Science.gov

Sample records for implementing comprehensive de-licensing

  1. Implementing comprehensive de-licensing process for the West Jefferson North Facility

    SciTech Connect

    Anderson, Keith

    2007-07-01

    Available in abstract form only. Full text of publication follows: Implementation of the comprehensive de-licensing process for the West Jefferson North (WJN) facility was documented through the Final Certification of Completion. The Final Certification of Completion summarizes the performance and results of the final status surveys of the affected and unaffected areas of the West Jefferson North (WJN) site as part of the completion of the Columbus Closure Project (CCP). Final status survey processes adhered to the requirements of the 'Radiological Characterization and Final Status Plan for Battelle Columbus Laboratories Decommissioning Project, West Jefferson Site' DD-97-02, Rev. 0 (hereinafter DD-97-02), as reflecting the requirements of draft NUREG 5849. Surveys were performed throughout the decommissioning and remediation activities performed at the WJN and documented in Final Status Survey Reports (FSSR). Throughout the project, the CCP activity engaged the oversight of the US Department of Energy (DOE), the Battelle Memorial Institute (BMI), and the Environmental Survey and Site Assessment Program (ESSAP) of the Oak Ridge Institute for Science and Education (ORISE). The ESSAP of the ORISE fulfilled the Independent Verification Contractor (IVC) role for the CCP under contract to the Oak Ridge Office of the DOE. The US Nuclear Regulatory Commission (NRC) also performed independent review of the in-process final status surveys. The FSSR, in conjunction with the IVC Letter Reports and the NRC inspection reports, document that the endpoint criteria objectives of the NRC-approved Decommissioning Plan have been met for WJN site as covered by the CCP. (author)

  2. Implementing Comprehensive Reform: Implications for Practice

    ERIC Educational Resources Information Center

    Stout, Karen A.

    2016-01-01

    This chapter describes the challenges and practical barriers community colleges face when implementing comprehensive reform, exploring how reforms are leading to some improvements but not often scaled improvements.

  3. Implementing Comprehensive Reform: Implications for Practice

    ERIC Educational Resources Information Center

    Stout, Karen A.

    2016-01-01

    This chapter describes the challenges and practical barriers community colleges face when implementing comprehensive reform, exploring how reforms are leading to some improvements but not often scaled improvements.

  4. Evaluating Comprehensive School Reform Models at Scale: Focus on Implementation

    ERIC Educational Resources Information Center

    Vernez, Georges; Karam, Rita; Mariano, Louis T.; DeMartini, Christine

    2006-01-01

    This study was designed to fill the "implementation measurement" gap. A methodology to quantitatively measure the level of Comprehensive School Reform (CSR) implementation that can be used across a variety of CSR models was developed, and then applied to measure actual implementation of four different CSR models in a large number of schools. The…

  5. Evaluating Comprehensive School Reform Models at Scale: Focus on Implementation

    ERIC Educational Resources Information Center

    Vernez, Georges; Karam, Rita; Mariano, Louis T.; DeMartini, Christine

    2006-01-01

    This study was designed to fill the "implementation measurement" gap. A methodology to quantitatively measure the level of Comprehensive School Reform (CSR) implementation that can be used across a variety of CSR models was developed, and then applied to measure actual implementation of four different CSR models in a large number of schools. The…

  6. Comprehensive School Reform: The Implementation Gap. Research Brief

    ERIC Educational Resources Information Center

    RAND Corporation, 2006

    2006-01-01

    Does Comprehensive School Reform (CSR) work? Research results have been mixed. Some studies have measured a modest improvement in student achievement; others have found no effect. A team of RAND researchers has approached the question of CSR's effectiveness by first focusing on an even more basic question: Has CSR been implemented? A shortcoming…

  7. Comprehensive School Reform: The Implementation Gap. Research Brief

    ERIC Educational Resources Information Center

    RAND Corporation, 2006

    2006-01-01

    Does Comprehensive School Reform (CSR) work? Research results have been mixed. Some studies have measured a modest improvement in student achievement; others have found no effect. A team of RAND researchers has approached the question of CSR's effectiveness by first focusing on an even more basic question: Has CSR been implemented? A shortcoming…

  8. Implementing Dramatization as an Effective Storytelling Method To Increase Comprehension.

    ERIC Educational Resources Information Center

    Biegler, Lucy

    A study examined two different methods used to increase story comprehension. These methods were implemented using two kindergarten classes from the Secaucus New Jersey Public School District during a 4-week instructional period. The students from one classroom listened to stories proceeded by dramatization. Retelling techniques used were role…

  9. Comprehensive Evaluation and Implementation of Improvement Actions in Butcher Shops

    PubMed Central

    Leotta, Gerardo A.; Brusa, Victoria; Galli, Lucía; Adriani, Cristian; Linares, Luciano; Etcheverría, Analía; Sanz, Marcelo; Sucari, Adriana; Peral García, Pilar; Signorini, Marcelo

    2016-01-01

    Foodborne pathogens can cause acute and chronic diseases and produce a wide range of symptoms. Since the consumption of ground beef is a risk factor for infections with some bacterial pathogens, we performed a comprehensive evaluation of butcher shops, implemented improvement actions for both butcher shops and consumers, and verified the impact of those actions implemented. A comprehensive evaluation was made and risk was quantified on a 1–100 scale as high-risk (1–40), moderate-risk (41–70) or low-risk (71–100). A total of 172 raw ground beef and 672 environmental samples were collected from 86 butcher shops during the evaluation (2010–2011) and verification (2013) stages of the study. Ground beef samples were analyzed for mesophilic aerobic organisms, Escherichia coli and coagulase-positive Staphylococcus aureus enumeration. Salmonella spp., E. coli O157:H7, non-O157 Shiga toxin-producing E. coli (STEC), and Listeria monocytogenes were detected and isolated from all samples. Risk quantification resulted in 43 (50.0%) high-risk, 34 (39.5%) moderate-risk, and nine (10.5%) low-risk butcher shops. Training sessions for 498 handlers and 4,506 consumers were held. Re-evaluation by risk quantification and microbiological analyses resulted in 19 (22.1%) high-risk, 42 (48.8%) moderate-risk and 25 (29.1%) low-risk butcher shops. The count of indicator microorganisms decreased with respect to the 2010–2011 period. After the implementation of improvement actions, the presence of L. monocytogenes, E. coli O157:H7 and stx genes in ground beef decreased. Salmonella spp. was isolated from 10 (11.6%) ground beef samples, without detecting statistically significant differences between both study periods (evaluation and verification). The percentage of pathogens in environmental samples was reduced in the verification period (Salmonella spp., 1.5%; L. monocytogenes, 10.7%; E. coli O157:H7, 0.6%; non-O157 STEC, 6.8%). Risk quantification was useful to identify those

  10. Comprehensive Evaluation and Implementation of Improvement Actions in Butcher Shops.

    PubMed

    Leotta, Gerardo A; Brusa, Victoria; Galli, Lucía; Adriani, Cristian; Linares, Luciano; Etcheverría, Analía; Sanz, Marcelo; Sucari, Adriana; Peral García, Pilar; Signorini, Marcelo

    2016-01-01

    Foodborne pathogens can cause acute and chronic diseases and produce a wide range of symptoms. Since the consumption of ground beef is a risk factor for infections with some bacterial pathogens, we performed a comprehensive evaluation of butcher shops, implemented improvement actions for both butcher shops and consumers, and verified the impact of those actions implemented. A comprehensive evaluation was made and risk was quantified on a 1-100 scale as high-risk (1-40), moderate-risk (41-70) or low-risk (71-100). A total of 172 raw ground beef and 672 environmental samples were collected from 86 butcher shops during the evaluation (2010-2011) and verification (2013) stages of the study. Ground beef samples were analyzed for mesophilic aerobic organisms, Escherichia coli and coagulase-positive Staphylococcus aureus enumeration. Salmonella spp., E. coli O157:H7, non-O157 Shiga toxin-producing E. coli (STEC), and Listeria monocytogenes were detected and isolated from all samples. Risk quantification resulted in 43 (50.0%) high-risk, 34 (39.5%) moderate-risk, and nine (10.5%) low-risk butcher shops. Training sessions for 498 handlers and 4,506 consumers were held. Re-evaluation by risk quantification and microbiological analyses resulted in 19 (22.1%) high-risk, 42 (48.8%) moderate-risk and 25 (29.1%) low-risk butcher shops. The count of indicator microorganisms decreased with respect to the 2010-2011 period. After the implementation of improvement actions, the presence of L. monocytogenes, E. coli O157:H7 and stx genes in ground beef decreased. Salmonella spp. was isolated from 10 (11.6%) ground beef samples, without detecting statistically significant differences between both study periods (evaluation and verification). The percentage of pathogens in environmental samples was reduced in the verification period (Salmonella spp., 1.5%; L. monocytogenes, 10.7%; E. coli O157:H7, 0.6%; non-O157 STEC, 6.8%). Risk quantification was useful to identify those relevant facts

  11. Implementation of a Comprehensive MR Safety Course for Medical Students

    PubMed Central

    Sammet, Steffen; Sammet, Christina L.

    2015-01-01

    This article proposes the design of an educational MR safety module using an available comprehensive multiple-choice exam for instructing medical students about basic MR and patient related safety. The MR safety course material can be implemented as a traditional didactic or interactive lecture in combination with hands-on safety demonstrations. The goal of the course is to ensure that medical students receive a basic understanding of MR principles and safety considerations. This course should prepare medical students for consideration of patient screening and safety when ordering MR studies. A multiple-choice exam can be used to document the proficiency in MR safety of the medical students. The course can be used by various medical school programs and may help to ensure consistent quality of teaching materials and MR safety standards. PMID:26172156

  12. Factors Impacting the Successful Implementation of Comprehensive Guidance and Counseling Programs in Nova Scotia.

    ERIC Educational Resources Information Center

    Lehr, Ron; Sumarah, John

    2002-01-01

    Assesses factors that contribute to the successful implementation of comprehensive guidance and counseling programs at the elementary, junior, and senior high school levels in Nova Scotia. Examines counselors' perceptions of what helps or hinders successful implementation. (Contains 15 references.) (GCP)

  13. Planning Comprehensively and Implementing Incrementally in an Age of Tightening Budgets.

    ERIC Educational Resources Information Center

    Mastroni, John P.; Schwartz, Celeste Marie

    1998-01-01

    Describes the design and implementation of a comprehensive plan for the acquisition, maintenance, and upgrade of educational technology at Montgomery County Community College (Blue Bell, Pennsylvania). Indicates that despite comprehensive planning, implementation was incremental and contingent on the availability of resources. (JDI)

  14. Longitudinal Assessment of Comprehensive School Reform Program Implementation and Outcomes: First-Year Report

    ERIC Educational Resources Information Center

    Tushnet, Naida C., Flaherty, John, Jr., Smith, And

    2004-01-01

    The Longitudinal Assessment of Comprehensive School Reform Implementation and Outcomes (LACIO) responds to the No Child Left Behind Act's requirement for an evaluation of the federal Comprehensive School Reform (CSR) program. The legislation stipulates two broad goals for the evaluation: (1) to evaluate the implementation and outcomes achieved by…

  15. The Implementation of C-ID, R2D2 Model on Learning Reading Comprehension

    ERIC Educational Resources Information Center

    Rayanto, Yudi Hari; Rusmawan, Putu Ngurah

    2016-01-01

    The purposes of this research are to find out, (1) whether C-ID, R2D2 model is effective to be implemented on learning Reading comprehension, (2) college students' activity during the implementation of C-ID, R2D2 model on learning Reading comprehension, and 3) college students' learning achievement during the implementation of C-ID, R2D2 model on…

  16. Developing and implementing a comprehensive debt management policy.

    PubMed

    Sussman, Jason H; Louge, Michael W; McKeown, Richard J

    2006-08-01

    A debt management policy should be considered an essential part of a hospital's comprehensive approach to balance sheet management. Management and the board should be educated regarding capital structure management benefits and risks. The debt management policy should outline the policy statement and purpose, scope of authority and responsibilities, analytical requirements, approved financial products, and specific debt and derivatives policies.

  17. Implementing Online Question Generation to Foster Reading Comprehension

    ERIC Educational Resources Information Center

    Yeh, Hui-Chin; Lai, Pei-Yi

    2012-01-01

    Many studies have concluded that question generation has a positive effect on students' reading comprehension. However, few studies have delineated how students generate questions from a text and what processes are involved in question generation. This study aims to investigate how the question generation processes improve students' reading…

  18. Using Policy Attributes Theory to Examine Comprehensive School Reform Implementation in Two Title I Middle Schools

    ERIC Educational Resources Information Center

    Patterson, Jean A.; Campbell, J. K.; Johnson, Dawn M.; Marx, Gina; Whitener, Mark

    2013-01-01

    Findings from a qualitative study of two Title I middle schools that were in their second year of implementing an externally developed Comprehensive School Reform (CSR) model are presented. Policy attributes theory was used as a framework for examining implementation. The theory argues fidelity of implementation of a CSR is strongest when it is…

  19. Implementation of a comprehensive schoolwide behavioral intervention: The ABC program.

    PubMed

    Pelham, William E; Massetti, Greta M; Wilson, Tracey; Kipp, Heidi; Myers, David; Standley, Beth B Newman; Billheimer, Sheila; Waschbusch, Daniel A

    2005-08-01

    The Academic and Behavioral Competencies (ABC) Program, a schoolwide program to reduce classroom disruption and encourage rule following, academic task completion, and homework completion, is described. The program was initially developed and implemented in an elementary school with a high-risk population. Data from teachers, parents, and children indicate high levels of satisfaction with the program. In addition, unobtrusive measures of program impact, reported as reductions in referrals to the principal's office, suspensions, and increases in homework completion rates relative to the year prior to implementation of the program, suggest a preliminary positive impact of the program. A replication is reported for another school district, with teacher evaluations of satisfaction and effectiveness reported, supporting the flexibility and adaptability of the program. Although the present article does not constitute a systematic evaluation of the ABC Program, it presents preliminary data on the process of implementation and stakeholder satisfaction.

  20. Effective Implementation of a Comprehension-Improvement Approach in Secondary Schools.

    ERIC Educational Resources Information Center

    Levine, Daniel U.; Sherk, John K.

    This report describes in depth the implementation and impact of instructional strategies to improve students' comprehension skills at three diverse urban secondary schools. While activities and characteristics varied, educators at all three locations were implementing local variations of a school-improvement approach based on the use of the…

  1. Effective Implementation of a Comprehension-Improvement Approach in Secondary Schools. Summary.

    ERIC Educational Resources Information Center

    Levine, Daniel U.; Sherk, John K.

    This document summarizes a report on the implementation and impact of instructional strategies to improve students' comprehension skills at three diverse urban secondary schools. While activities and characteristics varied, educators at all three locations were implementing local variations of a school-improvement approach based on the use of the…

  2. Implementation of Comprehensive School Reform and Its Impact on Increases in Student Achievement

    ERIC Educational Resources Information Center

    Zhang, Yu; Fashola, Olatokunbo; Shkolnik, Jamie; Boyle, Andrea

    2006-01-01

    This study examined the relationship between the implementation of comprehensive school reform (CSR) and changes in reading and math achievement from 1999 until 2003. Survey data about CSR implementation and school-level achievement data were collected for multiple years from a sample of CSR schools and compared with a sample of matched comparison…

  3. Jump-Starting Educational Reform. Implementing British Columbia's Comprehensive School Act.

    ERIC Educational Resources Information Center

    Goldman, Paul

    An educational reform effort to implement a comprehensive school act in British Columbia (Canada) is analyzed with a focus on some sociotechnical and political aspects. An overview of the content, background, and implementation of the reform effort is followed by identification of seven contradictions inherent in the plan. Contradictions are as…

  4. Implementation Challenges and Training Needs for Comprehensive School Counseling Programs in Wisconsin High Schools

    ERIC Educational Resources Information Center

    Burkard, Alan W.; Gillen, Mark; Martinez, Michael J.; Skytte, Sarah

    2012-01-01

    The data from this study details the challenges to implementing comprehensive school counseling programs in Wisconsin high schools. Results suggest that current professional development training practices may be ineffective in assisting high school counselors to implement key components of the ASCA National Model in their schools. This article…

  5. Implementation and evaluation of a comprehensive emission model for Europe

    NASA Astrophysics Data System (ADS)

    Bieser, Johannes; Aulinger, Armin; Matthias, Volker; Quante, Markus

    2010-05-01

    Crucial input data sets for Chemical Transport Models (CTM) are the meteorological fields and the emissions data. While there are several publicly available meteorological models, the situation for European emission models is still different. European emissions data either lack spatial and temporal resolution, only cover specific countries or are proprietary and not free to use. In this work the US EPA emission model SMOKE (Sparse Matrix Operator Kernel Emissions) has been successfully adapted and partially extended to create European emissions input for CTMs. The modified version of the SMOKE emission model (SMOKE/E) uses official and publicly available data sets and statistics to create emissions of CO, NOx, SO2, NH3, PM2.5, PM10, NMVOC. Currently it supports VOC splits for several photochemical mechanisms, namely CB4, CB5 and RADM2. PM2.5 is split into elemental carbon, organic carbon, sulfate, nitrate and other particles. Additionally emissions of benzo[a]pyrene (BaP) have been modelled with SMOKE Europe. The temporal resolution of the emissions is one hour, the horizontal resolution is up to 1x1 km². SMOKE/E also implements plume in grid calculations for vertical distribution of point sources. The vertical resolution is infinitely variable and is implemented in the form of pressure levels. The area covered by the emission model at this point is Europe and it's surrounding countries, including north Africa and parts of Asia. Thus far SMOKE Europe has been used to create European emissions on a 54x54km² grid covering the whole of Europe and a 18x18km² nested grid over the North and Baltic Sea for the years 1990-2006. The currently implemented datasets allow for the calculation of emissions between 1970-2010. Besides this future emissions scenarios for the timespan 2010-2020 are being calculated using the EMEP projections. The created emissions have been statistically compared to the gridded EMEP emissions as well as to data from other emission models for the

  6. Implementing the CAS Standards: The Implementation of the CAS Standards in Student Affairs as a Comprehensive Assessment Approach

    ERIC Educational Resources Information Center

    Dorman, Jesse A.

    2012-01-01

    The increasing use of the CAS standards as a comprehensive assessment approach in divisions of student affairs necessitates a more in-depth understanding of how the CAS standards are being implemented in these settings. In response to increasing calls for improvement, accountability and professionalism in student affairs (Bresciani, 2006; Cooper…

  7. Implementing the CAS Standards: The Implementation of the CAS Standards in Student Affairs as a Comprehensive Assessment Approach

    ERIC Educational Resources Information Center

    Dorman, Jesse A.

    2012-01-01

    The increasing use of the CAS standards as a comprehensive assessment approach in divisions of student affairs necessitates a more in-depth understanding of how the CAS standards are being implemented in these settings. In response to increasing calls for improvement, accountability and professionalism in student affairs (Bresciani, 2006; Cooper…

  8. Feasibility of Implementing a Comprehensive Warfarin Pharmacogenetics Service

    PubMed Central

    Nutescu, Edith A.; Drozda, Katarzyna; Bress, Adam P.; Galanter, William L.; Stevenson, James; Stamos, Thomas D.; Desai, Ankit A.; Duarte, Julio D.; Gordeuk, Victor; Peace, David; Kadkol, ShriHari S.; Dodge, Carol; Saraf, Santosh; Garofalo, John; Krishnan, Jerry A.; Garcia, Joe G.N.; Cavallari, Larisa H.

    2013-01-01

    Objective To determine the procedural feasibility of a pharmacist-led interdisciplinary service for providing genotype-guided warfarin dosing for hospitalized patients newly starting warfarin. Design Prospective observational study Setting 483-bed hospital affiliated with a large academic institution Participants Eighty patients started on warfarin and managed by a newly implemented pharmacogenetics service. Intervention Routine warfarin genotyping and clinical pharmacogenetics consultation Measurements and Main Results The primary outcomes were percent of genotype-guided dose recommendations available prior to the second warfarin dose and adherence of the medical staff to doses recommended by the pharmacogenetics service. Of 436 genotype orders during the first 6 months of the service, 190 were deemed appropriate. For 80 patients on the service who consented to data collection, 77% of genotypes were available prior to the second warfarin dose. The median (range) time from the genotype order to the genotype result was 26 (7 to 80) hours, and the time to genotype-guided dosing recommendation was 30 (7 to 80) hours. Seventy-three percent of warfarin doses ordered by the medical staff were within 0.5 mg of the dose recommended by the pharmacogenetics consult service. Conclusions Providing routine genotype-guided warfarin dosing supported by a pharmacogenetics consult service is feasible from a procedural standpoint, with the majority of genotypes available prior to the second warfarin dose and good adherence to genotype-guided dose recommendations by the medical staff. PMID:23864527

  9. Feasibility of implementing a comprehensive warfarin pharmacogenetics service.

    PubMed

    Nutescu, Edith A; Drozda, Katarzyna; Bress, Adam P; Galanter, William L; Stevenson, James; Stamos, Thomas D; Desai, Ankit A; Duarte, Julio D; Gordeuk, Victor; Peace, David; Kadkol, Shrihari S; Dodge, Carol; Saraf, Santosh; Garofalo, John; Krishnan, Jerry A; Garcia, Joe G N; Cavallari, Larisa H

    2013-11-01

    To determine the procedural feasibility of a pharmacist-led interdisciplinary service for providing genotype-guided warfarin dosing for hospitalized patients newly starting warfarin. Prospective observational study. A 438-bed tertiary care hospital affiliated with a large academic institution. Eighty patients who started warfarin therapy and were managed by a newly implemented pharmacogenetics service. All patients received routine warfarin genotyping and clinical pharmacogenetics consultation. The primary outcomes were percentage of genotype-guided dose recommendations available prior to the second warfarin dose and adherence of the medical staff to doses recommended by the pharmacogenetics service. Of 436 genotype orders placed during the first 6 months of the service, 190 (44%) were deemed appropriate. For the 80 patients on the service who consented to data collection, 76% of the genotypes were available prior to the second warfarin dose. The median (range) time from genotype order to genotype result was 26 hours (7-80 hrs), and the time to genotype-guided dose recommendation was 30 hours (7-80 hrs). A total of 73% of warfarin doses ordered by the medical staff were within 0.5 mg of the daily dose recommended by the pharmacogenetics consult service. Providing routine genotype-guided warfarin dosing supported by a pharmacogenetics consult service is feasible from a procedural standpoint, with most genotypes available prior to the second warfarin dose and good adherence to genotype-guided dose recommendations by the medical staff. © 2013 Pharmacotherapy Publications, Inc.

  10. The Implementation of Entrepreneurship Education through Curriculum Reform in Finnish Comprehensive Schools

    ERIC Educational Resources Information Center

    Seikkula-Leino, Jaana

    2011-01-01

    How has entrepreneurship education been implemented in Finnish comprehensive schools. A two-part survey was undertaken in 43 municipalities with different educational and socio-economic backgrounds. The first part, in 2005, dealt with the local curriculum reform with a focus on the development of entrepreneurship education. The second part, in…

  11. Integrative Medical Education: Development and Implementation of a Comprehensive Curriculum at the University of Arizona.

    ERIC Educational Resources Information Center

    Maizes, Victoria; Schneider, Craig; Bell, Iris; Weil, Andrew

    2002-01-01

    Describes the University of Arizona's approach to developing and implementing a comprehensive curriculum in integrative medicine, which integrates the best of complementary and alternative medicine (CAM) with the best of conventional medicine. Describes the curriculum, educational programs, clinical education, goals, and results, and suggests…

  12. Call for studies in implementation science: improving reading comprehension in school-age children.

    PubMed

    Nippold, Marilyn A

    2015-04-01

    In this article, the Editor of Language, Speech, and Hearing Services in Schools makes the case for more studies in implementation science in order to improve the reading comprehension of school-age children, particularly those with specific language impairment and nonspecific language impairment.

  13. Organizational Strategies for Promoting Instructional Change: Implementation Dynamics in Schools Working with Comprehensive School Reform Providers

    ERIC Educational Resources Information Center

    Rowan, Brian; Miller, Robert J.

    2007-01-01

    This article develops a conceptual framework for studying how three comprehensive school reform (CSR) programs organized schools for instructional change and how the distinctive strategies they pursued affected implementation outcomes. The conceptual model views the Accelerated Schools Project as using a system of cultural control to produce…

  14. Achievement Effects of Five Comprehensive School Reform Designs Implemented in Los Angeles Unified School District. Dissertation

    ERIC Educational Resources Information Center

    Mason, Bryce

    2005-01-01

    Achievement effects as measured by the Stanford Achievement Test 9 were estimated for students in grades 1-11 that participated in America's Choice, Co-nect, Different Ways of Knowing, Success for All (SFA), and Urban Learning Centers comprehensive school reform (CSR) designs implemented in Los Angeles Unified School District between 1999 and…

  15. Exploring K-3 Teachers' Implementation of Comprehension Strategy Instruction (CSI) Using Expectancy-Value Theory

    ERIC Educational Resources Information Center

    Foley, Laura S.

    2011-01-01

    This research investigated factors that influence the implementation levels of evidence-based comprehension strategy instruction (CSI) among K-3 teachers. An explanatory design was chosen to gather and probe the data. Quantitative data were gathered via a mailed survey distributed through a representative sample of the 40 school districts (through…

  16. Integrative Medical Education: Development and Implementation of a Comprehensive Curriculum at the University of Arizona.

    ERIC Educational Resources Information Center

    Maizes, Victoria; Schneider, Craig; Bell, Iris; Weil, Andrew

    2002-01-01

    Describes the University of Arizona's approach to developing and implementing a comprehensive curriculum in integrative medicine, which integrates the best of complementary and alternative medicine (CAM) with the best of conventional medicine. Describes the curriculum, educational programs, clinical education, goals, and results, and suggests…

  17. Implementation and Early Outcomes of the Comprehensive School Reform Demonstration (CSRD) Program. Doc # 2004-15

    ERIC Educational Resources Information Center

    LaPointe, Michelle; Stullich, Stephanie

    2004-01-01

    The Comprehensive School Reform (CSR) program provides financial assistance to help schools develop and implement systematic approaches to schoolwide improvement that are grounded in scientifically based research and effective practices. The goal of the program is to enable all children to meet challenging state academic content and achievement…

  18. Exploring K-3 Teachers' Implementation of Comprehension Strategy Instruction (CSI) Using Expectancy-Value Theory

    ERIC Educational Resources Information Center

    Foley, Laura S.

    2011-01-01

    This research investigated factors that influence the implementation levels of evidence-based comprehension strategy instruction (CSI) among K-3 teachers. An explanatory design was chosen to gather and probe the data. Quantitative data were gathered via a mailed survey distributed through a representative sample of the 40 school districts (through…

  19. Strength and comprehensiveness of district school wellness policies predict policy implementation at the school level.

    PubMed

    Schwartz, Marlene B; Henderson, Kathryn E; Falbe, Jennifer; Novak, Sarah A; Wharton, Christopher M; Long, Michael W; O'Connell, Meghan L; Fiore, Susan S

    2012-06-01

    In 2006, all local education agencies in the United States participating in federal school meal programs were required to establish school wellness policies. This study documented the strength and comprehensiveness of 1 state's written district policies using a coding tool, and tested whether these traits predicted school-level implementation and practices. School wellness policies from 151 Connecticut districts were evaluated. School principal surveys were collected before and after the writing and expected implementation of wellness policies. Sociodemographic variables were assessed for each district, including enrollment, population density, political climate, racial composition, and socioeconomic status. Changes in school-level policy implementation before and after the federal wellness policy mandate were compared across districts by wellness policy strength; policies were compared based on district-level demographics. Statewide, more complete implementation of nutrition and physical activity policies at the school level was reported after adoption of written policies. Districts with stronger, more comprehensive policies were more successful in implementing them at the school level. Some sociodemographic characteristics predicted the strength of wellness policies. Written school wellness policies have the potential to promote significant improvements in the school environment. Future regulation of school wellness policies should focus on the importance of writing strong and comprehensive policies. © 2012, American School Health Association.

  20. Strength and Comprehensiveness of District School Wellness Policies Predict Policy Implementation at the School Level

    PubMed Central

    Henderson, Kathryn E; Falbe, Jennifer; Novak, Sarah A.; Wharton, Christopher; Long, Michael; O'Connell, Meghan L.; Fiore, Susan S.

    2013-01-01

    Background In 2006, all local education agencies in the United States participating in federal school meal programs were required to establish school wellness policies. The aim of this study was to document the strength and comprehensiveness of one state's written district policies using a quantitative coding tool, and test whether the strength and comprehensiveness of the written policy predicted school level implementation and practices. Methods School wellness policies from 151 Connecticut districts were evaluated using a quantitative coding system. In each district, school principal surveys were collected before and after the writing and expected implementation of wellness policies. Socio-demographic variables were assessed for each district, including enrollment, population density, political climate, racial composition and socio-economic status. Changes in school-level policy implementation before and after the federal wellness policy requirement were compared across districts by wellness policy strength, and policies were compared based on district-level demographic factors. Results Statewide, fuller implementation of nutrition and physical activity policies at the school level was reported after adoption of written policies in 2006. Districts with stronger, more comprehensive policies were more successful in implementing those policies at the school level. Some socio-demographic characteristics predicted the strength of wellness policies; larger, urban districts and districts with a greater ratio of registered Democrats to Republicans wrote stronger policies. Conclusions Written school wellness policies have the potential to promote significant improvements in the school environment. Future regulation of school wellness policies should focus on the importance of writing strong and comprehensive policies. PMID:22568461

  1. Clinical implementation of comprehensive strategies to characterize cancer genomes: opportunities and challenges

    PubMed Central

    MacConaill, Laura E.; Van Hummelen, Paul; Meyerson, Matthew; Hahn, William C.

    2011-01-01

    An increasing number of anti-cancer therapeutic agents target specific mutant proteins that are expressed by many different tumor types. Recent evidence suggests that the selection of patients whose tumors harbor specific genetic alterations identifies the subset of patients that are most likely to benefit from the use of such agents. As the number of genetic alterations that provide diagnostic and/or therapeutic information increases, the comprehensive characterization of cancer genomes will be necessary to understand the spectrum of distinct genomic alterations in cancer, to identify patients who are likely to respond to particular therapies and to facilitate the selection of treatment modalities. Rapid developments in new technologies for genomic analysis now provide the means to perform comprehensive analyses of cancer genomes. Here we review the current state of cancer genome analysis and discuss the challenges and opportunities necessary to implement these technologies in a clinical setting. PMID:21935500

  2. Implementation of a comprehensive AIDS education programme for schools in Masaka District, Uganda.

    PubMed

    Kinsman, J; Harrison, S; Kengeya-Kayondo, J; Kanyesigye, E; Musoke, S; Whitworth, J

    1999-10-01

    As part of a large IEC (Information, Education and Communication)/STD intervention trial, a 19-lesson, comprehensive school-based AIDS education programme was implemented and evaluated in 50 primary and 16 secondary schools in 12 parishes of Masaka District, Uganda. A series of three teacher-training and evaluation workshops spread over a year was held in each parish, between which teachers implemented the programme in the classroom. One hundred and forty-eight teachers were trained and about 3,500 students were subsequently exposed to the programme. Both teachers and students responded positively, which suggests that this type of programme has much to offer young people who attend school. However, some problems were encountered: language, programme content, community resistance to teaching about condoms, and several practical issues. Proposed solutions include flexibility with the English language policy, alternative approaches to role play activities, targeting influential individuals with information about the need for young people to learn about safer sex, and a parallel community-based IEC programme to facilitate community acceptance of the need for the programme. In addition, implementation may be incomplete unless comprehensive AIDS education is fully incorporated into the curriculum, and properly examined. These findings are placed in the context of other life skills/AIDS education programmes being introduced both in Uganda and elsewhere in Africa.

  3. A Comprehensive Well Testing Implementation during Exploration Phase in Rantau Dedap, Indonesia

    NASA Astrophysics Data System (ADS)

    Humaedi, M. T.; Alfiady; Putra, A. P.; Martikno, R.; Situmorang, J.

    2016-09-01

    This paper describes the implementation of comprehensive well testing programs during the 2014-2015 exploration drilling in Rantau Dedap Geothermal Field. The well testing programs were designed to provide reliable data as foundation for resource assessment as well as useful information for decision making during drilling. A series of well testing survey consisting of SFTT, completion test, heating-up downhole logging, discharge test, chemistry sampling was conducted to understand individual wells characteristics such as thermodynamic state of the reservoir fluid, permeability distribution, well output and fluid chemistry. Furthermore, interference test was carried out to investigate the response of reservoir to exploitation.

  4. Comprehensibility.

    ERIC Educational Resources Information Center

    Pettersson, Rune

    This paper addresses the difficulty involved in creating easily understood information. The act of communicating is not complete until the message has been both received and understood by the audience. Messages must always be comprehensible, otherwise they will have no effect. The readability, legibility, and reading value of a graphic message is…

  5. A comprehensive model to evaluate implementation of the world health organization framework convention of tobacco control

    PubMed Central

    Sarrafzadegan, Nizal; Kelishad, Roya; Rabiei, Katayoun; Abedi, Heidarali; Mohaseli, Khadijeh Fereydoun; Masooleh, Hasan Azaripour; Alavi, Mousa; Heidari, Gholamreza; Ghaffari, Mostafa; O’Loughlin, Jennifer

    2012-01-01

    Background: Iran is one of the countries that has ratified the World Health Organization Framework Convention of Tobacco Control (WHO-FCTC), and has implemented a series of tobacco control interventions including the Comprehensive Tobacco Control Law. Enforcement of this legislation and assessment of its outcome requires a dedicated evaluation system. This study aimed to develop a generic model to evaluate the implementation of the Comprehensive Tobacco Control Law in Iran that was provided based on WHO-FCTC articles. Materials and Methods: Using a grounded theory approach, qualitative data were collected from 265 subjects in individual interviews and focus group discussions with policymakers who designed the legislation, key stakeholders, and members of the target community. In addition, field observations data in supermarkets/shops, restaurants, teahouses and coffee shops were collected. Data were analyzed in two stages through conceptual theoretical coding. Findings: Overall, 617 open codes were extracted from the data into tables; 72 level-3 codes were retained from the level-2 code series. Using a Model Met paradigm, the relationships between the components of each paradigm were depicted graphically. The evaluation model entailed three levels, namely: short-term results, process evaluation and long-term results. Conclusions: Central concept of the process of evaluation is that enforcing the law influences a variety of internal and environmental factors including legislative changes. These factors will be examined during the process evaluation and context evaluation. The current model can be applicable for providing FCTC evaluation tools across other jurisdictions. PMID:23833621

  6. A comprehensive model to evaluate implementation of the world health organization framework convention of tobacco control.

    PubMed

    Sarrafzadegan, Nizal; Kelishad, Roya; Rabiei, Katayoun; Abedi, Heidarali; Mohaseli, Khadijeh Fereydoun; Masooleh, Hasan Azaripour; Alavi, Mousa; Heidari, Gholamreza; Ghaffari, Mostafa; O'Loughlin, Jennifer

    2012-03-01

    Iran is one of the countries that has ratified the World Health Organization Framework Convention of Tobacco Control (WHO-FCTC), and has implemented a series of tobacco control interventions including the Comprehensive Tobacco Control Law. Enforcement of this legislation and assessment of its outcome requires a dedicated evaluation system. This study aimed to develop a generic model to evaluate the implementation of the Comprehensive Tobacco Control Law in Iran that was provided based on WHO-FCTC articles. Using a grounded theory approach, qualitative data were collected from 265 subjects in individual interviews and focus group discussions with policymakers who designed the legislation, key stakeholders, and members of the target community. In addition, field observations data in supermarkets/shops, restaurants, teahouses and coffee shops were collected. Data were analyzed in two stages through conceptual theoretical coding. Overall, 617 open codes were extracted from the data into tables; 72 level-3 codes were retained from the level-2 code series. Using a Model Met paradigm, the relationships between the components of each paradigm were depicted graphically. The evaluation model entailed three levels, namely: short-term results, process evaluation and long-term results. Central concept of the process of evaluation is that enforcing the law influences a variety of internal and environmental factors including legislative changes. These factors will be examined during the process evaluation and context evaluation. The current model can be applicable for providing FCTC evaluation tools across other jurisdictions.

  7. Influence of the implementation of a comprehensive intervention programme on premature discharge outcomes from military training.

    PubMed

    Larsson, Helena; Tegern, Matthias; Harms-Ringdahl, Karin

    2012-01-01

    The study describes and analyses the influence of a comprehensive intervention on premature discharges (i.e. the military training cannot be completed). 862 male soldiers from three military units were included. The intervention included a screening protocol with a questionnaire and physical tests for musculoskeletal complaints or injuries and functional limitations and, where needed, treatment, early rehabilitation and individually-adjusted physical training. The intervention also included organisation-based training in ergonomics and exercise physiology for officers plus enhanced teamwork between officers and physiotherapist. Not all the soldiers underwent the intervention as planned. The discharge rate was lower in all three units after either of the intervention programmes comparing premature discharge figures with before-implementation study figures. However, significantly fewer soldiers were discharged from the group who underwent the intervention as planned 6.1% compared to the group with the less intensive intervention, 13.1% (p=0.002). The results indicate that the comprehensive intervention programme can reduce the number of premature discharges from the Swedish Armed Forces. The differences between the groups indicate that the effectiveness was greater when the intervention was fully implemented with regard to intensity.

  8. Implementation and Methodology of a Multidisciplinary Disease-State-Management Program for Comprehensive Diabetes Care

    PubMed Central

    Antoline, Catherine; Kramer, Amy; Roth, Mark

    2011-01-01

    Introduction: Before the implementation of a multidisciplinary disease-state-management program in the Kaiser Permanente Ohio Region, the primary care physician (PCP) worked with a registered nurse care manager (RNCM) and a clinical pharmacist with the degree of PharmD to control diabetes mellitus (DM). This occurred through PCP referral when patients required a higher level of care than could be achieved during initial PCP office visits and subsequent follow-up visits. However, not all PCPs consistently initiated referrals, and as patients in need of referral were typically identified through office visits, those without routine appointments were often missed. This practice translated into suboptimal 2008 comprehensive DM care Healthcare Effectiveness Data and Information Set (HEDIS) scores. Methods: A quality-improvement disease-management committee convened for design and implementation of a multidisciplinary DM disease-state-management program, as well as oversight and analysis of the new process. This regional intervention required many members of the health care team to obtain additional education about comprehensive DM care, adopt new work flows, and learn to use tools for evaluating patient care gaps. Results: Within one year, this regional multidisciplinary intervention resulted in improvements in blood pressure, lipid levels, and glycemic control as indicated by 2009 comprehensive DM-care HEDIS scores. Discussion: Main contributors to the success of the program included executive support and sponsorship, the leadership of the oversight committee, systematic identification and assignment of patients, the blood-pressure service run by licensed practical nurses, continuous education efforts, dedicated panel-management time, use of a multidisciplinary team, and expanding treatment of the diabetic patient beyond glucose control to include blood pressure and lipid management. PMID:21505617

  9. Implementation of comprehensive school health education in elementary schools: focus on teacher concerns.

    PubMed

    Hausman, A J; Ruzek, S B

    1995-03-01

    This paper reports on the effectiveness of a teacher development project in promoting implementation of a comprehensive school health education curriculum among inner city elementary school teachers. The longitudinal evaluation design provides empirical data on the efficacy of a strategy to reduce teachers' concerns and promote use of the curriculum at the classroom level. Data were collected at various points throughout the project period from 156 school staff from five schools. Results from analyses of repeated measures of teachers' feelings of preparedness to teach specific health topics, and the observed relationship between both high and improved feelings of preparation and reported health teaching suggest that teacher development efforts including training and ongoing reinforcement to increase teachers' feelings of preparedness can have significant classroom effects.

  10. Research and implementation of comprehensive situation sub-system in simulation platform of multiple UAVs

    NASA Astrophysics Data System (ADS)

    Hua, Siliang; Huang, Siniu; Chen, Zongji

    2006-11-01

    Cooperative formation flight of Unmanned Air Vehicles (UAVs) becomes an attractive research field in recent years. The Simulation Platform of Multiple UAVs is a distributed interactive simulation environment based on High Level Architecture (HLA), which provides a universal simulation platform for the research of multiple UAVs, such as cooperative control, formation flight, mission planning, etc. The platform is composed of several nodes: Mission Control Station (MCS), Formation Control Unit (FCU), UAV Platform, Comprehensive Situation Display, 3-Dimension Display and Simulation Management. As an integral part of the simulation platform, the comprehensive situation sub-system monitors the geography environment and the situation of entities in the simulation. The sub-system is integrated into several nodes of the simulation platform: MCS, FCU and 2-Dimention Situation Display, etc. Considering generalized method and component-based rule, we design and implement comprehensive situation sub-system as well as supporting tool kits. It includes digital map walkthrough environment, map editor with Digital Elevation Model (DEM), bitmap creator, network communication module, situation display module and scenario editor module. Digital map walkthrough environment is a Geographic Information System (GIS) with specific functions, including multiple windows display, map walkthrough and data management. Map editor and bitmap creator create different type of digital map, which is suited for demands of the simulation, and generate terrain data for the UAVs to execute route planning based on DEM. Situation display module displays the situation information of entities in the simulation dynamically and timely. The system is developed without commercial GIS components, and integrated into the environment smoothly.

  11. The Team Nutrition pilot study: lessons learned from implementing a comprehensive school-based intervention.

    PubMed

    Levine, Elyse; Olander, Carol; Lefebvre, Craig; Cusick, Pam; Biesiadecki, Laura; McGoldrick, Danny

    2002-01-01

    Team Nutrition (TN) is an educational and promotional initiative developed by the US Department of Agriculture to change children's eating behaviors through social marketing techniques. This article reports on the process evaluation of a TN pilot project targeting students in kindergarten to grade 4 and systematically documents the implementation experience. Even with a very short start-up period, schools implemented most components of this multichannel nutrition intervention and formed new, supportive relationships with local media and community partners. School teachers and administrators, along with foodservice professionals, generally expressed support for and satisfaction with TN, citing the positive experience and gains for students. The lessons learned from this study highlight the management and organizational issues involved in a comprehensive intervention. These include the importance of local coordinators to support and create a bridge between teachers and cafeteria staff and to forge links with key external partners. To function effectively, coordinators themselves may need training in coalition building and working with media. Relationships formed with parents, local businesses, other educational institutions, health organizations, and the media offer promise for helping to sustain nutrition education efforts. The TN process evaluation identified multiple ideas for pursuing these partnerships more successfully.

  12. Components that affect the Implementation of Health Services' Strategic Purchasing: A Comprehensive Review of the Literature.

    PubMed

    Bastani, Peivand; Samadbeik, Mahnaz; Kazemifard, Yalda

    2016-05-01

    Strategic purchasing is one of the mechanisms that can increase access, equity, and efficiency as well as the correct management of health resources. The aim of this study was to extract important and influential factors as necessary infrastructures to implement this method. In this comprehensive literature review, 13 databases and search engines were searched from 2000 to 2015 by applying appropriate keywords. From a total of 1403 titles and after ensuring the validity of the study by the Clinical Appraisal Skills Program (CASP) tool, 18 articles that contained title, abstract, and associated text were used in the study, and their related information was analyzed and extracted using an extraction form and LitAssist software. The findings showed six categories of intervention have been effective in the strategic purchasing of all health interventions in different countries. These six categories were "The target group of users of the service" (demand side), "purchased interventions," "providers and suppliers of interventions" (the supply side), "Methods and incentives" (payment method), "price," and "Structure and organization." Although the necessity of performing strategic purchasing in the health sector or developing countries is an indisputable fact, it is of great importance to use the experiences of developed countries while considering the factors extracted from the study for implementing this method. In this regard, it is suggested that studies be performed that can lead to assessing the feasibility of strategic purchasing for health services in developing countries and also in Iran to help health policy makers in these countries.

  13. Study of Secondhand Smoke Levels Pre and Post Implementation of the Comprehensive Smoking Ban in Mumbai

    PubMed Central

    Deshpande, Aditi; Kudtarkar, Priyanka; Dhaware, Dhanashri; Chowgule, Rohini

    2010-01-01

    Objectives: This research was undertaken with the aim of assessing the indoor air quality in popular hospitality venues, as also to evaluate the effectiveness of the nationwide comprehensive public smoking ban. The analysis was split into two halves – baseline study taken up prior to implementation of the said ban on 2nd October 2008, and the follow-up study after it came into effect. Materials and Methods: Twenty-five venues including five restaurants, fourteen resto-bars, two hookah (smoking water-pipe) cafes and four pubs were selected using a mix of random, convenience and purposeful sampling. Particulate matter (PM2.5) measurements at these venues were made using TSI SidePak AM510 Personal Aerosol Monitor. Results: The average PM2.5 level in venues where smoking was permitted prior to implementation of ban was found to be 669.95 μg/m3 in the baseline study. Post ban, the average PM2.5 level in same test venues reduced to 240.8 μg/m3. The hookah cafes were an exception as the average PM2.5 levels exceeded the permissible limits before as well as post ban. Conclusion: The baseline study showed that the hospitality venues had hazardous levels of PM2.5 particles arising from second-hand smoke prior to smoking ban. These decreased by a maximum of 64% after the law took effect. A substantial improvement in air quality at these venues post implementation of the smoking ban indicated the effectiveness of the law. PMID:21031108

  14. Study of secondhand smoke levels pre and post implementation of the comprehensive smoking ban in mumbai.

    PubMed

    Deshpande, Aditi; Kudtarkar, Priyanka; Dhaware, Dhanashri; Chowgule, Rohini

    2010-07-01

    This research was undertaken with the aim of assessing the indoor air quality in popular hospitality venues, as also to evaluate the effectiveness of the nationwide comprehensive public smoking ban. The analysis was split into two halves - baseline study taken up prior to implementation of the said ban on 2(nd) October 2008, and the follow-up study after it came into effect. Twenty-five venues including five restaurants, fourteen resto-bars, two hookah (smoking water-pipe) cafes and four pubs were selected using a mix of random, convenience and purposeful sampling. Particulate matter (PM(2.5)) measurements at these venues were made using TSI SidePak AM510 Personal Aerosol Monitor. The average PM(2.5) level in venues where smoking was permitted prior to implementation of ban was found to be 669.95 μg/m(3) in the baseline study. Post ban, the average PM(2.5) level in same test venues reduced to 240.8 μg/m(3). The hookah cafes were an exception as the average PM(2.5) levels exceeded the permissible limits before as well as post ban. The baseline study showed that the hospitality venues had hazardous levels of PM(2.5) particles arising from second-hand smoke prior to smoking ban. These decreased by a maximum of 64% after the law took effect. A substantial improvement in air quality at these venues post implementation of the smoking ban indicated the effectiveness of the law.

