Science.gov

Sample records for isoga integrated services

  1. ISOGA: Integrated Services Optical Grid Architecture for Emerging E-Science Collaborative Applications

    SciTech Connect

    Oliver Yu

    2008-11-28

    This final report describes the accomplishments in the ISOGA (Integrated Services Optical Grid Architecture) project. ISOGA enables efficient deployment of existing and emerging collaborative grid applications with increasingly diverse multimedia communication requirements over a wide-area multi-domain optical network grid; and enables collaborative scientists with fast retrieval and seamless browsing of distributed scientific multimedia datasets over a wide-area optical network grid. The project focuses on research and development in the following areas: the polymorphic optical network control planes to enable multiple switching and communication services simultaneously; the intelligent optical grid user-network interface to enable user-centric network control and monitoring; and the seamless optical grid dataset browsing interface to enable fast retrieval of local/remote dataset for visualization and manipulation.

  2. CopperCore Service Integration

    ERIC Educational Resources Information Center

    Vogten, Hubert; Martens, Harrie; Nadolski, Rob; Tattersall, Colin; van Rosmalen, Peter; Koper, Rob

    2007-01-01

    In an e-learning environment there is a need to integrate various e-learning services like assessment services, collaboration services, learning design services and communication services. In this article we present the design and implementation of a generic integrative service framework, called CopperCore Service Integration (CCSI). We will…

  3. INTEGRAL burst alert service

    NASA Technical Reports Server (NTRS)

    Pedersen, H.; Jennings, D.; Mereghetti, S.; Teegarden, B.

    1997-01-01

    The detection, accurate positioning, and spectral analysis of cosmic gamma ray bursts is an objective of the International Gamma Ray Astrophysics Laboratory (INTEGRAL) mission. Due to their unpredictable nature, gamma ray bursts can only be observed in serendipity mode. In order to allow and promote multiwavelength follow-up observations of such events, it is desirable to make the information available to the astrophysics community with a minimum delay through the use of Internet. Ideally, the data dissemination should occur within a few seconds of the start of the burst event so that follow up observations can proceed while gamma rays are still being emitted. The technical feasibility of building such a system to disseminate INTEGRAL burst alerts in real time is currently under consideration, the preliminary results of which are presented. It is concluded that such an alert service is technically feasible.

  4. Application Agreement and Integration Services

    NASA Technical Reports Server (NTRS)

    Driscoll, Kevin R.; Hall, Brendan; Schweiker, Kevin

    2013-01-01

    Application agreement and integration services are required by distributed, fault-tolerant, safety critical systems to assure required performance. An analysis of distributed and hierarchical agreement strategies are developed against the backdrop of observed agreement failures in fielded systems. The documented work was performed under NASA Task Order NNL10AB32T, Validation And Verification of Safety-Critical Integrated Distributed Systems Area 2. This document is intended to satisfy the requirements for deliverable 5.2.11 under Task 4.2.2.3. This report discusses the challenges of maintaining application agreement and integration services. A literature search is presented that documents previous work in the area of replica determinism. Sources of non-deterministic behavior are identified and examples are presented where system level agreement failed to be achieved. We then explore how TTEthernet services can be extended to supply some interesting application agreement frameworks. This document assumes that the reader is familiar with the TTEthernet protocol. The reader is advised to read the TTEthernet protocol standard [1] before reading this document. This document does not re-iterate the content of the standard.

  5. Integrating the services' imagery architectures

    NASA Astrophysics Data System (ADS)

    Mader, John F.

    1993-04-01

    Any military organization requiring imagery must deal with one or more of several architectures: the tactical architectures of the three military departments, the theater architectures, and their interfaces to a separate national architecture. A seamless, joint, integrated architecture must meet today's imagery requirements. The CIO's vision of 'the right imagery to the right people in the right format at the right time' would serve well as the objective of a joint, integrated architecture. A joint imagery strategy should be initially shaped by the four pillars of the National Military Strategy of the United States: strategic deterrence; forward presence; crisis response; and reconstitution. In a macro view, it must consist of a series of sub-strategies to include science and technology and research and development, maintenance of the imagery related industrial base, acquisition, resource management, and burden sharing. Common imagery doctrine must follow the imagery strategy. Most of all, control, continuity, and direction must be maintained with regard to organizations and systems development as the architecture evolves. These areas and more must be addressed to reach the long term goal of a joint, integrated imagery architecture. This will require the services and theaters to relinquish some sovereignty over at least systems development and acquisition. Nevertheless, the goal of a joint, integrated imagery architecture is feasible. The author presents arguments and specific recommendations to orient the imagery community in the direction of a joint, integrated imagery architecture.

  6. Integrated Services Digital Network (ISDN)

    NASA Astrophysics Data System (ADS)

    Weidert, M. T.

    1985-06-01

    This thesis contains development of a conceptual framework for an Integrated Services Digital Network (ISDN) and relates ISDN concepts to non-tactical Department of Defense (DOD) communications applications. The conceptual framework developed is non-technical and is intended to provide general management with an introduction to the ISDN. An existing model communications system, Japan's Information Network System (INS), which exhibits characteristics of ISDN, is also discussed in terms of the conceptual framework developed. General ISDN concepts are also related to DoD applications. The Defense Data Network (DDN) is presented as a candidate network on which a potential military ISDN could be based.

  7. The EPOS Integrated Core Services

    NASA Astrophysics Data System (ADS)

    Jeffery, Keith; Michelini, Alberto; Bailo, Daniele

    2013-04-01

    The European Plate Observing System (EPOS) is integrating the diverse, but advanced Research Infrastructures in Europe for solid Earth Science, and will build on new e-science opportunities to monitor and understand the dynamic and complex solid-Earth System. This integration requires a significant coordination between, among others, disciplinary (thematic) communities, national RIs policies and initiatives, and geo- and IT-scientists. The RIs that EPOS will coordinate include at least, but not only: regionally-distributed geophysical observing systems (seismological and geodetic networks), local observatories (including geomagnetic, permanent in-situ and volcano observatories), experimental & analogue laboratories in Europe, integrated satellite data and geological information. EPOS is promoting open access to geophysical and geological data as well as modelling/processing tools, enabling a step change in multidisciplinary scientific research for Earth Sciences The EPOS e-infrastructure is developed through strawman (initial design / architecture), woodman (refined design/architecture) and ironman (final design/architecture) phases. Midway in the project we are in the woodman phase based on extensive primary requirements from users and secondary requirements for interoperation with other geoscience systems, other European environmental research infrastructure projects and e-infrastructure projects (e.g. EUDAT). The EPOS e-infrastructure is being developed along 3 parallel tracks: (a) an inventory of assets offered by organisations within the EPOS community. The RIDE (Research Infrastructure Database for EPOS) system from the strawman phase is being extended in the woodman phase to the metadata catalog describing computing and scientific resources, data, services (software), and users which will drive the EPOS e-infrastructure; (b) refining an architecture to meet the requirements. This is an iterative process with the working groups (organised thematically) within

  8. Integrating Service Learning in Jordanian Higher Education

    ERIC Educational Resources Information Center

    Mahasneh, Randa; Tawalbeh, Aisheh; Al-Smadi, Rana; Ghaith, Souad; Dajani, Rana

    2012-01-01

    The main aim of this exploratory study is to test "Service Learning" as a teaching and learning strategy in Jordanian universities by integrating service learning into a counselling course at the Hashemite University. After providing a 12-h service at 10 service locations, a 16-item questionnaire was administered to 60 senior counselling students…

  9. [Integration of the delivery of health services].

    PubMed

    Frenk, J

    1992-01-01

    In Mexico the Constitution defines the right to health care as a social right and, as such, confers to the state the guiding role in the access of the population to health services. Unfortunately, this constitutional principle has not been fully met. One of the reasons for this is the fragmentation of public action in health and the continuous postponement of the integration of health services. In this paper the conceptual and practical limits of integration of health services are discussed, using as starting point a brief diagnosis of inequity and fragmentation of the health system in Mexico. The doctrinaire principles of integration are also described, as well as its practical advantages and disadvantages. Finally, a typology of forms of integration and previous integration experiences in Mexico are discussed. In the concluding remarks the integration prospects for Mexico are analyzed. PMID:1411782

  10. Service integration for the dually diagnosed.

    PubMed

    Edward, Karen-leigh; Hearity, Rhonda Nelson; Felstead, Boyce

    2012-01-01

    The needs of dually diagnosed clients in mental health services have been and remain a focus for service development and improvement in Australia. The Council of Australian Governments committed to a five-year National Action Plan on Mental Health with a $1.8 billion injection into mental health services. In Australia there have been great advances in the service initiatives and service deliverables to those clients who experience a dual diagnosis. These advances include that dual diagnosis is systematically identified and responded to in a timely, evidence-based manner as a core business in mental health and alcohol and other drug services. These advances are brought to life by specialist mental health and alcohol and other drug services that establish effective partnerships and agreed mechanisms to support integrated care and collaborative practice. Here, four case studies are offered as a means of illustrating the ways in which projects undertaken in local community health services have approached dual diagnosis treatment for clients. These case studies reflect how cooperation and cross-referral between services, as well as effective management of dual diagnosis clients by suitably qualified staff can produce benefits to clients who use the service.

  11. TeraGrid's integrated information service.

    SciTech Connect

    Liming, L.; Navarro, J.-P.; Blau, E.; Brechin, J.; Catlett, C.; Dahan, M.; Diehl, D.; Dooley, R.; Dwyer, M.; Ericson, K.; Foster, I.; Hanna, E.; Hart, D. L.; Jordan, C.; Light, R.; Martin, S.; McGee, J.; Pearlman, L.; Reilly, J.; Scavo, T.; Shapiro, M.; Smallen, S.; Smith, W.; Wilkins-Diehr, N.

    2009-01-01

    The NSF TeraGrid project has designed and constructed a federated integrated information service (IIS) to serve its capability publishing and discovery needs. This service has also proven helpful in automating TeraGrid's operational activities. We describe the requirements that motivated this work; IIS's system architecture, information architecture, and information content; processes that IIS currently supports; and how various layers of the system architecture are being used. We also review motivating use cases that have not yet been satisfied by IIS and outline approaches for future work.

  12. Integrating family planning with other social services.

    PubMed

    Bernales, E H

    1982-01-01

    Family planning outreach workers in the 43 municipalities of Iloilo Province, Western Visayas, the Philippines, have provided their communities with health, nutrition, educational, and agricultural services since 1973, when the Provincial Development Staff (PDS) began attempting to integrate services. The early work of the PDS was aided by the launching of the National Population and Family Planning Outreach Project in rural areas in 1976 and the creation of the Provincial Population Office (PPO) in 1977. 43% of the Outreach Project cost is borne by the local government, with the Commission on Population covering the rest. It is anticipated that the local goverment will eventually absorb the full cost. The Outreach officers have become an integral part of the planning body of the provincial government, largely due to the creation of the Provincial Consultative Committee on Population (PCCP) in 1979. The PCCP, composed of 22 governmental and private agencies involved in population-related activities, is charged with implementing the national population program in order to utilize all possible resources for provincial development. Its Integrated Provincial Population Plan has become part of the total provincial development plan. The Municipal Population Planning Actions Teams, whose functions are patterned on those of the PCCPs, further strengthen local planning at the municipal level. Full-Time Outreach Workers participate as well in planning at the barangay level. The various community-based projects initiated by the Outreach staff in Iloilo demonstrate a concern with making the population program responsive to the immediate needs of the provincial population. Organizations which teach better farming methods and undertake community projects emphasize local initiative and solutions to problems, and demonstrate the committment of population workers to broader development efforts. Outreach workers are involved in primary health care, social service delivery, income

  13. Semi-automated software service integration in virtual organisations

    NASA Astrophysics Data System (ADS)

    Afsarmanesh, Hamideh; Sargolzaei, Mahdi; Shadi, Mahdieh

    2015-08-01

    To enhance their business opportunities, organisations involved in many service industries are increasingly active in pursuit of both online provision of their business services (BSs) and collaborating with others. Collaborative Networks (CNs) in service industry sector, however, face many challenges related to sharing and integration of their collection of provided BSs and their corresponding software services. Therefore, the topic of service interoperability for which this article introduces a framework is gaining momentum in research for supporting CNs. It contributes to generation of formal machine readable specification for business processes, aimed at providing their unambiguous definitions, as needed for developing their equivalent software services. The framework provides a model and implementation architecture for discovery and composition of shared services, to support the semi-automated development of integrated value-added services. In support of service discovery, a main contribution of this research is the formal representation of services' behaviour and applying desired service behaviour specified by users for automated matchmaking with other existing services. Furthermore, to support service integration, mechanisms are developed for automated selection of the most suitable service(s) according to a number of service quality aspects. Two scenario cases are presented, which exemplify several specific features related to service discovery and service integration aspects.

  14. Teleradiology for Veterans Integrated Service Networks

    NASA Astrophysics Data System (ADS)

    Duerinckx, Andre J.; Hayrapetian, Alek S.; Kenagy, John J.; Grant, Edward G.

    1997-05-01

    Veterans Affairs Health Care has become more decentralized with the creation of local Veteran Integrated Service Networks (VISN). The purpose of this study was to analyze the design and cost of a wide-area-network (WAN) for teleradiology in a local VISN. The Southern California VISN includes 4 large and 3 small medical centers. Only one of the 7 medical centers has an operational PACS. Data were collected on the radiologist workloads and patient and image flow within and between the 7 medical centers. This was used to estimate the size and cost of local PACS at each medical center and the need for teleradiology services. A simplified cost-analysis model was used to estimate potential cost- savings by gong filmless. Asynchronous transfer mode (ATM) technology was selected for the WAN between the medical centers. A realistic cost-savings model was developed. Cost- effectiveness of a PACS/Teleradiology system was established. Based on this model, a PACS/Teleradiology configuration for the VISN was successfully designed and partially implemented. The ATM-based WAN provides instantaneous access to PACS at each centers. Cost-analysis of the design and implementation of a PACS/teleradiology network in a VISN is possible and important when planning such system. The experience gained will serve a model for future similar projects nationwide.

  15. An Integrated Environment for Geospatial Web Service Composition

    NASA Astrophysics Data System (ADS)

    Zhao, P.; di, L.; Wei, Y.

    2006-05-01

    Assembling individual geospatial web services into more complex and more useful web processes to achieve desired results proves to be essential for complex geospatial applications. As geospatial web services embed lots of geospatial information and knowledge, the geospatial domain-specific tools are needed to help users discover, retrieve and integrate these services. We have developed an integrated environment that allows users in the semi-automatic and dynamic composition of geospatial web services. This paper illustrates the whole life cycle of a web service composition: 1) discover services in OGC Catalog Service for Web (CSW), 2) present and select matching service at each step of a composition with the assistance of intelligent autonomous interface agent, 3) compose a service chain based on domain knowledge, and 4) execute the composed service chain automatically through its BPEL and WSDL scripts. The environment has been used to demonstrate practical benefits in the context of OGC Web services for Earth science research and applications.

  16. Europlanet Integrated and Distributed Information Service

    NASA Astrophysics Data System (ADS)

    Schmidt, W.; Capria, M. T.; Chanteur, G.

    2009-04-01

    During the past decades the various disciplines in planetary sciences have developed to a very high international standard. But the collaboration between the different fields should be improved. To overcome the current fragmentation of the EU Planetary Science community and thereby to increase the scientific return of the related investment, the EU commission is funding via its Framework Program 7 the development of the "Europlanet Research Infrastructure -Europlanet RI". The Europlanet RI will consolidate the integration of the European Planetary Science community which started with Europlanet's FP6 project and will integrate major parts of the related distributed European infrastructure to be shared, fed and expanded by all planetary scientists. This infrastructure encompasses as diverse components as space exploration, ground-based observations, laboratory experiments and numerical modeling teams. Europlanet RI aims at bringing scientists from Europe and beyond together who are working in these fields, support the exchange of experts and ideas and make as many resources and data as possible available to the research community. A central part of Europlanet RI is the "Integrated and Distributed Information Service" or Europlanet-IDIS. The task of IDIS as central part of Europlanet is to provide an easy-to-use Web-based platform to locate teams and laboratories with special knowledge needed to support the own research activities, give access to the wealth of already available data, initiate new research activities needed to interpret accumulated data or to solve open questions, and to exploit synergies between space-based missions and capabilities of ground based observatories. It also offers to a wide range of teams and laboratories the possibility to share their data, advertise their capabilities and increase the scientific return by cooperation. IDIS is organized as an EU FP7 Support Activity, consisting of different access nodes which are connected by

  17. Earth Observation and GIS Services Integration Approach in MASS

    NASA Astrophysics Data System (ADS)

    Coene, Y.; Gianfranceschi, S.; Marchetti, P.

    This paper describes an environment for the integration of EO and GIS services supporting the provision of EO services and "information products" closer to customer expectations and processes. The paper explains how the adoption of readily available XML-based Web standards and protocols in an open environment can facilitate the integration.

  18. The Service Integration Project. Final Report. A Guide to Collaboration.

    ERIC Educational Resources Information Center

    Fabrizio, Jo J.; Bartel, Joan M.

    Presented is the final report of the Service Integration Project, a North Carolina demonstration project to facilitate collaboration of local programs particularly those sponsored by the Developmental Disabilities program and the Head Start program. Individual chapters deal with the following topics: overview of service integration; the human…

  19. Toward More Integrated Special Education Funding and Services.

    ERIC Educational Resources Information Center

    Verstegen, Deborah A.; McLaughlin, Margaret J.

    1995-01-01

    This newsletter theme issue presents two separate articles: (1) "Toward More Integrated Special Education Funding and Services: A Federal Perspective" (Deborah A. Verstegen) and (2) "Toward More Integrated Special Education Funding and Services: A Local Perspective" (Margaret J. McLaughlin). The first article discusses results of a study of the…

  20. Publications of the School-Linked Services Integration Research Project.

    ERIC Educational Resources Information Center

    Kansas Univ., Lawrence.

    This compilation of publications from the School-Linked Service Integration Research Project focuses on integrated services and includes the following papers: (1) "New Community Schools: Issues for Families in Three Streams of Reform" (Wayne Sailor), describes issues in special education reform, general education reform, and school/health services…

  1. Southern Appalachian Settlement Schools as Early Initiators of Integrated Services.

    ERIC Educational Resources Information Center

    Jurgens, Eloise; West, Russ

    The integration of health and social services with schools promises to be an effective means of delivering services to children and families in the face of increasing social problems and needs. Beginning in 1886, urban settlement houses provided education and a wide variety of services to aid the assimilation of new immigrants. Similarly,…

  2. Integrated Personnel Services Index. Volume Two. Number One.

    ERIC Educational Resources Information Center

    Mattson, Judith, Ed.

    The Integrated Personnel Services Index (IPSI) is designed to provide information about knowledge resources currently available in all fields of student services. IPSI was developed by scanning four major types of informational resources to identify information relevant to the personnel services field. These resources first became available during…

  3. Successful outsourcing: improving quality of life through integrated support services.

    PubMed

    Bates, Jason; Sharratt, Martin; King, John

    2014-01-01

    This article examines the way that non-clinical support services are provided in healthcare settings through outsourcing partnerships. The integrated support services model and benefits to patient experience and safety as well as organizational efficiency and effectiveness are explored through an examination of services at a busy urban community hospital.

  4. From NHS Choices to the integrated customer service platform.

    PubMed

    Gann, Bob; Grant, Maria J

    2013-03-01

    In 2013 the NHS Commissioning Board launches its new integrated customer service platform. The new service utilises the full range of channels (web, telephone, apps etc) to provide access to information to support transparency, participation and transactions. Digital health services have proven benefits in informed choice, shared decision making and patient participation.

  5. Integrated Children's Services: Enablers, Challenges and Impact. Research Briefing

    ERIC Educational Resources Information Center

    Robinson, Mark; Atkinson, Mary; Downing, Dick

    2008-01-01

    This summary provides background information about the enablers, challenges and impact of integration, based on a thorough literature review of thirty-five sources. The review findings are presented under thematic headings that reflect the: (1) extent of integration: the "stage" or depth of the collaborative activity in integrated services; (2)…

  6. Developing Multiprofessional Teamwork for Integrated Children's Services

    ERIC Educational Resources Information Center

    Anning, Angela; Cottrell, David; Frost, Nick; Green, Josephine; Robinson, Mark

    2006-01-01

    Multiprofessional practice in the delivery of services is a central government imperative in the UK and other countries. This book offers a practical resource to professionals charged with conceptualising, planning, implementing and evaluating multiprofessional practice in children's services. Discussion of dilemmas facing multiprofessional teams…

  7. Integrated Services for the Severely Physically Disabled

    ERIC Educational Resources Information Center

    Patrick, Donald

    1975-01-01

    Describes cooperative planning among a non-profit metropolitan tuberculosis sanitorium, a state vocational rehabilitation service and a medical center to provide a comprehensive rehabilitation program at Lakeshore Hospital, Birmingham, Alabama. (Author/EJT)

  8. Integrating High School Chemistry and Service Learning.

    ERIC Educational Resources Information Center

    Schlenker, Richard M.; Schlenker, Karl R.

    2001-01-01

    Describes students' activities in introductory chemistry to fulfill their requirement for service learning. Explains the investigation of the causes for the foul taste of drinking water coming from a specific fountain. (YDS)

  9. Integrating service excellence in a CHF clinical pathway pilot project.

    PubMed

    Hahn, Joyce; Bishop, Geri; Fennell, Lenora

    2002-01-01

    The complex dynamics of the current healthcare environment require healthcare delivery systems to become cost effective and quality driven. Educated healthcare consumers expect superior service and timely responses to their needs. For one healthcare system, customer expectations were an integral part of designing, implementing, and measuring the service components of congestive heart failure pathway outcomes. Service excellence can influence overall clinical outcomes when measured by consumer awareness and patient satisfaction. The inclusion of service excellence as an intrinsic piece of the organizational strategic plan laid the groundwork for this integrated pilot project. PMID:11942156

  10. Integrating service excellence in a CHF clinical pathway pilot project.

    PubMed

    Hahn, Joyce; Bishop, Geri; Fennell, Lenora

    2002-01-01

    The complex dynamics of the current healthcare environment require healthcare delivery systems to become cost effective and quality driven. Educated healthcare consumers expect superior service and timely responses to their needs. For one healthcare system, customer expectations were an integral part of designing, implementing, and measuring the service components of congestive heart failure pathway outcomes. Service excellence can influence overall clinical outcomes when measured by consumer awareness and patient satisfaction. The inclusion of service excellence as an intrinsic piece of the organizational strategic plan laid the groundwork for this integrated pilot project.

  11. Integration of mother and child health services in Ethiopia.

    PubMed

    Walley, J D; McDonald, M

    1991-01-01

    In Wollo region of Ethiopia, various non-governmental officers have been working closely with each other and with the Regional Health Department to implement the policy of daily integrated mother and child health services. The record cards, registers, procedures and training courses of the separate 'vertically' organized services were brought together to enable the development of a model integrated service. There were improvements in accessibility, acceptability and output of the services. The system was evaluated by a joint Ministry of Health and UNICEF team, and was adopted for use in the rest of Ethiopia.

  12. Integrating complementary and alternative medicine into mainstream healthcare services: the perspectives of health service managers

    PubMed Central

    2014-01-01

    Background Complementary and alternative medicine (CAM) is increasingly included within mainstream integrative healthcare (IHC) services. Health service managers are key stakeholders central to ensuring effective integrative health care services. Yet, little research has specifically investigated the role or perspective of health service managers with regards to integrative health care services under their management. In response, this paper reports findings from an exploratory study focusing exclusively on the perspectives of health service managers of integrative health care services in Australia regarding the role of CAM within their service and the health service managers rational for incorporating CAM into clinical care. Methods Health service managers from seven services were recruited using purposive and snowball sampling. Semi-structured interviews were conducted with the health service managers. The services addressed trauma and chronic conditions and comprised: five community-based programs including drug and alcohol rehabilitation, refugee mental health and women’s health; and two hospital-based specialist services. The CAM practices included in the services investigated included acupuncture, naturopathy, Western herbal medicine and massage. Results Findings reveal that the health service managers in this study understand CAM to enhance the holistic capacity of their service by: filling therapeutic gaps in existing healthcare practices; by treating the whole person; and by increasing healthcare choices. Health service managers also identified CAM as addressing therapeutic gaps through the provision of a mind-body approach in psychological trauma and in chronic disease management treatment. Health service managers describe the addition of CAM in their service as enabling patients who would otherwise not be able to afford CAM to gain access to these treatments thereby increasing healthcare choices. Some health service managers expressly align the notion

  13. Academic Service-Learning and Integrative Complexity

    ERIC Educational Resources Information Center

    Koch-Patterson, Penelope

    2012-01-01

    Society is more and more interconnected and interdependent. This results in a plethora of complex social problems and thereby creates the need for individuals with strong decision-making skills. This quantitative study examined the relationship between undergraduate students' participation in academic service-learning and their levels of…

  14. An Integrated Approach to Student Services.

    ERIC Educational Resources Information Center

    Kelly, Rob

    2001-01-01

    Describes the comprehensive, coordinated approach to student support services at the University of Wisconsin Learning Innovations, an electronic learning consultation utility that develops online programs for distance learning. Topics include the Learner Relationship Management System, advising opportunities, help desk, administrative Web site,…

  15. Bringing ecosystem services into integrated water resources management.

    PubMed

    Liu, Shuang; Crossman, Neville D; Nolan, Martin; Ghirmay, Hiyoba

    2013-11-15

    In this paper we propose an ecosystem service framework to support integrated water resource management and apply it to the Murray-Darling Basin in Australia. Water resources in the Murray-Darling Basin have been over-allocated for irrigation use with the consequent degradation of freshwater ecosystems. In line with integrated water resource management principles, Australian Government reforms are reducing the amount of water diverted for irrigation to improve ecosystem health. However, limited understanding of the broader benefits and trade-offs associated with reducing irrigation diversions has hampered the planning process supporting this reform. Ecosystem services offer an integrative framework to identify the broader benefits associated with integrated water resource management in the Murray-Darling Basin, thereby providing support for the Government to reform decision-making. We conducted a multi-criteria decision analysis for ranking regional potentials to provide ecosystem services at river basin scale. We surveyed the wider public about their understanding of, and priorities for, managing ecosystem services and then integrated the results with spatially explicit indicators of ecosystem service provision. The preliminary results of this work identified the sub-catchments with the greatest potential synergies and trade-offs of ecosystem service provision under the integrated water resources management reform process. With future development, our framework could be used as a decision support tool by those grappling with the challenge of the sustainable allocation of water between irrigation and the environment. PMID:23900082

  16. Bringing ecosystem services into integrated water resources management.

    PubMed

    Liu, Shuang; Crossman, Neville D; Nolan, Martin; Ghirmay, Hiyoba

    2013-11-15

    In this paper we propose an ecosystem service framework to support integrated water resource management and apply it to the Murray-Darling Basin in Australia. Water resources in the Murray-Darling Basin have been over-allocated for irrigation use with the consequent degradation of freshwater ecosystems. In line with integrated water resource management principles, Australian Government reforms are reducing the amount of water diverted for irrigation to improve ecosystem health. However, limited understanding of the broader benefits and trade-offs associated with reducing irrigation diversions has hampered the planning process supporting this reform. Ecosystem services offer an integrative framework to identify the broader benefits associated with integrated water resource management in the Murray-Darling Basin, thereby providing support for the Government to reform decision-making. We conducted a multi-criteria decision analysis for ranking regional potentials to provide ecosystem services at river basin scale. We surveyed the wider public about their understanding of, and priorities for, managing ecosystem services and then integrated the results with spatially explicit indicators of ecosystem service provision. The preliminary results of this work identified the sub-catchments with the greatest potential synergies and trade-offs of ecosystem service provision under the integrated water resources management reform process. With future development, our framework could be used as a decision support tool by those grappling with the challenge of the sustainable allocation of water between irrigation and the environment.

  17. Frail elderly patients. New model for integrated service delivery.

    PubMed Central

    Hébert, Rejean; Durand, Pierre J.; Dubuc, Nicole; Tourigny, André

    2003-01-01

    PROBLEM BEING ADDRESSED: Given the complex needs of frail older people and the multiplicity of care providers and services, care for this clientele lacks continuity. OBJECTIVE OF PROGRAM: Integrated service delivery (ISD) systems have been developed to improve continuity and increase the efficacy and efficiency of services. PROGRAM DESCRIPTION: The Program of Research to Integrate Services for the Maintenance of Autonomy (PRISMA) is an innovative ISD model based on coordination. It includes coordination between decision makers and managers of different organizations and services; a single entry point; a case-management process; individualized service plans; a single assessment instrument based on clients' functional autonomy, coupled with a case-mix classification system; and a computerized clinical chart for communicating between institutions and professionals for client monitoring. CONCLUSION: Preliminary results on the efficacy of this model showed a decreased incidence of functional decline, a decreased burden for caregivers, and a smaller proportion of older people wishing to enter institutions. PMID:12943358

  18. Integration of Information Services in the Parliament of Zimbabwe.

    ERIC Educational Resources Information Center

    Chiwandamira, Lyn

    This paper discusses the integration of information services in the Parliament of Zimbabwe (PoZ). An organizational chart of the information systems at PoZ in 1999 is provided, and each of the four departments managing information services are described, i.e., the library, the research department, public relations, and information technology. An…

  19. Service Learning for Counselors: Integrating Education, Training, and the Community

    ERIC Educational Resources Information Center

    Burnett, Judith A.; Long, Lynn L.; Horne, H. Leveta

    2005-01-01

    Service learning integrates classroom instruction with community service to augment learning. This method of instruction facilitates humanistic counseling skills by enhancing counselor awareness and knowledge of unique needs and strengths of diverse peoples while promoting personal, social, civic, and professional responsibility. This article…

  20. Integrated Psychological Services in the Greeley-Evans Public Schools

    ERIC Educational Resources Information Center

    Nelson, R. Brett; Hoover, Michael; Young, Mary; Obrzut, Ann; D'Amato, Rik Carl; Copeland, Ellis P.

    2006-01-01

    Integrated school psychological services were implemented 12 years ago in the Greeley-Evans Public Schools by combining the positions of school psychologist and school social worker and placing each professional in an elementary school full-time. After 5 years, services were expanded to secondary schools such that all schools had a full-time…

  1. Integrated Services Digital Network (ISDN): Telecommunications in the Future.

    ERIC Educational Resources Information Center

    Miller, Ralph

    1987-01-01

    This discussion of the Integrated Services Digital Network (ISDN) telecommunications system compares it to existing telephone networks and describes international efforts at standardization, proposed services to business and residential customers, technological developments, and cost considerations. The effects of ISDN developments on the role of…

  2. Zooming In on Copyright with Integrated Library Software Services

    ERIC Educational Resources Information Center

    Oye, Karen

    2007-01-01

    Over the last decade, many of Kelvin Smith Library's (KSL) content delivery services have gone digital, and some, such as enhanced course reserves products, are new to the market. The best digital library services have given KSL options and integrated solutions that allow it to do more than it thought possible just a few years ago. As with many…

  3. Teaching Service Modelling to a Mixed Class: An Integrated Approach

    ERIC Educational Resources Information Center

    Deng, Jeremiah D.; Purvis, Martin K.

    2015-01-01

    Service modelling has become an increasingly important area in today's telecommunications and information systems practice. We have adapted a Network Design course in order to teach service modelling to a mixed class of both the telecommunication engineering and information systems backgrounds. An integrated approach engaging mathematics teaching…

  4. Integrating Workforce Planning, Human Resources, and Service Planning.

    ERIC Educational Resources Information Center

    O'Brien-Pallas, Linda; Birch, Stephen; Baumann, Andrea; Murphy, Gail Tomblin

    The feasibility of integrated health human resources planning (IHHRP) was examined. The analysis focused on the following topics: ways of integrating labor market indicators into service planning; whether planning is sufficiently responsive and flexible to retain relevance and validity in rapidly changing health systems; different models and…

  5. Review of Integrated Psychological Services in Primary Care.

    PubMed

    Smith, Michele S

    2016-06-01

    Reviews the book, Integrated Psychological Services in Primary Care edited by William Scott Craig (see record 2016-01850-000). This book opens with an article by the editor, in which he outlines the behavioral health needs of primary care patients and the rationale behind integrating mental health services in primary care settings. Subsequent chapters address basic and practical information for a variety of practice locations, such as Patient Centered Medical Home clinics, the Veteran's Administration medical centers, and primary care settings where the concept of integrated health is new. This is an excellent primer for anyone planning to implement an integrated care program or for those considering moving from an independent practice, agency, or traditional health care/hospital environment into an integrated primary care environment. The authors' writing styles made difficult concepts easy to understand and their knowledge of the utility of integration was evident. (PsycINFO Database Record PMID:27270257

  6. Keyword Search over Data Service Integration for Accurate Results

    NASA Astrophysics Data System (ADS)

    Zemleris, Vidmantas; Kuznetsov, Valentin; Gwadera, Robert

    2014-06-01

    Virtual Data Integration provides a coherent interface for querying heterogeneous data sources (e.g., web services, proprietary systems) with minimum upfront effort. Still, this requires its users to learn a new query language and to get acquainted with data organization which may pose problems even to proficient users. We present a keyword search system, which proposes a ranked list of structured queries along with their explanations. It operates mainly on the metadata, such as the constraints on inputs accepted by services. It was developed as an integral part of the CMS data discovery service, and is currently available as open source.

  7. Integrating emergency services in an urban health system.

    PubMed

    Radloff, D; Blouin, A S; Larsen, L; Kripp, M E

    2000-03-01

    When planning for growth and management efficiency across urban health systems, economic and market factors present significant service line challenges and opportunities. This article describes the evolutionary integration of emergency services in St John Health System, a large, religious-sponsored health care system located in Detroit, Michigan. Critical business elements, including the System's vision, mission, and economic context, are defined as the framework for site-specific and System-wide planning. The impact of managed care and market changes prompted St John's clinicians and executives to explore how integrating emergency services could create a competitive market advantage.

  8. Combating health care fragmentation through integrated health services delivery networks

    PubMed Central

    Ramagem, Caroline; Urrutia, Soledad; Griffith, Tephany; Cruz, Mario; Fabrega, Ricardo; Holder, Reynaldo; Montenegro, Hernán

    2011-01-01

    Introduction Despite existing initiatives to integrate health services in the Americas Health Care fragmentation remains a significant challenge. Excessive fragmentation leads to difficulties in access to services, delivery of services of poor technical quality, inefficient use of resources, increases in production costs, and low user satisfaction. To address this problem, the Pan American Health Organization (PAHO) has launched the Integrated Health Services Delivery Networks (IHSDN) Initiative to support the development of more accessible, equitable and efficient health care models in the Region [1]. Theory/conceptual framework IHSDN are defined as a network of organizations that provides, or makes arrangements to provide, equitable, comprehensive, and integrated health services to a defined population and is willing to be held accountable for its clinical and economic outcomes and the health status of the population served. IHSDN require 14 essential attributes for their adequate operation grouped according to four principal domains: model of care, governance and strategy, organization and management, and financial allocation and incentives [1]. Methods An extensive literature review, expert meetings and country consultations (national, subregional and regional) in the Americas resulted in a set of consensus-based essential attributes and policy options for implementing IHSDN. Results and conclusions The research and evidence on health services integration remains limited; however, several studies suggest that IHSDN could improve health systems performance. Principal lessons learned include: i) integration processes are difficult, complex and long term; ii) integration requires extensive systemic changes and a commitment by health workers, health service managers and policymakers; and iii) multiple modalities and degrees of integration can coexist within a single system. The public policy objective is to propose a design that meets each system’s specific

  9. A novel virtual hub approach for multisource downstream service integration

    NASA Astrophysics Data System (ADS)

    Previtali, Mattia; Cuca, Branka; Barazzetti, Luigi

    2016-08-01

    A large development of downstream services is expected to be stimulated starting from earth observations (EO) datasets acquired by Copernicus satellites. An important challenge connected with the availability of downstream services is the possibility for their integration in order to create innovative applications with added values for users of different categories level. At the moment, the world of geo-information (GI) is extremely heterogeneous in terms of standards and formats used, thus preventing a facilitated access and integration of downstream services. Indeed, different users and data providers have also different requirements in terms of communication protocols and technology advancement. In recent years, many important programs and initiatives have tried to address this issue even on trans-regional and international level (e.g. INSPIRE Directive, GEOSS, Eye on Earth and SEIS). However, a lack of interoperability between systems and services still exists. In order to facilitate the interaction between different downstream services, a new architectural approach (developed within the European project ENERGIC OD) is proposed in this paper. The brokering-oriented architecture introduces a new mediation layer (the Virtual Hub) which works as an intermediary to bridge the gaps linked to interoperability issues. This intermediation layer de-couples the server and the client allowing a facilitated access to multiple downstream services and also Open Data provided by national and local SDIs. In particular, in this paper an application is presented integrating four services on the topic of agriculture: (i) the service given by Space4Agri (providing services based on MODIS and Landsat data); (ii) Gicarus Lab (providing sample services based on Landsat datasets) and (iii) FRESHMON (providing sample services for water quality) and services from a several regional SDIs.

  10. [Healthcare Services for Older People: From Fragmentation to Integration].

    PubMed

    Chen, Liang-Kung

    2015-10-01

    The percentage of people aged 65 years and older is estimated to exceed 20% of the total population in Taiwan, which makes Taiwan a "super-aged" country. This rapid demographic transition, unprecedented in human history, presents unique challenges. The health characteristics of older people differ fundamentally from their younger adult peers, especially in terms of the critical impact of disability on health. Therefore, special attention to the interrelationship between multimorbidity and disability is required in order to provide healthcare services that are appropriate and effective. The integrated care approach of Europe, which concurrently addresses the needs of health and social care, has become the important foundation of social security in the European Union. The healthcare services available to older people in Taiwan, including outpatient, inpatient and intermediate care, are far from satisfactory and extensively fragmented. For older people with multimorbidities and / or disabilities, these fragmented healthcare services result in inconvenient access to healthcare and impaired quality of care and quality of life. At present, Taiwan has developed various healthcare models such as integrated outpatient services, age-friendly healthcare facilities, post-acute care, and a 10-year long-term care program. However, the development of these healthcare models clearly demonstrates the need for service integration. Integrated care promotes seamless case management, which aims to provide smooth access for older people with multiple, complex care needs to essential services and comprehensive healthcare benefits. During the process, the integration of services per se should be prioritized over the prompt merging of departments or facilities. The development and success of integrated care depend on the complete understanding of and promotion by the frontline working staff.

  11. Technical and economic feasibility of integrated video service by satellite

    NASA Technical Reports Server (NTRS)

    Price, K. M.; Kwan, R. K.; White, L. W.; Garlow, R. K.; Henderson, T. R.

    1992-01-01

    A feasibility study is presented of utilizing modern satellite technology, or more advanced technology, to create a cost-effective, user-friendly, integrated video service, which can provide videophone, video conference, or other equivalent wideband service on demand. A system is described that permits a user to select a desired audience and establish the required links similar to arranging a teleconference by phone. Attention is given to video standards, video traffic scenarios, satellite system architecture, and user costs.

  12. A service-based framework for pharmacogenomics data integration

    NASA Astrophysics Data System (ADS)

    Wang, Kun; Bai, Xiaoying; Li, Jing; Ding, Cong

    2010-08-01

    Data are central to scientific research and practices. The advance of experiment methods and information retrieval technologies leads to explosive growth of scientific data and databases. However, due to the heterogeneous problems in data formats, structures and semantics, it is hard to integrate the diversified data that grow explosively and analyse them comprehensively. As more and more public databases are accessible through standard protocols like programmable interfaces and Web portals, Web-based data integration becomes a major trend to manage and synthesise data that are stored in distributed locations. Mashup, a Web 2.0 technique, presents a new way to compose content and software from multiple resources. The paper proposes a layered framework for integrating pharmacogenomics data in a service-oriented approach using the mashup technology. The framework separates the integration concerns from three perspectives including data, process and Web-based user interface. Each layer encapsulates the heterogeneous issues of one aspect. To facilitate the mapping and convergence of data, the ontology mechanism is introduced to provide consistent conceptual models across different databases and experiment platforms. To support user-interactive and iterative service orchestration, a context model is defined to capture information of users, tasks and services, which can be used for service selection and recommendation during a dynamic service composition process. A prototype system is implemented and cases studies are presented to illustrate the promising capabilities of the proposed approach.

  13. [Exploring a new mode of integrative medicine information service].

    PubMed

    Su, Da-Ming; Fan, Wei-Yu; Cui, Meng

    2012-06-01

    With the significant and continuous growth of the research and application of complementary and alternative medicine (CAM) all over the world, the demand for medical information services has been increasing correspondingly. However, the barriers of accessing and utilizing non-English literature, and the barrier of language have blocked English speaking clinicians and researchers of CAM from obtaining high quality and authoritative medical evidence from the non-English medical resources. This article, with introducing the UCLA Information Center for East-West Integrative Medicine, will demonstrate a new collaborative mode of integrative medicine information service between China and the US, and discuss the perceived challenges.

  14. From Biloxi to Cape Town: curricular integration of service learning.

    PubMed

    Richards, Elizabeth A Libby; Novak, Julie Cowan

    2010-01-01

    Team Reach Out started as a student-initiated service-learning project with the goal of providing on-going assistance to the victims of Hurricane Katrina. Four years after Hurricane Katrina, Team Reach Out refocused efforts to Cape Town, South Africa, where 4 senior nursing students and 1 science student integrated their leadership skills with the application of public health knowledge, compassion, and concern to work in partnership with several international health agencies. This article reviews the service-learning framework, course planning, and implementation of a recent service-learning project.

  15. From Biloxi to Cape Town: curricular integration of service learning.

    PubMed

    Richards, Elizabeth A Libby; Novak, Julie Cowan

    2010-01-01

    Team Reach Out started as a student-initiated service-learning project with the goal of providing on-going assistance to the victims of Hurricane Katrina. Four years after Hurricane Katrina, Team Reach Out refocused efforts to Cape Town, South Africa, where 4 senior nursing students and 1 science student integrated their leadership skills with the application of public health knowledge, compassion, and concern to work in partnership with several international health agencies. This article reviews the service-learning framework, course planning, and implementation of a recent service-learning project. PMID:20131136

  16. Heterogeneous Database Integration Middleware Based on Web Services

    NASA Astrophysics Data System (ADS)

    Wei, Xianmin

    With the company further accelerating the process of information, the heterogeneity problem of each business system database is more and more salient. How to effectively use these historical data, integration of legacy systems, become a hot spot of integration field. In this paper, how to effectively address heterogeneity of data distribution, to achieve customer access, while maintaining the autonomy of the local system for the objectives of heterogeneous database integration middleware based on Web Services solutions.Applications show that middleware solution has certain feasibility and practicality.

  17. Service-Learning Integrated throughout a College of Engineering (SLICE)

    ERIC Educational Resources Information Center

    Duffy, John; Barrington, Linda; West, Cheryl; Heredia, Manuel; Barry, Carol

    2011-01-01

    In the fall of 2004 a college began a program to integrate service-learning (S-L) projects into required engineering courses throughout the curriculum, so that students would be exposed to S-L in at least one course in each of eight semesters. The ultimate goal is to graduate better engineers and more engaged citizens and to improve communities,…

  18. Integrating Technology into Service Delivery (ITSD) Project: Final Report.

    ERIC Educational Resources Information Center

    Schoech, Dick; And Others

    The emerging field of assistive technology offers employment and independent living for people with disabilities. However, agency staff, people with disabilities, and their guardians often spend substantial time finding appropriate technological solutions. The integration of technology into the existing service system is needed to maximize scarce…

  19. Analyzing Morton's Typology of Service Paradigms and Integrity

    ERIC Educational Resources Information Center

    Bringle, Robert G.; Hatcher, Julie A.; McIntosh, Rachel E.

    2006-01-01

    Research on college students found limited support for Morton's (1995) hypothesis that students have a preference for one distinct type of service orientation (i.e., charity, project, social change). The findings did replicate previous findings that college students prefer the charity paradigm. A measure of integrity was developed and two…

  20. Integrated Early Years Services: A Thematic Literature Review

    ERIC Educational Resources Information Center

    Wong, Sandie; Sumsion, Jennifer

    2013-01-01

    This article reports on the findings of a thematic review of research literature about integrated early years services (IEYS) [1995-2012]. Four themes are discussed: broad support for IEYS; critiques of claims about IEYS; a focus on inter-professional practice; and the challenge of evaluating IEYS. The article concludes with reflections concerning…

  1. California Integrated Service Delivery Evaluation Report. Phase I

    ERIC Educational Resources Information Center

    Moore, Richard W.; Rossy, Gerard; Roberts, William; Chapman, Kenneth; Sanchez, Urte; Hanley, Chris

    2010-01-01

    This study is a formative evaluation of the OneStop Career Center Integrated Service Delivery (ISD) Model within the California Workforce System. The study was sponsored by the California Workforce Investment Board. The study completed four in-depth case studies of California OneStops to describe how they implemented the ISD model which brings…

  2. Multidisciplinary management--an opportunity for service integration.

    PubMed

    Cameron, M

    1997-01-01

    The management team of the future will enter an environment requiring facilitation, participation, clinical, and empowerment skills. Those individuals who possess a clinical orientation as well as business expertise will be sought to manage multidisciplinary units. The rapid changes in the health-care environment have forced organizations to restructure their operations. To achieve quality care, customer satisfaction, cost-effectiveness, and efficiency, service integration across the organization will be required. As we approach the 21st century, this standard will evolve until "all levels are managing patient care." Some of the restructuring trends occurring in the health-care industry have been collaboration service integration, management consolidation, and job elimination. The emphasis for the multidisciplinary manager of the future will include integrating the professional and clinical services, managing information, building community partnerships, promoting physician collaboration, and managing the change process. A model organization in the next century will move toward a people-oriented system with inclusion and empowerment initiatives. Service integration will affect all organizations, but the disciplines within the Clinical Support System will be the most affected. Future opportunities of leadership will exist for pathologists, nurses, or medical technologists as the professional silos of managers and clinicians continue to crumble. PMID:10175172

  3. Evaluation of the Integrated Services Pilot Program from Western Australia

    ERIC Educational Resources Information Center

    Hancock, Peter; Cooper, Trudi; Bahn, Susanne

    2009-01-01

    Independent evaluation of refugee-focused programs in developed nations is increasingly a mandatory requirement of funding bodies and government agencies. This paper presents an evaluation of the Integrated Services Centre (ISC) Pilot Project that was conducted in Australia in 2007 and early 2008. The purpose of the ISC program was to provide…

  4. Multidisciplinary management--an opportunity for service integration.

    PubMed

    Cameron, M

    1997-01-01

    The management team of the future will enter an environment requiring facilitation, participation, clinical, and empowerment skills. Those individuals who possess a clinical orientation as well as business expertise will be sought to manage multidisciplinary units. The rapid changes in the health-care environment have forced organizations to restructure their operations. To achieve quality care, customer satisfaction, cost-effectiveness, and efficiency, service integration across the organization will be required. As we approach the 21st century, this standard will evolve until "all levels are managing patient care." Some of the restructuring trends occurring in the health-care industry have been collaboration service integration, management consolidation, and job elimination. The emphasis for the multidisciplinary manager of the future will include integrating the professional and clinical services, managing information, building community partnerships, promoting physician collaboration, and managing the change process. A model organization in the next century will move toward a people-oriented system with inclusion and empowerment initiatives. Service integration will affect all organizations, but the disciplines within the Clinical Support System will be the most affected. Future opportunities of leadership will exist for pathologists, nurses, or medical technologists as the professional silos of managers and clinicians continue to crumble.

  5. A Service Portal for the Integrated SCaN Network

    NASA Technical Reports Server (NTRS)

    Marx, Sarah R.

    2012-01-01

    The Space Communication and Navigation (SCaN) program office owns the assets and services provided by the Deep Space Network (DSN), Near Earth Network (NEN), and Space Network (SN). At present, these individual networks are operated by different NASA centers--JPL for DSN--and Goddard Space Flight Center (GSFC) for NEN and SN--with separate commitments offices for each center. In the near future, SCaN's program office would like to deploy an integrated service portal which would merge the two commitments offices with the goal of easing the task of user planning for space missions requiring services of two or more of these networks. Following interviews with subject matter experts in this field, use cases were created to include the services and functionality mission users would like to see in this new integrated service portal. These use cases provide a guideline for a mock-up of the design of the user interface for the portal. The benefit of this work will ease the time required and streamline/standardize the process for planning and scheduling SCAN's services for future space missions.

  6. The politics of tuberculosis and HIV service integration in Ghana.

    PubMed

    Amo-Adjei, Joshua; Kumi-Kyereme, Akwasi; Fosuah Amo, Hannah; Awusabo-Asare, Kofi

    2014-09-01

    The need to integrate TB/HIV control programmes has become critical due to the comorbidity regarding these diseases and the need to optimise the use of resources. In developing countries such as Ghana, where public health interventions depend on donor funds, the integration of the two programmes has become more urgent. This paper explores stakeholders' views on the integration of TB/HIV control programmes in Ghana within the remits of contingency theory. With 31 purposively selected informants from four regions, semi-structured interviews and observations were conducted between March and May 2012, and the data collected were analysed using the inductive approach. The results showed both support for and opposition to integration, as well as some of the avoidable challenges inherent in combining TB/HIV control. While those who supported integration based their arguments on clinical synergies and the need to promote the efficient use of resources, those who opposed integration cited the potential increase in workload, the clinical complications associated with joint management, the potential for a leadership crisis, and the "smaller the better" propositions to support their stance. Although a policy on TB/HIV integration exists, inadequate 'political will' from the top management of both programmes has trickled down to lower levels, which has stifled progress towards the comprehensive management of TB/HIV and particularly leading to weak data collection and management structures and unsatisfactory administration of co-trimoxazole for co-infected patients. It is our view that the leadership of both programmes show an increased commitment to protocols involving the integration of TB/HIV, followed by a commitment to addressing the 'fears' of frontline service providers to encourage confidence in the process of service integration.

  7. The politics of tuberculosis and HIV service integration in Ghana.

    PubMed

    Amo-Adjei, Joshua; Kumi-Kyereme, Akwasi; Fosuah Amo, Hannah; Awusabo-Asare, Kofi

    2014-09-01

    The need to integrate TB/HIV control programmes has become critical due to the comorbidity regarding these diseases and the need to optimise the use of resources. In developing countries such as Ghana, where public health interventions depend on donor funds, the integration of the two programmes has become more urgent. This paper explores stakeholders' views on the integration of TB/HIV control programmes in Ghana within the remits of contingency theory. With 31 purposively selected informants from four regions, semi-structured interviews and observations were conducted between March and May 2012, and the data collected were analysed using the inductive approach. The results showed both support for and opposition to integration, as well as some of the avoidable challenges inherent in combining TB/HIV control. While those who supported integration based their arguments on clinical synergies and the need to promote the efficient use of resources, those who opposed integration cited the potential increase in workload, the clinical complications associated with joint management, the potential for a leadership crisis, and the "smaller the better" propositions to support their stance. Although a policy on TB/HIV integration exists, inadequate 'political will' from the top management of both programmes has trickled down to lower levels, which has stifled progress towards the comprehensive management of TB/HIV and particularly leading to weak data collection and management structures and unsatisfactory administration of co-trimoxazole for co-infected patients. It is our view that the leadership of both programmes show an increased commitment to protocols involving the integration of TB/HIV, followed by a commitment to addressing the 'fears' of frontline service providers to encourage confidence in the process of service integration. PMID:25042543

  8. Space Mission Operations Ground Systems Integration Customer Service

    NASA Technical Reports Server (NTRS)

    Roth, Karl

    2014-01-01

    , and cultural differences, to ensure an efficient response to customer issues using a small Customer Service Team (CST) and adaptability, constant communication with customers, technical expertise and knowledge of services, and dedication to customer service. The HOSC Customer Support Team has implemented a variety of processes, and procedures that help to mitigate the potential problems that arise when integrating ground system services for a variety of complex missions and the lessons learned from this experience will lead the future of customer service in the space operations industry.

  9. Satellite links in the integrated services digital network

    NASA Astrophysics Data System (ADS)

    Gatfield, A. G.

    The Integrated Services Digital Network (ISDN) is intended to be a worldwide, digitally implemented transmission network which will carry voice and all forms of data in a common format. The CCITT has recommended that the ISDN use plesiochronous interconnections between national digital networks. Satellite links are the key to this configuration since they presently provide the only world-wide network capable of realizing the necessary high-bit-rate paths.

  10. Moral learning in an integrated social and healthcare service network.

    PubMed

    Visse, Merel; Widdershoven, Guy A M; Abma, Tineke A

    2012-09-01

    The traditional organizational boundaries between healthcare, social work, police and other non-profit organizations are fading and being replaced by new relational patterns among a variety of disciplines. Professionals work from their own history, role, values and relationships. It is often unclear who is responsible for what because this new network structure requires rules and procedures to be re-interpreted and re-negotiated. A new moral climate needs to be developed, particularly in the early stages of integrated services. Who should do what, with whom and why? Departing from a relational and hermeneutic perspective, this article shows that professionals in integrated service networks embark upon a moral learning process when starting to work together for the client's benefit. In this context, instrumental ways of thinking about responsibilities are actually counterproductive. Instead, professionals need to find out who they are in relation to other professionals, what core values they share and what responsibilities derive from these aspects. This article demonstrates moral learning by examining the case of an integrated social service network. The network's development and implementation were supported by responsive evaluation, enriched by insights of care ethics and hermeneutic ethics.

  11. Satellite and terrestrial integrated services digital networks in Japan

    NASA Astrophysics Data System (ADS)

    Yamamoto, Heiichi; Kato, Shuzo

    1991-10-01

    Satellite and terrestrial Integrated Services Digital Networks (ISDN) to provide cost effective ISDN services and to enhance installation of ISDN services all over the nation are proposed. The proposed networks are based on the traffic sharing between satellite and terrestrial networks for traffic transmission among telephone offices and provide satellite subscriber lines for ISDN customers in rural areas. The former DYANET (dynamic channel assigning routing satellite aided digital networks) (1) takes the advantage of high transmission efficiency of terrestrial networks for steady traffic and the advantage of high transmission efficiency of satellite communications for light and dynamically varying traffic. By employing demand assignment and transponder hopping (for both transmission and reception) techniques, effective satellite transmission capacity is encreased to five to six times higher than that of preassignment systems. Moreover, earth station cost was significantly reduced by Large Scale Integrated Circuits (LSIC) and Monolithic Integrated Circuit (MIC) implementation and by the development of dual beam antennas. DYANET 1 has been in perfect operation employing 64 Time Division Multiple Access (TDMA) earth stations since 1988 and the latter (DYANET 2) will be put into commercial use from mid 1991.

  12. Implementing PEHR: Design and Integration of a Consent Creator Service.

    PubMed

    Weiss, Nicolas; Aguduri, Lakshmi S; Yüksekogul, Nilay; Schreiweis, Björn; Brandner, Antje; Bronsch, Tobias; Pensold, Peter; Stein, Katharina E; Bergh, Björn; Heinze, Oliver

    2016-01-01

    Giving the patient full control over his medical data electronically remains one of the most discussed topics in healthcare today. The INFOPAT project in the Rhine-Neckar region focuses on a personal cross-enterprise electronic health record (PEHR) in which the patient plays a major role. Thus, he should be provided with the possibility of granting access to his medical data which could be realized using a consent creator service. This paper presents a user interface concept for such a service as well as aspects for the technical implementation. In addition, a pattern for integrating the service into an existing IHE based infrastructure is shown. These concepts could be further adapted for improving patient empowerment in health care projects. PMID:27577364

  13. Implementing PEHR: Design and Integration of a Consent Creator Service.

    PubMed

    Weiss, Nicolas; Aguduri, Lakshmi S; Yüksekogul, Nilay; Schreiweis, Björn; Brandner, Antje; Bronsch, Tobias; Pensold, Peter; Stein, Katharina E; Bergh, Björn; Heinze, Oliver

    2016-01-01

    Giving the patient full control over his medical data electronically remains one of the most discussed topics in healthcare today. The INFOPAT project in the Rhine-Neckar region focuses on a personal cross-enterprise electronic health record (PEHR) in which the patient plays a major role. Thus, he should be provided with the possibility of granting access to his medical data which could be realized using a consent creator service. This paper presents a user interface concept for such a service as well as aspects for the technical implementation. In addition, a pattern for integrating the service into an existing IHE based infrastructure is shown. These concepts could be further adapted for improving patient empowerment in health care projects.

  14. Service Integration in Colorado: Connecting Programs To Provide Better Services in Mesa and El Paso Counties.

    ERIC Educational Resources Information Center

    Ragan, Mark

    Efforts to integrate the delivery of human service programs (HSP) in Colorado's El Paso County and Mesa County were examined through site visits and meetings with 34 members of HSP staff in both counties. The site visits confirmed that staff and management of HSP in both counties have implemented a series of client-centered processes to provide…

  15. Collaboration and Integration of Services in Greek Special Schools: Two Different Models of Delivering School Services

    ERIC Educational Resources Information Center

    Strogilos, Vasilis; Lacey, Penny; Xanthacou, Yota; Kaila, Maria

    2011-01-01

    Multidisciplinary collaboration is considered to be very important for the education of pupils with special educational needs and particularly those pupils with the most severe disabilities. This research adopts a multiple case-study design in order to understand collaboration and the integration of services and the effectiveness of these among…

  16. Hydra: a service oriented architecture for scientific simulation integration

    SciTech Connect

    Bent, Russell; Djidjev, Tatiana; Hayes, Birch P; Holland, Joe V; Khalsa, Hari S; Linger, Steve P; Mathis, Mark M; Mniszewski, Sue M; Bush, Brian

    2008-01-01

    One of the current major challenges in scientific modeling and simulation, in particular in the infrastructure-analysis community, is the development of techniques for efficiently and automatically coupling disparate tools that exist in separate locations on different platforms, implemented in a variety of languages and designed to be standalone. Recent advances in web-based platforms for integrating systems such as SOA provide an opportunity to address these challenges in a systematic fashion. This paper describes Hydra, an integrating architecture for infrastructure modeling and simulation that defines geography-based schemas that, when used to wrap existing tools as web services, allow for seamless plug-and-play composability. Existing users of these tools can enhance the value of their analysis by assessing how the simulations of one tool impact the behavior of another tool and can automate existing ad hoc processes and work flows for integrating tools together.

