Sample records for issues include determining

  1. Building Your Campus Portal: Advice from the Field.

    ERIC Educational Resources Information Center

    Krebs, Arlene

    2001-01-01

    Discusses portal technology in higher education, including planning, design, technical, and financial issues. Highlights include determining the customers; marketing possibilities for the university; ownership issues; data design; effective cost structuring; security issues; adaptability; content; and customer input and feedback. (LRW)

  2. Designing and Managing Your Digital Library.

    ERIC Educational Resources Information Center

    Guenther, Kim

    2000-01-01

    Discusses digital libraries and Web site design issues. Highlights include accessibility issues, including standards, markup languages like HTML and XML, and metadata; building virtual communities; the use of Web portals for customized delivery of information; quality assurance tools, including data mining; and determining user needs, including…

  3. 42 CFR 423.2032 - Issues before an ALJ.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Issues before an ALJ. 423.2032 Section 423.2032..., and Judicial Review § 423.2032 Issues before an ALJ. (a) General rule. The issues before the ALJ include all the issues brought out in the coverage determination, redetermination, or reconsideration that...

  4. 26 CFR 1.1273-2 - Determination of issue price and issue date.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... (a), money includes functional currency and, in certain circumstances, nonfunctional currency. See § 1.988-2(b)(2) for circumstances when nonfunctional currency is treated as money rather than as... debt instruments in the issue is sold for money. (b) Publicly traded debt instruments issued for...

  5. Determining Trends and Issues in Educational Technology through Content Analysis.

    ERIC Educational Resources Information Center

    Ely, Donald P.; And Others

    A content analysis was performed to determine the trends and issues in educational technology for the period from October 1, 1987 through September 30, 1988. Sources for the analysis included five leading professional journals in educational technology, papers given at annual conventions of three professional associations, dissertations from five…

  6. Computer Software & Intellectual Property. Background Paper.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Office of Technology Assessment.

    This background paper reviews copyright, patent, and trade secret protections as these issues are related to computer software. Topics discussed include current issues regarding legal protection for computer software including the necessity for defining intellectual property, determining what should or should not be protected, commerical piracy,…

  7. Ethical issues in organ transplantation.

    PubMed

    Freeman, Richard B; Bernat, James L

    2012-01-01

    We discuss ethical issues of organ transplantation including the stewardship tension between physicians' duty to do everything possible for their patients and their duty to serve society by encouraging organ donation. We emphasize consideration of the role of the principles of justice, utility and equity in the just distribution of transplantable organ as scarce resources. We then consider ethical issues of determining death of the organ donor including the remaining controversies in brain death determination and the new controversies raised by circulatory death determination. We need uniformity in standards of death determination, agreement on the duration of asystole before death is declared, and consensus on the allowable circulatory interventions on the newly declared organ donor that are intended to improve organ function. We discuss the importance of maintaining the dead donor rule, despite the argument of some scholars to abandon it. Copyright © 2012 Elsevier Inc. All rights reserved.

  8. Trading forest carbon - OSU

    EPA Science Inventory

    Issues associate with trading carbon sequestered in forests are discussed. Scientific uncertainties associated with carbon measurement are discussed with respect to proposed accounting procedures. Major issues include: (1) Establishing baselines. (2) Determining additivity from f...

  9. Women's and Community Issues Magazine. Final Report.

    ERIC Educational Resources Information Center

    Lutheran Social Mission Society, Philadelphia, PA. Lutheran Settlement House.

    General Educational Development (GED), pre-GED, and adult basic education students and teachers in Lutheran Settlement House Women's Program GED classes participated in the production of two magazines focusing on women's and community issues. The process included the following: surveying GED classes to determine which current issues were of…

  10. Ethics in the College-Level Business Classroom: A Tripartite Examination.

    ERIC Educational Resources Information Center

    DuFrene, Debbie D.; And Others

    This paper discusses the need for Ethics instruction in college business curricula and presents study results in determining the issues to include in such instruction. Ratings of potential ethical issues were obtained from three cohorts (business faculty, business practitioners, and business students) using the Ethical Issues Rating Scale…

  11. Technology assessment of future intercity passenger transporation systems. Volume 2: Identification of issues affecting intercity transportation

    NASA Technical Reports Server (NTRS)

    1976-01-01

    Papers on major issues and trends that affect the future of intercity transportation are presented. Specific areas covered include: political, social, technological, institutional, and economic mechanisms, the workings of which determine how future intercity transporation technologies will evolve and be put into service; the major issues of intercity transportation from the point of view of reform, including candidate transporation technologies; and technical analysis of trends affecting the evolution of intercity transportation technologies.

  12. 26 CFR 1.163-12 - Deduction of original issue discount on instrument held by related foreign person.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... on which the amount is includible in income is determined with reference to the method of accounting... 26 Internal Revenue 2 2012-04-01 2012-04-01 false Deduction of original issue discount on... Deductions for Individuals and Corporations § 1.163-12 Deduction of original issue discount on instrument...

  13. 26 CFR 1.163-12 - Deduction of original issue discount on instrument held by related foreign person.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... on which the amount is includible in income is determined with reference to the method of accounting... 26 Internal Revenue 2 2014-04-01 2014-04-01 false Deduction of original issue discount on... Deductions for Individuals and Corporations § 1.163-12 Deduction of original issue discount on instrument...

  14. 26 CFR 1.163-12 - Deduction of original issue discount on instrument held by related foreign person.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... on which the amount is includible in income is determined with reference to the method of accounting... 26 Internal Revenue 2 2013-04-01 2013-04-01 false Deduction of original issue discount on... Deductions for Individuals and Corporations § 1.163-12 Deduction of original issue discount on instrument...

  15. Ethical Issues in Neurogenetics

    PubMed Central

    Uhlmann, Wendy R.; Roberts, J. Scott

    2018-01-01

    Many neurogenetic conditions are inherited and therefore diagnosis of a patient will have implications for their relatives and can raise ethical issues. Predictive genetic testing offers asymptomatic relatives the opportunity to determine their risk status for a neurogenetic condition, and professional guidelines emphasize patients’ autonomy and informed, voluntary decision-making. Beneficence and non-maleficence both need to be considered when making decisions about disclosure and nondisclosure of genetic information and test results. There can be disclosure concerns and issues of determining whose autonomy to prioritize when a patient makes a genetic testing decision that can reveal the genetic status of a relative (e.g. testing an adult child when the at-risk parent has not been tested). Ethical issues are prominent when genetic testing for neurogenetic conditions is requested prenatally, on minors, adoptees, adult children at 25% risk, and for individuals with psychiatric issues or cognitive impairment. Neurogenetic conditions can result in cognitive decline which can affect decisional capacity and lead to ethical challenges with decision-making, informed consent and determining the patient’s ability to comprehend test results. The ethical implications of genetic testing and emerging issues, including direct-to-consumer genetic testing, disclosure of secondary findings from genomic sequencing, and use of APOE testing in clinical and research settings, are also discussed. Resources for information about genetic testing practice guidelines, insurance laws and directories of genetics clinics are included. PMID:29325614

  16. Will we outlive our money?

    PubMed

    Salisbury, D L

    2000-01-01

    Fewer and fewer Americans retire with benefits in the form of life annuities. The author raises key issues regarding the increased importance that uncertainty plays in determining retirement income. The key issues include longevity risk and how savings withdrawals rates will be affected at varying rates of return.

  17. 26 CFR 1.51-1 - Amount of credit.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... determination that the student is a member of an economically disadvantaged family. A request for economic... a request for an economic eligibility determination. In addition, any certification issued by a... which includes a request for an economic eligibility determination. The rule in the preceding sentence...

  18. 26 CFR 1.51-1 - Amount of credit.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... determination that the student is a member of an economically disadvantaged family. A request for economic... a request for an economic eligibility determination. In addition, any certification issued by a... which includes a request for an economic eligibility determination. The rule in the preceding sentence...

  19. 26 CFR 1.51-1 - Amount of credit.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... determination that the student is a member of an economically disadvantaged family. A request for economic... a request for an economic eligibility determination. In addition, any certification issued by a... which includes a request for an economic eligibility determination. The rule in the preceding sentence...

  20. 26 CFR 1.51-1 - Amount of credit.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... determination that the student is a member of an economically disadvantaged family. A request for economic... a request for an economic eligibility determination. In addition, any certification issued by a... which includes a request for an economic eligibility determination. The rule in the preceding sentence...

  1. 26 CFR 1.51-1 - Amount of credit.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... determination that the student is a member of an economically disadvantaged family. A request for economic... a request for an economic eligibility determination. In addition, any certification issued by a... which includes a request for an economic eligibility determination. The rule in the preceding sentence...

  2. 48 CFR 22.404 - Davis-Bacon Act wage determinations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Davis-Bacon Act wage... Involving Construction 22.404 Davis-Bacon Act wage determinations. The Department of Labor is responsible for issuing wage determinations reflecting prevailing wages, including fringe benefits. The wage...

  3. Diversity Training with a Dramatic Flair.

    ERIC Educational Resources Information Center

    Wilson, Jennifer B.

    1998-01-01

    Describes the "social action theater" approach to diversity training in colleges and universities. The method uses one-act plays to present diversity issues in a way that creates conflict among characters and promotes audience discussion. Issues in using social-action theater are examined, including benefits, determining level of campus…

  4. Ethical issues in neurogenetics.

    PubMed

    Uhlmann, Wendy R; Roberts, J Scott

    2018-01-01

    Many neurogenetic conditions are inherited and therefore diagnosis of a patient will have implications for the patient's relatives and can raise ethical issues. Predictive genetic testing offers asymptomatic relatives the opportunity to determine their risk status for a neurogenetic condition, and professional guidelines emphasize patients' autonomy and informed, voluntary decision making. Beneficence and nonmaleficence both need to be considered when making decisions about disclosure and nondisclosure of genetic information and test results. There can be disclosure concerns and challenges in determining whose autonomy to prioritize when a patient makes a genetic testing decision that can reveal the genetic status of a relative (e.g., testing an adult child when the at-risk parent has not been tested). Ethical issues are prominent when genetic testing for neurogenetic conditions is requested prenatally, on minors, adoptees, adult children at 25% risk, and for individuals with psychiatric issues or cognitive impairment. Neurogenetic conditions can result in cognitive decline which can affect decisional capacity and lead to ethical challenges with decision making, informed consent, and determining the patient's ability to comprehend test results. The ethical implications of genetic testing and emerging issues, including direct-to-consumer genetic testing, disclosure of secondary findings from genomic sequencing, and use of apolipoprotein E testing in clinical and research settings, are also discussed. Resources for information about genetic testing practice guidelines, insurance laws, and directories of genetics clinics are included. Copyright © 2018 Elsevier B.V. All rights reserved.

  5. A course designed for undergraduate biochemistry students to learn about cultural diversity issues.

    PubMed

    Benore-Parsons, Marilee

    2006-09-01

    Biology, biochemistry, and other science students are well trained in science and familiar with how to conduct and evaluate scientific experiments. They are less aware of cultural issues or how these will impact their careers in research, education, or as professional health care workers. A course was developed for advanced undergraduate science majors to learn about diversity issues in a context that would be relevant to them, entitled "Diversity Issues in Health Care: Treatment and Research." Learning objectives included: developing awareness of current topics concerning diversity issues in health care; learning how research is carried out in health care, including pharmaceutical research, clinical trials, and social research; and learning about health care practices. Lectures and projects included readings on laboratory and clinical research, as well as literature on legal, race, gender, language, age, and income issues in health care research and clinical practice. Exams, papers, and a service learning project were used to determine the final course grade. Assessment indicated student understanding of diversity issues was improved, and the material was relevant. Copyright © 2006 International Union of Biochemistry and Molecular Biology, Inc.

  6. Pesticides: A Community Action Guide.

    ERIC Educational Resources Information Center

    Bumstead, Cynthia, Ed.; And Others

    Developed to provide an introduction to the issues surrounding the use of chemical pesticides, this booklet encourages individuals and communities to become active in determining the safe use and regulation of pesticides. The major components of the guide include: (1) an explanation of the issue; (2) pesticides and their effect on human health;…

  7. State of Black Cincinnati.

    ERIC Educational Resources Information Center

    Urban League of Greater Cincinnati, OH.

    The results of a survey conducted in the black community of Cincinnati, Ohio, are presented in this report. The survey sought to determine the perceptions, views, and attitudes of the city's black citizens regarding key social and economic issues. The report presents findings in the following areas: (1) education, including issues of…

  8. Issues in the study of intonation in language varieties.

    PubMed

    Warren, Paul

    2005-01-01

    Some key issues in the study of intonation in language varieties are presented and discussed with reference to recent research on the intonation of New Zealand English. The particular issues that are highlighted include the determination of the intonational phonological categories of a language variety, and the attribution of varietal differences as realizational differences between varieties or as systemic differences in the categories found to be present in each variety.

  9. 75 FR 47644 - General Electric Company, Transportation Division, Including On-Site Leased Workers From Adecco...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-06

    ... Department determined that the subject worker group could not be considered import impacted, and a negative... reconsideration of the Department's negative determination. In the request, the petitioners alleged that... Department issued a Notice of Negative Determination on Reconsideration on January 22, 2010. The Department's...

  10. The EPA's Human Exposure Research Program for Assessing Cumulative Risk in Communities

    EPA Science Inventory

    Communities are faced with challenges in identifying and prioritizing environmental issues, taking actions to reduce their exposures, and determining their effectiveness for reducing human health risks. Additional challenges include determining what scientific tools are available...

  11. 76 FR 73594 - Certain Frozen Warmwater Shrimp From the Socialist Republic of Vietnam: Extension of Time Limit...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-29

    ... Department may extend that 180-day period to 300 days if it determines that the case is extraordinarily... determines that this new shipper review involves extraordinarily complicated methodological issues, including...

  12. A Method for and Issues Associated with the Determination of Space Suit Joint Requirements

    NASA Technical Reports Server (NTRS)

    Matty, Jennifer E.; Aitchison, Lindsay

    2010-01-01

    This joint mobility KC lecture included information from two papers, "A Method for and Issues Associated with the Determination of Space Suit Joint Requirements" and "Results and Analysis from Space Suit Joint Torque Testing," as presented for the International Conference on Environmental Systems in 2009 and 2010, respectively. The first paper discusses historical joint torque testing methodologies and approaches that were tested in 2008 and 2009. The second paper discusses the testing that was completed in 2009 and 2010.

  13. Clarifications and corrections of the dates of issue of some publications containing descriptions of North American birds

    USGS Publications Warehouse

    Browning, M. Ralph; Monroe, Burt L.

    1991-01-01

    The date of issue of a work containing a new scientific name determines the date the name is available and, therefore, the priority of the name with respect to other applied to the same taxon. Differences between the dates printed in publications and the actual dates of issues often resulted from procedures in distribution and erratic publishing schedules, especially before the twentieth century. Distribution, including that to subscribers, was usually the responsibility of the author (Jackson, 1975: 14-15). Early publications were customarily issues in parts (Price, 1982) and the dated title page was usually issued last, which complicates matters of establishing an actual publication date. Early bibliographic works, especially those of Sherborn (e.g., 1902-1933), Mathews (e.g., 1911, 1919, 1925), Waterhouse (e.g., 1885, 1889, 1937), Zimmer (1926), and Richmond (e.g., 1899b, 1902, 1917), have provided information on the actual dates of issue of many ornithological works. Many modern publications (e.g. American Ornithologists' Union [A.O.U.], 1957, 1983; various volumes of Peters's check-lists) have neglected recent, and some older, bibliographic works on several sources of scientific names of birds that affect the proper citations. Here, we clarify information on the dates of issue of some publications on North American (sensu, A.O.U., 1983) birds. In the event the actual day of issue cannot be determined, the last day of the month or year, whichever was known, or, lacking such information, the printed date, is the date of availability of the scientific name (International Commission on Zoological Nomenclature, 1985: Article 21). Sources for determining the dates of issue include bibliographic works and the invaluable notes of Charles W. Richmond (in the Division of Birds library, Smithsonian Institution). In the following, books are listed alphabetically by the author of the scientific names, and journals by the first word in their title.

  14. Chemical Fingerprinting of Materials Developed Due To Environmental Issues

    NASA Technical Reports Server (NTRS)

    Smith, Doris A.; McCool, A. (Technical Monitor)

    2000-01-01

    This paper presents viewgraphs on chemical fingerprinting of materials developed due to environmental issues. Some of the topics include: 1) Aerospace Materials; 2) Building Blocks of Capabilities; 3) Spectroscopic Techniques; 4) Chromatographic Techniques; 5) Factors that Determine Fingerprinting Approach; and 6) Fingerprinting: Combination of instrumental analysis methods that diagnostically characterize a material.

  15. Illinois Association for Counseling and Development (IACD) Quarterly, 1990.

    ERIC Educational Resources Information Center

    Illovsky, Michael E., Ed.

    1990-01-01

    This document consists of the four issues of the "IACD Quarterly" published in 1990. Articles in this volume include: (1) "A Comprehensive Program for Reducing School Anxieties in College Students" (David Ross); (2) "Issues in Child Custody Determination in Illinois" (Amy Jo Buwick); (3) "Finding Meaning in the Here and Now Through Gestalt Therapy…

  16. Issues of Commonality. Volume II. Issue Analysis.

    DTIC Science & Technology

    1980-12-01

    lubricating oil, and residual oil. 68 ° B Diesel fuel and kerosene make up what are known as the middle distillates. Jet fuels are blends from this...group of distillates which include some gasoline and some heavier oils. The range of hydrocarbons selected for this blending determines the "cut" of...the fuel. Wide-cut fuels are blended fram a wide range of hydrocarbons; narrow-cut fuels include only a small range of hydrocarbons from the

  17. 78 FR 25044 - Listing Endangered or Threatened Species: 90-Day Finding on a Petition To Include the Killer...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-29

    ... determination that the action is warranted. Under specific facts, we may also issue a determination that the... the Center for Environmental Science Accuracy and Reliability, Empresas Del Bosque, and Coburn Ranch...

  18. Satellite Power System (SPS)

    NASA Technical Reports Server (NTRS)

    Edler, H. G.

    1978-01-01

    Potential organizational options for a solar power satellite system (SPS) were investigated. Selection and evaluation criteria were determined to include timeliness, reliability, and adequacy to contribute meaningfully to the U.S. supply; political feasibility (both national and international); and cost effectiveness (including environmental and other external costs). Based on these criteria, four organizational alternatives appeared to offer reasonable promise as potential options for SPS. A large number of key issues emerged as being factors which would influence the final selection process. Among these issues were a variety having to do with international law, international institutions, environmental controls, economics, operational flexibility, congressional policies, commercial-vs-governmental ownership, national dedication, and national and operational stategic issues.

  19. Determinants of Interest Rates on Corporate Bonds of Mining Enterprises

    NASA Astrophysics Data System (ADS)

    Ranosz, Robert

    2017-09-01

    This article is devoted to the determinants of interest rates on corporate bonds of mining enterprises. The study includes a comparison between the cost of foreign capital as resulting from the issue of debt instruments in different sectors of the economy in relation to the mining industry. The article also depicts the correlation between the rating scores published by the three largest rating agencies: S&P, Moody's, and Fitch. The test was based on simple statistical methods. The analysis performed indicated that there is a dependency between the factors listed and the amount of interest rates on corporate bonds of global mining enterprises. Most significant factors include the rating level and the period for which the given series of bonds was issued. Additionally, it is not without significance whether the given bond has additional options. Pursuant to the obtained results, is should be recognized that in order to reduce the interest rate on bonds, mining enterprises should pay particular attention to the rating and attempt to include additional options in issued bonds. Such additional options may comprise, for example, an ability to exchange bonds to shares or raw materials.

  20. 24 CFR 17.110 - Determination of indebtedness and appeal from determination.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... determination. (a) Following the hearing or the review of the record, the DAS or designee will issue a written decision which includes the supporting rationale for the decision. The decision of the DAS or designee is the final agency action with regard to the particular administrative offset. (b) Copies of the DAS...

  1. 75 FR 66798 - Ormet Primary Aluminum Corporation Including On-Site Temporary Workers, Hannibal, OH; Notice of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-29

    ... of the Department's negative determination regarding eligibility for workers and former workers of..., resulted in a negative determination, issued on February 16, 2010, that was based on the finding that... production to a foreign country occurred. The notice of negative determination was published in the Federal...

  2. Nursing students' experiences of ethical issues in clinical practice: A New Zealand study.

    PubMed

    Sinclair, J; Papps, E; Marshall, B

    2016-03-01

    Nursing students experience ethical problems in clinical practice in a different way from registered nurses. In order to develop ethical reasoning and competence in nursing students, nurse educators must recognise the unique issues students face. This research described the occurrence of ethical issues in clinical practice for 373 undergraduate nursing students who responded to a national questionnaire investigating the frequency of pre-determined ethical issues and the corresponding level of distress. Over two thirds of respondents experienced breaches of a patient's right to confidentiality, privacy, dignity or respect and 87% experienced unsafe working conditions. The most distressing issues were those that compromised patient safety, including unsafe healthcare practices, working conditions and suspected abuse or neglect. Themes that emerged from an open-ended question included lack of support and supervision, bullying and end of life issues. This research found the frequency at which ethical issues are experienced was highest in year three participants. However, the overall distress levels were lower for the majority of issues for those participants in the later part of their degree. Recommendations from this research include developing ethics education around the main concerns that students face in order to enhance students' understanding, resilience and ability to respond appropriately. Copyright © 2016 Elsevier Ltd. All rights reserved.

  3. Electric Lighting and Daylighting in Schools. IssueTrak: A CEFPI Brief on Educational Facility Issues.

    ERIC Educational Resources Information Center

    Grocoff, Paul N.

    This report examines both electric lighting and daylighting, listing criteria to determine the correct equipment for a school renovation or building project. Specific topics examine use of prismatic lenses; parabolic louvers; and indirect lighting, including the cost savings of using indirect lighting. The report indicates there is no clear answer…

  4. Family Literacy in Cultural Context: Lessons from Two Case Studies.

    ERIC Educational Resources Information Center

    Puchner, Laurel D.

    A study examined the literature to determine the veracity of the criticism of some educators who say that family literacy programs in the United States fail to take into account important cultural issues when dealing with certain target groups. Issues invoked included the need to take traditional cultural values and practices into account in…

  5. Research Trends on Socioscientific Issues: A Content Analysis of Publications in Selected Science Education Journals

    ERIC Educational Resources Information Center

    Tekin, Nurcan; Aslan, Oktay; Yilmaz, Suleyman

    2016-01-01

    Socioscientific issues (SSIs) have gained recently more importance in science education. SSIs are an important component of scientific literacy. SSIs are social dilemmas including conceptual or technological links to science. The present study aims to determine SSIs related research trends via content analyses of the articles published from 2004…

  6. Data issues in the life sciences.

    PubMed

    Thessen, Anne E; Patterson, David J

    2011-01-01

    We review technical and sociological issues facing the Life Sciences as they transform into more data-centric disciplines - the "Big New Biology". Three major challenges are: 1) lack of comprehensive standards; 2) lack of incentives for individual scientists to share data; 3) lack of appropriate infrastructure and support. Technological advances with standards, bandwidth, distributed computing, exemplar successes, and a strong presence in the emerging world of Linked Open Data are sufficient to conclude that technical issues will be overcome in the foreseeable future. While motivated to have a shared open infrastructure and data pool, and pressured by funding agencies in move in this direction, the sociological issues determine progress. Major sociological issues include our lack of understanding of the heterogeneous data cultures within Life Sciences, and the impediments to progress include a lack of incentives to build appropriate infrastructures into projects and institutions or to encourage scientists to make data openly available.

  7. Data issues in the life sciences

    PubMed Central

    Thessen, Anne E.; Patterson, David J.

    2011-01-01

    Abstract We review technical and sociological issues facing the Life Sciences as they transform into more data-centric disciplines - the “Big New Biology”. Three major challenges are: 1) lack of comprehensive standards; 2) lack of incentives for individual scientists to share data; 3) lack of appropriate infrastructure and support. Technological advances with standards, bandwidth, distributed computing, exemplar successes, and a strong presence in the emerging world of Linked Open Data are sufficient to conclude that technical issues will be overcome in the foreseeable future. While motivated to have a shared open infrastructure and data pool, and pressured by funding agencies in move in this direction, the sociological issues determine progress. Major sociological issues include our lack of understanding of the heterogeneous data cultures within Life Sciences, and the impediments to progress include a lack of incentives to build appropriate infrastructures into projects and institutions or to encourage scientists to make data openly available. PMID:22207805

  8. Analog detection for cavity lifetime spectroscopy

    DOEpatents

    Zare, Richard N.; Harb, Charles C.; Paldus, Barbara A.; Spence, Thomas G.

    2001-05-15

    An analog detection system for determining a ring-down rate or decay rate 1/.tau. of an exponentially decaying ring-down beam issuing from a lifetime or ring-down cavity during a ring-down phase. Alternatively, the analog detection system determines a build-up rate of an exponentially growing beam issuing from the cavity during a ring-up phase. The analog system can be employed in continuous wave cavity ring-down spectroscopy (CW CRDS) and pulsed CRDS (P CRDS) arrangements utilizing any type of ring-down cavity including ring-cavities and linear cavities.

  9. Analog detection for cavity lifetime spectroscopy

    DOEpatents

    Zare, Richard N.; Harb, Charles C.; Paldus, Barbara A.; Spence, Thomas G.

    2003-01-01

    An analog detection system for determining a ring-down rate or decay rate 1/.tau. of an exponentially decaying ring-down beam issuing from a lifetime or ring-down cavity during a ring-down phase. Alternatively, the analog detection system determines a build-up rate of an exponentially growing beam issuing from the cavity during a ring-up phase. The analog system can be employed in continuous wave cavity ring-down spectroscopy (CW CRDS) and pulsed CRDS (P CRDS) arrangements utilizing any type of ring-down cavity including ring-cavities and linear cavities.

  10. 26 CFR 301.6110-2 - Meaning of terms.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    .... A “technical advice memorandum” is a written statement issued by the National Office to, and adopted... Internal Revenue Service in a written determination, including, with respect to a technical advice... technical advice memorandum, a “person to whom a written determination pertains” is the taxpayer whose...

  11. 76 FR 1367 - Petition for Approval of Alternate Odometer Disclosure Requirements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-10

    ...The State of Wisconsin has petitioned for approval of alternate requirements to certain requirements under Federal odometer law. NHTSA is issuing this final determination granting Wisconsin's petition as it pertains to vehicle transfers. This determination does not include vehicles covered by a lease agreement.

  12. Promoting Mental Health and Preventing Substance Abuse and Violence in Elementary Students: A Randomized Control Study of the Michigan Model for Health

    ERIC Educational Resources Information Center

    O'Neill, James M.; Clark, Jeffrey K.; Jones, James A.

    2011-01-01

    Background: In elementary grades, comprehensive health education curricula mostly have demonstrated effectiveness in addressing singular health issues. The Michigan Model for Health (MMH) was implemented and evaluated to determine its impact on multiple health issues, including social and emotional skills, prosocial behavior, and drug use and…

  13. 24 CFR 17.153 - Determination of the Administrative Judge.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Administrative Judge shall issue a written decision which includes the supporting rationale for the decision. The... Department, the Department's Office of Finance and Accounting, the debtor, and the debtor's attorney or other... determination is received by the Department's Chief Financial Officer. No referral will be made to the IRS or...

  14. Health Issues in the Latino Community.

    ERIC Educational Resources Information Center

    Aguirre-Molina, Marilyn, Ed.; Molina, Carlos W., Ed.; Zambrana, Ruth Enid, Ed.

    This collection of papers includes 6 parts. Part 1, "Latino Populations in the United States," includes: (1) "Latino Health Policy: Beyond Demographic Determinism" (Angelo Falcon, Marilyn Aguirre-Molina, and Carlos W. Molina); (2) "Latino Health Status" (Olivia Carter-Pokras and Ruth Enid Zambrana); and (3)…

  15. Filicide in the United States

    PubMed Central

    Resnick, Phillip J.

    2016-01-01

    In the United States the Accreditation Council of Graduate Medical Education determines the curriculum required for fellows in forensic psychiatry to become board certified as a subspecialist. Areas that must be covered during the one year fellowship include criminal issues, such as insanity; civil issues, such as tort law and Workers’ Compensation; legal regulation of psychiatry, such as confidentiality and involuntary hospitalization; and correctional psychiatry issues, such as dual agency and prisoner's rights. Fellows are also expected to have knowledge about juvenile courts, the structure of the legal system, and child custody issues. In addition, fellows are required to analyze complex cases and write forensic reports which are well reasoned. Teaching methods include lectures, storytelling, use of video vignettes, and mock trials. Additional teaching methodologies include group supervision of fellows in their report writing and direct observation of giving testimony. During the year we see fellows evolve and shift their orientation from being an advocate for patients to perceiving their role as serving justice. PMID:28216771

  16. Issues in protection of human subjects in internet research.

    PubMed

    Im, Eun-Ok; Chee, Wonshik

    2002-01-01

    Despite the increasing use of the Internet among nurses, the use of the Internet in nursing research has been rarely discussed and critiqued in terms of issues in protection of human subjects. In this article, issues in protection of human subjects in Internet research are explored by analyzing an Internet study to propose directions for human protection in Internet research. Issues raised through the study include those related to (a) anonymity and confidentiality, (b) security, (c) self-determination and authenticity, (d) full disclosure, and (e) fair treatment. Based on discussion of the five issues, development of standardized guidelines, investigator triangulation, and information sharing are proposed as directions for protection of human subjects in Internet research.

  17. Determining potential 30/20 GHZ domestic satellite system concepts and establishment of a suitable experimental configuration

    NASA Technical Reports Server (NTRS)

    Stevens, G. H.; Anzic, G.

    1979-01-01

    NASA is conducting a series of millimeter wave satellite communication systems and market studies to: (1) determine potential domestic 30/20 GHz satellite concepts and market potential, and (2) establish the requirements for a suitable technology verification payload which, although intended to be modest in capacity, would sufficiently demonstrate key technologies and experimentally address key operational issues. Preliminary results and critical issues of the current contracted effort are described. Also included is a description of a NASA-developed multibeam satellite payload configuration which may be representative of concepts utilized in a technology flight verification program.

  18. In This Issue

    NASA Astrophysics Data System (ADS)

    Warner, Brian D.

    2018-07-01

    This list gives those asteroids in this issue for which physical observations (excluding astrometric only) were made. This includes lightcurves, color index, and H-G determinations, etc. In some cases, no specific results are reported due to a lack of or poor quality data. The page number is for the first page of the paper mentioning the asteroid. EP is the "go to page" value in the electronic version.

  19. In This Issue

    NASA Astrophysics Data System (ADS)

    Warner, Brian D.

    2018-04-01

    This list gives those asteroids in this issue for which physical observations (excluding astrometric only) were made. This includes lightcurves, color index, and H-G determinations, etc. In some cases, no specific results are reported due to a lack of or poor quality data. The page number is for the first page of the paper mentioning the asteroid. EP is the "go to page" value in the electronic version.

  20. Flight software issues in onboard automated planning: lessons learned on EO-1

    NASA Technical Reports Server (NTRS)

    Tran, Daniel; Chien, Steve; Rabideau, Gregg; Cichy, Benjamin

    2004-01-01

    This paper focuses on the onboard planner and scheduler CASPER, whose core planning engine is based on the ground system ASPEN. Given the challenges of developing flight software, we discuss several of the issues encountered in preparing the planner for flight, including reducing the code image size, determining what data to place within the engineering telemetry packet, and performing long term planning.

  1. Moral dilemmas in surgical training: intent and the case for ethical ambiguity.

    PubMed Central

    Newton, M J

    1986-01-01

    It is often assumed that the central problem in a medical ethics issue is determining which course of action is morally correct. There are some aspects of ethical issues that will yield to such analysis. However, at the core of important medical moral problems is an irreducible dilemma in which all possible courses of action, including inaction, seem ethically unsatisfactory. When facing these issues ethical behaviour depends upon an individual's understanding and acceptance of this painful dilemma without recourse to external moral authority. PMID:3806633

  2. Determining Directional Dependency in Causal Associations

    ERIC Educational Resources Information Center

    Pornprasertmanit, Sunthud; Little, Todd D.

    2012-01-01

    Directional dependency is a method to determine the likely causal direction of effect between two variables. This article aims to critique and improve upon the use of directional dependency as a technique to infer causal associations. We comment on several issues raised by von Eye and DeShon (2012), including: encouraging the use of the signs of…

  3. Indian Self-Determination and Education Reform Act of 1973

    ERIC Educational Resources Information Center

    Education Journal of the Institute for the Development of Indian Law, 1973

    1973-01-01

    The issue summarizes and reviews the Indian Self-Determination and Educational Reform Act of 1973 (S.1017), which was introduced into the Senate at the end of February. Sections cover how a bill becomes law and a summary of S.1017 (including Indians in public schools, professional development, and research and development). (KM)

  4. 78 FR 28796 - Monsanto Co.; Notice of Intent To Prepare an Environmental Impact Statement for Determination of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-16

    ... Nonregulated Status of Herbicide Resistant Soybeans and Cotton, and Notice of Virtual Public Meeting AGENCY... resistant soybeans and cotton. Issues to be addressed in the EIS include the potential environmental impacts... the Monsanto Company (Monsanto) seeking a determination of nonregulated status for soybean and cotton...

  5. 75 FR 34180 - Paris Accessories, Inc., Including On-Site Leased Workers From Job Connections, New Smithsville...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-16

    ... reconsideration of the negative determination applicable to the subject firm. The denial was based on the finding... assembly and packaging of accessories. The Department's notice of negative determination was issued on... in the group threatened with total or partial separation from employment on date of certification...

  6. 40 CFR 63.93 - Approval of State requirements that substitute for a section 112 rule.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., board and administrative orders, permits issued pursuant to permit templates, or State operating permits... respective Federal rule; (2) Levels of control (including associated performance test methods) and compliance... must include monitoring or another method for determining compliance. (ii) If a standard in the...

  7. PRELIMINARY RISK ASSESSMENT FOR VIRUSES IN MUNICIPAL SEWAGE SLUDGE APPLIED TO LAND

    EPA Science Inventory

    Section 405 of the Clean Water Act requires the U.S. Environmental Protection Agency to develoP and issue regulations that identify; (1) uses for sludge including disposal; (2) specify factors (including costs) to be taken into account in determining the measures and practices ap...

  8. Characterizing Sleep Issues Using Twitter.

    PubMed

    McIver, David J; Hawkins, Jared B; Chunara, Rumi; Chatterjee, Arnaub K; Bhandari, Aman; Fitzgerald, Timothy P; Jain, Sachin H; Brownstein, John S

    2015-06-08

    Sleep issues such as insomnia affect over 50 million Americans and can lead to serious health problems, including depression and obesity, and can increase risk of injury. Social media platforms such as Twitter offer exciting potential for their use in studying and identifying both diseases and social phenomenon. Our aim was to determine whether social media can be used as a method to conduct research focusing on sleep issues. Twitter posts were collected and curated to determine whether a user exhibited signs of sleep issues based on the presence of several keywords in tweets such as insomnia, "can't sleep", Ambien, and others. Users whose tweets contain any of the keywords were designated as having self-identified sleep issues (sleep group). Users who did not have self-identified sleep issues (non-sleep group) were selected from tweets that did not contain pre-defined words or phrases used as a proxy for sleep issues. User data such as number of tweets, friends, followers, and location were collected, as well as the time and date of tweets. Additionally, the sentiment of each tweet and average sentiment of each user were determined to investigate differences between non-sleep and sleep groups. It was found that sleep group users were significantly less active on Twitter (P=.04), had fewer friends (P<.001), and fewer followers (P<.001) compared to others, after adjusting for the length of time each user's account has been active. Sleep group users were more active during typical sleeping hours than others, which may suggest they were having difficulty sleeping. Sleep group users also had significantly lower sentiment in their tweets (P<.001), indicating a possible relationship between sleep and pyschosocial issues. We have demonstrated a novel method for studying sleep issues that allows for fast, cost-effective, and customizable data to be gathered.

  9. Challenges and pitfalls in the introduction of pharmacogenetics for cancer.

    PubMed

    Loh, Marie; Soong, Richie

    2011-08-01

    There have been several success stories in the field of pharmacogenetics in recent years, including the analysis of HER2 amplification for trastuzumab selection in breast cancer and VKORC1 genotyping for warfarin dosing in thrombosis. Encouraging results from these studies suggest that genetic factors may indeed be important determinants of drug response and toxicity for at least some drugs. However, to apply pharmacogenetics appropriately, a thorough understanding of the scope and limitations of this field is required. The challenges include an appreciation of biological variability, logistical issues pertaining to the proper management of information, the need for robust methods and adequate sample quality with well-designed workflows. At the same time, the economics of pharmacogenetic testing from the perspective of clinicians, patients, governments, insurance companies and pharmaceutical companies will play an important role in determining its future use. Ethical considerations such as informed consent and patient privacy, as well as the role of regulatory bodies in addressing these issues, must be fully understood. Only once these issues are properly dealt with can the full benefits of pharmacogenetics begin to be realised.

  10. Fetal growth: a review of terms, concepts and issues relevant to obstetrics.

    PubMed

    Mayer, C; Joseph, K S

    2013-02-01

    The perinatal literature includes several potentially confusing and controversial terms and concepts related to fetal size and growth. This article discusses fetal growth from an obstetric perspective and addresses various issues including the physiologic mechanisms that determine fetal growth trajectories, known risk factors for abnormal fetal growth, diagnostic and prognostic issues related to restricted and excessive growth and temporal trends in fetal growth. Also addressed are distinctions between fetal growth 'standards' and fetal growth 'references', and between fetal growth charts based on estimated fetal weight vs those based on birth weight. Other concepts discussed include the incidence of fetal growth restriction in pregnancy (does the frequency of fetal growth restriction increase or decrease with increasing gestation?), the obstetric implications of studies showing associations between fetal growth and adult chronic illnesses (such as coronary heart disease) and the need for customizing fetal growth standards. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd.

  11. Student Partnerships to Build Organizational Capacity.

    PubMed

    Hutchinson, Carole; Hyden, Christel

    2016-01-01

    Public health organizations-whether community-based nonprofits, centers affiliated with a university, or some other entity-can benefit greatly from partnering with students to build capacity and grow in a variety of ways. However, there are many issues to consider before taking on students as interns or volunteers. These include realistic considerations of supervisory time and effort, determining if you can actually match student skills with organizational programming not to mention legal requirements based on federal and state laws. This article provides a detailed overview of steps that organizations interested in partnering with students should follow once determining that taking on a student or multiple students is viable. These include issues around time lines, scheduling, the student selection process, supervising, ongoing mentoring, as well as expectations after the practicum or volunteer experience has ended. © 2015 Society for Public Health Education.

  12. Protecting Ideas: Ethical and Legal Considerations When a Grant's Principal Investigator Changes.

    PubMed

    Koniaris, Leonidas G; Coombs, Mary I; Meslin, Eric M; Zimmers, Teresa A

    2016-08-01

    Ethical issues related the responsible conduct of research involve questions concerning the rights and obligations of investigators to propose, design, implement, and publish research. When a principal investigator (PI) transfers institutions during a grant cycle, financial and recognition issues need to be addressed to preserve all parties' obligations and best interests in a mutually beneficial way. Although grants often transfer with the PI, sometimes they do not. Maintaining a grant at an institution after the PI leaves does not negate the grantee institution's obligation to recognize the PI's original ideas, contributions, and potential rights to some forms of expression and compensation. Issues include maintaining a role for the PI in determining how to take credit for, share and publish results that involve his or her original ideas. Ascribing proper credit can become a thorny issue. This paper provides a framework for addressing situations and disagreements that may occur when a new PI continues the work after the original PI transfers. Included are suggestions for proactively developing institutional mechanisms that address such issues. Considerations include how to develop solutions that comply with the responsible conduct of research, equitably resolve claims regarding reporting of results, and avoid the possibility of plagiarism.

  13. Controversial Issues in Healthcare Policy: A Survey of Doctor of Physical Therapy Students in a Public University.

    PubMed

    Snyder, Drew D; Bennett, Teale K; Oller, Jeremy C; Ge, Weiqing

    2017-01-01

    The recently passed legislation and proposed policy changes governing the healthcare system have been met with extensive debate and controversy. The primary objective of the study was to determine the attitudes of Doctor of Physical Therapy (DPT) students towards some of these controversial issues. The secondary objective was to determine the demographic factors, including number of years in a physical therapy program, that contribute to their attitude formation. The research design was a cross-sectional non-experimental survey. Purposive sampling was used to recruit subjects in a public university. Subjects took the survey including nine Likert scale questions/statements on controversial issues inspired from legislative efforts and news media sources and one open-ended question. Of the 111 recruited, 106 students agreed to participate as subjects and completed the survey. Only 18.9% agreed or strongly agreed that the Patient Protection and Affordable Care Act is a positive solution for the healthcare system in America. Political affiliation, class level, and developmental environment were associated with a few questions/statements. DPT students in the sample had very diverse attitudes towards controversial issues in healthcare policy. Some of these attitudes revealed very different paradigms from the results found among medical students and the general public.

  14. Privacy Issues in the Development of a Virtual Mental Health Clinic for University Students: A Qualitative Study.

    PubMed

    Gulliver, Amelia; Bennett, Kylie; Bennett, Anthony; Farrer, Louise M; Reynolds, Julia; Griffiths, Kathleen M

    2015-01-01

    There is a growing need to develop online services for university students with the capacity to complement existing services and efficiently address student mental health problems. Previous research examining the development and acceptability of online interventions has revealed that issues such as privacy critically impact user willingness to engage with these services. To explore university student perspectives on privacy issues related to using an online mental health service within the context of the development of an online, university-based virtual mental health clinic. There were two stages of data collection. The first stage consisted of four 1.5-hour focus groups conducted with university students (n=19; 10 female, 9 male, mean age = 21.6 years) to determine their ideas about the virtual clinic including privacy issues. The second stage comprised three 1-hour prototype testing sessions conducted with university students (n=6; 3 male, 3 female, mean age = 21.2 years) using participatory design methods to develop and refine a service model for the virtual clinic and determine student views on privacy within this context. The students raised a number of issues related to privacy in relation to the development of the university virtual clinic. Major topics included the types of personal information they would be willing to provide (minimal information and optional mental health data), concern about potential access to their personal data by the university, the perceived stigma associated with registering for the service, and privacy and anonymity concerns related to online forums contained within the virtual clinic. Students would be more comfortable providing personal information and engaging with the virtual clinic if they trust the privacy and security of the service. Implications of this study include building the clinic in a flexible way to accommodate user preferences.

  15. Electrochemical (Bio) Sensors for Environmental and Food Analyses.

    PubMed

    Honeychurch, Kevin C; Piano, Martina

    2018-06-22

    In recent years, great progress has been made in the development of sensors and biosensors to meet the demands of environmental and food analysis. In this Special Issue, the state of art and the future trends in the field of environmental and food analyses have been explored. A total of seven papers (three research and four review papers) are included. These are focused on the fabrication and detection of contaminates such as heavy metals, pesticides and food components, including uric acid and 3-hydroxybutyrate. Included in this Issue is a paper dedicated to the experimental determination of the electroactive area of screen-printed electrodes, an important parameter in the development of such sensors.

  16. Seeing Context through Metaphor: Using Communications Research to Bring a Social Determinants Perspective to Public Thinking about Child Abuse and Neglect.

    PubMed

    Kendall-Taylor, Nathaniel; Stanley, Kate

    2018-01-19

    Human beings think in metaphor and reason through analogy. The metaphors through which we think influence how we understand and feel about social issues as well as the actions that we see as appropriate and important. Metaphors can be used to increase understanding of how issues work and increase the salience of a given issue, build support for programs and policies necessary to address the issue, and instigate demand for change and civic action. In this paper, we use a mixed methods research design, including brief qualitative interviews, experimental surveys, and focus groups, to test the ability of different metaphors to influence public understanding of the social determinants of child abuse and neglect in the UK. We find one metaphor in particular that improves people's understanding of the social causes of child maltreatment and increases support for structural solutions. This metaphor can be used to build support for preventative public health solutions.