  15. Implementing a Death with Dignity program at a comprehensive cancer center.

    PubMed

    Loggers, Elizabeth Trice; Starks, Helene; Shannon-Dudley, Moreen; Back, Anthony L; Appelbaum, Frederick R; Stewart, F Marc

    2013-04-11

    The majority of Death with Dignity participants in Washington State and Oregon have received a diagnosis of terminal cancer. As more states consider legislation regarding physician-assisted death, the experience of a comprehensive cancer center may be informative. We describe the implementation of a Death with Dignity program at Seattle Cancer Care Alliance, the site of care for the Fred Hutchinson-University of Washington Cancer Consortium, a comprehensive cancer center in Seattle that serves the Pacific Northwest. Institution-level data were compared with publicly available statewide data from Oregon and Washington. A total of 114 patients inquired about our Death with Dignity program between March 5, 2009, and December 31, 2011. Of these, 44 (38.6%) did not pursue the program, and 30 (26.3%) initiated the process but either elected not to continue or died before completion. Of the 40 participants who, after counseling and upon request, received a prescription for a lethal dose of secobarbital (35.1% of the 114 patients who inquired about the program), all died, 24 after medication ingestion (60% of those obtaining prescriptions). The participants at our center accounted for 15.7% of all participants in the Death with Dignity program in Washington (255 persons) and were typically white, male, and well educated. The most common reasons for participation were loss of autonomy (97.2%), inability to engage in enjoyable activities (88.9%), and loss of dignity (75.0%). Eleven participants lived for more than 6 months after prescription receipt. Qualitatively, patients and families were grateful to receive the lethal prescription, whether it was used or not. Overall, our Death with Dignity program has been well accepted by patients and clinicians.

  16. Components that affect the Implementation of Health Services’ Strategic Purchasing: A Comprehensive Review of the Literature

    PubMed Central

    Bastani, Peivand; Samadbeik, Mahnaz; Kazemifard, Yalda

    2016-01-01

    Introduction Strategic purchasing is one of the mechanisms that can increase access, equity, and efficiency as well as the correct management of health resources. The aim of this study was to extract important and influential factors as necessary infrastructures to implement this method. Methods In this comprehensive literature review, 13 databases and search engines were searched from 2000 to 2015 by applying appropriate keywords. From a total of 1403 titles and after ensuring the validity of the study by the Clinical Appraisal Skills Program (CASP) tool, 18 articles that contained title, abstract, and associated text were used in the study, and their related information was analyzed and extracted using an extraction form and LitAssist software. Results The findings showed six categories of intervention have been effective in the strategic purchasing of all health interventions in different countries. These six categories were “The target group of users of the service” (demand side), “purchased interventions,” “providers and suppliers of interventions” (the supply side), “Methods and incentives” (payment method), “price,” and “Structure and organization.” Conclusion Although the necessity of performing strategic purchasing in the health sector or developing countries is an indisputable fact, it is of great importance to use the experiences of developed countries while considering the factors extracted from the study for implementing this method. In this regard, it is suggested that studies be performed that can lead to assessing the feasibility of strategic purchasing for health services in developing countries and also in Iran to help health policy makers in these countries. PMID:27382441

  17. Improving residential treatment services: implementation and norm-referenced evaluation of a comprehensive management system.

    PubMed Central

    Parsons, M B; Cash, V B; Reid, D H

    1989-01-01

    Ensuring effective service delivery by direct-care personnel in institutional living units for persons with developmental disabilities historically has been a difficult process, despite considerable attention from researchers, service providers, and governmental regulatory agencies. In this investigation, we conducted a normative evaluation of the extent and quality of treatment services currently provided in residential living units and evaluated a comprehensive management system designed to improve such services. Results of the first experiment, encompassing 22 living units in three states, indicated that on the average two thirds of observed resident behavior did not involve any therapeutic activity. The results also provided social validity for the criteria used to evaluate the quality of treatment provision based on opinions of mental retardation professionals. Results of the second experiment indicated that a behavioral management program implemented during 23 separate time periods across five living units was accompanied by consistent and durable decreases in resident nontherapeutic activity as well as increases in specifically designated habilitative activity. The results provide support for the successful incorporation of behavioral management technology into human service settings on a large-scale, long-term basis. PMID:2745236

  18. Implementation of the Quality Oncology Practice Initiative at a university comprehensive cancer center.

    PubMed

    Blayney, Douglas W; McNiff, Kristen; Hanauer, David; Miela, Gretchen; Markstrom, Denise; Neuss, Michael

    2009-08-10

    The Quality Oncology Practice Initiative (QOPI) is a voluntary program developed by the American Society of Clinical Oncology (ASCO) to aid oncology practices in quality self-assessment. Few academic cancer centers have been QOPI participants. We implemented the QOPI process at the University of Michigan Comprehensive Cancer Center, a large, hospital-based academic cancer center, and report our experience with five rounds of data collection. Patient medical records were selected using QOPI-specified procedures and abstracted locally; results were entered into an ASCO-maintained database and analyzed. Abstractors who were not directly involved with patient care required an average of 62.3 minutes per medical record (4.7 minutes per data element) to abstract data. We found that compliance with quality measures was uniformly high when measures were structured into our electronic medical record. Results from other measures, including those measuring chemotherapy administration in the last 2 weeks of life, were initially markedly different from those reported by other QOPI participants. Our practice changed toward the QOPI national practice norm after a presentation of the results at a faculty research conference. We found that other measures were consistently greater than 90%, including disease-specific diagnosis and treatment measures. Measuring and showing performance data to physicians was sufficient to change some aspects of physician behavior. Improvement in other measures requires structural practice changes. QOPI, an oncologist-developed system, can be adapted for use in practice improvement at an academic medical center.

  19. Lessons Learned from a Decade Implementing Comprehensive Sexuality Education in Resource Poor Settings: "The World Starts with Me"

    ERIC Educational Resources Information Center

    Vanwesenbeeck, Ine; Westeneng, Judith; de Boer, Thilly; Reinders, Jo; van Zorge, Ruth

    2016-01-01

    Today, more than half of the world population is under the age of 25 years and one in four is under age 18. The urgency of expanding access to Comprehensive Sexuality Education (CSE) notably for children and young people in Africa and Asia is greater than ever before. However, many challenges to the implementation and delivery of CSE in resource…

  20. Lessons Learned from a Decade Implementing Comprehensive Sexuality Education in Resource Poor Settings: "The World Starts with Me"

    ERIC Educational Resources Information Center

    Vanwesenbeeck, Ine; Westeneng, Judith; de Boer, Thilly; Reinders, Jo; van Zorge, Ruth

    2016-01-01

    Today, more than half of the world population is under the age of 25 years and one in four is under age 18. The urgency of expanding access to Comprehensive Sexuality Education (CSE) notably for children and young people in Africa and Asia is greater than ever before. However, many challenges to the implementation and delivery of CSE in resource…

  1. Comprehensive and integrated district health systems strengthening: the Rwanda Population Health Implementation and Training (PHIT) Partnership

    PubMed Central

    2013-01-01

    Background Nationally, health in Rwanda has been improving since 2000, with considerable improvement since 2005. Despite improvements, rural areas continue to lag behind urban sectors with regard to key health outcomes. Partners In Health (PIH) has been supporting the Rwanda Ministry of Health (MOH) in two rural districts in Rwanda since 2005. Since 2009, the MOH and PIH have spearheaded a health systems strengthening (HSS) intervention in these districts as part of the Rwanda Population Health Implementation and Training (PHIT) Partnership. The partnership is guided by the belief that HSS interventions should be comprehensive, integrated, responsive to local conditions, and address health care access, cost, and quality. The PHIT Partnership represents a collaboration between the MOH and PIH, with support from the National University of Rwanda School of Public Health, the National Institute of Statistics, Harvard Medical School, and Brigham and Women’s Hospital. Description of intervention The PHIT Partnership’s health systems support aligns with the World Health Organization’s six health systems building blocks. HSS activities focus across all levels of the health system — community, health center, hospital, and district leadership — to improve health care access, quality, delivery, and health outcomes. Interventions are concentrated on three main areas: targeted support for health facilities, quality improvement initiatives, and a strengthened network of community health workers. Evaluation design The impact of activities will be assessed using population-level outcomes data collected through oversampling of the demographic and health survey (DHS) in the intervention districts. The overall impact evaluation is complemented by an analysis of trends in facility health care utilization. A comprehensive costing project captures the total expenditures and financial inputs of the health care system to determine the cost of systems improvement. Targeted

  2. A comprehensive validation toolbox for regional ocean models - Outline, implementation and application to the Baltic Sea

    NASA Astrophysics Data System (ADS)

    Jandt, Simon; Laagemaa, Priidik; Janssen, Frank

    2014-05-01

    The systematic and objective comparison between output from a numerical ocean model and a set of observations, called validation in the context of this presentation, is a beneficial activity at several stages, starting from early steps in model development and ending at the quality control of model based products delivered to customers. Even though the importance of this kind of validation work is widely acknowledged it is often not among the most popular tasks in ocean modelling. In order to ease the validation work a comprehensive toolbox has been developed in the framework of the MyOcean-2 project. The objective of this toolbox is to carry out validation integrating different data sources, e.g. time-series at stations, vertical profiles, surface fields or along track satellite data, with one single program call. The validation toolbox, implemented in MATLAB, features all parts of the validation process - ranging from read-in procedures of datasets to the graphical and numerical output of statistical metrics of the comparison. The basic idea is to have only one well-defined validation schedule for all applications, in which all parts of the validation process are executed. Each part, e.g. read-in procedures, forms a module in which all available functions of this particular part are collected. The interface between the functions, the module and the validation schedule is highly standardized. Functions of a module are set up for certain validation tasks, new functions can be implemented into the appropriate module without affecting the functionality of the toolbox. The functions are assigned for each validation task in user specific settings, which are externally stored in so-called namelists and gather all information of the used datasets as well as paths and metadata. In the framework of the MyOcean-2 project the toolbox is frequently used to validate the forecast products of the Baltic Sea Marine Forecasting Centre. Hereby the performance of any new product

  3. Implementing a multi-professional web-based learning environment for a comprehensive cancer centre: obstacles, solutions and reflections.

    PubMed

    Links, Matthew; Sargeant, Chris; Waters, Amy; Liauw, Winston; Thomas, Patrice

    2012-03-01

    There is an urgent need for efficient cancer education programmes to promote safe practice in a comprehensive cancer centre. Educational practice has developed historically in an unplanned and inefficient way. Developments in educational theory and information technology provide an opportunity to develop systems with better educational methodology, better efficiency and potential for better impact on safety outcomes. We have developed such a programme at St. George Comprehensive Cancer Centre in Sydney, Australia, and describe here our experience in the first 2 years of implementing such a programme. In this article, we describe the programme, the obstacles and solutions we encountered and our reflections on the journey so far.

  4. An Action Research Plan for Developing and Implementing the Students' Listening Comprehension Skills

    ERIC Educational Resources Information Center

    Luo, Chunpin

    2008-01-01

    This is a proposal for an action research plan designed to find out how to improve students' listening comprehension skills, enhance their performance and help to promote better learning. This plan is focused on the minority students who major in English in our University. Listening comprehension is one of the most difficult courses for them. As…

  5. A framework for the implementation of the comprehensive plan for the global investigation of pollution in the marine environment

    SciTech Connect

    Not Available

    1985-01-01

    Prepared to provide guidance to the IOC and its Member States on implementing the IOC/GIPME program in general and on developing the Marine Pollution Monitoring System (MARPOLMON), this document outlines the components and essential features of the Comprehensive Plan for the Global Investigation of Pollution in the Marine Environment (GIPME), assesses the validity of the approach advocated in it, and offers a strategic framework for GIPME activities.

  6. Coaching Early Childhood Special Educators to Implement a Comprehensive Model for Promoting Young Children's Social Competence

    ERIC Educational Resources Information Center

    Fox, Lise; Hemmeter, Mary; Snyder, Patricia; Binder, Denise Perez; Clarke, Shelley

    2011-01-01

    Growing evidence suggests the importance of practitioners implementing promotion, prevention, and intervention practices to foster children's social-emotional competence and address challenging behavior within schools. Limited research exists, however, on how to support teachers of school-age children to implement with fidelity comprehensive…

  7. Strength and Comprehensiveness of District School Wellness Policies Predict Policy Implementation at the School Level

    ERIC Educational Resources Information Center

    Schwartz, Marlene B.; Henderson, Kathryn E.; Falbe, Jennifer; Novak, Sarah A.; Wharton, Christopher M.; Long, Michael W.; O'Connell, Meghan L.; Fiore, Susan S.

    2012-01-01

    Background: In 2006, all local education agencies in the United States participating in federal school meal programs were required to establish school wellness policies. This study documented the strength and comprehensiveness of 1 state's written district policies using a coding tool, and tested whether these traits predicted school-level…

  8. Implementing the Massachusetts Model for Comprehensive School Counseling Programs: A Case Study Examining MARC Award Recipients

    ERIC Educational Resources Information Center

    Salas, Kathryn

    2013-01-01

    Post secondary education is essential to success. To ensure that students who graduate from high school are prepared to make informed decisions about their life after high school, they need to be explicitly taught career development skills. These skills should be part of a comprehensive, results-based, developmentally appropriate comprehensive…

  9. Development and Implementation of a Comprehensive Health and Nutrition Record. Final Report.

    ERIC Educational Resources Information Center

    Ingalls, Dorothy M.

    The objectives of this project were: (1) to determine the items necessary for a comprehensive Health and Nutrition Record to be sent to the public and parochial schools from selected preschool day care servicing agencies; (2) to design an instrument on which to record the necessary health and nutrition data; (3) to determine ways of channeling…

  10. Increased Percentage of Passing Grades on the Massachusetts Comprehensive Assessment System after Implementation of Block Scheduling

    ERIC Educational Resources Information Center

    Forman, Eric D.

    2009-01-01

    This study examined one public school system's change in its bell scheduling format from a seven period day to block scheduling. The data collected was from a three year period of the grade 10 students passing the Massachusetts Comprehensive Assessment System exam. Students in Massachusetts must pass the mathematics and English/language arts…

  11. Comprehensive School Reform in New Jersey: Waxing and Waning Support for Model Implementation

    ERIC Educational Resources Information Center

    Erlichson, Bari Anhalt

    2005-01-01

    In 1998, the New Jersey Supreme Court ordered schools in 30 urban school districts to adopt comprehensive school reform (CSR) models as a part of the long-running Abbott v. Burke school finance case. Five years later, the Court would relax that mandate, resulting in a major education policy shift as the New Jersey Department of Education formally…

  12. Rethinking Recommendations for Implementing Comprehensive School Physical Activity Programs: A Partnership Model

    ERIC Educational Resources Information Center

    Webster, Collin Andrew; Beets, Michael; Weaver, Robert Glenn; Vazou, Spyridoula; Russ, Laura

    2015-01-01

    Recommended approaches to promoting children's physical activity through schools call for physical education teachers to serve as champions for, and leaders of, Comprehensive School Physical Activity Programs (CSPAPs). Little evidence, however, exists to suggest that physical education teachers are ideally prepared or supported to assume CSPAP…

  13. Strength and Comprehensiveness of District School Wellness Policies Predict Policy Implementation at the School Level

    ERIC Educational Resources Information Center

    Schwartz, Marlene B.; Henderson, Kathryn E.; Falbe, Jennifer; Novak, Sarah A.; Wharton, Christopher M.; Long, Michael W.; O'Connell, Meghan L.; Fiore, Susan S.

    2012-01-01

    Background: In 2006, all local education agencies in the United States participating in federal school meal programs were required to establish school wellness policies. This study documented the strength and comprehensiveness of 1 state's written district policies using a coding tool, and tested whether these traits predicted school-level…

  14. Complexity of Choice: Teachers' and Students' Experiences Implementing a Choice-Based Comprehensive School Health Model

    ERIC Educational Resources Information Center

    Sulz, Lauren; Gibbons, Sandra; Naylor, Patti-Jean; Wharf Higgins, Joan

    2016-01-01

    Background: Comprehensive School Health models offer a promising strategy to elicit changes in student health behaviours. To maximise the effect of such models, the active involvement of teachers and students in the change process is recommended. Objective: The goal of this project was to gain insight into the experiences and motivations of…

  15. Implementing the Massachusetts Model for Comprehensive School Counseling Programs: A Case Study Examining MARC Award Recipients

    ERIC Educational Resources Information Center

    Salas, Kathryn

    2013-01-01

    Post secondary education is essential to success. To ensure that students who graduate from high school are prepared to make informed decisions about their life after high school, they need to be explicitly taught career development skills. These skills should be part of a comprehensive, results-based, developmentally appropriate comprehensive…

  16. Complexity of Choice: Teachers' and Students' Experiences Implementing a Choice-Based Comprehensive School Health Model

    ERIC Educational Resources Information Center

    Sulz, Lauren; Gibbons, Sandra; Naylor, Patti-Jean; Wharf Higgins, Joan

    2016-01-01

    Background: Comprehensive School Health models offer a promising strategy to elicit changes in student health behaviours. To maximise the effect of such models, the active involvement of teachers and students in the change process is recommended. Objective: The goal of this project was to gain insight into the experiences and motivations of…

  17. Guidelines for Planning and Implementing a Comprehensive Community Environmental Inventory. Revised, 1972.

    ERIC Educational Resources Information Center

    Bennett, Dean B.; MacGown, Richard H.

    A comprehensive community environmental inventory is an ongoing process of investigation and study to compile and evaluate information about the natural and man-made environmental features and characteristics of an area, as well as related social, political, and economic information. Such information is important to the community in developmental…

  18. Implementing Strategies in Content Area Reading for Increasing Reading Comprehension of Fifth Grade Students.

    ERIC Educational Resources Information Center

    Cibula, June Clarke

    A practicum was conducted to improve reading comprehension in classroom performance with the basal reading series and on norm-referenced tests. Subjects included a fifth-grade class of 28 students who were paired with another fifth-grade class as peer teachers. New skills were taught and practiced with the target population early in the week. On…

  19. Implementing Comprehensive School Physical Activity Programs: A Wayne State University Case Study

    ERIC Educational Resources Information Center

    Centeio, Erin E.; McCaughtry, Nate

    2017-01-01

    Comprehensive school physical activity programs (CSPAPs) have been highlighted by numerous public health and education agencies for their potential to improve the health and academic achievement of American youth. A CSPAP integrates physical activity throughout the school environment before, during and after school by engaging educators, children,…

  20. Evaluation of the Comprehensive School Reform Program Implementation and Outcomes. Third-Year Report

    ERIC Educational Resources Information Center

    Orland, Martin; Connolly, Brooke; Fong, Tony; Sosenko, Lauren Davis; Tushnet, Naida C.; Yin, Robert K.; Burt, Janeula M.; Warner, Emily

    2008-01-01

    The Comprehensive School Reform (CSR) Program was established as a demonstration program in 1998 and authorized as a full program in 2002 as part of the No Child Left Behind Act (NCLB). It is one approach to help low-performing K-12 public schools meet state performance standards. CSR emphasizes two major concepts: mandating that school reform…

  1. Implementation Study of the Comprehensive Services Program of Palm Beach County, Florida. Final Report

    ERIC Educational Resources Information Center

    Lyons, Sandra; Karlstrom, Mikael; Haywood, Thomas

    2007-01-01

    The Comprehensive Services Program of Palm Beach County, Florida, was an ambitious and innovative effort to improve the school readiness of low-income children in Palm Beach County by identifying needs early and providing early intervention services to support physical, cognitive, and emotional health and development. Services were delivered to…

  2. Developing a Comprehensive Learning Community Program: Implementing a Learning Community Curriculum

    ERIC Educational Resources Information Center

    Workman, Jamie L.; Redington, Lyn

    2016-01-01

    This is the second of a three-part series which will share information about how a mid-size, comprehensive university developed a learning community program, including a residential curriculum. Through intentional collaboration and partnerships, the team, comprised of faculty and staff throughout the university, developed a "multi-year plan…

  3. Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors.

    PubMed

    Askeland, R W; McGrane, S; Levitt, J S; Dane, S K; Greene, D L; Vandeberg, J A; Walker, K; Porcella, A; Herwaldt, L A; Carmen, L T; Kemp, J D

    2008-07-01

    To transfuse blood products safely, health care workers must accurately identify patients, blood samples, and the blood components. A comprehensive bar code-based computerized tracking system was developed and implemented to identify and prevent transfusion errors. A data network, wireless devices, and bar-coded labels were pilot tested before the system was introduced hospitalwide. The system provided a complete audit trail for all transactions. Data from before and after implementation were analyzed. Incident reports decreased from a mean of 41.5 reports per month in the 6 months before the system was implemented to a mean of 7.2 reports per month after implementation. The blood sample rejection rate decreased from 1.82 percent to a mean of 0.17 percent after implementation. Errors detected by the new system were sorted into misscans, skipped steps, wrong steps, and prevented identification errors (PIEs). Misscans and skipped steps were the most common errors in the first 10 months after implementation. During the final transfusion step, PIEs occurred at the rate of about one per month and scans were omitted approximately 1 percent of the time. Therefore, it is estimated that mistransfusions could occur about once every 100 months on average with the new system. The bar code-based computerized tracking system detected and prevented identification and matching errors, thereby reducing the proportion of blood samples rejected and increasing patient safety.

  4. An Empirical Test of a Comprehensive Model for Predicting Successful Information Systems Implementation

    DTIC Science & Technology

    1989-12-01

    DIC FILE COPY CDTIC ELECTE FEB 2 0 1990 S D DEPARTMENT OF THE AIR FORCE AIR UNIVERSITY AIR FORCE INSTITUTE OF TECHNOLOGY Wright-Patterson Air Force...PREDICTING SUCCESSFUL INFORMATION SYSTEMS IMPLEMENTATION I. Introduction General Issue Information system (IS) research conducted since the late 1950’ s early...60’ s has focused a lot of attention on implementation. Many methodologies and their variations have been identified and tested in hopes of designing

  5. Flexible and Comprehensive Implementation of MD-PMM Approach in a General and Robust Code.

    PubMed

    Carrillo-Parramon, Oliver; Del Galdo, Sara; Aschi, Massimiliano; Mancini, Giordano; Amadei, Andrea; Barone, Vincenzo

    2017-10-06

    The Perturbed Matrix Method (PMM) approach to be used in combination with Molecular Dynamics (MD) trajectories (MD-PMM) has been recoded from scratch, improved in several aspects, and implemented in the Gaussian suite of programs for allowing a user-friendly and yet flexible tool to estimate quantum chemistry observables in complex systems in condensed phases. Particular attention has been devoted to a description of rigid and flexible quantum centers together with powerful essential dynamics and clustering approaches. The default implementation is fully black-box and does not require any external action concerning both MD and PMM sections. At the same time, fine-tuning of different parameters and use of external data are allowed in all the steps of the procedure. Two specific systems (Tyrosine and Uridine) have been reinvestigated with the new version of the code in order to validate the implementation, check the performances, and illustrate some new features.

  6. From Implementation to Outcomes to Impacts: Designing a Comprehensive Program Evaluation

    NASA Astrophysics Data System (ADS)

    Shebby, S.

    2015-12-01

    Funders are often interested in learning about the impact of program activities, yet before the impacts are determined, educational evaluations should first examine program implementation and outcomes. Implementation evaluation examines how and the extent to which program activities are delivered as intended, including the extent to which activities reached the targeted participants. Outcome evaluation is comprised of a systematic examination of the effects that a program has on program participants, such as changes in knowledge, attitudes, beliefs, values, and behaviors. In this presentation, presenters will share insights on evaluating the implementation, outcomes, and impacts associated with an online science curriculum for K-2 students. The science curriculum was designed to provide students with access to science concepts and skills in an interactive and innovative environment, and teachers with embedded, aligned, and on-demand professional development. One of the most important—and challenging—steps in this evaluation was to select outcomes that were well-defined, measurable, and aligned to program activities, as well as relevant to program stakeholders. An additional challenge was to measure implementation given limited access to the classroom environment. This presentation will include a discussion of the process evaluators used to select appropriate implementation indicators and outcomes (teacher and student), design an evaluation approach, and craft data collection instruments. Although examples provided are specific to the K-2 science intervention, the best practices discussed are pertinent to all program and event evaluations. Impact evaluation goes beyond implementation and outcome evaluation to inform whether a program is working or not. It requires a comparison group to inform what outcomes would have been in the absence of the intervention. As such, this presentation will also include a discussion of impacts, including how impacts are defined

  7. [Comprehensive dental treatment under general anaesthesia: implementation among patients with mouth opening limitation].

    PubMed

    Wolff, A; Singer, A; Shlomi, B

    2013-07-01

    Patients unable to tolerate routine dental treatment in an ordinary dental setting may undergo a wide range of dental procedures under general anaesthesia. This report describes a practical protocol for providing comprehensive dental treatment under general anaesthesia. The importance and uniqueness of planning, treating and adopting safety measures is illustrated through the presentation of clinical cases of patients with mouth opening limitation. Complete treatment can thus be achieved in a single visit, thereby eliminating repetition of coping with anxiety associated with repeated treatment sessions.

  8. Implementing Comprehensive Reform of Introductory Physics at a Primarily Undergraduate Institution: A Longitudinal Case Study

    ERIC Educational Resources Information Center

    Rogers, Michael; Keller, Luke D .; Price, Matthew F.; Crouse, Andrew

    2015-01-01

    Education research provides a range of curricular reform options that can lead to improved student course outcomes. These options can appear easy to implement with the hope of immediate increases in student learning. In 2006 the Ithaca College Physics Department went down this path by moving all of their 100-level courses out of lecture halls and…

  9. Good Ideas and Engagement Aren't Enough: School District Central Offices and the Micro-Politics of Implementing Comprehensive Human Resource Reform

    ERIC Educational Resources Information Center

    DeArmond, Michael

    2013-01-01

    This dissertation is about how organizational politics--or what some scholars call micro-politics--shapes the implementation of comprehensive human resource (HR) reform in school district central offices. Over the last decade, education reformers and advocates have promoted comprehensive HR reform as a way to improve teaching and learning in K-12…

  10. Good Ideas and Engagement Aren't Enough: School District Central Offices and the Micro-Politics of Implementing Comprehensive Human Resource Reform

    ERIC Educational Resources Information Center

    DeArmond, Michael

    2013-01-01

    This dissertation is about how organizational politics--or what some scholars call micro-politics--shapes the implementation of comprehensive human resource (HR) reform in school district central offices. Over the last decade, education reformers and advocates have promoted comprehensive HR reform as a way to improve teaching and learning in K-12…

  11. Implementation and Re nement of a Comprehensive Model for Dense Granular Flows

    SciTech Connect

    Sundaresan, Sankaran

    2015-09-30

    Dense granular ows are ubiquitous in both natural and industrial processes. They manifest three di erent ow regimes, each exhibiting its own dependence on solids volume fraction, shear rate, and particle-level properties. This research project sought to develop continuum rheological models for dense granular ows that bridges multiple regimes of ow, implement them in open-source platforms for gas-particle ows and perform test simulations. The rst phase of the research covered in this project involved implementation of a steady- shear rheological model that bridges quasi-static, intermediate and inertial regimes of ow into MFIX (Multiphase Flow with Interphase eXchanges - a general purpose computer code developed at the National Energy Technology Laboratory). MFIX simulations of dense granular ows in hourglass-shaped hopper were then performed as test examples. The second phase focused on formulation of a modi ed kinetic theory for frictional particles that can be used over a wider range of particle volume fractions and also apply for dynamic, multi- dimensional ow conditions. To guide this work, simulations of simple shear ows of identical mono-disperse spheres were also performed using the discrete element method. The third phase of this project sought to develop and implement a more rigorous treatment of boundary e ects. Towards this end, simulations of simple shear ows of identical mono-disperse spheres con ned between parallel plates were performed and analyzed to formulate compact wall boundary conditions that can be used for dense frictional ows at at frictional boundaries. The fourth phase explored the role of modest levels of cohesive interactions between particles on the dense phase rheology. The nal phase of this project focused on implementation and testing of the modi ed kinetic theory in MFIX and running bin-discharge simulations as test examples.

  12. MIDAS (Material Implementation, Database, and Analysis Source): A comprehensive resource of material properties

    SciTech Connect

    Tang, M; Norquist, P; Barton, N; Durrenberger, K; Florando, J; Attia, A

    2010-12-13

    MIDAS is aimed to be an easy-to-use and comprehensive common source for material properties including both experimental data and models and their parameters. At LLNL, we will develop MIDAS to be the central repository for material strength related data and models with the long-term goal to encompass other material properties. MIDAS will allow the users to upload experimental data and updated models, to view and read materials data and references, to manipulate models and their parameters, and to serve as the central location for the application codes to access the continuously growing model source codes. MIDAS contains a suite of interoperable tools and utilizes components already existing at LLNL: MSD (material strength database), MatProp (database of materials properties files), and MSlib (library of material model source codes). MIDAS requires significant development of the computer science framework for the interfaces between different components. We present the current status of MIDAS and its future development in this paper.

  13. Implementation and verification of a comprehensive helicopter coupled rotor - Fuselage analysis

    NASA Technical Reports Server (NTRS)

    Wood, E. R.; Banerjee, D.; Shamie, J.; Straub, F.; Dinyavari, M. A. H.

    1985-01-01

    The analytical basis and the application of a Rotor/Airframe Comprehensive Aeroelastic Program (RACAP) are described in detail. The rationale behind each analytical choice is outlined and the modular procedure is described. The program is verified by application to the AH-1G helicopter. The applicability of various airload prediction models is examined, and both the steady and vibratory responses of the blade are compared with flight test data. Reasonable correlation is found between measured and calculated blade response, with excellent correlation for vibration amplitudes at various locations on the fuselage such as engine, pilot seat, and gunner. Within the analytical model, comparisons are drawn between an isolated blade analysis and a coupled rotor/fuselage model. The deficiency of the former in the context of the AH-1G is highlighted.

  14. Decreased rates of hypoglycemia following implementation of a comprehensive computerized insulin order set and titration algorithm in the inpatient setting.

    PubMed

    Sinha Gregory, Naina; Seley, Jane Jeffrie; Gerber, Linda M; Tang, Chin; Brillon, David

    2016-12-01

    More than one-third of hospitalized patients have hyperglycemia. Despite evidence that improving glycemic control leads to better outcomes, achieving recognized targets remains a challenge. The objective of this study was to evaluate the implementation of a computerized insulin order set and titration algorithm on rates of hypoglycemia and overall inpatient glycemic control. A prospective observational study evaluating the impact of a glycemic order set and titration algorithm in an academic medical center in non-critical care medical and surgical inpatients. The initial intervention was hospital-wide implementation of a comprehensive insulin order set. The secondary intervention was initiation of an insulin titration algorithm in two pilot medicine inpatient units. Point of care testing blood glucose reports were analyzed. These reports included rates of hypoglycemia (BG < 70 mg/dL) and hyperglycemia (BG >200 mg/dL in phase 1, BG > 180 mg/dL in phase 2). In the first phase of the study, implementation of the insulin order set was associated with decreased rates of hypoglycemia (1.92% vs 1.61%; p < 0.001) and increased rates of hyperglycemia (24.02% vs 27.27%; p < 0.001) from 2010 to 2011. In the second phase, addition of a titration algorithm was associated with decreased rates of hypoglycemia (2.57% vs 1.82%; p = 0.039) and increased rates of hyperglycemia (31.76% vs 41.33%; p < 0.001) from 2012 to 2013. A comprehensive computerized insulin order set and titration algorithm significantly decreased rates of hypoglycemia. This significant reduction in hypoglycemia was associated with increased rates of hyperglycemia. Hardwiring the algorithm into the electronic medical record may foster adoption.

  15. Implementation and Outcomes of a Comprehensive Type 2 Diabetes Program in Rural Guatemala

    PubMed Central

    Flood, David; Mux, Sandy; Martinez, Boris; García, Pablo; Douglas, Kate; Goldberg, Vera; Lopez, Waleska

    2016-01-01

    Background The burden of chronic, non-communicable diseases such as diabetes is growing rapidly in low- and middle-income countries. Implementing management programs for diabetes and other chronic diseases for underserved populations is thus a critical global health priority. However, there is a notable dearth of shared programmatic and outcomes data from diabetes treatment programs in these settings. Program Description We describe our experiences as a non-governmental organization designing and implementing a type 2 diabetes program serving Maya indigenous people in rural Guatemala. We detail the practical challenges and solutions we have developed to build and sustain diabetes programming in this setting. Methods We conduct a retrospective chart review from our electronic medical record to evaluate our program’s performance. We generate a cohort profile, assess cross-sectional indicators using a framework adapted from the literature, and report on clinical longitudinal outcomes. Results A total of 142 patients were identified for the chart review. The cohort showed a decrease in hemoglobin A1C from a mean of 9.2% to 8.1% over an average of 2.1 years of follow-up (p <0.001). The proportions of patients meeting glycemic targets were 53% for hemoglobin A1C < 8% and 32% for the stricter target of hemoglobin A1C < 7%. Conclusion We first offer programmatic experiences to address a gap in resources relating to the practical issues of designing and implementing global diabetes management interventions. We then present clinical data suggesting that favorable diabetes outcomes can be attained in poor areas of rural Guatemala. PMID:27583362

  16. A comprehensive medical student wellness program--design and implementation at Vanderbilt School of Medicine.

    PubMed

    Drolet, Brian C; Rodgers, Scott

    2010-01-01

    Research suggests that student burnout and mental illness are increasing in U.S. medical schools. In response, students and administrators developed the Vanderbilt Medical Student (VMS) Wellness Program to promote student health and well-being through coordination of many new and existing resources. This program consists of three core components: The Advisory College Program, The Student Wellness Committee, and VMS LIVE. Each of the core components includes separate and unique individual programs, but each of these three components collaborates with the other two to accomplish the broad wellness goal of maximizing student health, happiness, and potential. The VMS Wellness Program has had early success with substantial growth and outstanding student buy-in since its inception in 2005. Preliminary data indicate that nearly every student has participated in at least two components of the VMS Wellness Program. In addition to participation, student response has been highly satisfactory, as evidenced by their positive feedback. The VMS Wellness Program is the first published model of a comprehensive medical student wellness initiative. The development and design of the program described in this article may serve as a framework for other institutions.

  17. Implementation in Education: A Planning Handbook for Districts. No. 5 in a Series of Handbooks on Comprehensive Planning for Local Education Districts.

    ERIC Educational Resources Information Center

    New Jersey State Dept. of Education, Trenton. Div. of Research, Planning, and Evaluation.

    As part of the comprehensive planning process, once goals are developed, needs established, problems analyzed, and alternative solutions proposed, the decision is made to implement a particular program. The first step toward successful implementation is careful planning of the tasks, activities, personnel, calendar, resources, and evaluation…

  18. Choosing Wellness: Comprehensive Health Education Planning and Implementation Handbook. A Handbook for Head Start Programs [and] Resource Guide: A Guide for Head Start Programs.

    ERIC Educational Resources Information Center

    Enright, Margaret; Davidson, Tasha

    These materials consist of: (1) a planning and implementation handbook designed to help Head Start managers better understand, plan, and implement a more comprehensive aproach to health education and health promotion--one that addresses local needs and tailors programs to the needs of the children, parents, and staff; and (2) a resource guide that…

  19. Understanding implementation of comprehensive geriatric care programs: a multiple perspective approach is preferred.

    PubMed

    de Vos, Annemarie; Cramm, Jane-Murray; van Wijngaarden, Jeroen D H; Bakker, Ton J E M; Mackenbach, Johan P; Nieboer, Anna P

    2016-09-29

    The Prevention and Reactivation Care Program (PReCaP) provides a novel approach targeting hospital-related functional decline among elderly patients. Despite the high expectations, the PReCaP was not effective in preventing functional decline (ADL and iADL) among older patients. Although elderly PReCaP patients demonstrated slightly better cognitive functioning (Mini Mental State Examination; 0.4 [95% confidence interval (CI) 0.2-0.6]), lower depression (Geriatric Depression Scale 15; -0.9 [95% -1.1 to -0.6]), and higher perceived health (Short-form 20; 5.6 [95% CI 2.8-8.4]) 1 year after admission than control patients, the clinical relevance was limited. Therefore, this study aims to identify factors impacting on the effectiveness of the implementation of the PReCaPand geriatric care 'as usual'. We conducted semi-structured interviews with 34 professionals working with elderly patients in three hospitals, selected for their comparable patient case mix and different levels of geriatric care. Five non-participatory observations were undertaken during multidisciplinary meetings. Patient files (n = 42), hospital protocols, and care plans were screened for elements of geriatric care. Clinical process data were analysed for PReCaP components. The establishment of a geriatric unit and employment of geriatricians demonstrates commitment to geriatric care in hospital A. Although admission processes are comparable, early identification of frail elderly patients only takes place in hosptial A. Furthermore, nursing care in the hospital A geriatric unit excels with regard to maximizing patient independency, an important predictor for hospital-related functional decline. Transfer nurses play a key role in arranging post-discharge geriatric follow-up care. Geriatric consultations are performed by geriatricians, geriatric nurses, and PReCaP case managers in hospital A. Yet hospital B consultative psychiatric nurses provide similar consultation services. The combination of

  20. Comprehensive evaluation and clinical implementation of commercially available Monte Carlo dose calculation algorithm.

    PubMed

    Zhang, Aizhen; Wen, Ning; Nurushev, Teamour; Burmeister, Jay; Chetty, Indrin J

    2013-03-04

    A commercial electron Monte Carlo (eMC) dose calculation algorithm has become available in Eclipse treatment planning system. The purpose of this work was to evaluate the eMC algorithm and investigate the clinical implementation of this system. The beam modeling of the eMC algorithm was performed for beam energies of 6, 9, 12, 16, and 20 MeV for a Varian Trilogy and all available applicator sizes in the Eclipse treatment planning system. The accuracy of the eMC algorithm was evaluated in a homogeneous water phantom, solid water phantoms containing lung and bone materials, and an anthropomorphic phantom. In addition, dose calculation accuracy was compared between pencil beam (PB) and eMC algorithms in the same treatment planning system for heterogeneous phantoms. The overall agreement between eMC calculations and measurements was within 3%/2 mm, while the PB algorithm had large errors (up to 25%) in predicting dose distributions in the presence of inhomogeneities such as bone and lung. The clinical implementation of the eMC algorithm was investigated by performing treatment planning for 15 patients with lesions in the head and neck, breast, chest wall, and sternum. The dose distributions were calculated using PB and eMC algorithms with no smoothing and all three levels of 3D Gaussian smoothing for comparison. Based on a routine electron beam therapy prescription method, the number of eMC calculated monitor units (MUs) was found to increase with increased 3D Gaussian smoothing levels. 3D Gaussian smoothing greatly improved the visual usability of dose distributions and produced better target coverage. Differences of calculated MUs and dose distributions between eMC and PB algorithms could be significant when oblique beam incidence, surface irregularities, and heterogeneous tissues were present in the treatment plans. In our patient cases, monitor unit differences of up to 7% were observed between PB and eMC algorithms. Monitor unit calculations were also preformed

  1. Implementing Composite Quality Metrics for Bipolar Disorder: Towards a More Comprehensive Approach to Quality Measurement

    PubMed Central

    Kilbourne, Amy M.; Farmer, Carrie; Welsh, Deborah; Pincus, Harold Alan; Lasky, Elaine; Perron, Brian; Bauer, Mark S.

    2011-01-01

    Objective We implemented a set of processes of care measures for bipolar disorder that reflect psychosocial, patient preference, and continuum of care approaches to mental health, and examined whether veterans with bipolar disorder receive care concordant with these practices. Method Data from medical record reviews were used to assess key processes of care for 433 VA mental health outpatients with bipolar disorder. Both composite and individual processes of care measures were operationalized. Results Based on composite measures, 17% had documented assessment of psychiatric symptoms (e.g., psychotic, hallucinatory), 28% had documented patient treatment preferences (e.g., reasons for treatment discontinuation), 56% had documented substance abuse and psychiatric comorbidity assessment, and 62% had documentation of adequate cardiometabolic assessment. No-show visits were followed up 20% of the time and monitoring of weight gain was noted in only 54% of the patient charts. In multivariate analyses, history of homelessness (OR=1.61; 95% CI=1.05-2.46) and nonwhite race (OR=1.74; 95%CI=1.02-2.98) were associated with documentation of psychiatric symptoms and comorbidities, respectively. Conclusions Only half of patients diagnosed with bipolar disorder received care in accordance with clinical practice guidelines. High quality treatment of bipolar disorder includes not only adherence to treatment guidelines but also patient-centered care processes. PMID:21112457

  2. Implementing a Comprehensive Program for the Prevention of Conduct Problems in Rural Communities: The Fast Track Experience1

    PubMed Central

    Bierman, Karen L.

    2012-01-01

    Childhood conduct problems are predictive of a number of serious long-term difficulties (e.g., school failure, delinquent behavior, and mental health problems), making the design of effective prevention programs a priority. The Fast Track Program is a demonstration project currently underway in four demographically diverse areas of the United States, testing the feasibility and effectiveness of a comprehensive, multicomponent prevention program targeting children at risk for conduct disorders. This paper describes some lessons learned about the implementation of this program in a rural area. Although there are many areas of commonality in terms of program needs, program design, and implementation issues in rural and urban sites, rural areas differ from urban areas along the dimensions of geographical dispersion and regionalism, and community stability and insularity. Rural programs must cover a broad geographical area and must be sensitive to the multiple, small and regional communities that constitute their service area. Small schools, homogeneous populations, traditional values, limited recreational, educational and mental health services, and politically conservative climates are all more likely to emerge as characteristics of rural rather than urban sites (Sherman, 1992). These characteristics may both pose particular challenges to the implementation of prevention programs in rural areas, as well as offer particular benefits. Three aspects of program implementation are described in detail: (a) community entry and program initiation in rural areas, (b) the adaptation of program components and service delivery to meet the needs of rural families and schools, and (c) issues in administrative organization of a broadly dispersed tricounty rural prevention program. PMID:9338956

  3. Implementation of Radio-Frequency Deflecting Devices for Comprehensive High-Energy Electron Beam Diagnosis

    NASA Astrophysics Data System (ADS)

    Craievich, Paolo; Petronio, Marco; Biedron, Sandra G.; Castronovo, Davide; Dal Forno, Massimo; Di Mitri, Simone; Faure, Nicolas; La Civita, Daniele; Penco, Giuseppe; Rumiz, Luca; Sturari, Luca; Vescovo, Roberto; Wang, Defa

    2015-02-01

    In next-generation light sources, high-brightness electron beams are used in a free-electron laser configuration to produce light for use by scientists and engineers in numerous fields of research. High-brightness beams are described for such light sources as having low transverse and longitudinal emittances, high peak currents, and low slice emittance and energy spread. The optimal generation and preservation of such high-brightness electron beams during the acceleration process and propagation to and through the photon-producing element is imperative to the quality and performance of the light source. To understand the electron beam's phase space in the accelerating section of a next-generation light source machine, we employed radio-frequency cavities operating in a deflecting mode in conjunction with a magnetic spectrometer and imaging system for both low (250 MeV) and high (1.2 GeV) electron energies. This high-resolution, high-energy system is an essential diagnostic for the optimization and control of the electron beam in the FERMI light source generating fully transversely and longitudinally coherent light in the VUV to soft x-ray wavelength regimes. This device is located at the end of the linear accelerator in order to provide the longitudinal phase space nearest to the entrance of the photon-producing beam-lines. Here, we describe the design, fabrication, characterization, commissioning, and operational implementation of this transverse deflecting cavity structure diagnostic system for the high-energy (1.2 GeV) regime.

  4. Development and implementation of a comprehensive strategic plan for medical education at an academic medical center.

    PubMed

    Schwartzstein, Richard M; Huang, Grace C; Coughlin, Christine M

    2008-06-01

    Despite their vital contributions to the training of future physicians, many academic teaching hospitals have grown operationally and financially distinct from affiliated medical schools because of divergent missions, contributing to the erosion of clinical training. Some institutions have responded by building hybrid organizations; others by creating large health care networks with variable relationships with the affiliated medical school. In this case, the authors wished to establish the future educational mission of their medical center as a core element of the institution by creating data-driven recommendations for reorganization, programs, and financing. They conducted a self-study of all constituents, the results of which confirmed the importance of education at their institution but also revealed the insufficiency of incentives for teaching. They underwent an external review by a committee of prominent educators, and they involved administrators at the hospital and the medical school. Together, these inputs composed an informed assessment of medical education at their teaching hospital, from which they developed and actualized an institution-wide strategic plan for education. Over the course of three years, they centralized the administrative structure for education, implemented programs that cross departments and reinforce the UME-GME continuum, and created transparency in the financing of medical education. The plan was purposefully aligned with the clinical and research strategic plans by supporting patient safety in programs and the professional development of faculty. The application of a rigorous strategic planning process to medical education at an academic teaching hospital can focus the mission, invigorate faculty, and lead to innovative programs.

  5. Comprehensive Medication Reviews in Long-term Care Facilities: History of Process Implementation and 2015 Results.

    PubMed

    O'Shea, Terrence E; Zarowitz, Barbara J; Erwin, W Gary

    2017-01-01

    Since 2013, Part D sponsors have been required to offer comprehensive medication reviews (CMRs) to all beneficiaries enrolled in their medication therapy management (MTM) programs at least annually, including those in long-term care (LTC) settings. Since that time, MTM providers have found that accessing and completing CMRs with beneficiaries is frequently prohibitively complex, since the process often requires a live, face-to-face interactive interview where the beneficiary resides. However, with the migration of the CMR completion rate from a star ratings display measure to an active measure, coupled with the new CMR completion rate cutpoints for 2016, accessing this population for CMR completion has heightened importance. Our proprietary consultant pharmacist (CP) software was programmed in 2012 to produce a cover letter, medication action plan, and personal medication list per CMS standardized format specifications. Using this system, CPs were trained to perform and document CMRs and the interactive interviews. MTM-eligible Part D beneficiaries, identified by several contracted clients as residing in LTC serviced by Omnicare, were provided CMRs and summaries written in CMS standardized format by CPs. Residents with cognitive impairment were identified using 3 data elements in the Minimum Data Set (MDS). In 2015, 7,935 MTM-eligible beneficiaries were identified as receiving medications from an Omnicare pharmacy. After excluding those who were disenrolled by their prescription drug plans, discharged from the LTC facility, or resided in a LTC facility no longer serviced by Omnicare, 5,593 residents were available for CMR completion. Of these, only 3% refused the CMR offer, and 5,392 CMRs (96%) were completed successfully. Thirty-nine percent of residents had cognitive impairment per MDS assessments; in those instances, CMRs were conducted with someone other than the beneficiary. Based on the CMRs and interactive interviews, 7,527 drug therapy problem

  6. Comprehensive electronic medical record implementation levels not associated with 30-day all-cause readmissions within Medicare beneficiaries with heart failure.

    PubMed

    Patterson, M E; Marken, P; Zhong, Y; Simon, S D; Ketcherside, W

    2014-01-01

    Regulatory standards for 30-day readmissions incentivize hospitals to improve quality of care. Implementing comprehensive electronic health record systems potentially decreases readmission rates by improving medication reconciliation at discharge, demonstrating the additional benefits of inpatient EHRs beyond improved safety and decreased errors. To compare 30-day all-cause readmission incidence rates within Medicare fee-for-service with heart failure discharged from hospitals with full implementation levels of comprehensive EHR systems versus those without. This retrospective cohort study uses data from the American Hospital Association Health IT survey and Medicare Part A claims to measure associations between hospital EHR implementation levels and beneficiary readmissions. Multivariable Cox regressions estimate the hazard ratio of 30-day all-cause readmissions within beneficiaries discharged from hospitals implementing comprehensive EHRs versus those without, controlling for beneficiary health status and hospital organizational factors. Propensity scores are used to account for selection bias. The proportion of heart failure patients with 30-day all-cause readmissions was 30%, 29%, and 32% for those discharged from hospitals with full, some, and no comprehensive EHR systems. Heart failure patients discharged from hospitals with fully implemented comprehensive EHRs compared to those with no comprehensive EHR systems had equivalent 30-day readmission incidence rates (HR = 0.97, 95% CI 0.73 - 1.3). Implementation of comprehensive electronic health record systems does not necessarily improve a hospital's ability to decrease 30-day readmission rates. Improving the efficiency of post-acute care will require more coordination of information systems between inpatient and ambulatory providers.