  17. Integrated services to the home and small business over a service-independent HFC network

    NASA Astrophysics Data System (ADS)

    Counterman, Raymond

    1995-11-01

    This paper proposes three different approaches to providing integrated digital services to small businesses and residential customers over modern hybrid fiber and coaxial (HFC) access networks. The target delivery system is one that is flexible and forms a multiservice, service- independent platform capable of providing a wide range of services (voice, video, data, and multimedia). The merits and limitations of the three approaches are explored. In the first approach, the common facilities of an HFC access network may be shared by the frequency partitioning of the coaxial plant's radio frequency spectrum. video, data, and telephony services each use different portions of this spectrum -- a service-dependent network. In the second approach, asynchronous transfer mode (ATM) transmission is used as the information delivery vehicle all the way to the home or small business, creating a more flexible delivery system. The ATM-based architecture is expected to support any service or service mix -- a service-independent network. In the third approach, a common transport protocol composed of both asynchronous and synchronous transfer modes (ATM/STM) is used. Such an approach could (1) provide a common interface between home/small business premises equipment and both the circuit and ATM switching networks; (2) meet a wide range of delay and throughput requirements; and (3) allow for many network migration scenarios.

  18. Integrated modelling of ecosystem services and energy systems research

    NASA Astrophysics Data System (ADS)

    Agarwala, Matthew; Lovett, Andrew; Bateman, Ian; Day, Brett; Agnolucci, Paolo; Ziv, Guy

    2016-04-01

    The UK Government is formally committed to reducing carbon emissions and protecting and improving natural capital and the environment. However, actually delivering on these objectives requires an integrated approach to addressing two parallel challenges: de-carbonising future energy system pathways; and safeguarding natural capital to ensure the continued flow of ecosystem services. Although both emphasise benefiting from natural resources, efforts to connect natural capital and energy systems research have been limited, meaning opportunities to improve management of natural resources and meet society's energy needs could be missed. The ecosystem services paradigm provides a consistent conceptual framework that applies in multiple disciplines across the natural and economic sciences, and facilitates collaboration between them. At the forefront of the field, integrated ecosystem service - economy models have guided public- and private-sector decision making at all levels. Models vary in sophistication from simple spreadsheet tools to complex software packages integrating biophysical, GIS and economic models and draw upon many fields, including ecology, hydrology, geography, systems theory, economics and the social sciences. They also differ in their ability to value changes in natural capital and ecosystem services at various spatial and temporal scales. Despite these differences, current models share a common feature: their treatment of energy systems is superficial at best. In contrast, energy systems research has no widely adopted, unifying conceptual framework that organises thinking about key system components and interactions. Instead, the literature is organised around modelling approaches, including life cycle analyses, econometric investigations, linear programming and computable general equilibrium models. However, some consistencies do emerge. First, often contain a linear set of steps, from exploration to resource supply, fuel processing, conversion

  19. Integration of High-Performance Computing into Cloud Computing Services

    NASA Astrophysics Data System (ADS)

    Vouk, Mladen A.; Sills, Eric; Dreher, Patrick

    High-Performance Computing (HPC) projects span a spectrum of computer hardware implementations ranging from peta-flop supercomputers, high-end tera-flop facilities running a variety of operating systems and applications, to mid-range and smaller computational clusters used for HPC application development, pilot runs and prototype staging clusters. What they all have in common is that they operate as a stand-alone system rather than a scalable and shared user re-configurable resource. The advent of cloud computing has changed the traditional HPC implementation. In this article, we will discuss a very successful production-level architecture and policy framework for supporting HPC services within a more general cloud computing infrastructure. This integrated environment, called Virtual Computing Lab (VCL), has been operating at NC State since fall 2004. Nearly 8,500,000 HPC CPU-Hrs were delivered by this environment to NC State faculty and students during 2009. In addition, we present and discuss operational data that show that integration of HPC and non-HPC (or general VCL) services in a cloud can substantially reduce the cost of delivering cloud services (down to cents per CPU hour).

  20. IRLT: Integrating Reputation and Local Trust for Trustworthy Service Recommendation in Service-Oriented Social Networks.

    PubMed

    Liu, Zhiquan; Ma, Jianfeng; Jiang, Zhongyuan; Miao, Yinbin; Gao, Cong

    2016-01-01

    With the prevalence of Social Networks (SNs) and services, plenty of trust models for Trustworthy Service Recommendation (TSR) in Service-oriented SNs (S-SNs) have been proposed. The reputation-based schemes usually do not contain user preferences and are vulnerable to unfair rating attacks. Meanwhile, the local trust-based schemes generally have low reliability or even fail to work when the trust path is too long or does not exist. Thus it is beneficial to integrate them for TSR in S-SNs. This work improves the state-of-the-art Combining Global and Local Trust (CGLT) scheme and proposes a novel Integrating Reputation and Local Trust (IRLT) model which mainly includes four modules, namely Service Recommendation Interface (SRI) module, Local Trust-based Trust Evaluation (LTTE) module, Reputation-based Trust Evaluation (RTE) module and Aggregation Trust Evaluation (ATE) module. Besides, a synthetic S-SN based on the famous Advogato dataset is deployed and the well-known Discount Cumulative Gain (DCG) metric is employed to measure the service recommendation performance of our IRLT model with comparing to that of the excellent CGLT model. The results illustrate that our IRLT model is slightly superior to the CGLT model in honest environment and significantly outperforms the CGLT model in terms of the robustness against unfair rating attacks.

  1. IRLT: Integrating Reputation and Local Trust for Trustworthy Service Recommendation in Service-Oriented Social Networks.

    PubMed

    Liu, Zhiquan; Ma, Jianfeng; Jiang, Zhongyuan; Miao, Yinbin; Gao, Cong

    2016-01-01

    With the prevalence of Social Networks (SNs) and services, plenty of trust models for Trustworthy Service Recommendation (TSR) in Service-oriented SNs (S-SNs) have been proposed. The reputation-based schemes usually do not contain user preferences and are vulnerable to unfair rating attacks. Meanwhile, the local trust-based schemes generally have low reliability or even fail to work when the trust path is too long or does not exist. Thus it is beneficial to integrate them for TSR in S-SNs. This work improves the state-of-the-art Combining Global and Local Trust (CGLT) scheme and proposes a novel Integrating Reputation and Local Trust (IRLT) model which mainly includes four modules, namely Service Recommendation Interface (SRI) module, Local Trust-based Trust Evaluation (LTTE) module, Reputation-based Trust Evaluation (RTE) module and Aggregation Trust Evaluation (ATE) module. Besides, a synthetic S-SN based on the famous Advogato dataset is deployed and the well-known Discount Cumulative Gain (DCG) metric is employed to measure the service recommendation performance of our IRLT model with comparing to that of the excellent CGLT model. The results illustrate that our IRLT model is slightly superior to the CGLT model in honest environment and significantly outperforms the CGLT model in terms of the robustness against unfair rating attacks. PMID:26963089

  2. IRLT: Integrating Reputation and Local Trust for Trustworthy Service Recommendation in Service-Oriented Social Networks

    PubMed Central

    Liu, Zhiquan; Ma, Jianfeng; Jiang, Zhongyuan; Miao, Yinbin; Gao, Cong

    2016-01-01

    With the prevalence of Social Networks (SNs) and services, plenty of trust models for Trustworthy Service Recommendation (TSR) in Service-oriented SNs (S-SNs) have been proposed. The reputation-based schemes usually do not contain user preferences and are vulnerable to unfair rating attacks. Meanwhile, the local trust-based schemes generally have low reliability or even fail to work when the trust path is too long or does not exist. Thus it is beneficial to integrate them for TSR in S-SNs. This work improves the state-of-the-art Combining Global and Local Trust (CGLT) scheme and proposes a novel Integrating Reputation and Local Trust (IRLT) model which mainly includes four modules, namely Service Recommendation Interface (SRI) module, Local Trust-based Trust Evaluation (LTTE) module, Reputation-based Trust Evaluation (RTE) module and Aggregation Trust Evaluation (ATE) module. Besides, a synthetic S-SN based on the famous Advogato dataset is deployed and the well-known Discount Cumulative Gain (DCG) metric is employed to measure the service recommendation performance of our IRLT model with comparing to that of the excellent CGLT model. The results illustrate that our IRLT model is slightly superior to the CGLT model in honest environment and significantly outperforms the CGLT model in terms of the robustness against unfair rating attacks. PMID:26963089

  3. A service platform architecture design towards a light integration of heterogeneous systems in the wellbeing domain.

    PubMed

    Yang, Yaojin; Ahtinen, Aino; Lahteenmaki, Jaakko; Nyman, Petri; Paajanen, Henrik; Peltoniemi, Teijo; Quiroz, Carlos

    2007-01-01

    System integration is one of the major challenges for building wellbeing or healthcare related information systems. In this paper, we are going to share our experiences on how to design a service platform called Nuadu service platform, for providing integrated services in occupational health promotion and health risk management through two heterogeneous systems. Our design aims for a light integration covering the layers, from data through service up to presentation, while maintaining the integrity of the underlying systems.

  4. Integrating Grid Services into the Cray XT4 Environment

    SciTech Connect

    NERSC; Cholia, Shreyas; Lin, Hwa-Chun Wendy

    2009-05-01

    The 38640 core Cray XT4"Franklin" system at the National Energy Research Scientific Computing Center (NERSC) is a massively parallel resource available to Department of Energy researchers that also provides on-demand grid computing to the Open Science Grid. The integration of grid services on Franklin presented various challenges, including fundamental differences between the interactive and compute nodes, a stripped down compute-node operating system without dynamic library support, a shared-root environment and idiosyncratic application launching. Inour work, we describe how we resolved these challenges on a running, general-purpose production system to provide on-demand compute, storage, accounting and monitoring services through generic grid interfaces that mask the underlying system-specific details for the end user.

  5. Innovation in Evaluating the Impact of Integrated Service-Delivery: The Integra Indexes of HIV and Reproductive Health Integration

    PubMed Central

    Mayhew, Susannah H.; Ploubidis, George B.; Sloggett, Andy; Church, Kathryn; Obure, Carol D.; Birdthistle, Isolde; Sweeney, Sedona; Warren, Charlotte E.; Watts, Charlotte; Vassall, Anna

    2016-01-01

    Background The body of knowledge on evaluating complex interventions for integrated healthcare lacks both common definitions of ‘integrated service delivery’ and standard measures of impact. Using multiple data sources in combination with statistical modelling the aim of this study is to develop a measure of HIV-reproductive health (HIV-RH) service integration that can be used to assess the degree of service integration, and the degree to which integration may have health benefits to clients, or reduce service costs. Methods and Findings Data were drawn from the Integra Initiative’s client flow (8,263 clients in Swaziland and 25,539 in Kenya) and costing tools implemented between 2008–2012 in 40 clinics providing RH services in Kenya and Swaziland. We used latent variable measurement models to derive dimensions of HIV-RH integration using these data, which quantified the extent and type of integration between HIV and RH services in Kenya and Swaziland. The modelling produced two clear and uncorrelated dimensions of integration at facility level leading to the development of two sub-indexes: a Structural Integration Index (integrated physical and human resource infrastructure) and a Functional Integration Index (integrated delivery of services to clients). The findings highlight the importance of multi-dimensional assessments of integration, suggesting that structural integration is not sufficient to achieve the integrated delivery of care to clients—i.e. “functional integration”. Conclusions These Indexes are an important methodological contribution for evaluating complex multi-service interventions. They help address the need to broaden traditional evaluations of integrated HIV-RH care through the incorporation of a functional integration measure, to avoid misleading conclusions on its ‘impact’ on health outcomes. This is particularly important for decision-makers seeking to promote integration in resource constrained environments. PMID:26800517

  6. Reactive services for supporting tool integration in a development environment

    SciTech Connect

    Amouroux, R.

    1995-12-31

    This paper proposes and discusses an approach to build cooperative tool environments in a flexible and incremental way. The approach is based on a storage system that provides powerful services to manage data sharing and cooperation between the tools. The storage system provides an object model to describe {open_quotes}resources{close_quotes} (objects of any nature manipulated by the different tools) augmented with the capability of reacting to various kinds of events. The paper shows how these reactions can be used to easily and effectively implement cooperation among the tools as well as to flexibly integrate new tools as the environment evolves.

  7. Adaptive Transmission Control Method for Communication-Broadcasting Integrated Services

    NASA Astrophysics Data System (ADS)

    Koto, Hideyuki; Furuya, Hiroki; Nakamura, Hajime

    This paper proposes an adaptive transmission control method for massive and intensive telecommunication traffic generated by communication-broadcasting integrated services. The proposed method adaptively controls data transmissions from viewers depending on the congestion states, so that severe congestion can be effectively avoided. Furthermore, it utilizes the broadcasting channel which is not only scalable, but also reliable for controlling the responses from vast numbers of viewers. The performance of the proposed method is evaluated through experiments on a test bed where approximately one million viewers are emulated. The obtained results quantitatively demonstrate the performance of the proposed method and its effectiveness under massive and intensive traffic conditions.

  8. Integrating Human and Ecosystem Health Through Ecosystem Services Frameworks.

    PubMed

    Ford, Adriana E S; Graham, Hilary; White, Piran C L

    2015-12-01

    The pace and scale of environmental change is undermining the conditions for human health. Yet the environment and human health remain poorly integrated within research, policy and practice. The ecosystem services (ES) approach provides a way of promoting integration via the frameworks used to represent relationships between environment and society in simple visual forms. To assess this potential, we undertook a scoping review of ES frameworks and assessed how each represented seven key dimensions, including ecosystem and human health. Of the 84 ES frameworks identified, the majority did not include human health (62%) or include feedback mechanisms between ecosystems and human health (75%). While ecosystem drivers of human health are included in some ES frameworks, more comprehensive frameworks are required to drive forward research and policy on environmental change and human health.

  9. Need for integration of gender equity in family planning services.

    PubMed

    Garg, Suneela; Singh, Ritesh

    2014-11-01

    The family planning programme of India has shown many significant changes since its inception five decades back. The programme has made the contraceptives easily accessible and affordable to the people. Devices with very low failure rate are provided free of cost to those who need it. Despite these significant improvements in service delivery related to family planning the programme cannot be said to achieve success at all levels. There are many issues with the family planning services available through the public health facilities in India. Failure to adopt the latest technology is one of these. But the most serious drawback of the programme is that it has never been able to bridge the gap between the two genders related to contraceptives. The programme gave emphasis to women-centric contraceptive and thus women were seen as their clients. The choice to adopt a contraceptive though is 'cafeteria approach' in family planning lexicon; it is the choice of the husband that is ultimately practiced. There is not enough dialogue between husband and wife and husband and health worker to discuss the use of one contraceptive over another. The male gender needs to be taken in confidence while promoting the family planning practice. The integration of gender equity is to be done carefully so as not to make dominant gender more powerful. Only when there is equity between genders while using family planning services the programme will achieve success. PMID:25673536

  10. Academic-Service Partnerships in Nursing: An Integrative Review

    PubMed Central

    Beal, Judy A.

    2012-01-01

    This integrative review summarizes currently available evidence on academic-service partnerships in the profession of nursing. More than 300 articles, published primarily in refereed journals, were accessed. Articles (110) were included in this review as they presented detailed and substantive information about any aspect of a nursing academic-service partnership. The majority were anecdotal in nature. Topics clustered around the following categories: pre-requisites for successful partnerships, benefits of partnerships, types of partnerships, and workforce development with its themes of academic-practice progression and educational re-design. Many examples of partnerships between academic and service settings were thoroughly described and best practices suggested, most often, however, without formal evaluation of outcomes. Nursing leaders in both settings have a long tradition of partnering with very little replicable evidence to support their efforts. It is critical that future initiatives evaluate the effectiveness of these partnerships, not only to ensure quality of patient outcomes but also to maximize efforts at building capacity for tomorrow's workforce. PMID:22548160

  11. Integrating service user participation in mental health care: what will it take?

    PubMed Central

    Lawn, Sharon

    2015-01-01

    Participation in mental health care poses many challenges for mental health service users and service providers. Consideration of these issues for improving the integration of service user participation in mental health care can help to inform integrated care within health care systems, broadly. This paper argues for practicing greater empathy and teaching it, stigma reduction, changing what we measure, valuing the intrinsic aspects of care more, employing more people with lived experience within mental health services, raising the visibility of service users as leaders and our teachers within services and redefining integrated care from the service user perspective. PMID:25759608

  12. The myth of patient centrality in integrated care: the case of back pain services

    PubMed Central

    Louise Howarth, Michelle; Haigh, Carol

    2007-01-01

    Purpose The purpose of this paper is to critically examine the extent of patient centrality within integrated chronic back pain management services and compare policy rhetoric with practice reality. Context Integrated chronic back pain management services. Data sources We have drawn on theories of integration and context specific journals related to integration and pain management between 1966 and 2006 to identify evidence of patient centrality within integrated chronic pain management services. Discussions Despite policy rhetoric and guidelines which promote ‘patient centrality’ within multidisciplinary services, we argue that evaluations of these services are scant. Many papers have focussed on the assessment of pain in multidisciplinary services as opposed to the patients' experience of these services. Conclusions A latent measure of the reality of its magnitude needs to be captured through analysis of the patient's perspectives. Capturing patients' thoughts about integrated services will promote patient centrality and support the reality rather than endorse the rhetoric. PMID:17786176

  13. The EPOS Architecture: Integrated Services for solid Earth Science

    NASA Astrophysics Data System (ADS)

    Cocco, Massimo; Consortium, Epos

    2013-04-01

    The European Plate Observing System (EPOS) represents a scientific vision and an IT approach in which innovative multidisciplinary research is made possible for a better understanding of the physical processes controlling earthquakes, volcanic eruptions, unrest episodes and tsunamis as well as those driving tectonics and Earth surface dynamics. EPOS has a long-term plan to facilitate integrated use of data, models and facilities from existing (but also new) distributed research infrastructures, for solid Earth science. One primary purpose of EPOS is to take full advantage of the new e-science opportunities coming available. The aim is to obtain an efficient and comprehensive multidisciplinary research platform for the Earth sciences in Europe. The EPOS preparatory phase (EPOS PP), funded by the European Commission within the Capacities program, started on November 1st 2010 and it has completed its first two years of activity. EPOS is presently mid-way through its preparatory phase and to date it has achieved all the objectives, milestones and deliverables planned in its roadmap towards construction. The EPOS mission is to integrate the existing research infrastructures (RIs) in solid Earth science warranting increased accessibility and usability of multidisciplinary data from monitoring networks, laboratory experiments and computational simulations. This is expected to enhance worldwide interoperability in the Earth Sciences and establish a leading, integrated European infrastructure offering services to researchers and other stakeholders. The Preparatory Phase aims at leveraging the project to the level of maturity required to implement the EPOS construction phase, with a defined legal structure, detailed technical planning and financial plan. We will present the EPOS architecture, which relies on the integration of the main outcomes from legal, governance and financial work following the strategic EPOS roadmap and according to the technical work done during the

  14. Generalized access control strategies for integrated services token passing systems

    NASA Astrophysics Data System (ADS)

    Pang, Joseph W. M.; Tobagi, Fouad A.; Boyd, Stephen

    1994-08-01

    The demand for integrated services local area networks is increasing at a rapid pace with the advent of many new and exciting applications: office and factory automation, distributed computing, and multimedia communications. To support these new applications, it is imperative to integrate traffic with diverse statistical characteristics and differing delay requirements on the same network. An attractive approach for integrating traffic has been adopted in two token passing local area network standards, the IEEE 802.4 token bus standard and FDDI. The idea is to control the transmissions of each station based on a distributed timing algorithm, so as to achieve the following goals: (1) to limit the token cycles so that time-critical traffic can be accommodated, and (2) to allocate pre-specified bandwidths to different stations when the network is overloaded. We have investigated the analysis and design of this protocol. In this paper, we generalize the transmission control algorithm used previously. The major advantages of the generalization over the original protocol are: (1) it provides a much expanded design space, (2) it guarantees convergent behavior, and (3) it gives meaningful insights into the dynamics of the basic control algorithm.

  15. Development of an Integrated Subspecialist Multidisciplinary Neuro-oncology Service.

    PubMed

    Price, Stephen J; Guilfoyle, Mathew; J Jefferies, Sarah; Harris, Fiona; Oberg, Ingela; G Burnet, Neil; Santarius, Thomas; Watts, Colin

    2013-01-01

    Traditionally, the poor outcome for patients with malignant brain tumours led to therapeutic nihilism. In turn, this resulted in lack of interest in neurosurgical oncology subspecialisation, and less than ideal patient pathways. One problem of concern was the low rate of tumour resection. Between 1997 and 2006, 685 treated glioblastomas were identified. In the first four years only 40% of patients underwent tumour resection, rising to 55% in the last four years. Before revision of the pathway, the median length of hospital stay was 8 days, and 35% of patients received the results of their histology outside of a clinic setting. A pathway of care was established, in which all patients were discussed pre-operatively in an MDT meeting and then directed into a new surgical neuro-oncology clinic providing first point of contact. This limited the number of surgeons operating on adult glioma patients and aided recruitment into research studies. Now, three consultant neurosurgeons run this service, easily fulfilling IOG requirement to spend >50% of programmed activities in neuro-oncology. Nursing support has been critical to provide an integrated service. This model has allowed increased recruitment to clinical trials. The introduction of this service led to an increase in patients discussed pre-operatively in an MDT (66% rising to 87%; P=0.027), an increase in the rate of surgical resection (from 40% to 80%) and more patients being admitted electively (from 25% to 80%; P<0.001). There was a reduction in the median length of stay (8 days reduced to 4.5 days; P<0.001). For the cohort of GBM patients that went on to have chemoradiotherapy we improved median survival to 18 months, with 35% of patients alive at two years, comparable to international outcomes. Implementing a specialist neurosurgical oncology service begins with understanding the patient care pathway. Our patients have benefitted from the culture of subspecialisation and the excellent inter-disciplinary working

  16. A mapping of the evidence on integrated long term condition services.

    PubMed

    Wilson, Patricia; Bunn, Frances; Morgan, Janice

    2009-05-01

    Policies in long term conditions care continue to develop rapidly in England. Currently there is a focus on the integration of services and enabling patient and carer choice. Integration of care across disciplines and services is complex and community nursing services are commonly central to reorganization processes in long term condition care. This paper presents the findings of a mapping of the evidence on integration in long term condition services. Literature on horizontal integration including integrated teams will first be discussed, followed by an exploration of the evidence on vertical integration exemplified by integrated care pathways and disease management programmes. As a relatively recent service innovation, the mapping found a lack of evidence of the effectiveness of integration in long term conditions. Furthermore, the paper highlights the potential tension between vertical integration structures such as care pathways and the patient choice and empowerment agenda in long term conditions.

  17. Immunization coverage in India for areas served by the Integrated Child Development Services programme. The Integrated Child Development Services Consultants.

    PubMed Central

    Tandon, B. N.; Gandhi, N.

    1992-01-01

    The Integrated Child Development Services (ICDS) programme was launched by the Indian government in October 1975 to provide a package of health, nutrition and informal educational services to mothers and children. In 1988 we studied the impact of ICDS on the immunization coverage of children aged 12-24 months and of mothers of infants in 19 rural, 8 tribal, and 9 urban ICDS projects that had been operational for more than 5 years. Complete coverage with BCG, diphtheria-pertussis-tetanus (DPT) and poliomyelitis vaccines was recorded for 65%, 63%, and 64% of children, respectively, in the ICDS population. By comparison, the coverage in the non-ICDS group was only 22% for BCG, 28% for DPT, and 27% for poliomyelitis. Complete immunization with tetanus toxoid was recorded for 68% of the mothers in the ICDS group and for 40% in the non-ICDS group. Coverage was greater in the urban and lower in the tribal projects. Scheduled castes, scheduled tribes, backward communities, and minorities (groups that have a high priority for social services) had immunization coverages in ICDS projects that were similar to those of higher castes. PMID:1394779

  18. Elementary Education Pre-Service Teachers' Development of Mathematics Technology Integration Skills in a Technology Integration Course

    ERIC Educational Resources Information Center

    Polly, Drew

    2015-01-01

    Preparing pre-service teachers to effectively integrate technology in the classroom requires rich experiences that deepen their knowledge of technology, pedagogy, and content and the intersection of these aspects. This study examined elementary education pre-service teachers' development of skills and knowledge in a technology integration course…

  19. Building thematic and integrated services for solid Earth sciences: the EPOS integrated approach

    NASA Astrophysics Data System (ADS)

    Cocco, Massimo; Consortium, Epos

    2016-04-01

    EPOS has been designed with the vision of creating a pan-European infrastructure for solid Earth science to support a safe and sustainable society. In accordance with this scientific vision, the EPOS mission is to integrate the diverse and advanced European Research Infrastructures for solid Earth science relying on new e-science opportunities to monitor and unravel the dynamic and complex Earth System. EPOS will enable innovative multidisciplinary research for a better understanding of the Earth's physical and chemical processes that control earthquakes, volcanic eruptions, ground instability and tsunami as well as the processes driving tectonics and Earth's surface dynamics. To accomplish its mission, EPOS is engaging different stakeholders, not limited to scientists, to allow the Earth sciences to open new horizons in our understanding of the planet. EPOS also aims at contributing to prepare society for geo-hazards and to responsibly manage the exploitation of geo-resources. Through integration of data, models and facilities, EPOS will allow the Earth science community to make a step change in developing new concepts and tools for key answers to scientific and socio-economic questions concerning geo-hazards and geo-resources as well as Earth sciences applications to the environment and human welfare. A long-term integration plan is necessary to accomplish the EPOS mission. EPOS is presently in its implementation phase further extending its pan-European dimension. The EPOS Implementation Phase builds on the achievements of the successful EPOS Preparatory Phase project and consists of two key activities: the legal establishment of the EPOS-ERIC and the EPOS IP project. The EPOS implementation phase will last from 2015 to 2019. Key objectives of the project are: implementing Thematic Core Services (TCS), the domain-specific service hubs for coordinating and harmonizing national resources/plans with the European dimension of EPOS; building the Integrated Core

  20. Design of a long service life integration CES

    NASA Astrophysics Data System (ADS)

    Tu, Zhijun; Deng, Loulou; Mei, Zhiwu; Hu, Xinchao

    2015-10-01

    In order to satisfy the reliability demand of the long-life satellite, and solve the weak link, we design an kind of the long service life integration CES (LFICES). In order to solve the problem from the late resistance increased product life, we perform the high torque motor technology research. Then we performed the accelerated life test of the rotating device. In the accelerated life test, we simulated operation of eight years, and the test results showed that the rotating device meet the design requirements of eight years. In this paper, we gives the design scheme of the LFICES. The telemetering data of the 26th remote sensing satellite in-orbit flight shows that the LFICES can stably work.

  1. Integrated telemedicine applications and services for oncological positron emission tomography.

    PubMed

    Kontaxakis, George; Visvikis, Dimitris; Ohl, Roland; Sachpazidis, Ilias; Suarez, Juan Pablo; Selby, Peter; Cheze-Le Rest, Catherine; Santos, Andres; Ortega, Fernando; Diaz, Javier; Pan, Leyun; Strauss, Ludwig; Dimitrakopoulou-Strauss, Antonia; Sakas, Georgios; Pozo, Miguel Angel

    2006-01-01

    TENPET (Trans European Network for Positron Emission Tomography) aims to evaluate the provision of integrated teleconsultation and intelligent computer supported cooperative work services for clinical positron emission tomography (PET) in Europe at its current stage, as it is a multi-centre project financially supported by the European Commission (Information Society, eTEN Program). It addresses technological challenges by linking PET centres and developing supporting services that permit remote consultation between professionals in the field. The technological platform (CE-marked) runs on Win2000/NT/XP systems and incorporates advanced techniques for image visualization, analysis and fusion, as well as for interactive communication and message handling for off-line communications. Four PET Centres from Spain, France and Germany participate to the pilot system trials. The performance evaluation of the system is carried out via log files and user-filled questionnaires on the frequency of the teleconsultations, their duration and efficacy, quality of the images received, user satisfaction, as well as on privacy, ethical and security issues. TENPET promotes the co-operation and improved communication between PET practitioners that are miles away from their peers or on mobile units, offering options for second opinion and training and permitting physicians to remotely consult patient data if they are away from their centre. It is expected that TENPET will have a significant impact in the development of new skills by PET professionals and will support the establishment of peripheral PET units. To our knowledge, TENPET is the first telemedicine service specifically designed for oncological PET. This report presents the technical innovations incorporated in the TENPET platform and the initial pilot studies at real and diverse clinical environments in the field of oncology.

  2. Evaluation of the Integrated Services Pilot Program from Western Australia.

    PubMed

    Hancock, Peter; Cooper, Trudi; Bahn, Susanne

    2009-08-01

    Independent evaluation of refugee-focused programs in developed nations is increasingly a mandatory requirement of funding bodies and government agencies. This paper presents an evaluation of the Integrated Services Centre (ISC) Pilot Project that was conducted in Australia in 2007 and early 2008. The purpose of the ISC program was to provide integrated support to humanitarian refugees in settlement, physical health, mental health and employment. The Pilot Project was based in two primary schools in Perth, Western Australia. The evaluation utilized a flexible qualitative 'engaged' methodology and included interviews, focus groups and telephone interviews with the key stakeholders, project staff and a small number of refugee families. The strength of the qualitative methodology (including data that is narrative rich) is that it highlights issues as perceived by each stakeholder and provides insights into the daily work by ISC staff that helped to uncover unintended outcomes. Despite the fact that the ISC evaluation was supposed to be a 'before and after' design, the researchers acknowledge a common weakness in many evaluations (including the ISC) that when baseline data is required, evaluators are recruited after the project has begun. This issue is discussed in the paper. It is critical that independent evaluators are able to begin collecting baseline data as soon as programs are launched, if not before. PMID:19167072

  3. Sustainable Watersheds: Integrating Ecosystem Services and Public Health

    PubMed Central

    Jordan, Stephen J; Benson, William H

    2015-01-01

    Sustainable management of aquatic ecosystems is a worldwide priority; the integrity of these systems depends, in turn, on the integrity of the watersheds (catchments) in which they are embedded. In this article, we present the concepts, background, and scientific foundations for assessing, both nationally and at finer scales, the relationships between ecosystem services, human health, and socioeconomic values in the context of water quality, water quantity, landscapes, the condition of watersheds, and the connectivity of waters, from headwaters to estuaries and the coastal ocean. These assessments will be a foundation for what we have termed “watershed epidemiology,” through which the connections between ecosystems and human health can be explored over broad spatial and temporal scales. Understanding and communicating these relationships should lead to greater awareness of the roles watersheds play in human well-being, and hence to better management and stewardship of water resources. The U.S. Environmental Protection Agency is developing the research, models, and planning tools to support operational national assessments of watershed sustainability, building upon ongoing assessments of aquatic resources in streams, rivers, lakes, wetlands and estuaries. PMID:25987844

  4. Sustainable watersheds: integrating ecosystem services and public health.

    PubMed

    Jordan, Stephen J; Benson, William H

    2015-01-01

    Sustainable management of aquatic ecosystems is a worldwide priority; the integrity of these systems depends, in turn, on the integrity of the watersheds (catchments) in which they are embedded. In this article, we present the concepts, background, and scientific foundations for assessing, both nationally and at finer scales, the relationships between ecosystem services, human health, and socioeconomic values in the context of water quality, water quantity, landscapes, the condition of watersheds, and the connectivity of waters, from headwaters to estuaries and the coastal ocean. These assessments will be a foundation for what we have termed "watershed epidemiology," through which the connections between ecosystems and human health can be explored over broad spatial and temporal scales. Understanding and communicating these relationships should lead to greater awareness of the roles watersheds play in human well-being, and hence to better management and stewardship of water resources. The U.S. Environmental Protection Agency is developing the research, models, and planning tools to support operational national assessments of watershed sustainability, building upon ongoing assessments of aquatic resources in streams, rivers, lakes, wetlands and estuaries. PMID:25987844

  5. Sustainable watersheds: integrating ecosystem services and public health.

    PubMed

    Jordan, Stephen J; Benson, William H

    2015-01-01

    Sustainable management of aquatic ecosystems is a worldwide priority; the integrity of these systems depends, in turn, on the integrity of the watersheds (catchments) in which they are embedded. In this article, we present the concepts, background, and scientific foundations for assessing, both nationally and at finer scales, the relationships between ecosystem services, human health, and socioeconomic values in the context of water quality, water quantity, landscapes, the condition of watersheds, and the connectivity of waters, from headwaters to estuaries and the coastal ocean. These assessments will be a foundation for what we have termed "watershed epidemiology," through which the connections between ecosystems and human health can be explored over broad spatial and temporal scales. Understanding and communicating these relationships should lead to greater awareness of the roles watersheds play in human well-being, and hence to better management and stewardship of water resources. The U.S. Environmental Protection Agency is developing the research, models, and planning tools to support operational national assessments of watershed sustainability, building upon ongoing assessments of aquatic resources in streams, rivers, lakes, wetlands and estuaries.

  6. Collaborative Inquiry: Building Pre-Service Teachers' Capacity for ICT Pedagogical Integration

    ERIC Educational Resources Information Center

    Henderson, Michael; Cerovac, Milorad; Bellis, Natalie; Lancaster, Greg

    2013-01-01

    As part of the Teaching Teachers for the Future (TTF) project, Monash University initiated several strategies to assist pre-service teachers' integration of ICTs in their classroom practice. These included modelling of ICT pedagogical integration, assessment of ICT pedagogical integration, relocating pre-service teacher classes to a working…

  7. Technology Integration Coursework and Finding Meaning in Pre-Service Teachers' Reflective Practice

    ERIC Educational Resources Information Center

    Kimmons, Royce; Miller, Brant G.; Amador, Julie; Desjardins, Christopher David; Hall, Cassidy

    2015-01-01

    This study seeks to inform teacher preparation programs regarding technology integration by understanding (1) relationships between tasks with specific technologies and pre-service teachers' critical thinking about technology integration and (2) relationships between how pre-service teachers are critically thinking about technology integration and…

  8. Integrating services for patients with mental and substance use disorders: What matters?

    PubMed Central

    Brousselle, Astrid; Lamothe, Lise; Sylvain, Chantal; Foro, Anne; Perreault, Michel

    2012-01-01

    Background Over the past decade, practice standards have recommended that people suffering from both mental and substance use disorders receive integrated treatment. Yet, few institutions offer integrated services, and patients are too often turned away from psychiatric and addiction rehabilitation services. Purpose The purpose of this study was to identify key factors in integrating services for patients with co-occurring disorders. Methodology We conducted a process evaluation with the aim of identifying factors that enhance or impede service integration. First, we elaborated a sound conceptual framework of service integration. We then conducted in-depth case studies analysis using socioanthropological methods (interviews with managers and professionals, focus groups with patients, nonparticipant observation, and document analysis). We analyzed two contrasted forms of services integration, a joint venture and a strategic alliance, separately and then compared them. Findings The integrations achieved in the two cases were of different intensities. However, from our study, we were able to identify various levers and characteristics that affect the development of an integrated approach. Reflecting on the dynamics of these two cases, we formulated six propositions to identify what matters when integrating services for persons with mental and substance use disorders. Practice Implications The integration of services transcends debates on care models and must be focused on the patients’ experience of care. The process should stimulate a learning experience that helps to align practices (normative integration) and to integrate teams and care. In this study, we identified a number of key conditions and levers for success. PMID:20551769

  9. [Integration of population education into agricultural extension services in Rwanda].

    PubMed

    Ngendakumana, M

    1991-04-01

    Rwanda's National Office of Population (ONAPO) in collaboration with the Ministry of Agriculture and the UN Food and Agriculture Organization, has recently completed a survey of the knowledge, attitudes, and practices of agricultural workers and agricultural extension agents concerning fertility. The survey was also intended to identify the needs felt by the population regarding the health, social, and economic infrastructure and to formulate goals for a project to integrate population and agricultural development projects. The survey was conducted in 5 communes of Gitarama Prefecture. 43% of the 228 respondents had at least 2 children and 27% had 6 or more. The average respondent had 3.5 children. 33% of respondents were single and did not report any children. 81% of respondents married before age 25. The average number of children for households in the area was 7.20, but the number considered ideal or desirable was only slightly over 4. Intermediate sized families with 3-6 members with many small children not yet able to work appeared to have the greatest difficulty in satisfying their needs. 60% of respondents reported that they were unable to save any funds and 64% that their lands were insufficient to provide food self-sufficiency. 60.9% of respondents stated that the socioeconomic, health, and cultural services and facilities at their disposal were sufficient or satisfactory. The health services were most often seen as inadequate. 3/4 of the agricultural extension agents were satisfied with the means of transportation they used to visit the population. The results of focus group interviews with a wide variety of participants including men and women, young and old, educated and illiterate, have indicated that perceptions of the advantages of large families are slowly changing.

  10. Integrating ecosystem-service tradeoffs into land-use decisions

    PubMed Central

    Goldstein, Joshua H.; Caldarone, Giorgio; Duarte, Thomas Kaeo; Ennaanay, Driss; Hannahs, Neil; Mendoza, Guillermo; Polasky, Stephen; Wolny, Stacie; Daily, Gretchen C.

    2012-01-01

    Recent high-profile efforts have called for integrating ecosystem-service values into important societal decisions, but there are few demonstrations of this approach in practice. We quantified ecosystem-service values to help the largest private landowner in Hawaii, Kamehameha Schools, design a land-use development plan that balances multiple private and public values on its North Shore land holdings (Island of O’ahu) of ∼10,600 ha. We used the InVEST software tool to evaluate the environmental and financial implications of seven planning scenarios encompassing contrasting land-use combinations including biofuel feedstocks, food crops, forestry, livestock, and residential development. All scenarios had positive financial return relative to the status quo of negative return. However, tradeoffs existed between carbon storage and water quality as well as between environmental improvement and financial return. Based on this analysis and community input, Kamehameha Schools is implementing a plan to support diversified agriculture and forestry. This plan generates a positive financial return ($10.9 million) and improved carbon storage (0.5% increase relative to status quo) with negative relative effects on water quality (15.4% increase in potential nitrogen export relative to status quo). The effects on water quality could be mitigated partially (reduced to a 4.9% increase in potential nitrogen export) by establishing vegetation buffers on agricultural fields. This plan contributes to policy goals for climate change mitigation, food security, and diversifying rural economic opportunities. More broadly, our approach illustrates how information can help guide local land-use decisions that involve tradeoffs between private and public interests. PMID:22529388

  11. Integrating ecosystem-service tradeoffs into land-use decisions.

    PubMed

    Goldstein, Joshua H; Caldarone, Giorgio; Duarte, Thomas Kaeo; Ennaanay, Driss; Hannahs, Neil; Mendoza, Guillermo; Polasky, Stephen; Wolny, Stacie; Daily, Gretchen C

    2012-05-01

    Recent high-profile efforts have called for integrating ecosystem-service values into important societal decisions, but there are few demonstrations of this approach in practice. We quantified ecosystem-service values to help the largest private landowner in Hawaii, Kamehameha Schools, design a land-use development plan that balances multiple private and public values on its North Shore land holdings (Island of O'ahu) of ∼10,600 ha. We used the InVEST software tool to evaluate the environmental and financial implications of seven planning scenarios encompassing contrasting land-use combinations including biofuel feedstocks, food crops, forestry, livestock, and residential development. All scenarios had positive financial return relative to the status quo of negative return. However, tradeoffs existed between carbon storage and water quality as well as between environmental improvement and financial return. Based on this analysis and community input, Kamehameha Schools is implementing a plan to support diversified agriculture and forestry. This plan generates a positive financial return ($10.9 million) and improved carbon storage (0.5% increase relative to status quo) with negative relative effects on water quality (15.4% increase in potential nitrogen export relative to status quo). The effects on water quality could be mitigated partially (reduced to a 4.9% increase in potential nitrogen export) by establishing vegetation buffers on agricultural fields. This plan contributes to policy goals for climate change mitigation, food security, and diversifying rural economic opportunities. More broadly, our approach illustrates how information can help guide local land-use decisions that involve tradeoffs between private and public interests.

  12. [Pathways leading to work--the Hamburg integration specialty service].

    PubMed

    Marquardt, U

    2001-06-01

    A model project of the Federal Ministry of Labour and Social Affairs, the Hamburg Integrationsfachdienst zur Eingliederung Schwerbehinderter (IFD Hamburg, selective placement and support agency for occupational integration of persons with severe disablement) has been active since 1998 in placing people with sensory or physical handicap in the open labour market, based on cooperative partnership between Adecco Dienstleistungen, a market-oriented temporary staff business, and the vocational retraining centre Berufsförderungswerk Hamburg, provider of training programmes for vocational rehabilitation. The IFD combines social competence with business considerations (counselling employers, clarification of wage subsidies or grants, in-depth job analysis, preliminary selection of suitable job seekers). A proactive customer orientation vis-a-vis the prospective employer is the clear message of the IFD's consultants, which hence acts as a professional staff service for severely disabled job seekers in its dealings with the prospective customers, in their majority company decision-makers from small and medium scale firms. Counselling and support offered to the disabled clients are based on a case-management approach, in partnership with the IFD's principals, i.e., employment office, pension insurance fund, industrial injuries insurance institutes, and sometimes also health insurance funds. PMID:11469048

  13. Personal Reflections on the Development of an Integrated Service Delivery for Child and Adolescent Mental Health Services

    ERIC Educational Resources Information Center

    Allison, Sam; Gilliland, David; Mayhew, Kathy; Wilson, Richard

    2007-01-01

    This paper explores the issue of how to develop a greater level of integration across the continuum services to young people with mental health difficulties. Reference is made to the strategic guidance offered by key documents and a pilot project is described, which attempted to link services across providers including a specialist Child and…

  14. The Evolution of Media Services at Eastern Michigan University: A Thirty-One-Year Quest for Format and Service Integration.

    ERIC Educational Resources Information Center

    Boone, Morell D.

    1998-01-01

    The new library at Eastern Michigan University provided Learning Resources and Technologies (LR&T) with an opportunity to restructure its services and fully integrate technologies and technology services for the 21st century. Challenges facing LR&T include the need to reallocate and/or reclassify staff positions, extend the campus network to…

  15. Implementation of Integrated Services--The Example of Family Centres in North Rhine-Westphalia

    ERIC Educational Resources Information Center

    Stöbe-Blossey, Sybille

    2013-01-01

    This paper deals with the implementation of integrated services providing early support for young children and their families. The integration of services is considered to have highly positive effects on the development of children and on the prevention of child neglect and maltreatment. Therefore, childcare centres have been developed into family…

  16. Considerations for Integration of Counseling and Health Services on College and University Campuses

    ERIC Educational Resources Information Center

    Journal of American College Health, 2010

    2010-01-01

    While the majority of college and university campuses have discrete mental health and medical services, the integration of the two areas has been subject of increased discussion among student health and counseling professionals. The push to integrate counseling and health services is motivated by a variety of reasons: a philosophical desire to…

  17. Integrating Business Communication Instruction and Career Services: Activities and Assessment Tools

    ERIC Educational Resources Information Center

    Crews, Moody E.; Hemby, K. Virginia

    2009-01-01

    This paper is an extension of an earlier JARBI article, "Integrating University and College Career Services Programs into the Business Communication Curriculum" (Hemby & Crews, 2005). The original article provided business communication instructors with ideas for integrating career services' programs into the business communication curriculum,…

  18. Integrating Child Welfare, Juvenile Justice, and Other Agencies in a Continuum of Services

    ERIC Educational Resources Information Center

    Howell, James C.; Kelly, Marion R.; Palmer, James; Mangum, Ronald L.

    2004-01-01

    This article presents a comprehensive strategy framework for integrating mental health, child welfare, education, substance abuse, and juvenile justice system services. It proposes an infrastructure of information exchange, cross-agency client referrals, a networking protocol, interagency councils, and service integration models. This…

  19. Enhancing Mobility: Integrating New Services into Your Library's Mobile Platform to Increase Traffic

    ERIC Educational Resources Information Center

    Felts, John W., Jr.

    2014-01-01

    Kimbel Library launched its mobile environment and ran it in full production for several months yet usage patterns were quite low and flat. The library only saw a substantial increase in usage when new, value-added services were integrated into this platform. Upon implementing and integrating discovery services, chat and SMS capabilities, and…

  20. Integrating Writing, Academic Discourses, and Service Learning: Project Renaissance and School/College Literacy Collaborations

    ERIC Educational Resources Information Center

    Mastrangelo, Lisa S.; Tischio, Victoria

    2005-01-01

    "Integrating Writing, Academic Discourses, and Service Learning: Project Renaissance and School/College Literacy Collaborations" discusses a year-long general education program for first-year students that integrated disciplinary learning with a pen pal project in light of the goals of critical pedagogy and service-learning. The program aimed at…

  1. Teaching for Application: A Model for Assisting Pre-Service Teachers with Technology Integration

    ERIC Educational Resources Information Center

    Hur, Jung Won; Cullen, Theresa; Brush, Thomas

    2010-01-01

    The purpose of this paper is to introduce a technology integration model designed to assist pre-service teachers to learn meaningful uses of technology in K-12 classrooms. Based on studies in teacher education, learning theory, and technology integration, the authors define five essential characteristics necessary for pre-service teacher…

  2. Duke Energy Photovoltaic Integration Study: Carolinas Service Areas

    SciTech Connect

    Lu, Shuai; Samaan, Nader A.; Meng, Da; Chassin, Forrest S.; Zhang, Yu; Vyakaranam, Bharat; Warwick, William M.; Fuller, Jason C.; Diao, Ruisheng; Nguyen, Tony B.; Jin, Chunlian

    2014-03-01

    Solar energy collected using photovoltaic (PV) technology is a clean and renewable energy source that offers multiple benefits to the electric utility industry and its customers, such as cost predictability, reduced emissions, and loss reduction by distributed installations. Renewable energy goals established in North Carolina Senate Bill 3 (SB3), in combination with the state tax credit and decreases in the cost of energy from PV panels, have resulted in rapid solar power penetration within the Carolinas services areas of Duke Energy. Continued decreases in PV prices are expected to lead to greater PV penetration rates than currently required in SB3. Despite the potential benefits, significant penetration of PV energy is of concern to the utility industry because of its impact on operating reliability and integration cost to customers, and equally important, how any additional costs may be allocated to different customer groups. Some of these impacts might become limiting factors for PV energy, especially growing distributed generation installed at customer sites. Recognizing the importance of renewable energy developments for a sustainable energy future and economic growth, Duke Energy has commissioned this study to simulate the effects of high-PV penetration rates and to initiate the process of quantifying the impacts. The objective of the study is to inform resource plans, guide operation improvements, and drive infrastructure investments for a steady and smooth transition to a new energy mix that provides optimal values to customers. The study team consists of experts from Pacific Northwest National Laboratory (PNNL), Power Costs, Inc. (PCI), Clean Power Research (CPR), Alstom Grid, and Duke Energy. PNNL, PCI, and CPR performed the study on generation impacts; Duke Energy modeled the transmission cases; and distribution simulations were conducted by Alstom Grid. PNNL analyzed the results from each work stream and produced the report.

  3. Integrated services plus drug treatment as a system alternative to crime control and parole.

    PubMed

    Danzer, Graham

    2012-01-01

    Integrated services have the potential to facilitate recovery in drug offenders as well as reduce criminal recidivism. This is significant given that prison overcrowding has led many drug offenders to be released from custody into society via the "reentry movement." Offenders incarcerated for many years often return to society with medical, mental health, behavioral, and drug abuse issues. These issues have been found in similar populations, including those with severe mental illness and the homeless, for which integrated services has shown to have a significant impact on improving functioning. Thus the argument of this article is that because integrated services have shown to be effective with somewhat similar populations, integrated services can be effective in treating paroled drug offenders. These benefits are expected to be to a greater degree than that achieved by current system policy regarding paroled drug offenders being supervised by parole officers rather than case managers facilitating integrated services.

  4. Pre-Service Teachers' Use of a Technology Integration Planning Cycle: A Case Study

    ERIC Educational Resources Information Center

    Beschorner, Beth; Kruse, Jerrid

    2016-01-01

    This study explored pre-service teachers' use of Hutchison and Woodward's (2014) Technology Integration Planning Cycle for instructional lesson planning in literacy. Ten pre-service teachers enrolled in a course entitled Literacy Assessment and Instruction II participated. As part of the course, each pre-service teacher developed and delivered…

  5. Toward Integrated Family Services in Rural Settings: A Summary of Research and Practice. Program Report.

    ERIC Educational Resources Information Center

    Stoops, Jack W.; Hull, Janis L.

    This report synthesizes research findings with observations of three Pacific Northwest sites attempting service integration in rural settings. At case-study sites in Washington and Oregon, rural schools, communities, and service providers collaborate to deliver services to students and community members suffering from high unemployment, alcohol…

  6. Integrating Service Learning into the Study Abroad Program: U.S. Sociology Students in Mexico

    ERIC Educational Resources Information Center

    Wessel, Nancy

    2007-01-01

    The program that is the topic of this case study was an integration of two forms of experiential education: service learning and study abroad. Participants in the program studied sociology and performed social service in Morelia, Michoacan, Mexico. Curriculum and planning issues of both study abroad and service learning are combined in the design…

  7. Pre-Service Physics and Chemistry Teachers' Conceptual Integration of Physics and Chemistry Concepts

    ERIC Educational Resources Information Center

    Tuysuz, Mustafa; Bektas, Oktay; Geban, Omer; Ozturk, Gokhan; Yalvac, Bugrahan

    2016-01-01

    This study examines the pre-service teachers' opinions about conceptual integration (CI) and their understanding of it. A qualitative phenomenology design was used in the study. Data was collected through in-depth semi-structured interviews comprising ten guiding questions. Three pre-service physics and three pre-service chemistry teachers…

  8. Technical and economic feasibility of integrated video service by satellite

    NASA Technical Reports Server (NTRS)

    Price, Kent M.; Garlow, R. K.; Henderson, T. R.; Kwan, Robert K.; White, L. W.

    1992-01-01

    The trends and roles of satellite based video services in the year 2010 time frame are examined based on an overall network and service model for that period. Emphasis is placed on point to point and multipoint service, but broadcast could also be accommodated. An estimate of the video traffic is made and the service and general network requirements are identified. User charges are then estimated based on several usage scenarios. In order to accommodate these traffic needs, a 28 spot beam satellite architecture with on-board processing and signal mixing is suggested.

  9. Digital Library and Digital Reference Service: Integration and Mutual Complementarity

    ERIC Educational Resources Information Center

    Liu, Jia

    2008-01-01

    Both the digital library and the digital reference service were invented and have been developed under the networked environment. Among their intersections, the fundamental thing is their symbiotic interest--serving the user in a more efficient way. The article starts by discussing the digital library and its service and the digital reference…

  10. Integrating mental health services into primary HIV care for women: the Whole Life project.

    PubMed Central

    Dodds, Sally; Nuehring, Elane M.; Blaney, Nancy T.; Blakley, Theresa; Lizzotte, Jean-Marie; Lopez, Myriam; Potter, JoNell E.; O'Sullivan, Mary J.

    2004-01-01

    The high rate of mental health problems in HIV-infected women jeopardizes the health of this vulnerable population, and constitutes a mandate for integrating mental health services into HIV primary care. The Whole Life project-a collaboration of the departments of Psychiatry and Obstetrics/Gynecology at the University of Miami School of Medicine-successfully integrated mental health services into primary HIV care for women. This article describes the conceptual framework of the integration, implementation strategies, effects of the service integration, and lessons learned. Funded by the Health Resources and Services Administration (HRSA) as a Special Program of National Significance (SPNS), Whole Life efforts have been sustained beyond the demonstration funding period as a result of the changes brought about in organizational structures, service delivery, and the providers' conceptualization of health for HIV-infected women. PMID:15147649

  11. Decision analytic strategies for integrating ecosystem services and risk assessment.

    PubMed

    von Stackelberg, Katherine E

    2013-04-01

    Ecosystem services as a concept and guiding principle are enjoying wide popularity and endorsement from high-level policy thinkers to industry as support for sustainability goals continue to grow. However, explicit incorporation of ecosystem services into decision making still lacks practical implementation at more local scales and faces significant regulatory and technical constraints. Risk assessment represents an example of a regulatory process for which guidance exists that makes it challenging to incorporate ecosystem service endpoints. Technical constraints exist in the quantification of the relationships between ecological functions and services and endpoints valued by humans, and the complexity of those interactions with respect to bundling and stacking. In addition, ecosystem services, by their very definition, represent an anthropogenic construct with no inherent ecological value, which, in practical terms, requires a far more inclusionary decision making process explicitly incorporating a greater diversity of stakeholder values. Despite these constraints, it is possible, given a commitment to sustainable decision making, to simplify the process based on strategic outcomes (e.g., identifying desired end-states in general terms). Decision analytic techniques provide a mechanism for evaluating tradeoffs across key ecosystem services valued by stakeholders and to develop criteria drawn from the entire spectrum of stakeholders in evaluating potential alternatives. This article highlights several examples of ways in which ecosystem service endpoints can be incorporated into the decision-making process.

  12. Customer Decision Making in Web Services with an Integrated P6 Model

    NASA Astrophysics Data System (ADS)

    Sun, Zhaohao; Sun, Junqing; Meredith, Grant

    Customer decision making (CDM) is an indispensable factor for web services. This article examines CDM in web services with a novel P6 model, which consists of the 6 Ps: privacy, perception, propensity, preference, personalization and promised experience. This model integrates the existing 6 P elements of marketing mix as the system environment of CDM in web services. The new integrated P6 model deals with the inner world of the customer and incorporates what the customer think during the DM process. The proposed approach will facilitate the research and development of web services and decision support systems.

  13. Patterns of HIV and mental health service integration in New York State.

    PubMed

    Kim, Sunhee; Ades, Marc; Pinho, Veronica; Cournos, Francine; McKinnon, Karen

    2014-01-01

    The Affordable Care Act (ACA) creates incentives to coordinate primary care, mental health (MH) care, and addiction services. Integration of clinical HIV and MH services has been shown to improve quality of life and physical and MH of people living with HIV/AIDS. However, few studies have investigated the practice of service integration systematically. We examined the practice patterns of 515 direct service providers in New York State who received training about HIV MH between May 2010 and July 2012. We sought to identify provider and treatment setting characteristics associated with an integrated spectrum of care. Using factor analysis and linear modeling, we found that patterns of service integration varied by type of health-care setting, service setting location, providers' HIV caseload, and the discipline of the provider describing the direct services. Understanding the existing capacities of clinicians providing care in a variety of settings throughout New York will help to guide staffing and linkage to enhance HIV MH service integration as significant shifts in the organization of health care occur.

  14. Integrated Modeling for Environmental Assessment of Ecosystem Services

    EPA Science Inventory

    The U.S. Environmental Protection Agency uses environmental models to inform rulemaking and policy decisions at multiple spatial and temporal scales. In this study, several sophisticated modeling technologies are seamlessly integrated to facilitate a baseline assessment of the re...

  15. Chaining of web services and its application in geographic information integration and visualization

    NASA Astrophysics Data System (ADS)

    Chen, Chuanbin; Wu, Qunyong; Chen, Chongcheng; Chen, Han

    2005-11-01

    The rapid development of web services technology ushers Geographical Information Systems (GISs) into the era of geographic information web services (GIWS), which requires a scalable and extensible GISs model to deliver distributed geographic information and GISs functions integrated as independently-provided, interoperable services in a distributed computing environment. Several distributed services can be dynamically chained as a new service to accomplish a specific task. Such a model of service chaining is one of the most important research topics of next generation GISs. The paper highlights the issues of service chaining, the process of combining several distributed, interoperable GIWS dynamically to construct customized applications, and analyses characters of each pattern. Then, based on pattern of client-coordinated chaining, we design a service chaining which is developed in a J2EE development environment using web services technology, and construct a web services-oriented Geo-spatial data integration and visualization platform in order to integrate multi-sources and heterogeneous Geo-spatial data using Geography Markup Language (GML) and Geo-spatial data integration technology, and to visualize geographic information using Scalable Vector Graphics (SVG) and JavaScript technology. During the process of design, several GIWS are defined, and functions, interfaces and related methods of these services are discussed in detail. The paper focuses on the method for chaining distributed GIWS, the mechanism for geographic information dissemination and error handling. Finally, forest Geo-spatial Data which have two typical types of data E00 and Shapefile (SHP) was used to test the platform. The result indicates that using service chaining for multi-sources and heterogeneous Geo-spatial data integration and visualization can efficiently meet customized needs, but further research is needed for better application.

  16. The Lesotho Hospital PPP experience: catalyst for integrated service delivery.

    PubMed

    Coelho, Carla Faustino; O'Farrell, Catherine Commander

    2011-01-01

    For many years, Lesotho urgently needed to replace its main public hospital, Queen Elizabeth II. The project was initially conceived as a single replacement hospital, but eventually included the design and construction of a new 425 bed public hospital and adjacent primary care clinic, the renovation and expansion of three strategically located primary care clinics in the region and the management of all facilities, equipment and delivery of all clinical services in the health network by a private operator under contract for 18 years. The project's design was influenced by the recognition that a new facility alone would not address the underlying issues in service provision. The creation of this PPP health network and the contracting mechanism has increased accountability for service quality, shifted Government to a more strategic role and may also benefit other public facilities and providers in Lesotho. The county is considering the PPP approach for other health facilities. PMID:22235729

  17. CAD/CAE Integration Enhanced by New CAD Services Standard

    NASA Technical Reports Server (NTRS)

    Claus, Russell W.

