NASA Tech Briefs, June 1998. Volume 22, No. 6

NASA Technical Reports Server (NTRS)

1998-01-01

Topics include: special coverage on computer hardware and peripherals, electronic components and circuits, electronic systems, software, materials, mechanics, machinery/automation, manufacturing, physical sciences, information sciences, book and reports, and a special section of Photonics Tech Briefs. and a second special section of Motion Control Tech Briefs

NASA Tech Briefs, March 1999. Volume 23, No. 3

NASA Technical Reports Server (NTRS)

1999-01-01

Topics include: special coverage sections on CAD/CAE/PDM, industrial controls and sections on electronic components systems, materials, software, mechanics, machinery/automation, manufacturing/fabrication, physical sciences, book and reports, and a special section of Photonics Tech Briefs and a seconds special section of Rapid Product Development.

NASA Tech Briefs, August 2001. Volume 25, No. 8

NASA Technical Reports Server (NTRS)

2001-01-01

Topics include: special coverage section on computers and peripherals, and sections on electronic components systems, software, materials, mechanics, manufacturing/fabrication, physical sciences, book and reports, and a special section of Motion Control Tech Briefs.

Insuring Your Property. The CIRcular: Consumer Information Report 29.

ERIC Educational Resources Information Center

Bank of America NT & SA, San Francisco, CA.

This report presents guidelines to help homeowners, renters, and condominium owners purchase and maintain adequate insurance coverage for their residences and personal property. Types of property coverage discussed include the following: (1) standard policies and exclusions; (2) special programs (earthquake insurance, federal programs for…

NASA Tech Briefs, April 1999. Volume 23, No. 4

NASA Technical Reports Server (NTRS)

1999-01-01

Topics include: special coverage sections on automotive technology, and CAM and sections on electronic components and systems, software, materials, machinery/automation, physical sciences, and a special section of Electronic Tech Briefs and Motion Control Tech Briefs.

NASA Tech Briefs, December 2000. Volume 24, No. 12

NASA Technical Reports Server (NTRS)

2000-01-01

Topics include: special coverage sections on Imaging/Video/Display Technology, and sections on electronic components and systems, test and measurement, software, information sciences, and special sections of Electronics Tech Briefs and Motion Control Tech Briefs.

NASA Tech Briefs, May 1998. Volume 22, No. 5

NASA Technical Reports Server (NTRS)

1998-01-01

Topics include: special coverage on advanced composites, plastics and metals, electronic components and circuits, electronic systems, physical sciences, computer software, mechanics, machinery/automation, manufacturing/fabrication book and reports, and a special section of Electronics Tech Briefs.

NASA Tech Briefs, October 2001. Volume 25, No. 10

NASA Technical Reports Server (NTRS)

2001-01-01

Topics include: special coverage section on composites and plastics, electronic components and systems, software, mechanics, physical sciences, information sciences, book and reports, and a special sections of Photonics Tech Briefs and Motion Control Tech Briefs.

NASA Tech Briefs, January 1999. Volume 23, Mp/ 1

NASA Technical Reports Server (NTRS)

1999-01-01

Topics include: special coverage sections on sensors and data acquisition and sections on electronic components and circuits, electronic software, materials, mechanics, bio-medical physical sciences, book and reports, and a special section of Photonics Tech Briefs.

Receipt of Recommended Adolescent Vaccines Among Youth With Special Health Care Needs.

PubMed

McRee, Annie-Laurie; Maslow, Gary R; Reiter, Paul L

2017-05-01

We examined vaccination coverage among youth with special health care needs (YSHCN) using data from parents of adolescents (11-17 years) who responded to a statewide survey in 2010-2012 (n = 2156). Using a validated screening tool, we identified 29% of adolescents as YSHCN. Weighted multivariable logistic regression assessed associations between special health care needs and receipt of tetanus booster, meningococcal, and human papillomavirus (HPV) vaccines. Only 12% of youth had received all 3 vaccines, with greater coverage for individual vaccines (tetanus booster, 91%; meningococcal, 32%; HPV, 26%). YSHCN had greater odds of HPV vaccination than other youth (33% vs 23%, OR = 1.70, 95% CI = 1.16-2.50) but vaccination coverage was similar ( P ≥ .05) for other outcomes. In subgroup analyses, HPV vaccination also differed depending on the number and type of special health care needs identified. Findings highlight low levels of vaccination overall and missed opportunities to administer recommended vaccines among all youth, including YSHCN.

NASA Tech Briefs, September 1998. Volume 22, No. 9

NASA Technical Reports Server (NTRS)

1998-01-01

Topics include: special coverage on data acquisition, also, electronic components and circuits, electronic systems, software, materials, mechanics, machinery/automation, physical sciences, information sciences, This issue contains a special sections of Electronics Tech Briefs and Motion Control Tech Briefs.

NASA Tech Briefs, October 1998. Volume 22, No. 10

NASA Technical Reports Server (NTRS)

1998-01-01

Topics include: special coverage sections on sensors/imaging and mechanical technology, and sections on electronic components and circuits, electronic systems, software, materials, machinery/automation, manufacturing/fabrication, physical sciences, information sciences, book and reports, and a special section of Photonics Tech Briefs.

5 CFR 530.303 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 1 2013-01-01 2013-01-01 false Coverage. 530.303 Section 530.303...) Special Rate Schedules for Recruitment and Retention General Provisions § 530.303 Coverage. (a) Under 5 U... coverage criteria specifically state otherwise. OPM will establish special rate schedules covering...

5 CFR 530.303 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Coverage. 530.303 Section 530.303...) Special Rate Schedules for Recruitment and Retention General Provisions § 530.303 Coverage. (a) Under 5 U... coverage criteria specifically state otherwise. OPM will establish special rate schedules covering...

5 CFR 530.303 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Coverage. 530.303 Section 530.303...) Special Rate Schedules for Recruitment and Retention General Provisions § 530.303 Coverage. (a) Under 5 U... coverage criteria specifically state otherwise. OPM will establish special rate schedules covering...

5 CFR 530.303 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 1 2012-01-01 2012-01-01 false Coverage. 530.303 Section 530.303...) Special Rate Schedules for Recruitment and Retention General Provisions § 530.303 Coverage. (a) Under 5 U... coverage criteria specifically state otherwise. OPM will establish special rate schedules covering...

5 CFR 530.303 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 1 2011-01-01 2011-01-01 false Coverage. 530.303 Section 530.303...) Special Rate Schedules for Recruitment and Retention General Provisions § 530.303 Coverage. (a) Under 5 U... coverage criteria specifically state otherwise. OPM will establish special rate schedules covering...

26 CFR 54.9802-2 - Special rules for certain church plans.

Code of Federal Regulations, 2010 CFR

2010-04-01

... provides health coverage to any employee (including ministers and lay workers) of any affiliated church....9802-1 solely because the plan requires evidence of good health for coverage of individuals under plan provisions described in paragraph (b)(2) or (3) of this section. (2) Health insurance issuers. See sections...

NASA Tech Briefs, December 2001. Volume 25, No. 12

NASA Technical Reports Server (NTRS)

2001-01-01

Topics include: special coverage section on sensors, and sections on electronic components and systems, software, materials, mechanics, information sciences, book and reports, and a special section of Motion Control Tech Briefs. It also contains a section celebrating the 25th anniversary of the publication.

NASA Tech Briefs, November 1998. Volume 22, No. 11

NASA Technical Reports Server (NTRS)

1998-01-01

Topics include: special coverage sections on test and measurement and sections on electronic components and circuits, electronic systems, software, materials, mechanics, machinery/automation, physical sciences, information sciences, book and reports, and special sections of Electronics Tech Briefs amd Rapid Product Development Tech Briefs.

42 CFR 406.24 - Special enrollment period related to coverage under group health plans.

Code of Federal Regulations, 2010 CFR

2010-10-01

..., DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM HOSPITAL INSURANCE ELIGIBILITY AND ENTITLEMENT Premium Hospital Insurance § 406.24 Special enrollment period related to coverage under group health plans... 42 Public Health 2 2010-10-01 2010-10-01 false Special enrollment period related to coverage under...

NASA Tech Briefs, May 1999. Volume 23, No. 5

NASA Technical Reports Server (NTRS)

1999-01-01

Topics include: special coverage sections on sensors and composites and plastics, and sections on electronic components and systems, software, materials, mechanics, machinery and automation, bio-medical, physical sciences, book and reports, and a special section of Photonics Tech Briefs and Rapid Product Development Tech Briefs.

NASA Tech Briefs, October 1999. Volume 23, No. 10

NASA Technical Reports Server (NTRS)

1999-01-01

Topics include: special coverage section on data acquisition and sensors and sections on electronic components and systems, software, materials, mechanics, machinery/automation, manufacturing/fabrication, bio-medical, physical sciences, information sciences, book and reports, and special section of Electronics Tech Briefs and Motion Control Tech briefs

Special Topics Courses - A Happy Medium between Mini-Courses and Full-Coverage Courses.

ERIC Educational Resources Information Center

Carpenter, John R.; And Others

1979-01-01

Describes a special topics program which allows students some choice in content to be studied. Topics include Continental Drift and Ice Ages, Geology and National Parks, the Coast of South Carolina, and Medical Geology. Student evaluations indicate positive attitudes towards the program. (MA)

NASA Tech Briefs, December 1998. Volume 22, No. 12

NASA Technical Reports Server (NTRS)

1998-01-01

Topics include: special coverage section on design and analysis software, and sections on electronic components and circuits, electronic systems, software, materials, mechanics, machinery/automation, manufacturing/fabrication, physical sciences, and special sections of Photonics Tech Briefs, Motion Control Tech briefs and a Hot Technology File 1999 Resource Guide.

NASA Tech Briefs, October 2000. Volume 24, No. 10

NASA Technical Reports Server (NTRS)

2000-01-01

Topics include: special coverage sections on CAD, CAE, and PDM, and, Composites and Plastics, and sections on electronic components and systems, software, test and measurement, mechanics, manufacturing/fabrication, physical sciences, information sciences, book and reports, and special sections of Electronics Tech Briefs and Motion Control Tech Briefs

Preparing for Eclipse 2017 on This Week @NASA – August 11, 2017

NASA Image and Video Library

2017-08-11

The Aug. 21 total solar eclipse across America is generating a lot of interest – and a lot of questions. You’ll find answers to many of your eclipse questions at NASA’s Eclipse 2017 website -- eclipse2017.nasa.gov. The site is full of information to help you prepare for this rare celestial event – including eclipse-related activities, events, viewing safety tips, and other resources. Then, on the day of the eclipse, you can see the event “Through the Eyes of NASA” – during a special NASA TV broadcast that includes coast-to-coast coverage from the ground, from the air and from space. Coverage begins with a special pre-show at noon eastern – followed by in-depth coverage at 1pm. You can also watch on Aug. 21 at www.nasa.gov/eclipselive. Also, TDRS-M Update, Webb’s Sunshield Layers Installed, RS-25 Engine Testing Rolls On, and Chief Technologist Visits Industry Partner!

The effect of poverty and caregiver education on perceived need and access to health services among children with special health care needs.

PubMed

Porterfield, Shirley L; McBride, Timothy D

2007-02-01

We examined the association between several variables and the use of specialist physician services, developmental therapies, and prescription medications among children with special health care needs (N=38866). We used a bivariate probit model to estimate whether a given child needed specialized services and whether that child accessed those services; we controlled for activity limitations and severity of special needs. Variables included family income, mother's (or other caregiver's) educational level, health insurance coverage, and perceived need for specialized services. We used data from the 2001 National Survey of Children with Special Health Care Needs. Lower-income and less-educated parents were less likely than higher-income and more-educated parents to say their special needs children needed specialized health services. The probability of accessing specialized health services-when needed-increased with both higher family income and insurance coverage. Children with special health care needs have less access to health services because their parents do not recognize the need for those services. An intervention in the form of information at the family level may be an appropriate policy response.

Computed tomography, anatomy and morphometry of the lower extremity

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

Hoogewoud, H.M.; Rager, G.; Burch, H.

1989-01-01

This book presents up-to-date information on CT imaging of the lower extremity. It includes an atlas correlating new, high-resolution CT scans with identical thin anatomical slices covering the lower extremity from the crista iliaca to the planta pedis. Additional figures, including CT arthrograms of the hip, knee and ankle, depict the anatomy in detail The technique and clinical relevance of CT measurements especially in orthopedic surgery are also clearly explained. Of special interest is the new method developed by the authors for assessing the coverage of the femoral head. The special morphometry software and a 3D program allowing representation inmore » space make it possible to precisely and accurately measure the coverage with normal CT scans of the hip.« less

Cross-National Differences in Special Education Coverage: An Empirical Analysis

ERIC Educational Resources Information Center

Anastasiou, Dimitris; Keller, Clayton E.

2014-01-01

This study investigated the role of educational and socioeconomic factors in explaining differences in national special education coverage. Data were derived from several international and governmental sources, targeting the year 2008 and covering 143 countries. Descriptive statistics revealed huge disparities in access to special education among…

Special Educator's Complete Guide to 109 Diagnostic Tests: How To Select & Interpret Tests, Use Results in IEPs, and Remediate Specific Difficulties.

ERIC Educational Resources Information Center

Pierangelo, Roger; Giuliani, George

This manual is a guide to the special education diagnostic process and covers the various stages of evaluation, interpretation, diagnosis, prescription, and remediation. Test information includes: explanations of the most commonly used diagnostic tests, coverage of the areas measured by each test, interpretation of test patterns for commonly used…

Status of Oregon's Children: 1998 County Data Book. Special Focus: Children's Health Care.

ERIC Educational Resources Information Center

Children First for Oregon, Portland.

This Kids Count report examines statewide trends in the well-being of Oregon's children, focusing on children's health care. The statistical portrait is based on indicators of well-being including: (1) children's insurance coverage; (2) health care access; (3) health outcomes, including immunization rates and early prenatal care; (4) juvenile…

Introduction to Special Issue on Education and Health.

ERIC Educational Resources Information Center

Kiker, B. F.

1998-01-01

Introduces a special issue devoted to education-health linkages. The scope of coverage is quite broad. Papers treat education's connections with specific health-related behaviors, full-time employees' health insurance coverage, medical care/lifestyle choices, nurses' wage profiles, low birthweight children's capabilities, smoking decisions,…

45 CFR 146.117 - Special enrollment periods.

Code of Federal Regulations, 2010 CFR

2010-10-01

... coverage under any group health plan or health insurance coverage; and (C) The employee satisfies the... REQUIREMENTS FOR THE GROUP HEALTH INSURANCE MARKET Requirements Relating to Access and Renewability of Coverage... health insurance issuer offering health insurance coverage in connection with a group health plan, is...

42 CFR 422.68 - Effective dates of coverage and change of coverage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM MEDICARE ADVANTAGE PROGRAM Eligibility, Election, and... continuity of health benefits coverage. (e) Special election period for individual age 65. For an election of...

26 CFR 54.9801-6 - Special enrollment periods.

Code of Federal Regulations, 2010 CFR

2010-04-01

...) When coverage under the plan was previously offered, the employee had coverage under any group health plan or health insurance coverage; and (C) The employee satisfies the conditions of paragraph (a)(3)(i... imposed on a health insurance issuer offering group health insurance coverage.) (2) Individuals eligible...

45 CFR 233.20 - Need and amount of assistance.

Code of Federal Regulations, 2010 CFR

2010-10-01

... PROGRAMS), ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES COVERAGE AND... supportive services, and the costs of education (including tuition, books, and fees) resulting from... or training activity cannot be special needs. (vi) If the State chooses to establish the need of the...

Energy. A continuing bibliography with indexes, issue 18

NASA Technical Reports Server (NTRS)

1978-01-01

This issue of Energy lists 1038 reports, journal articles, and other documents announced between April 1, 1978 and June 30, 1978 in Scientific and Technical Aerospace Reports (STAR) or in International Aerospace Abstracts (IAA). The coverage includes regional, national and international energy systems; research and development on fuels and other sources of energy; energy conversion, transport, transmission, distribution and storage, with special emphasis on use of hydrogen and of solar energy. Also included are methods of locating or using new energy resources. Of special interest is energy for heating, lighting, for powering aircraft, surface vehicles, or other machinery.

Energy: A Continuing Bibliography with Indexes, May 1974

NASA Technical Reports Server (NTRS)

1974-01-01

A bibliography on energy is reported, the bibliography, Energy: A Continuing Bibliography With Indexes, contains 232 reports, journal articles, and other documents originally announced in STAR, and IAA between Jan. 1, and Mar. 31, 1974. The coverage includes regional, national and international energy systems; research and development of fuels and other sources of energy, and energy conversion, transport, transmission, distribution and storage, with special emphasis on use of hydrogen and of solar energy. Also included are methods of locating or using new energy resources. Of special interest is energy for heating, lighting, for powering aircraft, surface vehicles, or other machinery.

41 CFR 301-10.451 - May I be reimbursed for the cost of collision damage waiver (CDW) or theft insurance?

Code of Federal Regulations, 2011 CFR

2011-07-01

... ALLOWABLE TRAVEL EXPENSES 10-TRANSPORTATION EXPENSES Special Conveyances Rental Automobiles § 301-10.451 May... Government includes full coverage insurance for damages resulting from an accident while performing official... cause extreme difficulty for an employee involved in an accident. ...

41 CFR 301-10.451 - May I be reimbursed for the cost of collision damage waiver (CDW) or theft insurance?

Code of Federal Regulations, 2013 CFR

2013-07-01

... ALLOWABLE TRAVEL EXPENSES 10-TRANSPORTATION EXPENSES Special Conveyances Rental Automobiles § 301-10.451 May... Government includes full coverage insurance for damages resulting from an accident while performing official... cause extreme difficulty for an employee involved in an accident. ...

41 CFR 301-10.451 - May I be reimbursed for the cost of collision damage waiver (CDW) or theft insurance?

Code of Federal Regulations, 2012 CFR

2012-07-01

... ALLOWABLE TRAVEL EXPENSES 10-TRANSPORTATION EXPENSES Special Conveyances Rental Automobiles § 301-10.451 May... Government includes full coverage insurance for damages resulting from an accident while performing official... cause extreme difficulty for an employee involved in an accident. ...

41 CFR 301-10.451 - May I be reimbursed for the cost of collision damage waiver (CDW) or theft insurance?

Code of Federal Regulations, 2014 CFR

2014-07-01

... ALLOWABLE TRAVEL EXPENSES 10-TRANSPORTATION EXPENSES Special Conveyances Rental Automobiles § 301-10.451 May... Government includes full coverage insurance for damages resulting from an accident while performing official... cause extreme difficulty for an employee involved in an accident. ...

41 CFR 301-10.451 - May I be reimbursed for the cost of collision damage waiver (CDW) or theft insurance?

Code of Federal Regulations, 2010 CFR

2010-07-01

... ALLOWABLE TRAVEL EXPENSES 10-TRANSPORTATION EXPENSES Special Conveyances Rental Automobiles § 301-10.451 May... Government includes full coverage insurance for damages resulting from an accident while performing official... cause extreme difficulty for an employee involved in an accident. ...

Vocabulary Instruction for Struggling Students. What Works for Special-Needs Learners Series

ERIC Educational Resources Information Center

Vadasy, Patricia F.; Nelson, J. Ron

2012-01-01

Addressing a key skill in reading, writing, and speaking, this comprehensive book is grounded in cutting-edge research on vocabulary development. It presents evidence-based instructional approaches for at-risk students, including English language learners and those with learning difficulties. Coverage ranges from storybook reading interventions…

The Relationship of HIPAA to Special Education

ERIC Educational Resources Information Center

Benitz, Catherine, Comp.

2006-01-01

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) includes important, but limited, protections for millions of working Americans and their families around the ability to obtain and keep health coverage. Among its specific protections, HIPAA: (1) Limits the use of preexisting condition exclusions; (2) Prohibits group health…

Comparing impact on the family and insurance coverage in children with cerebral palsy and children with another special healthcare need.

PubMed

Schaible, B; Colquitt, G; Caciula, M C; Carnes, A; Li, L; Moreau, N

2018-05-01

Families and caregivers of children with special healthcare needs (CSHCN) often experience financial difficulties, have unmet physical and mental health needs, and are at increased risk of marital problems due to the stress caused by carrying for their child. Within the larger population of CHSCN, young people with cerebral palsy (CP) have more unmet needs due to the complexity and potential severity of the disability. The purpose of this study was to identify factors associated with differences in insurance coverage and impact on the family of children with CP and other CHSCN. The data were taken from the National Survey of Children with Special Health Care Needs, which was designed to examine state- and national-level estimates of CSHCN. Three variables examined differences in insurance coverage between those children diagnosed with CP versus all other CSHCN: insurance coverage for the previous year, current insurance coverage, and adequacy of insurance coverage. Four variables representing different indicators of family impact were used to assess differences between children with CP versus all other CSHCN: out-of-pocket expenses for healthcare, family financial burden, hours per week that family members spent caring for the child, and impact on family work life. The results of this study showed significant differences between households with a child with CP and a child with another health special need in terms of insurance coverage, indicating a tendency of children with CP to be insured the entire year. As for the impact on the family in households with children with CP versus other CSHCN, there were significant differences in all four variables that were analysed. There is limited evidence highlighting differences between the impact of caring for a child with CP and caring for other CSHCN. Caring for a child with CP has a significant impact on the family, despite insurance coverage. © 2018 John Wiley & Sons Ltd.

Teacher's Guide to ADHD. What Works for Special-Needs Learners Series

ERIC Educational Resources Information Center

Reid, Robert; Johnson, Joseph

2011-01-01

Meeting a key need for teachers, this book provides practical, data-based tools for helping students with attention-deficit/hyperactivity disorder (ADHD) succeed in the classroom. The authors combine instructional expertise with extensive knowledge about the nature and treatment of ADHD. Coverage includes ways to support students and teach them…

International directory of documentation services concerning forestry and forest products

Treesearch

Peter A. Evans; Gary L. Skupa

1981-01-01

This directory lists 120 documentation services concerned with forestry, forest products, or related fields in 28 countries. The entry for each service includes title of service, cost, publisher, subject coverage, formatting data, input sources, indexing and data-handling methods, and availability of special services other than the primary ones of indexing and...

42 CFR 436.224 - Individuals under age 21 who are under State adoption assistance agreements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Coverage of Families and Children and Aged, Blind, and Disabled Individuals, Including Pregnant Women § 436... an adoption agreement (other than an agreement under title IV-E) between the State and adoptive..., cannot be placed with adoptive parents without Medicaid because the child has special needs for medical...

47 CFR 80.771 - Method of computing coverage.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 47 Telecommunication 5 2012-10-01 2012-10-01 false Method of computing coverage. 80.771 Section 80.771 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Standards for Computing Public Coast Station VHF Coverage § 80.771 Method...

1 CFR 10.13 - Coverage of prior years.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 1 General Provisions 1 2012-01-01 2012-01-01 false Coverage of prior years. 10.13 Section 10.13 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER PRESIDENTIAL PAPERS Annual Publication § 10.13 Coverage of prior years. The Administrative...

1 CFR 10.13 - Coverage of prior years.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 1 General Provisions 1 2014-01-01 2012-01-01 true Coverage of prior years. 10.13 Section 10.13 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER PRESIDENTIAL PAPERS Annual Publication § 10.13 Coverage of prior years. The Administrative...

1 CFR 10.13 - Coverage of prior years.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 1 General Provisions 1 2013-01-01 2012-01-01 true Coverage of prior years. 10.13 Section 10.13 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER PRESIDENTIAL PAPERS Annual Publication § 10.13 Coverage of prior years. The Administrative...

Health Insurance and Children with Disabilities

ERIC Educational Resources Information Center

Szilagyi, Peter G.

2012-01-01

Few people would disagree that children with disabilities need adequate health insurance. But what kind of health insurance coverage would be optimal for these children? Peter Szilagyi surveys the current state of insurance coverage for children with special health care needs and examines critical aspects of coverage with an eye to helping policy…

42 CFR 486.102 - Condition for coverage: Supervision by a qualified physician.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 5 2011-10-01 2011-10-01 false Condition for coverage: Supervision by a qualified physician. 486.102 Section 486.102 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS FOR COVERAGE OF SPECIALIZED...

42 CFR 486.106 - Condition for coverage: Referral for service and preservation of records.

Code of Federal Regulations, 2010 CFR

2010-10-01

... SPECIALIZED SERVICES FURNISHED BY SUPPLIERS Conditions for Coverage: Portable X-Ray Services § 486.106 Condition for coverage: Referral for service and preservation of records. All portable X-ray services... are properly preserved. (a) Standard—referral by a physician. Portable X-ray examinations are...

United States societal experiments via the Communications Technology Satellite

NASA Technical Reports Server (NTRS)

Donoughe, P. L.

1976-01-01

After a brief description of the Communication Technology Satellite and its U.S. coverage, the U.S. societal experiments via the CTS are discussed. These include education (college curriculum sharing, and project interchange), health care (biomedical communications, health communications, and communication support for decentralized education), and community and special experiments (satellite library information network, and transportable earth terminal).

Going for the Gold: Identifying Academic-Quality Internet Resources

ERIC Educational Resources Information Center

Axford, Mary; Renfro, Crystal

2008-01-01

The purpose of this article is to review some of the key directories of Internet resources, with a special focus on those that announce new academic-quality resources. Significant facets of the directories that will be incorporated in the discussion include scope of coverage, update frequency, identification of any e-mail alerts or RSS feeds…

24 CFR 203.16a - Mortgagor and mortgagee requirement for maintaining flood insurance coverage.

Code of Federal Regulations, 2014 CFR

2014-04-01

... (NFIP) is available with respect to these property improvements, the mortgagor and mortgagee shall be obligated, by a special condition to be included in the mortgage commitment, to obtain and to maintain NFIP..., less estimated land costs, or the maximum amount of the NFIP insurance available with respect to the...

24 CFR 203.16a - Mortgagor and mortgagee requirement for maintaining flood insurance coverage.

Code of Federal Regulations, 2013 CFR

2013-04-01

... (NFIP) is available with respect to these property improvements, the mortgagor and mortgagee shall be obligated, by a special condition to be included in the mortgage commitment, to obtain and to maintain NFIP..., less estimated land costs, or the maximum amount of the NFIP insurance available with respect to the...

24 CFR 203.16a - Mortgagor and mortgagee requirement for maintaining flood insurance coverage.

Code of Federal Regulations, 2011 CFR

2011-04-01

... (NFIP) is available with respect to these property improvements, the mortgagor and mortgagee shall be obligated, by a special condition to be included in the mortgage commitment, to obtain and to maintain NFIP..., less estimated land costs, or the maximum amount of the NFIP insurance available with respect to the...

24 CFR 203.16a - Mortgagor and mortgagee requirement for maintaining flood insurance coverage.

Code of Federal Regulations, 2012 CFR

2012-04-01

... (NFIP) is available with respect to these property improvements, the mortgagor and mortgagee shall be obligated, by a special condition to be included in the mortgage commitment, to obtain and to maintain NFIP..., less estimated land costs, or the maximum amount of the NFIP insurance available with respect to the...

76 FR 53903 - Delegation of Authorities

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-30

... [42 U.S.C. 18023], as amended, pertaining to State opt-out of abortion coverage, special rules relating to coverage of abortion services, applying State and Federal laws regarding abortion, and applying...

20 CFR 404.261 - Computing your special minimum primary insurance amount.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Computing your special minimum primary..., SURVIVORS AND DISABILITY INSURANCE (1950- ) Computing Primary Insurance Amounts Special Minimum Primary Insurance Amounts § 404.261 Computing your special minimum primary insurance amount. (a) Years of coverage...

42 CFR 422.318 - Special rules for coverage that begins or ends during an inpatient hospital stay.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) Coverage that begins during an inpatient stay. If coverage under an MA plan offered by an MA organization... previous MA organization or original Medicare, as appropriate; (2) The MA organization offering the newly-elected MA plan is not responsible for the inpatient services until the date after the beneficiary's...

42 CFR 422.318 - Special rules for coverage that begins or ends during an inpatient hospital stay.

Code of Federal Regulations, 2011 CFR

2011-10-01

...) Coverage that begins during an inpatient stay. If coverage under an MA plan offered by an MA organization... previous MA organization or original Medicare, as appropriate; (2) The MA organization offering the newly-elected MA plan is not responsible for the inpatient services until the date after the beneficiary's...

12 CFR 226.46 - Special disclosure requirements for private education loans.

Code of Federal Regulations, 2010 CFR

2010-01-01

... GOVERNORS OF THE FEDERAL RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Special Rules for Private Education Loans § 226.46 Special disclosure requirements for private education loans. (a) Coverage. The... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Special disclosure requirements for private...

Insurance coverage and financial burden for families of children with special health care needs.

PubMed

Chen, Alex Y; Newacheck, Paul W

2006-01-01

To examine the role of insurance coverage in protecting families of children with special health care needs (CSHCN) from the financial burden associated with care. Data from the 2001 National Survey of Children with Special Health Care Needs were analyzed. We built 2 multivariate regression models by using "work loss/cut back" and "experiencing financial problems" as the dependent variables, and insurance status as the primary independent variable of interest while adjusting for income, race/ethnicity, functional limitation/severity, and other sociodemographic predictors. Approximately 29.9% of CSHCN live in families where their condition led parents to report cutting back on work or stopping work completely. Families of 20.9% of CSHCN reported experiencing financial difficulties due to the child's condition. Insurance coverage significantly reduced the likelihood of financial problems for families at every income level. The proportion of families experiencing financial problems was reduced from 35.7% to 23.0% for the poor and 44.9% to 24.5% for low-income families with continuous insurance coverage (P < .01 for both comparisons). Similarly, the proportion of parents having to cut back or stop work was reduced from 42.8% to 35.9% for the poor (P < .05) and 43.5% to 33.9% for low-income families (P < .01). Continuous health insurance coverage provides protection from financial burden and hardship for families of CSHCN in all income groups. This evidence is supportive of policies designed to promote universal coverage for CSHCN. However, many poor and low-income families continue to experience work loss and financial problems despite insurance coverage. Hence, health insurance should not be viewed as a solution in itself, but instead as one element of a comprehensive strategy to provide financial safety for families with CSHCN.

Aeronautical engineering, a special bibliography, September 1971 (supplement 10)

NASA Technical Reports Server (NTRS)

1971-01-01

This supplement to Aeronautical Engineering-A Special Bibliography (NASA SP-7037) lists 413 reports, journal articles, and other documents originally announced in September 1971 in Scientific and Technical Aerospace Reports (STAR) or in International Aerospace Abstracts (IAA). The coverage includes documents on the engineering and theoretical aspects of design, construction, evaluation, testing, operation, and performance of aircraft (including aircraft engines) and associated components, equipment, and systems. It also includes research and development in aerodynamics, aeronautics, and ground support equipment for aeronautical vehicles. Each entry in the bibliography consists of a standard bibliographic citation accompanied by an abstract. The listing of the entries is arranged in two major sections, IAA Entries and STAR Entries in that order. The citations and abstracts are reproduced exactly as they appeared originally in IAA or STAR, including the original accession numbers from the respective announcement journals.

42 CFR 407.20 - Special enrollment period related to coverage under group health plans.

Code of Federal Regulations, 2013 CFR

2013-10-01

..., DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) ENROLLMENT AND... coverage under group health plans. (a) Terminology—(1) Group health plan (GHP) and large group health plan...

42 CFR 407.20 - Special enrollment period related to coverage under group health plans.

Code of Federal Regulations, 2014 CFR

2014-10-01

..., DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) ENROLLMENT AND... coverage under group health plans. (a) Terminology—(1) Group health plan (GHP) and large group health plan...

42 CFR 407.20 - Special enrollment period related to coverage under group health plans.

Code of Federal Regulations, 2011 CFR

2011-10-01

..., DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) ENROLLMENT AND... coverage under group health plans. (a) Terminology—(1) Group health plan (GHP) and large group health plan...

42 CFR 407.20 - Special enrollment period related to coverage under group health plans.

Code of Federal Regulations, 2012 CFR

2012-10-01

..., DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) ENROLLMENT AND... coverage under group health plans. (a) Terminology—(1) Group health plan (GHP) and large group health plan...

42 CFR 407.20 - Special enrollment period related to coverage under group health plans.

Code of Federal Regulations, 2010 CFR

2010-10-01

..., DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) ENROLLMENT AND... coverage under group health plans. (a) Terminology—(1) Group health plan (GHP) and large group health plan...

42 CFR 422.318 - Special rules for coverage that begins or ends during an inpatient hospital stay.

Code of Federal Regulations, 2013 CFR

2013-10-01

...)(1)(B)(iv)). (b) Coverage that begins during an inpatient stay. If coverage under an MA plan offered by an MA organization begins while the beneficiary is an inpatient in one of the facilities described... beneficiary's discharge is made by the previous MA organization or original Medicare, as appropriate; (2) The...

42 CFR 422.318 - Special rules for coverage that begins or ends during an inpatient hospital stay.

Code of Federal Regulations, 2012 CFR

2012-10-01

...)(1)(B)(iv)). (b) Coverage that begins during an inpatient stay. If coverage under an MA plan offered by an MA organization begins while the beneficiary is an inpatient in one of the facilities described... beneficiary's discharge is made by the previous MA organization or original Medicare, as appropriate; (2) The...

The Deep Space Network

NASA Technical Reports Server (NTRS)

1975-01-01

The primary objectives during this portion of the extended mission were to assure survival of the spacecraft for a third Mercury encounter through conservation of attitude control gas and to conduct trajectory correction maneuvers (TCMs) as necessary to target the spacecraft for a solar occultation zone pass. Special support activities included TCMs 6 and 7 conducted on October 30, 1974 and on February 12-13, 1975, respectively. This period also saw the DSN interface organization involved in (1) the allocation of sufficient coverage to assure accurate orbit determination solutions, (2) monitoring of DSN implementation for Viking to assure maintenance of compatible interfaces and capabilities required for Mariner 10, and (3) the development of encounter coverage, sequences, and readiness test plans.

42 CFR 422.455 - Special rules for MA Regional Plans.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 3 2010-10-01 2010-10-01 false Special rules for MA Regional Plans. 422.455... SERVICES (CONTINUED) MEDICARE PROGRAM MEDICARE ADVANTAGE PROGRAM Special Rules for MA Regional Plans § 422.455 Special rules for MA Regional Plans. (a) Coverage of entire MA region. The service area for an MA...

42 CFR 422.455 - Special rules for MA Regional Plans.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 3 2012-10-01 2012-10-01 false Special rules for MA Regional Plans. 422.455... SERVICES (CONTINUED) MEDICARE PROGRAM (CONTINUED) MEDICARE ADVANTAGE PROGRAM Special Rules for MA Regional Plans § 422.455 Special rules for MA Regional Plans. (a) Coverage of entire MA region. The service area...

42 CFR 422.455 - Special rules for MA Regional Plans.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 3 2011-10-01 2011-10-01 false Special rules for MA Regional Plans. 422.455... SERVICES (CONTINUED) MEDICARE PROGRAM MEDICARE ADVANTAGE PROGRAM Special Rules for MA Regional Plans § 422.455 Special rules for MA Regional Plans. (a) Coverage of entire MA region. The service area for an MA...

42 CFR 422.455 - Special rules for MA Regional Plans.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 3 2014-10-01 2014-10-01 false Special rules for MA Regional Plans. 422.455... SERVICES (CONTINUED) MEDICARE PROGRAM (CONTINUED) MEDICARE ADVANTAGE PROGRAM Special Rules for MA Regional Plans § 422.455 Special rules for MA Regional Plans. (a) Coverage of entire MA region. The service area...

42 CFR 422.455 - Special rules for MA Regional Plans.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 3 2013-10-01 2013-10-01 false Special rules for MA Regional Plans. 422.455... SERVICES (CONTINUED) MEDICARE PROGRAM (CONTINUED) MEDICARE ADVANTAGE PROGRAM Special Rules for MA Regional Plans § 422.455 Special rules for MA Regional Plans. (a) Coverage of entire MA region. The service area...

Book Review:

NASA Astrophysics Data System (ADS)

Altschul, Brett D.

2007-06-01

All the physics we observe in our world is underlain by special relativity, a theory that has survived for more than a hundred years, in many respects completely intact. Yet despite its status as the most stringently tested theory in all of physics, special relativity is still frequently questioned. In the last decade and a half, many scientists have come to believe that special relativity, as Einstein formulated it, will need to be modified to accommodate a quantum theory of gravity. {\\it Special Relativity: Will it Survive the Next 101 Years?} is a volume intended to introduce the reader to this new and still slightly controversial area of research. The book is divided into four parts. The first part is essentially historical. It consists of an essay discussing Einstein's work in the context of contemporary technological developments and a amusing note by R W P Drever on a precision Lorentz test that he performed literally in his backyard. These set the stage for the more modern material that follows. Part II discusses the theory of relativity and its mathematical foundations, from completely modern perspectives. There is much here that may be new even for experts on special relativity, and a significant level of mathematical sophistication on the part of the reader is assumed. A number of the lectures delve into the crucial question of how special relativity and its generalizations can be combined with quantum mechanics. The third part discusses theoretical models of Lorentz violation, and all the important paradigms that appear in the current literature are considered. These include the standard model extension (an effective field theory), modified dispersion relations and 'double special relativity', and noncommutative geometry. These lectures generally delve into less detail than those in part II; the focus is on helping the reader digest the new principles that must arise in theories without Lorentz symmetry. The final part of the volume covers current experimental tests of special relativity, especially state-of-the-art versions of 'classic' tests of rotation and boost invariance. These include Michelson-Morley experiments with high-finesse optical resonators, two-species atomic clock comparisons, and direct measurements of Doppler shifts in the radiation of moving atoms. If there is a weakness in the overall presentation, it lies in the selection of material covered. {\\it Special Relativity} is more of a volume of conference proceedings than a truly cohesive set of lecture notes. This is most evident in the section on experimental tests of Lorentz invariance, which includes contributions from three different experimental groups working on optical resonator measurements. Impressive as these experiments are, this repetitive coverage is not necessary. And at the same time, there is no detailed coverage of astrophysical tests of Lorentz invariance, even though the tightest absolute bounds on deviations from relativity come from astrophysical polarimetry. However, taken as a whole, the volume presents an excellent survey of current research on Lorentz symmetry. Most of the book should be accessible to graduate students and researchers who are interested in the field but with little previous exposure to it. However, the mathematical level does vary quite a bit from one article to the next; especially in part II, facility with a fair number of mathematical physics concepts may be required. The coverage is broad enough that even an active researcher working on special relativity and possible modifications thereto will almost certainly find new material in this volume, and most of the authors provide abundant references, which should be quite valuable in a field with as many counterintuitive features as Lorentz violation research.

Multi-version software reliability through fault-avoidance and fault-tolerance

NASA Technical Reports Server (NTRS)

Vouk, Mladen A.; Mcallister, David F.

1989-01-01

A number of experimental and theoretical issues associated with the practical use of multi-version software to provide run-time tolerance to software faults were investigated. A specialized tool was developed and evaluated for measuring testing coverage for a variety of metrics. The tool was used to collect information on the relationships between software faults and coverage provided by the testing process as measured by different metrics (including data flow metrics). Considerable correlation was found between coverage provided by some higher metrics and the elimination of faults in the code. Back-to-back testing was continued as an efficient mechanism for removal of un-correlated faults, and common-cause faults of variable span. Software reliability estimation methods was also continued based on non-random sampling, and the relationship between software reliability and code coverage provided through testing. New fault tolerance models were formulated. Simulation studies of the Acceptance Voting and Multi-stage Voting algorithms were finished and it was found that these two schemes for software fault tolerance are superior in many respects to some commonly used schemes. Particularly encouraging are the safety properties of the Acceptance testing scheme.

12 CFR 226.46 - Special disclosure requirements for private education loans.

Code of Federal Regulations, 2011 CFR

2011-01-01

... education loans. 226.46 Section 226.46 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Special Rules for Private Education Loans § 226.46 Special disclosure requirements for private education loans. (a) Coverage. The...

Smart Questions To Ask Your Insurance Agent.

ERIC Educational Resources Information Center

Cohen, Abby J.

1997-01-01

Provides advice on insurance coverage for child care centers. Suggests that before purchasing insurance you inquire about the agent's qualifications, company's financial stability, and corporate ratings; and obtain written answers to questions about specific coverage issues such as volunteers, legal defense costs, special events, and…

Proceedings of the 1990 Annual Meeting of the Association for Education in Journalism and Mass Communication (73rd, Minneapolis, Minnesota, August 1-4, 1990). Part V: Health and Environmental Issues.

ERIC Educational Resources Information Center

Association for Education in Journalism and Mass Communication.

The health and environmental issues section of the proceedings includes the following 10 papers: "The Interplay of Journalistic and Scientific Conventions in Mass Communication about AIDS" (William F. Griswold, Jr. and Cathy Packer); "Refocusing Science News to Reach a Specialized Audience: AIDS Coverage, Mobilizing Information and…

Survey of digital filtering

NASA Technical Reports Server (NTRS)

Nagle, H. T., Jr.

1972-01-01

A three part survey is made of the state-of-the-art in digital filtering. Part one presents background material including sampled data transformations and the discrete Fourier transform. Part two, digital filter theory, gives an in-depth coverage of filter categories, transfer function synthesis, quantization and other nonlinear errors, filter structures and computer aided design. Part three presents hardware mechanization techniques. Implementations by general purpose, mini-, and special-purpose computers are presented.

Reducing the Number of Uninsured Children: Outreach and Enrollment Efforts. Testimony of Donna Cohen Ross, Center on Budget and Policy Priorities, before the Senate Finance Committee.

