75 FR 103 - Expansion of Foreign-Trade Zone 17, Kansas City, Kansas

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-04

... Zone 17, Kansas City, Kansas Pursuant to its authority under the Foreign-Trade Zones Act of June 18... Order: Whereas, the Greater Kansas City Foreign-Trade Zone, Inc., grantee of Foreign-Trade Zone 17, submitted an application to the Board for authority to expand FTZ 17 in the Kansas City, Kansas, area...

Alternative Fuels Data Center: Propane Vans Keep Kansas City Transportation

Science.gov Websites

anxiety. More recently, the company has been exploring dedicated-propane vehicles in Kansas City to ensure technologies and petroleum-use reduction strategies, then deployed bi-fuel vans; currently exploring dedicated

Medicolegal aspects of tornadic storms in Kansas, U.S.A.

PubMed

Eckert, W G

1991-12-01

Kansas is known for its fierce whether, including tornados in the spring and fall and blizzards in the winter. A recent series of tornados cut a path of destruction a mile wide for greater than 40 miles (64 km), killed 20 people, and caused several hundred casualities on the evening of April 26, 1991, in Tornado Alley, which runs from the northern border of Oklahoma through southern Kansas past Wichita toward Emporium, Kansas. The wind velocity was greater than 200 mph. Twenty people were killed, 17 of these in Andover, Kansas, a small town east of Wichita. Injuries caused by the tornados and the excellent emergency response and care provided by medical, law-enforcement, and volunteer personnel in the wake of the storms are described here.

Alternative Fuels Data Center

Science.gov Websites

Biodiesel Rebates - Kansas Soybean Commission Kansas residents are eligible for a rebate from the Kansas Soybean Commission of up to $2,000 for fleets ($200 for individuals), for using biodiesel blends Energy Center Biodiesel Rebate website

Inventory and evaluation of potential oil shale development in Kansas

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

Angino, E.; Berg, J.; Dellwig, L.

The University of Kansas Center for Research, Inc. was commissioned by the Kansas Energy Office and the US Department of Energy to conduct a review of certain oil shales in Kansas. The purpose of the study focused on making an inventory and assessing those oil shales in close stratigraphic proximity to coal beds close to the surface and containing significant reserves. The idea was to assess the feasibility of using coal as an economic window to aid in making oil shales economically recoverable. Based on this as a criterion and the work of Runnels, et al., (Runnels, R.T., Kulstead, R.O.,more » McDuffee, C. and Schleicher, J.A., 1952, Oil Shale in Kansas, Kansas Geological Survey Bulletin, No. 96, Part 3.) five eastern Kansas black shale units were selected for study and their areal distribution mapped. The volume of recoverable oil shale in each unit was calculated and translated to reserves. The report concludes that in all probability, extraction of oil shale for shale oil is not feasible at this time due to the cost of extraction, transportation and processing. The report recommends that additional studies be undertaken to provide a more comprehensive and detailed assessment of Kansas oil shales as a potential fuel resource. 49 references, 4 tables.« less

Medical center farmers markets: a strategic partner in the patient-centered medical home.

PubMed

George, Daniel R; Rovniak, Liza S; Kraschnewski, Jennifer L; Morrison, Kathy J; Dillon, Judith F; Bates, Beth Y

2013-08-01

The number of medical center-based farmers markets has increased in the past decade, but little is known about how such organizations contribute to the preventive health goals of the patient-centered medical home. In 2010, we started a seasonal farmers market at Penn State Hershey Medical Center to help support the institution's commitment to the medical home. We obtained descriptive data on the farmers market from hospital and market records and tracking information on the market's Facebook and Twitter sites. We computed summary measures to characterize how the market has begun to meet the 6 standards of the 2011 National Committee for Quality Assurance's report on the medical home. During the 2010 and 2011 seasons, 146 medical center volunteers from 40 departments formed 23 interprofessional teams that spent an average of 551 volunteer hours per season at the market, providing health screenings (n = 695) and speaking to customers (n = 636) about preventive health. Fifty-five nonmedical community health partners provided 208 hours of service at the market alongside medical center staff. Market programming contributed to 5 regional preventive health partnerships and created opportunities for interprofessional mentoring, student leadership, data management, development of social media skills, and grant-writing experience. The market contributed to all 6 medical home standards outlined by the National Committee for Quality Assurance. Medical center markets can support medical home standards. With systematic tracking of the health effects and integration with electronic medical health records, markets hold potential to contribute to comprehensive patient-centered care.

