ETTP) in Oak Ridge, Tennessee. Inspections concluded that the remediation contractor's soil removal and survey objectives were satisfied and the dynamic verification strategy (DVS) was implemented as designed. Independent verification (IV) activities included gamma walkover surveys and soil sample collection/analysis over multiple exposure units (EUs).
Theoretical Studies of a Transient Stimulated Raman Amplifier
1988-04-19
follows: I. contour plot of pump intensity . 1. sections of pump intensity 2. sections of pump phase 3. sections of pump amplitude (real/ imag ) I...contour plot of pump FFT intensity 4. sections of pump FFT intensity 5. sections of pump FFT phase 6. sections of pump FFT amplitude (real/ imag ) II...contour plot of Stokes intensity 7. sections of Stokes intensity 8. sections of Stokes phase 9. sections of Stokes amplitude (real/ imag ) IV. contour plot
10 CFR 4.92 - Forms and instructions.
Code of Federal Regulations, 2010 CFR
2010-01-01
... FINANCIAL ASSISTANCE FROM THE COMMISSION Regulations Implementing Title VI of the Civil Rights Act of 1964 and Title IV of the Energy Reorganization Act of 1974 Effect on Other Regulations; Forms and...
10 CFR 4.92 - Forms and instructions.
Code of Federal Regulations, 2011 CFR
2011-01-01
... FINANCIAL ASSISTANCE FROM THE COMMISSION Regulations Implementing Title VI of the Civil Rights Act of 1964 and Title IV of the Energy Reorganization Act of 1974 Effect on Other Regulations; Forms and...
26 CFR 1.904-0 - Outline of regulation provisions for section 904.
Code of Federal Regulations, 2011 CFR
2011-04-01
... post-2002 unused foreign tax paid or accrued with respect to dividends from noncontrolled section 902.... (iii) Interaction with section 954(b)(4). (8) Examples. (d) [Reserved] (e) Financial services income...-through entities. (A) Rule. (B) Examples. (iv) Examples. (4) Definition of incidental income. (i) In...
77 FR 37954 - Revision of Form FHWA-1273
Federal Register 2010, 2011, 2012, 2013, 2014
2012-06-25
... inclusion in contract requirements between the New Jersey DOT and the contractor. FHWA Response: Form FHWA... Comments by Section Section I. General The Wyoming DOT recommended that FHWA either mandate the inclusion... social security numbers in Section IV.3. FHWA Response 2: On December 19, 2008, DOL issued a final rule...
NASA Astrophysics Data System (ADS)
Munteanu, Daniel
2018-04-01
The main goal of the BraMat 2017 Conference was, as for the previous editions, to stimulate an international exchange of information in the field of materials science and engineering and to establish future research directions. The main topics of this edition included: Metallic materials (Section I), Biomaterials (Section II), Ceramics, polymers and composite materials (Section III), Surface engineering (Section IV), Nanomaterials (Section V), Welding engineering (Section VI), Safety engineering (Section VII), and Magnesium science and engineering (Section VIII).
Relating DSM-5 section III personality traits to section II personality disorder diagnoses.
Morey, L C; Benson, K T; Skodol, A E
2016-02-01
The DSM-5 Personality and Personality Disorders Work Group formulated a hybrid dimensional/categorical model that represented personality disorders as combinations of core impairments in personality functioning with specific configurations of problematic personality traits. Specific clusters of traits were selected to serve as indicators for six DSM categorical diagnoses to be retained in this system - antisocial, avoidant, borderline, narcissistic, obsessive-compulsive and schizotypal personality disorders. The goal of the current study was to describe the empirical relationships between the DSM-5 section III pathological traits and DSM-IV/DSM-5 section II personality disorder diagnoses. Data were obtained from a sample of 337 clinicians, each of whom rated one of his or her patients on all aspects of the DSM-IV and DSM-5 proposed alternative model. Regression models were constructed to examine trait-disorder relationships, and the incremental validity of core personality dysfunctions (i.e. criterion A features for each disorder) was examined in combination with the specified trait clusters. Findings suggested that the trait assignments specified by the Work Group tended to be substantially associated with corresponding DSM-IV concepts, and the criterion A features provided additional diagnostic information in all but one instance. Although the DSM-5 section III alternative model provided a substantially different taxonomic structure for personality disorders, the associations between this new approach and the traditional personality disorder concepts in DSM-5 section II make it possible to render traditional personality disorder concepts using alternative model traits in combination with core impairments in personality functioning.
34 CFR 685.306 - Payment of a refund or return of title IV, HEA program funds to the Secretary.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 34 Education 3 2010-07-01 2010-07-01 false Payment of a refund or return of title IV, HEA program funds to the Secretary. 685.306 Section 685.306 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF POSTSECONDARY EDUCATION, DEPARTMENT OF EDUCATION WILLIAM D. FORD...
Code of Federal Regulations, 2010 CFR
2010-07-01
... 34 Education 3 2010-07-01 2010-07-01 false Consequences of cohort default rates on your ability to participate in Title IV, HEA programs. 668.206 Section 668.206 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF POSTSECONDARY EDUCATION, DEPARTMENT OF EDUCATION STUDENT...
Code of Federal Regulations, 2010 CFR
2010-07-01
... 34 Education 3 2010-07-01 2010-07-01 false Consequences of cohort default rates on your ability to participate in Title IV, HEA programs. 668.187 Section 668.187 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF POSTSECONDARY EDUCATION, DEPARTMENT OF EDUCATION STUDENT...
ERIC Educational Resources Information Center
Advanced Technology, Inc., Reston, VA.
Stage Two of the Title IV Quality Control Project is an integrated study of quality in five related Federal financial aid programs for postsecondary students. Section 1 of the paper establishes a framework for defining quality improvements, in order to identify the types of changes that would tend to improve quality across all facets of the…
Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-19
... manufactured for BioCryst Pharmaceuticals, Inc. (BioCryst) for intravenous (IV) administration in certain adult... peramivir is as follows: Peramivir injection: 200mg/20mL (10 mg/mL) single use vial manufactured for BioCryst Pharmaceuticals, Inc. (BioCryst). (See Section IV.D.3. of this letter). 1. The above peramivir...
Update Direct-Strike Lightning Environment for Stockpile-to-Target Sequence
DOE Office of Scientific and Technical Information (OSTI.GOV)
Uman, M A; Rakov, V A; Elisme, J O
2008-10-01
The University of Florida has surveyed all relevant publications reporting lightning characteristics and presents here an up-to-date version of the direct-strike lightning environment specifications for nuclear weapons published in 1989 by R. J. Fisher and M. A. Uman. Further, we present functional expressions for current vs. time, current derivative vs. time, second current derivative vs. time, charge transfer vs. time, and action integral (specific energy) vs. time for first return strokes, for subsequent return strokes, and for continuing currents; and we give sets of constants for these expressions so that they yield approximately the median and extreme negative lightning parametersmore » presented in this report. Expressions for the median negative lightning waveforms are plotted. Finally, we provide information on direct-strike lightning damage to metals such as stainless steel, which could be used as components of storage containers for nuclear waste materials; and we describe UF's new experimental research program to add to the sparse data base on the properties of positive lightning. Our literature survey, referred to above, is included in four Appendices. The following four sections (II, III, IV, and V) of this final report deal with related aspects of the research: Section II. Recommended Direct-Strike Median and Extreme Parameters; Section III. Time-Domain Waveforms for First Strokes, Subsequent Strokes, and Continuing Currents; Section IV. Damage to Metal Surfaces by Lightning Currents; and Section V. Measurement of the Characteristics of Positive Lightning. Results of the literature search used to derive the material in Section II and Section IV are found in the Appendices: Appendix 1. Return Stroke Current, Appendix 2. Continuing Current, Appendix 3. Positive Lightning, and Appendix 4. Lightning Damage to Metal Surfaces.« less
An Analysis of the United States Air Force Energy Savings Performance Contracts
2007-12-01
key element of the ESPC system. Chapter IV uses the standard contracting processes to review the USAF implementations of strategic purchasing with...process and each level facilitates regionalization, which is the current implementation method of strategic purchasing for energy service management...the existing regulations that are inconsistent with the ESPC intent , and 3) to formulate substitute regulations consistent with laws governing Federal
Implementing the System for Health in the US Army Reserves Through the Performance Triad
2014-02-13
Training Brigade in San Antonio, Texas. iv Abstract Strategic parameters such as reducing the portion of the Department of Defense...ready and resilient Soldiers. RAND Corporation and the World Health Organization provide insight through the successful implementation of workplace ...centralized resources found on active duty military bases may reduce Triad effectiveness 3 in its current design. The USAR must mitigate these
1992-06-30
This interim final rule amends current Medicaid regulations to permit States to offer, under a Secretarial waiver, a wide array of home and community-based services to individuals age 65 or older who are determined, but for the provision of these services, to be likely to require the level of care furnished in a skilled nursing facility (SNF) or intermediate care facility (ICF) (nursing facility (NF) effective October 1, 1990). The rule allows Federal payment for these and other long term care services, up to an amount specified in section 1915(d)(5)(B) of the Social Security Act, subject to HCFA's approval of the States' requests for waivers and certain assurances made by the States. Once granted, waivers are in effect for 3 years, unless terminated by the State with notice to the Secretary, and are renewable for periods of 5 years. Periodic evaluation, assessment, and review of the care furnished under the waivers is required. This rule implements section 4102 of the Omnibus Budget Reconciliation Act of 1987, as modified by section 411(k) of the Medicare Catastrophic Coverage Act of 1988, section 8432 of the Technical and Miscellaneous Revenue Act of 1988, and section 4741(b) of the Omnibus Budget Reconciliation Act of 1990. This rule is being issued in final and, for the most part, without a delay in the effective date for the reasons explained in section IV, "Waiver of Proposed Rulemaking and Delay in the Effective Date."
Meeting the Needs of Homeless Youth. A Report of the Homeless Youth Steering Committee.
ERIC Educational Resources Information Center
Frawley, Robert; Zafonte, Suzanne M.
This report examines the unique aspects of homelessness among youth ages 16 to 21. Section I reviews existing literature and data on the size, characteristics, and needs of homeless youth. Section II summarizes New York State's current efforts on their behalf. Section III analyzes obstacles to serving this population. Section IV outlines an action…
NASA Technical Reports Server (NTRS)
Barr, Lawrence D. (Editor)
1990-01-01
The present conference on the current status of large, advanced-technology optical telescope development and construction projects discusses topics on such factors as their novel optical system designs, the use of phased arrays, seeing and site performance factors, mirror fabrication and testing, pointing and tracking techniques, mirror thermal control, structural design strategies, mirror supports and coatings, and the control of segmented mirrors. Attention is given to the proposed implementation of the VLT Interferometer, the first diffraction-limited astronomical images with adaptive optics, a fiber-optic telescope using a large cross-section image-transmitting bundle, the design of wide-field arrays, Hartmann test data reductions, liquid mirrors, inertial drives for telescope pointing, temperature control of large honeycomb mirrors, evaporative coatings for very large telescope mirrors, and the W. M. Keck telescope's primary mirror active control system software.
Häberle, Johannes; Huemer, Martina
2015-01-01
Implementation of guidelines and assessment of their adaptation is not an extensively investigated process in the field of rare diseases. However, whether targeted recipients are reached and willing and able to follow the recommendations has significant impact on the efficacy of guidelines. In 2012, a guideline for the management of urea cycle disorders (UCDs) has been published. We evaluate the efficacy of implementation, adaptation, and use of the UCD guidelines by applying different strategies. (i) Download statistics from online sources were recorded. (ii) Facilities relevant for the implementation of the guidelines were assessed in pediatric units in Germany and Austria. (iii) The guidelines were evaluated by targeted recipients using the AGREE instrument. (iv) A regional networking-based implementation process was evaluated. (i) Download statistics revealed high access with an increase in downloads over time. (ii) In 18% of hospitals ammonia testing was not available 24/7, and emergency drugs were often not available. (iii) Recipient criticism expressed in the AGREE instrument focused on incomplete inclusion of patients' perspectives. (iv) The implementation process improved the availability of ammonia measurements and access to emergency medication, patient care processes, and cooperation between nonspecialists and specialists. Interest in the UCD guidelines is high and sustained, but more precise targeting of the guidelines is advisable. Surprisingly, many hospitals do not possess all facilities necessary to apply the guidelines. Regional network and awareness campaigns result in the improvement of both facilities and knowledge.
Fast and Adaptive Lossless On-Board Hyperspectral Data Compression System for Space Applications
NASA Technical Reports Server (NTRS)
Aranki, Nazeeh; Bakhshi, Alireza; Keymeulen, Didier; Klimesh, Matthew
2009-01-01
Efficient on-board lossless hyperspectral data compression reduces the data volume necessary to meet NASA and DoD limited downlink capabilities. The techniques also improves signature extraction, object recognition and feature classification capabilities by providing exact reconstructed data on constrained downlink resources. At JPL a novel, adaptive and predictive technique for lossless compression of hyperspectral data was recently developed. This technique uses an adaptive filtering method and achieves a combination of low complexity and compression effectiveness that far exceeds state-of-the-art techniques currently in use. The JPL-developed 'Fast Lossless' algorithm requires no training data or other specific information about the nature of the spectral bands for a fixed instrument dynamic range. It is of low computational complexity and thus well-suited for implementation in hardware, which makes it practical for flight implementations of pushbroom instruments. A prototype of the compressor (and decompressor) of the algorithm is available in software, but this implementation may not meet speed and real-time requirements of some space applications. Hardware acceleration provides performance improvements of 10x-100x vs. the software implementation (about 1M samples/sec on a Pentium IV machine). This paper describes a hardware implementation of the JPL-developed 'Fast Lossless' compression algorithm on a Field Programmable Gate Array (FPGA). The FPGA implementation targets the current state of the art FPGAs (Xilinx Virtex IV and V families) and compresses one sample every clock cycle to provide a fast and practical real-time solution for Space applications.
1991-09-20
Agreement Number: 91-07-16- VRX See section 3.1 for any additional information about the testing environment. As a result of this validation effort...Washington DC 20301 92-06991 AVF Control Number: AVF-VSR-511.0292 18 February 1992 91-07-16- VRX Ada COMPILER VALIDATION SUMMARY REPORT: Certificate Number...System: Ironics IV9001 board (AMD 29000) (Am29000 bare VME machine) Customer Agreement Number: 91-07-16- VRX See section 3.1 for any additional information
26 CFR 1.954-2 - Foreign personal holding company income.
Code of Federal Regulations, 2011 CFR
2011-04-01
... commodities transactions as described in paragraph (f) of this section; (iv) Foreign currency gain as... regard to the exceptions in paragraph (h)(1)(ii)(A) of this section; (C) Foreign currency gain or loss...) of this section; (D) Gain or loss from commodities transactions, as described in paragraph (f) of...
Code of Federal Regulations, 2011 CFR
2011-04-01
...) Gain from commodities transactions as defined in paragraph (f) of this section; (iv) Foreign currency... this section, gain from a commodities transaction under paragraph (f) of this section (whether or not derived from a qualified hedging transaction or qualified active sales), or foreign currency gain under...
30 CFR 250.198 - Documents incorporated by reference.
Code of Federal Regulations, 2011 CFR
2011-07-01
... Addenda, and all Section I Interpretations Volume 55, incorporated by reference at § 250.803(b)(1), (b)(1...; July 1, 2005 Addenda, and all Section IV Interpretations Volume 55, incorporated by reference at § 250... Addenda, Divisions 1 and 2, and all Section VIII Interpretations Volumes 54 and 55, incorporated by...
Code of Federal Regulations, 2010 CFR
2010-01-01
... contains a pesticide chemical which is unsafe within the meaning of section 408 of the Federal Food, Drug... of section 409 of the Federal Food, Drug, and Cosmetic Act; (iv) If it bears or contains any color additive which is unsafe within the meaning of section 706 of the Federal Food, Drug, and Cosmetic Act...
Bakan, Mefkur; Topuz, Ufuk; Esen, Asim; Basaranoglu, Gokcen; Ozturk, Erdogan
2013-01-01
The anesthesiologist must be aware of the causes, diagnosis and treatment of venous air embolism and adopt the practice patterns to prevent its occurrence. Although venous air embolism is a known complication of cesarean section, we describe an unusual inattention that causes iatrogenic near fatal venous air embolism during a cesarean section under spinal anesthesia. One of the reasons for using self-collapsible intravenous (IV) infusion bags instead of conventional glass or plastic bottles is to take precaution against air embolism. We also demonstrated the risk of air embolism for two kinds of plastic collapsible intravenous fluid bags: polyvinyl chloride (PVC) and polypropylene-based. Fluid bags without self-sealing outlets pose a risk for air embolism if the closed system is broken down, while the flexibility of the bag limits the amount of air entry. PVC-based bags, which have more flexibility, have significantly less risk of air entry when IV administration set is disconnected from the outlet. Using a pressure bag for rapid infusion can be dangerous without checking and emptying all air from the IV bag. 2013 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.
Bakan, Mefkur; Topuz, Ufuk; Esen, Asim; Basaranoglu, Gokcen; Ozturk, Erdogan
2013-01-01
The anesthesiologist must be aware of the causes, diagnosis and treatment of venous air embolism and adopt the practice patterns to prevent its occurrence. Although venous air embolism is a known complication of cesarean section, we describe an unusual inattention that causes iatrogenic near fatal venous air embolism during a cesarean section under spinal anesthesia. One of the reasons for using self-collapsible intravenous (IV) infusion bags instead of conventional glass or plastic bottles is to take precaution against air embolism. We also demonstrated the risk of air embolism for two kinds of plastic collapsible intravenous fluid bags: polyvinyl chloride (PVC) and polypropylene-based. Fluid bags without self-sealing outlets pose a risk for air embolism if the closed system is broken down, while the flexibility of the bag limits the amount of air entry. PVC-based bags, which have more flexibility, have significantly less risk of air entry when IV administration set is disconnected from the outlet. Using a pressure bag for rapid infusion can be dangerous without checking and emptying all air from the IV bag. Copyright © 2013 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.