ERIC Educational Resources Information Center

Ross, Donna Cohen

This testimony of Donna Cohen Ross describes the Center on Budget and Policy Priorities' work to reduce the number of uninsured children. The Center specializes in programs and policies affecting low- and moderate-income families, including issues related to health coverage for the uninsured. It works with many groups on strategies to identify…

United States societal experiments via the Communications Technology Satellite. [antenna coverage

NASA Technical Reports Server (NTRS)

Donoughe, P. L.

1976-01-01

The Communications Technology Satellite (CTS) is a cooperative experimental program of the United States and Canadian governments. The CTS uses a high-power transponder at the frequencies of 14/12 GHz for two-way television and voice communication. The United States and Canada have agreed to share equally in the use of CTS. The U.S. program includes a variety of societal experiments. The ground stations for these experiments are located from the Atlantic to the Pacific. The satellite communications capabilities and the antenna coverage for the U.S. are summarized. Emphasis is placed on the U.S. societal experiments in the areas of education, health care, and community and special services; nine separate experiments are discussed.

The search for a national child health coverage policy.

PubMed

Rosenbaum, Sara; Kenney, Genevieve M

2014-12-01

Thirty-eight percent of US children depend on publicly financed health insurance, reflecting both its expansion and the steady erosion of employment-based coverage. Continued funding for the Children's Health Insurance Program (CHIP) is an immediate priority. But broader reforms aimed at improving the quality of coverage for all insured children, with a special emphasis on children living in low-income families, are also essential. This means addressing the "family glitch," which bars premium subsidies for children whose parents have access to affordable self-only employer-sponsored benefits. It also means addressing the quality of health plans sold in the individual and small-group markets-whether or not purchased through the state and federal exchanges-that are governed by the "essential health benefit" standard of the Affordable Care Act (ACA). In this article we examine trends in coverage and the role of Medicaid and CHIP. We also consider how the ACA has shaped child health financing, and we discuss critical issues in the broader insurance market and the need to ensure plan quality, including the scope of coverage, use of a pediatric medical necessity standard that emphasizes growth and development, the structure of pediatric provider networks, and attention to the quality of pediatric health care. Project HOPE—The People-to-People Health Foundation, Inc.

42 CFR 422.314 - Special rules for beneficiaries enrolled in MA MSA plans.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 3 2011-10-01 2011-10-01 false Special rules for beneficiaries enrolled in MA MSA... Advantage Organizations § 422.314 Special rules for beneficiaries enrolled in MA MSA plans. (a) Establishment and designation of medical savings account (MSA). A beneficiary who elects coverage under an MA...

42 CFR 422.314 - Special rules for beneficiaries enrolled in MA MSA plans.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 3 2010-10-01 2010-10-01 false Special rules for beneficiaries enrolled in MA MSA... Advantage Organizations § 422.314 Special rules for beneficiaries enrolled in MA MSA plans. (a) Establishment and designation of medical savings account (MSA). A beneficiary who elects coverage under an MA...

41 CFR 60-250.4 - Coverage and waivers.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 41 Public Contracts and Property Management 1 2013-07-01 2013-07-01 false Coverage and waivers. 60-250.4 Section 60-250.4 Public Contracts and Property Management Other Provisions Relating to Public... SPECIAL DISABLED VETERANS, VETERANS OF THE VIETNAM ERA, RECENTLY SEPARATED VETERANS, AND OTHER PROTECTED...

41 CFR 60-250.4 - Coverage and waivers.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 41 Public Contracts and Property Management 1 2012-07-01 2009-07-01 true Coverage and waivers. 60-250.4 Section 60-250.4 Public Contracts and Property Management Other Provisions Relating to Public... SPECIAL DISABLED VETERANS, VETERANS OF THE VIETNAM ERA, RECENTLY SEPARATED VETERANS, AND OTHER PROTECTED...

29 CFR 2590.701-6 - Special enrollment periods.

Code of Federal Regulations, 2010 CFR

2010-07-01

... individuals who lose coverage—(1) In general. A group health plan, and a health insurance issuer offering health insurance coverage in connection with a group health plan, is required to permit current employees... plan was previously offered, the employee had coverage under any group health plan or health insurance...

42 CFR 422.314 - Special rules for beneficiaries enrolled in MA MSA plans.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 3 2012-10-01 2012-10-01 false Special rules for beneficiaries enrolled in MA MSA... Medicare Advantage Organizations § 422.314 Special rules for beneficiaries enrolled in MA MSA plans. (a) Establishment and designation of medical savings account (MSA). A beneficiary who elects coverage under an MA...

42 CFR 422.314 - Special rules for beneficiaries enrolled in MA MSA plans.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 3 2013-10-01 2013-10-01 false Special rules for beneficiaries enrolled in MA MSA... Medicare Advantage Organizations § 422.314 Special rules for beneficiaries enrolled in MA MSA plans. (a) Establishment and designation of medical savings account (MSA). A beneficiary who elects coverage under an MA...

42 CFR 422.314 - Special rules for beneficiaries enrolled in MA MSA plans.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 3 2014-10-01 2014-10-01 false Special rules for beneficiaries enrolled in MA MSA... Medicare Advantage Organizations § 422.314 Special rules for beneficiaries enrolled in MA MSA plans. (a) Establishment and designation of medical savings account (MSA). A beneficiary who elects coverage under an MA...

42 CFR 403.766 - Requirements for coverage and payment of RNHCI home services.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 2 2010-10-01 2010-10-01 false Requirements for coverage and payment of RNHCI home services. 403.766 Section 403.766 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS SPECIAL PROGRAMS AND PROJECTS Religious Nonmedical Health...

45 CFR 155.420 - Special enrollment periods.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Functions in the Individual Market: Enrollment in Qualified Health Plans § 155.420 Special enrollment... loses minimum essential coverage; (2) A qualified individual gains a dependent or becomes a dependent... citizen, national, or lawfully present individual gains such status; (4) A qualified individual's...

NASA Scientific and Technical Publications: A Catalog of Special Publications, Reference Publications, Conference Publications, and Technical Papers 1991-1992

DTIC Science & Technology

1993-02-01

Scientific and Technical Information EXOBIOLOGY. HEALTH. MICROBIOLOGY . MICROOR- System during September 1990. Subject coverage includes: GANISMS...Houston. TX N91-24731 National Aeronautics and Space Administration. MICROBIOLOGY ON SPACE STATION FREEDOM Washington, DCr DUANE L. PIERSON, ed...and solution INASA-SP-7011(345)) p 37 N91-16547 Beyond the Baseline 1991ý Proceedings of the Space [NASA-TP-3242) p 43 N92-33483 Microbiology on Space

45 CFR 155.420 - Special enrollment periods.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Functions in the Individual Market: Enrollment in Qualified Health Plans § 155.420 Special enrollment... minimum essential coverage; (2) The qualified individual gains a dependent or becomes a dependent through... individual gains such status; (4) The qualified individual's or his or her dependent's, enrollment or non...

Media Performance at the Inflection Point: Coverage of Racial Conflict in Milwaukee in 1967.

ERIC Educational Resources Information Center

Caspari, Genevieve

A content analysis of white-oriented and black-oriented Milwaukee, Wisconsin, newspaper coverage of that city's racial riots in 1967 was conducted to test the following hypotheses: (1) the general media would rely more on "authority" sources, while the specialized black media would rely more on "nonauthority" sources; (2) the…

20 CFR 10.730 - What are the conditions of coverage for Peace Corps volunteers and volunteer leaders injured...

Code of Federal Regulations, 2013 CFR

2013-04-01

... Corps volunteers and volunteer leaders injured while serving outside the United States? 10.730 Section... AMENDED Special Provisions Peace Corps Volunteers § 10.730 What are the conditions of coverage for Peace Corps volunteers and volunteer leaders injured while serving outside the United States? (a) Any injury...

20 CFR 10.730 - What are the conditions of coverage for Peace Corps volunteers and volunteer leaders injured...

Code of Federal Regulations, 2011 CFR

2011-04-01

... Corps volunteers and volunteer leaders injured while serving outside the United States? 10.730 Section... AMENDED Special Provisions Peace Corps Volunteers § 10.730 What are the conditions of coverage for Peace Corps volunteers and volunteer leaders injured while serving outside the United States? (a) Any injury...

20 CFR 10.730 - What are the conditions of coverage for Peace Corps volunteers and volunteer leaders injured...

Code of Federal Regulations, 2014 CFR

2014-04-01

... Corps volunteers and volunteer leaders injured while serving outside the United States? 10.730 Section... AMENDED Special Provisions Peace Corps Volunteers § 10.730 What are the conditions of coverage for Peace Corps volunteers and volunteer leaders injured while serving outside the United States? (a) Any injury...

20 CFR 10.730 - What are the conditions of coverage for Peace Corps volunteers and volunteer leaders injured...

Code of Federal Regulations, 2010 CFR

2010-04-01

... Corps volunteers and volunteer leaders injured while serving outside the United States? 10.730 Section... AMENDED Special Provisions Peace Corps Volunteers § 10.730 What are the conditions of coverage for Peace Corps volunteers and volunteer leaders injured while serving outside the United States? (a) Any injury...

20 CFR 10.730 - What are the conditions of coverage for Peace Corps volunteers and volunteer leaders injured...

Code of Federal Regulations, 2012 CFR

2012-04-01

... Corps volunteers and volunteer leaders injured while serving outside the United States? 10.730 Section... AMENDED Special Provisions Peace Corps Volunteers § 10.730 What are the conditions of coverage for Peace Corps volunteers and volunteer leaders injured while serving outside the United States? (a) Any injury...

42 CFR 435.227 - Individuals under age 21 who are under State adoption assistance agreements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Coverage as Categorically Needy Options for Coverage of Families and Children § 435.227 Individuals under... (other than an agreement under title IV-E) between the State and the adoptive parent(s) is in effect; (2... adoptive parents without Medicaid because the child has special needs for medical or rehabilitative care...

Conflict in the Colonies: The London Times Coverage of Watergate from the Break-in to the Pardon.

ERIC Educational Resources Information Center

Stovall, James Glen

1979-01-01

From the breakin through the pardon of President Nixon, the London "Times" maintained thorough coverage of the Watergate scandal--a difficult task, considering the complexities of the American judicial and political systems. A special Watergate section was added to the other sections of the "Times," and even the British…

Behavioral medicine and clinical health psychology: introduction to the special issue.

PubMed

Christensen, Alan J; Nezu, Arthur M

2013-04-01

This issue represents the 4th Journal of Consulting and Clinical Psychology special issue on behavioral medicine and clinical health psychology over the past 4 decades. Recent developments in health care policy, as well as in the maturation of the science, make a special issue in this area particularly timely. This collection includes state of the clinical science reviews, reports of clinical trials, and articles addressing theory and methods in behavioral medicine and clinical health psychology. A multilevel, ecological perspective that considers multiple levels of influences (e.g., cultural influences on behavior-health linkages, individual differences) is salient throughout many of the articles. Our hope is that this sampling of this broad field, and coverage of some key issues and areas, will play a role in stimulating the next 10 years of research, practice, and policy implementation in behavioral medicine and clinical health psychology.

Handbook of Leadership and Administration for Special Education

ERIC Educational Resources Information Center

Crockett, Jean B., Ed.; Billingsley, Bonnie, Ed.; Boscardin, Mary Lynn, Ed.

2012-01-01

This book brings together for the first time research informing leadership practice in special education from preschool through transition into post-secondary settings. It provides comprehensive coverage of 1) disability policy 2) leadership knowledge, 3) school reform, and 4) effective educational leadership practices. Broader in scope than…

45 CFR 146.117 - Special enrollment periods.

Code of Federal Regulations, 2011 CFR

2011-10-01

....117 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS FOR THE GROUP HEALTH INSURANCE MARKET Requirements Relating to Access and Renewability of Coverage...) Special enrollment for certain individuals who lose coverage—(1) In General. A group health plan, and a...

45 CFR 146.117 - Special enrollment periods.

Code of Federal Regulations, 2012 CFR

2012-10-01

....117 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS FOR THE GROUP HEALTH INSURANCE MARKET Requirements Relating to Access and Renewability of Coverage...) Special enrollment for certain individuals who lose coverage—(1) In General. A group health plan, and a...

5 CFR 530.323 - Setting pay when a special rate is discontinued or decreased.

Code of Federal Regulations, 2011 CFR

2011-01-01

... of a rate range within a schedule); or (2) The reduction in the scope of coverage of the special rate... retention under 5 CFR part 536, the employee's rate of pay is set in the highest applicable rate range at...

[Health and the media in Spain].

PubMed

Revuelta, Gemma

2006-03-01

The so-called media agenda has a great influence on the issues considered to be important by society. In this article, based on the Informe Quiral (Quiral Survey), the author analyses the coverage of health issues in Spanish press. In Spain, media concentration causes a clear tendency to information homogeneity and thus, health issues are rarely dealt with in an independent way or in its own specific space or by specialized professionals. The main chronic issues the Spanish press has followed during the years included in the survey have been: cancer, sexuality and reproduction, aids, drugs (including tobacco), mental disorders and nutrition-related issues. Politicians or individuals with political and technical posts are the sources which carry the burden of informing about health issues (49%). On the other hand, the more specialized sector is the source of information in only 26% of the cases. In order to improve health information, the author suggests establishing communication platforms and closer collaboration between the specialized sector and the media, fostering mutual knowledge of all professional groups taking part in the process and ridding health information of all political influences.

Summary of experimental heat-transfer results from the turbine hot section facility

NASA Technical Reports Server (NTRS)

Gladden, Herbert J.; Yeh, Fredrick C.

1993-01-01

Experimental data from the turbine Hot Section Facility are presented and discussed. These data include full-coverage film-cooled airfoil results as well as special instrumentation results obtained at simulated real engine conditions. Local measurements of airfoil wall temperature, airfoil gas-path static-pressure distribution, and local heat-transfer coefficient distributions are presented and discussed. In addition, measured gas and coolant temperatures and pressures are presented. These data are also compared with analyses from Euler and boundary-layer codes.

42 CFR 436.1100 - Basis and scope.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) MEDICAL ASSISTANCE PROGRAMS ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS Option for Coverage of Special Groups § 436.1100 Basis and scope. (a) Statutory basis. Section 1920A of the Act allows... requirements for providing medical assistance to special groups who are not eligible for Medicaid as...

44 CFR 61.5 - Special terms and conditions.

Code of Federal Regulations, 2014 CFR

2014-10-01

... OF HOMELAND SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program INSURANCE COVERAGE AND RATES § 61.5 Special terms and conditions. (a) No new flood insurance or renewal of flood... other authority to be in violation of any flood plain, mudslide (i.e., mudflow) or flood-related erosion...

44 CFR 61.5 - Special terms and conditions.

Code of Federal Regulations, 2012 CFR

2012-10-01

... OF HOMELAND SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program INSURANCE COVERAGE AND RATES § 61.5 Special terms and conditions. (a) No new flood insurance or renewal of flood... other authority to be in violation of any flood plain, mudslide (i.e., mudflow) or flood-related erosion...

44 CFR 61.5 - Special terms and conditions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... OF HOMELAND SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program INSURANCE COVERAGE AND RATES § 61.5 Special terms and conditions. (a) No new flood insurance or renewal of flood... other authority to be in violation of any flood plain, mudslide (i.e., mudflow) or flood-related erosion...

Shaking the Trees: The Psychology of Collecting in U.S. Newspaper Coverage of the College Admissions Process

ERIC Educational Resources Information Center

Bishop, Ronald

2009-01-01

A frame analysis was conducted to explore themes in recent coverage by print journalists of the college application process, with special attention paid to the use by reporters of "keywords, stock phrases, stereotyped images, sources of information, and sentences that provide reinforcing clusters of facts or judgments" (Entman, p. 52) about this…

Dietary specialization is linked to reduced species durations in North American fossil canids

NASA Astrophysics Data System (ADS)

Balisi, Mairin; Casey, Corinna; Van Valkenburgh, Blaire

2018-04-01

How traits influence species persistence is a fundamental question in ecology, evolution and palaeontology. We test the relationship between dietary traits and both species duration and locality coverage over 40 million years in North American canids, a clade with considerable ecomorphological disparity and a dense fossil record. Because ecomorphological generalization-broad resource use-may enable species to withstand disturbance, we predicted that canids of average size and mesocarnivory would exhibit longer durations and wider distributions than specialized larger or smaller species. Second, because locality coverage might reflect dispersal ability and/or survivability in a range of habitats, we predicted that high coverage would correspond with longer durations. We find a nonlinear relationship between species duration and degree of carnivory: species at either end of the carnivory spectrum tend to have shorter durations than mesocarnivores. Locality coverage shows no relationship with size, diet or duration. To test whether generalization (medium size, mesocarnivory) corresponds to an adaptive optimum, we fit trait evolution models to previously generated canid phylogenies. Our analyses identify no single optimum in size or diet. Instead, the primary model of size evolution is a classic Cope's Rule increase over time, while dietary evolution does not conform to a single model.

Does public insurance provide better financial protection against rising health care costs for families of children with special health care needs?

PubMed

Yu, Hao; Dick, Andrew W; Szilagyi, Peter G

2008-10-01

Health care costs grew rapidly since 2001, generating substantial economic pressures on families, especially those with children with special health care needs (CSHCN). To examine how the growth of health care costs affected financial burden for families of CSHCN between 2001 and 2004 and to determine the extent to which health insurance coverage protected families of CSHCN against financial burden. In 2001-2004, 5196 families of CSHCN were surveyed by the national Medical Expenditure Panel Survey (MEPS). The main outcome was financial burden, defined as the proportion of family income spent on out-of-pocket (OOP) health care expenditures for all family members, including OOP costs and premiums. Family insurance coverage was classified as: (1) all members publicly insured, (2) all members privately insured, (3) all members uninsured, (4) partial coverage, and (5) a mix of public and private with no uninsured periods. An upward trend in financial burden for families of CSHCN occurred and was associated with growth of economy-wide health care costs. A multivariate analysis indicated that, given the economy-wide increase in medical costs between 2001 and 2004, a family with CSHCN was at increased risk in 2004 for having financial burden exceeding 10% of family income [odds ratio (OR) = 1.39; P < 0.01]. Similar findings were noted for financial burden exceeding 20% of family income. Over 15% of families with public insurance had financial burden exceeding 10% of family income compared with 20% of families with private insurance (P < 0.05; chi2 test). After controlling for covariates, publicly-insured families of CSHCN had significantly lower likelihood of financial burden of >10% or 20% of family income than privately-insured families. Rising health care costs increased financial burden on families of CSHCN in 2001-2004. Public insurance coverage provided better financial protection than private insurance against the rapidly rising health care costs for families of CSHCN.

45 CFR 146.145 - Special rules relating to group health plans.

Code of Federal Regulations, 2010 CFR

2010-10-01

... HEALTH CARE ACCESS REQUIREMENTS FOR THE GROUP HEALTH INSURANCE MARKET Preemption and Special Rules § 146... group health insurance coverage) for any plan year, if on the first day of the plan year, the plan has...— (A) Medicare supplemental health insurance (as defined under section 1882(g)(1) of the Social...

Highlights of Historical Events Leading to National Surveillance of Vaccination Coverage in the United States

PubMed Central

Smith, Philip J.; Wood, David; Darden, Paul M.

2011-01-01

The articles published in this special supplement of Public Health Reports provide examples of only some of the current efforts in the United States for evaluating vaccination coverage. So, how did we get here? The history of vaccination and assessment of vaccination coverage in the U.S. has its roots in the pre-Revolutionary War era. In many cases, development of vaccines, and attention devoted to the assessment of vaccination coverage, has grown from the impact of infectious disease on major world events such as wars. The purpose of this commentary is to provide a brief overview of the key historical events in the U.S. that influenced the development of vaccines and the efforts to track vaccination coverage, which laid the foundation for contemporary vaccination assessment efforts. PMID:21815302

[A health promotion campaign to improve flu vaccination adherence among medical residents in an Italian Teaching Hospital].

PubMed

Barbara, Andrea; Poscia, Andrea; De Meo, Concetta; De Waure, Chiara; Anzelmo, Vincenza; Santoro, Paolo Emilio; Maruccia, Antonio; Giubbini, Gabriele; Corsaro, Alice; Berloco, Filippo; Damiani, Gianfranco; Ricciardi, Walter; Laurenti, Patrizia

2017-01-01

In Italy annual flu vaccination for health care workers is recommended but coverage is usually unsatisfying. The compliance is even worse among medical residents (MRs) both in literature, both in our experience: in the flu season 2014/ 15 only 0.6% of MRs enrolled at the Università Cattolica del Sacro Cuore (UCSC) were vaccinated. For this reason, during the influenza season 2015/16, the Institute of Public Health of the UCSC, in collaboration with the Health Management of the "Agostino Gemelli" Teaching Hospital (FPG) and with the directive board of the Medical Specialization Schools (SSM) present at the University has tested several strategies to improve awareness and adherence to flu vaccination campaign by its staff. This study aims to analyze the impact of the strategies used during the 2015/16 campaign on flu vaccination coverage among MRs of an important Italian Teaching Hospital. The study was conducted among MRs enrolled at the UCSC - FPG in 2015/16. The data was collected by the Occupational Medicine which, during the influenza seasons, immunize MRs against influenza free of charge. For each variable - vaccination, area of specialization (surgical, medical, clinical services), typology of SSM - was measured the absolute and percentage frequency. In order to compare the flu vaccination coverage between seasons 2014/15 and 2015/16 and between areas of specialization in 2015/16 chi-square test was used (statistical significance level of 0.05). The data were analyzed using STATA Software. Were included in the analysis 42 SSM with a total of 1041 MRs. During the vaccination campaign 2015/16, flu vaccine was administered to 99 MRs (9.5%), 8.9% more than in the previous season (p<0.001). There is also a significant difference in vaccine coverage between surgical, medical and clinical services areas in 2015/16 (p <0.001). The highest vaccination coverage was recorded among MRs of Hematology and Urology (54.5%). However, no one MRs had undergone flu vaccination in about 40% of SSM. Seasonal flu vaccination among HCWs is important to protect patients as well as them self and their family members. Considering that MRs represent the next generation of HCWs, they should be sensitized about the importance of preventing the spread of influenza in hospital population, becoming an active part of the necessary cultural change. This study highlights a first and promising, although insufficient, increase in flu vaccination coverage among MRs enrolled at the UCSC - FPG after introducing simple strategies to promote vaccination itself and, more generally, positive and proactive behaviors. The study summarizes the results in the short term, but it is well known that cultural changes require time and constancy. Therefore, it will be useful to monitor the improvement over time and extend the assessment to all health care professionals.

Chile: perspectives in school health.

PubMed

Langdon, M C; Gazmuri, C; Venegas, L

1990-09-01

The leading health problems of children and adolescents in Chile is reviewed. The Chilean educational system and how the system addresses its principal health problems are described. A school health program is described as well as other educational programs designed and developed by nongovernmental institutions which have a smaller coverage. Current research studies regarding growth and development, child morbidity, nutritional level, and mental health studies are reviewed. In addition, principal challenges that include developing more efficient ways of referring children, enriching the curriculum and teacher training, assigning school hours for health teachers, and enlarging coverage of the health care evaluation programs are outlined. Of special importance is developing prevention programs for parents and children using school and community leaders to prevent health problems in areas such as human sexuality education, decision-making, social abilities, and alcohol and drug abuse. Main efforts should be directed toward low-income families and children to improve life conditions.

[Plastic surgery treatment techniques for interdisciplinary therapy of pressure sores].

PubMed

Müller, Karin; Becker, Frederic; Pfau, Matthias; Werdin, Frank

2017-06-01

Pressure sores in geriatric patients represent a challenge for all disciplines involved in the treatment process; however, the prerequisite for successful treatment is the elaboration of an interdisciplinary treatment concept. The treatment goals should be adapted to the individual needs of the patients including the life situation, general condition and local findings. In addition to general basic operative techniques, such as wound cleansing and conditioning, plastic and reconstructive surgery provides a wide range of highly specialized operative techniques for the treatment of these patients by which a definitive defect coverage can be achieved. The aim of this article is to raise awareness for these complex and highly specialized procedures for all disciplines participating in the treatment in order to improve the interdisciplinary cooperation and ultimately the quality of treatment.

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

Melber, B.D.; Saari, L.M.; White, A.S.

This report assesses the job-relatedness of specialized educational programs for licensed nuclear reactor operators. The approach used involved systematically comparing the curriculum of specialized educational programs for college credit, to academic knowledge identified as necessary for carrying out the jobs of licenses reactor operators. A sample of eight programs, including A.S. degree, B.S. degree, and coursework programs were studied. Subject matter experts in the field of nuclear operations curriculum and training determined the extent to which individual program curricula covered the identified job-related academic knowledge. The major conclusions of the report are: There is a great deal of variation amongmore » individual programs, ranging from coverage of 15% to 65% of the job-related academic knowledge. Four schools cover at least half, and four schools cover less than one-third of this knowledge content; There is no systematic difference in the job-relatedness of the different types of specialized educational programs, A.S. degree, B.S. degree, and coursework; and Traditional B.S. degree programs in nuclear engineering cover as much job-related knowledge (about one-half of this knowledge content) as most of the specialized educational programs.« less

Dietary specialization is linked to reduced species durations in North American fossil canids

PubMed Central

Casey, Corinna; Van Valkenburgh, Blaire

2018-01-01

How traits influence species persistence is a fundamental question in ecology, evolution and palaeontology. We test the relationship between dietary traits and both species duration and locality coverage over 40 million years in North American canids, a clade with considerable ecomorphological disparity and a dense fossil record. Because ecomorphological generalization—broad resource use—may enable species to withstand disturbance, we predicted that canids of average size and mesocarnivory would exhibit longer durations and wider distributions than specialized larger or smaller species. Second, because locality coverage might reflect dispersal ability and/or survivability in a range of habitats, we predicted that high coverage would correspond with longer durations. We find a nonlinear relationship between species duration and degree of carnivory: species at either end of the carnivory spectrum tend to have shorter durations than mesocarnivores. Locality coverage shows no relationship with size, diet or duration. To test whether generalization (medium size, mesocarnivory) corresponds to an adaptive optimum, we fit trait evolution models to previously generated canid phylogenies. Our analyses identify no single optimum in size or diet. Instead, the primary model of size evolution is a classic Cope's Rule increase over time, while dietary evolution does not conform to a single model. PMID:29765649

A Health Economics Approach to US Value Assessment Frameworks-Summary and Recommendations of the ISPOR Special Task Force Report [7].

PubMed

Garrison, Louis P; Neumann, Peter J; Willke, Richard J; Basu, Anirban; Danzon, Patricia M; Doshi, Jalpa A; Drummond, Michael F; Lakdawalla, Darius N; Pauly, Mark V; Phelps, Charles E; Ramsey, Scott D; Towse, Adrian; Weinstein, Milton C

2018-02-01

This summary section first lists key points from each of the six sections of the report, followed by six key recommendations. The Special Task Force chose to take a health economics approach to the question of whether a health plan should cover and reimburse a specific technology, beginning with the view that the conventional cost-per-quality-adjusted life-year metric has both strengths as a starting point and recognized limitations. This report calls for the development of a more comprehensive economic evaluation that could include novel elements of value (e.g., insurance value and equity) as part of either an "augmented" cost-effectiveness analysis or a multicriteria decision analysis. Given an aggregation of elements to a measure of value, consistent use of a cost-effectiveness threshold can help ensure the maximization of health gain and well-being for a given budget. These decisions can benefit from the use of deliberative processes. The six recommendations are to: 1) be explicit about decision context and perspective in value assessment frameworks; 2) base health plan coverage and reimbursement decisions on an evaluation of the incremental costs and benefits of health care technologies as is provided by cost-effectiveness analysis; 3) develop value thresholds to serve as one important input to help guide coverage and reimbursement decisions; 4) manage budget constraints and affordability on the basis of cost-effectiveness principles; 5) test and consider using structured deliberative processes for health plan coverage and reimbursement decisions; and 6) explore and test novel elements of benefit to improve value measures that reflect the perspectives of both plan members and patients. Copyright © 2018 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

29 CFR 2590.701-1 - Basis and scope.

Code of Federal Regulations, 2011 CFR

2011-07-01

... creditable coverage. (4) Special enrollment periods. (5) Prohibition against discrimination on the basis of health factors. (6) Additional requirements prohibiting discrimination based on genetic information. (7...

Reasons for low influenza vaccination coverage – a cross-sectional survey in Poland

PubMed Central

Kardas, Przemyslaw; Zasowska, Anna; Dec, Joanna; Stachurska, Magdalena

2011-01-01

Aim To assess the reasons for low influenza vaccination coverage in Poland, including knowledge of influenza and attitudes toward influenza vaccination. Methods This was a cross-sectional, anonymous, self-administered survey in primary care patients in Lodzkie voivodship (central Poland). The study participants were adults who visited their primary care physicians for various reasons from January 1 to April 30, 2007. Results Six hundred and forty participants completed the survey. In 12 months before the study, 20.8% participants had received influenza vaccination. The most common reasons listed by those who had not been vaccinated were good health (27.6%), lack of trust in vaccination effectiveness (16.8%), and the cost of vaccination (9.7%). The most common source of information about influenza vaccination were primary care physicians (46.6%). Despite reasonably good knowledge of influenza, as many as approximately 20% of participants could not point out any differences between influenza and other viral respiratory tract infections. Conclusions The main reasons for low influenza vaccination coverage in Poland were patients’ misconceptions and the cost of vaccination. Therefore, free-of-charge vaccination and more effective informational campaigns are needed, with special focus on high-risk groups. PMID:21495194

Value-Based Insurance Design Pharmacy Benefits for Children and Youth With Special Health Care Needs: Principles and Opportunities.

PubMed

Helm, Mark E

2017-05-01

Value-based insurance design (VBID) represents an innovative approach to health insurance coverage. In the context of pharmacy benefits, the goal of VBID is to minimize access barriers to the most effective and appropriate treatments for specific medical conditions. Both private and public insurance programs have explored VBID pharmacy projects primarily for medical conditions affecting adults. To date, evidence for VBID pharmacy programs for children and youth with special health care needs (CYSHCN) appears lacking. There appears to be potential for VBID concepts to be applied to pharmacy coverage benefiting CYSHCN. An overview of VBID pharmacy principles and guiding principles are presented. Opportunities for the creation of pharmacy programs with a value-based orientation and challenges to the redesign of pharmacy benefits are identified. VBID pharmacy coverage principles may be helpful to improve medication use and important clinical outcomes while lowering barriers to medication use for the population of CYSHCN. Pilot projects of VBID pharmacy benefits for children and youth should be explored. However, many questions remain. Copyright © 2017 by the American Academy of Pediatrics.

Which newborns in New York City are at risk for special education placement?

PubMed

Goldberg, D; McLaughlin, M; Grossi, M; Tytun, A; Blum, S

1992-03-01

In this study of 162 third graders in New York City public schools, we found that slightly over half of the children in special education were males who had Medicaid coverage at birth and mothers with medical conditions or adverse health habits noted on the birth certificate; two thirds of the children with this combination of characteristics actually were placed in special education. These findings suggest that newborns at risk for later learning disabilities can be targeted to receive preventive interventions.

42 CFR 436.1102 - General rules.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) MEDICAL ASSISTANCE PROGRAMS ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS Option for Coverage of Special Groups Presumptive Eligibility for Children § 436.1102 General rules. (a) The agency may...

Correlates of receiving recommended adolescent vaccines among youth with special health care needs: Findings from a statewide survey.

PubMed

Reiter, Paul L; McRee, Annie-Laurie

2016-06-08

Many youth with special health care needs (YSHCN) have not received recommended adolescent vaccines, yet data are lacking on correlates of vaccination among this population. Such information can identify subgroups of YSHCN that may be at risk for under-immunization and strategies for increasing vaccination. We analyzed weighted data from a population-based sample of parents with an 11- to 17-year-old child with a special health care need from the 2010-2012 North Carolina Child Health Assessment and Monitoring Program (n=604). We used ordinal logistic regression to identify correlates of how many recommended vaccines (tetanus booster, meningococcal, and HPV [at least one dose] vaccines) adolescents had received. Only 12% of YSHCN (18% of females and 7% of males) had received all three vaccines. More YSHCN had received tetanus booster vaccine (91%) than meningococcal (28%) or HPV vaccines (32%). In multivariable analyses, YSHCN who were female (OR=2.59, 95% CI: 1.57-4.24), ages 16-17 (OR=2.06, 95% CI: 1.10-3.87), or who had a preventive check-up in the past year (OR=2.98, 95% CI: 1.24-7.21) had received a greater number of the vaccines. YSHCN from households that contained a person with at least some college education had received fewer of the vaccines (OR=0.57, 95% CI: 0.33-0.96). Vaccine coverage did not differ by type of special health care need. Vaccine coverage among YSHCN is lacking and particularly low among those who are younger or male. Reducing missed opportunities for vaccination at medical visits and concomitant administration of adolescent vaccines may help increase vaccine coverage among YSHCN. Copyright © 2016 Elsevier Ltd. All rights reserved.

32 CFR 2001.71 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., specialized training, and termination briefings. This subpart establishes fundamental security education and... authorities, security managers, classification management officers, security specialists, and all other.... Classification management officers, security managers, security specialists, declassification authorities, and...

Examples of S1 coverage intervals with very good and very bad long-run success rate

NASA Astrophysics Data System (ADS)

Giaquinto, Nicola; Fabbiano, Laura

2016-04-01

The paper illustrates, by means of selected examples, the merits and the limits of the method for computing coverage intervals described in the Supplement 1 to the GUM. The assessment of coverage intervals is done by evaluating their long-run success rate. Three pairs of examples are presented, relative to three different ways of generating incomplete knowledge about quantities: toss of dice, presence of additive noise, quantization. In all the pairs of examples, the first one results in a coverage interval with a long-run success rate equal to the coverage probability (set to 95%); the second one, instead, yields an interval with a success rate near to zero. The paper shows that the propagation mechanism of the Supplement 1, while working well in certain special cases, yields unacceptable results in others, and that the problematic issues cannot be neglected. The conclusion is that, if a Bayesian approach to uncertainty evaluation is adopted, the propagation is a particularly delicate issue.

Beyond the political model of reporting: nonspecific symptoms in media communication about AIDS.

PubMed

Check, W A

1987-01-01

Mass media have functioned well in transmitting much of the basic information about the AIDS epidemic; however, media coverage of AIDS has been flawed. In many ways these flaws have resulted from the limitations and conventions of traditional journalism, especially the need to appeal to a large mainstream audience and a reliance on authorities as sources and validators of information. News stories typically rely on a single articulate authority, and articles that involve conspiracy or controversy or have a high entertainment value are favored. Although coverage of politics and social issues is not distorted by these journalistic conventions, coverage of science suffers. Analysis of news coverage of AIDS shows that mass media often respond to sensationalism rather than to important scientific developments. In addition, scientific disagreements are better adjudicated by evidence than by appeals to authority. As a result, media coverage often obscures the process of scientific deliberation. Public health officials need to consider setting up a special channel of communications to clarify information about AIDS.

A glossary of corrosion-related terms used in science and industry

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

Vukasovich, M.S.

1995-12-31

A Glossary of Corrosion-Related Terms Used in Science and Industry features definitions for over 4,000 specialized terms related to corrosion and corrosion prevention/control. Its coverage encompasses not only the fundamental terms commonly used in corrosion science, but also lesser-known, industry-specific jargon. The Glossary contains terms relevant to the study, effect, and control of corrosion that pertain to chemistry/electro-chemistry, metallurgy, plastics, paints/coatings, metal finishing, and the environment. Various synonyms, acronyms, and abbreviations are also included. A practical desk reference for students, scientists, engineers, technicians, and manufacturing and maintenance personnel.

Insolvency risk in health carriers: innovation, competition, and public protection.

PubMed

Akula, J L

1997-01-01

This paper reviews the framework of regulatory and managerial devices that have evolved in response to the special dangers to the public posed by insolvency of health carriers. These devices include "prudential" measures designed to decrease the likelihood of insolvency, and measures to "protect enrollees" in the event that insolvency occurs nevertheless. It also reviews the current debate over how this framework should be adapted to new forms of risk-bearing entities, especially provider-sponsored networks engaged in direct contracting with purchasers of coverage. Parallels to solvency concerns in the banking industry are explored.

Press Coverage of the Vietnam War: The Third View

DTIC Science & Technology

1979-05-25

Arents Research Library for Special Collections, Syracuse University, and Ms. Joan M. Hench of the US Army War College Library lightened this task by...two men with a keen and increasing awareness of the need for competent military coverage. Julius Ochs Adler, the No. 2 man, had a distinguished record...consisted of no more than two men each, both in the Pentagon. In each case only one was a specialist of long service on the military "beat" and all were

47 CFR 73.313 - Prediction of coverage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... in the plane of the maximum main lobe, use the ERP in the direction of such areas, determined by... may be plotted either on rectangular coordinate paper or on special paper that shows the curvature of...

Special Opportunities for Highly Sampled Areas

NASA Technical Reports Server (NTRS)

Knox, Robert G.

2010-01-01

This slide presentation reviews the coverage areas for the two instruments that are scheduled to be on board the HyspIRI mission, (i.e.,visible to short wave infrared (VSWIR) and a multispectral thermal infrared (TIR) imager.)

Healthcare financing systems for increasing the use of tobacco dependence treatment.

PubMed

Reda, Ayalu A; Kotz, Daniel; Evers, Silvia M A A; van Schayck, Constant Paul

2012-06-13

We hypothesized that provision of financial assistance for smokers trying to quit, or reimbursement of their care providers, could lead to an increased rate of successful quit attempts. The primary objective of this review was to assess the impact of reducing the costs of providing or using smoking cessation treatment through healthcare financing interventions on abstinence from smoking. The secondary objectives were to examine the effects of different levels of financial support on the use and/or prescription of smoking cessation treatment and on the number of smokers making a quit attempt. We searched the Cochrane Tobacco Addiction Group Specialized Register in April 2012. We considered randomised controlled trials (RCTs), controlled trials and interrupted time series studies involving financial benefit interventions to smokers or their healthcare providers or both. Two reviewers independently extracted data and assessed the quality of the included studies. Risk ratios (RR) were calculated for individual studies on an intention-to-treat basis and meta-analysis was performed using a random-effects model. We included economic evaluations when a study presented the costs and effects of two or more alternatives. We found eleven trials involving financial interventions directed at smokers and healthcare providers.Full financial interventions directed at smokers had a statistically significant favourable effect on abstinence at six months or greater when compared to no intervention (RR 2.45, 95% CI 1.17 to 5.12, I² = 59%, 4 studies). There was also a significant effect of full financial interventions when compared to no interventions on the number of participants making a quit attempt (RR 1.11, 95% CI 1.04 to 1.32, I² = 15%) and use of smoking cessation treatment (NRT: RR 1.83, 95% CI 1.55 to 2.15, I² = 43%; bupropion: RR 3.22, 95% CI 1.41 to 7.34, I² = 71%; behavioural therapy: RR 1.77, 95% CI 1.19 to 2.65). There was no evidence of an effect on smoking cessation when we pooled two trials of financial incentives directed at healthcare providers (RR 1.16, CI 0.98 to 1.37, I² = 0%). Comparisons of full coverage with partial coverage, partial coverage with no coverage, and partial coverage with another partial coverage intervention did not detect significant effects. Comparison of full coverage with partial or no coverage resulted in costs per additional quitter ranging from $119 to $6450. Full financial interventions directed at smokers when compared to no financial interventions increase the proportion of smokers who attempt to quit, use smoking cessation treatments, and succeed in quitting.  The absolute differences are small but the costs per additional quitter are low to moderate. We did not detect an effect on smoking cessation from financial incentives directed at healthcare providers. The methodological qualities of the included studies need to be taken into consideration when interpreting the results.

42 CFR 486.342 - Condition: Requesting consent.

Code of Federal Regulations, 2010 CFR

2010-10-01

....342 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS FOR COVERAGE OF SPECIALIZED SERVICES FURNISHED BY... Organizations Organ Procurement Organization Process Performance Measures § 486.342 Condition: Requesting...

DefenseLink Special: Coverage of the Oct. 15, 2005 Iraqi Constitutional

Science.gov Websites

* Operation River Gate Set Conditions * Iraqi, American Troops Ensure Safe Election * 48th Brigade Prepared Referendum * Military Officials Note River Gate Successes 82nd Airborne Paratroopers Help Ensure Safe

Equity in disease prevention: Vaccines for the older adults - a national workshop, Australia 2014.

PubMed

Raina MacIntyre, C; Menzies, Robert; Kpozehouen, Elizabeth; Chapman, Michael; Travaglia, Joanne; Woodward, Michael; Jackson Pulver, Lisa; Poulos, Christopher J; Gronow, David; Adair, Timothy

2016-11-04

On the 20th June, 2014 the National Health and Medical Research Council's Centre for Research Excellence in Population Health "Immunisation in under Studied and Special Risk Populations", in collaboration with the Public Health Association of Australia, hosted a workshop "Equity in disease prevention: vaccines for the older adults". The workshop featured international and national speakers on ageing and vaccinology. The workshop was attended by health service providers, stakeholders in immunisation, ageing, primary care, researchers, government and non-government organisations, community representatives, and advocacy groups. The aims of the workshop were to: provide an update on the latest evidence around immunisation for the older adults; address barriers for prevention of infection in the older adults; and identify immunisation needs of these groups and provide recommendations to inform policy. There is a gap in immunisation coverage of funded vaccines between adults and infants. The workshop reviewed provider misconceptions, lack of Randomised Control Trials (RCT) and cost-effectiveness data in the frail elderly, loss of autonomy, value judgements and ageism in health care and the need for an adult vaccination register. Workshop recommendations included recognising the right of elderly people to prevention, the need for promotion in the community and amongst healthcare workers of the high burden of vaccine preventable diseases and the need to achieve high levels of vaccination coverage, in older adults and in health workers involved in their care. Research into new vaccine strategies for older adults which address poor coverage, provider attitudes and immunosenescence is a priority. A well designed national register for tracking vaccinations in older adults is a vital and basic requirement for a successful adult immunisation program. Eliminating financial barriers, by addressing inequities in the mechanisms for funding and subsidising vaccines for the older adults compared to those for children, is important to improve equity of access and vaccination coverage. Vaccination coverage rates should be included in quality indicators of care in residential aged care for older adults. Vaccination is key to healthy ageing, and there is a need to focus on reducing the immunisation gap between adults and children. Copyright © 2016.