  7. Development and Implementation of a Comprehensive Program to Deal with Canada's Nuclear Legacy Liabilities

    SciTech Connect

    Brown, Peter; Metcalfe, Douglas; Blanchette, Marcia; Dolinar, George; Halpenny, Steven; Purdy, Chris; Smith, David; Kupferschmidt, William

    2008-01-15

    The Government of Canada nuclear legacy liabilities have resulted from 60 years of nuclear research and development (R and D) carried out on behalf of Canada by the National Research Council (1944 to 1952) and Atomic Energy of Canada Limited (AECL, 1952 to present). These liabilities are largely located at AECL research sites, and consist of shutdown research buildings (including several prototype and research reactors), a wide variety of buried and stored wastes, and contaminated lands. The shutdown buildings and contaminated lands need to be safely decommissioned to meet federal regulatory requirements, and long-term solutions need to be developed and implemented for management of the wastes. More than half of the liabilities are the result of Cold War activities during the 1940's, 50's and early 60's. The remaining liabilities stem from R and D for medical isotopes and nuclear reactor technology, as well as national science programs. About 70 percent of the liabilities are located at AECL's Chalk River Laboratories (CRL) in Ontario, and a further 20 percent are located at AECL's shutdown Whiteshell Laboratories in Manitoba. The remaining 10 percent relate largely to three shutdown prototype reactors in Ontario and Quebec, which were key to the developmental stage of Canada's CANDU reactor technology. The inventory of legacy waste includes spent fuel, high-level, intermediate-level and low-level solid and liquid radioactive waste, and wastes (largely contaminated soils) from site clean-up work across Canada. Most of the wastes are in raw, unconditioned form, and limited characterization information is available for the wastes generated in past decades. In many cases unique and potentially costly solutions will be required to recover, handle and process the wastes. In conclusion: the Government of Canada has initiated a program to deal with nuclear legacy liabilities dating back to the Cold War and the birth of nuclear technologies and medicine in Canada. The 5

  8. Implementation and utilization of a comprehensive information network in an integrated private not-for-profit regional health care system

    NASA Astrophysics Data System (ADS)

    Long, James M., III

    1995-10-01

    The capacity to access, integrate, and analyze demographic, financial, and clinical data within a regional health care system represents an opportunity to ensure and enhance clinical quality and to reduce costs in a carefully planned and controlled manner. Properly used, such capability should improve health care delivery for local populations and provide the institution with a level of integration of services achieved by few health care organizations. The Baptist Health System (BHS), based in Birmingham, Alabama, is currently standardizing operating procedures among its various components and implementing a comprehensive, enterprise-wide information network. Clinical quality improvement and case management are being promulgated throughout the enterprise using a continuum-of-care model developed internally. Having successfully completed a pilot project using teleconferences for core lectures in internal medicine between two large teaching hospitals, BHS is taking advantage of enterprise- wide teleconference capability using a combination of fiberoptic (T3) and standard digital telephone (T1) transmission to speed installation and reduce the cost of implementation into two office buildings and eleven hospitals. The information system will serve to prepare BHS for the advent of managed care and other anticipated changes in health care, while ensuring continued ability to deliver high quality, cost-effective medical and health-related services.

  9. Hospital admissions for acute myocardial infarction before and after implementation of a comprehensive smoke-free policy in Uruguay

    PubMed Central

    Sebrié, Ernesto Marcelo; Sandoya, Edgardo; Hyland, Andrew; Bianco, Eduardo; Glantz, Stanton A; Cummings, K Michael

    2012-01-01

    Background Stimulated by the WHO Framework Convention on Tobacco Control, many countries in Latin America adopted comprehensive smoke-free policies. In March 2006, Uruguay became the first Latin American country to adopt 100% smoke-free national legislation, which ended smoking in all indoor public places and workplaces, including restaurants and bars. The objective of this study was to evaluate trends in hospital admissions for cardiovascular disease 2 years before and 2 years after the policy was implemented in Uruguay. Methods Reports of hospital admissions for acute myocardial infarction (AMI) (International Classification of Disease-10 I21) from 37 hospitals (79% of all hospital admissions in the country), representing the period 2 years before and 2 years after the adoption of a nationwide smoke-free policy in Uruguay (between 1 March 2004 and 29 February 2008), were reviewed. A time series analysis was undertaken to compare the average monthly number of events of hospital admission for AMI before and after the smoke-free law. Results A total of 7949 hospital admissions for AMI were identified during the 4-year study period. Two years after the smoke-free policy was enacted, hospital admissions for AMI fell by 22%. The same pattern and roughly the same magnitude of reduction in AMI admissions were observed for patients seen in public and private hospitals, men, women and people aged 40–65 years and older than 65 years. Conclusions The national smoke-free policy implemented in Uruguay in 2006 was associated with a significant reduction in hospital admissions for AMI. PMID:22337557

  10. Hospital admissions for acute myocardial infarction before and after implementation of a comprehensive smoke-free policy in Uruguay.

    PubMed

    Sebrié, Ernesto Marcelo; Sandoya, Edgardo; Hyland, Andrew; Bianco, Eduardo; Glantz, Stanton A; Cummings, K Michael

    2013-05-01

    Stimulated by the WHO Framework Convention on Tobacco Control, many countries in Latin America adopted comprehensive smoke-free policies. In March 2006, Uruguay became the first Latin American country to adopt 100% smoke-free national legislation, which ended smoking in all indoor public places and workplaces, including restaurants and bars. The objective of this study was to evaluate trends in hospital admissions for cardiovascular disease 2 years before and 2 years after the policy was implemented in Uruguay. Reports of hospital admissions for acute myocardial infarction (AMI) (International Classification of Disease-10 I21) from 37 hospitals (79% of all hospital admissions in the country), representing the period 2 years before and 2 years after the adoption of a nationwide smoke-free policy in Uruguay (between 1 March 2004 and 29 February 2008), were reviewed. A time series analysis was undertaken to compare the average monthly number of events of hospital admission for AMI before and after the smoke-free law. A total of 7949 hospital admissions for AMI were identified during the 4-year study period. Two years after the smoke-free policy was enacted, hospital admissions for AMI fell by 22%. The same pattern and roughly the same magnitude of reduction in AMI admissions were observed for patients seen in public and private hospitals, men, women and people aged 40-65 years and older than 65 years. The national smoke-free policy implemented in Uruguay in 2006 was associated with a significant reduction in hospital admissions for AMI.

  11. A comprehensive data qa/qc strategy for data from autonomous point sensors: design, implementation and examples

    NASA Astrophysics Data System (ADS)

    Versteeg, R. J.

    2007-12-01

    There is an exponential increase in the use of autonomous point sensors (sensors which collect and transmit data without any human intervention) across all of geosciences. Point sensors include both physical and chemical sensors. Such data is typically stored in relational databases, from which data is subsequently polled for a range of different purposes. One of the fundamental challenges for end users is to assess the confidence in specific measurements. Historically (when sensor owners, sensor installers, data managers and data users were associated with one research group or institution) there might have been an intuitive (if poorly quantifiable) feel for such confidence. However, in the current environment these roles are often filled by people who are geographically separated and in different organizations. In addition, while historically such data was subject to semi manual review, this is becoming less and less practical. Finally, there is more and more a desire to use data in near real time. Consequently, challenges exist on how to automate all aspects of data qa/qc and validation for autonomous sensors. Data validation can result either in a confidence range and/or a Boolean indicator (good/bad data). We have developed and implemented a comprehensive, multi level data validation strategy. This strategy progresses from analysis of the most recent data received from a sensor (typically one to hundreds of measurements) to an analysis of the recent data in the context of the historic data received from the sensor, to an analysis of data received by other sensors (which compares trends and patterns), to a simple model based analysis. The outcome of this analysis (which is performed as soon as new data arrives) results in a quality indicator which is made available to the user with the data. In this talk I will provide examples of this approach for a number of currently operating monitoring networks as well as a discussion on how to easily implement this

  12. 34 CFR 200.83 - Responsibilities of SEAs to implement projects through a comprehensive needs assessment and a...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... a comprehensive needs assessment and a comprehensive State plan for service delivery. 200.83 Section... needs assessment and a comprehensive State plan for service delivery. (a) An SEA that receives a grant... performance targets identified in paragraph (a)(1) of this section. (4) Service delivery. The plan...

  13. Shared medical appointments after cardiac surgery-the process of implementing a novel pilot paradigm to enhance comprehensive postdischarge care.

    PubMed

    Harris, Marianne D

    2010-01-01

    To facilitate the physical and emotional needs of patients undergoing cardiac surgery and their families, our Cardiac Surgery Outpatient Clinic at Cleveland Clinic, a nonprofit multispecialty academic medical center in Cleveland, Ohio, decided to implement a trial of a novel care delivery paradigm called Shared Medical Appointments (SMAs). The purpose of this venture was to facilitate timely access to care 3 to 5 days after hospital discharge, include family members in the education process and the care of the patient, and provide a forum for support and shared learning among patients who have been through like surgical experiences. The clinic system, which performed 3,597 open heart surgeries and 213 robotically assisted cardiac surgeries in 2008, already used family education classes to provide instruction to the patients and family prior to surgery. Because this medium was an effective way to disseminate knowledge, we theorized that using an SMA would be an effective strategy to provide timely medical care after discharge and garner support, education, and increased access to timely medical care after discharge. Although there were many physicians in subspecialties performing these types of clinic visits at our institution since 2002, by the spring of 2007, a group of cardiothoracic nurses decided to perform a trial on this model in this cohort of patients and be a fully nurse-led SMA to provide comprehensive care after discharge. Preliminary patient satisfaction surveys have revealed that 92% of post-cardiac surgery patients rated the experience as good or excellent, and 82% would prefer an SMA for their next clinic visit rather than an individual visit. These data are consistent with physician-led SMA satisfaction surveys in our organization to date. Although still in its relative infancy, an SMA for this cohort appears to have merit in enhancing the support and education as well as providing for the complex medical needs of these patients.

  14. Implementing Community-Based Comprehensive Sexuality Education with High-Risk Youth in a Conservative Environment: Lessons Learned

    ERIC Educational Resources Information Center

    Secor-Turner, Molly; Randall, Brandy A.; Christensen, Katie; Jacobson, Amy; Loyola Meléndez, Migdalia

    2017-01-01

    Although comprehensive sexuality education programmes have the potential to improve the sexual health and well-being of young people, many socially conservative rural states in the USA have laws and policies restricting school-based comprehensive sexuality education and supporting abstinence-only education. This paper describes the process of…

  15. Development and Implementation of a Comprehensive Radiometric Validation Protocol for the CERES Earth Radiation Budget Climate Record Sensors

    NASA Technical Reports Server (NTRS)

    Priestley, K. J.; Matthews, G.; Thomas, S.

    2006-01-01

    The CERES Flight Models 1 through 4 instruments were launched aboard NASA's Earth Observing System (EOS) Terra and Aqua Spacecraft into 705 Km sun-synchronous orbits with 10:30 a.m. and 1:30 p.m. equatorial crossing times. These instruments supplement measurements made by the CERES Proto Flight Model (PFM) instrument launched aboard NASA's Tropical Rainfall Measuring Mission (TRMM) into a 350 Km, 38-degree mid-inclined orbit. CERES Climate Data Records consist of geolocated and calibrated instantaneous filtered and unfiltered radiances through temporally and spatially averaged TOA, Surface and Atmospheric fluxes. CERES filtered radiance measurements cover three spectral bands including shortwave (0.3 to 5 microns), total (0.3 to 100 microns) and an atmospheric window channel (8 to 12 microns). The CERES Earth Radiation Budget measurements represent a new era in radiation climate data, realizing a factor of 2 to 4 improvement in calibration accuracy and stability over the previous ERBE climate records, while striving for the next goal of 0.3-percent per decade absolute stability. The current improvement is derived from two sources: the incorporation of lessons learned from the ERBE mission in the design of the CERES instruments and the development of a rigorous and comprehensive radiometric validation protocol consisting of individual studies covering different spatial, spectral and temporal time scales on data collected both pre and post launch. Once this ensemble of individual perspectives is collected and organized, a cohesive and highly rigorous picture of the overall end-to-end performance of the CERES instrument's and data processing algorithms may be clearly established. This approach has resulted in unprecedented levels of accuracy for radiation budget instruments and data products with calibration stability of better than 0.2-percent and calibration traceability from ground to flight of 0.25-percent. The current work summarizes the development, philosophy

  16. Development and Implementation of a Comprehensive Radiometric Validation Protocol for the CERES Earth Radiation Budget Climate Record Sensors

    NASA Technical Reports Server (NTRS)

    Priestley, K. J.; Matthews, G.; Thomas, S.

    2006-01-01

    The CERES Flight Models 1 through 4 instruments were launched aboard NASA's Earth Observing System (EOS) Terra and Aqua Spacecraft into 705 Km sun-synchronous orbits with 10:30 a.m. and 1:30 p.m. equatorial crossing times. These instruments supplement measurements made by the CERES Proto Flight Model (PFM) instrument launched aboard NASA's Tropical Rainfall Measuring Mission (TRMM) into a 350 Km, 38-degree mid-inclined orbit. CERES Climate Data Records consist of geolocated and calibrated instantaneous filtered and unfiltered radiances through temporally and spatially averaged TOA, Surface and Atmospheric fluxes. CERES filtered radiance measurements cover three spectral bands including shortwave (0.3 to 5 microns), total (0.3 to 100 microns) and an atmospheric window channel (8 to 12 microns). The CERES Earth Radiation Budget measurements represent a new era in radiation climate data, realizing a factor of 2 to 4 improvement in calibration accuracy and stability over the previous ERBE climate records, while striving for the next goal of 0.3-percent per decade absolute stability. The current improvement is derived from two sources: the incorporation of lessons learned from the ERBE mission in the design of the CERES instruments and the development of a rigorous and comprehensive radiometric validation protocol consisting of individual studies covering different spatial, spectral and temporal time scales on data collected both pre and post launch. Once this ensemble of individual perspectives is collected and organized, a cohesive and highly rigorous picture of the overall end-to-end performance of the CERES instrument's and data processing algorithms may be clearly established. This approach has resulted in unprecedented levels of accuracy for radiation budget instruments and data products with calibration stability of better than 0.2-percent and calibration traceability from ground to flight of 0.25-percent. The current work summarizes the development, philosophy

  17. Policy Support, Norms, and Secondhand Smoke Exposure Before and After Implementation of a Comprehensive Smoke-Free Law in Mexico City

    PubMed Central

    Thrasher, James F.; Pérez-Hernández, Rosaura; Swayampakala, Kamala; Arillo-Santillán, Edna; Bottai, Matteo

    2010-01-01

    Objectives. We assessed attitudes and beliefs about smoke-free laws, compliance, and secondhand smoke exposure before and after implementation of a comprehensive smoke-free law in Mexico City. Methods. Trends and odds of change in attitudes and beliefs were analyzed across 3 representative surveys of Mexico City inhabitants: before implementation of the policy (n = 800), 4 months after implementation (n = 961), and 8 months after implementation (n = 761). Results. Results indicated high and increasing support for 100% smoke-free policies, although support did not increase for smoke-free bars. Agreement that such policies improved health and reinforced rights was high before policy implementation and increased thereafter. Social unacceptability of smoking increased substantially, although 25% of nonsmokers and 50% of smokers agreed with smokers' rights to smoke in public places at the final survey wave. Secondhand smoke exposure declined generally as well as in venues covered by the law, although compliance was incomplete, especially in bars. Conclusions. Comprehensive smoke-free legislation in Mexico City has been relatively successful, with changes in perceptions and behavior consistent with those revealed by studies conducted in high-income countries. Normative changes may prime populations for additional tobacco control interventions. PMID:20466952

  18. Implementation of the World Starts with Me, a Comprehensive Rights-Based Sex Education Programme in Uganda

    ERIC Educational Resources Information Center

    Rijsdijk, Liesbeth E.; Bos, Arjan E. R.; Lie, Rico; Leerlooijer, Joanne N.; Eiling, Ellen; Atema, Vera; Gebhardt, Winifred A.; Ruiter, Robert A. C.

    2014-01-01

    This article presents a process evaluation of the implementation of the sex education programme the World Starts With Me (WSWM) for secondary school students in Uganda. The purpose of this mixed-methods study was to examine factors associated with dose delivered (number of lessons implemented) and fidelity of implementation (implementation…

  19. Implementation of the World Starts with Me, a Comprehensive Rights-Based Sex Education Programme in Uganda

    ERIC Educational Resources Information Center

    Rijsdijk, Liesbeth E.; Bos, Arjan E. R.; Lie, Rico; Leerlooijer, Joanne N.; Eiling, Ellen; Atema, Vera; Gebhardt, Winifred A.; Ruiter, Robert A. C.

    2014-01-01

    This article presents a process evaluation of the implementation of the sex education programme the World Starts With Me (WSWM) for secondary school students in Uganda. The purpose of this mixed-methods study was to examine factors associated with dose delivered (number of lessons implemented) and fidelity of implementation (implementation…

  20. Implementation

    EPA Pesticide Factsheets

    Describes elements for the set of activities to ensure that control strategies are put into effect and that air quality goals and standards are fulfilled, permitting programs, and additional resources related to implementation under the Clean Air Act.

  1. Implementation of The World Starts With Me, a comprehensive rights-based sex education programme in Uganda.

    PubMed

    Rijsdijk, Liesbeth E; Bos, Arjan E R; Lie, Rico; Leerlooijer, Joanne N; Eiling, Ellen; Atema, Vera; Gebhardt, Winifred A; Ruiter, Robert A C

    2014-04-01

    This article presents a process evaluation of the implementation of the sex education programme the World Starts With Me (WSWM) for secondary school students in Uganda. The purpose of this mixed-methods study was to examine factors associated with dose delivered (number of lessons implemented) and fidelity of implementation (implementation according to the manual), as well as to identify the main barriers and facilitators of implementation. Teachers' confidence in teaching WSWM was negatively associated with dose delivered. Confidence in educating and discussing sexuality issues in class was positively associated with fidelity of implementation, whereas the importance teachers attached to open sex education showed a negative association with fidelity. Main barriers for implementing WSWM were lack of time, unavailability of computers, lack of student manuals and lack of financial support and rewards. Other barriers for successful implementation were related to high turnover of staff and insufficient training and guidance of teachers. Teachers' beliefs/attitudes towards sexuality of adolescents, condom use and sex education were found to be important socio-cognitive factors intervening with full fidelity of implementation. These findings can be used to improve the intervention implementation and to better plan for large-scale dissemination of school-based sex education programmes in sub-Saharan Africa.

  2. Implementing RapidArc into clinical routine: A comprehensive program from machine QA to TPS validation and patient QA

    SciTech Connect

    Van Esch, Ann; Huyskens, Dominique P.; Behrens, Claus F.; Samsoee, Eva; Sjoelin, Maria; Bjelkengren, Ulf; Sjoestroem, David; Clermont, Christian; Hambach, Lionel; Sergent, Francois

    2011-09-15

    Purpose: With the increased commercial availability of intensity modulated arc therapy (IMAT) comes the need for comprehensive QA programs, covering the different aspects of this newly available technology. This manuscript proposes such a program for the RapidArc (RA) (Varian Medical Systems, Palo Alto) IMAT solution. Methods: The program was developed and tested out for a Millennium120 MLC on iX Clinacs and a HighDefinition MLC on a Novalis TX, using a variety of measurement equipment including Gafchromic film, 2D ion chamber arrays (Seven29 and StarCheck, PTW, Freiburg, Germany) with inclinometer and Octavius phantom, the Delta4 systam (ScandiDos, Uppsala, Sweden) and the portal imager (EPID). First, a number of complementary machine QA tests were developed to monitor the correct interplay between the accelerating/decelerating gantry, the variable dose rate and the MLC position, straining the delivery to the maximum allowed limits. Second, a systematic approach to the validation of the dose calculation for RA was adopted, starting with static gantry and RA specific static MLC shapes and gradually moving to dynamic gantry, dynamic MLC shapes. RA plans were then optimized on a series of artificial structures created within the homogeneous Octavius phantom and within a heterogeneous lung phantom. These served the double purpose of testing the behavior of the optimization algorithm (PRO) as well as the precision of the forward dose calculation. Finally, patient QA on a series of clinical cases was performed with different methods. In addition to the well established in-phantom QA, we evaluated the portal dosimetry solution within the Varian approach. Results: For routine machine QA, the ''Snooker Cue'' test on the EPID proved to be the most sensitive to overall problem detection. It is also the most practical one. The ''Twinkle'' and ''Sunrise'' tests were useful to obtain well differentiated information on the individual treatment delivery components. The AAA8

  3. Implementing RapidArc into clinical routine: a comprehensive program from machine QA to TPS validation and patient QA.

    PubMed

    Van Esch, Ann; Huyskens, Dominique P; Behrens, Claus F; Samsoe, Eva; Sjolin, Maria; Bjelkengren, Ulf; Sjostrom, David; Clermont, Christian; Hambach, Lionel; Sergent, Francois

    2011-09-01

    With the increased commercial availability of intensity modulated arc therapy (IMAT) comes the need for comprehensive QA programs, covering the different aspects of this newly available technology. This manuscript proposes such a program for the RapidArc (RA) (Varian Medical Systems, Palo Alto) IMAT solution. The program was developed and tested out for a Millennium120 MLC on iX Clinacs and a HighDefinition MLC on a Novalis TX, using a variety of measurement equipment including Gafchromic film, 2D ion chamber arrays (Seven29 and StarCheck, PTW, Freiburg, Germany) with inclinometer and Octavius phantom, the Delta4 systam (ScandiDos, Uppsala, Sweden) and the portal imager (EPID). First, a number of complementary machine QA tests were developed to monitor the correct interplay between the accelerating/decelerating gantry, the variable dose rate and the MLC position, straining the delivery to the maximum allowed limits. Second, a systematic approach to the validation of the dose calculation for RA was adopted, starting with static gantry and RA specific static MLC shapes and gradually moving to dynamic gantry, dynamic MLC shapes. RA plans were then optimized on a series of artificial structures created within the homogeneous Octavius phantom and within a heterogeneous lung phantom. These served the double purpose of testing the behavior of the optimization algorithm (PRO) as well as the precision of the forward dose calculation. Finally, patient QA on a series of clinical cases was performed with different methods. In addition to the well established in-phantom QA, we evaluated the portal dosimetry solution within the Varian approach. For routine machine QA, the "Snooker Cue" test on the EPID proved to be the most sensitive to overall problem detection. It is also the most practical one. The "Twinkle" and "Sunrise" tests were useful to obtain well differentiated information on the individual treatment delivery components. The AAA8.9 dose calculations showed excellent

  4. A mixed-methods exploration of implementation of a comprehensive school healthy eating model one year after scale-up.

    PubMed

    Naylor, Patti-Jean; McKay, Heather A; Valente, Maria; Mâsse, Louise C

    2016-04-01

    To study the implementation of a school-based healthy eating (HE) model one year after scale-up in British Columbia (BC). Specifically, to examine implementation of Action Schools! BC (AS! BC) and its influence on implementation of classroom HE activities, and to explore factors associated with implementation. Diffusion of Innovations, Social Cognitive and Organizational Change theories guided our approach. We used a mixed-methods research design including focus group interviews (seven schools, sixty-two implementers) and a cross-sectional multistage survey to principals (n 36, 92 % response rate) and teachers of grades 4 to 7 (n 168, 70 % response rate). Self-reported implementation of classroom HE activities and reported use of specific AS! BC HE activities were primary implementation measures. Thematic analysis of focus group data and multilevel mixed-effect logistic regression analyses of survey data were conducted. Elementary schools across BC, Canada. Thirty-nine school districts, thirty-six principals, 168 grade 4 to 7 teachers. Forty-two per cent of teachers in registered schools were implementing AS! BC HE in their classrooms. Users were 6·25 times more likely to have delivered a HE lesson in the past week. Implementation facilitators were school champions, technical support and access to resources; barriers were lack of time, loss of leadership or momentum. Implementation predictors were teacher training, self-efficacy, experience with the physical activity component of AS! BC, supportive school climate and parental post-secondary education. Our findings reinforce that continued teacher training and support are important public health investments that contribute to successful implementation of school-based HE models after scale-up.

  5. Design and Implementation of a Web-Based Portfolio for Aspiring Educational Leaders: A Comprehensive, Evidence-Based Model

    ERIC Educational Resources Information Center

    Redish, Traci; Webb, Linda; Jiang, Binbin

    2006-01-01

    Following a programmatic model for change, one new educational leadership department describes the process involved to design, develop, and implement a Web-portfolio to integrate, document, and evaluate leadership experiences of aspiring school leaders in a graduate education program. To ensure the successful implementation of the Web-portfolios,…

  6. Assessing Implementation of Comprehensive Treatment Models for Young Children with ASD: Reliability and Validity of Two Measures

    ERIC Educational Resources Information Center

    Hume, Kara; Boyd, Brian; McBee, Matt; Coman, Drew; Gutierrez, Anibal; Shaw, Evelyn; Sperry, Laurie; Alessandri, Michael; Odom, Samuel

    2011-01-01

    Treatment implementation is an under-studied and under-reported aspect of intervention studies involving individuals with autism spectrum disorder (ASD). One primary area of concern is the lack of reliable and valid implementation measures, which allows a conclusive association to be drawn between the intervention and participant outcomes. This…

  7. Design and Implementation of a Web-Based Portfolio for Aspiring Educational Leaders: A Comprehensive, Evidence-Based Model

    ERIC Educational Resources Information Center

    Redish, Traci; Webb, Linda; Jiang, Binbin

    2006-01-01

    Following a programmatic model for change, one new educational leadership department describes the process involved to design, develop, and implement a Web-portfolio to integrate, document, and evaluate leadership experiences of aspiring school leaders in a graduate education program. To ensure the successful implementation of the Web-portfolios,…

  8. 34 CFR 200.83 - Responsibilities of SEAs to implement projects through a comprehensive needs assessment and a...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... must specify— (i) Performance targets that the State has adopted for all children in reading and... of MEP funds must develop and update a written comprehensive State plan (based on a current statewide... identified for migratory children. (2) Needs assessment. The plan must include an identification...

  9. Development and Implementation of a Comprehensive Risk Management Program at the USAF Academy Hospital, USAF Academy, Colorado

    DTIC Science & Technology

    1980-04-01

    Health Ca Admin/HSHA-IE, MO wL ADMRSS (OCy. Stemf. end ZIP Caft 7b. ADDRESS (City. State. dZI oct FT Sam Houston, TX 78234-6100 .’a" NAME O; FUNO.Nt...Contmnue on rwvwrse d necesjry and idenfy by b•ock number) 4ELO GROUP SUB.GROUP HEALTH CARE; CCANPREHE.NSIVE RISK 1.1NAG&E’ ,- I J. ABSTRACT...Comprehensive Risk Management program to effectively reduce malpractice claims against "an Air Force health care facility. The study objectives were to gather

  10. The Implementation of Cooperative Learning Model "Number Heads Together" ("NHT") in Improving the Students' Ability in Reading Comprehension

    ERIC Educational Resources Information Center

    Maman, Mayong; Rajab, Andi Aryani

    2016-01-01

    The study aimed at describing the implementation of cooperative learning model of (NHT) at student of SMPN 2 Maros. The method used was a classroom action research in two cycles. Data were collected using the test for the quantitative and non-test for the qualitative by employing observation, field note, student's workbook, student's reflection…

  11. Children and Residential Experiences: A Comprehensive Strategy for Implementing a Research-Informed Program Model for Residential Care

    ERIC Educational Resources Information Center

    Holden, Martha J.; Izzo, Charles; Nunno, Michael; Smith, Elliott G.; Endres, Thomas; Holden, Jack C.; Kuhn, Frank

    2010-01-01

    This paper describes an effort to bridge research and practice in residential care through implementing a program model titled Children and Residential Experiences (CARE). The strategy involves consulting at all levels of the organization to guide personnel to incorporate CARE evidence-based principles into daily practice, and fostering an…

  12. The Safe Schools/Healthy Students (SS/HS) Initiative: Lessons Learned form Implementing Comprehensive Youth Development Programs.

    ERIC Educational Resources Information Center

    Furlong, Michael; Paige, Leslie Z.; Osher, David

    2003-01-01

    Provides an overview of this special issue that examines the implementation of the Safe Schools/Healthy Students (SS/HS) Initiative in seven local communities. An overview of the SS/HS Initiative is provided. Critical lessons learned from the seven sites are discussed with a focus on the special role that school psychologists can play in…

  13. Children and Residential Experiences: A Comprehensive Strategy for Implementing a Research-Informed Program Model for Residential Care

    ERIC Educational Resources Information Center

    Holden, Martha J.; Izzo, Charles; Nunno, Michael; Smith, Elliott G.; Endres, Thomas; Holden, Jack C.; Kuhn, Frank

    2010-01-01

    This paper describes an effort to bridge research and practice in residential care through implementing a program model titled Children and Residential Experiences (CARE). The strategy involves consulting at all levels of the organization to guide personnel to incorporate CARE evidence-based principles into daily practice, and fostering an…

  14. A Comprehensive Approach in Developing "akhlaq": A Case Study on the Implementation of Character Education at Pondok Pesantren Darunnajah

    ERIC Educational Resources Information Center

    Izfanna, Duna; Hisyam, Nik Ahmad

    2012-01-01

    Purpose: The purpose of this paper is to describe how a unique Islamic education system, named Pondok Pesantren, implemented and contributed substantially to the character education of its students. Design/methodology/approach: In total, 12 teachers and 24 students of Pondok Pesantren Darunnajah, Indonesia were interviewed, participated in focus…

  15. Implementation of a Project-Based Concept Mapping Developmental Programme to Facilitate Children's Experiential Reasoning and Comprehension of Relations

    ERIC Educational Resources Information Center

    Habok, Anita

    2015-01-01

    School readiness evaluations are becoming increasingly popular, and their implementation has become compulsory in an increasing number of kindergartens and schools in Hungary. In recent years, Diagnostic System for Evaluating Development (DIFER), developed by Nagy et al. has been used extensively for the diagnostic study of four- to eight-year-old…

  16. A Comprehensive Approach in Developing "akhlaq": A Case Study on the Implementation of Character Education at Pondok Pesantren Darunnajah

    ERIC Educational Resources Information Center

    Izfanna, Duna; Hisyam, Nik Ahmad

    2012-01-01

    Purpose: The purpose of this paper is to describe how a unique Islamic education system, named Pondok Pesantren, implemented and contributed substantially to the character education of its students. Design/methodology/approach: In total, 12 teachers and 24 students of Pondok Pesantren Darunnajah, Indonesia were interviewed, participated in focus…

  17. [Team work and interdiciplinarity: challenges facing the implementation of comprehensive outpatient care for people with HIV/Aids in Pernambuco].

    PubMed

    Borges, Maria Jucineide Lopes; Sampaio, Aletheia Soares; Gurgel, Idê Gomes Dantas

    2012-01-01

    The complexity of providing healthcare to people with HIV/Aids requires investment in comprehensive action and care, constituting a challenge for the multidisciplinary work teams to build an interdisciplinary practice. This study sought to analyze comprehensive healthcare in the Specialized Assistance Services for HIV/Aids (SAE-HIV/Aids) in Recife, in the State of Pernambuco, starting with the process and organization of team work. This is a case study developed in three SAE-HIV/Aids units, based on a qualitative approach using different research techniques. The results show that SAE-HIV/Aids have complied with most of the Brazilian Health Ministry recommendations in terms of basic infrastructure, though none of them had a team of appropriate size. These services have shown signs of fragmentation and difficulty in establishing a systematic intersectorial and interdisciplinary practice, with failings in ensuring the reference and counter-reference flow. It was seen that there was little appreciation of the role of the manager as team leader. The need to perceive the user as a whole was identified, as well as for the team to work in a coordinated manner in order to ensure communicative and relational activities.

  18. Training Opioid Addiction Treatment Providers to Adopt Contingency Management: A Prospective Pilot Trial of a Comprehensive Implementation Science Approach

    PubMed Central

    Becker, Sara J.; Squires, Daniel D.; Strong, David R.; Barnett, Nancy P.; Monti, Peter M.; Petry, Nancy M.

    2016-01-01

    Background Few prospective studies have evaluated theory-driven approaches to the implementation of evidence-based opioid treatment. This study compared the effectiveness of an implementation model (Science to Service Laboratory; SSL) to training as usual (TAU) in promoting the adoption of contingency management across a multi-site opiate addiction treatment program. We also examined whether the SSL affected putative mediators of contingency management adoption (perceived innovation characteristics and organizational readiness to change). Methods Sixty treatment providers (39 SSL, 21 TAU) from 15 geographically diverse satellite clinics (7 SSL, 8 TAU) participated in the 12-month study. Both conditions received didactic contingency management training and those in the pre-determined experimental region received 9 months of SSL-enhanced training. Contingency management adoption was monitored biweekly, while putative mediators were measured at baseline, 3-, and 12-months. Results Relative to providers in the TAU region, treatment providers in the SSL region had comparable likelihood of contingency management adoption in the first 20 weeks of the study, and then significantly higher likelihood of adoption (odds ratios = 2.4-13.5) for the remainder of the study. SSL providers also reported higher levels of one perceived innovation characteristic (Observability) and one aspect of organizational readiness to change (Adequacy of Training Resources), although there was no evidence that the SSL affected these putative mediators over time. Conclusions Results of this study indicate that a fully powered randomized trial of the SSL is warranted. Considerations for a future evaluation are discussed. PMID:26682582

  19. A petroleum company's experience in implementing a comprehensive medical fitness for duty program for professional truck drivers.

    PubMed

    Kashima, Sara R

    2003-02-01

    Aggregate health risk appraisal data from Chevron Texaco's truck driver workforce revealed that approximately 50% of the truck drivers who completed a health risk appraisal were found to be at risk for a back injury. Lost time records revealed that this population had 65% more lost workdays attributed to cumulative trauma injuries compared with acute trauma injuries. Chevron Texaco addressed the issue by implementing a medical fitness for duty program consisting of three components: physical examination (physical examination mandated by the Department of Transportation and a functional capacity evaluation), education (on safe body mechanics), and physical fitness. After a 1-year development period, the fitness for duty program was implemented for Chevron Texaco's professional truck drivers in North America. In the first year of the program, 109 functional capacity evaluations were completed by trained clinicians, and 88% of candidates were found "able to work without restrictions," whereas 6% were found "able to work with caution." The article describes the program results to date, and also describes the follow-up program for drivers found to be at risk for a back injury.

  20. Essential conditions for the implementation of comprehensive school health to achieve changes in school culture and improvements in health behaviours of students.

    PubMed

    Storey, Kate E; Montemurro, Genevieve; Flynn, Jenn; Schwartz, Marg; Wright, Erin; Osler, Jill; Veugelers, Paul J; Roberts, Erica

    2016-11-02

    Comprehensive School Health (CSH) is an internationally recognized framework that holistically addresses school health by transforming the school culture. It has been shown to be effective in enhancing health behaviours among students while also improving educational outcomes. Despite this effectiveness, there is a need to focus on how CSH is implemented. Previous studies have attempted to uncover the conditions necessary for successful operationalization, but none have described them in relation to a proven best practice model of implementation that has demonstrated positive changes to school culture and improvements in health behaviours. The purpose of this research was to identify the essential conditions of CSH implementation utilizing secondary analysis of qualitative interview data, incorporating a multitude of stakeholder perspectives. This included inductive content analysis of teacher (n = 45), principal (n = 46), and school health facilitator (n = 34) viewpoints, all of whom were employed within successful CSH project schools in Alberta, Canada between 2008 and 2013. Many themes were identified, here called conditions, that were divided into two categories: 'core conditions' (students as change agents, school-specific autonomy, demonstrated administrative leadership, dedicated champion to engage school staff, community support, evidence, professional development) and 'contextual conditions' (time, funding and project supports, readiness and prior community connectivity). Core conditions were defined as those conditions necessary for CSH to be successfully implemented, whereas contextual conditions had a great degree of influence on the ability for the core conditions to be obtained. Together, and in consideration of already established 'process conditions' developed by APPLE Schools (assess, vision, prioritize; develop and implement an action plan; monitor, evaluate, celebrate), these represent the essential conditions of successful CSH

  1. Implementing a comprehensive approach for evaluating significance and disturbance in protected karst areas to guide management strategies.

    PubMed

    Angulo, Bárbara; Morales, Tomás; Uriarte, Jesús A; Antigüedad, Iñaki

    2013-11-30

    Many environmental studies have acquired an almost exclusively biotic perspective over the years, neglecting important key land characteristics like those of a geological and hydrological nature. This situation leads to incomplete, and even inappropriate, management strategies, particularly unjustified in the case of karst environments which form the basis of important protected areas around the world and are inherently very fragile environments compared to other natural systems. This study presents a holistic methodological approach to analyse the level of significance and disturbance in the Natural Park of Aralar (Basque Country, northern Spain) using two standardized indices: zonal Karst Significance Index (KSIZ) and zonal Karst Disturbance Index (KDIZ). The distribution of both indices in the park is based on the Geographic Information System (GIS). Thus, thematic maps regarding geological, geomorphological, biological, hydrological and cultural aspects provide the essential data for this work. The obtained results enable us to recognize the most significant and disturbed sectors of the park. These indices are subsequently combined to generate the Priority Management Index (PMI), which determine the different management needs of the territory. This comprehensive information not only serves efforts to better manage protected karst areas, but also to provide a snapshot view of the researched area to compare achieved results over time. Copyright © 2013 Elsevier Ltd. All rights reserved.

  2. Students' Knowledge Comprehension after Implementation of Live Conventional Demonstration, Video Teaching and Video-Assisted Instruction Methods in Endodontic Practice.

    PubMed

    Mohammadzadeh Akhlaghi, Nahid; Khalilak, Zohreh; Vatanpour, Mehdi; Moshari, Amirabbas; Ghaffari, Saman; Namazikhah, Mohammad Sadegh

    2017-01-01

    Video-assisted clinical instruction (VACID) has been found to be a beneficial teaching tool for various fields in dentistry. The aim of this interventional study was to compare the efficacy of live conventional demonstration (CD), video teaching, and VACID (video with explanation) methods in teaching of root canal treatment to undergraduate dental students. Forty-two undergraduate senior dental students participated in this study. The students experienced this course for the first time and were randomly divided into three groups (n=14). Group A attended live CD on a patient; group B watched a professionally produced demonstration video without any verbal explanation during 1 h; and finally group C watched the same video alongside live explanation by a mentor during the 1.5 h (VACID). The whole process was performed by an experienced endodontist on maxillary central incisors. All of The students carried out a multiple choice question exam to evaluate their comprehension. The mean score of the experimental groups were compared using ANOVA test and multiple comparisons were carried out with Tamhane test. The level of significance was set at 0.05. There was significant difference among three groups according to the ANOVA test (P<0.05). Group VACID had the highest mean scores. There was significant difference between the groups VACID and VT (P=0.011); no significant differences were found in other inter-group comparisons. According to the results, VACID may improve the quality of endodontic training in undergraduate dental students.

  3. A comprehensive comparison between double patterning and double patterning with spacer on sub-50nm product implementation

    NASA Astrophysics Data System (ADS)

    Tseng, C. F.; Yang, C. C.; Yang, Elvis; Yang, T. H.; Chen, K. C.; Lu, C. Y.

    2008-03-01

    In this study, DP (Double Patterning) and DPS (Double Patterning with Spacer) were comprehensively compared through word line layout of 50nm node product, and special focus was put on the assessments of layout discontinuity zones through experimental validation. In conventional flash manufacturing, the lithographic proximity effect and etch loading effect around the array-gap zones have been inherent characteristics to be addressed. For DP process, apart from the overlay error induced pattern displacement and CD non-uniformity, the cross-coupling effects between adjacent features around the array-gap zones by two photo and two etch steps have further complicated the process optimization, therefore careful exploration was carried out to indicate the challenges on process optimization. The DPS can maintain good resultant CD uniformity of dense array through precisely programmed exposure CD and spacer thickness, it may also keep away from the proximity around array-gap zones. But, the second exposure is necessary for trimming the unwanted patterns and delineating the peripheral patterns. In purpose of trimming the unwanted patterns at array-gap zone in the 2nd exposure, the overlay registration will account for the CD control of boundary lines as well as the defectivity around this area.

  4. Hospital admissions for acute myocardial infarction before and after implementation of a comprehensive smoke-free policy in Uruguay: experience through 2010

    PubMed Central

    Sebrié, Ernesto Marcelo; Sandoya, Edgardo; Bianco, Eduardo; Hyland, Andrew; Cummings, K Michael; Glantz, Stanton A

    2015-01-01

    Background Comprehensive smoke-free laws have been followed by drops in hospitalisations for acute myocardial infarction (AMI), including in a study with 2 years follow-up for such a law in Uruguay. Methods Multiple linear and negative binomial regressions for AMI admissions (ICD-10 code 121) from 37 hospitals for 2 years before and 4 years after Uruguay implemented a 100% nationwide smoke-free law. Results Based on 11 135 cases, there was a significant drop of −30.9 AMI admissions/month (95% CI −49.8 to −11.8, p=0.002) following implementation of the smoke-free law. The effect of the law did not increase or decrease over time following implementation (p=0.234). This drop represented a 17% drop in AMI admissions following the law (IRR=0.829, 95% CI 0.743 to 0.925, p=0.001). Conclusions Adding two more years of follow-up data confirmed that Uruguay’s smoke-free law was followed by a substantial and sustained reduction in AMI hospitalisations. PMID:25324157

  5. Hospital admissions for acute myocardial infarction before and after implementation of a comprehensive smoke-free policy in Uruguay: experience through 2010.

    PubMed

    Sebrié, Ernesto Marcelo; Sandoya, Edgardo; Bianco, Eduardo; Hyland, Andrew; Cummings, K Michael; Glantz, Stanton A

    2014-11-01

    Comprehensive smoke-free laws have been followed by drops in hospitalisations for acute myocardial infarction (AMI), including in a study with 2 years follow-up for such a law in Uruguay. Multiple linear and negative binomial regressions for AMI admissions (ICD-10 code 121) from 37 hospitals for 2 years before and 4 years after Uruguay implemented a 100% nationwide smoke-free law. Based on 11 135 cases, there was a significant drop of -30.9 AMI admissions/month (95% CI -49.8 to -11.8, p=0.002) following implementation of the smoke-free law. The effect of the law did not increase or decrease over time following implementation (p=0.234). This drop represented a 17% drop in AMI admissions following the law (IRR=0.829, 95% CI 0.743 to 0.925, p=0.001). Adding two more years of follow-up data confirmed that Uruguay's smoke-free law was followed by a substantial and sustained reduction in AMI hospitalisations. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  6. Students’ Knowledge Comprehension after Implementation of Live Conventional Demonstration, Video Teaching and Video-Assisted Instruction Methods in Endodontic Practice

    PubMed Central

    Mohammadzadeh Akhlaghi, Nahid; Khalilak, Zohreh; Vatanpour, Mehdi; Moshari, Amirabbas; Ghaffari, Saman; Namazikhah, Mohammad Sadegh

    2017-01-01

    Introduction: Video-assisted clinical instruction (VACID) has been found to be a beneficial teaching tool for various fields in dentistry. The aim of this interventional study was to compare the efficacy of live conventional demonstration (CD), video teaching, and VACID (video with explanation) methods in teaching of root canal treatment to undergraduate dental students. Methods and Materials: Forty-two undergraduate senior dental students participated in this study. The students experienced this course for the first time and were randomly divided into three groups (n=14). Group A attended live CD on a patient; group B watched a professionally produced demonstration video without any verbal explanation during 1 h; and finally group C watched the same video alongside live explanation by a mentor during the 1.5 h (VACID). The whole process was performed by an experienced endodontist on maxillary central incisors. All of The students carried out a multiple choice question exam to evaluate their comprehension. The mean score of the experimental groups were compared using ANOVA test and multiple comparisons were carried out with Tamhane test. The level of significance was set at 0.05. Results: There was significant difference among three groups according to the ANOVA test (P<0.05). Group VACID had the highest mean scores. There was significant difference between the groups VACID and VT (P=0.011); no significant differences were found in other inter-group comparisons. Conclusion: According to the results, VACID may improve the quality of endodontic training in undergraduate dental students. PMID:28512486

  7. Medical students' expectations towards an implementation of a family medicine textbook as a comprehensive app in Germany.

    PubMed

    Sandholzer, Maximilian; Rurik, Imre; Deutsch, Tobias; Frese, Thomas

    2014-10-01

    need to be aware that the development of an app is no trivial technical translation as raised students expectations demand for multimedia and interactive features as well as comprehensive drug information. Further research should focus on developing concepts to bring together developers and university professionals as well as experienced medical specialists to enable the development of apps that satisfy the demands of undergraduate and postgraduate educational needs.

  8. The design, implementation, and operational management of a comprehensive quality management program to support national telehealth networks.

    PubMed

    Darkins, Adam; Foster, Linda; Anderson, Carla; Goldschmidt, Leonard; Selvin, Gerald

    2013-07-01

    The Veterans Health Administration (VHA) is a large integrated healthcare system with a mission to care for over 5.6 million Veteran patients annually. VHA, like other healthcare organizations, is challenged with providing access to care to those it serves when they live at a distance from a physical site of care. VHA has embraced telehealth as a way of delivering care at a distance and increase access to specialty care services. Since 2003 VHA has developed large national telehealth networks that provided care to 497,342 patients in fiscal year 2012, who received 1,429,424 episodes of care, and is recognized as a national leader in this field. To ensure the safety and effectiveness of its telehealth networks in their delivery of care VHA has implemented a dedicated quality management (QM) program for telehealth. QM data for telehealth are reviewed at 3-month intervals, and the procedures and processes in place to support telehealth in VHA are assessed biannually in an internal accreditation process called "Telehealth Conditions of Participation." This collegial, nonadversarial process has ensured that all designated telehealth programs meet minimal standards and disseminate best practice. As a result of VHA's QM program, telehealth services in VHA meet consistently high clinical outcomes and have received no adverse Joint Commission citations. The Joint Commission regularly assesses patients managed via telehealth under its tracer methodology reviews.

  9. Implementation and evaluation of a comprehensive, school-wide bullying prevention program in an urban/suburban middle school.

    PubMed

    Bowllan, Nancy M

    2011-04-01

    This intervention study examined the prevalence of bullying in an urban/suburban middle school and the impact of the Olweus Bullying Prevention Program (OBPP). A quasi-experimental design consisting of a time-lagged contrast between age-equivalent groups was utilized. Baseline data collected for 158 students prior to implementation of the OBPP were compared to 112 students who received the OBPP intervention for 1 year. Multiple perspectives on bullying were collected using the Revised-Olweus Bully/Victim Questionnaire. Similarly, a teacher questionnaire collected data for 17 teachers on prevalence of bullying and capacity to intervene pre- and post- OBPP intervention. Descriptive and inferential statistics were generated to analyze findings. Statistically significant findings were found for 7th grade female students who received 1 year of the OBPP on reports of prevalence of bullying (p = .022) and exclusion by peers (p = .009). In contrast, variability in statistical findings was obtained for 8th grade females and no statistical findings were found for males. Following 1 year of the OBPP, teachers reported statistically significant improvements in their capacity to identify bullying (p = .016), talk to students who bully (p = .024), and talk with students who are bullied (p = .051). Other substantial percentile changes were also noted. Findings suggest a significant positive impact of the OBPP on 7th grade females and teachers. Other grade and gender findings were inconsistent with previous literature. Recommendations for further research are provided along with implications for school health prevention programming. © 2011, American School Health Association.