Assessing the Army’s Software Patch Management Process
2016-03-04
25 Data Collection .................................................................................................................... 26 iv...29 Collected Data ...University (DAU). Since the inception of the APG SSCF in 2009, the SRP implementation has emphasized the use of survey design and data collection. In January
2013-09-01
17 5.6 SAMPLING RESULTS ........................................................................................ 18 6.0 PERFORMANCE...Page ii 8.0 IMPLEMENTATION ISSUES ........................................................................................ 37 8.1 FILTRATION ...15 iv LIST OF TABLES Page Table 1. Performance results
Simulation of Ultra-Small MOSFETs Using a 2-D Quantum-Corrected Drift-Diffusion Model
NASA Technical Reports Server (NTRS)
Biegel, Bryan A.; Rafferty, Conor S.; Yu, Zhiping; Dutton, Robert W.; Ancona, Mario G.; Saini, Subhash (Technical Monitor)
1998-01-01
We describe an electronic transport model and an implementation approach that respond to the challenges of device modeling for gigascale integration. We use the density-gradient (DG) transport model, which adds tunneling and quantum smoothing of carrier density profiles to the drift-diffusion model. We present the current implementation of the DG model in PROPHET, a partial differential equation solver developed by Lucent Technologies. This implementation approach permits rapid development and enhancement of models, as well as run-time modifications and model switching. We show that even in typical bulk transport devices such as P-N diodes and BJTs, DG quantum effects can significantly modify the I-V characteristics. Quantum effects are shown to be even more significant in small, surface transport devices, such as sub-0.1 micron MOSFETs. In thin-oxide MOS capacitors, we find that quantum effects may reduce gate capacitance by 25% or more. The inclusion of quantum effects in simulations dramatically improves the match between C-V simulations and measurements. Significant quantum corrections also occur in the I-V characteristics of short-channel MOSFETs due to the gate capacitance correction.
Al-Jawaldeh, Ayoub; Abul-Fadl, Azza
2018-03-11
The Baby-Friendly Hospital Initiative (BFHI) is a global program for promoting support and protection for breastfeeding. However, its impact on malnutrition, especially in countries of the Eastern Mediterranean region (EMR) that are facing the turmoil of conflict and emergencies, deserves further investigation. Having said that, this paper aims to discuss the status and challenges to BFHI implementation in the EMR countries. Data on BFHI implementation, breastfeeding practices, and nutritional status were collected from countries through structured questionnaires, personal interviews, and databases. The 22 countries of the EMR were categorized as follows: 8 countries in advanced nutrition transition stage (group I), 5 countries in early nutrition transition stage (group II), 4 countries with significant undernutrition (group III), and 5 countries in complex emergency (group IV). The challenges to BFHI implementation were discussed in relation to malnutrition. BFHI was not implemented in 22.7% of EMR countries. Designated Baby-Friendly hospitals totaled 829 (group I: 78.4%, group II: 9.05%; group III: 7.36%; group: IV5.19%). Countries with advanced nutrition transition had the highest implementation of BFHI but the lowest breastfeeding continuity rates. On the other hand, poor nutritional status and emergency states were linked with low BFHI implementation and low exclusive breastfeeding rates but high continuity rates. Early initiation and longer duration of breastfeeding correlated negatively with overweight and obesity ( p < 0.001). In countries with emergency states, breastfeeding continues to be the main source of nourishment. However, suboptimal breastfeeding practices prevail because of poor BFHI implementation which consequently leads to malnutrition. Political willpower and community-based initiatives are needed to promote breastfeeding and strengthen BFHI in the region.
Code of Federal Regulations, 2014 CFR
2014-10-01
...) The effective date of a plan or plan amendment may not be earlier than the first day of the fiscal... program application, plan or plan amendment? 309.35 Section 309.35 Public Welfare Regulations Relating to... of a Tribal IV-D program application, plan or plan amendment? (a) The Secretary will promptly review...
Code of Federal Regulations, 2010 CFR
2010-10-01
... application fee must be uniformly applied by the Tribe or Tribal organization and must be: (i) A flat amount... a Tribe or Tribal organization include in a Tribal IV-D plan? 309.75 Section 309.75 Public Welfare... procedures must a Tribe or Tribal organization include in a Tribal IV-D plan? A Tribe or Tribal organization...
Implementation and Testing of the JANUS Standard with SSC Pacific’s Software-Defined Acoustic Modem
2017-10-01
Communications Outpost (FDECO) Innovative Naval Prototype (INP) Program by the Advanced Photonic Technologies Branch (Code 55360), Space and Naval Warfare...underwater acoustic communication operations with NATO and non-NATO military and civilian maritime assets. iv ACRONYMS SPAWAR Space and Naval Warfare...the center frequency [1]. The ease of implementation and proven robustness in harsh underwater acoustic communication channels paved the way for
End-to-End Concurrent Multipath Transfer Using Transport Layer Multihoming
2006-07-01
Department,Newark, DE ,19716 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S... Systems , Inc. My thanks to all for their generous funding that made this research possible. iv TABLE OF CONTENTS ABSTRACT...SCTP implementation, which is written for the BSD family of operating systems . This implementation effort was funded by Cisco Systems , with the goal of
Code of Federal Regulations, 2012 CFR
2012-07-01
..., section VII—Unfired Pressure Vessels—1968. Insulation surrounding the liquid oxygen container shall be... in § 1910.6. (iv) Insulation. Insulation casings on liquid oxygen containers shall be equipped with... oxygen and heating medium sections with safety relief devices. (iii) Heating. Heat used in an oxygen...
Code of Federal Regulations, 2011 CFR
2011-07-01
..., section VII—Unfired Pressure Vessels—1968. Insulation surrounding the liquid oxygen container shall be... in § 1910.6. (iv) Insulation. Insulation casings on liquid oxygen containers shall be equipped with... oxygen and heating medium sections with safety relief devices. (iii) Heating. Heat used in an oxygen...
Code of Federal Regulations, 2013 CFR
2013-07-01
..., section VII—Unfired Pressure Vessels—1968. Insulation surrounding the liquid oxygen container shall be... in § 1910.6. (iv) Insulation. Insulation casings on liquid oxygen containers shall be equipped with... oxygen and heating medium sections with safety relief devices. (iii) Heating. Heat used in an oxygen...
Code of Federal Regulations, 2010 CFR
2010-07-01
..., Section VII—Unfired Pressure Vessels—1968. Insulation surrounding the liquid oxygen container shall be... in § 1910.6. (iv) Insulation. Insulation casings on liquid oxygen containers shall be equipped with... oxygen and heating medium sections with safety relief devices. (iii) Heating. Heat used in an oxygen...
Code of Federal Regulations, 2014 CFR
2014-07-01
..., section VII—Unfired Pressure Vessels—1968. Insulation surrounding the liquid oxygen container shall be... in § 1910.6. (iv) Insulation. Insulation casings on liquid oxygen containers shall be equipped with... oxygen and heating medium sections with safety relief devices. (iii) Heating. Heat used in an oxygen...
48 CFR 852.211-70 - Service data manuals.
Code of Federal Regulations, 2011 CFR
2011-10-01
... applicable, flow charts and narrative descriptions of software shall be provided. If programming is either...) Section IV, Principles of Operation. This section shall describe in narrative form the principles of... the recommended frequency of performance shall be included for visual inspection, cleaning...
20 CFR 638.813 - Nondiscrimination; nonsectarian activities.
Code of Federal Regulations, 2010 CFR
2010-04-01
.... 638.813 Section 638.813 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR JOB CORPS PROGRAM UNDER TITLE IV-B OF THE JOB TRAINING PARTNERSHIP ACT Administrative Provisions... assistance. (Section 167) (b) Nonsectarian activities. Students shall not be employed or trained on the...
21 CFR 101.9 - Nutrition labeling of food.
Code of Federal Regulations, 2011 CFR
2011-04-01
... offered for sale unless an exemption is provided for the product in paragraph (j) of this section. (1... labeling of a food exempted under paragraph (j) of this section to the requirements of this section if the...) for the age group for which the product is intended, as specified in paragraph (c)(8)(iv) of this...
21 CFR 101.9 - Nutrition labeling of food.
Code of Federal Regulations, 2010 CFR
2010-04-01
... offered for sale unless an exemption is provided for the product in paragraph (j) of this section. (1... labeling of a food exempted under paragraph (j) of this section to the requirements of this section if the...) for the age group for which the product is intended, as specified in paragraph (c)(8)(iv) of this...
26 CFR 1.467-7 - Section 467 recapture and other rules relating to dispositions and modifications.
Code of Federal Regulations, 2010 CFR
2010-04-01
... beginning balance of the transferee's section 467 loan is negative, the transferor and transferee must treat... liability. (iv) If the beginning balance of the substitute lessee's section 467 loan is negative, the... substitute lessee first has use of the property was negative, any consideration paid by the substitute lessee...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-05-23
... Amendments to the Real Estate Settlement Procedures Act (Regulation X) (2013 HOEPA Final Rule), 78 FR 6855... 7215 (Jan. 31, 2013); Mortgage Servicing Rules Under the Real Estate Settlement Procedures Act...\\ 73 FR 44522 (July 30, 2008). IV. Section-by-Section Analysis Section 1026.35 Requirements for Higher...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-12-20
...; Notice Seeking Exemption Under Section 312 of the Small Business Investment Act, Conflicts of Interest... Section 312 of the Act and Section 107.730, Financings which Constitute Conflicts of Interest of the Small... given that any interested person may submit written comments on the transaction within fifteen days of...
V&V of Fault Management: Challenges and Successes
NASA Technical Reports Server (NTRS)
Fesq, Lorraine M.; Costello, Ken; Ohi, Don; Lu, Tiffany; Newhouse, Marilyn
2013-01-01
This paper describes the results of a special breakout session of the NASA Independent Verification and Validation (IV&V) Workshop held in the fall of 2012 entitled "V&V of Fault Management: Challenges and Successes." The NASA IV&V Program is in a unique position to interact with projects across all of the NASA development domains. Using this unique opportunity, the IV&V program convened a breakout session to enable IV&V teams to share their challenges and successes with respect to the V&V of Fault Management (FM) architectures and software. The presentations and discussions provided practical examples of pitfalls encountered while performing V&V of FM including the lack of consistent designs for implementing faults monitors and the fact that FM information is not centralized but scattered among many diverse project artifacts. The discussions also solidified the need for an early commitment to developing FM in parallel with the spacecraft systems as well as clearly defining FM terminology within a project.
Going Digital - The Transition from Mark IV to DBBC at Onsala
NASA Astrophysics Data System (ADS)
Kareinen, Niko; Haas, Rüdiger; La Porta, Laura; Bertarini, Alessandra
2014-12-01
The Onsala Space Observatory is currently equipped with both a VLBI Mark IV rack and a digital BBC (DBBC). The Mark IV rack at Onsala has been used operationally for both astronomical and geodetic VLBI for more than 40 years. In 2011, Onsala purchased a DBBC and we started to test it and to gain experience with the new device, both for astronomical and geodetic VLBI. The DBBC was upgraded several times and the Field System (FS) interface was implemented. We did parallel recordings, with both the old Mark IV/Mark 5A system and the new DBBC/Mark 5B+ system, during numerous geodetic VLBI sessions. Several R1, T2, and Euro sessions were correlated during the last two years by the Bonn correlator with Onsala being included both as an analog station (two-letter code On) and as a digital station (two-letter code Od). We present results from these parallel sessions, both results from the original correlation and results from the analysis of the corresponding databases.
2012-01-01
Background Mental disorders are classified by two major nosological systems, the ICD-10 and the DSM-IV-TR, consisting of different diagnostic criteria. The present study investigated the diagnostic concordance between the two systems for anxiety disorders in childhood and adolescence, in particular for separation anxiety disorder (SAD), specific phobia, social phobia, and generalized anxiety disorder (GAD). Methods A structured clinical interview, the Kinder-DIPS, was administered to 210 children and 258 parents. The percentage of agreement, kappa, and Yule’s Y coefficients were calculated for all diagnoses. Specific criteria causing discrepancies between the two classification systems were identified. Results DSM-IV-TR consistently classified more children than ICD-10 with an anxiety disorder, with a higher concordance between DSM-IV-TR and the ICD-10 child section (F9) than with the adult section (F4) of the ICD-10. This result was found for all four investigated anxiety disorders. The results revealed low to high levels of concordance and poor to good agreement between the classification systems, depending on the anxiety disorder. Conclusions The two classification systems identify different children with an anxiety disorder. However, it remains an open question, whether the research results can be generalized to clinical practice since DSM-IV-TR is mainly used in research while ICD-10 is widely established in clinical practice in Europe. Therefore, the population investigated by the DSM (research population) is not identical with the population examined using the ICD (clinical population). PMID:23267678
Corruble, Emmanuelle; Chouinard, Virginie-Anne; Letierce, Alexia; Gorwood, Philip A P M; Chouinard, Guy
2009-08-01
To assess the DSM-IV major depressive episode (MDE) bereavement exclusion criterion by comparing severity and pattern of symptoms in bereavement-excluded individuals satisfying all other DSM-IV MDE criteria to these same variables in MDE controls. A case-control, cross-sectional study of self-referred individuals seeking treatment for depressive symptoms was conducted. A total of 17,988 subjects met DSM-IV MDE symptom criteria. Of these, 1,521 individuals (8.5%) met all MDE criteria except the bereavement exclusion. They were matched by age, gender, marital status, and educational level with 1,521 MDE controls. Among the MDE controls, 292 had a recent bereavement and 1,229 did not. Severity of depression was measured by the number of MDE symptoms and the Montgomery-Asberg Depression Rating Scale (MADRS) score. Symptom cues of the bereavement-exclusion criterion were analyzed. The study was conducted between September 2003 and May 2004. Bereavement-excluded subjects were more severely depressed than MDE controls without bereavement and similar to MDE controls with bereavement. Two symptom cues, suicidal ideation and worthlessness, and the majority of other depressive symptoms were more pronounced in bereavement-excluded individuals than in MDE controls. Symptom cues of the DSM-IV MDE bereavement exclusion criterion should be modified since they could result in patients failing to be correctly diagnosed and treated. ©Copyright 2009 Physicians Postgraduate Press, Inc.
Tiossi, R; Falcão-Filho, H; Aguiar Júnior, F A; Rodrigues, R C; Mattos, M da G; Ribeiro, R F
2010-05-01
This study aimed to verify the effect of modified section method and laser-welding on the accuracy of fit of ill-fitting commercially pure titanium (cp Ti) and Ni-Cr alloy one-piece cast frameworks. Two sets of similar implant-supported frameworks were constructed. Both groups of six 3-unit implant-supported fixed partial dentures were cast as one-piece [I: Ni-Cr (control) and II: cp Ti] and evaluated for passive fitting in an optical microscope with both screws tightened and with only one screw tightened. All frameworks were then sectioned in the diagonal axis at the pontic region (III: Ni-Cr and IV: cp Ti). Sectioned frameworks were positioned in the matrix (10-Ncm torque) and laser-welded. Passive fitting was evaluated for the second time. Data were submitted to anova and Tukey-Kramer honestly significant difference tests (P < 0.05). With both screws tightened, one-piece cp Ti group II showed significantly higher misfit values (27.57 +/- 5.06 microm) than other groups (I: 11.19 +/- 2.54 microm, III: 12.88 +/- 2.93 microm, IV: 13.77 +/- 1.51 microm) (P < 0.05). In the single-screw-tightened test, with readings on the opposite side to the tightened side, Ni-Cr cast as one-piece (I: 58.66 +/- 14.30 microm) was significantly different from cp Ti group after diagonal section (IV: 27.51 +/- 8.28 microm) (P < 0.05). On the tightened side, no significant differences were found between groups (P > 0.05). Results showed that diagonally sectioning ill-fitting cp Ti frameworks lowers misfit levels of prosthetic implant-supported frameworks and also improves passivity levels of the same frameworks when compared to one-piece cast structures.
Whalen, Madeleine; Maliszewski, Barbara; Sheinfeld, Rebecca; Gardner, Heather; Baptiste, Diana
2018-04-25
Difficult venous access is a common problem in health care-especially in the emergency setting-that relies on quick diagnostics to differentiate patient acuities and administer critical medications. The creation of a dedicated team to address difficult venous access (DVA) is a possible solution to the problems of delayed venous access, yet no studies have been published on implementing such a team in the emergency department. This was a quasi-experimental study in an urban emergency department. Researchers performed chart audits of staff-identified patients with DVA to gather baseline data. A DVA team was subsequently implemented 16 hours a day, 7 days a week. Data were recorded on patients referred to the team and included time, number of IV attempts, and patient characteristics. Baseline data were collected on 53 patients, and postintervention data included 135 patients. The implementation of a DVA team decreased the mean lab order-to-lab completion time by 115 minutes (P < 0.0001). Decreases in the number of attempts were not statistically significant. Patients requiring increased numbers of IV attempts also had many common characteristics including history of multiple attempts, poor skin quality, and IV drug use. The use of a dedicated team for DVA reduces the lag time from physician orders to actionable diagnostics or administration of medication. A dedicated DVA technician is a concrete solution to threats of patient safety, as well as ED crowding, and has the potential to affect both patient- and department-level care. Copyright © 2018 Elsevier Inc. All rights reserved.
Crowley, Thomas J
2006-09-01
Since the publication of the Diagnostic and Statistical Manual of Mental Disorders fourth edition (DSM-IV), many studies have addressed substance use disorders (SUD) in adolescents. Based on that adolescent literature, this paper suggests further research to help guide decisions about revising for DSM-V the SUD criteria in DSM-IV. The author has reviewed the 'Substance Related Disorders' section of DSM-IV-TR, recalled his experience in helping to draft that section, accessed relevant articles in PubMed and reviewed his own extensive file of literature citations. This paper suggests six questions for adolescent research to help guide the framers of DSM-V's 'Substance Related Disorders' section: (a) DSM-IV did not provide a diagnosis of cannabis withdrawal; should DSM-V continue that position? (b) Should SUD be included or referenced among 'Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence'? (c) Can inter-rater reliability of the substance abuse (SA) criteria be improved with altered example situations, text descriptions or phrasing of the current criteria? (d) Between ages 14 and 18 years is earlier onset of SUD a severity marker that could be incorporated into DSM-V as a predictor of worse course? (e) In DSM-V could a phenotypic descriptor of pathological multi-substance involvement document severity and predict course of SUD? (f) Could clinicians and patients benefit from DSM-V-related postpublication procedures for classifying emerging new drugs into DSM-V's categories? Without substantive changes in SA or substance dependence diagnostic criteria, research may improve the usefulness of those criteria for adolescents.