Orbital ATK CRS-7 Live Launch Coverage - Part 2

NASA Image and Video Library

2017-04-18

NASA Television conducted a live broadcast from Kennedy Space Center as Orbital ATK’s CRS-7 lifted off atop a United Launch Alliance Atlas V rocket from Space Launch Complex 41 at Cape Canaveral Air Force Station in Florida. Orbital ATK’s Cygnus spacecraft carried more than 7,600 pounds of science research, crew supplies, and hardware to the orbiting laboratory as Orbital ATK’s seventh commercial resupply services mission to the International Space Station. Launch commentary conducted by: George Diller, NASA Communications. Special guests included: -Bob Cabana, Center Director of Kennedy Space Center and -Frank DeMauro, Vice President and General Manager for Human Space Systems with Orbital ATK.

Special coverage: 9th Conference on Retroviruses. TB, pneumonia deaths down, but heart attacks up.

PubMed

2002-05-01

The profile of AIDS deaths has changed since HIV-infected patients began to receive highly active antiretroviral therapy in 1996. While fewer people are now dying overall, more are dying from non-AIDS-related diseases. Research from the Centers for Disease Control and Prevention and other sources is showing an increase in non-AIDS-defining illnesses. One CDC study presented at the recent retroviruses conference showed that while there have been declines in the proportions of deaths from some AIDS-related causes, there is an increase in deaths from non-AIDS-related causes, including liver and kidney disease and possibly ischemic heart disease.

The dire need for primary care specialization in India: Concerns and challenges.

PubMed

Faizi, Nafis; Khalique, Najam; Ahmad, Anees; Shah, Mohammad Salman

2016-01-01

Primary health care is an evidence-based priority, but it is still inadequately supported in many countries. Ironically, on one hand, India is a popular destination for medical tourism due to the affordability of high quality of health care and, on the other hand, ill health and health care are the main reasons for becoming poor through medical poverty traps. Surprisingly, this is despite the fact that India was committed to 'Health for All by 2000' in the past, and is committed to 'Universal Health Coverage' by 2022! Clearly, these commitments are destined to fail unless something is done to improve the present state of affairs. This study argues for the need to develop primary care as a specialization in India as a remedial measure to reform its health care in order to truly commit to the commitments. Three critical issues for this specialization are discussed in this review: (1) The dynamic and distinct nature of primary care as opposed to other medical specializations, (2) the intersection of primary care and public health which can be facilitated by such a specialization, and (3) research in primary care including the development of screening and referral tools for early diagnosis of cancers, researches for evidence-based interventions via health programs, and primary care epidemiology. Despite the potential challenges and difficulties, India is a country in dire need for primary care specialization. India's experience in providing low-cost and high quality healthcare for medical tourism presages a more cost-effective and efficient primary care with due attention and specialization.

Serials Evaluation: An Innovative Approach.

ERIC Educational Resources Information Center

Berger, Marilyn; Devine, Jane

1990-01-01

Describes a method of analyzing serials collections in special libraries that combines evaluative criteria with database management technology. Choice of computer software is discussed, qualitative information used to evaluate subject coverage is examined, and quantitative and descriptive data that can be used for collection management are…

42 CFR 486.1 - Basis and scope.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 5 2011-10-01 2011-10-01 false Basis and scope. 486.1 Section 486.1 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS FOR COVERAGE OF SPECIALIZED SERVICES FURNISHED BY SUPPLIERS General...

42 CFR 486.301 - Basis and scope.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false Basis and scope. 486.301 Section 486.301 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS FOR COVERAGE OF SPECIALIZED SERVICES FURNISHED BY SUPPLIERS...

42 CFR 486.301 - Basis and scope.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 5 2011-10-01 2011-10-01 false Basis and scope. 486.301 Section 486.301 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS FOR COVERAGE OF SPECIALIZED SERVICES FURNISHED BY SUPPLIERS...

42 CFR 486.1 - Basis and scope.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false Basis and scope. 486.1 Section 486.1 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS FOR COVERAGE OF SPECIALIZED SERVICES FURNISHED BY SUPPLIERS General...

Insurance and Risk Management at the National Outdoor Leadership School.

ERIC Educational Resources Information Center

Chu, Lantien

1990-01-01

Describes how an outdoor program specializing in wilderness expeditions approaches risk management, liability, and insurance. Discusses maintaining good communications with insurance agents, managing crisis situations, participating in program audits, reading the fine print, international insurance coverage, and the basis for insurance premiums.…

Marine Spongin: Naturally Prefabricated 3D Scaffold-Based Biomaterial

PubMed Central

Jesionowski, Teofil; Norman, Małgorzata; Żółtowska-Aksamitowska, Sonia; Petrenko, Iaroslav; Ehrlich, Hermann

2018-01-01

The biosynthesis, chemistry, structural features and functionality of spongin as a halogenated scleroprotein of keratosan demosponges are still paradigms. This review has the principal goal of providing thorough and comprehensive coverage of spongin as a naturally prefabricated 3D biomaterial with multifaceted applications. The history of spongin’s discovery and use in the form of commercial sponges, including their marine farming strategies, have been analyzed and are discussed here. Physicochemical and material properties of spongin-based scaffolds are also presented. The review also focuses on prospects and trends in applications of spongin for technology, materials science and biomedicine. Special attention is paid to applications in tissue engineering, adsorption of dyes and extreme biomimetics. PMID:29522478

Electronic Switching Spherical Array (ESSA) antenna systems

NASA Technical Reports Server (NTRS)

Hockensmith, R. P.

1984-01-01

ESSA (Electronic Switching Spherical Array) is an antenna system conceived, developed and qualified for linking satellite data transmissions with NASA's tracking and data relay satellites (TDRSS) and tracking and data acquisition satellites (TDAS). ESSA functions in the S band frequency region, cover 2 pi or more steradians with directional gain and operates in multiple selectable modes. ESSA operates in concert with the NASA's TDRS standard transponder in the retrodirective mode or independently in directional beam, program track and special modes. Organizations and projects to the ESSA applications for NASA's space use are introduced. Coverage gain, weight power and implementation and other performance information for satisfying a wide range of data rate requirements are included.

Digital geologic map database of the Nevada Test Site area, Nevada

USGS Publications Warehouse

Wahl, R.R.; Sawyer, D.A.; Minor, S.A.; Carr, M.D.; Cole, J.C.; Swadley, W.C.; Laczniak, R.J.; Warren, R.G.; Green, K.S.; Engle, C.M.

1997-01-01

Forty years of geologic investigations at the Nevada Test Site (NTS) have been digitized. These data include all geologic information that: (1) has been collected, and (2) can be represented on a map within the map borders at the map scale is included in the map digital coverages. The following coverages are included with this dataset: Coverage Type Description geolpoly Polygon Geologic outcrops geolflts line Fault traces geolatts Point Bedding attitudes, etc. geolcald line Caldera boundaries geollins line Interpreted lineaments geolmeta line Metamorphic gradients The above coverages are attributed with numeric values and interpreted information. The entity files documented below show the data associated with each coverage.

Physician staffing pattern in intensive care units: Have we cracked the code?

PubMed Central

Juneja, Deven; Nasa, Prashant; Singh, Omender

2012-01-01

Intensive care is slowly being recognized as a separate medical specialization. Physicians, called intensivists, are being specially trained to manage intensive care units (ICUs) and provide focused, high quality care to critically ill patients. However, these ICUs were traditionally managed by primary physicians who used to admit patients in ICUs under their own care. The presence of specially trained intensivists in these ICUs has started a “turf” war. In spite of the availability of overwhelming evidence that intensivists-based ICUs can provide better patient care leading to improved outcome, there is hesitancy among hospital administrators and other policy makers towards adopting such a model. Major critical care societies and workgroups have recommended intensivists-based ICU models to care for critically ill patients, but even in developed countries, on-site intensivist coverage is lacking in a great majority of hospitals. Lack of funds and unavailability of skilled intensivists are commonly cited as the main reasons for not implementing intensivist-led ICU care in most of the ICUs. To provide optimal, comprehensive and skilled care to this severely ill patient population, it is imperative that a multi-disciplinary team approach must be adopted with intensivists as in-charge. Even though ICU organization and staffing may be determined by hospital policies and other local factors, all efforts must be made to attain the goal of having round-the-clock onsite intensivist coverage to ensure continuity of specialized care for all critically ill patients. PMID:24701396

21 CFR 10.204 - General.

Code of Federal Regulations, 2010 CFR

2010-04-01

... § 10.204 General. (a) FDA has for many years willingly committed itself to a policy of openness. In many instances FDA has sought to make the open portions of agency public administrative proceedings... proceeding. Knowledge of anticipated media coverage will allow the presiding officer to make any special...

42 CFR 403.720 - Conditions for coverage.

Code of Federal Regulations, 2013 CFR

2013-10-01

... healing and for whom the acceptance of medical services would be inconsistent with their religious beliefs... services to inpatients on a 24-hour basis. (6) Does not furnish, on the basis of religious beliefs, through... PROVISIONS SPECIAL PROGRAMS AND PROJECTS Religious Nonmedical Health Care Institutions-Benefits, Conditions...

42 CFR 403.720 - Conditions for coverage.

Code of Federal Regulations, 2011 CFR

2011-10-01

... healing and for whom the acceptance of medical services would be inconsistent with their religious beliefs... services to inpatients on a 24-hour basis. (6) Does not furnish, on the basis of religious beliefs, through... PROVISIONS SPECIAL PROGRAMS AND PROJECTS Religious Nonmedical Health Care Institutions-Benefits, Conditions...

42 CFR 403.720 - Conditions for coverage.

Code of Federal Regulations, 2014 CFR

2014-10-01

... healing and for whom the acceptance of medical services would be inconsistent with their religious beliefs... services to inpatients on a 24-hour basis. (6) Does not furnish, on the basis of religious beliefs, through... PROVISIONS SPECIAL PROGRAMS AND PROJECTS Religious Nonmedical Health Care Institutions-Benefits, Conditions...

42 CFR 403.720 - Conditions for coverage.

Code of Federal Regulations, 2012 CFR

2012-10-01

... healing and for whom the acceptance of medical services would be inconsistent with their religious beliefs... services to inpatients on a 24-hour basis. (6) Does not furnish, on the basis of religious beliefs, through... PROVISIONS SPECIAL PROGRAMS AND PROJECTS Religious Nonmedical Health Care Institutions-Benefits, Conditions...

45 CFR 146.117 - Special enrollment periods.

Code of Federal Regulations, 2014 CFR

2014-10-01

... and an indemnity option. Self-only and family coverage are available under both options. A enrolls for... becomes a dependent of the individual through marriage, birth, adoption, or placement for adoption. (ii... chapter) of a participant and the individual has become a dependent of the participant through marriage...

45 CFR 146.117 - Special enrollment periods.

Code of Federal Regulations, 2013 CFR

2013-10-01

... and an indemnity option. Self-only and family coverage are available under both options. A enrolls for... marriage, birth, adoption, or placement for adoption. (ii) Spouse of a participant only. An individual is... individual has become a dependent of the participant through marriage, birth, adoption, or placement for...

Leadership and Diversity

ERIC Educational Resources Information Center

Coleman, Marianne

2012-01-01

As part of the special edition recognizing the 40th anniversary of "Educational Management Administration & Leadership" this article reviews the coverage of leadership and diversity issues in the journal. The majority of articles concerning diversity have focused on gender, with attention turning to the wider concept of diversity since the year…

45 CFR 146.143 - Preemption; State flexibility; construction.

Code of Federal Regulations, 2010 CFR

2010-10-01

... HEALTH CARE ACCESS REQUIREMENTS FOR THE GROUP HEALTH INSURANCE MARKET Preemption and Special Rules § 146... to health insurance issuers. Subject to paragraph (b) of this section and except as provided in... solely relating to health insurance issuers in connection with group health insurance coverage except to...

26 CFR 54.4980H-0 - Table of contents.

Code of Federal Regulations, 2014 CFR

2014-04-01

...) Applicable large employer member. (6) Applicable premium tax credit. (7) Bona fide volunteer. (8) Calendar... for certain employees. (27) Minimum essential coverage. (28) Minimum value. (29) Month. (30) New... measurement method applies, or vice versa. (2) Special rule for certain employees to whom minimum value...

NOAA Weather Radio - SAME

Science.gov Websites

Station Search Coverage Maps Outages View Outages Report Outages Information General Information Receiver Information Reception Problems NWR Alarms Automated Voices FIPS Codes NWR - Special Needs SAME USING SAME SAME FIPS (Federal Information Processing Standards) code changes and / or SAME location code changes

47 CFR 80.1089 - Ship radio equipment-Sea areas A1 and A2.

Code of Federal Regulations, 2011 CFR

2011-10-01

... alerts by a radio service other than MF operating either: (i) Through the polar orbiting satellite...; or (iii) Through the INMARSAT geostationary satellite service if within INMARSAT coverage; this....1089 Section 80.1089 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL...

47 CFR 80.1089 - Ship radio equipment-Sea areas A1 and A2.

Code of Federal Regulations, 2010 CFR

2010-10-01

... alerts by a radio service other than MF operating either: (i) Through the polar orbiting satellite...; or (iii) Through the INMARSAT geostationary satellite service if within INMARSAT coverage; this....1089 Section 80.1089 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL...

Hiring and Retaining Great Independent School Teachers

ERIC Educational Resources Information Center

Balossi, Matt; Hernández, Natalie R.

2016-01-01

While numerous studies measure teacher effectiveness in public schools, there is little research on teacher quality among independent schools. In fact, the topic of teacher quality in public schools receives widespread media coverage, funding, and special interest. In order to better understand how independent schools describe high-quality…

Special coverage of 41st IDSA conference. Study: Syphilitic hepatitis connected to liver disease. Diagnosis is uncommon, but does occur.

PubMed

2003-12-01

Investigators in Washington, DC, have discovered cases of HIV patients who have significant liver dysfunction that is caused by secondary syphilis instead of the usual suspects--hepatitis C, medication side effects, and substance abuse.

Introduction to the Special Issue: Precarious Solidarity-Preferential Access in Canadian Health Care.

PubMed

Reid, Lynette

2017-06-01

Systems of universal health coverage may aspire to provide care based on need and not ability to pay; the complexities of this aspiration (conceptual, practical, and ethical) call for normative analysis. This special issue arises in the wake of a judicial inquiry into preferential access in the Canadian province of Alberta, the Vertes Commission. I describe this inquiry and set out a taxonomy of forms of differential and preferential access. Papers in this special issue focus on the conceptual specification of health system boundaries (the concept of medical need) and on the normative questions raised by complex models of funding and delivery of care, where patients, providers, and services cross system boundaries.

20 CFR 404.1205 - Absolute coverage groups.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Absolute coverage groups. 404.1205 Section... Covered § 404.1205 Absolute coverage groups. (a) General. An absolute coverage group is a permanent... are not under a retirement system. An absolute coverage group may include positions which were...

29 CFR 2590.701-6 - Special enrollment periods.

Code of Federal Regulations, 2011 CFR

2011-07-01

... benefit packages—an HMO option and an indemnity option. Self-only and family coverage are available under... in this paragraph (b)(2)(i) if a person becomes a dependent of the individual through marriage, birth... dependent of the participant through marriage, birth, adoption, or placement for adoption. (v) Current...

29 CFR 2590.701-6 - Special enrollment periods.

Code of Federal Regulations, 2014 CFR

2014-07-01

... benefit packages—an HMO option and an indemnity option. Self-only and family coverage are available under... individual through marriage, birth, adoption, or placement for adoption. (ii) Spouse of a participant only... participant and the individual has become a dependent of the participant through marriage, birth, adoption, or...

26 CFR 54.9801-6 - Special enrollment periods.

Code of Federal Regulations, 2012 CFR

2012-04-01

... benefit packages—an HMO option and an indemnity option. Self-only and family coverage are available under... becomes a dependent of the individual through marriage, birth, adoption, or placement for adoption. (ii... participant and the individual has become a dependent of the participant through marriage, birth, adoption, or...

29 CFR 2590.701-6 - Special enrollment periods.

Code of Federal Regulations, 2012 CFR

2012-07-01

... benefit packages—an HMO option and an indemnity option. Self-only and family coverage are available under... in this paragraph (b)(2)(i) if a person becomes a dependent of the individual through marriage, birth... dependent of the participant through marriage, birth, adoption, or placement for adoption. (v) Current...

26 CFR 54.9801-6 - Special enrollment periods.

Code of Federal Regulations, 2013 CFR

2013-04-01

... benefit packages—an HMO option and an indemnity option. Self-only and family coverage are available under... becomes a dependent of the individual through marriage, birth, adoption, or placement for adoption. (ii... participant and the individual has become a dependent of the participant through marriage, birth, adoption, or...

29 CFR 2590.701-6 - Special enrollment periods.

Code of Federal Regulations, 2013 CFR

2013-07-01

... benefit packages—an HMO option and an indemnity option. Self-only and family coverage are available under... in this paragraph (b)(2)(i) if a person becomes a dependent of the individual through marriage, birth... dependent of the participant through marriage, birth, adoption, or placement for adoption. (v) Current...

26 CFR 54.9801-6 - Special enrollment periods.

Code of Federal Regulations, 2011 CFR

2011-04-01

... benefit packages—an HMO option and an indemnity option. Self-only and family coverage are available under... becomes a dependent of the individual through marriage, birth, adoption, or placement for adoption. (ii... participant and the individual has become a dependent of the participant through marriage, birth, adoption, or...

29 CFR 825.110 - Eligible employee.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Coverage Under the Family and Medical Leave Act § 825.110 Eligible... 12-month period immediately preceding the commencement of the leave (see § 825.801 for special hours...

An Update on the Family Medical Leave Act.

ERIC Educational Resources Information Center

Russo, Charles J.; Massucci, Joseph D.

1998-01-01

There has been little litigation since the Family Medical Leave Act's inception in 1993. This article highlights FMLA's scope of coverage, leave requirements, notice and verification, special rules for employees and local education agencies, employment and leave entitlements, and enforcement. Employers violating the FMLA may have to reinstate and…

29 CFR 825.110 - Eligible employee.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Coverage Under the Family and Medical Leave Act § 825.110 Eligible... 12-month period immediately preceding the commencement of the leave (see § 825.801 for special hours...

42 CFR 488.18 - Documentation of findings.

Code of Federal Regulations, 2014 CFR

2014-10-01

... conditions of participation, requirements (for SNFs and NFs), or conditions for coverage must be adequately... with the conditions or requirements (for SNFs and NFs), and therefore not eligible to participate in... requirements (for SNFs and NFs) or as meeting the requirements for special certification (see § 488.54), with...

42 CFR 488.18 - Documentation of findings.

Code of Federal Regulations, 2012 CFR

2012-10-01

... conditions of participation, requirements (for SNFs and NFs), or conditions for coverage must be adequately... with the conditions or requirements (for SNFs and NFs), and therefore not eligible to participate in... requirements (for SNFs and NFs) or as meeting the requirements for special certification (see § 488.54), with...

42 CFR 488.18 - Documentation of findings.

Code of Federal Regulations, 2011 CFR

2011-10-01

... conditions of participation, requirements (for SNFs and NFs), or conditions for coverage must be adequately... with the conditions or requirements (for SNFs and NFs), and therefore not eligible to participate in... requirements (for SNFs and NFs) or as meeting the requirements for special certification (see § 488.54), with...

42 CFR 488.18 - Documentation of findings.

Code of Federal Regulations, 2010 CFR

2010-10-01

... conditions of participation, requirements (for SNFs and NFs), or conditions for coverage must be adequately... with the conditions or requirements (for SNFs and NFs), and therefore not eligible to participate in... requirements (for SNFs and NFs) or as meeting the requirements for special certification (see § 488.54), with...

42 CFR 488.18 - Documentation of findings.

Code of Federal Regulations, 2013 CFR

2013-10-01

... conditions of participation, requirements (for SNFs and NFs), or conditions for coverage must be adequately... with the conditions or requirements (for SNFs and NFs), and therefore not eligible to participate in... requirements (for SNFs and NFs) or as meeting the requirements for special certification (see § 488.54), with...

48 CFR 50.104-3 - Special procedures for unusually hazardous or nuclear risks.

Code of Federal Regulations, 2010 CFR

2010-10-01

... identifying the risks insured against and the coverage extended to persons or property, or both; (C) Dollar... unusually hazardous or nuclear risks. 50.104-3 Section 50.104-3 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION CONTRACT MANAGEMENT EXTRAORDINARY CONTRACTUAL ACTIONS AND THE SAFETY ACT...

QCTV: An Innovator in the West.

ERIC Educational Resources Information Center

QCTV Ltd., Edmonton (Alberta).

This compendium of papers, prepared by staff of a Canadian public cable company, examines cablevision marketing in Canada, multiple replay community programming, the first QCTV film production, QCTV special programming, television coverage of the House of Commons, establishment of a data processing system, use of that system for customer service,…

Second Chances Academy: Alternative School or Pathway to Prison?

ERIC Educational Resources Information Center

Horsford, Sonya Douglass; Powell, Keyona L.

2016-01-01

This case considers the leadership challenge facing district officials in a mid-sized urban-suburban school district receiving negative media coverage for the overrepresentation of poor, Black, and Latino males in its alternative high school, Second Chances Academy. Many of its students also qualify for special education and English learner…

NOAA Weather Radio

Science.gov Websites

Station Search Coverage Maps Outages View Outages Report Outages Information General Information Receiver Information Reception Problems NWR Alarms Automated Voices FIPS Codes NWR - Special Needs SAME USING SAME SAME Search For Go NWS All NOAA Frequently Asked Questions This site offers a wealth of information on NOAA

NOAA Weather Radio - All Hazards

Science.gov Websites

Station Search Coverage Maps Outages View Outages Report Outages Information General Information Receiver Information Reception Problems NWR Alarms Automated Voices FIPS Codes NWR - Special Needs SAME USING SAME SAME Weather Service (NWS) warnings, watches, forecasts and other non-weather related hazard information 24

12 CFR 226.1 - Authority, purpose, coverage, organization, enforcement, and liability.

Code of Federal Regulations, 2013 CFR

2013-01-01

... credit card practices, and provides a means for fair and timely resolution of credit billing disputes... in Subpart G set forth special rules addressing certain charges applicable to credit card accounts... card is involved, however, certain provisions apply even if the credit is not subject to a finance...

12 CFR 226.1 - Authority, purpose, coverage, organization, enforcement, and liability.

Code of Federal Regulations, 2014 CFR

2014-01-01

... credit card practices, and provides a means for fair and timely resolution of credit billing disputes... in Subpart G set forth special rules addressing certain charges applicable to credit card accounts... card is involved, however, certain provisions apply even if the credit is not subject to a finance...

A Comparison of Selected Bibliographic Database Subject Overlap for Agricultural Information

ERIC Educational Resources Information Center

Ritchie, Stephanie M.; Young, Lauren M.; Sigman, Jessica

2018-01-01

Agricultural researchers and science librarians must understand which research literature databases provide the most comprehensive coverage of agricultural subjects to support their inquiries. Once the domain of a few specialized databases, agricultural research literature is now covered by broad, multidisciplinary databases. The purpose of this…

26 CFR 1.848-1 - Definitions and special provisions.

Code of Federal Regulations, 2014 CFR

2014-04-01

... rates used by the insurance company in determining the periodic mortality charges applied to the policy... for members of the group, their spouses, or their dependent children) is (or is treated as) a separate... satisfied for the supplemental coverage, a member's spouse and dependent children are treated as members of...

26 CFR 1.848-1 - Definitions and special provisions.

Code of Federal Regulations, 2013 CFR

2013-04-01

... rates used by the insurance company in determining the periodic mortality charges applied to the policy... for members of the group, their spouses, or their dependent children) is (or is treated as) a separate... satisfied for the supplemental coverage, a member's spouse and dependent children are treated as members of...

26 CFR 1.848-1 - Definitions and special provisions.

Code of Federal Regulations, 2011 CFR

2011-04-01

... rates used by the insurance company in determining the periodic mortality charges applied to the policy... for members of the group, their spouses, or their dependent children) is (or is treated as) a separate... satisfied for the supplemental coverage, a member's spouse and dependent children are treated as members of...

26 CFR 1.848-1 - Definitions and special provisions.

Code of Federal Regulations, 2012 CFR

2012-04-01

... rates used by the insurance company in determining the periodic mortality charges applied to the policy... for members of the group, their spouses, or their dependent children) is (or is treated as) a separate... satisfied for the supplemental coverage, a member's spouse and dependent children are treated as members of...

Defining Family-Friendly Early Intervention.

ERIC Educational Resources Information Center

Wadsworth, Donna E. Dugger; Wartelle, Noah L.

Prior to the 1986 passage of PL 99-457, an extension of the special services coverage under the Education for All Handicapped Children Act, early intervention programs were primarily interventionist directed and child focused. The new legislation provided incentives for providing programs that were family-centered and family-driven. The goal of…

The Coverage Problem in Video-Based Wireless Sensor Networks: A Survey

PubMed Central

Costa, Daniel G.; Guedes, Luiz Affonso

2010-01-01

Wireless sensor networks typically consist of a great number of tiny low-cost electronic devices with limited sensing and computing capabilities which cooperatively communicate to collect some kind of information from an area of interest. When wireless nodes of such networks are equipped with a low-power camera, visual data can be retrieved, facilitating a new set of novel applications. The nature of video-based wireless sensor networks demands new algorithms and solutions, since traditional wireless sensor networks approaches are not feasible or even efficient for that specialized communication scenario. The coverage problem is a crucial issue of wireless sensor networks, requiring specific solutions when video-based sensors are employed. In this paper, it is surveyed the state of the art of this particular issue, regarding strategies, algorithms and general computational solutions. Open research areas are also discussed, envisaging promising investigation considering coverage in video-based wireless sensor networks. PMID:22163651

Pediatric ambulatory care sensitive conditions: Birth cohorts and the socio-economic gradient.

PubMed

Roos, Leslie L; Dragan, Roxana; Schroth, Robert J

2017-09-14

This study examines the socio-economic gradient in utilization and the risk factors associated with hospitalization for four pediatric ambulatory care sensitive conditions (dental conditions, asthma, gastroenteritis, and bacterial pneumonia). Dental conditions, where much care is provided by dentists and insurance coverage varies among different population segments, present special issues. A population registry, provider registry, physician ambulatory claims, and hospital discharge abstracts from 28 398 children born in 2003-2006 in urban centres in Manitoba, Canada were the main data sources. Physician visits and hospitalizations were compared across neighbourhood income groupings using rank correlations and logistic regressions. Very strong relationships between neighbourhood income and utilization were highlighted. Additional variables - family on income assistance, mother's age at first birth, breastfeeding - helped predict the probability of hospitalization. Despite the complete insurance coverage (including visits to dentists and physicians and for hospitalizations) provided, receiving income assistance was associated with higher probabilities of hospitalization. We found a socio-economic gradient in utilization for pediatric ambulatory care sensitive conditions, with higher rates of ambulatory visits and hospitalizations in the poorest neighbourhoods. Insurance coverage which varies between different segments of the population complicates matters. Providing funding for dental care for Manitobans on income assistance has not prevented physician visits or intensive treatment in high-cost facilities, specifically treatment under general anesthesia. When services from one type of provider (dentist) are not universally insured but those from another type (physician) are, using rates of hospitalization to indicate problems in the organization of care seems particularly difficult.

Effectiveness of Muskaan Ek Abhiyan (the smile campaign) for strengthening routine immunization in bihar, India.

PubMed

Goel, Sonu; Dogra, Vishal; Gupta, Satish Kumar; Lakshmi, P Vm; Varkey, Sherin; Pradhan, Narottam; Krishna, Gopal; Kumar, Rajesh

2012-02-01

In Bihar State, proportion of fully immunized children was only 19% ;in Coverage Evaluation Survey of 2005. In October 2007, a special campaign called Muskaan Ek Abhiyan (The Smile Campaign) was launched under National Rural Health Mission to give a fillip to the immunization program. To evaluate improvement in the performance and coverage of the Routine Immunization Program consequent to the launch of Muskaan Ek Abhiyan The main strategies of the Muskaan campaign were reviewing and strengthening immunization micro-plans, enhanced inter-sectoral coordination between the Departments of Health, and Women and Child Development, increased involvement of women groups in awareness generation, enhanced political commitment and budgetary support, strengthening of monitoring and supervision mechanisms, and provision of performance based incentive to service providers. Immunization Coverage Evaluation Surveys conducted in various states of India during 2005 and 2009 were used for evaluation of the effect of Muskaan campaign by measuring the increase in immunization coverage in Bihar in comparison to other Empowered Action Group (EAG) states using the difference-in-difference method. Interviews of the key stakeholders were also done to substantiate the findings. The proportion of fully immunized 12-23 month old children in Bihar has increased significantly from 19% ;in 2005 to 49% ;in 2009. The coverage of BCG also increased significantly from 52.8% to 82.3%, DPT-3 from 36.5 to 59.3%, OPV-3 from 27.1% ;to 61.6% ;and measles from 28.4 to 58.2%. In comparison to other states, the coverage of fully immunized children increased significantly from 16 to 26% ;in Bihar. There was a marked improvement in immunization coverage after the launch of the Campaign in Bihar. Therefore, best practices of the Campaign may be replicated in other areas where full immunization coverage is low.

The characteristics of referring facilities and transferred hand surgery patients: factors associated with emergency patient transfers.

PubMed

Kuo, Phoebe; Hartzell, Tristan L; Eberlin, Kyle R; Miao, Diana; Zurakowski, David; Winograd, Jonathan M; Day, Charles S

2014-03-19

As emergency departments (EDs) become increasingly overwhelmed and specialist coverage in some EDs decreases, patients may be transferred to tertiary or quaternary facilities for specialized care to decrease patient load at transferring facilities. Our objective was to determine whether facilities that transferred patients for hand surgery had hand surgery coverage and to evaluate any nonmedical factors that might have been associated with transfer. A retrospective review was conducted for 1167 visits of hand and wrist patients seen in the EDs of two urban level-I trauma centers. The hand surgery capacity of referring facilities was determined by phone calls to the EDs. Univariate and multivariable analyses were conducted to identify nonmedical factors that could potentially affect the decision to transfer. A total of 155 (13.3%) of 1167 patients arrived from other facilities for specialized hand care. These patients were significantly more likely to be male (p = 0.02), have noncommercial insurance (p = 0.04), require an interpreter (p = 0.01), and arrive between 6:00 p.m. and midnight (p = 0.03). In a multivariable analysis, sex and insurance status were significantly associated with transfer (p < 0.05). The subset of ninety-five patients who were transferred from other EDs was significantly more likely to be male (p < 0.01) and arrive on weekends (p < 0.01) or between 6:00 p.m. and midnight (p < 0.01). Of these patients, seventy-seven (81%) were transferred from an ED that reported partial or full hand surgery coverage. However, only eight (10.4%) received a hand surgery evaluation prior to transfer. The low percentage of patients receiving hand surgery evaluations prior to transfer suggests that referring hospitals are not using their own hand surgeon resources. Nonmedical factors, including noncommercial insurance and off-hour time of initial arrival, may be associated with the decision to transfer patients. Identifying nonmedical factors associated with patient transfers and referrals can enlighten efforts to improve the quality and appropriate use of transfers for specialty care.

Insurance coverage of medical foods for treatment of inherited metabolic disorders

PubMed Central

Berry, Susan A.; Kenney, Mary Kay; Harris, Katharine B.; Singh, Rani H.; Cameron, Cynthia A.; Kraszewski, Jennifer N.; Levy-Fisch, Jill; Shuger, Jill F.; Greene, Carol L.; Lloyd-Puryear, Michele A.; Boyle, Coleen A.

2015-01-01

Purpose Treatment of inherited metabolic disorders is accomplished by use of specialized diets employing medical foods and medically necessary supplements. Families seeking insurance coverage for these products express concern that coverage is often limited; the extent of this challenge is not well defined. Methods To learn about limitations in insurance coverage, parents of 305 children with inherited metabolic disorders completed a paper survey providing information about their use of medical foods, modified low-protein foods, prescribed dietary supplements, and medical feeding equipment and supplies for treatment of their child's disorder as well as details about payment sources for these products. Results Although nearly all children with inherited metabolic dis orders had medical coverage of some type, families paid “out of pocket” for all types of products. Uncovered spending was reported for 11% of families purchasing medical foods, 26% purchasing supplements, 33% of those needing medical feeding supplies, and 59% of families requiring modified low-protein foods. Forty-two percent of families using modified low-protein foods and 21% of families using medical foods reported additional treatment-related expenses of $100 or more per month for these products. Conclusion Costs of medical foods used to treat inherited metabolic disorders are not completely covered by insurance or other resources. PMID:23598714

25 CFR 1000.275 - Is it necessary for a self-governance AFA to include any clauses about FTCA coverage?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 2 2010-04-01 2010-04-01 false Is it necessary for a self-governance AFA to include any... AMENDMENTS TO THE INDIAN SELF-DETERMINATION AND EDUCATION ACT Federal Tort Claims § 1000.275 Is it necessary for a self-governance AFA to include any clauses about FTCA coverage? No, clauses about FTCA coverage...

Health technology assessment and comparative effectiveness research: a pharmaceutical industry perspective.

PubMed

Hao, Yanni; Thomas, Adrian

2013-08-01

We briefly review the characteristics of several established health technology assessment (HTA) programs in industrialized societies including Germany, the UK and France. Special attention is paid on two issues: the position of HTA in coverage decision making and the role of economic assessment in evaluation processes. Although law makers in the USA have barred the use of NICE's cost/quality-adjusted life year or similar health economics approaches by public payers for coverage decision making, there are suggestions of prioritizing relative efficacy evaluation over economic assessment under a comparative effectiveness research (CER) framework to inform payment rates of public payers (an approach similar to German and French HTA processes). However, such an approach is unlikely to prove viable. It should also be noted that, if cost considerations are made explicit in US CER policy decisions, CER may become an unsustainable approach undermined by a conflicting emphasis on both cost containment and a demand for costly comparative evidence. On the other hand, properly designed CER initiatives can serve as a facilitator of more efficient research activities and drug development models. With these points in mind, the likely pathway of US CER is explored and the plausible impact on industry innovation is discussed.

Dynamics of plankton populations in upwelling areas. [by remote sensors

NASA Technical Reports Server (NTRS)

Szekielda, K.

1974-01-01

Recent investigations of the upwelling area along the NW Coast of Africa which include studies with satellites are discussed. The detection of patchiness in temperature and plankton distribution in the upwelling area is of special interest because they can be investigated from space synoptically with repeated coverage. The recent satellite missions provide recordings in the infrared region of the electromagnetic spectrum (EMR) as well as in the visible part. The information from those two parts of the EMR is useful for establishing the sea surface temperature and plankton distribution in upwelling areas. The temperature distribution as observed with infrared sensors and the patchiness in plankton patterns are discussed as observed with the most recent satellites, namely the Earth Resources Technology Satellite (ERTS) and NOAA-2.

Roles of Obstetrician-Gynecologist Hospitalists with Changes in the Obstetrician-Gynecologist Workforce and Practice.

PubMed

Tessmer-Tuck, Jennifer A; Rayburn, William F

2015-09-01

Obstetrician-gynecologists (OB-GYNs) are the fourth largest group of physicians and the only specialty dedicated solely to women's health care. The specialty is unique in providing 24-hour inpatient coverage, surgical care and ambulatory preventive health care. This article identifies and reviews changes in the OB-GYN workforce, including more female OB-GYNs, an increasing emphasis on work-life balance, more sub-specialization, larger group practices with more employed physicians and, finally, an emphasis on quality and performance improvement. It then describes the evolution of the OB-GYN hospitalist movement to date and the role of OB-GYN hospitalists in the future with regard to these workforce changes. Copyright © 2015 Elsevier Inc. All rights reserved.

Orbital ATK CRS-7 Launch Coverage

NASA Image and Video Library

2017-04-18

NASA Television conducted a live broadcast from Kennedy Space Center as Orbital ATK’s CRS-7 lifted off atop a United Launch Alliance Atlas V rocket from Space Launch Complex 41 at Cape Canaveral Air Force Station in Florida. Orbital ATK’s Cygnus spacecraft carried more than 7,600 pounds of science research, crew supplies, and hardware to the orbiting laboratory as Orbital ATK’s seventh commercial resupply services mission to the International Space Station. Launch commentary conducted by: -George Diller, NASA Communications Special guests included: -Frank DeMauro, VP & GM, Advanced Programs Division, Space Systems Group, Orbital ATK -Tori McLendon, NASA Communications -Robert Cabana, Kennedy Space Center Director -Tara Ruttley, Associate Program Scientist, International Space Station -Vern Thorp, Program Manager for Commercial Missions, United Launch Alliance

Kinetoplastid phylogenetics, with special reference to the evolution of parasitic trypanosomes.

PubMed

Stevens, J R

2008-09-01

To fully understand the evolutionary history of parasitic kinetoplastids and to understand the context within which the evolution of each parasite group has developed, an understanding not just of the parasites, but of all kinetoplastids is required. Accordingly, this paper provides an overview of kinetoplastid evolution and systematics, including coverage of the proposal by Moreira et al. (2004) to divide kinetoplasts into Prokinetoplastina (Ichthyobodo and Perkinsiella) and Metakinetoplastina (other bodonids and trypanosomatids). The implications of such a revision, with regard to correctly identifying outgroup taxa for studies of evolution within taxa of medical importance, are addressed, together with a more detailed review of the evolution and origins of the trypanosomes in the light of new phylogenies, new approaches and revisions in kinetoplastid systematics.

Defense.gov Special Report: Unified Combatant Commands

Science.gov Websites

in support of U.S. strategic objectives. Their mission is to maintain command and control of U.S coverage and more information. Unified Combatant Command strategic map U.S. Northern Command NORTHCOM U.S U.S. Strategic Command STRATCOM . Main Menu Home Today in DOD About DOD Leaders Biographies

12 CFR 208.25 - Loans in areas having special flood hazards.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Insurance Program. (7) NFIP means the National Flood Insurance Program authorized under the Act. (8...(b)); (iii) A statement, where applicable, that flood insurance coverage is available under the NFIP... participates in the National Flood Insurance Program (NFIP). Federal law will not allow us to make you the loan...

12 CFR 208.25 - Loans in areas having special flood hazards.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Insurance Program. (7) NFIP means the National Flood Insurance Program authorized under the Act. (8...(b)); (iii) A statement, where applicable, that flood insurance coverage is available under the NFIP... participates in the National Flood Insurance Program (NFIP). Federal law will not allow us to make you the loan...

12 CFR 208.25 - Loans in areas having special flood hazards.

Code of Federal Regulations, 2014 CFR

2014-01-01

... Insurance Program. (7) NFIP means the National Flood Insurance Program authorized under the Act. (8...(b)); (iii) A statement, where applicable, that flood insurance coverage is available under the NFIP... participates in the National Flood Insurance Program (NFIP). Federal law will not allow us to make you the loan...

12 CFR 208.25 - Loans in areas having special flood hazards.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Insurance Program. (7) NFIP means the National Flood Insurance Program authorized under the Act. (8...(b)); (iii) A statement, where applicable, that flood insurance coverage is available under the NFIP... participates in the National Flood Insurance Program (NFIP). Federal law will not allow us to make you the loan...

NOAA Weather Radio - Voice of NWS

Science.gov Websites

Station Search Coverage Maps Outages View Outages Report Outages Information General Information Receiver Information Reception Problems NWR Alarms Automated Voices FIPS Codes NWR - Special Needs SAME USING SAME SAME information 24 hours a day. Known as the "voice of the National Weather Service," NWR is provided as

12 CFR 1026.32 - Requirements for certain closed-end home mortgages.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 12 Banks and Banking 8 2013-01-01 2013-01-01 false Requirements for certain closed-end home... LENDING (REGULATION Z) Special Rules for Certain Home Mortgage Transactions § 1026.32 Requirements for certain closed-end home mortgages. (a) Coverage. (1) Except as provided in paragraph (a)(2) of this...

12 CFR 226.32 - Requirements for certain closed-end home mortgages.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Requirements for certain closed-end home... THE FEDERAL RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Special Rules for Certain Home Mortgage Transactions § 226.32 Requirements for certain closed-end home mortgages. (a) Coverage. (1) Except as provided...

12 CFR 226.32 - Requirements for certain closed-end home mortgages.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 12 Banks and Banking 3 2014-01-01 2014-01-01 false Requirements for certain closed-end home... THE FEDERAL RESERVE SYSTEM (CONTINUED) TRUTH IN LENDING (REGULATION Z) Special Rules for Certain Home Mortgage Transactions § 226.32 Requirements for certain closed-end home mortgages. (a) Coverage. (1) Except...

12 CFR 226.32 - Requirements for certain closed-end home mortgages.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 12 Banks and Banking 3 2012-01-01 2012-01-01 false Requirements for certain closed-end home... THE FEDERAL RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Special Rules for Certain Home Mortgage Transactions § 226.32 Requirements for certain closed-end home mortgages. (a) Coverage. (1) Except as provided...

12 CFR 1026.32 - Requirements for certain closed-end home mortgages.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 12 Banks and Banking 8 2012-01-01 2012-01-01 false Requirements for certain closed-end home... LENDING (REGULATION Z) Special Rules for Certain Home Mortgage Transactions § 1026.32 Requirements for certain closed-end home mortgages. (a) Coverage. (1) Except as provided in paragraph (a)(2) of this...