KANSAS WIND POWERING AMERICAN STATE OUTREACH: KANSAS WIND WORKING GROUP

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

HAMMARLUND, RAY

2010-10-27

The Kansas Wind Working Group (WWG) is a 33-member group announced by former Governor Kathleen Sebelius on Jan. 7, 2008. Formed through Executive Order 08-01, the WWG will educate stakeholder groups with the current information on wind energy markets, technologies, economics, policies, prospects and issues. Governor Mark Parkinson serves as chair of the Kansas Wind Working Group. The group has been instrumental in focusing on the elements of government and coordinating government and private sector efforts in wind energy development. Those efforts have moved Kansas from 364 MW of wind three years ago to over 1000 MW today. Further, themore » Wind Working Group was instrumental in fleshing out issues such as a state RES and net metering, fundamental parts of HB 2369 that was passed and is now law in Kansas. This represents the first mandatory RES and net metering in Kansas history.« less

Garden City, Kansas

NASA Image and Video Library

2017-12-08

Center pivot irrigation systems create red circles of healthy vegetation in this image of croplands near Garden City, Kansas. This image was acquired by Landsat 7’s Enhanced Thematic Mapper plus (ETM+) sensor on September 25, 2000. This is a false-color composite image made using near infrared, red, and green wavelengths. The image has also been sharpened using the sensor’s panchromatic band. Credit: NASA/GSFC/Landsat NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Join us on Facebook

Medical Center Farmers Markets: A Strategic Partner in the Patient-Centered Medical Home

PubMed Central

Rovniak, Liza S.; Kraschnewski, Jennifer L.; Morrison, Kathy J.; Dillon, Judith F.; Bates, Beth Y.

2013-01-01

Background The number of medical center–based farmers markets has increased in the past decade, but little is known about how such organizations contribute to the preventive health goals of the patient-centered medical home. Community Context In 2010, we started a seasonal farmers market at Penn State Hershey Medical Center to help support the institution’s commitment to the medical home. Methods We obtained descriptive data on the farmers market from hospital and market records and tracking information on the market’s Facebook and Twitter sites. We computed summary measures to characterize how the market has begun to meet the 6 standards of the 2011 National Committee for Quality Assurance’s report on the medical home. Outcome During the 2010 and 2011 seasons, 146 medical center volunteers from 40 departments formed 23 interprofessional teams that spent an average of 551 volunteer hours per season at the market, providing health screenings (n = 695) and speaking to customers (n = 636) about preventive health. Fifty-five nonmedical community health partners provided 208 hours of service at the market alongside medical center staff. Market programming contributed to 5 regional preventive health partnerships and created opportunities for interprofessional mentoring, student leadership, data management, development of social media skills, and grant-writing experience. The market contributed to all 6 medical home standards outlined by the National Committee for Quality Assurance. Interpretation Medical center markets can support medical home standards. With systematic tracking of the health effects and integration with electronic medical health records, markets hold potential to contribute to comprehensive patient-centered care. PMID:23906327

Alternative Fuels Data Center: Electric Trucks Deliver at Kansas City

Science.gov Websites

vehicle charging stations. Rental Cars Go Electric in Florida Feb. 15, 2014 Renzenberger Inc Saves Money Philly March 3, 2012 Natural Gas School Buses Help Kansas City Save Money Nov. 12, 2011 Metropolitan July 1, 2010 Hybrid Electric Shuttle Buses Offer Free Rides in Maryland June 18, 2010 Fisher Coachworks

Science programs in Kansas

USGS Publications Warehouse

Kramer, Ariele R.; Kelly, Brian P.

2017-05-08

The U.S. Geological Survey (USGS) is a non-regulatory Earth science agency within the Department of the Interior that provides impartial scientific information to describe and understand the health of our ecosystems and environment; minimize loss of life and property from natural disasters; manage water, biological, energy, and mineral resources; and enhance and protect our quality of life. The USGS cooperates with Federal, State, tribal, and local agencies in Kansas to deliver long-term data in real-time and interpretive reports describing what those data mean to the public and resource management agencies. USGS science programs in Kansas provide real-time groundwater monitoring at more than 23 locations; streamflow monitoring at more than 218 locations; water-quality and trends in the Little Arkansas and Kansas Rivers; inflows and outflows of sediment to/from reservoirs and in streams; harmful algal bloom research in the Kansas River, Milford Lake, and Cheney Reservoir; water-quantity and water-quality effects of artificial groundwater recharge for the Equus Beds Aquifer Storage and Recovery project near Wichita, Kansas; compilation of Kansas municipal and irrigation water-use data statewide; the occurrence, effects, and movement of environmental pesticides, antibiotics, algal toxins, and taste-and-odor compounds; and funding to the Kansas Water Resources Research Institute to further research and education through Kansas universities.

Quality-assurance and data management plan for groundwater activities by the U.S. Geological Survey in Kansas, 2014

USGS Publications Warehouse

Putnam, James E.; Hansen, Cristi V.

2014-01-01

As the Nation’s principle earth-science information agency, the U.S. Geological Survey (USGS) is depended on to collect data of the highest quality. This document is a quality-assurance plan for groundwater activities (GWQAP) of the Kansas Water Science Center. The purpose of this GWQAP is to establish a minimum set of guidelines and practices to be used by the Kansas Water Science Center to ensure quality in groundwater activities. Included within these practices are the assignment of responsibilities for implementing quality-assurance activities in the Kansas Water Science Center and establishment of review procedures needed to ensure the technical quality and reliability of the groundwater products. In addition, this GWQAP is intended to complement quality-assurance plans for surface-water and water-quality activities and similar plans for the Kansas Water Science Center and general project activities throughout the USGS. This document provides the framework for collecting, analyzing, and reporting groundwater data that are quality assured and quality controlled. This GWQAP presents policies directing the collection, processing, analysis, storage, review, and publication of groundwater data. In addition, policies related to organizational responsibilities, training, project planning, and safety are presented. These policies and practices pertain to all groundwater activities conducted by the Kansas Water Science Center, including data-collection programs, interpretive and research projects. This report also includes the data management plan that describes the progression of data management from data collection to archiving and publication.