  10. Implementing a comprehensive program for the prevention of conduct problems in rural communities: the Fast Track experience. The Conduct Problems Prevention Research Group.

    PubMed

    Bierman, K L

    1997-08-01

    Childhood conduct problems are predictive of a number of serious long-term difficulties (e.g., school failure, delinquent behavior, and mental health problems), making the design of effective prevention programs a priority. The Fast Track Program is a demonstration project currently underway in four demographically diverse areas of the United States, testing the feasibility and effectiveness of a comprehensive, multicomponent prevention program targeting children at risk for conduct disorders. This paper describes some lessons learned about the implementation of this program in a rural area. Although there are many areas of commonality in terms of program needs, program design, and implementation issues in rural and urban sites, rural areas differ from urban areas along the dimensions of geographical dispersion and regionalism, and community stability and insularity. Rural programs must cover a broad geographical area and must be sensitive to the multiple, small and regional communities that constitute their service area. Small schools, homogeneous populations, traditional values, limited recreational, educational and mental health services, and politically conservative climates are all more likely to emerge as characteristics of rural rather than urban sites (Sherman, 1992). These characteristics may both pose particular challenges to the implementation of prevention programs in rural areas, as well as offer particular benefits. Three aspects of program implementation are described in detail: (a) community entry and program initiation in rural areas, (b) the adaptation of program components and service delivery to meet the needs of rural families and schools, and (c) issues in administrative organization of a broadly dispersed tricounty rural prevention program.

  11. Implementation of a comprehensive program including psycho-social and treatment literacy activities to improve adherence to HIV care and treatment for a pediatric population in Kenya

    PubMed Central

    Van Winghem, Joelle; Telfer, Barbara; Reid, Tony; Ouko, Judith; Mutunga, Angela; Jama, Zaina; Vakil, Shobha

    2008-01-01

    Background To achieve good clinical outcomes with HAART, patient adherence to treatment and care is a key factor. Since the literature on how to care for pediatric HIV patients is limited, we describe here adherence interventions implemented in our comprehensive care program in a resource-limited setting in Kenya. Methods We based our program on factors reported to influence adherence to HIV care and treatment. We describe, in detail, our program with respect to how we adapted our clinical settings, implemented psycho-social support activities for children and their caregivers and developed treatment literacy for children and teenagers living with HIV/AIDS. Results This paper focused on the details of the program, with the treatment outcomes as secondary. However, our program appeared to have been effective; for 648 children under 15 years of age who were started on HAART, the Kaplan-Meier mortality survival estimate was 95.27% (95%CI 93.16–96.74) at 12 months after the time of initiation of HAART. Conclusion Our model of pediatric HIV/AIDS care, focused on a child-centered approach with inclusion of caregivers and extended family, addressed the main factors influencing treatment adherence. It appeared to produce good results and is replicable in resource-limited settings. PMID:19025581

  12. Design and implementation of a seamless and comprehensive integrated medical device interface system for outpatient electronic medical records in a general hospital.

    PubMed

    Choi, Jong Soo; Lee, Jean Hyoung; Park, Jong Hwan; Nam, Han Seung; Kwon, Hyuknam; Kim, Dongsoo; Park, Seung Woo

    2011-04-01

    Implementing an efficient Electronic Medical Record (EMR) system is regarded as one of the key strategies for improving the quality of healthcare services. However, the system's interoperability between medical devices and the EMR is a big barrier to deploying the EMR system in an outpatient clinical setting. The purpose of this study is to design a framework for a seamless and comprehensively integrated medical device interface system, and to develop and implement a system for accelerating the deployment of the EMR system. We designed and developed a framework that could transform data from medical devices into the relevant standards and then store them in the EMR. The framework is composed of 5 interfacing methods according to the types of medical devices utilized at an outpatient clinical setting, registered in Samsung Medical Center (SMC) database. The medical devices used for this study were devices that have microchips embedded or that came packaged with personal computers. The devices are completely integrated with the EMR based on SMC's long term IT strategies. First deployment of integrating 352 medical devices into the EMR took place in April, 2006, and it took about 48 months. By March, 2010, every medical device was interfaced with the EMR. About 66,000 medical examinations per month were performed taking up an average of 50GB of storage space. We surveyed users, mainly the technicians. Out of 73 that responded, 76% of the respondents replied that they were strongly satisfied or satisfied, 20% replied as being neutral and only 4% complained about the speed of the system, which was attributed to the slow speed of the old-fashioned medical devices and computers. The current implementation of the medical device interface system based on the SMC framework significantly streamlines the clinical workflow in a satisfactory manner. 2010 Elsevier Ireland Ltd. All rights reserved.

  13. Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department.

    PubMed

    Gabriel, Peter E; Volz, Edna; Bergendahl, Howard W; Burke, Sean V; Solberg, Timothy D; Maity, Amit; Hahn, Stephen M

    2015-04-01

    Incident learning programs have been recognized as cornerstones of safety and quality assurance in so-called high reliability organizations in industries such as aviation and nuclear power. High reliability organizations are distinguished by their drive to continuously identify and proactively address a broad spectrum of latent safety issues. Many radiation oncology institutions have reported on their experience in tracking and analyzing adverse events and near misses but few have incorporated the principles of high reliability into their programs. Most programs have focused on the reporting and retrospective analysis of a relatively small number of significant adverse events and near misses. To advance a large, multisite radiation oncology department toward high reliability, a comprehensive, cost-effective, electronic condition reporting program was launched to enable the identification of a broad spectrum of latent system failures, which would then be addressed through a continuous quality improvement process. A comprehensive program, including policies, work flows, and information system, was designed and implemented, with use of a low reporting threshold to focus on precursors to adverse events. In a 46-month period from March 2011 through December 2014, a total of 8,504 conditions (average, 185 per month, 1 per patient treated, 3.9 per 100 fractions [individual treatments]) were reported. Some 77.9% of clinical staff members reported at least 1 condition. Ninety-eight percent of conditions were classified in the lowest two of four severity levels, providing the opportunity to address conditions before they contribute to adverse events. Results after approximately four years show excellent employee engagement, a sustained rate of reporting, and a focus on low-level issues leading to proactive quality improvement interventions.

  14. Support for healthy eating at schools according to the comprehensive school health framework: evaluation during the early years of the Ontario School Food and Beverage Policy implementation.

    PubMed

    Orava, Taryn; Manske, Steve; Hanning, Rhona

    2017-09-01

    Provincial, national and international public health agencies recognize the importance of school nutrition policies that help create healthful environments aligned with healthy eating recommendations for youth. School-wide support for healthy living within the pillars of the comprehensive school health (CSH) framework (social and physical environments; teaching and learning; healthy school policy; and partnerships and services) has been positively associated with fostering improvements to student health behaviours. This study used the CSH framework to classify, compare and describe school support for healthy eating during the implementation of the Ontario School Food and Beverage Policy (P/PM 150). We collected data from consenting elementary and secondary schools in a populous region of Ontario in Time I (2012/13) and Time II (2014). Representatives from the schools completed the Healthy School Planner survey and a food environmental scan (FES), which underwent scoring and content analyses. Each school's support for healthy eating was classified as either "initiation," "action" or "maintenance" along the Healthy School Continuum in both time periods, and as "high/increased," "moderate" or "low/decreased" within individual CSH pillars from Time I to Time II. Twenty-five school representatives (8 elementary, 17 secondary) participated. Most schools remained in the "action" category (n = 20) across both time periods, with varying levels of support in the CSH pillars. The physical environment was best supported (100% high/increased support) and the social environment was the least (68% low/decreased support). Only two schools achieved the highest rating (maintenance) in Time II. Supports aligned with P/PM 150 were reportedly influenced by administration buy-in, stakeholder support and relevancy to local context. Further assistance is required to sustain comprehensive support for healthy eating in Ontario school food environments.

  15. Plus 50: Comprehensive Implementation Results

    ERIC Educational Resources Information Center

    American Association of Community Colleges (NJ1), 2010

    2010-01-01

    The Plus 50 Initiative is a three-year initiative of the American Association of Community Colleges (AACC), launched in June 2008 and funded by The Atlantic Philanthropies. It was created to support a pilot group of two-year institutions to develop or expand campus programs that engage plus 50 learners. The overarching goal of the Plus 50…

  16. Fiscal Year 1994 progress in implementing Section 120 of the Comprehensive Environmental Rresponse, Compensation, and Liability Act. Eighth annual report to Congress

    SciTech Connect

    1995-07-01

    Congress passed the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) (Public Law 96-510), commonly known as Superfund, in 1980. The Superfund Amendments and Reauthorization Act (SARA) (Public Law 99-499), which amended CERCLA in 1986, added Section 120 regarding the cleanup of contaminated sites at Federal facilities. Under Section 120(e)(5) of CERCLA, each department, agency, or instrumentality of the Federal government responsible for compliance with Section 120 must submit an annual report to Congress concerning its progress in implementing the requirements of Section 120. The report must include information on the progress in reaching Interagency Agreements (IAGs), conducting Remedial Investigation and Feasibility Studies (RI/FSs), and performing remedial actions. Federal agencies that own or operate facilities on the National Priorities List (NPL) are required to begin an RI/FS for these facilities within 6 months after being placed on the NPL. Remediation of these facilities is addressed in an IAG between the Federal agency, the U.S. Environmental Protection Agency (EPA), and in some instances the state within which the facility is located. This report, prepared by the U.S. Department of Energy`s (DOE`s) Office of Environmental Management, is being submitted to Congress in accordance with Section 120(e)(5) of CERCLA. It is DOE`s Eighth Annual Report to Congress and provides information on DOE`s progress in implementing CERCLA Section 120 in Fiscal Year 1994 (FY 94), i.e., from October 1, 1993, to September 30, 1994. In this report the words {open_quotes}site{close_quotes} and {open_quotes}facility{close_quotes} are used interchangeably.

  17. Color Comprehension and Color Categories among Blind Students: A Multi-Sensory Approach in Implementing Concrete Language to Include All Students in Advanced Writing Classes

    ERIC Educational Resources Information Center

    Antarasena, Salinee

    2009-01-01

    This study investigates teaching methods regarding color comprehension and color categorization among blind students, as compared to their non-blind peers and whether they understand and represent the same color comprehension and color categories. Then after digit codes for color comprehension teaching and assistive technology for the blind had…

  18. Color Comprehension and Color Categories among Blind Students: A Multi-Sensory Approach in Implementing Concrete Language to Include All Students in Advanced Writing Classes

    ERIC Educational Resources Information Center

    Antarasena, Salinee

    2009-01-01

    This study investigates teaching methods regarding color comprehension and color categorization among blind students, as compared to their non-blind peers and whether they understand and represent the same color comprehension and color categories. Then after digit codes for color comprehension teaching and assistive technology for the blind had…

  19. Design and Implementation of a Comprehensive Web-based Survey for Ovarian Cancer Survivorship with an Analysis of Prediagnosis Symptoms via Text Mining.

    PubMed

    Sun, Jiayang; Bogie, Kath M; Teagno, Joe; Sun, Yu-Hsiang Sam; Carter, Rebecca R; Cui, Licong; Zhang, Guo-Qiang

    2014-01-01

    Ovarian cancer (OvCa) is the most lethal gynecologic disease in the United States, with an overall 5-year survival rate of 44.5%, about half of the 89.2% for all breast cancer patients. To identify factors that possibly contribute to the long-term survivorship of women with OvCa, we conducted a comprehensive online Ovarian Cancer Survivorship Survey from 2009 to 2013. This paper presents the design and implementation of our survey, introduces its resulting data source, the OVA-CRADLE™ (Clinical Research Analytics and Data Lifecycle Environment), and illustrates a sample application of the survey and data by an analysis of prediagnosis symptoms, using text mining and statistics. The OVA-CRADLE™ is an application of our patented Physio-MIMI technology, facilitating Web-based access, online query and exploration of data. The prediagnostic symptoms and association of early-stage OvCa diagnosis with endometriosis provide potentially important indicators for future studies in this field.

  20. Implementing and Evaluating Comprehensive Evidence-Based Approaches to Prevent Youth Violence: Partnering to Create Communities Where Youth Are Safe From Violence.

    PubMed

    Matjasko, Jennifer L; Massetti, Greta M; Bacon, Sarah

    2016-04-01

    Violence, including its occurrence among youth, results in considerable physical, emotional, social, and economic consequences in the U.S. Youth violence prevention work at the Division of Violence Prevention (DVP) at the Centers for Disease Control and Prevention (CDC) emphasizes preventing youth violence-related behaviors, injuries, and deaths by collaborating with academic and community partners and stakeholders. Since 2000, DVP has funded three rounds of CDC's National Centers of Excellence in Youth Violence Prevention (YVPCs) in 5-year cycles, with the goal of supporting university-community partnerships so that the best science can be utilized in order to prevent youth violence. The current YVPCs focus on: (a) partnering with communities to identify community needs; (b) selecting and implementing the best comprehensive evidence-based programs to meet those needs; and (c) rigorously evaluating whether those efforts have a community-level impact on youth violence rates. The introduction to this special issue on the current YVPCs provides a brief historical overview on the YVPC Program; outlines the YVPCs' accomplishments to date; and describes the current YVPCs, their community partners, and their activities. The introduction concludes with an overview of the special issue.

  1. Fiscal year 1996 progress in implementing Section 120 of the Comprehensive Environmental Response, Compensation, and Liability Act. Tenth annual report to Congress

    SciTech Connect

    1997-12-01

    Congress passed the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) (Public Law 96-510), commonly known as Superfund, in 1980. The Superfund Amendments and Reauthorization Act (SARA) (Public Law 99-499), which amended CERCLA in 1986, added Section 120 regarding the cleanup of contaminated sites at Federal facilities. Under Section 120(e)(5) of CERCLA, each department, agency, or instrumentality of the Federal government responsible for compliance with Section 120 must submit an annual report to Congress concerning its progress in implementing the requirements of Section 120. The report must include information on the progress in reaching Interagency Agreements (IAGs), conducting remedial investigation and feasibility studies (RI/FSs), and performing remedial actions. Federal agencies that own or operate facilities on the National Priorities List (NPL) are required to begin an RI/FS for these facilities within 6 months after being placed on the NPL. Remediation of these facilities is addressed in an IAG between the Federal agency, the US Environmental Protection Agency (EPA), and in some instances the state within which the facility is located.

  2. Fiscal year 1995 progress in implementing Section 120 of the Comprehensive Environmental Response, Compensation, and Liability Act. Ninth annual report to Congress

    SciTech Connect

    1996-09-01

    Congress passed the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) (Public Law 96-510), commonly known as Superfund, in 1980. The Superfund Amendments and Reauthorization Act (SARA) which amended CERCLA in 1986, added Section 120 regarding the cleanup of contaminated sites at Federal facilities. Under Section 120(e)(5) of CERCLA, each department, agency, or instrumentality of the Federal government responsible for compliance with Section 120 must submit an annual report to Congress concerning its progress in implementing the requirements of Section 120. The report must include information on the progress in reaching Interagency Agreements (IAGs), conducting Remedial Investigation and Feasibility Studies (RI/FSs), and performing remedial action. Federal agencies that own or operate facilities on the National priorities List (NPL) are required to begin an RI/FS for these facilities within 6 months after being placed on the NPL. Remediation of these facilities is addressed in an IAG between the Federal agency, the US Environmental Protection Agency (EPA), and in some instances the state within which the facility is located. This report provides the status of ongoing activities being performed in support of CERCLA Section 120 at DOE facilities. This includes activities conducted to reach IAGs and progress in conducting remedial actions.

  3. Analysis of the Human Adult Urinary Metabolome Variations with Age, Body Mass Index, and Gender by Implementing a Comprehensive Workflow for Univariate and OPLS Statistical Analyses.

    PubMed

    Thévenot, Etienne A; Roux, Aurélie; Xu, Ying; Ezan, Eric; Junot, Christophe

    2015-08-07

    Urine metabolomics is widely used for biomarker research in the fields of medicine and toxicology. As a consequence, characterization of the variations of the urine metabolome under basal conditions becomes critical in order to avoid confounding effects in cohort studies. Such physiological information is however very scarce in the literature and in metabolomics databases so far. Here we studied the influence of age, body mass index (BMI), and gender on metabolite concentrations in a large cohort of 183 adults by using liquid chromatography coupled with high-resolution mass spectrometry (LC-HRMS). We implemented a comprehensive statistical workflow for univariate hypothesis testing and modeling by orthogonal partial least-squares (OPLS), which we made available to the metabolomics community within the online Workflow4Metabolomics.org resource. We found 108 urine metabolites displaying concentration variations with either age, BMI, or gender, by integrating the results from univariate p-values and multivariate variable importance in projection (VIP). Several metabolite clusters were further evidenced by correlation analysis, and they allowed stratification of the cohort. In conclusion, our study highlights the impact of gender and age on the urinary metabolome, and thus it indicates that these factors should be taken into account for the design of metabolomics studies.

  4. Implementation of the Comprehensive Methamphetamine Control Act of 1996; regulation of pseudoephedrine, phenylpropanolamine, and combination ephedrine drug products and reports of certain transactions to nonregulated persons. Final rule.

    PubMed

    2002-03-28

    DEA is amending its regulations to implement the requirements of the Comprehensive Methamphetamine Control Act of 1996 (MCA) with respect to the regulation of pseudoephedrine, phenylpropanolamine, and combination ephedrine drug products as List I chemicals, and the reporting of certain transactions involving pseudoephedrine, phenylpropanolamine, and combination ephedrine drug products. The MCA removed the previous exemption from regulation as List I chemicals which had applied to pseudoephedrine, phenylpropanolamine, and combination ephedrine drug products. This action makes persons who distribute the products subject to the registration requirement. Also, distributions, importations, and exportations of the products became subject to the existing chemical controls relating to regulated transactions, except in certain circumstances specified in the MCA. The MCA also requires that reports be submitted for certain distributions involving pseudoephedrine, phenylpropanolamine, and ephedrine (including drug products containing those chemicals) by Postal Service or private or commercial carrier to nonregulated persons. This final rule amends the regulations to make them consistent with the language of the MCA and to establish specific procedures to be followed to satisfy the new reporting requirement. DEA has, where possible, taken action to limit the public impact of these new requirements while remaining consistent with the intent of the MCA to attack the diversion of regulated drug products to the clandestine manufacture of methamphetamine.

  5. Changes in smoking prevalence and number of cigarettes smoked per day following the implementation of a comprehensive tobacco control plan in New York City.

    PubMed

    Coady, Micaela H; Jasek, John; Davis, Karen; Kerker, Bonnie; Kilgore, Elizabeth A; Perl, Sarah B

    2012-10-01

    The New York City (NYC) Health Department has implemented a comprehensive tobacco control plan since 2002, and there was a 27% decline in adult smoking prevalence in NYC from 2002 to 2008. There are conflicting reports in the literature on whether residual smoker populations have a larger or smaller share of "hardcore" smokers. Changes in daily consumption and daily and nondaily smoking prevalence, common components used to define hardcore smokers, were evaluated in the context of the smoking prevalence decline. Using the NYC Community Health Survey, an annual random digit dial, cross-sectional survey that samples approximately 10,000 adults, the prevalence of current heavy daily, light daily, and nondaily smokers among NYC adults was compared between 2002 and 2008. A five-level categorical cigarettes per day (CPD) variable was also used to compare the population of smokers between the 2 years. From 2002 to 2008, significant declines were seen in the prevalence of daily smoking, heavy daily smoking, and nondaily smoking. Among daily smokers, there is also evidence of population declines in all but the lowest smoking category (one to five CPD). The mean CPD among daily smokers declined significantly, from 14.6 to 12.5. After an overall decline in smoking since 2002, the remaining smokers may be less nicotine dependent, based on changes in daily consumption and daily and nondaily smoking prevalence. These findings suggest the need to increase media and cessation efforts targeted towards lighter smokers.

  6. Implementation of uHear™--an iOS-based application to screen for hearing loss--in older patients with cancer undergoing a comprehensive geriatric assessment.

    PubMed

    Lycke, Michelle; Boterberg, Tom; Martens, Evi; Ketelaars, Lore; Pottel, Hans; Lambrecht, Antoon; Van Eygen, Koen; De Coster, Laurence; Dhooge, Ingeborg; Wildiers, Hans; Debruyne, Philip R

    2016-03-01

    Validation of uHear™ as a screening tool to detect hearing loss in older patients with cancer without a known diagnosis of presbycusis, as part of a Comprehensive Geriatric Assessment (CGA). Patients (≥70 years) with a histologically confirmed diagnosis of cancer, were enrolled at the time of CGA screening. Patients were evaluated by uHear™, which was compared to conventional audiometry as gold standard. We defined a pure-tone average (PTA) of ≥40dB HL as the pass or fail screening cut-off. Validation of uHear™ was defined in terms of diagnostic accuracy through Receiver Operating Characteristics (ROC)-analysis. To accept uHear™, we estimated that the Area Under the ROC-curve (AUC) had to differ significantly from 0.50 with an AUC of at least 0.70. The Whispered Voice Test and Hearing Handicap Inventory for the Elderly were also administered. Thirty-three patients consented for participation. In one patient, the results of one ear were excluded from the analysis as the patient was documented with a known hearing disorder in that ear. Significant hearing loss, defined by a PTA of ≥40dB HL calculated from the air conduction thresholds at 0.5, 1.0 and 2.0kHz, was found in 15.4% of tested ears. uHear™ showed excellent diagnostic accuracy with an AUC±SE of 0.98±0.14. It provided maximum sensitivity (100.0%) but poor specificity (36.4%) at our predefined cut-off score of ≥40dB HL. uHear™ can be implemented as a screening tool to detect hearing loss in older patients with cancer within a CGA. Copyright © 2016 Elsevier Inc. All rights reserved.

  7. A Study of a District-Wide Vocabulary Program Implemented to Improve Reading Comprehension on the North Carolina End-of-Grade Assessment

    ERIC Educational Resources Information Center

    Stivers-Blaebaum, Janet E.

    2013-01-01

    Research has shown that there is a strong link between reading comprehension and vocabulary, yet many children lack the required vocabulary needed to perform adequately on reading comprehension assessments. The purpose of this study was to evaluate the teaching of Larry Bell's 12 Powerful Words vocabulary program in order to raise third, fourth…

  8. A Study of a District-Wide Vocabulary Program Implemented to Improve Reading Comprehension on the North Carolina End-of-Grade Assessment

    ERIC Educational Resources Information Center

    Stivers-Blaebaum, Janet E.

    2013-01-01

    Research has shown that there is a strong link between reading comprehension and vocabulary, yet many children lack the required vocabulary needed to perform adequately on reading comprehension assessments. The purpose of this study was to evaluate the teaching of Larry Bell's 12 Powerful Words vocabulary program in order to raise third, fourth…

  9. Primary Prevention Efforts: How Do We Implement and Monitor the Tier 1 Component of Our Comprehensive, Integrated, Three-Tiered (CI3T) Model?

    ERIC Educational Resources Information Center

    Lane, Kathleen Lynne; Oakes, Wendy Peia; Magill, Lauren

    2014-01-01

    In this article, the authors clarify the role of the leadership team, providing a rationale for one integrated team to examine academic, social, and behavioral programming, with careful attention to including all key stakeholders. Next, the authors discuss the procedures for teaching all key stakeholders the comprehensive, integrated, three-tiered…

  10. A Model for Implementation of Career Education into the Community College. A Comprehensive Program of Vocational Education for Career Development: K-University.

    ERIC Educational Resources Information Center

    Green, Mary Fulford

    One of several products developed for a comprehensive program of career development (kindergarten through university) for vocational education in Florida, this resource manual, divided into two parts, presents a model for facilitating the life career development of students in the community college setting and provides guidelines for its…

  11. A Meeting of the Minds: Implementation of an Effective Enrollment Management Strategy at One Private Comprehensive University. ASHE Annual Meeting Paper.

    ERIC Educational Resources Information Center

    Krotseng, Marsha V.

    A case study is presented which tests Hossler's 1984 assertion (that well conceptualized plans to manage enrollment can lead to a better institutional self-understanding and an enhanced institutional health and vitality) and critically examines one private, comprehensive university's effort to improve the quality and quantity of its environmental…

  12. Preparing Administrators and Faculty of Cuyahoga Community College for a More Active Role in Implementing the Comprehensive Employment and Training Act (CETA).

    ERIC Educational Resources Information Center

    Eppley, George

    This five-part report discusses the Comprehensive Employment and Training Act of 1973 (CETA), explains how it operates locally through the Cleveland Area Western Reserve Manpower Consortium (CAWRMC), and specifies ways in which Cuyahoga Community College (CCC) can play a greater role in the CETA system. Part I describes existing federal manpower…

  13. A Plan for the Research, Development and Implementation of a Comprehensive Health Occupations Education Program. Project H.O.P.E. Final Report.

    ERIC Educational Resources Information Center

    Smalley, Shirley

    The major objective of the three-year project reported here was to develop a long-range planning and management system for a comprehensive health occupations education program for the State of Indiana. The body of the report is a summary outline of the project's three components, each of which corresponded to one of the three objectives: (1) to…

  14. Rationale, design, and results of the first screening round of a comprehensive, register-based, Chlamydia screening implementation programme in the Netherlands

    PubMed Central

    2010-01-01

    Background Implementing Chlamydia trachomatis screening in the Netherlands has been a point of debate for several years. The National Health Council advised against implementing nationwide screening until additional data collected from a pilot project in 2003 suggested that screening by risk profiles could be effective. A continuous increase in infections recorded in the national surveillance database affirmed the need for a more active approach. Here, we describe the rationale, design, and implementation of a Chlamydia screening demonstration programme. Methods A systematic, selective, internet-based Chlamydia screening programme started in April 2008. Letters are sent annually to all 16 to 29-year-old residents of Amsterdam, Rotterdam, and selected municipalities of South Limburg. The letters invite sexually active persons to login to http://www.chlamydiatest.nl with a personal code and to request a test kit. In the lower prevalence area of South Limburg, test kits can only be requested if the internet-based risk assessment exceeds a predefined value. Results We sent invitations to 261,025 people in the first round. One-fifth of the invitees requested a test kit, of whom 80% sent in a sample for testing. The overall positivity rate was 4.2%. Conclusions This programme advances Chlamydia control activities in the Netherlands. Insight into the feasibility, effectiveness, cost-effectiveness, and impact of this large-scale screening programme will determine whether the programme will be implemented nationally. PMID:20925966

  15. Using the Context, Input, Process, and Product Evaluation Model (CIPP) as a Comprehensive Framework to Guide the Planning, Implementation, and Assessment of Service-Learning Programs

    ERIC Educational Resources Information Center

    Zhang, Guili; Zeller, Nancy; Griffith, Robin; Metcalf, Debbie; Williams, Jennifer; Shea, Christine; Misulis, Katherine

    2011-01-01

    Planning, implementing, and assessing a service-learning project can be a complex task because service-learning projects often involve multiple constituencies and aim to meet both the needs of service providers and community partners. In this article, Stufflebeam's Context, Input, Process, and Product (CIPP) evaluation model is recommended as a…

  16. "One for All and All for One": Assessing the Implementation of One Comprehensive School-Wide Discipline Program in a Primary School in Southwest Georgia

    ERIC Educational Resources Information Center

    Ward, Linda T.

    2009-01-01

    In schools across America, school safety and student discipline remain primary concerns for all stakeholders in the education process. Researchers and educators suggest that implementing a school-wide discipline plan tailored to meet the needs of a particular school setting is one solution to the complex behavior management problem. The limited…

  17. Positive Behavior Support in Schools (PBSIS): An Administrative Perspective on the Implementation of a Comprehensive School-Wide Intervention in an Urban Charter School

    ERIC Educational Resources Information Center

    Christofferson, Remi Dabney; Callahan, Kathe

    2015-01-01

    This research explores the implementation of a school-wide intervention program that was designed to foster and instill intrinsic values based on an external reward system. The Positive Behavior Support in Schools (PBSIS) is an intervention intended to improve the climate of schools using system-wide positive behavioral interventions to discourage…

  18. Progress of Operating Agencies in Implementing "High Skills, High Wages," Washington's Comprehensive Plan for Workforce Training and Education. A Report to the Legislature. July 1997-June 1998.

    ERIC Educational Resources Information Center

    Washington State Workforce Training and Education Coordinating Board, Olympia.

    During 1997-98, state agencies in Washington worked to implement the state's High Skills, High Wages Plan for Workforce Training and Education, focusing on seven most urgently needed actions to ensure that the people of the state succeed in an economy that requires ever higher levels of skill and knowledge. Progress made on seven actions included…

  19. "One for All and All for One": Assessing the Implementation of One Comprehensive School-Wide Discipline Program in a Primary School in Southwest Georgia

    ERIC Educational Resources Information Center

    Ward, Linda T.

    2009-01-01

    In schools across America, school safety and student discipline remain primary concerns for all stakeholders in the education process. Researchers and educators suggest that implementing a school-wide discipline plan tailored to meet the needs of a particular school setting is one solution to the complex behavior management problem. The limited…

  20. Guidelines for Comprehensive Guidance and Counseling Services.

    ERIC Educational Resources Information Center

    Stefkovich, Jacqueline; And Others

    These guidelines are designed to assist local school districts and their Boards of Education in developing and implementing comprehensive guidance and counseling services in thier school systems. The components of the comprehensive guidance program are comprehensive guidance services, certified personnel, and comprehensive guidance facilities.…

  1. [Development and Implementation of a Comprehensive Health Management System (Fit for Work and Life) for Employees of a University Hospital - A Practice Report].

    PubMed

    Gutenbrunner, C; Egen, C; Kahl, K G; Briest, J; Tegtbur, U; Miede, J; Born, M

    2017-07-01

    Background: Due to the increase of sick leave, prolonging working life and the prediction of shortage of skilled workers in the future, health management systems are continuously gaining importance. Employees in a University Hospital are exposed to particular stress factors, which are also reflected in a higher than average amount of sick leave. Against this background, the project "Fit for Work and Life" (FWL) was developed and implemented by the Hannover Medical School (MHH). Aims: FWL aims to maintain, improve or recover the work ability of employees by offering both preventive and rehabilitative treatments. A second goal is to significantly reduce the days of sick leave. Methods: The project was jointly developed and implemented by five MHH departments and the DRV Braunschweig-Hannover (DRV BS-H) according to previously defined principles. It was scientifically evaluated by the following outcomes: average days of sick leave, work ability (WAI), quality of life (SF-36, WHOQOL), coping strategies (FERUS) and effort-reward imbalance (ERI). Results and Conclusions: So far, this project is unique in its concept. It has been successfully implemented in the organisational structures of the MHH. 376 employees have registered during the first project year. Up to now, 182 participants have completed their individual programmes. The results show that 60.4% of employees have moderate to poor WAI values. The average of the mental summary scale of the SF-36 was 44.9, indicating a high workload. © Georg Thieme Verlag KG Stuttgart · New York.

  2. Implementation and Operational Research: An Integrated and Comprehensive Service Delivery Model to Improve Pediatric and Maternal HIV Care in Rural Africa

    PubMed Central

    Glass, Tracy R.; Luwanda, Lameck B.; Mapesi, Herry; Samson, Leila; Mtoi, Tom; Nyamtema, Angelo; Muri, Lukas; Ntamatungiro, Alex; Tanner, Marcel; Hatz, Christoph; Battegay, Manuel; Letang, Emilio

    2016-01-01

    Background: Strategies to improve HIV diagnosis and linkage into care, antiretroviral treatment coverage, and treatment outcomes of mothers and children are urgently needed in sub-Saharan Africa. Methods: From December 2012, we implemented an intervention package to improve prevention of mother-to-child transmission (PMTCT) and pediatric HIV care in our rural Tanzanian clinic, consisting of: (1) creation of a PMTCT and pediatric unit integrated within the reproductive and child health clinic; (2) implementation of electronic medical records; (3) provider-initiated HIV testing and counseling in the hospital wards; and (4) early infant diagnosis test performed locally. To assess the impact of this strategy, clinical characteristics and outcomes were compared between the period before (2008–2012) and during/after the implementation (2013–2014). Results: After the intervention, the number of mothers and children enrolled into care almost doubled. Compared with the pre-intervention period (2008–2012), in 2013–2014, children presented lower CD4% (16 vs. 16.8, P = 0.08) and more advanced disease (World Health Organization stage 3/4 72% vs. 35%, P < 0.001). The antiretroviral treatment coverage rose from 80% to 98% (P < 0.001), the lost-to-follow-up rate decreased from 20% to 11% (P = 0.002), and mortality ascertainment improved. During 2013–2014, 261 HIV-exposed infants were enrolled, and the early mother-to-child transmission rate among mother–infant pairs accessing PMTCT was 2%. Conclusions: This strategy resulted in an increased number of mothers and children diagnosed and linked into care, a higher detection of children with AIDS, universal treatment coverage, lower loss to follow-up, and an early mother-to-child transmission rate below the threshold of elimination. This study documents a feasible and scalable model for family-centered HIV care in sub-Saharan Africa. PMID:27846070

  3. Implementation and Operational Research: An Integrated and Comprehensive Service Delivery Model to Improve Pediatric and Maternal HIV Care in Rural Africa.

    PubMed

    Gamell, Anna; Glass, Tracy R; Luwanda, Lameck B; Mapesi, Herry; Samson, Leila; Mtoi, Tom; Nyamtema, Angelo; Muri, Lukas; Ntamatungiro, Alex; Tanner, Marcel; Hatz, Christoph; Battegay, Manuel; Letang, Emilio

    2016-12-15

    Strategies to improve HIV diagnosis and linkage into care, antiretroviral treatment coverage, and treatment outcomes of mothers and children are urgently needed in sub-Saharan Africa. From December 2012, we implemented an intervention package to improve prevention of mother-to-child transmission (PMTCT) and pediatric HIV care in our rural Tanzanian clinic, consisting of: (1) creation of a PMTCT and pediatric unit integrated within the reproductive and child health clinic; (2) implementation of electronic medical records; (3) provider-initiated HIV testing and counseling in the hospital wards; and (4) early infant diagnosis test performed locally. To assess the impact of this strategy, clinical characteristics and outcomes were compared between the period before (2008-2012) and during/after the implementation (2013-2014). After the intervention, the number of mothers and children enrolled into care almost doubled. Compared with the pre-intervention period (2008-2012), in 2013-2014, children presented lower CD4% (16 vs. 16.8, P = 0.08) and more advanced disease (World Health Organization stage 3/4 72% vs. 35%, P < 0.001). The antiretroviral treatment coverage rose from 80% to 98% (P < 0.001), the lost-to-follow-up rate decreased from 20% to 11% (P = 0.002), and mortality ascertainment improved. During 2013-2014, 261 HIV-exposed infants were enrolled, and the early mother-to-child transmission rate among mother-infant pairs accessing PMTCT was 2%. This strategy resulted in an increased number of mothers and children diagnosed and linked into care, a higher detection of children with AIDS, universal treatment coverage, lower loss to follow-up, and an early mother-to-child transmission rate below the threshold of elimination. This study documents a feasible and scalable model for family-centered HIV care in sub-Saharan Africa.

  4. Final Scientific/Technical Report for DOE/EERE Comprehensive Community Renewable Energy Implementation Plan in Forest County and Milwaukee County

    SciTech Connect

    Karman, Nathan

    2014-06-27

    Forest County Potawatomi Community (the “Community”) sought and obtained Community Renewable Energy Deployment funding from the Department of Energy to evaluate and implement a diverse number of renewable energy technologies throughout its lands held in trust or owned in fee simple in Forest County and Milwaukee County (the “Project”). The technologies and sites evolved during the Project, ultimately leading to the investigation of biomass and solar projects on the Community’s reservation in Forest County, as well as the investigation and eventual deployment of a solar project and an anaerobic digestion and biogas project on Community lands in Milwaukee.

  5. Measuring changes in content comprehension and attitudes toward informal science learning from three new learning modules implemented at the Trinity River Audubon Center

    NASA Astrophysics Data System (ADS)

    Wehner, Sarah E.

    Informal science learning has the potential to engage, entertain, and educate learners of all demographics, and its merits have been increasingly recognized as a vital part of science education. This study sought to create and implement three new and unique field trip modules at the Trinity River Audubon Center in Dallas, Texas. Participants who embarked upon the field trip were assessed for enhanced content knowledge and improved attitudes toward learning in informal science learning environments. No statistically significant changes in content or attitude scores were detected, though the preliminary data collected was insufficient to confidently accept nor reject the proposed hypotheses.

  6. Robot-assisted radical prostatectomy: a case series of the first 100 patients -constitutional introduction and implementation on the basis of comprehensive department of minimal invasive surgery center-

    PubMed Central

    2013-01-01

    Background Although a very small number of Japanese hospitals had been performing robotic surgery before 2011, the number now using it is increasing rapidly due to the application of health insurance to robotic surgery for prostate cancer (PCa) since April, 2012. We report our initial experience of treating 100 patients by robot-assisted radical prostatectomy (RARP) with a focus on constitutional introduction and implementation based on minimal invasive surgery center (MISC) and patient outcomes. Methods The MISC involved all of the hospital sections related to robotic surgery including four surgery departments, anesthesiology, operating room nurses, medical engineers. The data were prospectively collected from the first 100 consecutive patients who underwent RARP under supervision of MISC for localized PCa from October 2010 to December 2012. Results During the period of our initial 100 cases of RARP, the gynecology, respiratory and digestive surgery departments performed initial cases of 20, 33 and 23 robotic surgeries under control of MISC. Peri-operative complications in RARP appeared to be minimal with no cases of intra-operative open conversion. The positive surgical margin rate was 19% for the entire series. At the median follow-up time of 11.9 months, 91% of patients had undetectable PSA levels, and 76% of patients were not using pads. Sequential urinary functional data indicated a significant beneficial effect on lower urinary tract symptoms beyond cancer control over a period of several months. Although the pre-operative potent patient number was small, the transitions of constant potency recovery at precise time points were shown according to different nerve sparing procedures. Conclusions This is the first report of an initial 100 RARP cases that were implemented using the constitutional framework of an academic institution. The MISC is providing immeasurable benefits from the aspects of patient safety and education for the robotic surgical team. RARP

  7. Dental care in Texas: An opportunity for implementing a comprehensive and patient-centric approach with special emphasis on cancer patients and survivors.

    PubMed

    Tamí-Maury, Irene; Wagh, Aditya J; Abou Khalil, Nathalie E; Gritz, Ellen R; Chambers, Mark S

    2016-06-01

    To examine practices of dentists in Texas providing dental/oral care to cancer patients. Dental providers in Texas were invited via email to participate in an exploratory cross-sectional study. A non-probability voluntary convenience sampling procedure was used to recruit the sample. The online, anonymous, self-reported survey included questions to capture demographics, type of dental practice, services provided, and number of cancer patients. The study was approved by the Institutional Review Board of The university of Texas MD Anderson Cancer Center. A total of 655 dentists completed the questionnaire items. Results revealed that 62% of the respondents were 51-65 years old, predominantly (68%) male, Caucasian (81%) with their dental degrees awarded in the state of Texas (77%). 91% of the dentists provide dental care to patients who are currently undergoing cancer treatment or have a history of cancer. However, 80% of the dental providers do not teach oral self-exam to their patients, which may include cancer survivors or those undergoing cancer treatment, while 32% dentists do not deliver brief interventions for effectively motivating and assisting tobacco users to quit. Because Texas, especially Houston, is known for world-class cancer care, dentists in the state are more likely to provide dental care to oncologic patients, especially emergency dental procedures in cancer patients facing some of the side effects of cancer treatment. Careful monitoring of oral health and reducing tobacco use are especially important during and after cancer therapy to prevent, detect, and treat complications as soon as possible. A further step in oral care for cancer patients and survivors is to train patients how to perform regular oral self-examination and to provide tobacco users with cessation counseling as part of their dental/oral treatment. These simple but comprehensive approaches, along with regular dental visits, will positively impact the health-related outcomes for

  8. Summary of comprehensive systematic review: Rehabilitation in multiple sclerosis: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology.

    PubMed

    Haselkorn, Jodie K; Hughes, Christina; Rae-Grant, Alex; Henson, Lily Jung; Bever, Christopher T; Lo, Albert C; Brown, Theodore R; Kraft, George H; Getchius, Thomas; Gronseth, Gary; Armstrong, Melissa J; Narayanaswami, Pushpa

    2015-11-24

    To systematically review the evidence regarding rehabilitation treatments in multiple sclerosis (MS). We systematically searched the literature (1970-2013) and classified articles using 2004 American Academy of Neurology criteria. This systematic review highlights the paucity of well-designed studies, which are needed to evaluate the available MS rehabilitative therapies. Weekly home/outpatient physical therapy (8 weeks) probably is effective for improving balance, disability, and gait (MS type unspecified, participants able to walk ≥5 meters) but probably is ineffective for improving upper extremity dexterity (1 Class I). Inpatient exercises (3 weeks) followed by home exercises (15 weeks) possibly are effective for improving disability (relapsing-remitting MS [RRMS], primary progressive MS [PPMS], secondary progressive MS [SPMS], Expanded Disability Status Scale [EDSS] 3.0-6.5) (1 Class II). Six weeks' worth of comprehensive multidisciplinary outpatient rehabilitation possibly is effective for improving disability/function (PPMS, SPMS, EDSS 4.0-8.0) (1 Class II). Motor and sensory balance training or motor balance training (3 weeks) possibly is effective for improving static and dynamic balance, and motor balance training (3 weeks) possibly is effective for improving static balance (RRMS, SPMS, PPMS) (1 Class II). Breathing-enhanced upper extremity exercises (6 weeks) possibly are effective for improving timed gait and forced expiratory volume in 1 second (RRMS, SPMS, PPMS, mean EDSS 4.5); this change is of unclear clinical significance. This technique possibly is ineffective for improving disability (1 Class II). Inspiratory muscle training (10 weeks) possibly improves maximal inspiratory pressure (RRMS, SPMS, PPMS, EDSS 2-6.5) (1 Class II). © 2015 American Academy of Neurology.

  9. Comprehensive Care

    MedlinePlus

    Emergency & Disaster Resources If you or a loved one have been affected—or may be affected—by a hurricane, ... our comprehensive information and resources on emergency and disaster planning . We can also connect you to emergency ...

  10. PREDICT-CP: study protocol of implementation of comprehensive surveillance to predict outcomes for school-aged children with cerebral palsy.

    PubMed

    Boyd, Roslyn N; Davies, Peter Sw; Ziviani, Jenny; Trost, Stewart; Barber, Lee; Ware, Robert; Rose, Stephen; Whittingham, Koa; Sakzewski, Leanne; Bell, Kristie; Carty, Christopher; Obst, Steven; Benfer, Katherine; Reedman, Sarah; Edwards, Priya; Kentish, Megan; Copeland, Lisa; Weir, Kelly; Davenport, Camilla; Brooks, Denise; Coulthard, Alan; Pelekanos, Rebecca; Guzzetta, Andrea; Fiori, Simona; Wynter, Meredith; Finn, Christine; Burgess, Andrea; Morris, Kym; Walsh, John; Lloyd, Owen; Whitty, Jennifer A; Scuffham, Paul A

    2017-07-12

    Cerebral palsy (CP) remains the world's most common childhood physical disability with total annual costs of care and lost well-being of $A3.87b. The PREDICT-CP (NHMRC 1077257 Partnership Project: Comprehensive surveillance to PREDICT outcomes for school age children with CP) study will investigate the influence of brain structure, body composition, dietary intake, oropharyngeal function, habitual physical activity, musculoskeletal development (hip status, bone health) and muscle performance on motor attainment, cognition, executive function, communication, participation, quality of life and related health resource use costs. The PREDICT-CP cohort provides further follow-up at 8-12 years of two overlapping preschool-age cohorts examined from 1.5 to 5 years (NHMRC 465128 motor and brain development; NHMRC 569605 growth, nutrition and physical activity). This population-based cohort study undertakes state-wide surveillance of 245 children with CP born in Queensland (birth years 2006-2009). Children will be classified for Gross Motor Function Classification System; Manual Ability Classification System, Communication Function Classification System and Eating and Drinking Ability Classification System. Outcomes include gross motor function, musculoskeletal development (hip displacement, spasticity, muscle contracture), upper limb function, communication difficulties, oropharyngeal dysphagia, dietary intake and body composition, participation, parent-reported and child-reported quality of life and medical and allied health resource use. These detailed phenotypical data will be compared with brain macrostructure and microstructure using 3 Tesla MRI (3T MRI). Relationships between brain lesion severity and outcomes will be analysed using multilevel mixed-effects models. The PREDICT-CP protocol is a prospectively registered and ethically accepted study protocol. The study combines data at 1.5-5 then 8-12 years of direct clinical assessment to enable prediction of outcomes

  11. An overview of the comprehensive proton therapy machine quality assurance procedures implemented at The University of Texas M. D. Anderson Cancer Center Proton Therapy Center-Houston

    SciTech Connect

    Arjomandy, Bijan; Sahoo, Narayan; Zhu, X. Ronald; Zullo, John R.; Wu, Richard Y.; Zhu Mingping; Ding Xiaoning; Martin, Craig; Ciangaru, George; Gillin, Michael T.

    2009-06-15

    The number of proton and carbon ion therapy centers is increasing; however, since the publication of the International Commission on Radiation Units and Measurements report, there has been no dedicated report dealing with proton therapy quality assurance. The purpose of this article is to describe the quality assurance procedures performed on the passively scattered proton therapy beams at The University of Texas M. D. Anderson Cancer Center Proton Therapy Center in Houston. The majorities of these procedures are either adopted from procedures outlined in the American Association of Physicists in Medical Task Group (TG) 40 report or are a modified version of the TG 40 procedures. In addition, new procedures, which were designed specifically to be applicable to the synchrotron at the author's center, have been implemented. The authors' procedures were developed and customized to ensure patient safety and accurate operation of synchrotron to within explicit limits. This article describes these procedures and can be used by others as a guideline for developing QA procedures based on particle accelerator specific parameters and local regulations pertinent to any new facility.

  12. ENHANCEMENT OF MATERIAL CONTROL AND ACCOUNTING PROGRAMS THROUGH THE CONDUCT OF GAP ANALYSIS AND THE DEVELOPMENT AND IMPLEMENTATION OF A COMPREHENSIVE MCA PROGRAM PLAN

    SciTech Connect

    Hasty, T

    2008-06-10

    An effective safeguards program for nuclear materials is dependent on the integration of activities in the traditional safeguards elements: physical protection, protective force, and material control and accounting (MC&A). The design and integration of these traditional safeguards elements must be based on a technical analysis performed in characterizing the vulnerabilities and related risks of the facility against a designed-basis threat. Each of these elements requires a near seamless integration with each other, as well as within a site's operations organization. One of the key objectives of an effective nuclear Material Control and Accountability (MC&A) program is to address the threat posed by an active or passive 'insider' who, acting alone or in collusion, could attempt protracted or abrupt diversion or theft of special nuclear material (SNM). The function of material accountancy is to detect the loss or unauthorized removal of special nuclear material from the plant or facility in a timely manner. Detection is accomplished by means of measurements and transfer records of material movements and periodic inventories to verify that all material is accounted for. The function of material control is to assure the integrity of the nuclear material and the accountancy data. This paper focuses on the development and implementation of a detailed material control and accounting program plan that considers both regulatory compliance demands and performance standards. Consideration of both of these demands is necessary to reduce exposure to theft and diversion, to reduce regulatory jeopardy, and to minimize to the extent possible adverse impacts with site operations.