29 CFR 776.27 - Construction which is related to covered production.

Code of Federal Regulations, 2013 CFR

2013-07-01

..., within the State, of construction materials, such as sand, gravel, brick and other construction materials produced for general local use, is not covered even if the producer also supplies such materials to....19(b)(3); but see § 776.19 (b) (1), (2) and (3); on coverage of furnishing materials “specially...

29 CFR 776.27 - Construction which is related to covered production.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., within the State, of construction materials, such as sand, gravel, brick and other construction materials produced for general local use, is not covered even if the producer also supplies such materials to....19(b)(3); but see § 776.19 (b) (1), (2) and (3); on coverage of furnishing materials “specially...

29 CFR 776.27 - Construction which is related to covered production.

Code of Federal Regulations, 2012 CFR

2012-07-01

..., within the State, of construction materials, such as sand, gravel, brick and other construction materials produced for general local use, is not covered even if the producer also supplies such materials to....19(b)(3); but see § 776.19 (b) (1), (2) and (3); on coverage of furnishing materials “specially...

Defense.gov Special Coverage: Sexual Assault

Science.gov Websites

exclusively against women. Story Sexual Assault Rates Decrease at Military Service Academies Rates of unwanted sexual contact at the military service academies declined in 2014, according to a report released today by the Defense Department. Story Soldiers Engage in SHARP Training in Afghanistan Members of 5-5 Air

76 FR 33304 - Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP): Initial Review

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-08

... announced below concerns Strategies to Improve Vaccination Coverage of Children in Child Care Centers (CCCs) and Preschools, Funding Opportunity Announcement (FOA) IP11-006; Strategies to Increase Health Care..., Number 83, Pages 24031. The place should read as follows: Place: Holiday Inn Decatur Conference Center...

42 CFR 418.204 - Special coverage requirements.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) Periods of crisis. Nursing care may be covered on a continuous basis for as much as 24 hours a day during periods of crisis as necessary to maintain an individual at home. Either homemaker or home health aide... periods of crisis but care during these periods must be predominantly nursing care. A period of crisis is...

42 CFR 486.102 - Condition for coverage: Supervision by a qualified physician.

Code of Federal Regulations, 2010 CFR

2010-10-01

... diagnostic purposes, i.e., he (1) is certified in radiology by the American Board of Radiology or by the American Osteopathic Board of Radiology or possesses qualifications which are equivalent to those required... purposes, or (3) specializes in radiology and is recognized by the medical community as a specialist in...

7 CFR 1437.301 - Value loss.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 10 2010-01-01 2010-01-01 false Value loss. 1437.301 Section 1437.301 Agriculture... Coverage Using Value § 1437.301 Value loss. (a) Special provisions are required to assess losses and.... Assistance for these commodities is calculated based on the loss of value at the time of disaster. The agency...

Factors predictive of increased influenza and pneumococcal vaccination coverage in long-term care facilities: the CMS-CDC standing orders program Project.

PubMed

Bardenheier, Barbara H; Shefer, Abigail; McKibben, Linda; Roberts, Henry; Rhew, David; Bratzler, Dale

2005-01-01

Between 1999 and 2002, a multistate demonstration project was conducted in long-term care facilities (LTCFs) to encourage implementation of standing orders programs (SOP) as evidence-based vaccine delivery strategies to increase influenza and pneumococcal vaccination coverage in LTCFs. Examine predictors of increase in influenza and pneumococcal vaccination coverage in LTCFs. Intervention study. Self-administered surveys of LTCFs merged with data from OSCAR (On-line Survey Certification and Reporting System) and immunization coverage was abstracted from residents' medical charts in LTCFs. Twenty LTCFs were sampled from 9 intervention and 5 control states in the 2000 to 2001 influenza season for baseline and during the 2001 to 2002 influenza season for postintervention. Each state's quality improvement organization (QIO) promoted the use of standing orders for immunizations as well as other strategies to increase immunization coverage among LTCF residents. Multivariate analysis included Poisson regression to determine independent predictors of at least a 10 percentage-point increase in facility influenza and pneumococcal vaccination coverage. Forty-two (20%) and 59 (28%) of the facilities had at least a 10 percentage-point increase in influenza and pneumococcal immunizations, respectively. In the multivariate analysis, predictors associated with increase in influenza vaccination coverage included adoption of requirement in written immunization protocol to document refusals, less-demanding consent requirements, lower baseline influenza coverage, and small facility size. Factors associated with increase in pneumococcal vaccination coverage included adoption of recording pneumococcal immunizations in a consistent place, affiliation with a multifacility chain, and provision of resource materials. To improve the health of LTCF residents, strategies should be considered that increase immunization coverage, including written protocol for immunizations and documentation of refusals, documenting vaccination status in a consistent place in medical records, and minimal consent requirements for vaccinations.

Usability and Interoperability Improvements for an EASE-Grid 2.0 Passive Microwave Data Product Using CF Conventions

NASA Astrophysics Data System (ADS)

Hardman, M.; Brodzik, M. J.; Long, D. G.

2017-12-01

Beginning in 1978, the satellite passive microwave data record has been a mainstay of remote sensing of the cryosphere, providing twice-daily, near-global spatial coverage for monitoring changes in hydrologic and cryospheric parameters that include precipitation, soil moisture, surface water, vegetation, snow water equivalent, sea ice concentration and sea ice motion. Historical versions of the gridded passive microwave data sets were produced as flat binary files described in human-readable documentation. This format is error-prone and makes it difficult to reliably include all processing and provenance. Funded by NASA MEaSUREs, we have completely reprocessed the gridded data record that includes SMMR, SSM/I-SSMIS and AMSR-E. The new Calibrated Enhanced-Resolution Brightness Temperature (CETB) Earth System Data Record (ESDR) files are self-describing. Our approach to the new data set was to create netCDF4 files that use standard metadata conventions and best practices to incorporate file-level, machine- and human-readable contents, geolocation, processing and provenance metadata. We followed the flexible and adaptable Climate and Forecast (CF-1.6) Conventions with respect to their coordinate conventions and map projection parameters. Additionally, we made use of Attribute Conventions for Dataset Discovery (ACDD-1.3) that provided file-level conventions with spatio-temporal bounds that enable indexing software to search for coverage. Our CETB files also include temporal coverage and spatial resolution in the file-level metadata for human-readability. We made use of the JPL CF/ACDD Compliance Checker to guide this work. We tested our file format with real software, for example, netCDF Command-line Operators (NCO) power tools for unlimited control on spatio-temporal subsetting and concatenation of files. The GDAL tools understand the CF metadata and produce fully-compliant geotiff files from our data. ArcMap can then reproject the geotiff files on-the-fly and work with other geolocated data such as coastlines, with no special work required. We expect this combination of standards and well-tested interoperability to significantly improve the usability of this important ESDR for the Earth Science community.

76 FR 52441 - Summary of Benefits and Coverage and the Uniform Glossary

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-22

... facts label that includes examples to illustrate common benefits scenarios (including pregnancy and... plan or coverage for common benefits scenarios, including pregnancy and serious or chronic medical...

Human papillomavirus (HPV) vaccine coverage achievements in low and middle-income countries 2007-2016.

PubMed

Gallagher, Katherine E; Howard, Natasha; Kabakama, Severin; Mounier-Jack, Sandra; Burchett, Helen E D; LaMontagne, D Scott; Watson-Jones, Deborah

2017-12-01

Since 2007, HPV vaccine has been available to low and middle income countries (LAMIC) for small-scale 'demonstration projects', or national programmes. We analysed coverage achieved in HPV vaccine demonstration projects and national programmes that had completed at least 6 months of implementation between January 2007-2016. A mapping exercise identified 45 LAMICs with HPV vaccine delivery experience. Estimates of coverage and factors influencing coverage were obtained from 56 key informant interviews, a systematic published literature search of 5 databases that identified 61 relevant full texts and 188 solicited unpublished documents, including coverage surveys. Coverage achievements were analysed descriptively against country or project/programme characteristics. Heterogeneity in data, funder requirements, and project/programme design precluded multivariate analysis. Estimates of uptake, schedule completion rates and/or final dose coverage were available from 41 of 45 LAMICs included in the study. Only 17 estimates from 13 countries were from coverage surveys, most were administrative data. Final dose coverage estimates were all over 50% with most between 70% and 90%, and showed no trend over time. The majority of delivery strategies included schools as a vaccination venue. In countries with school enrolment rates below 90%, inclusion of strategies to reach out-of-school girls contributed to obtaining high coverage compared to school-only strategies. There was no correlation between final dose coverage and estimated recurrent financial costs of delivery from cost analyses. Coverage achieved during joint delivery of HPV vaccine combined with another intervention was variable with little/no evaluation of the correlates of success. This is the most comprehensive descriptive analysis of HPV vaccine coverage in LAMICs to date. It is possible to deliver HPV vaccine with excellent coverage in LAMICs. Further good quality data are needed from health facility based delivery strategies and national programmes to aid policymakers to effectively and sustainably scale-up HPV vaccination. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

Increasing Coverage and Decreasing Inequity in Insecticide-Treated Bed Net Use among Rural Kenyan Children

PubMed Central

Noor, Abdisalan M; Amin, Abdinasir A; Akhwale, Willis S; Snow, Robert W

2007-01-01

Background Inexpensive and efficacious interventions that avert childhood deaths in sub-Saharan Africa have failed to reach effective coverage, especially among the poorest rural sectors. One particular example is insecticide-treated bed nets (ITNs). In this study, we present repeat observations of ITN coverage among rural Kenyan homesteads exposed at different times to a range of delivery models, and assess changes in coverage across socioeconomic groups. Methods and Findings We undertook a study of annual changes in ITN coverage among a cohort of 3,700 children aged 0–4 y in four districts of Kenya (Bondo, Greater Kisii, Kwale, and Makueni) annually between 2004 and 2006. Cross-sectional surveys of ITN coverage were undertaken coincidentally with the incremental availability of commercial sector nets (2004), the introduction of heavily subsidized nets through clinics (2005), and the introduction of free mass distributed ITNs (2006). The changing prevalence of ITN coverage was examined with special reference to the degree of equity in each delivery approach. ITN coverage was only 7.1% in 2004 when the predominant source of nets was the commercial retail sector. By the end of 2005, following the expansion of heavily subsidized clinic distribution system, ITN coverage rose to 23.5%. In 2006 a large-scale mass distribution of ITNs was mounted providing nets free of charge to children, resulting in a dramatic increase in ITN coverage to 67.3%. With each subsequent survey socioeconomic inequity in net coverage sequentially decreased: 2004 (most poor [2.9%] versus least poor [15.6%]; concentration index 0.281); 2005 (most poor [17.5%] versus least poor [37.9%]; concentration index 0.131), and 2006 with near-perfect equality (most poor [66.3%] versus least poor [66.6%]; concentration index 0.000). The free mass distribution method achieved highest coverage among the poorest children, the highly subsidised clinic nets programme was marginally in favour of the least poor, and the commercial social marketing favoured the least poor. Conclusions Rapid scaling up of ITN coverage among Africa's poorest rural children can be achieved through mass distribution campaigns. These efforts must form an important adjunct to regular, routine access to ITNs through clinics, and each complimentary approach should aim to make this intervention free to clients to ensure equitable access among those least able to afford even the cost of a heavily subsidized net. PMID:17713981

5 CFR 430.202 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Coverage. 430.202 Section 430.202... Performance Appraisal for General Schedule, Prevailing Rate, and Certain Other Employees § 430.202 Coverage..., coverage includes, but is not limited to, senior-level and scientific and professional employees paid under...

5 CFR 430.202 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Coverage. 430.202 Section 430.202... Performance Appraisal for General Schedule, Prevailing Rate, and Certain Other Employees § 430.202 Coverage..., coverage includes, but is not limited to, senior-level and scientific and professional employees paid under...

5 CFR 430.202 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 1 2011-01-01 2011-01-01 false Coverage. 430.202 Section 430.202... Performance Appraisal for General Schedule, Prevailing Rate, and Certain Other Employees § 430.202 Coverage..., coverage includes, but is not limited to, senior-level and scientific and professional employees paid under...

5 CFR 430.202 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 1 2013-01-01 2013-01-01 false Coverage. 430.202 Section 430.202... Performance Appraisal for General Schedule, Prevailing Rate, and Certain Other Employees § 430.202 Coverage..., coverage includes, but is not limited to, senior-level and scientific and professional employees paid under...

5 CFR 430.202 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 1 2012-01-01 2012-01-01 false Coverage. 430.202 Section 430.202... Performance Appraisal for General Schedule, Prevailing Rate, and Certain Other Employees § 430.202 Coverage..., coverage includes, but is not limited to, senior-level and scientific and professional employees paid under...

Is a 'convenience' sample useful for estimating immunization coverage in a small population?

PubMed

Weir, Jean E; Jones, Carrie

2008-01-01

Rapid survey methodologies are widely used for assessing immunization coverage in developing countries, approximating true stratified random sampling. Non-random ('convenience') sampling is not considered appropriate for estimating immunization coverage rates but has the advantages of low cost and expediency. We assessed the validity of a convenience sample of children presenting to a travelling clinic by comparing the coverage rate in the convenience sample to the true coverage established by surveying each child in three villages in rural Papua New Guinea. The rate of DTF immunization coverage as estimated by the convenience sample was within 10% of the true coverage when the proportion of children in the sample was two-thirds or when only children over the age of one year were counted, but differed by 11% when the sample included only 53% of the children and when all eligible children were included. The convenience sample may be sufficiently accurate for reporting purposes and is useful for identifying areas of low coverage.

Hospital emergency on-call coverage: is there a doctor in the house?

PubMed

O'Malley, Ann S; Draper, Debra A; Felland, Laurie E

2007-11-01

The nation's community hospitals face increasing problems obtaining emergency on-call coverage from specialist physicians, according to findings from the Center for Studying Health System Change's (HSC) 2007 site visits to 12 nationally representative metropolitan communities. The diminished willingness of specialist physicians to provide on-call coverage is occurring as hospital emergency departments confront an ever-increasing demand for services. Factors influencing physician reluctance to provide on-call coverage include decreased dependence on hospital admitting privileges as more services shift to non-hospital settings; payment for emergency care, especially for uninsured patients; and medical liability concerns. Hospital strategies to secure on-call coverage include enforcing hospital medical staff bylaws that require physicians to take call, contracting with physicians to provide coverage, paying physicians stipends, and employing physicians. Nonetheless, many hospitals continue to struggle with inadequate on-call coverage, which threatens patients' timely access to high-quality emergency care and may raise health care costs.

Drug Coverage Surveys for Neglected Tropical Diseases: 10 Years of Field Experience

PubMed Central

Worrell, Caitlin; Mathieu, Els

2012-01-01

Mass drug administration is one of the public health strategies recommended by the World Health Organization for the control and elimination of seven neglected tropical diseases (NTDs). Because adequate coverage is vital to achieve program goals, periodically conducting surveys to validate reported coverage to guide NTD programs is recommended. Over the past decade, the Centers for Disease Control and Prevention (CDC) and collaborators conducted more than 30 two-stage cluster household surveys across three continents. The questionnaires gathered coverage data and information relevant to improving NTD programs including NTD-related attitudes and practices. From the 37 coverage survey estimates obtained in those surveys, 73.3% indicated an over reporting of coverage, including all three that assessed school-based distributions. It took an average of 1 week to conduct a survey. Our experiences led us to conclude that coverage surveys are useful and feasible tools to ensure NTD elimination and control goals are reached. PMID:22855750

Spectra of late type dwarf stars of known abundance for stellar population models

NASA Technical Reports Server (NTRS)

Oconnell, R. W.

1990-01-01

The project consisted of two parts. The first was to obtain new low-dispersion, long-wavelength, high S/N IUE spectra of F-G-K dwarf stars with previously determined abundances, temperatures, and gravities. To insure high quality, the spectra are either trailed, or multiple exposures are taken within the large aperture. Second, the spectra are assembled into a library which combines the new data with existing IUE Archive data to yield mean spectral energy distributions for each important type of star. My principal responsibility is the construction and maintenance of this UV spectral library. It covers the spectral range 1200-3200A and is maintained in two parts: a version including complete wavelength coverage at the full spectral resolution of the Low Resolution cameras; and a selected bandpass version, consisting of the mean flux in pre-selected 20A bands. These bands are centered on spectral features or continuum regions of special utility - e.g. the C IV lambda 1550 or Mg II lambda 2800 feature. In the middle-UV region, special emphasis is given to those features (including continuum 'breaks') which are most useful in the study of F-G-K star spectra in the integrated light of old stellar populations.

The coverage of a random sample from a biological community.

PubMed

Engen, S

1975-03-01

A taxonomic group will frequently have a large number of species with small abundances. When a sample is drawn at random from this group, one is therefore faced with the problem that a large proportion of the species will not be discovered. A general definition of quantitative measures of "sample coverage" is proposed, and the problem of statistical inference is considered for two special cases, (1) the actual total relative abundance of those species that are represented in the sample, and (2) their relative contribution to the information index of diversity. The analysis is based on a extended version of the negative binomial species frequency model. The results are tabulated.

Examining the impact of larval source management and insecticide-treated nets using a spatial agent-based model of Anopheles gambiae and a landscape generator tool.

PubMed

Arifin, S M Niaz; Madey, Gregory R; Collins, Frank H

2013-08-21

Agent-based models (ABMs) have been used to estimate the effects of malaria-control interventions. Early studies have shown the efficacy of larval source management (LSM) and insecticide-treated nets (ITNs) as vector-control interventions, applied both in isolation and in combination. However, the robustness of results can be affected by several important modelling assumptions, including the type of boundary used for landscapes, and the number of replicated simulation runs reported in results. Selection of the ITN coverage definition may also affect the predictive findings. Hence, by replication, independent verification of prior findings of published models bears special importance. A spatially-explicit entomological ABM of Anopheles gambiae is used to simulate the resource-seeking process of mosquitoes in grid-based landscapes. To explore LSM and replicate results of an earlier LSM study, the original landscapes and scenarios are replicated by using a landscape generator tool, and 1,800 replicated simulations are run using absorbing and non-absorbing boundaries. To explore ITNs and evaluate the relative impacts of the different ITN coverage schemes, the settings of an earlier ITN study are replicated, the coverage schemes are defined and simulated, and 9,000 replicated simulations for three ITN parameters (coverage, repellence and mortality) are run. To evaluate LSM and ITNs in combination, landscapes with varying densities of houses and human populations are generated, and 12,000 simulations are run. General agreement with an earlier LSM study is observed when an absorbing boundary is used. However, using a non-absorbing boundary produces significantly different results, which may be attributed to the unrealistic killing effect of an absorbing boundary. Abundance cannot be completely suppressed by removing aquatic habitats within 300 m of houses. Also, with density-dependent oviposition, removal of insufficient number of aquatic habitats may prove counter-productive. The importance of performing large number of simulation runs is also demonstrated. For ITNs, the choice of coverage scheme has important implications, and too high repellence yields detrimental effects. When LSM and ITNs are applied in combination, ITNs' mortality can play more important roles with higher densities of houses. With partial mortality, increasing ITN coverage is more effective than increasing LSM coverage, and integrating both interventions yields more synergy as the densities of houses increase. Using a non-absorbing boundary and reporting average results from sufficiently large number of simulation runs are strongly recommended for malaria ABMs. Several guidelines (code and data sharing, relevant documentation, and standardized models) for future modellers are also recommended.

5 CFR 351.202 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 1 2013-01-01 2013-01-01 false Coverage. 351.202 Section 351.202... Provisions § 351.202 Coverage. (a) Employees covered. Except as provided in paragraph (b) of this section... administrative body to be covered hereunder. Coverage includes administrative law judges except as modified by...

5 CFR 351.202 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Coverage. 351.202 Section 351.202... Provisions § 351.202 Coverage. (a) Employees covered. Except as provided in paragraph (b) of this section... administrative body to be covered hereunder. Coverage includes administrative law judges except as modified by...

5 CFR 351.202 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 1 2012-01-01 2012-01-01 false Coverage. 351.202 Section 351.202... Provisions § 351.202 Coverage. (a) Employees covered. Except as provided in paragraph (b) of this section... administrative body to be covered hereunder. Coverage includes administrative law judges except as modified by...

Locating helicopter emergency medical service bases to optimise population coverage versus average response time.

PubMed

Garner, Alan A; van den Berg, Pieter L

2017-10-16

New South Wales (NSW), Australia has a network of multirole retrieval physician staffed helicopter emergency medical services (HEMS) with seven bases servicing a jurisdiction with population concentrated along the eastern seaboard. The aim of this study was to estimate optimal HEMS base locations within NSW using advanced mathematical modelling techniques. We used high resolution census population data for NSW from 2011 which divides the state into areas containing 200-800 people. Optimal HEMS base locations were estimated using the maximal covering location problem facility location optimization model and the average response time model, exploring the number of bases needed to cover various fractions of the population for a 45 min response time threshold or minimizing the overall average response time to all persons, both in green field scenarios and conditioning on the current base structure. We also developed a hybrid mathematical model where average response time was optimised based on minimum population coverage thresholds. Seven bases could cover 98% of the population within 45mins when optimised for coverage or reach the entire population of the state within an average of 21mins if optimised for response time. Given the existing bases, adding two bases could either increase the 45 min coverage from 91% to 97% or decrease the average response time from 21mins to 19mins. Adding a single specialist prehospital rapid response HEMS to the area of greatest population concentration decreased the average state wide response time by 4mins. The optimum seven base hybrid model that was able to cover 97.75% of the population within 45mins, and all of the population in an average response time of 18 mins included the rapid response HEMS model. HEMS base locations can be optimised based on either percentage of the population covered, or average response time to the entire population. We have also demonstrated a hybrid technique that optimizes response time for a given number of bases and minimum defined threshold of population coverage. Addition of specialized rapid response HEMS services to a system of multirole retrieval HEMS may reduce overall average response times by improving access in large urban areas.

NSW Annual Immunisation Coverage Report, 2009.

PubMed

Hull, Brynley; Dey, Aditi; Mahajan, Deepika; Campbell-Lloyd, Sue; Menzies, Robert I; McIntyre, Peter B

2010-01-01

This is the first in a series of annual immunisation coverage reports that document trends in NSW for a range of standard measures derived from Australian Childhood Immunisation Register data, including overall coverage at standard age milestones and for individual vaccines. This report includes data up to and including 2009. Data from the Australian Childhood Immunisation Register, the NSW Health Survey and the NSW School Immunisation Program were used to calculate various measures of population coverage relating to childhood vaccines, adult influenza and pneumococcal vaccines and adolescent vaccination, respectively. Immunise Australia Program targets have been reached for children at 12 and 24 months of age but not for children at 5 years of age. Delayed receipt of vaccines is an issue for vaccines recommended for Aboriginal children. Pneumococcal vaccination in the elderly has been steadily rising, although it has remained lower than the influenza coverage estimates. For adolescents, there is better coverage for the first and second doses of human papillomavirus vaccine and the dose of dTpa than for varicella. This comprehensive analysis provides important baseline data for NSW against which future reports can be compared to monitor progress in improving immunisation coverage. Immunisation at the earliest appropriate age should be a public health goal for countries such as Australia where high levels of vaccine coverage at milestone ages have been achieved.

77 FR 8667 - Summary of Benefits and Coverage and Uniform Glossary

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-14

... group health plans and health insurance coverage in the group and individual markets under the Patient... to participants and beneficiaries who enroll or re-enroll in group health coverage through an open... beneficiaries who enroll in group health plan coverage other than through an open enrollment period (including...

29 CFR 2590.701-4 - Rules relating to creditable coverage.

Code of Federal Regulations, 2010 CFR

2010-07-01

... foreign country, or any political subdivision of a State, the U.S. government, or a foreign country that... Children's Health Insurance Program). (2) Excluded coverage. Creditable coverage does not include coverage... standard method described in paragraph (b) of this section. A plan or issuer may use the alternative method...

5 CFR 359.901 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 1 2012-01-01 2012-01-01 false Coverage. 359.901 Section 359.901... Appointees and Reemployed Annuitants § 359.901 Coverage. (a) This subpart covers the removal from the SES of... annuitant holding any type of appointment under the SES. (b) Coverage does not include, however, a limited...

5 CFR 359.901 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 1 2013-01-01 2013-01-01 false Coverage. 359.901 Section 359.901... Appointees and Reemployed Annuitants § 359.901 Coverage. (a) This subpart covers the removal from the SES of... annuitant holding any type of appointment under the SES. (b) Coverage does not include, however, a limited...

5 CFR 359.901 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Coverage. 359.901 Section 359.901... Appointees and Reemployed Annuitants § 359.901 Coverage. (a) This subpart covers the removal from the SES of... annuitant holding any type of appointment under the SES. (b) Coverage does not include, however, a limited...

5 CFR 359.901 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 1 2011-01-01 2011-01-01 false Coverage. 359.901 Section 359.901... Appointees and Reemployed Annuitants § 359.901 Coverage. (a) This subpart covers the removal from the SES of... annuitant holding any type of appointment under the SES. (b) Coverage does not include, however, a limited...

5 CFR 359.901 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Coverage. 359.901 Section 359.901... Appointees and Reemployed Annuitants § 359.901 Coverage. (a) This subpart covers the removal from the SES of... annuitant holding any type of appointment under the SES. (b) Coverage does not include, however, a limited...

Vaccination coverage among children in kindergarten--United States, 2009-10 school year.

PubMed

2011-06-03

Healthy People 2020 objectives include maintaining vaccination coverage among children in kindergarten (IID-10) (1). The target is ≥95% vaccination coverage for the following vaccines: poliovirus; diphtheria and tetanus toxoids and acellular pertussis (DTP/DTaP/DT); measles, mumps, and rubella (MMR); hepatitis B (HepB); and varicella (1). Data from school assessment surveys are used to monitor vaccination coverage and vaccination exemption levels among children enrolled in kindergarten. This report summarizes data from school assessment surveys submitted to CDC by 48 federal immunization program grantees (including 47 states and the District of Columbia) for the 2009-10 school year to describe vaccination coverage and exemption rates (2). For that period, 17 grantees reported coverage of ?95% for four vaccines (poliovirus, DTP/DTaP/DT, MMR, and HepB) and four grantees reported coverage of ≥95% for 2 doses of varicella vaccine. Total exemption rates, including medical, religious, and philosophical exemptions, ranged from <1% to 6.2% across grantees, and 15 grantees reported exemption rates<1%. Survey methods for vaccination coverage and exemption rates varied among grantees, making comparisons difficult and limiting the use of school assessment surveys to report aggregate national rates. Further standardization of school assessment survey methods will generate comparable data between grantees to monitor and track progress in reaching national objectives, and allow development of best practice guidelines for grantees to more effectively use and report school coverage and exemption data. CDC will continue to monitor vaccination coverage and exemption levels and assist grantees in identification of local areas with low vaccination coverage or high exemption rates for further evaluation or intervention.

Ohio study shows that insurance coverage is critical for children with special health care needs as they transition to adulthood.

PubMed

Goudie, Anthony; Carle, Adam C

2011-12-01

Nearly 30 percent of young adults with special health care needs in Ohio lack health insurance, compared to 5 percent of the state's children with special health care needs. As children with such needs become too old for Medicaid or insurance through their parents' employer, they face great challenges in obtaining insurance. Lack of insurance is highly predictive of unmet needs, which in turn are predictive of costly hospital-based encounters. Young adults with special health care needs who are uninsured are more than twice as likely as their peers with insurance to forgo filling prescriptions and getting care and to have problems getting care. Even after insurance status is accounted for, young adults with special health care needs are more likely than children with such needs to not fill prescriptions because of cost and to delay or forgo needed care. This study demonstrates that continuous and adequate health insurance is vital to the continued well-being of children with special health care needs as they transition to young adulthood.

Fed Up with Rising Premiums, Colleges Go into the Insurance Business

ERIC Educational Resources Information Center

June, Audrey William

2006-01-01

American universities are turning to captive companies, a highly specialized form of self-insurance, in an effort to cope with ever-increasing premiums. Indiana University formed the Old Crescent Insurance Company in 2005 to provide coverage for the institution's eight campuses, a move that gives it more control over costs while allowing the…

School and Community in Shock as Newspaper Tries to Honor Three Who Die in Car Wreck.

ERIC Educational Resources Information Center

Zwiebel, Kathleen

1999-01-01

Describes how the staffs of the yearbook, newspaper, online Web page, and literary magazine (at the Pottsville Area High School in Pennsylvania) worked together on a special insert to cover the deaths of three students in an auto accident. Appends an exercise on deciding coverage of automobile accidents. (RS)

An Update of Judicial Rulings Specific to FBAs or BIPs under the IDEA and Corollary State Laws

ERIC Educational Resources Information Center

Zirkel, Perry A.

2017-01-01

Exemplifying the insufficient treatment of legal issues in refereed journals in special education and related fields, the limited legal coverage of functional behavioral assessments (FBAs) and behavior intervention plans (BIPs) tends to view the applicable case law through normative lenses. This skewed view characterizes the case law as requiring…

42 CFR 488.20 - Periodic review of compliance and approval.

Code of Federal Regulations, 2012 CFR

2012-10-01

... SNFs and NFs), or the conditions for coverage are made as often as CMS deems necessary and may be more or less than a 12-month period, except for SNFs, NFs and HHAs. (See § 488.308 for special rules for SNFs and NFs.) (b) The responsibilities of State survey agencies in the review and certification of...

42 CFR 488.20 - Periodic review of compliance and approval.

Code of Federal Regulations, 2013 CFR

2013-10-01

... SNFs and NFs), or the conditions for coverage are made as often as CMS deems necessary and may be more or less than a 12-month period, except for SNFs, NFs and HHAs. (See § 488.308 for special rules for SNFs and NFs.) (b) The responsibilities of State survey agencies in the review and certification of...

42 CFR 488.20 - Periodic review of compliance and approval.

Code of Federal Regulations, 2014 CFR

2014-10-01

... SNFs and NFs), or the conditions for coverage are made as often as CMS deems necessary and may be more or less than a 12-month period, except for SNFs, NFs and HHAs. (See § 488.308 for special rules for SNFs and NFs.) (b) The responsibilities of State survey agencies in the review and certification of...

42 CFR 488.20 - Periodic review of compliance and approval.

Code of Federal Regulations, 2011 CFR

2011-10-01

... SNFs and NFs), or the conditions for coverage are made as often as CMS deems necessary and may be more or less than a 12-month period, except for SNFs, NFs and HHAs. (See § 488.308 for special rules for SNFs and NFs.) (b) The responsibilities of State survey agencies in the review and certification of...

42 CFR 488.20 - Periodic review of compliance and approval.

Code of Federal Regulations, 2010 CFR

2010-10-01

... SNFs and NFs), or the conditions for coverage are made as often as CMS deems necessary and may be more or less than a 12-month period, except for SNFs, NFs and HHAs. (See § 488.308 for special rules for SNFs and NFs.) (b) The responsibilities of State survey agencies in the review and certification of...

Recursive restriction estimation: an alternative to post-stratification in surveys of land and forest cover

Treesearch

Raymond L. Czaplewski

2010-01-01

Numerous government surveys of natural resources use Post-Stratification to improve statistical efficiency, where strata are defined by full-coverage, remotely sensed data and geopolitical boundaries. Recursive Restriction Estimation, which may be considered a special case of the static Kalman filter, is an attractive alternative. It decomposes a complex estimation...

41 CFR 102-173.90 - Are there any special restrictions on the use and registration of canonical, or category names...

Code of Federal Regulations, 2012 CFR

2012-01-01

... restrictions on the use and registration of canonical, or category names like recreation.gov? 102-173.90... (Continued) FEDERAL MANAGEMENT REGULATION TELECOMMUNICATIONS 173-INTERNET GOV DOMAIN Registration § 102-173... like recreation.gov? Yes, canonical names registration request must provide access coverage for the...

41 CFR 102-173.90 - Are there any special restrictions on the use and registration of canonical, or category names...

Code of Federal Regulations, 2014 CFR

2014-01-01

... restrictions on the use and registration of canonical, or category names like recreation.gov? 102-173.90... (Continued) FEDERAL MANAGEMENT REGULATION TELECOMMUNICATIONS 173-INTERNET GOV DOMAIN Registration § 102-173... like recreation.gov? Yes, canonical names registration request must provide access coverage for the...

41 CFR 102-173.90 - Are there any special restrictions on the use and registration of canonical, or category names...

Code of Federal Regulations, 2011 CFR

2011-01-01

... restrictions on the use and registration of canonical, or category names like recreation.gov? 102-173.90... (Continued) FEDERAL MANAGEMENT REGULATION TELECOMMUNICATIONS 173-INTERNET GOV DOMAIN Registration § 102-173... like recreation.gov? Yes, canonical names registration request must provide access coverage for the...

41 CFR 102-173.90 - Are there any special restrictions on the use and registration of canonical, or category names...

Code of Federal Regulations, 2010 CFR

2010-07-01

... restrictions on the use and registration of canonical, or category names like recreation.gov? 102-173.90... (Continued) FEDERAL MANAGEMENT REGULATION TELECOMMUNICATIONS 173-INTERNET GOV DOMAIN Registration § 102-173... like recreation.gov? Yes, canonical names registration request must provide access coverage for the...

41 CFR 102-173.90 - Are there any special restrictions on the use and registration of canonical, or category names...

Code of Federal Regulations, 2013 CFR

2013-07-01

... restrictions on the use and registration of canonical, or category names like recreation.gov? 102-173.90... (Continued) FEDERAL MANAGEMENT REGULATION TELECOMMUNICATIONS 173-INTERNET GOV DOMAIN Registration § 102-173... like recreation.gov? Yes, canonical names registration request must provide access coverage for the...

School District Implementation of Section 504 in One State

ERIC Educational Resources Information Center

Madaus, Joseph W.; Shaw, Stan F.

2006-01-01

Section 504 of the Rehabilitation Act of 1973 is a civil rights law that applies to all school districts nationwide. Despite its wide coverage, there is a dearth of research on how the law is implemented. This study presents the results of an exploratory investigation of Section 504 practices with 154 special education directors in one…

28 CFR 55.8 - Relationship between section 4(f)(4) and section 203(c).

Code of Federal Regulations, 2010 CFR

2010-07-01

... OF THE PROVISIONS OF THE VOTING RIGHTS ACT REGARDING LANGUAGE MINORITY GROUPS Nature of Coverage § 55... only to the requirements of section 203(c)—are also subject to the Act's special provisions, such as section 5 (regarding preclearance of changes in voting laws) and section 6 (regarding Federal examiners...

28 CFR 55.8 - Relationship between section 4(f)(4) and section 203(c).

Code of Federal Regulations, 2011 CFR

2011-07-01

... OF THE PROVISIONS OF THE VOTING RIGHTS ACT REGARDING LANGUAGE MINORITY GROUPS Nature of Coverage § 55... only to the requirements of section 203(c)—are also subject to the Act's special provisions, such as section 5 (regarding preclearance of changes in voting laws) and section 6 (regarding Federal examiners...

Perspectives on holoprosencephaly: Part III. Spectra, distinctions, continuities, and discontinuities.

PubMed

Cohen, M M

1989-10-01

This paper attempts to balance our knowledge of holoprosencephalic spectra and continuities with important distinctions and discontinuities. Prevalence studies and syndrome delineation are briefly reviewed. The following topics receive detailed coverage: human teratogens, special aspects of forebrain and hindbrain malformations, aprosencephaly/atelencephaly, association with neural tube defects, current assessment of "facial principles," and endocrine abnormalities.

Autism and thimerosal-containing vaccines: lack of consistent evidence for an association.

PubMed

Stehr-Green, Paul; Tull, Peet; Stellfeld, Michael; Mortenson, Preben-Bo; Simpson, Diane

2003-08-01

In 1999, concerns were raised that vaccines containing the preservative Thimerosal might increase the risk of autism and/or other neurodevelopmental disorders. Between the mid-1980s through the late-1990s, we compared the prevalence/incidence of autism in California, Sweden, and Denmark with average exposures to Thimerosal-containing vaccines. Graphic ecologic analyses were used to examine population-based data from the United States (national immunization coverage surveys and counts of children diagnosed with autism-like disorders seeking special education services in California); Sweden (national inpatient data on autism cases, national vaccination coverage levels, and information on use of all vaccines and vaccine-specific amounts of Thimerosal); and Denmark (national registry of inpatient/outpatient-diagnosed autism cases, national vaccination coverage levels, and information on use of all vaccines and vaccine-specific amounts of Thimerosal). In all three countries, the incidence and prevalence of autism-like disorders began to rise in the 1985-1989 period, and the rate of increase accelerated in the early 1990s. However, in contrast to the situation in the United States, where the average Thimerosal dose from vaccines increased throughout the 1990s, Thimerosal exposures from vaccines in both Sweden and Denmark-already low throughout the 1970s and 1980s-began to decrease in the late 1980s and were eliminated in the early 1990s. The body of existing data, including the ecologic data presented herein, is not consistent with the hypothesis that increased exposure to Thimerosal-containing vaccines is responsible for the apparent increase in the rates of autism in young children being observed worldwide.

40 CFR 51.356 - Vehicle coverage.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 2 2012-07-01 2012-07-01 false Vehicle coverage. 51.356 Section 51.356....356 Vehicle coverage. The performance standard for enhanced I/M programs assumes coverage of all 1968 and later model year light duty vehicles and light duty trucks up to 8,500 pounds GVWR, and includes...

40 CFR 51.356 - Vehicle coverage.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 2 2013-07-01 2013-07-01 false Vehicle coverage. 51.356 Section 51.356....356 Vehicle coverage. The performance standard for enhanced I/M programs assumes coverage of all 1968 and later model year light duty vehicles and light duty trucks up to 8,500 pounds GVWR, and includes...

40 CFR 51.356 - Vehicle coverage.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 2 2011-07-01 2011-07-01 false Vehicle coverage. 51.356 Section 51.356....356 Vehicle coverage. The performance standard for enhanced I/M programs assumes coverage of all 1968 and later model year light duty vehicles and light duty trucks up to 8,500 pounds GVWR, and includes...

40 CFR 51.356 - Vehicle coverage.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 2 2014-07-01 2014-07-01 false Vehicle coverage. 51.356 Section 51.356....356 Vehicle coverage. The performance standard for enhanced I/M programs assumes coverage of all 1968 and later model year light duty vehicles and light duty trucks up to 8,500 pounds GVWR, and includes...

40 CFR 51.356 - Vehicle coverage.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 2 2010-07-01 2010-07-01 false Vehicle coverage. 51.356 Section 51.356....356 Vehicle coverage. The performance standard for enhanced I/M programs assumes coverage of all 1968 and later model year light duty vehicles and light duty trucks up to 8,500 pounds GVWR, and includes...

Human papillomavirus vaccination coverage using two-dose or three-dose schedule criteria.

PubMed

Lin, Xia; Rodgers, Loren; Zhu, Liping; Stokley, Shannon; Meites, Elissa; Markowitz, Lauri E

2017-10-13

In October 2016, the Advisory Committee on Immunization Practices (ACIP) updated the human papillomavirus (HPV) vaccination recommendation to include a 2-dose schedule for U.S. adolescents initiating the vaccine series before their 15th birthday. We analyzed records for >4million persons aged 9-17years receiving any HPV vaccine by the end of each quarter during January 1, 2014-September 30, 2016 from six Immunization Information Systems Sentinel Sites, and reclassified HPV vaccination up-to-date coverage according to the updated recommendations. Compared with HPV vaccination up-to-date coverage by the 3-dose schedule only, including criteria for either a 2-dose or 3-dose schedule increased up-to-date coverage in 11-12, 13-14, and 15-17 year-olds by 4.5-8.5 percentage points. The difference between 3-dose up-to-date coverage and 2- or 3-dose up-to-date coverage was greatest in late 2016. These data provide baseline HPV vaccination coverage using current ACIP recommendations. Published by Elsevier Ltd.

Can low-cost VOR and Omega receivers suffice for RNAV - A new computer-based navigation technique

NASA Technical Reports Server (NTRS)

Hollaar, L. A.

1978-01-01

It is shown that although RNAV is particularly valuable for the personal transportation segment of general aviation, it has not gained complete acceptance. This is due, in part, to its high cost and the necessary special-handling air traffic control. VOR/DME RNAV calculations are ideally suited for analog computers, and the use of microprocessor technology has been suggested for reducing RNAV costs. Three navigation systems, VOR, Omega, and DR, are compared for common navigational difficulties, such as station geometry, siting errors, ground disturbances, and terminal area coverage. The Kalman filtering technique is described with reference to the disadvantages when using a system including standard microprocessors. An integrated navigation system, using input data from various low-cost sensor systems, is presented and current simulation studies are noted.

Preferences for intervention among Peruvian women in intimate partner violence relationships.

PubMed

Cripe, Swee May; Espinoza, Damarys; Rondon, Marta B; Jimenez, Maria Luisa; Sanchez, Elena; Ojeda, Nely; Sanchez, Sixto; Williams, Michelle A

2015-01-01

We sought to identify what abused Peruvian women want or need as intervention strategies. We conducted five focus groups with 30 women with prior or current experience with intimate partner violence. Participants noted that abused women need compassionate support, professional counseling, and informational and practical (e.g., work skills training, employment, shelter, financial support) interventions. We propose a 2-tiered intervention strategy that includes community support groups and individual professional counseling. This strategy is intended to offer broad coverage, meeting the needs of large groups of women who experience abuse, whereas providing specialized counseling for those requiring intensive support. Respect for each woman's autonomy in the decision-making process is a priority. Interventions targeted toward women and men should address structural factors that contribute to violence against women.