Impact of Kansas grain transportation on Kansas highway damage costs

DOT National Transportation Integrated Search

2002-03-01

Changes have occurred in the Kansas grain transportation systems that have increased trucking of grain. Kansas farmers will truck their grain a much greater distance to obtain the higher grain price at the unit train loading location. Farmers will by...

THE ECONOMIC ASPECTS OF URBANIZATION, ECONOMIC CONSIDERATIONS IN COMMUNITY ACTION. KANSAS STATE UNIVERSITY SHORT COURSE SERIES IN PLANNING AND DEVELOPMENT, 2.

ERIC Educational Resources Information Center

MCGRAW, EUGENE T.

STATISTICAL DATA AND PROJECTIONS ON POPULATION, EMPLOYMENT, AND INCOME IN KANSAS, AS REPORTED IN 1966 BY THE KANSAS OFFICE OF ECONOMIC ANALYSIS, UNDERLINE THE FACT THAT KANSAS IS CHANGING FROM A LARGELY AGRICULTURAL ECONOMY TO A MANUFACTURING-CENTERED, URBAN-ORIENTED ECONOMY. HOWEVER, THE ANTICIPATED PATTERN OF ECONOMIC GROWTH AND DEVELOPMENT IS…

Introducing Kansas Lava

NASA Astrophysics Data System (ADS)

Gill, Andy; Bull, Tristan; Kimmell, Garrin; Perrins, Erik; Komp, Ed; Werling, Brett

Kansas Lava is a domain specific language for hardware description. Though there have been a number of previous implementations of Lava, we have found the design space rich, with unexplored choices. We use a direct (Chalmers style) specification of circuits, and make significant use of Haskell overloading of standard classes, leading to concise circuit descriptions. Kansas Lava supports both simulation (inside GHCi), and execution via VHDL, by having a dual shallow and deep embedding inside our Signal type. We also have a lightweight sized-type mechanism, allowing for MATLAB style matrix based specifications to be directly expressed in Kansas Lava.

Medical service plans in academic medical centers.

PubMed

Siegel, B

1978-10-01

Medical service plans are of major importance to academic medical centers and are becoming increasingly so each year as evidenced by growing dependence of medical schools on resulting funds. How these funds are generated and used varies among schools. The procedures may affect the governance of the institution, modifying the authority of the central administration or the clinical departments. Recent developments in federal legislation, such as health maintenance organizations and amendments (Section 227) to the Social Security Act, and the future development of national health insurance will certainly have an effect on how academic medical centers organize their clinical activities. How successfully various medical schools deal with the dynamic problem may well determine their future survival.

U.S. Geological Survey quality-assurance plan for continuous water-quality monitoring in Kansas, 2014

USGS Publications Warehouse

Bennett, Trudy J.; Graham, Jennifer L.; Foster, Guy M.; Stone, Mandy L.; Juracek, Kyle E.; Rasmussen, Teresa J.; Putnam, James E.

2014-01-01

A quality-assurance plan for use in conducting continuous water-quality monitoring activities has been developed for the Kansas Water Science Center in accordance with guidelines set forth by the U.S. Geological Survey. This quality-assurance plan documents the standards, policies, and procedures used by the U.S. Geological Survey in Kansas for activities related to the collection, processing, storage, analysis, and release of continuous water-quality monitoring data. The policies and procedures that are documented in this quality-assurance plan for continuous water-quality monitoring activities complement quality-assurance plans for surface-water and groundwater activities in Kansas.

Hispanics and Poverty in Kansas.

ERIC Educational Resources Information Center

Kansas Advisory Committee on Hispanic Affairs, Topeka.

Based on 1990 census figures, Hispanics have the lowest per capita income ($8,007) of all racial population groups in Kansas. Eighteen percent of Kansas Hispanics live in poverty, as do 24 percent of Hispanic children and 62 percent of Hispanic female-headed single-parent families. Hispanics in rural counties of southwestern Kansas have higher…

Summary of hydrologic conditions in Kansas, water year 2014

USGS Publications Warehouse

Robison, Andrew L.

2015-01-01

The U.S. Geological Survey Kansas Water Science Center, in cooperation with Federal, State, and local agencies, maintains a long-term network of hydrologic monitoring gages in the State of Kansas. These include 206 real-time streamgages, 12 real-time reservoir-level monitoring stations, and 32 groundwater monitoring wells. These data and associated analyses, accumulated over time, provide a unique overview of hydrologic conditions and help improve our understanding of Kansas’s water resources. Yearly hydrologic conditions are determined by comparing statistical analyses of current and historical water year data for the period of record. These data are used in protecting life and property, and managing water resources for agricultural, industrial, public supply, ecological, and recreational purposes.