  13. The Seattle-King County healthy homes project: implementation of a comprehensive approach to improving indoor environmental quality for low-income children with asthma.

    PubMed Central

    Krieger, James K; Takaro, Tim K; Allen, Carol; Song, Lin; Weaver, Marcia; Chai, Sanders; Dickey, Phillip

    2002-01-01

    Pediatric asthma is a growing public health issue, disproportionately affecting low-income people and people of color. Exposure to indoor asthma triggers plays an important role in the development and exacerbation of asthma. We describe the implementation of the Seattle-King County Healthy Homes Project, a randomized, controlled trial of an outreach/education intervention to improve asthma-related health status by reducing exposure to allergens and irritants in the home. We randomly assigned 274 low-income children with asthma ages 4-12 to either a high- or a low-intensity group. In the high-intensity group, community health workers called Community Home Environmental Specialists (CHES) conducted initial home environmental assessments, provided individualized action plans, and made additional visits over a 12-month period to provide education and social support, encouragement of participant actions, provision of materials to reduce exposures (including bedding encasements), assistance with roach and rodent eradication, and advocacy for improved housing conditions. Members of the low-intensity group received the initial assessment, home action plan, limited education during the assessment visit, and bedding encasements. We describe the recruitment and training of CHES and challenges they faced and explain the assessment and exposure reduction protocols addressing dust mites, mold, tobacco smoke, pets, cockroaches, rodents, dust, moisture, and toxic or hazardous chemicals. We also discuss the gap between the practices recommended in the literature and what is feasible in the home. We accomplished home interventions and participants found the project very useful. The project was limited in resolving structural housing quality issues that contributed to exposure to indoor triggers. PMID:11929743

  14. The Seattle-King County healthy homes project: implementation of a comprehensive approach to improving indoor environmental quality for low-income children with asthma.

    PubMed

    Krieger, James K; Takaro, Tim K; Allen, Carol; Song, Lin; Weaver, Marcia; Chai, Sanders; Dickey, Phillip

    2002-04-01

    Pediatric asthma is a growing public health issue, disproportionately affecting low-income people and people of color. Exposure to indoor asthma triggers plays an important role in the development and exacerbation of asthma. We describe the implementation of the Seattle-King County Healthy Homes Project, a randomized, controlled trial of an outreach/education intervention to improve asthma-related health status by reducing exposure to allergens and irritants in the home. We randomly assigned 274 low-income children with asthma ages 4-12 to either a high- or a low-intensity group. In the high-intensity group, community health workers called Community Home Environmental Specialists (CHES) conducted initial home environmental assessments, provided individualized action plans, and made additional visits over a 12-month period to provide education and social support, encouragement of participant actions, provision of materials to reduce exposures (including bedding encasements), assistance with roach and rodent eradication, and advocacy for improved housing conditions. Members of the low-intensity group received the initial assessment, home action plan, limited education during the assessment visit, and bedding encasements. We describe the recruitment and training of CHES and challenges they faced and explain the assessment and exposure reduction protocols addressing dust mites, mold, tobacco smoke, pets, cockroaches, rodents, dust, moisture, and toxic or hazardous chemicals. We also discuss the gap between the practices recommended in the literature and what is feasible in the home. We accomplished home interventions and participants found the project very useful. The project was limited in resolving structural housing quality issues that contributed to exposure to indoor triggers.

  15. Implementation: Measuring and Explaining the Fidelity of CSR Implementation

    ERIC Educational Resources Information Center

    Kurki, Anja; Boyle, Andrea; Aladjem, Daniel K.

    2006-01-01

    Comprehensive school reform (CSR) is only as effective as its implementation. By using data collected for the National Longitudinal Evaluation of Comprehensive School Reform (NLECSR), this article explores the factors that predict CSR model implementation and the ways that CSR model implementation varies. We found little difference in the fidelity…

  16. Implementation: Measuring and Explaining the Fidelity of CSR Implementation

    ERIC Educational Resources Information Center

    Kurki, Anja; Boyle, Andrea; Aladjem, Daniel K.

    2006-01-01

    Comprehensive school reform (CSR) is only as effective as its implementation. By using data collected for the National Longitudinal Evaluation of Comprehensive School Reform (NLECSR), this article explores the factors that predict CSR model implementation and the ways that CSR model implementation varies. We found little difference in the fidelity…

  17. Comprehension Clinchers

    ERIC Educational Resources Information Center

    Marcell, Barclay

    2006-01-01

    This author, an academic achievement teacher for second and third grade reading and math at Theodore Roosevelt Elementary School in Park Ridge, Illinois, contends that since fluency is such a measurable skill, over-emphasizing decoding and de-emphasizing comprehension results in short-changing students. In this article, she shares several reading…

  18. Achieving comprehensive critical care.

    PubMed

    Derham, Catherine

    2007-01-01

    The policy document, Comprehensive Critical Care, suggested that patients with critical care needs should expect the same standard of care wherever they are nursed, be that in a traditional critical care setting or in a general ward area. It is recognized that in order for this to occur, the developmental needs of ward nurses need to be met to enable them to care for patients with level 1 and level 2 needs. A second document, The Nursing Contribution to the Provision of Comprehensive Critical Care for Adults: A strategic Programme of Action, proposed a programme of action and outlined five priority areas to be considered to ensure the success of comprehensive critical care. Education, training and workforce development was one of the areas outlined, and thus, in response, the role of the practice development facilitator was created as a means of developing the critical care knowledge, skills and practice in ward areas. It became apparent that education and training alone were insufficient to ensure that the aims of comprehensive critical care were realized. The way in which the nurses approached and organized their work and the availability of resources had a great impact on the ability of staff to care for these patients. It is argued that achieving comprehensive critical care is complex and that a multi-dimensional approach to the implementation of policy is essential in order to realize its aims.

  19. Effective Comprehensive Prevention Programs: A Planning Guide.

    ERIC Educational Resources Information Center

    Duncan, Andrew N.; Stephens-Burden, Stevie; Bickel, Ann

    This guidebook is designed to be used in implementing comprehensive prevention programs for children and youth in schools and communities. The primary goals of this planning guide are: provide educators and communities with a prevention model that will help them facilitate the implementation of effective comprehensive programs; provide a framework…

  20. Solid phase microextraction coupled with comprehensive two-dimensional gas chromatography-time-of-flight mass spectrometry for high-resolution metabolite profiling in apples: implementation of structured separations for optimization of sample preparation procedure in complex samples.

    PubMed

    Risticevic, Sanja; DeEll, Jennifer R; Pawliszyn, Janusz

    2012-08-17

    Metabolomics currently represents one of the fastest growing high-throughput molecular analysis platforms that refer to the simultaneous and unbiased analysis of metabolite pools constituting a particular biological system under investigation. In response to the ever increasing interest in development of reliable methods competent with obtaining a complete and accurate metabolomic snapshot for subsequent identification, quantification and profiling studies, the purpose of the current investigation is to test the feasibility of solid phase microextraction for advanced fingerprinting of volatile and semivolatile metabolites in complex samples. In particular, the current study is focussed on the development and optimization of solid phase microextraction (SPME) - comprehensive two-dimensional gas chromatography-time-of-flight mass spectrometry (GC × GC-ToFMS) methodology for metabolite profiling of apples (Malus × domestica Borkh.). For the first time, GC × GC attributes in terms of molecular structure-retention relationships and utilization of two-dimensional separation space on orthogonal GC × GC setup were exploited in the field of SPME method optimization for complex sample analysis. Analytical performance data were assessed in terms of method precision when commercial coatings are employed in spiked metabolite aqueous sample analysis. The optimized method consisted of the implementation of direct immersion SPME (DI-SPME) extraction mode and its application to metabolite profiling of apples, and resulted in a tentative identification of 399 metabolites and the composition of a metabolite database far more comprehensive than those obtainable with classical one-dimensional GC approaches. Considering that specific metabolome constituents were for the first time reported in the current study, a valuable approach for future advanced fingerprinting studies in the field of fruit biology is proposed. The current study also intensifies the understanding of SPME

  1. Comprehensive multiplatform collaboration

    NASA Astrophysics Data System (ADS)

    Singh, Kundan; Wu, Xiaotao; Lennox, Jonathan; Schulzrinne, Henning G.

    2003-12-01

    We describe the architecture and implementation of our comprehensive multi-platform collaboration framework known as Columbia InterNet Extensible Multimedia Architecture (CINEMA). It provides a distributed architecture for collaboration using synchronous communications like multimedia conferencing, instant messaging, shared web-browsing, and asynchronous communications like discussion forums, shared files, voice and video mails. It allows seamless integration with various communication means like telephones, IP phones, web and electronic mail. In addition, it provides value-added services such as call handling based on location information and presence status. The paper discusses the media services needed for collaborative environment, the components provided by CINEMA and the interaction among those components.

  2. Improving Reading Comprehension through Vocabulary.

    ERIC Educational Resources Information Center

    Berg, Andy; Cressman, Kelley Shea; Pfanz, Tomi

    An action research project described an implementation of vocabulary strategies designed to increase reading comprehension. The targeted population consisted of inner city elementary students located in central Illinois. Research shows that some children from low-income environments have below average reading abilities. Analysis of probable cause…

  3. Teaching Reading Comprehension through Collaborative Strategic Reading.

    ERIC Educational Resources Information Center

    Vaughn, Sharon; Klingner, Janette Kettman

    1999-01-01

    Provides an overview of collaborative strategic reading (CSR) as an approach to enhancing the reading-comprehension skills of students with learning disabilities. Procedures for implementing CSR with collaborative groups and techniques for teaching reading-comprehension skills are provided. The role of the teacher is described and sample teaching…

  4. Comprehensive Planning To Address Homelessness. City Initiatives.

    ERIC Educational Resources Information Center

    Zawisza, Kris

    This packet contains documents that provide information about the planning and implementation of a comprehensive plan to address homelessness in cities throughout the U.S. Information on the following components of a comprehensive strategy are included: (1) "Task Forces"; (2) "Assessment Studies"; (3) "Emergency Services"; (4) "Transitional…

  5. Comprehensive national energy strategy

    SciTech Connect

    1998-04-01

    This Comprehensive National Energy Strategy sets forth a set of five common sense goals for national energy policy: (1) improve the efficiency of the energy system, (2) ensure against energy disruptions, (3) promote energy production and use in ways that respect health and environmental values, (4) expand future energy choices, and (5) cooperate internationally on global issues. These goals are further elaborated by a series of objectives and strategies to illustrate how the goals will be achieved. Taken together, the goals, objectives, and strategies form a blueprint for the specific programs, projects, initiatives, investments, and other actions that will be developed and undertaken by the Federal Government, with significant emphasis on the importance of the scientific and technological advancements that will allow implementation of this Comprehensive National Energy Strategy. Moreover, the statutory requirement of regular submissions of national energy policy plans ensures that this framework can be modified to reflect evolving conditions, such as better knowledge of our surroundings, changes in energy markets, and advances in technology. This Strategy, then, should be thought of as a living document. Finally, this plan benefited from the comments and suggestions of numerous individuals and organizations, both inside and outside of government. The Summary of Public Comments, located at the end of this document, describes the public participation process and summarizes the comments that were received. 8 figs.

  6. A model of poetic comprehension

    SciTech Connect

    Haase, K.

    1996-12-31

    This article introduces an account of aesthetic comprehension and experience together with an implemented miniature which generates analogical interpretations from a semi-automatic parse of Wordsworth`s {open_quotes}Lines Written in Early Spring{close_quotes}. In our account, a poem serves as an analogy teaching machine by using formal structure to cue the formation of novel analogies. This account builds on an analogical model of comprehension previously applied to large corpora of newspaper summaries. In the miniature, an automatic grammatical and semantic analysis of the text is augmented with information about rhyme and rhythm. These formal cues allow the system to determine analogies which it would not otherwise consider. The article describes the comprehension framework, the annotated piece, and the matcher`s performance on the piece. It closes with a discussion of possible objections to aspects of the thesis or experiment and suggested directions for future work.

  7. The Effectiveness of the Washington Occupation Information Service (WOIS) as a Career Guidance Instrument for Youth Employment Training Program (YETP) Clients: An Evaluation of Training and Implementation in 21 Washington State Comprehensive Employment Training Act (CETA) Sites.

    ERIC Educational Resources Information Center

    Lutz, Larry L.; And Others

    An evaluation was conducted to determine the usefulness and effectiveness of the Washington Occupation Information Service (WOIS) materials and training workshops. Eighty-five Youth Employment and Training Project (YETP) counselors and administrators from twenty-one Comprehensive Employment Training Act (CETA) sites throughout Washington…

  8. Comprehensibility maximization and humanly comprehensible representations

    NASA Astrophysics Data System (ADS)

    Kamimura, Ryotaro

    2012-04-01

    In this paper, we propose a new information-theoretic method to measure the comprehensibility of network configurations in competitive learning. Comprehensibility is supposed to be measured by information contained in components in competitive networks. Thus, the increase in information corresponds to the increase in comprehensibility of network configurations. One of the most important characteristics of the method is that parameters can be explicitly determined so as to produce a state where the different types of comprehensibility can be mutually increased. We applied the method to two problems, namely an artificial data set and the ionosphere data from the well-known machine learning database. In both problems, we showed that improved performance could be obtained in terms of all types of comprehensibility and quantization errors. For the topographic errors, we found that updating connection weights prevented them from increasing. Then, the optimal values of comprehensibility could be explicitly determined, and clearer class boundaries were generated.

  9. Implications of the Texas Mandate for Comprehensive Performance Appraisal.

    ERIC Educational Resources Information Center

    Nelson, David; And Others

    This paper: (1) describes the recently implemented Texas plan for school reform; (2) delineates a major component of Texas reform, the career ladder. In response to a nationwide call for raised educational standards, Texas passed HB 72, a comprehensive education bill implementing a comprehensive "career ladder" model for the testing,…

  10. Readiness for Reading Comprehension.

    ERIC Educational Resources Information Center

    Spiegel, Dixie Lee

    1983-01-01

    Presents picture-based and listening-based lessons designed to enhance teachers' awareness of the processes that lead to comprehension and to provide a framework within which they may develop their own lessons for comprehension awareness. (FL)

  11. Comprehension Before Word Identification

    ERIC Educational Resources Information Center

    Garman, Dorothy

    1977-01-01

    Examines Frank Smith's analysis of the reading process with respect to comprehension, specifically, his assertion that during the reading process, comprehension of meaning precedes word identification. Discusses the implications of Smith's analysis for the teaching of reading. (JM)

  12. Comprehensions and Interpretations.

    ERIC Educational Resources Information Center

    Urquhart, Alexander H.

    1987-01-01

    Argues that second-language reading comprehension and its assessment can be usefully divided into two aspects: (1) comprehensions (different levels of comprehension the reader adopts to suit different purposes of reading); and (2) interpretations (different readings of the same text resulting from different background knowledge or preoccupations…

  13. Comprehension of Connected Discourse.

    ERIC Educational Resources Information Center

    Mosberg, Ludwig; Shima, Fred

    A rationale was developed for researching reading comprehension based on information gain. Previous definitions of comprehension which were reviewed included operational vs. nonoperational and skills vs. processes. Comprehension was viewed as an informational processing event which includes a constellation of cognitive and learning processes. Two…

  14. Making the Comprehensive High School Comprehensive

    ERIC Educational Resources Information Center

    Midjaas, Carl Larsen

    1975-01-01

    Three occupational labs (child care, graphic arts, and food service) are featured as examples of vocational facilities in a new comprehensive high school in Troy, Michigan. The article stresses the planning that went into the project's development. (BP)

  15. Implementation of a Comprehensive On-Line Closed-Loop Diagnostic System for Roll-to-Roll Amorphous Silicon Solar Cell Production: Final Subcontract Report, 23 April 2003 - 30 September 2006

    SciTech Connect

    Ellison, T.

    2007-05-01

    This report summarizes Energy Conversion Devices' diagnostic systems that were developed in this program, as well as ECD's other major accomplishments. This report concentrates on work carried out in the final (third) phase of this program, beginning in the fall of 2004 and ending in the fall of 2006. ECD has developed a comprehensive in-situ diagnostic system that: Reduces the time between deposition in the a-Si machine and device characterization from about 200 h to about 1 h; The Photovoltaic Capacitive Diagnostic systems measure the open-circuit voltage and charging rate (a measure of the short-circuit current) and intra-cell series resistance for each cell in the triple-junction device prior to deposition of the top conductive-oxide coating in a subsequent deposition machine. These systems operate with an rms precision of about 0.03% and have operated for almost 4 years with no need for servicing of the electronics or for calibration; Spectrometers are used to measure the ZnO thickness of the backreflector, a Si thickness, and top conductive-oxide, coatings.

  16. Developing Reading Comprehension through Collaborative Learning

    ERIC Educational Resources Information Center

    Rojas-Drummond, Sylvia; Mazón, Nancy; Littleton, Karen; Vélez, Maricela

    2014-01-01

    The present study explores the development and promotion of reading comprehension in primary school students, in the context of the implementation of an educational programme called "Learning Together" (LT). The programme, which centred on collaborative learning activities, was designed to promote oral and written communication in…

  17. Comprehensive Cooperative Learning Models for Heterogeneous Classrooms.

    ERIC Educational Resources Information Center

    Slavin, Robert E.

    1989-01-01

    This paper describes comprehensive cooperative learning approaches for elementary-school reading, writing, and mathematics. Team-Assisted Individualization (TAI) and Cooperative Integrated Reading and Composition (CIRC) are used to implement principles of cooperative learning throughout schools, among teachers and administrators as well as…

  18. Comprehensive Family Services and Customer Satisfaction Outcomes

    ERIC Educational Resources Information Center

    Huebner, Ruth A.; Jones, Blake L.; Miller, Viola P.; Custer, Melba; Critchfield, Becky

    2006-01-01

    Comprehensive Family Services (CFS) is a strengths-based and partnership-oriented approach to casework implemented through multiple initiatives. This study examines the relationship between the practice of CFS and satisfaction of clients, foster parents, and community partners. CFS indicators are paired with statewide customer satisfaction survey…

  19. Comprehensive District Reform: Philadelphia's Grand Experiment.

    ERIC Educational Resources Information Center

    Useem, Elizabeth; Balfanz, Robert

    2002-01-01

    This report describes "Philadelphia's Grand Experiment" in comprehensive school district reform, from its conception through its initial months of implementation. In 2001, as part of the remedy for low student performance, the governor ordered the state to take over governance of the Philadelphia School District, with a substantial…

  20. Comprehensive Family Services and Customer Satisfaction Outcomes

    ERIC Educational Resources Information Center

    Huebner, Ruth A.; Jones, Blake L.; Miller, Viola P.; Custer, Melba; Critchfield, Becky

    2006-01-01

    Comprehensive Family Services (CFS) is a strengths-based and partnership-oriented approach to casework implemented through multiple initiatives. This study examines the relationship between the practice of CFS and satisfaction of clients, foster parents, and community partners. CFS indicators are paired with statewide customer satisfaction survey…

  1. Comprehensive School Physical Activity Programs. Position Statement

    ERIC Educational Resources Information Center

    National Association for Sport and Physical Education, 2008

    2008-01-01

    The National Association for Sport and Physical Education (NASPE) recommends that all PK-12 schools implement a Comprehensive School Physical Activity Program. Schools play an important role in public health, and the physical, mental, and social benefits of regular physical activity for youth are well documented. Leading public health, medical,…

  2. Comprehension: The Key to Reading Success.

    ERIC Educational Resources Information Center

    Chevalier, Kim; Del Santo, Jolene; Scheiner, Deb; Skok, Elly; Tucci, Leah Rae

    This report describes a program for using explicit instruction of reading strategies through the implementation of guided reading groups to improve student comprehension. The targeted population consisted of elementary school students in growing, middle class communities, located in northern Illinois. Evidence for the existence of a deficiency of…

  3. Developing Reading Comprehension through Collaborative Learning

    ERIC Educational Resources Information Center

    Rojas-Drummond, Sylvia; Mazón, Nancy; Littleton, Karen; Vélez, Maricela

    2014-01-01

    The present study explores the development and promotion of reading comprehension in primary school students, in the context of the implementation of an educational programme called "Learning Together" (LT). The programme, which centred on collaborative learning activities, was designed to promote oral and written communication in…

  4. Small Change: The Comprehensive School Improvement Program.

    ERIC Educational Resources Information Center

    Kelley, Tina

    The Comprehensive School Improvement Program (CSIP), which was mandated by New York State to address issues of school reform, was a disappointment both in the way the State conceived the program and in the way it was implemented. CSIP was designed to encourage cooperative planning among teachers, principals, parents, and other school staff to…

  5. Robot-assisted radical prostatectomy: a case series of the first 100 patients--constitutional introduction and implementation on the basis of comprehensive department of minimal invasive surgery center.

    PubMed

    Sejima, Takehiro; Masago, Toshihiko; Morizane, Shuichi; Hikita, Katsuya; Kobayashi, Naoto; Yao, Akihisa; Muraoka, Kuniyasu; Honda, Masashi; Kitano, Hiroya; Takenaka, Atsushi

    2013-10-30

    Although a very small number of Japanese hospitals had been performing robotic surgery before 2011, the number now using it is increasing rapidly due to the application of health insurance to robotic surgery for prostate cancer (PCa) since April, 2012. We report our initial experience of treating 100 patients by robot-assisted radical prostatectomy (RARP) with a focus on constitutional introduction and implementation based on minimal invasive surgery center (MISC) and patient outcomes. The MISC involved all of the hospital sections related to robotic surgery including four surgery departments, anesthesiology, operating room nurses, medical engineers. The data were prospectively collected from the first 100 consecutive patients who underwent RARP under supervision of MISC for localized PCa from October 2010 to December 2012. During the period of our initial 100 cases of RARP, the gynecology, respiratory and digestive surgery departments performed initial cases of 20, 33 and 23 robotic surgeries under control of MISC. Peri-operative complications in RARP appeared to be minimal with no cases of intra-operative open conversion. The positive surgical margin rate was 19% for the entire series. At the median follow-up time of 11.9 months, 91% of patients had undetectable PSA levels, and 76% of patients were not using pads. Sequential urinary functional data indicated a significant beneficial effect on lower urinary tract symptoms beyond cancer control over a period of several months. Although the pre-operative potent patient number was small, the transitions of constant potency recovery at precise time points were shown according to different nerve sparing procedures. This is the first report of an initial 100 RARP cases that were implemented using the constitutional framework of an academic institution. The MISC is providing immeasurable benefits from the aspects of patient safety and education for the robotic surgical team. RARP is a safe and efficient method for

  6. Scaffolding Reading Comprehension Skills

    ERIC Educational Resources Information Center

    Salem, Ashraf Atta Mohamed Safein

    2017-01-01

    The current study investigates whether English language teachers use scaffolding strategies for developing their students' reading comprehension skills or just for assessing their comprehension. It also tries to demonstrate whether teachers are aware of these strategies or they use them as a matter of habit. A questionnaire as well as structured…

  7. Comprehension Processes in Reading.

    ERIC Educational Resources Information Center

    Balota, D. A., Ed.; And Others

    Focusing on the process of reading comprehension, this book contains chapters on some central topics relevant to understanding the processes associated with comprehending text. The articles and their authors are as follows: (1) "Comprehension Processes: Introduction" (K. Rayner); (2) "The Role of Meaning in Word Recognition"…

  8. Schemata, Context, and Comprehension.

    ERIC Educational Resources Information Center

    Smith, Sharon L.; And Others

    The study of schema theory as part of the inquiry into the nature of language comprehension has drawn attention to the reader's central role in the construction of text-guided meaning. Contemporary schema theory represnts a major step in the effort to move away from a reductionist view of reading comprehension. Specifically, it focuses on wbat…

  9. Teaching Main Idea Comprehension.

    ERIC Educational Resources Information Center

    Baumann, James F., Ed.

    Intended to help classroom teachers, curriculum developers, and researchers, this book provides current information on theoretical and instructional aspects of main idea comprehension. Titles and authors are as follows: "The Confused World of Main Idea" (James W. Cunningham and David W. Moore); "The Comprehension of Important…

  10. Spectrum of Physics Comprehension

    ERIC Educational Resources Information Center

    Blasiak, W.; Godlewska, M.; Rosiek, R.; Wcislo, D.

    2012-01-01

    The paper presents the results of research on the relationship between self-assessed comprehension of physics lectures and final grades of junior high school students (aged 13-15), high school students (aged 16-18) and physics students at the Pedagogical University of Cracow, Poland (aged 21). Students' declared level of comprehension was measured…

  11. Teaching Main Idea Comprehension.

    ERIC Educational Resources Information Center

    Baumann, James F., Ed.

    Intended to help classroom teachers, curriculum developers, and researchers, this book provides current information on theoretical and instructional aspects of main idea comprehension. Titles and authors are as follows: "The Confused World of Main Idea" (James W. Cunningham and David W. Moore); "The Comprehension of Important…

  12. The Roots of Comprehension

    ERIC Educational Resources Information Center

    Rasinski, Timothy; Padak, Nancy; Newton, Joanna

    2017-01-01

    Wide vocabulary knowledge is associated with proficiency in reading comprehension and scores on tests involving comprehension. Yet assessments show that U.S. students at various grade levels have demonstrated no improvement in their vocabulary knowledge since 2009. Literacy expert Timothy Rasinski and colleagues argue that students need improved…

  13. The Roots of Comprehension

    ERIC Educational Resources Information Center

    Rasinski, Timothy; Padak, Nancy; Newton, Joanna

    2017-01-01

    Wide vocabulary knowledge is associated with proficiency in reading comprehension and scores on tests involving comprehension. Yet assessments show that U.S. students at various grade levels have demonstrated no improvement in their vocabulary knowledge since 2009. Literacy expert Timothy Rasinski and colleagues argue that students need improved…

  14. Teaching Language Through Comprehension.

    ERIC Educational Resources Information Center

    Winitz, Harris; And Others

    In the comprehension approach to second language instruction, the major procedure is to provide students with comprehensible input, which it is the students' responsibility to understand. The aim is to encourage nucleation of the target language, that is the crystallization of the rule system. Teaching procedures focus on strategies for implicit…

  15. Teaching Language Through Comprehension.

    ERIC Educational Resources Information Center

    Winitz, Harris; And Others

    In the comprehension approach to second language instruction, the major procedure is to provide students with comprehensible input, which it is the students' responsibility to understand. The aim is to encourage nucleation of the target language, that is the crystallization of the rule system. Teaching procedures focus on strategies for implicit…

  16. Processes in Reading Comprehension.

    ERIC Educational Resources Information Center

    Ransom, Grayce A.

    This examination of the processes in reading comprehension is divided into seven categories. "Theoretical Foundations" reviews some of the research conducted by Bruner, Piaget, and Bloom in the areas of cognition or comprehension processes of young children. "Development of a Spiraling Reading Curriculum" examines a spiraling taxonomy of reading…

  17. Imitation improves language comprehension.

    PubMed

    Adank, Patti; Hagoort, Peter; Bekkering, Harold

    2010-12-01

    Humans imitate each other during social interaction. This imitative behavior streamlines social interaction and aids in learning to replicate actions. However, the effect of imitation on action comprehension is unclear. This study investigated whether vocal imitation of an unfamiliar accent improved spoken-language comprehension. Following a pretraining accent comprehension test, participants were assigned to one of six groups. The baseline group received no training, but participants in the other five groups listened to accented sentences, listened to and repeated accented sentences in their own accent, listened to and transcribed accented sentences, listened to and imitated accented sentences, or listened to and imitated accented sentences without being able to hear their own vocalizations. Posttraining measures showed that accent comprehension was most improved for participants who imitated the speaker's accent. These results show that imitation may aid in streamlining interaction by improving spoken-language comprehension under adverse listening conditions.

  18. Endocrine Disruptor Screening Program (EDSP) Comprehensive Management Plans

    EPA Pesticide Factsheets

    The EDSP Comprehensive Management Plan describes the technical review processes that will be used in implementing this program and how the agency intends to factor technology advancements into the program.

  19. Taking a Comprehensive Approach to Common Core Rollout

    ERIC Educational Resources Information Center

    Illingworth, Amy

    2016-01-01

    One district, South Bay Union School District, devises and executes a comprehensive strategy that includes training for district staff, teachers and coaches, including using PLCs and professional development in the implementation of Common Core English language arts standards.

  20. Taking a Comprehensive Approach to Common Core Rollout

    ERIC Educational Resources Information Center

    Illingworth, Amy

    2016-01-01

    One district, South Bay Union School District, devises and executes a comprehensive strategy that includes training for district staff, teachers and coaches, including using PLCs and professional development in the implementation of Common Core English language arts standards.

  1. Using Comprehension Strategies as a Springboard for Student Talk

    ERIC Educational Resources Information Center

    Lloyd, Susan Litwiller

    2004-01-01

    This article is a reflective account of a teacher implementing the comprehension strategy of questioning to encourage genuine conversations with text, instead of the inquisition technique of testing comprehension practiced in many classrooms. Through the structure of a "gradual release of responsibilities," students practice questioning in…

  2. Evaluation of HIV Prevention and Comprehensive Health Education Activities.

    ERIC Educational Resources Information Center

    Fisher, Gloria; And Others

    This study was undertaken to evaluate Human Immunodeficiency Virus (HIV) prevention and comprehensive health activities in public secondary schools in Mississippi. The Comprehensive School Health Curriculum (CSHC), for implementation in junior, middle, and senior high schools, was designed to promote improved knowledge and behaviors related to the…

  3. A Case for Naturalistic Assessment of Reading Comprehension.

    ERIC Educational Resources Information Center

    Moore, David W.

    1983-01-01

    Presents a historical overview of the introduction of the major reading comprehension assessments, showing that the predominant approaches were shaped by the prevailing educational measurement milieu and were implemented largely in response to public pressure. Argues in favor of a naturalistic reading comprehension assessment for evaluating those…

  4. Interruptions disrupt reading comprehension.

    PubMed

    Foroughi, Cyrus K; Werner, Nicole E; Barragán, Daniela; Boehm-Davis, Deborah A

    2015-06-01

    Previous research suggests that being interrupted while reading a text does not disrupt the later recognition or recall of information from that text. This research is used as support for Ericsson and Kintsch's (1995) long-term working memory (LT-WM) theory, which posits that disruptions while reading (e.g., interruptions) do not impair subsequent text comprehension. However, to fully comprehend a text, individuals may need to do more than recognize or recall information that has been presented in the text at a later time. Reading comprehension often requires individuals to connect and synthesize information across a text (e.g., successfully identifying complex topics such as themes and tones) and not just make a familiarity-based decision (i.e., recognition). The goal for this study was to determine whether interruptions while reading disrupt reading comprehension when the questions assessing comprehension require participants to connect and synthesize information across the passage. In Experiment 1, interruptions disrupted reading comprehension. In Experiment 2, interruptions disrupted reading comprehension but not recognition of information from the text. In Experiment 3, the addition of a 15-s time-out prior to the interruption successfully removed these negative effects. These data suggest that the time it takes to process the information needed to successfully comprehend text when reading is greater than that required for recognition. Any interference (e.g., an interruption) that occurs during the comprehension process may disrupt reading comprehension. This evidence supports the need for transient activation of information in working memory for successful text comprehension and does not support LT-WM theory. (c) 2015 APA, all rights reserved).

  5. LSST communications middleware implementation

    NASA Astrophysics Data System (ADS)

    Mills, Dave; Schumacher, German; Lotz, Paul

    2016-07-01

    The LSST communications middleware is based on a set of software abstractions; which provide standard interfaces for common communications services. The observatory requires communication between diverse subsystems, implemented by different contractors, and comprehensive archiving of subsystem status data. The Service Abstraction Layer (SAL) is implemented using open source packages that implement open standards of DDS (Data Distribution Service1) for data communication, and SQL (Standard Query Language) for database access. For every subsystem, abstractions for each of the Telemetry datastreams, along with Command/Response and Events, have been agreed with the appropriate component vendor (such as Dome, TMA, Hexapod), and captured in ICD's (Interface Control Documents).The OpenSplice (Prismtech) Community Edition of DDS provides an LGPL licensed distribution which may be freely redistributed. The availability of the full source code provides assurances that the project will be able to maintain it over the full 10 year survey, independent of the fortunes of the original providers.

  6. Comprehensive rotorcraft analysis methods

    NASA Technical Reports Server (NTRS)

    Stephens, Wendell B.; Austin, Edward E.

    1988-01-01

    The development and application of comprehensive rotorcraft analysis methods in the field of rotorcraft technology are described. These large scale analyses and the resulting computer programs are intended to treat the complex aeromechanical phenomena that describe the behavior of rotorcraft. They may be used to predict rotor aerodynamics, acoustic, performance, stability and control, handling qualities, loads and vibrations, structures, dynamics, and aeroelastic stability characteristics for a variety of applications including research, preliminary and detail design, and evaluation and treatment of field problems. The principal comprehensive methods developed or under development in recent years and generally available to the rotorcraft community because of US Army Aviation Research and Technology Activity (ARTA) sponsorship of all or part of the software systems are the Rotorcraft Flight Simulation (C81), Dynamic System Coupler (DYSCO), Coupled Rotor/Airframe Vibration Analysis Program (SIMVIB), Comprehensive Analytical Model of Rotorcraft Aerodynamics and Dynamics (CAMRAD), General Rotorcraft Aeromechanical Stability Program (GRASP), and Second Generation Comprehensive Helicopter Analysis System (2GCHAS).

  7. Spectrum of physics comprehension

    NASA Astrophysics Data System (ADS)

    Blasiak, W.; Godlewska, M.; Rosiek, R.; Wcislo, D.

    2012-05-01

    The paper presents the results of research on the relationship between self-assessed comprehension of physics lectures and final grades of junior high school students (aged 13-15), high school students (aged 16-18) and physics students at the Pedagogical University of Cracow, Poland (aged 21). Students' declared level of comprehension was measured during a physics lecture on a prearranged scale of 1-10 with the use of a personal response system designed for the purpose of this experiment. Through the use of this tool, we obtained about 2000 computer records of students' declared comprehension of a 45 min lecture, which we named ‘the spectrum of comprehension’. In this paper, we present and analyse the correlation between students' declared comprehension of the content presented in the lecture and their final learning results.

  8. A Comprehensive Guide to Readers Theatre: Enhancing Fluency and Comprehension in Middle School and Beyond

    ERIC Educational Resources Information Center

    Black, Alison; Stave, Anna M.

    2007-01-01

    With the current education climate so focused on accountability, teachers need to ensure that their teaching practices are supported by today's content-specific standards. To meet this need, "A Comprehensive Guide to Readers Theatre" shows not only how to implement Readers Theatre in the classroom but also how to use it to meet current literacy…

  9. Implementing Competence Frameworks in Mexico

    ERIC Educational Resources Information Center

    de Anda, Maria Luisa

    2011-01-01

    This article is based on the Mexican case study undertaken as part of the comparative study of the implementation and impact of National Qualifications Frameworks (NQF). Even though Mexico does not have a comprehensive NQF, the country has considerable experience in the development of labour competence technical standards; these share some aims…

  10. Implementing Competence Frameworks in Mexico

    ERIC Educational Resources Information Center

    de Anda, Maria Luisa

    2011-01-01

    This article is based on the Mexican case study undertaken as part of the comparative study of the implementation and impact of National Qualifications Frameworks (NQF). Even though Mexico does not have a comprehensive NQF, the country has considerable experience in the development of labour competence technical standards; these share some aims…

  11. Implications of NCLB Accountability for Comprehensive School Reform

    ERIC Educational Resources Information Center

    Le Floch, Kerstin Carlson; Taylor, James E.; Thomsen, Kerri

    2006-01-01

    No Child Left Behind (NCLB) accountability mechanisms have the potential to derail comprehensive school reform (CSR) implementation. For those pursuing CSR, the question is how to reconcile the implementation of NCLB accountability mandates with ongoing CSR efforts. Drawing from longitudinal data from a national study of CSR, this article explores…

  12. Support for comprehensive reuse

    NASA Technical Reports Server (NTRS)

    Basili, V. R.; Rombach, H. D.

    1991-01-01

    Reuse of products, processes, and other knowledge will be the key to enable the software industry to achieve the dramatic improvement in productivity and quality required to satisfy the anticipated growing demands. Although experience shows that certain kinds of reuse can be successful, general success has been elusive. A software life-cycle technology which allows comprehensive reuse of all kinds of software-related experience could provide the means to achieving the desired order-of-magnitude improvements. A comprehensive framework of models, model-based characterization schemes, and support mechanisms for better understanding, evaluating, planning, and supporting all aspects of reuse are introduced.

  13. Comprehensive Family Services and customer satisfaction outcomes.

    PubMed

    Huebner, Ruth A; Jones, Blake L; Miller, Viola P; Custer, Melba; Critchfield, Becky

    2006-01-01

    Comprehensive Family Services (CFS) is a strengths-based and partnership-oriented approach to casework implemented through multiple initiatives. This study examines the relationship between the practice of CFS and satisfaction of clients, foster parents, and community partners. CFS indicators are paired with statewide customer satisfaction survey results. CFS practices are associated with significantly higher customer satisfaction that improved over time for all groups. Although causality cannot be determined, the relationship is consistent, robust, and meaningful.

  14. Cognitive Correlates of Listening Comprehension

    ERIC Educational Resources Information Center

    Kim, Young-Suk; Phillips, Beth

    2014-01-01

    In an effort to understand cognitive foundations of oral language comprehension (i.e., listening comprehension), we examined how inhibitory control, theory of mind, and comprehension monitoring are uniquely related to listening comprehension over and above vocabulary and age. A total of 156 children in kindergarten and first grade from…

  15. Cognitive Correlates of Listening Comprehension

    ERIC Educational Resources Information Center

    Kim, Young-Suk; Phillips, Beth

    2014-01-01

    In an effort to understand cognitive foundations of oral language comprehension (i.e., listening comprehension), we examined how inhibitory control, theory of mind, and comprehension monitoring are uniquely related to listening comprehension over and above vocabulary and age. A total of 156 children in kindergarten and first grade from…

  16. 77 FR 23652 - Fisheries of the Caribbean, Gulf of Mexico, and South Atlantic; Comprehensive Annual Catch Limit...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-20

    ..., Gulf of Mexico, and South Atlantic; Comprehensive Annual Catch Limit Amendment Supplement AGENCY... regulations implementing the Comprehensive Annual Catch Limit Amendment (Comprehensive ACL Amendment) for the... Comprehensive ACL Amendment specified, in part, annual catch limits (ACLs) and accountability measures (AMs) for...

  17. Implementing Comprehensive Teacher Training in Business Doctoral Programs

    ERIC Educational Resources Information Center

    Brightman, Harvey J.; Nargundkar, Satish

    2013-01-01

    The advent of digital course offerings, the use of social media, the integration of the Khan Academy into curricula, the use of smart phones and tablets, and massive online courses place greater emphasis than ever on effective teaching. While business schools fund faculty development in teaching, too few doctoral programs offer systematic teacher…

  18. Implications for Comprehensive School Physical Activity Program Implementation

    ERIC Educational Resources Information Center

    Karp, Grace Goc; Scruggs, Philip W.; Brown, Helen; Kelder, Steven H.

    2014-01-01

    As mentioned in the introduction, Physical Education Teacher Education (PETE) programs and physical education teachers will need to identify and resolve the tensions of shifting from a traditional role of a self-contained physical education program to that of an expanding role of physical education that supports lifelong physical activity in…

  19. Implications for Comprehensive School Physical Activity Program Implementation

    ERIC Educational Resources Information Center

    Karp, Grace Goc; Scruggs, Philip W.; Brown, Helen; Kelder, Steven H.

    2014-01-01

    As mentioned in the introduction, Physical Education Teacher Education (PETE) programs and physical education teachers will need to identify and resolve the tensions of shifting from a traditional role of a self-contained physical education program to that of an expanding role of physical education that supports lifelong physical activity in…

  20. Implementing Comprehensive Teacher Training in Business Doctoral Programs

    ERIC Educational Resources Information Center

    Brightman, Harvey J.; Nargundkar, Satish

    2013-01-01

    The advent of digital course offerings, the use of social media, the integration of the Khan Academy into curricula, the use of smart phones and tablets, and massive online courses place greater emphasis than ever on effective teaching. While business schools fund faculty development in teaching, too few doctoral programs offer systematic teacher…

  1. Assessing Reading Comprehension

    ERIC Educational Resources Information Center

    Klingner, Janette K.

    2004-01-01

    Generally, experts agree on what good readers do to comprehend text--they connect new text with past experiences, interpret, evaluate, synthesize, and consider alternative interpretations. Yet, traditional measures of reading comprehension only provide a general indicator of how well a student understands text. They do not provide information…

  2. Comprehensive Trail Making Test

    ERIC Educational Resources Information Center

    Gray, Rebecca

    2006-01-01

    The Comprehensive Trail Making Test (CTMT) is designed to be used in neuropsychological assessment for the purposes of detecting effects of brain defects and deficits and in tracking progress in rehabilitation. More specific purposes include the detection of frontal lobe deficits, problems with psychomotor speed, visual search and sequencing,…

  3. The Comprehensive Health Assessment.

    ERIC Educational Resources Information Center

    Eastern Iowa Community Coll. District, Davenport.

    This report contains information from a fall 1991 health occupations assessment of 1,021 health-related employers in Eastern Iowa and the Illinois Quad Cities area. Twelve chapters present comprehensive results of all surveys; results of 10 labor market survey instruments developed for chiropractic offices, dentists' offices, emergency medical…

  4. Cinnarizine: Comprehensive Profile.

    PubMed

    Haress, Nadia G

    2015-01-01

    Cinnarizine is a piperazine derivative with antihistaminic, antiserotonergic, antidopaminergic, and calcium channel-blocking activities. A comprehensive profile was performed on cinnarizine including its description and the different methods of analysis. The 1H NMR and 13C one- and two-dimensional NMR methods were used. In addition, infrared and mass spectral analyses were performed which all confirmed the structure of cinnarizine.

  5. Reading Comprehension in Mathematics.

    ERIC Educational Resources Information Center

    Fuentes, Peter

    1998-01-01

    Argues that mathematics instruction is dependent not just on numbers and their manipulation, but on language, literacy, and comprehension. Uses original examples of mathematical texts to map out a rationale for the teaching of reading in math, and includes a range of practical suggestions for the math teacher that support the "spiraling" of…

  6. Designing a Comprehensive Curriculum

    ERIC Educational Resources Information Center

    Faulkner, T. L.

    1970-01-01

    A comprehensive rural "agribusiness industry" curriculum might include: (1) The World of Work (Grade 7 or 8), (2) Vocational Orientation (Grade 9), (3) Basic Agriculture and Industry (Grade 10), (4) Specialized Agribusiness Industry (Grade 11), and (5) Advanced Agribusiness Industry (Grade 12). (DM)

  7. Comprehensive Trail Making Test

    ERIC Educational Resources Information Center

    Gray, Rebecca

    2006-01-01

    The Comprehensive Trail Making Test (CTMT) is designed to be used in neuropsychological assessment for the purposes of detecting effects of brain defects and deficits and in tracking progress in rehabilitation. More specific purposes include the detection of frontal lobe deficits, problems with psychomotor speed, visual search and sequencing,…

  8. COMMUNICATION AND COMPREHENSION.

    ERIC Educational Resources Information Center

    TRENAMAN, J.M.

    A SERIES OF BRITISH IMPACT STUDIES DEALT WITH ADULT AUDIENCE CHARACTERISTICS (COMPREHENSION, KNOWLEDGE, INTERESTS, ATTITUDES) AND FACTORS WITHIN THE MEDIUM THAT MAKE FOR EFFECTIVE COMMUNICATION. FIVE DIFFERENT TYPES OF SUBJECT MATTER WERE PRESENTED TO MATCHED SAMPLES OF THE GENERAL PUBLIC BY MEANS OF RADIO, TELEVISION, AND PRINTED ARTICLES. THE…

  9. COMPREHENSIVE JUNIOR COLLEGES.

    ERIC Educational Resources Information Center

    NIKITAS, CHRISTUS M.; AND OTHERS

    TO MEET THE STATE'S HIGHER EDUCATION NEEDS, THE NEW HAMPSHIRE JUNIOR COLLEGE COMMISSION DEVELOPED A PLAN OF (1) GRADUAL AND SELECTIVE CONVERSION OF THE STATE'S TECHNICAL AND VOCATIONAL SCHOOLS TO COMPREHENSIVE JUNIOR COLLEGES, (2) SELECTIVE ADDITION OF 2-YEAR PROGRAMS AT THE STATE COLLEGES AND INSTITUTES, AND (3) ESTABLISHMENT OF A STATE…

  10. Reading Comprehension Idea Book.

    ERIC Educational Resources Information Center

    Broward, Charles; And Others

    The 32 ideas for activities described in this document have been collected to help the reading teacher to teach reading comprehension skills. Activities, listed according to their purpose, concentrate on specific skill areas which give children difficulty, such as following directions, finding the main idea, recognizing sequence, understanding…

  11. Comprehensive Developmental Team Guide.

    ERIC Educational Resources Information Center

    Pokorni, Judith

    The handbook explains the concept and operation of the Comprehensive Developmental Team (CDT) in screening, evaluating and planning for children with special needs in Head Start Programs. Considered are the following aspects of the CDT program: establishing a team (composed of such members as health coordinator, Head Start Director,…

  12. Writing for Comprehension

    ERIC Educational Resources Information Center

    Wallace, Randy; Pearman, Cathy; Hail, Cindy; Hurst, Beth

    2007-01-01

    Many educators continue to treat reading and writing as separate subjects. In response to this observation, the authors offer four research-based writing strategies that teachers can use to improve student reading comprehension through writing. The writing strategies--"About/Point", "Cubing", "Four Square Graphic Organizer", and "Read," "Respond",…

  13. Writing for Comprehension

    ERIC Educational Resources Information Center

    Wallace, Randy; Pearman, Cathy; Hail, Cindy; Hurst, Beth

    2007-01-01

    Many educators continue to treat reading and writing as separate subjects. In response to this observation, the authors offer four research-based writing strategies that teachers can use to improve student reading comprehension through writing. The writing strategies--"About/Point", "Cubing", "Four Square Graphic Organizer", and "Read," "Respond",…

  14. Math Sense: Comprehensive Review.

    ERIC Educational Resources Information Center

    Hoyt, Cathy Fillmore

    This book features a comprehensive review of the Math Sense series and is designed to help students gain the range of math skills they need to succeed in life, work, and on standardized tests; overcome math anxiety; discover math as interesting and purposeful; and develop good number sense. Topics covered in this book include whole numbers;…

  15. Imagery and Comprehension.

    ERIC Educational Resources Information Center

    Ortiz, Rose

    If people can evoke mental images when listening to a story, they can extend the process by turning words on a printed page into speech and evoke images for the "speech on the page." This is an exercise for reading comprehension that does not come naturally but can be worked on deliberately. A few moments of self-observation, when…

  16. Comprehension Strategy Gloves.

    ERIC Educational Resources Information Center

    Newman, Gayle

    2002-01-01

    Describes the idea of creating a glove for each of the comprehension strategies for use with different text structures. Notes that the gloves serve as a multisensory approach by providing visual clues through icons on each finger and the palm. Discusses three different gloves: the prereading glove, the narrative text structure glove, and the…

  17. The Comprehensive High School in the United States: A Historical Perspective.

    ERIC Educational Resources Information Center

    Wraga, William G.