DOT National Transportation Integrated Search
2009-05-01
The characterization of materials is an intergral part of the overall effort to validate the Superpave system and to calibrate the performance prdeictionmodels for the environmental conditions observed in the Commonwealth of Pennsylvania.
7 CFR 46.45 - Procedure in administering section 2(5) of the Act.
Code of Federal Regulations, 2010 CFR
2010-01-01
....45 Section 46.45 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE MARKETING OF PERISHABLE... than four percent below the declared weight; (iv) Multiple sales or shipments of a misrepresented...
Organizational and technological correlates of nurses’ trust in a smart IV pump
Montague, Enid; Asan, Onur; Chiou, Erin
2013-01-01
The aim of this study was to understand technology and system characteristics that contribute to nurses’ ratings of trust in a smart IV pump. Nurse’s trust in new technologies can influence how technologies are used. Trust in technology is defined as a person’s belief that a technology will not fail them. Potential outcomes of trust in technology are appropriate trust, over trust, distrust, and mistrust. Trust in technology is also related to several use specific outcomes, including appropriate use and inappropriate use such as over reliance, disuse or rejection, or misuse. Understanding trust in relation to outcomes can contribute to designs that facilitate appropriate trust in new technologies. A survey was completed by 391 nurses a year after the implementation of a new smart IV pump. The survey assessed trust in the IV pump and other elements of the sociotechnical system, individual characteristics, technology characteristics and organizational characteristics. Results show perceptions of usefulness, safety, ease of use and usability are related to ratings of trust in smart IV pumps. Other work system factors such as perception of work environment, age, experience, quality of work, and perception of work performance are also related to ratings of trust. Nurses’ trust in smart IV pumps is influenced by both characteristics of the technology and the sociotechnical system. Findings from this research have implications for the design of future smart IV pumps and health systems. Recommendations for appropriately trustworthy smart IV pumps are discussed. Findings also have implications for how trust in health technologies can be measured and conceptualized in complex sociotechnical systems. PMID:23321482
DOE Office of Scientific and Technical Information (OSTI.GOV)
Favorite, Jeffrey A.
The Second-Level Adjoint Sensitivity System (2nd-LASS) that yields the second-order sensitivities of a response of uncollided particles with respect to isotope densities, cross sections, and source emission rates is derived in Refs. 1 and 2. In Ref. 2, we solved problems for the uncollided leakage from a homogeneous sphere and a multiregion cylinder using the PARTISN multigroup discrete-ordinates code. In this memo, we derive solutions of the 2nd-LASS for the particular case when the response is a flux or partial current density computed at a single point on the boundary, and the inner products are computed using ray-tracing. Both themore » PARTISN approach and the ray-tracing approach are implemented in a computer code, SENSPG. The next section of this report presents the equations of the 1st- and 2nd-LASS for uncollided particles and the first- and second-order sensitivities that use the solutions of the 1st- and 2nd-LASS. Section III presents solutions of the 1st- and 2nd-LASS equations for the case of ray-tracing from a detector point. Section IV presents specific solutions of the 2nd-LASS and derives the ray-trace form of the inner products needed for second-order sensitivities. Numerical results for the total leakage from a homogeneous sphere are presented in Sec. V and for the leakage from one side of a two-region slab in Sec. VI. Section VII is a summary and conclusions.« less
1984-10-01
8 iii "i t-. Table of Contents (cont.) Section Title Page -APPENDIX A Acronyms, Definitions, Nomenclature and Units of Measure B Scope of Work, Task...Identification/Records Search Phase II - Problem Confirmation and Quantification Phase III - Technology Base Development Phase IV - Corrective Action Only...Problem Identification/Records Search Phase II - Problem Confirmation and Quantification Phase III - Technology Base Development Phase IV - Corrective
IVS: Current Status and Future Plans
NASA Astrophysics Data System (ADS)
Behrend, D.; Nothnagel, A.; Petrachenko, W. T.; Tuccari, G.
2016-12-01
The International VLBI Service for Geodesy and Astrometry (IVS) is a globally operating service that coordinates and performs Very Long Baseline Interferometry (VLBI) activities through its constituent components. The VLBI activities are associated with the creation, provision, dissemination, and archiving of relevant VLBI data and products. The products mostly pertain to the determination of the celestial and terrestrial reference frames, the Earth orientation parameters (EOP), atmospheric parameters as well as other ancillary parameters. The IVS observational network currently consists of about 40 radio telescopes worldwide. Subsets of these telescopes (8-12 stations) participate in 24-hour observing sessions that are run several times per week and in 1-hour intensive sessions for UT1 determination every day. The current VLBI network was developed mainly in the 1970s and 1980s. A number of factors, including aging infrastructure and demanding new scientific requirements, started to challenge its future sustainability and relevance. In response, the IVS and other groups developed and started implementing the next generation VLBI system, called VGOS (VLBI Global Observing System), at existing and new sites. The VGOS network is expected to reach maturity in the early 2020s. We describe the current status, progress, and anticipated prospects of geodetic/astrometric VLBI and the IVS.
1979-08-24
5.0 GRAVITY DATA 6.0 BORING LOGS 7.0 TRENCH AND TEST PIT LOGS 8.0 SURFICIAL SAMPLE LOGS 9.0 LABORATORY TEST RESULTS DRAWINGS IN POCKET 1 ACTIVITY...IV ELECTRODE SPACING - AS/2 ( METERIS ) 5 10 20 40 so 80 100 400 - , - - - 200 ____ _ _ _ _ - 100 II 80 ~as 40 46 2I0 leil 110 20 40 30 60 100 200 400...DEPARTMENT OF THE AIR FORCE - SAISO 441.9 2LDm NATIONAL, INC-L2 JUL 79 AFV-18 SECTION 5.0 GRAVITY DATA- FN-TR-27-IV -EXPLANATIONS OF GRAVITY DATA
Code of Federal Regulations, 2014 CFR
2014-10-01
...) Physician assistant services, as specified in section 1861(s)(2)(K)(i) of the Act. (iii) Nurse practitioners and clinical nurse specialist services, as specified in section 1861(s)(2)(K)(ii) of the Act. (iv) Certified nurse midwife services, as specified in section 1861(gg) of the Act. (v) Qualified psychologist...
Code of Federal Regulations, 2013 CFR
2013-10-01
...) Physician assistant services, as specified in section 1861(s)(2)(K)(i) of the Act. (iii) Nurse practitioners and clinical nurse specialist services, as specified in section 1861(s)(2)(K)(ii) of the Act. (iv) Certified nurse midwife services, as specified in section 1861(gg) of the Act. (v) Qualified psychologist...
Code of Federal Regulations, 2012 CFR
2012-10-01
...) Physician assistant services, as specified in section 1861(s)(2)(K)(i) of the Act. (iii) Nurse practitioners and clinical nurse specialist services, as specified in section 1861(s)(2)(K)(ii) of the Act. (iv) Certified nurse midwife services, as specified in section 1861(gg) of the Act. (v) Qualified psychologist...
Code of Federal Regulations, 2011 CFR
2011-10-01
...) Physician assistant services, as specified in section 1861(s)(2)(K)(i) of the Act. (iii) Nurse practitioners and clinical nurse specialist services, as specified in section 1861(s)(2)(K)(ii) of the Act. (iv) Certified nurse midwife services, as specified in section 1861(gg) of the Act. (v) Qualified psychologist...
Code of Federal Regulations, 2010 CFR
2010-10-01
...) Physician assistant services, as specified in section 1861(s)(2)(K)(i) of the Act. (iii) Nurse practitioners and clinical nurse specialist services, as specified in section 1861(s)(2)(K)(ii) of the Act. (iv) Certified nurse midwife services, as specified in section 1861(gg) of the Act. (v) Qualified psychologist...
Continuity Between DSM-5 Section II and III Personality Disorders in a Dutch Clinical Sample.
Orbons, Irene M J; Rossi, Gina; Verheul, Roel; Schoutrop, Mirjam J A; Derksen, Jan L L; Segal, Daniel L; van Alphen, Sebastiaan P J
2018-05-14
The goal of this study was to evaluate the continuity across the Section II personality disorders (PDs) and the proposed Section III model of PDs in the Diagnostic and Statistical Manual of Mental Disorders (5th ed. [DSM-5]; American Psychiatric Association, 2013a ). More specifically, we analyzed association between the DSM-5 Section III pathological trait facets and Section II PDs among 110 Dutch adults (M age = 35.8 years, range = 19-60 years) receiving mental health care. We administered the Structured Clinical Interview for DSM-IV Axis II Disorders to all participants. Participants also completed the self-report Personality Inventory for DSM-5 (PID-5) as a measure of pathological trait facets. The distributions underlying the dependent variable were modeled as criterion counts, using negative binomial regression. The results provided some support for the validity of the PID-5 and the DSM-5 Section III Alternative Model, although analyses did not show a perfect match. Both at the trait level and the domain level, analyses showed mixed evidence of significant relationships between the PID-5 trait facets and domains with the traditional DSM-IV PDs.
44 CFR 206.191 - Duplication of benefits.
Code of Federal Regulations, 2010 CFR
2010-10-01
... to section 408 of the Stafford Act. (iii) Small Business Administration and Farmers Home Administration disaster loans; (iv) Other Needs assistance, pursuant to section 408 of the Stafford Act or its... resources it must consider before it does so. (4) If following the delivery sequence concept would adversely...
Code of Federal Regulations, 2010 CFR
2010-10-01
... 45 Public Welfare 4 2010-10-01 2010-10-01 false Introduction. 1219.1 Section 1219.1 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE COMPETITIVE SERVICE ELIGIBILITY § 1219.1 Introduction. Section 415(d), Title IV, of the Domestic Volunteer Service Act...
48 CFR 27.409 - Solicitation provisions and contract clauses
Code of Federal Regulations, 2010 CFR
2010-10-01
... business innovation research contract (see paragraph (h) of this section); (iv) To be performed outside the... work (see paragraph (i)(2) of this section); (vi) For the management, operation, design, or... those for the management or operation of Government facilities, and contracts and subcontracts in...
42 CFR 412.500 - Basis and scope of subpart.
Code of Federal Regulations, 2010 CFR
2010-10-01
... appropriate adjustments to that system, including adjustments to DRG weights, area wage adjustments... PROGRAM PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Prospective Payment System for Long... payment system for long-term care hospitals described in section 1886(d)(1)(B)(iv) of the Act. (2) Section...
Code of Federal Regulations, 2012 CFR
2012-07-01
... 40 Protection of Environment 26 2012-07-01 2011-07-01 true Wetlands. 257.9 Section 257.9...; and (iv) Violate any requirement under the Marine Protection, Research, and Sanctuaries Act of 1972... extent required under section 404 of the Clean Water Act or applicable State wetlands laws, steps have...
Code of Federal Regulations, 2013 CFR
2013-07-01
... 40 Protection of Environment 26 2013-07-01 2013-07-01 false Wetlands. 257.9 Section 257.9...; and (iv) Violate any requirement under the Marine Protection, Research, and Sanctuaries Act of 1972... extent required under section 404 of the Clean Water Act or applicable State wetlands laws, steps have...
Code of Federal Regulations, 2014 CFR
2014-07-01
... 40 Protection of Environment 25 2014-07-01 2014-07-01 false Wetlands. 257.9 Section 257.9...; and (iv) Violate any requirement under the Marine Protection, Research, and Sanctuaries Act of 1972... extent required under section 404 of the Clean Water Act or applicable State wetlands laws, steps have...
42 CFR 410.152 - Amounts of payment.
Code of Federal Regulations, 2013 CFR
2013-10-01
..., fair compensation, a pre-treatment prospective payment rate, or a standard overhead amount, or any... formula. (iv) Expenses in excess of the outpatient mental health treatment limitation described in § 410... section.) (b) Basic rules for payment. Except as specified in paragraphs (c) through (h) of this section...
42 CFR 410.152 - Amounts of payment.
Code of Federal Regulations, 2014 CFR
2014-10-01
..., fair compensation, a pre-treatment prospective payment rate, or a standard overhead amount, or any... formula. (iv) Expenses in excess of the outpatient mental health treatment limitation described in § 410... section.) (b) Basic rules for payment. Except as specified in paragraphs (c) through (h) of this section...
42 CFR 410.152 - Amounts of payment.
Code of Federal Regulations, 2012 CFR
2012-10-01
..., fair compensation, a pre-treatment prospective payment rate, or a standard overhead amount, or any... formula. (iv) Expenses in excess of the outpatient mental health treatment limitation described in § 410... section.) (b) Basic rules for payment. Except as specified in paragraphs (c) through (h) of this section...
SOME POSSIBLE APPLICATIONS OF PROJECT OUTCOMES RESEARCH METHODOLOGY
Section I, refers to the possibility of using the theory and methodology of Project Outcomes to problems of strategic information. It is felt that...purposes of assessing present and future organizational effectiveness . Section IV, refers to the applications that our study may have for problems of
2014-01-01
Background Global neonatal mortality remains unacceptably high. Health workers who attend to prenatal and postnatal mothers need to be knowledgeable in preventive and curative care for pregnant women and their newborn babies. This study aimed to determine the level of knowledge related to prenatal and immediate newborn care among primary healthcare workers in Masindi, Uganda. Methods A cross-sectional study was conducted. Interviews comprised of 25 multiple-choice questions were administered to health workers who were deployed to offer prenatal and postnatal care in Masindi in November 2011. Questions were related to four domains of knowledge: prenatal care, immediate newborn care, management of neonatal infections and identifying and stabilizing Low-Birth Weight (LBW) babies. Corresponding composite variables were derived; level of knowledge among health workers dichotomized as ‘adequate’ or ‘inadequate’. The chi-square statistic test was used to examine associations with independent variables including level of training (nursing assistant, general nurse or midwife), level of care (hospital/health centre level IV or health centre level III/II) and years of service (five years or less, six years or more). Results 183 health workers were interviewed: general nurses (39.3%), midwives (21.9%) and nursing assistants (38.8%). Respectively, 53.6%, 46.5%, 7.1% and 56.3% were considered to have adequate knowledge in prenatal care, newborn care, management of neonatal infections and identifying/stabilizing LBW babies. Being a general nurse was significantly associated with having adequate knowledge in identifying and stabilizing LBW babies (p < 0.001) compared to being a nursing assistant. Level of care being hospital/health centre level IV was not significantly associated with having adequate knowledge in prenatal or newborn care with reference to health centres of level III/II. Conclusion Knowledge regarding prenatal and newborn care among primary healthcare workers in Masindi was very low. The highest deficit of knowledge was in management of neonatal infections. Efforts are needed to orientate health workers regarding prenatal and newborn care especially the offer of infection management among newborns. Similar levels of knowledge between health workers deployed to hospital/health centre level IV and health centres of level III/II raise important implementation questions for the referral system which is crucial for maternal and newborn survival. PMID:24511880
Hansen, Ryan N; Pham, An T; Lovelace, Belinda; Balaban, Stela; Wan, George J
2017-10-01
Recovery from obstetrics and gynecology (OB/GYN) surgery, including hysterectomy and cesarean section delivery, aims to restore function while minimizing hospital length of stay (LOS) and medical expenditures. Our analyses compare OB/GYN surgery patients who received combination intravenous (IV) acetaminophen and IV opioid analgesia with those who received IV opioid-only analgesia and estimate differences in LOS, hospitalization costs, and opioid consumption. We performed a retrospective analysis of the Premier Database between January 2009 and June 2015, comparing OB/GYN surgery patients who received postoperative pain management with combination IV acetaminophen and IV opioids with those who received only IV opioids starting on the day of surgery and continuing up to the second postoperative day. We performed instrumental variable 2-stage least-squares regressions controlling for patient and hospital covariates to compare the LOS, hospitalization costs, and daily opioid doses (morphine equivalent dose) of IV acetaminophen recipients with that of opioid-only analgesia patients. We identified 225 142 OB/GYN surgery patients who were eligible for our study of whom 89 568 (40%) had been managed with IV acetaminophen and opioids. Participants averaged 36 years of age and were predominantly non-Hispanic Caucasians (60%). Multivariable regression models estimated statistically significant differences in hospitalization cost and opioid use with IV acetaminophen associated with $484.4 lower total hospitalization costs (95% CI = -$760.4 to -$208.4; P = 0.0006) and 8.2 mg lower daily opioid use (95% CI = -10.0 to -6.4), whereas the difference in LOS was not significant, at -0.09 days (95% CI = -0.19 to 0.01; P = 0.07). Compared with IV opioid-only analgesia, managing post-OB/GYN surgery pain with the addition of IV acetaminophen is associated with decreased hospitalization costs and reduced opioid use.
33 CFR 385.30 - Master Implementation Sequencing Plan.
Code of Federal Regulations, 2010 CFR
2010-07-01
... projects of the Plan, including pilot projects and operational elements, based on the best scientific... Florida Water Management District shall also consult with the South Florida Ecosystem Restoration Task...; (ii) Information obtained from pilot projects; (iii) Updated funding information; (iv) Approved...
Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-31
... deposited on the ground and in the water, changing nutrient and chemical balances. IV. What comments were...). TSP is particulate up to 100 micrometers in diameter. Then in 1987, EPA changed the indicator to...