Introduction to Pharmaceutical Biotechnology, Volume 1; Basic techniques and concepts

NASA Astrophysics Data System (ADS)

Bhatia, Saurabh; Goli, Divakar

2018-05-01

Animal biotechnology is a broad field including polarities of fundamental and applied research, as well as DNA science, covering key topics of DNA studies and its recent applications. In Introduction to Pharmaceutical Biotechnology, DNA isolation procedures followed by molecular markers and screening methods of the genomic library are explained. Interesting areas like isolation, sequencing and synthesis of genes, with the broader coverage on synthesis of genes, are also described. The book begins with an introduction to biotechnology and its main branches, explaining both the basic science and the applications of biotechnology-derived pharmaceuticals, with special emphasis on their clinical use. It then moves on to historical development and scope of biotechnology with an overall review of early applications that scientists employed long before the field was defined.

Preferences for Intervention Among Peruvian Women in Intimate Partner Violence Relationships

PubMed Central

Cripe, Swee May; Espinoza, Damarys; Rondon, Marta B.; Jimenez, Maria Luisa; Sanchez, Elena; Ojeda, Nely; Sanchez, Sixto; Williams, Michelle A.

2015-01-01

We sought to identify what abused Peruvian women want or need as intervention strategies. We conducted five focus groups with thirty women with prior or current experience with intimate partner violence. Participants noted that abused women need compassionate support, professional counseling, informational and practical (e.g., work skills training, employment, shelter, financial support) interventions. We propose a two-tiered intervention strategy that includes community support groups and individual professional counseling. This strategy is intended to offer broad coverage, meeting the needs of large groups of women who experience abuse, while providing specialized counseling for those requiring intensive support. Respect for each woman’s autonomy in the decision-making process is a priority. Interventions targeted towards women and men should address structural factors that contribute to violence against women. PMID:25741931

Necessity and approach to integrated nanomaterial legislation and governance.

PubMed

Wang, Jiafan; Gerlach, John D; Savage, Nora; Cobb, George P

2013-01-01

Nanotechnology is one of the most promising technologies to emerge in recent decades. Materials that are specially engineered to have at least one dimension that is no larger than 100 nm are now continuously manufactured and incorporated as critical components of different products that people use daily. While we are taking advantage of nanomaterials (NMs) and nano-products, they may pose a risk to humans and the broader environment. Some types of fibrous NMs such as carbon nanotubes and nano-fibers may present a risk similar to that of asbestos. Some carbon or metal based NMs may threaten the environment due to their bioaccumulative nature within food webs. In order to prevent future adverse effects from products or byproducts of nanotechnology, we suggest an integrated multi-faceted approach which includes an integrated regulation that is based upon life cycle assessment, empirically derived risk assessment. Advanced research that fills the knowledge gap regarding the understanding of NMs in scientific and social norms will be helpful in a full life cycle assessment of NMs. Emphasizing nanotechnology education to the public for an increased understanding and participation associated with media coverage will finally draw governments' attention with an integrated legislation to be instituted. Developing the optimal mix of these tools, including research, public education, media coverage, integrated legislation, will be significant to proactively manage the complexity of nanotechnology and prevent any undesirable effect due to the NMs exposure. Copyright © 2012 Elsevier B.V. All rights reserved.

Karstic water storage response to the recent droughts in Southwest China estimated from satellite gravimetry

NASA Astrophysics Data System (ADS)

Yao, Chaolong; Luo, Zhicai

2015-12-01

The water resources crisis is intensifying in Southwest China (SWC), which includes the world's largest continuous coverage of karst landforms, due to recent severe drought events. However, because of the special properties of karstic water system, such as strong heterogeneity, monitoring the variation of karstic water resources at large scales remains still difficult. Satellite gravimetry has emerged as an effective tool for investigating the global and regional water cycles. In this study, we used GRACE (Gravity Recovery and Climate Experiment) data from January 2003 to January 2013 to investigate karstic water storage variability over the karst region of SWC. We assessed the impacts of the recent severe droughts on karst water resources, including two heavy droughts in September 2010 to May 2010 and August 2011 to January 2012. Results show a slightly water increase tend during the studied period, but these two severe droughts have resulted in significant water depletion in the studied karst region. The latter drought during 2011 and 2012 caused more water deficits than that of the drought in 2010. Strong correlation between the variations of GRACE-based total water storage and precipitation suggests that climate change is the main driving force for the significant water absent over the studied karst region. As the world's largest continuous coverage karst aquifer, the karst region of SWC offers an example of GRACE applications to a karst system incisively and will benefit for water management from a long-term perspective in karst systems throughout the world.

How does the use of multiple needles/syringes per injecting episode impact on the measurement of individual level needle and syringe program coverage?

PubMed

O'Keefe, Daniel; McCormack, Angus; Cogger, Shelley; Aitken, Campbell; Burns, Lucinda; Bruno, Raimondo; Stafford, Jenny; Butler, Kerryn; Breen, Courtney; Dietze, Paul

2017-08-01

Recent work by McCormack et al. (2016) showed that the inclusion of syringe stockpiling improves the measurement of individual-level syringe coverage. We explored whether including the use of a new parameter, multiple sterile syringes per injecting episode, further improves coverage measures. Data comes from 838 people who inject drugs, interviewed as part of the 2015 Illicit Drug Reporting System. Along with syringe coverage questions, the survey recorded the number of sterile syringes used on average per injecting episode. We constructed three measures of coverage: one adapted from Bluthenthal et al. (2007), the McCormack et al. measure, and a new coverage measure that included use of multiple syringes. Predictors of multiple syringe use and insufficient coverage (<100% of injecting episodes using a sterile syringe) using the new measure, were tested in logistic regression and the ability of the measures to discriminate key risk behaviours was compared using ROC curve analysis. 134 (16%) participants reported needing multiple syringes per injecting episode. Women showed significantly increased odds of multiple syringe use, as did those reporting injection related injuries/diseases and injecting of opioid substitution drugs or pharmaceutical opioids. Levels of insufficient coverage across the three measures were substantial (20%-28%). ROC curve analysis suggested that our new measure was no better at discriminating injecting risk behaviours than the existing measures. Based on our findings, there appears to be little need for adding a multiple syringe use parameter to existing coverage formulae. Hence, we recommend that multiple syringe use is not included in the measurement of individual-level syringe coverage. Copyright © 2017 Elsevier B.V. All rights reserved.

Draft Clinton health reform proposal is circulated as alternatives surface.

PubMed

1993-09-20

A brief summary is provided of the Clinton draft health reform proposal (a 240-page draft outline) that predated the presidential address before Congress on September 22, 1993, and the complete health reform plan. Hillary Rodham Clinton will present a statement before the Senate Finance Committee and the Labor and Human Resources Committee on September 28, as the chairperson of the President's Task Force on Health Care Reform. Top policy aide Ira Magaziner believes that a coalition of moderate Republicans, liberal Democrats, and moderate Democrats will be to pass the bill. Observers see the battle as one of the most difficult for the Clinton administration. The outlined plan would require employers to pay about 80% of health insurance coverage for their employees, including part-time workers and their dependents. Families would pay the remaining 20%. All individuals would be covered, and special subsidies would be available for those under a specified income threshold. Regional health alliances would mediate between consumer and health plans. Premiums would be paid to the alliances, which would have a discrete geographic territory. Alliances would negotiate with health insurance companies for the best care at the lowest prices. Preexisting medical conditions would not prevent coverage. A standard benefit package would be provided and there would be comparability across plans. For instance, covered care would include hospital care, physician and health professional services, clinical preventive services, mental health and substance abuse, family planning services, pregnancy-related services, and drugs. Prevention coverage would include prenatal and well-baby care and routine physical examinations, and reproductive health service procedures such as mammogram and pelvic examinations. Family planning and pregnancy-related services were not defined, and although contraceptive pills would be covered as prescriptions, it is unclear whether diaphragms or IUDs would be covered. Cost-sharing requirements were not specified. In vitro fertilization would not be covered and abortion services are not mentioned specifically. Congressional concern was raised over financing, and over 100 Democrats have supported a single payer, Canadian-style system. Other plans have been proposed. Experience says that congressional input will be necessary before passage.

75 FR 29555 - Medicare Program; Medicare Coverage Gap Discount Program Model Manufacturer Agreement and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-26

... Center Hotel, 101 West Fayette Street, Baltimore, MD 21201. Registration and Special Accommodations... percent of the Part D negotiated price for covered Part D claims above the ICL until their TrOOP costs... of an amount equal to the negotiated price (as defined in section 1860D- 14A(g)(6) of the Act...

Improving Access to Primary Care for a Growing Latino Population: The Role of Safety Net Providers in the Rural Midwest

ERIC Educational Resources Information Center

Blewett, Lynn A.; Casey, Michelle; Call, Kathleen Thiede

2004-01-01

Many rural Midwestern communities are experiencing rapid growth in Latino populations with low rates of health insurance coverage, limited financial resources, language and cultural differences, and special health care needs. We report on 2-day site visits conducted in 2001 and 2002 in 3 communities (Marshalltown, Iowa; Great Bend, Kansas; and…

Images of Conflict: Learning from Media Coverage of the Persian Gulf War. A Media Literacy Workshop Kit.

ERIC Educational Resources Information Center

Osborn, Barbara; Davis, J. Francis

This workshop kit consists of: (1) 30-page "Leaders Guide and Handout Masters"; (2) 12-minute videotape, "Lines in the Sand"; (3) special 24-page issue of the journal "Media & Values" on the theme "The Media: in War and Peace"; and (4) an 8-page booklet on the basics of media literacy, "From…

WIC Eligibles and Coverage--1994 To 2007: Estimates of the Population of Women, Infants, and Children Eligible for WIC Benefits. Executive Summary

ERIC Educational Resources Information Center

US Department of Agriculture, 2009

2009-01-01

The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides food, nutrition education, breastfeeding support, and health care and social service referrals to nutritionally at-risk low-income pregnant women, new mothers, infants, and children through age 4. This report offers updated estimates of the population that…

12 CFR Appendix A to Part 22 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2013 CFR

2013-01-01

... property securing the loan is located participates in the National Flood Insurance Program (NFIP). Federal... for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an insurance company...

12 CFR Appendix A to Part 22 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2012 CFR

2012-01-01

... property securing the loan is located participates in the National Flood Insurance Program (NFIP). Federal... for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an insurance company...

12 CFR Appendix A to Part 172 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2014 CFR

2014-01-01

... property securing the loan is located participates in the National Flood Insurance Program (NFIP). Federal... for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an insurance company...

12 CFR Appendix A to Part 572 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2012 CFR

2012-01-01

... property securing the loan is located participates in the National Flood Insurance Program (NFIP). Federal... for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an insurance company...

38 CFR Appendix A to Part 36 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2013 CFR

2013-07-01

... property securing the loan is located participates in the National Flood Insurance Program (NFIP). Federal... for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an insurance company...

38 CFR Appendix A to Part 36 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2014 CFR

2014-07-01

... property securing the loan is located participates in the National Flood Insurance Program (NFIP). Federal... for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an insurance company...

12 CFR Appendix A to Part 572 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2014 CFR

2014-01-01

... property securing the loan is located participates in the National Flood Insurance Program (NFIP). Federal... for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an insurance company...

12 CFR Appendix A to Part 172 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2013 CFR

2013-01-01

... property securing the loan is located participates in the National Flood Insurance Program (NFIP). Federal... for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an insurance company...

12 CFR Appendix A to Part 172 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2012 CFR

2012-01-01

... property securing the loan is located participates in the National Flood Insurance Program (NFIP). Federal... for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an insurance company...

38 CFR Appendix A to Part 36 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2012 CFR

2012-07-01

... property securing the loan is located participates in the National Flood Insurance Program (NFIP). Federal... for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an insurance company...

12 CFR Appendix A to Part 22 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2014 CFR

2014-01-01

... property securing the loan is located participates in the National Flood Insurance Program (NFIP). Federal... for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an insurance company...

12 CFR Appendix A to Part 572 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2013 CFR

2013-01-01

... property securing the loan is located participates in the National Flood Insurance Program (NFIP). Federal... for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an insurance company...

DefenseLink Special: Coverage of the Jan. 30, 2005 Nationwide Elections in

Science.gov Websites

can change people. It can affect their ethics and their morale and their confidence. It can impose a killed, so people learned not to disagree. And they learned to accept. And yet here they showed a Master Sgt. Dave Ahlschwede High Res Photo More Photos Shiia Slates Win in Iraq, Call for Unity

26 CFR 1.7702B-2 - Special rules for pre-1997 long-term care insurance contracts.

Code of Federal Regulations, 2011 CFR

2011-04-01

... treated as a qualified long-term care insurance contract. Example 2. (i) The facts are the same as in Example 1, except that the insurance coverage under the contract does not become effective until March 1.... Example 3. (i) B, an individual, is the policyholder under a long-term care insurance contract purchased...

26 CFR 54.4980G-6 - Special rule for contributions made to the HSAs of nonhighly compensated employees.

Code of Federal Regulations, 2010 CFR

2010-04-01

... also contributes $500 for the calendar year to the HSA of each full-time management nonhighly... for the calendar year to the HSA of each full-time nonhighly compensated employee who is an eligible individual with self-only HDHP coverage. Employer A makes no contribution to the HSA of any full-time highly...

English-Chinese Cross-Language IR Using Bilingual Dictionaries

DTIC Science & Technology

2006-01-01

specialized dictionaries together contain about two million entries [6]. 4 Monolingual Experiment The Chinese documents and the Chinese translations of... monolingual performance. The main performance-limiting factor is the limited coverage of the dictionary used in query translation. Some of the key con...English-Chinese Cross-Language IR using Bilingual Dictionaries Aitao Chen , Hailing Jiang , and Fredric Gey School of Information Management

Coverage of Nutrition Interventions Intended for Infants and Young Children Varies Greatly across Programs: Results from Coverage Surveys in 5 Countries.

PubMed

Leyvraz, Magali; Aaron, Grant J; Poonawala, Alia; van Liere, Marti J; Schofield, Dominic; Myatt, Mark; Neufeld, Lynnette M

2017-05-01

Background: The efficacy of a number of interventions that include fortified complementary foods (FCFs) or other products to improve infant and young child feeding (IYCF) is well established. Programs that provide such products free or at a subsidized price are implemented in many countries around the world. Demonstrating the impact at scale of these programs has been challenging, and rigorous information on coverage and utilization is lacking. Objective: The objective of this article is to review key findings from 11 coverage surveys of IYCF programs distributing or selling FCFs or micronutrient powders in 5 countries. Methods: Programs were implemented in Ghana, Cote d'Ivoire, India, Bangladesh, and Vietnam. Surveys were implemented at different stages of program implementation between 2013 and 2015. The Fortification Assessment Coverage Toolkit (FACT) was developed to assess 3 levels of coverage (message: awareness of the product; contact: use of the product ≥1 time; and effective: regular use aligned with program-specific goals), as well as barriers and factors that facilitate coverage. Analyses included the coverage estimates, as well as an assessment of equity of coverage between the poor and nonpoor, and between those with poor and adequate child feeding practices. Results: Coverage varied greatly between countries and program models. Message coverage ranged from 29.0% to 99.7%, contact coverage from 22.6% to 94.4%, and effective coverage from 0.8% to 88.3%. Beyond creating awareness, programs that achieved high coverage were those with effective mechanisms in place to overcome barriers for both supply and demand. Conclusions: Variability in coverage was likely due to the program design, delivery model, quality of implementation, and product type. Measuring program coverage and understanding its determinants is essential for program improvement and to estimate the potential for impact of programs at scale. Use of the FACT can help overcome this evidence gap.

Coverage of Nutrition Interventions Intended for Infants and Young Children Varies Greatly across Programs: Results from Coverage Surveys in 5 Countries123

PubMed Central

Aaron, Grant J; Poonawala, Alia; van Liere, Marti J; Schofield, Dominic; Myatt, Mark

2017-01-01

Background: The efficacy of a number of interventions that include fortified complementary foods (FCFs) or other products to improve infant and young child feeding (IYCF) is well established. Programs that provide such products free or at a subsidized price are implemented in many countries around the world. Demonstrating the impact at scale of these programs has been challenging, and rigorous information on coverage and utilization is lacking. Objective: The objective of this article is to review key findings from 11 coverage surveys of IYCF programs distributing or selling FCFs or micronutrient powders in 5 countries. Methods: Programs were implemented in Ghana, Cote d’Ivoire, India, Bangladesh, and Vietnam. Surveys were implemented at different stages of program implementation between 2013 and 2015. The Fortification Assessment Coverage Toolkit (FACT) was developed to assess 3 levels of coverage (message: awareness of the product; contact: use of the product ≥1 time; and effective: regular use aligned with program-specific goals), as well as barriers and factors that facilitate coverage. Analyses included the coverage estimates, as well as an assessment of equity of coverage between the poor and nonpoor, and between those with poor and adequate child feeding practices. Results: Coverage varied greatly between countries and program models. Message coverage ranged from 29.0% to 99.7%, contact coverage from 22.6% to 94.4%, and effective coverage from 0.8% to 88.3%. Beyond creating awareness, programs that achieved high coverage were those with effective mechanisms in place to overcome barriers for both supply and demand. Conclusions: Variability in coverage was likely due to the program design, delivery model, quality of implementation, and product type. Measuring program coverage and understanding its determinants is essential for program improvement and to estimate the potential for impact of programs at scale. Use of the FACT can help overcome this evidence gap. PMID:28404839

History of psychology.

PubMed

Weidman, Nadine

2016-02-01

The editor of History of Psychology discusses her plan to vary the journal's content and expand its scope in specific ways. The first is to introduce a "Spotlight" feature, a relatively brief, provocative thought piece that might take one of several forms. Along with this new feature, she hopes further to broaden the journal's coverage and its range of contributors. She encourages submissions on the history of the psy-sciences off the beaten path. Finally, she plans to continue the journal's tradition of special issues, special sections, and essay reviews of two or more important recently published books in the field. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

Annual immunisation coverage report, 2010.

PubMed

Hull, Brynley; Dey, Aditi; Menzies, Rob; McIntyre, Peter

2013-03-31

This, the fourth annual immunisation coverage report, documents trends during 2010 for a range of standard measures derived from Australian Childhood Immunisation Register (ACIR) data. These include coverage at standard age milestones and for individual vaccines included on the National Immunisation Program (NIP). For the first time, coverage from other sources for adolescents and the elderly are included. The proportion of children 'fully vaccinated' at 12, 24 and 60 months of age was 91.6%, 92.1% and 89.1% respectively. For vaccines available on the NIP but not currently assessed for 'fully immunised' status or for eligibility for incentive payments (rotavirus and pneumococcal at 12 months and meningococcal C and varicella at 24 months) coverage varied. Although pneumococcal vaccine had similar coverage at 12 months to other vaccines, coverage was lower for rotavirus at 12 months (84.7%) and varicella at 24 months (83.0%). Overall coverage at 24 months of age exceeded that at 12 months of age nationally and for most jurisdictions, but as receipt of varicella vaccine at 18 months is excluded from calculations, this represents delayed immunisation, with some contribution from immunisation incentives. The 'fully immunised' coverage estimates for immunisations due by 60 months increased substantially in 2009, reaching almost 90% in 2010, probably related to completed immunisation by 60 months of age being introduced in 2009 as a requirement for GP incentive payments. As previously documented, vaccines recommended for Indigenous children only (hepatitis A and pneumococcal polysaccharide vaccine) had suboptimal coverage at around 57%. Delayed receipt of vaccines by Indigenous children at the 60-month milestone age improved from 56% to 62% but the disparity in on-time vaccination between Indigenous and non-Indigenous children at earlier age milestones did not improve. Coverage data for human papillomavirus (HPV)from the national HPV register are consistent with high coverage in the school-based program (73%) but were lower for the catch-up program for women outside school (30-38%). Coverage estimates for vaccines on the NIP from 65 years of age were comparable with other developed countries.

Geriatric Education in the Health Professions: Are We Making Progress?

PubMed Central

Bardach, Shoshana H.; Rowles, Graham D.

2012-01-01

Purpose: Relative to the overall population, older adults consume a disproportionally large percentage of health care resources. Despite advocacy and efforts initiated more than 30 years ago, the number of providers with specialized training in geriatrics is still not commensurate with the growing population of older adults. This contribution provides a contemporary update on the status of geriatric education and explores how geriatric coverage is valued, how geriatric competence is defined, and how students are evaluated for geriatric competencies. Design and Methods: Semi-structured interviews were conducted with curriculum representatives from 7 health profession disciplines in a case study of one academic medical center. Findings: Geriatric training varies across health professions’ disciplines. Although participants recognized the unique needs of older patients and valued geriatric coverage, they identified shortage of time in packed curricula, lack of geriatrics-trained educators, absence of financial incentive, and low student demand (resulting from limited exposure to older adults and gerontological stereotyping) as barriers to improving geriatric training. Implications: Progress in including geriatric training within curricula across the health professions continues to lag behind need as a result of the continuing presence of barriers identified several decades ago. There remains an urgent need for institutional commitment to enhance geriatric education as a component of health professions curricula. PMID:22394495

Health Care Coverage Decision Making in Low- and Middle-Income Countries: Experiences from 25 Coverage Schemes.

PubMed

Gutierrez, Hialy; Shewade, Ashwini; Dai, Minghan; Mendoza-Arana, Pedro; Gómez-Dantés, Octavio; Jain, Nishant; Khonelidze, Irma; Nabyonga-Orem, Juliet; Saleh, Karima; Teerawattananon, Yot; Nishtar, Sania; Hornberger, John

2015-08-01

Lessons learned by countries that have successfully implemented coverage schemes for health services may be valuable for other countries, especially low- and middle-income countries (LMICs), which likewise are seeking to provide/expand coverage. The research team surveyed experts in population health management from LMICs for information on characteristics of health care coverage schemes and factors that influenced decision-making processes. The level of coverage provided by the different schemes varied. Nearly all the health care coverage schemes involved various representatives and stakeholders in their decision-making processes. Maternal and child health, cardiovascular diseases, cancer, and HIV were among the highest priorities guiding coverage development decisions. Evidence used to inform coverage decisions included medical literature, regional and global epidemiology, and coverage policies of other coverage schemes. Funding was the most commonly reported reason for restricting coverage. This exploratory study provides an overview of health care coverage schemes from participating LMICs and contributes to the scarce evidence base on coverage decision making. Sharing knowledge and experiences among LMICs can support efforts to establish systems for accessible, affordable, and equitable health care.

Extending Medicare coverage to medically necessary dental care.

PubMed

Patton, L L; White, B A; Field, M J

2001-09-01

Periodically, Congress considers expanding Medicare coverage to include some currently excluded health care services. In 1999 and 2000, an Institute of Medicine committee studied the issues related to coverage for certain services, including "medically necessary dental services." The committee conducted a literature search for dental care studies in five areas: head and neck cancer, leukemia, lymphoma, organ transplantation, and heart valve repair or replacement. The committee examined evidence to support Medicare coverage for dental services related to these conditions and estimated the cost to Medicare of such coverage. Evidence supported Medicare coverage for preventive dental care before jaw radiation therapy for head or neck cancer and coverage for treatment to prevent or eliminate acute oral infections for patients with leukemia before chemotherapy. Insufficient evidence supported dental coverage for patients with lymphoma or organ transplants and for patients who had undergone heart valve repair or replacement. The committee suggested that Congress update statutory language to permit Medicare coverage of effective dental services needed in conjunction with surgery, chemotherapy, radiation therapy or pharmacological treatment for life-threatening medical conditions. Dental care is important for members of all age groups. More direct, research-based evidence on the efficacy of medically necessary dental care is needed both to guide treatment and to support Medicare payment policy.

Massachusetts health reform: employers, lower-wage workers and universal coverage.

PubMed

Felland, Laurie; Draper, Debra; Liebhaber, Allison

2007-07-01

As Massachusetts' landmark effort to reach nearly universal health coverage unfolds, the state is now focusing on employers to take steps to increase coverage. All employers--except firms with fewer than 11 workers--face new requirements under the 2006 law, including establishing Section 125, or cafeteria, plans to allow workers to purchase insurance with pre-tax dollars and paying a $295 annual fee if they do not make a "fair and reasonable" contribution to the cost of workers' coverage. Through interviews with Massachusetts health care leaders (see Data Source), the Center for Studying Health System Change (HSC) examined how the law is likely to affect employer decisions to offer health insurance to workers and employee decisions to purchase coverage. Market observers believe many small firms may be unaware of specific requirements and that some could prove onerous. Moreover, the largest impact on small employers may come from the individual mandate for all residents to have a minimum level of health insurance. This mandate may add costs for firms if more workers take up coverage offers, seek more generous coverage or pressure employers to offer coverage. Despite reform of the individual and small group markets, including development of new insurance products, concerns remain about the affordability of coverage and the ability to stem rising health care costs.

Maintaining and Enhancing Diversity of Sampled Protein Conformations in Robotics-Inspired Methods.

PubMed

Abella, Jayvee R; Moll, Mark; Kavraki, Lydia E

2018-01-01

The ability to efficiently sample structurally diverse protein conformations allows one to gain a high-level view of a protein's energy landscape. Algorithms from robot motion planning have been used for conformational sampling, and several of these algorithms promote diversity by keeping track of "coverage" in conformational space based on the local sampling density. However, large proteins present special challenges. In particular, larger systems require running many concurrent instances of these algorithms, but these algorithms can quickly become memory intensive because they typically keep previously sampled conformations in memory to maintain coverage estimates. In addition, robotics-inspired algorithms depend on defining useful perturbation strategies for exploring the conformational space, which is a difficult task for large proteins because such systems are typically more constrained and exhibit complex motions. In this article, we introduce two methodologies for maintaining and enhancing diversity in robotics-inspired conformational sampling. The first method addresses algorithms based on coverage estimates and leverages the use of a low-dimensional projection to define a global coverage grid that maintains coverage across concurrent runs of sampling. The second method is an automatic definition of a perturbation strategy through readily available flexibility information derived from B-factors, secondary structure, and rigidity analysis. Our results show a significant increase in the diversity of the conformations sampled for proteins consisting of up to 500 residues when applied to a specific robotics-inspired algorithm for conformational sampling. The methodologies presented in this article may be vital components for the scalability of robotics-inspired approaches.

US health policy and prescription drug coverage of FDA-approved medications for the treatment of obesity.

PubMed

Gomez, G; Stanford, F C

2018-03-01

Obesity is now the most prevalent chronic disease in the United States, which amounts to an estimated $147 billion in health care spending annually. The Affordable Care Act (ACA) enacted in 2010 included provisions for private and public health insurance plans that expanded coverage for lifestyle/behavior modification and bariatric surgery for the treatment of obesity. Pharmacotherapy, however, has not been included despite their evidence-based efficacy. We set out to investigate the coverage of Food and Drug Administration-approved medications for obesity within Medicare, Medicaid and ACA-established marketplace health insurance plans. We examined coverage for phentermine, diethylpropion, phendimetrazine, Benzphentamine, Lorcaserin, Phentermine/Topiramate (Qysmia), Liraglutide (Saxenda) and Buproprion/Naltrexone (Contrave) among Medicare, Medicaid and marketplace insurance plans in 34 states. Among 136 marketplace health insurance plans, 11% had some coverage for the specified drugs in only nine states. Medicare policy strictly excludes drug therapy for obesity. Only seven state Medicaid programs have drug coverage. Obesity requires an integrated approach to combat its public health threat. Broader coverage of pharmacotherapy can make a significant contribution to fighting this complex and chronic disease.

Examining the impact of larval source management and insecticide-treated nets using a spatial agent-based model of Anopheles gambiae and a landscape generator tool

PubMed Central

2013-01-01

Background Agent-based models (ABMs) have been used to estimate the effects of malaria-control interventions. Early studies have shown the efficacy of larval source management (LSM) and insecticide-treated nets (ITNs) as vector-control interventions, applied both in isolation and in combination. However, the robustness of results can be affected by several important modelling assumptions, including the type of boundary used for landscapes, and the number of replicated simulation runs reported in results. Selection of the ITN coverage definition may also affect the predictive findings. Hence, by replication, independent verification of prior findings of published models bears special importance. Methods A spatially-explicit entomological ABM of Anopheles gambiae is used to simulate the resource-seeking process of mosquitoes in grid-based landscapes. To explore LSM and replicate results of an earlier LSM study, the original landscapes and scenarios are replicated by using a landscape generator tool, and 1,800 replicated simulations are run using absorbing and non-absorbing boundaries. To explore ITNs and evaluate the relative impacts of the different ITN coverage schemes, the settings of an earlier ITN study are replicated, the coverage schemes are defined and simulated, and 9,000 replicated simulations for three ITN parameters (coverage, repellence and mortality) are run. To evaluate LSM and ITNs in combination, landscapes with varying densities of houses and human populations are generated, and 12,000 simulations are run. Results General agreement with an earlier LSM study is observed when an absorbing boundary is used. However, using a non-absorbing boundary produces significantly different results, which may be attributed to the unrealistic killing effect of an absorbing boundary. Abundance cannot be completely suppressed by removing aquatic habitats within 300 m of houses. Also, with density-dependent oviposition, removal of insufficient number of aquatic habitats may prove counter-productive. The importance of performing large number of simulation runs is also demonstrated. For ITNs, the choice of coverage scheme has important implications, and too high repellence yields detrimental effects. When LSM and ITNs are applied in combination, ITNs’ mortality can play more important roles with higher densities of houses. With partial mortality, increasing ITN coverage is more effective than increasing LSM coverage, and integrating both interventions yields more synergy as the densities of houses increase. Conclusions Using a non-absorbing boundary and reporting average results from sufficiently large number of simulation runs are strongly recommended for malaria ABMs. Several guidelines (code and data sharing, relevant documentation, and standardized models) for future modellers are also recommended. PMID:23965136

Universal health care? The views of Negev Bedouin Arabs on health services.

PubMed

Borkan, J M; Morad, M; Shvarts, S

2000-06-01

This study examines health and health care attitudes, practices and utilization patterns among the Bedouin Arab minority in the south of Israel. Particular attention is given to the effects of the new National Insurance Law that provides universal coverage for the first time, and to the identification of critical issues for further research. Focus groups, adapted to Bedouin culture, were the primary method of data collection. Twelve groups (158 participants) from throughout the Negev met for 3-7 sessions each, using specially trained local moderators and observers. Issues discussed and analyzed included experience and satisfaction with the current health system (both modern and traditional), health service availability/barriers, health care needs, influences of social change, and the National Insurance Law. Participants voice dissatisfaction with modern health services in the Bedouin sector and the state of health of Negev Bedouin. They place great emphasis on the connection between health and the rapid social and economic changes, which this traditionally nomadic group is undergoing. Traditional health care is felt to still exist, but its importance is waning. The National Insurance law is having a major impact on the Bedouin, particularly because it provides universal health insurance coverage where only partial coverage had been in effect. This study, one of the first of its kind in the Bedouin sector, showed that the focus group method, if properly modified to cultural norms, can be a valuable research tool in traditional communities and in health service research. The findings from this research can be used to direct efforts to improve health policy and health services for this group, as well as preparing the way for further qualitative or quantitative studies.

The Effects of Child-Only Insurance Coverage and Family Coverage on Health Care Access and Use: Recent Findings among Low-Income Children in California

PubMed Central

Guendelman, Sylvia; Wier, Megan; Angulo, Veronica; Oman, Doug

2006-01-01

Objective To compare the extent with which child-only and family coverage (child and parent insured) ensure health care access and use for low income children in California and discuss the policy implications of extending the State Children's Health Insurance Program (California's Healthy Families) to uninsured parents of child enrollees. Data Sources/Setting We used secondary data from the 2001 California Health Interview Survey (CHIS), a representative telephone survey. Study Design We conducted a cross-sectional study of 5,521 public health insurance–eligible children and adolescents and their parents to examine the effects of insurance (family coverage, child-only coverage, and no coverage) on measures of health care access and utilization including emergency room visits and hospitalizations. Data Collection We linked the CHIS adult, child, and adolescent datasets, including the adolescent insurance supplement. Findings Among the sampled children, 13 percent were uninsured as were 22 percent of their parents. Children without insurance coverage were more likely than children with child-only coverage to lack a usual source of care and to have decreased use of health care. Children with child-only coverage fared worse than those with family coverage on almost every access indicator, but service utilization was comparable. Conclusions While extending public benefits to parents of children eligible for Healthy Families may not improve child health care utilization beyond the gains that would be obtained by exclusively insuring the children, family coverage would likely improve access to a regular source of care and private sector providers, and reduce perceived discrimination and breaks in coverage. These advantages should be considered by states that are weighing the benefits of expanding health insurance to parents. PMID:16430604

A Comparison of Coverage Restrictions for Biopharmaceuticals and Medical Procedures.

PubMed

Chambers, James; Pope, Elle; Bungay, Kathy; Cohen, Joshua; Ciarametaro, Michael; Dubois, Robert; Neumann, Peter J

2018-04-01

Differences in payer evaluation and coverage of pharmaceuticals and medical procedures suggest that coverage may differ for medications and procedures independent of their clinical benefit. We hypothesized that coverage for medications is more restricted than corresponding coverage for nonmedication interventions. We included top-selling medications and highly utilized procedures. For each intervention-indication pair, we classified value in terms of cost-effectiveness (incremental cost per quality-adjusted life-year), as reported by the Tufts Medical Center Cost-Effectiveness Analysis Registry. For each intervention-indication pair and for each of 10 large payers, we classified coverage, when available, as either "more restrictive" or as "not more restrictive," compared with a benchmark. The benchmark reflected the US Food and Drug Administration label information, when available, or pertinent clinical guidelines. We compared coverage policies and the benchmark in terms of step edits and clinical restrictions. Finally, we regressed coverage restrictiveness against intervention type (medication or nonmedication), controlling for value (cost-effectiveness more or less favorable than a designated threshold). We identified 392 medication and 185 procedure coverage decisions. A total of 26.3% of the medication coverage and 38.4% of the procedure coverage decisions were more restrictive than their corresponding benchmarks. After controlling for value, the odds of being more restrictive were 42% lower for medications than for procedures. Including unfavorable tier placement in the definition of "more restrictive" greatly increased the proportion of medication coverage decisions classified as "more restrictive" and reversed our findings. Therapy access depends on factors other than cost and clinical benefit, suggesting potential health care system inefficiency. Copyright © 2018 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

Improving coverage measurement for reproductive, maternal, neonatal and child health: gaps and opportunities.

PubMed

Munos, Melinda K; Stanton, Cynthia K; Bryce, Jennifer

2017-06-01

Regular monitoring of coverage for reproductive, maternal, neonatal, and child health (RMNCH) is central to assessing progress toward health goals. The objectives of this review were to describe the current state of coverage measurement for RMNCH, assess the extent to which current approaches to coverage measurement cover the spectrum of RMNCH interventions, and prioritize interventions for a novel approach to coverage measurement linking household surveys with provider assessments. We included 58 interventions along the RMNCH continuum of care for which there is evidence of effectiveness against cause-specific mortality and stillbirth. We reviewed household surveys and provider assessments used in low- and middle-income countries (LMICs) to determine whether these tools generate measures of intervention coverage, readiness, or quality. For facility-based interventions, we assessed the feasibility of linking provider assessments to household surveys to provide estimates of intervention coverage. Fewer than half (24 of 58) of included RMNCH interventions are measured in standard household surveys. The periconceptional, antenatal, and intrapartum periods were poorly represented. All but one of the interventions not measured in household surveys are facility-based, and 13 of these would be highly feasible to measure by linking provider assessments to household surveys. We found important gaps in coverage measurement for proven RMNCH interventions, particularly around the time of birth. Based on our findings, we propose three sets of actions to improve coverage measurement for RMNCH, focused on validation of coverage measures and development of new measurement approaches feasible for use at scale in LMICs.

Picturing the Gulf War: Constructing an Image of War in "Time,""Newsweek," and "U.S. News & World Report."

ERIC Educational Resources Information Center

Griffin, Michael; Lee, Jongsoo

1995-01-01

Reports on a visual content analysis of 1,104 Gulf War-related pictures. Finds that a narrowly limited range of images (with a special emphasis on cataloging military weaponry and technology) dominated the pictorial coverage. Suggests that the scarcity of pictures depicting ongoing events in the Gulf contradicts the impression of first-hand media…

A bill to amend title 38, United States Code, to provide for coverage under the beneficiary travel program of the Department of Veterans Affairs of certain disabled veterans for travel in connection with certain special disabilities rehabilitation, and for other purposes.

THOMAS, 113th Congress

Sen. Tester, Jon [D-MT

2013-03-21

Senate - 05/09/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-203. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to provide for coverage under the beneficiary travel program of the Department of Veterans Affairs of certain disabled veterans for travel for certain special disabilities rehabilitation, and for other purposes.

THOMAS, 112th Congress

Sen. Tester, Jon [D-MT

2011-10-20

Senate - 06/27/2012 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-668. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

12 CFR Appendix A to Part 339 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2014 CFR

2014-01-01

... Insurance Program (NFIP). Federal law will not allow us to make you the loan that you have applied for if... us to purchase the flood insurance for you at your expense. • Flood insurance coverage under the NFIP... NFIP or through an insurance company that participates in the NFIP. Flood insurance also may be...

12 CFR Appendix A to Part 339 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2012 CFR

2012-01-01

... Insurance Program (NFIP). Federal law will not allow us to make you the loan that you have applied for if... us to purchase the flood insurance for you at your expense. • Flood insurance coverage under the NFIP... NFIP or through an insurance company that participates in the NFIP. Flood insurance also may be...

12 CFR Appendix A to Part 339 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2013 CFR

2013-01-01

... Insurance Program (NFIP). Federal law will not allow us to make you the loan that you have applied for if... us to purchase the flood insurance for you at your expense. • Flood insurance coverage under the NFIP... NFIP or through an insurance company that participates in the NFIP. Flood insurance also may be...

The Catastrophic State of Catastrophic Health Care Coverage. Hearing before the Special Committee on Aging. United States Senate, One Hundredth Congress, First Session (Birmingham, Alabama).

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Special Committee on Aging.

This document presents witnesses' testimonies and prepared statements from the Senate hearing held in Birmingham, Alabama to alert the public to the problems associated with catastrophic illness; learn what community services exist for older adults; and clarify what requirements for services, research, and education must be met to formulate an…

[Policies for influenza control in Chile].

PubMed

Astudillo Olivares, Pedro

2006-03-01

Influenza control is based in two main components: a surveillance system and vaccination. In both aspects Chile has conquered high internacional standards and can exhibit the best results in the Region, obtaining a significant reduction in mortality attributable to influenza and pneumonia as vaccine coverage has increased over 11% of the total population. Pandemic influenza menace is permanent and obliges national authorities to prepare special strategies to face it.

45 CFR 156.140 - Levels of coverage.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Welfare Department of Health and Human Services REQUIREMENTS RELATING TO HEALTH CARE ACCESS HEALTH INSURANCE ISSUER STANDARDS UNDER THE AFFORDABLE CARE ACT, INCLUDING STANDARDS RELATED TO EXCHANGES Essential Health Benefits Package § 156.140 Levels of coverage. (a) General requirement for levels of coverage. AV...

45 CFR 156.140 - Levels of coverage.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS HEALTH INSURANCE ISSUER STANDARDS UNDER THE AFFORDABLE CARE ACT, INCLUDING STANDARDS RELATED TO EXCHANGES Essential Health Benefits Package § 156.140 Levels of coverage. (a) General requirement for levels of coverage. AV...

The comparative recall of Google Scholar versus PubMed in identical searches for biomedical systematic reviews: a review of searches used in systematic reviews.

PubMed

Bramer, Wichor M; Giustini, Dean; Kramer, Bianca Mr; Anderson, Pf

2013-12-23

The usefulness of Google Scholar (GS) as a bibliographic database for biomedical systematic review (SR) searching is a subject of current interest and debate in research circles. Recent research has suggested GS might even be used alone in SR searching. This assertion is challenged here by testing whether GS can locate all studies included in 21 previously published SRs. Second, it examines the recall of GS, taking into account the maximum number of items that can be viewed, and tests whether more complete searches created by an information specialist will improve recall compared to the searches used in the 21 published SRs. The authors identified 21 biomedical SRs that had used GS and PubMed as information sources and reported their use of identical, reproducible search strategies in both databases. These search strategies were rerun in GS and PubMed, and analyzed as to their coverage and recall. Efforts were made to improve searches that underperformed in each database. GS' overall coverage was higher than PubMed (98% versus 91%) and overall recall is higher in GS: 80% of the references included in the 21 SRs were returned by the original searches in GS versus 68% in PubMed. Only 72% of the included references could be used as they were listed among the first 1,000 hits (the maximum number shown). Practical precision (the number of included references retrieved in the first 1,000, divided by 1,000) was on average 1.9%, which is only slightly lower than in other published SRs. Improving searches with the lowest recall resulted in an increase in recall from 48% to 66% in GS and, in PubMed, from 60% to 85%. Although its coverage and precision are acceptable, GS, because of its incomplete recall, should not be used as a single source in SR searching. A specialized, curated medical database such as PubMed provides experienced searchers with tools and functionality that help improve recall, and numerous options in order to optimize precision. Searches for SRs should be performed by experienced searchers creating searches that maximize recall for as many databases as deemed necessary by the search expert.