  17. Seeing Context through Metaphor: Using Communications Research to Bring a Social Determinants Perspective to Public Thinking about Child Abuse and Neglect

    PubMed Central

    Kendall-Taylor, Nathaniel; Stanley, Kate

    2018-01-01

    Human beings think in metaphor and reason through analogy. The metaphors through which we think influence how we understand and feel about social issues as well as the actions that we see as appropriate and important. Metaphors can be used to increase understanding of how issues work and increase the salience of a given issue, build support for programs and policies necessary to address the issue, and instigate demand for change and civic action. In this paper, we use a mixed methods research design, including brief qualitative interviews, experimental surveys, and focus groups, to test the ability of different metaphors to influence public understanding of the social determinants of child abuse and neglect in the UK. We find one metaphor in particular that improves people’s understanding of the social causes of child maltreatment and increases support for structural solutions. This metaphor can be used to build support for preventative public health solutions. PMID:29351195

  18. Cardiac Implantable Electronic Device Interrogation at Forensic Autopsy: An Underestimated Resource?

    PubMed

    Lacour, Philipp; Buschmann, Claas; Storm, Christian; Nee, Jens; Parwani, Abdul Shokor; Huemer, Martin; Attanasio, Philipp; Boldt, Leif-Hendrik; Rauch, Geraldine; Kucher, Andreas; Pieske, Burkert; Haverkamp, Wilhelm; Blaschke, Florian

    2018-06-19

    Postmortem interrogations of cardiac implantable electronic devices (CIEDs), recommended at autopsy in suspected cases of sudden cardiac death, are rarely performed, and data on systematic postmortem CIED analysis in the forensic pathology are missing. The aim of the study was to determine whether nonselective postmortem CIED interrogations and data analysis are useful to the forensic pathologist to determine the cause, mechanism, and time of death and to detect potential CIED-related safety issues. From February 2012 to April 2017, all autopsy subjects in the department of forensic medicine at the University Hospital Charité who had a CIED underwent device removal and interrogation. Over the study period, 5368 autopsies were performed. One hundred fifty subjects had in total 151 CIEDs, including 109 pacemakers, 35 defibrillators, and 7 implantable loop recorders. In 40 cases (26.7%) time of death and in 51 cases (34.0%) cause of death could not be determined by forensic autopsy. Of these, CIED interrogation facilitated the determination of time of death in 70.0% of the cases and clarified the cause of death in 60.8%. Device concerns were identified in 9 cases (6.0%), including 3 hardware, 4 programming, and 2 algorithm issues. One CIED was submitted to the manufacturer for a detailed technical analysis. Our data demonstrate the necessity of systematic postmortem CIED interrogation in forensic medicine to determine the cause and timing of death more accurately. In addition, CIED analysis is an important tool to detect potential CIED-related safety issues. © 2018 American Heart Association, Inc.

  19. Vandenberg Air Force Base Pressure Gradient Wind Study

    NASA Technical Reports Server (NTRS)

    Shafer, Jaclyn A.

    2013-01-01

    Warning category winds can adversely impact day-to-day space lift operations at Vandenberg Air Force Base (VAFB) in California. NASA's Launch Services Program and other programs at VAFB use wind forecasts issued by the 30 Operational Support Squadron Weather Flight (30 OSSWF) to determine if they need to limit activities or protect property such as a launch vehicle. The 30 OSSWF tasked the AMU to develop an automated Excel graphical user interface that includes pressure gradient thresholds between specific observing stations under different synoptic regimes to aid forecasters when issuing wind warnings. This required the AMU to determine if relationships between the variables existed.

  20. 76 FR 47231 - Redelegation of Authority to the Deputy Assistant Secretaries for Public and Indian Housing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-04

    ... Assistance and Self-Determination Act of 1996 (25 U.S.C. 4101 et seq.), as amended; 2. The Community...; 3. Issue notices of funding availability (NOFAs), handbooks, notices and other HUD policy directives; and 4. Waive any provision of an Annual Contributions Contract (ACC) including a determination of...

  1. Flight Mechanics Symposium 1997

    NASA Technical Reports Server (NTRS)

    Walls, Donna M. (Editor)

    1997-01-01

    This conference publication includes papers and abstracts presented at the Flight Mechanics Symposium. This symposium featured technical papers on a wide range of issues related to orbit-attitude prediction, determination, and control; attitude sensor calibration; attitude determination error analysis; attitude dynamics; and orbit decay and maneuver strategy. Government, industry, and the academic community participated in the preparation and presentation of these papers.

  2. 75 FR 9442 - AK Steel Corporation, Mansfield Works Division, Including On-Site Leased Workers From Time...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-02

    ... in a negative determination, issued on November 2, 2009, that was based on the finding that imports... a foreign country occurred. The notice of negative determination was published in the Federal..., and all workers in the group threatened with total or partial separation from employment on date of...

  3. 20 CFR 641.507 - What types of income are included and excluded for participant eligibility determinations?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR PROVISIONS GOVERNING THE SENIOR COMMUNITY SERVICE... eligibility for the SCSEP. The Department will issue administrative guidance regarding income definitions and...

  4. Notes on Linguistics, 1998.

    ERIC Educational Resources Information Center

    Notes on Linguistics, 1998

    1998-01-01

    The four issues of the journal of language research and linguistic theory include these articles: "Notes on Determiners in Chamicuro" (Steve Parker); Lingualinks Field Manual Development" (Larry Hayashi); "Comments from an International Linguistics Consultant: Thumbnail Sketch" (Austin Hale); "Carlalinks…

  5. Attentional Requirements for the Selection of Words from Different Grammatical Categories

    ERIC Educational Resources Information Center

    Ayora, Pauline; Janssen, Niels; Dell'Acqua, Roberto; Alario, F.-Xavier

    2009-01-01

    Two grammatical classes are commonly distinguished in psycholinguistic research. The open-class includes content words such as nouns, whereas the closed-class includes function words such as determiners. A standing issue is to identify whether these words are retrieved through similar or distinct selection mechanisms. We report a comparative…

  6. The Director's Toolbox for Including Children with Special Needs

    ERIC Educational Resources Information Center

    Barker, Linda; Goldberg, Roberta

    2012-01-01

    Directors of early childhood programs are the "frontline" for parents seeking admission for their children with identified special needs. In addition, developmental and behavioral issues that emerge after a child is enrolled in a program quickly come to the director's attention. Determining who can be included at a site, how to prepare the…

  7. 76 FR 30393 - Bush Industries, Inc., Including On-Site Leased Workers From Express Employment Professionals and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-25

    ... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-74,995] Bush Industries, Inc... workers of Bush Industries, Inc., including on-site leased workers from Express Employment Professionals... wood furniture. The determination was issued on February 10, 2011. The Department's Notice will soon be...

  8. PATHOGEN RISK ASSESSMENT FOR LAND APPLICATION OF MUNICIPAL SLUDGE, VOLUME II: USER'S MANUAL

    EPA Science Inventory

    Section 405 of the Clean Water Act requires the U.S. EPA to develop and issue regulations that identify: 1) uses for sludge including disposal; 2) specific factors (including costs) to be taken into account in determining the measures and practices applicable for each use or disp...

  9. PATHOGEN RISK ASSESSMENT FOR LAND APPLICATION OF MUNICIPAL SLUDGE VOLUME I: METHODOLOGY AND COMPUTER MODEL

    EPA Science Inventory

    Section 405 of the Clean Water Act requires the U.S. EPA to develop and issue regulations that identify: 1) uses for sludge including disposal; 2) specific factors (including costs) to be taken into account in determining the measures and practices applicable for each use or disp...

  10. Statistical issues in the design, conduct and analysis of two large safety studies.

    PubMed

    Gaffney, Michael

    2016-10-01

    The emergence, post approval, of serious medical events, which may be associated with the use of a particular drug or class of drugs, is an important public health and regulatory issue. The best method to address this issue is through a large, rigorously designed safety study. Therefore, it is important to elucidate the statistical issues involved in these large safety studies. Two such studies are PRECISION and EAGLES. PRECISION is the primary focus of this article. PRECISION is a non-inferiority design with a clinically relevant non-inferiority margin. Statistical issues in the design, conduct and analysis of PRECISION are discussed. Quantitative and clinical aspects of the selection of the composite primary endpoint, the determination and role of the non-inferiority margin in a large safety study and the intent-to-treat and modified intent-to-treat analyses in a non-inferiority safety study are shown. Protocol changes that were necessary during the conduct of PRECISION are discussed from a statistical perspective. Issues regarding the complex analysis and interpretation of the results of PRECISION are outlined. EAGLES is presented as a large, rigorously designed safety study when a non-inferiority margin was not able to be determined by a strong clinical/scientific method. In general, when a non-inferiority margin is not able to be determined, the width of the 95% confidence interval is a way to size the study and to assess the cost-benefit of relative trial size. A non-inferiority margin, when able to be determined by a strong scientific method, should be included in a large safety study. Although these studies could not be called "pragmatic," they are examples of best real-world designs to address safety and regulatory concerns. © The Author(s) 2016.

  11. Astrodynamics 1991; Proceedings of the AAS/AIAA Astrodynamics Conference, Durango, CO, Aug. 19-22, 1991. Pts. 1, 2, and 3

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

    Kaufman, B.; Alfriend, K.T.; Roehrich, R.L.

    1992-01-01

    The present conference on astrodynamics and advances in the astronautical sciences encompasses orbit determination, orbital debris, flexible-body dynamics and control, attitude dynamics and control, and topics related to the projects of the European space program. Specific issues addressed include a numerical approach to the angles-only initial orbit determination problem, precise orbit determination of the SPOT platform with DORIS, space-debris measurement and modeling, H(infinity)-optimized broadband compensator for wave-absorbing control, and the application of linear actuators for for telescope pointing control. Also addressed are attitude determination and dynamical performance in free drift for the Space Station Freedom, a Kalman filter for amore » gravity-gradient satellite, the positioning of the Eutelsat II satellite from supersynchronous transfer orbit to reduce satellite velocity-correction requirements, and trajectory analysis and issues.« less

  12. If My Child Is Too Fat, What Should I Do about It?

    ERIC Educational Resources Information Center

    Ikeda, Joanne P.

    This guide for parents provides information about how they can determine if their child is overweight and what they can do if their child has a weight problem. Replies to many common questions of parents are provided. The issues addressed include: (1) determining whether a child is too fat; (2) assistance that can be provided by health care…

  13. Determining potential 30/20 GHz domestic satellite system concepts and establishment of a suitable experimental configuration

    NASA Technical Reports Server (NTRS)

    Stevens, G. H.; Anzic, G.

    1979-01-01

    Issues and results in a NASA study of the potential concepts and markets for a multibeam 30/20 GHz domestic satellite system in the 1990s are presented. Issues considered include the reduction of signal attenuation due to rain, beam-beam interference isolation in the multibeam system, the method of access/modulation (FDMA, TDMA or hybrid) and the market for reduced reliability and wideband services. A hypothetical demonstration payload configuration which would attempt to resolve these issues is illustrated. The communications payload would employ a system of seven contiguous coverage spots in order to demonstrate a typical cell in a contiguous beam system having extensive frequency re-use, as in a direct-to-user system, and a single spot, typical of a trunking system, to determine signal isolation. The payload could be carried on several existing buses and is illustrated on an MMS bus.

  14. The Full Scope of Family Physicians' Work Is Not Reflected by Current Procedural Terminology Codes.

    PubMed

    Young, Richard A; Burge, Sandy; Kumar, Kaparaboyna Ashok; Wilson, Jocelyn

    2017-01-01

    The purpose of this study was to characterize the content of family physician (FP) clinic encounters, and to count the number of visits in which the FPs addressed issues not explicitly reportable by 99211 to 99215 and 99354 Current Procedural Terminology (CPT) codes with current reimbursement methods and based on examples provided in the CPT manual. The data collection instrument was modeled on the National Ambulatory Medical Care Survey. Trained assistants directly observed every other FP-patient encounter and recorded every patient concern, issue addressed by the physician (including care barriers related to health care systems and social determinants), and treatment ordered in clinics affiliated with 10 residencies of the Residency Research Network of Texas. A visit was deemed to include physician work that was not explicitly reportable if the number or nature of issues addressed exceeded the definitions or examples for 99205/99215 or 99214 + 99354 or a preventive service code, included the physician addressing health care system or social determinant issues, or included the care of a family member. In 982 physician-patient encounters, patients raised 517 different reasons for visit (total, 5278; mean, 5.4 per visit; range, 1 to 16) and the FPs addressed 509 different issues (total issues, 3587; mean, 3.7 per visit; range, 1 to 10). FPs managed 425 different medications, 18 supplements, and 11 devices. A mean of 3.9 chronic medications were continued per visit (range, 0 to 21) and 4.6 total medications were managed (range, 0 to 22). In 592 (60.3%) of the visits the FPs did work that was not explicitly reportable with available CPT codes: 582 (59.3%) addressed more numerous issues than explicitly reportable, 64 (6.5%) addressed system barriers, and 13 (1.3%) addressed concerns for other family members. FPs perform cognitive work in a majority of their patient encounters that are not explicitly reportable, either by being higher than the CPT example number of diagnoses per code or the type of problems addressed, which has implications for the care of complex multi-morbid patients and the growth of the primary care workforce. To address these limitations, either the CPT codes and their associated rules should be updated to reflect the realities of family physicians' practices or new billing and coding approaches should be developed. © Copyright 2017 by the American Board of Family Medicine.

  15. 78 FR 37586 - Stone Age Interiors, Inc., D/B/A Colorado Springs Marble and Granite, Including On-Site Leased...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-21

    ... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-82,440] Stone Age Interiors, Inc., D/B/A Colorado Springs Marble and Granite, Including On-Site Leased Workers From Express Employment... Marble and Granite, Colorado Springs, Colorado (subject firm). The negative determination was issued on...

  16. Mergers and acquisitions: new arrangements in health care. Part 1.

    PubMed

    Grant, E A

    1988-02-01

    Mergers and acquisitions are assuming a more important role in the healthcare industry today. These transactions require various issues be considered, such as valuation, capital planning, and so forth. In this article, the first in a five-part series on mergers and acquisitions, the fundamental methods and techniques of valuation are discussed. Some of these valuation methods, including comparative market transactions and free cash flow, are explained and examples are used to help potential purchasers and sellers to determine an organization's true value. Other articles in this series will include legal issues, tax implications, purchase investigations, and capital planning for mergers and acquisitions.

  17. Guidance and control 1991; Proceedings of the Annual Rocky Mountain Guidance and Control Conference, Keystone, CO, Feb. 2-6, 1991

    NASA Astrophysics Data System (ADS)

    Culp, Robert D.; McQuerry, James P.

    1991-07-01

    The present conference on guidance and control encompasses advances in guidance, navigation, and control, storyboard displays, approaches to space-borne pointing control, international space programs, recent experiences with systems, and issues regarding navigation in the low-earth-orbit space environment. Specific issues addressed include a scalable architecture for an operational spaceborne autonavigation system, the mitigation of multipath error in GPS-based attitude determination, microgravity flight testing of a laboratory robot, and the application of neural networks. Other issues addressed include image navigation with second-generation Meteosat, Magellan star-scanner experiences, high-precision control systems for telescopes and interferometers, gravitational effects on low-earth orbiters, experimental verification of nanometer-level optical pathlengths, and a flight telerobotic servicer prototype simulator. (For individual items see A93-15577 to A93-15613)

  18. On the Future of Personality Measurement

    ERIC Educational Resources Information Center

    Mischel, Walter

    1977-01-01

    The issues which this article examines include the multiple determinism of behavior, the role of context, the multiple goals of personality measurement, the "subject" as potential expert and colleague, the analysis of environments, and the role of person variables. (Author)

  19. 76 FR 67418 - Certain Frozen Warmwater Shrimp From the Socialist Republic of Vietnam: Extension of Time Limit...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-01

    ... to 300 days if it determines that the case is extraordinarily complicated. See also 19 CFR 351.214(i... review involves extraordinarily complicated methodological issues, including Thong Thuan's multiple...

  20. 76 FR 9752 - Certain Steel Nails From the People's Republic of China: Extension of Time Limit for the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... extend that 180-day period to 300 days if it determines that the case is extraordinarily complicated. See... that this new shipper review involves extraordinarily complicated methodological issues, including...

  1. Ordering the Senses in a Monolingual Dictionary Entry.

    ERIC Educational Resources Information Center

    Gold, David L.

    1986-01-01

    Reviews issues to be considered in determining the order of meanings for a lexeme in a dictionary entry and compares techniques for deciding order. Types of ordering include importance, frequency, logical ordering, dominant meaning, syntactic, and historical. (MSE)

  2. A guide to organizing joint ventures with physicians.

    PubMed

    Peters, G R

    1986-12-01

    Catholic health care facilities must consider the business and legal risks, canon law, and other constraints when planning a joint venture with physicians. Participants should first establish goals and compatibility, then determine the venture's type (property, service), form ("true," lease, contract), and structure (corporation, partnership, joint property ownership, trust). The administrator must decide whether the facility will participate directly in the venture or form a separate organization. Participants must determine their relationships with the venture, choosing among many options. The administrator should consider whether a venture raises any canon law issues, especially regarding ecclesiastical and secular assets, approval by the local bishop or Holy See, and need for consultation. Other pertinent legal issues include: Fraud and abuse. The venture should not appear as compensation to induce referrals. Physician referrals. Many states prohibit or restrict referrals by physician participants. Antitrust law. Participants may be liable for actions constituting on antitrust violation. Securities low. Organizers must clarify Securities and Exchange Commission registration exemptions and observe state "blue sky" laws. Tax issues. Catholic health care facilities must consider such factors as tax-exempt status, unrelated business income, taxable subsidiaries, and public charity status. Other considerations include tax ramifications for physicians; tax shelter registration; certificate of need (CON), licensing, and building standards; effects on reimbursement and pension plans; organizational and bond documents; corporate medical practice and fee-splitting questions; and labor and contractual issues.

  3. [Ethical issues in the practice of advance directives, living wills, and self-determination in end of life care].

    PubMed

    Fang, Hui-Feng; Jhing, Huei-Yu; Lin, Chia-Chin

    2009-02-01

    The Hospice-Palliative Care Act, enacted in Taiwan in 2000, was designed to respect the end of life medical wishes of patients with incurable illnesses, safeguard the rights of these patients, and provide clinical guidelines for healthcare workers responsible to provide end of life care. Self-determination is a core element of human dignity. Advance directive documents include a living will, and durable power of attorney for healthcare. This article reviews current issues and ethical dilemmas with regard to advance directives. Patients, family members, and clinicians may require better education on the Hospice-Palliative Care Act in order to respect more appropriately patient end of life medical care wishes.

  4. Quarterly report for the NGA FFCA project, July 1--September 30, 1994

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

    NONE

    1994-12-31

    Summaries are presented of activities and meetings related to the National Governor`s Association (NGA) Federal Facilities Compliance Act (FFCA) project. The objective of this project is the management of mixed radioactive and hazardous wastes. Activities include: execution of grants to states to fund a review and development of the site treatment plans; determination of interest in a proposed cost model to be developed by EG and G; determination of the major issues that need to be addressed prior to the release of the Draft Site Treatment Plans; and development of a draft Commercial Mixed Waste Issue Paper which was distributedmore » for review and comment.« less

  5. Distance Learning.

    ERIC Educational Resources Information Center

    Orey, Michael; Koenecke, Lynne; Snider, Richard C.; Perkins, Ross A.; Holmes, Glen A.; Lockee, Barbara B.; Moller, Leslie A.; Harvey, Douglas; Downs, Margaret; Godshalk, Veronica M.

    2003-01-01

    Contains four articles covering trends and issues on distance learning including: the experience of two learners learning via the Internet; a systematic approach to determining the scalability of a distance education program; identifying factors that affect learning community development and performance in asynchronous distance education; and…

  6. Sexual Harassment on Campus: Are Your Actions Actionable?

    ERIC Educational Resources Information Center

    Perry, Nancy Walker

    1993-01-01

    Addresses issue of sexual harassment on academic campus. Includes definitions of sexual harassment; guidelines for determining when sexual harassment has occurred; explanation of employer/employee responsibility in cases of sexual harassment; and strategies designed to prevent or remedy sexual harassment. (Author)

  7. Assessing the effectiveness of postacute care rehabilitation.

    PubMed

    Kane, Robert L

    2007-11-01

    This commentary reviews a number of issues related to determining the effectiveness of postacute care including what it is (in terms of type and site of care), how to tease out the critical elements (what components of this multifaceted process are essential), the role of research designs (given the logistic difficulties of doing randomized trials, how can nonexperimental designs be used to the greatest advantage), how to assess the relation between treatment and outcomes, measurement issues (what, when, how), correcting for case mix, and potential payment schemes.

  8. [Materiality Analysis of Health Plans Based on Stakeholder Engagement and the Issues Included at ISO 26000:2010].

    PubMed

    Moyano Santiago, Miguel Angel; Rivera Lirio, Juana María

    2017-01-18

    Health plans of the Spanish autonomous communities can incorporate sustainable development criteria in its development. There have been no analysis or proposals about development and indicators. The goal is to add a contribution to help build better health plans aimed at sustainable development and help to manage economic, social and environmental impacts of health systems criteria. We used a variation of the RAND/UCLA or modified Delphi technique method. The process consisted of a bibliographical and context matters and issues related to health and social responsibility analysis based on ISO 26000: 2010. A survey by deliberately to a selection of 70 expert members of the identified stakeholders was carried out and a discussion group was held to determine the consensus on the issues addressed in the survey sample. The research was conducted in 2015. From the literature review 33 health issues included in ISO 26000:2010 were obtained. 7 survey proved relevant high consensus, 8 relevance and average consensus and 18 with less relevance and high level of dissent. The expert group excluded 4 of the 18 subjects with less consensus. 29 issues included 33 at work, divided into 7 subjects contained in the guide ISO 26000 of social responsibility, were relevant stakeholders regarding possible inclusion in health plans. Considering the direct relationship published by ISO (International Organization for Standardization) among the issues ISO 26000 and the economic, social and environmental indicators in GRI (Global Reporting Initiative) in its G4 version, a panel with monitoring indicators related to relevant issues were elaborated.

  9. A Required Online Course with a Public Health Focus for Third Professional Year Pharmacy Students.

    PubMed

    King, Amber E; Egras, Amy M

    2015-06-25

    To design, deliver, and evaluate the impact of a required course on student knowledge acquisition and ability to evaluate contemporary public health issues. A 2-credit course was implemented using asynchronous, online delivery. Learning activities included literature retrieval and assessment, analytic writing, quizzes, and creation of a group wiki evaluating a current public health issue. Course topics included health care reform, social determinants of health, health disparities, evidence-based medicine, end-of-life care, patient safety, and research ethics. Strong student performance on assessments indicated an ability to use higher-order cognitive domains. Online delivery provided students with the flexibility to complete assignments at their convenience, allowed participation by all students, and encouraged self-directed learning. Completion of a required, online, asynchronous course with a public health focus allowed pharmacy students to increase their knowledge of and ability to evaluate contemporary ethical, social, cultural, and governmental issues affecting pharmacy practice.

  10. Strategic Choices for Data Communications Systems.

    ERIC Educational Resources Information Center

    Arns, Robert G.; Urban, Patricia A.

    1984-01-01

    Issues in determining how to develop a data communications system at colleges and universities are discussed including; technical requirements; cost; implications for coordination and (de)centralization of hardware/software; deciding when to create a data network; data security, information integrity, and organizational development. (Author/MLW)

  11. Bus Driver Fatigue and Stress Issues Study. Final Report

    DOT National Transportation Integrated Search

    1984-04-01

    The study has determined the safety effectiveness of various types of motorist warning devices in reducing accidents at rail-highway crossings. The study was based on analysis of data included in the DOT-AAR Rail-Highway Crossing Inventory and the FR...

  12. Managing Technology Is Different.

    ERIC Educational Resources Information Center

    Levinson, Eliot; Grohe, Barbara

    2002-01-01

    Discusses methods that school superintendents can use to manage technology issues in their schools beyond traditional delegation. Highlights include participation more than delegation to a technology coordinator; identifying the right problems; determining what to make and what to buy; and the need for continual technology funding. (LRW)

  13. Education in Environmental Remote Sensing: Potentials and Problems.

    ERIC Educational Resources Information Center

    Kiefer, Ralph W.; Lillesand, Thomas M.

    1983-01-01

    Discusses remote sensing principles and applications and the status and needs of remote sensing education in the United States. A summary of the fundamental policy issues that will determine remote sensing's future role in environmental and resource managements is included. (Author/BC)

  14. Pathway-based monitoring of biological effects at Great Lakes sites (Presntation)

    EPA Science Inventory

    The Great Lakes region suffers from degradation of water and environmental quality due to release of chemicals of emerging concern. Critical issues remain in delisting Areas of Concern (AOC) including determining sources of chemicals causing fish health impacts, relating health ...

  15. Ethics, policy, and educational issues in genetic testing.

    PubMed

    Williams, Janet K; Skirton, Heather; Masny, Agnes

    2006-01-01

    Analyze ethics, public policy, and education issues that arise in the United States (US) and the United Kingdom (UK) when genomic information acquired as a result of genetic testing is introduced into healthcare services. Priorities in the Ethical, Legal, and Social Issues Research Program include privacy, integration of genetic services into clinical health care, and educational preparation of the nursing workforce. These constructs are used to examine health policies in the US and UK, and professional interactions of individuals and families with healthcare providers. Individual, family, and societal goals may conflict with current healthcare practices and policies when genetic testing is done. Current health policies do not fully address these concerns. Unresolved issues include protection of privacy of individuals while considering genetic information needs of family members, determination of appropriate monitoring of genetic tests, addressing genetic healthcare discrepancies, and assuring appropriate nursing workforce preparation. Introduction of genetic testing into health care requires that providers are knowledgeable regarding ethical, policy, and practice issues in order to minimize risk for harm, protect the rights of individuals and families, and consider societal context in the management of genetic test results. Understanding of these issues is a component of genetic nursing competency that must be addressed at all levels of nursing education.

  16. Argumentation in elementary science education: addressing methodological issues and conceptual understanding

    NASA Astrophysics Data System (ADS)

    Kaya, Ebru

    2017-11-01

    In this review essay I respond to issues raised in Mijung Kim and Wolff-Michael Roth's paper titled "Dialogical argumentation in elementary science classrooms", which presents a study dealing with dialogical argumentation in early elementary school classrooms. Since there is very limited research on lower primary school students' argumentation in school science, their paper makes a contribution to research on children's argumentation skills. In this response, I focus on two main issues to extend the discussion in Kim and Roth's paper: (a) methodological issues including conducting a quantitative study on children's argumentation levels and focusing on children's written argumentation in addition to their dialogical argumentation, and (b) investigating children's conceptual understanding along with their argumentation levels. Kim and Roth emphasize the difficulty in determining the level of children's argumentation through the Toulmin's Argument Pattern and lack of high level arguments by children due to their difficulties in writing texts. Regarding these methodological issues, I suggest designing quantitative research on coding children's argument levels because such research could potentially provide important findings on children's argumentation. Furthermore, I discuss alternative written products including posters, figures, or pictures generated by children in order to trace children's arguments, and finally articulating argumentation and conceptual understanding of children.

  17. Perceived comfort level of medical students and residents in handling clinical ethics issues.

    PubMed

    Silverman, Henry J; Dagenais, Julien; Gordon-Lipkin, Eliza; Caputo, Laura; Christian, Matthew W; Maidment, Bert W; Binstock, Anna; Oyalowo, Akinbowale; Moni, Malini

    2013-01-01

    Studies have shown that medical students and residents believe that their ethics preparation has been inadequate for handling ethical conflicts. The objective of this study was to determine the self-perceived comfort level of medical students and residents in confronting clinical ethics issues. Clinical medical students and residents at the University of Maryland School of Medicine completed a web-based survey between September 2009 and February 2010. The survey consisted of a demographic section, questions regarding the respondents' sense of comfort in handling a variety of clinical ethics issues, and a set of knowledge-type questions in ethics. Survey respondents included 129 medical students (response rate of 40.7%) and 207 residents (response rate of 52.7%). There were only a few clinical ethics issues with which more than 70% of the respondents felt comfortable in addressing. Only a slight majority (60.8%) felt prepared, in general, to handle clinical situations involving ethics issues, and only 44.1% and 53.2% agreed that medical school and residency training, respectively, helped prepare them to handle such issues. Prior ethics training was not associated with these responses, but there was an association between the level of training (medical students vs residents) and the comfort level with many of the clinical ethics issues. Medical educators should include ethics educational methods within the context of real-time exposure to medical ethics dilemmas experienced by physicians-in-training.

  18. World-View Entrapment: Moral-Ethical Implications for Gifted Education.

    ERIC Educational Resources Information Center

    Ambrose, Don

    2000-01-01

    This article explores the moral-ethical implications of the mechanistic world view and related issues such as technological determinism, social Darwinism, and androcentrism. It finds that educational approaches reinforced by the mechanistic world view include positivistic approaches to curriculum, instruction, and research. Recommendations for…

  19. Pathway-based monitoring of biological effects at Great Lakes sites

    EPA Science Inventory

    The Great Lakes region suffers from degradation of water and environmental quality due to release of chemicals of emerging concern (CEC) that may threaten near shore health. Critical issues remain in delisting AOC including determining sources of chemicals causing fish health im...

  20. Faculty Salary Equity: Issues and Options.

    ERIC Educational Resources Information Center

    Snyder, Julie K.; And Others

    1994-01-01

    An approach to identifying and correcting college faculty salary inequities based on gender is presented. Steps include determining whether a problem exists using an objective, legally sound procedure; developing feasible adjustment strategies; and implementing correction and a monitoring process consistent with institutional culture and values.…

  1. Assessment and Learning of Mathematics.

    ERIC Educational Resources Information Center

    Leder, Gilah C., Ed.

    This book addresses the link between student learning of mathematics, the teaching method adopted in the mathematics classroom, and the assessment procedures used to determine and measure student knowledge. Fifteen chapters address issues that include a review of different models of mathematics learning and assessment practices, three contrasting…

  2. 28 CFR 74.3 - Eligibility determinations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 9066 or military proclamations issued under its authority, from their parent's or parents' original... act in military areas or zones,” approved March 21, 1942; or (iii) Any other Executive order... 30, 1946, as being in a prohibited military zone, including those individuals who, during the...

  3. 28 CFR 74.3 - Eligibility determinations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 9066 or military proclamations issued under its authority, from their parent's or parents' original... act in military areas or zones,” approved March 21, 1942; or (iii) Any other Executive order... 30, 1946, as being in a prohibited military zone, including those individuals who, during the...

  4. 28 CFR 74.3 - Eligibility determinations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 9066 or military proclamations issued under its authority, from their parent's or parents' original... act in military areas or zones,” approved March 21, 1942; or (iii) Any other Executive order... 30, 1946, as being in a prohibited military zone, including those individuals who, during the...

  5. 28 CFR 74.3 - Eligibility determinations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 9066 or military proclamations issued under its authority, from their parent's or parents' original... act in military areas or zones,” approved March 21, 1942; or (iii) Any other Executive order... 30, 1946, as being in a prohibited military zone, including those individuals who, during the...

  6. 28 CFR 74.3 - Eligibility determinations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 9066 or military proclamations issued under its authority, from their parent's or parents' original... act in military areas or zones,” approved March 21, 1942; or (iii) Any other Executive order... 30, 1946, as being in a prohibited military zone, including those individuals who, during the...

  7. Defense Acquisition Research Journal. Volume 23, Number 4, Issue 79, October 2016

    DTIC Science & Technology

    2016-10-01

    the final word on ship design decisions, including critical operational requirements and costs. Kuehn provides a captivating description of how the...requires using material from primary sources, including program documents, policy papers, memoranda, surveys , interviews, etc. Articles are...instrument, • describe the limitations of the research, • ensure results are quantitative and qualitative, • determine if the study can be replicated, and

  8. Food Supply and Food Safety Issues in China

    PubMed Central

    Lam, Hon-Ming; Remais, Justin; Fung, Ming-Chiu; Xu, Liqing; Sun, Samuel Sai-Ming

    2013-01-01

    Food supply and food safety are major global public health issues, and are particularly important in heavily populated countries such as China. Rapid industrialisation and modernisation in China are having profound effects on food supply and food safety. In this Review, we identified important factors limiting agricultural production in China, including conversion of agricultural land to other uses, freshwater deficits, and soil quality issues. Additionally, increased demand for some agricultural products is examined, particularly those needed to satisfy the increased consumption of animal products in the Chinese diet, which threatens to drive production towards crops used as animal feed. Major sources of food poisoning in China include pathogenic microorganisms, toxic animals and plants entering the food supply, and chemical contamination. Meanwhile, two growing food safety issues are illegal additives and contamination of the food supply by toxic industrial waste. China’s connections to global agricultural markets are also having important effects on food supply and food safety within the country. Although the Chinese Government has shown determination to reform laws, establish monitoring systems, and strengthen food safety regulation, weak links in implementation remain. PMID:23746904

  9. Micro sensor node for air pollutant monitoring: hardware and software issues.

    PubMed

    Choi, Sukwon; Kim, Nakyoung; Cha, Hojung; Ha, Rhan

    2009-01-01

    Wireless sensor networks equipped with various gas sensors have been actively used for air quality monitoring. Previous studies have typically explored system issues that include middleware or networking performance, but most research has barely considered the details of the hardware and software of the sensor node itself. In this paper, we focus on the design and implementation of a sensor board for air pollutant monitoring applications. Several hardware and software issues are discussed to explore the possibilities of a practical WSN-based air pollution monitoring system. Through extensive experiments and evaluation, we have determined the various characteristics of the gas sensors and their practical implications for air pollutant monitoring systems.

  10. Fitness issues in the context of judicial proceedings.

    PubMed

    Samuels, Anthony; O'Driscoll, Colman; Allnutt, Stephen

    2007-06-01

    This paper provides a conceptual, historical and legislative overview of fitness issues. These include fitness to be interrogated or charged, to plead, to be tried and to be sentenced in the context of Australia and New Zealand. Legislation regarding fitness issues needs to strike a balance between protecting the rights of mentally impaired defendants to a fair trial process and recognizing that mental illness in itself does not absolutely preclude participation in a trial process or necessarily diminish criminal responsibility. Although the key determinants of fitness seem to be the ability to cope with court processes and communicate with counsel, the application of clinical judgement to legal criteria is not always straightforward.

  11. Evaluation of physical activity interventions in youth via the Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework: A systematic review of randomised and non-randomised trials.

    PubMed

    McGoey, Tara; Root, Zach; Bruner, Mark W; Law, Barbi

    2015-07-01

    An identified limitation of existing reviews of physical activity interventions in school-aged youth is the lack of reporting on issues related to the translatability of the research into health promotion practice. This review used the Reach, Efficacy/Effectiveness, Adoption, Implementation and Maintenance framework to determine the extent to which intervention studies promoting physical activity in youth report on factors that inform generalizability across settings and populations. A systematic search for controlled interventions conducted within the last ten years identified 50 studies that met the selection criteria. Based on Reach, Efficacy/Effectiveness, Adoption, Implementation and Maintenance criteria, most of these studies focused on statistically significant findings and internal validity rather than on issues of external validity. Due to this lack of information, it is difficult to determine whether or not reportedly successful interventions are feasible and sustainable in an uncontrolled, real-world setting. Areas requiring further research include costs associated with recruitment and implementation, adoption rate, and representativeness of participants and settings. This review adds data to support recommendations that interventions promoting physical activity in youth should include assessment of adoption and implementation issues. Copyright © 2015 Elsevier Inc. All rights reserved.

  12. Diabetes and end of life: ethical and methodological issues in gathering evidence to guide care.

    PubMed

    Dunning, Trisha; Duggan, Nicole; Savage, Sally; Martin, Peter

    2013-03-01

    Providing palliative care for people with diabetes at the end of life is part of the chronic disease care trajectory, but end of life care is complex and the presence of diabetes further complicates management. The aim of the paper is to discuss the ethical and methodological issues encountered when undertaking research to develop guidelines for managing diabetes at the end of life and the strategies used to address the issues. The issues emerged as we developed guidelines for managing diabetes at the end of life, which included conducting individual interviews with 14 people with diabetes requiring palliative care and 10 family members. A reflexive researcher journal was maintained throughout the guideline development process. The interview transcripts and researcher's journal were analysed to determine key methodological, ethical and researcher-related issues. Key themes were vulnerability of the sampling population, methodological issues included recruiting participants and ensuring rigor, ethical issues concerned benefit and risk, justice, autonomy, privacy, professional boundaries and informed consent. Researcher-related issues were identified such as managing participant distress and their own emotional distress. People were willing to discuss end of life diabetes management preferences. Undertaking research with people at the end of life is complex because of their vulnerability and the ethical issues involved. However, the ethical principles of autonomy and justice apply and people should be given the relevant information and opportunity to decide whether to participate or not. © 2012 The Authors. Scandinavian Journal of Caring Sciences © 2012 Nordic College of Caring Science.

  13. Humanities, Religion, and the Arts Tomorrow.

    ERIC Educational Resources Information Center

    Hunter, Howard, Ed.

    Intended as a basic resource in new primary sources for interdisciplinary studies, this book consists of twelve essays on contemporary culture, religion, and the arts. The authors, specialists in the humanities, are concerned with interdisciplinary investigation, including such issues as determining methods of study, methods of validating claims…

  14. Technical note: stress analysis of cellulosic-manure composites

    Treesearch

    Y.H. Ro; J.F. Hunt; R.E. Rowlands

    2017-01-01

    Ability to determine stresses in loaded, perforated cellulosic-manure composites from recorded temperature information was demonstrated. Being able to stress analyze such green materials addresses several societal issues. These include providing engineering members fabricated from materials that are suitable for developed and developing nations, relieving a troubling...

  15. Mainstreaming in the Philippines programme.

    PubMed

    Smith, S

    1998-07-01

    In the Philippines, where the Oxfam team has worked on gender issues since 1990, the group recently conducted an in-house workshop to identify achievements and areas for improvement in gender mainstreaming. Gender activities began with a needs assessment of the fisheries in 1990 and have included gender-sensitivity training for Oxfam partner groups, support of women's issues, and gender research into such areas as disaster management. Successes include the appointment of women to key positions in the community, which was a direct result of advocacy work. Major challenges include 1) determining the best models to develop sectoral networking and advocacy on gender and 2) overcoming gender-resistance in some partners. The team concluded that it is still learning how to mainstream gender issues and is still searching for a framework to integrate gender into other approaches to planning, monitoring, and evaluation. In the future, Oxfam will 1) undertake small-scale and simple gender reviews with selected partners and then pilot gender-mainstreaming contracts with them, 2) build gender-learning teams within sectoral programs, 3) continue supporting networking and capability-building in feminist organizations, and 4) focus on gender at the next partners' meeting.

  16. Request for Determination on BACT Issues -- Ogden Martin Tulsa Municipal Waste Incinerator Facility

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  17. TUTORIAL: Validating biorobotic models

    NASA Astrophysics Data System (ADS)

    Webb, Barbara

    2006-09-01

    Some issues in neuroscience can be addressed by building robot models of biological sensorimotor systems. What we can conclude from building models or simulations, however, is determined by a number of factors in addition to the central hypothesis we intend to test. These include the way in which the hypothesis is represented and implemented in simulation, how the simulation output is interpreted, how it is compared to the behaviour of the biological system, and the conditions under which it is tested. These issues will be illustrated by discussing a series of robot models of cricket phonotaxis behaviour. .

  18. Assessment of Adolescent Neurotoxicity: Rationale and Methodological Considerations

    PubMed Central

    Spear, Linda Patia

    2007-01-01

    This introduction to the special issue of Neurotoxicology and Teratology on “Risk of neurobehavioral toxicity in adolescence” begins by broadly considering the ontogeny and phylogeny of adolescence, and the potential value of animal models of adolescence. Major findings from the emerging neuroscience of adolescence are then highlighted to establish the importance of studies of adolescent neurotoxicity. A variety of methodological issues that are of particular relevance to adolescent exposures are then discussed. These include consideration of pharmacokinetic factors, inclusion of other-aged comparison group(s), and issues involving timing, route of administration, and exposure-induced alterations in growth rate. Despite such methodological challenges, research to determine whether adolescence is a time of increased vulnerability (or greater resiliency) to specific drugs and environmental toxicants is progressing rapidly, as exemplified by the work presented in the articles of this special issue. PMID:17222532

  19. Strength, Fracture Toughness, Fatigue, and Standardization Issues of Free-standing Thermal Barrier Coatings

    NASA Technical Reports Server (NTRS)

    Choi, Sung R.; Zhu, Dong-Ming; Miller, Robert A.

    2003-01-01

    Strength, fracture toughness and fatigue behavior of free-standing thick thermal barrier coatings of plasma-sprayed ZrO2-8wt % Y2O3 were determined at ambient and elevated temperatures in an attempt to establish a database for design. Strength, in conjunction with deformation (stress-strain behavior), was evaluated in tension (uniaxial and trans-thickness), compression, and uniaxial and biaxial flexure; fracture toughness was determined in various load conditions including mode I, mode II, and mixed modes I and II; fatigue or slow crack growth behavior was estimated in cyclic tension and dynamic flexure loading. Effect of sintering was quantified through approaches using strength, fracture toughness, and modulus (constitutive relations) measurements. Standardization issues on test methodology also was presented with a special regard to material's unique constitutive relations.

  20. Vapor core propulsion reactors

    NASA Technical Reports Server (NTRS)

    Diaz, Nils J.

    1991-01-01

    Many research issues were addressed. For example, it became obvious that uranium tetrafluoride (UF4) is a most preferred fuel over uranium hexafluoride (UF6). UF4 has a very attractive vaporization point (1 atm at 1800 K). Materials compatible with UF4 were looked at, like tungsten, molybdenum, rhenium, carbon. It was found that in the molten state, UF4 and uranium attacked most everything, but in the vapor state they are not that bad. Compatible materials were identified for both the liquid and vapor states. A series of analyses were established to determine how the cavity should be designed. A series of experiments were performed to determine the properties of the fluid, including enhancement of the electrical conductivity of the system. CFD's and experimental programs are available that deal with most of the major issues.

  1. 18 CFR 5.24 - Applications not requiring a draft NEPA document.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... requiring a draft NEPA document. 5.24 Section 5.24 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER THE FEDERAL POWER ACT INTEGRATED LICENSE... assessment issued pursuant to this paragraph must include draft license articles, a preliminary determination...

  2. 18 CFR 5.24 - Applications not requiring a draft NEPA document.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... requiring a draft NEPA document. 5.24 Section 5.24 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER THE FEDERAL POWER ACT INTEGRATED LICENSE... assessment issued pursuant to this paragraph must include draft license articles, a preliminary determination...

  3. What Does It Cost? An Essay on Overheads.

    ERIC Educational Resources Information Center

    Abrahamson, Brian

    1989-01-01

    Issues in determination of overhead for cost recovery from research funding sources are discussed, including the need to collect overhead, principles involved in charging for overhead, range of activity types to be considered, classification and calculation of costs, pricing policy, and payment to the university versus payment to its components.…

  4. 40 CFR 1611.2 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 32 2010-07-01 2010-07-01 false Definitions. 1611.2 Section 1611.2... PROCEEDINGS § 1611.2 Definitions. CSB incident report means the report containing the CSB's determinations, including the probable cause of an incident, issued either as a narrative report or in a computer format...