    The key to understanding the history of the comprehensive high school in the United States necessitates understanding that the comprehensive model has not been implemented as its inventors intended. Moreover, since the mid-20th century most scholarship on the comprehensive high school model has effectively dismissed the model as an antidemocratic…

  18. How Can Service Learning Impact Reading Comprehension in Children in Third Grade: An Action Research Study

    ERIC Educational Resources Information Center

    Menchaca, Jamie

    2013-01-01

    A question was whether service learning implemented in the classroom could improve third grader's reading comprehension skills. The goal of this study was to show that with the implementation of service learning into guided reading lessons, students would be more successful in their reading comprehension abilities. The study was conducted in an…

  19. The Standards Implementation Design (SID) System.

    ERIC Educational Resources Information Center

    Hawaii State Dept. of Education, Honolulu. Div. of Learner, Teacher, and School Support.

    The Standards Implementation Design (SID) system is a comprehensive framework for analyzing school performance, planning for improvement based on the analysis, implementing the improvements, and evaluating results. It is designed to engage school personnel in introspection about student achievement as related to curriculum, the teaching and…

  20. CSR Model Implementation from School Stakeholder Perspectives

    ERIC Educational Resources Information Center

    Herrmann, Suzannah

    2006-01-01

    Despite comprehensive school reform (CSR) model developers' best intentions to make school stakeholders adhere strictly to the implementation of model components, school stakeholders implementing CSR models inevitably make adaptations to the CSR model. Adaptations are made to CSR models because school stakeholders internalize CSR model practices…

  1. 76 FR 82183 - Fisheries of the Caribbean, Gulf of Mexico, and South Atlantic; Comprehensive Ecosystem-Based...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-30

    ..., Gulf of Mexico, and South Atlantic; Comprehensive Ecosystem-Based Amendment 2 for the South Atlantic... Comprehensive Ecosystem-Based Amendment 2 (CE-BA 2) to implement the following South Atlantic fishery management...

  2. 77 FR 29555 - Fisheries of the Caribbean, Gulf of Mexico, and South Atlantic; Comprehensive Ecosystem-Based...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-18

    ... Mexico, and South Atlantic; Comprehensive Ecosystem-Based Amendment 2 for the South Atlantic Region... implementing the Comprehensive Ecosystem-Based Amendment 2 (CE-BA 2) for the South Atlantic region, which was...

  3. 75 FR 39638 - Fisheries of the Caribbean, Gulf of Mexico, and South Atlantic; Comprehensive Ecosystem-Based...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-12

    ..., Gulf of Mexico, and South Atlantic; Comprehensive Ecosystem-Based Amendment 1 for the South Atlantic... the final rule to implement Comprehensive Ecosystem-Based Amendment 1 for the South Atlantic region...

  4. Comprehension Monitoring and Reading Comprehension in Bilingual Students

    ERIC Educational Resources Information Center

    Kolic-Vehovec, Svjetlana; Bajsanski, Igor

    2007-01-01

    This study explored comprehension monitoring, use of reading strategies and reading comprehension of bilingual students at different levels of perceived proficiency in Italian. The participants were bilingual fifth to eighth-grade elementary school students from four Italian schools in Rijeka, Croatia. Students' reading comprehension was assessed.…

  5. Implementing TQM.

    PubMed

    Bull, G; Maffetone, M A; Miller, S K

    1992-01-01

    Total quality management (TQM) is an organized, systematic approach to problem solving and continuous improvement. American corporations have found that TQM is an excellent way to improve competitiveness, lower operating costs, and improve productivity. Increasing numbers of laboratories are investigating the benefits of TQM. For this month's column, we asked our respondents: What steps has your laboratory taken to implement TQM?

  6. Implementation Reviews

    NASA Technical Reports Server (NTRS)

    Murphy, Gerald

    2003-01-01

    The point of the implementation review is to prevent problems from occurring later by trying to get our arms around the planning from the start. fmplementation reviews set the tone for management of the project. They establish a teaming relationship (if they are run properly), and they level the playing field instead of setting up turf wars.

  7. Idiom Comprehension in Aphasic Patients

    ERIC Educational Resources Information Center

    Papagno, Costanza; Tabossi, Patrizia; Colombo, Maria Rosa; Zampetti, Patrizia

    2004-01-01

    Idiom comprehension was assessed in 10 aphasic patients with semantic deficits by means of a string-to-picture matching task. Patients were also submitted to an oral explanation of the same idioms, and to a word comprehension task. The stimuli of this last task were the words following the verb in the idioms. Idiom comprehension was severely…

  8. Understanding and Teaching Cohesion Comprehension.

    ERIC Educational Resources Information Center

    Irwin, Judith W., Ed.

    Concerned with improving student comprehension of text, this book focuses particularly on teaching students how sentences tie together. Articles in the three sections are grouped as follows: Part 1, What Is Cohesion Comprehension? contains "Cohesion, Coherence, and Comprehension" (Alden J. Moe and Judith W. Irwin); "Identifying…

  9. Assessing Reading Comprehension in Bilinguals

    ERIC Educational Resources Information Center

    August, Diane; Francis, David J.; Hsu, Han-Ya Annie; Snow, Catherine E.

    2006-01-01

    A new measure of reading comprehension, the Diagnostic Assessment of Reading Comprehension (DARC), designed to reflect central comprehension processes while minimizing decoding and language demands, was pilot tested. We conducted three pilot studies to assess the DARC's feasibility, reliability, comparability across Spanish and English,…

  10. Children's Comprehension of Natural Language.

    ERIC Educational Resources Information Center

    Kennedy, Graeme

    This paper reviews current literature concerning the development of children's comprehension of the processes of natural languages and it recommends a new study approach designed to evaluate the joint effects of lexical and syntactic devices on comprehension. It discusses three main kinds of investigations--studies of the comprehension of…

  11. CPMs: A Kinesthetic Comprehension Strategy

    ERIC Educational Resources Information Center

    Block, Cathy Collins; Parris, Sheri R.; Whiteley, Cinnamon S.

    2008-01-01

    This article discusses a study to determine whether primary grade students can learn comprehension processes via hand motions to portray these mental processes. Comprehension Process Motions (CPMs) were designed to provide students with a way to make abstract comprehension processes more consciously accessible and also to give teachers a way to…

  12. Understanding and Teaching Cohesion Comprehension.

    ERIC Educational Resources Information Center

    Irwin, Judith W., Ed.

    Concerned with improving student comprehension of text, this book focuses particularly on teaching students how sentences tie together. Articles in the three sections are grouped as follows: Part 1, What Is Cohesion Comprehension? contains "Cohesion, Coherence, and Comprehension" (Alden J. Moe and Judith W. Irwin); "Identifying…

  13. CPMs: A Kinesthetic Comprehension Strategy

    ERIC Educational Resources Information Center

    Block, Cathy Collins; Parris, Sheri R.; Whiteley, Cinnamon S.

    2008-01-01

    This article discusses a study to determine whether primary grade students can learn comprehension processes via hand motions to portray these mental processes. Comprehension Process Motions (CPMs) were designed to provide students with a way to make abstract comprehension processes more consciously accessible and also to give teachers a way to…

  14. Priming Ditransitive Structures in Comprehension

    ERIC Educational Resources Information Center

    Arai, Manabu; van Gompel, Roger P. G.; Scheepers, Cristoph

    2007-01-01

    Many studies have shown evidence for syntactic priming during language production (e.g., Bock, 1986). It is often assumed that comprehension and production share similar mechanisms and that priming also occurs during comprehension (e.g., Pickering & Garrod, 2004). Research investigating priming during comprehension (e.g., Branigan et al., 2005 and…

  15. The comprehensive peptaibiotics database.

    PubMed

    Stoppacher, Norbert; Neumann, Nora K N; Burgstaller, Lukas; Zeilinger, Susanne; Degenkolb, Thomas; Brückner, Hans; Schuhmacher, Rainer

    2013-05-01

    Peptaibiotics are nonribosomally biosynthesized peptides, which - according to definition - contain the marker amino acid α-aminoisobutyric acid (Aib) and possess antibiotic properties. Being known since 1958, a constantly increasing number of peptaibiotics have been described and investigated with a particular emphasis on hypocrealean fungi. Starting from the existing online 'Peptaibol Database', first published in 1997, an exhaustive literature survey of all known peptaibiotics was carried out and resulted in a list of 1043 peptaibiotics. The gathered information was compiled and used to create the new 'The Comprehensive Peptaibiotics Database', which is presented here. The database was devised as a software tool based on Microsoft (MS) Access. It is freely available from the internet at http://peptaibiotics-database.boku.ac.at and can easily be installed and operated on any computer offering a Windows XP/7 environment. It provides useful information on characteristic properties of the peptaibiotics included such as peptide category, group name of the microheterogeneous mixture to which the peptide belongs, amino acid sequence, sequence length, producing fungus, peptide subfamily, molecular formula, and monoisotopic mass. All these characteristics can be used and combined for automated search within the database, which makes The Comprehensive Peptaibiotics Database a versatile tool for the retrieval of valuable information about peptaibiotics. Sequence data have been considered as to December 14, 2012.

  16. Comprehensive Performance Nutrition for Special Operations Forces.

    PubMed

    Daigle, Karen A; Logan, Christi M; Kotwal, Russ S

    2015-01-01

    Special Operations Forces (SOF) training, combat, and contingency operations are unique and demanding. Performance nutrition within the Department of Defense has emphasized that nutrition is relative to factors related to the desired outcome, which includes successful performance of mentally and physically demanding operations and missions of tactical and strategic importance, as well as nonoperational assignments. Discussed are operational, nonoperational, and patient categories that require different nutrition strategies to facilitate category-specific performance outcomes. Also presented are 10 major guidelines for a SOF comprehensive performance nutrition program, practical nutrition recommendations for Special Operators and medical providers, as well as resources for dietary supplement evaluation. Foundational health concepts, medical treatment, and task-specific performance factors should be considered when developing and systematically implementing a comprehensive SOF performance nutrition program. When tailored to organizational requirements, SOF unit- and culture-specific nutrition education and services can optimize individual Special Operator performance, overall unit readiness, and ultimately, mission success. 2015.

  17. Building Comprehensive Strategies for Obstetric Safety: Simulation Drills and Communication.

    PubMed

    Austin, Naola; Goldhaber-Fiebert, Sara; Daniels, Kay; Arafeh, Julie; Grenon, Veronique; Welle, Dana; Lipman, Steven

    2016-11-01

    As pioneers in the field of patient safety, anesthesiologists are uniquely suited to help develop and implement safety strategies to minimize preventable harm on the labor and delivery unit. Most existing obstetric safety strategies are not comprehensive, lack input from anesthesiologists, are designed with a relatively narrow focus, or lack implementation details to allow customization for different units. This article attempts to address these gaps and build more comprehensive strategies by discussing the available evidence and multidisciplinary authors' local experience with obstetric simulation drills and optimization of team communication.

  18. Implementation Strategy

    NASA Technical Reports Server (NTRS)

    1983-01-01

    Meeting the identified needs of Earth science requires approaching EOS as an information system and not simply as one or more satellites with instruments. Six elements of strategy are outlined as follows: implementation of the individual discipline missions as currently planned; use of sustained observational capabilities offered by operational satellites without waiting for the launch of new mission; put first priority on the data system; deploy an Advanced Data Collection and Location System; put a substantial new observing capability in a low Earth orbit in such a way as to provide for sustained measurements; and group instruments to exploit their capabilities for synergism; maximize the scientific utility of the mission; and minimize the costs of implementation where possible.

  19. The Validity of Reading Comprehension Rate: Reading Speed, Comprehension, and Comprehension Rates

    ERIC Educational Resources Information Center

    Skinner, Christopher H.; Williams, Jacqueline L.; Morrow, Jennifer Ann; Hale, Andre D.; Neddenriep, Christine E.; Hawkins, Renee O.

    2009-01-01

    This article describes a secondary analysis of a brief reading comprehension rate measure, percent comprehension questions correct per minute spent reading (%C/M). This measure includes reading speed (seconds to read) in the denominator and percentage of comprehension questions answered correctly in the numerator. Participants were 22 4th-, 29…

  20. Kenya Comprehensive School Health Policy: Lessons from a Pilot Program

    PubMed Central

    Ojeny, Betty; Oluoch, Gordon; Okech, Ben

    2014-01-01

    The study assessed the implementation of Kenya comprehensive school health pilot intervention program. This pilot program has informed the Kenya Comprehensive School Health Policy which is a critical document in the achievement of Millennium Development Goals relating to child health, gender equality, universal education and environmental sustainability. The study was based on focus group discussions, field observations and in-depth interviews with government officers who implemented the pilot program. The findings were categorized into implementation process, what is working well, what is not working well and lessons learned. During the course of the study, it was noted that involvement of all stakeholders enhances program ownership and sustainability but if they are not well coordinated or where supportive supervision and monitoring is not carried out, then some components of the comprehensive school health program may not be sustainable. We learnt that comprehensive school health program increases students’ enrolment, attendance and retention, factors that are very important in a country’s human resources development. The study has shown that although the formulation of a policy may be participatory and bottom-top, the implementation requires allocation of enough resources and coordination to bridge the gap between policy formulation and implementation. PMID:28299114

  1. Comprehensive Gerontological Development

    PubMed Central

    Martínez-Maldonado, María de la Luz; Vivaldo-Martínez, Marissa; Mendoza-Núñez, Víctor Manuel

    2016-01-01

    Human aging can only be understood within its social and historical contexts. It is largely determined by the complex interrelation of biological, cultural, social, political, and economic factors. Furthermore, the phenomenon of population aging can be considered as a social and economic burden or as an invaluable social asset if understood within the perspective of the enormous potential of our aging populations. This article is based on the tenet that aging can be an enriching and productive stage marked by a lifelong process of personal growth and development. That is, in our perspective, ageing should become a process oriented toward the improvement and promotion of the individual’s physical, psychological, and social potentialities to achieve the highest quality of life. The purpose of this article is to introduce the concept and practice of Comprehensive Gerontological Development that underlie current research at the Gerontological Research Unit of the Zaragoza Campus of the National Autonomous University of Mexico. PMID:28913371

  2. Comprehension of discharge instructions.

    PubMed

    Gilboy, Nicki; Howard, Patricia Kunz

    2009-01-01

    The Research to Practice column attempts to serve two purposes: (1) fine-tune the research critique skills of advanced practice nurses and (2) suggest strategies to translate findings from a research study into bedside practice. For each column, a topic and a particular research study are selected. The stage is set by introducing the importance of the topic. The research paper is then reviewed and critiqued, and finally, the implications for translation into practice are discussed. This particular column reviews the article: Engel, K., Heisler, M., Smith, D., Robinson, C., Forman, J., & Ubel, P. (in press). Patient comprehension of emergency department care and instructions: Are patients aware of when they do not understand? Annals of Emergency Medicine.

  3. Lessons Learned from a Tiered Service Delivery Implementation Project

    ERIC Educational Resources Information Center

    Johnson, Evelyn S.; Pool, Juli L.; Carter, Deborah R.

    2012-01-01

    Tiered models of service delivery for both academics and behavior are being increasingly adopted across the nation, and discussions of how to implement these models effectively and simultaneously are growing. In this article, the authors share some lessons learned from a 2-year implementation project to implement a comprehensive (both academic and…

  4. Comprehensive Water-Efficiency Solutions

    SciTech Connect

    McMordie Stoughton, Kate

    2015-07-15

    Energy performance contracts can be an effective way to integrate comprehensive water-efficient technologies and solutions into energy efficiency projects. Current practices often miss key opportunities to incorporate a full suite of water measures primarily because a comprehensive approach is not taken in the assessment. This article provides information on how to develop a comprehensive water project that leads to innovative solutions and potential for large water reduction.

  5. Comprehensive eye evaluation algorithm

    NASA Astrophysics Data System (ADS)

    Agurto, C.; Nemeth, S.; Zamora, G.; Vahtel, M.; Soliz, P.; Barriga, S.

    2016-03-01

    In recent years, several research groups have developed automatic algorithms to detect diabetic retinopathy (DR) in individuals with diabetes (DM), using digital retinal images. Studies have indicated that diabetics have 1.5 times the annual risk of developing primary open angle glaucoma (POAG) as do people without DM. Moreover, DM patients have 1.8 times the risk for age-related macular degeneration (AMD). Although numerous investigators are developing automatic DR detection algorithms, there have been few successful efforts to create an automatic algorithm that can detect other ocular diseases, such as POAG and AMD. Consequently, our aim in the current study was to develop a comprehensive eye evaluation algorithm that not only detects DR in retinal images, but also automatically identifies glaucoma suspects and AMD by integrating other personal medical information with the retinal features. The proposed system is fully automatic and provides the likelihood of each of the three eye disease. The system was evaluated in two datasets of 104 and 88 diabetic cases. For each eye, we used two non-mydriatic digital color fundus photographs (macula and optic disc centered) and, when available, information about age, duration of diabetes, cataracts, hypertension, gender, and laboratory data. Our results show that the combination of multimodal features can increase the AUC by up to 5%, 7%, and 8% in the detection of AMD, DR, and glaucoma respectively. Marked improvement was achieved when laboratory results were combined with retinal image features.

  6. Comprehensive facilities plan

    SciTech Connect

    1997-09-01

    The Ernest Orlando Lawrence Berkeley National Laboratory`s Comprehensive Facilities Plan (CFP) document provides analysis and policy guidance for the effective use and orderly future development of land and capital assets at the Berkeley Lab site. The CFP directly supports Berkeley Lab`s role as a multiprogram national laboratory operated by the University of California (UC) for the Department of Energy (DOE). The CFP is revised annually on Berkeley Lab`s Facilities Planning Website. Major revisions are consistent with DOE policy and review guidance. Facilities planing is motivated by the need to develop facilities for DOE programmatic needs; to maintain, replace and rehabilitate existing obsolete facilities; to identify sites for anticipated programmatic growth; and to establish a planning framework in recognition of site amenities and the surrounding community. The CFP presents a concise expression of the policy for the future physical development of the Laboratory, based upon anticipated operational needs of research programs and the environmental setting. It is a product of the ongoing planning processes and is a dynamic information source.

  7. Comprehensiveness of Career Planning: The Third C--Comprehensiveness.

    ERIC Educational Resources Information Center

    Carr, James V.

    1996-01-01

    To be comprehensive, a career guidance program must acknowledge a broader meaning of career. Attributes of comprehensive programs include a structured career planning process, activities at all levels K-adult, adequate support information, a documented plan for each participant, ongoing plan revision, equity, subjective and objective assessment…

  8. Adoption of Comprehensive School Physical Activity Programs: A Literature Review

    ERIC Educational Resources Information Center

    Hunt, Kari; Metzler, Michael

    2017-01-01

    Recent research has provided preliminary insight into the implementation of Comprehensive School Physical Activity Program (CSPAP) components in P-12 schools, but additional empirical support is needed to establish the CSPAP model as a viable conceptual framework. The purpose of this review is to examine the extent to which the CSPAP framework is…

  9. Improving Reading Comprehension and Social Studies Knowledge in Middle School

    ERIC Educational Resources Information Center

    Vaughn, Sharon; Swanson, Elizabeth A.; Roberts, Greg; Wanzek, Jeanne; Stillman-Spisak, Stephanie J.; Solis, Michael; Simmons, Deborah

    2013-01-01

    This study aimed to determine the efficacy of a content acquisition and reading comprehension treatment implemented by eighth-grade social studies teachers. Using a within-teacher design, the eighth-grade teachers' social studies classes were randomly assigned to treatment or comparison conditions. Teachers (n = 5) taught the same instructional…

  10. The Soldier Fitness Tracker: Global Delivery of Comprehensive Soldier Fitness

    ERIC Educational Resources Information Center

    Fravell, Mike; Nasser, Katherine; Cornum, Rhonda

    2011-01-01

    Carefully implemented technology strategies are vital to the success of large-scale initiatives such as the U.S. Army's Comprehensive Soldier Fitness (CSF) program. Achieving the U.S. Army's vision for CSF required a robust information technology platform that was scaled to millions of users and that leveraged the Internet to enable global reach.…

  11. Improving Reading Comprehension and Social Studies Knowledge in Middle School

    ERIC Educational Resources Information Center

    Vaughn, Sharon; Swanson, Elizabeth A.; Roberts, Greg; Wanzek, Jeanne; Stillman-Spisak, Stephanie J.; Solis, Michael; Simmons, Deborah

    2013-01-01

    This study aimed to determine the efficacy of a content acquisition and reading comprehension treatment implemented by eighth-grade social studies teachers. Using a within-teacher design, the eighth-grade teachers' social studies classes were randomly assigned to treatment or comparison conditions. Teachers (n = 5) taught the same instructional…

  12. The Soldier Fitness Tracker: Global Delivery of Comprehensive Soldier Fitness

    ERIC Educational Resources Information Center

    Fravell, Mike; Nasser, Katherine; Cornum, Rhonda

    2011-01-01

    Carefully implemented technology strategies are vital to the success of large-scale initiatives such as the U.S. Army's Comprehensive Soldier Fitness (CSF) program. Achieving the U.S. Army's vision for CSF required a robust information technology platform that was scaled to millions of users and that leveraged the Internet to enable global reach.…

  13. Developing a Model of Teaching Reading Comprehension for EFL Students

    ERIC Educational Resources Information Center

    Hamra, Arifuddin; Syatriana, Eny

    2010-01-01

    This study aimed at designing a model of teaching reading comprehension based on the objectives of teaching reading at the senior high school and the teachers' understanding of the school curriculum and to describe the implementation of the model. The subject consisted of 24 teachers, 167 students of five SMAs (senior high schools) in South…

  14. On-Line Quizzes to Evaluate Comprehension and Integration Skills

    ERIC Educational Resources Information Center

    Badia Valiente, José David; Olmo Cazevieille, Françoise; Navarro Jover, José Manuel

    2016-01-01

    This work demonstrates the use of a 2.0 tool, namely, Socrative, to evaluate one of the cross-curricular competences indicated by the Universitat Politècnica de València, specifically, comprehension and integration. It has been applied to the courses in different areas: sciences, engineering and languages. As part of its implementation, activities…

  15. Transforming Reading Comprehension Instruction through Student Conferencing and Teacher Journaling

    ERIC Educational Resources Information Center

    Costello, David

    2014-01-01

    When I was asked to teach the entire literacy curriculum to my grade six students in only five months, I implemented reading conferences as an instructional practice to deepen students' reading comprehension. Classroom events related to reading conferences, student decision-making, and instructional planning were recorded in a journal. This…

  16. Fostering EFL Learners' Reading Comprehension: Animation Film Technique

    ERIC Educational Resources Information Center

    Torabian, Asefeh; Tajadini, Massoud

    2017-01-01

    The current study investigated the effect of implementing animation films on developing reading comprehension texts among EFL learners of a language institute in Kerman. For this purpose, two groups of pre-intermediate EFL learners were chosen (30 participants in each group). After three months of instruction, twice a week, 2story books named the…

  17. Advancing Adolescent Literacy: Pennsylvania's Keystones to Opportunity Comprehensive Literacy Program

    ERIC Educational Resources Information Center

    Haynes, Mariana

    2014-01-01

    As one of only six states receiving a federal Striving Readers Comprehensive Literacy grant, Pennsylvania has designed and implemented an innovative program that focuses on improved instruction and interventions to ensure every student is literate and graduates from high school ready for college and a career. This report describes Pennsylvania's…

  18. Using Professional Learning Communities to Bolster Comprehension Instruction

    ERIC Educational Resources Information Center

    Dougherty Stahl, Katherine A.

    2015-01-01

    High-level comprehension instruction is the focus of the Common Core State Standards in English Language Arts. However, it has been a challenge for states to provide the professional development (PD) needed to support teachers' implementation of the CCSS. Professional learning communities (PLC) are a means of providing school-embedded PD to…

  19. A Comprehensive Approach to Drug-Free Schools and Communities.

    ERIC Educational Resources Information Center

    Fox, C. Lynn; And Others

    1988-01-01

    An effective implementation program to achieve drug-free schools and communities meets the needs of students at various stages of drug use and abuse. Prevention, early intervention, and referral strategies are components of the five-phase research based comprehensive planning approach for K-12 students described in this article. (IAH)

  20. Using Professional Learning Communities to Bolster Comprehension Instruction

    ERIC Educational Resources Information Center

    Dougherty Stahl, Katherine A.

    2015-01-01

    High-level comprehension instruction is the focus of the Common Core State Standards in English Language Arts. However, it has been a challenge for states to provide the professional development (PD) needed to support teachers' implementation of the CCSS. Professional learning communities (PLC) are a means of providing school-embedded PD to…

  1. Comprehensive School Physical Activity Programs in Middle Schools

    ERIC Educational Resources Information Center

    Beddoes, Zack; Castelli, Darla M.

    2017-01-01

    Physical activity declines among children in their tweens and teens. To address physical inactivity as a health risk, national organizations are endorsing the implementation of comprehensive school physical activity programs (CSPAPs). The purpose of this article is to describe the history of school-coordinated approaches to addressing health…

  2. The Comprehensive Competencies Program Reference Manual. Volume I. Introduction.

    ERIC Educational Resources Information Center

    Taggart, Robert

    Chapter 1 of this reference manual is a summary of the comprehensive competencies program (CCP). It describes this system for organizing, implementing, managing, and efficiently delivering individualized self-paced instruction, combined with group and experience-based learning activities, using computer-assisted instruction. (The CCP covers not…

  3. Transforming Reading Comprehension Instruction through Student Conferencing and Teacher Journaling

    ERIC Educational Resources Information Center

    Costello, David

    2014-01-01

    When I was asked to teach the entire literacy curriculum to my grade six students in only five months, I implemented reading conferences as an instructional practice to deepen students' reading comprehension. Classroom events related to reading conferences, student decision-making, and instructional planning were recorded in a journal. This…

  4. Teaching Expository Comprehension Skills in Early Childhood Classrooms

    ERIC Educational Resources Information Center

    Culatta, Barbara; Hall-Kenyon, Kendra M.; Black, Sharon

    2010-01-01

    Purpose: This pilot project implemented and evaluated a theme-based unit designed to teach expository comprehension skills to young children in four preschool classrooms. Method: The program and the unit were collaborative efforts of speech-language pathologists (SLPs) and early childhood educators. Within topically related units, 71 children ages…

  5. A Process Evaluation of a Comprehensive Drug Education Training Package.

    ERIC Educational Resources Information Center

    Dewit, David J.; And Others

    1996-01-01

    Examined effects of a comprehensive drug education training package on the planning, development, and implementation of drug education lessons. Results based on 205 teacher questionnaires indicate a high approval rating. A majority of teachers reported that they would recommend the program to their colleagues; one-quarter reported using it to…

  6. Advancing Adolescent Literacy: Pennsylvania's Keystones to Opportunity Comprehensive Literacy Program

    ERIC Educational Resources Information Center

    Haynes, Mariana

    2014-01-01

    As one of only six states receiving a federal Striving Readers Comprehensive Literacy grant, Pennsylvania has designed and implemented an innovative program that focuses on improved instruction and interventions to ensure every student is literate and graduates from high school ready for college and a career. This report describes Pennsylvania's…

  7. Developing a Model of Teaching Reading Comprehension for EFL Students

    ERIC Educational Resources Information Center

    Hamra, Arifuddin; Syatriana, Eny

    2010-01-01

    This study aimed at designing a model of teaching reading comprehension based on the objectives of teaching reading at the senior high school and the teachers' understanding of the school curriculum and to describe the implementation of the model. The subject consisted of 24 teachers, 167 students of five SMAs (senior high schools) in South…

  8. Comprehensive Analysis: A Holistic Approach to Program Review.

    ERIC Educational Resources Information Center

    Messina, Robert C.; Fagans, Alice C.

    In response to problems with the cyclical model of program review and reduced state and county funding, Burlington County College (BCC), in New Jersey, implemented a comprehensive analysis process to holistically assess program performance and resource allocation. First, program review goals were established and the major programs/services at BCC…

  9. 77 FR 42192 - Fisheries of the Caribbean, Gulf of Mexico, and South Atlantic; Comprehensive Annual Catch Limit...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-18

    ..., Gulf of Mexico, and South Atlantic; Comprehensive Annual Catch Limit Amendment Supplement AGENCY... implementing the Comprehensive Annual Catch Limit Amendment (Comprehensive ACL Amendment) for the Fishery... Amendment specified, in part, annual catch limits (ACLs) and accountability measures (AMs) for species in...

  10. 76 FR 69230 - Fisheries of the Caribbean, Gulf of Mexico, and South Atlantic; Comprehensive Ecosystem-Based...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-08

    ..., Gulf of Mexico, and South Atlantic; Comprehensive Ecosystem-Based Amendment 2 for the South Atlantic... Comprehensive Ecosystem-Based Amendment 2 (CE-BA 2) to implement the following South Atlantic fishery management... coral HAPCs (CHAPCs) as EFH-HAPCs. ] These CHAPCs were established under the Comprehensive Ecosystem...

  11. NRC comprehensive records disposition schedule. Revision 3

    SciTech Connect

    1998-02-01

    Title 44 US Code, ``Public Printing and Documents,`` regulations issued by the General Service Administration (GSA) in 41 CFR Chapter 101, Subchapter B, ``Management and Use of Information and Records,`` and regulations issued by the National Archives and Records Administration (NARA) in 36 CFR Chapter 12, Subchapter B, ``Records Management,`` require each agency to prepare and issue a comprehensive records disposition schedule that contains the NARA approved records disposition schedules for records unique to the agency and contains the NARA`s General Records Schedules for records common to several or all agencies. The approved records disposition schedules specify the appropriate duration of retention and the final disposition for records created or maintained by the NRC. NUREG-0910, Rev. 3, contains ``NRC`s Comprehensive Records Disposition Schedule,`` and the original authorized approved citation numbers issued by NARA. Rev. 3 incorporates NARA approved changes and additions to the NRC schedules that have been implemented since the last revision dated March, 1992, reflects recent organizational changes implemented at the NRC, and includes the latest version of NARA`s General Records Schedule (dated August 1995).

  12. Building Bridges: A Comprehensive System for Healthy Development and School Readiness. Building State Early Childhood Comprehensive Systems Series, Number 1

    ERIC Educational Resources Information Center

    Halfon, Neal; Uyeda, Kimberly; Inkelas, Moira; Rice, Thomas

    2004-01-01

    This report is designed to support the planning and implementation of the Maternal and Child Health Bureau (MCHB) State Early Childhood Comprehensive Systems (SECCS) Initiative. It addresses a set of principles that these agencies can use to advance their planning process, reach out to new partners, develop collaborative strategies, and build a…

  13. Pragmatic Comprehension Development through Telecollaboration

    ERIC Educational Resources Information Center

    Rafieyan, Vahid; Sharafi-Nejad, Maryam; Khavari, Zahra; Eng, Lin Siew; Mohamed, Abdul Rashid

    2014-01-01

    Pragmatic comprehension can be ideally developed through contact with target language speakers. This contact can be provided in English as Foreign Language contexts through telecollaboration. To test the actual effect of telecollaboration on the development of pragmatic comprehension, 30 Iranian undergraduates of English as a Foreign Language…

  14. Listening Comprehension: The Learners' Perspective

    ERIC Educational Resources Information Center

    Graham, Suzanne

    2006-01-01

    This paper reports on the findings of an investigation into the perceptions held by English students aged 16-18 years regarding listening comprehension in French and how they view the reasons behind their success or lack of it in this skill. The study suggests that listening comprehension is the skill in which students in the post-compulsory phase…

  15. Principles for Classroom Comprehension Assessment.

    ERIC Educational Resources Information Center

    Valencia, Sheila W.; Pearson, P. David

    1988-01-01

    Principles that should guide reading comprehension assessment include acknowledging the complexity of reading, focusing on orchestrating rather than isolating skills, regarding reading as a dynamic process, developing techniques that encourage student-teacher interactions, and using a variety of reading comprehension measures. The principles are…

  16. Reading Comprehension Strategy: Rainbow Dots

    ERIC Educational Resources Information Center

    Moore, Claire; Lo, Lusa

    2008-01-01

    An action research study was conducted using the Rainbow Dots strategy to evaluate its effectiveness on reading comprehension skills in a third-grade class with students both with and without a specific learning disability. Results of the study indicated that students' overall performances in reading comprehension have increased. Students also…

  17. Learning to Teach Listening Comprehension.

    ERIC Educational Resources Information Center

    Tinkler, Trevor

    This article describes a course in listening comprehension methodology in a College of Education in Holland. The main concern of the article is to examine the teacher-trainer's organization of the students' learning process. The course is divided into three sections: (1) group discussion of the concept of listening comprehension; (2) discussion of…

  18. Reading Strategies and Hypertext Comprehension

    ERIC Educational Resources Information Center

    Salmeron, Ladislao, Canas, Jose J.; Kintsch, Walter; Fajardo, Immaculada

    2005-01-01

    The literature on assessing the cognitive processes involved in hypertext comprehension during the past 15 years has yielded contradictory results. In this article we explore a possible factor affecting this situation, mainly the fact that previous works did not control for the potential effects on comprehension of reading strategies in hypertext.…

  19. Reading comprehension in Parkinson's disease.

    PubMed

    Murray, Laura L; Rutledge, Stefanie

    2014-05-01

    Although individuals with Parkinson's disease (PD) self-report reading problems and experience difficulties in cognitive-linguistic functions that support discourse-level reading, prior research has primarily focused on sentence-level processing and auditory comprehension. Accordingly, the authors investigated the presence and nature of reading comprehension in PD, hypothesizing that (a) individuals with PD would display impaired accuracy and/or speed on reading comprehension tests and (b) reading performances would be correlated with cognitive test results. Eleven adults with PD and 9 age- and education-matched control participants completed tests that evaluated reading comprehension; general language and cognitive abilities; and aspects of attention, memory, and executive functioning. The PD group obtained significantly lower scores on several, but not all, reading comprehension, language, and cognitive measures. Memory, language, and disease severity were significantly correlated with reading comprehension for the PD group. Individuals in the early stages of PD without dementia or broad cognitive deficits can display reading comprehension difficulties, particularly for high- versus basic-level reading tasks. These reading difficulties are most closely related to memory, high-level language, and PD symptom severity status. The findings warrant additional research to delineate further the types and nature of reading comprehension impairments experienced by individuals with PD.

  20. The Challenges Facing Comprehensive Schools

    ERIC Educational Resources Information Center

    Chitty, Clyde

    2005-01-01

    This article is an edited version of a talk written for delivery at a conference organized to celebrate 50 years of Kidbrooke Comprehensive School with the overall theme "The Comprehensive Ideal: Taking It Beyond the Individual School." Having honored the pioneering work at Kidbrooke, Clyde Chitty then takes a close look at three key issues: the…

  1. Expectation-Based Syntactic Comprehension

    ERIC Educational Resources Information Center

    Levy, Roger

    2008-01-01

    This paper investigates the role of resource allocation as a source of processing difficulty in human sentence comprehension. The paper proposes a simple information-theoretic characterization of processing difficulty as the work incurred by resource reallocation during parallel, incremental, probabilistic disambiguation in sentence comprehension,…

  2. Artificial Intelligence and Language Comprehension.

    ERIC Educational Resources Information Center

    National Inst. of Education (DHEW), Washington, DC. Basic Skills Group. Learning Div.

    The three papers in this volume concerning artificial intelligence and language comprehension were commissioned by the National Institute of Education to further the understanding of the cognitive processes that enable people to comprehend what they read. The first paper, "Artificial Intelligence and Language Comprehension," by Terry Winograd,…

  3. Comprehensive Guidance Programs That Work.

    ERIC Educational Resources Information Center

    Gysbers, Norman C.; And Others

    This monograph describes how the comprehensive guidance model is transforming elementary-secondary school guidance and counseling programs in schools across the country. It incorporates the ideas and experiences of 12 guidance program developers in the actual use of the comprehensive guidance model in diverse school and cultural settings. The book…

  4. Reading Comprehension Strategy: Rainbow Dots

    ERIC Educational Resources Information Center

    Moore, Claire; Lo, Lusa

    2008-01-01

    An action research study was conducted using the Rainbow Dots strategy to evaluate its effectiveness on reading comprehension skills in a third-grade class with students both with and without a specific learning disability. Results of the study indicated that students' overall performances in reading comprehension have increased. Students also…

  5. Basic Chad Arabic: Comprehension Texts.

    ERIC Educational Resources Information Center

    Absi, Samir Abu; Sinaud, Andre

    This text, principally designed for use in a three-volume course on Chad Arabic, complements the pre-speech and active phases of the course in that it provides the answers to comprehension exercises students are required to complete during the course. The comprehension exercises require that students listen to an instructor or tape and write…

  6. Comprehension of contrastive stress by Broca's aphasics.

    PubMed

    Avrutin, S; Lubarsky, S; Greene, J

    1999-11-01

    Comprehension of stress as a determiner of reference for pronouns was compared in eight patients with Broca's aphasia (BA) and five age-matched control subjects. The subjects were asked to listen to sentences in which the stressed or unstressed condition of the pronoun was a critical criterion for the establishment of reference. For each sentence, subjects were shown three pictures and asked to point to the correct referent of the pronoun. While the controls were nearly perfect in both the stressed and unstressed conditions, BA patients were significantly worse than normals, showing chance performance in both cases. However, a significant disparity was found in the BA patients' selection of the object NP as the referent under stressed and unstressed conditions, indicating that BA subjects are, indeed, sensitive to the stress patterns of pronouns. It was thus hypothesized that the BA patients' chance performance was the result of an inability to implement their knowledge of stress during the processing of sentences involving discourse-related linguistic operations, such as the establishment of pronoun reference (Grodzinsky, Wexler, Chien, Marakovitz, & Solomon, 1993). To test this hypothesis, a second experiment was conducted in which discourse-related operations were eliminated. In this second experiment, comprehension of stress by the same two groups was compared in tasks involving purely morphosyntactic processes. The contrastive stress patterns of otherwise homophonous compound nouns and adjectival phrases (e.g., BLACKboard, black BOARD), rather than those of pronouns, were examined. In this grammatically "simpler" experiment (i.e., without discourse-related operations), BA subjects scored significantly above chance in their comprehension of sentences involving compound nouns; unexpectedly, however, these same subjects did not show significantly above-chance performance in their comprehension of sentences containing adjectival phrases. Nevertheless, the results

  7. Implementing Successful Enrollment Management: A Conceptual Framework and Two Examples.

    ERIC Educational Resources Information Center

    Clagett, Craig A.

    Successful enrollment management depends on an information base that is comprehensive, targeted, and continuously updated to inform enrollment management policies and monitor their effectiveness. Institutions implementing enrollment management programs need to establish an initial information infrastructure, including a longitudinal student…

  8. The Main Idea Strategy: A Strategy to Improve Reading Comprehension through Inferential Thinking

    ERIC Educational Resources Information Center

    Boudah, Daniel J.

    2014-01-01

    This article introduces the Main Idea Strategy, a strategy to improve the performance of students with disabilities and students who perform poorly on reading comprehension tasks. The rationale, research background, and detailed implementation information are presented.

  9. Using Questioning Techniques and the Cloze Procedure in a Second Grade Classroom To Increase Reading Comprehension.

    ERIC Educational Resources Information Center

    Kelty, Carole L.

    This practicum program was developed and implemented to increase the reading comprehension of second grade students. The objectives of the program were for students to improve the ability to use context clues by 20%, improve reading comprehension by 15%, identify the 4 types of QAR (Question Answer Relationship) questions by 80%, and write…

  10. The Effect of Project-Based Activities on Intermediate EFL Students' Reading Comprehension Ability

    ERIC Educational Resources Information Center

    Shiraz, Mona Poorverdi; Larsari, Ebrahim Ezati

    2014-01-01

    The present study investigates the relationship between the use of Project-based activities and intermediate EFL students' reading comprehension. The study addresses the questions of whether students' reading comprehension differs after implementing Project-based activities, and whether different projects lead to different degrees of reading…

  11. Teachers' Specialized Knowledge for Supporting Student Comprehension in Text-Based Discussions

    ERIC Educational Resources Information Center

    Kucan, Linda; Hapgood, Susanna; Palincsar, Annemarie Sullivan

    2011-01-01

    This article describes the development and initial implementation of the Comprehension and Learning from Text Survey (CoLTS), an instrument designed to assess teachers' specialized knowledge for comprehension instruction in the context of discussion. CoLTS is a paper-and-pencil test that engages teachers in analyzing a text to identify the most…

  12. Research on a Frame-Based Model of Reading Comprehension. Final Report.

    ERIC Educational Resources Information Center

    Goldstein, Ira

    This report summarizes computational investigations of language comprehension based on Marvin Minsky's theory of frames, a recent advance in artifical intelligence theories about the representation of knowledge. The investigations discussed explored frame theory as a basis for text comprehension by implementing models of the theory and developing…

  13. Boosting Student Achievement: The Effect of Comprehensive School Reform on Student Achievement

    ERIC Educational Resources Information Center

    Gross, Betheny; Booker, T. Kevin; Goldhaber, Dan

    2009-01-01

    Between the late 1980s and early 2000s, schools, districts, states, and the federal government devoted enormous resources to the implementation of Comprehensive School Reform (CSR) models. With more than 1.6 billion federal dollars distributed through the Comprehensive School Reform Demonstration (CSRD) project and its successor, the CSR project,…

  14. Comprehensive Institutional Planning in Two-Year Colleges: A Planning Process and Case Study.

    ERIC Educational Resources Information Center

    Van Ausdle, Steven L.

    This second of two monographs dealing with comprehensive institutional planning is directed at institutional representatives involved in the planning process at two-year colleges. It contains (1) information on a step-by-step approach to developing and implementing a comprehensive planning process (chapters 1-3) and (2) a case study of planning…

  15. Boosting Student Achievement: The Effect of Comprehensive School Reform on Student Achievement

    ERIC Educational Resources Information Center

    Gross, Betheny; Booker, T. Kevin; Goldhaber, Dan

    2009-01-01

    Between the late 1980s and early 2000s, schools, districts, states, and the federal government devoted enormous resources to the implementation of Comprehensive School Reform (CSR) models. With more than 1.6 billion federal dollars distributed through the Comprehensive School Reform Demonstration (CSRD) project and its successor, the CSR project,…

  16. Research on a Frame-Based Model of Reading Comprehension. Final Report.

    ERIC Educational Resources Information Center

    Goldstein, Ira

    This report summarizes computational investigations of language comprehension based on Marvin Minsky's theory of frames, a recent advance in artifical intelligence theories about the representation of knowledge. The investigations discussed explored frame theory as a basis for text comprehension by implementing models of the theory and developing…

  17. Two for One: Using QAR to Increase Reading Comprehension and Improve Test Scores

    ERIC Educational Resources Information Center

    Green, Susan

    2016-01-01

    This teaching tip describes an intervention used in a third-grade classroom implemented to help students pass an end-of-grade reading comprehension test. Low scores on a practice end-of-grade comprehension test prompted a re-examination of classroom reading instruction and a plan for intervention. This teaching tip describes the phases implemented…

  18. Two for One: Using QAR to Increase Reading Comprehension and Improve Test Scores

    ERIC Educational Resources Information Center

    Green, Susan

    2016-01-01

    This teaching tip describes an intervention used in a third-grade classroom implemented to help students pass an end-of-grade reading comprehension test. Low scores on a practice end-of-grade comprehension test prompted a re-examination of classroom reading instruction and a plan for intervention. This teaching tip describes the phases implemented…

  19. Enhancing Reading Comprehension with Student-Centered iPad Applications

    ERIC Educational Resources Information Center

    Moon, Andria L.; Wold, Cheryl M.; Francom, Gregory M.

    2017-01-01

    Reading comprehension, or understanding the author's message, is a critical component of teaching literacy (Hougen and Smartt 2012). Student-centered activities using the iPad with the goal of improving reading comprehension in a fifth-grade classroom were implemented for this action research study. University teacher candidates guided fifth-grade…

  20. Using Higher Order Cognitive Questions in the Primary Classroom To Improve Comprehension.

    ERIC Educational Resources Information Center

    Coolidge, Susan W.

    A teaching team leader and second grade teacher designed and implemented a 10-week practicum intervention meant to improve the inferential comprehension of 105 second graders whose reading scores on the Ginn Mastery Tests revealed a gap between inferential and literal comprehension. It was reasoned that the gap would decrease if teachers were…

  1. 33 CFR 385.9 - Implementation principles.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 3 2014-07-01 2014-07-01 false Implementation principles. 385.9 Section 385.9 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE PROGRAMMATIC REGULATIONS FOR THE COMPREHENSIVE EVERGLADES RESTORATION PLAN Program Goals and...

  2. 33 CFR 385.9 - Implementation principles.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 3 2013-07-01 2013-07-01 false Implementation principles. 385.9 Section 385.9 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE PROGRAMMATIC REGULATIONS FOR THE COMPREHENSIVE EVERGLADES RESTORATION PLAN Program Goals and...

  3. 33 CFR 385.9 - Implementation principles.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false Implementation principles. 385.9 Section 385.9 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE PROGRAMMATIC REGULATIONS FOR THE COMPREHENSIVE EVERGLADES RESTORATION PLAN Program Goals and...

  4. 33 CFR 385.9 - Implementation principles.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false Implementation principles. 385.9 Section 385.9 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE PROGRAMMATIC REGULATIONS FOR THE COMPREHENSIVE EVERGLADES RESTORATION PLAN Program Goals and...

  5. 33 CFR 385.9 - Implementation principles.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Implementation principles. 385.9 Section 385.9 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE PROGRAMMATIC REGULATIONS FOR THE COMPREHENSIVE EVERGLADES RESTORATION PLAN Program Goals and...

  6. Collaborative Strategic Reading: Findings from Experienced Implementers

    ERIC Educational Resources Information Center

    Vaughn, Sharon; Roberts, Greg; Klingner, Janette K.; Swanson, Elizabeth A.; Boardman, Alison; Stillman-Spisak, Stephanie J.; Mohammed, Sarojani S.; Leroux, Audrey J.

    2013-01-01

    This study examined the effects and fidelity of collaborative strategic reading (CSR) implemented by experienced CSR teachers (participated in previous study; Vaughn et al., 2011) on the reading comprehension outcomes of students in English/Language Arts (ELA) or Reading classes. Eligible teachers (12 of 17; others reassigned to teach…

  7. Standards Based Reform. Abbott Implementation Resource Guide

    ERIC Educational Resources Information Center

    Passantino, Claire; Kenyon, Susan

    2004-01-01

    The goal of this guide is to provide information, support and practical tools that may help educators design, implement, and evaluate their school's standards-based education program. In order to work, a comprehensive, standards-based educational program must, by definition, be the organizing structure upon which the school program operates.…

  8. Research and comprehensive cancer control coalitions.

    PubMed

    Vinson, Cynthia; La Porta, Madeline; Todd, William; Palafox, Neal A; Wilson, Katherine M; Fairley, Temeika

    2010-12-01

    The goal of cancer control research is "to generate basic knowledge about how to monitor and change individual and collective behavior and to ensure that knowledge is translated into practice and policy rapidly, effectively, and efficiently" (Division of Cancer Control and Population Sciences in Cancer control framework and synthese rationale, 2010). Research activities span the cancer control continuum from prevention to early detection and diagnosis through treatment and survivorship (Division of Cancer Control and Population Sciences in Cancer control framework and synthese rationale, 2010). While significant advancements have been made in understanding, preventing and treating cancer in the past few decades, these benefits have yielded disproportionate results in cancer morbidity and mortality across various socioeconomic and racial/ethnic subgroups (Ozols et al in J Clin Oncol, 25(1):146-1622, 2007). It has been a high priority since the beginning of the Comprehensive Cancer Control (CCC) movement to utilize research in the development and implementation of cancer plans in the states, tribes and tribal organizations, territories and US Pacific Island Jurisdictions. Nevertheless, dissemination and implementation of research in coalition activities has been challenging for many programs. Lessons learned from programs and coalitions in the implementation and evaluation of CCC activities, as well as resources provided by national partners, can assist coalitions with the translation of research into practice.