    2002-01-01

    A Government-industry team led by the NASA Glenn Research Center has developed a computer interface standard for accessing data from computer-aided design (CAD) systems. The Object Management Group, an international computer standards organization, has adopted this CAD services standard. The new standard allows software (e.g., computer-aided engineering (CAE) and computer-aided manufacturing software to access multiple CAD systems through one programming interface. The interface is built on top of a distributed computing system called the Common Object Request Broker Architecture (CORBA). CORBA allows the CAD services software to operate in a distributed, heterogeneous computing environment.

  18. Integration of hybrid wireless networks in cloud services oriented enterprise information systems

    NASA Astrophysics Data System (ADS)

    Li, Shancang; Xu, Lida; Wang, Xinheng; Wang, Jue

    2012-05-01

    This article presents a hybrid wireless network integration scheme in cloud services-based enterprise information systems (EISs). With the emerging hybrid wireless networks and cloud computing technologies, it is necessary to develop a scheme that can seamlessly integrate these new technologies into existing EISs. By combining the hybrid wireless networks and computing in EIS, a new framework is proposed, which includes frontend layer, middle layer and backend layers connected to IP EISs. Based on a collaborative architecture, cloud services management framework and process diagram are presented. As a key feature, the proposed approach integrates access control functionalities within the hybrid framework that provide users with filtered views on available cloud services based on cloud service access requirements and user security credentials. In future work, we will implement the proposed framework over SwanMesh platform by integrating the UPnP standard into an enterprise information system.

  19. Applying Semantic Web Services and Wireless Sensor Networks for System Integration

    NASA Astrophysics Data System (ADS)

    Berkenbrock, Gian Ricardo; Hirata, Celso Massaki; de Oliveira Júnior, Frederico Guilherme Álvares; de Oliveira, José Maria Parente

    In environments like factories, buildings, and homes automation services tend to often change during their lifetime. Changes are concerned to business rules, process optimization, cost reduction, and so on. It is important to provide a smooth and straightforward way to deal with these changes so that could be handled in a faster and low cost manner. Some prominent solutions use the flexibility of Wireless Sensor Networks and the meaningful description of Semantic Web Services to provide service integration. In this work, we give an overview of current solutions for machinery integration that combine both technologies as well as a discussion about some perspectives and open issues when applying Wireless Sensor Networks and Semantic Web Services for automation services integration.

  20. Integrated Modeling for Watershed Ecosystem Services Assessment and Forecasting

    EPA Science Inventory

    Regional scale watershed management decisions must be informed by the science-based relationship between anthropogenic activities on the landscape and the change in ecosystem structure, function, and services that occur as a result. We applied process-based models that represent...

  1. After the In-Service Course Challenges of Technology Integration

    ERIC Educational Resources Information Center

    Frederick, Gregory R.; Schweizer, Heidi; Lowe, Robert

    2006-01-01

    This case study chronicles one teacher's experience in the semester after an in-service course, Using Technology for Instruction and Assessment. Results suggest that success in the course and good intentions do not necessarily translate into dramatic change in methods or media of instruction. Student mobility and special needs, unexpected…

  2. Incorporating Integrative Health Services in Social Work Education

    ERIC Educational Resources Information Center

    Gant, Larry; Benn, Rita; Gioia, Deborah; Seabury, Brett

    2009-01-01

    More than one third of Americans practice complementary and alternative medicine (CAM). Social workers continue to provide most first-line health, mental health, and psychological referral and direct practice services in the United States, despite a lack of systematic education and training opportunities in CAM. Schools of social work are…

  3. Integrated Personnel Services Index. Volume 3, Number 2.

    ERIC Educational Resources Information Center

    Mattson, Judith, Ed.

    This issue indexes 1452 entries with annotations drawn from the literature of the counseling and personnel services field. Entries include ERIC documents, dissertations, journal articles, and books. Information for obtaining the original document is given with each entry. The entries are cross-referenced in a subject index and author index.…

  4. Integrated Behavioral Health Services: Improving Access to Mental Health Care

    ERIC Educational Resources Information Center

    Sturm, Lynne A.; Perry, Deborah F.

    2007-01-01

    This article describes innovative service delivery models and clinical strategies that support the social-emotional development of young children and their families in the pediatric primary care setting. By understanding the trends affecting well-child care, early childhood providers will be better equipped to partner with their pediatric…

  5. Should violence services be integrated within abortion care? A UK situation analysis.

    PubMed

    Kekana, Loveday Penn; Hall, Megan; Motta, Silvia; Bewley, Susan

    2016-05-01

    The prevalence of violence against women worldwide raises the question of the desirability and feasibility of integrating interpersonal violence (IPV) services within abortion care. By examining present services and context in an Inner London borough in the UK, this situation analysis explored the hypothesis that an established, integrated, health-based service (comprising raised awareness, staff training in routine IPV enquiry and referral to a community-based in-reach IPV service) would be transferable into abortion services. Four sources of qualitative data investigated views on integrating services: key stakeholder in-depth interviews including with providers of abortion and IPV services and commissioners and IPV survivors with past abortion service use (3 user, 15 provider); qualitative analysis of the open-ended part of a survey of current abortion service users with and without experience of IPV; feedback from an interactive workshop and data from field observations. While there was consensus among all informants that women experiencing IPV and seeking abortion have unidentified, unaddressed needs, how any intervention might be organised to address these needs was contested; thus questions remain about whether, when and how to raise the topic of IPV and what to offer. Two major anxieties surfaced: a practical concern in terms of interrupting a streamlined abortion service that suits the majority of staff and patients, and a conceptual concern about risk of stigmatising abortion seekers as 'victims in crisis'. Thus, our findings indicate: when integrating IPV interventions into abortion services, local context, the integrity of separate pathways, and women's safety and agency must be considered, especially when abortion rights are under attack. Novel approaches are required and should be researched. PMID:27578344

  6. Integrating MCH/FP and STD/HIV services: current debates and future directions.

    PubMed

    Mayhew, S

    1996-12-01

    The issue of integrating MCH/FP and STD/HIV services has gained an increasingly high priority on public health agendas in recent years. In the prevailing climate of health sector reform, policy-makers are likely to be increasingly pressed to address the broader concept of "reproductive health' in the terms consolidated at the Cairo International Conference on Population and Development, and the UN Conference on Women in Beijing. Integrated MCH/FP and STD/HIV services could be regarded as a significant step towards providing integrated reproductive health services, but clarity of issues and concerns is essential. A number of rationales have emerged which argue for the integration of these services, and many concerns have been voiced. There is little consensus, however, on the definition of "integrated services' and there are few documented case studies which might clarify the issues. This paper reviews the context in which rationales for "integrated services' emerged, the issues of concern and the case studies available. It concludes by suggesting future directions for research, noting in particular the need for country-specific and multi-dimensional frameworks and the appropriateness of a policy analysis approach.

  7. Can service integration work for universal health coverage? Evidence from around the globe.

    PubMed

    Lê, Gillian; Morgan, Rosemary; Bestall, Janine; Featherstone, Imogen; Veale, Thomas; Ensor, Tim

    2016-04-01

    Universal health coverage (UHC) is at the heart of the new 2030 Agenda for Sustainable Development. Health service integration is seen by World Health Organization as an essential requirement to achieve UHC. However, to date the debate on service integration has focused on perceived benefits rather than empirical impact. We conducted a global review in a systematic manner searching for empirical outcomes of service integration experiments in UHC countries and those on the path to UHC. Sixty-seven articles and reports were found. We grouped results into a unique integration typology with six categories - medical staff from different disciplines; patients and medical staff; care package for one medical condition; care package for two or more medical conditions; specialist stand-alone services with GP services; community locations. We showed that it is possible to integrate services in different human development contexts delivering positive outcomes for patients and clinicians without incurring additional costs. However, the improved outcomes shown were incremental rather than radical and suggest that integration is likely to enhance already well established systems rather than fundamentally changing the outcomes of care. PMID:27108079

  8. Food, Hunger, and Poverty: A Thematic Approach to Integrating Service Learning.

    ERIC Educational Resources Information Center

    Sullivan-Catlin, Heather

    2002-01-01

    Discusses a thematic approach that can be used to integrate service learning into the introductory sociology curriculum. Describes the different institutional contexts that may influence its effectiveness, the course content and objectives, the service-learning component, use of themes, and student outcomes. (CMK)

  9. Integrated Educational and Mental Health Services within a Day Treatment Setting.

    ERIC Educational Resources Information Center

    Francis, Greta; Radka, Dale F.

    This paper discusses the integration of educational and mental health services for children and adolescents within a psychiatric day treatment setting at the Bradley School housed in a private psychiatric hospital affiliated with Brown University in Rhode Island. A full range of mental health services are used, and therapies are delivered in the…

  10. Integrated semantics service platform for the Internet of Things: a case study of a smart office.

    PubMed

    Ryu, Minwoo; Kim, Jaeho; Yun, Jaeseok

    2015-01-19

    The Internet of Things (IoT) allows machines and devices in the world to connect with each other and generate a huge amount of data, which has a great potential to provide useful knowledge across service domains. Combining the context of IoT with semantic technologies, we can build integrated semantic systems to support semantic interoperability. In this paper, we propose an integrated semantic service platform (ISSP) to support ontological models in various IoT-based service domains of a smart city. In particular, we address three main problems for providing integrated semantic services together with IoT systems: semantic discovery, dynamic semantic representation, and semantic data repository for IoT resources. To show the feasibility of the ISSP, we develop a prototype service for a smart office using the ISSP, which can provide a preset, personalized office environment by interpreting user text input via a smartphone. We also discuss a scenario to show how the ISSP-based method would help build a smart city, where services in each service domain can discover and exploit IoT resources that are wanted across domains. We expect that our method could eventually contribute to providing people in a smart city with more integrated, comprehensive services based on semantic interoperability.

  11. Human Resources/Services Career Cluster ITAC for Career-Focused Education. Integrated Technical & Academic Competencies.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Vocational Instructional Materials Lab.

    Designed for Ohio educators responsible for planning programs to prepare high school students for careers in human resources/services, this document presents an overview of Ohio's Integrated Technical and Academic Competencies (ITAC) system of career-focused education and specific information about the human resources/services ITAC career cluster.…

  12. The 1993 Community Integrated Service System Projects: A Report of the Initial Plans and Implementation Efforts.

    ERIC Educational Resources Information Center

    Wasik, Barbara Hanna; Lam, Wendy K. K.; Kane, Heather

    This report summarizes and analyzes information on nine 1993 community integrated service system (CISS) projects to promote physical, psychological, and social well-being for all pregnant women and children, adolescents, and their families; provide individualized attention to their special health care needs; and link health care and services with…

  13. Do Integrated Children's Services Improve Children's Outcomes?: Evidence from England's Children's Trust Pathfinders

    ERIC Educational Resources Information Center

    O'Brien, Margaret; Bachmann, Max O.; Jones, Natalia R.; Reading, Richard; Thoburn, June; Husbands, Chris; Shreeve, Ann; Watson, Jacqueline

    2009-01-01

    Thirty-five children's trust pathfinders, local cross-sector partnerships, were introduced across England in 2003 to promote greater integration in children's services. Using administrative performance data, this paper tracks yearly trends in child service outputs and child well-being outcomes from 1997 to 2004 in these local areas, including the…

  14. Using measurements of unmet need to inform program investments for health service integration.

    PubMed

    Malarcher, Shawn; Polis, Chelsea B

    2014-06-01

    Demographic and Health Survey (DHS) data could potentially inform optimal strategies to reach women having unmet need with contraceptive services through integrated service delivery. Using 2010-11 DHS data from Nepal, Senegal, and Uganda, we estimate the proportion of married or cohabitating women of reproductive age (MWRA) having unmet need for family planning (FP) who have accessed selected health services and therefore could be offered FP services through integrated service delivery. We find substantial missed opportunities to reach MWRA having unmet need for family planning (FP) in the three countries examined. We also find considerable variation within and between countries in the potential for integrated services to reach women having unmet need. Between 4 percent and 57 percent of MWRA having unmet need in these countries could be reached through integration of FP into any single-service delivery platform we explored. This analysis has the potential to provide program managers with an evidence-based road map indicating which service-delivery platforms offer the greatest potential to reach the largest number of women having unmet need for contraception.

  15. Beyond "One-Stop" Shopping: An Integrated Service Delivery System for Job Seekers and Employers.

    ERIC Educational Resources Information Center

    Anderson, Richard T.

    The Workforce Development Center (WDC), in Waukesha County, Wisconsin, is a cooperative effort of nine public and private agencies, including the Wisconsin Job Service, the Private Industry Council, and Waukesha County Technical College (WCTC), to provide integrated employment services to area citizens and employers. Located on the WCTC campus,…

  16. Integrated semantics service platform for the Internet of Things: a case study of a smart office.

    PubMed

    Ryu, Minwoo; Kim, Jaeho; Yun, Jaeseok

    2015-01-01

    The Internet of Things (IoT) allows machines and devices in the world to connect with each other and generate a huge amount of data, which has a great potential to provide useful knowledge across service domains. Combining the context of IoT with semantic technologies, we can build integrated semantic systems to support semantic interoperability. In this paper, we propose an integrated semantic service platform (ISSP) to support ontological models in various IoT-based service domains of a smart city. In particular, we address three main problems for providing integrated semantic services together with IoT systems: semantic discovery, dynamic semantic representation, and semantic data repository for IoT resources. To show the feasibility of the ISSP, we develop a prototype service for a smart office using the ISSP, which can provide a preset, personalized office environment by interpreting user text input via a smartphone. We also discuss a scenario to show how the ISSP-based method would help build a smart city, where services in each service domain can discover and exploit IoT resources that are wanted across domains. We expect that our method could eventually contribute to providing people in a smart city with more integrated, comprehensive services based on semantic interoperability. PMID:25608216

  17. A Blended In-Service Arrangement for Supporting Science Teachers in Technology Integration

    ERIC Educational Resources Information Center

    Voogt, Joke

    2010-01-01

    A blended in-service arrangement was designed to support Russian science teachers from rural schools in the integration of technology. Blended learning combines multiple delivery modes that are designed to complement each other and promote learning and application-based behavior. The blended in-service arrangement consisted of two main components:…

  18. Connecting the dots: using 'big data' to build an efficient, integrated service line.

    PubMed

    Golberg, Dana; Leonard, Robert; McEnroe, Sean; McDonald, Jeff

    2015-08-01

    As seen in the case of musculoskeletal care, the broad steps hospitals and health systems should take to optimize service lines include: Understanding their market's demand for services. Guiding patients through integrated, patient-centric care. Taking patient engagement to the next level.

  19. Counselors and Physicians Providing Mental Health Services: An Integrated Approach

    ERIC Educational Resources Information Center

    Enochs, Wendy K; Young, Mark; Choate, Robert O.

    2006-01-01

    The authors argue that there is a clear link between mental and physical health issues. A wellness-based approach to integrated health care, such as the one described in this article, may allow older clients to be empowered to make lifestyle changes that can improve the quality of their lives and reduce physical illness.

  20. Emerging Communities: Integrating Networked Information into Library Services (Book Review).

    ERIC Educational Resources Information Center

    Afifi, Marianne

    1995-01-01

    Reviews this collection of papers, edited by Ann P. Bishop, which present the current state of networking as it relates to libraries and the community. Recommends the book as a compendium of lessons, learned and to be learned, as networked information becomes an integral and necessary part of the library world. (JMV)

  1. Addressing Needs of Military Families during Deployment: Military Service Providers' Perceptions of Integrating Support Services

    ERIC Educational Resources Information Center

    Hayden, Seth Christian Walter

    2011-01-01

    Service providers are increasingly recognizing the need to develop effective methods for delivering supporting services to military families during deployment. Research suggests that military families experience increased levels of stress during the cycle of deployment. Bronfenbrenner (1979) conceptualized the family operating within the context…

  2. Service-Learning and Integrated Course Redesign: Principles of Management and the Campus Kitchen Metaproject

    ERIC Educational Resources Information Center

    Flannery, Brenda L.; Pragman, Claudia H.

    2010-01-01

    This article describes the process of redesigning a Principles of Management course to integrate a service-learning metaproject. The metaproject was Campus Kitchen, a food recovery and delivery program operated on a handful of university campuses across the United States. We used L. Dee Fink's integrated course design approach as well as systems…

  3. How In-Service Science Teachers Integrate History and Nature of Science in Elementary Science Courses

    ERIC Educational Resources Information Center

    Hacieminoglu, Esme

    2014-01-01

    The purpose of this study is to investigate how the in-service science teachers' (IST) perceptions and practices about curriculum and integration of the history of science (HOS) and the nature of science (NOS) affect their science courses. For this aim, how ISTs integrated the NOS and HOS in their elementary science courses for understanding…

  4. Integrated delivery systems focus on service delivery after capitation efforts stall.

    PubMed

    2005-03-01

    Integrated delivery systems focus on service delivery after capitation efforts stall. Integrated delivery systems are going through changes that are focusing the provider organizations more on delivering care than managing risk, says Dean C. Coddington, one of the leading researchers into capitated organizations and a senior consultant with McManis Consulting in Denver.

  5. Preferred Instructional Design Strategies for Preparation of Pre-Service Teachers of Integrated STEM Education

    ERIC Educational Resources Information Center

    Roberts, Amanda Shackleford

    2013-01-01

    The purpose of this study was to identify the preferred instructional design strategies for the preparation of pre-service teachers who will deliver integrated STEM lessons. The research objectives were threefold and included identifying a preferred definition of integrated STEM education, developing its purpose statement, and creating a list of…

  6. Literacy Enrichment and Technology Integration in Pre-Service Teacher Education

    ERIC Educational Resources Information Center

    Keengwe, Jared, Ed.; Onchwari, Grace, Ed.; Hucks, Darrell, Ed.

    2014-01-01

    With the emergence of innovative technologies, the digital nature of learning environments has changed the face of education. The integration of these technologies into classroom instruction is essential for promoting student learning. "Literacy Enrichment and Technology Integration in Pre-Service Teacher Education" examines the various…

  7. Influencing Factors and Integration of ICT into Teaching Practices of Pre- Service and Starting Teachers

    ERIC Educational Resources Information Center

    Aslan, Aydin; Zhu, Chang

    2016-01-01

    Teachers need to be competent in integrating ICT into education to support teaching and learning process. This study aims to investigate both the pre-service and starting teachers' perceptions for ICT-related variables--perceived ICT competence, perceived competence in ICT integration, attitudes towards ICT, anxiety around ICT usage, external…

  8. Jordanian Pre-Service Teachers' and Technology Integration: A Human Resource Development Approach

    ERIC Educational Resources Information Center

    Al-Ruz, Jamal Abu; Khasawneh, Samer

    2011-01-01

    The purpose of this study was to test a model in which technology integration of pre-service teachers was predicted by a number of university-based and school-based factors. Initially, factors affecting technology integration were identified, and a research-based path model was developed to explain causal relationships between these factors. The…

  9. Evaluating the Early Impact of Integrated Children's Services. Round 1 Summary Report

    ERIC Educational Resources Information Center

    Lord, Pippa; Kinder, Kay; Wilkin, Anne; Atkinson, Mary; Harland, Jennie

    2008-01-01

    In early 2007, at the start of the Local Authorities Research Consortium's (LARC's) first year of work, local authorities (LAs) wanted to know if integration of services was having an impact on outcomes. One year on, the question has become--how can we make integrated working deliver better outcomes faster and more consistently? The shift in…

  10. TPACK Competencies and Technology Integration Self-Efficacy Perceptions of Pre-Service Teachers

    ERIC Educational Resources Information Center

    Keser, Hafize; Karaoglan Yilmaz, Fatma Gizem; Yilmaz, Ramazan

    2015-01-01

    This study compared the technological pedagogical content knowledge (TPACK) competency of pre-service teachers with their self-efficacy perception towards technology integration, based on various variables; and the correlation between their TPACK competencies and self-efficacy perceptions towards technology integration were examined. The study…

  11. Integrated delivery systems focus on service delivery after capitation efforts stall.

    PubMed

    2005-03-01

    Integrated delivery systems focus on service delivery after capitation efforts stall. Integrated delivery systems are going through changes that are focusing the provider organizations more on delivering care than managing risk, says Dean C. Coddington, one of the leading researchers into capitated organizations and a senior consultant with McManis Consulting in Denver. PMID:15889632

  12. Changing Personal Epistemologies in Early Childhood Pre-Service Teachers Using an Integrated Teaching Program

    ERIC Educational Resources Information Center

    Brownlee, Jo; Petriwskyj, Anne; Thorpe, Karen; Stacey, Phillip; Gibson, Megan

    2011-01-01

    This study investigated changes in pre-service teachers' personal epistemologies as they engaged in an integrated teaching program. Personal epistemology refers to individual beliefs about the nature of knowing and knowledge and has been shown to influence teaching practice. An integrated approach to teaching, based on both an "implicit" and…

  13. Steam generator tubes integrity: In-service-inspection

    SciTech Connect

    Comby, R.J.

    1997-02-01

    The author`s approach to tube integrity is in terms of looking for flaws in tubes. The basis for this approach is that no simple rules can be fixed to adopt a universal inspection methodology because of various concepts related to experience, leak acceptance, leak before break approach, etc. Flaw specific management is probably the most reliable approach as a compromise between safety, availability and economic issues. In that case, NDE capabilities have to be in accordance with information required by structural integrity demonstration. The author discusses the types of probes which can be used to search for flaws in addition to the types of flaws which are being sought, with examples of specific analysis experiences. The author also discusses the issue of a reporting level as it relates to avoiding false calls, classifying faults, and allowing for automation in analysis.

  14. A Framework for Sharing and Integrating Remote Sensing and GIS Models Based on Web Service

    PubMed Central

    Chen, Zeqiang; Lin, Hui; Chen, Min; Liu, Deer; Bao, Ying; Ding, Yulin

    2014-01-01

    Sharing and integrating Remote Sensing (RS) and Geographic Information System/Science (GIS) models are critical for developing practical application systems. Facilitating model sharing and model integration is a problem for model publishers and model users, respectively. To address this problem, a framework based on a Web service for sharing and integrating RS and GIS models is proposed in this paper. The fundamental idea of the framework is to publish heterogeneous RS and GIS models into standard Web services for sharing and interoperation and then to integrate the RS and GIS models using Web services. For the former, a “black box” and a visual method are employed to facilitate the publishing of the models as Web services. For the latter, model integration based on the geospatial workflow and semantic supported marching method is introduced. Under this framework, model sharing and integration is applied for developing the Pearl River Delta water environment monitoring system. The results show that the framework can facilitate model sharing and model integration for model publishers and model users. PMID:24901016

  15. A framework for sharing and integrating remote sensing and GIS models based on Web service.

    PubMed

    Chen, Zeqiang; Lin, Hui; Chen, Min; Liu, Deer; Bao, Ying; Ding, Yulin

    2014-01-01

    Sharing and integrating Remote Sensing (RS) and Geographic Information System/Science (GIS) models are critical for developing practical application systems. Facilitating model sharing and model integration is a problem for model publishers and model users, respectively. To address this problem, a framework based on a Web service for sharing and integrating RS and GIS models is proposed in this paper. The fundamental idea of the framework is to publish heterogeneous RS and GIS models into standard Web services for sharing and interoperation and then to integrate the RS and GIS models using Web services. For the former, a "black box" and a visual method are employed to facilitate the publishing of the models as Web services. For the latter, model integration based on the geospatial workflow and semantic supported marching method is introduced. Under this framework, model sharing and integration is applied for developing the Pearl River Delta water environment monitoring system. The results show that the framework can facilitate model sharing and model integration for model publishers and model users.

  16. An architecture for standardized terminology services by wrapping and integration of existing applications.

    PubMed

    Cornet, Roland; Prins, Antoon K

    2003-01-01

    Research on terminology services has resulted in development of applications and definition of standards, but has not yet led to widespread use of (standardized) terminology services in practice. Current terminology services offer functionality both for concept representation and lexical knowledge representation, hampering the possibility of combining the strengths of dedicated (concept and lexical) services. We therefore propose an extensible architecture in which concept-related and lexicon-related components are integrated and made available through a uniform interface. This interface can be extended in order to conform to existing standards, making it possible to use dedicated (third-party) components in a standardized way. As a proof of concept and a reference implementation, a SOAP-based Java implementation of the terminology service is being developed, providing wrappers for Protégé and UMLS Knowledge Source Server. Other systems, such as the Description Logic-based reasoner RACER can be easily integrated by implementation of an appropriate wrapper.

  17. The integration of a telemental health service into rural primary medical care.

    PubMed

    Davis, G L; Boulger, J G; Hovland, J C; Hoven, N T

    2007-07-01

    Mental health care shortages in rural areas have resulted in the majority of services being offered through primary medical care settings. The authors argue that a paradigm shift must occur so that those in need of mental health care have reasonable, timely access to these services. Changes proposed include integrating mental health services into primary medical care settings, moving away from the traditional view of mental health care services (one therapist, one hour, and one client), and increasing the consultative role of psychologists and other mental health care providers in primary medical care. Characteristics of mental health providers that facilitate effective integration into primary medical care are presented. The results of a needs assessment survey and an example of a telemental health project are described. This project involved brief consultations with patients and their physicians from a shared care model using a broadband internet telecommunications link between a rural clinic and mental health service providers in an urban area.

  18. The National Digital Information Infrastructure Preservation Program; Metadata Principles and Practicalities; Challenges for Service Providers when Importing Metadata in Digital Libraries; Integrated and Aggregated Reference Services.

    ERIC Educational Resources Information Center

    Friedlander, Amy; Duval, Erik; Hodgins, Wayne; Sutton, Stuart; Weibel, Stuart L.; McClelland, Marilyn; McArthur, David; Giersch, Sarah; Geisler, Gary; Hodgkin, Adam

    2002-01-01

    Includes 6 articles that discuss the National Digital Information Infrastructure Preservation Program at the Library of Congress; metadata in digital libraries; integrated reference services on the Web. (LRW)

  19. Integrated web system of geospatial data services for climate research

    NASA Astrophysics Data System (ADS)

    Okladnikov, Igor; Gordov, Evgeny; Titov, Alexander

    2016-04-01

    Georeferenced datasets are currently actively used for modeling, interpretation and forecasting of climatic and ecosystem changes on different spatial and temporal scales. Due to inherent heterogeneity of environmental datasets as well as their huge size (up to tens terabytes for a single dataset) a special software supporting studies in the climate and environmental change areas is required. An approach for integrated analysis of georefernced climatological data sets based on combination of web and GIS technologies in the framework of spatial data infrastructure paradigm is presented. According to this approach a dedicated data-processing web system for integrated analysis of heterogeneous georeferenced climatological and meteorological data is being developed. It is based on Open Geospatial Consortium (OGC) standards and involves many modern solutions such as object-oriented programming model, modular composition, and JavaScript libraries based on GeoExt library, ExtJS Framework and OpenLayers software. This work is supported by the Ministry of Education and Science of the Russian Federation, Agreement #14.613.21.0037.

  20. The Semantic Automated Discovery and Integration (SADI) Web service Design-Pattern, API and Reference Implementation

    PubMed Central

    2011-01-01

    Background The complexity and inter-related nature of biological data poses a difficult challenge for data and tool integration. There has been a proliferation of interoperability standards and projects over the past decade, none of which has been widely adopted by the bioinformatics community. Recent attempts have focused on the use of semantics to assist integration, and Semantic Web technologies are being welcomed by this community. Description SADI - Semantic Automated Discovery and Integration - is a lightweight set of fully standards-compliant Semantic Web service design patterns that simplify the publication of services of the type commonly found in bioinformatics and other scientific domains. Using Semantic Web technologies at every level of the Web services "stack", SADI services consume and produce instances of OWL Classes following a small number of very straightforward best-practices. In addition, we provide codebases that support these best-practices, and plug-in tools to popular developer and client software that dramatically simplify deployment of services by providers, and the discovery and utilization of those services by their consumers. Conclusions SADI Services are fully compliant with, and utilize only foundational Web standards; are simple to create and maintain for service providers; and can be discovered and utilized in a very intuitive way by biologist end-users. In addition, the SADI design patterns significantly improve the ability of software to automatically discover appropriate services based on user-needs, and automatically chain these into complex analytical workflows. We show that, when resources are exposed through SADI, data compliant with a given ontological model can be automatically gathered, or generated, from these distributed, non-coordinating resources - a behaviour we have not observed in any other Semantic system. Finally, we show that, using SADI, data dynamically generated from Web services can be explored in a manner

  1. Comparing patient and provider perceptions of home- and community-based services: social network analysis as a service integration metric.

    PubMed

    Ryan, David P; Puri, Manveen; Liu, Barbara A

    2013-01-01

    Integrated home- and community-based services (HCBS) for frail seniors require a unique style of teamwork and collaboration. In four case studies, patient perceptions of teamwork and collaboration among their HCBS care providers are compared with those of the providers themselves using network analysis. The degree of coherence between these perceived networks are examined using network analytics, and network visualizations are discussed. The value of network analysis in research on HCBS is considered.

  2. Information Systems Integration and Enterprise Application Integration (EAI) Adoption: A Case from Financial Services

    ERIC Educational Resources Information Center

    Lam, Wing

    2007-01-01

    Increasingly, organizations find that they need to integrate large number of information systems in order to support enterprise-wide business initiatives such as e-business, supply chain management and customer relationship management. To date, organizations have largely tended to address information systems (IS) integration in an ad-hoc manner.…

  3. [Service Middleware of Medical Information Integration and Exchange Based on HL7 and DICOM].

    PubMed

    Huang, Mian; Liu, Lijun; Xiong, Xin; Fan, Hongbo; Jia, Lianyin; Tang, Shouguo

    2015-08-01

    Medical information exchange and integration is the effective method to solve the interoperability and medical information island, and is the basis of medical information sharing. In this paper, we take medical texts and medical images as the basic integrated objects, DICOM, HL7 messages and datasets as the integrated units, efficient DI-COM, HL7 message construction and parsing methods as basis, design and realize a universal medical information integration and exchange service middleware. Experimental results show that the prototype system could perform medical information integration and exchange among relational database, HL7 and DICOM message, provide a feasible scheme to solve the medical information island and lay a good foundation for establishing the unified medical information integration and sharing platform. The middleware has been applied in the project named "development and demonstration of opened medical information integration system".

  4. Achieving End-to-End QoS in the Next Generation Internet: Integrated Services Over Differentiated Service Networks

    NASA Technical Reports Server (NTRS)

    Bai, Haowei; Atiquzzaman, Mohammed; Ivancic, William

    2001-01-01

    Currently there are two approaches to provide Quality of Service (QoS) in the next generation Internet: An early one is the Integrated Services (IntServ) with the goal of allowing end-to-end QoS to be provided to applications; the other one is the Differentiated Services (DiffServ) architecture providing QoS in the backbone. In this context, a DiffServ network may be viewed as a network element in the total end-to-end path. The objective of this paper is to investigate the possibility of providing end-to-end QoS when IntServ runs over DiffServ backbone in the next generation Internet. Our results show that the QoS requirements of IntServ applications can be successfully achieved when IntServ traffic is mapped to the DiffServ domain in next generation Internet.

  5. Achieving End-to-End QoS in the Next Generation Internet: Integrated Services over Differentiated Service Networks

    NASA Technical Reports Server (NTRS)

    Bai, Haowei; Atiquzzaman, Mohammed; Ivancic, William

    2001-01-01

    Currently there are two approaches to provide Quality of Service (QoS) in the next generation Internet: An early one is the Integrated Services (IntServ) with the goal of allowing end-to-end QoS to be provided to applications; the other one is the Differentiated Services (DiffServ) architecture providing QoS in the backbone. In this context, a DiffServ network may be viewed as a network element in the total end-to-end path. The objective of this paper is to investigate the possibility of providing end-to-end QoS when IntServ runs over DiffServ backbone in the next generation Internet. Our results show that the QoS requirements of IntServ applications can be successfully achieved when IntServ traffic is mapped to the DiffServ domain in next generation Internet.

  6. Bio-jETI: a service integration, design, and provisioning platform for orchestrated bioinformatics processes

    PubMed Central

    Margaria, Tiziana; Kubczak, Christian; Steffen, Bernhard

    2008-01-01

    Background With Bio-jETI, we introduce a service platform for interdisciplinary work on biological application domains and illustrate its use in a concrete application concerning statistical data processing in R and xcms for an LC/MS analysis of FAAH gene knockout. Methods Bio-jETI uses the jABC environment for service-oriented modeling and design as a graphical process modeling tool and the jETI service integration technology for remote tool execution. Conclusions As a service definition and provisioning platform, Bio-jETI has the potential to become a core technology in interdisciplinary service orchestration and technology transfer. Domain experts, like biologists not trained in computer science, directly define complex service orchestrations as process models and use efficient and complex bioinformatics tools in a simple and intuitive way. PMID:18460173

  7. Bringing it All Together: NODC's Geoportal Server as an Integration Tool for Interoperable Data Services

    NASA Astrophysics Data System (ADS)

    Casey, K. S.; Li, Y.

    2011-12-01

    The US National Oceanographic Data Center (NODC) has implemented numerous interoperable data technologies in recent years to enhance the discovery, understanding, and use of the vast quantities of data in the NODC archives. These services include OPeNDAP's Hyrax server, Unidata's THREDDS Data Server (TDS), NOAA's Live Access Server (LAS), and most recently the ESRI ArcGIS Server. Combined, these technologies enable NODC to provide access to its data holdings and products through most of the commonly-used standardized web services like the Data Access Protocol (DAP) and the Open Geospatial Consortium suite of services such as the Web Mapping Service (WMS) and Web Coverage Service (WCS). Despite the strong demand for and use of these services, the acronym-rich environment of services can also result in confusion for producers of data to the NODC archives, for consumers of data from the NODC archives, and for the data stewards at the archives as well. The situation is further complicated by the fact that NODC also maintains some ad hoc services like WODselect, and that not all services can be applied to all of the tens of thousands of collections in the NODC archive; where once every data set was available only through FTP and HTTP servers, now many are also available from the LAS, TDS, Hyrax, and ArcGIS Server. To bring order and clarity to this potentially confusing collection of services, NODC deployed the Geoportal Server into its Archive Management System as an integrating technology that brings together its various data access, visualization, and discovery services as well as its overall metadata management workflows. While providing an enhanced web-based interface for more integrated human-to-machine discovery and access, the deployment also enables NODC for the first time to support a robust set of machine-to-machine discovery services such as the Catalog Service for the Web (CS/W), OpenSearch, and Search and Retrieval via URL (SRU) . This approach allows NODC

  8. Integration of mental health into priority health service delivery platforms: maternal and child health services.

    PubMed

    Rahman, A

    2015-09-28

    Maternal and child health (MCH) programmes are the most logical and appropriate platforms for integration of mental health care in an equitable, accessible and holistic manner. Such integration has the potential to improve both mental and physical health synergistically. Key steps to successful integration include a) recognition, at the highest international and national policy forums, that mental health and well-being is a generic component of MCH that does not compete with MCH programmes but instead complements them; b) tailoring the training and supervision of MCH and primary care personnel so they can recognize and assist in the management of common maternal and child mental health problems, recognizing that this, in turn, will enable them to be more effective health-care workers; c) adapting effective interventions to local contexts; and d) investing in implementation research so that these approaches are refined and scaled-up, leading to improved outcomes for all MCH programmes.

  9. Integrating the provision of ecosystem services and trawl fisheries for the management of the marine environment.

    PubMed

    Muntadas, Alba; de Juan, Silvia; Demestre, Montserrat

    2015-02-15

    The species interaction and their biological traits (BT) determine the function of benthic communities and, hence, the delivery of ecosystem services. Therefore, disturbance of benthic communities by trawling may compromise ecosystem service delivery, including fisheries' catches. In this work, we explore 1) the impact of trawling activities on benthic functional components (after the BTA approach) and 2) how trawling impact may affect the ecosystem services delivered by benthic communities. To this aim, we assessed the provision of ecosystem services by adopting the concept of Ecosystem Service Providers (ESP), i.e. ecological units that perform ecosystem functions that will ultimately deliver ecosystem services. We studied thirteen sites subjected to different levels of fishing effort in the Mediterranean. From a range of environmental variables included in the study, we found ESPs to be mainly affected by fishing effort and grain size. Our results suggested that habitat type has significant effects on the distribution of ESPs and this natural variability influences ESP response to trawling at a specific site. In order to summarize the complex relationships between human uses, ecosystem components and the demand for ecosystem services in trawling grounds, we adapted a DPSIR (Drivers-Pressures-State Change-Impact-Response) framework to the study area, emphasizing the role of society as Drivers of change and actors demanding management Responses. This integrative framework aims to inform managers about the interactions between all the elements involved in the management of trawling grounds, highlighting the need for an integrated approach in order to ensure ecosystem service provision. PMID:25433378

  10. Integrating the provision of ecosystem services and trawl fisheries for the management of the marine environment.

    PubMed

    Muntadas, Alba; de Juan, Silvia; Demestre, Montserrat

    2015-02-15

    The species interaction and their biological traits (BT) determine the function of benthic communities and, hence, the delivery of ecosystem services. Therefore, disturbance of benthic communities by trawling may compromise ecosystem service delivery, including fisheries' catches. In this work, we explore 1) the impact of trawling activities on benthic functional components (after the BTA approach) and 2) how trawling impact may affect the ecosystem services delivered by benthic communities. To this aim, we assessed the provision of ecosystem services by adopting the concept of Ecosystem Service Providers (ESP), i.e. ecological units that perform ecosystem functions that will ultimately deliver ecosystem services. We studied thirteen sites subjected to different levels of fishing effort in the Mediterranean. From a range of environmental variables included in the study, we found ESPs to be mainly affected by fishing effort and grain size. Our results suggested that habitat type has significant effects on the distribution of ESPs and this natural variability influences ESP response to trawling at a specific site. In order to summarize the complex relationships between human uses, ecosystem components and the demand for ecosystem services in trawling grounds, we adapted a DPSIR (Drivers-Pressures-State Change-Impact-Response) framework to the study area, emphasizing the role of society as Drivers of change and actors demanding management Responses. This integrative framework aims to inform managers about the interactions between all the elements involved in the management of trawling grounds, highlighting the need for an integrated approach in order to ensure ecosystem service provision.

  11. Integrating Music Therapy Services and Speech-Language Therapy Services for Children with Severe Communication Impairments: A Co-Treatment Model

    ERIC Educational Resources Information Center

    Geist, Kamile; McCarthy, John; Rodgers-Smith, Amy; Porter, Jessica

    2008-01-01

    Documenting how music therapy can be integrated with speech-language therapy services for children with communication delay is not evident in the literature. In this article, a collaborative model with procedures, experiences, and communication outcomes of integrating music therapy with the existing speech-language services is given. Using…

  12. Insights from a pilot program to integrate medical and social services.

    PubMed

    Meiners, Mark R; Mokler, Pamela M; Kasunic, Mary Lynn; Hawthornthwaite, Scott; Foster, Susan; Scheer, David; Maldonado, Anna Maria

    2014-01-01

    This study examines lessons learned from the design, implementation, and early results of an integrated managed care pilot program linking member benefits of a Medicare-Medicaid health care plan with community services and supports. The health plan's average monthly costs for members receiving an assessment and services declined by an economically meaningful, statistically significant amount in the postintervention period relative to the preintervention period compared with those who did not accept an assessment or services. The results along with the lesson learned from the pilot are viewed by the parties as supportive of further program development.

  13. Insights from a pilot program to integrate medical and social services.

    PubMed

    Meiners, Mark R; Mokler, Pamela M; Kasunic, Mary Lynn; Hawthornthwaite, Scott; Foster, Susan; Scheer, David; Maldonado, Anna Maria

    2014-01-01

    This study examines lessons learned from the design, implementation, and early results of an integrated managed care pilot program linking member benefits of a Medicare-Medicaid health care plan with community services and supports. The health plan's average monthly costs for members receiving an assessment and services declined by an economically meaningful, statistically significant amount in the postintervention period relative to the preintervention period compared with those who did not accept an assessment or services. The results along with the lesson learned from the pilot are viewed by the parties as supportive of further program development. PMID:24924659

  14. The tsunami service bus, an integration platform for heterogeneous sensor systems

    NASA Astrophysics Data System (ADS)

    Haener, R.; Waechter, J.; Kriegel, U.; Fleischer, J.; Mueller, S.

    2009-04-01

    1. INTRODUCTION Early warning systems are long living and evolving: New sensor-systems and -types may be developed and deployed, sensors will be replaced or redeployed on other locations and the functionality of analyzing software will be improved. To ensure a continuous operability of those systems their architecture must be evolution-enabled. From a computer science point of view an evolution-enabled architecture must fulfill following criteria: • Encapsulation of and functionality on data in standardized services. Access to proprietary sensor data is only possible via these services. • Loose coupling of system constituents which easily can be achieved by implementing standardized interfaces. • Location transparency of services what means that services can be provided everywhere. • Separation of concerns that means breaking a system into distinct features which overlap in functionality as little as possible. A Service Oriented Architecture (SOA) as e. g. realized in the German Indonesian Tsunami Early Warning System (GITEWS) and the advantages of functional integration on the basis of services described below adopt these criteria best. 2. SENSOR INTEGRATION Integration of data from (distributed) data sources is just a standard task in computer science. From few well known solution patterns, taking into account performance and security requirements of early warning systems only functional integration should be considered. Precondition for this is that systems are realized compliant to SOA patterns. Functionality is realized in form of dedicated components communicating via a service infrastructure. These components provide their functionality in form of services via standardized and published interfaces which could be used to access data maintained in - and functionality provided by dedicated components. Functional integration replaces the tight coupling at data level by a dependency on loosely coupled services. If the interfaces of the service providing

  15. ‘Trust and teamwork matter’: Community health workers' experiences in integrated service delivery in India

    PubMed Central

    Mishra, Arima

    2014-01-01

    A comprehensive and integrated approach to strengthen primary health care has been the major thrust of the National Rural Health Mission (NRHM) that was launched in 2005 to revamp India's rural public health system. Though the logic of horizontal and integrated health care to strengthen health systems has long been acknowledged at policy level, empirical evidence on how such integration operates is rare. Based on recent (2011–2012) ethnographic fieldwork in Odisha, India, this article discusses community health workers' experiences in integrated service delivery through village-level outreach sessions within the NRHM. It shows that for health workers, the notion of integration goes well beyond a technical lens of mixing different health services. Crucially, they perceive ‘teamwork’ and ‘building trust with the community’ (beyond trust in health services) to be critical components of their practice. However, the comprehensive NRHM primary health care ideology – which the health workers espouse – is in constant tension with the exigencies of narrow indicators of health system performance. Our ethnography shows how monitoring mechanisms, the institutionalised privileging of statistical evidence over field-based knowledge and the highly hierarchical health bureaucratic structure that rests on top-down communications mitigate efforts towards sustainable health system integration. PMID:25025872

  16. 'Trust and teamwork matter': community health workers' experiences in integrated service delivery in India.

    PubMed

    Mishra, Arima

    2014-01-01

    A comprehensive and integrated approach to strengthen primary health care has been the major thrust of the National Rural Health Mission (NRHM) that was launched in 2005 to revamp India's rural public health system. Though the logic of horizontal and integrated health care to strengthen health systems has long been acknowledged at policy level, empirical evidence on how such integration operates is rare. Based on recent (2011-2012) ethnographic fieldwork in Odisha, India, this article discusses community health workers' experiences in integrated service delivery through village-level outreach sessions within the NRHM. It shows that for health workers, the notion of integration goes well beyond a technical lens of mixing different health services. Crucially, they perceive 'teamwork' and 'building trust with the community' (beyond trust in health services) to be critical components of their practice. However, the comprehensive NRHM primary health care ideology - which the health workers espouse - is in constant tension with the exigencies of narrow indicators of health system performance. Our ethnography shows how monitoring mechanisms, the institutionalised privileging of statistical evidence over field-based knowledge and the highly hierarchical health bureaucratic structure that rests on top-down communications mitigate efforts towards sustainable health system integration.

  17. Service user integration into social work education: lessons learned from nordic participatory action projects.

    PubMed

    Angelin, Anna

    2015-01-01

    Service users have lacked substantial influence, access, and participation in social work education in Norway and Sweden. In this article the author presents comparative analyses of two participatory projects that have developed and implemented practices that integrate service users into academic social work education and empower service users. The Norwegian HUSK project and the Social Work as Mobilization and Entrepreneurship course, also known as the "Mobilization course," at Lund University in Sweden demonstrate collaboration between research, social work education, and service users. The conclusions focus on the importance of the empowering processes by including recognition and dialogue, co-learning in practice, and the use of neutral venues to ensure effective user participation. The inclusion of service users in social work education can improve both practice and education. PMID:25662088

  18. Integrating ICT as an Integral Teaching and Learning Tool into Pre-Service Teacher Training Courses

    ERIC Educational Resources Information Center

    Steketee, Carole

    2005-01-01

    Even though a wide cross-section of society today has accepted Information and Communications Technology (ICT) as an entrenched characteristic of its culture, education has been slow to adopt it as an integral tool within the classroom (Cuban, 2001; Elliott, 2004). Many reasons for this lethargy have been purported in the literature, ranging from…

  19. A Smart Modeling Framework for Integrating BMI-enabled Models as Web Services

    NASA Astrophysics Data System (ADS)

    Jiang, P.; Elag, M.; Kumar, P.; Peckham, S. D.; Liu, R.; Marini, L.; Hsu, L.

    2015-12-01

    Serviced-oriented computing provides an opportunity to couple web service models using semantic web technology. Through this approach, models that are exposed as web services can be conserved in their own local environment, thus making it easy for modelers to maintain and update the models. In integrated modeling, the serviced-oriented loose-coupling approach requires (1) a set of models as web services, (2) the model metadata describing the external features of a model (e.g., variable name, unit, computational grid, etc.) and (3) a model integration framework. We present the architecture of coupling web service models that are self-describing by utilizing a smart modeling framework. We expose models that are encapsulated with CSDMS (Community Surface Dynamics Modeling System) Basic Model Interfaces (BMI) as web services. The BMI-enabled models are self-describing by uncovering models' metadata through BMI functions. After a BMI-enabled model is serviced, a client can initialize, execute and retrieve the meta-information of the model by calling its BMI functions over the web. Furthermore, a revised version of EMELI (Peckham, 2015), an Experimental Modeling Environment for Linking and Interoperability, is chosen as the framework for coupling BMI-enabled web service models. EMELI allows users to combine a set of component models into a complex model by standardizing model interface using BMI as well as providing a set of utilities smoothing the integration process (e.g., temporal interpolation). We modify the original EMELI so that the revised modeling framework is able to initialize, execute and find the dependencies of the BMI-enabled web service models. By using the revised EMELI, an example will be presented on integrating a set of topoflow model components that are BMI-enabled and exposed as web services. Reference: Peckham, S.D. (2014) EMELI 1.0: An experimental smart modeling framework for automatic coupling of self-describing models, Proceedings of HIC 2014

  20. Teaching-Service integration within the National Professional Health Education Reorientation Program.

    PubMed

    Vendruscolo, Carine; Prado, Marta Lenise do; Kleba, Maria Elisabeth

    2016-09-01

    This integrative literature review aimed at identifying the characteristics and describing how teaching-service integration is expressed in studies on Pró-Saúde (Charitable institution for social and hospital assistance) published in Brazil in the period 2007-2012. For the search, the term National Professional Health Education Reorientation Program was entered in the following databases: Virtual Health Library (BVS), Google Scholar and the Bank of Theses of the Coordination for the Improvement of Higher Education Personnel (CAPES). Forty-one publications were selected with the following inclusion criteria: scientific papers; theses and dissertations; studies in English, Portuguese or Spanish. The critical review of studies was performed through a comprehensive reading of the texts. Outcomes are presented in two categories: Dialogue and partnership as tools for teaching-service integration and Movements of change in teaching-service through Pró-Saúde. Studies have shown that changes in professional education and practice are possible and necessary, especially when supported by strategies that encourage active participation of subjects and confirm teaching-service integration as opportunity for dialogue, promoted by this inducing policy.

  1. Integrating an HTLV-III Screening Program into a Community Based Family Health Service Agency.

    ERIC Educational Resources Information Center

    Klausmeier, Walter W.; Henshaw, Beverly

    Acquired Immune Deficiency Syndrome (AIDS) has become one of the most serious epidemic disease problems in recent years. In 1985 the Public Health Service recommended establishment of test sites where individuals might be tested for Human T Lymphotropic Virus III (HTLV-III) antibody. An HTLV-III antibody screening program was integrated into a…

  2. Reculturing for Equity through Integrated Services: A Case Study of One District's Reform

    ERIC Educational Resources Information Center

    Dentith, Audrey; Frattura, Elise; Kaylor, Maria

    2013-01-01

    The purpose of this paper is to analyse the early stages of an urban district's special education reform effort in which the entire district moved from a programme model to an integrated services delivery approach. We studied teacher and building administrator's responses garnered through focus group, individual interviews and…

  3. Teaching-Service integration within the National Professional Health Education Reorientation Program.

    PubMed

    Vendruscolo, Carine; Prado, Marta Lenise do; Kleba, Maria Elisabeth

    2016-09-01

    This integrative literature review aimed at identifying the characteristics and describing how teaching-service integration is expressed in studies on Pró-Saúde (Charitable institution for social and hospital assistance) published in Brazil in the period 2007-2012. For the search, the term National Professional Health Education Reorientation Program was entered in the following databases: Virtual Health Library (BVS), Google Scholar and the Bank of Theses of the Coordination for the Improvement of Higher Education Personnel (CAPES). Forty-one publications were selected with the following inclusion criteria: scientific papers; theses and dissertations; studies in English, Portuguese or Spanish. The critical review of studies was performed through a comprehensive reading of the texts. Outcomes are presented in two categories: Dialogue and partnership as tools for teaching-service integration and Movements of change in teaching-service through Pró-Saúde. Studies have shown that changes in professional education and practice are possible and necessary, especially when supported by strategies that encourage active participation of subjects and confirm teaching-service integration as opportunity for dialogue, promoted by this inducing policy. PMID:27653080

  4. Integrated Services for Frail Elders (SIPA): A Trial of a Model for Canada

    ERIC Educational Resources Information Center

    Beland, Francois; Bergman, Howard; Lebel, Paule; Dallaire, Luc; Fletcher, John; Contandriopoulos, Andre-Pierre; Solidage, Tousignant Pierre

    2006-01-01

    The complex formed by chronic illness, episodes of acute illness, physiological disabilities, functional limitations, and cognitive problems is prevalent among frail elderly persons. These individuals rely on assistance from social and health care programs, which in Canada are still fragmented. SIPA is an integrated service model based on…

  5. Generic Service Integration in Adaptive Learning Experiences Using IMS Learning Design

    ERIC Educational Resources Information Center

    de-la-Fuente-Valentin, Luis; Pardo, Abelardo; Kloos, Carlos Delgado

    2011-01-01

    IMS Learning Design is a specification to capture the orchestration taking place in a learning scenario. This paper presents an extension called Generic Service Integration. This paradigm allows a bidirectional communication between the course engine in charge of the orchestration and conventional Web 2.0 tools. This communication allows the…

  6. AD/HD Is a Bio-Psychosocial Condition Requiring Support from Integrated Services

    ERIC Educational Resources Information Center

    Hughes, Lesley

    2007-01-01

    This article reports on how integrated services can provide coordinated support for children with AD/HD and their families. The author reports on the effectiveness of a problem-based approach to interagency working by exploring the use of two models of good practice from education, health and social care to provide a framework for working across…

  7. Pre-Service Teachers' Perceptions of ICT Integration in Teacher Education in Turkey

    ERIC Educational Resources Information Center

    Aslan, Aydin; Zhu, Chang

    2015-01-01

    Information and Communication Technology (ICT) integration in teacher education and teaching practices of teachers is a complicated and challenging issue. As far as pre-service teachers are concerned, this becomes critical because they need to be equipped with the competencies for their future teaching practices. The objective of this study is to…

  8. An Analysis of the Integration of Instructional Technology in Pre-Service Teacher Education in Zimbabwe

    ERIC Educational Resources Information Center

    Chitiyo, Rodwell; Harmon, Stephen W.

    2009-01-01

    In the context of continuous innovations in information and communication technology (ICT) and its impact on higher education, this study explored the integration of instructional technology (IT) by university lecturers in pre-service secondary school teacher education programs in Zimbabwe. Specifically, the study examined how lecturers integrate…

  9. Social Cognitive Predictors of Pre-Service Teachers' Technology Integration Performance

    ERIC Educational Resources Information Center

    Perkmen, Serkan; Pamuk, Sonmez

    2011-01-01

    The main objective of the study was to examine interrelationships among social cognitive variables (self-efficacy, outcome expectations, and performance goals) and their role in predicting pre-service teachers' technology integration performance. Although researchers have examined the role of these variables in the teacher-education context, the…

  10. How Integration of Services Facilitates Family Literacy: Testimony from Even Start Participants.

    ERIC Educational Resources Information Center

    Roth, Jeffrey; Myers-Jennings, Corine; Stowell, Daniel W.

    1997-01-01

    Describes how integrating services in an Even Start program in Gainesville, Florida, facilitated family literacy. Highlights specific examples from the experience that changed parents' lives. Participants gradually developed political awareness via improved self-esteem, self-confidence, assertiveness, involvement, and self-governance (in a…

  11. How Integration of Services Facilitates Family Literacy: Testimony from Even Start Participants.

    ERIC Educational Resources Information Center

    Roth, Jeffrey; Myers-Jennings, Corine

    A case study evaluated the effectiveness of the Even Start family literacy project, which integrates within a single continuum of service three formerly separate curricular components: adult education, early childhood education, and parent education. A series of case study interviews were conducted over a 4-year period with 11 adult participants…

  12. Issues in the Linkage and Integration of Treatment and Rehabilitation Services for Chronically Mentally Ill Persons.

    ERIC Educational Resources Information Center

    Woy, J. Richard; Dellario, Donald J.

    1985-01-01

    Compares and contrasts characteristics of the mental health system and the Vocational Rehabilitation (VR) service system; examines environmental, intraorganizational, and interorganizational variables as they pertain to potential for linkages between mental health and VR providers; and discusses implications for improved integration of treatment…

  13. Report on the Integrated Service Team Project for the W. K. Kellogg Foundation.

    ERIC Educational Resources Information Center

    Eisele, G. Richard

    The Community College of Vermont (CCV) initiated a three-year Integrated Service Team (IST) Project to develop, test, and evaluate a model for learner needs assessment that incorporated institutional collaboration among postsecondary institutions in Vermont. Graduate student interns and faculty representatives from state and community colleges…

  14. Preparing Pre-Service Teachers to Integrate Technology in Education: A Synthesis of Qualitative Evidence

    ERIC Educational Resources Information Center

    Tondeur, Jo; van Braak, Johan; Sang, Guoyuan; Voogt, Joke; Fisser, Petra; Ottenbreit-Leftwich, Anne

    2012-01-01

    This study reviewed qualitative studies that focused on strategies to prepare pre-service teachers to integrate technology into their lessons. A meta-ethnography approach was utilized to locate, critically appraise, and synthesize the results of these studies. Based on an extensive search in the Web of Science, 19 articles were included in this…

  15. An Integrated Parent-Teacher-Related Service Team Approach to Communication Intervention. Final Report.

    ERIC Educational Resources Information Center

    Stremel, Kathleen; Wilson, Rebecca

    This final report describes a federally funded 3-year project for integrating related services within educational objectives for children (ages 3-10) with dual vision and hearing impairments. A Training-Utilization model of inservice training and technical assistance was developed, implemented, and evaluated to address the communication needs of…

  16. Teaching Diversity through Service-Learning: An Integrative Praxis Pedagogical Approach

    ERIC Educational Resources Information Center

    Rice, Julie Steinkopf; Horn, Terri

    2014-01-01

    Service-learning has been shown to be an effective technique for teaching diversity; however, the literature is scant concerning theoretically informed approaches. This study fills that void by drawing upon the work of Freire, Rendón, and others. After describing how an integrative praxis approach is applied in a sociology course, the authors…

  17. Motivating Pre-Service Teachers in Technology Integration of Web 2.0 for Teaching Internships

    ERIC Educational Resources Information Center

    Kim, Hye Jeong; Jang, Hwan Young

    2015-01-01

    The aim of this study was to examine the predictors of pre-service teachers' use of Web 2.0 tools during a teaching internship, after a course that emphasized the use of the tools for instructional activities. Results revealed that integrating Web 2.0 tools during their teaching internship was strongly predicted by participants' perceived…

  18. Integrative Pre-Service Elementary Teacher Training: The Role of Interdisciplinary Collaborative Mathematics

    ERIC Educational Resources Information Center

    Chiatula, Victoria Oliaku

    2015-01-01

    This primer summarizes interdisciplinary collaborative mathematics as an integrative approach to train pre-service elementary teachers to teach math utilizing Junior Achievement USA (JA) educational programs within an elementary Math Methods course. The primer provides a JA historical background/program overview, summarizes the interdisciplinary…

  19. Critical insights for a sustainability framework to address integrated community water services: Technical metrics and approaches.

    PubMed

    Xue, Xiaobo; Schoen, Mary E; Ma, Xin Cissy; Hawkins, Troy R; Ashbolt, Nicholas J; Cashdollar, Jennifer; Garland, Jay

    2015-06-15

    Planning for sustainable community water systems requires a comprehensive understanding and assessment of the integrated source-drinking-wastewater systems over their life-cycles. Although traditional life cycle assessment and similar tools (e.g. footprints and emergy) have been applied to elements of these water services (i.e. water resources, drinking water, stormwater or wastewater treatment alone), we argue for the importance of developing and combining the system-based tools and metrics in order to holistically evaluate the complete water service system based on the concept of integrated resource management. We analyzed the strengths and weaknesses of key system-based tools and metrics, and discuss future directions to identify more sustainable municipal water services. Such efforts may include the need for novel metrics that address system adaptability to future changes and infrastructure robustness. Caution is also necessary when coupling fundamentally different tools so to avoid misunderstanding and consequently misleading decision-making.