  5. 40 CFR 1611.2 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 34 2012-07-01 2012-07-01 false Definitions. 1611.2 Section 1611.2... PROCEEDINGS § 1611.2 Definitions. CSB incident report means the report containing the CSB's determinations, including the probable cause of an incident, issued either as a narrative report or in a computer format...

  6. 40 CFR 1611.2 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 33 2011-07-01 2011-07-01 false Definitions. 1611.2 Section 1611.2... PROCEEDINGS § 1611.2 Definitions. CSB incident report means the report containing the CSB's determinations, including the probable cause of an incident, issued either as a narrative report or in a computer format...

  7. 40 CFR 1611.2 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 34 2013-07-01 2013-07-01 false Definitions. 1611.2 Section 1611.2... PROCEEDINGS § 1611.2 Definitions. CSB incident report means the report containing the CSB's determinations, including the probable cause of an incident, issued either as a narrative report or in a computer format...

  8. 40 CFR 1611.2 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 33 2014-07-01 2014-07-01 false Definitions. 1611.2 Section 1611.2... PROCEEDINGS § 1611.2 Definitions. CSB incident report means the report containing the CSB's determinations, including the probable cause of an incident, issued either as a narrative report or in a computer format...

  9. Learning Lessons: An Independent Review of Indigenous Education in the Northern Territory.

    ERIC Educational Resources Information Center

    Northern Territory Dept. of Education, Darwin (Australia).

    A review of Indigenous education was undertaken in the Northern Territory, Australia, to determine the educational views of Indigenous communities, key issues affecting educational outcomes for Indigenous children, and supportable actions to improve those outcomes. Data collection included 126 targeted interviews, 40 public meetings, 106 formal…

  10. 78 FR 69823 - Atlantic Highly Migratory Species; Exempted Fishing, Scientific Research, Display, and Chartering...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-21

    ... the specified research. For example, in the past, NMFS has determined that commercial pelagic longline... activity meets the definition of research. Examples of research conducted under LOAs include tagging and... studies. Scientific research is not exempt from regulation under ATCA. NMFS issues SRPs which authorize...

  11. 18 CFR 4.20 - Initial statement.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... PROJECT COSTS Determination of Cost of Constructed Projects not Subject to Section 23(a) of the Act § 4.20 Initial statement. (a) Notification of Commission. In all cases where licenses are issued for projects... letter shall also include a statement to the effect that actual legitimate original cost, or if not known...

  12. 18 CFR 4.20 - Initial statement.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... PROJECT COSTS Determination of Cost of Constructed Projects not Subject to Section 23(a) of the Act § 4.20 Initial statement. (a) Notification of Commission. In all cases where licenses are issued for projects... letter shall also include a statement to the effect that actual legitimate original cost, or if not known...

  13. 18 CFR 4.20 - Initial statement.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... PROJECT COSTS Determination of Cost of Constructed Projects not Subject to Section 23(a) of the Act § 4.20 Initial statement. (a) Notification of Commission. In all cases where licenses are issued for projects... letter shall also include a statement to the effect that actual legitimate original cost, or if not known...

  14. 18 CFR 4.20 - Initial statement.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... PROJECT COSTS Determination of Cost of Constructed Projects not Subject to Section 23(a) of the Act § 4.20 Initial statement. (a) Notification of Commission. In all cases where licenses are issued for projects... letter shall also include a statement to the effect that actual legitimate original cost, or if not known...

  15. 18 CFR 4.20 - Initial statement.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... PROJECT COSTS Determination of Cost of Constructed Projects not Subject to Section 23(a) of the Act § 4.20 Initial statement. (a) Notification of Commission. In all cases where licenses are issued for projects... letter shall also include a statement to the effect that actual legitimate original cost, or if not known...

  16. Decision Making/The Chesapeake Bay. An Interdisciplinary Environmental Education Curriculum Unit.

    ERIC Educational Resources Information Center

    Maryland Univ., College Park. Science Teaching Center.

    This multidisciplinary, self-contained curriculum unit focuses on the management of the Chesapeake Bay, a threatened and complex environmental system. Major unit goals include identifying and analyzing conflicting interests, issues, and public policies concerning the Bay, and determining their effects on people and the environment. The unit…

  17. Flight Mechanics/Estimation Theory Symposium, 1991

    NASA Technical Reports Server (NTRS)

    Stengle, Thomas (Editor)

    1991-01-01

    Twenty-six papers and abstracts are presented. A wide range of issues related to orbit attitude prediction, orbit determination, and orbit control are examined including attitude sensor calibration, attitude dynamics, and orbit decay and maneuver strategy. Government, industry, and the academic community participated in the preparation and presentation of these papers.

  18. 77 FR 64093 - Hours of Service of Drivers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-18

    ..., the Agency would like to know what factors, issues, and data it should consider as it determines... Live Webcast. FMCSA will post specific information on how to participate via the Internet on the FMCSA... posts all comments received without change to www.regulations.gov , including any personal information...

  19. 20 CFR 404.942 - Prehearing proceedings and decisions by attorney advisors.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Determinations, Administrative Review Process, and...) There is an error in the file or some other indication that a fully favorable decision may be issued. (c... additional evidence that may be relevant to the claim, including medical evidence; and (2) If necessary to...

  20. 20 CFR 404.942 - Prehearing proceedings and decisions by attorney advisors.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Determinations, Administrative Review Process, and...) There is an error in the file or some other indication that a fully favorable decision may be issued. (c... additional evidence that may be relevant to the claim, including medical evidence; and (2) If necessary to...

  1. Language and Communication in the Mathematics Classroom.

    ERIC Educational Resources Information Center

    Steinbring, Heinz, Ed.; Bussi, Maria G. Bartolini, Ed.; Sierpinska, Anna, Ed.

    The way in which teachers communicate with their students partly determines what they communicate. This book addresses the communication issue by building on a series of papers whose first versions were presented in 1992 at the Sixth International Congress of Mathematics Education in Quebec. Papers include: (1) "Crossing the Gulf between Thought…

  2. Advancing Transdisciplinary and Translational Research Practice: Issues and Models of Doctoral Education in Public Health

    ERIC Educational Resources Information Center

    Neuhauser, Linda; Richardson, Dawn; Mackenzie, Sonja; Minkler, Meredith

    2007-01-01

    Finding solutions to complex health problems, such as obesity, violence, and climate change, will require radical changes in cross-disciplinary education, research, and practice. The fundamental determinants of health include many interrelated factors such as poverty, culture, education, environment, and government policies. However, traditional…

  3. Investing Wisely in Information Technology: Asking the Right Questions.

    ERIC Educational Resources Information Center

    Breivik, Patricia Senn

    1993-01-01

    College administrators are offered a series of questions to ask in evaluating the appropriateness of information technology for their campuses. Issues addressed include defining institutional goals and the role of information technology in them, determining the most effective organization of information resources and technology, and allocation of…

  4. 26 CFR 301.6110-6 - Written determinations issued in response to requests submitted before November 1, 1976.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 18 2010-04-01 2010-04-01 false Written determinations issued in response to... Information and Returns Returns and Records § 301.6110-6 Written determinations issued in response to requests submitted before November 1, 1976. (a) Inspection of written determinations and background file documents—(1...

  5. Structured inspection of medications carried and stored by emergency medical services agencies identifies practices that may lead to medication errors.

    PubMed

    Kupas, Douglas F; Shayhorn, Meghan A; Green, Paul; Payton, Thomas F

    2012-01-01

    Medications are essential to emergency medical services (EMS) agencies when providing lifesaving care, but the EMS environment has challenges related to safe medication storage when compared with a hospital setting. We developed a structured process, based on common pharmacy practices, to review medications carried by EMS agencies to identify situations that may lead to medication error and to determine some best practices that may reduce potential errors and the risk of patient harm. To provide a descriptive account of EMS practices related to carrying and storing medications that have the potential for causing a medication administration error or patient harm. Using a structured process for inspection, an emergency medicine pharmacist and emergency physician(s) reviewed the medication carrying and storage practices of all nine advanced life support ambulance agencies within a five-county EMS region. Each medication carried and stored by the EMS agency was inspected for predetermined and spontaneously observed issues that could lead to medication error. These issues were documented and photographed. Two EMS medical directors reviewed each potential error for the risk of producing patient harm and assigned each to a category of high, moderate, or low risk. Because issues of temperature on EMS medications have been addressed elsewhere, this study concentrated on potential for EMS medication administration errors exclusive of storage temperatures. When reviewing medications carried by the nine EMS agencies, 38 medication safety issues were identified (range 1 to 8 per EMS agency). Of these, 16 were considered to be high risk, 14 moderate risk, and eight low risk for patient harm. Examples of potential issues included carrying expired medications, container-labeling issues, different medications stored in look-alike vials or prefilled syringes in the same compartment, and carrying crystalloid solutions next to solutions premixed with a medication. When reviewing medications stored at the EMS agency stations, eight safety issues were identified (range from 0 to 4 per station), including five moderate-risk and three low-risk issues. No agency had any high-risk medication issues related to storage of medication stock in the station. We observed potential medication safety issues related to how medications are carried and stored at all nine EMS agencies in a five-county region. Understanding these issues may assist EMS agencies in reducing the potential for a medication error and risk of patient harm. More research is needed to determine whether following these suggested best practices for carrying medications on EMS vehicles actually reduces errors in medication administration by EMS providers or decreases patient harm.

  6. Health research needed to resolve scientific issues surrounding drinking water disinfection

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

    Kleffman, D.

    Disinfection of drinking water will most likely continue in the United States in order to prevent exposure to microbial pathogens that can cause infectious disease. However, the emergence of concerns over possible toxicological effects, including cancer, mutagenicity, cardiovascular disease, and reproductive effects, may require that the disinfection techniques used in this country be altered or changed. First, the spectrum of possible health effects and the level of risk posed by exposure to chemicals in drinking water must be determined. This will require a continuing research program to develop the scientific data necessary to resolve these issues. In this paper, themore » authors discusses the microbiological, chemical, toxicological, and epidemiological research that is needed to address these issues.« less

  7. Access to primary health care services for Indigenous peoples: A framework synthesis.

    PubMed

    Davy, Carol; Harfield, Stephen; McArthur, Alexa; Munn, Zachary; Brown, Alex

    2016-09-30

    Indigenous peoples often find it difficult to access appropriate mainstream primary health care services. Securing access to primary health care services requires more than just services that are situated within easy reach. Ensuring the accessibility of health care for Indigenous peoples who are often faced with a vast array of additional barriers including experiences of discrimination and racism, can be complex. This framework synthesis aimed to identify issues that hindered Indigenous peoples from accessing primary health care and then explore how, if at all, these were addressed by Indigenous health care services. To be included in this framework synthesis papers must have presented findings focused on access to (factors relating to Indigenous peoples, their families and their communities) or accessibility of Indigenous primary health care services. Findings were imported into NVivo and a framework analysis undertaken whereby findings were coded to and then thematically analysed using Levesque and colleague's accessibility framework. Issues relating to the cultural and social determinants of health such as unemployment and low levels of education influenced whether Indigenous patients, their families and communities were able to access health care. Indigenous health care services addressed these issues in a number of ways including the provision of transport to and from appointments, a reduction in health care costs for people on low incomes and close consultation with, if not the direct involvement of, community members in identifying and then addressing health care needs. Indigenous health care services appear to be best placed to overcome both the social and cultural determinants of health which hamper Indigenous peoples from accessing health care. Findings of this synthesis also suggest that Levesque and colleague's accessibility framework should be broadened to include factors related to the health care system such as funding.

  8. Approaches to acceptable risk

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

    Whipple, C

    Several alternative approaches to address the question {open_quotes}How safe is safe enough?{close_quotes} are reviewed and an attempt is made to apply the reasoning behind these approaches to the issue of acceptability of radiation exposures received in space. The approaches to the issue of the acceptability of technological risk described here are primarily analytical, and are drawn from examples in the management of environmental health risks. These include risk-based approaches, in which specific quantitative risk targets determine the acceptability of an activity, and cost-benefit and decision analysis, which generally focus on the estimation and evaluation of risks, benefits and costs, inmore » a framework that balances these factors against each other. These analytical methods tend by their quantitative nature to emphasize the magnitude of risks, costs and alternatives, and to downplay other factors, especially those that are not easily expressed in quantitative terms, that affect acceptance or rejection of risk. Such other factors include the issues of risk perceptions and how and by whom risk decisions are made.« less

  9. Critical issues in the history, philosophy, and sociology of astrobiology.

    PubMed

    Dick, Steven J

    2012-10-01

    Fifty years after serious scientific research began in the field of exobiology, and forty years after serious historical research began on the subject of extraterrestrial life, this paper identifies and examines some of the most important issues in the history, philosophy, and sociology of what is today known as astrobiology. As in the philosophy of science in general, and in the philosophies of particular sciences, critical issues in the philosophy and sociology of astrobiology are both stimulated and illuminated by history. Among those issues are (1) epistemological issues such as the status of astrobiology as a science, the problematic nature of evidence and inference, and the limits of science; (2) metaphysical/scientific issues, including the question of defining the fundamental concepts of life, mind, intelligence, and culture in a universal context; the role of contingency and necessity in the origin of these fundamental phenomena; and whether or not the universe is in some sense fine-tuned for life and perhaps biocentric; (3) societal issues such as the theological, ethical, and worldview impacts of the discovery of microbial or intelligent life; and the question of whether the search for extraterrestrial life should be pursued at all, and with what precautions; and (4) issues related to the sociology of scientific knowledge, including the diverse attitudes and assumptions of different scientific communities and different cultures to the problem of life beyond Earth, the public "will to believe," and the formation of the discipline of astrobiology. All these overlapping issues are framed by the concept of cosmic evolution-the 13.7 billion year Master Narrative of the Universe-which may result in a physical, biological, or postbiological universe and determine the long-term destiny of humanity.

  10. 1999 Flight Mechanics Symposium

    NASA Technical Reports Server (NTRS)

    Lynch, John P. (Editor)

    1999-01-01

    This conference publication includes papers and abstracts presented at the Flight Mechanics Symposium held on May 18-20, 1999. Sponsored by the Guidance, Navigation and Control Center of Goddard Space Flight Center, this symposium featured technical papers on a wide range of issues related to orbit-attitude prediction, determination, and control; attitude sensor calibration; attitude determination error analysis; attitude dynamics; and orbit decay and maneuver strategy. Government, industry, and the academic community participated in the preparation and presentation of these papers.

  11. Flight Mechanics/Estimation Theory Symposium, 1992

    NASA Technical Reports Server (NTRS)

    Stengle, Thomas H. (Editor)

    1993-01-01

    This conference publication includes 40 papers and abstracts presented at the Flight Mechanics/Estimation Theory Symposium on May 5-7, 1992. Sponsored by the Flight Dynamics Division of Goddard Space Flight Center, this symposium featured technical papers on a wide range of issues related to orbit-attitude prediction, determination, and control; attitude sensor calibration; attitude determination error analysis; attitude dynamics; and orbit decay and maneuver strategy. Government, industry, and the academic community participated in the preparation and presentation of these papers.

  12. Flight Mechanics/Estimation Theory Symposium 1996

    NASA Technical Reports Server (NTRS)

    Greatorex, Scott (Editor)

    1996-01-01

    This conference publication includes 34 papers and abstracts presented at the Flight Mechanics/ Estimation Theory Symposium on May 14-16, 1996. Sponsored by the Flight Dynamics Division of Goddard Space Flight Center, this symposium featured technical papers on a wide range of issues related to orbit-attitude prediction, determination, and control; attitude sensor calibration; attitude determination error analysis; attitude dynamics; and orbit decay and maneuver strategy. Government, industry, and the academic community participated in the preparation and presentation of these papers.

  13. Flight Mechanics/Estimation Theory Symposium, 1994

    NASA Technical Reports Server (NTRS)

    Hartman, Kathy R. (Editor)

    1994-01-01

    This conference publication includes 41 papers and abstracts presented at the Flight Mechanics/Estimation Theory Symposium on May 17-19, 1994. Sponsored by the Flight Dynamics Division of Goddard Space Flight Center, this symposium featured technical papers on a wide range of issues related to orbit-attitude prediction, determination and control; attitude sensor calibration; attitude determination error analysis; attitude dynamics; and orbit decay and maneuver strategy. Government, industry, and the academic community participated in the preparation and presentation of these papers.

  14. Flight Mechanics/Estimation Theory Symposium, 1990

    NASA Technical Reports Server (NTRS)

    Stengle, Thomas (Editor)

    1990-01-01

    This conference publication includes 32 papers and abstracts presented at the Flight Mechanics/Estimation Theory Symposium on May 22-25, 1990. Sponsored by the Flight Dynamics Division of Goddard Space Flight Center, this symposium features technical papers on a wide range of issues related to orbit-attitude prediction, determination and control; attitude sensor calibration; attitude determination error analysis; attitude dynamics; and orbit decay and maneuver strategy. Government, industry, and the academic community participated in the preparation and presentation of these papers.

  15. Flight Mechanics/Estimation Theory Symposium 1995

    NASA Technical Reports Server (NTRS)

    Hartman, Kathy R. (Editor)

    1995-01-01

    This conference publication includes 41 papers and abstracts presented at the Flight Mechanics/ Estimation Theory Symposium on May 16-18, 1995. Sponsored by the Flight Dynamics Division of Goddard Space Flight Center, this symposium featured technical papers on a wide range of issues related to orbit-attitude prediction, determination, and control; attitude sensor calibration; attitude determination error analysis; attitude dynamics; and orbit decay and maneuver strategy. Government, industry, and the academic community participated in the preparation and presentation of these papers.

  16. On the Activation Volume for Dislocation Creep and Diffusion in Olivine and Other Minerals

    NASA Astrophysics Data System (ADS)

    Karato, S.

    2006-12-01

    The activation volume is an important parameter that characterizes the pressure dependence of plastic deformation. However, experimental determination of activation volume is challenging and, for olivine, the published results range from ~0 to ~30 cm3/mol. This vast range of V* is translated into more than 10 orders of magnitude difference in viscosity in the deep upper mantle (for a given stress). The main reasons for this large discrepancy include (i) the large experimental errors in the previous experimental studies on V* due to the limited pressure range and the limited resolution of mechanical measurements and (ii) the confusions in parameterization of flow law. In this talk, I will discuss several issues in determining and interpreting V*. In addition to the issues of uncertainties in experimental measurements, one important issue in the experimental determination of V* is the choice of flow law formula. It is customary to use a power-law equation to determine V*, but the appropriateness of power-law relationship is not obvious, and two issues need to be addressed carefully. First, at stress exceeding ~200 MPa (for olivine), deviation from power- law behavior is appreciable and the exponential flow law becomes important. The transition to exponential flow law will result in (i) apparently small V* if the data were fitted to a power-law relation, and (ii) apparently negative dependence of activation enthalpy (as observed by Green and Borch (1987)). Second, the flow-law parameterization under water-saturated conditions needs to include the pressure dependence of water fugacity. When this effect is ignored, apparently small activation volume would be obtained. Third, if deform,ation is in the transient creep regime rather than in the "steady-state" creep regime, then the activation volume will be an apparent activation volume that can be significantly lower than the "true" activation volume if the transient creep behavior is pressure-dependent. I will review the existing data on olivine and other materials to estimate the "intrinsic" ("true") activation volumes in these minerals.

  17. Retractions in cancer research: a systematic survey.

    PubMed

    Bozzo, Anthony; Bali, Kamal; Evaniew, Nathan; Ghert, Michelle

    2017-01-01

    The annual number of retracted publications in the scientific literature is rapidly increasing. The objective of this study was to determine the frequency and reason for retraction of cancer publications and to determine how journals in the cancer field handle retracted articles. We searched three online databases (MEDLINE, Embase, The Cochrane Library) from database inception until 2015 for retracted journal publications related to cancer research. For each article, the reason for retraction was categorized as plagiarism, duplicate publication, fraud, error, authorship issues, or ethical issues. Accessibility of the retracted article was defined as intact, removed, or available but with a watermark over each page. Descriptive data was collected on each retracted article including number of citations, journal name and impact factor, study design, and time between publication and retraction. The publications were screened in duplicated and two reviewers extracted and categorized data. Following database search and article screening, we identified 571 retracted cancer publications. The majority (76.4%) of cancer retractions were issued in the most recent decade, with 16.6 and 6.7% of the retractions in the prior two decades respectively. Retractions were issued by journals with impact factors ranging from 0 (discontinued) to 55.8. The average impact factor was 5.4 (median 3.54, IQR 1.8-5.5). On average, a retracted article was cited 45 times (median 18, IQR 6-51), with a range of 0-742. Reasons for retraction include plagiarism (14.4%), fraud (28.4%), duplicate publication (18.2%), error (24.2%), authorship issues (3.9%), and ethical issues (2.1%). The reason for retraction was not stated in 9.8% of cases. Twenty-nine percent of retracted articles remain available online in their original form. Retractions in cancer research are increasing in frequency at a similar rate to all biomedical research retractions. Cancer retractions are largely due to academic misconduct. Consequences to cancer patients, the public at large, and the research community can be substantial and should be addressed with future research. Despite the implications of this important issue, some cancer journals currently fall short of the current guidelines for clearly stating the reason for retraction and identifying the publication as retracted.

  18. Structures and Materials Working Group report

    NASA Technical Reports Server (NTRS)

    Torczyner, Robert; Hanks, Brantley R.

    1986-01-01

    The appropriateness of the selection of four issues (advanced materials development, analysis/design methods, tests of large flexible structures, and structural concepts) was evaluated. A cross-check of the issues and their relationship to the technology drivers is presented. Although all of the issues addressed numerous drivers, the advanced materials development issue impacts six out of the seven drivers and is considered to be the most crucial. The advanced materials technology development and the advanced design/analysis methods development were determined to be enabling technologies with the testing issues and development of structural concepts considered to be of great importance, although not enabling technologies. In addition, and of more general interest and criticality, the need for a Government/Industry commitment which does not now exist, was established. This commitment would call for the establishment of the required infrastructure to facilitate the development of the capabilities highlighted through the availability of resources and testbed facilities, including a national testbed in space to be in place in ten years.

  19. Dietary Guidelines for the Asia Pacific Region.

    PubMed

    Binns, Colin W; Lee, Mi Kyung; Kagawa, Masaharu; Low, Wah Yun; Liqian, Qiu; Guldan, Georgia S; Hokama, Tomiko; Nanishi, Keiko; Oy, Sreymom; Tang, Li; Zerfas, Alfred

    2017-03-01

    Nutrition is a major determinant of health throughout all stages of life and together with smoking is the most important risk factor for morbidity and mortality in the Asia Pacific Region. The workshop participants examined Dietary Guidelines and Food Guides that are in use in our region, together with additional materials from the World Health Organization, UNICEF and the World Cancer Research Foundation. The resulting set of guidelines is meant as a reminder of the main issues to be covered in a general public health education program. It may also be of value in reminding public health practitioners, educators, administrators, and policy makers of current nutrition issues. It may additionally be useful as a checklist of the issues to be considered in public health programs and regulations. The main areas of nutrition that are included in the Guidelines are eating a variety of foods, including vegetables, fruits, whole grain cereals, and nuts. Choose fish, poultry, and meats grown in a sustainable way. Appropriate growth, including avoiding obesity, and physical activity are important. Breastfeeding is the basis of infant nutrition and nutrition of mothers is an important public health measure. Negative factors in the Asian diet include salt, refined sugar, alcohol and fats. The APACPH Dietary Guidelines will need to be kept under review and modified to meet regional differences in food supply. The Guidelines will be useful as a checklist of the issues to be considered in public health programs, addressing both acute and chronic diseases.

  20. AIDS and the responsibilities of academic health science centers: a case law approach.

    PubMed

    McKenzie, S B

    1992-01-01

    The advent of AIDS and HIV infection has heightened administrator and faculty concern over providing and maintaining a safe environment for students in the health professions. Failure to provide this environment may result in litigation. Although case law on AIDS-related issues in higher education is sparse, court decisions on related issues are helpful in providing guidance on university responsibility. Case law indicates that if faculty provide appropriate supervision and give adequate instruction, including accepted safety practices, the courts will determine that the university has provided reasonable care to prevent student exposure to HIV. Other issues, related to HIV-positive students, demand that universities create carefully deliberated policies and procedures that do not discriminate against these individuals. This paper is the result of research on case law as it pertains to the potential legal issues of HIV and the university.

  1. Issues of organizational cybernetics and viability beyond Beer's viable systems model

    NASA Astrophysics Data System (ADS)

    Nechansky, Helmut

    2013-11-01

    The paper starts summarizing the claims of Beer's viable systems model to identify five issues any viable organizations has to deal with in an unequivocal hierarchical structure of five interrelated systems. Then the evidence is introduced for additional issues and related viable structures of organizations, which deviate from Beer's model. These issues are: (1) the establishment and (2) evolution of an organization; (3) systems for independent top-down control (like "Six Sigma"); (4) systems for independent bottom-up correction of performance problems (like "Kaizen"), both working outside a hierarchical structure; (5) pull production systems ("Just in Time") and (6) systems for checks and balances of top-level power (like boards and shareholder meetings). Based on that an evolutionary approach to organizational cybernetics is outlined, addressing the establishment of organizations and possible courses of developments, including recent developments in quality and production engineering, as well as problems of setting and changing goal values determining organizational policies.

  2. Emerging issues in biodiversity & conservation management: The need for a palaeoecological perspective

    NASA Astrophysics Data System (ADS)

    Froyd, C. A.; Willis, K. J.

    2008-09-01

    The study of Quaternary environmental change is directly applicable to on-going issues of global conservation. Palaeoecological research techniques provide the tools to address some of the key questions presently being asked by conservation ecologists and land management organizations. But is this type of analysis currently being utilized to its full potential? Are the results of palaeoenvironmental analyses routinely applied to practical issues of natural resource management, and if not what can be done to expand the application of this research within the conservation community? This paper reviews recent developments in the application of the analysis of late Quaternary environmental change to key environmental issues of biodiversity and conservation management and examines areas which could be strengthened in the future including: (i) determination of baselines and natural ecosystem variability; (ii) understanding ecological thresholds and resilience; (iii) climate change conservation strategies; (iv) biological invasions; and (v) conservation and culture.

  3. Identification of Communication and Coordination Issues in the US Air Traffic Control System

    NASA Technical Reports Server (NTRS)

    Davison, Hayley J.; Hansman, R. John

    2001-01-01

    Today's air traffic control system is approaching the point of saturation, as evidenced by increasing delays across the National Airspace System (NAS). There exists an opportunity to enhance NAS efficiency and reduce delays by improving strategic communication throughout the ATC system. Although several measures have been taken to improve communication (e.g., Collaborative Decision Making tools), communication issues between ATC facilities remain. It is hypothesized that by identifying the key issues plaguing inter-facility strategic communication, steps can be taken to enhance these communications, and therefore ATC system efficiency. In this report, a series of site visits were performed at Boston and New York ATC facilities as well as at the Air Traffic Control System Command Center. The results from these site visits were used to determine the current communication and coordination structure of Traffic Management Coordinators, who hold a pivotal role in inter-facility communications. Several themes emerged from the study, including: ambiguity of organizational structure in the current ATC system, awkward coordination between ATC facilities, information flow issues, organizational culture issues, and negotiation behaviors used to cope with organizational culture issues.

  4. Arsenic in the environment: Biology and chemistry

    USGS Publications Warehouse

    Bhattacharya, Prosun; Welch, Alan H.; Stollenwerk, Kenneth G.; McLaughlin , Mike J.; Bundschuh, Jochen; Panaullah, G.

    2007-01-01

    Arsenic (As) distribution and toxicology in the environment is a serious issue, with millions of individuals worldwide being affected by As toxicosis. Sources of As contamination are both natural and anthropogenic and the scale of contamination ranges from local to regional. There are many areas of research that are being actively pursued to address the As contamination problem. These include new methods of screening for As in the field, determining the epidemiology of As in humans, and identifying the risk of As uptake in agriculture. Remediation of As-affected water supplies is important and research includes assessing natural remediation potential as well as phytoremediation. Another area of active research is on the microbially mediated biogeochemical interactions of As in the environment.In 2005, a conference was convened to bring together scientists involved in many of the different areas of As research. In this paper, we present a synthesis of the As issues in the light of long-standing research and with regards to the new findings presented at this conference. This contribution provides a backdrop to the issues raised at the conference together with an overview of contemporary and historical issues of As contamination and health impacts.

  5. 38 CFR 17.904 - Review and appeal process.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... submitted in writing (by facsimile, mail, or hand delivery) within one year of the date of the initial..., including any relevant supporting documentation, a benefits advisor will issue a written determination (with... dissatisfied, within 90 days of the date of the decision he or she may submit in writing (by facsimile, mail...

  6. A Survey of Public Policy Priorities at Independent Two-Year Colleges.

    ERIC Educational Resources Information Center

    Pelham, Peter; Fadil, Virginia

    The National Association of Independent Colleges and Universities conducted a survey to determine the priority of public policy issues at independent two-year colleges. A questionnaire was sent to presidents of 171 accredited institutions, with a 68% response return. Major findings included the following: (1) Basic Grants, College Work-Study…

  7. At Loose Ends: Twentieth-Century Latinos in Current United States History Textbooks.

    ERIC Educational Resources Information Center

    Rodriguez, Joseph A.; Ruiz, Vicki L.

    2000-01-01

    Examines eight undergraduate U.S. history survey textbooks in order to determine the coverage of Latino history. Examines four areas for understanding the historical experience of Latinos: (1) racial/ethnic identification; (2)immigration/migration issues; (3) labor/class matters, and (4) cultural concerns. Includes a bibliography of the reviewed…

  8. Duty to Warn and Protect against Self-Destructive Behaviors and Interpersonal Violence

    ERIC Educational Resources Information Center

    Hays, Danica G.; Craigen, Laurie M.; Knight, Jasmine; Healey, Amanda; Sikes, April

    2009-01-01

    Professional school counselors are likely to work with students who are experiencing mental health issues including self-injury, eating disorders, depression and suicidality, as well as those associated with dating violence and bullying. This paper discusses two key areas school counselors are encouraged to reflect upon in determining if there is…

  9. Summer Food Service Program for Children. 1991 Sponsor's Handbook. (Revised Edition).

    ERIC Educational Resources Information Center

    Food and Nutrition Service (USDA), Washington, DC.

    This handbook is a reference for sponsors of food service programs for children during school vacation periods. It is not applicable to academic year operations. Issues relating to planning a food service program are discussed. These include sponsor eligibility, the determination of the need of recipient children, requirements of kinds and amounts…

  10. So...Why "Aren't" We Taking Learning Seriously?

    ERIC Educational Resources Information Center

    Plater, William M.

    1998-01-01

    Proposes four questions that need to be answered if learning is to be taken seriously for more than a season. They include determining what a degree or certification actually means, what the student has learned, how whole institutional communities can find time to address these issues, and who is responsible for educating children. (Author/JDM)

  11. Factors Affecting Student Retention at One Independent School in the Southwest

    ERIC Educational Resources Information Center

    Ahlstrom, Dan Roger

    2013-01-01

    This mixed-methods case study determined the factors and examined the issues associated with student retention at a faith-based independent day school in southwestern United States of America. The data included online surveys, personal interviews, collection of archival information, and the researcher's extensive field notes. Surveys (530) were…

  12. 75 FR 34760 - Final Determination for Federal Acknowledgment of the Shinnecock Indian Nation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-18

    ... group's trustees on April 2, 2010, followed by a telephone call to their counsel. These communications... petitioner's comments included a 9-page cover letter signed by the group's attorney with 71 pages of exhibits... (``Comment'') by the group's consulting anthropologist, commenting on issues under Sec. 83.7, consisted of 46...

  13. 15 CFR 4.29 - Appeal of initial adverse agency determination on correction or amendment.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... of Commerce DISCLOSURE OF GOVERNMENT INFORMATION Privacy Act § 4.29 Appeal of initial adverse agency... Avenue, NW., Washington, DC 20230. An appeal should include the words “PRIVACY APPEAL” in capital letters... Department's control number assigned to the request. The Privacy Officer who issued the initial denial shall...

  14. Learning How They Learn: A Review of the Literature on Learning Styles.

    ERIC Educational Resources Information Center

    Wilson, Vicki A.

    The literature on learning styles is full of unresolved issues, both theoretical and practical. Early research into learning styles includes that of H. A. Witkin, who developed the Embedded Figures Test in the late 1960s. This test determines the "field dependence" or "field independence" of individuals, marking their global…

  15. 26 CFR 6a.103A-1 - Interest on mortgage subsidy bonds.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... interest on a mortgage subsidy bond is includable in gross income and subject to Federal income taxation... the regulations thereunder. (4) Advance refunding. On or after December 5, 1980, no tax-exempt obligation may be issued for the advance refunding of a mortgage subsidy bond (determined without regard to...

  16. Ecological issues related to N deposition to natural ecosystems: research needs

    Treesearch

    Mary Beth Adams

    2003-01-01

    There has and continues to be concern about the effects of elevated nitrogen (N) deposition on natural ecosystems. In this paper, research on natural ecosystems, including wetlands, heathlands, grasslands, steppe, naturally regenerated forests and deserts, is evaluated to determine what is known about nitrogen cycling in these ecosystems, the effects of elevated...

  17. 78 FR 49290 - Oshkosh Defense, a Division of Oshkosh Corporation, Including On-Site Leased Workers From...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-13

    ..., Retzlaff Parts and Repair, Roman Engineering, Straight Shot Express, Inc., Teksystems, and Labor Ready..., Retzlaff Parts and Repair, Roman Engineering, Straight Shot Express, Inc., Teksystems, and Labor Ready. The... petitioner alleged that the Department has issued a determination for a worker group other than the one...

  18. Clergy Views on Evolution, Creationism, Science, and Religion

    ERIC Educational Resources Information Center

    Colburn, Alan; Henriques, Laura

    2006-01-01

    Spurred by students who felt conflicted accepting evolution and the tenets of their faiths, yet knowing their faiths supported science and evolution, we began a study to determine the views clergy espouse on issues related to evolution, creationism, science, and religion. The resulting study included structured interviews with eight clergy and a…

  19. Orbit Determination Issues for Libration Point Orbits

    NASA Technical Reports Server (NTRS)

    Beckman, Mark; Bauer, Frank (Technical Monitor)

    2002-01-01

    Libration point mission designers require knowledge of orbital accuracy for a variety of analyses including station keeping control strategies, transfer trajectory design, and formation and constellation control. Past publications have detailed orbit determination (OD) results from individual libration point missions. This paper collects both published and unpublished results from four previous libration point missions (ISEE (International Sun-Earth Explorer) -3, SOHO (Solar and Heliospheric Observatory), ACE (Advanced Composition Explorer) and MAP (Microwave Anisotropy Probe)) supported by Goddard Space Flight Center's Guidance, Navigation & Control Center. The results of those missions are presented along with OD issues specific to each mission. All past missions have been limited to ground based tracking through NASA ground sites using standard range and Doppler measurement types. Advanced technology is enabling other OD options including onboard navigation using seaboard attitude sensors and the use of the Very Long Baseline Interferometry (VLBI) measurement Delta Differenced One-Way Range (DDOR). Both options potentially enable missions to reduce coherent dedicated tracking passes while maintaining orbital accuracy. With the increased projected loading of the DSN (Deep Space Network), missions must find alternatives to the standard OD scenario.

  20. In This Issue: Opiates, Tobacco, Social Determinants of Health, Social Accountability for Non-Profit Hospitals, More on PCMH, and Clinical Topics.

    PubMed

    Bowman, Marjorie A; Victoria Neale, Anne; Seehusen, Dean A

    2017-01-01

    This issue contains several articles about the factors contributing to the complex and deadly interplay between social determinants of health, pain, mental illness, and addictive substances such as opioids and tobacco. One article clearly is a call to action: more than half of opioid prescriptions in the United States are given to patients with mental health problems. Two articles report work on the next steps for social determinants of health in health care settings. Social accountability based on community health needs assessments required of community hospitals should lead to the creation of more family medicine residency positions. Patient-centered medical home (PCMH) recognition can be costly. A new typology for PCMHs is proposed. Other topics include group advance care planning visits, the interaction of dental and primary care, free clinics, a fix for a squeaking wrist, adherence to latent tuberculosis treatment, and more. © Copyright 2017 by the American Board of Family Medicine.

  1. Lithium Ion Batteries in Electric Drive Vehicles

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

    Pesaran, Ahmad A.

    2016-05-16

    This research focuses on the technical issues that are critical to the adoption of high-energy-producing lithium Ion batteries. In addition to high energy density / high power density, this publication considers performance requirements that are necessary to assure lithium ion technology as the battery format of choice for electrified vehicles. Presentation of prime topics includes: long calendar life (greater than 10 years); sufficient cycle life; reliable operation under hot and cold temperatures; safe performance under extreme conditions; end-of-life recycling. To achieve aggressive fuel economy standards, carmakers are developing technologies to reduce fuel consumption, including hybridization and electrification. Cost and affordabilitymore » factors will be determined by these relevant technical issues which will provide for the successful implementation of lithium ion batteries for application in future generations of electrified vehicles.« less

  2. The ecological study of memory.

    PubMed Central

    Neisser, U

    1997-01-01

    The study of memory has long been dominated by the structural tradition, and especially by the experimental analysis of mechanisms of information processing. That dominance may soon be brought to an end by the progress of neuroscience, which offers more direct ways of studying the mechanisms in question. At that point functional issues may move to centre stage. Those issues include the act of remembering and its social functions, the skills and presuppositions of the remembered, the interaction of those skills and presuppositions with the particular material being remembered, and the determinants of accuracy and confabulation in recall. PMID:9415921

  3. An international comparison of women's occupational health issues in the Philippines, Thailand, Malaysia, Canada, Hong Kong and Singapore: the CIDA-SEAGEP study.

    PubMed

    Choi, Bernard C K

    2005-10-01

    An international comparison study of women's occupational health issues was carried out in 2000 for the Philippines, Thailand, Malaysia, Canada, Hong Kong and Singapore. The study was funded by the Canadian International Development Agency's Southeast Asia Gender Equity Program. The objective was to compare the issues, risk factors, social determinants, and challenges in women's occupational health, according to the status of economic development as defined by the World Bank. Data were collected through 27 key informant interviews of high-ranking government officials and senior researchers, self-administered questionnaires on country or regional statistics and 16 courtesy calls. Results indicated that women's occupational health problems common in these countries or regions included women's long hours of work (double workday), shift work and a caring role for family and friends. Problems reported in developing countries but not developed countries included poor access to training and protective equipment, and insufficient legislation to protect women's rights. Problems reported in developed countries but not in developing countries included obesity, smoking and not including women in health research. This paper provides insights into the changing environment in the workplace, such as increasing participation of women in the paid workforce and changes in gender differences due to the changing country economy, for improving women's occupational health.

  4. A Primer for Preventing Teen Dating Violence? The Representation of Teen Dating Violence in Young Adult Literature and Its Implications for Prevention.

    PubMed

    Storer, Heather L; Strohl, Katyayani R

    2016-09-18

    Teen dating violence (TDV) is a significant public health issue. Preventing TDV requires attention to risk and protective factors across ecological system levels. The media is one of the primary cultural drivers of societal-level social scripts about the causes of TDV. Framing theory asserts that the media's portrayal of social issues, including what contextual information is included and/or excluded, affects individual-level attitudes about TDV and potential policy responses. This study investigates the representation of TDV in young adult (YA) literature, a media genre that is marketed to adolescent audiences. Data include all YA novels (N = 8) that have a primary focus on TDV. Texts were analyzed systematically using thematic content analysis methods. Results indicate that the antecedents of TDV were portrayed as being related to victim personal characteristics such as inexperience in relationships and low self-esteem. Rather than underscoring how societal-level factors contribute to TDV, perpetration was seen as stemming from family dysfunction and mental health issues. These results underscore how the structural determinants of TDV have been overshadowed in the media's portrayal of TDV, in favor of narrow portrayals of victimization and perpetration. Implications for TDV prevention programs including the importance of media literacy are discussed. © The Author(s) 2016.

  5. Flight Mechanics/Estimation Theory Symposium 1988

    NASA Technical Reports Server (NTRS)

    Stengle, Thomas (Editor)

    1988-01-01

    This conference publication includes 28 papers and abstracts presented at the Flight Mechanics/Estimation Theory Symposium on May 10 to 11, 1988. Sponsored by the Flight Dynamics Division of Goddard Space Flight Center, this symposium features technical papers on a wide range of issue related to orbit-attitude prediction, determination and control; attitude sensor calibration; attitude determination error analysis; attitude dynamics; and orbit decay and maneuver strategy. Government, industry, and the academic community participated in the preparation and presentation of these papers.

  6. Determination of drugs and drug-like compounds in different samples with direct analysis in real time mass spectrometry.

    PubMed

    Chernetsova, Elena S; Morlock, Gertrud E

    2011-01-01

    Direct analysis in real time (DART), a relatively new ionization source for mass spectrometry, ionizes small-molecule components from different kinds of samples without any sample preparation and chromatographic separation. The current paper reviews the published data available on the determination of drugs and drug-like compounds in different matrices with DART-MS, including identification and quantitation issues. Parameters that affect ionization efficiency and mass spectra composition are also discussed. Copyright © 2011 Wiley Periodicals, Inc.

  7. 76 FR 69172 - Determination of Governmental Plan Status

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-08

    ...The Treasury Department and IRS anticipate issuing regulations under section 414(d) of the Internal Revenue Code (Code) to define the term ``governmental plan.'' This document describes the rules that the Treasury Department and IRS are considering proposing relating to the determination of whether a plan is a governmental plan within the meaning of section 414(d) and contains an appendix that includes a draft notice of proposed rulemaking on which the Treasury Department and IRS invite comments from the public. This document applies to sponsors of, and participants and beneficiaries in, employee benefit plans that are determined to be governmental plans.

  8. A systematic review of ethical issues in vaccine studies involving pregnant women.

    PubMed

    Beeler, Jennifer A; Lambach, Philipp; Fulton, T Roice; Narayanan, Divya; Ortiz, Justin R; Omer, Saad B

    2016-08-02

    Immunization during pregnancy can provide protection for mother and child. However, there have been only a limited number of studies documenting the efficacy and safety of this strategy. To determine the extent and nature of subject matter related to ethics in maternal immunization by systematically documenting the spectrum of ethical issues in vaccine studies involving pregnant women. We conducted a systematic literature review of published works pertaining to vaccine and therapeutic studies involving pregnant women through searches of PubMed, EMBASE, Web of Science, the Cochrane Database, and ClinicalTrials.gov. We selected literature meeting the inclusion criteria published between 1988 and June 2014. We systematically abstracted subject matter pertaining to ethical issues in immunization studies during pregnancy. Immunization-specific ethical issues were matched and grouped into major categories and subcategories. Seventy-seven published articles met the inclusion criteria. Published articles reported findings on data that had been collected in 26 countries, the majority of which were classified as high-income or upper-middle-income nations according to World Bank criteria. Review of these publications produced 60 immunization-specific ethical issues, grouped into six major categories. Notably, many studies demonstrated limited acknowledgment of key ethical issues including the rights and welfare of participants. Additionally, there was no discussion pertaining to the ethics of program implementation, including integration of maternal immunization programs into existing routine immunization programs. This review of ethical issues in immunization studies of pregnant women can be used to help inform future vaccine trials in this important population. Consistent documentation of these ethical issues by investigators will facilitate a broader and more nuanced discussion of ethics in immunization of pregnant women - offering new and valuable insights for programs developed to prevent disease in newborn children in low- and middle-income countries.

  9. 5 CFR 2423.12 - Settlement of unfair labor practice charges after a Regional Director determination to issue a...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Regional Director concludes effectuates the policies of the Federal Service Labor-Management Relations... charges after a Regional Director determination to issue a complaint but prior to issuance of a complaint... charges after a Regional Director determination to issue a complaint but prior to issuance of a complaint...