  9. Developing a comprehensive definition of sustainability.

    PubMed

    Moore, Julia E; Mascarenhas, Alekhya; Bain, Julie; Straus, Sharon E

    2017-09-02

    Understanding sustainability is one of the significant implementation science challenges. One of the big challenges in researching sustainability is the lack of consistent definitions in the literature. Most implementation studies do not present a definition of sustainability, even when assessing sustainability. The aim of the current study was to systematically develop a comprehensive definition of sustainability based on definitions already used in the literature. We searched for knowledge syntheses of sustainability and abstracted sustainability definitions from the articles identified through any relevant systematic and scoping reviews. The constructs in the abstracted sustainability definitions were mapped to an existing definition. The comprehensive definition of sustainability was revised to include emerging constructs. We identified four knowledge syntheses of sustainability, which identified 209 original articles. Of the 209 articles, 24 (11.5%) included a definition of sustainability. These definitions were mapped to three constructs from an existing definition, and nine new constructs emerged. We reviewed all constructs and created a revised definition: (1) after a defined period of time, (2) a program, clinical intervention, and/or implementation strategies continue to be delivered and/or (3) individual behavior change (i.e., clinician, patient) is maintained; (4) the program and individual behavior change may evolve or adapt while (5) continuing to produce benefits for individuals/systems. All 24 definitions were remapped to the comprehensive definition (percent agreement among three coders was 94%). Of the 24 definitions, 17 described the continued delivery of a program (70.8%), 17 mentioned continued outcomes (70.8%), 13 mentioned time (54.2%), 8 addressed the individual maintenance of a behavior change (33.3%), and 6 described the evolution or adaptation (25.0%). We drew from over 200 studies to identify 24 existing definitions of sustainability

  10. Comprehensive Solutions for Urban Reform

    ERIC Educational Resources Information Center

    Kilgore, Sally

    2005-01-01

    The comprehensive school reform (CSR) models build consistency throughout a district while addressing the needs of individual schools. The high-quality CSR programs offer a most effective option for urban education reform.

  11. Comprehensive Solutions for Urban Reform

    ERIC Educational Resources Information Center

    Kilgore, Sally

    2005-01-01

    The comprehensive school reform (CSR) models build consistency throughout a district while addressing the needs of individual schools. The high-quality CSR programs offer a most effective option for urban education reform.

  12. Paraphrasing: An Effective Comprehension Strategy

    ERIC Educational Resources Information Center

    Kletzien, Sharon B.

    2009-01-01

    Paraphrasing, somewhat different from retelling and summarizing, helps students monitor their understanding and incorporate new knowledge with what they already know about a topic. Paraphrasing helps students realize that comprehension is the goal of reading.

  13. Enhancing Older Adults' Reading Comprehension.

    ERIC Educational Resources Information Center

    Kemper, Susan; And Others

    1993-01-01

    Investigates older adults' reading comprehension skills through syntactic measures and measures of sentence content. Analyzes the apparent reading difficulties of older adults. Provides guidelines for the preparation of prose materials for older readers. (HB)

  14. Toward a construct definition of informed consent comprehension.

    PubMed

    Buccini, Laura D; Caputi, Peter; Iverson, Don; Jones, Caroline

    2009-03-01

    VARIATION IN HOW INFORMED CONSENT comprehension tests have been developed may be largely due to the absence of a standardized construct definition. Developing a construct definition would provide a standardized framework for determining how an instrument should be constructed, implemented, interpreted, and applied. Therefore, we utilized the Delphi consensus approach with an international expert panel (N = 19) to gather knowledge, opinions and eventually consensus for a construct definition. Expert consensus was achieved after three revision cycles. While acknowledging that there are limitations to this study, it nonetheless should be considered as a step toward standardization of a construct definition of informed consent comprehension.

  15. Implementers' Perspectives on Fidelity of Implementation.

    PubMed

    Cutbush, Stacey; Gibbs, Deborah; Krieger, Kathleen; Clinton-Sherrod, Monique; Miller, Shari

    2017-03-01

    Fidelity of implementation is an essential factor in realizing outcomes of evidence-based interventions. Yet perspectives vary on the degree to which fidelity is necessary or desirable, implementers may receive limited guidance on fidelity, and research on implementers' understanding and operationalization of fidelity is lacking. We conducted key informant interviews with 20 individuals who implemented an evidence-based teen dating violence prevention curriculum in seven sites. Interviews addressed how implementers defined fidelity and the adaptations they made in implementing the curriculum. Although all implementers reported delivering the curriculum with fidelity, their definitions of fidelity varied. Most defined fidelity in terms of adherence to the published curriculum, although definitions sometimes allowed modifications of pedagogy or adding or subtracting materials. A smaller group of implementers defined fidelity in terms of their perceptions of the curriculum's core messages. All implementers described variations from the published curriculum, which were frequently inconsistent with their own definitions of fidelity. Implementers committed to the value of implementation with fidelity may need support in its definition and application. Developers can support implementers by communicating program theory in terms that implementers will understand, clarifying expectations for fidelity and allowable adaptations, and codifying lessons learned from previous implementation.

  16. A comprehensive plan for helicopter drag reduction

    NASA Technical Reports Server (NTRS)

    Williams, R. M.; Montana, P. S.

    1975-01-01

    Current helicopters have parasite drag levels 6 to 10 times as great as fixed wing aircraft. The commensurate poor cruise efficiency results in a substantial degradation of potential mission capability. The paper traces the origins of helicopter drag and shows that the problem (primarily due to bluff body flow separation) can be solved by the adoption of a comprehensive research and development plan. This plan, known as the Fuselage Design Methodology, comprises both nonaerodynamic and aerodynamic aspects. The aerodynamics are discussed in detail and experimental and analytical programs are described which will lead to a solution of the bluff body problem. Some recent results of work conducted at the Naval Ship Research and Development Center (NSRDC) are presented to illustrate these programs. It is concluded that a 75-per cent reduction of helicopter drag is possible by the full implementation of the Fuselage Design Methodology.

  17. A comprehensive survey of brane tilings

    NASA Astrophysics Data System (ADS)

    Franco, Sebastián; He, Yang-Hui; Sun, Chuang; Xiao, Yan

    2017-08-01

    An infinite class of 4d 𝒩 = 1 gauge theories can be engineered on the worldvolume of D3-branes probing toric Calabi-Yau 3-folds. This kind of setup has multiple applications, ranging from the gauge/gravity correspondence to local model building in string phenomenology. Brane tilings fully encode the gauge theories on the D3-branes and have substantially simplified their connection to the probed geometries. The purpose of this paper is to push the boundaries of computation and to produce as comprehensive a database of brane tilings as possible. We develop efficient implementations of brane tiling tools particularly suited for this search. We present the first complete classification of toric Calabi-Yau 3-folds with toric diagrams up to area 8 and the corresponding brane tilings. This classification is of interest to both physicists and mathematicians alike.

  18. Army Reserve Comprehensive Water Efficiency Assessments

    SciTech Connect

    McMordie Stoughton, Kate; Kearney, Jaime

    2015-04-14

    The Army Reserve has partnered with the Pacific Northwest National Laboratory (PNNL) to develop comprehensive water assessments for numerous Army Reserve Centers in all five regions including the Pacific islands and Puerto Rico, and at Fort Buchanan and Fort Hunter Liggett. The objective of these assessments is to quantify water use at the site, and identify innovative water efficiency projects that can be implemented to help reduce water demand and increase efficiency. Several of these assessments have focused on a strategic plan for achieving net zero water to help meet the Army’s Net Zero Directive . The Army Reserve has also leveraged this approach as part of the energy conservation investment program (ECIP), energy savings performance contracts (ESPCs), and utility energy service contracts (UESCs). This article documents the process involved.

  19. A comprehensive plan for helicopter drag reduction

    NASA Technical Reports Server (NTRS)

    Williams, R. M.; Montana, P. S.

    1975-01-01

    Current helicopters have parasite drag levels 6 to 10 times as great as fixed wing aircraft. The commensurate poor cruise efficiency results in a substantial degradation of potential mission capability. The paper traces the origins of helicopter drag and shows that the problem (primarily due to bluff body flow separation) can be solved by the adoption of a comprehensive research and development plan. This plan, known as the Fuselage Design Methodology, comprises both nonaerodynamic and aerodynamic aspects. The aerodynamics are discussed in detail and experimental and analytical programs are described which will lead to a solution of the bluff body problem. Some recent results of work conducted at the Naval Ship Research and Development Center (NSRDC) are presented to illustrate these programs. It is concluded that a 75-per cent reduction of helicopter drag is possible by the full implementation of the Fuselage Design Methodology.

  20. Why tackling MRSA needs a comprehensive approach.

    PubMed

    Fairclough, Sarah J

    Methicillin-resistant Staphylococcus aureus (MRSA) causes a fifth of hospital-acquired infections and many other bacteria now show increased resistance to antibacterials. In some parts of the world, community-associated MRSA infections cause a growing number of infections (Fridkin et al, 2005). Attempts to control the spread of MRSA rely on several factors: detecting and isolating infected or colonized patients (cordon sanitaire), rational antibiotic prescribing, hand hygiene and cleanliness. Nurses are key to implementing all of these measures. This article examines the epidemiology of MRSA, as exemplifying an antibiotic-resistant bacterium, and reviews the evidence for the various interventions. A single measure alone is unlikely to eradicate MRSA from either hospitals or the community; indeed, eradicating MRSA is probably impossible. However, a comprehensive approach, including, in particular, good hand hygiene, could reduce the morbidity and mortality arising from MRSA and other hospital-acquired infections.

  1. Comprehensive, integrated, remote sensing at DOE sites

    SciTech Connect

    Lackey, J.G.; Burson, Z.G.

    1984-01-01

    The Department of Energy has established a program called Comprehensive, Integrated Remote Sensing (CIRS). The overall objective is to provide a state-of-the-art data base of remotely sensed data for all users of such information at large DOE sites. The primary types of remote sensing provided consist of the following: (1) large format aerial photography; (2) video from aerial platforms; (3) multispectral scanning; and (4) airborne nuclear radiometric surveys. Implementation of the CIRS Program began with field operations at the Savannah River Plant in 1982 and is continuing at that DOE site at a level of effort of about $1.5 m per year. Integrated remote sensing studies were subsequently extended to the West Valley Demonstration Project in the summer and fall of 1984. It is expected that the Program will eventually be extended to cover all large DOE sites on a continuing basis. 2 figures.

  2. Lean in healthcare: A comprehensive review.

    PubMed

    D'Andreamatteo, Antonio; Ianni, Luca; Lega, Federico; Sargiacomo, Massimo

    2015-09-01

    Lean seems to be the next revolution for a better, improved, value-based healhcare. In the last 15 years Lean has been increasingly adapted and adopted in healthcare. Accordingly, Lean healthcare has been developing into a major strand of research since the early 2000s. The aim of this work is to present a comprehensive overview of the main issues highlighted by research on implementation of Lean in a complex contest such as the healthcare one. Comprehensive literature review was conducted in order to identify empirical and theoretical articles published up to September 2013. Thematic analysis was performed in order to extract and synthesis data. 243 articles were selected for analysis. Lean is best understood as a means to increase productivity. Hospital is the more explored setting, with emergency and surgery as the pioneer departments. USA appears to be the leading country for number of applications. The theoretical works have been focused mainly on barriers, challenges and success factors. Sustainability, framework for measurement and critical appraisal remain underestimated themes. Evaluations of "system wide approach" are still low in number. Even though Lean results appear to be promising, findings so far do not allow to draw a final word on its positive impacts or challenges when introduced in the healthcare sector. Scholars are called to explore further the potentiality and the weaknesses of Lean, above all as for the magnitude of investments required and for the engagement of the whole organization it represents increasingly strategic choice, whilst health professionals, managers and policy makers could and should learn from research how to play a pivotal role for a more effective implementation of lean in different health contexts. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  3. 20 CFR 627.904 - Transition and implementation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Transition and implementation. (a) Review. The Governor shall conduct a comprehensive review of the current policies, procedures, and delivery systems relating to programs authorized under the Job Training Partnership Act for the purpose of ensuring the effective implementation of the amendments. Such a...

  4. Career Academy Programs in California: Outcomes and Implementation. CPRC Report.

    ERIC Educational Resources Information Center

    Maxwell, Nan L.; Rubin, Victor

    The outcomes and implementation of career academy programs in California were examined in a study of one school district's efforts to implement a uniform career academy model in 1990-1996. A cohort of approximately 10,000 students who were sophomores in the district's comprehensive high schools between 1990 and 1993 were followed through high…

  5. Planning and Management. Career Education Dissemination Project. Implementation Booklet #7.

    ERIC Educational Resources Information Center

    Benson, Arland; Henriksen, Dorothy, Ed.

    Materials contained in this career education implementation booklet (one in a series of seven) are designed to provide experiences for developing the skills necessary to plan and manage a comprehensive career education program. This booklet focuses on the processes of planning and implementing and is closely related to Booklet #1, Consultation and…

  6. Evaluating School Readiness to Implement Positive Behavior Supports

    ERIC Educational Resources Information Center

    Robbins, Vestena; Collins, Kari; Liaupsin, Carl; Illback, Robert J.; Call, James

    2004-01-01

    One state's efforts to assess school readiness to implement a comprehensive mental health innovation are described. To determine the likelihood of achieving success with positive behavioral supports (PBS), a process to identify school buildings ready for planned organizational change was designed and implemented within a large-scale system of care…

  7. Implementing School-Based Management in Urban Settings.

    ERIC Educational Resources Information Center

    Perry, Carol Y.; Evans, William J.

    A study was done of the degree to which a program of comprehensive training in shared decision-making was implemented in Chicago (Illinois) Public Schools. Focus was on reliably measuring the implementation of shared decision-making processes and principles and identifying factors that might promote the adoption of this model at the local level.…

  8. PomBase: a comprehensive online resource for fission yeast.

    PubMed

    Wood, Valerie; Harris, Midori A; McDowall, Mark D; Rutherford, Kim; Vaughan, Brendan W; Staines, Daniel M; Aslett, Martin; Lock, Antonia; Bähler, Jürg; Kersey, Paul J; Oliver, Stephen G

    2012-01-01

    PomBase (www.pombase.org) is a new model organism database established to provide access to comprehensive, accurate, and up-to-date molecular data and biological information for the fission yeast Schizosaccharomyces pombe to effectively support both exploratory and hypothesis-driven research. PomBase encompasses annotation of genomic sequence and features, comprehensive manual literature curation and genome-wide data sets, and supports sophisticated user-defined queries. The implementation of PomBase integrates a Chado relational database that houses manually curated data with Ensembl software that supports sequence-based annotation and web access. PomBase will provide user-friendly tools to promote curation by experts within the fission yeast community. This will make a key contribution to shaping its content and ensuring its comprehensiveness and long-term relevance.

  9. Aligning Comprehensive School Counseling Programs and Positive Behavioral Interventions and Supports to Maximize School Counselors' Efforts

    ERIC Educational Resources Information Center

    Goodman-Scott, Emily; Betters-Bubon, Jennifer; Donohue, Peg

    2015-01-01

    School counselors are tasked with contributing to a safe and preventative school climate serving students' academic, career, and social/emotional needs through comprehensive school counseling program implementation. Positive Behavioral Interventions and Supports (PBIS) prioritizes a positive school climate, is widely implemented in the United…

  10. Using RTI within a Comprehensive SLD Evaluation: A Review of a State's First Year Efforts

    ERIC Educational Resources Information Center

    Johnson, Evelyn S.; Semmelroth, Carrie; Mellard, Daryl F.; Hopper, Gina

    2012-01-01

    The Idaho State Department of Education (SDE) recently revised its SLD identification policy to include a requirement to document a student's response to intervention coupled with a comprehensive evaluation. To implement this policy, the SDE is using multiple implementation drivers. In this article, we describe how and why the new policy was…

  11. Aligning Comprehensive School Counseling Programs and Positive Behavioral Interventions and Supports to Maximize School Counselors' Efforts

    ERIC Educational Resources Information Center

    Goodman-Scott, Emily; Betters-Bubon, Jennifer; Donohue, Peg

    2015-01-01

    School counselors are tasked with contributing to a safe and preventative school climate serving students' academic, career, and social/emotional needs through comprehensive school counseling program implementation. Positive Behavioral Interventions and Supports (PBIS) prioritizes a positive school climate, is widely implemented in the United…

  12. Comprehensive School Reform Demonstration: SEA Network Forums Proceedings (July 27, 1999 and October 14, 1999).

    ERIC Educational Resources Information Center

    Clark, Gail

    The Comprehensive School Reform Demonstration (CSRD) network forums were convened by McREL to share CSRD implementation strategies, discuss issues relative to technical assistance needs and CSRD model implementation support, and strengthen communication and collaborative links between the SEAs and regional providers for coordinated service…

  13. Embodied cognition and linguistic comprehension.

    PubMed

    Weiskopf, Daniel A

    2010-09-01

    Traditionally, the language faculty was supposed to be a device that maps linguistic inputs to semantic or conceptual representations. These representations themselves were supposed to be distinct from the representations manipulated by the hearer's perceptual and motor systems. Recently this view of language has been challenged by advocates of embodied cognition. Drawing on empirical studies of linguistic comprehension, they have proposed that the language faculty reuses the very representations and processes deployed in perceiving and acting. I review some of the evidence and arguments in favor of the embodied view of language comprehension, and argue that none of it is conclusive. Moreover, the embodied view itself blurs two important distinctions: first, the distinction between linguistic comprehension and its typical consequences; and second, the distinction between representational content and vehicles. Given that these distinctions are well-motivated, we have good reason to reject the embodied view of linguistic understanding.

  14. Comprehensive primary health care under neo-liberalism in Australia.

    PubMed

    Baum, Fran; Freeman, Toby; Sanders, David; Labonté, Ronald; Lawless, Angela; Javanparast, Sara

    2016-11-01

    This paper applies a critical analysis of the impact of neo-liberal driven management reform to examine changes in Australian primary health care (PHC) services over five years. The implementation of comprehensive approaches to primary health care (PHC) in seven services: five state-managed and two non-government organisations (NGOs) was tracked from 2009 to 2014. Two questions are addressed: 1) How did the ability of Australian PHC services to implement comprehensive PHC change over the period 2009-2014? 2) To what extent is the ability of the PHC services to implement comprehensive PHC shaped by neo-liberal health sector reform processes? The study reports on detailed tracking and observations of the changes and in-depth interviews with 63 health service managers and practitioners, and regional and central health executives. The documented changes were: in the state-managed services (although not the NGOs) less comprehensive service coverage and more focus on clinical services and integration with hospitals and much less development activity including community development, advocacy, intersectoral collaboration and attention to the social determinants. These changes were found to be associated with practices typical of neo-liberal health sector reform: considerable uncertainty, more directive managerial control, budget reductions and competitive tendering and an emphasis on outputs rather than health outcomes. We conclude that a focus on clinical service provision, while highly compatible with neo-liberal reforms, will not on its own produce the shifts in population disease patterns that would be required to reduce demand for health services and promote health. Comprehensive PHC is much better suited to that task.

  15. Comprehensive Quality Management (CQM) in the PLCO Trial.

    PubMed

    Gohagan, John K; O'Brien, Barbara; Hasson, Marsha A; Umbel, Keith D; Bridgeman, Beth; Kramer, Barnett S; Reding, Douglas; Gren, Lisa; Wright, Patrick; Riley, Thomas; Prorok, Philip C

    2015-01-01

    The NCI imbedded the notion of comprehensive quality control and assurance (CQA) in the design concept for the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial. PLCO implemented a comprehensive, adaptable quality assurance and control program to span more than 20 years of data collection, coordinate multiple institutions and committees, and integrate a wide variety of complex protocols. CQA concepts, practices, and procedures traced through all aspects of trial management, governance, and operations of PLCO. The driving force behind CQA in PLCO was scientific and clinical credibility of trial data and findings. CQA as implemented in PLCO was operationally analogous to the concept of Total Quality Management (TQM) described in the management literature. This paper describes CQA actualization in PLCO.

  16. Comprehensive flood control involving citizens in a Japanese watershed.

    PubMed

    Yamashita, Sampei; Shimatani, Yukihiro; Watanabe, Ryoichi; Moriyama, Toshiyuki; Minagawa, Tomoko; Kakudo, Kumiko; Yamashita, Terukazu

    2013-01-01

    In July 2009, the city of Fukuoka, Japan experienced a flood disaster along the Hii River, which runs through densely populated, concrete-covered areas of the city. The drainage system was overwhelmed and the river overflowed due to heavy rainfall and rapid runoff. The event led citizens in its watershed to plan and implement comprehensive flood control. The plan aims not only to mitigate floods but also to revitalize the river environment and populated communities in urban areas. This study reports the activities led by the citizens. They organized and carried out civic forums, workshops, and fieldwork to share views as to how the flood disaster was caused, how floods in the watershed should be controlled, and how the river environment should be rehabilitated. This study illuminates how people, including the flood victims and municipal engineers, can change drastically and communicate effectively in the course of discussing and implementing the comprehensive flood control measures.

  17. Help with Teaching Reading Comprehension: Comprehension Instructional Frameworks

    ERIC Educational Resources Information Center

    Liang, Lauren Aimonette; Dole, Janice A.

    2006-01-01

    This article presents five instructional frameworks demonstrated by research as being effective in teaching reading comprehension: (1) The Scaffolded Reading Experience (SRE); (2) Questioning the Author (QtA); (3) Collaborative Strategic Reading (CSR); (4) Peer-Assisted Learning Strategies (PALS); and (5) Concept-Oriented Reading Instruction…

  18. Describing Comprehension: Teachers' Observations of Students' Reading Comprehension

    ERIC Educational Resources Information Center

    Vander Does, Susan Lubow

    2012-01-01

    Teachers' observations of student performance in reading are abundant and insightful but often remain internal and unarticulated. As a result, such observations are an underutilized and undervalued source of data. Given the gaps in knowledge about students' reading comprehension that exist in formal assessments, the frequent calls for teachers'…

  19. Describing Comprehension: Teachers' Observations of Students' Reading Comprehension

    ERIC Educational Resources Information Center

    Vander Does, Susan Lubow

    2012-01-01

    Teachers' observations of student performance in reading are abundant and insightful but often remain internal and unarticulated. As a result, such observations are an underutilized and undervalued source of data. Given the gaps in knowledge about students' reading comprehension that exist in formal assessments, the frequent calls for teachers'…

  20. Help with Teaching Reading Comprehension: Comprehension Instructional Frameworks

    ERIC Educational Resources Information Center

    Liang, Lauren Aimonette; Dole, Janice A.

    2006-01-01

    This article presents five instructional frameworks demonstrated by research as being effective in teaching reading comprehension: (1) The Scaffolded Reading Experience (SRE); (2) Questioning the Author (QtA); (3) Collaborative Strategic Reading (CSR); (4) Peer-Assisted Learning Strategies (PALS); and (5) Concept-Oriented Reading Instruction…

  1. Selective Comprehensives: The Social Composition of Top Comprehensive Schools

    ERIC Educational Resources Information Center

    Sutton Trust, 2013

    2013-01-01

    This study looks at publicly available data on the proportion of pupils eligible and claiming for free school meals (FSM) in the top 500 comprehensive state schools and at how representative they are of their localities and of their school type. We have looked at the top 500 when measured by five good GCSEs including English and Maths and at the…

  2. Selective Comprehensives: The Social Composition of Top Comprehensive Schools

    ERIC Educational Resources Information Center

    Sutton Trust, 2013

    2013-01-01

    This study looks at publicly available data on the proportion of pupils eligible and claiming for free school meals (FSM) in the top 500 comprehensive state schools and at how representative they are of their localities and of their school type. We have looked at the top 500 when measured by five good GCSEs including English and Maths and at the…

  3. Reading comprehension among graduate students.

    PubMed

    Onwuegbuzie, Anthony J; Collins, Kathleen M T

    2002-06-01

    The present purpose was to examine graduate students' reading comprehension and reading vocabulary by comparing their scores on a standardized reading rest with scores obtained by a large normative sample of undergraduates. Participants were 59 graduate students from various disciplines, enrolled in three sections of an introductory educational research course at a southeastern university. These students were administered the Nelson-Denny Reading Test-Form G. Analysis showed these students had higher scores on the reading comprehension portion than did the normative sample of 5,000 undergraduate students from 38 institutions (Cohen d=.71). Also, the graduate students' scores on the reading vocabulary portion were higher (d=.45).

  4. Conceptual Combination During Sentence Comprehension

    PubMed Central

    Swinney, David; Love, Tracy; Walenski, Matthew; Smith, Edward E.

    2008-01-01

    This experiment examined the time course of integration of modifier-noun (conceptual) combinations during auditory sentence comprehension using cross-modal lexical priming. The study revealed that during ongoing comprehension, there is initial activation of features of the noun prior to activation of (emergent) features of the entire conceptual combination. These results support compositionality in conceptual combination; that is, they indicate that features of the individual words constituting a conceptual combination are activated prior to combination of the words into a new concept. PMID:17576278

  5. Performing Arts Program, Badger High School: Justification, Proposal, Implementation, Stage One Implementation.

    ERIC Educational Resources Information Center

    Holmes, Dan

    This document presents a justification, proposal, and implementation plan for a comprehensive theatre arts program at Badger High School, Lake Geneva, Wisconsin that would offer a full schedule of amateur and professional arts programs involving the students and the community. The brief Justification section notes that every elementary and…

  6. TMDL Implementation: Lessons Learned

    EPA Pesticide Factsheets

    Virginia Tech Center for TMDL and Watershed Studies provided state TMDL implementation information and reviewed ongoing TMDL implementation efforts across the country to identify factors that contribute to successful implementation.

  7. Memory mechanisms supporting syntactic comprehension

    PubMed Central

    Waters, Gloria

    2013-01-01

    Efforts to characterize the memory system that supports sentence comprehension have historically drawn extensively on short-term memory as a source of mechanisms that might apply to sentences. The focus of these efforts has changed significantly in the past decade. As a result of changes in models of short-term working memory (ST-WM) and developments in models of sentence comprehension, the effort to relate entire components of an ST-WM system, such as those in the model developed by Baddeley (Nature Reviews Neuroscience 4: 829–839, 2003) to sentence comprehension has largely been replaced by an effort to relate more specific mechanisms found in modern models of ST-WM to memory processes that support one aspect of sentence comprehension—the assignment of syntactic structure (parsing) and its use in determining sentence meaning (interpretation) during sentence comprehension. In this article, we present the historical background to recent studies of the memory mechanisms that support parsing and interpretation and review recent research into this relation. We argue that the results of this research do not converge on a set of mechanisms derived from ST-WM that apply to parsing and interpretation. We argue that the memory mechanisms supporting parsing and interpretation have features that characterize another memory system that has been postulated to account for skilled performance—long-term working memory. We propose a model of the relation of different aspects of parsing and interpretation to ST-WM and long-term working memory. PMID:23319178

  8. SCUP 32: Comprehensive Enrollment Management.

    ERIC Educational Resources Information Center

    McIntyre, Chuck

    Comprehensive enrollment management (CEM) ensures that academic, student, and fiscal planning are done in concert in order to acknowledge the turbulence confronting an institution. A four-phase model of CEM has been developed that can be replicated at any college or university. In phase 1 of the model, the past 25 years of institutional enrollment…

  9. A Comprehensive General Chemistry Demonstration

    ERIC Educational Resources Information Center

    Sweeder, Ryan D.; Jeffery, Kathleen A.

    2013-01-01

    This article describes the use of a comprehensive demonstration suitable for a high school or first-year undergraduate introductory chemistry class. The demonstration involves placing a burning candle in a container adjacent to a beaker containing a basic solution with indicator. After adding a lid, the candle will extinguish and the produced…

  10. Comprehensive Schools and the Future

    ERIC Educational Resources Information Center

    Barker, Bernard

    2012-01-01

    This article argues that comprehensive reorganisation was not a one-off policy reform but a complex, bottom-up campaign for equity and fairness in education, with varied consequences and outcomes. Recent battles over student fees, free schools and academies show that the quest for democratic education does not lead to a permanent achievement but…

  11. Public Assistance Comprehensive Education (PACE).

    ERIC Educational Resources Information Center

    Smith, Shirley

    The Public Assistance Comprehensive Education (PACE) Program at Bronx Community College provides programs and services to assist students on welfare to successfully overcome barriers they meet while becoming productive members of the workforce. Each semester, PACE will recruit 200 students from the COPE program and work intensively in addressing…

  12. Innovation Learning in Comprehensive Education?

    ERIC Educational Resources Information Center

    Lindfors, Eila; Hilmola, Antti

    2016-01-01

    The goal of this article is to clarify the concept of innovation and by presenting a research on the basic education outcome assessment data from an innovation learning perspective, answer to a question: Do students learn innovation in comprehensive education? The empirical information in this research is based on data collected in the national…

  13. Anaphoric Relations, Comprehension and Readability.

    ERIC Educational Resources Information Center

    Dutka, Julia To

    The relationship between anaphoric nominal substitution and reading comprehension was studied. The Diagnostic Reading Test and the Substitution Test were administered to 80 college juniors, seniors, and graduate students in teacher certification courses, and to 92 college freshmen seeking assistance in improving their reading skills. Positive and…

  14. Assessment Format and Comprehension Performance.

    ERIC Educational Resources Information Center

    Seda, Ileana

    In response to the tradition of examining a new test's validity by comparing it with a well-established multiple-choice test, a study investigated whether multiple-choice tests with one right answer can measure the reading comprehension process as defined by constructivists. The study compared the information obtained from two different…

  15. Metacomprehension during Rare Word Comprehension

    ERIC Educational Resources Information Center

    Mcginnis, Debra; Saunders, Nikola N.; Burns, Ryan J.

    2007-01-01

    To examine metacomprehension during comprehension, undergraduates (n = 133) were asked to provide descriptions of how they determined the meaning of four rare words presented in short passages. Content analysis of these written descriptions revealed task-specific metacomprehension reflecting lexical, textbase, and situation model processes.…

  16. Children's Comprehension of Live Theatre.

    ERIC Educational Resources Information Center

    Klein, Jeanne; Fitch, Marguerite

    Two studies investigate the way in which children make sense of a play and the visual, aural, and psychological components of theatre which contribute to this comprehension. In the first study, 32 fifth graders saw "Don Quixote of La Mancha." In the second study, 45 third graders saw "Monkey, Monkey" (about the Chinese Monkey King). The day after…

  17. Expectation-based syntactic comprehension.

    PubMed

    Levy, Roger

    2008-03-01

    This paper investigates the role of resource allocation as a source of processing difficulty in human sentence comprehension. The paper proposes a simple information-theoretic characterization of processing difficulty as the work incurred by resource reallocation during parallel, incremental, probabilistic disambiguation in sentence comprehension, and demonstrates its equivalence to the theory of Hale [Hale, J. (2001). A probabilistic Earley parser as a psycholinguistic model. In Proceedings of NAACL (Vol. 2, pp. 159-166)], in which the difficulty of a word is proportional to its surprisal (its negative log-probability) in the context within which it appears. This proposal subsumes and clarifies findings that high-constraint contexts can facilitate lexical processing, and connects these findings to well-known models of parallel constraint-based comprehension. In addition, the theory leads to a number of specific predictions about the role of expectation in syntactic comprehension, including the reversal of locality-based difficulty patterns in syntactically constrained contexts, and conditions under which increased ambiguity facilitates processing. The paper examines a range of established results bearing on these predictions, and shows that they are largely consistent with the surprisal theory.

  18. Metacomprehension during Rare Word Comprehension

    ERIC Educational Resources Information Center

    Mcginnis, Debra; Saunders, Nikola N.; Burns, Ryan J.

    2007-01-01

    To examine metacomprehension during comprehension, undergraduates (n = 133) were asked to provide descriptions of how they determined the meaning of four rare words presented in short passages. Content analysis of these written descriptions revealed task-specific metacomprehension reflecting lexical, textbase, and situation model processes.…

  19. BASIC TEST OF READING COMPREHENSION.

    ERIC Educational Resources Information Center

    CLOWARD, ROBERT D.; COHEN, S. ALAN

    THE TEST WAS DESIGNED TO ASSESS SPEED OF READING COMPREHENSION. IT CONSISTED OF NUMBERED PASSAGES, ONE TO THREE SENTENCES IN LENGTH, ARRANGED IN PARAGRAPH FORM TO SIMULATE THE NORMAL READING EXERCISE. TOWARD THE END OF EACH PASSAGE, A WORD WAS INSERTED WHICH SPOILED THE MEANING OF THE PASSAGE. THE PUPILS WERE INSTRUCTED TO FIND THE WORD THAT…

  20. Problem Solving & Comprehension. Fourth Edition.

    ERIC Educational Resources Information Center

    Whimbey, Arthur; Lochhead, Jack

    This book shows how to increase one's power to analyze and comprehend problems. First, it outlines and illustrates the methods that good problem solvers use in attacking complex ideas. Then it gives some practice in applying these methods to a variety of questions in comprehension and reasoning. Chapters include: (1) "Test Your Mind--See How…

  1. Quantifier Comprehension in Corticobasal Degeneration

    ERIC Educational Resources Information Center

    McMillan, Corey T.; Clark, Robin; Moore, Peachie; Grossman, Murray

    2006-01-01

    In this study, we investigated patients with focal neurodegenerative diseases to examine a formal linguistic distinction between classes of generalized quantifiers, like "some X" and "less than half of X." Our model of quantifier comprehension proposes that number knowledge is required to understand both first-order and higher-order quantifiers.…

  2. Contextual Information and Reading Comprehension.

    ERIC Educational Resources Information Center

    Teale, William H.

    Following a discussion of the differences between oral and written speech, this paper examines the act of reading written speech and the role that contextual information plays in reading comprehension. It notes the interaction that occurs between reader and text, points out the way in which written language makes demands upon readers'…

  3. Fanciful Literature and Reading Comprehension.

    ERIC Educational Resources Information Center

    Salesi, Rosemary A.

    Some children lack the framework of prior experience necessary for the comprehension and enjoyment of fanciful literature. Fanciful literature, though grounded in reality, deals not only with what is, but also with what could be or might have been. Since readers actively construct meaning by relating what they read to their conceptual systems,…

  4. Literature, Comprehension, and Gifted Readers.

    ERIC Educational Resources Information Center

    Howell, Helen

    Many gifted children enter kindergarten already reading and in need of reading instruction that is different from the regular program. A reading program for gifted youngsters that is literature-based will help develop comprehension skills at the highest cognitive levels and will also foster the desire to read. Beginning with the interpretation of…

  5. Quantifier Comprehension in Corticobasal Degeneration

    ERIC Educational Resources Information Center

    McMillan, Corey T.; Clark, Robin; Moore, Peachie; Grossman, Murray

    2006-01-01

    In this study, we investigated patients with focal neurodegenerative diseases to examine a formal linguistic distinction between classes of generalized quantifiers, like "some X" and "less than half of X." Our model of quantifier comprehension proposes that number knowledge is required to understand both first-order and higher-order quantifiers.…

  6. Innovation Learning in Comprehensive Education?

    ERIC Educational Resources Information Center

    Lindfors, Eila; Hilmola, Antti

    2016-01-01

    The goal of this article is to clarify the concept of innovation and by presenting a research on the basic education outcome assessment data from an innovation learning perspective, answer to a question: Do students learn innovation in comprehensive education? The empirical information in this research is based on data collected in the national…

  7. A Comprehensive General Chemistry Demonstration

    ERIC Educational Resources Information Center

    Sweeder, Ryan D.; Jeffery, Kathleen A.

    2013-01-01

    This article describes the use of a comprehensive demonstration suitable for a high school or first-year undergraduate introductory chemistry class. The demonstration involves placing a burning candle in a container adjacent to a beaker containing a basic solution with indicator. After adding a lid, the candle will extinguish and the produced…

  8. Phonemic Support in Children's Comprehension.

    ERIC Educational Resources Information Center

    Crain-Thoreson, Catherine; McCutchen, Deborah

    A study investigated the role of phonemic information in young readers' silent reading comprehension. Subjects, 56 children in grades 2 and 4, from Seattle parochial schools, were blocked into groups based on their grade and skill level (skilled and less skilled). Each subject saw 48 sentences presented in a random order on an Apple II…

  9. Preschool Children's Comprehension of Television.

    ERIC Educational Resources Information Center

    Smith, Robin

    A new methodology for testing preschool children's comprehension of television is described and the results of the first experiment with this method are presented. Original program material was created by filming 30 second animated stories in color and transferring them to videotape for subsequent editing and addition of sound. Thirty-five…

  10. Towards a general theory of implementation

    PubMed Central

    2013-01-01

    Understanding and evaluating the implementation of complex interventions in practice is an important problem for healthcare managers and policy makers, and for patients and others who must operationalize them beyond formal clinical settings. It has been argued that this work should be founded on theory that provides a foundation for understanding, designing, predicting, and evaluating dynamic implementation processes. This paper sets out core constituents of a general theory of implementation, building on Normalization Process Theory and linking it to key constructs from recent work in sociology and psychology. These are informed by ideas about agency and its expression within social systems and fields, social and cognitive mechanisms, and collective action. This approach unites a number of contending perspectives in a way that makes possible a more comprehensive explanation of the implementation and embedding of new ways of thinking, enacting and organizing practice. PMID:23406398

  11. Waste generator services implementation plan

    SciTech Connect

    Mousseau, J.; Magleby, M.; Litus, M.

    1998-04-01

    Recurring waste management noncompliance problems have spurred a fundamental site-wide process revision to characterize and disposition wastes at the Idaho National Engineering and Environmental Laboratory. The reengineered method, termed Waste Generator Services, will streamline the waste acceptance process and provide waste generators comprehensive waste management services through a single, accountable organization to manage and disposition wastes in a timely, cost-effective, and compliant manner. This report outlines the strategy for implementing Waste Generator Services across the INEEL. It documents the culmination of efforts worked by the LMITCO Environmental Management Compliance Reengineering project team since October 1997. These efforts have included defining problems associated with the INEEL waste management process; identifying commercial best management practices; completing a review of DOE Complex-wide waste management training requirements; and involving others through an Integrated Process Team approach to provide recommendations on process flow, funding/charging mechanisms, and WGS organization. The report defines the work that will be performed by Waste Generator Services, the organization and resources, the waste acceptance process flow, the funding approach, methods for measuring performance, and the implementation schedule and approach. Field deployment will occur first at the Idaho Chemical Processing Plant in June 1998. Beginning in Fiscal Year 1999, Waste Generator Services will be deployed at the other major INEEL facilities in a phased approach, with implementation completed by March 1999.

  12. Implementing a domestic violence screening program.

    PubMed

    Day, Suzanne; Fox, Jolene; Majercik, Sarah; Redmond, Floresha K; Pugh, Mary; Bledsoe, Joseph

    2015-01-01

    The purpose of this study was to design and implement a domestic violence (DV) screening protocol. Trauma patients meeting inclusion criteria (hospitalized > 48 hours) were given a four question DV screen. If abuse was found, a comprehensive DV questionnaire followed. Barriers to screening and results were recorded. Compliance during the pilot test showed 23 of 157 (14.6%) admitted patients were screened. In the implementation year, 446 of 721 (61.9%) were screened. During the 10-month follow-up, 499 of 619 (80.6%) patients were screened. Lack of social work resources was the primary barrier to screening, but compliance increased and was maintained after the study period.

  13. Comprehensible Presentation of Topological Information

    SciTech Connect

    Weber, Gunther H.; Beketayev, Kenes; Bremer, Peer-Timo; Hamann, Bernd; Haranczyk, Maciej; Hlawitschka, Mario; Pascucci, Valerio

    2012-03-05

    Topological information has proven very valuable in the analysis of scientific data. An important challenge that remains is presenting this highly abstract information in a way that it is comprehensible even if one does not have an in-depth background in topology. Furthermore, it is often desirable to combine the structural insight gained by topological analysis with complementary information, such as geometric information. We present an overview over methods that use metaphors to make topological information more accessible to non-expert users, and we demonstrate their applicability to a range of scientific data sets. With the increasingly complex output of exascale simulations, the importance of having effective means of providing a comprehensible, abstract overview over data will grow. The techniques that we present will serve as an important foundation for this purpose.

  14. Comprehensive care plus creative architecture.

    PubMed

    Easter, James G

    2005-01-01

    The delivery of high-quality, comprehensive cancer care and the treatment environment go hand in hand with the patient's recovery. When the planning and design of a comprehensive cancer care program runs parallel to the operational expectations and functional standards, the building users (patients, staff, and physicians) benefit significantly. This behavioral response requires a sensitive interface during the campus master planning, architectural programming, and design phases. Each building component and user functioning along the "continuum of care" will have different expectations, programmatic needs, and design responses. This article addresses the community- and hospital-based elements of this continuum. The environment does affect the patient care and the care-giving team members. It may be a positive or, unfortunately, a negative response.

  15. NERSC Strategic Implementation Plan 2002-2006

    SciTech Connect

    Kramer, William; Bethel, Wes; Craw, James; Draney, Brent; Fortney, William; Gorda, Brend; Harris, William; Meyer, Nancy; Ng, Esmond; Verdier, Francesca; Walter, Howard; Welcome, Tammy

    2002-09-01

    This strategic proposal presents NERSC's vision for its activities and new directions over the next five years. NERSC's continuing commitment to providing high-end systems and comprehensive scientific support for its users will be enhanced, and these activities will be augmented by two new strategic thrusts: support for Scientific Challenge Teams and deployment of a Unified Science Environment. The proposal is in two volumes, the Strategic Plan and the Implementation Plan.

  16. Text Comprehension Processes in Bilinguals.

    DTIC Science & Technology

    1985-08-01

    IN BILINGUALS I APPROVED FOR PUBLIC RELEASE; ISTRIBUTION UNLIMITED NAVY PERSONNEL RESEARCH AND SDEVELOPMENT CENTER Son Diego, Calforia 92152 i 8 00...SinDieo830liorna291 p’.. .. . . . . . . . . -- 1 ’ NPRDC TR 85-34 August 1985 TEXT COMPREHENSION PROCESSES IN BILINGUALS Frederick R. Chang...IN BILINGUALS 12 PERSONAL AUTHOR(S) Chang, Frederick R. and Lare, Cosette M. 13a. TYPE OF REPORT 13b TIME COVERED 14 DATE OF REPORT Year Month, Day) 5

  17. Comprehensive treatment of generalized parodontitis.

    PubMed

    Mdinaradze, N

    2006-06-01

    The complexity of pathogenesis of periodontitis makes the use of comprehensive treatment necessary. We observed 60 patients, 20 women and 40 men among them aged from 20 to 50. In the course of parodontitis, we determined the intensity of inflammatory-destructive changes (Pi) in the course of periodontitis, the degree of fang denudation, the depth of gum and parodontal recesses, degree of the teeth becoming loose; we conducted the microbiological study of the oral cavity microflora and drew up an antibiotic graph. We included laser therapy in the comprehensive treatment course of generalized parodontitis. We divided the patients into two groups. The patients of the first group were treated in two stages. We used peridex, composed of chlorhexidine for antiseptic treatment of oral cavity. We used a combined solution of sage, eucalyptus, camomile and calendula to irrigate the oral cavity. At the second stage we used ointment applications with the composition of 3% indometacin, heparin, vitamins, sea-buckthorn oil and antibiotics. In the course of comprehensive treatment of the patients of the II group we included laser therapy. Our interest in the laser beam, as in the means of parodontitis treatment was stimulated by a number of properties of the laser beam and namely, its anti-inflammatory, desensitizing and antibacterial action promotes intensifying the reparation processes and does not entail any complications. The mentioned method has produced the best therapeutic results and has resulted in the reduced treatment period.

  18. Predictive mechanisms in idiom comprehension.

    PubMed

    Vespignani, Francesco; Canal, Paolo; Molinaro, Nicola; Fonda, Sergio; Cacciari, Cristina

    2010-08-01

    Prediction is pervasive in human cognition and plays a central role in language comprehension. At an electrophysiological level, this cognitive function contributes substantially in determining the amplitude of the N400. In fact, the amplitude of the N400 to words within a sentence has been shown to depend on how predictable those words are: The more predictable a word, the smaller the N400 elicited. However, predictive processing can be based on different sources of information that allow anticipation of upcoming constituents and integration in context. In this study, we investigated the ERPs elicited during the comprehension of idioms, that is, prefabricated multiword strings stored in semantic memory. When a reader recognizes a string of words as an idiom before the idiom ends, she or he can develop expectations concerning the incoming idiomatic constituents. We hypothesized that the expectations driven by the activation of an idiom might differ from those driven by discourse-based constraints. To this aim, we compared the ERP waveforms elicited by idioms and two literal control conditions. The results showed that, in both cases, the literal conditions exhibited a more negative potential than the idiomatic condition. Our analyses suggest that before idiom recognition the effect is due to modulation of the N400 amplitude, whereas after idiom recognition a P300 for the idiomatic sentence has a fundamental role in the composition of the effect. These results suggest that two distinct predictive mechanisms are at work during language comprehension, based respectively on probabilistic information and on categorical template matching.

  19. A comprehensive dairy valorization model.

    PubMed

    Banaszewska, A; Cruijssen, F; van der Vorst, J G A J; Claassen, G D H; Kampman, J L

    2013-02-01

    Dairy processors face numerous challenges resulting from both unsteady dairy markets and some specific characteristics of dairy supply chains. To maintain a competitive position on the market, companies must look beyond standard solutions currently used in practice. This paper presents a comprehensive dairy valorization model that serves as a decision support tool for mid-term allocation of raw milk to end products and production planning. The developed model was used to identify the optimal product portfolio composition. The model allocates raw milk to the most profitable dairy products while accounting for important constraints (i.e., recipes, composition variations, dairy production interdependencies, seasonality, demand, supply, capacities, and transportation flows). The inclusion of all relevant constraints and the ease of understanding dairy production dynamics make the model comprehensive. The developed model was tested at the international dairy processor FrieslandCampina (Amersfoort, the Netherlands). The structure of the model and its output were discussed in multiple sessions with and approved by relevant FrieslandCampina employees. The elements included in the model were considered necessary to optimally valorize raw milk. To illustrate the comprehensiveness and functionality of the model, we analyzed the effect of seasonality on milk valorization. A large difference in profit and a shift in the allocation of milk showed that seasonality has a considerable impact on the valorization of raw milk. Copyright © 2013 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  20. Results Accountability for a State Early Childhood Comprehensive System: A Planning Guide for Improving the Well Being of Young Children and Their Families. Building State Early Childhood Comprehensive Systems Series. Number 4

    ERIC Educational Resources Information Center

    Friedman, Mark

    2004-01-01

    The federal Maternal and Child Health Bureau has launched a five-year initiative that will support state efforts to build comprehensive early childhood service systems. This initiative--the State Early Childhood Comprehensive Systems Initiative (SECCS)--provides two year planning grants followed by three year implementation grants to the 50 state…

  1. The Emergence of the Comprehensive Middle School in France: Educational Policy-Making in a Centralised System.

    ERIC Educational Resources Information Center

    Gaziel, Haim

    1989-01-01

    Examines the dynamic aspects and political nature of educational policymaking in France's centralized educational system. Considers the obstacles to the introduction and implementation of comprehensive middle schools, created in 1963 to permit social mobility through education. Contains 48 references. (SV)

  2. The South Carolina Comprehensive Developmental Guidance and Counseling Program Model: A Guide for School Counseling Programs, Prekindergarten-Twelfth Grade.