  20. Opportunities for and constraints to integration of health services in Poland*

    PubMed Central

    Sobczak, Alicja

    2002-01-01

    Abstract At the beginning of the article the typologies, expected outcomes and forces aiming at health care integration are discussed. Integration is recognised as a multidimensional concept. The suggested typologies of integration are based on structural configurations, co-ordination mechanisms (including clinical co-ordination), and driving forces. A review of the Polish experience in integration/disintegration of health care systems is the main part of the article. Creation of integrated health care management units (ZOZs) in the beginning of the 1970s serves as an example of structural vertical integration missing co-ordination mechanisms. ZOZs as huge, costly and inflexible organisations became subjects of public criticism and discredited the idea of health care integration. At the end of the 1980s and in the decade of the 1990s, management of public health care was decentralised, the majority of ZOZs dismantled, and many health care public providers got the status of independent entities. The private sector developed rapidly. Sickness funds, which in 1999 replaced the previous state system, introduced “quasi-market” conditions where health providers have to compete for contracts. Some providers developed strategies of vertical and horizontal integration to get a competitive advantage. Consolidation of private ambulatory clinics, the idea of “integrated care” as a “contracting package”, development of primary health care and ambulatory specialist clinics in hospitals are the examples of such strategies. The new health policy declared in 2002 has recognised integration as a priority. It stresses the development of payment mechanisms and information base (Register of Health Services – RUM) that promote integration. The Ministry of Health is involved directly in integrated emergency system designing. It seems that after years of disintegration and deregulation the need for effective integration has become obvious. PMID:16896398

  1. Providing primary health care through integrated microfinance and health services in Latin America.

    PubMed

    Geissler, Kimberley H; Leatherman, Sheila

    2015-05-01

    The simultaneous burdens of communicable and chronic non-communicable diseases cause significant morbidity and mortality in middle-income countries. The poor are at particular risk, with lower access to health care and higher rates of avoidable mortality. Integrating health-related services with microfinance has been shown to improve health knowledge, behaviors, and access to appropriate health care. However, limited evidence is available on effects of fully integrating clinical health service delivery alongside microfinance services through large scale and sustained long-term programs. Using a conceptual model of health services access, we examine supply- and demand-side factors in a microfinance client population receiving integrated services. We conduct a case study using data from 2010 to 2012 of the design of a universal screening program and primary care services provided in conjunction with microfinance loans by Pro Mujer, a women's development organization in Latin America. The program operates in Argentina, Bolivia, Mexico, Nicaragua, and Peru. We analyze descriptive reports and administrative data for measures related to improving access to primary health services and management of chronic diseases. We find provision of preventive care is substantial, with an average of 13% of Pro Mujer clients being screened for cervical cancer each year, 21% receiving breast exams, 16% having a blood glucose measurement, 39% receiving a blood pressure measurement, and 46% having their body mass index calculated. This population, with more than half of those screened being overweight or obese and 9% of those screened having elevated glucose measures, has major risk factors for diabetes, high blood pressure, and cardiovascular disease without intervention. The components of the Pro Mujer health program address four dimensions of healthcare access: geographic accessibility, availability, affordability, and acceptability. Significant progress has been made to meet basic

  2. Providing primary health care through integrated microfinance and health services in Latin America.

    PubMed

    Geissler, Kimberley H; Leatherman, Sheila

    2015-05-01

    The simultaneous burdens of communicable and chronic non-communicable diseases cause significant morbidity and mortality in middle-income countries. The poor are at particular risk, with lower access to health care and higher rates of avoidable mortality. Integrating health-related services with microfinance has been shown to improve health knowledge, behaviors, and access to appropriate health care. However, limited evidence is available on effects of fully integrating clinical health service delivery alongside microfinance services through large scale and sustained long-term programs. Using a conceptual model of health services access, we examine supply- and demand-side factors in a microfinance client population receiving integrated services. We conduct a case study using data from 2010 to 2012 of the design of a universal screening program and primary care services provided in conjunction with microfinance loans by Pro Mujer, a women's development organization in Latin America. The program operates in Argentina, Bolivia, Mexico, Nicaragua, and Peru. We analyze descriptive reports and administrative data for measures related to improving access to primary health services and management of chronic diseases. We find provision of preventive care is substantial, with an average of 13% of Pro Mujer clients being screened for cervical cancer each year, 21% receiving breast exams, 16% having a blood glucose measurement, 39% receiving a blood pressure measurement, and 46% having their body mass index calculated. This population, with more than half of those screened being overweight or obese and 9% of those screened having elevated glucose measures, has major risk factors for diabetes, high blood pressure, and cardiovascular disease without intervention. The components of the Pro Mujer health program address four dimensions of healthcare access: geographic accessibility, availability, affordability, and acceptability. Significant progress has been made to meet basic

  3. Component-based mediation services for the integration of medical applications.

    PubMed

    Xu, Y; Sauquet, D; Degoulet, P; Jaulent, M-C

    2003-03-01

    Allowing exchange of information and cooperation among network-wide distributed and heterogeneous applications is a major need of current health-care information systems. The European project SynEx aims at developing an integration platform for both new and legacy applications on each partner's site. We developed, in this project, mediation services based on the generic and reusable software components that facilitate the construction of an integration platform and ease the communication and the meaningful transformation among distributed and heterogeneous applications. The main component of the mediation services is named Pilot, which serves as an intelligent broker. It uses a multi-agents service model allowing the integration platform to be multi-servers. It transforms a client request into a valid high level service on the platform. Each service is broken up into several elementary steps by the Pilot. For each step, the Pilot uses an agent to realize the operation configured by the step. At runtime, the Pilot synchronizes the execution of different steps. To ease the communication and the interaction with the heterogeneous systems, an agent can integrate a Mediator. The Mediators are the communication and interpretation tools within the mediation services. We have developed a generic model that can be specialized for creating specific mediators for the different use cases. The mediator model uses two interfaces to connect the mediator with two systems that need to communicate. Each interface deals with the three aspects through three managers (the Communication Manager, the Syntax Manager and the Semantic Manager). Some ready-to-use specializations are developed for some well defined cases which can reduce the development effort. Once a manager is specialized, it can be used in different combinations with other managers to resolve different problems. The meaningful transformation is ensured on a semantic level in each mediator through the Semantic Model

  4. TogoWS: integrated SOAP and REST APIs for interoperable bioinformatics Web services.

    PubMed

    Katayama, Toshiaki; Nakao, Mitsuteru; Takagi, Toshihisa

    2010-07-01

    Web services have become widely used in bioinformatics analysis, but there exist incompatibilities in interfaces and data types, which prevent users from making full use of a combination of these services. Therefore, we have developed the TogoWS service to provide an integrated interface with advanced features. In the TogoWS REST (REpresentative State Transfer) API (application programming interface), we introduce a unified access method for major database resources through intuitive URIs that can be used to search, retrieve, parse and convert the database entries. The TogoWS SOAP API resolves compatibility issues found on the server and client-side SOAP implementations. The TogoWS service is freely available at: http://togows.dbcls.jp/.

  5. Integrated Academic Information Management Systems (IAIMS). Part III. Implementation of integrated information services. Library/computer center partnership.

    PubMed

    Feng, C C; Weise, F O

    1988-03-01

    Information technologies are changing the traditional role of the library from that of a repository of information to that of an aggressive provider of information services utilizing electronic methods. In many cases, the library cannot realistically achieve this transformation independently but must work with the computer center to reach its objectives. Various models of the integration of libraries and computer centers are thus emerging. At the University of Maryland at Baltimore the Health Sciences Library and the Information Resources Management Division have developed a partnership based on functional relationships without changing the organizational structure. Strategic planning for an Integrated Academic Information Management System (IAIMS) acted as a catalyst in the process. The authors present the evolution of the partnership and discuss current projects being developed jointly by the two units.

  6. Web services at the IRIS DMC to support integration of data sets

    NASA Astrophysics Data System (ADS)

    Ahern, T.; Trabant, C.; Weertman, B.; Karstens, R.; Suleiman, Y.

    2012-04-01

    At the IRIS Data Management Center (DMC) we have developed web service interfaces to almost all of the data types we manage. These service interfaces provide access to raw time series data and associated metadata. In addition, we offer services that apply processing to the data before it is sent to the user. Whenever possible we chose open and recognized standards. The services themselves use only a simple subset of widespread web service technologies and methods, ensuring the widest possible support in programming languages and operating systems. To promote easier access to seismological and other geophysical data we are coordinating our web service developments with national and international parters. We are working within the Federation of Digital Seismograph Stations (FDSN) to define web service standards for international seismological data centers. Additionally we are working with key partners in Europe to complete the initial implementation of these international standards. Within the United States we have started coordinating with other data centers for related geophysical data types (e.g. geodetic) with the intention of facilitating cross-domain data discovery and use. The overall goal of these efforts is to make data more open, easily found and used by research scientists regardless of the repository in which any given data resides. To foster integration across geophysical domains the IRIS DMC is also making information available in the form of higher level products. These products often are more easily understood by a wider audience than the more esoteric seismographic time series. The support of products will support better integration of data sets. We will present the status of our web service developments and the related coordination efforts in addition to the next steps and vision for the future.

  7. Academic medicine amenities unit: developing a model to integrate academic medical care with luxury hotel services.

    PubMed

    Kennedy, David W; Kagan, Sarah H; Abramson, Kelly Brennen; Boberick, Cheryl; Kaiser, Larry R

    2009-02-01

    The interface between established values of academic medicine and the trend toward inpatient amenities units requires close examination. Opinions of such units can be polarized, reflecting traditional reservations about the ethical dilemma of offering exclusive services only to an elite patient group. An amenities unit was developed at the University of Pennsylvania Health System in 2007, using an approach that integrated academic medicine values with the benefits of philanthropy and service excellence to make amenities unit services available to all patients. Given inherent internal political concerns, a broadly based steering committee of academic and hospital leadership was developed. An academically appropriate model was conceived, anchored by four principles: (1) integration of academic values, (2) interdisciplinary senior leadership, (3) service excellence, and (4) recalibrated occupancy expectations based on multiple revenue streams. Foremost is ensuring the same health care is afforded all patients throughout the hospital, thereby overcoming ethical challenges and optimizing teaching experiences. Service excellence frames the service ethic for all staff, and this, in addition to luxury hotel-style amenities, differentiates the style and feel of the unit from others in the hospital. Recalibrated occupancy creates program viability given revenue streams redefined to encompass gifts and patient revenue, including both reimbursement and self-pay. The medical-surgical amenities patient-care unit has enjoyed a successful first year and a growing stream of returning patients and admitting physicians. Implications for other academic medical centers include opportunities to extrapolate service excellence throughout the hospital and to cultivate philanthropy to benefit services throughout the medical center. PMID:19174661

  8. The Costs of Delivering Integrated HIV and Sexual Reproductive Health Services in Limited Resource Settings

    PubMed Central

    Obure, Carol Dayo; Sweeney, Sedona; Darsamo, Vanessa; Michaels-Igbokwe, Christine; Guinness, Lorna; Terris-Prestholt, Fern; Muketo, Esther; Nhlabatsi, Zelda; Warren, Charlotte E.; Mayhew, Susannah; Watts, Charlotte; Vassall, Anna

    2015-01-01

    Objective To present evidence on the total costs and unit costs of delivering six integrated sexual reproductive health and HIV services in a high and medium HIV prevalence setting, in order to support policy makers and planners scaling up these essential services. Design A retrospective facility based costing study conducted in 40 non-government organization and public health facilities in Kenya and Swaziland. Methods Economic and financial costs were collected retrospectively for the year 2010/11, from each study site with an aim to estimate the cost per visit of six integrated HIV and SRH services. A full cost analysis using a combination of bottom-up and step-down costing methods was conducted from the health provider’s perspective. The main unit of analysis is the economic unit cost per visit for each service. Costs are converted to 2013 International dollars. Results The mean cost per visit for the HIV/SRH services ranged from $Int 14.23 (PNC visit) to $Int 74.21 (HIV treatment visit). We found considerable variation in the unit costs per visit across settings with family planning services exhibiting the least variation ($Int 6.71-52.24) and STI treatment and HIV treatment visits exhibiting the highest variation in unit cost ranging from ($Int 5.44-281.85) and ($Int 0.83-314.95), respectively. Unit costs of visits were driven by fixed costs while variability in visit costs across facilities was explained mainly by technology used and service maturity. Conclusion For all services, variability in unit costs and cost components suggest that potential exists to reduce costs through better use of both human and capital resources, despite the high proportion of expenditure on drugs and medical supplies. Further work is required to explore the key drivers of efficiency and interventions that may facilitate efficiency improvements. PMID:25933414

  9. Academic medicine amenities unit: developing a model to integrate academic medical care with luxury hotel services.

    PubMed

    Kennedy, David W; Kagan, Sarah H; Abramson, Kelly Brennen; Boberick, Cheryl; Kaiser, Larry R

    2009-02-01

    The interface between established values of academic medicine and the trend toward inpatient amenities units requires close examination. Opinions of such units can be polarized, reflecting traditional reservations about the ethical dilemma of offering exclusive services only to an elite patient group. An amenities unit was developed at the University of Pennsylvania Health System in 2007, using an approach that integrated academic medicine values with the benefits of philanthropy and service excellence to make amenities unit services available to all patients. Given inherent internal political concerns, a broadly based steering committee of academic and hospital leadership was developed. An academically appropriate model was conceived, anchored by four principles: (1) integration of academic values, (2) interdisciplinary senior leadership, (3) service excellence, and (4) recalibrated occupancy expectations based on multiple revenue streams. Foremost is ensuring the same health care is afforded all patients throughout the hospital, thereby overcoming ethical challenges and optimizing teaching experiences. Service excellence frames the service ethic for all staff, and this, in addition to luxury hotel-style amenities, differentiates the style and feel of the unit from others in the hospital. Recalibrated occupancy creates program viability given revenue streams redefined to encompass gifts and patient revenue, including both reimbursement and self-pay. The medical-surgical amenities patient-care unit has enjoyed a successful first year and a growing stream of returning patients and admitting physicians. Implications for other academic medical centers include opportunities to extrapolate service excellence throughout the hospital and to cultivate philanthropy to benefit services throughout the medical center.

  10. Effect of organizational and environmental factors on service differentiation strategy of integrated healthcare networks.

    PubMed

    Lin, Y J; Wan, T T

    2001-02-01

    During the past decade, the missions/goals of medical providers of healthcare services in the United States have shifted--from emphasizing individual, independent illness treatments to focusing on the continuum of care, population-based wellness, and providing the appropriate care in the most efficient way. Integrated healthcare networks (IHNs)--or integrated healthcare delivery systems--have been focusing heavily on their level of various partnership integration (i.e. service differentiation strategy) in order to offer a full continuum of care. The aim of this study, using the individual IHN as the unit of analysis, was to identify organizational and environmental factors that influence IHN administrators to focus on their service differentiation of market lines, including the establishment of third-party payers' contracts, the affiliation of managed-care organizations, and the alliances of various nonhospital medical providers, to provide a continuum of care. The study findings show that tax status of an IHN, its age, and market competition affect its service differentiation strategy in the provision of a full continuum of care.

  11. Distributed Earth observation data integration and on-demand services based on a collaborative framework of geospatial data service gateway

    NASA Astrophysics Data System (ADS)

    Xie, Jibo; Li, Guoqing

    2015-04-01

    Earth observation (EO) data obtained by air-borne or space-borne sensors has the characteristics of heterogeneity and geographical distribution of storage. These data sources belong to different organizations or agencies whose data management and storage methods are quite different and geographically distributed. Different data sources provide different data publish platforms or portals. With more Remote sensing sensors used for Earth Observation (EO) missions, different space agencies have distributed archived massive EO data. The distribution of EO data archives and system heterogeneity makes it difficult to efficiently use geospatial data for many EO applications, such as hazard mitigation. To solve the interoperable problems of different EO data systems, an advanced architecture of distributed geospatial data infrastructure is introduced to solve the complexity of distributed and heterogeneous EO data integration and on-demand processing in this paper. The concept and architecture of geospatial data service gateway (GDSG) is proposed to build connection with heterogeneous EO data sources by which EO data can be retrieved and accessed with unified interfaces. The GDSG consists of a set of tools and service to encapsulate heterogeneous geospatial data sources into homogenous service modules. The GDSG modules includes EO metadata harvesters and translators, adaptors to different type of data system, unified data query and access interfaces, EO data cache management, and gateway GUI, etc. The GDSG framework is used to implement interoperability and synchronization between distributed EO data sources with heterogeneous architecture. An on-demand distributed EO data platform is developed to validate the GDSG architecture and implementation techniques. Several distributed EO data achieves are used for test. Flood and earthquake serves as two scenarios for the use cases of distributed EO data integration and interoperability.

  12. An integrated representation of the services provided by global water resources.

    PubMed

    Curmi, Elizabeth; Richards, Keith; Fenner, Richard; Allwood, Julian M; Kopec, Grant M; Bajželj, Bojana

    2013-11-15

    Water is essential not only to maintain the livelihoods of human beings but also to sustain ecosystems. Over the last few decades several global assessments have reviewed current and future uses of water, and have offered potential solutions to a possible water crisis. However, these have tended to focus on water supply rather than on the range of demands for all water services (including those of ecosystems). In this paper, a holistic global view of water resources and the services they provide is presented, using Sankey diagrams as a visualisation tool. These diagrams provide a valuable addition to the spatial maps of other global assessments, as they track the sources, uses, services and sinks of water resources. They facilitate comparison of different water services, and highlight trade-offs amongst them. For example, they reveal how increasing the supply of water resources to one service (crop production) can generate a reduction in provision of other water services (e.g., to ecosystem maintenance). The potential impacts of efficiency improvements in the use of water are also highlighted; for example, reduction in soil evaporation from crop production through better farming practices, or the results of improved treatment and re-use of return flows leading to reduction of delivery to final sinks. This paper also outlines the measures needed to ensure sustainable water resource use and supply for multiple competing services in the future, and emphasises that integrated management of land and water resources is essential to achieve this goal. PMID:24001678

  13. An integrated representation of the services provided by global water resources.

    PubMed

    Curmi, Elizabeth; Richards, Keith; Fenner, Richard; Allwood, Julian M; Kopec, Grant M; Bajželj, Bojana

    2013-11-15

    Water is essential not only to maintain the livelihoods of human beings but also to sustain ecosystems. Over the last few decades several global assessments have reviewed current and future uses of water, and have offered potential solutions to a possible water crisis. However, these have tended to focus on water supply rather than on the range of demands for all water services (including those of ecosystems). In this paper, a holistic global view of water resources and the services they provide is presented, using Sankey diagrams as a visualisation tool. These diagrams provide a valuable addition to the spatial maps of other global assessments, as they track the sources, uses, services and sinks of water resources. They facilitate comparison of different water services, and highlight trade-offs amongst them. For example, they reveal how increasing the supply of water resources to one service (crop production) can generate a reduction in provision of other water services (e.g., to ecosystem maintenance). The potential impacts of efficiency improvements in the use of water are also highlighted; for example, reduction in soil evaporation from crop production through better farming practices, or the results of improved treatment and re-use of return flows leading to reduction of delivery to final sinks. This paper also outlines the measures needed to ensure sustainable water resource use and supply for multiple competing services in the future, and emphasises that integrated management of land and water resources is essential to achieve this goal.

  14. Measuring Integration of Cancer Services to Support Performance Improvement: The CSI Survey

    PubMed Central

    Dobrow, Mark J.; Paszat, Lawrence; Golden, Brian; Brown, Adalsteinn D.; Holowaty, Eric; Orchard, Margo C.; Monga, Neerav; Sullivan, Terrence

    2009-01-01

    Objective: To develop a measure of cancer services integration (CSI) that can inform clinical and administrative decision-makers in their efforts to monitor and improve cancer system performance. Methods: We employed a systematic approach to measurement development, including review of existing cancer/health services integration measures, key-informant interviews and focus groups with cancer system leaders. The research team constructed a Web-based survey that was field- and pilot-tested, refined and then formally conducted on a sample of cancer care providers and administrators in Ontario, Canada. We then conducted exploratory factor analysis to identify key dimensions of CSI. Results: A total of 1,769 physicians, other clinicians and administrators participated in the survey, responding to a 67-item questionnaire. The exploratory factor analysis identified 12 factors that were linked to three broader dimensions: clinical, functional and vertical system integration. Conclusions: The CSI Survey provides important insights on a range of typically unmeasured aspects of the coordination and integration of cancer services, representing a new tool to inform performance improvement efforts. PMID:20676250

  15. An integrated climate service strategy for African drought monitoring and prediction: linking information to action

    NASA Astrophysics Data System (ADS)

    Funk, C.; Verdin, J. P.; Rowland, J.; Budde, M.

    2008-12-01

    For 23 years, the US Agency for International Development's Famine Early Warning Systems Network (FEWS NET) has applied climate data analysis in support of timely food insecurity mitigation and adaptation in Africa. FEWS NET, therefore, provides a compelling example of a sector-specific climate service. We briefly review the phases, successes and shortcomings of the FEWS NET climate service, describe an improved long term climate service strategy, and present new research supporting an improved, integrated drought monitoring approach. Our new monitoring system emphasizes seamless links between historical precipitation archives, near real-time rainfall estimates, and 1-to-4 month statistical predictions. Assessment of forecast skill shows useful levels of accuracy for many regions during key periods of the growing season. Integrating these forecasts with near real time blended satellite-gauge precipitation observations facilitates early identification of mid-season agricultural drought. Integrated historical climate archives (1979-present) permit analysis of observed and forecast climate conditions in terms of historical probabilities and analogs. Tools specific to staple crops and pastoralist settings are then used to assess the likely impacts of hydrometeorological anomalies. These are geographically integrated with livelihoods information and interpreted in terms of current food security conditions and timelines to determine human consequences. A client-server web-mapping data portal will allow users to dynamically access the climate anomaly information, and visualize the results in conjunction with livelihood information.

  16. Integration of HIV prevention into Sexual and Reproductive Health services in an urban setting in South Africa

    PubMed Central

    Scott, Vera

    2013-01-01

    Abstract Background The United Nations Political Declaration on HIV and AIDS of 2006 stressed the need to strengthen policy and programme linkages between HIV and Sexual and Reproductive Health (SRH). However, the effectiveness and best practices for strengthening SRH and HIV linkages are poorly researched in the context of family-planning services. In Cape Town, HIV-prevention services have been integrated into family-planning services. There are two models of service configuration: dedicated stand-alone reproductive health clinics and family-planning services located in comprehensive primary-care facilities. Objective To describe how reproductive health services are integrating HIV prevention and care strategies and to measure the coverage and quality of these integrated services. Methods A cross-sectional study was conducted using structured interviews with facility managers; a facility-based checklist; and a patient record review to assess the availability of resources, training, access, quality and integration. Results Facilities in Cape Town are equipped adequately to offer integrated HIV-prevention and SRH services. Overall there was poor coverage of integrated services with 54% of family-planning clients having a known HIV status; 47% being screened for a sexually transmitted infection and 55% being offered HIV counselling and testing and receiving condoms. Quality and continuity of care seemed better at the dedicated clinics than at the comprehensive facilities, supported by better training coverage. Conclusion Engaging middle-level management is crucial with regard to improving integration within a well-resourced setting.

  17. The antitrust risks of management services organizations, medical foundations, and integrated delivery systems.

    PubMed

    Rosch, J T; Tada, H

    1994-01-01

    This chapter focuses on the antitrust implications of forming a fully integrated delivery system. The danger lies in a challenge by the federal government or private parties, if the proposed system threatens the development of competing systems or excludes individuals or entities. By explaining the risks facing less integrated arrangements involving medical foundations and management services organizations, why forming an integrated system may resolve some of those risks, and the advantages and disadvantages of other options, this chapter also points out one of the primary benefits of forming an integrated system: reducing the antitrust risks. Finally, general suggestions are posed to minimize the antitrust risks when planning and developing any collaborative effort among providers.

  18. Citizen Centric Architecture approach - taking e-health forward by integrating citizens and service providers.

    PubMed

    Han, Yong; Itälä, Timo; Hämäläinen, Matti

    2010-01-01

    In this paper, two related research problems will be discussed in the development of e-health services: First, an architectural approach is needed to provide a holistic view for solving the ICT challenges in e-health development. Second, solving the needs of the citizens should be the focus of the architecture solution. To overcome these problems we suggest a Citizen Centric Architecture (CCA) approach for providing a holistic and appropriately balanced view of the integration. Naturally, enterprises' information systems and citizens' information systems are the key elements of CCA. In addition, for solving the topology challenge brought by a large number of involved parties, a role of trusted third party is proposed to provide an environment for the information exchange and service mediation among the various parties. We believe this approach will enable the large scale growth in citizen centric e-health services that is poorly facilitated by the prevailing models: the improved integration of information will attract more citizens and health care service providers, which in turn, improve the health care information and quality of service.

  19. A comprehensive protein-centric ID mapping service for molecular data integration

    PubMed Central

    Huang, Hongzhan; Suzek, Baris E.; Mazumder, Raja; Zhang, Jian; Chen, Yongxing; Wu, Cathy H.

    2011-01-01

    Motivation: Identifier (ID) mapping establishes links between various biological databases and is an essential first step for molecular data integration and functional annotation. ID mapping allows diverse molecular data on genes and proteins to be combined and mapped to functional pathways and ontologies. We have developed comprehensive protein-centric ID mapping services providing mappings for 90 IDs derived from databases on genes, proteins, pathways, diseases, structures, protein families, protein interaction, literature, ontologies, etc. The services are widely used and have been regularly updated since 2006. Availability: www.uniprot.org/mappingandproteininformation-resource.org/pirwww/search/idmapping.shtml Contact: huang@dbi.udel.edu PMID:21478197

  20. THE TSUNAMI SERVICE BUS, AN INTEGRATION PLATFORM FOR HETEROGENEOUS SENSOR SYSTEMS

    NASA Astrophysics Data System (ADS)

    Fleischer, J.; Häner, R.; Herrnkind, S.; Kriegel, U.; Schwarting, H.; Wächter, J.

    2009-12-01

    The Tsunami Service Bus (TSB) is the sensor integration platform of the German Indonesian Tsunami Early Warning System (GITEWS) [1]. The primary goal of GITEWS is to deliver reliable tsunami warnings as fast as possible. This is achieved on basis of various sensor systems like seismometers, ocean instrumentation, and GPS stations, all providing fundamental data to support prediction of tsunami wave propagation by the GITEWS warning center. However, all these sensors come with their own proprietary data formats and specific behavior. Also new sensor types might be added, old sensors will be replaced. To keep GITEWS flexible the TSB was developed in order to access and control sensors in a uniform way. To meet these requirements the TSB follows the architectural blueprint of a Service Oriented Architecture (SOA). The integration platform implements dedicated services communicating via a service infrastructure. The functionality required for early warnings is provided by loosely coupled services replacing the "hard-wired" coupling at data level. Changes in the sensor specification are confined to the data level without affecting the warning center. Great emphasis was laid on following the Sensor Web Enablement (SWE) standard [2], specified by the Open Geospatial Consortium (OGC) [3]. As a result the full functionality needed in GITEWS could be achieved by implementing the four SWE services: The Sensor Observation Service for retrieving sensor measurements, the Sensor Alert Service in order to deliver sensor alerts, the Sensor Planning Service for tasking sensors, and the Web Notification Service for conduction messages to various media channels. Beyond these services the TSB also follows SWE Observation & Measurements specifications (O&M) for data encoding and Sensor Model Language (SensorML) for meta information. Moreover, accessing sensors via the TSB is not restricted to GITEWS. Multiple instances of the TSB can be composed to realize federate warning system

  1. The EPOS Implementation Phase: building thematic and integrated services for solid Earth sciences

    NASA Astrophysics Data System (ADS)

    Cocco, Massimo; Epos Consortium, the

    2015-04-01

    integrating RI elements. This integration requires a significant coordination between, among others, disciplinary (thematic) communities, national RIs policies and initiatives, as well as geo- and IT-scientists. The RIs that EPOS is coordinating include: i) regionally-distributed geophysical observing systems (seismological and geodetic networks); ii) local observatories (including geomagnetic, near-fault and volcano observatories); iii) analytical and experimental laboratories; iv) integrated satellite data and geological information services v) new services for natural and anthropogenic hazards. Here we present the successful story of the EPOS Preparatory Phase and the progress towards the implementation of both integrated core services (ICS) and thematic core services (TCS) for the different communities participating to the integration plan. We aim to discuss the achieved results and the approach followed to design the implementation phase. The goal is to present and discuss the strategies adopted to foster the implementation of TCS, clarifying their crucial role as domain-specific service hubs for coordinating and harmonizing national resources/plans with the European dimension of EPOS, and their integration to develop the new ICS. We will present the prototype of the ICS central hub as a key contribution for providing multidisciplinary services for solid Earth sciences as well as the glue to keep ICT aspects integrated and rationalized across EPOS. Finally, we will discuss the well-defined role of the EPOS-ERIC Headquarter to coordinate and harmonize national RIs and EPOS services (through ICS and TCS) looking for an effective commitment by national governments. It will be an important and timely opportunity to discuss the EPOS roadmap toward the operation of the novel multidisciplinary platform for discoveries to foster scientific excellence in solid Earth sciences.

  2. Service experience, structural integrity, severe accidents, and erosion in nuclear and fossil plants. PVP-Volume 303

    SciTech Connect

    Paterson, S.R.; Bamford, W.H; Geraets, L.H.; Okazaki, M.; Cipolla, R.C.; Cowfer, C.D.; Means, K.H.

    1995-12-01

    The objective of this symposium was to disseminate information on service degradation and its prevention. Papers have been divided into the following topical sections: Service experience in nuclear plants; DOE high-level waste tank structural integrity panel--Summary reports; Severe accidents; Service experience in operating fossil power plants; and Erosion. Papers have been processed separately for inclusion on the data base.

  3. How to integrate social care services into primary health care? An experience from Iran

    PubMed Central

    Montazeri, Ali; Riazi-Isfahani, Sahand; Damari, Behzad

    2016-01-01

    Background: Social issues have prominent effects on the peoples' physical and mental health and on the health risk factors. In Iran, many organizations provide social care services to their target population. This study aimed to explore the roles and functions of Primary Health Care (PHC) system in providing social care services in Iran. Methods: This was a qualitative study, for which data were collected via three sources: A review of the literature, in-depth interviews and focus group discussions with experts and stakeholders. The main objective was to find a way to integrate social care into the Iranian PHC system. A conventional content analysis was performed to explore the data. Results: Overall, 20 experts were interviewed and the acquired data were classified into four major categories including priorities, implementation, requirements and stewardship. The main challenges were the existing controversies in the definition of social care, social service unit disintegration, multiple stewards for social care services, weaknesses of rules and regulations and low financing of the public budget. Social care services can be divided into two categories: Basic and advanced. Urban and rural health centers, as the first level of PHC, could potentially provide basic social care services for their defined population and catchment areas such as detecting social harms in high risk individuals and families and providing counseling for people in need. They can also refer the individuals to receive advanced services. Conclusion: Iran has a successful history of establishing the PHC System especially in rural areas. This network has an invaluable capacity to provide social health services. Establishing these services needs some prerequisites such as a reform PHC structure, macro support and technical intersectoral collaboration. They should also be piloted and evaluated before they could be implemented in the whole country. PMID:27683649

  4. How to integrate social care services into primary health care? An experience from Iran

    PubMed Central

    Montazeri, Ali; Riazi-Isfahani, Sahand; Damari, Behzad

    2016-01-01

    Background: Social issues have prominent effects on the peoples' physical and mental health and on the health risk factors. In Iran, many organizations provide social care services to their target population. This study aimed to explore the roles and functions of Primary Health Care (PHC) system in providing social care services in Iran. Methods: This was a qualitative study, for which data were collected via three sources: A review of the literature, in-depth interviews and focus group discussions with experts and stakeholders. The main objective was to find a way to integrate social care into the Iranian PHC system. A conventional content analysis was performed to explore the data. Results: Overall, 20 experts were interviewed and the acquired data were classified into four major categories including priorities, implementation, requirements and stewardship. The main challenges were the existing controversies in the definition of social care, social service unit disintegration, multiple stewards for social care services, weaknesses of rules and regulations and low financing of the public budget. Social care services can be divided into two categories: Basic and advanced. Urban and rural health centers, as the first level of PHC, could potentially provide basic social care services for their defined population and catchment areas such as detecting social harms in high risk individuals and families and providing counseling for people in need. They can also refer the individuals to receive advanced services. Conclusion: Iran has a successful history of establishing the PHC System especially in rural areas. This network has an invaluable capacity to provide social health services. Establishing these services needs some prerequisites such as a reform PHC structure, macro support and technical intersectoral collaboration. They should also be piloted and evaluated before they could be implemented in the whole country.

  5. Integrating medical devices in the operating room using service-oriented architectures.

    PubMed

    Ibach, Bastian; Benzko, Julia; Schlichting, Stefan; Zimolong, Andreas; Radermacher, Klaus

    2012-08-01

    Abstract With the increasing documentation requirements and communication capabilities of medical devices in the operating room, the integration and modular networking of these devices have become more and more important. Commercial integrated operating room systems are mainly proprietary developments using usually proprietary communication standards and interfaces, which reduce the possibility of integrating devices from different vendors. To overcome these limitations, there is a need for an open standardized architecture that is based on standard protocols and interfaces enabling the integration of devices from different vendors based on heterogeneous software and hardware components. Starting with an analysis of the requirements for device integration in the operating room and the techniques used for integrating devices in other industrial domains, a new concept for an integration architecture for the operating room based on the paradigm of a service-oriented architecture is developed. Standardized communication protocols and interface descriptions are used. As risk management is an important factor in the field of medical engineering, a risk analysis of the developed concept has been carried out and the first prototypes have been implemented.

  6. Unified Electronic Currency Based on the Fourth Party Platform Integrated Payment Service

    NASA Astrophysics Data System (ADS)

    Yong, Xu; Qiqi, Hu

    This paper presents a solution of unified e-currency based on the fourth party platform integrated payment service. The purpose of the paper is to solve the problem of distribution and resource-wasting caused by the lack of unified electronic currency, and to solve regulatory difficulties due to regulation size caused by a wide variety of e-currency. Methods: This article first analyzes the problems in the development of electronic money, and then proposes the concept of a unified electronic currency based on the fourth party platform integrated payment service. Besides, it proposes a unified mechanism and transaction procedures for unified e-currency, and analyzes the liquidation process, security and regulatory requirements, which are involved in using unified electronic currency.

  7. Family planning education as an integral part of day care services in Korea.

    PubMed

    Sung, K T

    1978-04-01

    The Integrated Day Care Program (IDCP) in Korea provices family planning classes as an integral part of comprehensive day care services for low-income families. The program was initiated by CARE in 1973, with support from the Korean government, and has received important inputs from national family planning agencies. A review of the first two years' accomplishments shows that mothers participating in the IDCP knew more about, were more favorable toward, and were more likely to practice family planning than mothers using day care centers that were not a part of the program. Findings also demonstrate the potential for program expansion: the substantial numbers of friends and relatives brought by mothers to the classes, and the number of IDCP and non-IDCP mothers indicating a willingness to use family planning clinic services in the day care setting. PMID:663990

  8. Integrated modeling framework to quantify the coastal protection services supplied by vegetation

    NASA Astrophysics Data System (ADS)

    Guannel, Greg; Ruggiero, Peter; Faries, Joe; Arkema, Katie; Pinsky, Malin; Gelfenbaum, Guy; Guerry, Anne; Kim, Choong-Ki

    2015-01-01

    can protect communities by reducing nearshore wave height and altering sediment transport processes. However, quantitative approaches for evaluating the coastal protection services, or benefits, supplied by vegetation to people in a wide range of coastal environments are lacking. To begin to fill this knowledge gap, we propose an integrated modeling approach for quantifying how vegetation modifies nearshore processes—including the attenuation of wave height, mean and total water level—and reduces shoreline erosion during storms. We apply the model to idealized seagrass-sand and mangrove-mud cases, and illustrate its potential by quantifying how those habitats reduce water levels and sediment loss beyond what would be observed in the absence of vegetation. The integrated modeling approach provides an efficient way to quantify the coastal protection services supplied by vegetation and highlights specific research needs for improved representations of the ways in which vegetation modifies wave-induced processes.

  9. Integrating Clinical Trial Imaging Data Resources Using Service-Oriented Architecture and Grid Computing

    PubMed Central

    Cladé, Thierry; Snyder, Joshua C.

    2010-01-01

    Clinical trials which use imaging typically require data management and workflow integration across several parties. We identify opportunities for all parties involved to realize benefits with a modular interoperability model based on service-oriented architecture and grid computing principles. We discuss middleware products for implementation of this model, and propose caGrid as an ideal candidate due to its healthcare focus; free, open source license; and mature developer tools and support. PMID:20449775

  10. Learning To Serve, Serving To Learn: A View from Higher Education. Integrating Service-Learning into Curriculum: Lessons Learned. Teacher Education Consortium in Service-Learning.

    ERIC Educational Resources Information Center

    2003

    This collection of papers includes lessons learned from a 3-year collaboration among faculty who had pursued a scholarly inquiry of service-learning, integrated service-learning into their curricula, altered their teaching, forged partnerships with community based organizations, and developed measures and methodologies for assessing results. The…

  11. GAM: a web-service for integrated transcriptional and metabolic network analysis

    PubMed Central

    Sergushichev, Alexey A.; Loboda, Alexander A.; Jha, Abhishek K.; Vincent, Emma E.; Driggers, Edward M.; Jones, Russell G.; Pearce, Edward J.; Artyomov, Maxim N.

    2016-01-01

    Novel techniques for high-throughput steady-state metabolomic profiling yield information about changes of nearly thousands of metabolites. Such metabolomic profiles, when analyzed together with transcriptional profiles, can reveal novel insights about underlying biological processes. While a number of conceptual approaches have been developed for data integration, easily accessible tools for integrated analysis of mammalian steady-state metabolomic and transcriptional data are lacking. Here we present GAM (‘genes and metabolites’): a web-service for integrated network analysis of transcriptional and steady-state metabolomic data focused on identification of the most changing metabolic subnetworks between two conditions of interest. In the web-service, we have pre-assembled metabolic networks for humans, mice, Arabidopsis and yeast and adapted exact solvers for an optimal subgraph search to work in the context of these metabolic networks. The output is the most regulated metabolic subnetwork of size controlled by false discovery rate parameters. The subnetworks are then visualized online and also can be downloaded in Cytoscape format for subsequent processing. The web-service is available at: https://artyomovlab.wustl.edu/shiny/gam/ PMID:27098040

  12. Multiobjective management of ecosystem services by integrative watershed modeling and evolutionary algorithms

    NASA Astrophysics Data System (ADS)

    Bekele, Elias G.; Nicklow, John W.

    2005-10-01

    This paper explores the role of landscapes in generating ecosystem services while maximizing gross margin associated with agricultural commodity production. Ecosystem services considered include the reduction of nonpoint source pollutants such as sediment, phosphorous, and nitrogen yields from a watershed. The analysis relies on an integrative modeling framework that combines a comprehensive watershed model (SWAT) with a multiobjective evolutionary algorithm (SPEA2). Application of the resulting model to a watershed in southern Illinois demonstrates the effectiveness of the approach in providing tradeoff solutions between gross margin and the generation of ecosystem services. These solutions are important to policy makers and planners in that they provide information about the cost-effectiveness of alternative agricultural landscapes.

  13. Integrating viral hepatitis prevention services into an urban STD clinic: Denver, Colorado.

    PubMed

    Subiadur, Julie; Harris, Jennie L; Rietmeijer, Cornelis A

    2007-01-01

    The Centers for Disease Control and Prevention recommends integrating viral hepatitis prevention services with services for adults evaluated for sexually transmitted diseases (STDs). The Denver Public Health STD clinic began hepatitis B vaccination in 1999, hepatitis C virus (HCV) antibody (anti-HCV) testing in 2000, and hepatitis A vaccination in 2002. Rapid human immunodeficiency virus (HIV) testing began in late 2004. Hepatitis B vaccinations peaked in 2003 (31/100 client visits) when a full-time nurse was hired to vaccinate and eligibility was expanded. The proportion of clients documented to have received their anti-HCV test results declined from an average of 71% in 2000-2003 to 22% in 2004-2005, coinciding with the introduction of rapid HIV testing. Viral hepatitis prevention services can be incorporated into a busy STD clinic if staff and resources are available. Rapid HIV testing may be associated with lower receipt of anti-HCV test results. PMID:17542447

  14. Integrated approach for contamination control and verification for the Hubble Space Telescope first servicing mission

    NASA Astrophysics Data System (ADS)

    Hedgeland, Randy J.; Hansen, Patricia A.; Hughes, David W.

    1994-10-01

    The Hubble Space Telescope is the first spacecraft designed from its conception to allow for Scientific Instrument upgrading and subsystem maintenance by using the Shuttle. Regular and contingency servicing missions preserve and broaden the scientific objectives of the HST through on-orbit maintenance. To achieve mission success for the Hubble Space Telescope First Servicing Mission, a contamination control methodology was developed and instituted by ensure that scientific instrument performance was not degraded or compromised during fabrication, build-up, ground integration and test activities, on-orbit servicing including Extravehicular Activities, or through on-orbit operational activities. The cleanliness methodology considered the effects of outgassing and surface contaminants on the degradation of the sensitive components. Through plans and procedures for handling sensitive components and the development of a detailed contamination budget extending from Goddard Space Flight Center processing through launch, the preservation of the science capabilities (as affected by contamination) was achieved.

  15. An interactive integrative approach to translating knowledge and building a "learning organization" in health services management.

    PubMed Central

    Chunharas, Somsak

    2006-01-01

    This paper proposes a basic approach to ensuring that knowledge from research studies is translated for use in health services management with a view towards building a "learning organization". (A learning organization is one in which the environment is structured in such a way as to facilitate learning as well as the sharing of knowledge among members or employees.) This paper highlights various dimensions that determine the complexity of knowledge translation, using the problem-solving cycle as the backbone for gaining a better understanding of how different types of knowledge interact in health services management. It is essential to use an integrated and interactive approach to ensure that knowledge from research is translated in a way that allows a learning organization to be built and that knowledge is not used merely to influence a single decision in isolation from the overall services and management of an organization. PMID:16917653

  16. An interactive integrative approach to translating knowledge and building a "learning organization" in health services management.

    PubMed

    Chunharas, Somsak

    2006-08-01

    This paper proposes a basic approach to ensuring that knowledge from research studies is translated for use in health services management with a view towards building a "learning organization". (A learning organization is one in which the environment is structured in such a way as to facilitate learning as well as the sharing of knowledge among members or employees.) This paper highlights various dimensions that determine the complexity of knowledge translation, using the problem-solving cycle as the backbone for gaining a better understanding of how different types of knowledge interact in health services management. It is essential to use an integrated and interactive approach to ensure that knowledge from research is translated in a way that allows a learning organization to be built and that knowledge is not used merely to influence a single decision in isolation from the overall services and management of an organization.

  17. PRISMA: a new model of integrated service delivery for the frail older people in Canada

    PubMed Central

    Hébert, Réjean; Durand, Pierre J.; Dubuc, Nicole; Tourigny, André

    2003-01-01

    Abstract Purpose PRISMA is an innovative co-ordination-type Integrated Service Delivery System developed to improve continuity and increase the efficacy and efficiency of services, especially for older and disabled populations. Description The mechanisms and tools developed and implemented by PRISMA include: (1) co-ordination between decision-makers and managers, (2) a single entry point, (3) a case management process, (4) individualised service plans, (5) a single assessment instrument based on the clients' functional autonomy, and (6) a computerised clinical chart for communicating between institutions for client monitoring purposes. Preliminary results The efficacy of this model has been tested in a pilot project that showed a decreased incidence of functional decline, a decreased burden for caregivers and a smaller proportion of older people wishing to be institutionalised. Conclusion The on-going implementation and effectiveness study will show evidence of its real value and its impact on clienteles and cost. PMID:16896376

  18. LitMiner: integration of library services within a bio-informatics application

    PubMed Central

    Demaine, Jeffrey; Martin, Joel; Wei, Lynn; de Bruijn, Berry

    2006-01-01

    Background This paper examines how the adoption of a subject-specific library service has changed the way in which its users interact with a digital library. The LitMiner text-analysis application was developed to enable biologists to explore gene relationships in the published literature. The application features a suite of interfaces that enable users to search PubMed as well as local databases, to view document abstracts, to filter terms, to select gene name aliases, and to visualize the co-occurrences of genes in the literature. At each of these stages, LitMiner offers the functionality of a digital library. Documents that are accessible online are identified by an icon. Users can also order documents from their institution's library collection from within the application. In so doing, LitMiner aims to integrate digital library services into the research process of its users. Methods Case study Results This integration of digital library services into the research process of biologists results in increased access to the published literature. Conclusion In order to make better use of their collections, digital libraries should customize their services to suit the research needs of their patrons. PMID:17052341

  19. Integrating education and research in an APRN mental health services program.

    PubMed

    Wheeler, Kathleen; Greiner, Lydia

    2004-01-01

    The Mental Health Services Program (MHSP), using an advanced practice psychiatric nursing model of care, was developed in an effort to address the need for community mental health services for an underserved population in Bridgeport, Connecticut. Under the direction of an Advanced Practice Psychiatric Nurse (APRN), direct services were provided by contracted APRNs and graduate and undergraduate nursing students, under the supervision of APRNs. Services provided included screenings for mental health problems; individual, family, and group education and counseling; psychiatric assessments; and consultations. More than 1,500 individuals, the majority of whom were vulnerable or at risk, were provided services during the 3 years of this grant-funded project. Client satisfaction was measured using the Goal Attainment Scale. Results indicated a high level of satisfaction and served as an indirect measure of effectiveness of services. More than 95% of respondents indicated that their goals were met "much better than expected." Furthermore, responses from community agency personnel indicate a high level of satisfaction with the services offered. As a result of the MHSP, curriculum changes have been implemented to integrate student community involvement and collaboration, and to facilitate student projects in the community. These curriculum changes include a health promotion project, a group process project, a mental health group project, and a research project. The students who participated as part of the MHSP benefited from their work in the real world with an underserved population in a way that otherwise would not have been possible. Services to the community will continue through the significant curriculum enhancement for mental health projects.

  20. The EBM-DPSER conceptual model: integrating ecosystem services into the DPSIR framework.

    PubMed

    Kelble, Christopher R; Loomis, Dave K; Lovelace, Susan; Nuttle, William K; Ortner, Peter B; Fletcher, Pamela; Cook, Geoffrey S; Lorenz, Jerry J; Boyer, Joseph N

    2013-01-01

    There is a pressing need to integrate biophysical and human dimensions science to better inform holistic ecosystem management supporting the transition from single species or single-sector management to multi-sector ecosystem-based management. Ecosystem-based management should focus upon ecosystem services, since they reflect societal goals, values, desires, and benefits. The inclusion of ecosystem services into holistic management strategies improves management by better capturing the diversity of positive and negative human-natural interactions and making explicit the benefits to society. To facilitate this inclusion, we propose a conceptual model that merges the broadly applied Driver, Pressure, State, Impact, and Response (DPSIR) conceptual model with ecosystem services yielding a Driver, Pressure, State, Ecosystem service, and Response (EBM-DPSER) conceptual model. The impact module in traditional DPSIR models focuses attention upon negative anthropomorphic impacts on the ecosystem; by replacing impacts with ecosystem services the EBM-DPSER model incorporates not only negative, but also positive changes in the ecosystem. Responses occur as a result of changes in ecosystem services and include inter alia management actions directed at proactively altering human population or individual behavior and infrastructure to meet societal goals. The EBM-DPSER conceptual model was applied to the Florida Keys and Dry Tortugas marine ecosystem as a case study to illustrate how it can inform management decisions. This case study captures our system-level understanding and results in a more holistic representation of ecosystem and human society interactions, thus improving our ability to identify trade-offs. The EBM-DPSER model should be a useful operational tool for implementing EBM, in that it fully integrates our knowledge of all ecosystem components while focusing management attention upon those aspects of the ecosystem most important to human society and does so within

  1. The EBM-DPSER conceptual model: integrating ecosystem services into the DPSIR framework.

    PubMed

    Kelble, Christopher R; Loomis, Dave K; Lovelace, Susan; Nuttle, William K; Ortner, Peter B; Fletcher, Pamela; Cook, Geoffrey S; Lorenz, Jerry J; Boyer, Joseph N

    2013-01-01

    There is a pressing need to integrate biophysical and human dimensions science to better inform holistic ecosystem management supporting the transition from single species or single-sector management to multi-sector ecosystem-based management. Ecosystem-based management should focus upon ecosystem services, since they reflect societal goals, values, desires, and benefits. The inclusion of ecosystem services into holistic management strategies improves management by better capturing the diversity of positive and negative human-natural interactions and making explicit the benefits to society. To facilitate this inclusion, we propose a conceptual model that merges the broadly applied Driver, Pressure, State, Impact, and Response (DPSIR) conceptual model with ecosystem services yielding a Driver, Pressure, State, Ecosystem service, and Response (EBM-DPSER) conceptual model. The impact module in traditional DPSIR models focuses attention upon negative anthropomorphic impacts on the ecosystem; by replacing impacts with ecosystem services the EBM-DPSER model incorporates not only negative, but also positive changes in the ecosystem. Responses occur as a result of changes in ecosystem services and include inter alia management actions directed at proactively altering human population or individual behavior and infrastructure to meet societal goals. The EBM-DPSER conceptual model was applied to the Florida Keys and Dry Tortugas marine ecosystem as a case study to illustrate how it can inform management decisions. This case study captures our system-level understanding and results in a more holistic representation of ecosystem and human society interactions, thus improving our ability to identify trade-offs. The EBM-DPSER model should be a useful operational tool for implementing EBM, in that it fully integrates our knowledge of all ecosystem components while focusing management attention upon those aspects of the ecosystem most important to human society and does so within

  2. CMS users data management service integration and first experiences with its NoSQL data storage

    NASA Astrophysics Data System (ADS)

    Riahi, H.; Spiga, D.; Boccali, T.; Ciangottini, D.; Cinquilli, M.; Hernàndez, J. M.; Konstantinov, P.; Mascheroni, M.; Santocchia, A.

    2014-06-01

    The distributed data analysis workflow in CMS assumes that jobs run in a different location to where their results are finally stored. Typically the user outputs must be transferred from one site to another by a dedicated CMS service, AsyncStageOut. This new service is originally developed to address the inefficiency in using the CMS computing resources when transferring the analysis job outputs, synchronously, once they are produced in the job execution node to the remote site. The AsyncStageOut is designed as a thin application relying only on the NoSQL database (CouchDB) as input and data storage. It has progressed from a limited prototype to a highly adaptable service which manages and monitors the whole user files steps, namely file transfer and publication. The AsyncStageOut is integrated with the Common CMS/Atlas Analysis Framework. It foresees the management of nearly nearly 200k users' files per day of close to 1000 individual users per month with minimal delays, and providing a real time monitoring and reports to users and service operators, while being highly available. The associated data volume represents a new set of challenges in the areas of database scalability and service performance and efficiency. In this paper, we present an overview of the AsyncStageOut model and the integration strategy with the Common Analysis Framework. The motivations for using the NoSQL technology are also presented, as well as data design and the techniques used for efficient indexing and monitoring of the data. We describe deployment model for the high availability and scalability of the service. We also discuss the hardware requirements and the results achieved as they were determined by testing with actual data and realistic loads during the commissioning and the initial production phase with the Common Analysis Framework.

  3. The EBM-DPSER Conceptual Model: Integrating Ecosystem Services into the DPSIR Framework

    PubMed Central

    Kelble, Christopher R.; Loomis, Dave K.; Lovelace, Susan; Nuttle, William K.; Ortner, Peter B.; Fletcher, Pamela; Cook, Geoffrey S.; Lorenz, Jerry J.; Boyer, Joseph N.

    2013-01-01

    There is a pressing need to integrate biophysical and human dimensions science to better inform holistic ecosystem management supporting the transition from single species or single-sector management to multi-sector ecosystem-based management. Ecosystem-based management should focus upon ecosystem services, since they reflect societal goals, values, desires, and benefits. The inclusion of ecosystem services into holistic management strategies improves management by better capturing the diversity of positive and negative human-natural interactions and making explicit the benefits to society. To facilitate this inclusion, we propose a conceptual model that merges the broadly applied Driver, Pressure, State, Impact, and Response (DPSIR) conceptual model with ecosystem services yielding a Driver, Pressure, State, Ecosystem service, and Response (EBM-DPSER) conceptual model. The impact module in traditional DPSIR models focuses attention upon negative anthropomorphic impacts on the ecosystem; by replacing impacts with ecosystem services the EBM-DPSER model incorporates not only negative, but also positive changes in the ecosystem. Responses occur as a result of changes in ecosystem services and include inter alia management actions directed at proactively altering human population or individual behavior and infrastructure to meet societal goals. The EBM-DPSER conceptual model was applied to the Florida Keys and Dry Tortugas marine ecosystem as a case study to illustrate how it can inform management decisions. This case study captures our system-level understanding and results in a more holistic representation of ecosystem and human society interactions, thus improving our ability to identify trade-offs. The EBM-DPSER model should be a useful operational tool for implementing EBM, in that it fully integrates our knowledge of all ecosystem components while focusing management attention upon those aspects of the ecosystem most important to human society and does so within

  4. The European Plate Observing System (EPOS): Integrating Thematic Services for Solid Earth Science

    NASA Astrophysics Data System (ADS)

    Atakan, Kuvvet; Bailo, Daniele; Consortium, Epos

    2016-04-01

    The mission of EPOS is to monitor and understand the dynamic and complex Earth system by relying on new e-science opportunities and integrating diverse and advanced Research Infrastructures in Europe for solid Earth Science. EPOS will enable innovative multidisciplinary research for a better understanding of the Earth's physical and chemical processes that control earthquakes, volcanic eruptions, ground instability and tsunami as well as the processes driving tectonics and Earth's surface dynamics. Through integration of data, models and facilities EPOS will allow the Earth Science community to make a step change in developing new concepts and tools for key answers to scientific and socio-economic questions concerning geo-hazards and geo-resources as well as Earth sciences applications to the environment and to human welfare. EPOS, during its Implementation Phase (EPOS-IP), will integrate multidisciplinary data into a single e-infrastructure. Multidisciplinary data are organized and governed by the Thematic Core Services (TCS) and are driven by various scientific communities encompassing a wide spectrum of Earth science disciplines. These include Data, Data-products, Services and Software (DDSS), from seismology, near fault observatories, geodetic observations, volcano observations, satellite observations, geomagnetic observations, as well as data from various anthropogenic hazard episodes, geological information and modelling. In addition, transnational access to multi-scale laboratories and geo-energy test-beds for low-carbon energy will be provided. TCS DDSS will be integrated into Integrated Core Services (ICS), a platform that will ensure their interoperability and access to these services by the scientific community as well as other users within the society. This requires dedicated tasks for interactions with the various TCS-WPs, as well as the various distributed ICS (ICS-Ds), such as High Performance Computing (HPC) facilities, large scale data storage

  5. [European integration and health policies: repercussions of the internal European Market on access to health services].

    PubMed

    Guimarães, Luisa; Giovanella, Lígia

    2006-09-01

    This article explores the health policy repercussions of countries' regional integration into the European Union. The aim is to review the regulation of access in other countries, with the conclusion of the single European market and the free circulation of persons, services, goods, and capital. The article begins by reviewing the various forms of integration and describes the expansion and institutionalization of Community agencies. The repercussions of European integration on health policies and regulation of access are analyzed. Market impacts on health result from Treaty directives and internal policy adjustments to free circulation. Health services access is gradually regulated and granted by rulings. Projects along borders illustrate the dynamics where differences are used to achieve comprehensive care. In the oldest integration experience, the market regulation has generated intentional and non-intentional impacts on the health policies of member states, regardless of the organizational model. Knowledge and analysis of this experience signals challenges for the Southern Cone Common Market (Mercosur) and adds to future debates and decisions.

  6. A transdisciplinary approach for supporting the integration of ecosystem services into land and water management

    NASA Astrophysics Data System (ADS)

    Fatt Siew, Tuck; Döll, Petra

    2015-04-01

    Transdisciplinary approaches are useful for supporting integrated land and water management. However, the implementation of the approach in practice to facilitate the co-production of useable socio-hydrological (and -ecological) knowledge among scientists and stakeholders is challenging. It requires appropriate methods to bring individuals with diverse interests and needs together and to integrate their knowledge for generating shared perspectives/understanding, identifying common goals, and developing actionable management strategies. The approach and the methods need, particularly, to be adapted to the local political and socio-cultural conditions. To demonstrate how knowledge co-production and integration can be done in practice, we present a transdisciplinary approach which has been implemented and adapted for supporting land and water management that takes ecosystem services into account in an arid region in northwestern China. Our approach comprises three steps: (1) stakeholder analysis and interdisciplinary knowledge integration, (2) elicitation of perspectives of scientists and stakeholders, scenario development, and identification of management strategies, and (3) evaluation of knowledge integration and social learning. Our adapted approach has enabled interdisciplinary and cross-sectoral communication among scientists and stakeholders. Furthermore, the application of a combination of participatory methods, including actor modeling, Bayesian Network modeling, and participatory scenario development, has contributed to the integration of system, target, and transformation knowledge of involved stakeholders. The realization of identified management strategies is unknown because other important and representative decision makers have not been involved in the transdisciplinary research process. The contribution of our transdisciplinary approach to social learning still needs to be assessed.