  10. 5 CFR 2423.12 - Settlement of unfair labor practice charges after a Regional Director determination to issue a...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Regional Director concludes effectuates the policies of the Federal Service Labor-Management Relations... charges after a Regional Director determination to issue a complaint but prior to issuance of a complaint... charges after a Regional Director determination to issue a complaint but prior to issuance of a complaint...

  11. 20 CFR 416.1413a - Reconsiderations of initial determinations on applications.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... presumed you were blind or disabled), we shall reach our reconsidered determination on the basis of a case... determination on your application for benefits depends on the issue involved in your case. (a) Nonmedical issues. If you challenge our finding on a nonmedical issue, we shall offer you a case review or an informal...

  12. Exchangeability in the case-crossover design

    PubMed Central

    Mittleman, Murray A; Mostofsky, Elizabeth

    2014-01-01

    In cohort and case-control studies, confounding that arises as a result of differences in the distribution of determinants of the outcome between exposure groups leading to non-exchangeability are addressed by restriction, matching or with statistical models. In case-only studies, this issue is addressed by comparing each individual with his/herself. Although case-only designs use self-matching and only include individuals who develop the outcome of interest, issues of non-exchangeability are identical to those that arise in traditional case-control and cohort studies. In this review, we describe one type of case-only design, the case-crossover design, and discuss how the concept of exchangeability can be used to understand issues of confounding, carryover effects, period effects and selection bias in case-crossover studies. PMID:24756878

  13. Determinism, risk and safe driving behavior in northern Alberta, Canada.

    PubMed

    Rothe, J Peter; Elgert, Laureen

    2003-09-01

    There is evidence that Alberta's rural north is over-represented in the Canadian province's overall traffic fatality rate, even after weather, travel exposure and highway geometry are controlled for. The objective of this study was to identify underlying reasons and rationales that northern citizens use to accommodate risk and driving behavior. A total of 82 individuals participated in 13 focus groups, each with between 5 and 10 participants. Eight focus groups were conducted with general drivers and five with service professionals in five different Alberta locations. Discussions centered on a series of questions that were designed to elicit insight into general characteristics of the participants' world-view and featured two categories of questions, including dimensions of belief systems and driver characteristics and behavior. Although much of the discussions focused on freedom of choice, over half of the interviewees cited determinism as a key feature of responsibility. Three versions of determinism were emphasized as key in roadway safety: religious determinism, 'universal' determinism (fatalism), and humanistic determinism. These observations highlighted peoples' perception of the likelihood of getting into traffic situations outside one's control. In order to maximize the effectiveness of traffic safety in the north, professionals need to take an approach which addresses not only safety issues, but also issues regarding responsibility and its links with behavior.

  14. Chapter 9. Educational process. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.

    PubMed

    Richards, Guy A; Sprung, Charles L

    2010-04-01

    To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with focus on education of all stakeholders, specifically the emergency executive control groups, ICU staff and staff co-opted to assist with patient management. Based on a literature review and expert opinion, a Delphi process was used to define the essential topics, including staff education. Key recommendations include: (1) define functional roles and responsibilities of the internal personnel and interface agencies or sectors; (2) determine logistic support and requirements necessary for the effective implementation of the SOPs; (3) determine what is required to maintain the SOPs; (4) recommended training and activities include: (a) personal protection techniques; (b) environmental contamination; (c) medical management; (d) laboratory specimens; (e) alert lists; (f) training of recruited staff; (g) ethical issues; (h) psychosocial issues; (i) dealing with the deceased; (j) policies for restricting visitors; (k) mechanisms for enforcing policies; (5) Training should begin as soon as possible with daily demonstrations followed by supervised practice; (6) identify the staff to participate in training programs, verify that they have participated and evaluate their knowledge subsequently. Judicious planning and adoption of protocols for staff education are necessary to optimize outcomes during a pandemic.

  15. DC to DC Converter Testing for Space Applications: Use of EMI Filters and Thermal Range of Operation

    NASA Technical Reports Server (NTRS)

    Leon, Rosa

    2008-01-01

    Several tests were performed on Interpoint and International Rectifier (IR) direct current (DC) to DC converters to evaluate potential performance and reliability issues in space use of DC to DC converters and to determine if the use of electromagnetic interference (EMI) filters mitigates concerns observed during previous tests. Test findings reported here include those done up until September - October 2008. Tests performed include efficiency, regulation, cross-regulation, power consumption with inhibit on, load transient response, synchronization, and turn-on tests. Some of the test results presented here span the thermal range -55 C to 125 C. Lower range was extended to -120 C in some tested converters. Determination of failure root cause in DC/DC converters that failed at thermal extremes is also included.

  16. 42 CFR 405.1889 - Effect of a revision; issue-specific nature of appeals of revised determinations and decisions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 2 2012-10-01 2012-10-01 false Effect of a revision; issue-specific nature of appeals of revised determinations and decisions. 405.1889 Section 405.1889 Public Health CENTERS FOR... revision; issue-specific nature of appeals of revised determinations and decisions. (a) If a revision is...

  17. 42 CFR 405.1889 - Effect of a revision; issue-specific nature of appeals of revised determinations and decisions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Effect of a revision; issue-specific nature of appeals of revised determinations and decisions. 405.1889 Section 405.1889 Public Health CENTERS FOR... revision; issue-specific nature of appeals of revised determinations and decisions. (a) If a revision is...

  18. 42 CFR 405.1889 - Effect of a revision; issue-specific nature of appeals of revised determinations and decisions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 2 2014-10-01 2014-10-01 false Effect of a revision; issue-specific nature of appeals of revised determinations and decisions. 405.1889 Section 405.1889 Public Health CENTERS FOR... revision; issue-specific nature of appeals of revised determinations and decisions. (a) If a revision is...

  19. 42 CFR 405.1889 - Effect of a revision; issue-specific nature of appeals of revised determinations and decisions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Effect of a revision; issue-specific nature of appeals of revised determinations and decisions. 405.1889 Section 405.1889 Public Health CENTERS FOR... revision; issue-specific nature of appeals of revised determinations and decisions. (a) If a revision is...

  20. 42 CFR 405.1889 - Effect of a revision; issue-specific nature of appeals of revised determinations and decisions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Effect of a revision; issue-specific nature of appeals of revised determinations and decisions. 405.1889 Section 405.1889 Public Health CENTERS FOR... revision; issue-specific nature of appeals of revised determinations and decisions. (a) If a revision is...

  1. Should Business Reform Public Education? A "Rainy Night" for Georgia Teachers and Implications for Science Education.

    ERIC Educational Resources Information Center

    Aliff, John Vincent

    Into the "quality of public schools" issue step politicians with quick fixes--"proven" business practices variously rejected by experts Peter Drucker (Management by Objectives) and W. E. Deming (Quality Management). These include the following. Determine product quality by inspection--hence, compare school quality by testing teachers and students.…

  2. Opening Schools to All (Women): Efforts to Overcome Gender Violence in Spain

    ERIC Educational Resources Information Center

    Oliver, E.; Soler, M.; Flecha, R.

    2009-01-01

    This article shows how the dialogic approach adopted by some schools in Spain generates a shift in approaches to gender violence, an issue still not explored in the literature. The shift is from an approach determined mainly by female experts to a dialogic one in which all women, including teachers, mothers, students, sisters, stepsisters,…

  3. 78 FR 13895 - Certain Consumer Electronics, Including Mobile Phones and Tablets; Commission Determination Not...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-01

    ..., Esq., Office of the General Counsel, U.S. International Trade Commission, 500 E Street SW., Washington... 5:15 p.m.) in the Office of the Secretary, U.S. International Trade Commission, 500 E Street SW....21, 210.42(h). By order of the Commission. Issued: February 22, 2013. Lisa R. Barton, Acting...

  4. What Specialized Knowledge Is Needed to Provide Early Intervention Services in Children's Hospitals?

    ERIC Educational Resources Information Center

    Weitzner-Lin, Barbara; And Others

    1994-01-01

    A survey of 175 speech-language pathologists was conducted to determine the preparation they received to comply with Public Law 99-457's mandated services to infants and toddlers. Respondents reported that important content areas in provision of early intervention services included oral-motor/feeding issues, family assessment and intervention, and…

  5. What College Students Know and Believe about Their World.

    ERIC Educational Resources Information Center

    Hartshorne, Nathaniel

    Freshmen and seniors in four-year colleges and students in two-year institutions were surveyed nationally in 1980 to determine their understanding of the world and world issues. The survey, which was based on a sample of about 3,000 undergraduates at 185 institutions, included a test of global understanding and three questionnaires on students'…

  6. NASA Langley WINN System Operational Assessment

    NASA Technical Reports Server (NTRS)

    Jonsson, Jon

    2003-01-01

    An operational assessment of the NASA Langley Weather Information Network (WINN) System is presented. The objectives of this program include: 1) Determine if near real-time weather information presented on the flight deck improves pilot situational awareness of weather; and 2) Identify pilot interface issues related to the use of WINN system during test flights. This paper is in viewgraph form.

  7. The Health Consequences of Smoking for Women. A Report of the Surgeon General 1979.

    ERIC Educational Resources Information Center

    Pinney, John M., Ed.; And Others

    This report focuses on the evidence about the health consequences of smoking for women, and is intended to serve the public health and medical communities as a unified source of existing scientific research. The major issues about tobacco use and women's health are examined, including trends in consumption, biomedical evidence, and determinants of…

  8. 75 FR 32362 - Fresh Garlic From the People's Republic of China: Extension of Time Limit for the Preliminary...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-08

    ... that tolled the deadlines for all Import Administration cases by seven calendar days due to the Federal...-day period to 300 days if it determines that the case is extraordinarily complicated. See 19 CFR 351... shipper reviews involve extraordinarily complicated methodological issues, including the examination of...

  9. Issues in Athletic Administration: A Content Analysis of Syllabi from Intercollegiate Athletics Graduate Courses

    ERIC Educational Resources Information Center

    Comeaux, Eddie; Brown, Alan; Sieben, Nicole P.

    2015-01-01

    This study examined courses focused on intercollegiate athletics in sport-related graduate programs (e.g., Sport Leadership, Sport Management, and Athletic/Sport Administration). A content analysis of course syllabi was used to determine the alignment of course scope and content. Analysis included course type (i.e., required or elective),…

  10. Differential invasion success of salmonids in southern Chile: patterns and hypotheses

    Treesearch

    Ivan Arismendi; Brooke E. Penaluna; Jason B. Dunham; Carlos Garcia de Leaniz; Doris Soto; Ian A. Fleming; Daniel Gomez-Uchida; Gonzalo Gajardo; Pamela V. Varga; Jorge León-Muñoz

    2014-01-01

    Biological invasions create complex ecological and societal issues worldwide. Most of the knowledge about invasions comes only from successful invaders, but less is known about which processes determine the differential success of invasions. In this review, we develop a framework to identify the main dimensions driving the success and failure of invaders, including...

  11. A decade of safety-related regulatory action in the Netherlands: a retrospective analysis of direct healthcare professional communications from 1999 to 2009.

    PubMed

    Mol, Peter G M; Straus, Sabine M J M; Piening, Sigrid; de Vries, Jonie T N; de Graeff, Pieter A; Haaijer-Ruskamp, Flora M

    2010-06-01

    As pre-approval trials are inherently limited in assessing the complete benefit-risk profile of a new drug, serious safety issues may emerge once a drug gains widespread use after approval. Regulators face the dilemma of balancing timely market access with the need for complete data on risks. This challenge has led to a life-cycle approach but, so far, few data are available on post-approval safety issues requiring regulatory action. The aim of this study is to determine the frequency, timing and nature of safety issues that necessitated safety-related regulatory action in the form of a Direct Healthcare Professional Communication (DHPC) issued by pharmaceutical companies in collaboration with the Dutch Medicines Evaluation Board during the past decade. All DHPCs issued in the Netherlands from 1 January 1999 to 1 January 2009 were retrospectively collected from the national regulatory authorities. Elapsed time between the approval date and the issue of the DHPC was determined. Characteristics of the action including the nature of the safety issue (according to Medical Dictionary for Regulatory Activities [MedDRA] terminology), type of drug and procedural aspects of the regulatory action taken were reviewed. DHPC characteristics were tabulated and explorative non-parametric tests were performed to study the effect of safety issue, drug class, drug type, orphan drug and first-in-class status on elapsed time from approval to the DHPC. 157 DHPCs were issued concerning 112 different active substances, approximately 9% (112/1200) of active substances available in the Netherlands in 2007. The number of DHPCs issued increased by 2.1 (95% CI 1.2, 3.1; p < 0.001) DHPCs per year over the past decade, reaching a total of 25 in 2008. The median time between approval and DHPC was 5.3 years (range 0.13-48 years). No significant trend in elapsed time to DHPC was observed in relation to the studied years (p = 0.06). One-third of all DHPCs were issued in the first 3 years after approval, but 27% (n = 43/157) of the DHPCs were issued 10 or more years after approval. Timing of DHPCs differed depending on safety issue, drug class, drug type and orphan drug status. DHPCs mostly concerned adverse events in the system organ class of 'cardiac disorders' (15%), 'injury, poisoning and procedural complications' (13%) and 'general disorders and administration site conditions' (10%). In ten cases the drug was eventually withdrawn. Withdrawal occurred a median duration of 2.4 years after registration (range of 1.5-48 years) and was most frequently due to cardiac disorders (including QT interval prolongation; four occasions) and hepatobiliary disorders (two occasions). In the past decade, the number of DHPCs has increased over time. This is likely caused by a multitude of factors: increased risk awareness by the public, media, regulators and other stakeholders; the type of drugs approved, such as orphan drugs and biologicals; and the regulatory process, including conditional approvals. The number of DHPCs may in the future increase further with the possibility of screening large epidemiological databases proactively for adverse drug events. Nine percent of all marketed drugs required a safety-related action. Regulatory action is taken shortly (<3 years) after market approval nearly as often as after intermediate (3-10 years) and long-term (>10 years) market exposure. These findings underline the need for risk management during the whole life cycle of a drug.

  12. A tool to determine financial impact of adverse events in health care: healthcare quality calculator.

    PubMed

    Yarbrough, Wendell G; Sewell, Andrew; Tickle, Erin; Rhinehardt, Eric; Harkleroad, Rod; Bennett, Marc; Johnson, Deborah; Wen, Li; Pfeiffer, Matthew; Benegas, Manny; Morath, Julie

    2014-12-01

    Hospital leaders lack tools to determine the financial impact of poor patient outcomes and adverse events. To provide health-care leaders with decision support for investments to improve care, we created a tool, the Healthcare Quality Calculator (HQCal), which uses institution-specific financial data to calculate impact of poor patient outcomes or quality improvement on present and future margin. Excel and Web-based versions of the HQCal were based on a cohort study framework and created with modular components including major drivers of cost and reimbursement. The Healthcare Quality Calculator (HQCal) compares payment, cost, and profit/loss for patients with and without poor outcomes or quality issues. Cost and payment information for groups with and without quality issues are used by the HQCal to calculate profit or loss. Importantly, institution-specific payment and cost data are used to calculate financial impact and attributable cost associated with poor patient outcomes, adverse events, or quality issues. Because future cost and reimbursement changes can be forecast, the HQCal incorporates a forward-looking component. The flexibility of the HQCal was demonstrated using surgical site infections after abdominal surgery and postoperative surgical airway complications. The Healthcare Quality Calculator determines financial impact of poor patient outcomes and the benefit of initiatives to improve quality. The calculator can identify quality issues that would provide the largest financial benefit if improved; however, it cannot identify specific interventions. The calculator provides a tool to improve transparency regarding both short- and long-term financial consequences of funding, or failing to fund, initiatives to close gaps in quality or improve patient outcomes.

  13. Interprofessional Medical-Legal Education of Medical Students: Assessing the Benefits for Addressing Social Determinants of Health.

    PubMed

    Pettignano, Robert; Bliss, Lisa; McLaren, Susan; Caley, Sylvia

    2017-09-01

    Screening tools exist to help identify patient issues related to social determinants of health (SDH), but solutions to many of these problems remain elusive to health care providers as they require legal solutions. Interprofessional medical-legal education is essential to optimizing health care delivery. In 2011, the authors implemented a four-session didactic interprofessional curriculum on medical-legal practice for third-year medical students at Morehouse School of Medicine. This program, also attended by law students, focused on interprofessional collaboration to address client/patient SDH issues and health-harming legal needs. In 2011-2014, the medical students participated in pre- and postintervention surveys designed to determine their awareness of SDH's impact on health as well as their attitudes toward screening for SDH issues and incorporating resources, including a legal resource, to address them. Mean ratings were compared between pre- and postintervention respondent cohorts using independent-sample t tests. Of the 222 medical students who participated in the program, 102 (46%) completed the preintervention survey and 100 (45%) completed the postintervention survey. Postintervention survey results indicated that students self-reported an increased likelihood to screen patients for SDH issues and an increased likelihood to refer patients to a legal resource (P < .001). Incorporating interprofessional medical-legal education into undergraduate medical education may result in an increased likelihood to screen patients for SDH and to refer patients with legal needs to a legal resource. In the future, an additional evaluation to assess the curriculum's long-term impact will be administered prior to graduation.

  14. Conceptual definition of a high voltage power supply test facility

    NASA Technical Reports Server (NTRS)

    Biess, John J.; Chu, Teh-Ming; Stevens, N. John

    1989-01-01

    NASA Lewis Research Center is presently developing a 60 GHz traveling wave tube for satellite cross-link communications. The operating voltage for this new tube is - 20 kV. There is concern about the high voltage insulation system and NASA is planning a space station high voltage experiment that will demonstrate both the 60 GHz communications and high voltage electronics technology. The experiment interfaces, requirements, conceptual design, technology issues and safety issues are determined. A block diagram of the high voltage power supply test facility was generated. It includes the high voltage power supply, the 60 GHz traveling wave tube, the communications package, the antenna package, a high voltage diagnostics package and a command and data processor system. The interfaces with the space station and the attached payload accommodations equipment were determined. A brief description of the different subsystems and a discussion of the technology development needs are presented.

  15. Engineering model system study for a regenerative fuel cell: Study report

    NASA Technical Reports Server (NTRS)

    Chang, B. J.; Schubert, F. H.; Kovach, A. J.; Wynveen, R. A.

    1984-01-01

    Key design issues of the regenerative fuel cell system concept were studied and a design definition of an alkaline electrolyte based engineering model system or low Earth orbit missions was completed. Definition of key design issues for a regenerative fuel cell system include gaseous reactant storage, shared heat exchangers and high pressure pumps. A power flow diagram for the 75 kW initial space station and the impact of different regenerative fuel cell modular sizes on the total 5 year to orbit weight and volume are determined. System characteristics, an isometric drawing, component sizes and mass and energy balances are determined for the 10 kW engineering model system. An open loop regenerative fuel cell concept is considered for integration of the energy storage system with the life support system of the space station. Technical problems and their solutions, pacing technologies and required developments and demonstrations for the regenerative fuel cell system are defined.

  16. Experimental design, power and sample size for animal reproduction experiments.

    PubMed

    Chapman, Phillip L; Seidel, George E

    2008-01-01

    The present paper concerns statistical issues in the design of animal reproduction experiments, with emphasis on the problems of sample size determination and power calculations. We include examples and non-technical discussions aimed at helping researchers avoid serious errors that may invalidate or seriously impair the validity of conclusions from experiments. Screen shots from interactive power calculation programs and basic SAS power calculation programs are presented to aid in understanding statistical power and computing power in some common experimental situations. Practical issues that are common to most statistical design problems are briefly discussed. These include one-sided hypothesis tests, power level criteria, equality of within-group variances, transformations of response variables to achieve variance equality, optimal specification of treatment group sizes, 'post hoc' power analysis and arguments for the increased use of confidence intervals in place of hypothesis tests.

  17. Problems associated with noise measurements in the mining industry

    NASA Astrophysics Data System (ADS)

    Bauer, Eric R.; Vipperman, Jeffrey S.

    2002-05-01

    In response to the continuing problem of noise-induced hearing loss (NIHL) among mine workers, the National Institute for Occupational Safety and Health (NIOSH) has been conducting numerous noise- and hearing-loss research efforts in the mining industry. Research is underway to determine worker noise exposure, equipment noise, hearing loss and hearing protection use, and to evaluate engineering controls. Issues that are peculiar to the mining industry have complicated these efforts. A few of the issues that must be overcome to conduct meaningful research include constantly moving equipment, changing work environments, confined space, varying production rates, multiple noise sources, and electronic permissibility of instrumentation. This presentation will address the factors that affect the measurement and analysis of noise in the mining industry and how these factors are managed. In addition, some examples of research results will be included.

  18. Optimal use of human and machine resources for Space Station assembly operations

    NASA Technical Reports Server (NTRS)

    Parrish, Joseph C.

    1988-01-01

    This paper investigates the issues involved in determining the best mix of human and machine resources for assembly of the Space Station. It presents the current Station assembly sequence, along with descriptions of the available assembly resources. A number of methodologies for optimizing the human/machine tradeoff problem have been developed, but the Space Station assembly offers some unique issues that have not yet been addressed. These include a strong constraint on available EVA time for early flights and a phased deployment of assembly resources over time. A methodology for incorporating the previously developed decision methods to the special case of the Space Station is presented. This methodology emphasizes an application of multiple qualitative and quantitative techniques, including simulation and decision analysis, for producing an objective, robust solution to the tradeoff problem.

  19. Liposome production by microfluidics: potential and limiting factors

    PubMed Central

    Carugo, Dario; Bottaro, Elisabetta; Owen, Joshua; Stride, Eleanor; Nastruzzi, Claudio

    2016-01-01

    This paper provides an analysis of microfluidic techniques for the production of nanoscale lipid-based vesicular systems. In particular we focus on the key issues associated with the microfluidic production of liposomes. These include, but are not limited to, the role of lipid formulation, lipid concentration, residual amount of solvent, production method (including microchannel architecture), and drug loading in determining liposome characteristics. Furthermore, we propose microfluidic architectures for the mass production of liposomes with a view to potential industrial translation of this technology. PMID:27194474

  20. Objectives and models of the planetary quarantine program

    NASA Technical Reports Server (NTRS)

    Werber, M.

    1975-01-01

    The objectives of the planetary quarantine program are presented and the history of early contamination prevention efforts is outlined. Contamination models which were previously established are given and include: determination of parameters; symbol nomenclature; and calculations of contamination and hazard probabilities. Planetary quarantine is discussed as an issue of national and international concern. Information on international treaty and meetings on spacecraft sterilization, quarantine standards, and policies is provided. The specific contamination probabilities of the U.S.S.R. Venus 3 flyby are included.

  1. Liposome production by microfluidics: potential and limiting factors.

    PubMed

    Carugo, Dario; Bottaro, Elisabetta; Owen, Joshua; Stride, Eleanor; Nastruzzi, Claudio

    2016-05-19

    This paper provides an analysis of microfluidic techniques for the production of nanoscale lipid-based vesicular systems. In particular we focus on the key issues associated with the microfluidic production of liposomes. These include, but are not limited to, the role of lipid formulation, lipid concentration, residual amount of solvent, production method (including microchannel architecture), and drug loading in determining liposome characteristics. Furthermore, we propose microfluidic architectures for the mass production of liposomes with a view to potential industrial translation of this technology.

  2. Technology transfer and other public policy implications of multi-national arrangements for the production of commercial airframes

    NASA Technical Reports Server (NTRS)

    Gellman, A. J.; Price, J. P.

    1978-01-01

    A study to examine the question of technology transfer through international arrangements for production of commercial transport aircraft is presented. The likelihood of such transfer under various representative conditions was determined and an understanding of the economic motivations for, effects of, joint venture arrangements was developed. Relevant public policy implications were also assessed. Multinational consortia with U.S. participation were focused upon because they generate the full range of pertinent public issues (including especially technology transfer), and also because of recognized trends toward such arrangements. An extensive search and analysis of existing literature to identify the key issues, and in-person interviews with executives of U.S. and European commercial airframe producers was reviewed. Distinctions were drawn among product-embodied, process, and management technologies in terms of their relative possibilities of transfer and the significance of such transfer. Also included are observations on related issues such as the implications of U.S. antitrust policy with respect to the formation of consortia and the competitive viability of the U.S. aircraft manufacturing industry.

  3. A web-based tool for the Comprehensive Unit-based Safety Program (CUSP).

    PubMed

    Pronovost, Peter J; King, Jay; Holzmueller, Christine G; Sawyer, Melinda; Bivens, Shauna; Michael, Michelle; Haig, Kathy; Paine, Lori; Moore, Dana; Miller, Marlene

    2006-03-01

    An organization's ability to change is driven by its culture, which in turn has a significant impact on safety. The six-step Comprehensive Unit-Based Safety Program (CUSP) is intended to improve local culture and safety. A Web-based project management tool for CUSP was developed and then pilot tested at two hospitals. HOW ECUSP WORKS: Once a patient safety concern is identified (step 3), a unit-level interdisciplinary safety committee determines issue criticality and starts up the projects (step 4), which are managed using project management tools within eCUSP (step 5). On a project's completion, the results are disseminated through a shared story (step 6). OSF St. Joseph's Medical Center-The Medical Birthing Center (Bloomington, Illinois), identified 11 safety issues, implemented 11 projects, and created 9 shared stories--including one for its Armband Project. The Johns Hopkins Hospital (Baltimore) Medical Progressive Care (MPC4) Unit identified 5 safety issues and implemented 4 ongoing projects, including the intravenous (IV) Tubing Compliance Project. The eCUSP tool's success depends on an organizational commitment to creating a culture of safety.

  4. Breaking bad news revisited: the push for negotiated disclosure and changing practice implications.

    PubMed

    Arber, Anne; Gallagher, Ann

    2003-04-01

    This article revisits the ethical, legal, professional and emotional issues involved with disclosing bad news. The authors examine the push for disclosure that has come from a number of quarters in the UK, including ethical and legal challenges, in particular the Bristol Royal Inquiry Report, professional codes of conduct, health policy and the expectations of the public. The contribution of nurses to breaking bad news is not widely discussed in the literature. With the development of new nursing roles and evidence-based practice it is timely to consider the role of nurses in this process. The article highlights some limitations with current guidelines for breaking bad news, in particular, that these guidelines tend to be constructed from a professional standpoint and lack patient-centred evidence. The issue of emotional labour and how it relates to giving bad news is discussed with respect to professional staff and patients. The article concludes by raising some practice implications, including: the importance of context and continuity; the significance of information and support; the desirable qualities of the professional; and issues to consider in determining patient preferences.

  5. Bacteriorhodopsin Material and Film Fabrication Issues for Holographic Applications

    NASA Technical Reports Server (NTRS)

    Downie, John D.; Timucin, Dogan A.; Smithey, Daniel T.; Crew, Marshall; Rayfield, George W.; Lan, Sonie (Technical Monitor)

    1998-01-01

    We discuss issues associated with bacteriorhodopsin (BR) materials and films that affect optical performance in holographic applications. For the D85N variant, some critical parameters include degree of hydration and recording wavelength. The quantum efficiency of the molecular state transition is observed to be apparently dependent on the illumination wavelength. We explain this effect by modeling the photo-activity of the D85N variant as two competing photocycles between the 9-cis and 13-cis retinal configurations. We are able to determine the pure excited P-state absorbance spectrum from the ground state spectrum and mixed population spectra obtained by bleaching to steady-state conditions.

  6. Finding the loopholes: a cross-sectional qualitative study of systemic barriers to treatment access for women drug court participants.

    PubMed

    Morse, Diane S; Silverstein, Jennifer; Thomas, Katherine; Bedel, Precious; Cerulli, Catherine

    2015-12-01

    Therapeutic diversion courts seek to address justice-involved participants' underlying problems leading to their legal system involvement, including substance use disorder, psychiatric illness, and intimate partner violence. The courts have not addressed systemic hurdles, which can contribute to a cycle of substance use disorder and recidivism, which in turn hinder health and wellness. The study purpose is to explore the systemic issues faced by women participants in drug treatment court from multiple perspectives to understand how these issues may relate to health and wellness in their lives. Qualitative thematic framework analysis of five separate focus groups consisting of female drug treatment court participants, community providers, and court staff ( n = 25). Themes were mapped across the socio-ecological framework and contextualized according to social determinants of health. Numerous systemic factors impacted women's access to treatment. Laws and legal policies (governance) excluded those who could potentially have benefitted from therapeutic court and did not allow consideration of parenting issues. Macroeconomic policies limit housing options for those with convictions. Social policies limited transportation, education, and employment options. Public policies limited healthcare and social protection and ability to access available resources. Culture and societal values, including stigma, limited treatment options. By understanding the social determinant of health for women in drug treatment court and stakeholder's perceptions, the legal system can implement public policy to better address the health needs of women drug court participants.

  7. Are Australians concerned about nanoparticles? A comparative analysis with established and emerging environmental health issues.

    PubMed

    Capon, Adam; Rolfe, Margaret; Gillespie, James; Smith, Wayne

    2015-02-01

    Introducing new technologies into society raises considerable public concern. We determine the public concern about nanoparticles, and compare this concern to other environmental health issues such as wind farms and coal seam gas production. A repeat cross sectional survey examining views on environmental health issues, risk, chemicals and trust was undertaken in more than 1,300 Australian residents in 2000 and 2013. Logistic regression and principal component analysis was used to investigate predictors of nanoparticle concern and identify a component structure for environmental health issues that could explain a trend of future nanoparticle concern. Australians have a relatively low level of concern about the risks of nanoparticles to health when compared to their concerns about other environmental health issues. Items associated with concern included gender, a general wish to avoid chemicals and possibly trust in politicians. Concern over nanoparticles clustered with similar views on technological risks. Current public concern over the risks of nanoparticles is low. However, a reframing of the issue towards 'chemicals' is likely to have a negative effect on risk perceptions. This paper raises questions about appropriate channels for the effective communication of risk. © 2015 Public Health Association of Australia.

  8. Health insurance exchanges under the Patient Protection and Affordable Care Act: regulatory and design challenges.

    PubMed

    Hoffmann, Stephanie M

    2012-12-01

    Under the Patient Protection and Affordable Care Act, all states are required to establish health insurance exchanges, marketplaces where individuals and small businesses can purchase health care coverage. In establishing these exchanges, states must address a range of regulatory and design issues to ensure that their exchanges are sustainable and meet the needs of their populations. The issues include the degree of federal involvement in the management of the exchanges, the overall structure and governance of the exchanges, the requirements for insurance plans to be offered on the exchanges, and the design of the exchanges themselves. Each of these issues will play a crucial role in determining the quality of coverage offered to consumers and how effectively they can access that coverage. Copyright © 2012 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  9. Using Multicriteria Analysis in Issues Concerning Adaptation of Historic Facilities for the Needs of Public Utility Buildings with a Function of a Theatre

    NASA Astrophysics Data System (ADS)

    Obracaj, Piotr; Fabianowski, Dariusz

    2017-10-01

    Implementations concerning adaptation of historic facilities for public utility objects are associated with the necessity of solving many complex, often conflicting expectations of future users. This mainly concerns the function that includes construction, technology and aesthetic issues. The list of issues is completed with proper protection of historic values, different in each case. The procedure leading to obtaining the expected solution is a multicriteria procedure, usually difficult to accurately define and requiring designer’s large experience. An innovative approach has been used for the analysis, namely - the modified EA FAHP (Extent Analysis Fuzzy Analytic Hierarchy Process) Chang’s method of a multicriteria analysis for the assessment of complex functional and spatial issues. Selection of optimal spatial form of an adapted historic building intended for the multi-functional public utility facility was analysed. The assumed functional flexibility was determined in the scope of: education, conference, and chamber spectacles, such as drama, concerts, in different stage-audience layouts.

  10. Nursing education and the nuclear age

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

    McKay, S.

    As reflected in the nursing literature, nurses have only recently begun discussing professional responsibilities for avoidance of nuclear war. The literature of the 1950s and 1960s focused on issues of civil defense. The 1970s were mostly silent, but with the onset of the 1980s a few articles identified the need for the nursing profession to recognize the importance of nuclear war prevention. The responsibility of nursing education for including content about nuclear issues has not been discussed in the professional literature. The author surveyed baccalaureate programs of nursing education to determine whether this lack of discussion was reflected in nursingmore » curricula. Responses indicated that the literature does not adequately reflect the level of activity and interest occurring within nursing education about nuclear issues. Nevertheless, because there is so little discussion in the professional literature, an implicit message is sent that nuclear issues are not of importance and that nurses should not openly address them.24 references.« less

  11. Determination of Duty Cycle for Energy Storage Systems in a Renewables (Solar) Firming Application

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

    Schoenwald, David A.; Ellison, James

    2016-04-01

    This report supplements the document, “Protocol for Uniformly Measuring and Expressing the Performance of Energy Storage Systems,” issued in a revised version in April 2016, which will include the renewables (solar) firming application for an energy storage system (ESS). This report provides the background and documentation associated with the determination of a duty cycle for an ESS operated in a renewables (solar) firming application for the purpose of measuring and expressing ESS performance in accordance with the ESS performance protocol.

  12. NanoSat Constellation Mission Design

    NASA Technical Reports Server (NTRS)

    Concha, Marco; DeFazio, Robert

    1998-01-01

    The NanoSat constellation concept mission proposes simultaneous operation of multiple swarms of as many as 22 identical 10 kg spacecraft per swarm. The various orbits in a NanoSat swarm vary from 3x12 to 3x42 R(sub e) in geometry. In this report the unique flight dynamics issues of this constellation satellite mission design are addressed. Studies include orbit design, orbit determination, and error analysis. A preliminary survey determined the orbital parameters that would limit the maximum shadow condition while providing adequate ground station access for three ground stations.

  13. Summarizing health inequalities in a Balanced Scorecard. Methodological considerations.

    PubMed

    Auger, Nathalie; Raynault, Marie-France

    2006-01-01

    The association between social determinants and health inequalities is well recognized. What are now needed are tools to assist in disseminating such information. This article describes how the Balanced Scorecard may be used for summarizing data on health inequalities. The process begins by selecting appropriate social groups and indicators, and is followed by the measurement of differences across person, place, or time. The next step is to decide whether to focus on absolute versus relative inequality. The last step is to determine the scoring method, including whether to address issues of depth of inequality.

  14. Research and Technology Report. Goddard Space Flight Center

    NASA Technical Reports Server (NTRS)

    Soffen, Gerald (Editor); Truszkowski, Walter (Editor); Ottenstein, Howard (Editor); Frost, Kenneth (Editor); Maran, Stephen (Editor); Walter, Lou (Editor); Brown, Mitch (Editor)

    1996-01-01

    This issue of Goddard Space Flight Center's annual report highlights the importance of mission operations and data systems covering mission planning and operations; TDRSS, positioning systems, and orbit determination; ground system and networks, hardware and software; data processing and analysis; and World Wide Web use. The report also includes flight projects, space sciences, Earth system science, and engineering and materials.

  15. Motivation to Study Music in Australian Schools: The Impact of Music Learning, Gender, and Socio-Economic Status

    ERIC Educational Resources Information Center

    McPherson, Gary E.; Osborne, Margaret S.; Barrett, Margaret S.; Davidson, Jane W.; Faulkner, Robert

    2015-01-01

    This study extends an eight-country mapping exercise (McPherson & O'Neill, 2010; see "Research Studies in Music Education" issues 2010-2011) to include students' motivation to study music within the Australian context. It sought to determine whether music learners (students learning an instrument or voice), might be more motivated to…

  16. 32 CFR 229.14 - Determination of archaeological or commercial value and cost of restoration and repair.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... permit issued pursuant to this part shall be the value of the information associated with the archaeological resource. This value shall be appraised in terms of the costs of the retrieval of the scientific information which would have been obtainable prior to the violation. These costs may include, but need not be...

  17. Early Childhood Experiences and Health. Exploring the Social Determinants of Health. Issue Brief #2

    ERIC Educational Resources Information Center

    Braveman, Paula; Sadegh-Nobari, Tabashir; Egerter, Susan

    2011-01-01

    The earliest years of one's life are crucial in many ways, including how they set one on paths leading toward--or away from--good health. Family income, education, and neighborhood resources and other social and economic factors affect health at every stage of life, but the effects on young children are particularly dramatic. While all parents…

  18. Strategies for integrating computer-based activities into your educational environment: a practical guide.

    PubMed Central

    Miller, J G; Wolf, F M

    1996-01-01

    Strategies for implementing instructional technology are based on recent experiences at the University of Michigan Medical Center. The issues covered include 1) addressing facilities, hardware, and staffing needs, 2) determining learners' skill requirements and appropriate training activities, and 3) selecting and customizing educational software. Many examples are provided, and nine key points for success are emphasized. PMID:8653447

  19. An Examination of Court Cases Relating to the Dismissal of K-12 Teachers for Immorality (1977-2007)

    ERIC Educational Resources Information Center

    Summerville, Tammy

    2010-01-01

    This was a purposeful, qualitative, historical and document-based research study that investigated the trends and outcomes of the legal issues relating to teacher dismissal for "immorality". The study included 114 cases over a 30-year period spanning from 1977-2007. Federal and state level law cases were researched to determine the ruling of…

  20. 25 CFR 1000.196 - What must be included in a finding by BIA or in a claim by an affected Tribe/Consortium or Tribal...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... by an affected Tribe/Consortium or Tribal organization regarding the issue of a limitation or..., DEPARTMENT OF THE INTERIOR ANNUAL FUNDING AGREEMENTS UNDER THE TRIBAL SELF-GOVERNMENT ACT AMENDMENTS TO THE INDIAN SELF-DETERMINATION AND EDUCATION ACT Limitation and/or Reduction of BIA Services, Contracts, and...

  1. 25 CFR 1000.196 - What must be included in a finding by BIA or in a claim by an affected Tribe/Consortium or Tribal...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... by an affected Tribe/Consortium or Tribal organization regarding the issue of a limitation or..., DEPARTMENT OF THE INTERIOR ANNUAL FUNDING AGREEMENTS UNDER THE TRIBAL SELF-GOVERNMENT ACT AMENDMENTS TO THE INDIAN SELF-DETERMINATION AND EDUCATION ACT Limitation and/or Reduction of BIA Services, Contracts, and...

  2. 25 CFR 1000.196 - What must be included in a finding by BIA or in a claim by an affected Tribe/Consortium or Tribal...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... by an affected Tribe/Consortium or Tribal organization regarding the issue of a limitation or..., DEPARTMENT OF THE INTERIOR ANNUAL FUNDING AGREEMENTS UNDER THE TRIBAL SELF-GOVERNMENT ACT AMENDMENTS TO THE INDIAN SELF-DETERMINATION AND EDUCATION ACT Limitation and/or Reduction of BIA Services, Contracts, and...

  3. Bridge Workshop : Enhancing Bridge Performance, February 21-22, 2008, Reston, Virginia : workshop report

    Treesearch

    Sreenivas Alampalli; Sheila Rimal Duwadi; Reagan Sentelle Herman; Danielle D. Kleinhans; Khaled Mahmoud; James C. Ray; James P. Wacker; Nur Yazdani

    2008-01-01

    The participants to the workshop were given the charge to discuss (1) bridge design issues including best practices in design and detailing that could be used to improve durability, extend service life and prevent premature deterioration, (2) performance measures needed to better determine bridge condition, (3) technologies that could be used to monitor bridge life and...

  4. Discriminant Analysis Between Four Different Self Measures and Sex-Role Identity with Junior Year College Students.

    ERIC Educational Resources Information Center

    Wallace, Gaylen R.; Goodwin-Adam, Sharon

    A review of the literature concerning the relationship between sex role and self measure identity includes a discussion of issues confronted in measurement. The methodology and analyses of data for the study are explained. The research was designed to determine which self referent measure most effectively discriminates among sex role identities.…

  5. Human Systems Center Products and Progress.

    DTIC Science & Technology

    1993-10-01

    and (CASHE:PVS). CASHE:PVS version 1.0 is a CD-ROM- As a precursor to developing collaborative based hypermedia- ergonomic information base design...computer-generated image to determine if the Crew System Ergonomics Information Analysis activity is physically possible. Expert system Center known as...and facility issues relative Federal Drug Administration, and Centers for to dentistry . The scope includes technical Disease Control to establish

  6. 76 FR 10404 - Stimson Lumber Company Clatskanie, OR; Notice of Revised Determination on Remand

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-24

    ... issued a Negative Determination regarding eligibility to apply for TAA applicable to workers and former... reconsideration on the Department's negative determination. The request for reconsideration stated that the worker... information that had not been previously considered, the Department issued a Negative Determination Regarding...

  7. The failure of medical education to develop moral reasoning in medical students

    PubMed Central

    Murrell, Vicki S.

    2014-01-01

    Objectives The goal of this study was to determine differences in moral judgment among students in medical school. Methods This cross-sectional study involved students currently enrolled in undergraduate medical education. Recruited via email, 192 students took an online version of the Defining Issues Test to determine their current stage of moral judgment, as well as their percentage of post conventional thought. Independent variables included year of graduation, which indicated curriculum completion as well as participation in a professionalism course. Data was analyzed primarily using One-Way Analysis of Variance. Results Of the 192 participants, 165 responses were utilized. ANOVA showed no significant differences in moral judgment between or among any of the student cohorts, which were grouped by year of matriculation. Comparisons included students in the four years of medical school, divided by graduation year; students about to graduate (n=30) vs. those still in school (n=135); and students who had participated in a course in professionalism (n=91) vs. those who had not (n=74). Conclusions These results demonstrate a lack of evolution in the moral reasoning of medical students and raise the issue of what might stimulate positive changes in moral judgment during the medical school experience. PMID:25543016

  8. Assessment of acculturation in minority health research

    PubMed Central

    Fox, Molly; Thayer, Zaneta; Wadhwa, Pathik D.

    2017-01-01

    Acculturation represents an important construct in the context of health disparities. Although several studies have reported relationships between various aspects of acculturation and health in minority populations, crucial inconsistencies remain. One likely reason for these inconsistencies may relate to limitations in the conceptualization and operationalization of acculturation, particularly in the context of health research. The acculturation construct underwent major conceptual and operational change when it was adapted from anthropology to psychology, and we argue another major shift is now required for use of this construct in health research. Issues include determining whether acculturation measures should focus on an individual’s internal attitudes or overt behaviors; whether they should characterize cultural orientation status at a given point in time or change over time; whether measures should be culture-specific or more global in nature; how the issue of multiculturalism should be addressed; how measures can optimally incorporate multiple dimensions of acculturation; and whether proxy measures should be used. These issues are important in the context of health research because of their implications for determining the direct and indirect effects of cultural change on health-related biological and behavioral processes. We elaborate on and address each of these issues from a perspective that spans multiple disciplines across the biological and social sciences, and offer concrete recommendations with the ultimate goal of achieving a better understanding of the role of acculturation in minority health and health disparities. PMID:28135691

  9. Computational Modeling of Liquid and Gaseous Control Valves

    NASA Technical Reports Server (NTRS)

    Daines, Russell; Ahuja, Vineet; Hosangadi, Ashvin; Shipman, Jeremy; Moore, Arden; Sulyma, Peter

    2005-01-01

    In this paper computational modeling efforts undertaken at NASA Stennis Space Center in support of rocket engine component testing are discussed. Such analyses include structurally complex cryogenic liquid valves and gas valves operating at high pressures and flow rates. Basic modeling and initial successes are documented, and other issues that make valve modeling at SSC somewhat unique are also addressed. These include transient behavior, valve stall, and the determination of flow patterns in LOX valves. Hexahedral structured grids are used for valves that can be simplifies through the use of axisymmetric approximation. Hybrid unstructured methodology is used for structurally complex valves that have disparate length scales and complex flow paths that include strong swirl, local recirculation zones/secondary flow effects. Hexahedral (structured), unstructured, and hybrid meshes are compared for accuracy and computational efficiency. Accuracy is determined using verification and validation techniques.