University of Kansas Medical center Cancer Research Equipment Award Type: Construction Grant

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

Caldwell, Jamie

A major mechanism to strengthen the overall cancer focus of KUCC and expand specific research programs is through targeted recruitment of additional cancer researchers to increase the national and international status of the Cancer Center, enhance the number of NCI/cancer-related grants, fill critical research needs, and enable new collaborative projects. Over the last five years KUCC has demonstrated the ability to recruit nationally recognized basic, translational and clinical scientists to fill key leadership positions and strengthen our research programs. These researchers require new and renovated research facilities require state-of-the-art laboratory equipment. This includes standard equipment for the renovated laboratories andmore » more specialized equipment as part of new investigator start-up packages. This funding is used to support recruitment, facilities, equipment, shared resources, administration, and patient care services. KUCC is committed to recruiting additional cancer researchers to increase the national and international status of the Cancer Center, enhance the number of NCI/cancer-related grants, fill critical research positions and build the four cancer research programs. Each purposeful hire aims to further the scientific vision, mission, and goals of the Cancer Center research programs. The funds requested will be used to supplement the recruitment packages of future cancer center recruits primarily through purchase of key equipment items.« less

Digital Learning Compass: Distance Education State Almanac 2017. Kansas

ERIC Educational Resources Information Center

Seaman, Julia E.; Seaman, Jeff

2017-01-01

This brief report uses data collected under the U.S. Department of Education's National Center for Educational Statistics (NCES) Integrated Postsecondary Education Data System (IPEDS) Fall Enrollment survey to highlight distance education data in the state of Kansas. The sample for this analysis is comprised of all active, degree-granting…

Kansas coal distribution, resources, and potential for coalbed methane

USGS Publications Warehouse

Brady, L.L.

2000-01-01

100 ft (>30 m)] determined from 32 different coal beds. Strippable coal resources at a depth Kansas has large amounts of bituminous coal both at the surface and in the subsurface of eastern Kansas. Preliminary studies indicate at least 53 billion tons (48 billion MT) of deep coal [>100 ft (>30 m)] determined from 32 different coal beds. Strippable coal resources at a depth < 100 ft (<30 m) total 2.8 billion tons (2.6 billion MT), and this total is determined from 17 coals. Coal beds present in the Cherokee Group (Middle Pennsylvanian) represent most of these coal resource totals. Deep coal beds with the largest resource totals include the Bevier, Mineral, "Aw" (unnamed coal bed), Riverton, and Weir-Pittsburg coals, all within the Cherokee Group. Based on chemical analyses, coals in the southeastern part of the state are generally high volatile A bituminous, whereas coals in the east-central and northeastern part of the state are high-volatile B bituminous coals. The primary concern of coal beds in Kansas for deep mining or development of coalbed methane is the thin nature [<2 ft (0.6 m)] of most coal beds. Present production of coalbed methane is centered mainly in the southern Wilson/northern Montgomery County area of southeastern Kansas where methane is produced from the Mulky, Weir-Pittsburg, and Riverton coals.

Kennedy Space Center Medical Operations and Medical Kit

NASA Technical Reports Server (NTRS)

Scarpa, Philip

2011-01-01

This slide presentation reviews the emergency medical operations at Kennedy Space center, the KSC launch and landing contingency modes, the triage site, the medical kit, and the medications available.

Advertising by academic medical centers.

PubMed

Larson, Robin J; Schwartz, Lisa M; Woloshin, Steven; Welch, H Gilbert

2005-03-28

Many academic medical centers have increased their use of advertising to attract patients. While the content of direct-to-consumer pharmaceutical advertisements (ads) has been studied, to our knowledge, advertising by academic medical centers has not. We aimed to characterize advertising by the nation's top academic medical centers. We contacted all 17 medical centers named to the US News & World Report 2002 honor roll of "America's Best Hospitals" for a semistructured interview regarding their advertising practices. In addition, we obtained and systematically analyzed all non-research-related print ads placed by these institutions in their 5 most widely circulating local newspapers during 2002. Of the 17 institutions, 16 reported advertising to attract patients; 1 stated, "We're just word of mouth." While all 17 centers confirmed the presence of an institutional review board process for approving advertising to attract research subjects, none reported a comparable process for advertising to attract patients. We identified 127 unique non-research-related print ads for the 17 institutions during 2002 (mean, 7.5; range, 0-39). Three ads promoted community events with institution sponsorship, 2 announced genuine public services, and 122 were aimed at attracting patients. Of the latter group, 36 ads (29.5%) promoted the medical center as a whole, while 65 (53.3%) promoted specific clinical departments and 21 (17.2%) promoted single therapeutic interventions or diagnostic tests. The most commonly used marketing strategies included appealing to emotions (61.5%), highlighting institution prestige (60.7%), mentioning a symptom or disease (53.3%), and promoting introductory lectures or special offers likely to lead to further business (47.5%). Of the 21 ads for single interventions, most were for unproved (38.1%) or cosmetic (28.6%) procedures. While more than half of these ads presented benefits, none quantified their positive claims and just 1 mentioned potential harms

Kansas Energy Sources: A Geological Review

USGS Publications Warehouse

Merriam, D.F.; Brady, L.L.; Newell, K.D.