  7. Mental health service users' experiences of mental health care: an integrative literature review.

    PubMed

    Newman, D; O'Reilly, P; Lee, S H; Kennedy, C

    2015-04-01

    A number of studies have highlighted issues around the relationship between service users and providers. The recovery model is predominant in mental health as is the recognition of the importance of person-centred practice. The authors completed an in-depth search of the literature to answer the question: What are service users' experiences of the mental health service? Three key themes emerged: acknowledging a mental health problem and seeking help; building relationships through participation in care; and working towards continuity of care. The review adds to the current body of knowledge by providing greater detail into the importance of relationships between service users and providers and how these may impact on the delivery of care in the mental health service. The overarching theme that emerged was the importance of the relationship between the service user and provider as a basis for interaction and support. This review has specific implications for mental health nursing. Despite the recognition made in policy documents for change, issues with stigma, poor attitudes and communication persist. There is a need for a fundamental shift in the provider-service user relationship to facilitate true service-user engagement in their care. The aim of this integrative literature review was to identify mental health service users' experiences of services. The rationale for this review was based on the growing emphasis and requirements for health services to deliver care and support, which recognizes the preferences of individuals. Contemporary models of mental health care strive to promote inclusion and empowerment. This review seeks to add to our current understanding of how service users experience care and support in order to determine to what extent the principles of contemporary models of mental health care are embedded in practice. A robust search of Web of Science, the Cochrane Database, Science Direct, EBSCO host (Academic Search Complete, MEDLINE, CINAHL Plus

  8. Integration of antenatal care services with health programmes in low– and middle–income countries: systematic review

    PubMed Central

    de Jongh, Thyra E; Gurol–Urganci, Ipek; Allen, Elizabeth; Zhu, Nina Jiayue; Atun, Rifat

    2016-01-01

    Background Antenatal care (ANC) presents a potentially valuable platform for integrated delivery of additional health services for pregnant women–services that are vital to reduce the persistently high rates of maternal and neonatal mortality in low– and middle–income countries (LMICs). However, there is limited evidence on the impact of integrating health services with ANC to guide policy. This review assesses the impact of integration of postnatal and other health services with ANC on health services uptake and utilisation, health outcomes and user experience of care in LMICs. Methods Cochrane Library, MEDLINE, Embase, CINAHL Plus, POPLINE and Global Health were searched for studies that compared integrated models for delivery of postnatal and other health services with ANC to non–integrated models. Risk of bias of included studies was assessed using the Cochrane Effective Practice and Organisation of Care (EPOC) criteria and the Newcastle–Ottawa Scale, depending on the study design. Due to high heterogeneity no meta–analysis could be conducted. Results are presented narratively. Findings 12 studies were included in the review. Limited evidence, with moderate– to high–risk of bias, suggests that integrated service delivery results in improved uptake of essential health services for women, earlier initiation of treatment, and better health outcomes. Women also reported improved satisfaction with integrated services. Conclusions The reported evidence is largely based on non–randomised studies with poor generalizability, and therefore offers very limited policy guidance. More rigorously conducted and geographically diverse studies are needed to better ascertain and quantify the health and economic benefits of integrating health services with ANC. PMID:27231539

  9. Health workforce governance: Processes, tools and actors towards a competent workforce for integrated health services delivery.

    PubMed

    Barbazza, Erica; Langins, Margrieta; Kluge, Hans; Tello, Juan

    2015-12-01

    A competent health workforce is a vital resource for health services delivery, dictating the extent to which services are capable of responding to health needs. In the context of the changing health landscape, an integrated approach to service provision has taken precedence. For this, strengthening health workforce competencies is an imperative, and doing so in practice hinges on the oversight and steering function of governance. To aid health system stewards in their governing role, this review seeks to provide an overview of processes, tools and actors for strengthening health workforce competencies. It draws from a purposive and multidisciplinary review of literature, expert opinion and country initiatives across the WHO European Region's 53 Member States. Through our analysis, we observe distinct yet complementary roles can be differentiated between health services delivery and the health system. This understanding is a necessary prerequisite to gain deeper insight into the specificities for strengthening health workforce competencies in order for governance to rightly create the institutional environment called for to foster alignment. Differentiating between the contribution of health services and the health system in the strengthening of health workforce competencies is an important distinction for achieving and sustaining health improvement goals.

  10. Semantic Repositories for eGovernment Initiatives: Integrating Knowledge and Services

    NASA Astrophysics Data System (ADS)

    Palmonari, Matteo; Viscusi, Gianluigi

    In recent years, public sector investments in eGovernment initiatives have depended on making more reliable existing governmental ICT systems and infrastructures. Furthermore, we assist at a change in the focus of public sector management, from the disaggregation, competition and performance measurements typical of the New Public Management (NPM), to new models of governance, aiming for the reintegration of services under a new perspective in bureaucracy, namely a holistic approach to policy making which exploits the extensive digitalization of administrative operations. In this scenario, major challenges are related to support effective access to information both at the front-end level, by means of highly modular and customizable content provision, and at the back-end level, by means of information integration initiatives. Repositories of information about data and services that exploit semantic models and technologies can support these goals by bridging the gap between the data-level representations and the human-level knowledge involved in accessing information and in searching for services. Moreover, semantic repository technologies can reach a new level of automation for different tasks involved in interoperability programs, both related to data integration techniques and service-oriented computing approaches. In this chapter, we discuss the above topics by referring to techniques and experiences where repositories based on conceptual models and ontologies are used at different levels in eGovernment initiatives: at the back-end level to produce a comprehensive view of the information managed in the public administrations' (PA) information systems, and at the front-end level to support effective service delivery.

  11. Integrated care services: lessons learned from the deployment of the NEXES project

    PubMed Central

    Hernández, Carme; Alonso, Albert; Garcia-Aymerich, Judith; Grimsmo, Anders; Vontetsianos, Theodore; García Cuyàs, Francesc; Altes, Anna Garcia; Vogiatzis, Ioannis; Garåsen, Helge; Pellise, Laura; Wienhofen, Leendert; Cano, Isaac; Meya, Montserrat; Moharra, Montserrat; Martinez, Joan Ignasi; Escarrabill, Juan; Roca, Josep

    2015-01-01

    Objectives To identify barriers to deployment of four articulated Integrated Care Services supported by Information Technologies in three European sites. The four services covered the entire spectrum of severity of illness. The project targeted chronic patients with obstructive pulmonary disease, cardiac failure and/or type II diabetes mellitus. Setting One health care sector in Spain (Barcelona) (n = 11.382); six municipalities in Norway (Trondheim) (n = 450); and one hospital in Greece (Athens) (n = 388). Method The four services were: (i) Home-based long-term maintenance of rehabilitation effects (n = 337); (ii) Enhanced Care for frail patients, n = 1340); (iii) Home Hospitalization and Early Discharge (n = 2404); and Support for remote diagnosis (forced spirometry testing) in primary care (Support) (n = 8139). Both randomized controlled trials and pragmatic study designs were combined. Two technological approaches were compared. The Model for Assessment of Telemedicine applications was adopted. Results The project demonstrated: (i) Sustainability of training effects over time in chronic patients with obstructive pulmonary disease (p < 0.01); (ii) Enhanced care and fewer hospitalizations in chronic respiratory patients (p < 0.05); (iii) Reduced in-hospital days for all types of patients (p < 0.001) in Home Hospitalization/Early Discharge; and (iv) Increased quality of testing (p < 0.01) for patients with respiratory symptoms in Support, with marked differences among sites. Conclusions The four integrated care services showed high potential to enhance health outcomes with cost-containment. Change management, technological approach and legal issues were major factors modulating the success of the deployment. The project generated a business plan to foster service sustainability and health innovation. Deployment strategies require site-specific adaptations. PMID:26034465

  12. "Our hands are tied up": current state of safer conception services suggests the need for an integrated care model.

    PubMed

    Goggin, Kathy; Mindry, Deborah; Beyeza-Kashesya, Jolly; Finocchario-Kessler, Sarah; Wanyenze, Rhoda; Nabiryo, Christine; Wagner, Glenn

    2014-01-01

    We conducted in-depth interviews with a variety of health care providers (n = 33) in Uganda to identify current services that could support and act as barriers to the provision of safer conception counseling (SCC). Consistent with their training and expertise, providers of all types reported provision of services for people living with a diagnosis of HIV or AIDS who desire a child. Important barriers, including a lack of service integration, poor communication between stakeholders, and the absence of policy guidelines, were identified. Drawing on these data, we propose a model of integrated care that includes both SCC services and prevention of unplanned pregnancies.

  13. Integrated delivery of HIV and tuberculosis services in sub-Saharan Africa: a systematic review.

    PubMed

    Uyei, Jennifer; Coetzee, David; Macinko, James; Guttmacher, Sally

    2011-11-01

    Tuberculosis is a major cause of morbidity and mortality in people with HIV and about a quarter of HIV-related deaths are attributed to tuberculosis. In this Review we identify and synthesise published evidence for the effectiveness and cost-effectiveness of eight integrated strategies recommended by WHO that represent coordinated delivery of HIV and tuberculosis services. Evidence supports concurrent screening for tuberculosis and HIV, and provision of either co-trimoxazole during routine tuberculosis care or isoniazid during routine HIV care and at voluntary counselling and testing centres. Although integration of antiretroviral therapy into tuberculosis care has shown promise for improving health outcomes for patients, evidence is insufficient to make conclusive claims. Evidence is also insufficient on the accessibility of condoms at tuberculosis facilities, the benefits of risk reduction counselling in patients with tuberculosis, and the effectiveness of tuberculosis infection control in HIV health-care settings. The vertical response to the tuberculosis and HIV epidemics is ineffective and inefficient. Implications for policy makers and funders include further investments in implementing integrated tuberculosis and HIV programmes with known effectiveness, preferably in a way that strengthens health systems; evaluative research that identifies barriers to integration; and research on integrated strategies for which effectiveness, efficiency, and affordability are not well established. PMID:22035614

  14. The integration of behavioral health interventions in children's health care: services, science, and suggestions.

    PubMed

    Kolko, David J; Perrin, Ellen

    2014-01-01

    Because the integration of mental or behavioral health services in pediatric primary care is a national priority, a description and evaluation of the interventions applied in the healthcare setting is warranted. This article examines several intervention research studies based on alternative models for delivering behavioral health care in conjunction with comprehensive pediatric care. This review describes the diverse methods applied to different clinical problems, such as brief mental health skills, clinical guidelines, and evidence-based practices, and the empirical outcomes of this research literature. Next, several key treatment considerations are discussed to maximize the efficiency and effectiveness of these interventions. Some practical suggestions for overcoming key service barriers are provided to enhance the capacity of the practice to deliver behavioral health care. There is moderate empirical support for the feasibility, acceptability, and clinical utility of these interventions for treating internalizing and externalizing behavior problems. Practical strategies to extend this work and address methodological limitations are provided that draw upon recent frameworks designed to simplify the treatment enterprise (e.g., common elements). Pediatric primary care has become an important venue for providing mental health services to children and adolescents due, in part, to its many desirable features (e.g., no stigma, local setting, familiar providers). Further adaptation of existing delivery models may promote the delivery of effective integrated interventions with primary care providers as partners designed to address mental health problems in pediatric healthcare.

  15. Alberta Healthy Living Program--a model for successful integration of chronic disease management services.

    PubMed

    Morrin, Louise; Britten, Judith; Davachi, Shahnaz; Knight, Holly

    2013-08-01

    The most common presentation of chronic disease is multimorbidity. Disease management strategies are similar across most chronic diseases. Given the prevalence of multimorbidity and the commonality in approaches, fragmented single disease management must be replaced with integrated care of the whole person. The Alberta Healthy Living Program, a community-based chronic disease management program, supports adults with, or at risk for, chronic disease to improve their health and well being. Participants gain confidence and skills in how to manage their chronic disease(s) by learning to understand their health condition, make healthy eating choices, exercise safely and cope emotionally. The program includes 3 service pillars: disease-specific and general health patient education, disease-spanning supervised exercise and Better Choices, Better Health(TM) self-management workshops. Services are delivered in the community by an interprofessional team and can be tailored to target specific diverse and vulnerable populations, such as Aboriginal, ethno-cultural and francophone groups and those experiencing homelessness. Programs may be offered as a partnership between Alberta Health Services, primary care and community organizations. Common standards reduce provincial variation in care, yet maintain sufficient flexibility to meet local and diverse needs and achieve equity in care. The model has been implemented successfully in 108 communities across Alberta. This approach is associated with reduced acute care utilization and improved clinical indicators, and achieves efficiencies through an integrated, disease-spanning patient-centred approach.

  16. Near Fault Observatories (NFO) services and integration plan for European Plate Observing System (EPOS) Implementation Phase

    NASA Astrophysics Data System (ADS)

    Chiaraluce, Lauro

    2016-04-01

    Coherently with the EPOS vision aimed at creating a pan-European infrastructure for Earth Sciences supporting research for a more sustainable society, we are working on the integration of NFOs and services implementation facilitating their data and products discovery and usage. NFOs are National Research Infrastructures (NRI) consisting of advanced networks of multi-parametric sensors continuously monitoring the chemical and physical processes related to the common underlying Earth instabilities governing active faults evolution and the genesis of earthquakes. These infrastructures will enable advancements in understanding of earthquakes generation processes and associated ground shaking due to their high-quality near-source multidisciplinary data. In EPOS-IP seven NFOs are going to be linked: 1) the Altotiberina and 2) Irpinia Observatories in Italy, 3) Corinth in Greece, 4) South-Iceland Seismic Zone, 5) Valais in Switzerland, 6) Marmara Sea (GEO Supersite) in Turkey and 7) Vrancea in Romania. EPOS-IP aims to implement integrated services from a technical, legal, governance and financial point of view. Accordingly, our first effort within this first core group of NFOs will be establishing legal governance for such a young community to ensure a long-term sustainability of the envisaged services including the full adoption of the EPOS data policy. The establishment of a Board including representatives of each NFO formally appointed by the Institutions supporting the NRI is a basic requirement to provide and validate a stable governance mechanism supporting the initiatives finalised to the services provision. Extremely dense networks and less common instruments deserve an extraordinary work on data quality control and description. We will work on linking all the NFOs in a single distributed network of observatories with instrumental and monitoring standards based on common protocols for observation, analysis, and data access and distributed channels. We will rely on

  17. Integrated specialty service readiness in health reform: connections in haemophilia comprehensive care.

    PubMed

    Pritchard, A M; Page, D

    2008-05-01

    The World Health Organization (WHO) has identified primary healthcare reform as a global priority whereby innovative practice changes are directed at improving health. This transformation to health reform in haemophilia service requires clarification of comprehensive care to reflect the WHO definition of health and key elements of primary healthcare reform. While comprehensive care supports effective healthcare delivery, comprehensive care must also be regarded beyond immediate patient management to reflect the broader system purpose in the care continuum with institutions, community agencies and government. Furthermore, health reform may be facilitated through integrated service delivery (ISD). ISD in specialty haemophilia care has the potential to reduce repetition of assessments, enhance care plan communication between providers and families, provide 24-h access to care, improve information availability regarding care quality and outcomes, consolidate access for multiple healthcare encounters and facilitate family self-efficacy and autonomy [1]. Three core aspects of ISD have been distinguished: clinical integration, information management and technology and vertical integration in local communities [2]. Selected examples taken from Canadian haemophilia comprehensive care illustrate how practice innovations are bridged with a broader system level approach and may support initiatives in other contexts. These innovations are thought to indicate readiness regarding ISD. Reflecting on the existing capacity of haemophilia comprehensive care teams will assist providers to connect and direct their existing strengths towards ISD and health reform. PMID:18331561

  18. Cargo Commercial Orbital Transportation Services Environmental Control and Life Support Integration

    NASA Technical Reports Server (NTRS)

    Duchesne, Stephanie; Thacker, Karen; Williams, Dave

    2012-01-01

    The International Space Station s (ISS) largest crew and cargo resupply vehicle, the Space Shuttle, retired in 2011. To help augment ISS resupply and return capability, NASA announced a project to promote the development of Commercial Orbital Transportation Services (COTS) for the ISS in January of 2006. By December of 2008, NASA entered into space act agreements with SpaceX and Orbital Sciences Corporation for COTS development and ISS Commercial Resupply Services (CRS). The intent of CRS is to fly multiple resupply missions each year to ISS with SpaceX s Dragon vehicle providing resupply and return capabilities and Orbital Science Corporation s Cygnus vehicle providing resupply capability to ISS. The ISS program launched an integration effort to ensure that these new commercial vehicles met the requirements of the ISS vehicle and ISS program needs. The Environmental Control and Life Support System (ECLSS) requirements cover basic cargo vehicle needs including maintaining atmosphere, providing atmosphere circulation, and fire detection and suppression. The ISS-COTS integration effort brought unique challenges combining NASA s established processes and design knowledge with the commercial companies new initiatives and limited experience with human space flight. This paper will discuss the ISS ECLS COTS integration effort including challenges, successes, and lessons learned.

  19. Commercial Orbital Transportation Cargo Services Environmental Control and Life Support Integration

    NASA Technical Reports Server (NTRS)

    Duchesne, Stephanie; Williams, Dave; Orozco, Nicole; Philistine, Cynthia

    2010-01-01

    The International Space Station s (ISS) largest crew and cargo resupply vehicle, the Space Shuttle, will retire in 2011. To help augment ISS resupply and return capability, NASA announced a project to promote the development of Commercial Orbital Transportation Services (COTS) for the ISS in January of 2006. By December of 2008, NASA entered into space act agreements with SpaceX and Orbital Sciences Corporation for COTS development and ISS Commercial Resupply Services (CRS). The intent of CRS is to fly multiple resupply missions each year to ISS with SpaceX s Dragon vehicle providing resupply and return capabilities and Orbital Science Corporation s Cygnus vehicle providing resupply capability to ISS. The ISS program launched an integration effort to ensure that these new commercial vehicles met the requirements of the ISS vehicle and ISS program needs. The Environmental Control and Life Support System (ECLSS) requirements cover basic cargo vehicle needs including maintaining atmosphere, providing atmosphere circulation, and fire detection and suppression. The ISS-COTS integration effort brought unique challenges combining NASA s established processes and design knowledge with the commercial companies new initiatives and limited experience with human space flight. This paper will discuss the ISS ECLS COTS integration effort including challenges, successes, and lessons learned.

  20. Delivering a one-stop, integrated, and patient-centered service for patients with rheumatic diseases

    PubMed Central

    Väre, Paula; Nikiphorou, Elena; Hannonen, Pekka; Sokka, Tuulikki

    2016-01-01

    Objective: To describe a one-stop, integrated rheumatology service and assess patient satisfaction. Methods: A descriptive report and patient satisfaction survey of a rheumatology clinic model first developed in 1996 to enhance the patient “journey” through rheumatology services. A patient-satisfaction survey over a 3-week period assessed several aspects of care including quality of services, consultations, and patient education. Results: All referrals are screened by a rheumatologist to pre-schedule laboratory/radiology/other tests for the visit. Upon arrival to the clinic, patients check-in at an electronic desk, and then complete the electronic GoTreatIT monitoring system which assesses patient-reported outcomes. The patient is reviewed by a doctor in a 30- to 60-min consultation, and then by a nurse (for diagnosis/treatment education, vaccinations). An ultrasound machine and capillaroscopy are available for use in the clinic. Patients can be scheduled on the same day to see a nutritionist, physiotherapist, or other heath professionals as necessary. An “early-rheumatoid arthritis treatment path” is available to ensure early, intensive treatment. A patient satisfaction survey revealed high rating of the overall service (90.6/100). None of the patients felt that they lacked education on their disease or medication. Only 6% of the respondents gave negative feedback, reasons including feeling overwhelmed with information or not being given a cause for their symptoms. The multi-disciplinary approach was highly valued and only 3% would rather see a doctor and nurse on separate days. Conclusion: The specific clinic model provides an ideal setting for a one-stop service, avoiding unnecessary visits, collecting patient data, and enhancing the patient experience and journey through the system. Where possible, the specific clinic model could be used or adapted to build similar models in other rheumatology departments. The clinic model could also form the basis for

  1. An Integrated Modeling Framework Forecasting Ecosystem Services: Application to the Albemarle Pamlico Basins, NC and VA (USA)

    EPA Science Inventory

    We demonstrate an Integrated Modeling Framework that predicts the state of freshwater ecosystem services within the Albemarle-Pamlico Basins. The Framework consists of three facilitating technologies: Data for Environmental Modeling (D4EM) that automates the collection and standa...

  2. An Integrated Modeling Framework Forcasting Ecosystem Services--Application to the Albemarle Pamlico Basins, NC and VA (USA) and Beyond

    EPA Science Inventory

    We demonstrate an Integrated Modeling Framework that predicts the state of freshwater ecosystem services within the Albemarle-Pamlico Basins. The Framework consists of three facilitating technologies: Data for Environmental Modeling (D4EM) that automates the collection and standa...

  3. A comparative cost analysis of an integrated military telemental health-care service.

    PubMed

    Grady, Brian J

    2002-01-01

    The National Naval Medical Center, Bethesda, Maryland, integrated telemental health care into its primary behavioral health-care outreach service in 1998. To date, there have been over 1,800 telemental health visits, and the service encounters approximately 100 visits per month at this time. The objective of this study was to compare and contrast the costs to the beneficiary, the medical system, and the military organization as a whole via one of the four methods currently employed to access mental health care from remotely located military medical clinics. The four methods include local access via the military's civilian health maintenance organization (HMO) network, patient travel to the military treatment facility, military mental health specialists' travel to the remote clinic (circuit riding) and TeleMental Healthcare (TMH). Interactive video conferencing, phone, electronic mail, and facsimile were used to provide telemental health care from a military treatment facility to a remote military medical clinic. The costs of health-care services, equipment, patient travel, lost work time, and communications were tabulated and evaluated. While the purpose of providing telemental healthcare services was to improve access to mental health care for our beneficiaries at remote military medical clinics, it became apparent that this could be done at comparable or reduced costs.

  4. Integrated Framework for Information Security in Mobile Banking Service Based on Smart Phone

    NASA Astrophysics Data System (ADS)

    Shin, Yong-Nyuo; Chun, Myung Geun

    Since Apple launched the iPhone service in November 2009 in Korea, smartphone banking users are increasing dramatically, forcing lenders to develop new products to deal with such demand. The bank of korea took the lead in jointing together to create a mobile banking application that each bank can adapt for its own use. In providing smartphone services, it is of critical importance to take the proper security measures, because these services, while offering excellent mobility and convenience, can be easily exposed to various infringement threats. This paper proposes a security framework that should be taken into account by the joint smartphone-based mobile banking development project. The purpose of this paper lies in recognizing the value of smartphones as well as the security threats that are exposed when smartphones are introduced, and provides countermeasures against those threats, so that an integrated information security framework for reliable smartphone-based mobile financial services can be prepared, by explicitly presenting the difference between personal computers and smartphones from the perspective of security.

  5. Organizing social work services with adult cancer patients: integrating empirical research.

    PubMed

    Cwikel, J G; Behar, L C

    1999-01-01

    Today only half of those diagnosed with cancer will die of the disease, leaving enormous room for psychosocial interventions to improve the psychological or functional status of those coping with the disease. Therefore, social workers in oncology must be current with empirical research. In an effort to integrate current research into social work practice, we reviewed empirical studies with sound research designs to answer the following questions: (1) What portion of cancer patients are likely to need social work services? (2) What types of services do social workers provide to meet these needs? and (3) Who is likely to be (or not to be) the recipient of these services. Does intervention research include diverse (non-traditional, non-white and non-middle class) clients? The results show about one third of patients will be judged at high-risk for psychosocial problems but that only 15-25% of those who are diagnosed with cancer will eventually use psychosocial oncology services. Some have mainly instrumental, concrete needs, and others will use psychosocial counseling. A review of the inclusion of minorities and non-traditional, non-middle-class groups, shows that they are not adequately represented in current intervention research in psychosocial oncology. Methods for enlarging their access and participation are suggested. PMID:10457981

  6. The effectiveness of the PRISMA integrated service delivery network: preliminary report on methods and baseline data

    PubMed Central

    Hébert, Réjean; Dubois, Marie-France; Raîche, Michel; Dubuc, Nicole

    2008-01-01

    Purpose The PRISMA study analyzes an innovative coordination-type integrated service delivery (ISD) system developed to improve continuity and increase the effectiveness and efficiency of services, especially for older and disabled populations. The objective of the PRISMA study is to evaluate the effectiveness of this system to improve health, empowerment and satisfaction of frail older people, modify their health and social services utilization, without increasing the burden of informal caregivers. The objective of this paper is to present the methodology and give baseline data on the study participants. Methods A quasi-experimental study with pre-test, multiple post-tests, and a comparison group was used to evaluate the impact of PRISMA ISD. Elders at risk of functional decline (501 experimental, 419 control) participated in the study. Results At entry, the two groups were comparable for most variables. Over the first year, when the implementation rate was low (32%), participants from the control group used fewer services than those from the experimental group. After the first year, no significant statistical difference was observed for functional decline and changes in the other outcome variables. Conclusion This first year must be considered a baseline year, showing the situation without significant implementation of PRISMA ISD systems. Results for the following years will have to be examined with consideration of these baseline results. PMID:18317561

  7. A bilateral integrative health-care knowledge service mechanism based on 'MedGrid'.

    PubMed

    Liu, Chao; Jiang, Zuhua; Zhen, Lu; Su, Hai

    2008-04-01

    Current health-care organizations are encountering impression of paucity of medical knowledge. This paper classifies medical knowledge with new scopes. The discovery of health-care 'knowledge flow' initiates a bilateral integrative health-care knowledge service, and we make medical knowledge 'flow' around and gain comprehensive effectiveness through six operations (such as knowledge refreshing...). Seizing the active demand of Chinese health-care revolution, this paper presents 'MedGrid', which is a platform with medical ontology and knowledge contents service. Each level and detailed contents are described on MedGrid info-structure. Moreover, a new diagnosis and treatment mechanism are formed by technically connecting with electronic health-care records (EHRs). PMID:18325488

  8. Evaluation of an integrated services program to prevent subsequent pregnancy and birth among urban teen mothers.

    PubMed

    Patchen, Loral; Letourneau, Kathryn; Berggren, Erica

    2013-01-01

    This article details the evaluation of a clinical services program for teen mothers in the District of Columbia. The program's primary objectives are to prevent unintended subsequent pregnancy and to promote contraceptive utilization. We calculated contraceptive utilization at 6, 12, 18, and 24 months after delivery, as well as occurrence of subsequent pregnancy and birth. Nearly seven in ten (69.5%) teen mothers used contraception at 24 months after delivery, and 57.1% of contraceptive users elected long-acting reversible contraception. In the 24-month follow-up period, 19.3% experienced at least one subsequent pregnancy and 8.0% experienced a subsequent birth. These results suggest that an integrated clinical services model may contribute to sustained contraceptive use and may prove beneficial in preventing subsequent teen pregnancy and birth.

  9. Delivering a lifelong integrated electronic health record based on a service oriented architecture.

    PubMed

    Katehakis, Dimitrios G; Sfakianakis, Stelios G; Kavlentakis, Georgios; Anthoulakis, Dimitrios N; Tsiknakis, Manolis

    2007-11-01

    Efficient access to a citizen's Integrated Electronic Health Record (I-EHR) is considered to be the cornerstone for the support of continuity of care, the reduction of avoidable mistakes, and the provision of tools and methods to support evidence-based medicine. For the past several years, a number of applications and services (including a lifelong I-EHR) have been installed, and enterprise and regional infrastructure has been developed, in HYGEIAnet, the Regional Health Information Network (RHIN) of the island of Crete, Greece. Through this paper, the technological effort toward the delivery of a lifelong I-EHR by means of World Wide Web Consortium (W3C) technologies, on top of a service-oriented architecture that reuses already existing middleware components is presented and critical issues are discussed. Certain design and development decisions are exposed and explained, laying this way the ground for coordinated, dynamic navigation to personalized healthcare delivery.

  10. A Practice Approach of Multi-source Geospatial Data Integration for Web-based Geoinformation Services

    NASA Astrophysics Data System (ADS)

    Huang, W.; Jiang, J.; Zha, Z.; Zhang, H.; Wang, C.; Zhang, J.

    2014-04-01

    Geospatial data resources are the foundation of the construction of geo portal which is designed to provide online geoinformation services for the government, enterprise and public. It is vital to keep geospatial data fresh, accurate and comprehensive in order to satisfy the requirements of application and development of geographic location, route navigation, geo search and so on. One of the major problems we are facing is data acquisition. For us, integrating multi-sources geospatial data is the mainly means of data acquisition. This paper introduced a practice integration approach of multi-source geospatial data with different data model, structure and format, which provided the construction of National Geospatial Information Service Platform of China (NGISP) with effective technical supports. NGISP is the China's official geo portal which provides online geoinformation services based on internet, e-government network and classified network. Within the NGISP architecture, there are three kinds of nodes: national, provincial and municipal. Therefore, the geospatial data is from these nodes and the different datasets are heterogeneous. According to the results of analysis of the heterogeneous datasets, the first thing we do is to define the basic principles of data fusion, including following aspects: 1. location precision; 2.geometric representation; 3. up-to-date state; 4. attribute values; and 5. spatial relationship. Then the technical procedure is researched and the method that used to process different categories of features such as road, railway, boundary, river, settlement and building is proposed based on the principles. A case study in Jiangsu province demonstrated the applicability of the principle, procedure and method of multi-source geospatial data integration.

  11. An automated and integrated framework for dust storm detection based on ogc web processing services

    NASA Astrophysics Data System (ADS)

    Xiao, F.; Shea, G. Y. K.; Wong, M. S.; Campbell, J.

    2014-11-01

    Dust storms are known to have adverse effects on public health. Atmospheric dust loading is also one of the major uncertainties in global climatic modelling as it is known to have a significant impact on the radiation budget and atmospheric stability. The complexity of building scientific dust storm models is coupled with the scientific computation advancement, ongoing computing platform development, and the development of heterogeneous Earth Observation (EO) networks. It is a challenging task to develop an integrated and automated scheme for dust storm detection that combines Geo-Processing frameworks, scientific models and EO data together to enable the dust storm detection and tracking processes in a dynamic and timely manner. This study develops an automated and integrated framework for dust storm detection and tracking based on the Web Processing Services (WPS) initiated by Open Geospatial Consortium (OGC). The presented WPS framework consists of EO data retrieval components, dust storm detecting and tracking component, and service chain orchestration engine. The EO data processing component is implemented based on OPeNDAP standard. The dust storm detecting and tracking component combines three earth scientific models, which are SBDART model (for computing aerosol optical depth (AOT) of dust particles), WRF model (for simulating meteorological parameters) and HYSPLIT model (for simulating the dust storm transport processes). The service chain orchestration engine is implemented based on Business Process Execution Language for Web Service (BPEL4WS) using open-source software. The output results, including horizontal and vertical AOT distribution of dust particles as well as their transport paths, were represented using KML/XML and displayed in Google Earth. A serious dust storm, which occurred over East Asia from 26 to 28 Apr 2012, is used to test the applicability of the proposed WPS framework. Our aim here is to solve a specific instance of a complex EO data

  12. Software and information life cycle (SILC) for the Integrated Information Services Organization

    SciTech Connect

    Eaton, D.; Cassidy, A.; Cuyler, D.; Eaton, S.; Joyce, S.; Kephart, E.; Thurston, I.; Schofield, J.; Knirk, D.

    1995-12-01

    This document describes the processes to be used for creating corporate information systems within the scope of the Integrated Information Services (IIS) Center. Issue B describes all phases of the life cycle, with strong emphasis on the interweaving of the Analysis and Design phases. This Issue B supersedes Issue A, which concentrated on the Analysis and Implementation phases within the context of the entire life cycle. Appendix A includes a full set of examples of the deliverables, excerpted from the Network Database. Subsequent issues will further develop these life cycle processes as we move toward enterprise-level management of information assets, including information meta-models and an integrated corporate information model. The phases described here, when combined with a specifications repository, will provide the basis for future reusable components and improve traceability of information system specifications to enterprise business rules.

  13. Service delivery characteristics associated with contraceptive use among youth clients in integrated voluntary counseling and HIV testing clinics in Kenya.

    PubMed

    Baumgartner, Joy Noel; Otieno-Masaba, Rose; Weaver, Mark A; Grey, Thomas W; Reynolds, Heidi W

    2012-01-01

    Youth attending voluntary counseling and HIV testing (VCT) services often have unmet need for contraception. Integrated family planning (FP) and HIV services can address dual HIV and unintended pregnancy prevention needs. However, little is known about which VCT service characteristics, such as quality of care, strength of FP-HIV service integration, and youth-friendliness, affect contraceptive behavior. This study explores the facility- and provider-level characteristics that may be associated with same day uptake or intention to use contraception after a VCT visit, and contraceptive use three months later among youth clients, controlling for client characteristics. This was a descriptive study conducted in 20 integrated VCT clinics across Kenya. Data collection included 20 structured clinic observations, 349 baseline interviews with male and female clients aged 15-24 after their VCT visit plus 277 follow-up interviews with clients three months later, and interviews with 46 providers who served the clients at the study clinics. Client, provider, and structured observation data were linked and multi-level logistic path models were used for analyses. Results revealed little evidence of specific service characteristics being associated with contraceptive behavior. However, VCT providers were not routinely screening for risk of unintended pregnancy or counseling on contraception. Results are likely a reflection of suboptimal integrated services. The clinics were serving youth with unmet contraceptive need and therefore integrated services should be strengthened overall to ensure no missed opportunities.

  14. The effect of for-profit laboratories on the accountability, integration, and cost of Canadian health care services

    PubMed Central

    Sutherland, Ross

    2012-01-01

    Abstract Canadian public health care systems pay for-profit corporations to provide essential medical laboratory services. This practice is a useful window on the effects of using for-profit corporations to provide publicly funded services. Because private corporations are substantially protected by law from the public disclosure of “confidential business information,” increased for-profit delivery has led to decreased transparency, thus impeding informed debate on how laboratory services are delivered. Using for-profit laboratories increases the cost of diagnostic testing and hinders the integration of health care services more generally. Two useful steps toward ending the for-profit provision of laboratory services would be to stop fee-for-service funding and to integrate all laboratory work within public administrative structures. PMID:23687532

  15. The effect of for-profit laboratories on the accountability, integration, and cost of Canadian health care services.

    PubMed

    Sutherland, Ross

    2012-01-01

    Canadian public health care systems pay for-profit corporations to provide essential medical laboratory services. This practice is a useful window on the effects of using for-profit corporations to provide publicly funded services. Because private corporations are substantially protected by law from the public disclosure of "confidential business information," increased for-profit delivery has led to decreased transparency, thus impeding informed debate on how laboratory services are delivered. Using for-profit laboratories increases the cost of diagnostic testing and hinders the integration of health care services more generally. Two useful steps toward ending the for-profit provision of laboratory services would be to stop fee-for-service funding and to integrate all laboratory work within public administrative structures.

  16. Quasi-Experimental Study of the Effectiveness of an Integrated Service Delivery Network for the Frail Elderly

    ERIC Educational Resources Information Center

    Tourigny, Andre; Durand, Pierre J.; Bonin, Lucie; Hebert, Rejean; Rochette, Louis

    2004-01-01

    The aim of this study was to examine the effectiveness of a new, integrated service delivery (ISD) network of health and social services for frail elderly living in a semi-urban community. A quasi-experimental study was conducted from 1997 to 2000, with measures taken before implementation (T0) and every 12 months after implementation for a 3-year…

  17. Integrating Faculty Led Service Learning Training to Quantify Height of Natural Resources from a Spatial Science Perspective

    ERIC Educational Resources Information Center

    Unger, Daniel R.; Kulhavy, David L.; Busch-Petersen, Kai; Hung, I.-Kuai

    2016-01-01

    Arthur Temple College of Forestry and Agriculture (ATCOFA) faculty members were trained how to integrate service learning activities within senior level classes at Stephen F. Austin State University (SFASU) in Nacogdoches, Texas. The service learning training, taught under the acronym Mentored Undergraduate Scholarship (MUGS), involved meeting…

  18. Pre-Service Teachers' TPACK Competencies for Spreadsheet Integration: Insights from a Mathematics-Specific Instructional Technology Course

    ERIC Educational Resources Information Center

    Agyei, Douglas D.; Voogt, Joke M.

    2015-01-01

    This article explored the impact of strategies applied in a mathematics instructional technology course for developing technology integration competencies, in particular in the use of spreadsheets, in pre-service teachers. In this respect, 104 pre-service mathematics teachers from a teacher training programme in Ghana enrolled in the mathematics…

  19. Preparing Pre-Service Teachers to Teach Primary Science: An Integrated Approach Using the Theme of Sustainability

    ERIC Educational Resources Information Center

    King, Donna

    2014-01-01

    An integrated approach to assessment afforded pre-service teachers the opportunity to learn about a local sustainability issue through three learning areas: science and technology, the arts and studies of society and environment (SOSE). Three sustainability issues chosen by the pre-service teachers are presented in this paper highlighting the…

  20. A Comparative Study of Pre-Service Teachers' Self-Efficacy Beliefs before and after Work-Integrated Learning

    ERIC Educational Resources Information Center

    Matoti, S. N.; Junqueira, K. E.; Odora, R. J.

    2011-01-01

    The purpose of the study was to compare the teaching efficacy beliefs of pre-service teachers before and after work-integrated learning (WIL) in a South African University of Technology. The comparison groups were formed based on the criterion of WIL. Pre-service teachers in their third year of the B.Ed. (FET) programme participated in the study…

  1. University Educational Service Delivery Strategy in a Changing World: Implications for Ethical Values and Leadership Integrity in Nigeria

    ERIC Educational Resources Information Center

    Akintayo, D. I.

    2008-01-01

    This paper examined university educational service delivery strategy in a changing world as it affects ethical values and leadership integrity in Nigeria. This was for the purpose of determining appropriate strategies for improving the quality of service delivery system in Nigerian universities. The paper submits that the quality and quantity of…

  2. Integrating Year-Round and Summer Employment and Training Services for Youth under the Workforce Investment Act: Technical Assistance Guide.

    ERIC Educational Resources Information Center

    Westat, Inc., Rockville, MD.

    This document, which is intended to provide technical assistance to individuals responsible for integrating year-round and summer employment and training services for youth under the Workforce Investment Act (WIA), contains case studies of eight employment and training programs that have already or are in the process of integrating their summer…

  3. Integrating Evidence-Based Community-Care Services to Improve Schizophrenia Outcomes: A Preliminary Trial.

    PubMed

    Li, Jin-Biau; Liu, Wen-I; Huang, Min-Wei

    2016-02-01

    This aim of this preliminary experimental study was to integrate effective evidence-based community-care services that are subjected to heavy caseloads, and to then examine the effects on individuals with schizophrenia. Using a cluster sampling method, four homecare nurses were randomly assigned to either the experimental group or the comparison group. The nurses in the experimental group applied the following six identified effective elements: (1) established an alliance with their patients; (2) assessed patient-care needs; (3) considered both medical and social-care practices; (4) addressed patients' self-management of medication and their daily tasks; (5) provided crisis intervention; and (6) coordinated resources. The patients comprised 85 individuals with schizophrenia. In the experimental group, psychiatric homecare nurses were randomly assigned to implement integrated, evidence-based community-care services during a six-month follow-up period. Patients in the comparison group continued to receive their customary community care. In the experimental group, patient satisfaction scores, medication attitudes, and general functioning levels were significantly higher than in the comparison group. These preliminary findings indicate a potentially effective model for community care in areas where intensive case management cannot be provided. PMID:26804510

  4. An Integrated Model for Identifying Linkages Between the Management of Fuel Treatments, Fire and Ecosystem Services

    NASA Astrophysics Data System (ADS)

    Bart, R. R.; Anderson, S.; Moritz, M.; Plantinga, A.; Tague, C.

    2015-12-01

    Vegetation fuel treatments (e.g. thinning, prescribed burning) are a frequent tool for managing fire-prone landscapes. However, predicting how fuel treatments may affect future wildfire risk and associated ecosystem services, such as forest water availability and streamflow, remains a challenge. This challenge is in part due to the large range of conditions under which fuel treatments may be implemented, as response is likely to vary with species type, rates of vegetation regrowth, meteorological conditions and physiographic properties of the treated site. It is also due to insufficient understanding of how social factors such as political pressure, public demands and economic constraints affect fuel management decisions. To examine the feedbacks between ecological and social dimensions of fuel treatments, we present an integrated model that links a biophysical model that simulates vegetation and hydrology (RHESSys), a fire spread model (WMFire) and an empirical fuel treatment model that accounts for agency decision-making. We use this model to investigate how management decisions affect landscape fuel loads, which in turn affect fire severity and ecosystem services, which feedback to management decisions on fuel treatments. We hypothesize that this latter effect will be driven by salience theory, which predicts that fuel treatments are more likely to occur following major wildfire events. The integrated model provides a flexible framework for answering novel questions about fuel treatments that span social and ecological domains, areas that have previously been treated separately.

  5. Integrating HCV services for drug users: a model to improve engagement and outcomes.

    PubMed

    Sylvestre, Diana L; Zweben, Joan E

    2007-10-01

    Although the majority of prevalent and incident cases of hepatitis C are related to injection drug use, drug users often find it difficult to access treatment services because of concerns about adherence and treatment candidacy. In response to the growing epidemic, OASIS, a nonprofit community clinic, developed a successful peer-based HCV group that allowed us to engage, educate, test, and treat hepatitis C in large numbers of drug users, the majority of whom have multiple potential barriers to intervention. Integrating services for hepatitis C, addiction, mental health, and psychosocial problems, the model involves a collaboration of medical providers and peer educators and incorporates elements of other proven behavioural models, including self-help groups, therapeutic communities, and peer interventions. Our results indicate that this peer-based model is successful at engaging, educating, and treating a diverse spectrum of chaotic drug users. We conclude that an integrated, peer-based approach to intervention can engage even the most challenging addicted patients with hepatitis C, and can facilitate their successful screening and treatment.

  6. Integrating Emotion and Cognition in Successful Service Learning: A Complex System Approach (Invited)

    NASA Astrophysics Data System (ADS)

    Raia, F.

    2010-12-01

    Service-learning (S-L) has evolved as valuable pedagogic concept during the last two decades, based on the hypothesis that learning can best be accomplished when placed in the context of real-life social settings, e.g. schools, production, research, healthcare etc. What students learn in the academic course/context must be elaborated in the context of the S-L experience. In return for the authentic learning experience, the learner provides the service-provider with a "free" service. This reciprocality makes service-learning an appealing concept. Because of its attractive "win-win" design, the field of service-learning is continuously expanding. At a major public university CCNY with a very diverse student population, we were interested in developing and participating in S-L experience in the field of Earth System Science. We designed an upper level undergraduate course - Environmental Soil Science for Urban Sustainability - specifically targeted to students of Earth Science, Engineering, Economics and, Political Sciences to support environmental entrepreneurship. Specifically, we integrated S-L activities in the exploration of soil studies and urban agriculture. Students worked together in small groups both in class and for their S-L experience (30 hours) with urban garden and agriculture organizations. Students were required to apply the content learned in the academic course providing soil testing and soil evaluation to the partners, generate reports through a series of homework assignments and journal entries connecting three major components: Community Service, Personal Experience and Course Content. Our experience with this course shows the following results: S-L must be considered a complex system characterized by the continually changing interactions among the above mentioned three major components and three social and academic diverse groups of people involved: Students, Service-Providers and Academic Instructors. Because experience alone does not produce

  7. Services for the Elderly. Curriculum Guide. Academic Integration Supplement. Assistance Services for the Elderly. Student Activity Book.

    ERIC Educational Resources Information Center

    Texas Tech Univ., Lubbock. Home Economics Curriculum Center.

    This guide is designed for use in implementing Texas' services for the elderly curriculum. The following topics are covered in 33 chapters: understanding the elderly in the United States; services and legislation for the elderly; job opportunities in services for the elderly; employee qualifications; physical, emotional, mental, and social needs…

  8. The Integration of Synchronous Communication Technology into Service Learning for Pre-Service Teachers' Online Tutoring of Middle School Students

    ERIC Educational Resources Information Center

    Chen, Chao-Hsiu; Liao, Chen-Hung; Chen, Yi-Chieh; Lee, Chen-Feng

    2011-01-01

    To well prepare pre-service teachers for their future teaching, researchers and teacher-educators have been employing information and communication technology to improve pre-service teachers' learning of subject-matter knowledge, pedagogies, classroom-management skills, and so on. This study illustrates a service-learning project we conducted to…

  9. PRISMA: Program of Research to Integrate the Services for the Maintenance of Autonomy. A system-level integration model in Quebec

    PubMed Central

    MacAdam, Margaret

    2015-01-01

    The Program of Research to Integrate the Services for the Maintenance of Autonomy (PRISMA) began in Quebec in 1999. Evaluation results indicated that the PRISMA Project improved the system of care for the frail elderly at no additional cost. In 2001, the Quebec Ministry of Health and Social Services made implementing the six features of the PRISMA approach a province-wide goal in the programme now known as RSIPA (French acronym). Extensive Province-wide progress has been made since then, but ongoing challenges include reducing unmet need for case management and home care services, creating incentives for increased physician participation in care planning and improving the computerized client chart, among others. PRISMA is the only evaluated international model of a coordination approach to integration and one of the few, if not the only, integration model to have been adopted at the system level by policy-makers. PMID:26417212

  10. An Extensible Scientific Computing Resources Integration Framework Based on Grid Service

    NASA Astrophysics Data System (ADS)

    Cui, Binge; Chen, Xin; Song, Pingjian; Liu, Rongjie

    Scientific computing resources (e.g., components, dynamic linkable libraries, etc) are very valuable assets for the scientific research. However, due to historical reasons, most computing resources can’t be shared by other people. The emergence of Grid computing provides a turning point to solve this problem. The legacy applications can be abstracted and encapsulated into Grid service, and they may be found and invoked on the Web using SOAP messages. The Grid service is loosely coupled with the external JAR or DLL, which builds a bridge from users to computing resources. We defined an XML schema to describe the functions and interfaces of the applications. This information can be acquired by users by invoking the “getCapabilities” operation of the Grid service. We also proposed the concept of class pool to eliminate the memory leaks when invoking the external jars using reflection. The experiment shows that the class pool not only avoids the PermGen space waste and Tomcat server exception, but also significantly improves the application speed. The integration framework has been implemented successfully in a real project.

  11. Simulation games that integrate research, entertainment, and learning around ecosystem services

    DOE PAGESBeta

    Costanza, Robert; Chichakly, Karim; Dale, Virginia; Farber, Steve; Finnigan, David; Grigg, Kat; Heckbert, Scott; Kubiszewski, Ida; Lee, Harry; Liu, Shuang; et al

    2014-11-07

    Humans currently spend over 3 billion person-hours per week playing computer games. Most of these games are purely for entertainment, but use of computer games for education has also expanded dramatically. At the same time, experimental games have become a staple of social science research but have depended on relatively small sample sizes and simple, abstract situations, limiting their range and applicability. If only a fraction of the time spent playing computer games could be harnessed for research, it would open up a huge range of new opportunities. We review the use of games in research, education, and entertainment andmore » develop ideas for integrating these three functions around the idea of ecosystem services valuation. This approach to valuation can be seen as a version of choice modeling that allows players to generate their own scenarios taking account of the trade-offs embedded in the game, rather than simply ranking pre-formed scenarios. We outline a prototype game called Lagom Island to test the proposition that gaming can be used to reveal the value of ecosystem services. Ultimately, our prototype provides a potential pathway and functional building blocks for approaching the relatively untapped potential of games in the context of ecosystem services research.« less

  12. Simulation games that integrate research, entertainment, and learning around ecosystem services

    SciTech Connect

    Costanza, Robert; Chichakly, Karim; Dale, Virginia; Farber, Steve; Finnigan, David; Grigg, Kat; Heckbert, Scott; Kubiszewski, Ida; Lee, Harry; Liu, Shuang; Magnuszewski, Piotr; Maynard, Simone; McDonald, Neal; Mills, Richard; Ogilvy, Sue; Pert, Petina L.; Renz, Jochen; Wainger, Lisa; Young, Mike; Richard Ziegler, C.

    2014-11-07

    Humans currently spend over 3 billion person-hours per week playing computer games. Most of these games are purely for entertainment, but use of computer games for education has also expanded dramatically. At the same time, experimental games have become a staple of social science research but have depended on relatively small sample sizes and simple, abstract situations, limiting their range and applicability. If only a fraction of the time spent playing computer games could be harnessed for research, it would open up a huge range of new opportunities. We review the use of games in research, education, and entertainment and develop ideas for integrating these three functions around the idea of ecosystem services valuation. This approach to valuation can be seen as a version of choice modeling that allows players to generate their own scenarios taking account of the trade-offs embedded in the game, rather than simply ranking pre-formed scenarios. We outline a prototype game called Lagom Island to test the proposition that gaming can be used to reveal the value of ecosystem services. Ultimately, our prototype provides a potential pathway and functional building blocks for approaching the relatively untapped potential of games in the context of ecosystem services research.

  13. Open source software integrated into data services of Japanese planetary explorations

    NASA Astrophysics Data System (ADS)

    Yamamoto, Y.; Ishihara, Y.; Otake, H.; Imai, K.; Masuda, K.

    2015-12-01

    Scientific data obtained by Japanese scientific satellites and lunar and planetary explorations are archived in DARTS (Data ARchives and Transmission System). DARTS provides the data with a simple method such as HTTP directory listing for long-term preservation while DARTS tries to provide rich web applications for ease of access with modern web technologies based on open source software. This presentation showcases availability of open source software through our services. KADIAS is a web-based application to search, analyze, and obtain scientific data measured by SELENE(Kaguya), a Japanese lunar orbiter. KADIAS uses OpenLayers to display maps distributed from Web Map Service (WMS). As a WMS server, open source software MapServer is adopted. KAGUYA 3D GIS (KAGUYA 3D Moon NAVI) provides a virtual globe for the SELENE's data. The main purpose of this application is public outreach. NASA World Wind Java SDK is used to develop. C3 (Cross-Cutting Comparisons) is a tool to compare data from various observations and simulations. It uses Highcharts to draw graphs on web browsers. Flow is a tool to simulate a Field-Of-View of an instrument onboard a spacecraft. This tool itself is open source software developed by JAXA/ISAS, and the license is BSD 3-Caluse License. SPICE Toolkit is essential to compile FLOW. SPICE Toolkit is also open source software developed by NASA/JPL, and the website distributes many spacecrafts' data. Nowadays, open source software is an indispensable tool to integrate DARTS services.

  14. Working toward financial sustainability of integrated behavioral health services in a public health care system.

    PubMed

    Monson, Samantha Pelican; Sheldon, J Christopher; Ivey, Laurie C; Kinman, Carissa R; Beacham, Abbie O

    2012-06-01

    The need, benefit, and desirability of behavioral health integration in primary care is generally accepted and has acquired widespread positive regard. However, in many health care settings the economics, business aspects, and financial sustainability of practice in integrated care settings remains an unsolved puzzle. Organizational administrators may be reluctant to expand behavioral health services without evidence that such programs offer clear financial benefits and financial sustainability. The tendency among mental health professionals is to consider positive clinical outcomes (e.g., reduced depression) as being globally valued indicators of program success. Although such outcomes may be highly valued by primary care providers and patients, administrative decision makers may require demonstration of more tangible financial outcomes. These differing views require program developers and evaluators to consider multiple outcome domains including clinical/psychological symptom reduction, potential cost benefit, and cost offset. The authors describe a process by which a pilot demonstration project is being implemented to demonstrate programmatic outcomes with a focus on the following: 1) clinician efficiency, 2) improved health outcomes, and 3) direct revenue generation associated with the inclusion of integrated primary care in a public health care system. The authors subsequently offer specific future directions and commentary regarding financial evaluation in each of these domains.

  15. Integrating early child development programs into health and nutrition services in Bangladesh: benefits and challenges.

    PubMed

    Hamadani, Jena Derakhshani; Nahar, Baitun; Huda, Syed Nazmul; Tofail, Fahmida

    2014-01-01

    Bangladesh is one of the poorest countries of the world with the highest population density. The Bangladesh government recognizes the educational and financial benefits of early childhood development (ECD) and has incorporated ECD into the national plan of action. However, ECD activities are not fully established in the country and there have been few evaluations. In this paper, we present ECD programs that are integrated into health and nutrition services in Bangladesh. We present four evaluation reports of such programs and we also include seven published research projects showing evidence that such integrations are feasible. We provide short reviews on coverage, methodology, and effects of the published reports and share our experience of challenges faced and steps taken to solve them. Overall, very few programs are based on scientific evidence and fewer are even evaluated. The research projects so far conducted are promising and there is sufficient evidence on feasibility of integrating ECD activities into nutrition and health programs. Suggestions are made on measures to overcome the implementation problems and on suitable methods to establish high-quality ECD programs in Bangladesh and in other low- and middle-income countries. PMID:24571219

  16. A diagnosis of conflict: theoretical barriers to integration in mental health services & their philosophical undercurrents

    PubMed Central

    2010-01-01

    This paper examines the philosophical substructure to the theoretical conflicts that permeate contemporary mental health care in the UK. Theoretical conflicts are treated here as those that arise among practitioners holding divergent theoretical orientations towards the phenomena being treated. Such conflicts, although steeped in history, have become revitalized by recent attempts at integrating mental health services that have forced diversely trained practitioners to work collaboratively together, often under one roof. Part I of this paper examines how the history of these conflicts can be understood as a tension between, on the one hand, the medical model and its use by the dominant profession of psychiatry, and on the other, those alternative models and practitioners in some way differentiated from the medical model camp. Examples will be given from recent policy and research to highlight the prevalence of this tension in contemporary practice. Part II of this paper explores the deeper commonalities that lay beneath the theoretical conflict outlined in Part I. These commonalities will be shown to be apart of a captivating framework that has continued to grip the conflict since its inception. By exposing this underlying framework--and the motivations inherent therein--the topic of integration appears in wholly different light, allowing a renewed philosophical basis for integration to emerge. PMID:20132546

  17. Integrating early child development programs into health and nutrition services in Bangladesh: benefits and challenges.

    PubMed

    Hamadani, Jena Derakhshani; Nahar, Baitun; Huda, Syed Nazmul; Tofail, Fahmida

    2014-01-01

    Bangladesh is one of the poorest countries of the world with the highest population density. The Bangladesh government recognizes the educational and financial benefits of early childhood development (ECD) and has incorporated ECD into the national plan of action. However, ECD activities are not fully established in the country and there have been few evaluations. In this paper, we present ECD programs that are integrated into health and nutrition services in Bangladesh. We present four evaluation reports of such programs and we also include seven published research projects showing evidence that such integrations are feasible. We provide short reviews on coverage, methodology, and effects of the published reports and share our experience of challenges faced and steps taken to solve them. Overall, very few programs are based on scientific evidence and fewer are even evaluated. The research projects so far conducted are promising and there is sufficient evidence on feasibility of integrating ECD activities into nutrition and health programs. Suggestions are made on measures to overcome the implementation problems and on suitable methods to establish high-quality ECD programs in Bangladesh and in other low- and middle-income countries.

  18. Svalbard Integrated Arctic Earth Observing System - A New Coordinated Foundation for Environmental Services in and around Svalbard

    NASA Astrophysics Data System (ADS)

    Lilja Bye, Bente

    2015-04-01

    Svalbard Integrated Earth Observing System (SIOS) is an international infrastructure project. There were 28 partners from Europe and Asia involved in the preparatory phase of this ESFRI project. The essential objectives are to establish a mechanism for integration among the existing research institutions in Svalbard to create a joint state-of-the-art observing system in Earth System Science, and better coordinated services for the International Research community with respect to access, data and knowledge management, logistics and training. In addition to the SIOS members various data services, SIOS itself will provide a few new services such as processed satellite data (from Copernicus' Sentinels as well as others) and combined in-situ and satellite data. All in all SIOS represent a new capacity and foundation for more Earth System Science, including climate and environment, data services in and around Svalbard. A presentation of SIOS including time schedule for implementation of the basic services will be given.

  19. Socio-Ecohydrologic Agents And Services: Integrating Human And Natural Components To Address Coupled System Resilience

    NASA Astrophysics Data System (ADS)

    Pavao-zuckerman, M.; Pope, A.; Chan, D.; Curl, K.; Gimblett, H. R.; Hough, M.; House-Peters, L.; Lee, R.; Scott, C. A.

    2012-12-01

    Riparian corridors in arid regions are highly valued for their relative scarcity, and because healthy riparian systems support high levels of biodiversity, can meet human demand for water and water-related resources and functions. Our team is taking a transdiciplinary social-ecological systems approach to assessing riparian corridor resilience in two watersheds (the San Pedro River in USA and Mexico, and the Rio San Miguel in Mexico) through a project funded by the NSF CNH program ("Strengthening Resilience of Arid Region Riparian Corridors"). Multiple perspectives are integrated in the project, including hydrology, ecology, institutional dynamics, and decision making (at the level of both policy and individual choice), as well as the perspectives of various stakeholder groups and individuals in the watersheds. Here we discuss initial findings that center around linking changes in ecohydrology and livelihoods related to decisions in response to climatic, ecological, and social change. The research team is implementing two approaches to integrate the disparate disciplines participating in the research (and the varied perspectives among the stakeholders in this binational riparian context): (1) ecosystem service assessment, and (2) agent based model simulation. We are developing an ecosystem service perspective that provides a bridge between ecological dynamics in the landscape and varied stakeholder perspectives on the implications of ecohydrology for well-being (economic, cultural, ecological). Services are linked on one hand to the spatial patterns of traits of individuals within species (allowing a more predictive application of ecosystem services as they vary with community change in time), and to stakeholder perspectives (facilitating integration of ecosystem services into our understanding of decision making processes) in a case study in the San Pedro River National Conservation Area. The agent- based model (ABM) approach incorporates the influence of human

  20. The Starting Early Starting Smart Integrated Services Model: Improving Access to Behavioral Health Services in the Pediatric Health Care Setting for At-Risk Families with Young Children

    ERIC Educational Resources Information Center

    Morrow, Connie E.; Mansoor, Elana; Hanson, K. Lori; Vogel, April L.; Rose-Jacobs, Ruth; Genatossio, Carolyn Seval; Windham, Amy; Bandstra, Emmalee S.