  10. A qualitative analysis of interprofessional healthcare team members' perceptions of patient barriers to healthcare engagement.

    PubMed

    Powell, Rhea E; Doty, Amanda; Casten, Robin J; Rovner, Barry W; Rising, Kristin L

    2016-09-20

    Healthcare systems increasingly engage interprofessional healthcare team members such as case managers, social workers, and community health workers to work directly with patients and improve population health. This study elicited perspectives of interprofessional healthcare team members regarding patient barriers to health and suggestions to address these barriers. This is a qualitative study employing focus groups and semi-structured interviews with 39 interprofessional healthcare team members in Philadelphia to elicit perceptions of patients' needs and experiences with the health system, and suggestions for positioning health care systems to better serve patients. Themes were identified using a content analysis approach. Three focus groups and 21 interviews were conducted with 26 hospital-based and 13 ambulatory-based participants. Three domains emerged to characterize barriers to care: social determinants, health system factors, and patient trust in the health system. Social determinants included insurance and financial shortcomings, mental health and substance abuse issues, housing and transportation-related limitations, and unpredictability associated with living in poverty. Suggestions for addressing these barriers included increased financial assistance from the health system, and building a workforce to address these determinants directly. Health care system factors included poor care coordination, inadequate communication of hospital discharge instructions, and difficulty navigating complex systems. Suggestions for addressing these barriers included enhanced communication between care sites, patient-centered scheduling, and improved patient education especially in discharge planning. Finally, factors related to patient trust of the health system emerged. Participants reported that patients are often intimidated by the health system, mistrusting of physicians, and fearful of receiving a serious diagnosis or prognosis. A suggestion for mitigating these issues was increased visibility of the health system within communities to foster trust and help providers gain a better understanding of unique community needs. This work explored interprofessional healthcare team members' perceptions of patient barriers to healthcare engagement. Participants identified barriers related to social determinants of health, complex system organization, and patient mistrust of the health system. Participants offered concrete suggestions to address these barriers, with suggestions supporting current healthcare reform efforts that aim at addressing social determinants and improving health system coordination and adding new insight into how systems might work to improve patient and community trust.

  11. 78 FR 44156 - Certain Rubber Resins and Processes for Manufacturing Same; Notice of Request for Statements on...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-23

    ... administrative law judge has issued a Final Initial Determination and Recommended Determination on Remedy and... Recommended Determination on Remedy and Bonding issued in this investigation on June 17, 2013. Comments should...

  12. Nursing implications: symptom presentation and quality of life in rectal cancer patients.

    PubMed

    O'Gorman, Claire; Barry, Amanda; Denieffe, Suzanne; Sasiadek, Wojciech; Gooney, Martina

    2016-05-01

    To determine the changes in symptoms experienced by rectal cancer patients during preoperative chemoradiotherapy, with a specific focus on fatigue and to explore how symptoms impact the quality of life. Rectal cancer continues to be a healthcare issue internationally, despite advances in management strategies, which includes the administration of preoperative chemoradiotherapy to improve locoregional control. It is known that this treatment may cause adverse effects; however, there is a paucity of literature that specifically examines fatigue, symptoms and quality of life in this patient cohort. A prospective, quantitative correlational design using purposive sampling was adopted. Symptoms and quality of life were measured with validated questionnaires in 35 patients at four time points. Symptoms that changed significantly over time as examined using rm-anova include fatigue, bowel function issues, nutritional issues, pain, dermatological issues and urinary function issues. Findings indicate that fatigue leads to poorer quality of life, with constipation, bloating, stool frequency, appetite loss, weight worry, nausea and vomiting, dry mouth and pain also identified as influencing factors on quality of life. Findings have highlighted the importance of thorough symptom assessment and management of patients receiving preoperative chemoradiotherapy, particularly midway through treatment, in order to optimise quality of life and minimise interruptions to treatment. Close monitoring of symptoms during preoperative chemoradiotherapy, particularly at week 4, will enable the implementation of timely interventions so that interruptions to treatment are prevented and the quality of life is optimised, which may hasten postoperative recovery times. © 2016 John Wiley & Sons Ltd.

  13. Hydrological Connectivity and Science and Policy Integration Issues for Aquatic Resource Jurisdictional Determinations in a Semi-Arid Region of the Western U.S

    NASA Astrophysics Data System (ADS)

    Caruso, B. S.

    2012-12-01

    Rivers and streams are becoming increasingly stressed and degraded, and wetlands lost, due to human development and associated management policies and actions that are generally ineffective for aquatic resources protection and restoration. In the semi-arid western U.S., these issues are more severe due to the limited quantity of water and aquatic resources, the magnified role of their ecological services in drier landscapes, and increasing impacts from urbanization and energy development. However, a significant disconnect between policy and science exists that leads to continued degradation of surface waters. Supreme Court decisions and joint Federal agency guidance for determining jurisdiction as 'waters of the US' that can be protected under Clean Water Act Section 404 (permitting discharge of dredged and fill materials into wetlands and other waters) are good examples of this disconnect. The hydrological and ecological connectivity of intermittent and ephemeral streams and wetlands with downstream navigable waters is a critical issue that must be evaluated to determine jurisdiction, but this can be a complex endeavour in semi-arid regions. The hydrological connectivity and key science and policy integration issues for stream and wetland jurisdictional determinations (JDs) were evaluated for a semi-arid region of the western U.S. (Environmental Protection Agency [EPA] Region 8), including much of the Rocky Mountains, Great Plains and Colorado Plateau. The key scientific approaches recommended in the agency guidance were analyzed in detail. An evaluation was performed of a sample of JDs reviewed by EPA Region 8 and their outcomes in terms of aquatic resources that were considered non-jurisdictional. An analysis of stream types and characteristics across the region using available digital spatial analysis tools was performed. A subset of finalized JDs issued by COE was reviewed to analyze the scientific information used to evaluate connectivity to downstream waters and to develop the JDs. During 2007-2008, >1,200 JDs were evaluated by EPA Region 8 resulting in 793 wetlands considered non-jurisdictional due to isolation. Significant nexus evaluation was required for 441 waters, of which 49 wetlands, 66 streams and 14 other water bodies were considered non-jurisdictional. Intermittent streams that could non-jurisdictional due to isolation or inadequate hydrological connection comprise >3/4, and first order streams constitute >1/2 of the total stream length in the region, with the greatest proportion in the Dakotas and plains and desert ecoregions based on medium-resolution NHDPlus data. Many JDs don't contain or apply a range of important information that could be useful or needed. There are significant data gaps and inconsistencies in the types and quantification of scientific information and methods used across JDs. The primary science and policy integration issues include identification and evaluation of navigable waters, hydrologic permanence of perennial and intermittent/ ephemeral streams, stream order, significant nexus, aggregation of waters and effects, human impacts and changes, resource inventories and tools, and analysis of JD outcomes. One key recommendation to help address these issues is the continued development and application of digital spatial analysis tools.

  14. 26 CFR 301.6110-1 - Public inspection of written determinations and background file documents.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    .... The text of any written determination issued pursuant to a request postmarked or hand delivered before...(g)) relating to a particular written determination issued pursuant to a request postmarked or hand... 26 Internal Revenue 18 2010-04-01 2010-04-01 false Public inspection of written determinations and...

  15. Labeling of trans fatty acid content in food, regulations and limits-the FDA view.

    PubMed

    Moss, Julie

    2006-05-01

    With the scientific evidence associating trans fatty acid (TFA) intake with an increased risk of coronary heart disease (CHD), the U.S. Food and Drug Administration (FDA) issued a final rule that requires the declaration of the amount of TFA present in foods, including dietary supplements, on the nutrition label by January 1, 2006. The addition of TFA to the nutrition label will lead to the prevention of 600 to 1200 cases of CHD and 240-480 deaths each year saving Dollars 900 million to Dollars 1.8 billion per year in medical costs, lost productivity, and pain and suffering. For the purpose of nutrition labeling, TFA are defined as the sum of all unsaturated fatty acids that contain one or more isolated (i.e. non-conjugated) double bonds in a trans configuration. There are many issues that FDA has yet to resolve: (1) defining nutrient content claims for "free" and "reduced" levels of trans fat, (2) placing limits on the amount of TFA in conjunction with saturated fat limits for nutrient content claims, health claims, and disclosure and disqualifying levels, (3) a daily value, and (4) a possible footnote or disclosure statement to enhance consumer understanding of cholesterol raising lipids. FDA issued an Advanced Notice of Proposed Rulemaking (ANPR) requesting comments on the unresolved issues. FDA will also be conducting consumer research to determine consumer understanding of various TFA labeling possibilities. Comments to the ANPR, results of consumer research and current science will be used by FDA to resolve these issues and to determine future rulemaking for TFA labeling.

  16. Psychometric evaluation of the Environmental Reality Shock-Related Issues and Concerns instrument for newly graduated nurses.

    PubMed

    Kim, Eun-Young; Yeo, Jung Hee; Park, Hyunjeong; Sin, Kyung Mi; Jones, Cheryl B

    2018-02-01

    Reality shock is a critical representation of the gap between nursing education and clinical practice and it is important to explore the level of reality shock among nurses. However, there is no relevant instrument to assess the level of reality shock in South Korea. The purpose of this is to determine the validity and reliability of the Korean version of the Environmental Reality Shock-Related Issues and Concerns instrument. A cross-sectional study design was used in this study. The data collection was conducted in selected 15 hospitals in South Korea. A convenience sample of 216 newly graduated nurses participated in the study. The Korean version of the Environmental Reality Shock-Related Issues and Concerns instrument was developed through the forward-backward translation technique, and revision based on feedback from expert groups. The internal consistency reliability was assessed using Cronbach's alpha, and the construct validity was determined via exploratory and confirmatory factor analysis. The Korean version of the Environmental Reality Shock-Related Issues and Concerns has reliable internal consistency (Cronbach's alpha=0.91). Exploratory factor analysis revealed five factors including job, relationships, expectations, private life, and performance, which explained 61.92% of variance. The factor loadings ranged from 0.451 to 0.832. The five-factor structure was validated by confirmatory factor analysis (RMR<0.05, CFI>0.9). It was concluded that the Korean version of the Environmental Reality Shock-Related Issues and Concerns instrument has satisfactory construct validity and reliability to measure the reality shock of newly graduated nurses in South Korea. Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. Applying Definitions of “Asbestos” to Environmental and “Low-Dose” Exposure Levels and Health Effects, Particularly Malignant Mesothelioma

    PubMed Central

    Case, B. W.; Abraham, J. L.; Meeker, G.; Pooley, F. D.; Pinkerton, K. E.

    2011-01-01

    Although asbestos research has been ongoing for decades, this increased knowledge has not led to consensus in many areas of the field. Two such areas of controversy include the specific definitions of asbestos, and limitations in understanding exposure-response relationships for various asbestos types and exposure levels and disease. This document reviews the current regulatory and mineralogical definitions and how variability in these definitions has led to difficulties in the discussion and comparison of both experimental laboratory and human epidemiological studies for asbestos. This review also examines the issues of exposure measurement in both animal and human studies, and discusses the impact of these issues on determination of cause for asbestos-related diseases. Limitations include the lack of detailed characterization and limited quantification of the fibers in most studies. Associated data gaps and research needs are also enumerated in this review. PMID:21534084

  18. Applying definitions of “asbestos” to environmental and “low-dose” exposure Levels and health effects, particularly malignant mesothelioma

    USGS Publications Warehouse

    Case, B.W.; Abraham, J.L.; Meeker, G.; Pooley, F.D.; Pinkerton, K.E.

    2011-01-01

    Although asbestos research has been ongoing for decades, this increased knowledge has not led to consensus in many areas of the field. Two such areas of controversy include the specific definitions of asbestos, and limitations in understanding exposure-response relationships for various asbestos types and exposure levels and disease. This document reviews the current regulatory and mineralogical definitions and how variability in these definitions has led to difficulties in the discussion and comparison of both experimental laboratory and human epidemiological studies for asbestos. This review also examines the issues of exposure measurement in both animal and human studies, and discusses the impact of these issues on determination of cause for asbestos-related diseases. Limitations include the lack of detailed characterization and limited quantification of the fibers in most studies. Associated data gaps and research needs are also enumerated in this review.

  19. Ocean commitments under the Paris Agreement

    NASA Astrophysics Data System (ADS)

    Gallo, Natalya D.; Victor, David G.; Levin, Lisa A.

    2017-11-01

    Under the Paris Agreement nations made pledges known as nationally determined contributions (NDCs), which indicate how national governments are evaluating climate risks and policy opportunities. We find that NDCs reveal important systematic patterns reflecting national interests and capabilities. Because the ocean plays critical roles in climate mitigation and adaptation, we created a quantitative marine focus factor (MFF) to evaluate how governments address marine issues. In contrast to the past, when oceans received minimal attention in climate negotiations, 70% of 161 NDCs we analysed include marine issues. The percentage of the population living in low-lying areas--vulnerable to rising seas--positively influences the MFF, but negotiating group (Annex 1 or small island developing states) is equally important, suggesting political motivations are crucial to NDC development. The analysis reveals gaps between scientific and government attention, including on ocean deoxygenation, which is barely mentioned. Governments display a keen interest in expanding marine research on climate priorities.

  20. Using collaborative tools for energy corridor planning.

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

    Kuiper, J. A.; Cantwell, B.; Hlohowskyj, I.

    2008-01-01

    In November 2007, the Draft Programmatic Environmental Impact Statement on Designation of Energy Corridors on Federal Land in the Western 11 States was released. The draft proposes a network of 6055 miles of energy corridors on lands managed by seven different federal agencies. Determining the proposed locations of the corridors was a large collaborative effort among the agencies and included local, state, and federal land managers. To connect this geographically dispersed group of people, the project team employed a variety of approaches to communicate corridor siting issues, including sharing GIS layers and electronic maps, a downloadable GIS database and ArcReadermore » project, workshops, and Internet webcast teleconferences. This collaborative approach allowed difficult siting issues to be understood and discussed from many perspectives, which resulted in rapid and effective decision making. The result was a proposed corridor system that avoids many sensitive resources and protected lands while accommodating expected energy development.« less

  1. Proceedings of the NASA Workshop on Atomic Oxygen Effects. [low earth orbital environment

    NASA Technical Reports Server (NTRS)

    Brinza, David E. (Editor)

    1987-01-01

    A workshop was held to address the scientific issues concerning the effects of atomic oxygen on materials in the low Earth orbital (LEO) environment. The program included 18 invited speakers plus contributed posters covering topics such as LEO spaceflight experiments, interaction mechanisms, and atomic oxygen source development. Discussion sessions were also held to organize a test program to evaluate atomic oxygen exposure facilities. The key issues raised in the workshop were: (1) the need to develop a reliable predictive model of the effects of long-term exposure of materials to the LEO environment; (2) the ability of ground-based exposure facilities to provide useful data for development of durable materials; and (3) accurate determination of the composition of the LEO environment. These proceedings include the invited papers, the abstracts for the contributed posters, and an account of the test program discussion sessions.

  2. Addressing Underrepresentation in Sex Work Research: Reflections on Designing a Purposeful Sampling Strategy.

    PubMed

    Bungay, Vicky; Oliffe, John; Atchison, Chris

    2016-06-01

    Men, transgender people, and those working in off-street locales have historically been underrepresented in sex work health research. Failure to include all sections of sex worker populations precludes comprehensive understandings about a range of population health issues, including potential variations in the manifestation of such issues within and between population subgroups, which in turn can impede the development of effective services and interventions. In this article, we describe our attempts to define, determine, and recruit a purposeful sample for a qualitative study examining the interrelationships between sex workers' health and the working conditions in the Vancouver off-street sex industry. Detailed is our application of ethnographic mapping approaches to generate information about population diversity and work settings within distinct geographical boundaries. Bearing in mind the challenges and the overwhelming discrimination sex workers experience, we scope recommendations for safe and effective purposeful sampling inclusive of sex workers' heterogeneity. © The Author(s) 2015.

  3. The contribution of human/non-human animal chimeras to stem cell research.

    PubMed

    Levine, Sonya; Grabel, Laura

    2017-10-01

    Chimeric animals are made up of cells from two separate zygotes. Human/non-human animal chimeras have been used for a number of research purposes, including human disease modeling. Pluripotent stem cell (PSC) research has relied upon the chimera approach to examine the developmental potential of stem cells, to determine the efficacy of cell replacement therapies, and to establish a means of producing human organs. Based on ethical issues, this work has faced pushback from various sources including funding agencies. We discuss here the essential role these studies have played, from gaining a better understanding of human biology to providing a stepping stone to human disease treatments. We also consider the major ethical issues, as well as the current status of support for this work in the United States. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  4. Early childhood caries in Indigenous communities

    PubMed Central

    Irvine, JD; Holve, S; Krol, D; Schroth, R

    2011-01-01

    The oral health of Indigenous children of Canada (First Nations, Inuit and Métis) and the United States (American Indian and Alaska Native) is a major child health issue. This is exemplified by the high prevalence of early childhood caries (ECC) with resulting adverse health effects, as well as high rates and costs of restorative and surgical treatments under general anesthesia. ECC is an infectious disease that is influenced by multiple factors, including socioeconomic determinants, and requires a combination of approaches for improvement. The present statement includes recommendations for oral health preventive and clinical care for young infants and pregnant women by primary health care providers, community-based health promotion initiatives, oral health workforce and access issues, and advocacy for community water fluoridation and fluoride varnish program access. Further community-based research on the epidemiology, prevention, management and microbiology of ECC in Indigenous communities would be beneficial. PMID:22654547

  5. Enhancing resolution in coherent x-ray diffraction imaging.

    PubMed

    Noh, Do Young; Kim, Chan; Kim, Yoonhee; Song, Changyong

    2016-12-14

    Achieving a resolution near 1 nm is a critical issue in coherent x-ray diffraction imaging (CDI) for applications in materials and biology. Albeit with various advantages of CDI based on synchrotrons and newly developed x-ray free electron lasers, its applications would be limited without improving resolution well below 10 nm. Here, we review the issues and efforts in improving CDI resolution including various methods for resolution determination. Enhancing diffraction signal at large diffraction angles, with the aid of interference between neighboring strong scatterers or templates, is reviewed and discussed in terms of increasing signal-to-noise ratio. In addition, we discuss errors in image reconstruction algorithms-caused by the discreteness of the Fourier transformations involved-which degrade the spatial resolution, and suggest ways to correct them. We expect this review to be useful for applications of CDI in imaging weakly scattering soft matters using coherent x-ray sources including x-ray free electron lasers.

  6. Early childhood caries in indigenous communities.

    PubMed

    2011-06-01

    The oral health of Indigenous children of Canada (First Nations, Inuit, and Métis) and the United States (American Indian, Alaska Native) is a major child health issue: there is a high prevalence of early childhood caries (ECC) and resulting adverse health effects in this community, as well as high rates and costs of restorative and surgical treatments under general anesthesia. ECC is an infectious disease that is influenced by multiple factors, including socioeconomic determinants, and requires a combination of approaches for improvement. This statement includes recommendations for preventive oral health and clinical care for young infants and pregnant women by primary health care providers, community-based health-promotion initiatives, oral health workforce and access issues, and advocacy for community water fluoridation and fluoride-varnish program access. Further community-based research on the epidemiology, prevention, management, and microbiology of ECC in Indigenous communities would be beneficial.

  7. Early childhood caries in Indigenous communities: A joint statement with the American Academy of Pediatrics.

    PubMed

    Irvine, Jd; Holve, S; Krol, D; Schroth, R

    2011-06-01

    The oral health of Indigenous children of Canada (First Nations, Inuit and Métis) and the United States (American Indian and Alaska Native) is a major child health issue. This is exemplified by the high prevalence of early childhood caries (ECC) with resulting adverse health effects, as well as high rates and costs of restorative and surgical treatments under general anesthesia. ECC is an infectious disease that is influenced by multiple factors, including socioeconomic determinants, and requires a combination of approaches for improvement. The present statement includes recommendations for oral health preventive and clinical care for young infants and pregnant women by primary health care providers, community-based health promotion initiatives, oral health workforce and access issues, and advocacy for community water fluoridation and fluoride varnish program access. Further community-based research on the epidemiology, prevention, management and microbiology of ECC in Indigenous communities would be beneficial.

  8. Migrants' Health in Iran from the Perspective of Social Justice: a Systematic Literature Review.

    PubMed

    Shamsi Gooshki, Ehsan; Rezaei, Raheleh; Wild, Verina

    2016-10-01

    This paper presents a systematic literature review of studies that shed light on the health of migrants in Iran from the perspective of social justice. A systematic search was conducted in PubMed and Iranian databases, including IranMedex, Magiran, and SID, in June 2012. All studies that were published until June 2012 describing the health status of migrants - including refugees - in Iran were included. The search results were categorisoyed according to an adapted version of the six dimensions of well-being in Madison Powers' and Ruth Faden's theory of social justice in health. They consisted of access to health care, health, respect, self-determination and attachment, personal security, and social determinants of health. The majority of papers mentioned issues related to infectious diseases (100 papers, 60.2%). Only a few papers mentioned socioeconomic status and access to health services, education, and work. Infectious diseases and high population growth among migrants and the problematic image of migrants as "threat" to the Iranian population's health appear to be the most prominent results in our search. It is imperative to combat the high numbers of infectious diseases among migrants in Iran while simultaneously making efforts to change the public image of migrants as a health and social service threat to Iran. Data concerning social and ethical issues of migrants' health in Iran is scarce, and thus, future research is necessary using other methods and sources.

  9. Ethics-sensitivity of the Ghana national integrated strategic response plan for pandemic influenza.

    PubMed

    Laar, Amos; DeBruin, Debra

    2015-05-07

    Many commentators call for a more ethical approach to planning for influenza pandemics. In the developed world, some pandemic preparedness plans have already been examined from an ethical viewpoint. This paper assesses the attention given to ethics issues by the Ghana National Integrated Strategic Plan for Pandemic Influenza (NISPPI). We critically analyzed the Ghana NISPPI's sensitivity to ethics issues to determine how well it reflects ethical commitments and principles identified in our review of global pandemic preparedness literature, existing pandemic plans, and relevant ethics frameworks. This paper reveals that important ethical issues have not been addressed in the Ghana NISPPI. Several important ethical issues are unanticipated, unacknowledged, and unplanned for. These include guidelines on allocation of scarce resources, the duties of healthcare workers, ethics-sensitive operational guidelines/protocols, and compensation programs. The NISPPI also pays scant attention to use of vaccines and antivirals, border issues and cooperation with neighboring countries, justification for delineated actions, and outbreak simulations. Feedback and communication plans are nebulous, while leadership, coordination, and budgeting are quite detailed. With respect to presentation, the NISPPI's text is organized around five thematic areas. While each area implicates ethical issues, NISPPI treatment of these areas consistently fails to address them. Our analysis reveals a lack of consideration of ethics by the NISPPI. We contend that, while the plan's content and fundamental assumptions provide support for implementation of the delineated public health actions, its consideration of ethical issues is poor. Deficiencies include a failure to incorporate guidelines that ensure fair distribution of scarce resources and a lack of justification for delineated procedures. Until these deficiencies are recognized and addressed, Ghana runs the risk of rolling out unjust and ethically indefensible actions with real negative effects in the event of a pandemic. Soliciting inputs from the public and consultation with ethicists during the next revision of the NISPPI will be useful in addressing these issues.

  10. A systematic review of ethical issues in vaccine studies involving pregnant women

    PubMed Central

    Beeler, Jennifer A.; Lambach, Philipp; Fulton, T. Roice; Narayanan, Divya; Ortiz, Justin R.; Omer, Saad B.

    2016-01-01

    ABSTRACT Background: Immunization during pregnancy can provide protection for mother and child. However, there have been only a limited number of studies documenting the efficacy and safety of this strategy. Aims: To determine the extent and nature of subject matter related to ethics in maternal immunization by systematically documenting the spectrum of ethical issues in vaccine studies involving pregnant women. Method: We conducted a systematic literature review of published works pertaining to vaccine and therapeutic studies involving pregnant women through searches of PubMed, EMBASE, Web of Science, the Cochrane Database, and ClinicalTrials.gov. We selected literature meeting the inclusion criteria published between 1988 and June 2014. We systematically abstracted subject matter pertaining to ethical issues in immunization studies during pregnancy. Immunization-specific ethical issues were matched and grouped into major categories and subcategories. Results: Seventy-seven published articles met the inclusion criteria. Published articles reported findings on data that had been collected in 26 countries, the majority of which were classified as high-income or upper-middle-income nations according to World Bank criteria. Review of these publications produced 60 immunization-specific ethical issues, grouped into six major categories. Notably, many studies demonstrated limited acknowledgment of key ethical issues including the rights and welfare of participants. Additionally, there was no discussion pertaining to the ethics of program implementation, including integration of maternal immunization programs into existing routine immunization programs. Conclusion: This review of ethical issues in immunization studies of pregnant women can be used to help inform future vaccine trials in this important population. Consistent documentation of these ethical issues by investigators will facilitate a broader and more nuanced discussion of ethics in immunization of pregnant women – offering new and valuable insights for programs developed to prevent disease in newborn children in low- and middle-income countries. PMID:27246403

  11. 20 CFR 410.646 - Consolidated issues.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...-BLACK LUNG BENEFITS (1969- ) Determinations of Disability, Other Determinations, Administrative Review... evidence is relevant and material to the matters in issue. A single decision may be made upon all such...

  12. 20 CFR 410.646 - Consolidated issues.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...-BLACK LUNG BENEFITS (1969- ) Determinations of Disability, Other Determinations, Administrative Review... evidence is relevant and material to the matters in issue. A single decision may be made upon all such...

  13. Dealing sensitively with sexuality in a palliative care context.

    PubMed

    Woodhouse, Jan; Baldwin, Moyra A

    2008-01-01

    Sexuality is integral to a person's identity and is encompassed in holistic palliative care. Current directives emphasize psychosocial support that is sensitive to a variety of issues, including sexuality, and offer community nurses the mandate to facilitate expressing sexuality. Nurses fail to address sexuality for a variety of reasons. Appreciating patients' individuality and avoiding making assumptions are some of the requirements to enabling expression of sexuality. Nurses need wisdom and determination to discuss such issues, and it is important that they recognize opportunities and cues as they arise. This article provides an examination of the issues surrounding sexuality outlining an approach that captures' constant attention to details. This guides the 'what', 'how' and 'why' sexuality in palliative care can be addressed. Ethics and safety aspects are briefly discussed and implications for practice suggested. Educating staff and focused education for the patient can positively influence sexuality and individuals' quality of life.

  14. Feasibility and benefits of laminar flow control on supersonic cruise airplanes

    NASA Technical Reports Server (NTRS)

    Powell, A. G.; Agrawal, S.; Lacey, T. R.

    1989-01-01

    An evaluation was made of the applicability and benefits of laminar flow control (LFC) technology to supersonic cruise airplanes. Ancillary objectives were to identify the technical issues critical to supersonic LFC application, and to determine how those issues can be addressed through flight and wind-tunnel testing. Vehicle types studied include a Mach 2.2 supersonic transport configuration, a Mach 4.0 transport, and two Mach 2-class fighter concepts. Laminar flow control methodologies developed for subsonic and transonic wing laminarization were extended and applied. No intractible aerodynamic problems were found in applying LFC to airplanes of the Mach 2 class, even ones of large size. Improvements of 12 to 17 percent in lift-drag ratios were found. Several key technical issues, such as contamination avoidance and excresence criteria were identified. Recommendations are made for their resolution. A need for an inverse supersonic wing design methodology is indicated.

  15. A Study To Determine the Feasibility of Converting the Audio Magazine Program of NLS/BPH from Flexible Disk to Cassette Format. Draft Report.

    ERIC Educational Resources Information Center

    ManTech Advanced Technology Systems, Fairfax, VA.

    This report contains the results of a study sponsored by the National Library Service for the Blind and Physically Handicapped to investigate the implications of converting its audio magazine program from flexible disk to audiocassette. Specific issues to be considered included whether or not such a conversion would represent: (1) a financial…

  16. Flying podocytes.

    PubMed

    Simons, Matias; Huber, Tobias B

    2009-03-01

    Recent insights have defined the central role of podocytes both in rare genetic diseases and as a general determinant of the progression of human glomerular diseases. In a recent issue of Nature, Weavers et al. described a podocyte-like cell type in Drosophila, the nephrocyte, that closely resembles mammalian podocytes, including the nephrin-based slit diaphragm. This novel podocyte system might open new avenues toward the understanding of podocyte biology and pathophysiology.

  17. Aeroelastic modeling of the active flexible wing wind-tunnel model

    NASA Technical Reports Server (NTRS)

    Silva, Walter A.; Heeg, Jennifer; Bennett, Robert M.

    1991-01-01

    The primary issues involved in the generation of linear, state-space equations of motion of a flexible wind tunnel model, the Active Flexible Wing (AFW), are discussed. The codes that were used and their inherent assumptions and limitations are also briefly discussed. The application of the CAP-TSD code to the AFW for determination of the model's transonic flutter boundary is included as well.

  18. Balancing Scientific Publication and National Security Concerns: Issues for Congress

    DTIC Science & Technology

    2003-07-09

    Zilinskas and J.B. Tucker, “Limiting the Contribution of the Open Scientific Literature to the Biological Weapons Threat,” Journal of Homeland...been used to inhibit its spread. The terrorist attacks of 2001 have increased scrutiny of nonconventional weapons , including weapons of mass destruction...Andrew Card to determine if government-owned information, especially that regarding weapons of mass destruction, was being inappropriately disclosed

  19. Interactional Markers in English Medical Research Articles Written by Iranian and Native Authors: A Contrastive Metadiscourse Analysis of Method Section

    ERIC Educational Resources Information Center

    Ghadyani, Fariba; Tahririan, Mohammad Hassan

    2014-01-01

    To determine the issue of whether there were any significant differences between the groups including Iran ISI, Iran non- ISI, and native authors in binary comparisons as for employing interactional markers, the present study was conducted. To collect the data, 90 "method sections" of English medical research articles within Iranian ISI,…

  20. Forest carbon dynamics in the Pacific Northwest (USA) and the St. Petersburg region of Russia: comparisons and policy implications.

    Treesearch

    Ralph J. Alig; Olga Krankina; Andrew Yost; Julia Kuzminykh

    2006-01-01

    Forests of the United States and Russia can play a positive role in reducing the extent of global warming caused by greenhouse gases, especially carbon dioxide. To determine the extent of carbon sequestration, physical, ecological, economic, and social issues need to be considered, including different forest management objectives across major forest ownership groups....

  1. Role and Responsibilities of the School Nurse (Registered Nurse) and the Child with Special Health Care Needs. Guidelines.

    ERIC Educational Resources Information Center

    Maryland State Board of Nursing, Baltimore.

    This set of guidelines by the Maryland Board of Nursing presents the role and responsibilities of the school nurse in relation to the child with special health care needs. The introduction identifies four basic issues including necessary level of preparation, who determines what nursing care can be delegated, under what conditions nursing care can…

  2. Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study

    PubMed Central

    March, Christopher A; Steiger, David; Scholl, Gretchen; Mohan, Vishnu; Hersh, William R; Gold, Jeffrey A

    2013-01-01

    Objective To establish the role of high-fidelity simulation training to test the efficacy and safety of the electronic health record (EHR)–user interface within the intensive care unit (ICU) environment. Design Prospective pilot study. Setting Medical ICU in an academic medical centre. Participants Postgraduate medical trainees. Interventions A 5-day-simulated ICU patient was developed in the EHR including labs, hourly vitals, medication administration, ventilator settings, nursing and notes. Fourteen medical issues requiring recognition and subsequent changes in management were included. Issues were chosen based on their frequency of occurrence within the ICU and their ability to test different aspects of the EHR–user interface. ICU residents, blinded to the presence of medical errors within the case, were provided a sign-out and given 10 min to review the case in the EHR. They then presented the case with their management suggestions to an attending physician. Participants were graded on the number of issues identified. All participants were provided with immediate feedback upon completion of the simulation. Primary and secondary outcomes To determine the frequency of error recognition in an EHR simulation. To determine factors associated with improved performance in the simulation. Results 38 participants including 9 interns, 10 residents and 19 fellows were tested. The average error recognition rate was 41% (range 6–73%), which increased slightly with the level of training (35%, 41% and 50% for interns, residents, and fellows, respectively). Over-sedation was the least-recognised error (16%); poor glycemic control was most often recognised (68%). Only 32% of the participants recognised inappropriate antibiotic dosing. Performance correlated with the total number of screens used (p=0.03). Conclusions Despite development of comprehensive EHRs, there remain significant gaps in identifying dangerous medical management issues. This gap remains despite high levels of medical training, suggesting that EHR-specific training may be beneficial. Simulation provides a novel tool in order to both identify these gaps as well as foster EHR-specific training. PMID:23578685

  3. The Concept of Ecologically Oriented Progress and Natural Resource Preservation

    NASA Astrophysics Data System (ADS)

    Gasanov, M. A.; Kolotov, K. A.; Demidenko, K. A.; Podgornaya, E. A.; Kadnikova, O. V.

    2017-01-01

    The most important issue of scientific and technological progress is considering the environment challenges of industrial development. It means that the progress must be ecologically oriented and environmentally friendly. The most adequate concept for the approach to the issue of “man - society - nature” relations is the ontology of the noosphere - the idea of a common space for human beings and nature. It presents an ideal example of an optimistic attitude towards the coordination between accelerating the scientific and technological development and natural resource saving. However, to maintain the balance between human needs and environmental processes determined by this concept, it is essential to include the lean production training into technological development of society.

  4. Final report on the oxidation of energetic materials in supercritical water. Final Air Force report

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

    Buelow, S.J.; Allen, D.; Anderson, G.K.

    1995-04-03

    The objective of this project was to determine the suitability of oxidation in supercritical fluids (SCO), particularly water (SCWO), for disposal of propellants, explosives, and pyrotechnics (PEPs). The SCO studies of PEPs addressed the following issues: The efficiency of destruction of the substrate. The products of destruction contained in the effluents. Whether the process can be conducted safely on a large scale. Whether energy recovery from the process is economically practicable. The information essential for process development and equipment design was also investigated, including issues such as practical throughput of explosives through a SCWO reactor, reactor materials and corrosion, andmore » models for process design and optimization.« less

  5. Global issues in environmental medicine.

    PubMed

    Goldstein, B D

    1993-03-01

    This overview will discuss a number of the issues posed by the challenge of international environmental health. The reasons that environmental problems occurring elsewhere in the world are of importance to occupational and environmental physicians in North America include the interconnectedness of the biosphere of our planet so that environmental alterations in one part of the globe can have an adverse outcome on our health and well-being; the often high levels of pollution and environmental degradation elsewhere provide an opportunity to determine and predict adverse consequences of environmental agents pertinent to protecting our own health; and, most importantly, our own ability to provide assistance in helping economic development occur in a setting of low risk of environmental pollution.

  6. Orbiter CIU/IUS communications hardware evaluation

    NASA Technical Reports Server (NTRS)

    Huth, G. K.

    1979-01-01

    The DOD and NASA inertial upper stage communication system design, hardware specifications and interfaces were analyzed to determine their compatibility with the Orbiter payload communications equipment (Payload Interrogator, Payload Signal Processors, Communications Interface Unit, and the Orbiter operational communications equipment (the S-Band and Ku-band systems). Topics covered include (1) IUS/shuttle Orbiter communications interface definition; (2) Orbiter avionics equipment serving the IUS; (3) IUS communication equipment; (4) IUS/shuttle Orbiter RF links; (5) STDN/TDRS S-band related activities; and (6) communication interface unit/Orbiter interface issues. A test requirement plan overview is included.

  7. Study protocol for Young & Strong: a cluster randomized design to increase attention to unique issues faced by young women with newly diagnosed breast cancer.

    PubMed

    Greaney, Mary L; Sprunck-Harrild, Kim; Ruddy, Kathryn J; Ligibel, Jennifer; Barry, William T; Baker, Emily; Meyer, Meghan; Emmons, Karen M; Partridge, Ann H

    2015-01-31

    Each year, approximately 11% of women diagnosed with breast cancer in the United States are 45 years of age or younger. These women have concerns specific to or accentuated by their age, including fertility-related concerns, and have higher rates of psychosocial distress than women diagnosed at older ages. Current guidelines recommend that fertility risks be considered early in all treatment plans; however, the extant research indicates that attention to fertility by the healthcare team is limited. Importantly, attention to fertility may be a proxy for whether or not other important issues warranting attention in younger women with breast cancer are addressed, including genetic risks, psychosocial distress, sexual functioning, and body image concerns. The Young & Strong study tests the efficacy of an intervention designed for young women recently diagnosed with breast cancer and their oncologists with the intention to: 1) increase attention to fertility as an important surrogate for other issues facing young women, 2) educate and support young women and their providers, and 3) reduce psychosocial distress among young women with breast cancer. The study employs a cluster randomized design including 14 academic institutions and 40 community sites across the U.S. assigned to either the study intervention arm or contact-time comparison intervention arm. Academic institutions enroll up to 15 patients per site while community sites enroll up to 10 patients. Patient eligibility requirements include: an initial diagnosis of stage I-III invasive breast cancer within three months prior, without a known recurrence or metastatic breast cancer; 18-45 years of age at diagnosis; ability to read and write in English. The primary outcome is oncologists' attention to fertility concerns as determined by medical record review. Secondary outcomes include differences in patient satisfaction with care and psychosocial distress between the two study arms. Study findings will provide valuable insight into how to increase attention to fertility and other issues specific to young women with breast cancer and how to improve doctor-patient communication around these issues, which may promote better quality of care for this population. NCT01647607. Registered July 19, 2012.

  8. Security Vulnerability Profiles of Mission Critical Software: Empirical Analysis of Security Related Bug Reports

    NASA Technical Reports Server (NTRS)

    Goseva-Popstojanova, Katerina; Tyo, Jacob

    2017-01-01

    While some prior research work exists on characteristics of software faults (i.e., bugs) and failures, very little work has been published on analysis of software applications vulnerabilities. This paper aims to contribute towards filling that gap by presenting an empirical investigation of application vulnerabilities. The results are based on data extracted from issue tracking systems of two NASA missions. These data were organized in three datasets: Ground mission IVV issues, Flight mission IVV issues, and Flight mission Developers issues. In each dataset, we identified security related software bugs and classified them in specific vulnerability classes. Then, we created the security vulnerability profiles, i.e., determined where and when the security vulnerabilities were introduced and what were the dominating vulnerabilities classes. Our main findings include: (1) In IVV issues datasets the majority of vulnerabilities were code related and were introduced in the Implementation phase. (2) For all datasets, around 90 of the vulnerabilities were located in two to four subsystems. (3) Out of 21 primary classes, five dominated: Exception Management, Memory Access, Other, Risky Values, and Unused Entities. Together, they contributed from 80 to 90 of vulnerabilities in each dataset.

  9. Growing Up Whole

    PubMed Central

    Alarcon, Renato D.

    2005-01-01

    Objective: This is the second phase of a study aimed at determining the cultural characteristics, psychiatric needs, acculturative stressors, and management approaches of immigrant Somali children's experience in the United States. Methods: A 10-year demographics review of the Minnesota Departments of Human Services, and Children, Families, and Learning was completed. Data was obtained through unstructured interviews with educational staff, healthcare providers, and Somali children and their families in three communities, regarding cultural characteristics, barriers to care, perceptions of medical/psychiatric needs, and issues of acculturation. Health professionals/psychiatrists at a tertiary care center were also surveyed. Results: Identified acculturation issues of adolescent Somali immigrants included acculturative stress, racial discrimination, khat use, legal difficulties, language barriers, school opportunities, changes in family dynamics and developmental issues, clinical vulnerabilities, unique experiences of adolescent females, and development of new public/social behavior patterns. Conclusion: Immigrant Somali adolescents are at high risk for mental health problems due to the unique challenges they face as they attempt to assimilate two very polar cultures into one self-identity during a phase of development characterized by physical, cognitive, and emotional upheaval. Current management experiences warrant recommendations that include integration of community services, schools, and the medical system to provide education in cultural diversity, multicultural school and community publications, team sports, individual education plans, support groups, and Somali representation in school staff that has established trust with families and acceptance of mental health issues and care. PMID:21152169

  10. Communication and Information About "Safer Sex:" Intervention Issues Within Communities of African Migrants Living in Poorer Neighbourhoods in Portugal.

    PubMed

    de Matos, Margarida Gaspar; Gaspar, Tania; Simons-Morton, Bruce; Reis, Marta; Ramiro, Lúcia

    2008-01-01

    The aims of this study are to determine the influence of migrant status on sexual behavior and communication about "safer sex" and to identify ethnic-specific prevention issues. Data were obtained from a special administration of the Health Behavior in School-Aged Children Survey in a special sample of Portuguese schools located in low-income Lisbon neighborhoods with large proportions of African migrants.Survey participants included 919 6th, 8th and 10th graders (52.3% female), of whom 19.2% were migrant foreigners from African Portuguese-speaking countries, including Cape Verde (60.8%), Mozambique (1.6%), Angola (16.8%), S. Tomé (8%), and Guinea-Bissau (14.8%). Subsequently, four focus groups were held with adolescent who had participated in the survey (n = 45), three focus group with health and education professionals (n = 25), and one focus group with parents (n = 6).Compared with Portuguese adolescents, African migrant teens reported initial sexual intercourse at earlier ages, less frequent condom use, and less frequent and less comfortable communications with parents about sexual issues.Implications for selective prevention of STD are discussed and recommendations are made.

  11. An Integrated Socio-Environmental Model of Health and Well-Being: a Conceptual Framework Exploring the Joint Contribution of Environmental and Social Exposures to Health and Disease Over the Life Span.

    PubMed

    Olvera Alvarez, Hector A; Appleton, Allison A; Fuller, Christina H; Belcourt, Annie; Kubzansky, Laura D

    2018-06-01

    Environmental and social determinants of health often co-occur, particularly among socially disadvantaged populations, yet because they are usually studied separately, their joint effects on health are likely underestimated. Building on converging bodies of literature, we delineate a conceptual framework to address these issues. Previous models provided a foundation for study in this area, and generated research pointing to additional important issues. These include a stronger focus on biobehavioral pathways, both positive and adverse health outcomes, and intergenerational effects. To accommodate the expanded set of issues, we put forward the Integrated Socio-Environmental Model of Health and Well-Being (ISEM), which examines how social and environmental factors combine and potentially interact, via multi-factorial pathways, to affect health and well-being over the life span. We then provide applied examples including the study of how food environments affect dietary behavior. The ISEM provides a comprehensive, theoretically informed framework to guide future research on the joint contribution of social and environmental factors to health and well-being across the life span.

  12. Mapping toxicology: Using ARC info to protect the public health

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

    Morrison, M.