The comparative recall of Google Scholar versus PubMed in identical searches for biomedical systematic reviews: a review of searches used in systematic reviews

PubMed Central

2013-01-01

Background The usefulness of Google Scholar (GS) as a bibliographic database for biomedical systematic review (SR) searching is a subject of current interest and debate in research circles. Recent research has suggested GS might even be used alone in SR searching. This assertion is challenged here by testing whether GS can locate all studies included in 21 previously published SRs. Second, it examines the recall of GS, taking into account the maximum number of items that can be viewed, and tests whether more complete searches created by an information specialist will improve recall compared to the searches used in the 21 published SRs. Methods The authors identified 21 biomedical SRs that had used GS and PubMed as information sources and reported their use of identical, reproducible search strategies in both databases. These search strategies were rerun in GS and PubMed, and analyzed as to their coverage and recall. Efforts were made to improve searches that underperformed in each database. Results GS’ overall coverage was higher than PubMed (98% versus 91%) and overall recall is higher in GS: 80% of the references included in the 21 SRs were returned by the original searches in GS versus 68% in PubMed. Only 72% of the included references could be used as they were listed among the first 1,000 hits (the maximum number shown). Practical precision (the number of included references retrieved in the first 1,000, divided by 1,000) was on average 1.9%, which is only slightly lower than in other published SRs. Improving searches with the lowest recall resulted in an increase in recall from 48% to 66% in GS and, in PubMed, from 60% to 85%. Conclusions Although its coverage and precision are acceptable, GS, because of its incomplete recall, should not be used as a single source in SR searching. A specialized, curated medical database such as PubMed provides experienced searchers with tools and functionality that help improve recall, and numerous options in order to optimize precision. Searches for SRs should be performed by experienced searchers creating searches that maximize recall for as many databases as deemed necessary by the search expert. PMID:24360284

Engineering the IOOS: A Conceptual Design and Conceptual Operations Plan

NASA Astrophysics Data System (ADS)

Lampel, M.; Hood, C.; Kleinert, J.; Morgan, R. A.; Morris, P.

2007-12-01

The Integrated Ocean Observing System is the United States component in a world wide effort to provide global coverage of the world's oceans using the Global Ocean Observing System (GOOS). The US contribution includes systems supporting three major IOOS components: the Observation Subsystem, the Modeling and Analysis Subsystem, and the Data Management and Communications (DMAC) Subsystem. The assets to be used in these subsystems include hundreds of existing satellite sensors, buoy arrays, water level monitoring networks, wave monitoring networks, specialized systems for commerce, such as the Physical Oceanographic Real-Time System (PORTS®), and health and safety monitoring systems such as NOAA's (National Oceanic and Atmospheric Administration) Harmful Algal Bloom Forecasting System for the Gulf of Mexico. Conceptual design addresses the interconnectivity of these systems, while Conceptual Operations provides understanding of the motivators for interconnectivity and a methodology for how useful products are created and distributed. This paper will report on the conceptual design and the concept of operations devleoped by the authors under contract to NOAA.

Factors associated with routine immunization coverage of children under one year old in Lao People's Democratic Republic.

PubMed

Phoummalaysith, Bounfeng; Yamamoto, Eiko; Xeuatvongsa, Anonh; Louangpradith, Viengsakhone; Keohavong, Bounxou; Saw, Yu Mon; Hamajima, Nobuyuki

2018-05-03

Routine vaccination is administered free of charge to all children under one year old in Lao People's Democratic Republic (Lao PDR) and the national goal is to achieve at least 95% coverage with all vaccines included in the national immunization program by 2025. In this study, factors related to the immunization system and characteristics of provinces and districts in Lao PDR were examined to evaluate the association with routine immunization coverage. Coverage rates for Bacillus Calmette-Guerin (BCG), Diphtheria-Tetanus-Pertussis-Hepatitis B (DTP-HepB), DTP-HepB-Hib (Haemophilus influenzae type B), polio (OPV), and measles (MCV1) vaccines from 2002 to 2014 collected through regular reporting system, were used to identify the immunization coverage trends in Lao PDR. Correlation analysis was performed using immunization coverage, characteristics of provinces or districts (population, population density, and proportion of poor villages and high-risk villages), and factors related to immunization service (including the proportions of the following: villages served by health facility levels, vaccine session types, and presence of well-functioning cold chain equipment). To determine factors associated with low coverage, provinces were categorized based on 80% of DTP-HepB-Hib3 coverage (<80% = low group; ≥80% = high group). Coverages of BCG, DTP-HepB3, OPV3 and MCV1 increased gradually from 2007 to 2014 (82.2-88.3% in 2014). However, BCG coverage showed the least improvement from 2002 to 2014. The coverage of each vaccine correlated with the coverage of the other vaccines and DTP-HepB-Hib dropout rate in provinces as well as districts. The provinces with low immunization coverage were correlated with higher proportions of poor villages. Routine immunization coverage has been improving in the last 13 years, but the national goal is not yet reached in Lao PDR. The results of this study suggest that BCG coverage and poor villages should be targeted to improve nationwide coverage. Copyright © 2018 Elsevier Ltd. All rights reserved.

Armenian media coverage of science topics

NASA Astrophysics Data System (ADS)

Mkhitaryan, Marie

2016-12-01

The article discusses features and issues of Armenian media coverage on scientific topics and provides recommendations on how to promote scientific topics in media. The media is more interested in social or public reaction rather than in scientific information itself. Medical science has a large share of the global media coverage. It is followed by articles about environment, space, technology, physics and other areas. Armenian media mainly tends to focus on a scientific topic if at first sight it contains something revolutionary. Media primarily reviews whether that scientific study can affect the Armenian economy and only then decides to refer to it. Unfortunately, nowadays the perception of science is a little distorted in media. We can often see headlines of news where is mentioned that the scientist has made "an invention". Nowadays it is hard to see the border between a scientist and an inventor. In fact, the technological term "invention" attracts the media by making illusionary sensation and ensuring large audience. The report also addresses the "Gitamard" ("A science-man") special project started in 2016 in Mediamax that tells about scientists and their motivations.

News Media Framing of New York City's Sugar-Sweetened Beverage Portion-Size Cap.

PubMed

Donaldson, Elisabeth A; Cohen, Joanna E; Truant, Patricia L; Rutkow, Lainie; Kanarek, Norma F; Barry, Colleen L

2015-11-01

We assessed news media framing of New York City's proposed regulation to prohibit the sale of sugar-sweetened beverages greater than 16 ounces. We conducted a quantitative content analysis of print and television news from within and outside New York City media markets. We examined support for and opposition to the portion-size cap in the news coverage from its May 31, 2012, proposal through the appellate court ruling on July 31, 2013. News coverage corresponded to key events in the policy's evolution. Although most stories mentioned obesity as a problem, a larger proportion used opposing frames (84%) than pro-policy frames (36%). Mention of pro-policy frames shifted toward the policy's effect on special populations. The debate's most prominent frame was the opposing frame that the policy was beyond the government's role (69%). News coverage within and outside the New York City media market was more likely to mention arguments in opposition to than in support of the portion-size cap. Understanding how the news media framed this issue provides important insights for advocates interested in advancing similar measures in other jurisdictions.

45 CFR 148.102 - Scope, applicability, and effective dates.

Code of Federal Regulations, 2010 CFR

2010-10-01

... CARE ACCESS REQUIREMENTS FOR THE INDIVIDUAL HEALTH INSURANCE MARKET General Provisions § 148.102 Scope, applicability, and effective dates. (a) Scope and applicability. (1) Individual health insurance coverage includes all health insurance coverage (as defined in § 144.103) that is neither health insurance coverage...

12 CFR 334.20 - Coverage and definitions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... public. A solicitation does not include marketing communications that are directed at the general public... FAIR CREDIT REPORTING Affiliate Marketing § 334.20 Coverage and definitions. (a) Coverage. Subpart C of... information” means any information the communication of which would be a consumer report if the exclusions...

12 CFR 571.20 - Coverage and definitions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... public. A solicitation does not include marketing communications that are directed at the general public... Affiliate Marketing § 571.20 Coverage and definitions. (a) Coverage. Subpart C of this part applies to... information” means any information the communication of which would be a consumer report if the exclusions...

45 CFR 1150.20 - What debts are included or excluded from coverage of these regulations on salary offset?

Code of Federal Regulations, 2011 CFR

2011-10-01

... Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS COLLECTION OF CLAIMS Salary Offset § 1150.20 What debts are included or excluded from coverage of...

45 CFR 1150.20 - What debts are included or excluded from coverage of these regulations on salary offset?

Code of Federal Regulations, 2010 CFR

2010-10-01

... Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS COLLECTION OF CLAIMS Salary Offset § 1150.20 What debts are included or excluded from coverage of...

5 CFR 890.302 - Coverage of family members.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Coverage of family members. 890.302... REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM Enrollment § 890.302 Coverage of family members. (a)(1) An enrollment for self and family includes all family members who are eligible to be...

Coverage of the Stanford Prison Experiment in Introductory Psychology Courses

ERIC Educational Resources Information Center

Bartels, Jared M.; Milovich, Marilyn M.; Moussier, Sabrina

2016-01-01

The present study examined the coverage of Stanford prison experiment (SPE), including criticisms of the study, in introductory psychology courses through an online survey of introductory psychology instructors (N = 117). Results largely paralleled those of the recently published textbook analyses with ethical issues garnering the most coverage,…

42 CFR 486.110 - Condition for coverage: Inspection of equipment.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false Condition for coverage: Inspection of equipment... coverage: Inspection of equipment. Inspections of all X-ray equipment and shielding are made by qualified... supplier maintains records of current inspections which include the extent to which equipment and shielding...

5 CFR 890.804 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... family. A family enrollment covers only the former spouse and any unmarried dependent natural or adopted...)(2). (c) Exclusions from coverage. Coverage as a family member may be denied— (1) If evidence shows... family enrollment which includes a child who has become 22 years of age and is incapable of self-support...

5 CFR 890.804 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... family. A family enrollment covers only the former spouse and any unmarried dependent natural or adopted...)(2). (c) Exclusions from coverage. Coverage as a family member may be denied— (1) If evidence shows... family enrollment which includes a child who has become 22 years of age and is incapable of self-support...

5 CFR 890.804 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... family. A family enrollment covers only the former spouse and any unmarried dependent natural or adopted...)(2). (c) Exclusions from coverage. Coverage as a family member may be denied— (1) If evidence shows... family enrollment which includes a child who has become 22 years of age and is incapable of self-support...

5 CFR 892.101 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... employee or eligible family member loses coverage under FEHB or another group insurance coverage including... health plan as described in § 890.301 (i)(6). (11) An employee or eligible family member gains coverage.... FEHB Program means the Federal Employees Health Benefits Program described in 5 U.S.C. 8901. Open...

29 CFR 2590.606-4 - Notice requirements for plan administrators.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Coverage, Qualified Medical Child Support Orders, Coverage for Adopted Children § 2590.606-4 Notice... child; (v) An explanation of the plan's procedures for electing continuation coverage, including an... the Social Security Administration, under title II or XVI of the Social Security Act (42 U.S.C. 401 et...

Reporting Hantavirus: A Study of Intercultural Environmental Journalism.

ERIC Educational Resources Information Center

Valenti, JoAnn M.

A study examined media coverage of hantavirus in three Southwestern regional newspapers, including interviews with journalists and sources involved in the coverage, and implications of the media's portrayal of Navajo culture. Content review of regional coverage--67 articles in three regional newspapers were reviewed in the first year of a new…

[Between control and therapy: an evolutionary concept analysis of special observation in acute psychiatric wards].

PubMed

Zehnder, Ursina; Rabenschlag, Franziska; Panfil, Eva-Maria

2015-03-01

Special observation is a seriously invasive and resource intensive intervention. It is necessary to scientifically conceptualise this measure for further investigations and practice. Evolutionary concept analysis. The identified antecedents, attributes and consequences of special observation range between control and therapy as well as the safety of patients and the coverage of the professionals. Antecedents comprise of legitimisation (indication, assessment, prescription), resources (internal guidelines, architectural structures, information) as well as context factors (security needs, personal attitudes). The identified attitudes are organisation (qualification, shifting carers, length, place), intervention (relationship, re-assessment, transparency) as well as the field of tension between control and therapy. The consequences consist of side effects (patients, nurses, resources) and conflicts (ethical dilemmas, role conflicts). Society and discipline have influenced the concept over time and a distinction between the custodial and controlling pattern versus a therapeutic approach is recommended. © Georg Thieme Verlag KG Stuttgart · New York.

Blood from a turnip: tissue origin of low-coverage shotgun sequencing libraries affects recovery of mitogenome sequences

USGS Publications Warehouse

Barker, F. Keith; Oyler-McCance, Sara; Tomback, Diana F.

2015-01-01

Next generation sequencing methods allow rapid, economical accumulation of data that have many applications, even at relatively low levels of genome coverage. However, the utility of shotgun sequencing data sets for specific goals may vary depending on the biological nature of the samples sequenced. We show that the ability to assemble mitogenomes from three avian samples of two different tissue types varies widely. In particular, data with coverage typical of microsatellite development efforts (∼1×) from DNA extracted from avian blood failed to cover even 50% of the mitogenome, relative to at least 500-fold coverage from muscle-derived data. Researchers should consider possible applications of their data and select the tissue source for their work accordingly. Practitioners analyzing low-coverage shotgun sequencing data (including for microsatellite locus development) should consider the potential benefits of mitogenome assembly, including internal barcode verification of species identity, mitochondrial primer development, and phylogenetics.

78 FR 39493 - Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-01

...This final rule implements certain functions of the Affordable Insurance Exchanges (``Exchanges''). These specific statutory functions include determining eligibility for and granting certificates of exemption from the individual shared responsibility payment described in section 5000A of the Internal Revenue Code. Additionally, this final rule implements the responsibilities of the Secretary of Health and Human Services, in coordination with the Secretary of the Treasury, to designate other health benefits coverage as minimum essential coverage by providing that certain coverage be designated as minimum essential coverage. It also outlines substantive and procedural requirements that other types of individual coverage must fulfill in order to be certified as minimum essential coverage.

Proceedings of the Annual Meeting of the Association for Education in Journalism and Mass Communication (79th, Anaheim, CA, August 10-13, 1996). Mass Communication and Society Division.

ERIC Educational Resources Information Center

Association for Education in Journalism and Mass Communication.

The mass communication and society section of the Proceedings contains the following 17 papers: "Deviance in News Coverage of On-Line Communications: A Print Media Comparison" (Lisa M. Weidman); "Political Tolerance of Environmental Protest: The Roles of Generalized and Specialized Information" (Catherine A. Steele and Carol M.…

12 CFR Appendix to Part 760 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2014 CFR

2014-01-01

... Program (NFIP). Federal law will not allow us to make you the loan that you have applied for if you do not... flood insurance for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an...

12 CFR Appendix A to Subpart S of... - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2012 CFR

2012-01-01

... Insurance Program (NFIP). Federal law will not allow us to make you the loan that you have applied for if... us to purchase the flood insurance for you at your expense. • Flood insurance coverage under the NFIP... NFIP or through an insurance company that participates in the NFIP. Flood insurance also may be...

12 CFR Appendix A to Subpart S of... - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2013 CFR

2013-01-01

... Insurance Program (NFIP). Federal law will not allow us to make you the loan that you have applied for if... us to purchase the flood insurance for you at your expense. • Flood insurance coverage under the NFIP... NFIP or through an insurance company that participates in the NFIP. Flood insurance also may be...

12 CFR Appendix to Part 760 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2013 CFR

2013-01-01

... Program (NFIP). Federal law will not allow us to make you the loan that you have applied for if you do not... flood insurance for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an...

12 CFR Appendix to Subpart D of... - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2013 CFR

2013-01-01

... Program (NFIP). Federal law will not allow us to make you the loan that you have applied for if you do not... flood insurance for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an...

12 CFR Appendix A to Subpart S of... - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2014 CFR

2014-01-01

... Insurance Program (NFIP). Federal law will not allow us to make you the loan that you have applied for if... us to purchase the flood insurance for you at your expense. • Flood insurance coverage under the NFIP... NFIP or through an insurance company that participates in the NFIP. Flood insurance also may be...

12 CFR Appendix to Subpart D of... - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2014 CFR

2014-01-01

... Program (NFIP). Federal law will not allow us to make you the loan that you have applied for if you do not... flood insurance for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an...

12 CFR Appendix to Part 760 - Sample Form of Notice of Special Flood Hazards and Availability of Federal Disaster Relief...

Code of Federal Regulations, 2012 CFR

2012-01-01

... Program (NFIP). Federal law will not allow us to make you the loan that you have applied for if you do not... flood insurance for you at your expense. • Flood insurance coverage under the NFIP may be purchased through an insurance agent who will obtain the policy either directly through the NFIP or through an...

34 CFR Appendix D to Part 682 - Policy for Waiving the Secretary's Right To Recover or Refuse To Pay Interest Benefits, Special...

Code of Federal Regulations, 2010 CFR

2010-07-01

... agency to do so, the Secretary will permit an agency to take either of the following approaches to its... documented, a case-by-case exercise of reasonable discretion allowing for guarantee coverage to be continued... repayment schedule or agreement.) In the case of a payment made by cash, money order, or other means that do...

Patient Protection and Affordable Care Act of 2010 and children and youth with special health care needs.

PubMed

Feldman, Heidi M; Buysse, Christina A; Hubner, Lauren M; Huffman, Lynne C; Loe, Irene M

2015-04-01

The Patient Protection and Affordable Care Act (ACA) was designed to (1) decrease the number of uninsured Americans, (2) make health insurance and health care affordable, and (3) improve health outcomes and performance of the health care system. During the design of ACA, children in general and children and youth with special health care needs and disabilities (CYSHCN) were not a priority because before ACA, a higher proportion of children than adults had insurance coverage through private family plans, Medicaid, or the State Children's Health Insurance Programs (CHIP). ACA benefits CYSHCN through provisions designed to make health insurance coverage universal and continuous, affordable, and adequate. Among the limitations of ACA for CYSHCN are the exemption of plans that had been in existence before ACA, lack of national standards for insurance benefits, possible elimination or reductions in funding for CHIP, and limited experience with new delivery models for improving care while reducing costs. Advocacy efforts on behalf of CYSHCN must track implementation of ACA at the federal and the state levels. Systems and payment reforms must emphasize access and quality improvements for CYSHCN over cost savings. Developmental-behavioral pediatrics must be represented at the policy level and in the design of new delivery models to assure high quality and cost-effective care for CYSHCN.

Availability of hospital dental care services under sedation or general anesthesia for individuals with special needs in the Unified Health System for the State of Minas Gerais (SUS-MG), Brazil.

PubMed

Santos, Jacqueline Silva; Valle, Déborah Andrade; Palmier, Andréa Clemente; do Amaral, João Henrique Lara; de Abreu, Mauro Henrique Nogueira Guimarães

2015-02-01

This study identified the demographic characteristics of individuals and dental treatment care under sedation/general anesthesia in a hospital environment in the Unified Health System in the State of Minas Gerais (SUS-MG). All Hospitalization Authorizations (AIHs) for Dental Treatment for Patients with Special Needs procedures were evaluated between July 2011 and June 2012. Demographic and health care variables for treatment were also assessed. Hospitalization rates per 10,000 inhabitants, and health care coverage provided in the state of Minas Gerais and in each of the Broader Health Regions were calculated. Descriptive analysis of data was carried out by calculating the central trend and variability frequency and measurements. All 1,063 AIHs paid during the study period were evaluated, which is equivalent to a rate of 0.54 hospitalizations per 10,000 individuals. The majority of the patients were adult, male, diagnosed with mental or behavioral disorders and resident in 27.7% of the municipalities in Minas Gerais. The procedures were performed in 39 municipalities and the care coverage was equal to 1.58%. The study reveals a classic demographic and clinical profile of patient attendance. Difficulties in establishing a network of dental care were identified.

Parallel Proximity Detection for Computer Simulation

NASA Technical Reports Server (NTRS)

Steinman, Jeffrey S. (Inventor); Wieland, Frederick P. (Inventor)

1997-01-01

The present invention discloses a system for performing proximity detection in computer simulations on parallel processing architectures utilizing a distribution list which includes movers and sensor coverages which check in and out of grids. Each mover maintains a list of sensors that detect the mover's motion as the mover and sensor coverages check in and out of the grids. Fuzzy grids are includes by fuzzy resolution parameters to allow movers and sensor coverages to check in and out of grids without computing exact grid crossings. The movers check in and out of grids while moving sensors periodically inform the grids of their coverage. In addition, a lookahead function is also included for providing a generalized capability without making any limiting assumptions about the particular application to which it is applied. The lookahead function is initiated so that risk-free synchronization strategies never roll back grid events. The lookahead function adds fixed delays as events are scheduled for objects on other nodes.

Parallel Proximity Detection for Computer Simulations

NASA Technical Reports Server (NTRS)

Steinman, Jeffrey S. (Inventor); Wieland, Frederick P. (Inventor)

1998-01-01

The present invention discloses a system for performing proximity detection in computer simulations on parallel processing architectures utilizing a distribution list which includes movers and sensor coverages which check in and out of grids. Each mover maintains a list of sensors that detect the mover's motion as the mover and sensor coverages check in and out of the grids. Fuzzy grids are included by fuzzy resolution parameters to allow movers and sensor coverages to check in and out of grids without computing exact grid crossings. The movers check in and out of grids while moving sensors periodically inform the grids of their coverage. In addition, a lookahead function is also included for providing a generalized capability without making any limiting assumptions about the particular application to which it is applied. The lookahead function is initiated so that risk-free synchronization strategies never roll back grid events. The lookahead function adds fixed delays as events are scheduled for objects on other nodes.

"Perspectives on financing population-based health care towards Universal Health Coverage among employed individuals in Ghanzi district, Botswana: A qualitative study".

PubMed

Mbogo, Barnabas Africanus; McGill, Deborah

2016-08-19

Globally, about 150 million people experience catastrophic healthcare expenditure services annually. Among low and middle income countries, out-of-pocket expenditure pushes about 100 million people into poverty annually. In Botswana, 83 % of the general population and 58 % of employed individuals do not have medical aid coverage. Moreover, inequity allocation of financial resources between health services suggests marginalization of population-based health care services (i.e. diseases prevention and health promotion). The purpose of the study is to explore perspectives on employed individuals regarding financing population based health care interventions towards Universal Health Coverage (UHC) in order to make recommendations to the Ministry of Health on health financing options to cover population-based health services. A qualitative design grounded in interpretivist epistemology through social constructivism lens was critical for exploring perspectives of employed individuals. Through purposive and snowballing sampling techniques, a total of 15 respondents including 8 males and 7 females were recruited and interviewed using a semi-structured format. Their age ranged from 23 to 59 years with a median of 36 years. Data was analyzed using Thematic Content Analysis technique. Use of social constructivism lens enabled to classify emerging themes into population coverage, health services coverage and financial protection issues. Despite broad understanding of health coverage schemes among participants, knowledge appears insignificant in increasing enrolment. Participants indicated limited understanding of UHC concepts, however showed willingness to embrace UHC upon brief description. Main thematic issues raised include: exclusion of population-based health services from coverage scheme; disparity in financial protection and health services coverage among enrollees; inability to sustain contracted employees; and systematic exclusion of unemployed individuals and informal sector employees. Increasing enrolment in health coverage schemes requires targeted campaign for information dissemination through use of myriads mass media including: social networks, TV, Radio and others. Moreover, re-designing health insurance schemes is critical in order to include population-based interventions; expand uptake of unemployed and informal sector employees; flexibility in monthly premiums payment plan and use of technology to increase access to payment points. Further study need to evaluate the content of health financing policy in Botswana measured against the World Health Organization Universal Health Coverage conceptual requirements for Low and Middle Income Countries.

26 CFR 54.9815-2715 - Summary of benefits and coverage and uniform glossary.

Code of Federal Regulations, 2014 CFR

2014-04-01

... definitions of standard insurance terms and medical terms so that consumers may compare health coverage and... the plan or coverage for common benefits scenarios (including pregnancy and serious or chronic medical... treatment plan for a specified medical condition during a specific period of time, based on recognized...

26 CFR 54.9815-2715 - Summary of benefits and coverage and uniform glossary.

Code of Federal Regulations, 2012 CFR

2012-04-01

... definitions of standard insurance terms and medical terms so that consumers may compare health coverage and... the plan or coverage for common benefits scenarios (including pregnancy and serious or chronic medical... treatment plan for a specified medical condition during a specific period of time, based on recognized...

26 CFR 54.9815-2715 - Summary of benefits and coverage and uniform glossary.

Code of Federal Regulations, 2013 CFR

2013-04-01

... definitions of standard insurance terms and medical terms so that consumers may compare health coverage and... the plan or coverage for common benefits scenarios (including pregnancy and serious or chronic medical... treatment plan for a specified medical condition during a specific period of time, based on recognized...

The Treatment of Propaganda in Selected Social Studies Texts.

ERIC Educational Resources Information Center

Fleming, Dan B.

1985-01-01

A survey found that secondary U.S. history textbooks provided the most coverage of propaganda and included the largest number of examples for student analysis. Very little coverage of propaganda was found in world geography and world history texts. A few government texts provided excellent coverage, but most gave the subject little attention. (RM)

Reporting on Radon: The Role of Local Newspapers.

ERIC Educational Resources Information Center

Post, James F.; And Others

Noting that past local media coverage of environmental topics, including those dealing with radiation topics, has often been superficial, a study assessed press coverage of the radon problem in the Lehigh Valley region of Pennsylvania during the first nine months of 1985. The study explored whether local media coverage of radon--a colorless,…

Coverage and Representations of Sexuality in Introductory Sociology Textbooks

ERIC Educational Resources Information Center

Suarez, Alicia E.; Balaji, Alexandra

2007-01-01

Mirroring increased cultural and disciplinary attention to sexuality, many introductory sociology textbooks have begun to include coverage of the topic. Our study first assesses the extent of textual coverage of sexuality in a sample of 38 introductory textbooks published after 2000. Secondly, we focus on 14 textbooks with a sexuality chapter…

28 CFR 55.8 - Relationship between section 4(f)(4) and section 203(c).

Code of Federal Regulations, 2014 CFR

2014-07-01

... the 1975 Amendments to the Act. (c) Although the coverage formulas applicable to section 4(f)(4) and section 203(c) are different, a political subdivision may be included within both of the coverage formulas. Under these circumstances, a judgment terminating coverage of the jurisdiction under one provision would...

28 CFR 55.8 - Relationship between section 4(f)(4) and section 203(c).

Code of Federal Regulations, 2013 CFR

2013-07-01

... the 1975 Amendments to the Act. (c) Although the coverage formulas applicable to section 4(f)(4) and section 203(c) are different, a political subdivision may be included within both of the coverage formulas. Under these circumstances, a judgment terminating coverage of the jurisdiction under one provision would...

Memetic Algorithm-Based Multi-Objective Coverage Optimization for Wireless Sensor Networks

PubMed Central

Chen, Zhi; Li, Shuai; Yue, Wenjing

2014-01-01

Maintaining effective coverage and extending the network lifetime as much as possible has become one of the most critical issues in the coverage of WSNs. In this paper, we propose a multi-objective coverage optimization algorithm for WSNs, namely MOCADMA, which models the coverage control of WSNs as the multi-objective optimization problem. MOCADMA uses a memetic algorithm with a dynamic local search strategy to optimize the coverage of WSNs and achieve the objectives such as high network coverage, effective node utilization and more residual energy. In MOCADMA, the alternative solutions are represented as the chromosomes in matrix form, and the optimal solutions are selected through numerous iterations of the evolution process, including selection, crossover, mutation, local enhancement, and fitness evaluation. The experiment and evaluation results show MOCADMA can have good capabilities in maintaining the sensing coverage, achieve higher network coverage while improving the energy efficiency and effectively prolonging the network lifetime, and have a significant improvement over some existing algorithms. PMID:25360579

Memetic algorithm-based multi-objective coverage optimization for wireless sensor networks.

PubMed

Chen, Zhi; Li, Shuai; Yue, Wenjing

2014-10-30

Maintaining effective coverage and extending the network lifetime as much as possible has become one of the most critical issues in the coverage of WSNs. In this paper, we propose a multi-objective coverage optimization algorithm for WSNs, namely MOCADMA, which models the coverage control of WSNs as the multi-objective optimization problem. MOCADMA uses a memetic algorithm with a dynamic local search strategy to optimize the coverage of WSNs and achieve the objectives such as high network coverage, effective node utilization and more residual energy. In MOCADMA, the alternative solutions are represented as the chromosomes in matrix form, and the optimal solutions are selected through numerous iterations of the evolution process, including selection, crossover, mutation, local enhancement, and fitness evaluation. The experiment and evaluation results show MOCADMA can have good capabilities in maintaining the sensing coverage, achieve higher network coverage while improving the energy efficiency and effectively prolonging the network lifetime, and have a significant improvement over some existing algorithms.

Comparison of self-report influenza vaccination coverage with data from a population based computerized vaccination registry and factors associated with discordance.

PubMed

Jiménez-García, Rodrigo; Hernandez-Barrera, Valentín; Rodríguez-Rieiro, Cristina; Carrasco Garrido, Pilar; López de Andres, Ana; Jimenez-Trujillo, Isabel; Esteban-Vasallo, María D; Domínguez-Berjón, Maria Felicitas; de Miguel-Diez, Javier; Astray-Mochales, Jenaro

2014-07-31

We aim to compare influenza vaccination coverages obtained using two different methods; a population based computerized vaccination registry and self-reported influenza vaccination status as captured by a population survey. The study was conducted in the Autonomous Community of Madrid (ACM), Spain, and refers to the 2011/12 influenza vaccination campaign. Information on influenza vaccination status according to a computerized registry was extracted from the SISPAL database and crossed with the electronic clinical records in primary care (ECRPC). Self-reported vaccine uptake was obtained from subjects living in the ACM included in the 2011-12 Spanish National Health Survey (SNHS). Independent study variables included: age, sex, immigrant status and the presence of high risk chronic conditions. Vaccination coverages were calculated according to study variables. Crude and adjusted prevalence ratios were computed to assess concordance. The study population included 5,245,238 adults living in the ACM in year 2011 with an individual ECRPC and 1449 adult living the ACM and interviewed in the SNHS from October 2011 to June 2012. The weighted vaccination coverage for the study population according to self-reported data was 19.77% and 15.04% from computerized registries resulting in a crude prevalence ratio (cPR) of 1.31 (95% CI 1.20-1.44) so self-reported data significantly overestimated 31% the registry coverage. Self-reported coverages are always higher than registry based coverages when the study population is stratified by the study variables. Self-reported overestimation was higher among men than women, younger age groups, immigrants and those without chronic conditions. Both methods provide the most concordant estimations for the target population of the influenza vaccine. Self-report influenza vaccination uptake overestimates vaccination registries coverages. The validity of self-report seems to be negatively affected by socio-demographic variables and the absence of chronic conditions. Possible strategies must be considered and implemented to improve both coverage estimation methods. Copyright © 2014 Elsevier Ltd. All rights reserved.

The cost-effectiveness of male HPV vaccination in the United States.

PubMed

Chesson, Harrell W; Ekwueme, Donatus U; Saraiya, Mona; Dunne, Eileen F; Markowitz, Lauri E

2011-10-26

The objective of this study was to estimate the cost-effectiveness of adding human papillomavirus (HPV) vaccination of 12-year-old males to a female-only vaccination program for ages 12-26 years in the United States. We used a simplified model of HPV transmission to estimate the reduction in the health and economic burden of HPV-associated diseases in males and females as a result of HPV vaccination. Estimates of the incidence, cost-per-case, and quality-of-life impact of HPV-associated health outcomes were based on the literature. The HPV-associated outcomes included were: cervical intraepithelial neoplasia (CIN); genital warts; juvenile-onset recurrent respiratory papillomatosis (RRP); and cervical, vaginal, vulvar, anal, oropharyngeal, and penile cancers. The cost-effectiveness of male vaccination depended on vaccine coverage of females. When including all HPV-associated outcomes in the analysis, the incremental cost per quality-adjusted life year (QALY) gained by adding male vaccination to a female-only vaccination program was $23,600 in the lower female coverage scenario (20% coverage at age 12 years) and $184,300 in the higher female coverage scenario (75% coverage at age 12 years). The cost-effectiveness of male vaccination appeared less favorable when compared to a strategy of increased female vaccination coverage. For example, we found that increasing coverage of 12-year-old girls would be more cost-effective than adding male vaccination even if the increased female vaccination strategy incurred program costs of $350 per additional girl vaccinated. HPV vaccination of 12-year-old males might potentially be cost-effective, particularly if female HPV vaccination coverage is low and if all potential health benefits of HPV vaccination are included in the analysis. However, increasing female coverage could be a more efficient strategy than male vaccination for reducing the overall health burden of HPV in the population. Published by Elsevier Ltd.

State contraceptive coverage laws: creative responses to questions of "conscience".

PubMed

Dailard, C

1999-08-01

The Federal Employees Health Benefits Program (FEHBP) guaranteed contraceptive coverage for employees of the federal government. However, opponents of the FEHBP contraceptive coverage questioned the viability of the conscience clause. Supporters of the contraceptive coverage pressed for the narrowest exemption, one that only permit religious plans that clearly states religious objection to contraception. There are six of the nine states that have enacted contraceptive coverage laws aimed at the private sector. The statutes included a provision of conscience clause. The private sector disagrees to the plan since almost all of the employees¿ work for employers who only offer one plan. The scope of exemption for employers was an issue in five states that have enacted the contraceptive coverage. In Hawaii and California, it was exemplified that if employers are exempted from the contraceptive coverage based on religious grounds, an employee will be entitled to purchase coverage directly from the plan. There are still questions on how an insurer, who objects based on religious grounds to a plan with contraceptive coverage, can function in a marketplace where such coverage is provided by most private sector employers.

BRICS soft power promotion: Dataset for media preference and use pattern among the Russian audience who follow the development of BRICS.

PubMed

Zavyalova, N; Akhmetshin, E M

2018-02-01

The focal point of the paper is an attempt to identify the most effective way to offer the information about BRICS-related subjects. BRICS organization has already become the topical issue of our research. This paper highlights the research of the best way to deliver BRICS messages. Communication plays a pivotal role in our present-day life. It is essential for a wide range of technologies. Therefore, our study has several objectives, i.e., to describe the difference between the Internet-oriented communication and the communication supported by television and press. These data may be useful for a more effective coverage of BRICS-related subjects. Another important objective is the analysis of implied information given on official BRICS-related websites. The data collection procedure is as follows. The central concern of the paper is the best media format which we tried to calculate using the data from official BRICS summit websites in Russia and China. These data are compared with the results of our own survey which we conducted with the help of a specially designed questionnaire. The experiment does not include any ethical issues but is purely descriptive in its nature and contains the information about data processing. The target audience of the research are professionals engaged in the field of BRICS news coverage, BRICS analytics and BRICS expertise.

Current issues and challenges in the management of bariatric patients.

PubMed

Bell, Sue Ellen

2005-01-01

Morbid obesity is an increasingly common healthcare problem, and providers and patients currently face numerous challenges in dealing with this problem effectively. Issues addressed in this article include the effect of stigma, the need for more evidence regarding effective management options, and the declining insurance coverage for bariatric surgery. The role of bariatric surgery in effective management of morbid obesity is discussed, along with the effect on and possible reasons for declining coverage. A comparison between benefits and coverage for bariatric surgery and angioplasty/stent placement is included.

45 CFR 147.200 - Summary of benefits and coverage and uniform glossary.

Code of Federal Regulations, 2014 CFR

2014-10-01

... SBC must include the following: (A) Uniform definitions of standard insurance terms and medical terms... or coverage for common benefits scenarios (including pregnancy and serious or chronic medical... treatment plan for a specified medical condition during a specific period of time, based on recognized...

45 CFR 147.200 - Summary of benefits and coverage and uniform glossary.

Code of Federal Regulations, 2013 CFR

2013-10-01

... SBC must include the following: (A) Uniform definitions of standard insurance terms and medical terms... or coverage for common benefits scenarios (including pregnancy and serious or chronic medical... treatment plan for a specified medical condition during a specific period of time, based on recognized...

45 CFR 147.200 - Summary of benefits and coverage and uniform glossary.

Code of Federal Regulations, 2012 CFR

2012-10-01

... SBC must include the following: (A) Uniform definitions of standard insurance terms and medical terms... or coverage for common benefits scenarios (including pregnancy and serious or chronic medical... treatment plan for a specified medical condition during a specific period of time, based on recognized...

The Association Between Primary Source of Healthcare Coverage and Colorectal Cancer Screening Among US Veterans.

PubMed

May, Folasade P; Yano, Elizabeth M; Provenzale, Dawn; Neil Steers, W; Washington, Donna L

2017-08-01

Colorectal cancer (CRC) is a deadly but largely preventable disease. Screening improves outcomes, but screening rates vary across healthcare coverage models. In the Veterans Health Administration (VA), screening rates are high; however, it is unknown how CRC screening rates compare for Veterans with other types of healthcare coverage. To determine whether Veterans with Veteran-status-related coverage (VA, military, TRICARE) have higher rates of CRC screening than Veterans with alternate sources of healthcare coverage. We conducted a cross-sectional analysis of Veterans 50-75 years from the 2014 Behavioral Risk Factor Surveillance System survey. We examined CRC screening rates and screening modalities. We performed multivariable logistic regression to identify the role of coverage type, demographics, and clinical factors on screening status. The cohort included 22,138 Veterans. Of these, 76.7% reported up-to-date screening. Colonoscopy was the most common screening modality (83.7%). Screening rates were highest among Veterans with Veteran-status-related coverage (82.3%), as was stool-based screening (10.8%). The adjusted odds of up-to-date screening among Veterans with Veteran-status-related coverage were 83% higher than among Veterans with private coverage (adjusted OR = 1.83, 95% CI = 1.52-2.22). Additional predictors of screening included older age, black race, high income, access to medical care, frequent medical visits, and employed or married status. CRC screening rates were highest among Veterans with Veteran-status-related coverage. High CRC screening rates among US Veterans may be related to system-level characteristics of VA and military care. Insight to these system-level characteristics may inform mechanisms to improve CRC screening in non-VA settings.

State medicaid coverage for tobacco cessation treatments and barriers to coverage - United States, 2008-2014.

PubMed

Singleterry, Jennifer; Jump, Zach; Lancet, Elizabeth; Babb, Stephen; MacNeil, Allison; Zhang, Lei

2014-03-28

Medicaid enrollees have a higher smoking prevalence than the general population (30.1% of adult Medicaid enrollees aged <65 years smoke, compared with 18.1% of U.S. adults of all ages), and smoking-related disease is a major contributor to increasing Medicaid costs. Evidence-based cessation treatments exist, including individual, group, and telephone counseling and seven Food and Drug Administration (FDA)-approved medications. A Healthy People 2020 objective (TU-8) calls for all state Medicaid programs to adopt comprehensive coverage of these treatments. However, most states do not provide such coverage. To monitor trends in state Medicaid cessation coverage, the American Lung Association collected data on coverage of all evidence-based cessation treatments except telephone counseling by state Medicaid programs (for a total of nine treatments), as well as data on barriers to accessing these treatments (such as charging copayments or limiting the number of covered quit attempts) from December 31, 2008, to January 31, 2014. As of 2014, all 50 states and the District of Columbia cover some cessation treatments for at least some Medicaid enrollees, but only seven states cover all nine treatments for all enrollees. Common barriers in 2014 include duration limits (40 states for at least some populations or plans), annual limits (37 states), prior authorization requirements (36 states), and copayments (35 states). Comparing 2008 with 2014, 33 states added treatments to coverage, and 22 states removed treatments from coverage; 26 states removed barriers to accessing treatments, and 29 states added new barriers. The evidence from previous analyses suggests that states could reduce smoking-related morbidity and health-care costs among Medicaid enrollees by providing Medicaid coverage for all evidence-based cessation treatments, removing all barriers to accessing these treatments, promoting the coverage, and monitoring its use.

Tennessee health plan tobacco cessation coverage.

PubMed

Kolade, Folasade M

2014-01-01

To evaluate the smoking cessation coverage available from public and private Tennessee health plans. Cross-sectional study. The sampling frame for private plans was a register of licensed plans obtained from the Tennessee Commerce Department. Government websites and reports provided TennCare data. Data were abstracted from plan manuals and formularies for benefit year 2012. Classification of coverage included comprehensive-all seven recommended medications plus individual and group counseling; moderate-at least two forms of nicotine replacement therapy (NRT) plus bupropion and varenicline and one form of counseling; inadequate-at least one treatment, or none-no medications or counseling, or coverage only for pregnant women. Of nine private plans, one provided comprehensive coverage; two, moderate coverage; four, inadequate coverage, as did TennCare; and two plans provided no coverage. Over 362,800 smokers had inadequate access to cessation treatments under TennCare, while 119,094 smokers had inadequate or no cessation coverage under private plans. In 2012, Tennessee fell short of Healthy People goals for total managed care and comprehensive TennCare coverage of smoking cessation. If Tennessee mandates that all health plans provide full coverage, 481,900 smokers may immediately be in a better position to quit. © 2013 Wiley Periodicals, Inc.

28 CFR 70.31 - Insurance coverage.

Code of Federal Regulations, 2012 CFR

2012-07-01

... AND AGREEMENTS (INCLUDING SUBAWARDS) WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS AND OTHER NON... must, at a minimum, provide the equivalent insurance coverage for real property and equipment acquired...

28 CFR 70.31 - Insurance coverage.

Code of Federal Regulations, 2013 CFR

2013-07-01

... AND AGREEMENTS (INCLUDING SUBAWARDS) WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS AND OTHER NON... must, at a minimum, provide the equivalent insurance coverage for real property and equipment acquired...

28 CFR 70.31 - Insurance coverage.

Code of Federal Regulations, 2010 CFR

2010-07-01

... AND AGREEMENTS (INCLUDING SUBAWARDS) WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS AND OTHER NON... must, at a minimum, provide the equivalent insurance coverage for real property and equipment acquired...

28 CFR 70.31 - Insurance coverage.

Code of Federal Regulations, 2014 CFR

2014-07-01

... AND AGREEMENTS (INCLUDING SUBAWARDS) WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS AND OTHER NON... must, at a minimum, provide the equivalent insurance coverage for real property and equipment acquired...