    2010-01-01

    We evaluated the Starting Early Starting Smart (SESS) national initiative to integrate behavioral health services (parenting, mental health, and drug treatment) into the pediatric health care setting for families with young children. Data are presented from five pediatric care (PC) sites, drawing from families at risk due to demographic and…

  1. A Technical Assistance Framework to Facilitate the Delivery of Integrated Behavioral Health Services in Federally Qualified Health Centers (FQHCs).

    PubMed

    Chaple, Michael; Sacks, Stanley; Randell, Joan; Kang, Barbara

    2016-01-01

    An implementation approach, featuring direct, onsite technical assistance is described, and findings from a pilot study assessing the capability of Federally Qualified Health Centers to provide integrated behavioral health services are presented. Investigators used the Behavioral Health Integration in Medical Care (BHIMC) index to measure integration at baseline and follow-up at four FQHCs in New Jersey. Results indicate that the average baseline capability score of 1.95 increased to 2.44 at follow-up, almost one-half point on the five-point BHIMC index. This pilot project demonstrates that co-occurring capability can be assessed, and system-wide technical assistance can be delivered to assist FQHCs in integrating behavioral health services. Future research should test technical assistance as an implementation strategy to promote the integration of medical care and behavioral health treatment on a wider scale.

  2. Mitigation for one & all: An integrated framework for mitigation of development impacts on biodiversity and ecosystem services

    SciTech Connect

    Tallis, Heather; Kennedy, Christina M.; Ruckelshaus, Mary; Goldstein, Joshua; Kiesecker, Joseph M.

    2015-11-15

    Emerging development policies and lending standards call for consideration of ecosystem services when mitigating impacts from development, yet little guidance exists to inform this process. Here we propose a comprehensive framework for advancing both biodiversity and ecosystem service mitigation. We have clarified a means for choosing representative ecosystem service targets alongside biodiversity targets, identified servicesheds as a useful spatial unit for assessing ecosystem service avoidance, impact, and offset options, and discuss methods for consistent calculation of biodiversity and ecosystem service mitigation ratios. We emphasize the need to move away from area- and habitat-based assessment methods for both biodiversity and ecosystem services towards functional assessments at landscape or seascape scales. Such comprehensive assessments more accurately reflect cumulative impacts and variation in environmental quality, social needs and value preferences. The integrated framework builds on the experience of biodiversity mitigation while addressing the unique opportunities and challenges presented by ecosystem service mitigation. These advances contribute to growing potential for economic development planning and execution that will minimize impacts on nature and maximize human wellbeing. - Highlights: • This is the first framework for biodiversity and ecosystem service mitigation. • Functional, landscape scale assessments are ideal for avoidance and offsets. • Servicesheds define the appropriate spatial extent for ecosystem service mitigation. • Mitigation ratios should be calculated consistently and based on standard factors. • Our framework meets the needs of integrated mitigation assessment requirements.

  3. The integration of informal care, case management and community-based services for persons with HIV/AIDS.

    PubMed

    London, A S; LeBlanc, A J; Aneshensel, C S

    1998-08-01

    This research examines the integration of informal and formal care for persons with HIV/AIDS. Data come from a panel survey of informal HIV/AIDS caregivers (N = 642) and are analyzed using a modified version of the Behavioral Model that allows for inclusion of predisposing, enabling and need characteristics of persons with HIV/AIDS and their caregivers. The outcome component of our model emphasizes the role of case management as an intermediary service designed to facilitate linkage to other services. Results indicate: substantial use of case management and other services among persons receiving informal care; characteristics of care recipients, caregivers and dyads directly influence case management and service use; case management positively influences service use at baseline and change in service use over time; and the association between case management and service use generates indirect influences on service use related to characteristics of care recipients, caregivers and dyads. These results highlight the importance of case management as a mechanism for integrating informal and formal care and demonstrate that service utilization is influenced by the social context of illness.

  4. RADSS: an integration of GIS, spatial statistics, and network service for regional data mining

    NASA Astrophysics Data System (ADS)

    Hu, Haitang; Bao, Shuming; Lin, Hui; Zhu, Qing

    2005-10-01

    Regional data mining, which aims at the discovery of knowledge about spatial patterns, clusters or association between regions, has widely applications nowadays in social science, such as sociology, economics, epidemiology, crime, and so on. Many applications in the regional or other social sciences are more concerned with the spatial relationship, rather than the precise geographical location. Based on the spatial continuity rule derived from Tobler's first law of geography: observations at two sites tend to be more similar to each other if the sites are close together than if far apart, spatial statistics, as an important means for spatial data mining, allow the users to extract the interesting and useful information like spatial pattern, spatial structure, spatial association, spatial outlier and spatial interaction, from the vast amount of spatial data or non-spatial data. Therefore, by integrating with the spatial statistical methods, the geographical information systems will become more powerful in gaining further insights into the nature of spatial structure of regional system, and help the researchers to be more careful when selecting appropriate models. However, the lack of such tools holds back the application of spatial data analysis techniques and development of new methods and models (e.g., spatio-temporal models). Herein, we make an attempt to develop such an integrated software and apply it into the complex system analysis for the Poyang Lake Basin. This paper presents a framework for integrating GIS, spatial statistics and network service in regional data mining, as well as their implementation. After discussing the spatial statistics methods involved in regional complex system analysis, we introduce RADSS (Regional Analysis and Decision Support System), our new regional data mining tool, by integrating GIS, spatial statistics and network service. RADSS includes the functions of spatial data visualization, exploratory spatial data analysis, and

  5. Integrating Human Services: Linking At-Risk Families with Services More Successful Than System Reform Efforts. Report to the Chairman, Subcommittee on Children, Family, Drugs and Alcoholism, Committee on Labor and Human Resources, U.S. Senate.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC. Div. of Human Resources.

    This report reviews approaches that federal, state, and local governments have used to integrate the delivery of health and other educational and social services to at-risk families, and examines barriers to designing and implementing integrated service delivery systems. The report contrasts "system-oriented" integration efforts, which create new…

  6. Dr. Dupont integrates MCH and family planning services in Munda district. Case scenarios for training and group discussion.

    PubMed

    1994-01-01

    This supplement to "The Family Planning Manager" sets forth a case study and case discussion questions regarding a proposal to integrate maternal-child health and family planning services. Successful program integration is dependent, to a large extent, on the leadership capabilities of clinic directors. The process can be facilitated by establishing new formal channels for staff communication, creating systems that focus on the client, upgrading the training of all clinic staff, and developing an interfacility referral system. A transition to integrated supervision requires streamlining the supervisory system, developing integrated supervisory guidelines, and upgrading the technical and supervisory skills of supervisors.

  7. Successful Integration of Hepatitis C Evaluation and Treatment Services With Methadone Maintenance

    PubMed Central

    Harris, Kenneth A.; Arnsten, Julia H.; Litwin, Alain H.

    2010-01-01

    Objectives Despite high rates of hepatitis C virus (HCV) infection, relatively few current or former injection drug users receive evaluation and treatment for HCV. Here, we demonstrate the feasibility and effectiveness of integrating HCV care and methadone maintenance treatment (MMT). We hypothesized that colocation of these services would result in improved access to and utilization of HCV care. Methods In this retrospective observational study, all patient charts from a single MMT clinic were reviewed 2 years after HCV care and MMT were integrated. Information obtained included screening for and counseling about HCV infection status, on-site HCV treatment and outcomes, and demographic and substance abuse data. Results Two hundred ninety-one patient charts were reviewed. Two hundred eighty-one (99%) patients were screened for HCV antibody (HCV-Ab), and 188 (65%) were positive. Forty-nine (17%) patients were HIV/HCV coinfected. Ninety-eight percent of the HCV-Ab-positive patients received HCV counseling. Hundred fifty-nine (85%) of the HCV-Ab-positive patients were eligible to receive further evaluation and treatment for HCV on site, and 125 (78%) accepted. Hundred eighteen (94%) patients were tested for chronic HCV, and 83 were determined to have chronic HCV. Twenty-five patients received liver biopsy; low-stage disease was found in 7 patients. Twenty-one patients initiated HCV treatment. Sustained viral response was achieved in 8 patients. Seventeen patients had contraindications to HCV treatment. Further workup was prevented or delayed in 45 patients for various reasons, most commonly due to personal choice (29 patients). Conclusions This study demonstrates that current and former injection drug users can be engaged successfully in evaluation and treatment of HCV infection when these services are collocated with MMT. PMID:20485532

  8. Master Contracting with Comprehensive Service Providers: A Tool to Simplify Administration and Promote Outcome-Focused, Integrated Services

    ERIC Educational Resources Information Center

    Lepler, Susan; Uyeda, Kimberly; Halfon, Neal

    2006-01-01

    In response to the problems caused by categorical funding for services to children and families, the National Commission on Children recommended a series of changes in the organization, administration, and implementation of programs at all levels of government, to encourage a more collaborative and comprehensive service delivery system, including…

  9. Integrated Services Digital Network (ISDN) status and opportunities for satellite systems

    NASA Astrophysics Data System (ADS)

    Casas, J. M.; Burke, W. R.

    1987-05-01

    The driving force behind the proposed Integrated Digital Services Network (ISDN) is identified as PTT's and industry. It is doubtful whether ISDN can satisfy business user requirements. For residential users, the prospects are even more uncertain, since the costs associated with the implementation of subscriber loops seem to be out of all proportion to the added value offered to end users in terms of new services. The evolution of IDN in Europe is such that it will leave substantial areas without digital connectivity for many years; morever, the transition from IDN to ISDN still requires the solution of many important problems at different levels of the network. Although ISDN can be expected to be offered gradually at national level in several countries in the coming years, access on a European scale will not be possible to any significant degree before the year 2000 and it will continue to remain unclear whether this offer will correspond to a real demand. It is shown that satellites could be of considerable help in solving Europe's communications problems. By providing instant coverage of the entire West European region, they can offer the benefits of ISDN wherever they are required.

  10. Challenges of commissioning and contracting for integrated care in the National Health Service (NHS) in England.

    PubMed

    Addicott, Rachael

    2016-01-01

    For many years there has been a separation between purchasing and provision of services in the English National Health Service (NHS). Many studies report that this commissioning function has been weak: purchasers have had little impact or power in negotiations with large acute providers, and have had limited strategic control over the delivery of care. Nevertheless, commissioning has become increasingly embedded in the NHS structure since the arrival of Clinical Commissioning Groups (CCGs) in 2012. Recently, some of these CCGs have focused on how they can contract and commission in different ways to stimulate greater collaboration across providers. This paper examines experiences of commissioning and contracting for integrated care in the English NHS, based on a series of national-level interviews and case studies of five health economies that are implementing novel contracting models. The cases illustrated here demonstrate early experiments to drive innovation through contracting in the NHS that have largely relied on the vision of individual teams or leaders, in combination with external legal, procurement and actuarial support. It is unlikely that this approach will be sustainable or replicable across the country or internationally, despite the best intentions of commissioners. Designing and operating novel contractual approaches will require considerable determination, alongside advanced skills in procurement, contract management and commissioning. The cost of developing new contractual approaches is high, and as the process is difficult and resource-intensive, it is likely that dedicated teams or programs will be required to drive significant improvement. PMID:26328512

  11. Challenges of commissioning and contracting for integrated care in the National Health Service (NHS) in England.

    PubMed

    Addicott, Rachael

    2016-01-01

    For many years there has been a separation between purchasing and provision of services in the English National Health Service (NHS). Many studies report that this commissioning function has been weak: purchasers have had little impact or power in negotiations with large acute providers, and have had limited strategic control over the delivery of care. Nevertheless, commissioning has become increasingly embedded in the NHS structure since the arrival of Clinical Commissioning Groups (CCGs) in 2012. Recently, some of these CCGs have focused on how they can contract and commission in different ways to stimulate greater collaboration across providers. This paper examines experiences of commissioning and contracting for integrated care in the English NHS, based on a series of national-level interviews and case studies of five health economies that are implementing novel contracting models. The cases illustrated here demonstrate early experiments to drive innovation through contracting in the NHS that have largely relied on the vision of individual teams or leaders, in combination with external legal, procurement and actuarial support. It is unlikely that this approach will be sustainable or replicable across the country or internationally, despite the best intentions of commissioners. Designing and operating novel contractual approaches will require considerable determination, alongside advanced skills in procurement, contract management and commissioning. The cost of developing new contractual approaches is high, and as the process is difficult and resource-intensive, it is likely that dedicated teams or programs will be required to drive significant improvement.

  12. Integration between solar and space science data for space weather forecast using web services

    NASA Astrophysics Data System (ADS)

    Kato, S.

    2007-08-01

    As the technology develops, the opportunity that the human beings behave in space, and it is still understood that the solar activities (especially the solar flare) influence the airlines communication, the ship communication and the power generator of the electric power company, etc. Forecasting the effects of the solar activities is becoming very important because there is such a background. Our goal is that constructs the detailed model from the Sun to the magnetosphere of the earth and simulates the solar activities and the effects. We try to integrate the existing observational data including the ground observational data and satellite observational data using by web service technology as a base to construct the model. We introduce our activity to combine the solar and space science data in Japan. Methods Generally, it is difficult to develop the virtual common database, but web service makes interconnection among different databases comparatively easy. We try to connect some databases in the portal site. Each different data objects is aggregated to a common data object. We can develop more complex services. We use RELAX NG in order to develop these applications easily. We begin the trial of the interconnection among the solar and space science data in Japan. In the case of solar observational data, we find the activity such as VO, for example, VSO and EGSO, but space science data seems to be very complex. In addition to this, there is time lag that solar activity has an effect on the magnetosphere of the Earth. We discuss these characteristic in the data analysis between the solar and space data. This work was supported by the Grant-in-Aid for Creative Scientific Research `The Basic Study of Space Weather Prediction' (17GS0208) from the Ministry of Education, Science, Sports, Technology, and Culture of Japan

  13. The Impact of Technical Assistance and Implementation Support on Program Capacity to Deliver Integrated Services.

    PubMed

    Chaple, Michael; Sacks, Stanley

    2016-01-01

    This study assessed gains that New York State mental health and addiction outpatient clinics achieved in their capacity to provide integrated mental health and substance abuse services for persons with co-occurring disorders. The investigators used two Dual Diagnosis Capability (DDC) indices-one for Addiction Treatment (DDCAT) and one for Mental Health Treatment (DDCMHT)-to measure integration capability at baseline (n = 603) and at follow-up (n = 150), an average of 2 years post-baseline, during which time programs received technical assistance and implementation support. At baseline, the average program score was 2.68, below the "Capable" level (3.0 on a 5-point scale). At follow-up, the average score was 3.04, and the percent of programs rated Capable more than doubled (from 22 to 52%). Programs with lower baseline scores and those with more time to follow-up (2-3 years) had the greatest increases, but 12 to 18 months were sufficient to realize sizeable and significant improvements.

  14. Integrated earth system dynamic modeling for life cycle impact assessment of ecosystem services.

    PubMed

    Arbault, Damien; Rivière, Mylène; Rugani, Benedetto; Benetto, Enrico; Tiruta-Barna, Ligia

    2014-02-15

    Despite the increasing awareness of our dependence on Ecosystem Services (ES), Life Cycle Impact Assessment (LCIA) does not explicitly and fully assess the damages caused by human activities on ES generation. Recent improvements in LCIA focus on specific cause-effect chains, mainly related to land use changes, leading to Characterization Factors (CFs) at the midpoint assessment level. However, despite the complexity and temporal dynamics of ES, current LCIA approaches consider the environmental mechanisms underneath ES to be independent from each other and devoid of dynamic character, leading to constant CFs whose representativeness is debatable. This paper takes a step forward and is aimed at demonstrating the feasibility of using an integrated earth system dynamic modeling perspective to retrieve time- and scenario-dependent CFs that consider the complex interlinkages between natural processes delivering ES. The GUMBO (Global Unified Metamodel of the Biosphere) model is used to quantify changes in ES production in physical terms - leading to midpoint CFs - and changes in human welfare indicators, which are considered here as endpoint CFs. The interpretation of the obtained results highlights the key methodological challenges to be solved to consider this approach as a robust alternative to the mainstream rationale currently adopted in LCIA. Further research should focus on increasing the granularity of environmental interventions in the modeling tools to match current standards in LCA and on adapting the conceptual approach to a spatially-explicit integrated model.

  15. Integrated earth system dynamic modeling for life cycle impact assessment of ecosystem services.

    PubMed

    Arbault, Damien; Rivière, Mylène; Rugani, Benedetto; Benetto, Enrico; Tiruta-Barna, Ligia

    2014-02-15

    Despite the increasing awareness of our dependence on Ecosystem Services (ES), Life Cycle Impact Assessment (LCIA) does not explicitly and fully assess the damages caused by human activities on ES generation. Recent improvements in LCIA focus on specific cause-effect chains, mainly related to land use changes, leading to Characterization Factors (CFs) at the midpoint assessment level. However, despite the complexity and temporal dynamics of ES, current LCIA approaches consider the environmental mechanisms underneath ES to be independent from each other and devoid of dynamic character, leading to constant CFs whose representativeness is debatable. This paper takes a step forward and is aimed at demonstrating the feasibility of using an integrated earth system dynamic modeling perspective to retrieve time- and scenario-dependent CFs that consider the complex interlinkages between natural processes delivering ES. The GUMBO (Global Unified Metamodel of the Biosphere) model is used to quantify changes in ES production in physical terms - leading to midpoint CFs - and changes in human welfare indicators, which are considered here as endpoint CFs. The interpretation of the obtained results highlights the key methodological challenges to be solved to consider this approach as a robust alternative to the mainstream rationale currently adopted in LCIA. Further research should focus on increasing the granularity of environmental interventions in the modeling tools to match current standards in LCA and on adapting the conceptual approach to a spatially-explicit integrated model. PMID:24291626

  16. "Open Relationships, De-Facto Marriages, or Shotgun Weddings?": The Convergence and Integration of Libraries and Computing/Information Technology Services within Australian Universities.

    ERIC Educational Resources Information Center

    Sayers, Richard

    2001-01-01

    Identifies issues involved with the convergence and/or integration of library, computing, and information technology services in Australian universities. Investigates the impacts of integration of services on university libraries and their clients and recommends strategies for the successful management of convergence and integration involving…

  17. Integration of Chiropractic Services in Military and Veteran Health Care Facilities: A Systematic Review of the Literature.

    PubMed

    Green, Bart N; Johnson, Claire D; Daniels, Clinton J; Napuli, Jason G; Gliedt, Jordan A; Paris, David J

    2016-04-01

    This literature review examined studies that described practice, utilization, and policy of chiropractic services within military and veteran health care environments. A systematic search of Medline, CINAHL, and Index to Chiropractic Literature was performed from inception through April 2015. Thirty articles met inclusion criteria. Studies reporting utilization and policy show that chiropractic services are successfully implemented in various military and veteran health care settings and that integration varies by facility. Doctors of chiropractic that are integrated within military and veteran health care facilities manage common neurological, musculoskeletal, and other conditions; severe injuries obtained in combat; complex cases; and cases that include psychosocial factors. Chiropractors collaboratively manage patients with other providers and focus on reducing morbidity for veterans and rehabilitating military service members to full duty status. Patient satisfaction with chiropractic services is high. Preliminary findings show that chiropractic management of common conditions shows significant improvement. PMID:26677851

  18. Integration of Chiropractic Services in Military and Veteran Health Care Facilities: A Systematic Review of the Literature.

    PubMed

    Green, Bart N; Johnson, Claire D; Daniels, Clinton J; Napuli, Jason G; Gliedt, Jordan A; Paris, David J

    2016-04-01

    This literature review examined studies that described practice, utilization, and policy of chiropractic services within military and veteran health care environments. A systematic search of Medline, CINAHL, and Index to Chiropractic Literature was performed from inception through April 2015. Thirty articles met inclusion criteria. Studies reporting utilization and policy show that chiropractic services are successfully implemented in various military and veteran health care settings and that integration varies by facility. Doctors of chiropractic that are integrated within military and veteran health care facilities manage common neurological, musculoskeletal, and other conditions; severe injuries obtained in combat; complex cases; and cases that include psychosocial factors. Chiropractors collaboratively manage patients with other providers and focus on reducing morbidity for veterans and rehabilitating military service members to full duty status. Patient satisfaction with chiropractic services is high. Preliminary findings show that chiropractic management of common conditions shows significant improvement.

  19. Aggregative or Integrative School-Linked Services? Attempting To Link an Integrative Reform Design with an Aggregative School Organizational Design.

    ERIC Educational Resources Information Center

    Smithmier, Angela M.

    The model for school-linked services is based on the ideal of providing a coherent and seamless web among school professionals and other service agencies. However, schools are often organized around specialized functions that are not wholly aligned and coordinated in function and purpose. This paper examines the nature of schools as "aggregative"…

  20. "The extension service is not an integration agency": the idea of race in the Cooperative Extension Service.

    PubMed

    Harris, Carmen V

    2008-01-01

    This article is an institutional history of the development of race policy within the federal Cooperative Extension Service. It demonstrates that the popular belief in African-American inferiority and pragmatic political compromises aimed at creating a bureaucracy serving the nation's agricultural constituency and ensuring its longevity, led to a conscious marginalization of African-American interests within the program. Federal extension officials not only tolerated, but actively supported, discrimination within the southern the southern branches of the service. African-American leadership protested against the adverse effects of racial policies in the Extension Service from the very beginning. While there were some limited positive gains in the number of staff and availability of services for rural African-Americans, these changes did not challenge the suzerainty of whites over the program. In the post-World War II era -- especially after 1950 -- African-Americans confronted white extension leadership. Extension officials hid behind a bureaucratic façade and a flawed interpretation of the federal-state cooperative agreement to delay institutional restructuring. Political appointees pushed the service toward policies of racial justice; however, extension leadership continued to move slowly on fundamental transformation. As a result, the adjustments did not lead to a fundamental re-thinking of race policy in the service and ultimately contributed to the disappearance of the African-American extension force to a significant degree. PMID:19856535

  1. "The extension service is not an integration agency": the idea of race in the Cooperative Extension Service.

    PubMed

    Harris, Carmen V

    2008-01-01

    This article is an institutional history of the development of race policy within the federal Cooperative Extension Service. It demonstrates that the popular belief in African-American inferiority and pragmatic political compromises aimed at creating a bureaucracy serving the nation's agricultural constituency and ensuring its longevity, led to a conscious marginalization of African-American interests within the program. Federal extension officials not only tolerated, but actively supported, discrimination within the southern the southern branches of the service. African-American leadership protested against the adverse effects of racial policies in the Extension Service from the very beginning. While there were some limited positive gains in the number of staff and availability of services for rural African-Americans, these changes did not challenge the suzerainty of whites over the program. In the post-World War II era -- especially after 1950 -- African-Americans confronted white extension leadership. Extension officials hid behind a bureaucratic façade and a flawed interpretation of the federal-state cooperative agreement to delay institutional restructuring. Political appointees pushed the service toward policies of racial justice; however, extension leadership continued to move slowly on fundamental transformation. As a result, the adjustments did not lead to a fundamental re-thinking of race policy in the service and ultimately contributed to the disappearance of the African-American extension force to a significant degree.

  2. Integrating the life course into MCH service delivery: from theory to practice.

    PubMed

    Brady, Carol; Johnson, Faye

    2014-02-01

    To describe the efforts of a community-based maternal and child health coalition to integrate the life course into its planning and programs, as well as implementation challenges and results of these activities. Jacksonville-Duval County has historically had infant mortality rates that are significantly higher than state and national rates, particularly among its African American population. In an effort to address this disparity, the Northeast Florida Healthy Start Coalition embraced the life course approach as a model. This model was adopted as a framework for (1) community needs assessment and planning; (2) delivery of direct services, including case management, education and support in the Magnolia Project, its federal Healthy Start program; (3) development of community collaborations, education and awareness; and, (4) advocacy and grass roots leadership development. Implementation experience as well as challenges in transforming traditional approaches to delivering maternal and child health services are described. Operationalizing the life course approach required the Coalition to think differently about risks, levels of intervention and the way services are organized and delivered. The organization set the stage by using the life course as a framework for its required local planning and needs assessments. Based on these assessments, the content of case management and other key services provided by our federal Healthy Start program was modified to address not only health behaviors but also underlying social determinants and community factors. Individual interventions were augmented with group activities to build interdependence among participants, increasing social capital. More meaningful inter-agency collaboration that moved beyond the usual referral relationships were developed to better address participants' needs. And finally, strategies to cultivate participant advocacy and community leadership skills, were implemented to promote social change at the

  3. Integrating the life course into MCH service delivery: from theory to practice.

    PubMed

    Brady, Carol; Johnson, Faye

    2014-02-01

    To describe the efforts of a community-based maternal and child health coalition to integrate the life course into its planning and programs, as well as implementation challenges and results of these activities. Jacksonville-Duval County has historically had infant mortality rates that are significantly higher than state and national rates, particularly among its African American population. In an effort to address this disparity, the Northeast Florida Healthy Start Coalition embraced the life course approach as a model. This model was adopted as a framework for (1) community needs assessment and planning; (2) delivery of direct services, including case management, education and support in the Magnolia Project, its federal Healthy Start program; (3) development of community collaborations, education and awareness; and, (4) advocacy and grass roots leadership development. Implementation experience as well as challenges in transforming traditional approaches to delivering maternal and child health services are described. Operationalizing the life course approach required the Coalition to think differently about risks, levels of intervention and the way services are organized and delivered. The organization set the stage by using the life course as a framework for its required local planning and needs assessments. Based on these assessments, the content of case management and other key services provided by our federal Healthy Start program was modified to address not only health behaviors but also underlying social determinants and community factors. Individual interventions were augmented with group activities to build interdependence among participants, increasing social capital. More meaningful inter-agency collaboration that moved beyond the usual referral relationships were developed to better address participants' needs. And finally, strategies to cultivate participant advocacy and community leadership skills, were implemented to promote social change at the

  4. Description and testing of the Geo Data Portal: Data integration framework and Web processing services for environmental science collaboration

    USGS Publications Warehouse

    Blodgett, David L.; Booth, Nathaniel L.; Kunicki, Thomas C.; Walker, Jordan I.; Viger, Roland J.

    2011-01-01

    Interest in sharing interdisciplinary environmental modeling results and related data is increasing among scientists. The U.S. Geological Survey Geo Data Portal project enables data sharing by assembling open-standard Web services into an integrated data retrieval and analysis Web application design methodology that streamlines time-consuming and resource-intensive data management tasks. Data-serving Web services allow Web-based processing services to access Internet-available data sources. The Web processing services developed for the project create commonly needed derivatives of data in numerous formats. Coordinate reference system manipulation and spatial statistics calculation components implemented for the Web processing services were confirmed using ArcGIS 9.3.1, a geographic information science software package. Outcomes of the Geo Data Portal project support the rapid development of user interfaces for accessing and manipulating environmental data.

  5. Closed-Loop Lifecycle Management of Service and Product in the Internet of Things: Semantic Framework for Knowledge Integration.

    PubMed

    Yoo, Min-Jung; Grozel, Clément; Kiritsis, Dimitris

    2016-07-08

    This paper describes our conceptual framework of closed-loop lifecycle information sharing for product-service in the Internet of Things (IoT). The framework is based on the ontology model of product-service and a type of IoT message standard, Open Messaging Interface (O-MI) and Open Data Format (O-DF), which ensures data communication. (1) BACKGROUND: Based on an existing product lifecycle management (PLM) methodology, we enhanced the ontology model for the purpose of integrating efficiently the product-service ontology model that was newly developed; (2) METHODS: The IoT message transfer layer is vertically integrated into a semantic knowledge framework inside which a Semantic Info-Node Agent (SINA) uses the message format as a common protocol of product-service lifecycle data transfer; (3) RESULTS: The product-service ontology model facilitates information retrieval and knowledge extraction during the product lifecycle, while making more information available for the sake of service business creation. The vertical integration of IoT message transfer, encompassing all semantic layers, helps achieve a more flexible and modular approach to knowledge sharing in an IoT environment; (4) Contribution: A semantic data annotation applied to IoT can contribute to enhancing collected data types, which entails a richer knowledge extraction. The ontology-based PLM model enables as well the horizontal integration of heterogeneous PLM data while breaking traditional vertical information silos; (5) CONCLUSION: The framework was applied to a fictive case study with an electric car service for the purpose of demonstration. For the purpose of demonstrating the feasibility of the approach, the semantic model is implemented in Sesame APIs, which play the role of an Internet-connected Resource Description Framework (RDF) database.

  6. Closed-Loop Lifecycle Management of Service and Product in the Internet of Things: Semantic Framework for Knowledge Integration

    PubMed Central

    Yoo, Min-Jung; Grozel, Clément; Kiritsis, Dimitris

    2016-01-01

    This paper describes our conceptual framework of closed-loop lifecycle information sharing for product-service in the Internet of Things (IoT). The framework is based on the ontology model of product-service and a type of IoT message standard, Open Messaging Interface (O-MI) and Open Data Format (O-DF), which ensures data communication. (1) Background: Based on an existing product lifecycle management (PLM) methodology, we enhanced the ontology model for the purpose of integrating efficiently the product-service ontology model that was newly developed; (2) Methods: The IoT message transfer layer is vertically integrated into a semantic knowledge framework inside which a Semantic Info-Node Agent (SINA) uses the message format as a common protocol of product-service lifecycle data transfer; (3) Results: The product-service ontology model facilitates information retrieval and knowledge extraction during the product lifecycle, while making more information available for the sake of service business creation. The vertical integration of IoT message transfer, encompassing all semantic layers, helps achieve a more flexible and modular approach to knowledge sharing in an IoT environment; (4) Contribution: A semantic data annotation applied to IoT can contribute to enhancing collected data types, which entails a richer knowledge extraction. The ontology-based PLM model enables as well the horizontal integration of heterogeneous PLM data while breaking traditional vertical information silos; (5) Conclusion: The framework was applied to a fictive case study with an electric car service for the purpose of demonstration. For the purpose of demonstrating the feasibility of the approach, the semantic model is implemented in Sesame APIs, which play the role of an Internet-connected Resource Description Framework (RDF) database. PMID:27399717

  7. Closed-Loop Lifecycle Management of Service and Product in the Internet of Things: Semantic Framework for Knowledge Integration.

    PubMed

    Yoo, Min-Jung; Grozel, Clément; Kiritsis, Dimitris

    2016-01-01

    This paper describes our conceptual framework of closed-loop lifecycle information sharing for product-service in the Internet of Things (IoT). The framework is based on the ontology model of product-service and a type of IoT message standard, Open Messaging Interface (O-MI) and Open Data Format (O-DF), which ensures data communication. (1) BACKGROUND: Based on an existing product lifecycle management (PLM) methodology, we enhanced the ontology model for the purpose of integrating efficiently the product-service ontology model that was newly developed; (2) METHODS: The IoT message transfer layer is vertically integrated into a semantic knowledge framework inside which a Semantic Info-Node Agent (SINA) uses the message format as a common protocol of product-service lifecycle data transfer; (3) RESULTS: The product-service ontology model facilitates information retrieval and knowledge extraction during the product lifecycle, while making more information available for the sake of service business creation. The vertical integration of IoT message transfer, encompassing all semantic layers, helps achieve a more flexible and modular approach to knowledge sharing in an IoT environment; (4) Contribution: A semantic data annotation applied to IoT can contribute to enhancing collected data types, which entails a richer knowledge extraction. The ontology-based PLM model enables as well the horizontal integration of heterogeneous PLM data while breaking traditional vertical information silos; (5) CONCLUSION: The framework was applied to a fictive case study with an electric car service for the purpose of demonstration. For the purpose of demonstrating the feasibility of the approach, the semantic model is implemented in Sesame APIs, which play the role of an Internet-connected Resource Description Framework (RDF) database. PMID:27399717

  8. Integrated orbital servicing and payloads study. Volume 2: Technical and cost analysis

    NASA Technical Reports Server (NTRS)

    1975-01-01

    The details and background used in the investigation of orbital servicing and payloads are presented. Topics discussed include review of previous models, application of servicing to communications satellites, assessment of spacecraft servicing, cost of servicing, and launch vehicle effects on spacecraft.

  9. Moving from Intersection to Integration: Public Health Law Research and Public Health Systems and Services Research

    PubMed Central

    Burris, Scott; Mays, Glen P; Douglas Scutchfield, F; Ibrahim, Jennifer K

    2012-01-01

    Context For three decades, experts have been stressing the importance of law to the effective operation of public health systems. Most recently, in a 2011 report, the Institute of Medicine recommended a review of state and local public health laws to ensure appropriate authority for public health agencies; adequate access to legal counsel for public health agencies; evaluations of the health effects and costs associated with legislation, regulations, and policies; and enhancement of research methods to assess the strength of evidence regarding the health effects of public policies. These recommendations, and the continued interest in law as a determinant of health system performance, speak to the need for integrating the emerging fields of Public Health Law Research (PHLR) and Public Health Systems and Services Research (PHSSR). Methods Expert commentary. Findings This article sets out a unified framework for the two fields and a shared research agenda built around three broad inquiries: (1) the structural role of law in shaping the organization, powers, prerogatives, duties, and limitations of public health agencies and thereby their functioning and ultimately their impact on public health (“infrastructure”); (2) the mechanisms through which public health system characteristics influence the implementation of interventional public health laws (“implementation”); and (3) the individual and system characteristics that influence the ability of public health systems and their community partners to develop and secure enactment of legal initiatives to advance public health (“innovation”). Research to date has laid a foundation of evidence, but progress requires better and more accessible data, a new generation of researchers comfortable in both law and health research, and more rigorous methods. Conclusions The routine integration of law as a salient factor in broader PHSSR studies of public health system functioning and health outcomes will enhance the

  10. BioMOBY Successfully Integrates Distributed Heterogeneous Bioinformatics Web Services. The PlaNet Exemplar Case1

    PubMed Central

    Wilkinson, Mark; Schoof, Heiko; Ernst, Rebecca; Haase, Dirk

    2005-01-01

    The burden of noninteroperability between on-line genomic resources is increasingly the rate-limiting step in large-scale genomic analysis. BioMOBY is a biological Web Service interoperability initiative that began as a retreat of representatives from the model organism database community in September, 2001. Its long-term goal is to provide a simple, extensible platform through which the myriad of on-line biological databases and analytical tools can offer their information and analytical services in a fully automated and interoperable way. Of the two branches of the larger BioMOBY project, the Web Services branch (MOBY-S) has now been deployed over several dozen data sources worldwide, revealing some significant observations about the nature of the integrative biology problem; in particular, that Web Service interoperability in the domain of bioinformatics is, unexpectedly, largely a syntactic rather than a semantic problem. That is to say, interoperability between bioinformatics Web Services can be largely achieved simply by specifying the data structures being passed between the services (syntax) even without rich specification of what those data structures mean (semantics). Thus, one barrier of the integrative problem has been overcome with a surprisingly simple solution. Here, we present a nontechnical overview of the critical components that give rise to the interoperable behaviors seen in MOBY-S and discuss an exemplar case, the PlaNet consortium, where MOBY-S has been deployed to integrate the on-line plant genome databases and analytical services provided by a European consortium of databases and data service providers. PMID:15888673

  11. Influence of integrated services on postpartum family planning use: a cross-sectional survey from urban Senegal

    PubMed Central

    2013-01-01

    Background Although the majority of postpartum women indicate a desire to delay a next birth, family planning (FP) methods are often not offered to, or taken up by, women in the first year postpartum. This study uses data from urban Senegal to examine exposure to FP information and services at the time of delivery and at child immunization appointments and to determine if these points of integration are associated with greater use of postpartum FP. Methods A representative, household sample of women, ages 15–49, was surveyed from six cities in Senegal in 2011. This study focuses on women who were within two years postpartum (n = 1879). We also include women who were surveyed through exit interviews after a visit to a high volume health facility in the same six cities; clients included were visiting the health facility for delivery, post-abortion care, postnatal care, and child immunization services (n = 794). Descriptive analyses are presented to examine exposure to FP services among postpartum women and women visiting the health facility. Logistic regression models are used to estimate the effect of integrated services on postpartum FP use in the household sample of women. Analyses were conducted using Stata version 12. Results Among exit interview clients, knowledge of integrated services is high but only a few reported receiving FP services. A majority of the women who did not receive FP services indicated an interest in receiving such information and services. Among the household sample of women up to two-years postpartum, those who received FP information at the time of delivery are more likely to be using modern FP postpartum than their counterparts who also delivered in a facility but did not receive such information. Exposure to FP services at an immunization visit was not significantly related to postpartum FP use. Another key finding is that women with greater self-efficacy are more likely to use a modern FP method. Conclusion This study

  12. Integrated orbital servicing study follow-on. Volume 2: Technical analysis and system design

    NASA Technical Reports Server (NTRS)

    1978-01-01

    In-orbit service functional and physical requirements to support both low and high Earth orbit servicing/maintenance operations were defined, an optimum servicing system configuration was developed and mockups and early prototype hardware were fabricated to demonstrate and validate the concepts selected. Significant issues addressed include criteria for concept selection; representative mission equipment and approaches to their design for serviceability; significant serviceable spacecraft design aspects; servicer mechanism operation in one-g; approaches for the demonstration/simulation; and service mechanism structure design approach.

  13. The 2nd DBCLS BioHackathon: interoperable bioinformatics Web services for integrated applications

    PubMed Central

    2011-01-01

    Background The interaction between biological researchers and the bioinformatics tools they use is still hampered by incomplete interoperability between such tools. To ensure interoperability initiatives are effectively deployed, end-user applications need to be aware of, and support, best practices and standards. Here, we report on an initiative in which software developers and genome biologists came together to explore and raise awareness of these issues: BioHackathon 2009. Results Developers in attendance came from diverse backgrounds, with experts in Web services, workflow tools, text mining and visualization. Genome biologists provided expertise and exemplar data from the domains of sequence and pathway analysis and glyco-informatics. One goal of the meeting was to evaluate the ability to address real world use cases in these domains using the tools that the developers represented. This resulted in i) a workflow to annotate 100,000 sequences from an invertebrate species; ii) an integrated system for analysis of the transcription factor binding sites (TFBSs) enriched based on differential gene expression data obtained from a microarray experiment; iii) a workflow to enumerate putative physical protein interactions among enzymes in a metabolic pathway using protein structure data; iv) a workflow to analyze glyco-gene-related diseases by searching for human homologs of glyco-genes in other species, such as fruit flies, and retrieving their phenotype-annotated SNPs. Conclusions Beyond deriving prototype solutions for each use-case, a second major purpose of the BioHackathon was to highlight areas of insufficiency. We discuss the issues raised by our exploration of the problem/solution space, concluding that there are still problems with the way Web services are modeled and annotated, including: i) the absence of several useful data or analysis functions in the Web service "space"; ii) the lack of documentation of methods; iii) lack of compliance with the SOAP

  14. Using HIV&AIDS statistics in pre-service Mathematics Education to integrate HIV&AIDS education.

    PubMed

    van Laren, Linda

    2012-12-01

    In South Africa, the HIV&AIDS education policy documents indicate opportunities for integration across disciplines/subjects. There are different interpretations of integration/inclusion and mainstreaming HIV&AIDS education, and numerous levels of integration. Integration ensures that learners experience the disciplines/subjects as being linked and related, and integration is required to support and expand the learners' opportunities to attain skills, acquire knowledge and develop attitudes and values across the curriculum. This study makes use of self-study methodology where I, a teacher educator, aim to improve my practice through including HIV&AIDS statistics in Mathematics Education. This article focuses on how I used HIV&AIDS statistics to facilitate pre-service teacher reflection and introduce them to integration of HIV&AIDS education across the curriculum. After pre-service teachers were provided with HIV statistics, they drew a pie chart which graphically illustrated the situation and reflected on issues relating to HIV&AIDS. Three themes emerged from the analysis of their reflections. The themes relate to the need for further HIV&AIDS education, the changing pastoral role of teachers and the changing context of teaching. This information indicates that the use of statistics is an appropriate means of initiating the integration of HIV&AIDS education into the academic curriculum.

  15. Utilizing the CIPP Model as a Means to Develop an Integrated Service-Learning Component in a University Health Course

    ERIC Educational Resources Information Center

    Powell, Brent; Conrad, Eric

    2015-01-01

    Purpose: To examine the enhancement of a university health course through the utilization of the CIPP Model as a means to develop an integrated service-learning component. Methods: The CIPP model was utilized in two concurrent semesters of an undergraduate health course in order to design and evaluate the implementation of a drug and alcohol…

  16. Pedagogy and Quality in Indian Slum School Settings: A Bernsteinian Analysis of Visual Representations in the Integrated Child Development Service

    ERIC Educational Resources Information Center

    Chawla-Duggan, Rita

    2016-01-01

    This paper focuses upon the micro level of the pre-school classroom, taking the example of the Indian Integrated Child Development Service (ICDS), and the discourse of "child-centred" pedagogy that is often associated with quality pre-schooling. Through an analysis of visual data, semi-structured and film elicitation interviews drawn…

  17. Using the DEPTH Model to Facilitate Learning in an Integrated Science and Technology Pre-Service Primary Teacher Course

    ERIC Educational Resources Information Center

    O'Sullivan, Gary

    2008-01-01

    The paper describes the development of an Integrated Curriculum Science and Technology subject offering as part of the Bachelor of Education (Teaching) degree for primary pre-service teachers at Massey University in New Zealand. The paper discusses some of the difficulties and concerns which arise when pursuing this type of endeavour. This paper…

  18. MAGDAIRE: A Model to Foster Pre-Service Teachers' Ability in Integrating ICT and Teaching in Taiwan

    ERIC Educational Resources Information Center

    Chang, Chun-Yen; Chien, Yu-Ta; Chang, Yueh-Hsia; Lin, Chen-Yung

    2012-01-01

    This report describes our efforts in fostering Taiwanese pre-service teachers' ability to integrate information and communication technology (ICT) and teaching. The current state of science teacher education and ICT policies in Taiwan are documented briefly. The course model, MAGDAIRE (abbreviated from Modeled Analysis, Guided Development,…

  19. Pre-Service Physical Education Teachers' Technological Pedagogical Content Knowledge, Technology Integration Self-Efficacy and Instructional Technology Outcome Expectations

    ERIC Educational Resources Information Center

    Semiz, Kivanc; Ince, Mustafa Levent

    2012-01-01

    The purposes of this study were to (1) identify the Technological Pedagogical Content Knowledge (TPACK), Technology Integration Self Efficacy (TISE) and Instructional Technology Outcome Expectations (ITOE) of pre-service physical education teachers, (2) examine the relationships among TPACK, TISE and ITOE, and lastly (3) examine the differences…

  20. Pre-Service Teachers' Technological Pedagogical Knowledge: A Continuum of Views on Effective Technology Integration

    ERIC Educational Resources Information Center

    Lee, Kathryn S.; Smith, Shaunna; Bos, Beth

    2014-01-01

    This article reports a heuristic case study that explored how components of Technological Pedagogical Knowledge (TPK) manifested in the artifacts of post-Baccalaureate pre-service teachers. Self-reported perceptions of their technology integration competencies were high. End-of-semester presentations reflected three distinct views of technology…

  1. Exploring New Ways to Deliver Value to Healthcare Organizations: Algorithmic Testing, Data Integration, and Diagnostic E-consult Service.

    PubMed

    Risin, Semyon A; Chang, Brian N; Welsh, Kerry J; Kidd, Laura R; Moreno, Vanessa; Chen, Lei; Tholpady, Ashok; Wahed, Amer; Nguyen, Nghia; Kott, Marylee; Hunter, Robert L

    2015-01-01

    As the USA Health Care System undergoes transformation and transitions to value-based models it is critical for laboratory medicine/clinical pathology physicians to explore opportunities and find new ways to deliver value, become an integral part of the healthcare team. This is also essential for ensuring financial health and stability of the profession when the payment paradigm changes from fee-for-service to fee-for-performance. About 5 years ago we started searching for ways to achieve this goal. Among other approaches, the search included addressing the laboratory work-ups for specialists' referrals in the HarrisHealth System, a major safety net health care organization serving mostly indigent and underserved population of Harris County, TX. We present here our experience in improving the efficiency of laboratory testing for the referral process and in building a prototype of a diagnostic e-consult service using rheumatologic diseases as a starting point. The service incorporates algorithmic testing, integration of clinical, laboratory and imaging data, issuing structured comprehensive consultation reports, incorporating all the relevant information, and maintaining personal contacts and an e-line of communications with the primary providers and referral center personnel. Ongoing survey of providers affords testimony of service value in terms of facilitating their work and increasing productivity. Analysis of the cost effectiveness and of other value indicators is currently underway. We also discuss our pioneering experience in building pathology residents and fellows training in integrated diagnostic consulting service.

  2. Exploring New Ways to Deliver Value to Healthcare Organizations: Algorithmic Testing, Data Integration, and Diagnostic E-consult Service.

    PubMed

    Risin, Semyon A; Chang, Brian N; Welsh, Kerry J; Kidd, Laura R; Moreno, Vanessa; Chen, Lei; Tholpady, Ashok; Wahed, Amer; Nguyen, Nghia; Kott, Marylee; Hunter, Robert L

    2015-01-01

    As the USA Health Care System undergoes transformation and transitions to value-based models it is critical for laboratory medicine/clinical pathology physicians to explore opportunities and find new ways to deliver value, become an integral part of the healthcare team. This is also essential for ensuring financial health and stability of the profession when the payment paradigm changes from fee-for-service to fee-for-performance. About 5 years ago we started searching for ways to achieve this goal. Among other approaches, the search included addressing the laboratory work-ups for specialists' referrals in the HarrisHealth System, a major safety net health care organization serving mostly indigent and underserved population of Harris County, TX. We present here our experience in improving the efficiency of laboratory testing for the referral process and in building a prototype of a diagnostic e-consult service using rheumatologic diseases as a starting point. The service incorporates algorithmic testing, integration of clinical, laboratory and imaging data, issuing structured comprehensive consultation reports, incorporating all the relevant information, and maintaining personal contacts and an e-line of communications with the primary providers and referral center personnel. Ongoing survey of providers affords testimony of service value in terms of facilitating their work and increasing productivity. Analysis of the cost effectiveness and of other value indicators is currently underway. We also discuss our pioneering experience in building pathology residents and fellows training in integrated diagnostic consulting service. PMID:26116586

  3. Policy actions to achieve integrated community-based mental health services.

    PubMed

    DeSilva, Mary; Samele, Chiara; Saxena, Shekhar; Patel, Vikram; Darzi, Ara

    2014-09-01

    Globally, the majority of people with mental health problems do not receive evidence-based interventions that can transform their lives. We describe six mental health policy actions adopted at the World Innovation Summit for Health in 2013. For each policy action, we offer real-world examples of mental health innovations that governments and health care providers can implement to move toward universal health coverage for mental health. The six policy actions are empowering people with mental health problems and their families, building a diverse mental health workforce, developing collaborative and multidisciplinary mental health teams, using technology to increase access to mental health care, identifying and treating mental health problems early, and reducing premature mortality in people with mental health problems. Challenges to implementing these policy actions include the lack of recognition of mental health as a global health priority and the resulting lack of investment in mental health, the difficulties of integrating mental health into primary care health services because of a scarcity of human and financial resources, and the lack of evidence on the effectiveness and costs of taking innovations to a national scale.

  4. An integrated framework for evaluating the effects of deforestation on ecosystem services

    NASA Astrophysics Data System (ADS)

    Song, X. P.; Huang, C.; Townshend, J. R.

    2014-03-01

    Deforestation often results in massive carbon emissions and loss of ecosystem services. The objective of this paper is to develop an integrated approach to quantitatively derive changes in forest carbon stock and changes in the economic value of forest carbon due to deforestation. Combining the best available remote sensing and socioeconomic datasets, this approach establishes a comprehensive baseline of deforestation in terms of area, carbon and monetary value change. We applied this end-to-end evaluation method in the Brazilian state of Rondonia to assess the ecological and economic effects of its recent deforestation from 2000 to 2005. Our results suggest that deforestation occurred at an average rate of 2834 km2/yr during the study period, leading to 31 TgC/yr "committed carbon emissions" from deforestation. Coupling with the social cost of carbon at 23/tC and a market discount rate at 7%, this translates to 622 million U.S. dollars/yr loss in the economic value of forest carbon.

  5. Ecosystem services and integrated water resource management: different paths to the same end?

    PubMed

    Cook, Brian R; Spray, Christopher J

    2012-10-30

    The two concepts that presently dominate water resource research and management are the Global Water Partnership's (GWP, 2000) interpretation of Integrated Water Resource Management (IWRM) and Ecosystem Services (ES) as interpreted by the Millennium Ecosystem Assessment (MA, 2005). Both concepts are subject to mounting criticism, with a significant number of critiques focusing on both their conceptual and methodological incompatibility with management and governance, what has come to be known as the 'implementation gap'. Emergent within the ES and IWRM literatures, then, are two parallel debates concerning the gap between conceptualisation and implementation. Our purpose for writing this review is to argue: 1) that IWRM and ES have evolved into nearly identical concepts, 2) that they face the same critical challenge of implementation, and 3) that, if those interested in water research and management are to have a positive impact on the sustainable utilisation of dwindling water resources, they must break the tendency to jump from concept to concept and confront the challenges that arise with implementation.

  6. Patient Satisfaction with Methadone Maintenance Treatment in Vietnam: A Comparison of Different Integrative-Service Delivery Models

    PubMed Central

    Tran, Bach Xuan; Nguyen, Long Hoang; Phan, Huong Thu Thi; Latkin, Carl A.

    2015-01-01

    Background Patient satisfaction is an important component of quality in healthcare delivery. To inform the expansion of Methadone Maintenance Treatment (MMT) services in Vietnam, we examined the satisfaction of patients with regards to different services delivery models and identified its associated factors. Methods We interviewed 1,016 MMT patients at 5 clinics in Hanoi and Nam Dinh province. The modified SATIS instrument, a 10-item scale, was used to measure three dimensions: “Services quality and convenience”, “Health workers’ capacity and responsiveness” and “Inter-professional care”. Results The average score was high across three SATIS dimensions. However, only one third of patients completely satisfied with general health services and treatment outcomes. Older age, higher education, having any problem in self-care and anxiety/depression were negatively associated with patient’s satisfaction. Meanwhile, patients receiving MMT at clinics, where more comprehensive HIV and general health care services were available, were more likely to report a complete satisfaction. Conclusion Patients were highly satisfied with MMT services in Vietnam. However, treatment for drug users should go beyond methadone maintenance to address complicated health demands of drug users. Integrating MMT with comprehensive HIV and general health services together with improving the capacity of health workers and efficiency of services organisation to provide interconnected health care for drug users are critical for improving the outcomes of the MMT program. PMID:26556036

  7. [Establishing the idea of holistic integrative medicine, optimizing the quality of health care service in prevention and treatment].

    PubMed

    Sun, Xing-guo

    2015-07-01

    Under background of reductionism in the modern science, physiology and medicine are stepwise refined into system, organ, disease, cell and gene etc. Although clinical medicine, only service in whole human object, obviously brought tremendous progress, it also appeared obvious defects and limits at the same time. Professionalized and specialized medicine not only needs to be integrated from basics to clinical fields, but also from prevention, health management, clinical treatment and functional rehabilitation medicine. People are indivisible organic whole. Professionalization, translation and integration must be combined. In order to provide the best quality and optimized medical service for the Chinese people and to lead in the world, we have to strengthen professional and technical knowledge, and have to establish the holistic integrative medical philosophy for physiology and medicine too. PMID:26775496

  8. [Establishing the idea of holistic integrative medicine, optimizing the quality of health care service in prevention and treatment].

    PubMed

    Sun, Xing-guo

    2015-07-01

    Under background of reductionism in the modern science, physiology and medicine are stepwise refined into system, organ, disease, cell and gene etc. Although clinical medicine, only service in whole human object, obviously brought tremendous progress, it also appeared obvious defects and limits at the same time. Professionalized and specialized medicine not only needs to be integrated from basics to clinical fields, but also from prevention, health management, clinical treatment and functional rehabilitation medicine. People are indivisible organic whole. Professionalization, translation and integration must be combined. In order to provide the best quality and optimized medical service for the Chinese people and to lead in the world, we have to strengthen professional and technical knowledge, and have to establish the holistic integrative medical philosophy for physiology and medicine too.

  9. Eradicating Barriers to Mental Health Care Through Integrated Service Models: Contemporary Perspectives for Psychiatric-Mental Health Nurses.

    PubMed

    Ellis, Horace; Alexander, Vinette

    2016-06-01

    There has been renewed, global interest in developing new and transformative models of facilitating access to high-quality, cost-effective, and individually-centered health care for severe mentally-ill (SMI) persons of diverse racial/ethnic, cultural and socioeconomic backgrounds. However, in our present-day health-service delivery systems, scholars have identified layers of barriers to widespread dispersal of well-needed mental health care both nationally and internationally. It is crucial that contemporary models directed at eradicating barriers to mental health services are interdisciplinary in context, design, scope, sequence, and best-practice standards. Contextually, nurses are well-positioned to influence the incorporation and integration of new concepts into operationally interdisciplinary, evidence-based care models with measurable outcomes. The aim of this concept paper is to use the available evidence to contextually explicate how the blended roles of psychiatric mental health (PMH) nursing can be influential in eradicating barriers to care and services for SMI persons through the integrated principles of collaboration, integration and service expansion across health, socioeconomic, and community systems. A large body of literature proposes that any best-practice standards aimed at eliminating barriers to the health care needs of SMI persons require systematic, well-coordinated interdisciplinary partnerships through evidence-based, high-quality, person-centered, and outcome-driven processes. Transforming the conceptual models of collaboration, integration and service expansion could be revolutionary in how care and services are coordinated and dispersed to populations across disadvantaged communities. Building on their longstanding commitment to individual and community care approaches, and their pivotal roles in research, education, leadership, practice, and legislative processes; PMH nurses are well-positioned to be both influential and instrumental in

  10. Integrating semantic web technologies and geospatial catalog services for geospatial information discovery and processing in cyberinfrastructure

    SciTech Connect

    Yue, Peng; Gong, Jianya; Di, Liping; He, Lianlian; Wei, Yaxing

    2011-04-01

    Abstract A geospatial catalogue service provides a network-based meta-information repository and interface for advertising and discovering shared geospatial data and services. Descriptive information (i.e., metadata) for geospatial data and services is structured and organized in catalogue services. The approaches currently available for searching and using that information are often inadequate. Semantic Web technologies show promise for better discovery methods by exploiting the underlying semantics. Such development needs special attention from the Cyberinfrastructure perspective, so that the traditional focus on discovery of and access to geospatial data can be expanded to support the increased demand for processing of geospatial information and discovery of knowledge. Semantic descriptions for geospatial data, services, and geoprocessing service chains are structured, organized, and registered through extending elements in the ebXML Registry Information Model (ebRIM) of a geospatial catalogue service, which follows the interface specifications of the Open Geospatial Consortium (OGC) Catalogue Services for the Web (CSW). The process models for geoprocessing service chains, as a type of geospatial knowledge, are captured, registered, and discoverable. Semantics-enhanced discovery for geospatial data, services/service chains, and process models is described. Semantic search middleware that can support virtual data product materialization is developed for the geospatial catalogue service. The creation of such a semantics-enhanced geospatial catalogue service is important in meeting the demands for geospatial information discovery and analysis in Cyberinfrastructure.

  11. 75 FR 20388 - International Business Machines Corporation, Global Technology Services Business Unit, Integrated...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-19

    ... Employment and Training Administration International Business Machines Corporation, Global Technology..., applicable to workers of International Business Machines Corporation, Global Technology Services Business..., New York, location of International Business Machines Corporation, Global Technology Services...

  12. Services

    ERIC Educational Resources Information Center

    Environmental Science and Technology, 1972

    1972-01-01

    Alphabetical listing of companies which offer analytical sampling and testing services for pollution control and abatement; consultants that also manufacture and distribute products. List of book publishers included. (LK)

  13. A big data geospatial analytics platform - Physical Analytics Integrated Repository and Services (PAIRS)

    NASA Astrophysics Data System (ADS)

    Hamann, H.; Jimenez Marianno, F.; Klein, L.; Albrecht, C.; Freitag, M.; Hinds, N.; Lu, S.

    2015-12-01

    A big data geospatial analytics platform:Physical Analytics Information Repository and Services (PAIRS)Fernando Marianno, Levente Klein, Siyuan Lu, Conrad Albrecht, Marcus Freitag, Nigel Hinds, Hendrik HamannIBM TJ Watson Research Center, Yorktown Heights, NY 10598A major challenge in leveraging big geospatial data sets is the ability to quickly integrate multiple data sources into physical and statistical models and be run these models in real time. A geospatial data platform called Physical Analytics Information and Services (PAIRS) is developed on top of open source hardware and software stack to manage Terabyte of data. A new data interpolation and re gridding is implemented where any geospatial data layers can be associated with a set of global grid where the grid resolutions is doubling for consecutive layers. Each pixel on the PAIRS grid have an index that is a combination of locations and time stamp. The indexing allow quick access to data sets that are part of a global data layers and allowing to retrieve only the data of interest. PAIRS takes advantages of parallel processing framework (Hadoop) in a cloud environment to digest, curate, and analyze the data sets while being very robust and stable. The data is stored on a distributed no-SQL database (Hbase) across multiple server, data upload and retrieval is parallelized where the original analytics task is broken up is smaller areas/volume, analyzed independently, and then reassembled for the original geographical area. The differentiating aspect of PAIRS is the ability to accelerate model development across large geographical regions and spatial resolution ranging from 0.1 m up to hundreds of kilometer. System performance is benchmarked on real time automated data ingestion and retrieval of Modis and Landsat data layers. The data layers are curated for sensor error, verified for correctness, and analyzed statistically to detect local anomalies. Multi-layer query enable PAIRS to filter different data

  14. Utilizing a Positive Behavior Support Approach to Achieve Integrated Mental Health Services

    ERIC Educational Resources Information Center

    Frey, Andy; Young, Scott; Gold, Allene; Trevor, Earl

    2008-01-01

    Although experts in early childhood mental health services make clear the need to infuse mental health services into all program components, many have suggested that the mental health services in the majority of Head Start programs are narrowly focused and that mental health consultants are often used in limited ways (see D. J. Cohen, Solnit, &…

  15. Integrating Service Learning into Public Relations Coursework: Applications, Implications, Challenges, and Rewards

    ERIC Educational Resources Information Center

    Gleason, James P.; Violette, Jayne L.