    1998-07-01

    There are many issues in dealing with the problems of the release of toxic chemicals into the environment. Those issues include determining the extent of the contamination, identifying possible receptor populations, and estimating the amount of exposure to those populations. Geographic Information Systems (GIS) are useful tools to address those issues. With a GIS, a professional can plot the location of areas of contamination, populations can be estimated by linking census data with the graphical data in the GIS or addresses of individuals can be plotted, sampling results can be used to create contours of exposure levels, and overlays ofmore » other relevant information (cancer rates) can all be done using a GIS. The spatial features in a GIS can be used with diffusion and other models to estimate spread of contamination from a source. This paper will use a case study method to demonstrate various aspects of using GIS to answer questions of public health relevance from the potential exposures to toxic substances in the environment. The case study will include a discussion of data identification and gathering, spatial analysis, and a full discussion of the possible conclusions that could be reached using the data in the GIS.« less

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

    Milligan, Michael; Bloom, Aaron P; Townsend, Aaron

    Variable generation (VG) can reduce market prices over time and also the energy that other suppliers can sell in the market. The suppliers that are needed to provide capacity and flexibility to meet the long-term reliability requirements may, therefore, earn less revenue. This chapter discusses the topics of resource adequacy and revenue sufficiency - that is, determining and acquiring the quantity of capacity that will be needed at some future date and ensuring that those suppliers that offer the capacity receive sufficient revenue to recover their costs. The focus is on the investment time horizon and the installation of sufficientmore » generation capability. First, the chapter discusses resource adequacy, including newer methods of determining adequacy metrics. The chapter then focuses on revenue sufficiency and how suppliers have sufficient opportunity to recover their total costs. The chapter closes with a description of the mechanisms traditionally adopted by electricity markets to mitigate the issues of resource adequacy and revenue sufficiency and discusses the most recent market design changes to address these issues.« less

  14. Violence against women in Pakistan: a framework for analysis.

    PubMed

    Ali, Parveen Azam; Gavino, Maria Irma Bustamante

    2008-04-01

    Understanding violence against women is as complex as its process. As a perusal of literature shows that most of the explanations were contextually and culturally based, this review attempts to analyze the issue of violence against women using theories applicable within the Pakistani context. Literature examining the issue of violence against women and its various theories was reviewed. A framework using the determinants of violence against women as proposed, include intrinsic and extrinsic factors within the people, the socio-economic-political and cultural system of Pakistan and the influences of surrounding countries. The Pakistani scenario has been described and the theoretical bases were presented. Each determinant has been discussed with supporting literature. Further studies are needed to strengthen the framework; however, it provided a modest view of violence against women in Pakistan. The framework would help the policy and decision makers to understand the dynamics of violence against women and may move them to action to bring about improvements in women's' lives.

  15. Mediating the social and psychological impacts of terrorist attacks: the role of risk perception and risk communication.

    PubMed

    Rogers, M Brooke; Amlôt, Richard; Rubin, G James; Wessely, Simon; Krieger, Kristian

    2007-06-01

    The public's understanding of chemical, biological, radiological and nuclear (CBRN) related issues and their likely actions following a CBRN incident is an issue of great concern, as public psychological and behavioural responses will help determine subsequent morbidity and mortality rates. This paper explores the role of effective government communication with the public and its role in mediating the social and psychological impact of terrorist attacks. We examine the importance of effective communication in reducing morbidity and mortality in the event of a terrorist attack and explore the impact of risk perceptions in determining the success or failure of risk communication strategies. This includes the examination of the role of fear as a health risk, and the identification of factors relevant to public trust in risk communication. Finally, an investigation of the type of information desired by members of the public leads the authors to make risk communication recommendations targeted at the promotion of more adaptive behaviours in response to CBRN attacks.

  16. Partnering to enhance interprofessional service-learning innovations and addictions recovery.

    PubMed

    Mihalynuk, T V; Soule Odegard, P; Kang, R; Kedzierski, M; Johnson Crowley, N

    2007-11-01

    Service-learning programs are reported to benefit students, faculty, higher education institutions, community agencies and the relationships among these groups. An interprofessional service-learning paradigm may strengthen these benefits. Community settings can expose students to social and cultural determinants of health, in addition to those biomedical determinants more commonly addressed in health sciences curricula. These experiences can also enhance student understanding of the complexities underlying treatment and prevention of modern health problems, particularly chronic diseases. The purpose of this initiative was to create and deliver interprofessional service-learning innovations that would enhance student learning and addictions recovery. To address this initiative, the University of Washington's Health Science Partnerships in Interdisciplinary Clinical Education (HSPICE) and the Salvation Army Adult Rehabilitation Center (ARC) began a community-campus partnership in 1997. Innovations took into account student educational objectives established by HSPICE which included: participation in interdisciplinary teams, in conjunction with community partners to identify and reduce population-based health issues, realization and articulation of biases regarding issues faced by the participating community, acquiring an understanding of the broader determinants of health and developing an understanding of why the complexity of population health requires interdisciplinary strategies for cost effectiveness. Findings are reported from evaluations, needs assessments and ongoing feedback of men recovering from addictions, as applied to health education materials and presentations developed for the ARC. Future directions are highlighted, including the need for further research and evaluation efforts aimed at rigorously assessing cost savings and student knowledge, skills and cultural sensitivity, among others.

  17. Preferred drug lists: potential impact on healthcare economics.

    PubMed

    Ovsag, Kimberly; Hydery, Sabrina; Mousa, Shaker A

    2008-01-01

    To analyze the implementation of Medicaid preferred drug lists (PDLs) in a number of states and determine its impact on quality of care and cost relative to other segments of healthcare. We reviewed research and case studies found by searching library databases, primarily MEDLINE and EBSCOHost, and searching pertinent journals. Keywords initially included "drug lists," "prior authorization," "prior approval," and "Medicaid." We added terms such as "influence use of other healthcare services," "quality of care," and "overall economic impact." We mainly used primary sources. Based on our literature review, we determined that there are a number of issues regarding Medicaid PDLs that need to be addressed. Some issues include: (a) the potential for PDLs to influence the utilization of other healthcare services, (b) criteria used by Medicaid for determining acceptance of drugs onto a PDL, (c) the effect of PDL implementation on compliance to new regimens, (d) the potential effects of restricting medication availability on quality of care, (e) administrative costs associated with PDLs, and (f) satisfaction rates among patients and medical providers. This review highlighted expected short-term cost savings with limited degree of compromised quality of PDL implementation, but raised the concern about the potential long-term decline in quality of care and overall economic impact. The number of concerns raised indicates that further studies are warranted regarding both short-term cost benefits as well as potential long-term effects of Medicaid PDL implementation. Objective analysis of these effects is necessary to ensure cost-effectiveness and quality of care.

  18. People are failing! Something needs to be done: Canadian students' experience with the NCLEX-RN.

    PubMed

    McGillis Hall, Linda; Lalonde, Michelle; Kashin, Jordana

    2016-11-01

    Canada's nurse regulators adopted the NCLEX as the entry-to-practice licensing exam for Canada's registered nurses effective January 2015. It is important to determine whether any issues from this change emerged for nursing students in preparing for and taking this new exam. To explore the experiences of Canadian graduate student nurses who were the first to write the NCLEX examination for entry to practice in Canada, determine whether any issues with implementation were identified and how these could be addressed. A qualitative study. Thematic analysis of semi-structured interview data obtained through interviews with 202 graduate Canadian nursing students was the methodology employed in this study. The predominant theme that emerged from the interview data was policy related issues that students identified with preparing for and taking the NCLEX. Sub-themes included: a) temporary test centre concerns, b) perceptions of American context and content on the exam, c) lack of French language resources and translation issues, d) the limited number of opportunities to write the exam, e) communication and engagement with regulators, f) financial costs incurred and g) reputational costs for the Canadian nursing profession. The experiences of study participants with NCLEX implementation in Canada were less than positive. This is of critical importance given the pass rates for first-time NCLEX writers in Canada were reported as 69.7%, substantially lower than pass rates on the previous Canadian entry-to-practice exam. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Assessment of acculturation in minority health research.

    PubMed

    Fox, Molly; Thayer, Zaneta; Wadhwa, Pathik D

    2017-03-01

    Acculturation represents an important construct in the context of health disparities. Although several studies have reported relationships between various aspects of acculturation and health in minority populations, crucial inconsistencies remain. One likely reason for these inconsistencies may relate to limitations in the conceptualization and operationalization of acculturation, particularly in the context of health research. The acculturation construct underwent major conceptual and operational change when it was adapted from anthropology to psychology, and we argue another major shift is now required for use of this construct in health research. Issues include determining whether acculturation measures should focus on an individual's internal attitudes or overt behaviors; whether they should characterize cultural orientation status at a given point in time or change over time; whether measures should be culture-specific or more global in nature; how the issue of multiculturalism should be addressed; how measures can optimally incorporate multiple dimensions of acculturation; and whether proxy measures should be used. These issues are important in the context of health research because of their implications for determining the direct and indirect effects of cultural change on health-related biological and behavioral processes. We elaborate on and address each of these issues from a perspective that spans multiple disciplines across the biological and social sciences, and offer concrete recommendations with the ultimate goal of achieving a better understanding of the role of acculturation in minority health and health disparities. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. Occupational exposure to ethylene oxide--OSHA. Final rule: supplemental statement of reasons.

    PubMed

    1985-01-02

    On June 22, 1984, the Occupational Safety and Health Administration (OSHA) published a final standard for ethylene oxide (EtO) that established a permissible exposure limit of 1 part EtO per million parts of air determined as an 8-hour time--weighted average (TWA) concentration (29 CFR 1910.1047, 49 FR 25734). The standard also includes provisions for methods of exposure control, personal protective equipment, measurement of employee exposure, training, signs, and labels, medical surveillance, regulated areas, emergencies and recordkeeping. The basis for this action was a determination by OSHA, based on human and animal data, that exposure to EtO presents a carcinogenic, mutagenic, genotoxic, reproductive, neurologic, and sensitization hazard to workers. During the rulemaking proceedings that led to the establishment of the 1 ppm TWA, the issue of whether there was a need for a short-term exposure limit (STEL) for workers protection from EtO was raised. OSHA reserved decision on the adoption of a STEL at the conclusion of the rulemaking in order to permit peer review of the available evidence and to review more fully the arguments and pertinent data regarding the STEL issue. Upon receipt of the analyses from most of the peer reviewers, OSHA published a notice to that effect on September 19, 1984 (49 FR 36659) and invited public comment on the pertinent issues addressed in the peer reviews. Based on the entire rulemaking record, including the peer reviews and public comments received since June 22, the Assistant Secretary has determined that adoption of a STEL for EtO is not warranted by the available health evidence, and that a STEL is not reasonably necessary or appropriate for inclusion in the final EtO standard. OSHA has also asked that NIOSH fund certain additional studies related to whether a dose-rate relationship can be established for EtO, and OSHA will review the results of those studies when they become available.

  1. Quality-of-Life Priorities in Patients with Thyroid Cancer: A Multinational European Organisation for Research and Treatment of Cancer Phase I Study.

    PubMed

    Singer, Susanne; Husson, Olga; Tomaszewska, Iwona M; Locati, Laura D; Kiyota, Naomi; Scheidemann-Wesp, Ulrike; Hofmeister, Dirk; Winterbotham, Melanie; Brannan, Christine; Araújo, Cláudia; Gamper, Eva M; Kulis, Dagmara; Rimmele, Harald; Andry, Guy; Licitra, Lisa

    2016-11-01

    The objectives of this study were to determine quality of life (QoL) issues that are relevant to thyroid cancer patients cross-culturally, and to identify those with highest relevance to them in addition to the more general issues covered by the core European Organisation for Research and Treatment of Cancer QoL questionnaire (EORTC QLQ-C30). A systematic literature search provided a list of potentially relevant QoL issues to supplement the core questionnaire EORTC QLQ-C30, which is widely used in research and in care and addresses QoL issues relevant to all groups of cancer patients. A panel of experts revised this list, and thyroid cancer patients rated the issues regarding their relevance for QoL by selecting the 25 issues that they would include in a thyroid cancer-specific QoL module. The literature search and expert discussion provided a list of 71 QoL issues that was rated by thyroid cancer patients (n = 110) from seven countries. All issues were of high priority to at least some of the patients. The most frequently selected issues were sudden attacks of tiredness, exhaustion, quality of sleep, employment, social support, fear of cancer progression, fear of second operation, difficulties swallowing, and globus sensation. Thyroid cancer patients cross-culturally rate fatigue-related issues as highly important for their QoL, calling for increased efforts to find successful treatments for this problem. Vocational rehabilitation is also highly relevant for them and should therefore be an important aim of multidisciplinary care. The third important area of concern is psychological issues, especially fear of progression and of additional treatments.

  2. The meaning of workplace discrimination for women with disabilities.

    PubMed

    Smith Randolph, Diane

    2005-01-01

    Studies have found that persons with disabilities who are also members of other minority groups or women encounter dual discrimination. This paper describes how women with disabilities who are in the workplace experience discrimination. In order to determine whether discrimination was a viable issue, theoretical contexts of feminist theory, disability theory, and attribution theory were examined as well as literature examining employment of women with disabilities. For this study, three women with various disabilities were interviewed regarding the effect of their disability on their typical workday, their employment and job seeking history, and employment opportunities. Qualitative data were also provided through mapping by the participants and pictorial data of worksites. Data were grouped into themes of pre-conceived notions of others, attitudes of others, accommodation issues, inclusion issues and exploitation issues. From these themes definitions of discrimination, nondiscrimination in the workplace were developed. Conclusions include the need for more research on workplace experiences of other or more specific populations that experience discrimination as well as the need for ethical reflection on the part of the researcher regarding vulnerable populations.

  3. Ethical and scientific issues of nanotechnology in the workplace.

    PubMed

    Schulte, Paul A; Salamanca-Buentello, Fabio

    2007-01-01

    In the absence of scientific clarity about the potential health effects of occupational exposure to nanoparticles, a need exists for guidance in decision making about hazards, risks, and controls. An identification of the ethical issues involved may be useful to decision makers, particularly employers, workers, investors, and health authorities. Because the goal of occupational safety and health is the prevention of disease in workers, the situations that have ethical implications that most affect workers have been identified. These situations include the a) identification and communication of hazards and risks by scientists, authorities, and employers; b) workers' acceptance of risk; c) selection and implementation of controls; d) establishment of medical screening programs; and e) investment in toxicologic and control research. The ethical issues involve the unbiased determination of hazards and risks, nonmaleficence (doing no harm), autonomy, justice, privacy, and promoting respect for persons. As the ethical issues are identified and explored, options for decision makers can be developed. Additionally, societal deliberations about workplace risks of nanotechnologies may be enhanced by special emphasis on small businesses and adoption of a global perspective.

  4. Ethical and scientific issues of nanotechnology in the workplace.

    PubMed

    Schulte, Paul A; Salamanca-Buentello, Fabio

    2007-01-01

    In the absence of scientific clarity about the potential health effects of occupational exposure to nanoparticles, a need exists for guidance in decisionmaking about hazards, risks, and controls. An identification of the ethical issues involved may be useful to decision makers, particularly employers, workers, investors, and health authorities. Because the goal of occupational safety and health is the prevention of disease in workers, the situations that have ethical implications that most affect workers have been identified. These situations include the a) identification and communication of hazards and risks by scientists, authorities, and employers; b) workers' acceptance of risk; c) selection and implementation of controls; d) establishment of medical screening programs; and e) investment in toxicologic and control research. The ethical issues involve the unbiased determination of hazards and risks, nonmaleficence (doing no harm), autonomy, justice, privacy, and promoting respect for persons. As the ethical issues are identified and explored, options for decision makers can be developed. Additionally, societal deliberations about workplace risks of nanotechnologies may be enhanced by special emphasis on small businesses and adoption of a global perspective.

  5. Ethical and Scientific Issues of Nanotechnology in the Workplace

    PubMed Central

    Schulte, Paul A.; Salamanca-Buentello, Fabio

    2007-01-01

    In the absence of scientific clarity about the potential health effects of occupational exposure to nanoparticles, a need exists for guidance in decisionmaking about hazards, risks, and controls. An identification of the ethical issues involved may be useful to decision makers, particularly employers, workers, investors, and health authorities. Because the goal of occupational safety and health is the prevention of disease in workers, the situations that have ethical implications that most affect workers have been identified. These situations include the a) identification and communication of hazards and risks by scientists, authorities, and employers; b) workers’ acceptance of risk; c) selection and implementation of controls; d) establishment of medical screening programs; and e) investment in toxicologic and control research. The ethical issues involve the unbiased determination of hazards and risks, nonmaleficence (doing no harm), autonomy, justice, privacy, and promoting respect for persons. As the ethical issues are identified and explored, options for decision makers can be developed. Additionally, societal deliberations about workplace risks of nanotechnologies may be enhanced by special emphasis on small businesses and adoption of a global perspective. PMID:17366812

  6. Analytical Review of Contemporary Fatwas in Resolving Biomedical Issues Over Gender Ambiguity.

    PubMed

    Zabidi, Taqwa

    2018-04-21

    Issues of gender ambiguity have been discussed over time from both Islamic and medical perspectives. In Islam, these issues are typically considered in the context of khunūthah (literally translated as hermaphroditism). While biomedical studies have appeared to provide a large amount of information on abnormal human biological development, i.e. Disorders of Sex Development (DSDs). However, the connection between these two fields has been given little attention. This research aims to determine the Islamic underpinnings through the fatwa around the globe. Thus, institutional fatwa organisations among Sunni schools of thought at the international, regional and national levels are observed. The fatwas regarding the management of individuals with gender ambiguity, not specifically on DSDs, are chosen and presented accordingly. Based on the findings, the sporadic fatwas from different parts of the world delineate the issue of sex ambiguity and seem to be able to provide general guidelines for management of Muslim patients with DSDs. Three common aspects have been discussed including the methodology of gender assignment, the decision-making process and the surgical and hormonal treatments.

  7. Worldwide Emerging Environmental Issues Affecting the U.S. Military

    DTIC Science & Technology

    2010-12-01

    Cooperation in Africa to Counter Wildlife Trafficking……………………7 6.6 Bioethics Commission Calls for Enhanced Federal Oversight of Synthetic Biology…...7...Statute Include Amendments on the Crime of Aggression and Expansion of Criminalizing the Use of Certain Weapons in Non-international Conflicts in...engineered) utilizing them. Military Implications: Relevant military personnel should investigate to determine if this biological solution for iron

  8. AAS/GSFC 13th International Symposium on Space Flight Dynamics. Volume 1

    NASA Technical Reports Server (NTRS)

    Stengle, Tom (Editor)

    1998-01-01

    This conference proceedings preprint includes papers and abstracts presented at the 13th International Symposium on Space Flight Dynamics. Cosponsored by American Astronautical Society and the Guidance, Navigation and Control Center of the Goddard Space Flight Center, this symposium featured technical papers on a wide range of issues related to orbit-attitude prediction, determination, and control; attitude sensor calibration; attitude dynamics; and mission design.

  9. An Examination of the Characteristics and Determinants of At-Risk and Non-at-Risk Students in a Texas Independent School District

    ERIC Educational Resources Information Center

    Roome, Anna Kathryn

    2016-01-01

    The issue within education reform of high dropout rates has been an enduring problem for education in the United States (U.S.) since the 1960s. Dropping out of high school is associated with a broad range of social pathologies in adulthood, including poor job prospects, the propensity to engage in criminal behavior, out-of-wedlock births, low…

  10. The virtual windtunnel: Visualizing modern CFD datasets with a virtual environment

    NASA Technical Reports Server (NTRS)

    Bryson, Steve

    1993-01-01

    This paper describes work in progress on a virtual environment designed for the visualization of pre-computed fluid flows. The overall problems involved in the visualization of fluid flow are summarized, including computational, data management, and interface issues. Requirements for a flow visualization are summarized. Many aspects of the implementation of the virtual windtunnel were uniquely determined by these requirements. The user interface is described in detail.

  11. Experimental evaluation of thermal energy storage

    NASA Technical Reports Server (NTRS)

    Asbury, J. G.; Hersh, H. N.

    1980-01-01

    The technical performance of commercially available thermal energy storage (TES) residential heating units under severe weather conditions is discussed. The benefits and costs of TES to the user and utility companies were assessed. The TES issues, research and development needs, and barriers to commercialization were identified. The field tests which determined the performance characteristics for the TES are described and the TES systems, which included both ceramic and hydronic systems, are compared.

  12. The use of debt.

    PubMed

    Hood, W L; Loughery, C V

    1990-05-01

    Stewards of Catholic healthcare organizations must proceed cautiously before embarking on new construction or renovation projects. Many important issues are involved in financing such projects, including business risk, financial philosophy, financial structure, and forms of debt. The proper foundation for any financing structure must begin with financial philosophy. Some healthcare facilities have traditionally used no external financing; others have employed significant levels of debt. To determine a proper level of debt for the project(s) being financed, it is important to look at business risk. If a modest decline in revenues (or a similar increase in costs) would threaten the project's viability, the business risk would be high; therefore prudence would dictate that the level of debt undertaken be relatively small. A separate analysis is required to determine the appropriate mix of floating-rate and fixed-rate long-term debt. As a rule of thumb, fixed-rate debt would typically form two thirds of the debt structure; floating-rate debt, no more than one third. For healthcare, debt can take two forms: tax exempt and taxable. Tax-exempt financing has many constraints, including use of proceeds by a tax-exempt entity, arbitrage rules, tax legislation, and financial disclosure laws. Taxable debt can be issued by private placement or on a publicly traded basis.

  13. 75 FR 44282 - In the Matter of Certain Mobile Telephones and Wireless Communication Devices Featuring Digital...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-28

    ... review the June 22, 2010, initial determination on claim construction (``ID'') issued by the presiding... question of the legal authority for addressing the issue of claim construction as a matter for summary determination and treating the claim construction ruling as an initial determination under the Commission's...

  14. Assessment of MRI Issues at 3 Tesla for a New Metallic Tissue Marker

    PubMed Central

    Cronenweth, Charlotte M.; Shellock, Frank G.

    2015-01-01

    Purpose. To assess the MRI issues at 3 Tesla for a metallic tissue marker used to localize removal areas of tissue abnormalities. Materials and Methods. A newly designed, metallic tissue marker (Achieve Marker, CareFusion, Vernon Hills, IL) used to mark biopsy sites, particularly in breasts, was assessed for MRI issues which included standardized tests to determine magnetic field interactions (i.e., translational attraction and torque), MRI-related heating, and artifacts at 3 Tesla. Temperature changes were determined for the marker using a gelled-saline-filled phantom. MRI was performed at a relatively high specific absorption rate (whole body averaged SAR, 2.9-W/kg). MRI artifacts were evaluated using T1-weighted, spin echo and gradient echo pulse sequences. Results. The marker displayed minimal magnetic field interactions (2-degree deflection angle and no torque). MRI-related heating was only 0.1°C above background heating (i.e., the heating without the tissue marker present). Artifacts seen as localized signal loss were relatively small in relation to the size and shape of the marker. Conclusions. Based on the findings, the new metallic tissue marker is acceptable or “MR Conditional” (using current labeling terminology) for a patient undergoing an MRI procedure at 3 Tesla or less. PMID:26266051

  15. Uncontrolled Donation After Circulatory Determination of Death Donors (uDCDDs) as a Source of Lungs for Transplant

    PubMed Central

    Egan, T. M.; Requard, J. J.

    2017-01-01

    In April 2014, the American Journal of Transplantation published a report on the first lung transplant in the United States recovered from an uncontrolled donation after circulatory determination of death donor (uDCDD), assessed by ex vivo lung perfusion (EVLP). The article identified logistical and ethical issues related to introduction of lung transplant from uDCDDs. In an open clinical trial, we have Food and Drug Administration and Institutional Review Board approval to transplant lungs recovered from uDCDDs judged suitable after EVLP. Through this project and other experiences with lung recovery from uDCDDs, we have identified solutions to many logistical challenges and have addressed ethical issues surrounding lung transplant from uDCDDs that were mentioned in this case report. Here, we discuss those challenges, including issues related to recovery of other solid organs from uDCDDs. Despite logistical challenges, uDCDDs could solve the critical shortage of lungs for transplant. Furthermore, by avoiding the deleterious impact of brain death and days of positive pressure ventilation, and by using opportunities to treat lungs in the decedent or during EVLP, lungs recovered from uDCDDs may ultimately prove to be better than lungs currently being transplanted from conventional brain-dead organ donors. PMID:25873272

  16. A scoping literature review of collaboration between primary care and public health.

    PubMed

    Martin-Misener, Ruth; Valaitis, Ruta; Wong, Sabrina T; Macdonald, Marjorie; Meagher-Stewart, Donna; Kaczorowski, Janusz; O-Mara, Linda; Savage, Rachel; Austin, Patricia

    2012-10-01

    The purpose of this scoping literature review was to determine what is known about: 1) structures and processes required to build successful collaborations between primary care (PC) and public health (PH); 2) outcomes of such collaborations; and 3) markers of their success. Collaboration between PC and PH is believed to enable more effective individual and population services than what might be achieved by either alone. The study followed established methods for a scoping literature review and was guided by a framework that identifies systemic, organizational and interactional determinants for collaboration. The review was restricted to articles published between 1988 and 2008. Published quantitative and qualitative primary studies, evaluation research, systematic and other types of reviews, as well as descriptive accounts without an explicit research design, were included if they addressed either the structures or processes to build collaboration or the outcomes or markers of such collaboration, and were published in English. The combined search strategy yielded 6125 articles of which 114 were included. Systemic-level factors influencing collaboration included: government involvement, policy and fit with local needs; funding and resource factors, power and control issues; and education and training. Lack of a common agenda; knowledge and resource limitations; leadership, management and accountability issues; geographic proximity of partners; and shared protocols, tools and information sharing were influential at the organizational level. Interpersonal factors included having a shared purpose; philosophy and beliefs; clear roles and positive relationships; and effective communication and decision-making strategies. Reported benefits of collaboration included: improved chronic disease management; communicable disease control; and maternal child health. More research is needed to explore the conditions and contexts in which collaboration between PC and PH makes most sense and potential gains outweigh the associated risks and costs.

  17. Qualitative models for space system engineering

    NASA Technical Reports Server (NTRS)

    Forbus, Kenneth D.

    1990-01-01

    The objectives of this project were: (1) to investigate the implications of qualitative modeling techniques for problems arising in the monitoring, diagnosis, and design of Space Station subsystems and procedures; (2) to identify the issues involved in using qualitative models to enhance and automate engineering functions. These issues include representing operational criteria, fault models, alternate ontologies, and modeling continuous signals at a functional level of description; and (3) to develop a prototype collection of qualitative models for fluid and thermal systems commonly found in Space Station subsystems. Potential applications of qualitative modeling to space-systems engineering, including the notion of intelligent computer-aided engineering are summarized. Emphasis is given to determining which systems of the proposed Space Station provide the most leverage for study, given the current state of the art. Progress on using qualitative models, including development of the molecular collection ontology for reasoning about fluids, the interaction of qualitative and quantitative knowledge in analyzing thermodynamic cycles, and an experiment on building a natural language interface to qualitative reasoning is reported. Finally, some recommendations are made for future research.

  18. Mapping public policy on genetics.

    PubMed

    Weisfeld, N E

    2002-06-01

    The mapping of the human genome and related advances in genetics are stimulating the development of public policies on genetics. Certain notions that currently prevail in public policy development overall--including the importance of protecting privacy of information, an interest in cost-effectiveness, and the power of the anecdote--will help determine the future of public policy on genetics. Information areas affected include discrimination by insurers and employers, confidentiality, genetic databanks, genetic testing in law enforcement, and court-ordered genetic testing in civil cases. Service issues address clinical standards, insurance benefits, allocation of resources, and screening of populations at risk. Supply issues encompass funding of research and clinical positions. Likely government actions include, among others: (1) Requiring individual consent for the disclosure of personal information, except when such consent would impose inordinate costs; (2) licensing genetic databases; (3) allowing courts to use personal information in cases where a refusal to use such information would offend the public; (4) mandating health insurers to pay for cost-effective genetic services; (5) funding pharmaceutical research to develop tailored products to prevent or treat diseases; and (6) funding training programs.

  19. A Case Study of Environmental, Health and Safety Issues Involving the Burlington, Massachusetts Public School System. "Tips, Suggestions, and Resources for Investigating and Resolving EHS Issues in Schools."

    ERIC Educational Resources Information Center

    Dresser, Todd H.

    An investigation was initiated concerning the environmental health within the Burlington, Massachusetts public school system to determine what specific environmental hazards were present and determine ways of eliminating them. This report presents 20 case studies that detail the environmental health issues involved, the approaches taken in…

  20. A Review of the Relationships among the Key Determinants Affecting the Mental Health Disorders of the People in Greater Mekong Subregion Countries

    PubMed Central

    Nget, Manndy; Muijeen, Kasorn

    2017-01-01

    Background: ASEAN integration aims to transform the GMS into a single market with free flows of products, services, and skilled labor, as well as investment openness, which will ultimately force regional economic growth. Therefore, this integration is likely to bring about a big change to this area in the new era; it can subsequently cause many problems as well, including mental health issues of the people in this region. The characteristic differences among the GMS member countries in terms of trade and investment, social and cultural values, medical information and technology, and the living and working environment have become major problems affecting mental health disorders, which are usually identified as depression, stress, and substance abuse. Methods: This review paper is a literature review of the relationship of the determinants affecting GMS mental disorders conducted using the following strategies: 1) collecting data from previous qualitative and quantitative research studies, comparatively analyzing the literature, articles, published papers, and reports relevant to the existing policies on economic, environmental, and healthcare issues obtained from the GMS; and 2) exchanging information from the institutions involved, including reports and papers regarding the determinants affecting mental health disorders of the people in the GMS, which were used to generate the synthesis of the existing knowledge of the mental health and to provide recommendation programs for the GMS people. Results: Based on the reviewed literature there are four key factors affecting mental health, especially mental health in GMS populations: 1) the living and work environments; 2) trade and investment; 3) technology and medical information; and 4) social and cultural values. The study found that the increasing number of mental health disorders is a big burden for national healthcare spending. Financial issues have become a major key to the wide prevalence of mental disorders in the GMS. Health issues related to mental health disorders are also caused by the environment and other related factors and therefore a stable and a well-balanced environment is an indicator of healthy mental status. In addition, the environment is a way to pursue both physical and mental health because green spaces serve as a mood freshener and can alleviate anxiety, stress, and depression. Conclusion: Globalization and urbanization should follow sustainable development instructions and concerns about the population’s health, especially regarding mental health. These key determinants affect the people’s life, especially in terms of mental health thus leading to mental health disorders. PMID:29527146

  1. A Review of the Relationships among the Key Determinants Affecting the Mental Health Disorders of the People in Greater Mekong Subregion Countries.

    PubMed

    Nget, Manndy; Muijeen, Kasorn

    2017-12-01

    ASEAN integration aims to transform the GMS into a single market with free flows of products, services, and skilled labor, as well as investment openness, which will ultimately force regional economic growth. Therefore, this integration is likely to bring about a big change to this area in the new era; it can subsequently cause many problems as well, including mental health issues of the people in this region. The characteristic differences among the GMS member countries in terms of trade and investment, so-cial and cultural values, medical information and technology, and the living and working environment have become major problems affecting mental health disorders, which are usually identified as depression, stress, and substance abuse. This review paper is a literature review of the relationship of the determinants affecting GMS mental disorders conducted using the following strategies: 1) collecting data from previous qualitative and quantitative research studies, com-paratively analyzing the literature, articles, published papers, and reports relevant to the existing policies on economic, environmental, and healthcare issues obtained from the GMS; and 2) exchanging information from the institutions involved, including reports and papers regarding the determinants affecting mental health disorders of the people in the GMS, which were used to generate the synthesis of the existing knowledge of the mental health and to provide recommenda-tion programs for the GMS people. Based on the reviewed literature there are four key factors affecting mental health, especially mental health in GMS populations: 1) the living and work environments; 2) trade and investment; 3) technology and medical information; and 4) social and cultural values. The study found that the increasing number of mental health dis-orders is a big burden for national healthcare spending. Financial issues have become a major key to the wide prevalence of mental disorders in the GMS. Health issues related to mental health disorders are also caused by the environment and other related factors and therefore a stable and a well-balanced environment is an indicator of healthy mental status. In addition, the environment is a way to pursue both physical and mental health because green spaces serve as a mood freshener and can al-leviate anxiety, stress, and depression. Globalization and urbanization should follow sustainable development instructions and concerns about the population's health, especially regarding mental health. These key determinants affect the people's life, especially in terms of mental health thus leading to mental health disorders.

  2. Author's Rebuttal to Smits et al. (2018), "Comment on 'Sensitivity of the Speech Intelligibility Index to the Assumed Dynamic Range' by Jin et al. (2017)".

    PubMed

    Jin, In-Ki; Kates, James M; Arehart, Kathryn H

    2018-01-22

    The purpose of this letter is to refute the comments written by Smits, Goverts, and Versfeld (2018). Refutations to each issue including the fixed mathematical relationship between dynamic range (DR) and a fitting constant (Q value), deviating results for small DRs, and determination of Speech Intelligibility Index (SII) model parameters are described. Although Smits et al. (2018) correctly identified several issues, those comments do not diminish the results of the original article (Jin, Kates, & Arehart, 2017) in providing new insights for the SII. Jin et al. (2017) clearly provided the impact of languages and DR on the SII, which was the main result of the study.

  3. Need for power and the choice of technologies: State decisions on electric power facilities

    NASA Astrophysics Data System (ADS)

    1981-06-01

    The decision-making processes at the state level regarding the licensing of electric generating facilities were assessed. The basic issues addressed are the need for power and choice of technology: state decisions which directly influence and affect the nation's energy supply, and the tradeoffs involved in meeting energy demand. The areas of special emphasis included the legal mechanisms and regulatory procedures used to determine and resolve these issues. The effectiveness of state decision-making was assessed, focusing on legal and administrative histories and accommodation of interests of concerned parties. Recent innovations to enhance the decision-making process were also assessed where applicable. No particular substantive results are advocated in the findings. The recommendations presented are broad in scope.

  4. Competency to stand trial: rationalism, "contextualism" and other modest theories.

    PubMed

    Jan Brakel, S

    2003-01-01

    Determinations of competency to stand trial in criminal cases are complicated and rendered unpredictable by two sub-surface issues that are rarely articulated: (i) the place of the defendant's rationality in the substantive standard(s) for competency and (ii) the level or degree of incompetency required to stop the criminal process. The rare references to these issues, mostly indirect, that are made in the cases, commentary, and competency testing instruments devised (including those civil as well as criminal) are examined. The conclusion that emerges is that the level of capacity and rationality required of the defendant depends much on context-the type of case, its relative complexity, and the values and stakes implicated in the outcome. Copyright 2003 John Wiley & Sons, Ltd.

  5. Ranking the effects of urban development projects on social determinants of health: health impact assessment.

    PubMed

    Shojaei, Parisa; Karimlou, Masoud; Nouri, Jafar; Mohammadi, Farahnaz; Malek Afzali, Hosein; Forouzan, Ameneh Setareh

    2014-05-30

    Health impact assessment (HIA) offer a very logical and interesting approach for those aiming to integrate health issues into planning processes. With a lot of works and plans waiting to be done (e.g., developing and updating plans, counseling planning commissions, cooperation with other organizations), planners find it difficult to prioritize health among a variety of possible issues and solutions they confront. In the present article, first, the list of social determinants of health associated with Chitgar man-made lake was extracted out using a qualitative method and with content analysis approach, and then they were prioritized using analytic hierarchy process. 28 social determinants of health including "intermediary" and "structural" determinants were extracted out. Regarding positive effects of lake on these determinants, "recreational services" and "traffic" received the highest and the lowest weights with 0.895 and 0.638 respectively among structural determinants and with consideration to "construction" option. Furthermore, among intermediary determinants for "construction" option, sub-criteria of both "physical activity" and "air quality" received the final highest weight (0.889) and "pathogenesis" indicated the lowest weight with 0.617. Moreover, lake demonstrated the highest negative effects on "housing" among "structural" determinants which it takes the highest weight (0.476) in "non-construction" option. Additionally, lake had the highest negative effects on "noise pollution" among "intermediary determinants" and it takes the highest weight (0.467) in "non-construction" option. It has been shown that urban development projects such as green spaces, man-made lakes … have a huge range of effects on community's health, and having not considered these effects by urban planners and mangers is going to confront urban health with many challenges.

  6. Genetic toxicology at the crossroads-from qualitative hazard evaluation to quantitative risk assessment.

    PubMed

    White, Paul A; Johnson, George E

    2016-05-01

    Applied genetic toxicology is undergoing a transition from qualitative hazard identification to quantitative dose-response analysis and risk assessment. To facilitate this change, the Health and Environmental Sciences Institute (HESI) Genetic Toxicology Technical Committee (GTTC) sponsored a workshop held in Lancaster, UK on July 10-11, 2014. The event included invited speakers from several institutions and the contents was divided into three themes-1: Point-of-departure Metrics for Quantitative Dose-Response Analysis in Genetic Toxicology; 2: Measurement and Estimation of Exposures for Better Extrapolation to Humans and 3: The Use of Quantitative Approaches in Genetic Toxicology for human health risk assessment (HHRA). A host of pertinent issues were discussed relating to the use of in vitro and in vivo dose-response data, the development of methods for in vitro to in vivo extrapolation and approaches to use in vivo dose-response data to determine human exposure limits for regulatory evaluations and decision-making. This Special Issue, which was inspired by the workshop, contains a series of papers that collectively address topics related to the aforementioned themes. The Issue includes contributions that collectively evaluate, describe and discuss in silico, in vitro, in vivo and statistical approaches that are facilitating the shift from qualitative hazard evaluation to quantitative risk assessment. The use and application of the benchmark dose approach was a central theme in many of the workshop presentations and discussions, and the Special Issue includes several contributions that outline novel applications for the analysis and interpretation of genetic toxicity data. Although the contents of the Special Issue constitutes an important step towards the adoption of quantitative methods for regulatory assessment of genetic toxicity, formal acceptance of quantitative methods for HHRA and regulatory decision-making will require consensus regarding the relationships between genetic damage and disease, and the concomitant ability to use genetic toxicity results per se. © Her Majesty the Queen in Right of Canada 2016. Reproduced with the permission of the Minister of Health.

  7. Advantages and difficulties of implementation of the international GNA standards in sustainable mining development. (Invited)

    NASA Astrophysics Data System (ADS)

    Masaitis, A.

    2013-12-01

    Conflicts in the development of mining projects are now common between the mining proponents, NGO's and communities. These conflicts can sometimes be alleviated by early development of modes of communication, and a formal discussion format that allows airing of concerns and potential resolution of problems. One of the methods that can formalize this process is to establish a Good Neighbor Agreement (GNA), which deals specifically with challenges in relationships between mining operations and the local communities. It is a new practice related to mining operations that are oriented toward social needs and concerns of local communities that arise during the normal life of a mine, which can achieve sustainable mining practices in both developing and developed countries. The GNA project being currently developed at the University of Nevada, Reno in cooperation with the Newmont Mining Corporation has a goal to create an open company/community dialog that is based on the international standards and that will help identify and address sociological and environmental concerns associated with mining, as well as find methods for communication and conflict resolution. GNA standards should be based on trust doctrine, open information access, and community involvement in the decision making process. It should include the following components: emergency response and community communications; environmental issues, including air and water quality standards; reclamation and recultivation; socio-economic issues: transportation, safety, training, and local hiring; and financial issues, particularly related to mitigation offsets and community needs. The GNA standards help identify and evaluate conflict criteria in mining/community relationships; determine the status of concerns; focus on the local political and government systems; separate the acute and the chronic concerns; determine the role and responsibilities of stakeholders; analyze problem resolution feasibility; maintain the community involvement and support through economic benefits and environmental safeguards; develop options for the concerns resolution; develop and manage short and long-term plans. Difficulties in establishing the GNA standards include identification of the full list of stakeholders, lack of responsible environmental protection practices, dependence on the government and political system, lack of will to disclose full information to the public. It is further complicated by the lack of insurance/bonding policies, and by the lack of audit and monitoring that could determine the level of exposure of the local community and the environment to the contaminants released at the mine sites. Since many problems of mines can occur during closure and post-closure, GNA's should address those issues also. Determined the process for the GNA implementation as a conflict prevention/resolution tool, analyzed conflict/concerns criteria associated with mining operations, determined the role of the stakeholders, worked out the process of stakeholders monitoring, carried out the sociological survey of the stakeholders and the community. Frequent conflicts between mining companies and surrounding communities that lead to work disruptions or even mine closures show the necessity of a less confrontational approach to environmental and social justice. Establishment of GNA standards for use in both developed and developing nations can decrease these conflicts.

  8. Chapter 18: Variable Frequency Drive Evaluation Protocol. The Uniform Methods Project: Methods for Determining Energy Efficiency Savings for Specific Measures

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

    Romberger, Jeff

    An adjustable-speed drive (ASD) includes all devices that vary the speed of a rotating load, including those that vary the motor speed and linkage devices that allow constant motor speed while varying the load speed. The Variable Frequency Drive Evaluation Protocol presented here addresses evaluation issues for variable-frequency drives (VFDs) installed on commercial and industrial motor-driven centrifugal fans and pumps for which torque varies with speed. Constant torque load applications, such as those for positive displacement pumps, are not covered by this protocol.

  9. 76 FR 4347 - Notice of Re-Issuance of the Prevention of Significant Deterioration Applicability Determination...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-25

    ... notice announces that on January 10, 2011, the EPA issued a determination that the proposal to modify the... monoxide, particulates, volatile organic compounds, and sulfur oxides. On October 13, 2010, we issued a...

  10. Premortem interventions in dying children to optimise organ donation: an ethical analysis.

    PubMed

    Brierley, Joe; Shaw, David

    2016-07-01

    A range of interventions in dying patients can improve both the possibility of successful organ donation and the likely long-term success of transplantation. The ethical and legal issues surrounding such interventions, which most frequently occur in the context of donation after circulatory determination of death, are complex, controversial and many remain unresolved. This is true with adults, but even more so with children, where the issue of organ donation and premortem interventions to facilitate it, are highly sensitive. Essentially, such interventions are being undertaken in dying children who cannot medically benefit from them, though arguments have been advanced that becoming a donor might be in a child's extended best interest. However, certain interventions carry a potential risk, although small, of direct harm and of course overall objections to child donation after circulatory determination of death per se are still expressed in the literature. But, unlike the case in critically ill adults, those giving permission for such interventions are normally able to fully participate in decision-making, and indeed to consent, to both donation and premortem interventions. We review the issue of the use of premortem interventions in dying children to facilitate organ donation, including decision-making and ethical justification. Individual interventions are then considered, including an ethical analyse of their use. Finally, we recommend an approach using a combination of welfare checklist strategy, coupled with the establishment of an agreed zone of parental discretion about individual interventions which might be used in dying children to increase the possibility of successful organ donation. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  11. Practical Issues in Delivery of Clinician-to-Patient Telemental Health in an Academic Medical Center.

    PubMed

    Abrams, Jessica; Sossong, Sarah; Schwamm, Lee H; Barsanti, Lauren; Carter, Michael; Kling, Naomi; Kotarski, Meghan; Leddy, Jaclyn; Meller, Benjamin; Simoni, Marcy; Sullivan, Michael; Wozniak, Janet

    In the age of online communication, psychiatric care can now be provided via videoconferencing technologies. While virtual visits as a part of telepsychiatry and telemental health provide a highly efficient and beneficial modality of care, the implementation of virtual visits requires attention to quality and safety issues. As practitioners continue to utilize this technology, issues of clinician licensing, treatment outcomes of virtual visits versus in-person visits, and cost offset require ongoing study. This review provides an overview of the topics of technology, legal and regulatory issues, clinical issues, and cost savings as they relate to practicing psychiatry and psychology via virtual visits in an academic medical center. We review the telepsychiatry/telemental health effectiveness literature from 2013 to the present. Our literature searches used the following terms: telemental health effective, telepsychiatry effective, telepsychiatry efficacy, and telemental health efficacy. These searches produced 58 articles, reduced to 16 when including only articles that address effectiveness of clinician-to-patient services. The technological, legal, and regulatory issues vary from state to state and over time. The emerging research addressing diverse populations and disorders provides strong evidence for the effectiveness of telepsychiatry. Cost savings are difficult to precisely determine and depend on the scope of the cost and benefit measured. Establishing a telepsychiatry program requires a comprehensive approach with up-to-date legal and technological considerations.

  12. Practical issues surrounding the explosion of tyrosine kinase inhibitors for the management of chronic myeloid leukemia.