2012-01-01

Kansas produces both conventional energy (oil, gas, and coal) and nonconventional (coalbed gas, wind, hydropower, nuclear, geothermal, solar, and biofuels) and ranks the 22nd in state energy production in the U. S. Nonrenewable conventional petroleum is the most important energy source with nonrenewable, nonconventional coalbed methane gas becoming increasingly important. Many stratigraphic units produce oil and/or gas somewhere in the state with the exception of the Salina Basin in north-central Kansas. Coalbed methane is produced from shallow wells drilled into the thin coal units in southeastern Kansas. At present, only two surface coal mines are active in southeastern Kansas. Although Kansas has been a major exporter of energy in the past (it ranked first in oil production in 1916), now, it is an energy importer. ?? 2011 International Association for Mathematical Geology.

Characterizing customers at medical center farmers' markets.

PubMed

Kraschnewski, Jennifer L; George, Daniel R; Rovniak, Liza S; Monroe, Diana L; Fiordalis, Elizabeth; Bates, Erica

2014-08-01

Approximately 100 farmers' markets operate on medical center campuses. Although these venues can uniquely serve community health needs, little is known about customer characteristics and outreach efforts. Intercept survey of markets and market customers between August 2010 and October 2011 at three medical centers in different geographic regions of the US (Duke University Medical Center, Cleveland Clinic, and Penn State Hershey Medical Center) were conducted. Markets reported serving 180-2,000 customers per week and conducting preventive medicine education sessions and community health programs. Customers (n = 585) across markets were similar in sociodemographic characteristics--most were middle-aged, white, and female, who were employees of their respective medical center. Health behaviors of customers were similar to national data. The surveyed medical center farmers' markets currently serve mostly employees; however, markets have significant potential for community outreach efforts in preventive medicine. If farmers' markets can broaden their reach to more diverse populations, they may play an important role in contributing to community health.

Expanding Local Cancer Clinical Trial Options: Analysis of the Economic Impact of the Midwest Cancer Alliance in Kansas.

PubMed

Gafford, J Atlee; Gurley-Calvez, Tami; Krebill, Hope; Lai, Sue Min; Christiadi; Doolittle, Gary C

2017-09-01

Patients benefit from receiving cancer treatment closer to home when possible and at high-volume regional centers when specialized care is required. The purpose of this analysis was to estimate the economic impact of retaining more patients in-state for cancer clinical trials and care, which might offset some of the costs of establishing broader cancer trial and treatment networks. Kansas Cancer Registry data were used to estimate the number of patients retained in-state for cancer care following the expansion of local cancer clinical trial options through the Midwest Cancer Alliance based at the University of Kansas Medical Center. The 2014 economic impact of this enhanced local clinical trial network was estimated in four parts: Medical spending was estimated on the basis of National Cancer Institute cost-of-care estimates. Household travel cost savings were estimated as the difference between in-state and out-of-state travel costs. Trial-related grant income was calculated from administrative records. Indirect and induced economic benefits to the state were estimated using an economic impact model. The authors estimated that the enhanced local cancer clinical trial network resulted in approximately $6.9 million in additional economic activity in the state in 2014, or $362,000 per patient retained in-state. This estimate includes $3.6 million in direct spending and $3.3 million in indirect economic activity. The enhanced trial network also resulted in 45 additional jobs. Retaining patients in-state for cancer care and clinical trial participation allows patients to remain closer to home for care and enhances the state economy.

New records of sylvatic plague in Kansas

USGS Publications Warehouse

Cully, J.F.; Carter, L.G.; Gage, K.L.

2000-01-01

Sylvatic plague, or plague of wild rodents is caused by Yersinia pestis and entered California (USA) from Asia about 1899. Extensive sampling during the 1930's and 1940's documented the spread of plague to approximately its current distribution in North America. Records from the Centers for Disease Control and Prevention document plague in Kansas (USA) between 1945 and 1950, but since then there has been no documentation of plague in the state. Following a die-off of a black-tailed prairie dog (Cynomys ludovicianus) colony on the Cimarron National Grassland, in the southwestern corner of Kansas (37??10???N, 101??45???W), we sampled fleas from burrows in June 1997, and tested them for Yersinia pestis. Twelve of 13 pools of Oropsyla hirsuta and one of two Pulex sp. were positive. A similar sample of fleas, from another colony where black-tailed prairie dogs were active at the time, yielded no positive fleas.

Irrigation trends in Kansas, 1991-2011

USGS Publications Warehouse

Kenny, Joan F.; Juracek, Kyle E.

2013-01-01

This fact sheet examines trends in total reported irrigation water use and acres irrigated as well as irrigation water use by crop type and system type in Kansas for the years 1991 through 2011. During the 21-year period, total reported irrigation water diversions varied substantially from year to year as affected primarily by climatic fluctuations. Total reported acres irrigated remained comparatively constant during this time, although acreages of irrigated corn increased and center pivots with drop nozzles became the dominant system type used for irrigation.