28 CFR 70.31 - Insurance coverage.

Code of Federal Regulations, 2011 CFR

2011-07-01

... AND AGREEMENTS (INCLUDING SUBAWARDS) WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS AND OTHER NON... must, at a minimum, provide the equivalent insurance coverage for real property and equipment acquired...

Pension coverage among the baby boomers: initial findings from a 1993 survey.

PubMed

Woods, J R

1994-01-01

Using data from a series of supplements to the Current Population Survey, this article presents findings on workers' coverage under employer-sponsored retirement plans in 1993, and recent trends in coverage. The analysis focuses on workers 25-54, a group that includes the baby boom generation. Among all wage and salary workers in this age range (including government employees and part-time workers), 55 percent reported participating in a retirement plan on their current primary jobs, and an additional 3 percent were covered from other jobs. After a modest decline in the early 1980's, the coverage rate has remained essentially unchanged over the past 10 years, and limited data suggest that the baby boomers are doing about as well on pension coverage as older workers at similar points in their careers. Beneath this relative stability in overall coverage, however, at least two important changes have occurred: a significant narrowing of the gender gap in coverage and a shift in types of retirement plans. Increasing numbers of workers are being covered solely by 401(k)-type plans, a development that raises new uncertainties about the form and amount of future benefits. On the other hand, limited data in this study suggest that 401(k) plans may be serving their intended purpose for the majority of workers who have them.

Children of National Guard troops: a pilot study of deployment, patriotism, and media coverage.

PubMed

Pfefferbaum, Betty; Jeon-Slaughter, Haekyung; Jacobs, Anne K; Houston, J Brian

2013-01-01

This exploratory pilot study examined the psychosocial effects of the war in Iraq, patriotism, and attention to war-related media coverage in the children of National Guard troops across phases of parental deployment--pre deployment, during deployment, and post deployment. Participants included 11 children, ages 8 to 18 years. Data collected in each deployment phase included demographics, the Behavior Assessment System for Children, (Second Edition, BASC-2), patriotism (national identity, uncritical patriotism, and constructive patriotism), and attention to war-related media coverage. School problems and emotional symptoms were significantly higher during deployment than post deployment. National identity and constructive patriotism increased and uncritical patriotism decreased post deployment from levels during deployment. Uncritical patriotism correlated positively with emotional symptoms and correlated negatively with personal adjustment. Constructive patriotism correlated positively with emotional symptoms and with internalizing problems. Greater attention to war-related media coverage correlated with uncritical patriotism, and attention to internet coverage correlated with constructive patriotism. Attention to media coverage was linked to greater emotional and behavioral problems and was negatively correlated with personal adjustment. The results of this pilot study identified relationships of both patriotism and attention to media coverage with children's emotional and behavioral status and personal adjustment suggesting areas for future investigation.

What hysteria? A systematic study of newspaper coverage of accused child molesters.

PubMed

Cheit, Ross E

2003-06-01

There were three aims: First, to determine the extent to which those charged with child molestation receive newspaper coverage; second, to analyze the nature of that coverage; and third, to compare the universe of coverage to the nature of child molestation charges in the criminal justice system as a whole. Two databases were created. The first one identified all defendants charged with child molestation in Rhode Island in 1993. The database was updated after 5 years to include relevant information about case disposition. The second database was created by electronic searching the Providence Journal for every story that mentioned each defendant. Most defendants (56.1%) were not mentioned in the newspaper. Factors associated with a greater chance of coverage include: cases involving first-degree charges, cases with multiple counts, cases involving additional violence or multiple victims, and cases resulting in long prison sentences. The data indicate that the press exaggerates "stranger danger," while intra-familial cases are underreported. Newspaper accounts also minimize the extent to which guilty defendants avoid prison. Generalizing about the nature of child molestation cases in criminal court on the basis of newspaper coverage is inappropriate. The coverage is less extensive than often claimed, and it is skewed in ways that are typical of the mass media.

Religion and mythology in a sample of undergraduate psychology of women courses.

PubMed

Taylor, Christina J; Galasso, Rosemarie

2008-10-01

The coverage of religion and mythology in undergraduate courses in the Psychology of Women was explored by (a) surveying a sample of undergraduate instructors (N=72); and (b) examining coverage in textbooks on the Psychology of Women (N=95). 48.6% of teachers said they include some coverage, while 43.1% said they never do. The total percentage of coverage in textbooks is small, ranging from a mean of 2.0% in the 1970s to 1.1% in the current decade.

Mental health education in occupational therapy professional preparation programs: Alignment between clinician priorities and coverage in university curricula.

PubMed

Scanlan, Justin Newton; Meredith, Pamela J; Haracz, Kirsti; Ennals, Priscilla; Pépin, Geneviève; Webster, Jayne S; Arblaster, Karen; Wright, Shelley

2017-12-01

Occupational therapy programs must prepare graduates for work in mental health. However, this area of practice is complex and rapidly changing. This study explored the alignment between educational priorities identified by occupational therapists practising in mental health and level of coverage of these topics in occupational therapy programs in Australia and New Zealand. Surveys were distributed to heads of all occupational therapy programs across Australia and New Zealand. The survey included educational priorities identified by occupational therapists in mental health from a previous study. Respondents were requested to identify the level of coverage given to each of these priorities within their curriculum. These data were analysed to determine a ranking of educational topics in terms of level of coverage in university programs. Responses were received for 19 programs from 16 universities. Thirty-four topics were given 'High-level coverage' in university programs, and these were compared against the 29 topics classified as 'Essential priorities' by clinicians. Twenty topics were included in both the 'Essential priorities' and 'High-level coverage' categories. Topics considered to be 'Essential priorities' by clinicians which were not given 'High-level coverage' in university programs included the following: mental health fieldwork experiences; risk assessment and management; professional self-care resilience and sensory approaches. While there appears to be overall good alignment between mental health curricula and priorities identified by practising occupational therapists, there are some discrepancies. These discrepancies are described and establish a strong foundation for further discussion between clinicians, academics and university administration to support curriculum review and revision. © 2017 Occupational Therapy Australia.

Volcview: A Web-Based Platform for Satellite Monitoring of Volcanic Activity and Eruption Response

NASA Astrophysics Data System (ADS)

Schneider, D. J.; Randall, M.; Parker, T.

2014-12-01

The U.S. Geological Survey (USGS), in cooperation with University and State partners, operates five volcano observatories that employ specialized software packages and computer systems to process and display real-time data coming from in-situ geophysical sensors and from near-real-time satellite sources. However, access to these systems both inside and from outside the observatory offices are limited in some cases by factors such as software cost, network security, and bandwidth. Thus, a variety of Internet-based tools have been developed by the USGS Volcano Science Center to: 1) Improve accessibility to data sources for staff scientists across volcano monitoring disciplines; 2) Allow access for observatory partners and for after-hours, on-call duty scientists; 3) Provide situational awareness for emergency managers and the general public. Herein we describe VolcView (volcview.wr.usgs.gov), a freely available, web-based platform for display and analysis of near-real-time satellite data. Initial geographic coverage is of the volcanoes in Alaska, the Russian Far East, and the Commonwealth of the Northern Mariana Islands. Coverage of other volcanoes in the United States will be added in the future. Near-real-time satellite data from NOAA, NASA and JMA satellite systems are processed to create image products for detection of elevated surface temperatures and volcanic ash and SO2 clouds. VolcView uses HTML5 and the canvas element to provide image overlays (volcano location and alert status, annotation, and location information) and image products that can be queried to provide data values, location and measurement capabilities. Use over the past year during the eruptions of Pavlof, Veniaminof, and Cleveland volcanoes in Alaska by the Alaska Volcano Observatory, the National Weather Service, and the U.S. Air Force has reinforced the utility of shared situational awareness and has guided further development. These include overlay of volcanic cloud trajectory and dispersion models, atmospheric temperature profiles, and incorporation of monitoring alerts from ground and satellite-based algorithms. Challenges for future development include reducing the latency in satellite data reception and processing, and increasing the geographic coverage from polar-orbiting satellite platforms.

Operational Interoperable Web Coverage Service for Earth Observing Satellite Data: Issues and Lessons Learned

NASA Astrophysics Data System (ADS)

Yang, W.; Min, M.; Bai, Y.; Lynnes, C.; Holloway, D.; Enloe, Y.; di, L.

2008-12-01

In the past few years, there have been growing interests, among major earth observing satellite (EOS) data providers, in serving data through the interoperable Web Coverage Service (WCS) interface protocol, developed by the Open Geospatial Consortium (OGC). The interface protocol defined in WCS specifications allows client software to make customized requests of multi-dimensional EOS data, including spatial and temporal subsetting, resampling and interpolation, and coordinate reference system (CRS) transformation. A WCS server describes an offered coverage, i.e., a data product, through a response to a client's DescribeCoverage request. The description includes the offered coverage's spatial/temporal extents and resolutions, supported CRSs, supported interpolation methods, and supported encoding formats. Based on such information, a client can request the entire or a subset of coverage in any spatial/temporal resolutions and in any one of the supported CRSs, formats, and interpolation methods. When implementing a WCS server, a data provider has different approaches to present its data holdings to clients. One of the most straightforward, and commonly used, approaches is to offer individual physical data files as separate coverages. Such implementation, however, will result in too many offered coverages for large data holdings and it also cannot fully present the relationship among different, but spatially and/or temporally associated, data files. It is desirable to disconnect offered coverages from physical data files so that the former is more coherent, especially in spatial and temporal domains. Therefore, some servers offer one single coverage for a set of spatially coregistered time series data files such as a daily global precipitation coverage linked to many global single- day precipitation files; others offer one single coverage for multiple temporally coregistered files together forming a large spatial extent. In either case, a server needs to assemble an output coverage real-time by combining potentially large number of physical files, which can be operationally difficult. The task becomes more challenging if an offered coverage involves spatially and temporally un-registered physical files. In this presentation, we will discuss issues and lessons learned in providing NASA's AIRS Level 2 atmospheric products, which are in satellite swath CRS and in 6-minute segment granule files, as virtual global coverages. We"ll discuss the WCS server's on- the-fly georectification, mosaicking, quality screening, performance, and scalability.

Psychoanalysis and the nuclear threat

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

Levine, H.B.; Jacobs, D.; Rubin, L.J.

1988-01-01

{ital Psychoanalysis and the Nuclear Threat} provides coverage of the dynamic and clinical considerations that follow from life in the nuclear age. Of special clinical interest are chapters dealing with the developmental consequences of the nuclear threat in childhood, adolescence, and adulthood, and those exploring the technical issues raised by the occurrence in analytic and psychotherapeutic hours of material related to the nuclear threat. Additional chapters bring a psychoanalytic perspective to bear on such issues as the need to have enemies, silence as the real crime, love, work, and survival in the nuclear age, the relationship of the nuclear threatmore » to issues of mourning and melancholia, apocalyptic fantasies, the paranoid process, considerations of the possible impact of gender on the nuclear threat, and the application of psychoanalytic thinking to nuclear arms strategy. Finally, the volume includes the first case report in the English language---albeit a brief psychotherapy---involving the treatment of a Hiroshima survivor.« less

MS Lucid places samples in the TEHOF aboard the Spektr module

NASA Image and Video Library

1997-03-26

STS079-S-082 (16-26 Sept. 1996) --- Cosmonaut guest researcher Shannon W. Lucid and Valeri G. Korzun, her Mir-22 commander, are pictured on the Spektr Module aboard Russia's Earth-orbiting Mir Space Station. Korzun was the third of four commanders that Lucid served with during her record-setting 188 consecutive days in space. Later, Lucid returned to Earth with her fourth commander-astronaut William F. Readdy-and five other NASA astronauts to complete the STS-79 mission. During the STS-79 mission, the crew used an IMAX camera to document activities aboard the space shuttle Atlantis and the various Mir modules. A hand-held version of the 65mm camera system accompanied the STS-79 crew into space in Atlantis' crew cabin. NASA has flown IMAX camera systems on many Shuttle missions, including a special cargo bay camera's coverage of other recent Shuttle-Mir rendezvous and/or docking missions.

Calibration and operation of the Faint Object Spectrograph

NASA Technical Reports Server (NTRS)

Harms, R.; Beaver, E.; Burbidge, E.; Hier, R.; Allen, R.; Angel, R.; Bartko, F.; Bohlin, R.; Ford, H.; Davidson, A.

1984-01-01

The design and basic performance characteristics of the Faint Object Spectrograph (FOS), one of five instruments built for use on the Space Telescope observatory, is summarized briefly. The results of the recently completed instrument-level calibration are presented with special emphasis on issues affecting plans for FOS astronomical observations. Examples include such fundamental characteristics as: limiting magnitudes (system sensitivity and noise figures), spectral coverage and resolution, scattered light properties, and instrumental polarization and modulation efficiencies. Also gated toward intended users, a rather detailed description of FOS operating modes is given. The discussion begins with the difficulties anticipated during target acquisition and their hoped-for resolution. Both the 'normal' spectroscopic operating modes of the FOS and its 'exotic' features (e.g. spectropolarimetric, time-tagged, and time-resolved modes) are presented. The paper concludes with an overview of the activities to assure proper alignment and operation of the FOS within the entire Space Telescope system (orbital and ground-based).

Using the mass media to inform and educate the public about planetary protection and exploration risks

NASA Astrophysics Data System (ADS)

Race, M.

For the foreseeable future, the public will continue to learn piecemeal about the latest advances in Astrobiology through headlines and mass media coverage of missions, discoveries or controversies. Journalists and reporters are themselves unschooled in this emerging interdisciplinary field, yet play a critical role in explaining details to the public. While it is important to develop curricular materials for future use in formal educational settings, it is equally important to find novel ways for educating and updating journalists in this fast paced field. Risk communication plans for Mars exploration and other solar system missions should include special efforts aimed at assisting mass media professionals in both their informational and educational roles. If journalists and reporters have a deeper and more comprehensive understanding of the science and societal issues associated with missions, the result may well be more accurate explanations, improved public understanding, and continued support for exploration.

SpaceX CRS-11 Launch Coverage

NASA Image and Video Library

2017-06-03

NASA Television conducted a live broadcast from Kennedy Space Center as SpaceX’s CRS-11 launched atop a Falcon 9 rocket from Space Launch Complex 39A at NASA’s Kennedy Space Center in Cape Canaveral, Florida. SpaceX’s Dragon spacecraft will deliver almost 6,000 pounds of cargo to the orbiting laboratory as SpaceX’s eleventh commercial resupply services mission to the International Space Station. The crucial materials will directly support dozens of the more than 250 science and research investigations that will occur during Expeditions 52 and 53. Launch commentary conducted by: -Mike Curie, NASA Launch Commentator -Tori McLendon, NASA Communications Special guests included: -Derrick Matthews, NASA Communications -Kirk Shireman, ISS Program -Amanda Griffin, NASA Communications -Karen Ocorr, Co-investigator, Fruit Fly Lab-02 -Robert Lightfoot, NASA Acting Administrator -Jeremy Banik, Principal Investigator, ROSA -Hans Koenigsmann, Vice President of Flight Reliability, SpaceX

Pictorial Formats. Volume 1. Format Development

DTIC Science & Technology

1982-02-01

inside a threat envelope when the map scale prevents showing the normal cues. 3.1.4 Special Topographic Formats The primary tactical interest in...coverage is in white to prevent confuzing it with the threat’s envelopes. The border between, PMAXI and RMAX2 missile ranges is lined with yellow and... prevent confusion with red-coded emergency action items. 4.3 STORES DISPLAYS: COLOR RASTER Figures 55, 56, 57 and 58 illustrate the color raster

New Wavenumber Calibration Tables From Heterodyne Frequency Measurements

PubMed Central

Maki, Arthur G.; Wells, Joseph S.

1992-01-01

This new calibration atlas is based on frequency rather than wavelength calibration techniques for absolute references. Since a limited number of absolute frequency measurements is possible, additional data from alternate methodology are used for difference frequency measurements within each band investigated by the frequency measurements techniques. Data from these complementary techniques include the best Fourier transform measurements available. Included in the text relating to the atlas are a description of the heterodyne frequency measurement techniques and details of the analysis, including the Hamiltonians and least-squares-fitting and calculation. Also included are other relevant considerations such as intensities and lincshape parameters. A 390-entry bibliography which contains all data sources used and a subsequent section on errors conclude the text portion. The primary calibration molecules are the linear triatomics, carbonyl sulfide and nitrous oxide, which cover portions of the infrared spectrum ranging from 488 to 3120 cm−1. Some gaps in the coverage afforded by OCS and N2O are partially covered by NO, CO, and CS2. An additional region from 4000 to 4400 cm−1 is also included. The tabular portion of the atlas is too lengthy to include in an archival journal. Furthermore, different users have different requirements for such an atlas. In an effort to satisfy most users, we have made two different options available. The first is NIST Special Publication 821, which has a spectral map/facing table format. The spectral maps (as well as the facing tables) are calculated from molecular constants derived for the work. A complete list of all of the molecular transitions that went into making the maps is too long (perhaps by a factor of 4 or 5) to include in the facing tables. The second option for those not interested in maps (or perhaps to supplement Special Publication 821) is the complete list (tables-only) which is available in computerized format as NIST Standard Reference Database #39, Wavelength Calibration Tables. PMID:28053441

A national and state profile of leading health problems and health care quality for US children: key insurance disparities and across-state variations.

PubMed

Bethell, Christina D; Kogan, Michael D; Strickland, Bonnie B; Schor, Edward L; Robertson, Julie; Newacheck, Paul W

2011-01-01

Parent/consumer-reported data is valuable and necessary for population-based assessment of many key child health and health care quality measures relevant to both the Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 and the Patient Protection and Affordable Care Act of 2010 (ACA). The aim of this study was to evaluate national and state prevalence of health problems and special health care needs in US children; to estimate health care quality related to adequacy and consistency of insurance coverage, access to specialist, mental health and preventive medical and dental care, developmental screening, and whether children meet criteria for having a medical home, including care coordination and family centeredness; and to assess differences in health and health care quality for children by insurance type, special health care needs status, race/ethnicity, and/or state of residence. National and state level estimates were derived from the 2007 National Survey of Children's Health (N = 91,642; children aged 0-17 years). Variations between children with public versus private sector health insurance, special health care needs, specific conditions, race/ethnicity, and across states were evaluated using multivariate logistic regression and/or standardized statistical tests. An estimated 43% of US children (32 million) currently have at least 1 of 20 chronic health conditions assessed, increasing to 54.1% when overweight, obesity, or being at risk for developmental delays are included; 19.2% (14.2 million) have conditions resulting in a special health care need, a 1.6 point increase since 2003. Compared with privately insured children, the prevalence, complexity, and severity of health problems were systematically greater for the 29.1% of all children who are publicly insured children after adjusting for variations in demographic and socioeconomic factors. Forty-five percent of all children in the United States scored positively on a minimal quality composite measure: 1) adequate insurance, 2) preventive care visit, and 3) medical home. A 22.2 point difference existed across states and there were wide variations by health condition (autism, 22.8, to asthma, 39.4). After adjustment for demographic and health status differences, quality of care varied between children with public versus private health insurance on all but the following 3 measures: not receiving needed mental health services, care coordination, and performance on the minimal quality composite. A 4.60 fold (gaps in insurance) to 1.27 fold (preventive dental and medical care visits) difference in quality scores was observed across states. Notable disparities were observed among publicly insured children according to race/ethnicity and across all children by special needs status and household income. Findings emphasize the importance of health care insurance duration and adequacy, health care access, chronic condition management, and other quality of care goals reflected in the 2009 CHIPRA legislation and the ACA. Despite disparities, similarities for public and privately insured children speak to the pervasive nature of availability, coverage, and access issues for mental health services in the United States, as well as the system-wide problem of care coordination and accessing specialist care for all children. Variations across states in key areas amenable to state policy and program management support cross-state learning and improvement efforts. Copyright © 2011 Elsevier Inc. All rights reserved.

MO-FG-CAMPUS-TeP2-04: Optimizing for a Specified Target Coverage Probability

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

Fredriksson, A

2016-06-15

Purpose: The purpose of this work is to develop a method for inverse planning of radiation therapy margins. When using this method the user specifies a desired target coverage probability and the system optimizes to meet the demand without any explicit specification of margins to handle setup uncertainty. Methods: The method determines which voxels to include in an optimization function promoting target coverage in order to achieve a specified target coverage probability. Voxels are selected in a way that retains the correlation between them: The target is displaced according to the setup errors and the voxels to include are selectedmore » as the union of the displaced target regions under the x% best scenarios according to some quality measure. The quality measure could depend on the dose to the considered structure alone or could depend on the dose to multiple structures in order to take into account correlation between structures. Results: A target coverage function was applied to the CTV of a prostate case with prescription 78 Gy and compared to conventional planning using a DVH function on the PTV. Planning was performed to achieve 90% probability of CTV coverage. The plan optimized using the coverage probability function had P(D98 > 77.95 Gy) = 0.97 for the CTV. The PTV plan using a constraint on minimum DVH 78 Gy at 90% had P(D98 > 77.95) = 0.44 for the CTV. To match the coverage probability optimization, the DVH volume parameter had to be increased to 97% which resulted in 0.5 Gy higher average dose to the rectum. Conclusion: Optimizing a target coverage probability is an easily used method to find a margin that achieves the desired coverage probability. It can lead to reduced OAR doses at the same coverage probability compared to planning with margins and DVH functions.« less

Validity of vaccination cards and parental recall to estimate vaccination coverage: a systematic review of the literature.

PubMed

Miles, Melody; Ryman, Tove K; Dietz, Vance; Zell, Elizabeth; Luman, Elizabeth T

2013-03-15

Immunization programs frequently rely on household vaccination cards, parental recall, or both to calculate vaccination coverage. This information is used at both the global and national level for planning and allocating performance-based funds. However, the validity of household-derived coverage sources has not yet been widely assessed or discussed. To advance knowledge on the validity of different sources of immunization coverage, we undertook a global review of literature. We assessed concordance, sensitivity, specificity, positive and negative predictive value, and coverage percentage point difference when subtracting household vaccination source from a medical provider source. Median coverage difference per paper ranged from -61 to +1 percentage points between card versus provider sources and -58 to +45 percentage points between recall versus provider source. When card and recall sources were combined, median coverage difference ranged from -40 to +56 percentage points. Overall, concordance, sensitivity, specificity, positive and negative predictive value showed poor agreement, providing evidence that household vaccination information may not be reliable, and should be interpreted with care. While only 5 papers (11%) included in this review were from low-middle income countries, low-middle income countries often rely more heavily on household vaccination information for decision making. Recommended actions include strengthening quality of child-level data and increasing investments to improve vaccination card availability and card marking. There is also an urgent need for additional validation studies of vaccine coverage in low and middle income countries. Copyright © 2013. Published by Elsevier Ltd.

42 CFR 407.40 - Enrollment under a State buy-in agreement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... group specified in the agreement. A buy-in group could include certain individuals receiving Federally... modification to include a coverage group broader than the one originally selected. (2) Section 945(e) of the... broader coverage group for an existing agreement. (3) Several laws enacted during 1980-1987 had the effect...

25 CFR 1000.275 - Is it necessary for a self-governance AFA to include any clauses about FTCA coverage?

Code of Federal Regulations, 2012 CFR

2012-04-01

.../Consortium and its employees (including individuals performing personal services contracts with the tribe... clauses about FTCA coverage? 1000.275 Section 1000.275 Indians OFFICE OF THE ASSISTANT SECRETARY, INDIAN... salary and benefits unless the employee receives additional compensation for performing covered services...

25 CFR 1000.275 - Is it necessary for a self-governance AFA to include any clauses about FTCA coverage?

Code of Federal Regulations, 2014 CFR

2014-04-01

.../Consortium and its employees (including individuals performing personal services contracts with the tribe... clauses about FTCA coverage? 1000.275 Section 1000.275 Indians OFFICE OF THE ASSISTANT SECRETARY, INDIAN... salary and benefits unless the employee receives additional compensation for performing covered services...

25 CFR 1000.275 - Is it necessary for a self-governance AFA to include any clauses about FTCA coverage?

Code of Federal Regulations, 2011 CFR

2011-04-01

.../Consortium and its employees (including individuals performing personal services contracts with the tribe... clauses about FTCA coverage? 1000.275 Section 1000.275 Indians OFFICE OF THE ASSISTANT SECRETARY, INDIAN... salary and benefits unless the employee receives additional compensation for performing covered services...

25 CFR 1000.275 - Is it necessary for a self-governance AFA to include any clauses about FTCA coverage?

Code of Federal Regulations, 2013 CFR

2013-04-01

.../Consortium and its employees (including individuals performing personal services contracts with the tribe... clauses about FTCA coverage? 1000.275 Section 1000.275 Indians OFFICE OF THE ASSISTANT SECRETARY, INDIAN... salary and benefits unless the employee receives additional compensation for performing covered services...

5 CFR 890.306 - When can annuitants or survivor annuitants change enrollment or reenroll and what are the...

Code of Federal Regulations, 2013 CFR

2013-01-01

... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL... (including the Uniformed Services Family Health Plan) or TRICARE-for-Life coverage instead of FEHB coverage... program; or to use Peace Corps or CHAMPVA or TRICARE (including the Uniformed Services Family Health Plan...

5 CFR 890.306 - When can annuitants or survivor annuitants change enrollment or reenroll and what are the...

Code of Federal Regulations, 2014 CFR

2014-01-01

... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL... (including the Uniformed Services Family Health Plan) or TRICARE-for-Life coverage instead of FEHB coverage... program; or to use Peace Corps or CHAMPVA or TRICARE (including the Uniformed Services Family Health Plan...

A 360 degrees evaluation of a night-float system for general surgery: a response to mandated work-hours reduction.

PubMed

Goldstein, Michael J; Kim, Eugene; Widmann, Warren D; Hardy, Mark A

2004-01-01

New York State Code 405 and societal/political pressure have led the RRC and ACGME to mandate strict limitations on resident work hours. In an attempt to meet these limitations, we have switched from the previous Q3 call schedule to a specialized night float (NF) system, the continuity-care system (CCS). The purpose of this CCS is to maximize resident duty time spent on direct patient care, operative experience, and outpatient clinics, while reducing duty hours spent on performing routine tasks and call coverage. The implementation of the CCS is the fundamental step in the restructuring of our residency program. In addition to a change in the call system, we added physician assistants to aid in performing some service tasks. We performed a 360 degrees evaluation of this work in progress. In May 2002, the standard Q3 call system was abolished on the general surgery services at the New York Presbyterian Hospital, Columbia campus. Two dedicated teams were created to provide day and night coverage, a day continuity-care team (DCT) and a night continuity-care team (NCT). The DCTs, consisting of PGY1-5 residents, provide daily in-house coverage from 6 AM to 5 PM with no regular weekday night-call responsibilities. The DCT residents provide Friday night, Saturday, and daytime Sunday call coverage 3 to 4 days per month. The NCT, consisting of 5 PGY1-5 residents, provides nightly continuous care, 5 PM to 6 AM, Sunday through Thursday, with no other weekend call responsibilities. This system creates a schedule with less than 80 duty hours per week, on average, with one 24-hour period off a week, one complete weekend off per month, and no more than 24 hours of consecutive duty time. After 1 year of use, the system was evaluated by a 360 degrees method in which residents, residents' spouses, nurses, and faculty were surveyed using a Likert-type scale. Statistical significance was calculated using the Student t-test. Patient satisfaction was measured both by internal review of a patient complaint database as well as by the Press Ganey patient satisfaction surveys. Twenty-one residents, 10 residents' spouses, 11 general surgery faculty, and 16 nurses were surveyed. Statistically significant findings included reduced resident fatigue noted by all groups (residents, p = 0.01; resident spouses, p = 0.05; faculty, p < 0.0001; nurses, p < 0.0001). Further, residents reported more time for sleep at home (p = 0.0005) and more time for independent reading (p = 0.01). Residents' spouses reported increased availability for family events (p = 0.01). Nurses reported increased availability of residents (p = 0.0002), shorter times to physician identification of patient problems (p = 0.0086), improved resident-nursing communications (p = 0.0096), and increased ease of nursing duties (p < 0.0001). Faculty were the only responders who felt that continuity of patient care suffered with the new system (p = 0.02). The Press Ganey review showed improvement in the quality of care rendered as perceived by patients. The institution of a specialized NF or CCS for in-house coverage of general surgical services in a large metropolitan university hospital has had initial success in meeting the mandated changes in resident work hours. The CCS reduced resident fatigue, improved quality of resident life, and improved patient care as judged by patients and nurse.

Benefits | NREL

Science.gov Websites

benefits package for full- and part-time employees includes medical, dental, and vision coverage effective assignment of 12 months or longer are eligible for: Medical/Dental Insurance Vision Coverage Personal Time

Coverage criteria for test case generation using UML state chart diagram

NASA Astrophysics Data System (ADS)

Salman, Yasir Dawood; Hashim, Nor Laily; Rejab, Mawarny Md; Romli, Rohaida; Mohd, Haslina

2017-10-01

To improve the effectiveness of test data generation during the software test, many studies have focused on the automation of test data generation from UML diagrams. One of these diagrams is the UML state chart diagram. Test cases are generally evaluated according to coverage criteria. However, combinations of multiple criteria are required to achieve better coverage. Different studies used various number and types of coverage criteria in their methods and approaches. The objective of this paper to propose suitable coverage criteria for test case generation using UML state chart diagram especially in handling loops. In order to achieve this objective, this work reviewed previous studies to present the most practical coverage criteria combinations, including all-states, all-transitions, all-transition-pairs, and all-loop-free-paths coverage. Calculation to determine the coverage percentage of the proposed coverage criteria were presented together with an example has they are applied on a UML state chart diagram. This finding would be beneficial in the area of test case generating especially in handling loops in UML state chart diagram.

Delimitation of homogeneous regions in the UNIFESP/EPM healthcare center coverage area based on sociodemographic indicators.

PubMed

Harada, K Y; Silva, J G; Schenkman, S; Hayama, E T; Santos, F R; Prado, M C; Pontes, R H

1999-01-07

The drawing up of adequate Public Health action planning to address the true needs of the population would increase the chances of effectiveness and decrease unnecessary expenses. To identify homogeneous regions in the UNIFESP/EPM healthcare center (HCC) coverage area based on sociodemographic indicators and to relate them to causes of deaths in 1995. Secondary data analysis. HCC coverage area; primary care. Sociodemographic indicators were obtained from special tabulations of the Demographic Census of 1991. Proportion of children and elderly in the population; family providers' education level (maximum: > 15 years, minimum: < 1 year) and income level (maximum: > 20 minimum wages, minimum: < 1 minimum wage); proportional mortality distribution The maximum income permitted the construction of four homogeneous regions, according to income ranking. Although the proportion of children and of elderly did not vary significantly among the regions, minimum income and education showed a statistically significant (p < 0.05) difference between the first region (least affluent) and the others. A clear trend of increasing maximum education was observed across the regions. Mortality also differed in the first region, with deaths generated by possibly preventable infections. The inequalities observed may contribute to primary health prevention.

News Media Framing of New York City’s Sugar-Sweetened Beverage Portion-Size Cap

PubMed Central

Cohen, Joanna E.; Truant, Patricia L.; Rutkow, Lainie; Kanarek, Norma F.; Barry, Colleen L.

2015-01-01

Objectives. We assessed news media framing of New York City’s proposed regulation to prohibit the sale of sugar-sweetened beverages greater than 16 ounces. Methods. We conducted a quantitative content analysis of print and television news from within and outside New York City media markets. We examined support for and opposition to the portion-size cap in the news coverage from its May 31, 2012, proposal through the appellate court ruling on July 31, 2013. Results. News coverage corresponded to key events in the policy’s evolution. Although most stories mentioned obesity as a problem, a larger proportion used opposing frames (84%) than pro-policy frames (36%). Mention of pro-policy frames shifted toward the policy’s effect on special populations. The debate’s most prominent frame was the opposing frame that the policy was beyond the government’s role (69%). Conclusions. News coverage within and outside the New York City media market was more likely to mention arguments in opposition to than in support of the portion-size cap. Understanding how the news media framed this issue provides important insights for advocates interested in advancing similar measures in other jurisdictions. PMID:26378853

Measles outbreaks affecting children in Jewish ultra-orthodox communities in Jerusalem

PubMed Central

STEIN-ZAMIR, C.; ZENTNER, G.; ABRAMSON, N.; SHOOB, H.; ABOUDY, Y.; SHULMAN, L.; MENDELSON, E.

2008-01-01

SUMMARY In 2003 and 2004 two measles outbreaks occurred in Jewish ultra-orthodox communities in Jerusalem. The index case of the first outbreak (March 2003) was a 2-year-old unvaccinated child from Switzerland. Within 5 months, 107 cases (mean age 8·3±7·5 years) emerged in three crowded neighbourhoods. The first cases of the second outbreak (June 2004) were in three girls aged 4–5 years in one kindergarten in another community. By November 2004, 117 cases (mean age 7·3±6·5 years) occurred. The virus genotypes were D8 and D4 respectively. Altogether, 96 households accounted for the two outbreaks, with two or more patients per family in 79% of cases. Most cases (91·5%) were unvaccinated. Immunization coverage was lower in outbreak than in non-outbreak neighbourhoods (88·3% vs. 90·3%, P=0·001). Controlling the outbreaks necessitated a culture-sensitive approach, and targeted efforts increased MMR vaccine coverage (first dose) to 95·2%. Despite high national immunization coverage (94–95%), special attention to specific sub-populations is essential. PMID:17433131

[Between evidence and negligence: coverage and invisibilityof health topics in the Portuguese printed media].

PubMed

Cavaca, Aline Guio; Vasconcellos-Silva, Paulo Roberto; Ferreira, Patrícia; Nunes, João Arriscado

2015-11-01

The scope of this study is to conduct an assessment of the media coverage and dissemination of health issues in Portugal in order to problematize the aspects of coverage and invisibility of health topics and establish the themes neglected in media coverage. To achieve this, the coverage on health issues in the Portuguese daily newspaper Público was compared with the epidemiological context regarding health priorities and the perceptions of key players on media dissemination and the themes that are relevant to the Portuguese population. The results showed that the recurrent health-associated themes do not deal with diseases per se, but with the politics and economics of health and medication. The themes neglected in media coverage identified in the Portuguese context include: communicable diseases, such as hepatitis and tuberculosis; issues related to mental health and suicide; and ailments and social consequences associated with the economic crisis that has beset Portugal recently. From the standpoint of the people interviewed, other neglected diseases include hemochromatosis and other rare diseases. In tandem with this, the study highlights the well covered media themes that revolve around the lives and activities of celebrities, which are exhaustively aired in the communication media in the country.

Media coverage and public reaction to a celebrity cancer diagnosis.

PubMed

Metcalfe, D; Price, C; Powell, J

2011-03-01

Celebrity diagnoses can have important effects on public behaviour. UK television celebrity Jade Goody died from cervical cancer in 2009. We investigated the impact of her illness on media coverage of cervical cancer prevention, health information seeking behaviour and cervical screening coverage. National UK newspaper articles containing the words 'Jade Goody' and 'cancer' were examined for public health messages. Google Insights for Search was used to quantify Internet searches as a measure of public health information seeking. Cervical screening coverage data were examined for temporal associations with this story. Of 1203 articles, 116 (9.6%) included a clear public health message. The majority highlighted screening (8.2%). Fewer articles provided advice about vaccination (3.0%), number of sexual partners (1.4%), smoking (0.6%) and condom use (0.4%). Key events were associated with increased Internet searches for 'cervical cancer' and 'smear test', although only weakly with searches for 'HPV'. Cervical screening coverage increased during this period. Increased public interest in disease prevention can follow a celebrity diagnosis. Although media coverage sometimes included public health information, articles typically focused on secondary instead of primary prevention. There is further potential to maximize the public health benefit of future celebrity diagnoses.

Medication coverage for lawmakers may worsen access for everyone else.

PubMed

Taglione, Michael S; Boozary, Andrew; Persaud, Nav

2018-03-01

Despite numerous recommendations for universal public coverage of prescription drugs in Canada based on evidence that millions of Canadians cannot afford medications, no province or territory has adopted first dollar coverage for all residents. However, one group unaffected by the lack of public coverage are lawmakers. Lawmakers receive excellent drug coverage plans for themselves and their immediate families. Evidence suggests that lawmakers' decisions are influenced by their personal circumstances; in this case, they are insulated from the effects of poor access to medications by their drug coverage plans. In contrast, a patchwork system of 46 programs across Canada provides some drug coverage to vulnerable populations. Reducing the disparity in prescription drug access between Canadian lawmakers and the public may promote progress towards better medication access for everyone. This could be achieved either by reducing lawmaker coverage or improving upon the public patchwork system. Since the goal should be to improve the overall access of medications for all Canadians, lawmakers included, the latter method is preferred. A universal drug plan with first dollar coverage could replace the current patchwork system and expand coverage to all Canadians. Copyright © 2017 Elsevier Inc. All rights reserved.

Sensitivity of Medication Use to Formulary Controls in Medicare Beneficiaries: A Review of the Literature

PubMed Central

Shenolikar, Rahul; Bruno, Amanda Schofield; Eaddy, Michael; Cantrell, Christopher

2011-01-01

Background Several studies have examined the impact of formulary management strategies on medication use in the elderly, but little has been done to synthesize the findings to determine whether the results show consistent trends. Objective To summarize the effects of formulary controls (ie, tiered copays, step edits, prior authorization, and generic substitution) on medication use in the Medicare population to inform future Medicare Part D and other coverage decisions. Methods This systematic review included research articles (found via PubMed, Google Scholar, and specific scientific journals) that evaluated the impact of drug coverage or cost-sharing on medication use in elderly (aged ≥65 years) Medicare beneficiaries. The impact of drug coverage was assessed by comparing patients with some drug coverage to those with no drug coverage or by comparing varying levels of drug coverage (eg, full coverage vs $1000 coverage or capped benefits vs noncapped benefits). Articles that were published before 1995, were not original empirical research, were published in languages other than English, or focused on populations other than Medicare beneficiaries were excluded. All studies selected were classified as positive, negative, or neutral based on the significance of the relationship (P <.05 or as otherwise specified) between the formulary control mechanism and the medication use, and on the direction of that relationship. Results Included were a total of 47 research articles (published between 1995 and 2009) that evaluated the impact of drug coverage or cost-sharing on medication use in Medicare beneficiaries. Overall, 24 studies examined the impact of the level of drug coverage on medication use; of these, 96% (N = 23) supported the association between better drug coverage (ie, branded and generic vs generic-only coverage, capped benefit vs noncapped benefit, supplemental drug insurance vs no supplemental drug insurance) or having some drug coverage and enhanced medication use. Furthermore, 84% (N = 16) of the 19 studies that examined the effect of cost-sharing on medication use demonstrated that decreased cost-sharing was significantly associated with improved medication use. Conclusion Current evidence from the literature suggests that restricting drug coverage or increasing out-of-pocket expenses for Medicare beneficiaries may lead to decreased medication use in the elderly, with all its potential implications. PMID:25126370

Expanding health insurance for children: examining the alternatives.

PubMed

Fronstin, P; Pierron, B

1997-07-01

This Issue Brief examines the issue of uninsured children. The budget reconciliation legislation currently under congressional consideration earmarks $16 billion for new initiatives to provide health insurance coverage to approximately 5 million of the 10 million uninsured children during the next five years. Proposals to expand coverage among children include the use of tax credits, subsidies, vouchers, Medicaid program expansion, and expansion of state programs. However, these proposals do not address the decline in employment-based health insurance coverage--the underlying cause of the lack of coverage, to the extent that a cause can be identified. What is worse, some proposals to expand health insurance among children may discourage employers from offering coverage. Between 1987 and 1995, the percentage of children with employment-based health insurance declined from 66.7 percent to 58.6 percent. Despite this trend, the percentage of children without any form of health insurance coverage barely increased. In 1987, 13.1 percent were uninsured, compared with 13.8 percent in 1995. Medicaid program expansions helped to alleviate the effects of the decline in employment-based health insurance coverage among children and the potential increase in the number of uninsured children. Between 1987 and 1995, the percentage of children enrolled in the Medicaid program increased from 15.5 percent to 23.2 percent. Some questions to consider in assessing approaches to improving children's health insurance coverage include the following: If the government intervenes, should it do so through a compulsory mechanism or a voluntary system? Is the employment-based system "worth saving" for children? In other words, are the market interventions necessary to keep this system functioning for children too regulatory, too intrusive, and too cumbersome to be practical? In addition to reforming the employment-based system, what reforms are necessary in order to reach those families who have no coverage through the work place? Which approaches are both efficient and politically acceptable? Employment-based coverage of children will likely continue. The challenge for lawmakers is to find a way to cover more uninsured children without eroding employment-based coverage. Several current legislative proposals attempt to avoid this problem by excluding children who have access to employment-based coverage. Without such a requirement, the opportunity to purchase coverage at a discount would create incentives for some low-income employees to drop dependent/family coverage, which in turn could lead some employers to drop their health plans.

CEOS Ocean Variables Enabling Research and Applications for Geo (COVERAGE)

NASA Astrophysics Data System (ADS)

Tsontos, V. M.; Vazquez, J.; Zlotnicki, V.