    PubMed

    Mathisen, Michael S; Kantarjian, Hagop M; Cortes, Jorge; Jabbour, Elias J

    2014-09-01

    The advent of tyrosine kinase inhibitors (TKIs) has drastically changed the treatment outcome of chronic myeloid leukemia (CML). Imatinib was the first TKI approved, and has been considered the standard of care for more than a decade. Second generation compounds, namely dasatinib and nilotinib, are highly effective in newly diagnosed patients as well as those who fail imatinib. Bosutinib and ponatinib have also become available as second line options. With five agents from which to choose, selecting a TKI has become a challenge. Multiple tests are now available to determine a patient's disease status, making the ideal monitoring strategy unclear. The gold standard for response to TKI therapy remains the achievement of complete cytogenetic response. This review will discuss the practical aspects of selecting a TKI and monitoring a patient once on therapy, including when to consider a treatment change. Other relevant issues, including cost, compliance, role of allogeneic hematopoietic cell transplantation, and discontinuation of TKIs will also be covered. Copyright © 2014. Published by Elsevier Ltd.

  13. Forensic issues in medical evaluation: competency and end-of-life issues.

    PubMed

    Soliman, Sherif; Hall, Ryan C W

    2015-01-01

    Decision-making capacity is a common reason for psychiatric consultation that is likely to become more common as the population ages. Capacity assessments are frequently compromised by misconceptions, such as the belief that incapacity is permanent or that patients with dementia categorically lack capacity. This chapter will review the conceptual framework of decision-making capacity and discuss its application to medical decision-making. We will review selected developments in capacity assessment and recommend an approach to assessing decision-making capacity. We will discuss the unique challenges posed by end-of-life care, including determining capacity, identifying surrogate decision-makers, and working with surrogate decision-makers. We will discuss clinical and legal approaches to incapacity, including advance directives, surrogate decision-makers, and guardians. We will discuss the legal standards based on which surrogates make medical decisions and outline options for resolving disagreements between clinical staff and surrogate decision-makers. We will offer recommendations for approaching decision-making capacity assessments. © 2015 S. Karger AG, Basel.

  14. High frequency x-ray generator basics.

    PubMed

    Sobol, Wlad T

    2002-02-01

    The purpose of this paper is to present basic functional principles of high frequency x-ray generators. The emphasis is put on physical concepts that determine the engineering solutions to the problem of efficient generation and control of high voltage power required to drive the x-ray tube. The physics of magnetically coupled circuits is discussed first, as a background for the discussion of engineering issues related to high-frequency power transformer design. Attention is paid to physical processes that influence such factors as size, efficiency, and reliability of a high voltage power transformer. The basic electrical circuit of a high frequency generator is analyzed next, with focus on functional principles. This section investigates the role and function of basic components, such as power supply, inverter, and voltage doubler. Essential electronic circuits of generator control are then examined, including regulation of voltage, current and timing of electrical power delivery to the x-ray tube. Finally, issues related to efficient feedback control, including basic design of the AEC circuitry are reviewed.

  15. Equity, sustainability and governance in urban settings.

    PubMed

    Rice, Marilyn; Hancock, Trevor

    2016-03-01

    In this commentary the urban setting is explored from the perspective of ecological sustainability and social equity. Urban-related issues are highlighted related to social inequality, deficits in urban infrastructures, behavior-related illnesses and risks, global ecological changes, and urban sprawl. Approaches to addressing these issues are described from the perspective of urban governance, urban planning and design, social determinants of health, health promotion, and personal and community empowerment. Examples of successful strategies are provided from Latin America, including using participatory instruments (assessments, evaluation, participatory budgeting, etc.), establishing intersectoral committees, increasing participation of civil society organizations, and developing virtual forums and networks to channel participatory and collaborative processes. A way forward is proposed, using the urban setting to show the imperative of creating intersectoral policies and programs that produce environments that are both healthy and sustainable. It will be important to include new forms of social participation and use social media to facilitate citizen decision-making and active participation of all sectors of society, especially excluded groups. © The Author(s) 2015.

  16. Behavioral and Organizational Considerations in the Design of Information Systems and Processes for Planning and Decision Support,

    DTIC Science & Technology

    1981-06-01

    analysis and display capability provided by management information systems to include interpretation and aggregation of information and values such as...accomplishment of these) 2. analysis of the issue d) systems analysis and modeling (determination of the structure of the decision situation, the...existingltrtie2) Surveying lsata i situation’ alternatives I altraivDsad Is this alternative -" altrnav acceptable? ANALYSIS o NOYES SHave a sufficient

  17. AAS/GSFC 13th International Symposium on Space Flight Dynamics. Volume 2

    NASA Technical Reports Server (NTRS)

    Stengle, Tom (Editor)

    1998-01-01

    This conference proceedings preprint includes papers and abstracts presented at the 13th International Symposium on Space Flight Dynamics, May 11-15, 1998. Co-sponsored by American Astronautical Society and the Guidance, Navigation and Control Center of the Goddard Space Flight Center, this symposium featured technical papers on a wide range of issues related to orbit-attitude prediction, determination, and control; attitude sensor calibration; attitude dynamics; and mission design.

  18. Science Around the Corner.

    ERIC Educational Resources Information Center

    Lunetta, Vincent N.; And Others

    1984-01-01

    Advocates including environmental issues balanced with basic science concepts/processes to provide a sound science foundation. Suggests case studies of regional environmental issues to sensitize/motivate students while reflecting complex nature of science/society issues. Issues considered include: fresh water quality, earthquake predication,…

  19. Does uncontrolled cardiac death for organ donation raise ethical questions? An opinion survey.

    PubMed

    Goudet, V; Albouy-Llaty, M; Migeot, V; Pain, B; Dayhot-Fizelier, C; Pinsard, M; Gil, R; Beloucif, S; Robert, R

    2013-11-01

    Organ donation after uncontrolled cardiac death raises complex ethical issues. We conducted a survey in a large hospital staff population, including caregivers and administrators, to determine their ethical viewpoints regarding organ donation after uncontrolled cardiac death. Multicenter observational survey using a questionnaire, including information on the practical modalities of the procedure. Respondents were asked to answer 15 detailed ethical questions corresponding to different ethical issues raised in the literature. Ethical concerns was defined when respondents expressed ethical concerns in their answers to at least three of nine specifically selected ethical questions. One thousand one hundred ninety-six questionnaires were received, and 1057 could be analysed. According to our definition, 573 respondents out of 1057 (54%) had ethical concerns with regard to donation after cardiac death and 484 (46 %) had no ethical concerns. Physicians (55%) and particularly junior intensivists (65%) tended to have more ethical issues than nurses (52%) and hospital managers (37%). Junior intensivists had more ethical issues than senior intensivists (59%), emergency room physicians (46%) and transplant specialists (43%). Only 46% of hospital-based caregivers and managers appear to accept easily the legitimacy of organ donation after cardiac death. A significant number of respondents especially intensivists, expressed concerns over the dilemma between the interests of the individual and those of society. These results underline the need to better inform both healthcare professionals and the general population to help to the development of such procedure. © 2013 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  20. Ethics and Neuropsychiatric Genetics: A Review of Major Issues

    PubMed Central

    Hoge, Steven K.; Appelbaum, Paul S.

    2012-01-01

    Advances in neuropsychiatric genetics hold great hopes for improved prevention, diagnosis, and treatment. However, the power of genetic testing to identify individuals at increased risk for disorders and to convey information about relatives creates a set of complex ethical issues. Public attitudes are inevitably affected by the shadow of eugenics, with its history of distorting scientific findings to serve socio-political ends. Nonetheless, the growing availability of genetic tests means that more patients will seek genetic information, and physicians must manage the process of informed consent to allow meaningful decisions. Patients should be helped to understand the often-limited predictive power of current knowledge, potential psychological impact, risks of stigma and discrimination, and possible implications for family members. Decisions for predictive testing of children raise additional concerns, including distortions of family dynamics and negative effects on children’s self-image; testing is best deferred until adulthood unless preventive interventions exist. Pharmacogenomic testing, part of personalized medicine, may bring collateral susceptibility information for which patients should be prepared. The implications of genetic findings for families raise the question of whether physicians have duties to inform family members of implications for their health. Finally, participation in research in neuropsychiatric genetics evokes a broad range of ethical concerns, including the contentious issue of the extent to which results should be returned to individual subjects. As genetic science becomes more widely applied, the public will become more sophisticated and will be likely to demand a greater role in determining social policy on these issues. PMID:22272758

  1. [New italian law about end of life: self-determination and shared care pathway.

    PubMed

    Ciliberti, Rosagemma; Gulino, Matteo; Gorini, Ilaria

    2018-05-01

    The Italian Parliament has recently approved the Law n. 219/2017 concerning "Rules on informed consent and advance directives". The manuscript points out the main key points of the new law, in order to clarify the role of the advance directives and to provide clear operational guidelines for healthcare personnel. Taking into consideration the Italian deontological and juridical context, along with the main jurisprudential judgements, the law has been analysed. The Authors discussed the new rules and the bioethical issues also in relation to the provisions stated by the Convention on Human Rights and Biomedicine (Convention of Oviedo). The new law deals with relevant issues that were confined to jurisprudential rulings so far, such as the informed consent, the withdrawal/withholding of medical treatment (including artificial nutrition and hydration), the content of medical information, including the modalities, the medical responsibility and, finally, the value of advance directives. In the Authors' opinion this law provides essential rules to expressly strengthen the patients' autonomy, eliminating the juridical uncertainty on many central issues (such us, for example, the refusal of life-sustainment treatments) that have been the subject of contradictory judgments ruled by the Italian Courts. Nevertheless, advance directives should be regarded as a dynamic tools of relationship between physicians and assisted person and, thus, as an essential integrant part of the advance care planning. The education of health professionals and citizens about end of life issues is the basis for the successful implementation of this legislation.

  2. Initiation of insulin for type 2 diabetes mellitus patients: what are the issues? A qualitative study.

    PubMed

    Tan, A M; Muthusamy, L; Ng, C C; Phoon, K Y; Ow, J H; Tan, N C

    2011-11-01

    Type 2 diabetes mellitus is a progressive condition in which the pancreatic beta-cell function deteriorates with increasing duration of the disease. When good glycaemic control is not achieved despite adherence to oral hypoglycaemic drugs, healthy diet and lifestyle, insulin should be initiated. However, this is often delayed due to various reasons. We aimed to determine the issues relating to insulin initiation for diabetic patients managed in primary care polyclinics in Singapore. Qualitative data was obtained during four focus group discussions, with participation from healthcare professionals (HCPs), including physicians and nurses, and type 2 diabetes mellitus patients. The data was transcribed into text, coded and grouped into themes. Launching the topic and doctor-patient communication on insulin therapy were key issues in insulin initiation. Patient barriers to insulin commencement included: refusal to acknowledge the need for insulin therapy; its perception as a social stigma, an inconvenient mode of treatment or punishment for failure; and fear of needles, side-effects and complications. The HCP's attitude and experience with insulin therapy were also possible barriers. Our findings highlight that insulin initiation is affected by the complex interaction between the patients and HCPs, and other system factors. Patients may harbour misconceptions about insulin due to the late introduction of insulin therapy by HCPs or the way the therapy is being communicated to them. The key issues to address are the disparity in perceptions of diabetic control between HCPs and patients, and education regarding the need for insulin therapy.

  3. The GenDev Curriculum Development Workshop.

    PubMed

    D'cunha, J

    1997-01-01

    This article describes the second Curriculum Development Workshop held in May 1997 at the Asian Institute of Technology (AIT) in Bangkok, Thailand. The workshop aimed to review critically and restructure the Gender and Development Studies (GenDev) curriculum and to assess AIT's role in training gender experts for the region. Participants included 22 people from 16 countries in Asia, Europe, and the US who were teaching graduate students about gender issues and who were activists with nongovernmental organizations working on gender issues. It was determined that the following were required courses: Culture, Knowledge and Gender Relations; Gender, Technology, and Development; Principles of Gender Research and Methodology in Science and Technology; and Gender Analysis and Field Methods. Other suggested core courses included: Gender and Natural Resource Management; Enterprise Management, Technology, and Gender; Gender and Agrarian Reform; Urbanization: A Gender Perspective; Gender-Responsive Development Planning; and Gender and Economic Change: Past and Present Concerns. Participants distinguished between GenDev courses offered to anyone attending AIT and training courses designed to produce gender experts in the region. The aim of training courses for AIT graduate students was to sensitize potential managers, technologists, and others on gender issues and to create awareness of the importance of including gender perspectives within decision-making, policy formation, and implementation. Training courses to produce gender experts should be directed to those with a prior background in gender studies and include gender analysis in field methods. Participants agreed that there should be an independent and autonomous field of gender and development studies. Participants made six recommendations for such a field of study.

  4. Your business in court and at Federal agencies: 2011-2012.

    PubMed

    Reiss, John B; Crowder, Dawn; McCabe, Brittany; DeFeo, Marisa; Rifin, Marta; Talbot, Meghan

    2013-01-01

    FDA transparency effort continued, including the Secretary's adopting eight measures to improve access to Agency information and activities. A continuing problem was shortages of prescription drugs, which probably was enhanced by increased manufacturing recalls. FDA issued more device Guidances for regulatory clarity. Enforcement involving drugs and devices increased, including GMP and GLP enforcement and surveillance of internet claims. The Supreme Court decided generic drug manufacturers may cause the FDA to revise incorrectly listed use codes, and pharmaceutical detailers may not receive overtime payments. FDA initiated implementation of the Food Safety and Modernization Act, including two pilot tracking systems for supply chain tracing and to determine how quickly data can be gathered. The Agency issued guidance for new dietary supplements. FDA failed to impose graphic labeling requirements on the tobacco industry, but established it can regulate electronic cigarettes as tobacco. The Agency issued guidelines for the use of nanomaterials in cosmetics, and reviewed the effectiveness of sunscreen products. FDA is being given more authority over larger areas of the U.S. economy, but its resources are not increased proportionately. The pharmaceutical industry made major payments for alleged violations of the Drug Rebate Statute, Anti-Kickback Statute, Wholesale Price and Off-Label Use prohibitions. The government continues using the Responsible Corporate Officer doctrine to make company managers responsible for corporate conduct about which they had no knowledge. Companies should have a robust compliance program in effect. The FTC and the SEC continue their oversight activities, including SEC's enforcement of the Foreign Corrupt Practices Act. The defense of product liability litigation continues grappling with federal preemption of state laws.

  5. Treating Women Drug Abusers: Action Therapy and Trauma Assessment

    PubMed Central

    Uhler, Ann S.; Parker, Olga V.

    2002-01-01

    The authors suggest that action therapy, a group of techniques including psychodrama, drama therapy, and role training, warrants research attention to determine whether it is well suited to the special characteristics and needs of women clients. In addition, the authors call on researchers to develop a new standardized tool for counselors to use during initial interviews to determine whether women presenting for drug abuse treatment also have significant issues related to trauma. The authors believe the use of unassisted clinical judgment for trauma assessment in first interviews may drive patients away by probing for painful information that clients are not yet ready to confront or divulge. PMID:18567963

  6. Methods of increasing efficiency and maintainability of pipeline systems

    NASA Astrophysics Data System (ADS)

    Ivanov, V. A.; Sokolov, S. M.; Ogudova, E. V.

    2018-05-01

    This study is dedicated to the issue of pipeline transportation system maintenance. The article identifies two classes of technical-and-economic indices, which are used to select an optimal pipeline transportation system structure. Further, the article determines various system maintenance strategies and strategy selection criteria. Meanwhile, the maintenance strategies turn out to be not sufficiently effective due to non-optimal values of maintenance intervals. This problem could be solved by running the adaptive maintenance system, which includes a pipeline transportation system reliability improvement algorithm, especially an equipment degradation computer model. In conclusion, three model building approaches for determining optimal technical systems verification inspections duration were considered.

  7. Contaminants and drinking-water sources in 2001; recent findings of the U. S. Geological Survey

    USGS Publications Warehouse

    Patterson, G.G.; Focazio, M.J.

    2000-01-01

    As the Nation's principal earth-science agency, the U.S. Geological Survey (USGS) studies numerous issues related to contamination of drinking-water sources. The work includes monitoring to determine the spatial and temporal distribution of contaminants; research to determine sources, transport, transformations, and fate of contaminants, and assessments of vulnerability. Much of the work is conducted in cooperation with the U.S. Environmental Protection Agency and other Federal, State, Tribal, and local governments, to help provide a scientific basis for resource management and regulation. Examples of recent results are presented for two broad categories of drinking-water projects: occurrence studies, and source-water assessments.

  8. Treating women drug abusers: action therapy and trauma assessment.

    PubMed

    Uhler, Ann S; Parker, Olga V

    2002-07-01

    The authors suggest that action therapy, a group of techniques including psychodrama, drama therapy, and role training, warrants research attention to determine whether it is well suited to the special characteristics and needs of women clients. In addition, the authors call on researchers to develop a new standardized tool for counselors to use during initial interviews to determine whether women presenting for drug abuse treatment also have significant issues related to trauma. The authors believe the use of unassisted clinical judgment for trauma assessment in first interviews may drive patients away by probing for painful information that clients are not yet ready to confront or divulge.

  9. Barriers to vocational effectiveness in ACT: staff perspectives.

    PubMed

    Waynor, William R; Pratt, Carlos W

    2011-01-01

    Assertive community treatment (ACT), for persons with serious mental illness, includes a vocational focus as an important aspect of community integration. Nevertheless, research suggests that ACT does not assist significant numbers of consumers in achieving employment goals. A two-step survey of New Jersey ACT team members was designed to identify the key issues that hinder ACT staff members in assisting consumers with obtaining employment. Survey items were categorized into three sections: (a) staff attitudes, (b) consumer barriers, and (c) staff barriers to working on employment. The initial survey asked staff members to rate items in each of these categories. Highly rated items were used in a subsequent paired comparison survey to determine the relative importance of each. This method highlighted the following issues: four staff attitude items-(a) returning to work is positive, (b) employment is key to recovery, (c) abstinence from substance abuse is needed to work, and (d) consumers are too ill to work; four consumer barrier items-(a) fear of loss of Social Security Administration benefits, (b) symptoms related to the illness, (c) lack of motivation, and (d) poor social skills; and three barriers to working on employment issues items-(a) clinical issues take priority, (b) other case management issues takes priority, and (c) too many emergencies. The implications for staff training are discussed.

  10. Psychosocial assistance after environmental accidents: a policy perspective.

    PubMed Central

    Becker, S M

    1997-01-01

    There is a substantial body of literature on psychosocial impacts of chemical and nuclear accidents. Less attention, however, has been focused on the program and policy issues that are connected with efforts to provide psychosocial assistance to the victims of such accidents. Because psychosocial assistance efforts are certain to be an essential part of the response to future environmental emergencies, it is vital that relevant program and policy issues by more fully considered. This article discusses the highly complex nature of contamination situations and highlights some of the key policy issues that are associated with the provision of psychosocial services after environmental accidents. One issue concerns the potential for assistance efforts to become objects of conflict. In the context of the intense controversy typically associated with chemical or nuclear accidents, and with debates over the causation of illness usually at the center of environmental accidents, psychosocial assistance services may themselves become contested terrain. Other significant program and policy issues include determining how to interface with citizen self-help and other voluntary groups, addressing the problem of stigma, and deciding how to facilitate stakeholder participation in the shaping of service provision. This article offers a series of policy proposals that may help smooth the way for psychosocial assistance programs in future environmental emergencies. PMID:9467082

  11. 14 CFR 183.51 - ODA Unit personnel.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false ODA Unit personnel. 183.51 Section 183.51 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) ADMINISTRATIVE... compliance, determine conformity, determine airworthiness, issue certificates or issue approvals; or (c) A...

  12. 14 CFR 183.51 - ODA Unit personnel.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false ODA Unit personnel. 183.51 Section 183.51 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) ADMINISTRATIVE... compliance, determine conformity, determine airworthiness, issue certificates or issue approvals; or (c) A...

  13. 14 CFR 183.51 - ODA Unit personnel.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false ODA Unit personnel. 183.51 Section 183.51 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) ADMINISTRATIVE... compliance, determine conformity, determine airworthiness, issue certificates or issue approvals; or (c) A...

  14. 14 CFR 183.51 - ODA Unit personnel.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false ODA Unit personnel. 183.51 Section 183.51 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) ADMINISTRATIVE... compliance, determine conformity, determine airworthiness, issue certificates or issue approvals; or (c) A...

  15. 14 CFR 183.51 - ODA Unit personnel.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false ODA Unit personnel. 183.51 Section 183.51 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) ADMINISTRATIVE... compliance, determine conformity, determine airworthiness, issue certificates or issue approvals; or (c) A...

  16. Social media & stem cell science: examining the discourse.

    PubMed

    Adams, Amy; Lomax, Geoffrey; Santarini, Anthony

    2011-11-01

    Research suggests that the representation of scientific and medical issues in the traditional media such as newspapers, TV and radio is an important determinant of public opinion and related public policy outcomes, particularly with regard to attitudes toward stem cell research. With the emergence of social media, the discursive space around public policy issues has expanded to include a new demographic of media consumer who is directly involved in political action. However, little is known about the influence of social media on scientific public policy conversations. We analyzed Twitter posts on two topics relating to stem cell science and policy according to the originator and tone of the tweet, and whether the tweet was intended to be neutral or to further a stated policy position. This analysis provides a means for clarifying the role of social media in influencing public opinion of policy issues such as stem cell research and offers organizations a better understanding of how to more effectively apply social media to advancing their stem cell policy positions.

  17. Implementation of Mamdani Fuzzy Method in Employee Promotion System

    NASA Astrophysics Data System (ADS)

    Zulfikar, W. B.; Jumadi; Prasetyo, P. K.; Ramdhani, M. A.

    2018-01-01

    Nowadays, employees are big assets to an institution. Every employee has a different educational background, degree, work skill, attitude and ethic that affect the performance. An institution including government institution implements a promotion system in order to improve the performance of the employees. Pangandaran Tourism, Industry, Trade, and SME Department is one of government agency that implements a promotion system to discover employees who deserve to get promotion. However, there are some practical deficiencies in the promotion system, one of which is the subjectivity issue. This work proposed a classification model that could minimize the subjectivity issue in employee promotion system. This paper reported a classification employee based on their eligibility for promotion. The degree of membership was decided using Mamdani Fuzzy based on determinant factors of the performance of employees. In the evaluation phase, this model had an accuracy of 91.4%. It goes to show that this model may minimize the subjectivity issue in the promotion system, especially at Pangandaran Tourism, Industry, Trade, and SME Department.

  18. Development of a novel regulatory pharmacovigilance prioritisation system: an evaluation of its performance at the UK Medicines and Healthcare products Regulatory Agency.

    PubMed

    Seabroke, Suzie; Wise, Lesley; Waller, Patrick

    2013-10-01

    The prioritisation of drug safety issues for further evaluation or regulatory action is critical to ensure that acceptable timelines and appropriate resource allocation are defined to meet public health and regulatory obligations. Our objective was to develop, pilot and implement a novel tool for prioritising pharmacovigilance issues within the Medicines and Healthcare products Regulatory Agency (MHRA). An initial system was developed empirically and then piloted over a 10-month period in the pharmacovigilance signal management meeting at the MHRA that discusses potential pharmacovigilance issues, and determines, through consensus, their priority and a timescale for action. The priority assigned by the tool was compared with the priority decided by collective judgement at the meeting. Once an acceptable level of concordance between the tool and the meeting had been achieved, the finalised tool was implemented into routine use at the MHRA, with an evaluation of its performance conducted after the first year. The Regulatory Pharmacovigilance Prioritisation System (RPPS) tool prioritises pharmacovigilance issues according to the following four broad categories, each with four inputs: strength of evidence, public health implications, agency regulatory obligations and public perceptions. A weighted scoring system links the inputs to a pre-defined number of points where if a threshold is reached then the points are awarded. The overall priority is determined by the sum of all points obtained from each of the inputs. The pilot study included a total of 73 pharmacovigilance issues during the 10-month study period, with an overall exact agreement between the RPPS priority and the collective judgement of the meeting of 60.3 %. Where exact agreement was not obtained, the RPPS generally prioritised the issues slightly higher than the meeting. Over the first year following implementation, the RPPS achieved an overall exact agreement of 82.2 %. Following the pilot study and implementation at the UK MHRA, the RPPS has provided a systematic approach to drug safety issue prioritisation that should help to reduce the subjectivity of reliance on individual judgement.

  19. Preferred drug lists: Potential impact on healthcare economics

    PubMed Central

    Ovsag, Kimberly; Hydery, Sabrina; Mousa, Shaker A

    2008-01-01

    Objectives To analyze the implementation of Medicaid preferred drug lists (PDLs) in a number of states and determine its impact on quality of care and cost relative to other segments of healthcare. Methods We reviewed research and case studies found by searching library databases, primarily MEDLINE and EBSCOHost, and searching pertinent journals. Keywords initially included “drug lists,” “prior authorization,” “prior approval,” and “Medicaid.” We added terms such as “influence use of other healthcare services,” “quality of care,” and “overall economic impact.” We mainly used primary sources. Results Based on our literature review, we determined that there are a number of issues regarding Medicaid PDLs that need to be addressed. Some issues include: (a) the potential for PDLs to influence the utilization of other healthcare services, (b) criteria used by Medicaid for determining acceptance of drugs onto a PDL, (c)the effect of PDL implementation on compliance to new regimens, (d) the potential effects of restricting medication availability on quality of care, (e) administrative costs associated with PDLs, and (f) satisfaction rates among patients and medical providers. This review highlighted expected short-term cost savings with limited degree of compromised quality of PDL implementation, but raised the concern about the potential long-term decline in quality of care and overall economic impact. Conclusions The number of concerns raised indicates that further studies are warranted regarding both short-term cost benefits as well as potential long-term effects of Medicaid PDL implementation. Objective analysis of these effects is necessary to ensure cost-effectiveness and quality of care. PMID:18561515

  20. Parallel Simulation of Three-Dimensional Free Surface Fluid Flow Problems

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

    BAER,THOMAS A.; SACKINGER,PHILIP A.; SUBIA,SAMUEL R.

    1999-10-14

    Simulation of viscous three-dimensional fluid flow typically involves a large number of unknowns. When free surfaces are included, the number of unknowns increases dramatically. Consequently, this class of problem is an obvious application of parallel high performance computing. We describe parallel computation of viscous, incompressible, free surface, Newtonian fluid flow problems that include dynamic contact fines. The Galerkin finite element method was used to discretize the fully-coupled governing conservation equations and a ''pseudo-solid'' mesh mapping approach was used to determine the shape of the free surface. In this approach, the finite element mesh is allowed to deform to satisfy quasi-staticmore » solid mechanics equations subject to geometric or kinematic constraints on the boundaries. As a result, nodal displacements must be included in the set of unknowns. Other issues discussed are the proper constraints appearing along the dynamic contact line in three dimensions. Issues affecting efficient parallel simulations include problem decomposition to equally distribute computational work among a SPMD computer and determination of robust, scalable preconditioners for the distributed matrix systems that must be solved. Solution continuation strategies important for serial simulations have an enhanced relevance in a parallel coquting environment due to the difficulty of solving large scale systems. Parallel computations will be demonstrated on an example taken from the coating flow industry: flow in the vicinity of a slot coater edge. This is a three dimensional free surface problem possessing a contact line that advances at the web speed in one region but transitions to static behavior in another region. As such, a significant fraction of the computational time is devoted to processing boundary data. Discussion focuses on parallel speed ups for fixed problem size, a class of problems of immediate practical importance.« less

  1. Ethical issues in primary health care: a survey of practitioners' perceptions.

    PubMed

    Robillard, H M; High, D M; Sebastian, J G; Pisaneschi, J I; Perritt, L J; Mahler, D M

    1989-01-01

    While most health care is provided at the primary care level, little research has been done to document the ethical issues of such care. A stratified random sample of 702 physicians, nurses, physical therapist, and physician assistants within one southeastern state was surveyed to determine the frequency of ethical issues in primary care. The most frequently occurring issue concerned moral decisions about the amount of time to spend with each patient. A comparison of physician and nonphysician professional groups revealed significant differences in frequencies of the issues. Age had a slight impact on the responses, while gender, religion, and region of practice had none. The study showed that the most frequently occurring issues are pragmatic, not dramatic, and center on patient self-determination, adequacy of care and professional responsibility, and distribution of resources.

  2. Clinical ethics issues in HIV care in Canada: an institutional ethnographic study.

    PubMed

    Kaposy, Chris; Greenspan, Nicole R; Marshall, Zack; Allison, Jill; Marshall, Shelley; Kitson, Cynthia

    2017-02-06

    This is a study involving three HIV clinics in the Canadian provinces of Newfoundland and Labrador, and Manitoba. We sought to identify ethical issues involving health care providers and clinic clients in these settings, and to gain an understanding of how different ethical issues are managed by these groups. We used an institutional ethnographic method to investigate ethical issues in HIV clinics. Our researcher conducted in-depth semi-structured interviews, compiled participant observation notes, and studied health records in order to document ethical issues in the clinics, and to understand how health care providers and clinic clients manage and resolve these issues. We found that health care providers and clinic clients have developed work processes for managing ethical issues of various types: conflicts between client-autonomy and public health priorities ("treatment as prevention"), difficulties associated with the criminalization of nondisclosure of HIV positive status, challenges with non-adherence to HIV treatment, the protection of confidentiality, barriers to treatment access, and negative social determinants of health and well-being. Some ethical issues resulted from structural disadvantages experienced by clinic clients. The most striking findings in our study were the negative social determinants of health and well-being experienced by some clinic clients - such as experiences of violence and trauma, poverty, racism, colonization, homelessness, and other factors affecting well-being such as problematic substance use. These negative determinants were at the root of other ethical issues, and are themselves of ethical concern.

  3. Health students' expectations of the ideal educational environment: a qualitative research.

    PubMed

    Aghamolaei, Teamur; Shirazi, Mandana; Dadgaran, Ideh; Shahsavari, Hooman; Ghanbarnejad, Amin

    2014-10-01

    Educational environment is an important determinant of students' behavior and its elements are associated with academic achievement and course satisfaction. The aim of this study was to determine students' expectations of the ideal educational environment. This was a qualitative study with content analysis approach. Using a theoretical sampling method, we selected eight students from Health School of Hormozgan University of Medical Sciences, studying health education, public health, environmental health, occupational health and medical entomology. To collect data, semi-structured interviews were used and continued until reaching data saturation. Qualitative content analysis was used to analyze the data. Students' expectations of the ideal educational environment emerged in four main themes including school atmosphere, teaching, human aspects (with three subthemes including teachers, students, and school staff) and non-human aspects (with two subthemes including educational equipment and physical environment). Educational environment is a multidimensional issue and to achieve an ideal educational environment, educational planners should meet the students' expectations of the school atmosphere, teaching, teachers, students, school staff, educational equipment and physical environment.

  4. 14 CFR 302.609 - Completion of proceedings.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 302.609 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION... dismissed, the Secretary will issue a determination as to whether the fee is reasonable within 120 days... issue a determination as to whether the fee is reasonable within 120 days after the complaint is filed. ...

  5. 14 CFR 302.609 - Completion of proceedings.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 302.609 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION... dismissed, the Secretary will issue a determination as to whether the fee is reasonable within 120 days... issue a determination as to whether the fee is reasonable within 120 days after the complaint is filed. ...

  6. 14 CFR 302.609 - Completion of proceedings.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 302.609 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION... dismissed, the Secretary will issue a determination as to whether the fee is reasonable within 120 days... issue a determination as to whether the fee is reasonable within 120 days after the complaint is filed. ...

  7. 14 CFR 302.609 - Completion of proceedings.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 302.609 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION... dismissed, the Secretary will issue a determination as to whether the fee is reasonable within 120 days... issue a determination as to whether the fee is reasonable within 120 days after the complaint is filed. ...

  8. Housing and Health: Time Again for Public Health Action

    PubMed Central

    Krieger, James; Higgins, Donna L.

    2002-01-01

    Poor housing conditions are associated with a wide range of health conditions, including respiratory infections, asthma, lead poisoning, injuries, and mental health. Addressing housing issues offers public health practitioners an opportunity to address an important social determinant of health. Public health has long been involved in housing issues. In the 19th century, health officials targeted poor sanitation, crowding, and inadequate ventilation to reduce infectious diseases as well as fire hazards to decrease injuries. Today, public health departments can employ multiple strategies to improve housing, such as developing and enforcing housing guidelines and codes, implementing “Healthy Homes” programs to improve indoor environmental quality, assessing housing conditions, and advocating for healthy, affordable housing. Now is the time for public health to create healthier homes by confronting substandard housing. PMID:11988443

  9. Wind-To-Hydrogen Project: Electrolyzer Capital Cost Study

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

    Saur, G.

    This study is being performed as part of the U.S. Department of Energy and Xcel Energy's Wind-to-Hydrogen Project (Wind2H2) at the National Renewable Energy Laboratory. The general aim of the project is to identify areas for improving the production of hydrogen from renewable energy sources. These areas include both technical development and cost analysis of systems that convert renewable energy to hydrogen via water electrolysis. Increased efficiency and reduced cost will bring about greater market penetration for hydrogen production and application. There are different issues for isolated versus grid-connected systems, however, and these issues must be considered. The manner inmore » which hydrogen production is integrated in the larger energy system will determine its cost feasibility and energy efficiency.« less

  10. The establishment of research ethics consultation services (RECS): an emerging research resource.

    PubMed

    McCormick, Jennifer B; Sharp, Richard R; Ottenberg, Abigale L; Reider, Carson R; Taylor, Holly A; Wilfond, Benjamin S

    2013-02-01

    Emphasis on translational research to facilitate progression from the laboratory into the community also creates a dynamic in which ethics and social policy questions and solutions are ever pressing. In response, academic institutions are creating Research Ethics Consultation Services (RECS). All Clinical Translational Science Award institutions were surveyed in early 2010 to determine which institutions have a RECS in operation and what is their composition and function. Of the 46 institutions surveyed, 33 (70%) have a RECS. Only 15 RECS have received any consult requests in the last year. Issues that are common among these relatively nascent services include relationships with institutional oversight committees, balancing requestor concerns about confidentiality with research integrity and human subjects protection priorities, tracking consult data and outcomes, and developing systems for internal evaluation. There is variability in how these issues are approached. It will be important to be attentive to the institutional context to develop an appropriate approach. Further data about the issues raised by requestors and the recommendations provided are necessary to build a community of scholars who can navigate and resolve ethical issues encountered along the translational research pathway. © 2012 Wiley Periodicals, Inc.

  11. Dental students' knowledge about careers in academic dentistry.

    PubMed

    Rupp, Jeffery K; Jones, Daniel L; Seale, N Sue

    2006-10-01

    The purposes of this study were to determine the knowledge of fourth-year dental students regarding certain issues related to an academic career and to ascertain their intent to pursue such a career. Factors contributing to the students' intent to pursue academia were assessed, including the effect of dental school programs designed to educate students about a career in dental education. Surveys were sent to twelve U.S. dental schools that reported having either a mandatory or elective academic career educational program or no program at all. The surveys were completed by fourth-year dental students who were queried as to their knowledge of selected academic issues. Surveys were returned by 561 students from eleven of the twelve selected dental schools. Knowledge level of academic issues among respondents was overwhelmingly low. Factors contributing to the intent to pursue some form of faculty career were gender, plans to specialize, knowledge of academic issues, having a parent in higher education, and personal teaching experience. The results of this study suggest that dental students in general do not possess the knowledge and information necessary to make an informed decision regarding a career in dental education.

  12. Uncontrolled Donation After Circulatory Determination of Death Donors (uDCDDs) as a Source of Lungs for Transplant.

    PubMed

    Egan, T M; Requard, J J

    2015-08-01

    In April 2014, the American Journal of Transplantation published a report on the first lung transplant in the United States recovered from an uncontrolled donation after circulatory determination of death donor (uDCDD), assessed by ex vivo lung perfusion (EVLP). The article identified logistical and ethical issues related to introduction of lung transplant from uDCDDs. In an open clinical trial, we have Food and Drug Administration and Institutional Review Board approval to transplant lungs recovered from uDCDDs judged suitable after EVLP. Through this project and other experiences with lung recovery from uDCDDs, we have identified solutions to many logistical challenges and have addressed ethical issues surrounding lung transplant from uDCDDs that were mentioned in this case report. Here, we discuss those challenges, including issues related to recovery of other solid organs from uDCDDs. Despite logistical challenges, uDCDDs could solve the critical shortage of lungs for transplant. Furthermore, by avoiding the deleterious impact of brain death and days of positive pressure ventilation, and by using opportunities to treat lungs in the decedent or during EVLP, lungs recovered from uDCDDs may ultimately prove to be better than lungs currently being transplanted from conventional brain-dead organ donors. © Copyright 2015 The American Society of Transplantation and the American Society of Transplant Surgeons.

  13. Utilizing steel slag in environmental application - An overview

    NASA Astrophysics Data System (ADS)

    Lim, J. W.; Chew, L. H.; Choong, T. S. Y.; Tezara, C.; Yazdi, M. H.

    2016-06-01

    Steel slags are generated as waste material or byproduct every day from steel making industries.The potential environmental issues which are related with the slag dump or reprocessing for metal recovery are generally being focused in the research. However the chemistry and mineralogy of slag depends on metallurgical process which is able to determine whether the steel slag can be the reusable products or not. Nowadays, steel slag are well characterized by using several methods, such as X-ray Diffraction, ICP-OES, leaching test and many more. About the industrial application, it is mainly reused as aggregate for road construction, as armour stones for hydraulic engineering constructions and as fertilizers for agricultural purposes. To ensure the quality of steel slag for the end usage, several test methods are developed for evaluating the technical properties of steel slag, especially volume stability and environmental behaviour. In order to determine its environmental behaviour, leaching tests have been developed. The focus of this paper however is on those applications that directly affect environmental issues including remediation, and mitigation of activities that negatively impact the environment.

  14. Indigenous Affairs = Asuntos Indigenas, 1998.

    ERIC Educational Resources Information Center

    Indigenous Affairs, 1998

    1998-01-01

    This document contains the four 1998 English-language issues of Indigenous Affairs and the four corresponding issues in Spanish. These periodicals provide a resource on the history, current conditions, and struggles for self-determination and human rights of indigenous peoples around the world. The first issue is a theme issue on the indigenous…

  15. Nontrivial Quantum Effects in Biology: A Skeptical Physicists' View

    NASA Astrophysics Data System (ADS)

    Wiseman, Howard; Eisert, Jens

    The following sections are included: * Introduction * A Quantum Life Principle * A quantum chemistry principle? * The anthropic principle * Quantum Computing in the Brain * Nature did everything first? * Decoherence as the make or break issue * Quantum error correction * Uselessness of quantum algorithms for organisms * Quantum Computing in Genetics * Quantum search * Teleological aspects and the fast-track to life * Quantum Consciousness * Computability and free will * Time scales * Quantum Free Will * Predictability and free will * Determinism and free will * Acknowledgements * References

  16. KPL Applicability Determination

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  17. PSD Applicability Determination

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  18. The Impact of Behavioral Health Issues on Soldiers Returning from Deployment -- Assessing the Programs for Reintegration of South Carolina National Guard Soldiers

    DTIC Science & Technology

    2011-05-23

    determine if the group means are significantly different. Analysis should include comparison of pretest - posttest means within- group and between... groups . A repeated measures analysis should also be conducted on subject‘s pretest - posttest means within groups . Information gained from the statistical...Black Single Unemployed 30 - 39 Senior NCO Hispanic ≥ 40 Officers Other - A research design embedding a pretest / posttest with a stratified then

  19. The Army’s Future Combat System (FCS): Background and Issues for Congress

    DTIC Science & Technology

    2008-05-12

    Operational Capability 2017 The full attainment of the capability to employ the system, including a fully manned, equipped, trained, and logistically...readiness crisis ,” and that “how FCS funding fits into that equation is yet to be determined.”24 Representative Murtha, Chairman of the House Appropriations...Oversight,” InsideDefense.com, May 7, 2008. 52 Ibid. 53 Ann Roosevelt, “FCS Incurs Schedule Breach, Operational Capability Slips to 2017 ,” Defense Daily

  20. Turn It Down: Effects of Noise on Hearing Loss in Children and Youth. Hearing before the Select Committee on Children, Youth, and Families. House of Representatives, One Hundred Second Congress, First Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Select Committee on Children, Youth, and Families.

    A Congressional hearing on noise-induced hearing loss, an often overlooked health issue, was held to determine the extent of the problem in children and youth. Congresswoman Patricia Schroeder, who presided, cited the effects of repeated exposure to loud sounds over a period of time, including the role that personal stereos and some common…

  1. PSD Determination - Baseline

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  2. Using Interdisciplinary Workgroups to Educate Surgery Residents in Systems-Based Practice.

    PubMed

    Gillen, Jacob R; Ramirez, Adriana G; Farineau, Diane W; Hoke, Tracey R; Schirmer, Bruce D; Williams, Michael D; Lau, Christine L

    Meaningful education of residents in systems-based practice is notoriously challenging, despite its recognition as 1 of the 6 Accreditation Council for Graduate Medical Education core competencies. To address this challenge, surgery residents and other members of the health care team were organized into interdisciplinary workgroups that were tasked with developing solutions to "systems issues" confronted on a daily basis. The project's goals included providing more meaningful, hands-on educational experience for residents in system-based practice, while also generating practical solutions to workflow issues through interprofessional collaboration. Project participants included all surgery residents at the University of Virginia in Charlottesville, VA, as well as surgical health care professionals across all disciplines. Participants were organized into workgroups. Over the course of 3 sessions, each of 1-hour, each workgroup identified commonly encountered systems issues, chose 1 issue to address, and determined an implementable solution for this issue. In total, 140 participants were divided among 13 workgroups. Workgroup topics ranged from improving paging etiquette to standardizing interdisciplinary communication. In total, 9 of the 13 proposals have been piloted or fully implemented as standard practice at our institution, either within a single unit or over the entire health system. This project demonstrates an innovative approach toward resident education in system-based practice, providing residents with a hands-on experience in problem solving from a systems perspective. These interdisciplinary workgroups generated effective solutions to issues that were meaningful to frontline health care providers. Interdisciplinary collaboration within the workgroups served as a valuable team-building exercise to improve relations between the disciplines. This project can serve as a model for other institutions desiring meaningful education in the Accreditation Council for Graduate Medical Education competency of systems-based practice. Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  3. From protein structure to function via single crystal optical spectroscopy

    PubMed Central

    Ronda, Luca; Bruno, Stefano; Bettati, Stefano; Storici, Paola; Mozzarelli, Andrea

    2015-01-01

    The more than 100,000 protein structures determined by X-ray crystallography provide a wealth of information for the characterization of biological processes at the molecular level. However, several crystallographic “artifacts,” including conformational selection, crystallization conditions and radiation damages, may affect the quality and the interpretation of the electron density maps, thus limiting the relevance of structure determinations. Moreover, for most of these structures, no functional data have been obtained in the crystalline state, thus posing serious questions on their validity in infereing protein mechanisms. In order to solve these issues, spectroscopic methods have been applied for the determination of equilibrium and kinetic properties of proteins in the crystalline state. These methods are UV-vis spectrophotometry, spectrofluorimetry, IR, EPR, Raman, and resonance Raman spectroscopy. Some of these approaches have been implemented with on-line instruments at X-ray synchrotron beamlines. Here, we provide an overview of investigations predominantly carried out in our laboratory by single crystal polarized absorption UV-vis microspectrophotometry, the most applied technique for the functional characterization of proteins in the crystalline state. Studies on hemoglobins, pyridoxal 5′-phosphate dependent enzymes and green fluorescent protein in the crystalline state have addressed key biological issues, leading to either straightforward structure-function correlations or limitations to structure-based mechanisms. PMID:25988179

  4. Systematic reviews: guidance relevant for studies of older people

    PubMed Central

    Wilkinson, Tim; Dodds, Richard M.; Ioannidis, John P. A.