Person-centered medical interview

PubMed Central

Đorđević, Veljko; Braš, Marijana; Brajković, Lovorka

2012-01-01

Abstract We are witnessing an unprecedented development of medical science and personalized medicine. However, technological superiority must not make us lose sight of the physical, psychological, social, and spiritual totality of the patient. The core of the medical profession has always been and will be the relationship between the health professional and the person seeking assistance. However, the traditional relationship between the physician and the patient has changed and is greatly impacted by huge social, philosophical, economic, and scientific developments. It is important to develop and promote the culture of health instead of the culture of illness through a patient-doctor collaborative partnership, as well as partnership among professionals. Person-centered medical interview is an important bridge between personalized and person-centered medicine. PMID:22911522

Durable superpave mixes in Kansas.

DOT National Transportation Integrated Search

2016-05-01

Approximately 89% of 11,000 miles of Kansas roads are surfaced with asphalt. Hundreds of thousands of tons : of reclaimed asphalt pavement (RAP) are produced annually in the United States, including in Kansas. This bulk : volume of RAP must be econom...

Ground-water resources of Kansas

USGS Publications Warehouse

Moore, R.C.; Lohman, S.W.; Frye, J.C.; Waite, H.A.; McLaughlin, Thad G.; Latta, Bruce

1940-01-01

Importance of ground-water resources.—The importance of Kansas' ground-water resources may be emphasized from various viewpoints and in different ways. More than three-fourths of the public water supplies of Kansas are obtained from wells. In 1939, only 60 out of 375 municipal water supplies in Kansas, which is 16 percent, utilized surface waters. If the water wells of the cities and those located on all privately owned land in the state were suddenly destroyed, making it necessary to go to streams, springs, lakes (which are almost all artificial), and ponds for water supply domestic, stock, and industrial use, there would be almost incalculable difficulty and expense. If one could not go to springs, or dig new wells, or use any surface water derived from underground flow, much of Kansas would become uninhabitable.  These suggested conditions seem absurd, but they emphasize our dependence on ground-water resources. Fromm a quantitative standpoint, ground-water supplies existent in Kansas far outweigh surface waters that are present in the state at any one time. No exact figures for such comparison can be given, but, taking 384 square miles as the total surface water area of the state and estimating an average water depth of five feet, the computed volume of surface waters is found to be 1/100th of that of the conservatively estimated ground-water storage in Kansas. The latter takes account only of potable fresh water and is based on an assumed mean thickness of ten feet of reservoir having an effective porosity of twenty percent. It is to be remembered, however, that most of the surface water is run-off, which soon leaves the state, stream valleys being replenished from rainfall and flow from ground-water reservoirs. Most of the ground-water supplies, on the other hand, have existed for many years with almost no appreciable movement--in fact, it is reasonably certain that some well water drawn from beneath the surface of Kansas in 1940 represents rainfall in

Kansas | Solar Research | NREL

Science.gov Websites

1.1 MW. Kansas allows up to 100 kW of solar PV projects to be net metered. Midmarket customer Kansas's RPS. The utility and the customer-generator may sell any associated Renewable Energy Certificates aggregation: Not addressed As an alternative to net metering, customer-generators of systems up to 200 kW may

Sediment and channel-geometry investigations for the Kansas River bank stabilization study, Kansas, Nebraska, and Colorado

USGS Publications Warehouse

Osterkamp, W.R.; Curtis, R.E.; Crowther, H.G.

1982-01-01

Analysis of hydrologic data from the Kansas River basin suggests that the channels of the lower Solomon, Saline, and Smoky Hill Rivers have narrowed and stabilized as a result of construction of upstream reservoirs. The Kansas River channel, however, remains relatively unstable and locally active. Streamflow regulation and sediment trapping by reservoirs are possible causes of changes occurring at various Kansas River sites. An inferred deficiency of the suspended-sediment load, however, is likely to cause continuing instability. Suspended sediment in the Kansas River apparently is too sparse to form and maintain stable alluvial banks. The deficiency probably results in an increase of bed material movement, general channel widening, and local braiding. Significant channel degradation is lacking at most sites, but may occur in response to long-term (decades-to-centuries) regulation. Recent degradation near Bonner Springs, Kans., may be the result of sand and gravel removal. Any imposed changes that shorten the channel or reduce the suspended-sediment discharge of the Kansas River are expected to cause additional channel instability. (USGS)

Medical Center Staff Attitudes about Spanking

PubMed Central

Gershoff, Elizabeth T.; Font, Sarah A.; Taylor, Catherine A.; Foster, Rebecca H.; Garza, Ann Budzak; Olson-Dorff, Denyse; Terreros, Amy; Nielsen-Parker, Monica; Spector, Lisa

2016-01-01

Several medical professional organizations, including the American Academy of Pediatrics, recommend that parents avoid hitting children for disciplinary purposes (e.g., spanking) and that medical professionals advise parents to use alternative methods. The extent to which medical professionals continue to endorse spanking is unknown. This study is the first to examine attitudes about spanking among staff throughout medical settings, including non-direct care staff. A total of 2,580 staff at a large general medical center and 733 staff at a children’s hospital completed an online survey; respondents were roughly divided between staff who provide direct care to patients (e.g., physicians, nurses) and staff who do not (e.g., receptionists, lab technicians). Less than half (44% and 46%) of staff at each medical center agreed that spanking is harmful to children, although almost all (85% and 88%) acknowledged that spanking can lead to injury. Men, staff who report being religious, and staff who held non-direct care positions at the medical center reported stronger endorsement of spanking and perceived their co-workers to be more strongly in favor of spanking. Non-direct care staff were more supportive of spanking compared with direct care staff on every item assessed. All staff underestimated the extent to which their co-workers held negative views of spanking. If medical centers and other medical settings are to lead the charge in informing the community about the harms of spanking, comprehensive staff education about spanking is indicated. PMID:27744218