Jo, Yun Hee; Shin, Wan Gyoon; Lee, Ju-Yeun; Yang, Bo Ram; Yu, Yun Mi; Jung, Sun Hoi; Kim, Hyang Sook
2016-10-01
There are very few studies reporting the impact of providing intravenous (IV) preparation information on quality use of antimicrobials, particularly regarding their reconstitution and dilution. Therefore, to improve these processes in IV antimicrobial administration, an IV preparation information system (IPIS) was implemented in a hospital. We aimed to evaluate the effect of improving reconstitution and dilution by implementing an IPIS in the electronic medical record (EMR) system. Prescriptions and activity records of nurses for injectable antimicrobials that required reconstitution and dilution for IV preparation from January 2008 to December 2013 were retrieved from EMR, and assessed based on packaging label information for reconstituting and diluting solutions. We defined proper reconstitution and dilution as occurring when the reconstitution and dilution solutions prescribed were consistent with the nurses' acting records. The types of intervention in the IPIS were as follows: a pop-up alert for proper reconstitution and passive guidance for proper dilution. We calculated the monthly proper reconstitution rate (PRR) and proper dilution rate (PDR) and evaluated the changes in these rates and trends using interrupted time series analyses. Prior to the initiation of the reconstitution alert and dilution information, the PRR and PDR were 12.7 and 46.1%, respectively. The reconstitution alert of the IPIS rapidly increased the PRR by 41% (p<0.001), after which the PRR decreased by 0.9% (p=0.013) per month after several months. However, there was no significant change in the rate or trend of the PDR during the study period. This study demonstrated that the provision of reconstitution alerts by the IPIS contributed to improving the reconstitution process of IV antimicrobial injection administration. However, providing passive information on dilution solutions was ineffective. Furthermore, solutions to ensure the continuous effectiveness of alert systems are warranted and should be actively sought. Copyright © 2016. Published by Elsevier Ireland Ltd.
Banerjee, Aman; Zosa, Brenda M; Allen, Debra; Wilczewski, Patricia A; Ferguson, Robert; Claridge, Jeffrey A
2016-01-01
The practice of repeating computed tomography (re-CT) is common among trauma patients transferred between hospitals incurring additional cost and radiation exposure. This study sought to evaluate the effectiveness of implementing modern cloud-based technology (lifeIMAGE) across a regional trauma system to reduce the incidence of re-CT imaging. This is a prospective interventional study to evaluate outcomes after implementation of lifeIMAGE in January 2012. Key outcomes were rates of CT imaging, including the rates and costs of re-CT from January 2009 through December 2012. There were 1,081 trauma patients transferred from participating hospitals during the study period (657 patients before and 425 patients after implementation), with the overall re-CT rate of 20.5%. Rates of any CT imaging at referring hospitals decreased (62% vs. 55%, p < 0.05) and also decreased at the accepting regional Level I center (58% vs. 52%, p < 0.05) following system implementation. There were 639 patients (59%) who had CT imaging performed before transfer (404 patients before and 235 patients after implementation). Of these patients, the overall re-CT rate decreased from 38.4% to 28.1% (p = 0.01). Rates of re-CT of the head (21% vs. 11%, p = 0.002), chest (7% vs. 3%, p = 0.05), as well as abdomen and pelvis (12% vs. 5%, p = 0.007) were significantly reduced following system implementation. The cost of repeat imaging per patient was significantly lower following system implementation (mean charges, $1,046 vs. $589; p < 0.001). These results were more pronounced in a subgroup of patients with an Injury Severity Score (ISS) of greater than 14, with a reduction in overall re-CT rate from 51% to 30% (p = 0.03). The implementation of modern cloud-based technology across the regional trauma system resulted in significant reductions in re-CT imaging and cost. Therapeutic/care management study, level IV; economic analysis, level IV.
Distribution of type IV collagen in pancreatic adenocarcinoma and chronic pancreatitis.
Lee, C. S.; Montebello, J.; Georgiou, T.; Rode, J.
1994-01-01
Changes in the basement membrane are present in various neoplastic conditions such as neurofibrosarcoma, cervical carcinoma, colorectal cancers and hepatoblastoma. This study examines the expression of type IV collagen in the basement membrane, using an immunohistochemical method, in the normal pancreas (n = 10), chronic pancreatitis (n = 15) and pancreatic adenocarcinoma (n = 30). The formalin fixed, paraffin embedded tissue was sectioned and pretreated with protease prior to immunostaining for type IV collagen. There was a statistically significant difference in type IV collagen expression between pancreatic carcinoma and chronic pancreatitis (P = 0.0001; chi 2 test with continuity correction). In pancreatic adenocarcinoma, type IV collagen distribution in the basement membrane was discontinuous and irregular or absent around individual or groups of neoplastic cells (n = 30). Most cases of chronic pancreatitis showed continuous pattern of basement membrane type IV collagen around residual ducts (n = 10). In the normal pancreas, only one of the ten cases showed discontinuous basement membrane around pancreatic ducts, while in the rest of the cases, the pattern was continuous. This study suggests that there is abnormal distribution of type IV collagen in the basement membrane in pancreatic carcinoma, which may be related to either abnormal deposition or degradation of the collagen. Immunostaining for type IV collagen may be of some diagnostic use for distinguishing pancreatic adenocarcinoma from problematic cases of chronic pancreatitis. Images Figure 1 Figure 2 Figure 3 PMID:8199008
NASA Technical Reports Server (NTRS)
Prabhu, Ramadas K.
1994-01-01
This paper presents a nonequilibrium flow solver, implementation of the algorithm on unstructured meshes, and application to hypersonic flow past blunt bodies. Air is modeled as a mixture of five chemical species, namely O2, N2, O, NO, and N, having two temperatures namely translational and vibrational. The solution algorithm is a cell centered, point implicit upwind scheme that employs Roe's flux difference splitting technique. Implementation of this algorithm on unstructured meshes is described. The computer code is applied to solve Mach 15 flow with and without a Type IV shock interference on a cylindrical body of 2.5mm radius representing a cowl lip. Adaptively generated meshes are employed, and the meshes are refined several times until the solution exhibits detailed flow features and surface pressure and heat flux distributions. Effects of a catalytic wall on surface heat flux distribution are studied. For the Mach 15 Type IV shock interference flow, present results showed a peak heat flux of 544 MW/m2 for a fully catalytic wall and 431 MW/m(exp 2) for a noncatalytic wall. Some of the results are compared with available computational data.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 42 Public Health 4 2012-10-01 2012-10-01 false Individuals who would be eligible for AFDC if coverage under the State's AFDC plan were as broad as allowed under title IV-A. 435.223 Section 435.223... plan were as broad as allowed under title IV-A. (a) The agency may provide Medicaid to any group or...
Code of Federal Regulations, 2011 CFR
2011-10-01
... 42 Public Health 4 2011-10-01 2011-10-01 false Individuals who would be eligible for AFDC if coverage under the State's AFDC plan were as broad as allowed under title IV-A. 435.223 Section 435.223... plan were as broad as allowed under title IV-A. (a) The agency may provide Medicaid to any group or...
Code of Federal Regulations, 2010 CFR
2010-10-01
... 42 Public Health 4 2010-10-01 2010-10-01 false Individuals who would be eligible for AFDC if coverage under the State's AFDC plan were as broad as allowed under title IV-A. 435.223 Section 435.223... plan were as broad as allowed under title IV-A. (a) The agency may provide Medicaid to any group or...
30 CFR 950.15 - Approval of Wyoming regulatory program amendments.
Code of Federal Regulations, 2011 CFR
2011-07-01
...), (ba), 3(b)(i); Ch II, §§ 3(a)(vi)(E), (M), (b)(xvi)(D), (xx), (v)(C); Ch IV, §§ 3(d)(vii), (e)(i)(H...(am);Chap. 1, Section 2(ao); Chap. 1, Section 2(ap); Chap. 1, Section 2(as); Chap. 1, Section 2(az... relocated rules. [62 FR 9958, Mar. 5, 1997, as amended at 64 FR 53208, Oct. 1, 1999; 67 FR 67547, Nov. 6...
Literature of War and Peace. Section IV: A Man's Bound to Fight for What He Believes In.
ERIC Educational Resources Information Center
Bettendorf, Joline; And Others
This 16-day curriculum unit is designed for use in English and language arts classrooms, grades 9-12 and community college. While it is the fourth section in a series of five on the literature of war and peace, it can be used with or without the other four sections. Each section of the series focuses on a different genre of the literature of war…
Code of Federal Regulations, 2012 CFR
2012-10-01
... described in sections 1927(k)(2)(B)(i) through (iii) of the Act. (iii) Insulin described in section 1927(k)(2)(C) of the Act. (iv) Medical supplies associated with the injection of insulin, including syringes... are directly associated with delivering insulin into the body, such as an inhalation chamber used to...
Code of Federal Regulations, 2013 CFR
2013-10-01
... described in sections 1927(k)(2)(B)(i) through (iii) of the Act. (iii) Insulin described in section 1927(k)(2)(C) of the Act. (iv) Medical supplies associated with the injection of insulin, including syringes... are directly associated with delivering insulin into the body, such as an inhalation chamber used to...
Code of Federal Regulations, 2014 CFR
2014-10-01
... described in sections 1927(k)(2)(B)(i) through (iii) of the Act. (iii) Insulin described in section 1927(k)(2)(C) of the Act. (iv) Medical supplies associated with the injection of insulin, including syringes... are directly associated with delivering insulin into the body, such as an inhalation chamber used to...
26 CFR 1.197-2 - Amortization of goodwill and certain other intangibles.
Code of Federal Regulations, 2010 CFR
2010-04-01
..., etc. Section 197 intangibles include any patent, copyright, formula, process, design, pattern, know-how, format, package design, computer software (as defined in paragraph (c)(4)(iv) of this section... agreement that provides one of the parties to the agreement with the right to distribute, sell, or provide...
40 CFR 205.55-2 - Compliance with standards.
Code of Federal Regulations, 2010 CFR
2010-07-01
... as described in paragraph (b) of this section, the manufacturer may elect to verify the configuration... the highest sound pressure level (dBA) based on his best technical judgment and/or emission test data... section as having the highest sound pressure level (estimated or actual) within the category; and (iv...
40 CFR 205.55-2 - Compliance with standards.
Code of Federal Regulations, 2011 CFR
2011-07-01
... as described in paragraph (b) of this section, the manufacturer may elect to verify the configuration... the highest sound pressure level (dBA) based on his best technical judgment and/or emission test data... section as having the highest sound pressure level (estimated or actual) within the category; and (iv...
26 CFR 1.904-0 - Outline of regulation provisions for section 904.
Code of Federal Regulations, 2010 CFR
2010-04-01
... carrybacks and carryovers. (h) Transition rules for carryovers and carrybacks of pre-2003 and post-2002.... (iii) Interaction with section 954(b)(4). (8) Examples. (d) [Reserved] (e) Financial services income...-through entities. (A) Rule. (B) Examples. (iv) Examples. (4) Definition of incidental income. (i) In...
42 CFR 410.48 - Kidney disease education services.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 42 Public Health 2 2011-10-01 2011-10-01 false Kidney disease education services. 410.48 Section... Kidney disease education services. (a) Definitions. As used in this section: Kidney disease patient education services means face-to-face educational services provided to patients with Stage IV chronic kidney...
Code of Federal Regulations, 2011 CFR
2011-07-01
... requirements of this paragraph. (ii) Each lavatory shall be provided with hot and cold running water, or tepid...) through (v) of this section. (ii) One shower shall be provided for each 10 employees of each sex, or...) of this section. (iv) Showers shall be provided with hot and cold water feeding a common discharge...
Code of Federal Regulations, 2010 CFR
2010-07-01
... requirements of this paragraph. (ii) Each lavatory shall be provided with hot and cold running water, or tepid...) through (v) of this section. (ii) One shower shall be provided for each 10 employees of each sex, or...) of this section. (iv) Showers shall be provided with hot and cold water feeding a common discharge...
Code of Federal Regulations, 2011 CFR
2011-07-01
...: Photochemical oxidants (hydrocarbons), Metropolitan Los Angeles Intrastate Region. 52.229 Section 52.229... oxidants (hydrocarbons), Metropolitan Los Angeles Intrastate Region. (a) [Reserved] (b) The following rules... (hydrocarbons) as required by section 110 of the Clean Air Act. (1) Southern California APCD. (i) Regulation IV...
30 CFR 254.21 - How must I format my response plan?
Code of Federal Regulations, 2010 CFR
2010-07-01
... divide your response plan for OCS facilities into the sections specified in paragraph (b) and explained in the other sections of this subpart. The plan must have an easily found marker identifying each.... (ii) Contractual agreements. (iii) Worst case discharge scenario. (iv) Dispersant use plan. (v) In...
40 CFR 63.1307 - Recordkeeping requirements.
Code of Federal Regulations, 2011 CFR
2011-07-01
... Standards for Hazardous Air Pollutants for Flexible Polyurethane Foam Production § 63.1307 Recordkeeping... paragraphs (c)(1)(i), (ii), (iii), and (iv) of this section. Each flexible polyurethane foam slabstock source...) through (C) of this section. (A) A log of foam runs each day. For each run, the log shall include a list...
40 CFR 63.1307 - Recordkeeping requirements.
Code of Federal Regulations, 2012 CFR
2012-07-01
... Standards for Hazardous Air Pollutants for Flexible Polyurethane Foam Production § 63.1307 Recordkeeping... paragraphs (c)(1)(i), (ii), (iii), and (iv) of this section. Each flexible polyurethane foam slabstock source...) through (C) of this section. (A) A log of foam runs each day. For each run, the log shall include a list...
40 CFR 63.1307 - Recordkeeping requirements.
Code of Federal Regulations, 2010 CFR
2010-07-01
... Standards for Hazardous Air Pollutants for Flexible Polyurethane Foam Production § 63.1307 Recordkeeping... paragraphs (c)(1)(i), (ii), (iii), and (iv) of this section. Each flexible polyurethane foam slabstock source...) through (C) of this section. (A) A log of foam runs each day. For each run, the log shall include a list...
Preparing Tomorrow's Teachers: The Field Experience. Teacher Education Yearbook IV.
ERIC Educational Resources Information Center
McIntyre, D. John, Ed.; Byrd, David M., Ed.
This yearbook provides educators with current research and practical guidelines for improving the education of teacher candidates and beginning teachers. The book has four sections, each on a particular topic and containing an overview and a response (reflections and implications). The first section focuses on contexts for effective field…
Zhang, Ye; Li, Si Zhen; Li, Lei; He, Ming Guang; Thomas, Ravi; Wang, Ning Li
2014-04-24
To estimate and compare the change in iris cross-sectional area (IA) and iris volume (IV) following physiologic and pharmacologic pupil dilation in primary angle closure suspects (PACS) and normal subjects. Anterior segment-optical coherence tomography (AS-OCT) measurements in light, dark, and following pharmacologic dilation were obtained on 186 PACS and 224 normal subjects examined during the 5-year follow-up of the Handan Eye Study. Iris cross-sectional area, IV, and other biometric parameters calculated using the Zhongshan angle assessment program in the right eyes of all subjects were analyzed. The mean IA and IV decreased in dark compared with light and after pharmacologic dilation in both PACS and normal eyes. This change was statistically significant in normal eyes: light versus pharmacologic dilation for IA (P = 0.038) and for IV, both light versus dark (P = 0.031) and light versus pharmacologic dilation (P = 0.012). A longer axial length (P = 0.028) and a greater change in pupil diameter (PD) (P < 0.001) were associated with a larger decrease of IA for the light to dark comparison. A diagnosis of normal eyes (P = 0.011), larger PD in dark (P = 0.001), and a larger change in PD (P = 0.001) were associated with a larger decrease of IV from light to dark. The differences in iris behavior between PACS and normal rural Chinese subjects following physiologic or pharmacologic pupillary dilation may help provide insights into the pathogenesis of angle closure. Copyright 2014 The Association for Research in Vision and Ophthalmology, Inc.
10 CFR 4.48 - Termination of or refusal to grant or to continue Federal financial assistance.
Code of Federal Regulations, 2010 CFR
2010-01-01
... Implementing Title VI of the Civil Rights Act of 1964 and Title IV of the Energy Reorganization Act of 1974... financial assistance shall be limited to the particular political entity, or part thereof, or other...
Code of Federal Regulations, 2011 CFR
2011-01-01
... time of implementation of the voluntary wetland restoration, enhancement, or creation action; (iv) NRCS... determined by NRCS, through the restoration of a converted wetland, the enhancement of an existing wetland... Secretary of Agriculture HIGHLY ERODIBLE LAND AND WETLAND CONSERVATION General Provisions § 12.5 Exemption...
A data-management system for detailed areal interpretive data
Ferrigno, C.F.
1986-01-01
A data storage and retrieval system has been developed to organize and preserve areal interpretive data. This system can be used by any study where there is a need to store areal interpretive data that generally is presented in map form. This system provides the capability to grid areal interpretive data for input to groundwater flow models at any spacing and orientation. The data storage and retrieval system is designed to be used for studies that cover small areas such as counties. The system is built around a hierarchically structured data base consisting of related latitude-longitude blocks. The information in the data base can be stored at different levels of detail, with the finest detail being a block of 6 sec of latitude by 6 sec of longitude (approximately 0.01 sq mi). This system was implemented on a mainframe computer using a hierarchical data base management system. The computer programs are written in Fortran IV and PL/1. The design and capabilities of the data storage and retrieval system, and the computer programs that are used to implement the system are described. Supplemental sections contain the data dictionary, user documentation of the data-system software, changes that would need to be made to use this system for other studies, and information on the computer software tape. (Lantz-PTT)
Tan, T; Ojo, R; Immani, S; Choroszczak, P; Carey, M
2010-01-01
The incidence of pruritus after elective caesarean section under spinal anaesthesia with subarachnoid morphine may be 60-100%, and is a common cause of maternal dissatisfaction. Ondansetron has been shown to reduce pruritus but the effect is short-lived. The objective of this randomized double-blind trial was to evaluate the anti-pruritic efficacy of granisetron compared with ondansetron. Eighty ASA I or II women undergoing elective caesarean section received spinal anaesthesia with 0.5% hyperbaric bupivacaine 10 mg, fentanyl 25 microg and preservative-free morphine 150 microg. After delivery of the baby and clamping of the umbilical cord, they were randomised to receive granisetron 3mg i.v. (group G) or ondansetron 8 mg i.v. (group O). The two groups were similar for age, gestational age, height and weight. According to visual analogue pruritus scores, patients in group G experienced less pruritus at 8h (P=0.003) and 24h (P=0.01). Fewer patients in group G (n=8) than group O (n=18) required rescue anti-pruritic medication (P=0.03). Satisfaction scores were also higher in group G than in group O (P=0.03). There was no difference in overall incidence of pruritus, nausea and vomiting, and visual analogue pain scores between the two groups. Administration of granisetron 3mg i.v. reduces the severity of pruritus and the use of rescue anti-pruritic medication, and improves satisfaction but does not reduce the overall incidence of pruritus in women who have received subarachnoid morphine 150 microg compared to ondansetron 8 mg i.v. Copyright 2009 Elsevier Ltd. All rights reserved.