    2012-01-01

    Drawing on a theoretical framework based on "use-inspired" applied research and service learning practice (Honnet-Porter & Poulsen, 1989), this paper argues the relationship between a service-learning approach and Public Relations coursework is a natural and highly desirable fit. Through examination of the goals of both service-learning and public…

  16. Service Integration in San Mateo County, California: Multiple Strategies with a Single Goal.

    ERIC Educational Resources Information Center

    Ragan, Mark

    Over the past decade, the Human Services Agency (HSA) of San Mateo County, California, has implemented a series of management and staff processes designed to facilitate the delivery of services to county residents. Examples of these services are as follows: (1) regionalization (HSA offices are located throughout the county, and office staff and…

  17. Service Learning in a Master of Business Administration (MBA) Integrative Project Course: An Experience in China

    ERIC Educational Resources Information Center

    Coffey, Betty S.; Wang, Jia

    2006-01-01

    Service learning is a teaching method used by business faculty to link the learning goals and objectives of an academic course with meaningful community service. Although service learning has been advanced in business education in the United States and other Western countries, little has been reported on its use outside the Western context. In…

  18. Integrating forest ecosystem services into the farming landscape: A stochastic economic assessment.

    PubMed

    Monge, Juan J; Parker, Warren J; Richardson, James W

    2016-06-01

    The objective of this study was to assess how payments for ecosystem services could assist plantation forestry's integration into pastoral dairy farming in order to improve environmental outcomes and increase business resilience to both price uncertainty and production limits imposed by environmental policies. Stochastic Dominance (SD) criteria and portfolio analysis, accounting for farmers' risk aversion levels, were used to rank different land-use alternatives and landscapes with different levels of plantation forestry integration. The study was focused on a modal 200-ha dairy farm in the Lake Rotorua Catchment of the Central North Island region of New Zealand, where national environmental policies are being implemented to improve water quality and reduce greenhouse gas emissions. Nitrogen and carbon payments would help farmers improve early cash flows for forestry, provide financial leverage to undertake afforestation projects and contribute to improved environmental outcomes for the catchment. The SD criteria demonstrated that although dairy farming generates the highest returns, plantation forestry with nitrogen and carbon payments would be a preferred alternative for landowners with relatively low risk aversion levels who consider return volatility and environmental limits within their land-use change criteria. Using the confidence premium concept, environmental payments to encourage plantation forestry into the landscape were shown to be lower when the majority of landowners are risk averse. The certainty equivalence approach helped to identify the optimal dairy-forestry portfolio arrangements for landowners of different levels of risk aversion, intensities of dairy farming (status quo and intensified) and nitrogen prices. At low nitrogen prices, risk neutral farmers would choose to afforest less than half of the farm and operate at the maximum nitrogen allowance, because dairy farming at both intensities provides the highest return among the different land

  19. Integrating forest ecosystem services into the farming landscape: A stochastic economic assessment.

    PubMed

    Monge, Juan J; Parker, Warren J; Richardson, James W

    2016-06-01

    The objective of this study was to assess how payments for ecosystem services could assist plantation forestry's integration into pastoral dairy farming in order to improve environmental outcomes and increase business resilience to both price uncertainty and production limits imposed by environmental policies. Stochastic Dominance (SD) criteria and portfolio analysis, accounting for farmers' risk aversion levels, were used to rank different land-use alternatives and landscapes with different levels of plantation forestry integration. The study was focused on a modal 200-ha dairy farm in the Lake Rotorua Catchment of the Central North Island region of New Zealand, where national environmental policies are being implemented to improve water quality and reduce greenhouse gas emissions. Nitrogen and carbon payments would help farmers improve early cash flows for forestry, provide financial leverage to undertake afforestation projects and contribute to improved environmental outcomes for the catchment. The SD criteria demonstrated that although dairy farming generates the highest returns, plantation forestry with nitrogen and carbon payments would be a preferred alternative for landowners with relatively low risk aversion levels who consider return volatility and environmental limits within their land-use change criteria. Using the confidence premium concept, environmental payments to encourage plantation forestry into the landscape were shown to be lower when the majority of landowners are risk averse. The certainty equivalence approach helped to identify the optimal dairy-forestry portfolio arrangements for landowners of different levels of risk aversion, intensities of dairy farming (status quo and intensified) and nitrogen prices. At low nitrogen prices, risk neutral farmers would choose to afforest less than half of the farm and operate at the maximum nitrogen allowance, because dairy farming at both intensities provides the highest return among the different land

  20. Principles To Link By. Integrating Education, Health, and Human Services for Children, Youth, and Families: Systems That Are Community-Based and School-Linked. Final Report.

    ERIC Educational Resources Information Center

    American Academy of Pediatrics, Washington, DC.

    This report describes the importance, collaboration procedure, and principles of linking integrated service systems that are community-based and school-linked, established by the National Consensus Building Conference on School Linked Integrated Service Systems. The consensus principles aim to create comprehensive, effective, community-based…

  1. Integrating Distributed Data Systems Using Ontologies, Web Services and Standards: An MMI Case Study

    NASA Astrophysics Data System (ADS)

    Graybeal, J.; Bermudez, L. E.; Gomes, K.; Godin, M.

    2005-12-01

    The Marine Metadata Interoperability (MMI) project promotes the exchange, integration and use of marine data through enhanced data publishing, discovery, documentation and accessibility. One of the goals of the MMI project for 2005 is to create a web application that can query distributed and heterogeneous data repositories using ontologies to solve the semantic heterogeneities, SOAP web services as transport protocols, and content standards such as those promoted by the Dublin Core Metadata Initiative. The MMI demonstration began by making available, in one portal, two heterogeneous and distributed data systems built by the Monterey Bay Aquarium Research Institute (MBARI). The two systems were the Shore-Side Data System (SSDS) and the Autonomous Ocean Sampling Network (AOSN). SSDS is a data management system designed to systematically collect and catalog both data streaming from deployed observatory instruments, and data contained in external data files. The AOSN data system facilitates data collection, storage, retrieval, discovery, and public access for the intensive, multi-institutional Monterey Bay field program in 2003. The systems use different data models, and different names identify similar data fields. We will present the process we followed to demonstrate an interoperable solution, and lessons learned during the course of the demonstration. The process included development of interoperable solutions for communication protocols, metadata content standards, and the vocabularies used to exchange the standard content. Simple interfaces were defined and iteratively improved, and vocabulary lists from each system (addressing parameters, instruments, and units of measurement) were exported and mapped. Similar processes have been advocated by MMI for a wide variety of interoperability challenges, and this demonstration represented the first experience using real world systems and data. From these lessons, we will improve a larger demonstration project, as well

  2. WC WAVE - Integrating Diverse Hydrological-Modeling Data and Services Into an Interoperable Geospatial Infrastructure

    NASA Astrophysics Data System (ADS)

    Hudspeth, W. B.; Baros, S.; Barrett, H.; Savickas, J.; Erickson, J.

    2015-12-01

    WC WAVE (Western Consortium for Watershed Analysis, Visualization and Exploration) is a collaborative research project between the states of Idaho, Nevada, and New Mexico that is funded under the National Science Foundation's Experimental Program to Stimulate Competitive Research (EPSCoR). The goal of the project is to understand and document the effects of climate change on interactions between precipitation, vegetation growth, soil moisture and other landscape properties. These interactions are modeled within a framework we refer to as a virtual watershed (VW), a computer infrastructure that simulates watershed dynamics by linking scientific modeling, visualization, and data management components into a coherent whole. Developed and hosted at the Earth Data Analysis Center, University of New Mexico, the virtual watershed has a number of core functions which include: a) streamlined access to data required for model initialization and boundary conditions; b) the development of analytic scenarios through interactive visualization of available data and the storage of model configuration options; c) coupling of hydrological models through the rapid assimilation of model outputs into the data management system for access and use by sequent models. The WC-WAVE virtual watershed accomplishes these functions by provision of large-scale vector and raster data discovery, subsetting, and delivery via Open Geospatial Consortium (OGC) and REST web service standards. Central to the virtual watershed is the design and use of an innovative array of metadata elements that permits the stepwise coupling of diverse hydrological models (e.g. ISNOBAL, PRMS, CASiMiR) and input data to rapidly assess variation in outcomes under different climatic conditions. We present details on the architecture and functionality of the virtual watershed, results from three western U.S. watersheds, and discuss the realized benefits to watershed science of employing this integrated solution.

  3. Integrated services to support detection, prevention and planning of the agricultural-forest-rural land against fires

    NASA Astrophysics Data System (ADS)

    Scipioni, A.; Tagliaferri, F.

    2009-04-01

    Objective of the document is to define lines of development and distribution of the services to support detection, prevention and planning of the agricultural-forest-rural land against fire. The services will be a valid support on hand of the Regional and National Administrations involved in the agricultural-forest-rural activities (Ministry of Agricultural and Forestry Policies, National Forest Police, ecc..), through the employment of the SIAN "National Agricultural Informative System", that is the integrated national information system for the entire agriculture, forestry and fisheries Administration. The services proposals would be distributed through the GIS (Geographic Information Systems) of the SIAN: the GIS database is a single nation-wide digital graphic database consisting of: - Ortophotos: Aerial images of approz. 45 km2 each with ground resolution of 50 cm; - Cadastral maps: Land maps; - Thematic layers: Land use and crops identification The GIS services can take full advantage of the benefits of SIAN architectural model designed for best integration and interoperability with other Central and Local P.A. bodies whose main items are: - Integration of information from different sources; - Maintainance of the internal coeherence of any integrated information; - Flexibility with respect to technical or organizational changes The "innovative "services described below could be useful to support the development of institutional tasks of public Agencies and Administrations (es. Regions or Civil Protection agencies) according to than previewed from the D.Lgs. 173/98. Services of support to the management of the phenomenon of wildland fires The activities outlined in below figure, don't have a linear and defined temporal sequence, but a dynamic and time integration. It guarantees not only the integrated use of the various information, but also the value of every product, for level of accuracy, coherence and timeliness of the information. Description of four main

  4. Impact evaluation of green-grey infrastructure interaction on built-space integrity: an emerging perspective to urban ecosystem service.

    PubMed

    Tiwary, Abhishek; Kumar, Prashant

    2014-07-15

    This paper evaluates the role of urban green infrastructure (GI) in maintaining integrity of built-space. The latter is considered as a lateral ecosystem function, worth including in future assessments of integrated ecosystem services. The basic tenet is that integrated green-grey infrastructures (GGIs) would have three influences on built-spaces: (i) reduced wind withering from flow deviation; (ii) reduced material corrosion/degeneration from pollution removal; and (iii) act as a biophysical buffer in altering the micro-climate. A case study is presented, combining the features of computational fluid dynamics (CFD) in micro-environmental modelling with the emerging science on interactions of GGIs. The coupled seasonal dynamics of the above three effects are assessed for two building materials (limestone and steel) using the following three scenarios: (i) business as usual (BAU), (ii) summer (REGEN-S), and (iii) winter (REGEN-W). Apparently, integrated ecosystem service from green-grey interaction, as scoped in this paper, has strong seasonal dependence. Compared to BAU our results suggest that REGEN-S leads to slight increment in limestone recession (<10%), mainly from exacerbation in ozone damage, while large reduction in steel recession (up to 37%) is observed. The selection of vegetation species, especially their bVOC emission potential and seasonal foliage profile, appears to play a vital role in determining the impact GI has on the integrity of the neighbouring built-up environment. PMID:24793331

  5. Impact evaluation of green-grey infrastructure interaction on built-space integrity: an emerging perspective to urban ecosystem service.

    PubMed

    Tiwary, Abhishek; Kumar, Prashant

    2014-07-15

    This paper evaluates the role of urban green infrastructure (GI) in maintaining integrity of built-space. The latter is considered as a lateral ecosystem function, worth including in future assessments of integrated ecosystem services. The basic tenet is that integrated green-grey infrastructures (GGIs) would have three influences on built-spaces: (i) reduced wind withering from flow deviation; (ii) reduced material corrosion/degeneration from pollution removal; and (iii) act as a biophysical buffer in altering the micro-climate. A case study is presented, combining the features of computational fluid dynamics (CFD) in micro-environmental modelling with the emerging science on interactions of GGIs. The coupled seasonal dynamics of the above three effects are assessed for two building materials (limestone and steel) using the following three scenarios: (i) business as usual (BAU), (ii) summer (REGEN-S), and (iii) winter (REGEN-W). Apparently, integrated ecosystem service from green-grey interaction, as scoped in this paper, has strong seasonal dependence. Compared to BAU our results suggest that REGEN-S leads to slight increment in limestone recession (<10%), mainly from exacerbation in ozone damage, while large reduction in steel recession (up to 37%) is observed. The selection of vegetation species, especially their bVOC emission potential and seasonal foliage profile, appears to play a vital role in determining the impact GI has on the integrity of the neighbouring built-up environment.

  6. The SAMGrid monitoring service and its integration with MonALISA

    SciTech Connect

    Lyon, A.; Vokac, P.; Zimmler, M.; Baranovski, G.; Garzoglio, G.; Loebel-Carpenter, L.; Herber, R.; Illingworth, R.; Kennedy, R.; Kreymer, A.; Kumar, A.; Lueking, L.; Merritt, W.; Terekhov, I.; Trumbo, J.; White, S.; Veseli, S.; Burgon-Lyon, M.; St. Denis, R.; Belforte, S.; Kerzel, U.; /Karlsruhe U. /Oxford U. /Rutgers U., Piscataway /Texas Tech.

    2004-12-01

    The SAMGrid team is in the process of implementing a monitoring and information service, which fulfills several important roles in the operation of the SAMGrid system, and will replace the first generation of monitoring tools in the current deployments. The first generation tools are in general based on text log-files and represent solutions which are not scalable or maintainable. The roles of the monitoring and information service are: (1) providing diagnostics for troubleshooting the operation of SAMGrid services; (2) providing support for monitoring at the level of user jobs; (3) providing runtime support for local configuration and other information which currently must be stored centrally (thus moving the system toward greater autonomy for the SAMGrid station services, which include cache management and job management services); (4) providing intelligent collection of statistics in order to enable performance monitoring and tuning. The architecture of this service is quite flexible, permitting input from any instrumented SAMGrid application or service. It will allow multiple backend storage for archiving of (possibly) filtered monitoring events, as well as real time information displays and active notification service for alarm conditions. This service will be able to export, in a configurable manner, information to higher level Grid monitoring services, such as MonALISA. We describe our experience to date with using a prototype version together with MonALISA.

  7. Towards a Service-Oriented Enterprise: The Design of a Cloud Business Integration Platform in a Medium-Sized Manufacturing Enterprise

    ERIC Educational Resources Information Center

    Stamas, Paul J.

    2013-01-01

    This case study research followed the two-year transition of a medium-sized manufacturing firm towards a service-oriented enterprise. A service-oriented enterprise is an emerging architecture of the firm that leverages the paradigm of services computing to integrate the capabilities of the firm with the complementary competencies of business…

  8. A Phenomenological Study of the Impact of Pre-Service and Inservice Training Regarding the Integration of Twenty-First Century Technologies into Selected Teachers' Instruction

    ERIC Educational Resources Information Center

    Clark, Christopher

    2013-01-01

    The purpose of this transcendental phenomenological study is to understand how in-service teachers with three to five years of experience perceive their pre-service and in-service training regarding the integration of twenty-first century technology into their instruction. Twenty participants from a rural public school system in southeast North…

  9. Integrated orbital servicing study follow-on. Volume 3: Engineering test unit and controls

    NASA Technical Reports Server (NTRS)

    1978-01-01

    A one-g servicing demonstration system which can be used to investigate and develop, in a real time hands-on situation, a wide variety of the mechanism and control system aspects of orbital servicing in the form of module exchange is described including the engineering test unit and the servicer servo drive console. A series of recommendations for future work is given concerning the control problem and more efficient module exchanges, mechanical elements, and electronics.

  10. Design and implementation of interface units for high speed fiber optics local area networks and broadband integrated services digital networks

    NASA Technical Reports Server (NTRS)

    Tobagi, Fouad A.; Dalgic, Ismail; Pang, Joseph

    1990-01-01

    The design and implementation of interface units for high speed Fiber Optic Local Area Networks and Broadband Integrated Services Digital Networks are discussed. During the last years, a number of network adapters that are designed to support high speed communications have emerged. This approach to the design of a high speed network interface unit was to implement package processing functions in hardware, using VLSI technology. The VLSI hardware implementation of a buffer management unit, which is required in such architectures, is described.

  11. Standards in process: Foundation and profiles of ISDN (Integrated Services Digital Network) and OSI (Open Systems Interconnection) studies

    NASA Astrophysics Data System (ADS)

    Cerni, D. M.

    1984-12-01

    Telecommunication and computer technologies are merging, stimulating such global communication projects as the Integrated Services Digital Network (ISDN) and the Open Systems Interconnection (OSI) Reference Model. The systems of standards needed to ensure worldwide success of these projects are being developed. These efforts, of unprecedented complexity, are demanding an increase in knowledgeable dedicated standards workers. This report offers background material on the meaning, significance, and changing nature of standards and their development, both in the United States and internationally.

  12. Collaborative behavioral management: integration and intensification of parole and outpatient addiction treatment services in the Step'n Out study.

    PubMed

    Friedmann, Peter D; Rhodes, Anne G; Taxman, Faye S

    2009-09-01

    Integration of community parole and addiction treatment holds promise for optimizing the participation of drug-involved parolees in re-entry services, but intensification of services might yield greater rates of technical violations. Collaborative behavioral management (CBM) integrates the roles of parole officers and treatment counselors to provide role induction counseling, contract for pro-social behavior, and to deliver contingent reinforcement of behaviors consistent with contracted objectives. Attendance at both parole and addiction treatment are specifically reinforced. The Step'n Out study of the Criminal Justice-Drug Abuse Treatment Studies (CJ-DATS) randomly allocated 486 drug-involved parolees to either collaborative behavioral management or traditional parole with 3-month and 9-month follow-up. Bivariate and multivariate regression models found that, in the first 3 months, the CBM group had more parole sessions, face-to-face parole sessions, days on which parole and treatment occurred on the same day, treatment utilization and individual counseling, without an increase in parole violations. We conclude that CBM integrated parole and treatment as planned, and intensified parolees' utilization of these services, without increasing violations.

  13. From apartheid to integration: the role of the Witwatersrand Medical library in health care services in Johannesburg, South Africa.

    PubMed

    Myers, G

    1995-01-01

    Adapting to change is always difficult; all the more so when changes in the administrative structure of health care are part of a national political transformation toward democracy. As South Africa moves from apartheid to integration in its health services, the Witwatersrand Medical Library (WML) will have to adopt innovative strategies to cope with increasing demands on its resources by sub-Saharan African medical libraries and with expected decreases in state funding for health and education. WML also will have to address the lack of hospital library services in the Johannesburg region by expanding its academic branches at University of the Witwatersrand Medical School's teaching hospitals to serve both hospital and academic health care staff. This article discusses these challenges in the context of rapidly changing academic health care services in Johannesburg.

  14. From apartheid to integration: the role of the Witwatersrand Medical library in health care services in Johannesburg, South Africa.

    PubMed Central

    Myers, G

    1995-01-01

    Adapting to change is always difficult; all the more so when changes in the administrative structure of health care are part of a national political transformation toward democracy. As South Africa moves from apartheid to integration in its health services, the Witwatersrand Medical Library (WML) will have to adopt innovative strategies to cope with increasing demands on its resources by sub-Saharan African medical libraries and with expected decreases in state funding for health and education. WML also will have to address the lack of hospital library services in the Johannesburg region by expanding its academic branches at University of the Witwatersrand Medical School's teaching hospitals to serve both hospital and academic health care staff. This article discusses these challenges in the context of rapidly changing academic health care services in Johannesburg. PMID:7703943

  15. Feasibility of integrating mental health screening and services into routine elder abuse practice to improve client outcomes.

    PubMed

    Sirey, Jo Anne; Berman, Jacquelin; Salamone, Aurora; DePasquale, Alyssa; Halkett, Ashley; Raeifar, Elmira; Banerjee, Samprit; Bruce, Martha L; Raue, Patrick J

    2015-01-01

    The goal of this pilot program was to test the feasibility of mental health screening among elder abuse victims and of offering those victims a brief psychotherapy for depression and anxiety. Elder abuse victims who sought assistance from a large, urban elder abuse service were screened for depression and anxiety using standardized measures. Clients with clinically significant depression (PHQ-9) or anxiety (GAD-7) were randomized to receive one of three different interventions concurrent with abuse resolution services. Staff were able to screen 315 individuals, with 34% of clients scoring positive for depression or anxiety. Of those with mental health needs, only 15% refused all services. The mental health intervention (PROTECT) was successfully implemented in two different formats with collaboration between staff workers. These findings support both the need for mental health care among elder abuse victims and the feasibility of integrating mental health screening and treatment into routine elder abuse practice.

  16. Logistics and operations integration requirements to support Space Station servicing of free flying spacecraft - OMV flight operation

    NASA Technical Reports Server (NTRS)

    Bell, Jerome A.; Mcgeehan, Richard T.

    1987-01-01

    The logistics of OMV free-flyer servicing are examined, with emphasis on integrating the OMV operations into the overall STS-Space Station system. The depletion rate of consumables and lifetimes of free-flyer components are known quantities, which permits definition of a predictable maintenance schedule. Servicing with an OMV will depend on the position and capabilities of the OMV, Shuttle and Station when free-flyer maintenance is needed. Optimized orbital servicing of free-flyers will involve coordination of and resolution of schedule conflicts among STS, the OMV and the Station. The scheduled availability of any of the three components will be predicted in terms of probabilities that any one of the components will not be needed for another mission while performing the mission they are on.

  17. Effective in-service training design and delivery: evidence from an integrative literature review

    PubMed Central

    2013-01-01

    Background In-service training represents a significant financial investment for supporting continued competence of the health care workforce. An integrative review of the education and training literature was conducted to identify effective training approaches for health worker continuing professional education (CPE) and what evidence exists of outcomes derived from CPE. Methods A literature review was conducted from multiple databases including PubMed, the Cochrane Library and Cumulative Index to Nursing and Allied Health Literature (CINAHL) between May and June 2011. The initial review of titles and abstracts produced 244 results. Articles selected for analysis after two quality reviews consisted of systematic reviews, randomized controlled trials (RCTs) and programme evaluations published in peer-reviewed journals from 2000 to 2011 in the English language. The articles analysed included 37 systematic reviews and 32 RCTs. The research questions focused on the evidence supporting educational techniques, frequency, setting and media used to deliver instruction for continuing health professional education. Results The evidence suggests the use of multiple techniques that allow for interaction and enable learners to process and apply information. Case-based learning, clinical simulations, practice and feedback are identified as effective educational techniques. Didactic techniques that involve passive instruction, such as reading or lecture, have been found to have little or no impact on learning outcomes. Repetitive interventions, rather than single interventions, were shown to be superior for learning outcomes. Settings similar to the workplace improved skill acquisition and performance. Computer-based learning can be equally or more effective than live instruction and more cost efficient if effective techniques are used. Effective techniques can lead to improvements in knowledge and skill outcomes and clinical practice behaviours, but there is less evidence

  18. Integration of health services in the care of people living with aids: an approach using a decision tree.

    PubMed

    de Medeiros, Leidyanny Barbosa; Trigueiro, Débora Raquel Soares Guedes; da Silva, Daiane Medeiros; do Nascimento, João Agnaldo; Monroe, Aline Aparecida; Nogueira, Jordana de Almeida; Leadebal, Oriana Deyze Correia Paiva

    2016-02-01

    The care offer to people living with HIV/AIDS must transcend specialized outpatient services and include the participation of the Family Health Strategy. By understanding the importance of integration between these two points in the care network, the study aimed to build a decision support model to assist professionals of specialized health services in identifying behavior patterns in the use of Family Health Strategy services by people living with HIV/AIDS attended in the outpatient clinic. Thus, was proposed a model called decision tree, created from a database of 141 people with AIDS, users of a specialized outpatient clinic. The decision-making variable was the use of Family Health Strategy services by evaluating the integration of care. The model enabled the establishment of 23 rules with 80.1% hit percentage, what may support the decision-making of professionals in identifying situations in which it is necessary to stimulate the use of the Family Health Strategy by users. PMID:26910161

  19. The 45 and Up Study: a tool for local population health and health service planning to improve integration of healthcare.

    PubMed

    Comino, Elizabeth J; Harris, Elizabeth; Page, Jude; McDonald, Julie; Harris, Mark F

    2016-01-01

    Data on patient access to, and use of, primary and secondary care services are a potential tool for population health and health service planning, and for researchers. The Sax Institute's 45 and Up Study was established to support research about healthy ageing. This paper considers how data from the 45 and Up Study could be useful to Local Health Districts and the Primary Health Networks in New South Wales to support their work, particularly in evaluating integration of primary and secondary health services. Preliminary exploration of these data identified more than 31 000 participants in the 45 and Up Study living in central and eastern Sydney who were included in some demonstration projects. The value of these data to the region included access to a population-based sample of residents, and capacity to link to health data held within different jurisdictions and local data sources. The resultant data collection can address questions of interest to planners working in primary and secondary care, such as integration and coordination of services, including transition of care. These are key performance goals for both sectors. PMID:27421341

  20. Feasibility of Integrating Mental Health Screening and Services Into Routine Elder Abuse Practice to Improve Client Outcomes

    PubMed Central

    Sirey, Jo Anne; Berman, Jacquelin; Salamone, Aurora; DePasquale, Alyssa; Halkett, Ashley; Raeifar, Elmira; Banerjee, Samprit; Bruce, Martha L.; Raue, Patrick J.

    2015-01-01

    Objective The goal of this pilot program was to test the feasibility of mental health screening among elder abuse victims and enrolling those victims into a brief psychotherapy useful with both depression and anxiety. Methods Elder abuse victims who sought assistance from a large, urban elder abuse service were screened for depression and anxiety using standardized measures. Clients with clinically significant depression (PHQ-9) or anxiety (GAD-7) were randomized to receive one of three different mental health interventions concurrent with abuse resolution services. This design helped determine the acceptability of each intervention offered and thus the optimal format for service delivery. Results Staff were able to integrate mental health screening for 315 individuals, with 34% of clients scoring positive for depression or anxiety. Of those with mental health needs, only 15% refused all services. The mental health intervention (PROTECT) was able to be implemented in two different formats, with collaboration between elder abuse and mental health staff workers. Discussion These findings support both the need for mental health care among elder abuse victims and the feasibility of integrating mental health screening and treatment into routine elder abuse practice. PMID:25611116

  1. Integrating Service-Learning Pedagogy for Preservice Elementary Teachers' Science Identity Development

    ERIC Educational Resources Information Center

    Wilson, Rachel E.; Bradbury, Leslie U.; McGlasson, Martha A.

    2015-01-01

    The purpose of this article is to explore how preservice elementary teachers (PSETs) interpreted their service-learning experiences within a pre-methods environmentally focused course and how their interpretations shaped their science teaching identities. Along a continuum of service-learning experiences were events that emphasized science…

  2. Rangeland management for multiple outcomes: Explicity integrating ecosystem services into management models

    Technology Transfer Automated Retrieval System (TEKTRAN)

    In recent decades, there has been increased interest in ecosystem services among landowners, and a growing diversity of stakeholders on rangelands. Given these changes, management cannot focus solely on maximizing ranch proceeds, but must also incorporate ecosystem service goals to sustain resources...

  3. Contributing Factors to Pre-Service Mathematics Teachers' e-Readiness for ICT Integration

    ERIC Educational Resources Information Center

    Apeanti, Wilson Osafo

    2016-01-01

    This study investigated pre-service teachers' e-readiness to use ICTs for instruction. The primary data source for the study is a set of survey instrument responded by 126 pre-service mathematics teachers at the University of Education Winneba, Ghana. The survey instrument has a reliability scales (Cronbach's Alpha values) of 0.726. Multiple…

  4. Children's Experiences of Domestic Violence: Developing an Integrated Response from Police and Child Protection Services

    ERIC Educational Resources Information Center

    Stanley, Nicky; Miller, Pam; Richardson Foster, Helen; Thomson, Gill

    2011-01-01

    Police notifications of incidents of domestic violence to child protection services constitute an acknowledgement of the harm that domestic violence inflicts on children. However, these notifications represent a substantial demand on child welfare services and the outcomes for children and victims of domestic violence have been questioned. This…

  5. The Citizen as the Integrating Agent: Productivity in the Human Services. Monograph Series, No. 9.

    ERIC Educational Resources Information Center

    Cohen, Audrey C.

    In order for society to attain true social justice, individual citizens must be equipped with the knowledge and skills to take control of their lives through proper use of social service systems. In the United States the present system of social services is inadequate to fulfill the needs of all of its clients. As the economy continues to force…

  6. The Effects of Integrating Service Learning into Computer Science: An Inter-Institutional Longitudinal Study

    ERIC Educational Resources Information Center

    Payton, Jamie; Barnes, Tiffany; Buch, Kim; Rorrer, Audrey; Zuo, Huifang

    2015-01-01

    This study is a follow-up to one published in computer science education in 2010 that reported preliminary results showing a positive impact of service learning on student attitudes associated with success and retention in computer science. That paper described how service learning was incorporated into a computer science course in the context of…

  7. Language Learners as Teachers: Integrating Service-Learning and the Advanced Language Course

    ERIC Educational Resources Information Center

    Barreneche, Gabriel Ignacio

    2011-01-01

    The aim of this paper is to illustrate the applications of service-learning pedagogy for an advanced Spanish language course through a case study conducted at Rollins College, a comprehensive liberal arts institution in Winter Park, Florida. The paper discusses diverse theories on service-learning pedagogy, explaining how and why this teaching…

  8. Prospects for Integrating Service Learning into Short-Term International Study

    ERIC Educational Resources Information Center

    Daly, Donna M.; Baker, Suzanne; Williams, Stephen J.

    2014-01-01

    In an era of significant social, political, and economic globalization, it is crucial for health and human services educators to adopt a more hands on international view vis-à-vis student education. This article presents information that will assist educators in extending domestic service learning concepts and activities into the undergraduate…

  9. The effects of integrating service learning into computer science: an inter-institutional longitudinal study

    NASA Astrophysics Data System (ADS)

    Payton, Jamie; Barnes, Tiffany; Buch, Kim; Rorrer, Audrey; Zuo, Huifang

    2015-07-01

    This study is a follow-up to one published in computer science education in 2010 that reported preliminary results showing a positive impact of service learning on student attitudes associated with success and retention in computer science. That paper described how service learning was incorporated into a computer science course in the context of the Students & Technology in Academia, Research, and Service (STARS) Alliance, an NSF-supported broadening participation in computing initiative that aims to diversify the computer science pipeline through innovative pedagogy and inter-institutional partnerships. The current paper describes how the STARS Alliance has expanded to diverse institutions, all using service learning as a vehicle for broadening participation in computing and enhancing attitudes and behaviors associated with student success. Results supported the STARS model of service learning for enhancing computing efficacy and computing commitment and for providing diverse students with many personal and professional development benefits.

  10. Multidisciplinary teams of case managers in the implementation of an innovative integrated services delivery for the elderly in France

    PubMed Central

    2014-01-01

    Background The case management process is now well defined, and teams of case managers have been implemented in integrated services delivery. However, little is known about the role played by the team of case managers and the value in having multidisciplinary case management teams. The objectives were to develop a fuller understanding of the role played by the case manager team and identify the value of inter-professional collaboration in multidisciplinary teams during the implementation of an innovative integrated service in France. Methods We conducted a qualitative study with focus groups comprising 14 multidisciplinary teams for a total of 59 case managers, six months after their recruitment to the MAIA program (Maison Autonomie Integration Alzheimer). Results Most of the case managers saw themselves as being part of a team of case managers (91.5%). Case management teams help case managers develop a comprehensive understanding of the integration concept, meet the complex needs of elderly people and change their professional practices. Multidisciplinary case management teams add value by helping case managers move from theory to practice, by encouraging them develop a comprehensive clinical vision, and by initiating the interdisciplinary approach. Conclusions The multidisciplinary team of case managers is central to the implementation of case management and helps case managers develop their new role and a core inter-professional competency. PMID:24708721

  11. Strengthening Resiliency in Coastal Watersheds: An Ecosystem Services and Ecological Integrity Decision Support System

    EPA Science Inventory

    This product provides an integrated assessment framework linked to a decision support system (DSS) that incorporates the ecological integrity (EI) principles and goals described in detail in the US EPA’s Office of Water’s Healthy Watersheds Program (HWP), with Ecosyst...

  12. Project REC: Integrated Social and Leisure Recreation Services for Students with Severe Disabilities. Final Report.

    ERIC Educational Resources Information Center

    Kiernan, William; Moon, Sherril

    This 3-year project attempted to: (1) provide direct support to students with severe disabilities in accessing recreation opportunities; (2) develop and present inservice training on integrated leisure opportunities in New England; and (3) disseminate information on ways to integrate school and community recreation activities. The project was…

  13. Sustainable Watersheds: A Conceptual Approach to Integrating Ecosystem Services and Public Health

    EPA Science Inventory

    Sustainable management of aquatic ecosystems is a worldwide priority; the integrity of these systems depends, in turn, on the integrity of the watersheds (catchments) in which they are embedded. In this article, we present the concepts, background, and scientific foundations for ...

  14. Redefining Curriculum Integration and Professional Development: In-Service Teachers as Agents of Change

    ERIC Educational Resources Information Center

    Schleigh, Sharon Price; Bosse, Michael; Lee, Tammy

    2011-01-01

    Calls for curriculum integration in K-12 mathematics and science have seen nominal results. Numerous factors including cycles of practice in teacher development and professional development practices have inhibited the development, dissemination, and implementation of integrated curriculum. This paper examines the characteristics of the…

  15. Integrating State Development Efforts: An Agenda for Service Providers. Business Assistance Note #2.

    ERIC Educational Resources Information Center

    Shonka, Molly; Bergman, Terri

    States that are successfully integrating three development programs--economic, work force, and technology--are focusing on the results as the first step in the process and have an easier time developing, monitoring, and improving their strategies. To structure their integration efforts around results, states need to begin with a vision of a…

  16. Integrating service-life modeling and life-cycle assessment for recycled-aggregate concrete

    NASA Astrophysics Data System (ADS)

    Bergman, Todd Lee

    The development and implementation of one-dimensional (a) analytical and (b) numerical service-life models for chloride-induced corrosion of reinforced concrete containing both recycled-aggregates and supplementary cementitious materials (SCMs) are presented in this work. Both the analytical and numerical models account for initial chloride contamination levels due to previous applications. The effects of aggregate type (e.g., virgin, recycled aggregate, recycled mortar), aggregate replacement ratio, severity of chloride contamination levels, severity of in-service chloride exposure, reinforcement cover depth, SCM type (e.g., fly ash, slag, slice fume, metakaolin), and SCM replacement ratio on the expected service life of recycled-aggregate reinforced concrete were investigated. Results illustrated trends between concrete mixes and life cycle costs, which were employed to make conclusions on the trade-offs presented by cost, sustainability, and service life.

  17. Integrating Service-Learning Pedagogy for Preservice Elementary Teachers' Science Identity Development

    NASA Astrophysics Data System (ADS)

    Wilson, Rachel E.; Bradbury, Leslie U.; McGlasson, Martha A.

    2015-04-01

    The purpose of this article is to explore how preservice elementary teachers (PSETs) interpreted their service-learning experiences within a pre-methods environmentally focused course and how their interpretations shaped their science teaching identities. Along a continuum of service-learning experiences were events that emphasized science learning, that focused on science teaching, and that were transitional, with elements of both science learning and science teaching. These various service-learning experiences were designed to be "boundary experiences" for professional identity development (Geijsel & Meijers in Educational Studies, 3(4), 419-430, 2005), providing opportunities for PSETs to reflect on meanings in cultural contexts and how they are related to their own personal meanings. We analyzed written reflections and end-of-course oral reflection interviews from 42 PSETs on their various service-learning experiences. PSETs discussed themes related to the meanings they made of the service-learning experiences: (a) experiencing science in relation to their lives as humans and future teachers, (b) interacting with elementary students and other PSETs, and (c) making an impact in the physical environment and in the community. The connections that PSETs were making between the discursive spaces (service-learning contexts) and their own meaning-making of these experiences (as connected to their own interests in relation to their future professions and daily lives) shows evidence of the potential that various types of science service-learning experiences have for PSETs in developing inbound science teaching identity trajectories (Wenger in Communities of practice: Learning, meaning, and identity. Cambridge: Cambridge University Press, 1998). The findings of this study point to positive outcomes for PSETs when they participate in structured service-learning experiences along a learning to teaching continuum (246).

  18. Integrated orbital servicing study for low-cost payload programs. Volume 2: Technical and cost analysis

    NASA Technical Reports Server (NTRS)

    Cody, E. R.; Deats, C. L.; Derocher, W. L., Jr.; Kyrias, G. M.; Snodgrass, M. R.; Sosnay, R. D.; Spencer, R. A.; Wudell, A. E.

    1975-01-01

    Orbital maintenance concepts were examined in an effort to determine a cost effective orbital maintenance system compatible with the space transportation system. An on-orbit servicer maintenance system is recommended as the most cost effective system. A pivoting arm on-orbit servicer was selected and a preliminary design was prepared. It is indicated that orbital maintenance does not have any significant impact on the space transportation system.

  19. Building the Capacity for Climate Services: Thoughts on Training Next Generation Climate Science Integrators

    NASA Astrophysics Data System (ADS)

    Garfin, G. M.; Brugger, J.; Gordon, E. S.; Barsugli, J. J.; Rangwala, I.; Travis, W.

    2015-12-01

    For more than a decade, stakeholder needs assessments and reports, including the recent National Climate Assessment, have pointed out the need for climate "science translators" or "science integrators" who can help bridge the gap between the cultures and contexts of researchers and decision-makers. Integration is important for exchanging and enhancing knowledge, building capacity to use climate information in decision making, and fostering more robust planning for decision-making in the context of climate change. This talk will report on the characteristics of successful climate science integrators, and a variety of models for training the upcoming generation of climate science integrators. Science integration characteristics identified by an experienced vanguard in the U.S. include maintaining credibility in both the scientific and stakeholder communities, a basic respect for stakeholders demonstrated through active listening, and a deep understanding of the decision-making context. Drawing upon the lessons of training programs for Cooperative Extension, public health professionals, and natural resource managers, we offer ideas about training next generation climate science integrators. Our model combines training and development of skills in interpersonal relations, communication of science, project implementation, education techniques and practices - integrated with a strong foundation in disciplinary knowledge.

  20. Preparing pre-service teachers to integrate technology into inquiry-based science education: Three case studies in The Netherlands

    NASA Astrophysics Data System (ADS)

    Tran, Trinh-Ba; van den Berg, Ed; Ellermeijer, Ton; Beishuizen, Jos

    2016-05-01

    Integration of technology ( e.g. measuring with sensors, video measurement, and modeling) into secondary-school science teaching is a need globally recognized. A central issue of incorporating these technologies in teaching is how to turn manipulations of equipment and software into manipulations of ideas. Therefore, preparation for pre-service teachers to apply ICT tools should be combined with the issues of minds-on inquiring and meaning-making. From this perspective, we developed a course within the post-graduate teacher-education program in the Netherlands. During the course, pre-service teachers learnt not only to master ICT skills but also to design, teach, and evaluate an inquiry-based lesson in which the ICT tool was integrated. Besides three life sessions, teachers' learning scenario also consisted of individual tasks which teachers could carry out mostly in the school or at home with support materials and online assistance. We taught three iterations of the course within a design-research framework in 2013, 2014 and collected data on the teacher learning processes and outcomes. The analyses of these data from observation, interviews, questionnaires, and documents were to evaluate implementation of the course, then suggest for revisions of the course set-up, which was executed and then assessed again in a subsequent case study. Main outcomes of the three case studies can be summarized as follows: within a limited time (3 life sessions spread over 2-3 months), the heterogeneous groups of pre-service teachers achieved a reasonable level of competence regarding the use of ICT tools in inquiry-based lessons. The blended set-up with support materials, especially the Coach activities and the lesson-plan form for an ICT-integrated inquiry-based lesson, contributed to this result under the condition that the course participants really spent considerable time outside the life sessions. There was a need for more time for hands-on, in-group activities in life

  1. Estimating the impacts of conservation on ecosystem services and poverty by integrating modeling and evaluation.

    PubMed

    Ferraro, Paul J; Hanauer, Merlin M; Miteva, Daniela A; Nelson, Joanna L; Pattanayak, Subhrendu K; Nolte, Christoph; Sims, Katharine R E

    2015-06-16

    Scholars have made great advances in modeling and mapping ecosystem services, and in assigning economic values to these services. This modeling and valuation scholarship is often disconnected from evidence about how actual conservation programs have affected ecosystem services, however. Without a stronger evidence base, decision makers find it difficult to use the insights from modeling and valuation to design effective policies and programs. To strengthen the evidence base, scholars have advanced our understanding of the causal pathways between conservation actions and environmental outcomes, but their studies measure impacts on imperfect proxies for ecosystem services (e.g., avoidance of deforestation). To be useful to decision makers, these impacts must be translated into changes in ecosystem services and values. To illustrate how this translation can be done, we estimated the impacts of protected areas in Brazil, Costa Rica, Indonesia, and Thailand on carbon storage in forests. We found that protected areas in these conservation hotspots have stored at least an additional 1,000 Mt of CO2 in forests and have delivered ecosystem services worth at least $5 billion. This aggregate impact masks important spatial heterogeneity, however. Moreover, the spatial variability of impacts on carbon storage is the not the same as the spatial variability of impacts on avoided deforestation. These findings lead us to describe a research program that extends our framework to study other ecosystem services, to uncover the mechanisms by which ecosystem protection benefits humans, and to tie cost-benefit analyses to conservation planning so that we can obtain the greatest return on scarce conservation funds.

  2. Estimating the impacts of conservation on ecosystem services and poverty by integrating modeling and evaluation

    PubMed Central

    Ferraro, Paul J.; Hanauer, Merlin M.; Miteva, Daniela A.; Nelson, Joanna L.; Pattanayak, Subhrendu K.; Nolte, Christoph; Sims, Katharine R. E.

    2015-01-01

    Scholars have made great advances in modeling and mapping ecosystem services, and in assigning economic values to these services. This modeling and valuation scholarship is often disconnected from evidence about how actual conservation programs have affected ecosystem services, however. Without a stronger evidence base, decision makers find it difficult to use the insights from modeling and valuation to design effective policies and programs. To strengthen the evidence base, scholars have advanced our understanding of the causal pathways between conservation actions and environmental outcomes, but their studies measure impacts on imperfect proxies for ecosystem services (e.g., avoidance of deforestation). To be useful to decision makers, these impacts must be translated into changes in ecosystem services and values. To illustrate how this translation can be done, we estimated the impacts of protected areas in Brazil, Costa Rica, Indonesia, and Thailand on carbon storage in forests. We found that protected areas in these conservation hotspots have stored at least an additional 1,000 Mt of CO2 in forests and have delivered ecosystem services worth at least $5 billion. This aggregate impact masks important spatial heterogeneity, however. Moreover, the spatial variability of impacts on carbon storage is the not the same as the spatial variability of impacts on avoided deforestation. These findings lead us to describe a research program that extends our framework to study other ecosystem services, to uncover the mechanisms by which ecosystem protection benefits humans, and to tie cost-benefit analyses to conservation planning so that we can obtain the greatest return on scarce conservation funds. PMID:26082549

  3. Estimating the impacts of conservation on ecosystem services and poverty by integrating modeling and evaluation.

    PubMed

    Ferraro, Paul J; Hanauer, Merlin M; Miteva, Daniela A; Nelson, Joanna L; Pattanayak, Subhrendu K; Nolte, Christoph; Sims, Katharine R E

    2015-06-16

    Scholars have made great advances in modeling and mapping ecosystem services, and in assigning economic values to these services. This modeling and valuation scholarship is often disconnected from evidence about how actual conservation programs have affected ecosystem services, however. Without a stronger evidence base, decision makers find it difficult to use the insights from modeling and valuation to design effective policies and programs. To strengthen the evidence base, scholars have advanced our understanding of the causal pathways between conservation actions and environmental outcomes, but their studies measure impacts on imperfect proxies for ecosystem services (e.g., avoidance of deforestation). To be useful to decision makers, these impacts must be translated into changes in ecosystem services and values. To illustrate how this translation can be done, we estimated the impacts of protected areas in Brazil, Costa Rica, Indonesia, and Thailand on carbon storage in forests. We found that protected areas in these conservation hotspots have stored at least an additional 1,000 Mt of CO2 in forests and have delivered ecosystem services worth at least $5 billion. This aggregate impact masks important spatial heterogeneity, however. Moreover, the spatial variability of impacts on carbon storage is the not the same as the spatial variability of impacts on avoided deforestation. These findings lead us to describe a research program that extends our framework to study other ecosystem services, to uncover the mechanisms by which ecosystem protection benefits humans, and to tie cost-benefit analyses to conservation planning so that we can obtain the greatest return on scarce conservation funds. PMID:26082549

  4. Experimental demonstration of multi-dimensional resources integration for service provisioning in cloud radio over fiber network

    PubMed Central

    Yang, Hui; Zhang, Jie; Ji, Yuefeng; He, Yongqi; Lee, Young

    2016-01-01

    Cloud radio access network (C-RAN) becomes a promising scenario to accommodate high-performance services with ubiquitous user coverage and real-time cloud computing in 5G area. However, the radio network, optical network and processing unit cloud have been decoupled from each other, so that their resources are controlled independently. Traditional architecture cannot implement the resource optimization and scheduling for the high-level service guarantee due to the communication obstacle among them with the growing number of mobile internet users. In this paper, we report a study on multi-dimensional resources integration (MDRI) for service provisioning in cloud radio over fiber network (C-RoFN). A resources integrated provisioning (RIP) scheme using an auxiliary graph is introduced based on the proposed architecture. The MDRI can enhance the responsiveness to dynamic end-to-end user demands and globally optimize radio frequency, optical network and processing resources effectively to maximize radio coverage. The feasibility of the proposed architecture is experimentally verified on OpenFlow-based enhanced SDN testbed. The performance of RIP scheme under heavy traffic load scenario is also quantitatively evaluated to demonstrate the efficiency of the proposal based on MDRI architecture in terms of resource utilization, path blocking probability, network cost and path provisioning latency, compared with other provisioning schemes. PMID:27465296

  5. Experimental demonstration of multi-dimensional resources integration for service provisioning in cloud radio over fiber network

    NASA Astrophysics Data System (ADS)

    Yang, Hui; Zhang, Jie; Ji, Yuefeng; He, Yongqi; Lee, Young

    2016-07-01

    Cloud radio access network (C-RAN) becomes a promising scenario to accommodate high-performance services with ubiquitous user coverage and real-time cloud computing in 5G area. However, the radio network, optical network and processing unit cloud have been decoupled from each other, so that their resources are controlled independently. Traditional architecture cannot implement the resource optimization and scheduling for the high-level service guarantee due to the communication obstacle among them with the growing number of mobile internet users. In this paper, we report a study on multi-dimensional resources integration (MDRI) for service provisioning in cloud radio over fiber network (C-RoFN). A resources integrated provisioning (RIP) scheme using an auxiliary graph is introduced based on the proposed architecture. The MDRI can enhance the responsiveness to dynamic end-to-end user demands and globally optimize radio frequency, optical network and processing resources effectively to maximize radio coverage. The feasibility of the proposed architecture is experimentally verified on OpenFlow-based enhanced SDN testbed. The performance of RIP scheme under heavy traffic load scenario is also quantitatively evaluated to demonstrate the efficiency of the proposal based on MDRI architecture in terms of resource utilization, path blocking probability, network cost and path provisioning latency, compared with other provisioning schemes.

  6. Experimental demonstration of multi-dimensional resources integration for service provisioning in cloud radio over fiber network.

    PubMed

    Yang, Hui; Zhang, Jie; Ji, Yuefeng; He, Yongqi; Lee, Young

    2016-01-01

    Cloud radio access network (C-RAN) becomes a promising scenario to accommodate high-performance services with ubiquitous user coverage and real-time cloud computing in 5G area. However, the radio network, optical network and processing unit cloud have been decoupled from each other, so that their resources are controlled independently. Traditional architecture cannot implement the resource optimization and scheduling for the high-level service guarantee due to the communication obstacle among them with the growing number of mobile internet users. In this paper, we report a study on multi-dimensional resources integration (MDRI) for service provisioning in cloud radio over fiber network (C-RoFN). A resources integrated provisioning (RIP) scheme using an auxiliary graph is introduced based on the proposed architecture. The MDRI can enhance the responsiveness to dynamic end-to-end user demands and globally optimize radio frequency, optical network and processing resources effectively to maximize radio coverage. The feasibility of the proposed architecture is experimentally verified on OpenFlow-based enhanced SDN testbed. The performance of RIP scheme under heavy traffic load scenario is also quantitatively evaluated to demonstrate the efficiency of the proposal based on MDRI architecture in terms of resource utilization, path blocking probability, network cost and path provisioning latency, compared with other provisioning schemes. PMID:27465296

  7. Experimental demonstration of multi-dimensional resources integration for service provisioning in cloud radio over fiber network.

    PubMed

    Yang, Hui; Zhang, Jie; Ji, Yuefeng; He, Yongqi; Lee, Young

    2016-07-28

    Cloud radio access network (C-RAN) becomes a promising scenario to accommodate high-performance services with ubiquitous user coverage and real-time cloud computing in 5G area. However, the radio network, optical network and processing unit cloud have been decoupled from each other, so that their resources are controlled independently. Traditional architecture cannot implement the resource optimization and scheduling for the high-level service guarantee due to the communication obstacle among them with the growing number of mobile internet users. In this paper, we report a study on multi-dimensional resources integration (MDRI) for service provisioning in cloud radio over fiber network (C-RoFN). A resources integrated provisioning (RIP) scheme using an auxiliary graph is introduced based on the proposed architecture. The MDRI can enhance the responsiveness to dynamic end-to-end user demands and globally optimize radio frequency, optical network and processing resources effectively to maximize radio coverage. The feasibility of the proposed architecture is experimentally verified on OpenFlow-based enhanced SDN testbed. The performance of RIP scheme under heavy traffic load scenario is also quantitatively evaluated to demonstrate the efficiency of the proposal based on MDRI architecture in terms of resource utilization, path blocking probability, network cost and path provisioning latency, compared with other provisioning schemes.

  8. Towards virtual knowledge broker services for semantic integration of life science literature and data sources.

    PubMed

    Harrow, Ian; Filsell, Wendy; Woollard, Peter; Dix, Ian; Braxenthaler, Michael; Gedye, Richard; Hoole, David; Kidd, Richard; Wilson, Jabe; Rebholz-Schuhmann, Dietrich

    2013-05-01

    Research in the life sciences requires ready access to primary data, derived information and relevant knowledge from a multitude of sources. Integration and interoperability of such resources are crucial for sharing content across research domains relevant to the life sciences. In this article we present a perspective review of data integration with emphasis on a semantics driven approach to data integration that pushes content into a shared infrastructure, reduces data redundancy and clarifies any inconsistencies. This enables much improved access to life science data from numerous primary sources. The Semantic Enrichment of the Scientific Literature (SESL) pilot project demonstrates feasibility for using already available open semantic web standards and technologies to integrate public and proprietary data resources, which span structured and unstructured content. This has been accomplished through a precompetitive consortium, which provides a cost effective approach for numerous stakeholders to work together to solve common problems.

  9. Towards virtual knowledge broker services for semantic integration of life science literature and data sources.

    PubMed

    Harrow, Ian; Filsell, Wendy; Woollard, Peter; Dix, Ian; Braxenthaler, Michael; Gedye, Richard; Hoole, David; Kidd, Richard; Wilson, Jabe; Rebholz-Schuhmann, Dietrich

    2013-05-01

    Research in the life sciences requires ready access to primary data, derived information and relevant knowledge from a multitude of sources. Integration and interoperability of such resources are crucial for sharing content across research domains relevant to the life sciences. In this article we present a perspective review of data integration with emphasis on a semantics driven approach to data integration that pushes content into a shared infrastructure, reduces data redundancy and clarifies any inconsistencies. This enables much improved access to life science data from numerous primary sources. The Semantic Enrichment of the Scientific Literature (SESL) pilot project demonstrates feasibility for using already available open semantic web standards and technologies to integrate public and proprietary data resources, which span structured and unstructured content. This has been accomplished through a precompetitive consortium, which provides a cost effective approach for numerous stakeholders to work together to solve common problems. PMID:23247259

  10. Nepal: integrating traditional and modern health services in the remote area of Bashkharka.

    PubMed

    Sharma, A; Ross, J

    1990-01-01

    Within a framework of Primary Health Care (PHC) and Health Promotion (HP), the focus of this paper is on integrating traditional and modern health care in the remote area of Bashkharka, Nepal. The relevance to integrated health care of factors such as geography, ethnicity, religion, national infrastructure and international development agencies are discussed. Issues concerning the relationship between the theory and practice of PHC and HP are raised.

  11. Clinical evaluation of using semantic searching engine for radiological imaging services in RIS-integrated PACS

    NASA Astrophysics Data System (ADS)

    Ling, Tonghui; Zhang, Kai; Yang, Yuanyuan; Hua, Yanqing; Zhang, Jianguo

    2015-03-01

    We had designed a semantic searching engine (SSE) for radiological imaging to search both reports and images in RIS-integrated PACS environment. In this presentation, we present evaluation results of this SSE about how it impacting the radiologists' behaviors in reporting for different kinds of examinations, and how it improving the performance of retrieval and usage of historical images in RIS-integrated PACS.

  12. [Case and disease management and improved integration of healthcare services in Spain. 2008 SESPAS Report].

    PubMed

    Gérvas, Juan

    2008-04-01

    The boundaries between health services levels are artificial as they are answers to health organizations' problems rather than to patients' needs. However, given that these boundaries are in place, coordination between these levels should overcome the difficulties so that patients receive the services they require. Case management (patients in specific situations, such as hospital discharge) and disease management (patients with specific diseases, such as diabetes) aim to solve problems of coordination either by improving the organization of health services or by adding a new structure to the already existing structure. These forms of management are highly attractive answers to coordination problems but have no scientific basis nor is there any empirical evidence of a positive impact on patients' health or the cost of services. Case and disease management programs are vertical structures that weaken the horizontal structure in Spain, i.e. primary care. The need for case and disease management programs is an argument to push for a pro-coordination reform of primary care that gives power, responsibility and autonomy to general practitioners, so that they would be able to coordinate clinical and social services according to patients' needs.

  13. Evaluating community efforts to decategorize and integrate financing of children's health services.

    PubMed

    Newacheck, P W; Halfon, N; Brindis, C D; Hughes, D C

    1998-01-01

    Publicly funded categorical programs for children often differ in eligibility rules, allowable services, and criteria for provider participation, making it necessary for families to navigate through several programs to piece together care for their children. Recognizing these problems, the Robert Wood Johnson Foundation launched a national demonstration project in 1991 with the goal of decategorizing children's health services in nine communities. It was hoped that by releasing funds from categorical restrictions on their use, scarce public resources could be directed where they might have the greatest impact. However, the demonstration sites confronted a number of challenges in designing and implementing decategorization strategies: an absence of existing models and effective technical assistance; political hurdles in gaining cooperation from the multiple local agencies engaged in service provision; and difficulties in carrying out major programmatic changes when the health care system itself was rapidly being transformed. The proposition that decategorization holds promise as a tool for improving access to health care deserves further investigation.

  14. Extended applications with smart cards for integration of health care and health insurance services.

    PubMed

    Sucholotiuc, M; Stefan, L; Dobre, I; Teseleanu, M

    2000-01-01

    In 1999 in Romania has initiated the reformation of the national health care system based on health insurance. In 1998 we analyzed this system from the point of view of its IT support and we studied methods of optimisation with relational, distributed databases and new technologies such as Our objectives were to make a model of the information and services flow in a modern health insurance system, to study the smart card technology and to demonstrate how smart card can improve health care services. The paper presents only the smart cards implementations.

  15. Trends in domestic violence service and leadership: implications for an integrated shelter model.

    PubMed

    Panzer, P G; Philip, M B; Hayward, R A

    2000-05-01

    Domestic violence is a dangerous and prevalent social problem affecting up to 4 million women and countless children annually. Shelters offer safety and an opportunity for change during the crisis of family violence. These individuals also have the potential for retraumatization if leadership within the program recapitulates the abuse and coercion felt at home. This article reviews three related trends through the lens of power and control--domestic violence policy and service, models of leadership, and the study of traumatic stress disorders and recovery--and describes their implications for modern shelter service delivery.

  16. Development and effectiveness of an integrated inpatient and community service for challenging behaviour in late life: From Confused and Disturbed Elderly to Transitional Behavioural Assessment and Intervention Service.

    PubMed

    Anderson, Katrina; Bird, Michael; Blair, Annaliese; MacPherson, Sarah

    2014-11-26

    A common method of managing challenging behaviour associated with dementia is long-stay special care units, though models are very diverse. In New South Wales, Australia, the five remaining state-run long-stay special care units for this population were funded to adopt a shorter-term model which had been trialled by one of the units. Transitional Behavioural Assessment and Intervention Service Units, incorporating an integrated outreach team, were to provide multi-disciplinary assessments, develop individualised bio-psychosocial management plans for, and appropriately discharge people with significant levels of Behavioural and Psychological Symptoms in Dementia. The current study assessed both the effects of the change and the clinical effectiveness of the model.

  17. Applications and Methods Utilizing the Simple Semantic Web Architecture and Protocol (SSWAP) for Bioinformatics Resource Discovery and Disparate Data and Service Integration

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Scientific data integration and computational service discovery are challenges for the bioinformatic community. This process is made more difficult by the separate and independent construction of biological databases, which makes the exchange of scientific data between information resources difficu...