2017-12-01

The CEOS Ocean Variables Enabling Research and Applications for GEO (COVERAGE) initiative seeks to facilitate joint utilization of different satellite data streams on ocean physics, better integrated with biological and in situ observations, including near real-time data streams in support of oceanographic and decision support applications for societal benefit. COVERAGE aligns with programmatic objectives of CEOS (the Committee on Earth Observation Satellites) and the missions of GEO-MBON (Marine Biodiversity Observation Network) and GEO-Blue Planet, which are to advance and exploit synergies among the many observational programs devoted to ocean and coastal waters. COVERAGE is conceived of as 3 year pilot project involving international collaboration. It focuses on implementing technologies, including cloud based solutions, to provide a data rich, web-based platform for integrated ocean data delivery and access: multi-parameter observations, easily discoverable and usable, organized by disciplines, available in near real-time, collocated to a common grid and including climatologies. These will be complemented by a set of value-added data services available via the COVERAGE portal including an advanced Web-based visualization interface, subsetting/extraction, data collocation/matchup and other relevant on demand processing capabilities. COVERAGE development will be organized around priority use cases and applications identified by GEO and agency partners. The initial phase will be to develop co-located 25km products from the four Ocean Virtual Constellations (VCs), Sea Surface Temperature, Sea Level, Ocean Color, and Sea Surface Winds. This aims to stimulate work among the ocean VCs while developing products and system functionality based on community recommendations. Such products as anomalies from a time mean, would build on the theme of applications with a relevance to CEOS/GEO mission and vision. Here we provide an overview of the COVERAGE initiative with an emphasis on international collaborative aspects entailed with the intent of soliciting community feedback as we develop and implement

Global Coverage from Ad-Hoc Constellations in Rideshare Orbits

NASA Technical Reports Server (NTRS)

Ellis, Armin; Mercury, Michael; Brown, Shannon

2012-01-01

A promising area of small satellite development is in providing higher temporal resolution than larger satellites. Traditional constellations have required specific orbits and dedicated launch vehicles. In this paper we discuss an alternative architecture in which the individual elements of the constellation are launched as rideshare opportunities. We compare the coverage of such an ad-hoc constellation with more traditional constellations. Coverage analysis is based on actual historical data from rideshare opportunities. Our analysis includes ground coverage and temporal revisits for Polar, Tropics, Temperate, and Global regions, comparing ad-hoc and Walker constellation.

Severity of pain is associated with insufficient energy coverage in hospitalised patients: A cross-sectional study.

PubMed

Makhlouf, Anne-Marie; Kossovsky, Michel P; Gurba, France; Pautex, Sophie; Chikhi, Marinette; Pichard, Claude; Genton, Laurence

2018-03-17

The severity of pain is routinely assessed in hospitalised patients but the impact of pain and pain control on energy coverage has been poorly studied. This One-day cross-sectional observational study assessed the association between severity of pain and coverage of energy needs in hospitalised patients. Foods provided and consumed were assessed on one day by dedicated dieticians for unselected hospitalised patients receiving three meals per day. Severity of pain was evaluated by a visual analogue scale at the mealtimes, averaged over the study day, and categorized as no pain, slight, moderate or severe pain. The coverage of energy needs was expressed in percentage of predicted needs. Among the 755 included patients, 63% reported having pain. Severe pain was associated with a lower energy coverage than no pain (p = 0.001) or slight pain (p = 0.001). Insufficient energy coverage, defined as ≤70% of predicted needs, occurred in 13% of the patients. In univariate logistic regressions, predictors of insufficient energy coverage were severe pain as compared to no pain (OR 2.38; 95% CI 1.21, 4.64) and treatment with opioid drugs as compared to no pain killer (OR 1.73; 95% CI 1.07, 2.79). When including sex, age, body mass index, treatment with analgesics and severity of pain in a multivariate logistic regression, severe pain more than doubled the risk of insufficient energy coverage (OR 2.32; CI 1.15, 4.66). Patients experiencing severe pain have a high risk of insufficient energy coverage. Optimal pain control is probably critical to prevent underfeeding in the hospital. Identifier no NCT02463565 on www.ClinicalTrials.gov. Copyright © 2018 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

Incentives Increase Participation in Mass Dog Rabies Vaccination Clinics and Methods of Coverage Estimation Are Assessed to Be Accurate

PubMed Central

Steinmetz, Melissa; Czupryna, Anna; Bigambo, Machunde; Mzimbiri, Imam; Powell, George; Gwakisa, Paul

2015-01-01

In this study we show that incentives (dog collars and owner wristbands) are effective at increasing owner participation in mass dog rabies vaccination clinics and we conclude that household questionnaire surveys and the mark-re-sight (transect survey) method for estimating post-vaccination coverage are accurate when all dogs, including puppies, are included. Incentives were distributed during central-point rabies vaccination clinics in northern Tanzania to quantify their effect on owner participation. In villages where incentives were handed out participation increased, with an average of 34 more dogs being vaccinated. Through economies of scale, this represents a reduction in the cost-per-dog of $0.47. This represents the price-threshold under which the cost of the incentive used must fall to be economically viable. Additionally, vaccination coverage levels were determined in ten villages through the gold-standard village-wide census technique, as well as through two cheaper and quicker methods (randomized household questionnaire and the transect survey). Cost data were also collected. Both non-gold standard methods were found to be accurate when puppies were included in the calculations, although the transect survey and the household questionnaire survey over- and under-estimated the coverage respectively. Given that additional demographic data can be collected through the household questionnaire survey, and that its estimate of coverage is more conservative, we recommend this method. Despite the use of incentives the average vaccination coverage was below the 70% threshold for eliminating rabies. We discuss the reasons and suggest solutions to improve coverage. Given recent international targets to eliminate rabies, this study provides valuable and timely data to help improve mass dog vaccination programs in Africa and elsewhere. PMID:26633821

Public preferences and organized interests in health policy: state pharmacy assistance programs as innovations.

PubMed

Gray, Virginia; Lowery, David; Godwin, Erik K

2007-02-01

While Congress debated prescription drug coverage for more than a decade before amending the Medicare program in 2003, thirty-one states provided such benefits to their citizens. Why were the same special interests that were reputedly so effective in delaying prescription drug coverage at the national level seemingly incapable of stopping the majority of states from passing the same kinds of legislation? To answer this question, we develop and test a number of hypotheses about the determinants of health policy using Heckman models with data on the adoption, revision, and generosity of state prescription drug programs from 1990 through 2001. We find strong evidence that organized interests had little influence on the adoption of state pharmaceutical assistance programs but can influence their likelihood of revision and the generosity of their benefits. We conclude by discussing the balance of public preferences and organized interests' preferences on state health policy.

Delivering diabetes care in the Philippines and Vietnam: policy and practice issues.

PubMed

Beran, David; Higuchi, Michiyo

2013-01-01

The aim of this study is the comparison of 2 studies looking at the barriers to access of diabetes care and medicines in the Philippines and Vietnam. These studies used the Rapid Assessment Protocol for Insulin Access. Diabetes care is provided in specialized facilities and appropriate referral systems are lacking. In Vietnam, no problems were reported with regard to diagnostic tools, whereas this was a concern in the public sector in the Philippines. Both countries had high prices for medicines in comparison to international standards. Availability of medicines was better in Vietnam than in the Philippines, especially with regard to insulin. This affected adherence as did a lack of patient education. As countries aim to provide health care to the majority of their populations through universal coverage, the challenge of diabetes cannot be neglected. Trying to achieve universal coverage in parallel to decentralization, national and local governments need adapted guidance for this.

Telecommunications Antennas for the Juno Mission to Jupiter

NASA Technical Reports Server (NTRS)

Vacchione, Joseph D.; Kruid, Ronald C.; Prata, Aluizio, Jr.; Amaro, Luis R.; Mittskus, Anthony P.

2012-01-01

The Juno Mission to Jupiter requires a full sphere of coverage throughout its cruise to and mission at Jupiter. This coverage is accommodated through the use of five (5) antennas; forward facing low gain, medium gain, and high gain antennas, and an aft facing low gain antenna along with an aft mounted low gain antenna with a torus shaped antenna pattern. Three of the antennas (the forward low and medium gain antennas) are classical designs that have been employed on several prior NASA missions. Two of the antennas employ new technology developed to meet the Juno mission requirements. The new technology developed for the low gain with torus shaped radiation pattern represents a significant evolution of the bicone antenna. The high gain antenna employs a specialized surface shaping designed to broaden the antenna's main beam at Ka-band to ease the requirements on the spacecraft's attitude control system.

A Semantic Approach for Knowledge Discovery to Help Mitigate Habitat Loss in the Gulf of Mexico

NASA Astrophysics Data System (ADS)

Ramachandran, R.; Maskey, M.; Graves, S.; Hardin, D.

2008-12-01

Noesis is a meta-search engine and a resource aggregator that uses domain ontologies to provide scoped search capabilities. Ontologies enable Noesis to help users refine their searches for information on the open web and in hidden web locations such as data catalogues with standardized, but discipline specific vocabularies. Through its ontologies Noesis provides a guided refinement of search queries which produces complete and accurate searches while reducing the user's burden to experiment with different search strings. All search results are organized by categories (e. g. all results from Google are grouped together) which may be selected or omitted according to the desire of the user. During the past two years ontologies were developed for sea grasses in the Gulf of Mexico and were used to support a habitat restoration demonstration project. Currently these ontologies are being augmented to address the special characteristics of mangroves. These new ontologies will extend the demonstration project to broader regions of the Gulf including protected mangrove locations in coastal Mexico. Noesis contributes to the decision making process by producing a comprehensive list of relevant resources based on the semantic information contained in the ontologies. Ontologies are organized in a tree like taxonomies, where the child nodes represent the Specializations and the parent nodes represent the Generalizations of a node or concept. Specializations can be used to provide more detailed search, while generalizations are used to make the search broader. Ontologies are also used to link two syntactically different terms to one semantic concept (synonyms). Appending a synonym to the query expands the search, thus providing better search coverage. Every concept has a set of properties that are neither in the same inheritance hierarchy (Specializations / Generalizations) nor equivalent (synonyms). These are called Related Concepts and they are captured in the ontology through property relationships. By using Related Concepts users can search for resources with respect to a particular property. Noesis automatically generates searches that include all of these capabilities, removing the burden from the user and producing broader and more accurate search results. This presentation will demonstrate the features of Noesis and describe its application to habitat studies in the Gulf of Mexico.

Recommendation system for immunization coverage and monitoring.

PubMed

Bhatti, Uzair Aslam; Huang, Mengxing; Wang, Hao; Zhang, Yu; Mehmood, Anum; Di, Wu

2018-01-02

Immunization averts an expected 2 to 3 million deaths every year from diphtheria, tetanus, pertussis (whooping cough), and measles; however, an additional 1.5 million deaths could be avoided if vaccination coverage was improved worldwide. 1 1 Data source for immunization records of 1.5 M: http://www.who.int/mediacentre/factsheets/fs378/en/ New vaccination technologies provide earlier diagnoses, personalized treatments and a wide range of other benefits for both patients and health care professionals. Childhood diseases that were commonplace less than a generation ago have become rare because of vaccines. However, 100% vaccination coverage is still the target to avoid further mortality. Governments have launched special campaigns to create an awareness of vaccination. In this paper, we have focused on data mining algorithms for big data using a collaborative approach for vaccination datasets to resolve problems with planning vaccinations in children, stocking vaccines, and tracking and monitoring non-vaccinated children appropriately. Geographical mapping of vaccination records helps to tackle red zone areas, where vaccination rates are poor, while green zone areas, where vaccination rates are good, can be monitored to enable health care staff to plan the administration of vaccines. Our recommendation algorithm assists in these processes by using deep data mining and by accessing records of other hospitals to highlight locations with lower rates of vaccination. The overall performance of the model is good. The model has been implemented in hospitals to control vaccination across the coverage area.

Social health status in iran: an empirical study.

PubMed

Amini Rarani, Mostafa; Rafiye, Hassan; Khedmati Morasae, Esmaeil

2013-01-01

As social health is a condition-driven, dynamic and fluid concept, it seems necessary to construct and obtain a national and relevant concept of it for every society. Providing an empirical back up for Iran's concept of social health was the aim of the present study. This study is an ecologic study in which available data for 30 provinces of Iran in 2007 were analyzed. In order to prove construct validity and obtain a social health index, an exploratory factor analysis was conducted on six indicators of population growth, willful murder, poverty, unemployment, insurance coverage and literacy. Following the factor analysis, two factors of Diathesis (made up of high population growth, poverty, low insurance coverage and illiteracy) and Problem (made up of unemployment and willful murder) were extracted. The diathesis and problem explained 48.6 and 19.6% of social health variance respectively. From provinces, Sistan & Baluchistan had the highest rate of poverty and violence and the lowest rate of literacy and insurance coverage. In terms of social health index, Tehran, Semnan, Isfahan, Bushehr and Mazandaran had the highest ranks while Sistan and Baluchistan, Lurestan, Kohkiloyeh and Kermanshah occupied the lowest ones. There are some differences and similarities between Iranian concept of social health and that of other societies. However, a matter that makes our concept special and different is its attention to population. The increase in literacy rate and insurance coverage along with reduction of poverty, violence and unemployment rates can be the main intervention strategies to improve social health status in Iran.

Decomposing Kenyan socio-economic inequalities in skilled birth attendance and measles immunization

PubMed Central

2013-01-01

Introduction Skilled birth attendance (SBA) and measles immunization reflect two aspects of a health system. In Kenya, their national coverage gaps are substantial but could be largely improved if the total population had the same coverage as the wealthiest quintile. A decomposition analysis allows identifying the factors that influence these wealth-related inequalities in order to develop appropriate policy responses. The main objective of the study was to decompose wealth-related inequalities in SBA and measles immunization into their contributing factors. Methods Data from the Kenyan Demographic and Health Survey 2008/09 were used. The study investigated the effects of socio-economic determinants on [1] coverage and [2] wealth-related inequalities of SBA utilization and measles immunization. Techniques used were multivariate logistic regression and decomposition of the concentration index (C). Results SBA utilization and measles immunization coverage differed according to household wealth, parent’s education, skilled antenatal care visits, birth order and father’s occupation. SBA utilization further differed across provinces and ethnic groups. The overall C for SBA was 0.14 and was mostly explained by wealth (40%), parent’s education (28%), antenatal care (9%), and province (6%). The overall C for measles immunization was 0.08 and was mostly explained by wealth (60%), birth order (33%), and parent’s education (28%). Rural residence (−19%) reduced this inequality. Conclusion Both health care indicators require a broad strengthening of health systems with a special focus on disadvantaged sub-groups. PMID:23294938

Environmental Activism Revisited: The Changing Nature of Communication through Organizational Public Relations, Special Interest Groups and the Mass Media. Monographs in Environmental Education and Environmental Studies, Volume V.

ERIC Educational Resources Information Center

Grunig, Larissa A., Ed.

The environmental movement of the 1960's and early 1970's resulted in unprecedented attention to environmental issues both in the mass media and in the scholarly literature. Interest has waned in recent years, with a concomitant erosion of coverage of what many consider enduring problems--particularly in water and air pollution and nuclear power.…

NOAA Weather Radio

Science.gov Websites

Programación Español Listado de estación Explicacion de SAME Coverage Station Listing County Listing Search For Go NWS All NOAA Lista de Emisora y Cobertura Seleccione aquí para radiofrecuencias (La lista Transmitter Outages FAQ NWR - Special Needs ESPAÑOL Español Condado de cobertura Listado de estación Lista

Patient Protection and Affordable Care Act of 2010 and Children and Youth With Special Health Care Needs

PubMed Central

Buysse, Christina A.; Hubner, Lauren M.; Huffman, Lynne C.; Loe, Irene M.

2015-01-01

ABSTRACT: The Patient Protection and Affordable Care Act (ACA) was designed to (1) decrease the number of uninsured Americans, (2) make health insurance and health care affordable, and (3) improve health outcomes and performance of the health care system. During the design of ACA, children in general and children and youth with special health care needs and disabilities (CYSHCN) were not a priority because before ACA, a higher proportion of children than adults had insurance coverage through private family plans, Medicaid, or the State Children's Health Insurance Programs (CHIP). ACA benefits CYSHCN through provisions designed to make health insurance coverage universal and continuous, affordable, and adequate. Among the limitations of ACA for CYSHCN are the exemption of plans that had been in existence before ACA, lack of national standards for insurance benefits, possible elimination or reductions in funding for CHIP, and limited experience with new delivery models for improving care while reducing costs. Advocacy efforts on behalf of CYSHCN must track implementation of ACA at the federal and the state levels. Systems and payment reforms must emphasize access and quality improvements for CYSHCN over cost savings. Developmental-behavioral pediatrics must be represented at the policy level and in the design of new delivery models to assure high quality and cost-effective care for CYSHCN. PMID:25793891

Access to services, quality of care, and family impact for children with autism, other developmental disabilities, and other mental health conditions.

PubMed

Vohra, Rini; Madhavan, Suresh; Sambamoorthi, Usha; St Peter, Claire

2014-10-01

This cross-sectional study examined perceived access to services, quality of care, and family impact reported by caregivers of children aged 3-17 years with autism spectrum disorders, as compared to caregivers of children with other developmental disabilities and other mental health conditions. The 2009-2010 National Survey of Children with Special Health Care Needs was utilized to examine the association between child's special needs condition and three outcomes (N = 18,136): access to services (difficulty using services, difficulty getting referrals, lack of source of care, and inadequate insurance coverage), quality of care (lack of care coordination, lack of shared decision making, and no routine screening), and family impact (financial, employment, and time-related burden). Multivariate logistic regressions were performed to compare caregivers of children with autism spectrum disorders to caregivers of children with developmental disabilities (cerebral palsy, Down syndrome, developmental delay, or intellectual disability), mental health conditions (attention deficit hyperactivity disorder, anxiety, behavioral/conduct problems, or depression), or both developmental disabilities and mental health conditions. Caregivers of children with autism spectrum disorders were significantly more likely to report difficulty using services, lack of source of care, inadequate insurance coverage, lack of shared decision making and care coordination, and adverse family impact as compared to caregivers of children with developmental disabilities, mental health conditions, or both. © The Author(s) 2013.

Ice surface temperature retrieval from AVHRR, ATSR, and passive microwave satellite data: Algorithm development and application

NASA Technical Reports Server (NTRS)

Key, Jeff; Maslanik, James; Steffen, Konrad

1995-01-01

During the second phase project year we have made progress in the development and refinement of surface temperature retrieval algorithms and in product generation. More specifically, we have accomplished the following: (1) acquired a new advanced very high resolution radiometer (AVHRR) data set for the Beaufort Sea area spanning an entire year; (2) acquired additional along-track scanning radiometer(ATSR) data for the Arctic and Antarctic now totalling over eight months; (3) refined our AVHRR Arctic and Antarctic ice surface temperature (IST) retrieval algorithm, including work specific to Greenland; (4) developed ATSR retrieval algorithms for the Arctic and Antarctic, including work specific to Greenland; (5) developed cloud masking procedures for both AVHRR and ATSR; (6) generated a two-week bi-polar global area coverage (GAC) set of composite images from which IST is being estimated; (7) investigated the effects of clouds and the atmosphere on passive microwave 'surface' temperature retrieval algorithms; and (8) generated surface temperatures for the Beaufort Sea data set, both from AVHRR and special sensor microwave imager (SSM/I).

Selected papers from the 7th International Conference on Biomimetics, Artificial Muscles and Nano-bio (BAMN2013)

NASA Astrophysics Data System (ADS)

Shahinpoor, Mohsen; Oh, Ilkwon

2014-07-01

The 7th International Congress on Biomimetics, Artificial Muscles and Nano-Bio was held on the magnificent and beautiful Jeju Island in Korea on 26-30 August 2013. In June 2007, the volcanic island and lava tube cave systems were designated as UNESCO World Natural Heritage Sites for their natural beauty and unique geographical values. The aim of the congress was to offer high-level lectures, extensive discussions and communications covering the state-of-the-art on biomimetics, artificial muscles, and nano-bio technologies providing an overview of their potential applications in the industrial, biomedical, scientific and robotic fields. This conference provided a necessary platform for an ongoing dialogue between researchers from different areas (chemistry, physics, biology, medicine, engineering, robotics, etc) within biomimetics, artificial muscle and nano-bio technologies. This special issue of Smart Materials and Structures is devoted to a selected number of research papers that were presented at BAMN2013. Of the 400 or so papers and over 220 posters presented at this international congress, 15 papers were finally received, reviewed and accepted for this special issue, following the regular peer review procedures of the journal. The special issue covers polymeric artificial muscles, electroactive polymers, multifunctional nanocomposites, and their applications. In particular, electromechanical performance and other characteristics of ionic polymer-metal composites (IPMCs) fabricated with various commercially available ion exchange membranes are discussed. Additionally, the control of free-edge interlaminar stresses in composite laminates using piezoelectric actuators is elaborated on. Further, the electrode effects of a cellulose-based electroactive paper energy harvester are described. Next, a flexible tactile-feedback touch screen using transparent ferroelectric polymer film vibrators is discussed. A broad coverage of bio-applications of IPMC transducers is then presented followed by a discussion on a novel electroactive PVA-TOCN actuator extremely sensitive to low electrical inputs. Additionally, an experimental self-sensing technique for an IPMC actuator is described. This area was also covered in previous BAMN congresses in the context of electromechanical models for self-sensing IPMC actuating devices with patterned surface electrodes, where actuator and sensor elements are separated by a grounded shielding electrode. Eventually, an electromechanical model of the device has also been proposed and validated. Following that, broad coverage of the modeling of an IPMC actuator based on an extended Kalman filter trained by a neural network is presented. The realization of variable recruitment fluidic artificial muscles is next covered in the special issue followed by a discussion on soft and flexible PEDOT/PSS films for applications to soft actuators. Furthermore, coverage is presented on biomimetic FAA-certifiable, artificial muscle structures for commercial aircraft wings. Additional papers in this special issue cover technologies enhancing the thermal reliability of fiber-optic sensors for bio-inspired applications at ultra-high temperatures, a study on a saddle-shaped bi-stable morphing panel with SMA spring actuators, energy harvesting from a vortex ring on an annular IPMC and finally the development of a morphing flap using SMA actuators followed by an aerodynamic characterization of a morphing flap. We hope that this collection of articles will help to stimulate future work in this emerging field of research and generate new applications in biomimetics, artificial muscles and nano-bio science and technology. Acknowledgments We would like to thank all the authors for their contributions, and the Smart Materials and Structures Editor-in-Chief, Professor Ephrahim Garcia, for having accepted our proposal to organize this special issue. In particular, we are extremely grateful to the IOP Publishing team for their great support, with special thanks to Natasha Leeper and Bethan Davies for their excellent management in the preparation of this special issue. We are also indebted to all of the reviewers, and the editors and editorial staff who handled the reviews of all the papers.

Mental health service delivery following health system reform in Colombia.

PubMed

Romero-González, Mauricio; González, Gerardo; Rosenheck, Robert A

2003-12-01

In 1993, Colombia underwent an ambitious and comprehensive process of health system reform based on managed competition and structured pluralism, but did not include coverage for mental health services. In this study, we sought to evaluate the impact of the reform on access to mental health services and whether there were changes in the pattern of mental health service delivery during the period after the reform. Changes in national economic indicators and in measures of mental health and non-mental health service delivery for the years 1987 and 1997 were compared. Data were obtained from the National Administrative Department of Statistics of Colombia (DANE), the Department of National Planning and Ministry of the Treasury of Colombia, and from national official reports of mental health and non-mental health service delivery from the Ministry of Health of Colombia for the same years. While population-adjusted access to mental health outpatient services declined by -2.7% (-11.2% among women and +5.8% among men), access to general medical outpatient services increased dramatically by 46%. In-patient admissions showed smaller differences, with a 7% increase in mental health admissions, as compared to 22.5% increase in general medical admissions. The health reform in Colombia imposed competition across all health institutions with the intention of encouraging efficiency and financial autonomy. However, the challenge of institutional survival appears to have fallen heavily on mental health care institutions that were also expected to participate in managed competition, but that were at a serious disadvantage because their services were excluded from the compulsory standardized package of health benefits. While the Colombian health care reform intended to close the gap between those who had and those who did not have access to health services, it appears to have failed to address access to specialized mental health services, although it does seem to have promoted a change in the pattern of mental health service delivery from a reliance on costly inpatient care to more efficient outpatient services. Health reform in Colombia improved access to health services for the general medical services, but not for specialized mental health services. Although the primary goal of the health reform was to provide universal medical coverage, by not including mental health services in the standardized benefits package, inequities in the delivery of mental health services appear to have been perpetuated or even exacerbated. IMPLICATIONS FOR HEALTH CARE AND POLICY FORMULATION: If health reform in Colombia and elsewhere is to provide universal coverage and adequate access to comprehensive health care, mental health services must be added to the standardized package of health benefits and efforts to develop accessible and effective mental health treatment at the primary care level should continue. Mental health services research in Colombia should focus future studies on the differential impact of health reform on access to mental health services across regions, and between urban and rural areas.

Interventions to increase HPV vaccination coverage: A systematic review

PubMed Central

Smulian, Elizabeth A.; Mitchell, Krista R.; Stokley, Shannon

2016-01-01

ABSTRACT We reviewed intervention studies designed to increase human papillomavirus (HPV) vaccination coverage to further understand the impact interventions can have on HPV vaccination coverage. We searched 5 databases for intervention studies published from June 2006 to May 2015. Studies were included if they quantitatively measured HPV vaccination coverage as an outcome and were conducted in the United States. We abstracted outcomes, methods, and results from each study and classified by type of intervention conducted. Findings from 34 studies suggest many types of intervention strategies can increase HPV vaccination coverage in different settings, and with modest cost. Interventions were effective especially when implemented in combination at both provider and community levels. However, not all interventions showed significant effects on coverage. More research is needed to identify the best methods for widespread implementation of effective strategies. PMID:26838959

A shared responsibility. US employers and the provision of health insurance to employees.

PubMed

Collins, Sara R; Davis, Karen; Ho, Alice

2005-01-01

Employer-based health insurance is the backbone of the U.S. system of health insurance coverage. Yet it has been slowly eroding, and if these trends continue greater numbers of Americans are likely to be uninsured or without affordable coverage. Employer coverage has marked advantages, including benefits to employers and a natural risk pool that offers better benefits at lower cost than individual coverage, and is highly valued by employees. The shift of health care costs from employers who do not cover their workers to other parts of the economy is substantial. Very little attention has been given to policies that might strengthen and expand employer coverage. It will be important to shore up employer coverage both to curb its recent erosion and to build toward a more comprehensive system of health insurance.

A Descriptive Study of Television News Coverage of Tobacco in the United States: Frequency of Topics, Frames, Exemplars, and Efficacy

PubMed Central

BLAKE, KELLY D.; KAUFMAN, ANNETTE R.; LORENZO, JOSHUA; AUGUSTSON, ERIK M.

2015-01-01

There is a positive correlation between recall of tobacco-related television news and perceived risks of smoking and thoughts about quitting. The authors used Cision US, Inc., to create a sampling frame (N =61,027) of local and national television news coverage of tobacco from October 1, 2008, to September 30, 2009, and to draw a nationally representative sample (N =730) for content analysis. The authors conducted a descriptive study to determine the frequency and proportion of stories containing specified tobacco topics, frames, sources, and action messages, and the valence of the coverage. Valence was generally neutral; 68% of stories took a balanced stance, with 26% having a tenor supportive of tobacco control and 6% opposing tobacco control. The most frequently covered topics included smoking bans (n =195) and cessation (n =156). The least covered topics included hookah (n =1) and menthol (n =0). The majority of coverage lacked quoting any source (n =345); government officials (n =144) were the most quoted sources. Coverage lacked action messages or resources; 29 stories (<4%) included a message about cessation or advocacy, and 8 stories (1%) contained a resource such as a quitline. Television news can be leveraged by health communication professionals to increase awareness of underrepresented topics in tobacco control. PMID:26176379

Exposing Coverage Data to the Semantic Web within the MELODIES project: Challenges and Solutions

NASA Astrophysics Data System (ADS)

Riechert, Maik; Blower, Jon; Griffiths, Guy

2016-04-01

Coverage data, typically big in data volume, assigns values to a given set of spatiotemporal positions, together with metadata on how to interpret those values. Existing storage formats like netCDF, HDF and GeoTIFF all have various restrictions that prevent them from being preferred formats for use over the web, especially the semantic web. Factors that are relevant here are the processing complexity, the semantic richness of the metadata, and the ability to request partial information, such as a subset or just the appropriate metadata. Making coverage data available within web browsers opens the door to new ways for working with such data, including new types of visualization and on-the-fly processing. As part of the European project MELODIES (http://melodiesproject.eu) we look into the challenges of exposing such coverage data in an interoperable and web-friendly way, and propose solutions using a host of emerging technologies like JSON-LD, the DCAT and GeoDCAT-AP ontologies, the CoverageJSON format, and new approaches to REST APIs for coverage data. We developed the CoverageJSON format within the MELODIES project as an additional way to expose coverage data to the web, next to having simple rendered images available using standards like OGC's WMS. CoverageJSON partially incorporates JSON-LD but does not encode individual data values as semantic resources, making use of the technology in a practical manner. The development also focused on it being a potential output format for OGC WCS. We will demonstrate how existing netCDF data can be exposed as CoverageJSON resources on the web together with a REST API that allows users to explore the data and run operations such as spatiotemporal subsetting. We will show various use cases from the MELODIES project, including reclassification of a Land Cover dataset client-side within the browser with the ability for the user to influence the reclassification result by making use of the above technologies.

Systematic review of community-based, school-based, and combined delivery modes for reaching school-aged children in mass drug administration programs for schistosomiasis.

PubMed

Burnim, Michael; Ivy, Julianne A; King, Charles H

2017-10-01

The mainstay of current schistosomiasis control programs is mass preventive chemotherapy of school-aged children with praziquantel. This treatment is delivered through school-based, community-based, or combined school- and community-based systems. Attaining very high coverage rates for children is essential in mass schistosomiasis treatment programs, as is ensuring that there are no persistently untreated subpopulations, a potential challenge for school-based programs in areas with low school enrollment. This review sought to compare the different treatment delivery methods based both on their coverage of school-aged children overall and on their coverage specifically of non-enrolled children. In addition, qualitative community or programmatic factors associated with high or low coverage rates were identified, with suggestions for overall coverage improvement. This review was registered prospectively with PROSPERO (CRD 42015017656). Five hundred forty-nine publication of potential relevance were identified through database searches, reference lists, and personal communications. Eligible studies included those published before October 2015, written in English or French, containing quantitative or qualitative data about coverage rates for MDA of school-aged children with praziquantel. Among the 22 selected studies, combined community- and school-based programs achieved the highest median coverage rates (89%), followed by community-based programs (72%). School-based programs had both the lowest median coverage of children overall (49%) and the lowest coverage of the non-enrolled subpopulation of children. Qualitatively, major factors affecting program success included fear of side effects, inadequate education about schistosomiasis, lack of incentives for drug distributors, and inequitable distribution to minority groups. This review provides an evidence-based framework for the development of future schistosomiasis control programs. Based on our results, a combined community and school-based delivery system should maximize coverage for both in- and out-of-school children, especially when combined with interventions such as snacks for treated children, educational campaigns, incentives for drug distributors, and active inclusion of marginalized groups. ClinicalTrials.gov CRD42015017656.

US Media Coverage of Tobacco Industry Corporate Social Responsibility Initiatives.

PubMed

McDaniel, Patricia A; Lown, E Anne; Malone, Ruth E

2018-02-01

Media coverage of tobacco industry corporate social responsibility (CSR) initiatives represents a competitive field where tobacco control advocates and the tobacco industry vie to shape public and policymaker understandings about tobacco control and the industry. Through a content analysis of 649 US news items, we examined US media coverage of tobacco industry CSR and identified characteristics of media items associated with positive coverage. Most coverage appeared in local newspapers, and CSR initiatives unrelated to tobacco, with non-controversial beneficiaries, were most commonly mentioned. Coverage was largely positive. Tobacco control advocates were infrequently cited as sources and rarely authored opinion pieces; however, when their voices were included, coverage was less likely to have a positive slant. Media items published in the South, home to several tobacco company headquarters, were more likely than those published in the West to have a positive slant. The absence of tobacco control advocates from media coverage represents a missed opportunity to influence opinion regarding the negative public health implications of tobacco industry CSR. Countering the media narrative of virtuous companies doing good deeds could be particularly beneficial in the South, where the burdens of tobacco-caused disease are greatest, and coverage of tobacco companies more positive.

US Media Coverage of Tobacco Industry Corporate Social Responsibility Initiatives

PubMed Central

McDaniel, Patricia A.; Lown, E. Anne; Malone, Ruth E.

2017-01-01

Media coverage of tobacco industry corporate social responsibility (CSR) initiatives represents a competitive field where tobacco control advocates and the tobacco industry vie to shape public and policymaker understandings about tobacco control and the industry. Through a content analysis of 649 US news items, we examined US media coverage of tobacco industry CSR and identified characteristics of media items associated with positive coverage. Most coverage appeared in local newspapers, and CSR initiatives unrelated to tobacco, with non-controversial beneficiaries, were most commonly mentioned. Coverage was largely positive. Tobacco control advocates were infrequently cited as sources and rarely authored opinion pieces; however, when their voices were included, coverage was less likely to have a positive slant. Media items published in the South, home to several tobacco company headquarters, were more likely than those published in the West to have a positive slant. The absence of tobacco control advocates from media coverage represents a missed opportunity to influence opinion regarding the negative public health implications of tobacco industry CSR. Countering the media narrative of virtuous companies doing good deeds could be particularly beneficial in the South, where the burdens of tobacco-caused disease are greatest, and coverage of tobacco companies more positive. PMID:28685318

Two Birds With One Stone: Estimating Population Vaccination Coverage From a Test-negative Vaccine Effectiveness Case-control Study.

PubMed

Doll, Margaret K; Morrison, Kathryn T; Buckeridge, David L; Quach, Caroline

2016-10-15

Vaccination program evaluation includes assessment of vaccine uptake and direct vaccine effectiveness (VE). Often examined separately, we propose a design to estimate rotavirus vaccination coverage using controls from a rotavirus VE test-negative case-control study and to examine coverage following implementation of the Quebec, Canada, rotavirus vaccination program. We present our assumptions for using these data as a proxy for coverage in the general population, explore effects of diagnostic accuracy on coverage estimates via simulations, and validate estimates with an external source. We found 79.0% (95% confidence interval, 74.3%, 83.0%) ≥2-dose rotavirus coverage among participants eligible for publicly funded vaccination. No differences were detected between study and external coverage estimates. Simulations revealed minimal bias in estimates with high diagnostic sensitivity and specificity. We conclude that controls from a VE case-control study may be a valuable resource of coverage information when reasonable assumptions can be made for estimate generalizability; high rotavirus coverage demonstrates success of the Quebec program. © The Author 2016. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.

Predictors of coverage of the national maternal pertussis and infant rotavirus vaccination programmes in England.

PubMed

Byrne, L; Ward, C; White, J M; Amirthalingam, G; Edelstein, M

2018-01-01

This study assessed variation in coverage of maternal pertussis vaccination, introduced in England in October 2012 in response to a national outbreak, and a new infant rotavirus vaccination programme, implemented in July 2013. Vaccine eligible patients were included from national vaccine coverage datasets and covered April 2014 to March 2015 for pertussis and January 2014 to June 2016 for rotavirus. Vaccine coverage (%) was calculated overall and by NHS England Local Team (LT), ethnicity and Index of Multiple Deprivation (IMD) quintile, and compared using binomial regression. Compared with white-British infants, the largest differences in rotavirus coverage were in 'other', white-Irish and black-Caribbean infants (-13·9%, -12·1% and -10·7%, respectively), after adjusting for IMD and LT. The largest differences in maternal pertussis coverage were in black-other and black-Caribbean women (-16·3% and -15·4%, respectively). Coverage was lowest in London LT for both programmes. Coverage decreased with increasing deprivation and was 14·0% lower in the most deprived quintile compared with the least deprived for the pertussis programme and 4·4% lower for rotavirus. Patients' ethnicity and deprivation were therefore predictors of coverage which contributed to, but did not wholly account for, geographical variation in coverage in England.

Women In The United States Experience High Rates Of Coverage 'Churn' In Months Before And After Childbirth.

PubMed

Daw, Jamie R; Hatfield, Laura A; Swartz, Katherine; Sommers, Benjamin D

2017-04-01

Insurance transitions-sometimes referred to as "churn"-before and after childbirth can adversely affect the continuity and quality of care. Yet little is known about coverage patterns and changes for women giving birth in the United States. Using nationally representative survey data for the period 2005-13, we found high rates of insurance transitions before and after delivery. Half of women who were uninsured nine months before delivery had acquired Medicaid or CHIP coverage by the month of delivery, but 55 percent of women with that coverage at delivery experienced a coverage gap in the ensuing six months. Risk factors associated with insurance loss after delivery include not speaking English at home, being unmarried, having Medicaid or CHIP coverage at delivery, living in the South, and having a family income of 100-185 percent of the poverty level. To minimize the adverse effects of coverage disruptions, states should consider policies that promote the continuity of coverage for childbearing women, particularly those with pregnancy-related Medicaid eligibility. Project HOPE—The People-to-People Health Foundation, Inc.

The Impact of the ACA Medicaid Expansions on Health Insurance Coverage through 2015 and Coverage Disparities by Age, Race/Ethnicity, and Gender.

PubMed

Wehby, George L; Lyu, Wei

2018-04-01

Examine the ACA Medicaid expansion effects on Medicaid take-up and private coverage through 2015 and coverage disparities by age, race/ethnicity, and gender. 2011-2015 American Community Survey for 3,137,989 low-educated adults aged 19-64 years. Difference-in-differences regressions accounting for national coverage trends and state fixed effects. Expansion effects doubled in 2015 among low-educated adults, with a nearly 8 percentage-point increase in Medicaid take-up and 6 percentage-point decline in uninsured rate. Significant coverage gains were observed across virtually all examined groups by age, gender, and race/ethnicity. Take-up and insurance declines were strongest among younger adults and were generally close by gender and race/ethnicity. Despite the increased take-up however, coverage disparities remained sizeable, especially for young adults and Hispanics who had declining but still high uninsured rates in 2015. There was some evidence of private coverage crowd-out in certain subgroups, particularly among young adults aged 19-26 years and women, including in both individually purchased and employer-sponsored coverage. The ACA Medicaid expansions have continued to increase coverage in 2015 across the entire population of low-educated adults and have reduced age disparities in coverage. However, there is still a need for interventions that target eligible young and Hispanic adults. © Health Research and Educational Trust.

Estimating the coverage of mental health programmes: a systematic review.

PubMed

De Silva, Mary J; Lee, Lucy; Fuhr, Daniela C; Rathod, Sujit; Chisholm, Dan; Schellenberg, Joanna; Patel, Vikram

2014-04-01

The large treatment gap for people suffering from mental disorders has led to initiatives to scale up mental health services. In order to track progress, estimates of programme coverage, and changes in coverage over time, are needed. Systematic review of mental health programme evaluations that assess coverage, measured either as the proportion of the target population in contact with services (contact coverage) or as the proportion of the target population who receive appropriate and effective care (effective coverage). We performed a search of electronic databases and grey literature up to March 2013 and contacted experts in the field. Methods to estimate the numerator (service utilization) and the denominator (target population) were reviewed to explore methods which could be used in programme evaluations. We identified 15 735 unique records of which only seven met the inclusion criteria. All studies reported contact coverage. No study explicitly measured effective coverage, but it was possible to estimate this for one study. In six studies the numerator of coverage, service utilization, was estimated using routine clinical information, whereas one study used a national community survey. The methods for estimating the denominator, the population in need of services, were more varied and included national prevalence surveys case registers, and estimates from the literature. Very few coverage estimates are available. Coverage could be estimated at low cost by combining routine programme data with population prevalence estimates from national surveys.

Health Reform Redux: Learning From Experience and Politics

PubMed Central

2009-01-01

The 2008 presidential campaign season featured health care reform proposals. I discuss 3 approaches to health care reform and the tools for bringing about reform, such as insurance market reforms, tax credits, subsidies, individual and employer mandates, and public program expansions. I also discuss the politics of past and current health care reform efforts. Market-based reforms and mandates have been less successful than public program expansions at expanding coverage and controlling costs. New divisions among special interest groups increase the likelihood that reform efforts will succeed. Federal support for state efforts may be necessary to achieve national health care reform. History suggests that state-level success precedes national reform. History also suggests that an organized social movement for reform is necessary to overcome opposition from special interest groups. PMID:19299668

General vs health specialized search engine: a blind comparative evaluation of top search results.

PubMed

Pletneva, Natalia; Ruiz de Castaneda, Rafael; Baroz, Frederic; Boyer, Celia

2014-01-01

This paper presents the results of a blind comparison of top ten search results retrieved by Google.ch (French) and Khresmoi for everyone, a health specialized search engine. Participants--students of the Faculty of Medicine of the University of Geneva had to complete three tasks and select their preferred results. The majority of the participants have largely preferred Google results while Khresmoi results showed potential to compete in specific topics. The coverage of the results seems to be one of the reasons. The second being that participants do not know how to select quality and transparent health web pages. More awareness, tools and education about the matter is required for the students of Medicine to be able to efficiently distinguish trustworthy online health information.

Astrometric observations of comets and asteroids and subsequent orbital investigations

NASA Technical Reports Server (NTRS)

Mccrosky, R. E.; Marsden, B. G.

1986-01-01

During the past year some 500 observations were made on 66 nights and published on the MPCs (Minor Planet Circulars/Minor Planets and Comets). In addition, a handful of measurements of earlier plates were completed and published. 121 of the observations published referred to comets. Of special importance were observations of comets (P/Giacobini-Zinner and P/Halley) in connection with the NASA ICE and ESA Giotto missions, but a special effort was made to get good coverage of almost all of the observable comets. Observations were also made of (2060) Chiron and of the earth-approaching objects (1627) Ivar, (1866) Sisyphys, (1943) Anteros, (3362) 1984 QA, 1985 JA, PA, TB and WA, and 1986 DA and EB. 46 minor planets were given permanent numbers entirely as a result of the observations.