40 CFR 265.1088 - Standards: Closed-vent systems and control devices.
Code of Federal Regulations, 2012 CFR
2012-07-01
...), (c)(1)(ii), or (c)(1)(iii) of this section, as applicable, shall not exceed 240 hours per year. (ii... paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this section, as applicable, shall not exceed 240 hours... specified in paragraph (c)(5)(iii) of this section or a design analysis as specified in paragraph (c)(5)(iv...
40 CFR 265.1088 - Standards: Closed-vent systems and control devices.
Code of Federal Regulations, 2013 CFR
2013-07-01
...), (c)(1)(ii), or (c)(1)(iii) of this section, as applicable, shall not exceed 240 hours per year. (ii... paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this section, as applicable, shall not exceed 240 hours... specified in paragraph (c)(5)(iii) of this section or a design analysis as specified in paragraph (c)(5)(iv...
40 CFR 265.1088 - Standards: Closed-vent systems and control devices.
Code of Federal Regulations, 2014 CFR
2014-07-01
...), (c)(1)(ii), or (c)(1)(iii) of this section, as applicable, shall not exceed 240 hours per year. (ii... paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this section, as applicable, shall not exceed 240 hours... specified in paragraph (c)(5)(iii) of this section or a design analysis as specified in paragraph (c)(5)(iv...
Lee, D H; Kwon, I C
2009-12-01
The use of low concentrations of volatile anaesthetics with avoidance of opioids may induce intraoperative awareness and adverse haemodynamic responses during Caesarean section. Magnesium is well known to reduce anaesthetic requirements and to block noxious stimuli. We investigated whether i.v. magnesium sulphate modulates anaesthetic depth and analgesic efficacy during Caesarean section. Seventy-two patients undergoing Caesarean section were randomly assigned to receive i.v. saline (control group) or magnesium sulphate 30 mg kg(-1) bolus+10 mg kg(-1) h(-1) continuous infusion (Mg 30 group) or 45 mg kg(-1) bolus+15 mg kg(-1) h(-1) continuous infusion (Mg 45 group) after induction. Bispectral index (BIS) value, mean arterial pressure (MAP), and midazolam, fentanyl, and atracurium consumptions were recorded. BIS values [mean (sd)] at 7.5 and 10 min after surgery and before delivery in the control [64 (9), 66 (8), 67 (8), P<0.001] and the Mg 30 groups [62 (8), P<0.01; 64 (7), 63 (9), P<0.001] were higher than in the Mg 45 group [56 (8), 55 (8), 55 (7)]. MAP was greater in the control group (P<0.05) than in the Mg 30 and Mg 45 groups during the pre-delivery period. The magnesium groups required less midazolam (P<0.05), fentanyl (Mg 30, P<0.05; Mg 45, P<0.01), and atracurium (P<0.001) vs the control group. Preoperative i.v. magnesium sulphate attenuated BIS and arterial pressure increases during the pre-delivery period. Magnesium sulphate can be recommended as an adjuvant during general anaesthesia for Caesarean section to avoid perioperative awareness and pressor response resulting from inadequate anaesthesia, analgesia, or both.
Personality disorders are the vanguard of the post-DSM-5.0 era.
Krueger, Robert F
2013-10-01
The process of constructing the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013) has concluded, with the manual published in May 2013. In this article, I review the evolution of personality disorders (PDs) in DSM-5 from my perspective as a participating workgroup member, and as an observer of the DSM-5 construction process. I emphasize well-documented shortcomings of the fourth edition of the DSM (DSM-IV; American Psychiatric Association, 1994), the diversity of potential changes to PD conceptualization and diagnosis that were proposed during the construction of DSM-5, and the final outcome, which consists of reproducing DSM-IV PD criteria in Section II of DSM-5 (diagnostic criteria and codes), while also printing a complete parallel PD system in Section III (emerging measures and models), with the idea of moving elements of the Section III material to Section II as DSM evolves (e.g., in DSM-5.1). Perhaps the PD field is too fractious to arrive at a consensus approach at this juncture, but, in addition, the current situation shows how the PD field is arguably the most forward-thinking area in contemporary psychopathology. This is because many PD scholars do not accept the inadequate polythetic-categorical approach to psychopathology classification of DSM-IV (which, owing to conservative political forces, also frames Section II of DSM-5). PD research is therefore at the vanguard in conceptualizing, studying, and treating psychopathology because it is not slavishly tethered to the DSM, and its approach to defining mental disorder through political processes. PsycINFO Database Record (c) 2013 APA, all rights reserved.
Jackman, David M; Zhang, Yichen; Dalby, Carole; Nguyen, Tom; Nagle, Julia; Lydon, Christine A; Rabin, Michael S; McNiff, Kristen K; Fraile, Belen; Jacobson, Joseph O
2017-04-01
Increasing costs and medical complexity are significant challenges in modern oncology. We explored the use of clinical pathways to support clinical decision making and manage resources prospectively across our network. We created customized lung cancer pathways and partnered with a commercial vendor to provide a Web-based platform for real-time decision support and post-treatment data aggregation. Dana-Farber Cancer Institute (DFCI) Pathways for non-small cell lung cancer (NSCLC) were introduced in January 2014. We identified all DFCI patients who were diagnosed and treated for stage IV NSCLC in 2012 (before pathways) and 2014 (after pathways). Costs of care were determined for 1 year from the time of diagnosis. Pre- and postpathway cohorts included 160 and 210 patients with stage IV NSCLC, respectively. The prepathway group had more women but was otherwise similarly matched for demographic and tumor characteristics. The total 12-month cost of care (adjusted for age, sex, race, distance to DFCI, clinical trial enrollment, and EGFR and ALK status) demonstrated a $15,013 savings after the implementation of pathways ($67,050 before pathways v $52,037 after pathways). Antineoplastics were the largest source of cost savings. Clinical outcomes were not compromised, with similar median overall survival times (10.7 months before v 11.2 months after pathways; P = .08). After introduction of a clinical pathway in metastatic NSCLC, cost of care decreased significantly, with no compromise in survival. In an era where comparative outcomes analysis and value assessment are increasingly important, the implementation of clinical pathways may provide a means to coalesce and disseminate institutional expertise and track and learn from care decisions.
Introducing a change in hospital policy using FMEA methodology as a tool to reduce patient hazards.
Ofek, Fanny; Magnezi, Racheli; Kurzweil, Yaffa; Gazit, Inbal; Berkovitch, Sofia; Tal, Orna
2016-01-01
Intravenous potassium chloride (IV KCl) solutions are widely used in hospitals for treatment of hypokalemia. As ampoules of concentrated KCL must be diluted before use, critical incidents have been associated with its preparation and administration. Currently, we have introduced ready-to-use diluted KCl infusion solutions to minimize the use of high-alert concentrated KCl. Since this process may be associated with considerable risks, we embraced a proactive hazard analysis as a tool to implement a change in high-alert drug usage in a hospital setting. Failure mode and effect analysis (FMEA) is a systematic tool to analyze and identify risks in system operations. We used FMEA to examine the hazards associated with the implementation of the ready-to-use solutions. A multidisciplinary team analyzed the risks by identifying failure modes, conducting a hazard analysis and calculating the criticality index (CI) for each failure mode. A 1-day survey was performed as an evaluation step after a trial run period of approximately 4 months. Six major possible risks were identified. The most severe risks were prioritized and specific recommendations were formulated. Out of 28 patients receiving IV KCl on the day of the survey, 22 received the ready-to-use solutions and 6 received the concentrated solutions as instructed. Only 1 patient received inappropriate ready-to-use KCl. Using the FMEA tool in our study has proven once again that by creating a gradient of severity of potential vulnerable elements, we are able to proactively promote safer and more efficient processes in health care systems. This article presents a utilization of this method for implementing a change in hospital policy regarding the routine use of IV KCl.
Amir, Yufitriana; Lohrmann, Christa; Halfens, Ruud Jg; Schols, Jos Mga
2017-02-01
The objective of this article was to study characteristics of pressure ulcer patients and their ulcers, pressure ulcer preventive and treatment measures in four Indonesian general hospitals. A multicentre cross-sectional design was applied to assess pressure ulcers and pressure ulcer care in adult patients in medical, surgical, specialised and intensive care units. Ninety-one of the 1132 patients had a total of 142 ulcers. Half (44·0%) already had pressure ulcers before admission. The overall prevalence of category I-IV pressure ulcers was 8·0% (95% CI 6·4-9·6), and the overall nosocomial pressure ulcer prevalence was 4·5% (95% CI 3·3-5·7). Most pressure ulcer patients had friction and shear problems, were bedfast, had diabetes and had more bedridden days. Most ulcers (42·3%) were category III and IV. One third of the patients had both pressure ulcers and moisture lesions (36·3%) and suffered from pain (45·1%). The most frequently used prevention measures were repositioning (61·5%), skin moisturising (47·3%), patient education (36·3%) and massage (35·2%). Most pressure ulcer dressings involved saline-impregnated or antimicrobial gauzes. This study shows the complexities of pressure ulcers in Indonesian general hospitals and reveals that the quality of pressure ulcer care (prevention and treatment) could be improved by implementing the recent evidence-based international guideline. © 2016 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
The prevalence of ADHD in a population-based sample
Rowland, Andrew S.; Skipper, Betty J.; Umbach, David M.; Rabiner, David L.; Campbell, Richard A.; Naftel, A. Jack; Sandler, Dale P.
2014-01-01
Objective Few studies of ADHD prevalence have used population-based samples, multiple informants, and DSM-IV criteria. In addition, children who are asymptomatic while receiving ADHD mediction often have been misclassified. Therefore, we conducted a population-based study to estimate the prevalence of ADHD in elementary school children using DSM-IV critera. Methods We screened 7587 children for ADHD. Teachers of 81% of the children completed a DSM-IV checklist. We then interviewed parents using a structured interview (DISC). Of these, 72% participated. Parent and teacher ratings were combined to determine ADHD status. We also estimated the proportion of cases attributable to other conditions. Results Overall, 15.5% of our sample (95% confidence interval (C.I.) 14.6%-16.4%) met DSM-IV-TR criteria for ADHD. Over 40% of cases reported no previous diagnosis. With additional information, other conditions explained about 9% of cases. Conclusions The prevalence of ADHD in this population-based sample was higher than the 3-7% commonly reported. To compare study results, the methods used to implement the DSM criteria need to be standardized. PMID:24336124
NASA Astrophysics Data System (ADS)
Hoi, Bui Dinh; Yarmohammadi, Mohsen
2018-04-01
The spin-dependent electrical conductivity of counterparts of graphene, transition-metal dichalcogenides (TMDs) and group-IV nanosheets, have investigated by a magnetic exchange field (MEF)-induction to gain the electronic transport properties of charge carriers. We have implemented a k.p Hamiltonian model through the Kubo-Greenwood formalism in order to address the dynamical behavior of correlated Dirac fermions. Tuning the MEF enables one to control the effective mass of carriers in group-IV and TMDs, differently. We have found the Dirac-like points in a new quantum anomalous Hall (QAH) state at strong MEFs for both structures. For both cases, a broad peak in electrical conductivity originated from the scattering rate and entropy is observed. Spin degeneracy at some critical MEFs is another remarkable point. We have found that in the limit of zero or uniform MEFs with respect to the spin-orbit interaction, the large resulting electrical conductivity depends on the spin sub-bands in group-IV and MLDs. Featuring spin-dependent electronic transport properties, one can provide a new scenario for future possible applications.
World's First 24/7 Mobile Stroke Unit: Initial 6-Month Experience at Mercy Health in Toledo, Ohio.
Lin, Eugene; Calderon, Victoria; Goins-Whitmore, Julie; Bansal, Vibhav; Zaidat, Osama
2018-01-01
As the fourth mobile stroke unit (MSU) in the nation, and the first 24/7 unit worldwide, we review our initial experience with the Mercy Health MSU and institutional protocols implemented to facilitate rapid treatment of acute stroke patients and field triage for patients suffering other time-sensitive, acute neurologic emergencies in Lucas County, Ohio, and the greater Toledo metropolitan area. Data was prospectively collected for all patients transported and treated by the MSU during the first 6 months of service. Data was abstracted from documentation of on-scene emergency medical services (EMS) personnel, critical care nurses, and onboard physicians, who participated through telemedicine. The MSU was dispatched 248 times and transported 105 patients after on-scene examination with imaging. Intravenous (IV) tissue plasminogen activator (tPA) was administered to 10 patients; 8 patients underwent successful endovascular therapy after a large vessel occlusion was identified using CT performed within the MSU without post treatment symptomatic hemorrhage. Moreover, 14 patients were treated with IV anti-epileptics for status epilepticus, and 19 patients received IV anti-hypertensive agents for malignant hypertension. MSU alarm to on-scene times and treatment times were 34.7 min (25-49) and 50.6 min (44.4-56.8), respectively. The world's first 24/7 MSU has been successfully implemented with IV-tPA administration rates and times comparable to other MSUs nation-wide, while demonstrating rapid triage and treatment in the field for neurologic emergencies, including status epilepticus. With the rising number of MSUs worldwide, further data will drive standardized protocols that can be adopted nationwide by EMS.
Lean diesel technology and human health: a case study in six Brazilian metropolitan regions.
André, Paulo Afonso de; Veras, Mariana Matera; Miraglia, Simone Georges El Khouri; Saldiva, Paulo Hilário Nascimento
2012-01-01
Due to their toxicity, diesel emissions have been submitted to progressively more restrictive regulations in developed countries. However, in Brazil, the implementation of the Cleaner Diesel Technologies policy (Euro IV standards for vehicles produced in 2009 and low-sulfur diesel with 50 ppm of sulfur) was postponed until 2012 without a comprehensive analysis of the effect of this delay on public health parameters. We aimed to evaluate the impact of the delay in implementing the Cleaner Diesel Technologies policy on health indicators and monetary health costs in Brazil. The primary estimator of exposure to air pollution was the concentration of ambient fine particulate matter (particles with aerodynamic diameters <2.5 μm, [PM2.5]). This parameter was measured daily in six Brazilian metropolitan areas during 2007-2008. We calculated 1) the projected reduction in the PM2.5 that would have been achieved if the Euro IV standards had been implemented in 2009 and 2) the expected reduction after implementation in 2012. The difference between these two time curves was transformed into health outcomes using previous dose-response curves. The economic valuation was performed based on the DALY (disability-adjusted life years) method. The delay in implementing the Cleaner Diesel Technologies policy will result in an estimated excess of 13,984 deaths up to 2040. Health expenditures are projected to be increased by nearly US$ 11.5 billion for the same period. The present results indicate that a significant health burden will occur because of the postponement in implementing the Cleaner Diesel Technologies policy. These results also reinforce the concept that health effects must be considered when revising fuel and emission policies.
76 FR 68225 - Corporate Administration Committee Board of Directors Meeting; Sunshine Act
Federal Register 2010, 2011, 2012, 2013, 2014
2011-11-03
... NEIGHBORHOOD REINVESTMENT CORPORATION Corporate Administration Committee Board of Directors Meeting; Sunshine Act Time and Date: 1 p.m., Monday, November 14, 2011. Place: 1325 G Street NW., Suite.... Update--Human Resources III. Benefits Activities IV. PeopleSoft Implementation Update V. Strategic...
ERIC Educational Resources Information Center
Stillman, Michael H.
1977-01-01
This article was written as part of a comprehensive manual designed to assist teachers in implementing a diagnostic/prescriptive mathematics program. The larger project known as Project SAIL (Student Achievement in Individualized Learning), is a nationally validated Title 111-IV (c) project currently funded for dissemination in New Jersey. (Editor)
DOT National Transportation Integrated Search
2015-10-02
Initial WorkshopI held on September 18, 2014 at the Volpe Center; Overview of DOT GPS Adjacent Band Compatibility Assessment Plan and plans/timeline for implementation; Presentation on GPS use cases and list of representative GPS receivers; Descri...
Networking. New Opportunities for Partnering, CAUSE94. Track IV.
ERIC Educational Resources Information Center
CAUSE, Boulder, CO.
Seven papers are presented from the 1994 CAUSE conference track on networking and information sharing among higher education institutions. The papers include: (1) "Integrated Statewide Infrastructure of Learning Technologies," focusing on the University of Wisconsin System (Lee Alley); (2) "Designing and Implementing a Network…
Statistically Modeling I-V Characteristics of CNT-FET with LASSO
NASA Astrophysics Data System (ADS)
Ma, Dongsheng; Ye, Zuochang; Wang, Yan
2017-08-01
With the advent of internet of things (IOT), the need for studying new material and devices for various applications is increasing. Traditionally we build compact models for transistors on the basis of physics. But physical models are expensive and need a very long time to adjust for non-ideal effects. As the vision for the application of many novel devices is not certain or the manufacture process is not mature, deriving generalized accurate physical models for such devices is very strenuous, whereas statistical modeling is becoming a potential method because of its data oriented property and fast implementation. In this paper, one classical statistical regression method, LASSO, is used to model the I-V characteristics of CNT-FET and a pseudo-PMOS inverter simulation based on the trained model is implemented in Cadence. The normalized relative mean square prediction error of the trained model versus experiment sample data and the simulation results show that the model is acceptable for digital circuit static simulation. And such modeling methodology can extend to general devices.