Expanding Local Cancer Clinical Trial Options: Analysis of the Economic Impact of the Midwest Cancer Alliance in Kansas

PubMed Central

Gafford, J. Atlee; Krebill, Hope; Lai, Sue Min; Christiadi; Doolittle, Gary C.

2017-01-01

Purpose Patients benefit from receiving cancer treatment closer to home when possible and at high-volume regional centers when specialized care is required. The purpose of this analysis was to estimate the economic impact of retaining more patients in-state for cancer clinical trials and care, which might offset some of the costs of establishing broader cancer trial and treatment networks. Method Kansas Cancer Registry data were used to estimate the number of patients retained in-state for cancer care following the expansion of local cancer clinical trial options through the Midwest Cancer Alliance based at the University of Kansas Medical Center. The 2014 economic impact of this enhanced local clinical trial network was estimated in four parts: Medical spending was estimated on the basis of National Cancer Institute cost-of-care estimates. Household travel cost savings were estimated as the difference between in-state and out-of-state travel costs. Trial-related grant income was calculated from administrative records. Indirect and induced economic benefits to the state were estimated using an economic impact model. Results The authors estimated that the enhanced local cancer clinical trial network resulted in approximately $6.9 million in additional economic activity in the state in 2014, or $362,000 per patient retained in-state. This estimate includes $3.6 million in direct spending and $3.3 million in indirect economic activity. The enhanced trial network also resulted in 45 additional jobs. Conclusions Retaining patients in-state for cancer care and clinical trial participation allows patients to remain closer to home for care and enhances the state economy. PMID:28253204

Medical center staff attitudes about spanking.

PubMed

Gershoff, Elizabeth T; Font, Sarah A; Taylor, Catherine A; Foster, Rebecca H; Garza, Ann Budzak; Olson-Dorff, Denyse; Terreros, Amy; Nielsen-Parker, Monica; Spector, Lisa

2016-11-01

Several medical professional organizations, including the American Academy of Pediatrics, recommend that parents avoid hitting children for disciplinary purposes (e.g., spanking) and that medical professionals advise parents to use alternative methods. The extent to which medical professionals continue to endorse spanking is unknown. This study is the first to examine attitudes about spanking among staff throughout medical settings, including non-direct care staff. A total of 2580 staff at a large general medical center and 733 staff at a children's hospital completed an online survey; respondents were roughly divided between staff who provide direct care to patients (e.g., physicians, nurses) and staff who do not (e.g., receptionists, lab technicians). Less than half (44% and 46%) of staff at each medical center agreed that spanking is harmful to children, although almost all (85% and 88%) acknowledged that spanking can lead to injury. Men, staff who report being religious, and staff who held non-direct care positions at the medical center reported stronger endorsement of spanking and perceived their co-workers to be more strongly in favor of spanking. Non-direct care staff were more supportive of spanking compared with direct care staff on every item assessed. All staff underestimated the extent to which their co-workers held negative views of spanking. If medical centers and other medical settings are to lead the charge in informing the community about the harms of spanking, comprehensive staff education about spanking is indicated. Copyright © 2016 Elsevier Ltd. All rights reserved.

Voice from Lawrence, Kansas: Diverse Adult Learners in a University Community

ERIC Educational Resources Information Center

White, Angela; Herrod, Norma

2007-01-01

This article focuses on the Lawrence Adult Learning Center, the only program in Kansas offering Adult Basic Education. The LALC has been a program on wheels, always moving to another location. Its mission is to enable adult students to: acquire appropriate skills and knowledge necessary to become informed decision makers and effective…

Characterizing customers at medical center farmers’ markets1

PubMed Central

Kraschnewski, Jennifer L.; George, Daniel R.; Rovniak, Liza S.; Monroe, Diana L.; Fiordalis, Elizabeth; Bates, Erica

2014-01-01

Approximately 100 farmers’ markets operate on medical center campuses. Although these venues can uniquely serve community health needs, little is known about customer characteristics and outreach efforts. Intercept survey of markets and market customers between August 2010-October 2011 at three medical centers in different geographic regions of the US: Duke University Medical Center, Cleveland Clinic, and Penn State Hershey Medical Center were conducted. Markets reported serving 180–2000 customers per week and conducting preventive medicine education sessions and community health programs. Customers (n=585) across markets were similar in sociodemographic characteristics – most were middle-aged, white, and female, who were employees of their respective medical center. Health behaviors of customers were similar to national data. The surveyed medical center farmers’ markets currently serve mostly employees; however, markets have significant potential for community outreach efforts in preventive medicine. If farmers’ markets can broaden their reach to more diverse populations, they may play an important role in contributing to community health. PMID:24421001

Actualizing culture change: The Promoting Excellent Alternatives in Kansas Nursing Homes (PEAK 2.0) program.