    2017-01-01

    Abstract Systematic reviews and meta-analyses are increasingly common. This article aims to provide guidance for people conducting systematic reviews relevant to the healthcare of older people. An awareness of these issues will also help people reading systematic reviews to determine whether the results will influence their clinical practice. It is essential that systematic reviews are performed by a team which includes the required technical and clinical expertise. Those performing reviews for the first time should ensure they have appropriate training and support. They must be planned and performed in a transparent and methodologically robust way: guidelines are available. The protocol should be written—and if possible published—before starting the review. Geriatricians will be interested in a table of baseline characteristics, which will help to determine if the studied samples or populations are similar to their patients. Reviews of studies of older people should consider how they will manage issues such as different age cut-offs; non-specific presentations; multiple predictors and outcomes; potential biases and confounders. Systematic reviews and meta-analyses may provide evidence to improve older people's care, or determine where new evidence is required. Newer methodologies, such as meta-analyses of individual level data, network meta-analyses and umbrella reviews, and realist synthesis, may improve the reliability and clinical utility of systematic reviews. PMID:28655142

  5. 42 CFR 498.56 - Hearing on new issues.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...) STANDARDS AND CERTIFICATION APPEALS PROCEDURES FOR DETERMINATIONS THAT AFFECT PARTICIPATION IN THE MEDICARE PROGRAM AND FOR DETERMINATIONS THAT AFFECT THE PARTICIPATION OF ICFs/MR AND CERTAIN NFs IN THE MEDICAID..., provide a hearing on new issues that impinge on the rights of the affected party. (2) Except for provider...

  6. Representing Personal Determinants in Causal Structures.

    ERIC Educational Resources Information Center

    Bandura, Albert

    1984-01-01

    Responds to Staddon's critique of the author's earlier article and addresses issues raised by Staddon's (1984) alternative models of causality. The author argues that it is not the formalizability of causal processes that is the issue but whether cognitive determinants of behavior are reducible to past stimulus inputs in causal structures.…

  7. A qualitative and quantitative needs assessment of pain management for hospitalized orthopedic patients.

    PubMed

    Cordts, Grace A; Grant, Marian S; Brandt, Lynsey E; Mears, Simon C

    2011-08-08

    Despite advances in pain management, little formal teaching is given to practitioners and nurses in its use for postoperative orthopedic patients. The goal of our study was to determine the educational needs for orthopedic pain management of our residents, nurses, and physical therapists using a quantitative and qualitative assessment. The needs analysis was conducted in a 10-bed orthopedic unit at a teaching hospital and included a survey given to 20 orthopedic residents, 9 nurses, and 6 physical therapists, followed by focus groups addressing barriers to pain control and knowledge of pain management. Key challenges for nurses included not always having breakthrough pain medication orders and the gap in pain management between cessation of patient-controlled analgesia and ordering and administering oral medications. Key challenges for orthopedic residents included treating pain in patients with a history of substance abuse, assessing pain, and determining when to use long-acting vs short-acting opioids. Focus group assessments revealed a lack of training in pain management and the need for better coordination of care between nurses and practitioners and improved education about special needs groups (the elderly and those with substance abuse issues). This needs assessment showed that orthopedic residents and nurses receive little formal education on pain management, despite having to address pain on a daily basis. This information will be used to develop an educational program to improve pain management for postoperative orthopedic patients. An integrated educational program with orthopedic residents, nurses, and physical therapists would promote understanding of issues for each discipline. Copyright 2011, SLACK Incorporated.

  8. Preclinical Development of Cell-Based Products: a European Regulatory Science Perspective.

    PubMed

    McBlane, James W; Phul, Parvinder; Sharpe, Michaela

    2018-06-25

    This article describes preclinical development of cell-based medicinal products for European markets and discusses European regulatory mechanisms open to developers to aid successful product development. Cell-based medicinal products are diverse, including cells that are autologous or allogeneic, have been genetically modified, or not, or expanded ex vivo, and applied systemically or to an anatomical site different to that of their origin; comments applicable to one product may not be applicable to others, so bespoke development is needed, for all elements - quality, preclinical and clinical. After establishing how the product is produced, proof of potential for therapeutic efficacy, and then safety, of the product need to be determined. This includes understanding biodistribution, persistence and toxicity, including potential for malignant transformation. These elements need to be considered in the context of the intended clinical development. This article describes regulatory mechanisms available to developers to support product development that aim to resolve scientific issues prior to marketing authorization application, to enable patients to have faster access to the product than would otherwise be the case. Developers are encouraged to be aware of both the scientific issues and regulatory mechanisms to ensure patients can be supplied with these products.

  9. Emerging growth factor receptor antagonists for the treatment of renal cell carcinoma.

    PubMed

    Zahoor, Haris; Rini, Brian I

    2016-12-01

    The landscape of systemic treatment for metastatic renal cell carcinoma (RCC) has dramatically changed with the introduction of targeted agents including vascular endothelial growth factor (VEGF) inhibitors. Recently, multiple new agents including growth factor receptor antagonists and a checkpoint inhibitor were approved for the treatment of refractory metastatic RCC based on encouraging benefit shown in clinical trials. Areas covered: The background and biological rationale of existing treatment options including a brief discussion of clinical trials which led to their approval, is presented. This is followed by reviewing the limitations of these therapeutic options, medical need to develop new treatments and major goals of ongoing research. We then discuss two recently approved growth factor receptor antagonists i.e. cabozantinib and lenvatinib, and a recently approved checkpoint inhibitor, nivolumab, and issues pertaining to drug development, and future directions in treatment of metastatic RCC. Expert opinion: Recently approved growth factor receptor antagonists have shown encouraging survival benefit but associated drug toxicity is a major issue. Nivolumab, a programmed death 1 (PD-1) checkpoint inhibitor, has similarly shown survival benefit and is well tolerated. With multiple options now available in this patient population, the right sequence of these agents remains to be determined.

  10. Nurse competence: a concept analysis.

    PubMed

    Smith, Sarah A

    2012-10-01

      The purpose of this analysis was to explore the concept of nurse competence.   Data sources include EBSCOhost, Gale PowerSearch, ProQuest, PubMed Medline, Google Scholar, and Online Journal of Issues in Nursing.   This paper utilizes Rodgers' evolutionary method to analyze the concept of nurse competence.   Antecedents to nurse competence include personal and external motivations. Attributes include integrating knowledge into practice, experience, critical thinking, proficient skills, caring, communication, environment, motivation, and professionalism. Consequences include confidence, safe practice, and holistic care. Implications for nursing responsibility regarding defining nurse competence and ensuring nurse competence need to be identified. More research is needed to determine the best evaluation methods for the different facets of nurse competence. © 2012, The Author. International Journal of Nursing Knowledge © 2012, NANDA International.

  11. Determinants of dermal exposure among Nicaraguan subsistence farmers during pesticide applications with backpack sprayers.

    PubMed

    Blanco, Luis E; Aragón, Aurora; Lundberg, Ingvar; Lidén, Carola; Wesseling, Catharina; Nise, Gun

    2005-01-01

    Identification of pesticide exposure determinants has become an issue in explaining exposure variability and improving control measures. Most studies have been conducted in industrialized countries. The aim of this study was to identify relevant dermal exposure determinants among Nicaraguan subsistence farmers. Field data on possible determinants were collected during 32 pesticide applications through observation and supplementary videorecording. A multistep reduction strategy brought down the 110 potential exposure determinants to 27 variables, which were grouped as worksite, spray equipment, working practices, clothing or hygiene practices related. Dermal exposure was quantified with a modification of Fenske's visual scoring method. Multivariate linear regression modeling within groups and across groups was performed. In the within-group analyses, work practices, spray equipment and worksite related determinants explained 52, 33 and 25% of the exposure variability, respectively. Clothing and hygiene practices were weaker determinants and did not always reduce the exposure. The final model included determinants from all groups except hygiene practices and explained 69% of the exposure variability. A less restricted model increased the explained variability to 75%. Several novel determinants were identified, including spraying on a muddy terrain, dew on plants, sealing the tank lid with a cloth and wiping sweat from the face. This study showed that a combination of observation and visual scoring techniques can provide valuable information on determinants of pesticide exposure and affected body parts under developing country conditions. The results could be used to develop job-specific questionnaires and to design training and preventive programs.

  12. Technological innovations and the rise of social inequalities in health.

    PubMed

    Weiss, Daniel; Eikemo, Terje Andreas

    2017-11-01

    Social inequalities in health have been categorised as a human-rights issue that requires action. Unfortunately, these inequalities are on the rise in many countries, including welfare states. Various theories have been offered to explain the persistence (and rise) of these inequalities over time, including the social determinants of health and fundamental cause theory. Interestingly, the rise of modern social inequalities in health has come at a time of great technological innovation. This article addresses whether these technological innovations are significantly influencing the persistence of modern social inequalities in health. A theoretical argument is offered for this potential connection and is discussed alongside the typical social determinants of health perspective and the increasingly popular fundamental cause perspective. This is followed by a proposed research agenda for further investigation of the potential role that technological innovations may play in influencing social inequalities in health.

  13. Technical flaws in multiple-choice questions in the access exam to medical specialties ("examen MIR") in Spain (2009-2013).

    PubMed

    Rodríguez-Díez, María Cristina; Alegre, Manuel; Díez, Nieves; Arbea, Leire; Ferrer, Marta

    2016-02-03

    The main factor that determines the selection of a medical specialty in Spain after obtaining a medical degree is the MIR ("médico interno residente", internal medical resident) exam. This exam consists of 235 multiple-choice questions with five options, some of which include images provided in a separate booklet. The aim of this study was to analyze the technical quality of the multiple-choice questions included in the MIR exam over the last five years. All the questions included in the exams from 2009 to 2013 were analyzed. We studied the proportion of questions including clinical vignettes, the number of items related to an image and the presence of technical flaws in the questions. For the analysis of technical flaws, we adapted the National Board of Medical Examiners (NBME) guidelines. We looked for 18 different issues included in the manual, grouped into two categories: issues related to testwiseness and issues related to irrelevant difficulties. The final number of questions analyzed was 1,143. The percentage of items based on clinical vignettes increased from 50% in 2009 to 56-58% in the following years (2010-2013). The percentage of items based on an image increased progressively from 10% in 2009 to 15% in 2012 and 2013. The percentage of items with at least one technical flaw varied between 68 and 72%. We observed a decrease in the percentage of items with flaws related to testwiseness, from 30% in 2009 to 20% in 2012 and 2013. While most of these issues decreased dramatically or even disappeared (such as the imbalance in the correct option numbers), the presence of non-plausible options remained frequent. With regard to technical flaws related to irrelevant difficulties, no improvement was observed; this is especially true with respect to negative stem questions and "hinged" questions. The formal quality of the MIR exam items has improved over the last five years with regard to testwiseness. A more detailed revision of the items submitted, checking systematically for the presence of technical flaws, could improve the validity and discriminatory power of the exam, without increasing its difficulty.

  14. Satellite Power Systems (SPS) concept definition study (exhibit C)

    NASA Technical Reports Server (NTRS)

    Hanley, G. M.

    1978-01-01

    A coplanar satellite conceptual approach was defined. This effort included several trade studies related to satellite design and also construction approaches for this satellite. A transportation system, consistent with this concept, was also studied, including an electric orbit transfer vehicle and a parallel-burn heavy lift launch vehicle. Work on a solid state microwave concept continued and several alternative approaches were evaluated. Computer determination of an optimized transistor and circuit design was also continued. Experiment/verification planning resulted in the development of a total solar array and microwave technology development plan, as well as definition of near-term research to evaluate key technology issues.

  15. Evaluation of behavior change goal-setting action plan on oral health activity and status.

    PubMed

    Lepore, Lindsay M; Yoon, Richard K; Chinn, Courtney H; Chussid, Steven

    2011-11-01

    This experimental study determined if a "report card-like" oral health action plan was effective in improving oral health behaviors in a sample of 69 patients, ages 1 to 6 years. Participants were divided randomly into control and intervention groups. Data collected included dmft, plaque score, Streptococcus mutans levels and oral health behaviors. Participants in the intervention group received an oral health action plan that included: 1. child's current caries-risk status; 2. identification issues of concern; and 3. one "goal" to improve on for the next visit. All participants returned after two months for follow-up examination and data collection.

  16. Rural mental health: neither romanticism nor despair.

    PubMed

    Wainer, J; Chesters, J

    2000-06-01

    This paper explores the relationship between rural places and mental health. It begins with a definition of mental health and an outline of the data that have led to the current concern with promoting positive mental health. We then consider aspects of rural life and place that contribute to positive mental health or increase the likelihood of mental health problems. Issues identified include environment, place, gender identity, violence and dispossession and the influence of the effects of structural changes in rural communities. The paper concludes with a discussion of some of the determinants of resilience in rural places, including social connectedness, valuing diversity and economic participation.

  17. Electricity tommorrow

    NASA Astrophysics Data System (ADS)

    1981-01-01

    The critical issues for the electricity sector in California were presented. Adopted level of electricity demand and adopted policies and supply criteria are included. These form the basis for planning and certification of electric generation and transmission facilities by the energy commission. Estimates of the potential contributions of conservation and various conventional and alternative supply sources, critiques of utility supply plans, and determinations of how much new capacity is required are also included. Policy recommendations for directing public and private investments into preferred energy options, for spreading the benefits and costs of these options broadly and fairly among California's citizens, and for removing remaining obstacles to the development of all acceptable energy sources are presented.

  18. Dietary fibre fractions in cereal foods measured by a new integrated AOAC method.

    PubMed

    Hollmann, Juergen; Themeier, Heinz; Neese, Ursula; Lindhauer, Meinolf G

    2013-10-01

    The reliable determination of soluble, insoluble and total dietary fibre in baked goods and cereal flours is an important issue for research, nutritional labelling and marketing. We compared total dietary fibre (TDF) contents of selected cereal based foods determined by AOAC Method 991.43 and the new AOAC Method 2009.01. Fifteen bread and bakery products were included in the study. Our results showed that TDF values of cereal products determined by AOAC Method 2009.01 were always significantly higher than those determined by AOAC Method 991.43. This was explained by the inclusion of low molecular weight soluble fibre fractions and resistant starch fractions in the TDF measurement by AOAC 2009.01. This documents that nutritional labelling of cereal products poses the challenge how to update TDF data in nutrient databases in a reasonable time with an acceptable expenditure. Copyright © 2013. Published by Elsevier Ltd.

  19. Attitudes of Policy Makers in Hawaii toward Public Health and Related Issues before and after an Economic Recession in the United States.

    PubMed

    Maddock, Jay E; McGurk, Meghan; Lee, Thomas

    2015-01-01

    Legislation and regulation at the state and local level can often have a greater impact on the public's health than individual-based approaches. Elected and appointed officials have an essential role in protecting and improving public health. Despite this important role, little systematic research has been done to assess the relative importance of public health issues compared to other policy issues in times of economic hardship. This study assessed attitudes of elected and appointed decision makers in Hawaii in 2007 and 2013 to determine if priorities differed before and after the economic recession. Elected and appointed state and county officials were mailed surveys at both time points. Respondents rated the importance of 23 specified problems, of which 9 asked about specific public health issues. The survey was completed by 126 (70.4%) respondents in 2007 and 117 (60.9%) in 2013. Among the public health issues, five saw significant mean decreases. These variables included climate change, pedestrian safety, government response to natural disasters, access to healthcare, and pandemic influenza. Obesity was the only public health issue to increase in importance across the two time points. In terms of relative ranking across the time points, only drug abuse and obesity were among the top 10 priorities. Lack of public health training, pandemic influenza, and government response to natural disasters were among the bottom five priorities. After the economic recession, many public health issues have a lower priority among Hawaii's policy makers than before the downturn. Additional education and advocacy is needed to keep public health issues on the minds of decision makers during tough economic times.

  20. Addressing Consent Issues in Donation After Circulatory Determination of Death.

    PubMed

    Overby, Kim J; Weinstein, Michael S; Fiester, Autumn

    2015-01-01

    Given the widening gap between the number of individuals on transplant waiting lists and the availability of donated organs, as well as the recent plateau in donations based on neurological criteria (i.e., brain death), there has been a growing interest in expanding donation after circulatory determination of death. While the prevalence of this form of organ donation continues to increase, many thorny ethical issues remain, often creating moral distress in both clinicians and families. In this article, we address one of these issues, namely, the challenges surrounding patient and surrogate informed consent for donation after circulatory determination of death. First we discuss several general concerns regarding consent related to this form of organ donation, and then we address additional issues that are unique to three different patient categories: adult patients with medical decision-making capacity or potential capacity, adult patients who lack capacity, and pediatric patients.

  1. Learning to See the Opportunities in Crisis and Catastrophe: A Decision Makers Guide to the Issue-Attention Cycle

    DTIC Science & Technology

    2015-09-01

    riots, Ferguson riots, AIDS, National Security Agency (NSA) leaks, childhood obesity , and social security. Thirteen issues make up this cluster...civil issues with low numbers of fatalities and economic impacts. Issues of this kind include childhood obesity (2.25 hearings per year); riots due...up the 25th to 50th percentile include those having only tangential impact to the public, including among others, global warming, childhood obesity

  2. Medication education and consultation at a senior dining program for independently living seniors.

    PubMed

    Schmiedt, Dean; Ellingson, Jody

    2010-08-01

    To determine if pharmacist involvement within a senior dining program benefits diners by addressing their medication-related questions, using educational sessions, and providing individual consultations. Catholic Charities Senior Dining sites in central Minnesota. Pharmacists went to three senior dining sites, providing educational sessions and individual consultations to independently living senior diners. Pharmacists developed a program, in a nontraditional setting, that used educational sessions and individual consultations to assist seniors with their medication-related questions. The number of diner questions, significant issues raised, issues addressed, and level of diner satisfaction. Pharmacists made 36 visits from January to December 2009. During those visits they presented educational talks to 3,089 diners, and 12.4% of all diners spoke individually with pharmacists. Pharmacists addressed 581 questions or concerns from 384 diners. Significant issues were noted in 25.8% of individual consultations (144 questions). The most common significant issues included: adverse drug reactions (59), indications without treatment (27), and drug interactions (23). Nonopioid analgesics, antilipemics, and antihypertensive medications were most commonly involved in significant issues. Satisfaction surveys were strongly positive, with 97% indicating pharmacists had addressed their medication-related concern; only 3% did not reply. Almost half (42.7%) of satisfaction surveys indicated the diner would change something as a result of meeting with the pharmacist. Pharmacist availability in a nontraditional setting can assist seniors with addressing potentially significant medication-related issues. Independently living seniors will seek out information from a pharmacist in a convenient setting.

  3. Ethical issues that confront nurses in private hospitals in the Western Cape Metropolitan area.

    PubMed

    Stellenberg, Ethelwynn L; Dorse, Alta J

    2014-06-06

    Nurses are faced daily with a variety of ethical issues which could be as a result of budget cuts, target setting, the shortage of nurses and expertise. The objectives of the study were to identify ethical issues related to patient care, to describe ethical issues related to patient diversity, rights and human dignity. To describe ethical issues related to caring in nursing and to the workplace environment. A quantitative explorative descriptive research design was applied. A stratified sample of (n = 142/5%) was drawn from all nurses and caregivers (N = 2990) working in a selected group of eight private hospitals. Self-administered questionnaires were used to collect the data. Statistical tests were applied to determine statistical relationships between variables. RESULTS included (95%) of respondents provided safe and committed care to their patients, (99%) loved to care for their patients and (93%) believed in the Nurses' Pledge of Service. Fifty percent (50%) of the respondents indicated verbal abuse from patients and only (59%) experienced openness and transparency in the work environment. Analysis further identified that the caregivers did not respect the noble tradition of the profession and experienced the most verbal abuse. This study has identified ethical issues which may give rise to conflict within the workplace environment if not adequately addressed by management. The study further showed that the use of caregivers not regulated in nursing practice may pose as a threat to the safety of the patient.

  4. Family Issues In the Workplace: Are Students On Track

    ERIC Educational Resources Information Center

    Waner, Karen K.; Winter, Janet K.; Breshears, Ronald G.

    2005-01-01

    Employees attempting to balance careers and families have made family issues a major concern in the workplace. Equity issues arise, however, for employees who do not have family responsibilities. In this study, the authors sought to determine whether students' and employees' perceptions of family issues differed in their responses to nine…

  5. Assessing Public Issues Knowledge and Needs of Extension Agents in Florida

    ERIC Educational Resources Information Center

    Gay, Keegan D.; Owens, Courtney T.; Lamm, Alexa J.; Rumble, Joy N.

    2017-01-01

    It has been argued that to remain relevant in today's society, Extension must expand its role to provide public issues education. We conducted a web-based survey to determine whether Extension agents in Florida were prepared to deal with contentious issues. Survey respondents identified issues affecting their clientele, levels of frequency with…

  6. 26 CFR 1.1232-3A - Inclusion as interest of original issue discount on certain obligations issued after May 27, 1969.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 26 Internal Revenue 11 2012-04-01 2012-04-01 false Inclusion as interest of original issue... (CONTINUED) Special Rules for Determining Capital Gains and Losses § 1.1232-3A Inclusion as interest of original issue discount on certain obligations issued after May 27, 1969. (a) Ratable inclusion as interest...

  7. 26 CFR 1.1232-3A - Inclusion as interest of original issue discount on certain obligations issued after May 27, 1969.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 26 Internal Revenue 11 2014-04-01 2014-04-01 false Inclusion as interest of original issue... (CONTINUED) Special Rules for Determining Capital Gains and Losses § 1.1232-3A Inclusion as interest of original issue discount on certain obligations issued after May 27, 1969. (a) Ratable inclusion as interest...

  8. 26 CFR 1.1232-3A - Inclusion as interest of original issue discount on certain obligations issued after May 27, 1969.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 26 Internal Revenue 11 2013-04-01 2013-04-01 false Inclusion as interest of original issue... (CONTINUED) Special Rules for Determining Capital Gains and Losses § 1.1232-3A Inclusion as interest of original issue discount on certain obligations issued after May 27, 1969. (a) Ratable inclusion as interest...

  9. 26 CFR 1.1232-3A - Inclusion as interest of original issue discount on certain obligations issued after May 27, 1969.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 11 2010-04-01 2010-04-01 true Inclusion as interest of original issue discount... Special Rules for Determining Capital Gains and Losses § 1.1232-3A Inclusion as interest of original issue discount on certain obligations issued after May 27, 1969. (a) Ratable inclusion as interest—(1) General...

  10. 26 CFR 1.1232-3A - Inclusion as interest of original issue discount on certain obligations issued after May 27, 1969.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 26 Internal Revenue 11 2011-04-01 2011-04-01 false Inclusion as interest of original issue... (CONTINUED) Special Rules for Determining Capital Gains and Losses § 1.1232-3A Inclusion as interest of original issue discount on certain obligations issued after May 27, 1969. (a) Ratable inclusion as interest...

  11. Hazardous healthcare waste management in the Kingdom of Bahrain.

    PubMed

    Mohamed, L F; Ebrahim, S A; Al-Thukair, A A

    2009-08-01

    Hazardous healthcare waste has become an environmental concern for many developing countries including the Kingdom of Bahrain. There have been several significant obstacles facing the Kingdom in dealing with this issue including; limited documentation regarding generation, handling, management, and disposal of waste. This in turn hinders efforts to plan better healthcare waste management. In this paper, hazardous waste management status in the Kingdom has been investigated through an extensive survey carried out on selected public and private healthcare premises. Hazardous waste management practices including: waste generation, segregation, storage, collection, transportation, treatment, and disposal were determined. The results of this study along with key findings are discussed and summarized. In addition; several effective recommendations and improvements of hazardous waste management are suggested.

  12. Hazardous healthcare waste management in the Kingdom of Bahrain

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

    Mohamed, L.F.; Ebrahim, S.A.; Al-Thukair, A.A.

    2009-08-15

    Hazardous healthcare waste has become an environmental concern for many developing countries including the Kingdom of Bahrain. There have been several significant obstacles facing the Kingdom in dealing with this issue including; limited documentation regarding generation, handling, management, and disposal of waste. This in turn hinders efforts to plan better healthcare waste management. In this paper, hazardous waste management status in the Kingdom has been investigated through an extensive survey carried out on selected public and private healthcare premises. Hazardous waste management practices including: waste generation, segregation, storage, collection, transportation, treatment, and disposal were determined. The results of this studymore » along with key findings are discussed and summarized. In addition; several effective recommendations and improvements of hazardous waste management are suggested.« less

  13. NAFTA II : California border zone land transportation issues

    DOT National Transportation Integrated Search

    2001-09-01

    This report constitutes Phase II of a study of the impacts of the North American Free Trade Agreement (NAFTA) of 1992 on border areas and determines transportation infrastructure access. Reviews status of NAFTA impact issues; identifies new issues; d...

  14. Space Station Engineering Design Issues

    NASA Technical Reports Server (NTRS)

    Mcruer, Duane T.; Boehm, Barry W.; Debra, Daniel B.; Green, C. Cordell; Henry, Richard C.; Maycock, Paul D.; Mcelroy, John H.; Pierce, Chester M.; Stafford, Thomas P.; Young, Laurence R.

    1989-01-01

    Space Station Freedom topics addressed include: general design issues; issues related to utilization and operations; issues related to systems requirements and design; and management issues relevant to design.

  15. Assessing the feasibility, cost, and utility of developing models of human performance in aviation

    NASA Technical Reports Server (NTRS)

    Stillwell, William

    1990-01-01

    The purpose of the effort outlined in this briefing was to determine whether models exist or can be developed that can be used to address aviation automation issues. A multidisciplinary team has been assembled to undertake this effort, including experts in human performance, team/crew, and aviation system modeling, and aviation data used as input to such models. The project consists of two phases, a requirements assessment phase that is designed to determine the feasibility and utility of alternative modeling efforts, and a model development and evaluation phase that will seek to implement the plan (if a feasible cost effective development effort is found) that results from the first phase. Viewgraphs are given.

  16. Outer membrane proteins of pathogenic spirochetes

    PubMed Central

    Cullen, Paul A.; Haake, David A.; Adler, Ben

    2009-01-01

    Pathogenic spirochetes are the causative agents of several important diseases including syphilis, Lyme disease, leptospirosis, swine dysentery, periodontal disease and some forms of relapsing fever. Spirochetal bacteria possess two membranes and the proteins present in the outer membrane are at the site of interaction with host tissue and the immune system. This review describes the current knowledge in the field of spirochetal outer membrane protein (OMP) biology. What is known concerning biogenesis and structure of OMPs, with particular regard to the atypical signal peptide cleavage sites observed amongst the spirochetes, is discussed. We examine the functions that have been determined for several spirochetal OMPs including those that have been demonstrated to function as adhesins, porins or to have roles in complement resistance. A detailed description of the role of spirochetal OMPs in immunity, including those that stimulate protective immunity or that are involved in antigenic variation, is given. A final section is included which covers experimental considerations in spirochetal outer membrane biology. This section covers contentious issues concerning cellular localization of putative OMPs, including determination of surface exposure. A more detailed knowledge of spirochetal OMP biology will hopefully lead to the design of new vaccines and a better understanding of spirochetal pathogenesis. PMID:15449605

  17. Current status of environmental, health, and safety issues of lithium ion electric vehicle batteries

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

    Vimmerstedt, L.J.; Ring, S.; Hammel, C.J.

    The lithium ion system considered in this report uses lithium intercalation compounds as both positive and negative electrodes and has an organic liquid electrolyte. Oxides of nickel, cobalt, and manganese are used in the positive electrode, and carbon is used in the negative electrode. This report presents health and safety issues, environmental issues, and shipping requirements for lithium ion electric vehicle (EV) batteries. A lithium-based electrochemical system can, in theory, achieve higher energy density than systems using other elements. The lithium ion system is less reactive and more reliable than present lithium metal systems and has possible performance advantages overmore » some lithium solid polymer electrolyte batteries. However, the possibility of electrolyte spills could be a disadvantage of a liquid electrolyte system compared to a solid electrolyte. The lithium ion system is a developing technology, so there is some uncertainty regarding which materials will be used in an EV-sized battery. This report reviews the materials presented in the open literature within the context of health and safety issues, considering intrinsic material hazards, mitigation of material hazards, and safety testing. Some possible lithium ion battery materials are toxic, carcinogenic, or could undergo chemical reactions that produce hazardous heat or gases. Toxic materials include lithium compounds, nickel compounds, arsenic compounds, and dimethoxyethane. Carcinogenic materials include nickel compounds, arsenic compounds, and (possibly) cobalt compounds, copper, and polypropylene. Lithiated negative electrode materials could be reactive. However, because information about the exact compounds that will be used in future batteries is proprietary, ongoing research will determine which specific hazards will apply.« less

  18. Stakeholders' Engagement Methods for the Mining Social Responsibility Practice: Determination of Local Issues and Concerns Related to the Mines Operations in Northwest of the US.

    NASA Astrophysics Data System (ADS)

    Masaitis, A.

    2014-12-01

    Every year, all around the world, global environmental change affects the human habitat. This is effect enhanced by the mining operation, and creates new challenges in relationship between the mining and local community. The purpose of this project are developed the Stakeholders engagement evaluation plan which is currently developed in University of Nevada, Reno for the Emigrant mining project, located in the central Nevada, USA, and belong to the Newmont Mining Corporation, one of the gold production leader worldwide. The needs for this project is to create the open dialog between Newmont mining company and all interested parties which have social or environmental impacts from the Emigrant mine. Identification of the stakeholders list is first and one of the most difficult steps in the developing of mine social responsibility. Stakeholders' engagement evaluation plan must be based on the timing and available resources of the mining company, understanding the goals for the engagement, and on analyzes of the possible risks from engagement. In conclusion, the Stakeholders engagement evaluation plan includes: first, determinations of the stakeholders list, which must include any interested or effected by the mine projects groups, for example: state and local government representatives, people from local communities, business partners, environmental NGOs, indigenous people, and academic groups. The contacts and availability for communication is critical for Stakeholders engagement. Next, is to analyze characteristics of all these parties and determinate the level of interest and level of their influence on the project. The next step includes the Stakeholders matrix and mapping development, where all these information will be put together.After that, must be chosen the methods for stakeholders' engagement. The methods usually depends from the goals of engagement (create the dialog lines, collect the data, determinations of the local issues and concerns, or establish the negotiation process) and available resources as a time, people, budget. Is it very important here to recognize the possible risks from the engagement and establish the key massage for stakeholders. Finally, the engagement plan should be evaluated and can be implementing for the new social responsibility practice development.

  19. SU-F-P-10: A Web-Based Radiation Safety Relational Database Module for Regulatory Compliance

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

    Rosen, C; Ramsay, B; Konerth, S

    Purpose: Maintaining compliance with Radioactive Materials Licenses is inherently a time-consuming task requiring focus and attention to detail. Staff tasked with these responsibilities, such as the Radiation Safety Officer and associated personnel must retain disparate records for eventual placement into one or more annual reports. Entering results and records in a relational database using a web browser as the interface, and storing that data in a cloud-based storage site, removes procedural barriers. The data becomes more adaptable for mining and sharing. Methods: Web-based code was written utilizing the web framework Django, written in Python. Additionally, the application utilizes JavaScript formore » front-end interaction, SQL, HTML and CSS. Quality assurance code testing is performed in a sequential style, and new code is only added after the successful testing of the previous goals. Separate sections of the module include data entry and analysis for audits, surveys, quality management, and continuous quality improvement. Data elements can be adapted for quarterly and annual reporting, and for immediate notification of user determined alarm settings. Results: Current advances are focusing on user interface issues, and determining the simplest manner by which to teach the user to build query forms. One solution has been to prepare library documents that a user can select or edit in place of creation a new document. Forms are being developed based upon Nuclear Regulatory Commission federal code, and will be expanded to include State Regulations. Conclusion: Establishing a secure website to act as the portal for data entry, storage and manipulation can lead to added efficiencies for a Radiation Safety Program. Access to multiple databases can lead to mining for big data programs, and for determining safety issues before they occur. Overcoming web programming challenges, a category that includes mathematical handling, is providing challenges that are being overcome.« less

  20. 78 FR 41079 - Certain Semiconductor Chips With Dram Circuitry, and Modules and Products Containing Same

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-09

    ... determined to review-in-part the final initial determination issued by the presiding administrative law judge... investigation. On March 26, 2013, the presiding administrative law judge (``ALJ'') issued a final ID finding a... importation, sale for importation, and sale after importation of Nanya semiconductors. What is Elpida's theory...

  1. 75 FR 27170 - Energy Conservation Program for Consumer Products: Determination Concerning the Potential for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-14

    ... issue a final rule determining whether to issue efficiency standards for battery chargers (BCs) and EPSs... Standards for Non- Class A External Power Supplies AGENCY: Office of Energy Efficiency and Renewable Energy... Office of Energy Efficiency and Renewable Energy's Web site at http://www.eere.energy.gov/buildings...

  2. A comparison of EEOC closures involving hiring versus other prevalent discrimination issues under the Americans with Disabilities Act.

    PubMed

    McMahon, Brian T; Hurley, Jessica E; West, Steven L; Chan, Fong; Roessler, Richard; Rumrill, Phillip D

    2008-06-01

    This article describes findings from a causal comparative study of the Merit Resolution rate for allegations of Hiring discrimination that were filed with the U.S. Equal Employment Opportunity Commission (EEOC) under Title I of the Americans with Disabilities Act (ADA) between 1992 and 2005. An allegation is the Charging Party's perception of discrimination, but a Merit Resolution is one in which the EEOC has determined that a discriminatory event did indeed occur. A Non-Merit Resolution is an allegation that is closed due to a technicality or lacks sufficient evidence to conclude that discrimination occurred. Merit favors the Charging Party; Non-Merit favors the Employer. The Merit Resolution rate of 19,527 closed Hiring allegations is compared and contrasted to that of 259,680 allegations aggregated from six other prevalent forms of discrimination including Discharge and Constructive Discharge, Reasonable Accommodation, Disability Harassment and Intimidation, and Terms and Conditions of Employment. Tests of Proportion distributed as chi-square are used to form comparisons along a variety of subcategories of Merit and Non-Merit outcomes. The overall Merit Resolution rate for Hiring is 26% compared to Non-Hiring at 20.6%. Employers are less likely to settle claims of hiring discrimination without mediation, and less likely to accept the remedies recommended by the EEOC when hiring discrimination has been determined. Hiring is not an unusual discrimination issue in that the overwhelming majority of allegations are still closed in favor of the Employer. However, it is counterintuitive that hiring has a higher merit resolution rate than other prevalent issues. This finding contradicts the assumption that hiring is an "invisible process." Considering that the EEOC makes merit determinations at a competitive rate, it is clear that hiring is sufficiently transparent.

  3. Perspectives: Using Historical Documents To Think about NIF Issues.

    ERIC Educational Resources Information Center

    National Archives and Records Service (GSA), Washington, DC.

    The purpose of using historical documents in the classroom is to generate and enhance discussion by providing a historical perspective for issues. Five documents are included in this packet and are to be used as a supplemental material for the National Issues Forum (NIF) topics. Issues raised include (1) an analysis of the documents and (2)…

  4. The spectrum of ethical issues in a Learning Health Care System: a systematic qualitative review.

    PubMed

    McLennan, Stuart; Kahrass, Hannes; Wieschowski, Susanne; Strech, Daniel; Langhof, Holger

    2018-04-01

    To determine systematically the spectrum of ethical issues that is raised for stakeholders in a 'Learning Health Care System' (LHCS). The systematic review was conducted in PubMed and Google Books between the years 2007 and 2015. The literature search retrieved 1258 publications. Each publication was independently screened by two reviewers for eligibility for inclusion. Ethical issues were defined as arising when a relevant normative principle is not adequately considered or two principles come into conflict. A total of 65 publications were included in the final analysis and were analysed using an adapted version of qualitative content analysis. A coding frame was developed inductively from the data, only the highest-level categories were generated deductively for a life-cycle perspective. A total of 67 distinct ethical issues could be categorized under different phases of the LHCS life-cycle. An overarching theme that was repeatedly raised was the conflict between the current regulatory system and learning health care. The implementation of a LHCS can help realize the ethical imperative to continuously improve the quality of health care. However, the implementation of a LHCS can also raise a number of important ethical issues itself. This review highlights the importance for health care leaders and policy makers to balance the need to protect and respect individual participants involved in learning health care activities with the social value of improving health care.

  5. MAYTEP, Determination of Applicability

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  6. PSD Applicability Determination Analysis for the Carlsbad Energy Center Project

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  7. Baseline Date in Determining Net Emissions Increases

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  8. [INFORMATION AWARENESS OF STUDENTS--FUTURE TECHNOLOGY FOR HEALTHY LIFESTYLES TEACHERS AND TRAINING IN THEIR EDUCATIONAL ACTIVITIES IN AREA OF HUMAN HEALTH PRESERVATION].

    PubMed

    Kalinina, I A

    2015-01-01

    In the article there are presented results of the questionnaire survey of students--future technology for healthy lifestyles teachers on issues of shaping of health and a healthy lifestyle. There is given an estimation of the degree of the formedness in students adjustment for healthy lifestyle, including eating behavior and nutrition ration. There were determined basic directions of the shaping of the health-saving competence of the school teacher.

  9. Determination for Davidson Exterior Trim/Textron

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  10. RACT/LEAR Determination for Casket Coaters

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  11. Microgravity human factors workstation development

    NASA Technical Reports Server (NTRS)

    Whitmore, Mihriban; Wilmington, Robert P.; Morris, Randy B.; Jensen, Dean G.

    1992-01-01

    Microgravity evaluations of workstation hardware as well as its system components were found to be very useful for determining the expected needs of the Space Station crew and for refining overall workstation design. Research at the Johnson Space Center has been carried out to provide optimal workstation design and human interface. The research included evaluations of hand controller configurations for robots and free flyers, the identification of cursor control device requirements, and the examination of anthropometric issues of workstation design such as reach, viewing distance, and head clearance.

  12. Applicability Determination for PSD- Hot Mix Asphalt Operations

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  13. Determining Baseline Emissions at Mississippi Power Company's Watson Electric Generating Station

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  14. A ratioing radiometer for use with a solar diffuser. [to monitor in-flight calibration of satellite sensors

    NASA Technical Reports Server (NTRS)

    Palmer, James M.; Slater, Philip N.

    1991-01-01

    The use of an on-board solar diffuser has been proposed to monitor the in-flight calibration of satellite sensors. This paper presents the preliminary specifications and design for a ratioing radiometer, to be used to determine the change in radiance of the solar diffuser. The issues involved in spectral channel selection are discussed and the effects of stray light are presented. An error analysis showing the benefit of the ratioing radiometer is included.

  15. Determining PSD Applicability Thresholds for Gas Turbine Based Facilities

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  16. 2001 Flight Mechanics Symposium

    NASA Technical Reports Server (NTRS)

    Lynch, John P. (Editor)

    2001-01-01

    This conference publication includes papers and abstracts presented at the Flight Mechanics Symposium held on June 19-21, 2001. Sponsored by the Guidance, Navigation and Control Center of Goddard Space Flight Center, this symposium featured technical papers on a wide range of issues related to attitude/orbit determination, prediction and control; attitude simulation; attitude sensor calibration; theoretical foundation of attitude computation; dynamics model improvements; autonomous navigation; constellation design and formation flying; estimation theory and computational techniques; Earth environment mission analysis and design; and, spacecraft re-entry mission design and operations.

  17. PSD Applicability Determination for Murphy Oil, Superior, Wisconsin

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  18. Applicability Determinations for Columbian Chemical Company

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  19. Bombardier Motor Company of America, Nonattainment Permit Applicability Determination

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  20. Summit Petroleum Corporation Single Source Determination

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  1. Computer Graphics Special Issue on 1992 Symposium on Interactive 3D graphics Held in Cambridge, Massachusetts on 29 March-1 April 1992

    DTIC Science & Technology

    1992-01-01

    it * five representations of a desk: 1) a highly detailed desk with ,m ~ ~ ~ ~ Dlla L.._ ’ ,,,e ".. l, faces subdivided along gradients of radiosity , 2...created by our implementation, including timings and polygon using radiosity approaches [9, 61, by summing the counts. contributions of an approximating...and Winget, J. Improving Radiosity Solutions Through the Use of Analytically Determined Form-Factors. Proc. SIGGRAPH 󈨝 Plate 4, illuminated by both

  2. PSD Applicability Determination - Southwestern Public Service Company

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  3. Source Determinations for Oil and Gas Industries

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  4. Brooklyn Navy Yard Clean Unit Determination

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  5. BP American Production Company's Florida River Compression Facility Single Source Determination

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  6. PSD Determination Cabot Corporation - Fuel Conversion

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  7. American Soda.. Multi-facility Source Determination

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  8. Memo on PSD Applicability Determination for an Ethanol Plant

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  9. Resourcing the Religious Mission of the Army to the Year 2000 and Beyond: Significant Concerns and Issues

    DTIC Science & Technology

    1993-04-15

    the Chief of Staff of the 7 ,rmy, DCSENG, and the Chief of Chaplains, was a monumental step forward in helping focus attention , emphasis, and the...worship), worship leaders and other service leaders, bulletins, music (organist/ pianist , choir director/chorister), elements for sacraments and...overhead to include manpower, equipment, supplies, and facilities. Once the total cost of production is determined, 13 • 0 • S • 0 • • • • I it is divided

  10. Northeast Hub Partners and United Salts Single Source Determination

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  11. Ersna PSD Applicability Determinations

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  12. BACT Determinations for Power Plants Subject to Revised NSPS

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  13. Clarification of EPA Conditional Determination Made on June 9, 1980

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  14. PSD Determination - Consolidated Edison of New York

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  15. Request for Guidance on PSD Applicability Determinations for Boiler Emissions

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  16. Summary of PSD Policy Determinations made by Region IV

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  17. PSD Applicability Determination - Babylon 2

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  18. Policy Determinations Regarding PSD Questions

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  19. PSD Applicability Determination for AEG Bovoni Power's Waste-to-Energy Project

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  20. PSD Determination: Sun Oil Company and the Definition of Major Modification

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  1. Great Salt Lake Minerals Source Determination

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  2. Consideration of Fugitive Emissions in Major Source Determinations

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  3. ESCO Corp. Source Determination

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  4. Time Frames for Determining of Applicability to NSR

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  5. PSD Applicability Determination - ARCO Petroleum Refinery

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  6. Active Control of Combustion Instability in a Ramjet Using Large-Eddy Simulations

    DTIC Science & Technology

    1992-09-01

    model is also used to determine the turbulent subgrid fluxes appearing in the momentum equations. Thus, the subgrid stresses in the momentum transport...flows and in flows with complex geometries. To include the effect of walls, an additional correction has been used to ensure that the subgrid stress ...subgrid stress Ty varies as y+3 near the wall. A major issue for LES of complex flows is whether the primary assumption that the subgrid scales are

  7. Assistance in Determining Routine Maintenance, Repair or Replacement

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  8. Identification of Candidates for BACT Determinations

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  9. Guidance for Determining BACT Under PSD

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  10. Cut-Off Date for Determining LAER in Major New Source Permitting

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  11. BACT/LAER Determination Cut-off Date

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  12. Single Source Determination for Coors/TriGen

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  13. PSD Applicability Determination - Ideal Basic

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  14. Alcoa Massena Modernization Project and Request for a Single Source Determination

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  15. PSD Determination - Pittston Petroleum Refinery, Eastport, Maine

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  16. United Salt Northeast PSD Determination

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  17. Response to BACT Determinations Inquiry from Alabama Department of Environmental Management

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  18. Single Source Determination for Gallitan Steel Co. and Heckett MultiServ

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  19. Interim Policy Determination Related to NSR/PSD Significance Level for ODS

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  20. Applicability Determination for Delco Products in Dayton, Ohio

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

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