Hepp, Christof; Maier, Berenike
2017-10-01
Secretion systems enable bacteria to import and secrete large macromolecules including DNA and proteins. While most components of these systems have been identified, the molecular mechanisms of macromolecular transport remain poorly understood. Recent findings suggest that various bacterial secretion systems make use of the translocation ratchet mechanism for transporting polymers across the cell envelope. Translocation ratchets are powered by chemical potential differences generated by concentration gradients of ions or molecules that are specific to the respective secretion systems. Bacteria employ these potential differences for biasing Brownian motion of the macromolecules within the conduits of the secretion systems. Candidates for this mechanism include DNA import by the type II secretion/type IV pilus system, DNA export by the type IV secretion system, and protein export by the type I secretion system. Here, we propose that these three secretion systems employ different molecular implementations of the translocation ratchet mechanism. © 2017 The Authors. BioEssays Published by WILEY Periodicals, Inc.
Federal Register 2010, 2011, 2012, 2013, 2014
2012-11-01
...The Secretary amends the Federal Perkins Loan (Perkins Loan) program, Federal Family Education Loan (FFEL) program, and William D. Ford Federal Direct Loan (Direct Loan) program regulations. These final regulations implement a new Income-Contingent Repayment (ICR) plan in the Direct Loan program based on the President's ``Pay As You Earn'' repayment initiative, incorporate recent statutory changes to the Income-Based Repayment (IBR) plan in the Direct Loan and FFEL programs, and streamline and add clarity to the total and permanent disability (TPD) discharge process for borrowers in loan programs under title IV of the Higher Education Act of 1965, as amended (HEA). These final regulations implementing a new ICR plan and the statutory changes to the IBR plan will assist borrowers in repaying their loans while the changes to the TPD discharge process will reduce burden for borrowers who are disabled and seeking a discharge of their title IV debt.
Bulusu, Kartik V; Plesniak, Michael W
2016-07-19
The arterial network in the human vasculature comprises of ubiquitously present blood vessels with complex geometries (branches, curvatures and tortuosity). Secondary flow structures are vortical flow patterns that occur in curved arteries due to the combined action of centrifugal forces, adverse pressure gradients and inflow characteristics. Such flow morphologies are greatly affected by pulsatility and multiple harmonics of physiological inflow conditions and vary greatly in size-strength-shape characteristics compared to non-physiological (steady and oscillatory) flows (1 - 7). Secondary flow structures may ultimately influence the wall shear stress and exposure time of blood-borne particles toward progression of atherosclerosis, restenosis, sensitization of platelets and thrombosis (4 - 6, 8 - 13). Therefore, the ability to detect and characterize these structures under laboratory-controlled conditions is precursor to further clinical investigations. A common surgical treatment to atherosclerosis is stent implantation, to open up stenosed arteries for unobstructed blood flow. But the concomitant flow perturbations due to stent installations result in multi-scale secondary flow morphologies (4 - 6). Progressively higher order complexities such as asymmetry and loss in coherence can be induced by ensuing stent failures vis-à-vis those under unperturbed flows (5). These stent failures have been classified as "Types I-to-IV" based on failure considerations and clinical severity (14). This study presents a protocol for the experimental investigation of the complex secondary flow structures due to complete transverse stent fracture and linear displacement of fractured parts ("Type IV") in a curved artery model. The experimental method involves the implementation of particle image velocimetry (2C-2D PIV) techniques with an archetypal carotid artery inflow waveform, a refractive index matched blood-analog working fluid for phase-averaged measurements (15 - 18). Quantitative identification of secondary flow structures was achieved using concepts of flow physics, critical point theory and a novel wavelet transform algorithm applied to experimental PIV data (5, 6, 19 - 26).
NASA Astrophysics Data System (ADS)
Roth, Christian J.; Haeussner, Eva; Ruebelmann, Tanja; Koch, Franz V.; Schmitz, Christoph; Frank, Hans-Georg; Wall, Wolfgang A.
2017-01-01
Ischemic placental disease is a concept that links intrauterine growth retardation (IUGR) and preeclampsia (PE) back to insufficient remodeling of uterine spiral arteries. The rheological consequences of insufficient remodeling of uterine spiral arteries were hypothesized to mediate the considerably later manifestation of obstetric disease. However, the micro-rheology in the intervillous space (IVS) cannot be examined clinically and rheological animal models of the human IVS do not exist. Thus, an in silico approach was implemented to provide in vivo inaccessible data. The morphology of a spiral artery and the inflow region of the IVS were three-dimensionally reconstructed to provide a morphological stage for the simulations. Advanced high-end supercomputing resources were used to provide blood flow simulations at high spatial resolution. Our simulations revealed turbulent blood flow (high-velocity jets and vortices) combined with elevated blood pressure in the IVS and increased wall shear stress at the villous surface in conjunction with insufficient spiral artery remodeling only. Post-hoc histological analysis of uterine veins showed evidence of increased trophoblast shedding in an IUGR placenta. Our data support that rheological alteration in the IVS is a relevant mechanism linking ischemic placental disease to altered structural integrity and function of the placenta.
Neutral six-coordinate bis(dithiocarbamato)silicon(iv) complexes with an SiCl2S4 skeleton.
Baus, Johannes A; Tacke, Reinhold
2017-07-11
Treatment of SiCl 4 with lithium dithiocarbamates of the formula type Li[R 2 NCS 2 ] (R = Ph, iPr) in a molar ratio of 1 : 2 afforded the respective six-coordinate silicon(iv) complexes [Ph 2 NCS 2 ] 2 SiCl 2 (3) and [iPr 2 NCS 2 ] 2 SiCl 2 (4), which were isolated as the solvates 3·MeCN and 4·MeCN. Compounds 3·MeCN and 4·MeCN were structurally characterised by single-crystal X-ray diffraction and multinuclear NMR spectroscopic studies in the solid state and in solution. In this study, dithiocarbamato ligands were implemented in silicon coordination chemistry for the first time. Compounds 3 and 4 represent the first six-coordinate silicon(iv) complexes with an SiCl 2 S 4 skeleton.
Preparing the MAX IV storage rings for timing-based experiments
DOE Office of Scientific and Technical Information (OSTI.GOV)
Stråhlman, C., E-mail: Christian.Strahlman@maxlab.lu.se; Olsson, T., E-mail: Teresia.Olsson@maxlab.lu.se; Leemann, S. C.
2016-07-27
Time-resolved experimental techniques are increasingly abundant at storage ring facilities. Recent developments in accelerator technology and beamline instrumentation allow for simultaneous operation of high-intensity and timing-based experiments. The MAX IV facility is a state-of-the-art synchrotron light source in Lund, Sweden, that will come into operation in 2016. As many storage ring facilities are pursuing upgrade programs employing strong-focusing multibend achromats and passive harmonic cavities (HCs) in high-current operation, it is of broad interest to study the accelerator and instrumentation developments required to enable timing-based experiments at such machines. In particular, the use of hybrid filling modes combined with pulse pickingmore » by resonant excitation or pseudo single bunch has shown promising results. These methods can be combined with novel beamline instrumentation, such as choppers and instrument gating. In this paper we discuss how these techniques can be implemented and employed at MAX IV.« less
50 CFR 648.85 - Special management programs.
Code of Federal Regulations, 2010 CFR
2010-10-01
... assessment of the U.S./Canada shared resources for GB cod, haddock and yellowtail flounder shall occur. (C... comply with the restrictions and conditions in paragraphs (a)(3)(ii)(A) through (C) of this section... trip (e.g., the possession restrictions specified in paragraph (a)(3)(iv)(C)(4) of this section), and...
78 FR 52694 - Price Cap Rules for Certain Postal Rate Adjustments
Federal Register 2010, 2011, 2012, 2013, 2014
2013-08-26
... Sec. 3010.12(c) relating to the filing of information concerning new discounts and surcharges are... and IV.C. Section 3010.23(b) reflects revisions that require the percentage change in rates for a... authority may only be applied after applying the annual limitation. Section 3010.26(c)(2) reflects revisions...
Code of Federal Regulations, 2014 CFR
2014-04-01
... 17 Commodity and Securities Exchanges 1 2014-04-01 2014-04-01 false Trade options. 32.3 Section 32... OPTION TRANSACTIONS § 32.3 Trade options. (a) Subject to paragraphs (b), (c), and (d) of this section... period preceding the date on which the trade option is entered into, (iv) In connection with any non...
Code of Federal Regulations, 2013 CFR
2013-04-01
... 17 Commodity and Securities Exchanges 1 2013-04-01 2013-04-01 false Trade options. 32.3 Section 32... OPTION TRANSACTIONS § 32.3 Trade options. (a) Subject to paragraphs (b), (c), and (d) of this section... period preceding the date on which the trade option is entered into, (iv) In connection with any non...
Medical Problems. Child Health and Safety Series (Module IV).
ERIC Educational Resources Information Center
Iscoe, Louise; And Others
This manual for child care personnel in day care homes and centers provides guidelines and information on the detection, treatment, and control of medical problems of children. Introductory materials focus on signs of illness which carepersons can recognize. Section II concentrates on insect, animal and human bites. Section III discusses skin…
30 CFR 206.353 - How do I determine transmission deductions?
Code of Federal Regulations, 2010 CFR
2010-07-01
...) Depreciation under paragraphs (g) and (h) of this section and a return on undepreciated capital investment under paragraphs (g) and (i) of this section or (iv) A return on the capital investment in the..., are not allowable expenses. (g) To compute costs associated with capital investment, a lessee may use...
30 CFR 206.354 - How do I determine generating deductions?
Code of Federal Regulations, 2010 CFR
2010-07-01
...) Depreciation under paragraphs (g) and (h) of this section and a return on undepreciated capital investment under paragraphs (g) and (i) of this section; or (iv) A return on capital investment in the power plant... allowable expenses. (g) To compute costs associated with capital investment, a lessee may use either...
Code of Federal Regulations, 2010 CFR
2010-10-01
... exchange carrier's switching ports as unbundled network elements under section 251 of the Communications Act, and/or Feature Group A access lines, and resellers of the incumbent local exchange carrier's... network elements under section 251. (iv) The incumbent local exchange carrier shall levelize the monthly...
26 CFR 1.163-9T - Personal interest (temporary).
Code of Federal Regulations, 2010 CFR
2010-04-01
... computing income or loss from a passive activity of the taxpayer, (iv) Any qualified residence interest (within the meaning of section 163(h)(3) and § 1.163-10T), and (v) Any interest payable under section 6601...-10T for rules concerning qualified residence interest. (c) Effective date—(1) In general. The...
Code of Federal Regulations, 2010 CFR
2010-07-01
... section for each gas temperature monitoring device. (i) Locate the temperature sensor in a position that... temperature sensor system from electromagnetic interference and chemical contaminants. (iv) If a gas...) of this section. (1) For a thermal oxidizer, install a gas temperature monitor in the firebox of the...
Code of Federal Regulations, 2011 CFR
2011-07-01
... section for each gas temperature monitoring device. (i) Locate the temperature sensor in a position that... temperature sensor system from electromagnetic interference and chemical contaminants. (iv) If a gas...) of this section. (1) For a thermal oxidizer, install a gas temperature monitor in the firebox of the...
40 CFR 63.2435 - Am I subject to the requirements in this subpart?
Code of Federal Regulations, 2013 CFR
2013-07-01
... MCPU includes equipment necessary to operate a miscellaneous organic chemical manufacturing process, as...)(1)(i), (ii), (iii), (iv), or (v) of this section. (i) An organic chemical(s) classified using the...)(5) of this section. (ii) An organic chemical(s) classified using the 1997 version of NAICS code 325...
40 CFR 63.2435 - Am I subject to the requirements in this subpart?
Code of Federal Regulations, 2012 CFR
2012-07-01
... MCPU includes equipment necessary to operate a miscellaneous organic chemical manufacturing process, as...)(1)(i), (ii), (iii), (iv), or (v) of this section. (i) An organic chemical(s) classified using the...)(5) of this section. (ii) An organic chemical(s) classified using the 1997 version of NAICS code 325...
40 CFR 63.2435 - Am I subject to the requirements in this subpart?
Code of Federal Regulations, 2014 CFR
2014-07-01
... MCPU includes equipment necessary to operate a miscellaneous organic chemical manufacturing process, as...)(1)(i), (ii), (iii), (iv), or (v) of this section. (i) An organic chemical(s) classified using the...)(5) of this section. (ii) An organic chemical(s) classified using the 1997 version of NAICS code 325...
18 CFR 301.4 - Exchange Period Average System Cost determination.
Code of Federal Regulations, 2010 CFR
2010-04-01
... paragraph (a)(3)(iv) of this section indicates that no escalation to the Account will be made. (5... the Exchange Period by the same rate of growth as total Contract System Load. (7) If any of the escalators specified in paragraph (a) of this section are no longer available, Bonneville will designate a...
18 CFR 301.4 - Exchange Period Average System Cost determination.
Code of Federal Regulations, 2011 CFR
2011-04-01
... paragraph (a)(3)(iv) of this section indicates that no escalation to the Account will be made. (5... the Exchange Period by the same rate of growth as total Contract System Load. (7) If any of the escalators specified in paragraph (a) of this section are no longer available, Bonneville will designate a...
18 CFR 301.4 - Exchange Period Average System Cost determination.
Code of Federal Regulations, 2013 CFR
2013-04-01
... paragraph (a)(3)(iv) of this section indicates that no escalation to the Account will be made. (5... the Exchange Period by the same rate of growth as total Contract System Load. (7) If any of the escalators specified in paragraph (a) of this section are no longer available, Bonneville will designate a...
18 CFR 301.4 - Exchange Period Average System Cost determination.
Code of Federal Regulations, 2012 CFR
2012-04-01
... paragraph (a)(3)(iv) of this section indicates that no escalation to the Account will be made. (5... the Exchange Period by the same rate of growth as total Contract System Load. (7) If any of the escalators specified in paragraph (a) of this section are no longer available, Bonneville will designate a...
18 CFR 301.4 - Exchange Period Average System Cost determination.
Code of Federal Regulations, 2014 CFR
2014-04-01
... paragraph (a)(3)(iv) of this section indicates that no escalation to the Account will be made. (5... the Exchange Period by the same rate of growth as total Contract System Load. (7) If any of the escalators specified in paragraph (a) of this section are no longer available, Bonneville will designate a...
Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-07
... SMALL BUSINESS ADMINISTRATION [Gemini Investors IV, L.P.; License No. 01/01-0410] Notice Seeking Exemption Under Section 312 of the Small Business Investment Act, Conflicts of Interest Notice is hereby..., Financings which Constitute Conflicts of Interest of the Small Business Administration (``SBA'') Rules and...
40 CFR 60.49Da - Emission monitoring.
Code of Federal Regulations, 2011 CFR
2011-07-01
... potential SO2 emissions rates of 26 ng/J (0.060 lb/MMBtu) or less, and does not use a post-combustion... specified in paragraphs (a)(2)(iii)(A) through (C) of this section. (A) No post-combustion technology... paragraphs (a)(3)(i) through (iv) of this section. The opacity performance test requirement in paragraph (a...
40 CFR 60.49Da - Emission monitoring.
Code of Federal Regulations, 2013 CFR
2013-07-01
... rates of 26 ng/J (0.060 lb/MMBtu) or less, and does not use a post-combustion technology to reduce...)(2)(iii)(A) through (C) of this section. (A) No post-combustion technology (except a wet scrubber) is...)(i) through (iv) of this section. The opacity performance test requirement in paragraph (a)(3)(i...
40 CFR 60.49Da - Emission monitoring.
Code of Federal Regulations, 2014 CFR
2014-07-01
... rates of 26 ng/J (0.060 lb/MMBtu) or less, and does not use a post-combustion technology to reduce...)(2)(iii)(A) through (C) of this section. (A) No post-combustion technology (except a wet scrubber) is...)(i) through (iv) of this section. The opacity performance test requirement in paragraph (a)(3)(i...
40 CFR 63.11508 - What are my compliance requirements?
Code of Federal Regulations, 2011 CFR
2011-07-01
... paragraphs (c)(7)(i) through (iii) of this section. (i) You must report in your Notification of Compliance... add wetting agent/fume suppressant in proportion to the other bath chemistry ingredients that are... (iv) of this section. (7) * * * (i) You must report in your Notification of Compliance Status the pH...
30 CFR 250.218 - What air emissions information must accompany the EP?
Code of Federal Regulations, 2010 CFR
2010-07-01
... the EP? 250.218 Section 250.218 Mineral Resources MINERALS MANAGEMENT SERVICE, DEPARTMENT OF THE... list: (i) The projected peak hourly emissions; (ii) The total annual emissions in tons per year; (iii... emissions; and (v) The total of all emissions listed in paragraphs (a)(1)(i) through (iv) of this section...
42 CFR 435.115 - Individuals deemed to be receiving AFDC.
Code of Federal Regulations, 2011 CFR
2011-10-01
... collection of child or spousal support under title IV-D of the Social Security Act results in the termination of AFDC eligibility in accordance with section 406(h) of the Social Security Act. States must... eligible spouse of such relative as described in section 406(b) of the Social Security Act) who: (1...
26 CFR 1.1397E-1 - Qualified zone academy bonds.
Code of Federal Regulations, 2013 CFR
2013-04-01
... TAX (CONTINUED) INCOME TAXES (CONTINUED) Empowerment Zone Employment Credit § 1.1397E-1 Qualified zone... section 1397E(d)(2)(B)(i), (ii), (iii), (iv) or (v). Services of employees of the eligible local education... empowerment zone or enterprise community (as defined in section 1393), or there is a reasonable expectation...