    ERIC Educational Resources Information Center

    South Carolina State Dept. of Education, Columbia.

    This guidebook describes a comprehensive program model that can be used as a planning guide for districts, schools, and school counselors as they develop and implement comprehensive guidance and counseling programs. It is intended for counselors, teachers, principals, administrators, and Boards of Education to help them set goals for their…

  3. Stakeholders' Perspectives towards the Use of the Comprehensive Health Assessment Program (CHAP) for Adults with Intellectual Disabilities in Manitoba

    ERIC Educational Resources Information Center

    Shooshtari, Shahin; Temple, Beverley; Waldman, Celeste; Abraham, Sneha; Ouellette-Kuntz, Héléne; Lennox, Nicholas

    2017-01-01

    Background: No standardized tool is used in Canada for comprehensive health assessments of adults with intellectual disabilities. This study was conducted to determine the feasibility of implementing the Comprehensive Health Assessment Program (CHAP) in Manitoba, Canada. Method: This was a qualitative study using a purposive sample of physicians,…

  4. Family Support: Fostering Leadership and Partnership to Improve Access and Quality. Building State Early Childhood Comprehensive Systems Series, Number 14

    ERIC Educational Resources Information Center

    Thompson, Lisa; Uyeda, Kimberly

    2004-01-01

    The federal Maternal and Child Health Bureau (MCHB) has launched a five-year initiative that will support state efforts to build comprehensive early childhood service systems. This initiative--the State Early Childhood Comprehensive Systems (SECCS) Initiative--provides planning and implementation grants to the state and territory Maternal and…

  5. Building a Community of Learning: A Comprehensive Approach to Assisting At-Risk Students. AIR 1997 Annual Forum Paper.

    ERIC Educational Resources Information Center

    Walleri, R. Dan; Stoker, Cheryl L.; Stoering, Juliette

    This case study of a student retention program for at-risk students at Mount Hood Community College (Oregon) contends that student retention programs are seldom as holistic and comprehensive as intended. The study analyzed three areas: the design and implementation of a comprehensive program to improve student retention; the organizational…

  6. 75 FR 14548 - Fisheries of the Caribbean, Gulf of Mexico, and South Atlantic; Comprehensive Ecosystem-Based...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-26

    ..., Gulf of Mexico, and South Atlantic; Comprehensive Ecosystem-Based Amendment for the South Atlantic... to implement the Comprehensive Ecosystem-Based Amendment 1 (CE-BA1) to the following South Atlantic... be the largest distribution of pristine deepwater coral ecosystems in the world while minimizing the...

  7. On the importance of listening comprehension

    PubMed Central

    Hogan, Tiffany P.; Adlof, Suzanne M.; Alonzo, Crystle

    2015-01-01

    The simple view of reading highlights the importance of two primary components which account for individual differences in reading comprehension across development: word recognition (i.e., decoding) and listening comprehension. While assessments and interventions for decoding have been the focus of pedagogy in the past several decades, the importance of listening comprehension has received less attention. This paper reviews evidence showing that listening comprehension becomes the dominating influence on reading comprehension starting even in the elementary grades. It also highlights a growing number of children who fail to develop adequate reading comprehension skills, primarily due to deficient listening comprehension skills: poor comprehenders. Finally it discusses key language influences on listening comprehension for consideration during assessment and treatment of reading disabilities. PMID:24833426

  8. On the importance of listening comprehension.

    PubMed

    Hogan, Tiffany P; Adlof, Suzanne M; Alonzo, Crystle N

    2014-06-01

    The simple view of reading highlights the importance of two primary components which account for individual differences in reading comprehension across development: word recognition (i.e., decoding) and listening comprehension. While assessments and interventions for decoding have been the focus of pedagogy in the past several decades, the importance of listening comprehension has received less attention. This paper reviews evidence showing that listening comprehension becomes the dominating influence on reading comprehension starting even in the elementary grades. It also highlights a growing number of children who fail to develop adequate reading comprehension skills, primarily due to deficient listening comprehension skills (i.e., poor comprehenders). Finally we discuss key language influences on listening comprehension for consideration during assessment and treatment of reading disabilities.

  9. Monitoring Local Comprehension Monitoring in Sentence Reading

    ERIC Educational Resources Information Center

    Vorstius, Christian; Radach, Ralph; Mayer, Michael B.; Lonigan, Christopher J.

    2013-01-01

    on ways to improve children's reading comprehension. However, processes and mechanisms underlying this skill are currently not well understood. This article describes one of the first attempts to study comprehension monitoring using eye-tracking methodology. Students in fifth…

  10. Monitoring Local Comprehension Monitoring in Sentence Reading

    ERIC Educational Resources Information Center

    Vorstius, Christian; Radach, Ralph; Mayer, Michael B.; Lonigan, Christopher J.

    2013-01-01

    on ways to improve children's reading comprehension. However, processes and mechanisms underlying this skill are currently not well understood. This article describes one of the first attempts to study comprehension monitoring using eye-tracking methodology. Students in fifth…

  11. Comprehension of Figurative Language in Youth.

    ERIC Educational Resources Information Center

    Nippold, Marilyn A.

    1985-01-01

    A review of developmental studies concerning metaphor, idiom, and proverb comprehension suggest a variety of assessment tasks for language impaired children. Also suggested are such intervention considerations as the comprehension of literal meaning of figurative expressions before nonliteral meanings. (CL)

  12. Comprehensive Aspectual UML Approach to Support AspectJ

    PubMed Central

    Magableh, Aws; Shukur, Zarina; Mohd. Ali, Noorazean

    2014-01-01

    Unified Modeling Language is the most popular and widely used Object-Oriented modelling language in the IT industry. This study focuses on investigating the ability to expand UML to some extent to model crosscutting concerns (Aspects) to support AspectJ. Through a comprehensive literature review, we identify and extensively examine all the available Aspect-Oriented UML modelling approaches and find that the existing Aspect-Oriented Design Modelling approaches using UML cannot be considered to provide a framework for a comprehensive Aspectual UML modelling approach and also that there is a lack of adequate Aspect-Oriented tool support. This study also proposes a set of Aspectual UML semantic rules and attempts to generate AspectJ pseudocode from UML diagrams. The proposed Aspectual UML modelling approach is formally evaluated using a focus group to test six hypotheses regarding performance; a “good design” criteria-based evaluation to assess the quality of the design; and an AspectJ-based evaluation as a reference measurement-based evaluation. The results of the focus group evaluation confirm all the hypotheses put forward regarding the proposed approach. The proposed approach provides a comprehensive set of Aspectual UML structural and behavioral diagrams, which are designed and implemented based on a comprehensive and detailed set of AspectJ programming constructs. PMID:25136656

  13. Comprehensive Aspectual UML approach to support AspectJ.

    PubMed

    Magableh, Aws; Shukur, Zarina; Ali, Noorazean Mohd

    2014-01-01

    Unified Modeling Language is the most popular and widely used Object-Oriented modelling language in the IT industry. This study focuses on investigating the ability to expand UML to some extent to model crosscutting concerns (Aspects) to support AspectJ. Through a comprehensive literature review, we identify and extensively examine all the available Aspect-Oriented UML modelling approaches and find that the existing Aspect-Oriented Design Modelling approaches using UML cannot be considered to provide a framework for a comprehensive Aspectual UML modelling approach and also that there is a lack of adequate Aspect-Oriented tool support. This study also proposes a set of Aspectual UML semantic rules and attempts to generate AspectJ pseudocode from UML diagrams. The proposed Aspectual UML modelling approach is formally evaluated using a focus group to test six hypotheses regarding performance; a "good design" criteria-based evaluation to assess the quality of the design; and an AspectJ-based evaluation as a reference measurement-based evaluation. The results of the focus group evaluation confirm all the hypotheses put forward regarding the proposed approach. The proposed approach provides a comprehensive set of Aspectual UML structural and behavioral diagrams, which are designed and implemented based on a comprehensive and detailed set of AspectJ programming constructs.

  14. Optometric record keeping in a comprehensive health care environment.

    PubMed

    Rivard, B

    1996-05-01

    Optometric records which have evolved in private practice must be reconsidered when included in a comprehensive care environment. These hospital, health maintenance organization (HMO), preferred provider organization, and similarly linked systems require a higher degree of communication among specialties than do self-standing practices. Furthermore, the administrative requirements of such a system require more standardization, cost sensitivity, medicolegal compliance, and other elements pecular to a comprehensive facility. The expended scope of care provided by optometrists within a hospital requires familiarity with a new range of procedures, languages, and reports. Information from laboratories, radiology, and other areas must be incorporated into the optometric record. Continuity of care is more complex. Opportunities for strong interprofessional synergies within the organization arise directly from proactivity in optometric record keeping. New legal hot spots arise from questions of records ownership, access, and privacy. Billing procedures are becoming extremely important, with significant effects on quality assurance audits, coding, doctor "profiling" against fraud, and abuse; these priorities can interfere with clinical priorities. Driven primarily by the concerns and resources of large third-party payers, technology is making rapid changes in the form of optometric record keeping in comprehensive systems. Electronic data management will change the face of medical records, although administrative data will be digitized much more quickly than clinical notes. Comprehensive care environments will be the "test beds" for these technologies. Optometry is in a good position to show its contribution to the health care team through leadership in the implementation of new record keeping models.

  15. Motivated comprehension regulation: vigilant versus eager metacognitive control.

    PubMed

    Miele, David B; Molden, Daniel C; Gardner, Wendi L

    2009-09-01

    The more accurately people assess their comprehension, the more likely they are to engage in study behaviors that precisely target gaps in their learning. However, comprehension regulation involves more than knowing when to implement a new study strategy; it also involves deciding which strategy will most effectively resolve one's confusion. In two experiments, we explored how people's motivational orientations influence which study strategies they select to regulate their comprehension. In Experiment 1, people who were motivated to vigilantly protect against potential mistakes (i.e., prevention-focused individuals) were more likely to adopt a rereading strategy than people who were motivated to eagerly pursue new learning opportunities (i.e., promotion-focused individuals). In Experiment 2, this difference in strategy use emerged specifically in response to confusing sentences that had been inserted into the text. Furthermore, by using rereading strategies to resolve their confusion, prevention-focused individuals performed better than promotion-focused individuals on a comprehension test and a transfer task.

  16. Recent advancements in comprehensive two-dimensional separations with chemometrics.

    PubMed

    Pierce, Karisa M; Hoggard, Jamin C; Mohler, Rachel E; Synovec, Robert E

    2008-03-14

    Comprehensive two-dimensional (2D) separations provide the analyst with a tremendous amount of complex data. In order to glean useful information from this complex data, advancements in commercially available software that implement chemometrics are currently available and continue to evolve. Future advancements will no doubt involve commercializing (or adapting) specialized, in-house chemometric techniques that are currently found only in the hands of technical experts and researchers in industry, government, and academia. In order to make timely advancements, future commercialization of novel chemometric techniques should involve collaborations among instrument software manufacturers, professional programmers, technical experts, and researchers. During the last decade, this field has seen a steady advancement from single analyte target analysis to comprehensive non-target analysis of entire multidimensional sample profiles (involving sample classification and/or data mining for discovery-based sample comparisons). The advancements in instrumentation and chemometric software tools have a tremendous impact in various applications: fuels, food, environmental, pharmaceuticals, metabolomics, etc. Most of the development has been for software to apply with gas chromatography-based instrumentation, such as comprehensive two-dimensional gas chromatography (GC x GC) and comprehensive two-dimensional gas chromatography with time-of-flight mass spectrometry (GC x GC-TOF-MS). More recently there have been notable advancements in liquid-phase instrumentation as well.

  17. Idiom Comprehension in Mandarin-Speaking Children

    ERIC Educational Resources Information Center

    Hsieh, Shelley Ching-Yu; Hsu, Chun-Chieh Natalie

    2010-01-01

    This study examines the effect of familiarity, context, and linguistic convention on idiom comprehension in Mandarin speaking children. Two experiments (a comprehension task followed by a comprehension task coupled with a metapragmatic task) were administered to test participants in three age groups (6 and 9-year-olds, and an adult control group).…

  18. 33 CFR 238.5 - Comprehensive planning.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false Comprehensive planning. 238.5... DEFENSE WATER RESOURCES POLICIES AND AUTHORITIES: FLOOD DAMAGE REDUCTION MEASURES IN URBAN AREAS § 238.5 Comprehensive planning. Coordinated comprehensive planning at the regional or river basin level, or for an...

  19. 33 CFR 238.5 - Comprehensive planning.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 3 2014-07-01 2014-07-01 false Comprehensive planning. 238.5... DEFENSE WATER RESOURCES POLICIES AND AUTHORITIES: FLOOD DAMAGE REDUCTION MEASURES IN URBAN AREAS § 238.5 Comprehensive planning. Coordinated comprehensive planning at the regional or river basin level, or for an...

  20. 33 CFR 238.5 - Comprehensive planning.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false Comprehensive planning. 238.5... DEFENSE WATER RESOURCES POLICIES AND AUTHORITIES: FLOOD DAMAGE REDUCTION MEASURES IN URBAN AREAS § 238.5 Comprehensive planning. Coordinated comprehensive planning at the regional or river basin level, or for an...

  1. 33 CFR 238.5 - Comprehensive planning.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 3 2013-07-01 2013-07-01 false Comprehensive planning. 238.5... DEFENSE WATER RESOURCES POLICIES AND AUTHORITIES: FLOOD DAMAGE REDUCTION MEASURES IN URBAN AREAS § 238.5 Comprehensive planning. Coordinated comprehensive planning at the regional or river basin level, or for an...

  2. Years Later, Comprehension Strategies Still at Work

    ERIC Educational Resources Information Center

    Keene, Ellin Oliver; Zimmermann, Susan

    2013-01-01

    In this article, authors Ellin Oliver Keene and Susan Zimmermann reflect on comprehension strategy instruction 15 years after the publication of their book, "Mosaic of Thought: Teaching Comprehension in a Reader's Workshop." They reassert their claim that to teach comprehension well, we must first read widely and scrutinize our own reading…

  3. 33 CFR 238.5 - Comprehensive planning.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Comprehensive planning. 238.5... Comprehensive planning. Coordinated comprehensive planning at the regional or river basin level, or for an urban.... This planning is particularly important in areas where significant portions of a watershed are...

  4. Guided Comprehension in the Primary Grades.

    ERIC Educational Resources Information Center

    McLaughlin, Maureen

    Intended as a response to recent developments in reading research and a demand by primary-grade teachers for a comprehension-based instructional framework, this book adapts the Guided Comprehension Model introduced in the author/educator's book "Guided Comprehension: A Teaching Model for Grades 3-8." According to the book, the Guided…

  5. 16 CFR 1018.43 - Comprehensive review.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Comprehensive review. 1018.43 Section 1018.43 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION GENERAL ADVISORY COMMITTEE MANAGEMENT Records, Annual Reports and Audits § 1018.43 Comprehensive review. A comprehensive review of...

  6. Text Comprehension Strategy Instruction with Poor Readers.

    ERIC Educational Resources Information Center

    van den Bos, Kees P.; Brand-Gruwel, Saskia; Aarnoutse, Cor A. J.

    1998-01-01

    Investigates effects of teaching text-comprehension strategies to children with decoding and reading-comprehension problems and with a poor or normal listening ability. Finds no differential program effects for the two listening levels. Finds no stable evidence of transfer of comprehension strategy-training to standardized general listening and…

  7. 75 FR 27805 - Comprehensive Needs Assessment (CNA)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-18

    ...] Comprehensive Needs Assessment (CNA) AGENCY: Office of the Chief Information Officer, HUD. ACTION: Notice... good repair. The Comprehensive Needs Assessment is a description of current and future needs and... following information: Title of Proposal: Comprehensive Needs Assessment (CNA). OMB Approval Number: 2502...

  8. Effects of visualization on algorithm comprehension

    NASA Astrophysics Data System (ADS)

    Mulvey, Matthew

    Computer science students are expected to learn and apply a variety of core algorithms which are an essential part of the field. Any one of these algorithms by itself is not necessarily extremely complex, but remembering the large variety of algorithms and the differences between them is challenging. To address this challenge, we present a novel algorithm visualization tool designed to enhance students understanding of Dijkstra's algorithm by allowing them to discover the rules of the algorithm for themselves. It is hoped that a deeper understanding of the algorithm will help students correctly select, adapt and apply the appropriate algorithm when presented with a problem to solve, and that what is learned here will be applicable to the design of other visualization tools designed to teach different algorithms. Our visualization tool is currently in the prototype stage, and this thesis will discuss the pedagogical approach that informs its design, as well as the results of some initial usability testing. Finally, to clarify the direction for further development of the tool, four different variations of the prototype were implemented, and the instructional effectiveness of each was assessed by having a small sample participants use the different versions of the prototype and then take a quiz to assess their comprehension of the algorithm.

  9. Acute pain: effective management requires comprehensive assessment.

    PubMed

    Radnovich, Richard; Chapman, C Richard; Gudin, Jeffrey A; Panchal, Sunil J; Webster, Lynn R; Pergolizzi, Joseph V

    2014-07-01

    Pain is among the most common reasons that patients seek medical care, and inadequate assessment may result in suboptimal management. Acute pain in response to trauma or surgery can be complex, variable, and dynamic, but its assessment is often simplistic and brief. One-dimensional rating scale measures of pain severity facilitate rapid evaluation and often form the basis of treatment algorithms. However, additional features of pain should inform the selection of a treatment regimen, and can include pain qualities, duration, impact on functional capabilities, and underlying cause. Patient age, sex, psychosocial features, and comorbid conditions are also important features to consider. Use of a multidimensional tool is recommended for assessing many of these features if time permits. Additionally, clinicians often fail to recognize or consider the potentially detrimental long-term effects of acute pain. As the United States continues to experience a prescription drug crisis, a "universal precautions" approach including abuse risk assessment and abuse deterrence strategies should be implemented for patients receiving opioids. Increased efforts and research are necessary to enhance the utility of available acute pain assessment tools. Developing more comprehensive tools for patient assessment is the first step in achieving the ultimate goal of effective acute pain management. The objectives of this review are to summarize issues regarding the complexity of acute pain and to provide suggestions for its evaluation.

  10. [Evaluation of comprehensiveness: ascribing meaning to agreements on goals for local health systems].

    PubMed

    Conill, Eleonor Minho

    2004-01-01

    As a policy guideline, ideal, or objective, comprehensiveness is a relevant attribute in the evaluation of quality of care and health systems. The article discusses the meaning of the concept of comprehensiveness in practice in some health services and systems, analyzing various methodologies to implement the concept. In Brazil, what prevails is an expanded perception emphasizing the complete, continuous, and coordinated nature of health care and management. The article highlights the importance of combining the evaluation of comprehensiveness with measures of access, suggesting the selection of indicators pertaining to agreements on goals for local health systems and their monitoring. This initiative could enhance the validity of existing evaluation instruments, from a communications perspective.

  11. Implementing Student Information Systems

    ERIC Educational Resources Information Center

    Sullivan, Laurie; Porter, Rebecca

    2006-01-01

    Implementing an enterprise resource planning system is a complex undertaking. Careful planning, management, communication, and staffing can make the difference between a successful and unsuccessful implementation. (Contains 3 tables.)

  12. Implementing Student Information Systems

    ERIC Educational Resources Information Center

    Sullivan, Laurie; Porter, Rebecca

    2006-01-01

    Implementing an enterprise resource planning system is a complex undertaking. Careful planning, management, communication, and staffing can make the difference between a successful and unsuccessful implementation. (Contains 3 tables.)

  13. Review of critical factors for SEA implementation

    SciTech Connect

    Zhang Jie Christensen, Per; Kornov, Lone

    2013-01-15

    The implementation process involved in translating Strategic Environmental Assessment (SEA) intention into action is vital to an effective SEA. Many factors influence implementation and thus the effectiveness of an SEA. Empirical studies have identified and documented some factors influencing the implementation of an SEA. This research is fragmented, however, and it is still not clear what are the most critical factors of effective SEA performance, and how these relate to different stages of the implementation process or other contextual circumstances. The paper takes its point of departure in implementation theory. Firstly, we introduce implementation theory, and then use it in practice to establish a more comprehensive model related to the stages in the implementation process. Secondly, we identify the critical factors in order to see how they are related to the different stages of SEA or are more general in character. Finally we map the different critical factors and how they influence the overall results of an SEA. Based on a literature review, we present a comprehensive picture of the critical factors and where they are found in the process. We conclude that most of the critical factors identified are of a more general character influencing the SEA process as such, while only one out of four of these factors relates to the specific stages of the SEA. Based on this mapping we can sketch a picture of the totality of critical factors. In this study 266 notions of critical factors were identified. Seen at the level of notions of critical factors, only 24% of these relate to specific stages while for 76% the critical factors are of a more general nature. These critical factors interact in complex ways and appear in different combinations in different stages of the implementation process so tracing the cause and effect is difficult. The pervasiveness of contextual and general factors also clearly suggests that there is no single way to put SEA into practice. The

  14. Prediction During Natural Language Comprehension.

    PubMed

    Willems, Roel M; Frank, Stefan L; Nijhof, Annabel D; Hagoort, Peter; van den Bosch, Antal

    2016-06-01

    The notion of prediction is studied in cognitive neuroscience with increasing intensity. We investigated the neural basis of 2 distinct aspects of word prediction, derived from information theory, during story comprehension. We assessed the effect of entropy of next-word probability distributions as well as surprisal A computational model determined entropy and surprisal for each word in 3 literary stories. Twenty-four healthy participants listened to the same 3 stories while their brain activation was measured using fMRI. Reversed speech fragments were presented as a control condition. Brain areas sensitive to entropy were left ventral premotor cortex, left middle frontal gyrus, right inferior frontal gyrus, left inferior parietal lobule, and left supplementary motor area. Areas sensitive to surprisal were left inferior temporal sulcus ("visual word form area"), bilateral superior temporal gyrus, right amygdala, bilateral anterior temporal poles, and right inferior frontal sulcus. We conclude that prediction during language comprehension can occur at several levels of processing, including at the level of word form. Our study exemplifies the power of combining computational linguistics with cognitive neuroscience, and additionally underlines the feasibility of studying continuous spoken language materials with fMRI.

  15. Comprehensive Environmental Assessment Applied to ...

    EPA Pesticide Factsheets

    In September 2013, EPA announced the availability of the final report, Comprehensive Environmental Assessment Applied to Multiwalled Carbon Nanotube Flame-Retardant Coatings in Upholstery Textiles: A Case Study Presenting Priority Research Gaps for Future Risk Assessments. This final report presents a case study of multiwalled carbon nanotubes (MWCNTs); it focuses on the specific example of MWCNTs as used in flame-retardant coatings applied to upholstery textiles. This case study is organized around the comprehensive environmental assessment (CEA) framework, which structures available information pertaining to the product life cycle, environmental transport and fate, exposure-dose in receptors (i.e., humans, ecological populations, and the environment), and potential impacts in these receptors. A group of experts representing multiple disciplines and multiple sector perspectives used an earlier draft of the case study in conjunction with a structured workshop process to identify and prioritize research gaps that, if pursued, could inform future MWCNT assessment efforts. The final report is not a health, risk, or exposure assessment and as such does not draw conclusions about potential risks, or present an exhaustive review of the literature. Rather, it presents the MWCNT research priorities that experts identified in this application of CEA in order to aid research planning throughout the scientific community. The outcomes of these research efforts may subsequ

  16. Medicinal marijuana: a comprehensive review.

    PubMed

    Gurley, R J; Aranow, R; Katz, M

    1998-01-01

    Considerable controversy exists regarding the role of marijuana as a therapeutic agent; however, many practitioners are taught very little about existing marijuana data. The authors therefore undertook a comprehensive literature review of the topic. References were identified using textbooks, review and opinion articles, and a primary literature review in MEDLINE. Sources were included in this review based primarily on the quality of the data. Some data exists that lends credence to many of the claims about marijuana's properties. In general, however, the body of literature about marijuana is extremely poor in quality. Marijuana and/or its components may help alleviate suffering in patients with a variety of serious illnesses. Health care providers can best minimize short term adverse consequences and drug interactions for terminally ill patients by having a thorough understanding of the pharmacology of marijuana, potential adverse reactions, infection risks, and drug interactions (along with on-going monitoring of the patient). For chronic conditions, the significance and risk of short and long term adverse effects must be weighed against the desired benefit. Patients who are best suited to medicinal marijuana will be those who will gain substantial benefit to offset these risks, and who have failed a well-documented, compliant and comprehensive approach to standard therapies.

  17. Comprehensive Environmental Assessment Applied to ...

    EPA Pesticide Factsheets

    In September 2013, EPA announced the availability of the final report, Comprehensive Environmental Assessment Applied to Multiwalled Carbon Nanotube Flame-Retardant Coatings in Upholstery Textiles: A Case Study Presenting Priority Research Gaps for Future Risk Assessments. This final report presents a case study of multiwalled carbon nanotubes (MWCNTs); it focuses on the specific example of MWCNTs as used in flame-retardant coatings applied to upholstery textiles. This case study is organized around the comprehensive environmental assessment (CEA) framework, which structures available information pertaining to the product life cycle, environmental transport and fate, exposure-dose in receptors (i.e., humans, ecological populations, and the environment), and potential impacts in these receptors. A group of experts representing multiple disciplines and multiple sector perspectives used an earlier draft of the case study in conjunction with a structured workshop process to identify and prioritize research gaps that, if pursued, could inform future MWCNT assessment efforts. The final report is not a health, risk, or exposure assessment and as such does not draw conclusions about potential risks, or present an exhaustive review of the literature. Rather, it presents the MWCNT research priorities that experts identified in this application of CEA in order to aid research planning throughout the scientific community. The outcomes of these research efforts may subsequ

  18. Matthew effects in reading comprehension: myth or reality?

    PubMed

    Protopapas, Athanassios; Sideridis, Georgios D; Mouzaki, Angeliki; Simos, Panagiotis G

    2011-01-01

    The presence of Matthew effects was tested in students of varying reading, spelling, and vocabulary skills. A cross-sequential design was implemented, following 587 Grade 2 through 4 students across five measurement points (waves) over 2 years. Students were administered standardized assessments of reading, spelling, and vocabulary. Results indicated that the hypothesized fan-spread pattern for Matthew effects was not evident. Low and high ability groups were formed based on 25th and 75th percentile cutoffs on initial measures of spelling, reading accuracy and fluency, vocabulary, and reading comprehension. Multilevel modeling suggested that low and high ability groups had significantly different starting points (intercepts) and their pattern of growth on passage comprehension did not indicate that the gap would increase over time. Instead, some analyses, especially of the youngest cohorts, showed significant convergence. However, there was no evidence of eventually closing the gap. Thus, although the poor students may not be getting poorer, they do not get sufficiently richer either.

  19. The Motor System Contributes to Comprehension of Abstract Language

    PubMed Central

    Guan, Connie Qun; Meng, Wanjin; Yao, Ru; Glenberg, Arthur M.

    2013-01-01

    If language comprehension requires a sensorimotor simulation, how can abstract language be comprehended? We show that preparation to respond in an upward or downward direction affects comprehension of the abstract quantifiers “more and more” and “less and less” as indexed by an N400-like component. Conversely, the semantic content of the sentence affects the motor potential measured immediately before the upward or downward action is initiated. We propose that this bidirectional link between motor system and language arises because the motor system implements forward models that predict the sensory consequences of actions. Because the same movement (e.g., raising the arm) can have multiple forward models for different contexts, the models can make different predictions depending on whether the arm is raised, for example, to place an object or raised as a threat. Thus, different linguistic contexts invoke different forward models, and the predictions constitute different understandings of the language. PMID:24086463

  20. Implementing electronic documentation.

    PubMed

    Noah, Patty

    2011-01-01

    Implementing health information technology is a major strategic objective. Health care organizations must meet "meaningful use" through the implementation of a certified electronic medical record. It is the imperative to secure leadership support in the project. Communication, accountability, and clinical champions are vital elements for successful implementation.

  1. [Comprehensive primary care and segmented health systems in South America].

    PubMed

    Giovanella, Ligia; Almeida, Patty Fidelis de

    2017-10-02

    The article analyzes recent reforms in primary health care in the South American countries, discussing the scope and challenges for establishing comprehensive primary health care in the region's health systems. The data sources were case studies conducted in 12 countries, and the analytical lines were the strategic components in the design and implementation of primary health care: national policy approaches, characteristics of financing, organization and provision, and the workforce in primary health care. The crosscutting analysis from a comparative perspective provides an overview of primary health care in the region's countries and highlights convergences and asymmetries. A common trait is the recovery of the expanded definition of primary health care with family and community components, a territorial base, multidisciplinary team, incorporation of community health workers, and social participation. Implementation revealed heterogeneities in the advances and contradictions in the models. Insufficient supply of physicians, difficulties in provision and physician retention in remote and peripheral areas, as well as in primary health care itself, precarious employment relations, and absence of career plans are common problems, and there have been recent initiatives in government intervention to direct the workforce to the public system. Segmentation of the supply of primary health care converges with the segmentation of social protection in the various countries, through maintenance of social insurance or selective and targeted insurance or coverage by private health insurance, and persistent exclusion of populations from the right to health. The article argues that implementation of comprehensive primary health care is conditioned by the prevailing modalities of social protection in health.

  2. Who Did What to Whom? The Relationship between Syntactic Aspects of Sentence Comprehension and Text Comprehension

    ERIC Educational Resources Information Center

    Poulsen, Mads; Gravgaard, Amalie K. D.

    2016-01-01

    This study investigated the relationship between syntactic comprehension at the sentence level and text-level comprehension. The study isolated the specific contribution of syntax by asking whether sentence comprehension efficiency of difficult syntactic constructions explained variance in text comprehension after controlling for sentence…

  3. Who Did What to Whom? The Relationship between Syntactic Aspects of Sentence Comprehension and Text Comprehension

    ERIC Educational Resources Information Center

    Poulsen, Mads; Gravgaard, Amalie K. D.

    2016-01-01

    This study investigated the relationship between syntactic comprehension at the sentence level and text-level comprehension. The study isolated the specific contribution of syntax by asking whether sentence comprehension efficiency of difficult syntactic constructions explained variance in text comprehension after controlling for sentence…

  4. A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project.

    PubMed

    Powell, Byron J; Waltz, Thomas J; Chinman, Matthew J; Damschroder, Laura J; Smith, Jeffrey L; Matthieu, Monica M; Proctor, Enola K; Kirchner, JoAnn E

    2015-02-12

    Identifying, developing, and testing implementation strategies are important goals of implementation science. However, these efforts have been complicated by the use of inconsistent language and inadequate descriptions of implementation strategies in the literature. The Expert Recommendations for Implementing Change (ERIC) study aimed to refine a published compilation of implementation strategy terms and definitions by systematically gathering input from a wide range of stakeholders with expertise in implementation science and clinical practice. Purposive sampling was used to recruit a panel of experts in implementation and clinical practice who engaged in three rounds of a modified Delphi process to generate consensus on implementation strategies and definitions. The first and second rounds involved Web-based surveys soliciting comments on implementation strategy terms and definitions. After each round, iterative refinements were made based upon participant feedback. The third round involved a live polling and consensus process via a Web-based platform and conference call. Participants identified substantial concerns with 31% of the terms and/or definitions and suggested five additional strategies. Seventy-five percent of definitions from the originally published compilation of strategies were retained after voting. Ultimately, the expert panel reached consensus on a final compilation of 73 implementation strategies. This research advances the field by improving the conceptual clarity, relevance, and comprehensiveness of implementation strategies that can be used in isolation or combination in implementation research and practice. Future phases of ERIC will focus on developing conceptually distinct categories of strategies as well as ratings for each strategy's importance and feasibility. Next, the expert panel will recommend multifaceted strategies for hypothetical yet real-world scenarios that vary by sites' endorsement of evidence-based programs and practices

  5. Nursing supervision for care comprehensiveness.

    PubMed

    Chaves, Lucieli Dias Pedreschi; Mininel, Vivian Aline; Silva, Jaqueline Alcântara Marcelino da; Alves, Larissa Roberta; Silva, Maria Ferreira da; Camelo, Silvia Helena Henriques

    2017-01-01

    To reflect on nursing supervision as a management tool for care comprehensiveness by nurses, considering its potential and limits in the current scenario. A reflective study based on discourse about nursing supervision, presenting theoretical and practical concepts and approaches. Limits on the exercise of supervision are related to the organization of healthcare services based on the functional and clinical model of care, in addition to possible gaps in the nurse training process and work overload. Regarding the potential, researchers emphasize that supervision is a tool for coordinating care and management actions, which may favor care comprehensiveness, and stimulate positive attitudes toward cooperation and contribution within teams, co-responsibility, and educational development at work. Nursing supervision may help enhance care comprehensiveness by implying continuous reflection on including the dynamics of the healthcare work process and user needs in care networks. refletir a supervisão de enfermagem como instrumento gerencial do enfermeiro para integralidade do cuidado, considerando suas potencialidades e limitações no cenário atual. estudo reflexivo baseado na formulação discursiva sobre a supervisão de enfermagem, apresentando conceitos e enfoques teóricos e/ou práticos. limitações no exercício da supervisão estão relacionadas à organização dos serviços de saúde embasada no modelo funcional e clínico de atenção, assim como possíveis lacunas no processo de formação do enfermeiro e sobrecarga de trabalho. Quanto às potencialidades, destaca-se a supervisão como instrumento de articulação de ações assistenciais e gerenciais, que pode favorecer integralidade da atenção, estimular atitudes de cooperação e colaboração em equipe, além da corresponsabilização e promoção da educação no trabalho. supervisão de enfermagem pode contribuir para fortalecimento da integralidade do cuidado, pressupondo reflexão cont

  6. A systematic review of implementation frameworks of innovations in healthcare and resulting generic implementation framework.

    PubMed

    Moullin, Joanna C; Sabater-Hernández, Daniel; Fernandez-Llimos, Fernando; Benrimoj, Shalom I

    2015-03-14

    Implementation science and knowledge translation have developed across multiple disciplines with the common aim of bringing innovations to practice. Numerous implementation frameworks, models, and theories have been developed to target a diverse array of innovations. As such, it is plausible that not all frameworks include the full range of concepts now thought to be involved in implementation. Users face the decision of selecting a single or combining multiple implementation frameworks. To aid this decision, the aim of this review was to assess the comprehensiveness of existing frameworks. A systematic search was undertaken in PubMed to identify implementation frameworks of innovations in healthcare published from 2004 to May 2013. Additionally, titles and abstracts from Implementation Science journal and references from identified papers were reviewed. The orientation, type, and presence of stages and domains, along with the degree of inclusion and depth of analysis of factors, strategies, and evaluations of implementation of included frameworks were analysed. Frameworks were assessed individually and grouped according to their targeted innovation. Frameworks for particular innovations had similar settings, end-users, and 'type' (descriptive, prescriptive, explanatory, or predictive). On the whole, frameworks were descriptive and explanatory more often than prescriptive and predictive. A small number of the reviewed frameworks covered an implementation concept(s) in detail, however, overall, there was limited degree and depth of analysis of implementation concepts. The core implementation concepts across the frameworks were collated to form a Generic Implementation Framework, which includes the process of implementation (often portrayed as a series of stages and/or steps), the innovation to be implemented, the context in which the implementation is to occur (divided into a range of domains), and influencing factors, strategies, and evaluations. The selection of

  7. SITE COMPREHENSIVE LISTING (CERCLIS) (Superfund)

    EPA Pesticide Factsheets

    The Comprehensive Environmental Response, Compensation and Liability Information System (CERCLIS) (Superfund) Public Access Database contains a selected set of non-enforcement confidential information and is updated by the regions every 90 days. The data describes what has happened at Superfund sites prior to this quarter (updated quarterly). This database includes lists of involved parties (other Federal Agencies, states, and tribes), Human Exposure and Ground Water Migration, and Site Wide Ready for Reuse, Construction Completion, and Final Assessment Decision (GPRA-like measures) for fund lead sites. Other information that is included has been included only as a service to allow public evaluations utilizing this data. EPA does not have specific Data Quality Objectives for use of the data. Independent Quality Assessments may be made of this data by reviewing the Quality Assurance Action Plan (QAPP).

  8. A comprehensive approach to bereavement.

    PubMed

    Steen, K F

    1998-03-01

    Bereavement is associated with significant mental and physical health consequences, and risk factors for illness associated with bereavement have been demonstrated. Although bereavement cannot be eliminated as a health risk, primary care providers can screen for it, facilitate the normal grief process, and mitigate risks for bereavement complications and health deterioration. Considering the time constraints in today's fast-paced health care environment, this article offers a clear and comprehensive framework for primary care of grieving people. The framework presented here includes (1) empirically shown risk factors for health deterioration in bereavement; (2) an assessment and screening patient history format suitable for primary bereavement care; (3) primary care guidelines for differential diagnosis of bereavement; and (4) principles of primary care for the bereaved. This article also addresses primary care for bereaved children, parents, and other specific bereaved populations, and discusses pharmacotherapy and multicultural considerations in bereavement.

  9. Ocular parasitoses: A comprehensive review.

    PubMed

    Padhi, Tapas Ranjan; Das, Sujata; Sharma, Savitri; Rath, Soveeta; Rath, Suryasnata; Tripathy, Devjyoti; Panda, Krushna Gopal; Basu, Soumyava; Besirli, Cagri G

    Parasitic infections of the eyes are a major cause of ocular diseases across the globe. The causative agents range from simple organisms such as unicellular protozoans to complex metazoan helminths. The disease spectrum varies depending on the geographic location, prevailing hygiene, living and eating habits of the inhabitants, and the type of animals that surround them. They cause enormous ocular morbidity and mortality not because they are untreatable, but largely due to late or misdiagnosis, often from unfamiliarity with the diseases produced. We provide an up-to-date comprehensive overview of the ophthalmic parasitoses. Each section describes the causative agent, mode of transmission, geographic distribution, ocular pathologies, and their management for common parasites with brief mention of the ones that are rare. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. Retrieval interference in sentence comprehension

    PubMed Central

    Van Dyke, Julie A.; McElree, Brian

    2007-01-01

    The role of interference effects in sentence processing has recently begun to receive attention, however whether these effects arise during encoding or retrieval remains unclear. This paper draws on basic memory research to help distinguish these explanations and reports data from an experiment that manipulates the possibility for retrieval interference while holding encoding conditions constant. We found clear support for the principle of cue-overload, wherein cues available at retrieval cannot uniquely distinguish among competitors, thus giving rise to interference effects. We discuss the data in relation to a cue-based parsing framework (Van Dyke & Lewis, 2003) and other interference effects observed in sentence processing (e.g., Gordon, Hendrick, & Johnson, 2001, 2004). We conclude from the available data that the memory system that subserves language comprehension operates according to similar principles as memory in other domains. PMID:18209744

  11. Mycobacterial endocarditis: a comprehensive review

    PubMed Central

    Shi-Min, Yuan

    2015-01-01

    Objective A systematic analysis was made in view of the epidemiology, clinical features, diagnosis, treatment and main outcomes of mycobacterial endocarditis. Methods The data source of the present study was based on a comprehensive literature search in MEDLINE, Highwire Press and Google search engine for publications on mycobacterial endocarditis published between 2000 and 2013. Results The rapidly growing mycobacteria become the predominant pathogens with Mycobacterium chelonae being the most common. This condition has changed significantly in terms of epidemiology since the 21st century, with more broad patient age range, longer latency, prevailed mitral valve infections and better prognosis. Conclusion Mycobacterial endocarditis is rare and the causative pathogens are predominantly the rapidly growing mycobacteria. Amikacin, ciprofloxacin and clarithromycin are the most frequently used targeted antimicrobial agents but often show poor responses. Patients with deep infections may warrant a surgical operation or line withdrawal. With periodic multidrug therapy guided by drug susceptibility testing, and surgical managements, patients may achieve good therapeutic results. PMID:25859873

  12. Anticipatory Deaccenting in Language Comprehension

    PubMed Central

    Carbary, Kathleen; Brown, Meredith; Gunlogson, Christine; McDonough, Joyce M.; Fazlipour, Aleksandra; Tanenhaus, Michael K.

    2014-01-01

    We evaluated the hypothesis that listeners can generate expectations about upcoming input using anticipatory deaccenting, in which the absence of a nuclear pitch accent on an utterance-new noun is licensed by the subsequent repetition of that noun (e.g. Drag the SQUARE with the house to the TRIangle with the house). The phonemic restoration paradigm was modified to obscure word-initial segmental information uniquely identifying the final word in a spoken instruction, resulting in a stimulus compatible with two lexical alternatives (e.g. mouse/house). In Experiment 1, we measured participants’ final interpretations and response times. Experiment 2 used the same materials in a crowd-sourced gating study. Sentence interpretations at gated intervals, final interpretations, and response times provided converging evidence that the anticipatory deaccenting pattern contributed to listeners’ referential expectations. The results illustrate the availability and importance of sentence-level accent patterns in spoken language comprehension. PMID:25642426

  13. Comprehensive Glossary of Nuclear Science

    NASA Astrophysics Data System (ADS)

    Langlands, Tracy; Stone, Craig; Meyer, Richard

    2001-10-01

    We have developed a comprehensive glossary of terms covering the broad fields of nuclear and related areas of science. The glossary has been constructed with two sections. A primary section consists of over 6,000 terms covering the fields of nuclear and high energy physics, nuclear chemistry, radiochemistry, health physics, astrophysics, materials science, analytical science, environmental science, nuclear medicine, nuclear engineering, nuclear instrumentation, nuclear weapons, and nuclear safeguards. Approximately 1,500 terms of specific focus on military and nuclear weapons testing define the second section. The glossary is currently larger than many published glossaries and dictionaries covering the entire field of physics. Glossary terms have been defined using an extensive collection of current and historical publications. Historical texts extend back into the 1800's, the early days of atomic physics. The glossary has been developed both as a software application and as a hard copy document.

  14. Comprehensive approach to sarcopenia treatment.

    PubMed

    Wakabayashi, Hidetaka; Sakuma, Kunihiro

    2014-05-01

    Sarcopenia is characterized by progressive and generalized loss of skeletal muscle mass and strength with a risk of adverse outcomes such as physical disability, poor quality of life, and death. Primary sarcopenia is considered to be age-related when no other cause is evident, other than ageing itself. Secondary sarcopenia should be considered when one or more other causes are evident, such as activity-, disease-, or nutrition-related sarcopenia. In this narrative review that focused on human studies, we summarize the pharmaceutical therapies (testosterone, dehydroepiandrosterone, estrogen, growth hormone, ghrelin, vitamin D, angiotensin converting enzyme inhibitor, and eicosapentaenoic acid) and nonpharmaceutical therapies (resistance training, protein and amino acid supplementation, and non-smoking) for counteracting primary sarcopenia. Testosterone and growth hormone improve muscle mass and muscle strength, but have several side effects. Although there are some intriguing pharmaceutical therapies to combat sarcopenia, resistance training combined with supplements containing amino acids are the most effective for preventing and treating age-related muscle wasting and weakness. The etiology of sarcopenia in the elderly is multi-factorial. Patients with disuse syndrome and deconditioning often complicate the diagnosis, of not only activity-related sarcopenia, but also age-, disease-, and nutrition-related sarcopenia. In these cases a comprehensive approach to sarcopenia treatment should include pharmaceutical therapies for age-related sarcopenia and comorbid chronic diseases, resistance training, early ambulation, nutrition management, protein and amino acid supplementation, and non-smoking. The effect of pharmaceutical therapies for sarcopenia can be enhanced by this comprehensive approach. Future research on pharmaceutical therapies for counteracting sarcopenia should consider non-pharmaceutical therapies and also the causes of sarcopenia.

  15. Comprehension of Idioms in Turkish Aphasic Participants.

    PubMed

    Aydin, Burcu; Barin, Muzaffer; Yagiz, Oktay

    2017-06-19

    Brain damaged participants offer an opportunity to evaluate the cognitive and linguistic processes and make assumptions about how the brain works. Cognitive linguists have been investigating the underlying mechanisms of idiom comprehension to unravel the ongoing debate on hemispheric specialization in figurative language comprehension. The aim of this study is to evaluate and compare the comprehension of idiomatic expressions in left brain damaged (LBD) aphasic, right brain damaged (RBD) and healthy control participants. Idiom comprehension in eleven LBD aphasic participants, ten RBD participants and eleven healthy control participants were assessed with three tasks: String to Picture Matching Task, Literal Sentence Comprehension Task and Oral Idiom Definition Task. The results of the tasks showed that in overall idiom comprehension category, the left brain-damaged aphasic participants interpret idioms more literally compared to right brain-damaged participants. What is more, there is a significant difference in opaque idiom comprehension implying that left brain-damaged aphasic participants perform worse compared to right brain-damaged participants. On the other hand, there is no statistically significant difference in scores of transparent idiom comprehension between the left brain-damaged aphasic and right brain-damaged participants. This result also contribute to the idea that while figurative processing system is damaged in LBD aphasics, the literal comprehension mechanism is spared to some extent. The results of this study support the view that idiom comprehension sites are mainly left lateralized. Furthermore, the results of this study are in consistence with the Giora's Graded Salience Hypothesis.

  16. 49 CFR 192.907 - What must an operator do to implement this subpart?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... management program must consist, at a minimum, of a framework that describes the process for implementing... incorporated into the program. The framework will evolve into a more detailed and comprehensive program....

  17. 78 FR 69397 - Agency Information Collection Activities; Comment Request; Implementation Study of the Ramp Up to...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-19

    ... able to implement this comprehensive intervention as intended or how its core components compare to the... analysis of these data will help (1) State education agencies seeking strategies and programs to endorse as...

  18. Capability to Monitor the Comprehensive Nuclear-Test-Ban Treaty

    NASA Astrophysics Data System (ADS)

    2008-01-01

    In September 1996, the United States was the first country to sign the Comprehensive Nuclear-Test-Ban Treaty (CTBT), an international agreement to ban all nuclear test explosions, now signed by 177 nations. The treaty is intended to impede the development of nuclear weapons as part of the international nonproliferation regime. The treaty is not yet in effect because it has not been ratified by enough countries-including the United States. As a result, many of its verification provisions have not yet been fully implemented. When implemented, the American Geophysical Union (AGU) and the Seismological Society of America (SSA) are confident that the combined worldwide monitoring resources will meet the verification goals of the CTBT.

  19. The "Community Supports for Wraparound Inventory": An Assessment of the Implementation Context for Wraparound

    ERIC Educational Resources Information Center

    Walker, Janet S.; Sanders, Becca

    2011-01-01

    The wraparound process has emerged as perhaps the most frequently implemented comprehensive approach for planning and providing individualized, community-based care for children and adolescents with serious mental health conditions. Providing comprehensive care through the wraparound process necessarily requires a high level of collaboration…

  20. Comprehension and production of idioms in dysphasia.

    PubMed

    Bush, P G; Drummond, S S

    1985-10-01

    The comprehension and production of idioms was investigated in 10 dysphasic adults. Two different tasks, one comprehension and the other production, were developed. The production task required the subject to verbally explain 15 idioms. The comprehension task necessitated the selection of the correct figurative representation of the idiom from four illustrations: a literal, a literal variation, a figurative, and an unrelated picture. Results indicated no significant correlation between overall comprehension and production performances. No significant difference was found between the comprehension or the production of idioms when type or severity of dysphasia was considered. A significant difference was found, however, in the type of incorrect response, in that subjects selected the literal depiction more often than other foil representations for the comprehension.