  18. Chaplains' Engagement with Suicidality among Their Service Users: Findings from the VA/DoD Integrated Mental Health Strategy.

    PubMed

    Kopacz, Marek S; Nieuwsma, Jason A; Jackson, George L; Rhodes, Jeffrey E; Cantrell, William C; Bates, Mark J; Meador, Keith G

    2016-04-01

    Chaplains play an important role in supporting the mental health of current and former military personnel; in this study, the engagement of Department of Veterans Affairs (VA), Army, Navy, and Air Force chaplains with suicidality among their service users were examined. An online survey was used to collect data from 440 VA and 1,723 Department of Defense (DoD) chaplains as part of the VA/DoD Integrated Mental Health Strategy. Differences were noted for demographics, work setting characteristics, encountering suicidality, and self-perceived preparation for dealing with suicidality. Compared to DoD chaplains, VA chaplains encounter more at-risk service users, yet feel less prepared for dealing with suicidality. PMID:26255592

  19. The Affordable Care Act and integrated behavioral health programs in community health centers to promote utilization of mental health services among Asian Americans.

    PubMed

    Huang, Susan; Fong, Susana; Duong, Thomas; Quach, Thu

    2016-06-01

    The Affordable Care Act has greatly expanded health care coverage and recognizes mental health as a major priority. However, individuals suffering from mental health disorders still face layered barriers to receiving health care, especially Asian Americans. Integration of behavioral health services within primary care is a viable way of addressing underutilization of mental health services. This paper provides insight into a comprehensive care approach integrating behavioral health services into primary care to address underutilization of mental health services in the Asian American population. True integration of behavioral health services into primary care will require financial support and payment reform to address multi-disciplinary care needs and optimize care coordination, as well as training and workforce development early in medical and mental health training programs to develop the skills that aid prevention, early identification, and intervention. Funding research on evidence-based practice oriented to the Asian American population needs to continue. PMID:27188196

  20. Integrating traditional indigenous medicine and western biomedicine into health systems: a review of Nicaraguan health policies and miskitu health services.

    PubMed

    Carrie, Heather; Mackey, Tim K; Laird, Sloane N

    2015-01-01

    Throughout the world, indigenous peoples have advocated for the right to retain their cultural beliefs and traditional medicine practices. In 2007, the more than 370 million people representing 5000 distinct groups throughout the world received global recognition with the adoption of the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP). UNDRIP Article 24 affirms the rights of indigenous peoples to their traditional medicines and health practices, and to all social and health services. Although not a legally binding agreement, UNDRIP encourages nation states to comply and implement measures to support and uphold its provisions. Within the context of indigenous health and human rights, Nicaragua serves as a unique case study for examining implementation of UNDRIP Article 24 provisions due to the changes in the Nicaraguan Constitution that strive for the overarching goal of affirming an equal right to health for all Nicaraguans and supporting the integration of traditional medicine and biomedicine at a national and regional level. To explore this subject further, we conducted a review of the policy impact of UNDRIP on health services accessible to the Miskitu indigenous peoples of the North Atlantic Autonomous Region (RAAN). We found that although measures to create therapeutic cooperation are woven into Nicaraguan health plans at the national and regional level, in practice, the delivery of integrated health services has been implemented with varying results. Our review suggests that the method of policy implementation and efforts to foster intercultural collaborative approaches involving respectful community engagement are important factors when attempting to assess the effectiveness of UNDRIP implementation into national health policy and promoting traditional medicine access. In response, more study and close monitoring of legislation that acts to implement or align with UNDRIP Article 24 is necessary to ensure adequate promotion and access

  1. A Cloud-enabled Service-oriented Spatial Web Portal for Facilitating Arctic Data Discovery, Integration, and Utilization

    NASA Astrophysics Data System (ADS)

    dias, S. B.; Yang, C.; Li, Z.; XIA, J.; Liu, K.; Gui, Z.; Li, W.

    2013-12-01

    Global climate change has become one of the biggest concerns for human kind in the 21st century due to its broad impacts on society and ecosystems across the world. Arctic has been observed as one of the most vulnerable regions to the climate change. In order to understand the impacts of climate change on the natural environment, ecosystems, biodiversity and others in the Arctic region, and thus to better support the planning and decision making process, cross-disciplinary researches are required to monitor and analyze changes of Arctic regions such as water, sea level, biodiversity and so on. Conducting such research demands the efficient utilization of various geospatially referenced data, web services and information related to Arctic region. In this paper, we propose a cloud-enabled and service-oriented Spatial Web Portal (SWP) to support the discovery, integration and utilization of Arctic related geospatial resources, serving as a building block of polar CI. This SWP leverages the following techniques: 1) a hybrid searching mechanism combining centralized local search, distributed catalogue search and specialized Internet search for effectively discovering Arctic data and web services from multiple sources; 2) a service-oriented quality-enabled framework for seamless integration and utilization of various geospatial resources; and 3) a cloud-enabled parallel spatial index building approach to facilitate near-real time resource indexing and searching. A proof-of-concept prototype is developed to demonstrate the feasibility of the proposed SWP, using an example of analyzing the Arctic snow cover change over the past 50 years.

  2. Integrating traditional indigenous medicine and western biomedicine into health systems: a review of Nicaraguan health policies and miskitu health services.

    PubMed

    Carrie, Heather; Mackey, Tim K; Laird, Sloane N

    2015-11-30

    Throughout the world, indigenous peoples have advocated for the right to retain their cultural beliefs and traditional medicine practices. In 2007, the more than 370 million people representing 5000 distinct groups throughout the world received global recognition with the adoption of the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP). UNDRIP Article 24 affirms the rights of indigenous peoples to their traditional medicines and health practices, and to all social and health services. Although not a legally binding agreement, UNDRIP encourages nation states to comply and implement measures to support and uphold its provisions. Within the context of indigenous health and human rights, Nicaragua serves as a unique case study for examining implementation of UNDRIP Article 24 provisions due to the changes in the Nicaraguan Constitution that strive for the overarching goal of affirming an equal right to health for all Nicaraguans and supporting the integration of traditional medicine and biomedicine at a national and regional level. To explore this subject further, we conducted a review of the policy impact of UNDRIP on health services accessible to the Miskitu indigenous peoples of the North Atlantic Autonomous Region (RAAN). We found that although measures to create therapeutic cooperation are woven into Nicaraguan health plans at the national and regional level, in practice, the delivery of integrated health services has been implemented with varying results. Our review suggests that the method of policy implementation and efforts to foster intercultural collaborative approaches involving respectful community engagement are important factors when attempting to assess the effectiveness of UNDRIP implementation into national health policy and promoting traditional medicine access. In response, more study and close monitoring of legislation that acts to implement or align with UNDRIP Article 24 is necessary to ensure adequate promotion and access

  3. The Personal Emergency Response System as a Technology Innovation in Primary Health Care Services: An Integrative Review

    PubMed Central

    2016-01-01

    Background Most western countries are experiencing greater pressure on community care services due to increased life expectancy and changes in policy toward prioritizing independent living. This has led to a demand for change and innovation in caring practices with an expected increased use of technology. Despite numerous attempts, it has proven surprisingly difficult to implement and adopt technological innovations. The main established technological innovation in home care services for older people is the personal emergency response system (PERS), which is widely adopted and used throughout most western countries aiming to support “aging safely in place.” Objective This integrative review examines how research literature describes use of the PERS focusing on the users’ perspective, thus exploring how different actors experience the technology in use and how it affects the complex interactions between multiple actors in caring practices. Methods The review presents an overview of the body of research on this well-established telecare solution, indicating what is important for different actors in regard to accepting and using this technology in community care services. An integrative review, recognized by a systematic search in major databases followed by a review process, was conducted. Results The search resulted in 33 included studies describing different actors’ experiences with the PERS in use. The overall focus was on the end users’ experiences and the consequences of having and using the alarm, and how the technology changes caring practices and interactions between the actors. Conclusions The PERS contributes to safety and independent living for users of the alarm, but there are also unforeseen consequences and possible improvements in the device and the integrated service. This rather simple and well-established telecare technology in use interacts with the actors involved, creating changes in daily living and even affecting their identities

  4. Experiential Service-Based Learning: An Integrated HIV/AIDS Education Model for College Campuses.

    ERIC Educational Resources Information Center

    Porter, Judith R.; Schwartz, Lisa B.

    1993-01-01

    Reports on a approach to teaching the sociology of acquired immune deficiency syndrome (AIDS) by combining coursework with weekly volunteer work in an AIDS agency. Concludes with a discussion of the benefits of experiential learning and five guidelines for establishing similar community service programs. (CFR)

  5. Integrating Marketing and Environmental Studies through an Interdisciplinary, Experiential, Service-Learning Approach

    ERIC Educational Resources Information Center

    Wiese, Nila M.; Sherman, Daniel J.

    2011-01-01

    This article describes and evaluates an interdisciplinary, experiential service-learning project that combined environmental studies and marketing courses at a liberal arts college over a 2-year period. The inherent tensions between these two disciplines regarding issues of environmental protection and conservation make this project's contribution…

  6. Pedagogical Applications of Smartphone Integration in Teaching: Lecturers, Pre-Service Teachers and Pupils' Perspectives

    ERIC Educational Resources Information Center

    Seifert, Tami

    2015-01-01

    As the disparity between educational standards and reality outside educational institutions is increasing, alternative learning infrastructure are challenging traditional modes of teaching. This study was based on an experiment with middle school pupils, pre-service teachers and college lecturers. The aim of this study was to examine the extent to…

  7. A Caribbean Pre-Service Mathematics Teacher's Impetus to Integrate Computer Technology in His Practice

    ERIC Educational Resources Information Center

    Clarke, Pier Junor

    2009-01-01

    This article presents a case study of one pre-service secondary school mathematics (PSSM) teacher taken from a larger study within an English-speaking Caribbean context. The major goal of the larger study was to investigate the experiences and perceptions of the PSSM teachers as they explored the graphing calculator and mathematics software in…

  8. Integrated or Isolated Experiences? Considering the Role of Service-Learning in the Spanish Language Curriculum

    ERIC Educational Resources Information Center

    Barreneche, Gabriel Ignacio; Ramos-Flores, Hector

    2013-01-01

    The principal aim of this project is to examine whether academic service-learning deserves a more intentional place in foreign language programs, given its success on the individual course level. The focus will be on Spanish language programs, since they teach the most commonly learned foreign language in the United States and have proven to be on…

  9. Toward Integration of Reading and Service Learning through an Interdisciplinary Program

    ERIC Educational Resources Information Center

    Ho, Shun-yee; Lee, Vivien Man-wai

    2012-01-01

    This study examined the effect of an interdisciplinary program of reading and service learning on the cognitive and affective development of university students in Hong Kong. As Nussbaum (1997) stated, literature plays a vital role in educating citizens of the world through its narrative imagination and its power of promoting understanding and…

  10. A Qualitative Study of Facilitators and Barriers Related to Comprehensive and Integrated School Psychological Services

    ERIC Educational Resources Information Center

    Castillo, Jose M.; Wolgemuth, Jennifer R.; Barclay, Chris; Mattison, Amira; Tan, Sim Yin; Sabnis, Sujay; Brundage, Amber; Marshall, Leslie

    2016-01-01

    Recent studies indicate that the majority of school psychologists' time continues to be dedicated to SPED related activities. Despite ongoing calls for school psychologists to expand their roles, why many practitioners do not deliver more comprehensive services is not well understood. This qualitative study investigated facilitators of and…

  11. Promoting Transfer and an Integrated Understanding for Pre-Service Teachers of Technology Education

    ERIC Educational Resources Information Center

    Morrison-Love, David

    2014-01-01

    The ability of pre-service teachers (PSTs) to transfer learning between subjects and contexts when problem solving is critical for developing their capability as technologists and teachers of technology. However, a growing body of literature suggests this ability is often assumed or over-estimated, and rarely developed explicitly within courses or…

  12. Developing Pre-Service English Teachers' Competencies for Integration of Technology in Language Classrooms in Kazakhstan

    ERIC Educational Resources Information Center

    Egorov, Victor V.; Jantassova, Damira D.; Churchill, Natalia

    2007-01-01

    This article discusses the implementation of the "Information and Communication Technologies in Foreign Language Teaching and Learning" course conducted as a component of the pre-service English language teacher training program in the Buketov Karaganda State University, Kazakhstan. The course was introduced in 2003. The central objective of the…

  13. Frequency and Course of Psychological Distress in Patients Attending an Integrated Primary Care Service

    ERIC Educational Resources Information Center

    Winefield, Helen R.; Turnbull, Deborah A.; Taplin, John E.

    2005-01-01

    The extent and course of psychological distress were examined in a representative sample of patients attending a primary health care practice in metropolitan Adelaide where general practitioner (GP) and clinical psychologist services are co-located. Scores for psychological distress were similar to national norms. Approximately one in six patients…

  14. The impact of a service learning experience to enhance curricular integration in a physical therapist education program.

    PubMed

    Gazsi, Claudia C; Oriel, Kathryn N

    2010-01-01

    A goal when designing the Physical Therapy Program at Lebanon Valley College (LVC) was to maximize vertical and horizontal integration of course content related to (a) medical Spanish, (b) geriatrics, and (c) health promotion through a service learning engagement. Seventeen Doctor of Physical Therapy students from LVC participated in a fall risk screening at a local senior center in a Spanish-speaking neighborhood. The screen included the single leg stance, timed-up-and-go (TUG), and functional reach tests. The students screened 30 participants over a 3-hour time period. Following the screening event, students were asked to reflect on their experience. Reflections revealed that the activity supported integration of concurrent didactic course material and Core Values, reinforced cultural issues presented the previous year, and convinced students that physical therapists have a distinct and important role in primary and secondary prevention in meeting the needs of the Spanish-speaking elderly community.

  15. PathJam: a new service for integrating biological pathway information.

    PubMed

    Glez-Peña, Daniel; Reboiro-Jato, Miguel; Domínguez, Rubén; Gómez-López, Gonzalo; Pisano, David G; Fdez-Riverola, Florentino

    2010-10-28

    Biological pathways are crucial to much of the scientific research today including the study of specific biological processes related with human diseases. PathJam is a new comprehensive and freely accessible web-server application integrating scattered human pathway annotation from several public sources. The tool has been designed for both (i) being intuitive for wet-lab users providing statistical enrichment analysis of pathway annotations and (ii) giving support to the development of new integrative pathway applications. PathJam’s unique features and advantages include interactive graphs linking pathways and genes of interest, downloadable results in fully compatible formats, GSEA compatible output files and a standardized RESTful API.

  16. Simplifying electronic data capture in clinical trials: workflow embedded image and biosignal file integration and analysis via web services.

    PubMed

    Haak, Daniel; Samsel, Christian; Gehlen, Johan; Jonas, Stephan; Deserno, Thomas M

    2014-10-01

    To improve data quality and save cost, clinical trials are nowadays performed using electronic data capture systems (EDCS) providing electronic case report forms (eCRF) instead of paper-based CRFs. However, such EDCS are insufficiently integrated into the medical workflow and lack in interfacing with other study-related systems. In addition, most EDCS are unable to handle image and biosignal data, although electrocardiography (EGC, as example for one-dimensional (1D) data), ultrasound (2D data), or magnetic resonance imaging (3D data) have been established as surrogate endpoints in clinical trials. In this paper, an integrated workflow based on OpenClinica, one of the world's largest EDCS, is presented. Our approach consists of three components for (i) sharing of study metadata, (ii) integration of large volume data into eCRFs, and (iii) automatic image and biosignal analysis. In all components, metadata is transferred between systems using web services and JavaScript, and binary large objects (BLOBs) are sent via the secure file transfer protocol and hypertext transfer protocol. We applied the close-looped workflow in a multicenter study, where long term (7 days/24 h) Holter ECG monitoring is acquired on subjects with diabetes. Study metadata is automatically transferred into OpenClinica, the 4 GB BLOBs are seamlessly integrated into the eCRF, automatically processed, and the results of signal analysis are written back into the eCRF immediately.

  17. Simplifying electronic data capture in clinical trials: workflow embedded image and biosignal file integration and analysis via web services.

    PubMed

    Haak, Daniel; Samsel, Christian; Gehlen, Johan; Jonas, Stephan; Deserno, Thomas M

    2014-10-01

    To improve data quality and save cost, clinical trials are nowadays performed using electronic data capture systems (EDCS) providing electronic case report forms (eCRF) instead of paper-based CRFs. However, such EDCS are insufficiently integrated into the medical workflow and lack in interfacing with other study-related systems. In addition, most EDCS are unable to handle image and biosignal data, although electrocardiography (EGC, as example for one-dimensional (1D) data), ultrasound (2D data), or magnetic resonance imaging (3D data) have been established as surrogate endpoints in clinical trials. In this paper, an integrated workflow based on OpenClinica, one of the world's largest EDCS, is presented. Our approach consists of three components for (i) sharing of study metadata, (ii) integration of large volume data into eCRFs, and (iii) automatic image and biosignal analysis. In all components, metadata is transferred between systems using web services and JavaScript, and binary large objects (BLOBs) are sent via the secure file transfer protocol and hypertext transfer protocol. We applied the close-looped workflow in a multicenter study, where long term (7 days/24 h) Holter ECG monitoring is acquired on subjects with diabetes. Study metadata is automatically transferred into OpenClinica, the 4 GB BLOBs are seamlessly integrated into the eCRF, automatically processed, and the results of signal analysis are written back into the eCRF immediately. PMID:24802371

  18. Portraits of Pre-Service Classroom Teachers: Exploring Intentions to Integrate Music through the Lens of the Theory of Planned Behavior

    ERIC Educational Resources Information Center

    Harney, Kristin

    2014-01-01

    The primary purpose of this short-term study was to examine pre-service classroom teachers' intentions to integrate music in their future classrooms. Using the theory of planned behavior (Fishbein & Ajzen, 2010) as a framework, and embedded, multiple-case study design, I developed case studies of six pre-service classroom teachers enrolled in…

  19. The ECE Pre-Service Teachers' Perception on Factors Affecting the Integration of Educational Computer Games in Two Conditions: Selecting versus Redesigning

    ERIC Educational Resources Information Center

    Sancar Tokmak, Hatice; Ozgelen, Sinan

    2013-01-01

    This case study aimed to examine early childhood education (ECE) pre-service teachers' perception on the factors affecting integration of educational computer games to their instruction in two areas: selecting and redesigning. Twenty-six ECE pre-service teachers participated in the study. The data was collected through open-ended…

  20. The Integration of Education and Social Services in Rural, Small Schools. Rural, Small Schools Network Information Exchange: Number 17, Fall 1994.

    ERIC Educational Resources Information Center

    Regional Laboratory for Educational Improvement of the Northeast & Islands, Andover, MA.

    This packet includes reprints of journal articles, reports from social service agencies, government agencies, and consulting and educational organizations currently implementing or evaluating interagency collaboration in small, rural schools. The five sections of the packet explain integrated services and the impact on rural schools; issues…

  1. Integrated Services Executive Summary [and] Review. Yellowhead School Division No. 12.

    ERIC Educational Resources Information Center

    Alberta Dept. of Education, Edmonton. Education Response Centre.

    This report documents an evaluation study of the Yellowstone (Alberta) school district's program of full integration of students with disabilities (from 1986-1991). The executive summary highlights the historical context, the implementation process, and program outcomes and impacts. The study's limitations are listed and recommendations are made…

  2. In the Service of Others: How Volunteering Is Integral to the Tribal College Experience

    ERIC Educational Resources Information Center

    Talahongva, Patty

    2016-01-01

    Today, the spirit of volunteering is very much alive at every tribal college and university (TCU). From fundraisers for food pantries to educational activities that help fellow students, TCUs help forge reciprocity among students and staff. Volunteerism is integral to the tribal college experience. Volunteerism at three tribal colleges--Cankdeska…

  3. Assessing Pre-Service Teacher Attitudes and Skills with the Technology Integration Confidence Scale

    ERIC Educational Resources Information Center

    Browne, Jeremy

    2009-01-01

    As technology integration continues to gain importance, preservice teachers must develop higher levels of confidence and proficiency in using technology in their classrooms (Kay, 2006). The acceptance of the National Educational Technology Standards for Teachers (NETS-T) by National Council for Accreditation of Teacher Education (NCATE) has…

  4. Integrating Aboriginal Perspectives in Education: Perceptions of Pre-Service Teachers

    ERIC Educational Resources Information Center

    Deer, Frank

    2013-01-01

    This study explored teacher candidates' perceptions of the potentialities and challenges associated with the integration of Aboriginal perspectives into mainstream education. Participants in this study were 2nd-year teacher candidates of a two-year teacher education programme who have completed a course on Aboriginal education. Using a…

  5. Will They Know Enough?: Pre-Service Primary Teachers' Knowledge Base for Teaching Integrated Social Sciences

    ERIC Educational Resources Information Center

    Tambyah, Mallihai

    2008-01-01

    A significant issue in primary teacher education is developing a knowledge base which prepares teachers to teach in a range of subject areas. In Australia, the problem in primary social science education is compounded by the integrated nature of the key learning area of Studies of Society and Environment (SOSE). Recent debates on teaching…

  6. Critical insights for a sustainability framework to address integrated community water services: Technical metrics and approaches

    EPA Science Inventory

    Planning for sustainable community water systems requires a comprehensive understanding and assessment of the integrated source-drinking-wastewater systems over their life-cycles. Although traditional life cycle assessment and similar tools (e.g. footprints and emergy) have been ...

  7. The Use of Sensory Integration Therapy by Intervention Service Providers in Malaysia

    ERIC Educational Resources Information Center

    Leong, Han Ming; Stephenson, Jennifer; Carter, Mark

    2011-01-01

    Sensory integration (SI) therapy is a controversial intervention used in intervention for children with disabilities that is popular in the United States. Little is known about the use of SI therapy for children with disabilities in educational centres in developing nations such as Malaysia. Supervisors and teachers from seven educational…

  8. Assessment of Creativity in Arts and STEM Integrated Pedagogy by Pre-Service Elementary Teachers

    ERIC Educational Resources Information Center

    Tillman, Daniel A.; An, Song A.; Boren, Rachel L.

    2015-01-01

    In education, mathematics and science are often taught in a manner that lacks opportunities for students to engage in creativity, and the arts are allotted less time with fewer resources. This study focused on integrating STEM (science, technology, engineering, and mathematics) lessons with arts-themed activities to create interdisciplinary STEAM…

  9. Chemical Transformation System: Cloud Based Cheminformatic Services to Support Integrated Environmental Modeling

    EPA Science Inventory

    Integrated Environmental Modeling (IEM) systems that account for the fate/transport of organics frequently require physicochemical properties as well as transformation products. A myriad of chemical property databases exist but these can be difficult to access and often do not co...

  10. ECOSYSTEM SERVICES AND BEYOND: INTEGRATION OF ECOSYSTEM SCIENCE AND MULTIMEDIA EXPOSURE MODELING FOR ENVIRONMENTAL PROTECTION

    EPA Science Inventory

    Decision-making for ecosystem protection and resource management requires an integrative science and technology applied with a sufficiently comprehensive systems approach. Single media (e.g., air, soil and water) approaches that evaluate aspects of an ecosystem in a stressor-by-...

  11. Online Collaborative Mentoring for Technology Integration in Pre-Service Teacher Education

    ERIC Educational Resources Information Center

    Dorner, Helga; Kumar, Swapna

    2016-01-01

    The Mentored Innovation Model is an online collaborative mentoring model developed in Hungary to help teachers integrate technology in their classrooms in meaningful ways. It combines an online modular approach of formal pedagogical ICT training with an informal online community experience of sharing, developing and critiquing of shared learning…

  12. The Protected Addiction: Exploring Staff Beliefs toward Integrating Tobacco Dependence into Substance Abuse Treatment Services

    ERIC Educational Resources Information Center

    Teater, Barbra; Hammond, Gretchen Clark

    2009-01-01

    Survey research was used to explore the beliefs of 963 staff members regarding the myths to treating tobacco dependence and the integration of tobacco dependence into substance abuse treatment programs. The staff represented a mixture of residential, outpatient, and prevention-based gender-specific (women only) treatment centers throughout Ohio.…

  13. Integrating Theory and Practice in the Pre-Service Teacher Education Practicum

    ERIC Educational Resources Information Center

    Allen, Jeanne Maree; Wright, Suzie Elizabeth

    2014-01-01

    This article reports on a study into student teachers' perceptions about their professional development during practicum. Framed within a symbolic interactionist perspective, the study examined to what extent, and how effectively, one group of student teachers was able to integrate theory and practice during a three-week practicum in the…

  14. Phenotypic and genotypic data integration and exploration through a web-service architecture

    PubMed Central

    Nuzzo, Angelo; Riva, Alberto; Bellazzi, Riccardo

    2009-01-01

    Background Linking genotypic and phenotypic information is one of the greatest challenges of current genetics research. The definition of an Information Technology infrastructure to support this kind of studies, and in particular studies aimed at the analysis of complex traits, which require the definition of multifaceted phenotypes and the integration genotypic information to discover the most prevalent diseases, is a paradigmatic goal of Biomedical Informatics. This paper describes the use of Information Technology methods and tools to develop a system for the management, inspection and integration of phenotypic and genotypic data. Results We present the design and architecture of the Phenotype Miner, a software system able to flexibly manage phenotypic information, and its extended functionalities to retrieve genotype information from external repositories and to relate it to phenotypic data. For this purpose we developed a module to allow customized data upload by the user and a SOAP-based communications layer to retrieve data from existing biomedical knowledge management tools. In this paper we also demonstrate the system functionality by an example application of the system in which we analyze two related genomic datasets. Conclusion In this paper we show how a comprehensive, integrated and automated workbench for genotype and phenotype integration can facilitate and improve the hypothesis generation process underlying modern genetic studies. PMID:19828081

  15. Dimensional Integration of Assessment Outcomes with Intervention Services for Children with Specific Learning Disabilities

    ERIC Educational Resources Information Center

    Decker, Scott

    2012-01-01

    This article reviews critical issues with integrating different procedures for identifying children with specific learning disabilities permitted in the federal regulations of the 2004 Individual With Disabilities Education Act 2004. Theoretical differences between behavioral approaches that focus on recording behavioral responses based on…

  16. Integrating Learning Services in the Cloud: An Approach That Benefits Both Systems and Learning

    ERIC Educational Resources Information Center

    Gutiérrez-Carreón, Gustavo; Daradoumis, Thanasis; Jorba, Josep

    2015-01-01

    Currently there is an increasing trend to implement functionalities that allow for the development of applications based on Cloud computing. In education there are high expectations for Learning Management Systems since they can be powerful tools to foster more effective collaboration within a virtual classroom. Tools can also be integrated with…

  17. Patterns of movement for youth within an integrated continuum of residential services

    PubMed Central

    Huefner, Jonathan C.; James, Sigrid; Ringle, Jay; Thompson, Ronald W.; Daly, Daniel L.

    2013-01-01

    This study examined patterns of movement for youth receiving services within a continuum of intensive and restrictive residentially-based programs. Data were collected for 701 completed episodes of care within a three-program residential continuum of care over a 5 year period, and examined time within program, movement between programs, in-program disruptive behavior, and discharge status. Results showed that most youth either remained in a stable placement in the least restrictive of the programs, or followed a pattern of placements that systematically moved them from more restrictive to less restrictive settings. Of note, transitions from more restrictive to less restrictive programs correspond to deescalating levels of problem behavior; and over 80% of the youth were stepped down to either family-based or independent living situations at the time of departure. Findings support the notion that a continuum of intensive residential services can serve the needs of youth with significant emotional and behavioral needs. PMID:24273361

  18. Integrating ecosystem services into risk management decisions: case study with Spanish citrus and the insecticide chlorpyrifos.

    PubMed

    Deacon, Samantha; Norman, Steve; Nicolette, Joseph; Reub, Gregory; Greene, Gretchen; Osborn, Rachel; Andrews, Paul

    2015-02-01

    The European regulatory system for the approval of pesticides includes a thorough evaluation of risks to the environment and is designed to be protective of ecosystems. However, a decision to ban an agrochemical could also potentially have a negative impact on the value of ecosystem services, if resulting changes in crop management are damaging to ecosystems or result in negative socio-economic impacts. To support regulatory decision-making, consideration of ecosystem services to identify best environmental management options could be a way forward. There is generally a growing trend for the consideration of ecosystem services in decision making. Ecosystems provide the conditions for growing food, regulate water and provide wildlife habitats; these, amongst others, are known as ecosystem services. The objectives of this case study were to bring a holistic approach to decision making by valuing the environmental, social and economic benefits derived from the use of chlorpyrifos in Valencian citrus production. Spanish growers harvest between 5 and 6 milliont of citrus annually, worth an estimated €5 to 7 billion in food markets throughout Europe. The approach highlighted the potential for unintended negative consequences of regulatory decisions if the full context is not considered. In this study, rather than a regulatory restriction, the best option was the continued use of chlorpyrifos together with vegetated conservation patches as refuges for non-target insects. The conservation patches offset potential insecticidal impacts to insects whilst maintaining citrus production, farm income and the amenity value of the citrus landscape of Valencia. This was an initial proof-of-concept study and illustrates the importance of a wider perspective; other cases may have different outcomes depending on policies, the pesticide, crop scenarios, farm economics and the region.

  19. Real-Time Monitoring System Using Unmanned Aerial Vehicle Integrated with Sensor Observation Service

    NASA Astrophysics Data System (ADS)

    Witayangkurn, A.; Nagai, M.; Honda, K.; Dailey, M.; Shibasaki, R.

    2011-09-01

    The Unmanned Aerial Vehicle (UAV) is an emerging technology being adapted for a wide range of applications. Real-time monitoring is essential to enhance the effectiveness of UAV applications. Sensor networks are networks constructed from various sensor nodes. International standard such as OGC's SOS (Sensor Observation Service) makes it possible to share sensor data with other systems as well as to provide accessibility to globally distributed users. In this paper, we propose a system combining UAV technology and sensor network technology to use an UAV as a mobile node of sensor network so that the sensor data from UAV is published and shared real-time. A UAV can extend the observation range of a sensor network to remote areas where it is usually difficult to access such as disaster area. We constructed a UAV system using remote-controlled helicopter and various sensors such as GPS, gyrocompass, laser range finder, Digital camera and Thermometer. Furthermore, we extended the Sensor Observation Service (SOS) and Sensor Service Grid (SSG) to support mobile sensor nodes. Then, we conducted experiments of flying the helicopter over an area of the interest. During the flight, the system measured environmental data using its sensors and captured images of the ground. The data was sent to a SOS node as the ground station via Wi-Fi which was published using SSG to give real- time access to globally distributed users.

  20. Evolution, current structure, and role of a primary care clinical pharmacy service in an integrated managed care organization.

    PubMed

    Heilmann, Rachel M F; Campbell, Stephanie M; Kroner, Beverly A; Proksel, Jenel R; Billups, Sarah J; Witt, Daniel M; Helling, Dennis K

    2013-01-01

    The impact of the declining number of primary care physicians is exacerbated by a growing elderly population in need of chronic disease management. Primary care clinical pharmacy specialists, with their unique knowledge and skill set, are well suited to address this gap. At Kaiser Permanente of Colorado (KPCO), primary care clinical pharmacy specialists have a long history of integration with medical practices and are located in close proximity to physicians, nurses, and other members of the health care team. Since 1992, Primary Care Clinical Pharmacy Services (PCCPS) has expanded from 4 to 30 full-time equivalents (FTEs) to provide services in all KPCO medical office buildings. With this growth in size, PCCPS has evolved to play a vital role in working with primary care medical teams to ensure that drug therapy is effective, safe, and affordable. In addition, PCCPS specialists provide ambulatory teaching sites for pharmacy students and pharmacy residents. There is approximately 1 specialist FTE for every 13,000 adult KPCO members and every 9 clinical FTEs of internal medicine and family medicine physicians. All clinical pharmacy specialists in the pharmacy department are required to have a PharmD degree, to complete postgraduate year 2 residencies, and, as a condition of employment, to become board certified in an applicable specialty. The evolution, current structure, and role of PCCPS at KPCO, including factors facilitating successful integration within the medical team, are highlighted. Patient and nonpatient care responsibilities are described.

  1. Integration of ecosystem services into the carbon footprint of milk of South German dairy farms.

    PubMed

    Robert Kiefer, Lukas; Menzel, Friederike; Bahrs, Enno

    2015-04-01

    Allocation of greenhouse gas emissions (GHG) in Life Cycle Assessments (LCA) is challenging especially when multi-functionality of dairy farms, which do not only produce milk but also meat is considered. Moreover, some farms fulfill a wide range of additional services for society such as management of renewable natural resources as well as preservation of biodiversity and cultural landscapes. Due to the increasing degradation of ecosystems many industrialized as well as developing countries designed payment systems for environmental services. This study examines different allocation methods of GHG for a comparatively large convenience sample of 113 dairy farms located in grassland-based areas of southern Germany. Results are carbon footprints of 1.99 kg CO2eq/kg of fat and protein corrected milk (FPCM) on average if "no allocation" for coupled products is performed. "Physical allocation" results in 1.53 kg CO2eq/kg FPCM and "conventional economic allocation" in 1.66 kg CO2eq/kg FPCM on average if emissions are apportioned between milk and meat. Economic allocation which includes ecosystem services for society based on the farm net income as a new aspect in this study results in a carbon footprint of 1.5 kg CO2eq/kg FPCM on average. System expansion that puts greater emphasis on coupled beef production accounts for a carbon footprint of 0.68 kg CO2eq/kg FPCM on average. Intense milk production systems with higher milk yields show better results based on "no allocation", "physical allocation" and "conventional economic allocation". By contrast, economic allocation, which takes into account ecosystem services favors extensive systems, especially in less favored areas. This shows that carbon footprints of dairy farms should not be examined one-dimensionally based on the amount of milk and meat that is produced on the farm. Rather, a broader perspective is necessary that takes into account the multi-functionality of dairy farms especially in countries where a wide

  2. Integration of ecosystem services into the carbon footprint of milk of South German dairy farms.

    PubMed

    Robert Kiefer, Lukas; Menzel, Friederike; Bahrs, Enno

    2015-04-01

    Allocation of greenhouse gas emissions (GHG) in Life Cycle Assessments (LCA) is challenging especially when multi-functionality of dairy farms, which do not only produce milk but also meat is considered. Moreover, some farms fulfill a wide range of additional services for society such as management of renewable natural resources as well as preservation of biodiversity and cultural landscapes. Due to the increasing degradation of ecosystems many industrialized as well as developing countries designed payment systems for environmental services. This study examines different allocation methods of GHG for a comparatively large convenience sample of 113 dairy farms located in grassland-based areas of southern Germany. Results are carbon footprints of 1.99 kg CO2eq/kg of fat and protein corrected milk (FPCM) on average if "no allocation" for coupled products is performed. "Physical allocation" results in 1.53 kg CO2eq/kg FPCM and "conventional economic allocation" in 1.66 kg CO2eq/kg FPCM on average if emissions are apportioned between milk and meat. Economic allocation which includes ecosystem services for society based on the farm net income as a new aspect in this study results in a carbon footprint of 1.5 kg CO2eq/kg FPCM on average. System expansion that puts greater emphasis on coupled beef production accounts for a carbon footprint of 0.68 kg CO2eq/kg FPCM on average. Intense milk production systems with higher milk yields show better results based on "no allocation", "physical allocation" and "conventional economic allocation". By contrast, economic allocation, which takes into account ecosystem services favors extensive systems, especially in less favored areas. This shows that carbon footprints of dairy farms should not be examined one-dimensionally based on the amount of milk and meat that is produced on the farm. Rather, a broader perspective is necessary that takes into account the multi-functionality of dairy farms especially in countries where a wide

  3. An integrative review and evidence-based conceptual model of the essential components of pre-service education

    PubMed Central

    2013-01-01

    Background With decreasing global resources, a pervasive critical shortage of skilled health workers, and a growing disease burden in many countries, the need to maximize the effectiveness and efficiency of pre-service education in low-and middle-income countries has never been greater. Methods We performed an integrative review of the literature to analyse factors contributing to quality pre-service education and created a conceptual model that shows the links between essential elements of quality pre-service education and desired outcomes. Results The literature contains a rich discussion of factors that contribute to quality pre-service education, including the following: (1) targeted recruitment of qualified students from rural and low-resource settings appears to be a particularly effective strategy for retaining students in vulnerable communities after graduation; (2) evidence supports a competency-based curriculum, but there is no clear evidence supporting specific curricular models such as problem-based learning; (3) the health workforce must be well prepared to address national health priorities; (4) the role of the preceptor and preceptors’ skills in clinical teaching, identifying student learning needs, assessing student learning, and prioritizing and time management are particularly important; (5) modern, Internet-enabled medical libraries, skills and simulation laboratories, and computer laboratories to support computer-aided instruction are elements of infrastructure meriting strong consideration; and (6) all students must receive sufficient clinical practice opportunities in high-quality clinical learning environments in order to graduate with the competencies required for effective practice. Few studies make a link between PSE and impact on the health system. Nevertheless, it is logical that the production of a trained and competent staff through high-quality pre-service education and continuing professional development activities is the

  4. The integrated web service and genome database for agricultural plants with biotechnology information

    PubMed Central

    Kim, ChangKug; Park, DongSuk; Seol, YoungJoo; Hahn, JangHo

    2011-01-01

    The National Agricultural Biotechnology Information Center (NABIC) constructed an agricultural biology-based infrastructure and developed a Web based relational database for agricultural plants with biotechnology information. The NABIC has concentrated on functional genomics of major agricultural plants, building an integrated biotechnology database for agro-biotech information that focuses on genomics of major agricultural resources. This genome database provides annotated genome information from 1,039,823 records mapped to rice, Arabidopsis, and Chinese cabbage. PMID:21887015

  5. Tuberculosis comorbidity with communicable and non-communicable diseases: integrating health services and control efforts.

    PubMed

    Marais, Ben J; Lönnroth, Knut; Lawn, Stephen D; Migliori, Giovanni Battista; Mwaba, Peter; Glaziou, Philippe; Bates, Matthew; Colagiuri, Ruth; Zijenah, Lynn; Swaminathan, Soumya; Memish, Ziad A; Pletschette, Michel; Hoelscher, Michael; Abubakar, Ibrahim; Hasan, Rumina; Zafar, Afia; Pantaleo, Guiseppe; Craig, Gill; Kim, Peter; Maeurer, Markus; Schito, Marco; Zumla, Alimuddin

    2013-05-01

    Recent data for the global burden of disease reflect major demographic and lifestyle changes, leading to a rise in non-communicable diseases. Most countries with high levels of tuberculosis face a large comorbidity burden from both non-communicable and communicable diseases. Traditional disease-specific approaches typically fail to recognise common features and potential synergies in integration of care, management, and control of non-communicable and communicable diseases. In resource-limited countries, the need to tackle a broader range of overlapping comorbid diseases is growing. Tuberculosis and HIV/AIDS persist as global emergencies. The lethal interaction between tuberculosis and HIV coinfection in adults, children, and pregnant women in sub-Saharan Africa exemplifies the need for well integrated approaches to disease management and control. Furthermore, links between diabetes mellitus, smoking, alcoholism, chronic lung diseases, cancer, immunosuppressive treatment, malnutrition, and tuberculosis are well recognised. Here, we focus on interactions, synergies, and challenges of integration of tuberculosis care with management strategies for non-communicable and communicable diseases without eroding the functionality of existing national programmes for tuberculosis. The need for sustained and increased funding for these initiatives is greater than ever and requires increased political and funder commitment.

  6. Towards Integrating Soil Quality Monitoring Targets as Measures of Soil Natural Capital Stocks with the Provision of Ecosystem Services

    NASA Astrophysics Data System (ADS)

    Taylor, M. D.; Mackay, A. D.; Dominati, E.; Hill, R. B.

    2012-04-01

    with appropriate targets tied to ecosystem services and changes in critical soil function. Such indicators would be used for specific purposes for limited periods, rather than long-term, continuous monitoring. Some examples will be presented. An important step needed to successfully initiate and complete the review was assigning national oversight. Reigniting scientific interest (which had declined with the cessation of funding in 2003) and documentation of the process were other important steps. We had to extend the recently developed ecosystem service approach to accommodate the catchment scale. This required additional attributes in the framework and recognition that some of the proxies will change with scale as will the techniques to value the services. The framework was originally developed for use at the farm scale. Macroporosity, one of the two indicators used to monitor the physical condition of the soil, was used to illustrate how the ecosystem service framework could be used to link a change in the physical condition of the soil with the provision of services. The sum of the dollar values of selected soil ecosystem services were used to inform the state of soil natural capital stocks. This estimate provides a new insight into the value of the soil quality indicators and existing target ranges. Doing so will enable targets to be more closely aligned and integrated with the provision of a range of ecosystem services, going far beyond food production.

  7. Feasibility and Preliminary Outcomes From a Pilot Study of an Integrated Health-Mental Health Promotion Program in School Mental Health Services

    PubMed Central

    George, Melissa W.; Trumpeter, Nevelyn N.; Wilson, Dawn K.; McDaniel, Heather L.; Schiele, Bryn; Prinz, Ron; Weist, Mark D.

    2014-01-01

    The prevalence of unmet health and mental health needs among youth has spurred the growing consensus to develop strategies that integrate services to promote overall well-being. This pilot study reports on the feasibility and outcomes of a theory-driven, family-focused, integrated health-mental health promotion program for underserved adolescents receiving school mental health services. Parent and adolescent assessments conducted prior to and following the brief, 6-session promotion program showed significant improvements in family support, youth self-efficacy, health behaviors, and mental health outcomes. Clinician reports contributed to a characterization of the feasibility, acceptability, and future recommendations for the integrated program. PMID:24297005

  8. NV Energy Solar Integration Study: Cycling and Movements of Conventional Generators for Balancing Services

    SciTech Connect

    Diao, Ruisheng; Lu, Shuai; Etingov, Pavel V.; Ma, Jian; Makarov, Yuri V.; Guo, Xinxin

    2011-07-01

    With an increasing penetration level of solar power in the southern Nevada system, the impact of solar on system operations needs to be carefully studied from various perspectives. Qualitatively, it is expected that the balancing requirements to compensate for solar power variability will be larger in magnitude; meanwhile, generators providing load following and regulation services will be moved up or down more frequently. One of the most important tasks is to quantitatively evaluate the cycling and movements of conventional generators with solar power at different penetration levels. This study is focused on developing effective methodologies for this goal and providing a basis for evaluating the wear and tear of the conventional generators

  9. An intrapreneurial approach to integrating information production services into an academic medical center library.

    PubMed Central

    Lemkau, H L; Burrows, S; Stolz, F

    1991-01-01

    The many challenges faced by health sciences libraries of all types and sizes often require innovative solutions. When an innovative solution involves calculated risk taking, the approach is called intrapreneurial. At the University of Miami School of Medicine, an intrapreneurial approach solved the fiscal problems of the biomedical communications unit. The Louis Calder Memorial Library inherited these problems when the Department of the Library and Biomedical Communications was created in the early 1980s. In this paper, two intrapreneurial programs are described, and the benefit and suitability of this management style to information services are demonstrated. PMID:1884080

  10. Design of a terminal solution for integration of in-home health care devices and services towards the Internet-of-Things

    NASA Astrophysics Data System (ADS)

    Pang, Zhibo; Zheng, Lirong; Tian, Junzhe; Kao-Walter, Sharon; Dubrova, Elena; Chen, Qiang

    2015-01-01

    In-home health care services based on the Internet-of-Things are promising to resolve the challenges caused by the ageing of population. But the existing research is rather scattered and shows lack of interoperability. In this article, a business-technology co-design methodology is proposed for cross-boundary integration of in-home health care devices and services. In this framework, three key elements of a solution (business model, device and service integration architecture and information system integration architecture) are organically integrated and aligned. In particular, a cooperative Health-IoT ecosystem is formulated, and information systems of all stakeholders are integrated in a cooperative health cloud as well as extended to patients' home through the in-home health care station (IHHS). Design principles of the IHHS includes the reuse of 3C platform, certification of the Health Extension, interoperability and extendibility, convenient and trusted software distribution, standardised and secured electrical health care record handling, effective service composition and efficient data fusion. These principles are applied to the design of an IHHS solution called iMedBox. Detailed device and service integration architecture and hardware and software architecture are presented and verified by an implemented prototype. The quantitative performance analysis and field trials have confirmed the feasibility of the proposed design methodology and solution.

  11. Semantic-JSON: a lightweight web service interface for Semantic Web contents integrating multiple life science databases.

    PubMed

    Kobayashi, Norio; Ishii, Manabu; Takahashi, Satoshi; Mochizuki, Yoshiki; Matsushima, Akihiro; Toyoda, Tetsuro

    2011-07-01

    Global cloud frameworks for bioinformatics research databases become huge and heterogeneous; solutions face various diametric challenges comprising cross-integration, retrieval, security and openness. To address this, as of March 2011 organizations including RIKEN published 192 mammalian, plant and protein life sciences databases having 8.2 million data records, integrated as Linked Open or Private Data (LOD/LPD) using SciNetS.org, the Scientists' Networking System. The huge quantity of linked data this database integration framework covers is based on the Semantic Web, where researchers collaborate by managing metadata across public and private databases in a secured data space. This outstripped the data query capacity of existing interface tools like SPARQL. Actual research also requires specialized tools for data analysis using raw original data. To solve these challenges, in December 2009 we developed the lightweight Semantic-JSON interface to access each fragment of linked and raw life sciences data securely under the control of programming languages popularly used by bioinformaticians such as Perl and Ruby. Researchers successfully used the interface across 28 million semantic relationships for biological applications including genome design, sequence processing, inference over phenotype databases, full-text search indexing and human-readable contents like ontology and LOD tree viewers. Semantic-JSON services of SciNetS.org are provided at http://semanticjson.org.

  12. Semantic-JSON: a lightweight web service interface for Semantic Web contents integrating multiple life science databases

    PubMed Central

    Kobayashi, Norio; Ishii, Manabu; Takahashi, Satoshi; Mochizuki, Yoshiki; Matsushima, Akihiro; Toyoda, Tetsuro

    2011-01-01

    Global cloud frameworks for bioinformatics research databases become huge and heterogeneous; solutions face various diametric challenges comprising cross-integration, retrieval, security and openness. To address this, as of March 2011 organizations including RIKEN published 192 mammalian, plant and protein life sciences databases having 8.2 million data records, integrated as Linked Open or Private Data (LOD/LPD) using SciNetS.org, the Scientists' Networking System. The huge quantity of linked data this database integration framework covers is based on the Semantic Web, where researchers collaborate by managing metadata across public and private databases in a secured data space. This outstripped the data query capacity of existing interface tools like SPARQL. Actual research also requires specialized tools for data analysis using raw original data. To solve these challenges, in December 2009 we developed the lightweight Semantic-JSON interface to access each fragment of linked and raw life sciences data securely under the control of programming languages popularly used by bioinformaticians such as Perl and Ruby. Researchers successfully used the interface across 28 million semantic relationships for biological applications including genome design, sequence processing, inference over phenotype databases, full-text search indexing and human-readable contents like ontology and LOD tree viewers. Semantic-JSON services of SciNetS.org are provided at http://semanticjson.org. PMID:21632604

  13. Offering integrated medical equipment management in an application service provider model.

    PubMed

    Cruz, Antonio Miguel; Barr, Cameron; Denis, Ernesto Rodríguez

    2007-01-01

    With the advancement of medical technology and thus the complexity of the equipment under their care, clinical engineering departments (CEDs) must continue to make use of computerized tools in the management of departmental activities. Authors of this paper designed, installed, and implemented an application service provider (ASP) model at the laboratory level to offer value added management tools in an online format to CEDs. The project, designed to investigate how to help meet demands across multiple healthcare organizations and provide a means of access for organizations that otherwise might not be able to take advantage of the benefits of those tools, has been well received. Ten hospitals have requested the service, and five of those are ready to proceed with the implementation of the ASP. With the proposed centralized system architecture, the model has shown promise in reducing network infrastructure labor and equipment costs, benchmarking of equipment performance indicators, and developing avenues for proper and timely problem reporting. The following is a detailed description of the design process from conception to implementation of the five main software modules and supporting system architecture.

  14. Implementation and Integration of Regional Health Care Data Networks in the Hellenic National Health Service

    PubMed Central

    Vidalis, Ioannis; Papanikolaou, Christos; Vagelatos, Aristides

    2002-01-01

    Background Modern health care is provided with close cooperation among many different institutions and professionals, using their specialized expertise in a common effort to deliver best-quality and, at the same time, cost-effective services. Within this context of the growing need for information exchange, the demand for realization of data networks interconnecting various health care institutions at a regional level, as well as a national level, has become a practical necessity. Objectives To present the technical solution that is under consideration for implementing and interconnecting regional health care data networks in the Hellenic National Health System. Methods The most critical requirements for deploying such a regional health care data network were identified as: fast implementation, security, quality of service, availability, performance, and technical support. Results The solution proposed is the use of proper virtual private network technologies for implementing functionally-interconnected regional health care data networks. Conclusions The regional health care data network is considered to be a critical infrastructure for further development and penetration of information and communication technologies in the Hellenic National Health System. Therefore, a technical approach was planned, in order to have a fast cost-effective implementation, conforming to certain specifications. PMID:12554551

  15. Hybrid MCDA Methods to Integrate Multiple Ecosystem Services in Forest Management Planning: A Critical Review

    NASA Astrophysics Data System (ADS)

    Uhde, Britta; Andreas Hahn, W.; Griess, Verena C.; Knoke, Thomas

    2015-08-01

    Multi-criteria decision analysis (MCDA) is a decision aid frequently used in the field of forest management planning. It includes the evaluation of multiple criteria such as the production of timber and non-timber forest products and tangible as well as intangible values of ecosystem services (ES). Hence, it is beneficial compared to those methods that take a purely financial perspective. Accordingly, MCDA methods are increasingly popular in the wide field of sustainability assessment. Hybrid approaches allow aggregating MCDA and, potentially, other decision-making techniques to make use of their individual benefits and leading to a more holistic view of the actual consequences that come with certain decisions. This review is providing a comprehensive overview of hybrid approaches that are used in forest management planning. Today, the scientific world is facing increasing challenges regarding the evaluation of ES and the trade-offs between them, for example between provisioning and regulating services. As the preferences of multiple stakeholders are essential to improve the decision process in multi-purpose forestry, participatory and hybrid approaches turn out to be of particular importance. Accordingly, hybrid methods show great potential for becoming most relevant in future decision making. Based on the review presented here, the development of models for the use in planning processes should focus on participatory modeling and the consideration of uncertainty regarding available information.

  16. Integrating data for learning disabilities service providers: are the barriers and solutions technical or organisational?

    PubMed

    Kruschwitz, Udo; Musgrave, Simon; O'Neill, Dan; Gekas, John; Mann, Hershbinder

    2006-01-01

    Since the publication of the Government White Paper 'Valuing People: a new strategy for learning disability for the 21st century', the responsibility for providing health care for people with learning disabilities has shifted rapidly to primary care. However, people with learning disabilities are supported by a disparate group of providers, from health care through local authorities to the voluntary sector, with resultant difficulties in providing seamless care. There would seem to be considerable potential for 'joined-up' data and information services to improve this situation, and Semantic Web technologies offer many enticing possibilities in this regard. However, to be effective, many organisational and policy issues have to be addressed; not least among these is the concern of patient confidentiality. This is particularly pertinent given that people with learning disabilities might be less able to make informed decisions. The approach that this paper takes is to review the policy and service scenarios that would benefit from 'joined-up' data, and then, based on user feedback from a series of seminars with stake-holders on these issues, explore what works well, what works less well, and to offer suggestions for future developments.

  17. Hybrid MCDA Methods to Integrate Multiple Ecosystem Services in Forest Management Planning: A Critical Review.

    PubMed

    Uhde, Britta; Hahn, W Andreas; Griess, Verena C; Knoke, Thomas

    2015-08-01

    Multi-criteria decision analysis (MCDA) is a decision aid frequently used in the field of forest management planning. It includes the evaluation of multiple criteria such as the production of timber and non-timber forest products and tangible as well as intangible values of ecosystem services (ES). Hence, it is beneficial compared to those methods that take a purely financial perspective. Accordingly, MCDA methods are increasingly popular in the wide field of sustainability assessment. Hybrid approaches allow aggregating MCDA and, potentially, other decision-making techniques to make use of their individual benefits and leading to a more holistic view of the actual consequences that come with certain decisions. This review is providing a comprehensive overview of hybrid approaches that are used in forest management planning. Today, the scientific world is facing increasing challenges regarding the evaluation of ES and the trade-offs between them, for example between provisioning and regulating services. As the preferences of multiple stakeholders are essential to improve the decision process in multi-purpose forestry, participatory and hybrid approaches turn out to be of particular importance. Accordingly, hybrid methods show great potential for becoming most relevant in future decision making. Based on the review presented here, the development of models for the use in planning processes should focus on participatory modeling and the consideration of uncertainty regarding available information.

  18. Integrating tuberculosis and HIV services for people living with HIV: Costs of the Zambian ProTEST Initiative

    PubMed Central

    Terris-Prestholt, Fern; Kumaranayake, Lilani; Ginwalla, Rokaya; Ayles, Helen; Kayawe, Ignatius; Hillery, Mary; Godfrey-Faussett, Peter

    2008-01-01

    Background In the face of the dual TB/HIV epidemic, the ProTEST Initiative was one of the first to demonstrate the feasibility of providing collaborative TB/HIV care for people living with HIV (PLWH) in poor settings. The ProTEST Initiative facilitated collaboration between service providers. Voluntary counselling and testing (VCT) acted as the entry point for services including TB screening and preventive therapy, clinical treatment for HIV-related disease, and home-based care (HBC), and a hospice. This paper estimates the costs of the ProTEST Initiative in two sites in urban Zambia, prior to the introduction of anti-retroviral therapy. Methods Annual financial and economic providers costs and output measures were collected in 2000–2001. Estimates are made of total costs for each component and average costs per: person reached by ProTEST; VCT pre-test counselled, tested and completed; isoniazid preventive therapy started and completed; clinic visit; HBC patient; and hospice admission and bednight. Results Annual core ProTEST costs were (in 2007 US dollars) $84,213 in Chawama and $31,053 in Matero. The cost of coordination was 4%–5% of total site costs ($1–$6 per person reached). The largest cost component in Chawama was voluntary counselling and testing (56%) and the clinic in Matero (50%), where VCT clients had higher HIV-prevalences and more advanced HIV. Average costs were lower for all components in the larger site. The cost per HBC patient was $149, and per hospice bednight was $24. Conclusion This study shows that coordinating an integrated and comprehensive package of services for PLWH is relatively inexpensive. The lessons learnt in this study are still applicable today in the era of ART, as these services must still be provided as part of the continuum of care for people living with HIV. PMID:18215255

  19. Initial integration of chiropractic services into a provincially funded inner city community health centre: a program description

    PubMed Central

    Passmore, Steven R.; Toth, Audrey; Kanovsky, Joel; Olin, Gerald

    2015-01-01

    Background: The burden of fees for chiropractic services rendered often falls on the patient and must be provided out-of-pocket regardless of their socioeconomic status and clinical need. Universal healthcare coverage reduces the financial barrier to healthcare utilization, thereby increasing the opportunity for the financially disadvantaged to have access to care. In 2011 the Canadian Province of Manitoba initiated a pilot program providing access to chiropractic care within the Mount Carmel Clinic (MCC), a non-secular, non-profit, inner city community health centre. Objective: To describe the initial integration of chiropractic services into a publically funded healthcare facility including patient demographics, referral patterns, treatment practices and clinical outcomes. Method: A retrospective database review of chiropractic consultations in 2011 (N=177) was performed. Results: The typical patient referred for chiropractic care was a non-working (86%), 47.3(SD=16.8) year old, who self-identified as Caucasian (52.2%), or Aboriginal (35.8%) and female (68.3%) with a body mass index considered obese at 30.4(SD=7.0). New patient consultations were primarily referrals from other health providers internal to the MCC (71.2%), frequently primary care physicians (76%). Baseline to discharge comparisons of numeric rating scale scores for the cervical, thoracic, lumbar, sacroiliac and extremity regions all exceeded the minimally clinically important difference for reduction in musculoskeletal pain. Improvements occurred over an average of 12.7 (SD=14.3) treatments, and pain reductions were also statistically significant at p<0.05. Conclusion: Chiropractic services are being utilized by patients, and referring providers. Clinical outcomes indicate that services rendered decrease musculoskeletal pain in an inner city population. PMID:26816049

  20. Adapting the Quebecois method for assessing implementation to the French National Alzheimer Plan 2008–2012: lessons for gerontological services integration

    PubMed Central

    Somme, Dominique; Trouvé, Hélène; Perisset, Catherine; Corvol, Aline; Ankri, Joël; Saint-Jean, Olivier; de Stampa, Matthieu

    2014-01-01

    Introduction Many countries face ageing-related demographic and epidemiological challenges, notably neurodegenerative disorders, due to the multiple care services they require, thereby pleading for a more integrated system of care. The integrated Quebecois method issued from the Programme of Research to Integrate Services for the Maintenance of Autonomy inspired a French pilot experiment and the National Alzheimer Plan 2008–2012. Programme of Research to Integrate Services for the Maintenance of Autonomy method implementation was rated with an evaluation grid adapted to assess its successive degrees of completion. Discussion The approaching end of the president's term led to the method's institutionalization (2011–2012), before the implementation study ended. When the government changed, the study was interrupted. The results extracted from that ‘lost’ study (presented herein) have, nonetheless, ‘found’ some key lessons. Key lessons/conclusion It was possible to implement a Quebecois integrated-care method in France. We describe the lessons and pitfalls encountered in adapting this evaluation tool. This process is necessarily multidisciplinary and requires a test phase. A simple tool for quantitative assessment of integration was obtained. The first assessment of the tool was unsatisfactory but requires further studies. In the meantime, we recommend using mixed methodologies to assess the services integration level. PMID:24959112