26 CFR 1.1397E-1 - Qualified zone academy bonds.
Code of Federal Regulations, 2014 CFR
2014-04-01
... TAX (CONTINUED) INCOME TAXES (CONTINUED) Empowerment Zone Employment Credit § 1.1397E-1 Qualified zone... section 1397E(d)(2)(B)(i), (ii), (iii), (iv) or (v). Services of employees of the eligible local education... empowerment zone or enterprise community (as defined in section 1393), or there is a reasonable expectation...
26 CFR 1.1397E-1 - Qualified zone academy bonds.
Code of Federal Regulations, 2012 CFR
2012-04-01
... TAX (CONTINUED) INCOME TAXES (CONTINUED) Empowerment Zone Employment Credit § 1.1397E-1 Qualified zone... section 1397E(d)(2)(B)(i), (ii), (iii), (iv) or (v). Services of employees of the eligible local education... empowerment zone or enterprise community (as defined in section 1393), or there is a reasonable expectation...
16. Dry Dock No. 4. Longitudinal Section. Subdivision Nos. III ...
16. Dry Dock No. 4. Longitudinal Section. Subdivision Nos. III and IV (Frederic R. Harris, Inc., January 10, 1941). In Files of Cushman & Wakefield, Building no. 501, Philadelphia Naval Business Center. - Naval Base Philadelphia-Philadelphia Naval Shipyard, Dry Dock No. 4, Broad Street south of Government Avenue, Philadelphia, Philadelphia County, PA
47 CFR 25.220 - Non-conforming transmit/receive earth station operations.
Code of Federal Regulations, 2014 CFR
2014-10-01
... earth station operations. (a)(1) The requirements in this section apply to earth station applications of... analog video earth stations that are ineligible for routine licensing under § 25.211(d). (2) The... submit the certifications listed in paragraphs (d)(1)(i) through (d)(1)(iv) of this section. The...
7 CFR 1033.73 - Payments to producers and to cooperative associations.
Code of Federal Regulations, 2010 CFR
2010-01-01
... made to a cooperative association pursuant to paragraph (b) of this section, as follows: (1) Partial... of protein received times the protein price for the month; (iv) The pounds of other solids received... cell adjustment for the month; (vi) Less any payment made pursuant to paragraph (a)(1) of this section...
7 CFR 1032.73 - Payments to producers and to cooperative associations.
Code of Federal Regulations, 2012 CFR
2012-01-01
... pursuant to paragraph (c)(1) of this section; and (3) For the total quantity of milk received during the... made to a cooperative association pursuant to paragraph (b) of this section, as follows: (1) Partial... of protein received times the protein price for the month; (iv) The pounds of other solids received...
7 CFR 1033.73 - Payments to producers and to cooperative associations.
Code of Federal Regulations, 2014 CFR
2014-01-01
... made to a cooperative association pursuant to paragraph (b) of this section, as follows: (1) Partial... of protein received times the protein price for the month; (iv) The pounds of other solids received... cell adjustment for the month; (vi) Less any payment made pursuant to paragraph (a)(1) of this section...
7 CFR 1032.73 - Payments to producers and to cooperative associations.
Code of Federal Regulations, 2010 CFR
2010-01-01
... pursuant to paragraph (c)(1) of this section; and (3) For the total quantity of milk received during the... made to a cooperative association pursuant to paragraph (b) of this section, as follows: (1) Partial... of protein received times the protein price for the month; (iv) The pounds of other solids received...
7 CFR 1032.73 - Payments to producers and to cooperative associations.
Code of Federal Regulations, 2014 CFR
2014-01-01
... pursuant to paragraph (c)(1) of this section; and (3) For the total quantity of milk received during the... made to a cooperative association pursuant to paragraph (b) of this section, as follows: (1) Partial... of protein received times the protein price for the month; (iv) The pounds of other solids received...
7 CFR 1032.73 - Payments to producers and to cooperative associations.
Code of Federal Regulations, 2011 CFR
2011-01-01
... pursuant to paragraph (c)(1) of this section; and (3) For the total quantity of milk received during the... made to a cooperative association pursuant to paragraph (b) of this section, as follows: (1) Partial... of protein received times the protein price for the month; (iv) The pounds of other solids received...
7 CFR 1033.73 - Payments to producers and to cooperative associations.
Code of Federal Regulations, 2012 CFR
2012-01-01
... made to a cooperative association pursuant to paragraph (b) of this section, as follows: (1) Partial... of protein received times the protein price for the month; (iv) The pounds of other solids received... cell adjustment for the month; (vi) Less any payment made pursuant to paragraph (a)(1) of this section...
7 CFR 1033.73 - Payments to producers and to cooperative associations.
Code of Federal Regulations, 2013 CFR
2013-01-01
... made to a cooperative association pursuant to paragraph (b) of this section, as follows: (1) Partial... of protein received times the protein price for the month; (iv) The pounds of other solids received... cell adjustment for the month; (vi) Less any payment made pursuant to paragraph (a)(1) of this section...
7 CFR 1032.73 - Payments to producers and to cooperative associations.
Code of Federal Regulations, 2013 CFR
2013-01-01
... pursuant to paragraph (c)(1) of this section; and (3) For the total quantity of milk received during the... made to a cooperative association pursuant to paragraph (b) of this section, as follows: (1) Partial... of protein received times the protein price for the month; (iv) The pounds of other solids received...
7 CFR 1033.73 - Payments to producers and to cooperative associations.
Code of Federal Regulations, 2011 CFR
2011-01-01
... made to a cooperative association pursuant to paragraph (b) of this section, as follows: (1) Partial... of protein received times the protein price for the month; (iv) The pounds of other solids received... cell adjustment for the month; (vi) Less any payment made pursuant to paragraph (a)(1) of this section...
50 CFR 648.92 - Effort-control program for monkfish limited access vessels.
Code of Federal Regulations, 2011 CFR
2011-10-01
.... Limited access NE multispecies and limited access sea scallop permit holders who also possess a limited... Regional Administrator within 24 hours after tags have been discovered lost, destroyed, or missing. (iv... § 648.92, see the List of CFR Sections Affected, which appears in the Finding Aids section of the...
Llibre Rodriguez, Juan J; Ferri, Cleusa P; Acosta, Daisy; Guerra, Mariella; Huang, Yueqin; Jacob, K S; Krishnamoorthy, E S; Salas, Aquiles; Sosa, Ana Luisa; Acosta, Isaac; Dewey, Michael E; Gaona, Ciro; Jotheeswaran, A T; Li, Shuran; Rodriguez, Diana; Rodriguez, Guillermina; Kumar, P Senthil; Valhuerdi, Adolfo; Prince, Martin
2008-08-09
Studies have suggested that the prevalence of dementia is lower in developing than in developed regions. We investigated the prevalence and severity of dementia in sites in low-income and middle-income countries according to two definitions of dementia diagnosis. We undertook one-phase cross-sectional surveys of all residents aged 65 years and older (n=14 960) in 11 sites in seven low-income and middle-income countries (China, India, Cuba, Dominican Republic, Venezuela, Mexico, and Peru). Dementia diagnosis was made according to the culturally and educationally sensitive 10/66 dementia diagnostic algorithm, which had been prevalidated in 25 Latin American, Asian, and African centres; and by computerised application of the dementia criterion from the Diagnostic and Statistical Manual of Mental Disorders (DSM IV). We also compared prevalence of DSM-IV dementia in each of the study sites with that from estimates in European studies. The prevalence of DSM-IV dementia varied widely, from 0.3% (95% CI 0.1-0.5) in rural India to 6.3% (5.0-7.7) in Cuba. After standardisation for age and sex, DSM-IV prevalence in urban Latin American sites was four-fifths of that in Europe (standardised morbidity ratio 80 [95% CI 70-91]), but in China the prevalence was only half (56 [32-91] in rural China), and in India and rural Latin America a quarter or less of the European prevalence (18 [5-34] in rural India). 10/66 dementia prevalence was higher than that of DSM-IV dementia, and more consistent across sites, varying between 5.6% (95% CI 4.2-7.0) in rural China and 11.7% (10.3-13.1) in the Dominican Republic. The validity of the 847 of 1345 cases of 10/66 dementia not confirmed by DSM-IV was supported by high levels of associated disability (mean WHO Disability Assessment Schedule II score 33.7 [SD 28.6]). As compared with the 10/66 dementia algorithm, the DSM-IV dementia criterion might underestimate dementia prevalence, especially in regions with low awareness of this emerging public-health problem.
Exploring Opioid-Sparing Multimodal Analgesia Options in Trauma: A Nursing Perspective
Lyons, Mary; Montgomery, Robert; Quinlan-Colwell, Ann
2016-01-01
Challenges with opioids (e.g., adverse events, misuse and abuse with long-term administration) have led to a renewed emphasis on opioid-sparing multimodal management of trauma pain. To assess the extent to which currently available evidence supports the efficacy and safety of various nonopioid analgesics and techniques to manage trauma pain, a literature search of recently published references was performed. Additional citations were included on the basis of authors' knowledge of the literature. Effective options for opioid-sparing analgesics include oral and intravenous (IV) acetaminophen; nonsteroidal anti-inflammatory drugs available via multiple routes; and anticonvulsants, which are especially effective for neuropathic pain associated with trauma. Intravenous routes (e.g., IV acetaminophen, IV ketorolac) may be associated with a faster onset of action than oral routes. Additional adjuvants for the treatment of trauma pain are muscle relaxants and alpha-2 adrenergic agonists. Ketamine and regional techniques play an important role in multimodal therapy but require medical and nursing support. Nonpharmacologic treatments (e.g., cryotherapy, distraction techniques, breathing and relaxation, acupuncture) supplement pharmacologic analgesics and can be safe and easy to implement. In conclusion, opioid-sparing multimodal analgesia addresses concerns associated with high doses of opioids, and many pharmacologic and nonpharmacologic options are available to implement this strategy. Nurses play key roles in comprehensive patient assessment; administration of patient-focused, opioid-sparing, multimodal analgesia in trauma; and monitoring for safety concerns. PMID:27828892
Exploring Opioid-Sparing Multimodal Analgesia Options in Trauma: A Nursing Perspective.
Sullivan, Denise; Lyons, Mary; Montgomery, Robert; Quinlan-Colwell, Ann
Challenges with opioids (e.g., adverse events, misuse and abuse with long-term administration) have led to a renewed emphasis on opioid-sparing multimodal management of trauma pain. To assess the extent to which currently available evidence supports the efficacy and safety of various nonopioid analgesics and techniques to manage trauma pain, a literature search of recently published references was performed. Additional citations were included on the basis of authors' knowledge of the literature. Effective options for opioid-sparing analgesics include oral and intravenous (IV) acetaminophen; nonsteroidal anti-inflammatory drugs available via multiple routes; and anticonvulsants, which are especially effective for neuropathic pain associated with trauma. Intravenous routes (e.g., IV acetaminophen, IV ketorolac) may be associated with a faster onset of action than oral routes. Additional adjuvants for the treatment of trauma pain are muscle relaxants and alpha-2 adrenergic agonists. Ketamine and regional techniques play an important role in multimodal therapy but require medical and nursing support. Nonpharmacologic treatments (e.g., cryotherapy, distraction techniques, breathing and relaxation, acupuncture) supplement pharmacologic analgesics and can be safe and easy to implement. In conclusion, opioid-sparing multimodal analgesia addresses concerns associated with high doses of opioids, and many pharmacologic and nonpharmacologic options are available to implement this strategy. Nurses play key roles in comprehensive patient assessment; administration of patient-focused, opioid-sparing, multimodal analgesia in trauma; and monitoring for safety concerns.
Top Down Implementation Plan for system performance test software
NASA Technical Reports Server (NTRS)
Jacobson, G. N.; Spinak, A.
1982-01-01
The top down implementation plan used for the development of system performance test software during the Mark IV-A era is described. The plan is based upon the identification of the hierarchical relationship of the individual elements of the software design, the development of a sequence of functionally oriented demonstrable steps, the allocation of subroutines to the specific step where they are first required, and objective status reporting. The results are: determination of milestones, improved managerial visibility, better project control, and a successful software development.
Interservice Procedures for Instructional Systems Development. Phase 4 and 5. Implement and Control
1975-08-01
FIGUREIZ.2: Flowchart ot Block]Z.1: IMPLEMENT INSTRUCTIONAL MANAGEMENT PLAN BLOCK IV.2: CONDUCT INSTRUCTION LEA Oa.lNUt kaP INSTRUCTIONAL INIIANAI EL...DOCUMENTATION 2.1 [ BTAIN REQUIRED _ _ I 2.J2 CONDUCT INSTRUCTION 1 1 AND DOCUMENT OBSERVATIONS 2.3 ACTIVITIES 2.4 I BLOCK FIGURE ]V.3: Flowchart of...not have the entry skills. The entry skills determi- nation is important to know whether to place the students at the beginn - ing or provide
NASA Astrophysics Data System (ADS)
Subhan, M.; Oktolita, N.; Kn, M.
2018-04-01
The Lacks of students' skills in the learning process is due to lacks of exercises in the form of LKS. In the curriculum of 2013, there is no LKS as a companion to improve the students' skills. In order to solve those problem, it is necessary to develop LKS based on process skills as a teaching material to improve students' process skills. The purpose of this study is to develop LKS Process Skills based elementary school grade IV, V, VI which is integrated by process skill. The development of LKS can be used to develop the thematic process skills of elementary school students grade IV, V, VI based on curriculum 2013. The expected long-term goal is to produce teaching materials LKS Process Skill based of Thematic learning that is able to develop the process skill of elementary school students grade IV, V, VI. This development research refers to the steps developed by Borg & Gall (1983). The development process is carried out through 10 stages: preliminary research and gathering information, planning, draft development, initial test (limited trial), first product revision, final trial (field trial), product operational revision, Desemination and implementation. The limited subject of the this research is the students of SDN in Dharmasraya grade IV, V, VI. The field trial subjects in the experimental class are the students of SDN Dharmasraya grade IV, V, VI who have implemented the curriculum 2013. The data are collected by using LKS validation sheets, process skill observation sheets, and Thematic learning test (pre-test And post-test). The result of LKS development on the validity score is 81.70 (very valid), on practical score is 83.94 (very practical), and on effectiveness score is 86.67 (very effective). In the trial step the use of LKS using One Group Pretest-Posttest Design research design. The purpose of this trial is to know the effectiveness level of LKS result of development for improving the process skill of students in grade IV, V, and VI of elementary school. The data collection in this research uses the test result sheet of the process skill through pre-test and post-test. Observation results were analyzed with SPSS 16.0 software. The Result of analysis learning process of student skill of Sig value. (2-tailed) (0,000) <α (0.005) then H0 is rejected. There is a significant difference to the development of process skills between students using LKS with students who do not use LKS. It can be concluded that LKS have accuracy, ease and can improve result learn on aspect of skill process of student of grade IV, V and VI elementary school.
Johnson, K A; Skinner, G A; Muir, P
2001-05-01
To quantify geometric, inertial, and histomorphometric properties at the mid-diaphyseal level of left and right metacarpal bones (MCB) of racing Greyhounds. MCB from 7 racing Greyhounds euthanatized for reasons unrelated to MCB abnormalities. Mid-diaphyseal transverse sections of left and right MCB were stained with H&E or microradiographed. Images of stained sections were digitized, and cross-sectional area, cortical area, and maximum and minimum area moments of inertia of each bone were determined. Histomorphometric data (osteonal density, osteonal birefringence, and endosteal new lamellar bone thickness) were collected in 4 quadrants (dorsal, palmar, lateral, medial). Values were compared between limbs and among bones and quadrants. Cross-sectional area, cortical area, and maximum and minimum moments of inertia of left MCB-IV and -V were significantly greater, compared with contralateral bones. Overall osteonal densities in the dorsal quadrants of left MCB were greater, compared with lateral and medial quadrants. Also, percentage of birefringent osteons was significantly greater in the dorsal quadrant of left MCB-III, -IV, and -V, compared with the palmar quadrant. Thickness of new endosteal lamellar bone was not significantly influenced by limb, bone, or quadrant. Increased cortical thickness and geometric properties of left MCB-IV and -V of Greyhounds, together with altered turnover and orientation of osteons in the dorsal quadrants of left MCB, are site-specific adaptive responses associated with asymmetric cyclic loading as a result of racing on circular tracks. Site-specific adaptive remodeling may be important in the etiopathogenesis of fatigue fractures in racing Greyhounds.
Photoionization of S3+ using the Breit-Pauli R-matrix method
NASA Astrophysics Data System (ADS)
Stancalie, V.
2018-01-01
Sulphur is one of the most abundant chemical elements in the universe and a large number of lines have been observed in the spectra of astrophysical object. The S IV and SV ions considered in this work have received much interest in the last decade. The main objective of the present work is to report on photoionization cross-sections of S IV using the Breit-Pauli R-matrix (BPRM) method. We have carried out extensive non-relativistic and relativistic calculations of the photoionization cross sections to focus on relativistic effects. The reliability of the atomic data presented here has been carefully tested. We have exploited the BPRM code to describe the atomic wavefunctions and generate the energy levels for the SV 81 fine-structure bound target states and the corresponding A-values for transitions between these levels. The partial and total cross sections for the photoionization of the Al-like S3+ ground and excited states are determined for photon energy ranging from the S4+ 3s2 threshold up to the S4+ 4s threshold. We present statistically weighted, level resolved ground photoionization cross sections for the S IV ion. Both resonance positions and the oscillator strengths are presented. Extensive comparison of the present calculated values with those obtained from direct theoretical scattering calculation is also presented. To the best of our knowledge, the work reported herein describes for the first time a detailed relativistic photoionization calculation for this system, and the results are relevant to the laboratory and astrophysical plasmas.
29 CFR 452.7 - Bill of Rights, title I.
Code of Federal Regulations, 2011 CFR
2011-07-01
... DISCLOSURE ACT OF 1959 Other Provisions of the Act Affecting Title IV § 452.7 Bill of Rights, title I. The...) “Equal Rights,” section 101(a)(2) “Freedom of Speech and Assembly,” and section 101(a)(5) “Safeguards.... 522, 29 U.S.C. 411. 8 But the Secretary may bring suit to enforce section 104 (29 U.S.C. 414). 9 Act...
Saad, Sameh; Mohamed, Naglaa; Moghazy, Amr; Ellabban, Gouda; El-Kamash, Soliman
2016-01-01
The trauma and injury severity score (TRISS) and Acute Physiology and Chronic Health Evaluation IV (APACHE IV) are accurate but complex. This study aimed to compare venous glucose, levels of serum lactate, and base deficit in polytraumatized patients as simple parameters to predict the mortality in these patients versus (TRISS) and (APACHE IV). This was a comparative cross-sectional study of 282 patients with polytrauma presented to the Emergency Department (ED). The best cut off value of TRISS probability of survival score for prediction of mortality among poly-traumatized patients was ≤90. APACHE IV demonstrated 67% sensitivity and 95% specificity at 95% CI at cut off point 99. The best cutoff value of Random Blood Sugar was >140 mg/dl, with 89% sensitivity, 49% specificity; base deficit was less than -5.6 with 64% sensitivity, 93% specificity; lactate was >2.6 mmol/L with 92%, sensitivity, 42% specificity. Venous glucose, serum lactate and base deficit are easy and rapid biochemical predictors of mortality in patients with polytrauma. These predictors could be used as TRISS and APACHE IV in predicting mortality.
International VLBI Service for Geodesy and Astrometry: General Meeting Proceedings
NASA Technical Reports Server (NTRS)
Vandenberg, Nancy R. (Editor); Baver, Karen D. (Editor)
2002-01-01
This volume contains the proceedings of the second General Meeting of the International VLBI Service for Geodesy and Astrometry (IVS), held in Tsukuba, Japan, February 4-7, 2002. The contents of this volume also appear on the IVS Web site at http://ivscc.gsfc.nasa.gov/publications/gm2002. The key-note of the second GM was prospectives for the future, in keeping with the re-organization of the IAG around the motivation of geodesy as 'an old science with a dynamic future' and noting that providing reference frames for Earth system science that are consistent over decades on the highest accuracy level will provide a challenging role for IVS. The goal of the meeting was to provide an interesting and informative program for a wide cross section of IVS members, including station operators, program managers, and analysts. This volume contains 72 papers and five abstracts of papers presented at the GM. The volume also includes reports about three splinter meetings held in conjunction with the GM: a mini-TOW (Technical Operations Workshop), the third IVS Analysis Workshop and a meeting of the analysis working group on geophysical modeling.
Federal Register 2010, 2011, 2012, 2013, 2014
2010-11-22
... Part IV The President Executive Order 13559--Fundamental Principles and Policymaking Criteria for... Fundamental Principles and Policymaking Criteria for Partnerships With Faith-Based and Other Neighborhood... the following: ``Sec. 2. Fundamental Principles. In formulating and implementing policies that have...
Code of Federal Regulations, 2010 CFR
2010-01-01
... International Energy Agency established to implement the IEP. IEP means the International Energy Program... that the President determines allocation of petroleum products to nations participating in the IEP is required by chapters III and IV of the IEP and (b) ending on a date on which he determines such allocation...
Computer-Aided Techniques for Providing Operator Performance Measures.
ERIC Educational Resources Information Center
Connelly, Edward M.; And Others
This report documents the theory, structure, and implementation of a performance processor (written in FORTRAN IV) that can accept performance demonstration data representing various levels of operator's skill and, under user control, analyze data to provide candidate performance measures and validation test results. The processor accepts two…
Federal Register 2010, 2011, 2012, 2013, 2014
2011-11-28
... Carolina; Negative Declarations for Groups I, II, III and IV Control Techniques Guidelines; and Reasonably Available Control Technology AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY... Carolina Department of Health and Environmental Control (SC DHEC). These revisions establish reasonably...
32 CFR 199.1 - General provisions.
Code of Federal Regulations, 2014 CFR
2014-07-01
..., management control and coordination as required for CHAMPUS, and to develop, issue, and maintain regulations..., to consult with the Secretary of Defense or a designee and to approve and issue joint regulations... an issue joint regulations implementing 10 U.S.C., chapter 55. (iv) Office of CHAMPUS (OCHAMPUS). By...
32 CFR 199.1 - General provisions.
Code of Federal Regulations, 2012 CFR
2012-07-01
..., management control and coordination as required for CHAMPUS, and to develop, issue, and maintain regulations..., to consult with the Secretary of Defense or a designee and to approve and issue joint regulations... an issue joint regulations implementing 10 U.S.C., chapter 55. (iv) Office of CHAMPUS (OCHAMPUS). By...
32 CFR 199.1 - General provisions.
Code of Federal Regulations, 2013 CFR
2013-07-01
..., management control and coordination as required for CHAMPUS, and to develop, issue, and maintain regulations..., to consult with the Secretary of Defense or a designee and to approve and issue joint regulations... an issue joint regulations implementing 10 U.S.C., chapter 55. (iv) Office of CHAMPUS (OCHAMPUS). By...
12 CFR 234.5 - Changes to rules, procedures, or operations.
Code of Federal Regulations, 2013 CFR
2013-01-01
... risk-management techniques. (4) A designated financial market utility shall not implement a change to...) Participant eligibility or access criteria; (ii) Product eligibility; (iii) Risk management; (iv) Settlement..., procedures, or operations that could materially affect the nature or level of risks presented by the...
12 CFR 234.5 - Changes to rules, procedures, or operations.
Code of Federal Regulations, 2014 CFR
2014-01-01
... risk-management techniques. (4) A designated financial market utility shall not implement a change to...) Participant eligibility or access criteria; (ii) Product eligibility; (iii) Risk management; (iv) Settlement..., procedures, or operations that could materially affect the nature or level of risks presented by the...
Federal Register 2010, 2011, 2012, 2013, 2014
2010-11-24
... Development or Prototype Units (DFARS Case 2009-D034) AGENCY: Defense Acquisition Regulations System... the procurement of prototype units. The DFARS implementation places specific limits, in accordance... components or the procurement of prototype units. IV. Paperwork Reduction Act The Paperwork Reduction Act...
Jiang, Binghu; Takashima, Shodayu; Hakucho, Tomoaki; Hodaka, Numasaki; Yasuhiko, Tomita; Masahiko, Higashiyama
2013-10-01
To investigate the clinicopathological features and prognosis in patients with adenocarcinoma of the lung with scattered consolidation (ALSC). Between January 2006 and March 2010, 139 consecutive patients with lung adenocarcinoma of ≤3 cm, who underwent pulmonary resection for lung cancer, were investigated retrospectively. Radiologic classification was based on the findings of thin-section CT such as the presence of consolidation or ground-glass opacity (GGO). Type I (n=15) and Type II (n=14), showed a pure GGO and a mixed GGO with consolidation <50%, respectively. Type IV (n=38) and Type V (n=52) showed a mixed GGO with consolidation ≥50% and a pure consolidation, respectively. Type III (n=20) was the adenocarcinoma of the lung with scattered consolidation (ALSC). The clinicopathological features and prognosis of ALSC was investigated with comparative analysis and survival analysis. Because of the similar recurrence rate for Type I and Type II (P=1.000), Type IV and Type V (P=0.343), we merged Type I and Type II as Type I+II, Type IV and Type V as Type IV+V, respectively. In the 20 (14.4%) patients with ALSC, lymph node metastasis was not observed, and it was rare in lymphatic invasion and vascular invasion. On the basis of IASLC/ATS/ERS 2011 classification, 80% of the ALSC were preinvasive lesions. In Noguchi classification, there was no significant difference between Type I+II and ALSC (P=0.260). The prognosis of ALSC was similar to Type I+II (P=0.408), but better than Type IV+V (P=0.040). Adenocarcinoma of the lung with scattered consolidation (ALSC) on thin-section CT was a relatively favorable prognostic factor. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.
Rethinking Research Ethics: The Case of Postmarketing Trials
London, Alex John; Carlisle, Benjamin
2015-01-01
Phase IV studies are often criticized for poor scientific standards. Yet they provide an important resource for addressing evidence shortfalls in drug safety, comparative effectiveness, and real-world utility. Current research ethics policies, and contemplated revisions to them, do not provide an adequate framework for preventing social harms that result from poor post-marketing research practice. Rather than focus exclusively on the welfare and interests of human volunteers, research policies and ethics should also safeguard the integrity of the research enterprise as a system for producing reliable medical evidence. We close by briefly describing how an integrity framework might be implemented for phase IV studies. PMID:22556237
Networks consolidation program: Maintenance and Operations (M&O) staffing estimates
NASA Technical Reports Server (NTRS)
Goodwin, J. P.
1981-01-01
The Mark IV-A consolidate deep space and high elliptical Earth orbiter (HEEO) missions tracking and implements centralized control and monitoring at the deep space communications complexes (DSCC). One of the objectives of the network design is to reduce maintenance and operations (M&O) costs. To determine if the system design meets this objective an M&O staffing model for Goldstone was developed which was used to estimate the staffing levels required to support the Mark IV-A configuration. The study was performed for the Goldstone complex and the program office translated these estimates for the overseas complexes to derive the network estimates.
NASA Technical Reports Server (NTRS)
Rowan, D. R.
1989-01-01
The development and implementation of a C-band exciter for use with the Block IV Receiver-Exciter Subsystem at Deep Space Station 14 (DSS-14) has been completed. The exciter supplements the standard capabilities of the Block IV system by providing a drive signal for the C-band transmitter while generating coherent translation frequencies for C-band (5-GHz) to S-band (2.2- to 2.3-GHz) Doppler extraction, C-band to L-band (1.6-GHz) zero delay measurements, and a level calibrated L-band test signal. Exciter functions are described, and a general explanation and description of the C-band uplink controller is presented.
Federal Register 2010, 2011, 2012, 2013, 2014
2012-01-26
... Agreement Implementation Act, section 311(b) of the United States-Colombia Trade Promotion Agreement... Trade Agreement Implementation Act, section 311(b) of the United States-Panama Trade Promotion Agreement Implementation Act, section 311(b) of the United States-Peru Trade Promotion Agreement Implementation Act, and...
International VLBI Service for Geodesy and Astrometry: 2000 General Meeting Proceedings
NASA Technical Reports Server (NTRS)
Vandenberg, Nancy R. (Editor); Baver, Karen D. (Editor)
2000-01-01
This volume is the proceedings of the first General Meeting of the International Very Long Base Interferometry (VLBI) Service for Geodesy and Astrometry (IVS), held in Koetzting, Germany, February 21-24, 2000. The content of this volume also appears on the IVS web site at: http://ivscc.gsfc.nasa.gov/publications/gm2000. The goal of the program committee for the General Meeting was to provide an interesting and informative program for a wide cross section of IVS members, including station operators, program managers, and analysts. The program included reports, tutorials, invited and contributed papers, and poster presentations. The tutorial papers should be particularly useful references because each one provides an overview and introduction to a topic relevant to VLBI.
Design Aspects of the VLBI2010 System - Progress Report of the IVS VLBI2010 Committee
NASA Technical Reports Server (NTRS)
Petrachenko, Bill; Niell, Arthur; Behrend, Dirk; Corey, Brian; Boehm, Johannes; Chralot, Patrick; Collioud, Arnaud; Gipson, John; Haas, Ruediger; Hobiger, Thomas;
2009-01-01
This report summarizes the progress made in developing the next generation VLBI system, dubbed the VLBI2010 system. The VLBI2010 Committee of the International VLBI Service for Geodesy and Astrometry (IVS) worked on the design aspects of the new system. The report covers Monte Carlo simulations showing the impact of the new operating modes on the final products. A section on system considerations describes the implications for the VLBI2010 system parameters by considering the new modes and system-related issues such as sensitivity, antenna slew rate, delay measurement error. RF1, frequency requirements, antenna deformation, and source structure corrections_ This is followed by a description of all major subsystems and recommendations for the network, station. and antenna. Then aspects of the feed, polarization processing. calibration, digital back end, and correlator subsystems are covered. A section is dedicated to the NASA. proof-of-concept demonstration. Finally, sections tm operational considerations, on risks and fallback options, and on the next steps complete the report.
Health physics division annual progress report for period ending June 30, 1977
DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
1978-07-01
This annual progress report follows, as in the past, the organizational structure of the Health Physics Division. Each part is a report of work done by a section of the division: Assessment and Technology Section (Part I), headed by H.W. Dickson; Biological and Radiation Physics Section (Part II), H.A. Wright; Chemical Physics and Spectroscopy Section (Part III), W.R. Garrett; Emergency Technology Section (Part IV), C.V. Chester, Medical Physics and Internal Dosimetry Section (Part V), K.E. Cowser; and the Analytic Dosimetry and Education Group (Part VI), J.E. Turner.
Ellett, Alberta J; Ellett, Chad D; Ellis, Jacquelyn; Lerner, Betsy
2009-01-01
This article describes the development and initial implementation of a new employee selection protocol (ESP) for child welfare grounded in the results of recent large-scale employee retention studies and a set of research-based, minimally essential knowledge, skills, abilities, and values. The complete ESP consists of a sequenced set of Web- and site-based assessment processes and procedures for potential applicants. Using the ESP, applicants and employers make informed decisions about the goodness of fit between the applicant and the demands of a career in child welfare. To date, the new ESP has been piloted in three Georgia Division of Family and Children Services (DFCS) regions and implemented by all nine colleges and universities participating in IV-E child welfare education programs. Evaluation data collected from students and new employees in one DFCS region strongly support the value of the ESP Web-based activities to make a more informed decision about whether to apply for the IV-E stipends and child welfare positions. Feedback from trained ESP assessors supports the value of various ESP activities. A major goal of implementing the ESP is to select more professionally committed and highly qualified applicants to strengthen employee retention and outcomes for children and families.
The Role of Intelligence and Education in the Division of Labor. Report No. 355.
ERIC Educational Resources Information Center
Gottfredson, Linda S.
This paper suggests that the occupational hierarchy is based on functionally important differences among workers and their jobs and proposes a modified functional theory of occupational stratification. Section I examines the role of education in social stratification. Sections II, III, and IV review (1) functions of schooling, (2) evidence about…
49 CFR 213.119 - Continuous welded rail (CWR); plan contents.
Code of Federal Regulations, 2012 CFR
2012-10-01
... repairs, in-track welding, and in conjunction with adjustments made in the area of tight track, a track... frequency identified in paragraph (h)(6)(i) of this section, provided that: (A) All CWR joints have been... determining the frequency of inspections under paragraph (h)(6)(i) of this section. (iv) All CWR joints that...
49 CFR 213.119 - Continuous welded rail (CWR); plan contents.
Code of Federal Regulations, 2014 CFR
2014-10-01
... repairs, in-track welding, and in conjunction with adjustments made in the area of tight track, a track... frequency identified in paragraph (h)(6)(i) of this section, provided that: (A) All CWR joints have been... determining the frequency of inspections under paragraph (h)(6)(i) of this section. (iv) All CWR joints that...
49 CFR 213.119 - Continuous welded rail (CWR); plan contents.
Code of Federal Regulations, 2013 CFR
2013-10-01
... repairs, in-track welding, and in conjunction with adjustments made in the area of tight track, a track... frequency identified in paragraph (h)(6)(i) of this section, provided that: (A) All CWR joints have been... determining the frequency of inspections under paragraph (h)(6)(i) of this section. (iv) All CWR joints that...
20 CFR 410.561e - When an individual is “without fault” in a reduction-overpayment.
Code of Federal Regulations, 2010 CFR
2010-04-01
... reduction-overpayment. 410.561e Section 410.561e Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK LUNG BENEFITS (1969- ) Payment of Benefits... section 203(b) of the Social Security Act, or which is incorrect because a reduction in his benefits equal...
76 FR 12946 - National Advisory Committee on Institutional Quality and Integrity (NACIQI) Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-09
... Act (FACA) and Section 114(d)(1)(B) of the Higher Education Act of 1965, as amended (HEA... Section 114 of the Higher Education Act (HEA), as amended, 20 U.S.C. 1011c. The NACIQI advises the... certification process for institutions of higher education under Title IV, HEA. The relationship between: (1...
40 CFR 60.49Da - Emission monitoring.
Code of Federal Regulations, 2010 CFR
2010-07-01
... potential SO2 emissions rates of 26 ng/J (0.060 lb/MMBtu) or less, and does not use a post-combustion... specified in paragraphs (a)(2)(iii)(A) through (C) of this section. (A) No post-combustion technology... paragraphs (a)(3)(i) through (iv) of this section. (i) The owner or operator shall conduct a performance test...
40 CFR 60.49Da - Emission monitoring.
Code of Federal Regulations, 2012 CFR
2012-07-01
... SO2 emissions rates of 26 ng/J (0.060 lb/MMBtu) or less, and does not use a post-combustion technology... in paragraphs (a)(2)(iii)(A) through (C) of this section. (A) No post-combustion technology (except a... paragraphs (a)(3)(i) through (iv) of this section. The opacity performance test requirement in paragraph (a...
Federal Register 2010, 2011, 2012, 2013, 2014
2011-11-03
... dealers; (ii) insurance companies; (iii) corporate issuers; (iv) issuers of asset-backed securities (as... ``whistleblower'') claims under section 806 of the Corporate and Criminal Fraud Accountability Act of 2002, Title... Systems Security Act and the Federal Railroad Safety Act, 29 CFR part 1982; the Consumer Product Safety...
42 CFR 436.114 - Individuals deemed to be receiving AFDC.
Code of Federal Regulations, 2011 CFR
2011-10-01
... increased collection of child or spousal support under title IV-D of the Social Security Act results in the termination of AFDC eligibility in accordance with section 406(h) of the Social Security Act. States must... eligible spouse of such relative as described in section 406(b) of the Social Security Act) who: (1...
78 FR 22761 - Delegation of Functions Under Sections 404 and 406 of Public Law 112-208
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-16
... Vol. 78 Tuesday, No. 73 April 16, 2013 Part IV The President Memorandum of April 5, 2013--Delegation of Functions Under Sections 404 and 406 of Public Law 112-208 Presidential Determination No. 2013-07 of April 8, 2013--Presidential Determination on Eligibility of the Federal Republic of Somalia To...