PubMed

Doll, Gayle A; Cornelison, Laci J; Rath, Heath; Syme, Maggie L

2017-08-01

Nursing homes have been challenged in their attempts to achieve deep, organizational change (i.e., culture change) aimed at providing quality of care and quality of life for nursing home residents through person-centered care. To attain deep change, 2 well-defined components must be in place: a shared understanding of (a) the what, or content goals, and (b) the how, or process of change. However, there are few examples of this at a macro or micro level in long-term care. In an effort to enact true culture change in nursing homes statewide, the Kansas Department for Aging and Disability Services implemented the Promoting Excellent Alternatives in Kansas Nursing Homes program. This program is a Medicaid, pay-for-performance program that formalizes the content and process of achieving culture change through person-centered care principles. This article aims to detail the content (what) and process (how) of a model macro-level program of culture change throughout the State of Kansas. Applications to the micro level (individual homes) are presented, and implications for psychologists' roles in facilitating culture change are discussed. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Tornado disaster--Kansas, 1991.

PubMed

1992-03-13

On April 26, 1991, 54 tornadoes swept across six midwestern states, causing 24 deaths and more than 200 injuries, requiring disaster-relief services for more than 8000 persons, and causing property damage of more than $250 million. In Kansas, one tornado, with wind speeds exceeding 260 mph, caused 17 deaths. The 46-mile path of the tornado led through Andover, Kansas (Butler County) (population: 4300), where the town's only outdoor warning siren failed. A mobile-home park (MHP) in Andover with 244 homes and one community storm shelter was struck by the tornado, resulting in the destruction of 205 (84%) of these homes. This report summarizes a poststorm survey, conducted by local health departments, the Kansas Department of Health and Environment, the American Red Cross, and CDC, to identify risk factors for injury and death among persons in the MHP.

78 FR 50409 - Kansas Municipal Energy Agency v. Sunflower Electric Power Corporation, Mid-Kansas Electric...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-19

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket Nos. EL13-84-000] Kansas Municipal Energy Agency v. Sunflower Electric Power Corporation, Mid-Kansas Electric Company, LLC, Southwest... 306 of the Federal Power Act, 16 U.S.C. 824e and 825e and Rule 206 of the Federal Energy Regulatory...

Head Start Evaluation and Research Center, University of Kansas. Final Report on Research Activities.

ERIC Educational Resources Information Center

Etzel, Barbara C.; And Others

This document is the final report to the Institute of Educational Development for Head Start Research Evaluation activities at the University of Kansas for 1966-67. It contains 16 separate reports of studies completed or in the process of completion. The subject matter of the reports contains 15 distinct topics and warrants individual abstracts.…

Forest Area in Kansas, 1981

Treesearch

Ronald L. Hackett

1983-01-01

The 1981 forest inventory of Kansas showed that 2.6 percent of the total land area is forested. Commercial forest land accounted for 89 percent or 1,207,900 acres of the forest land and oak-hickory is the major forest type. An important Kansas resource are the 150,000 acres of natural wooded strips.

Kansas Public Television Network (KPTN).

ERIC Educational Resources Information Center

Lemen, Jack A.

The plans of the Kansas Public Television Board (KPTB) for development of the Kansas Television Network are detailed for the period extending from FY 1979 to FY 1983; the proposed system is designed to serve the needs of the communities by extending existing capabilities and resources, sharing common resources, and enriching the total system.…

Water use in Kansas, 1990-2000

USGS Publications Warehouse

Kenny, Joan F.; Hansen, Cristi V.

2004-01-01

This fact sheet compares water use in 1990, 1995, and 2000 for the 12 major river basins in Kansas. Of these 3 years, irrigation water use was largest in 1990 and smallest in 1995, largely because of differing climatic conditions. Irrigation averaged about 85 percent of total water use in Kansas each year, and ground water pumped in the western part of the State provided most of the irrigation water used. Water use for public supply, industry, and livestock increased between 1990 and 2000. Total State population increased 8 percent between 1990 and 2000, and the number of people served by public water suppliers increased 12 percent. Surface water withdrawn for public supply increased 24 percent because of population growth in the northeastern and south-central parts of the State and decreasing reliance on ground water by the city of Wichita. From 1990 to 2000, ground-water withdrawals for livestock and meat processing increased in western Kansas, and surface-water withdrawals for sand dredging increased in eastern Kansas. This fact sheet was produced as part of an ongoing cooperative program supported in part by the Kansas State Water Plan Fund.

Survey of Fossil Vertebrates from East-Central Kansas, Kansas River Bank Stabilization Study

DTIC Science & Technology

1979-01-01

Crane from the Late Pleistocene of Kansas. Kansas Ornithological Bulletin, vol. 28:22-23. 1977. A Cheetah -like Cat in the North American Pleistocene...conservatior of archeological resources in the study area, Reference is mad• on page 33 to habitats used by prehistoric people, but the reader is given...sites in different "situational locales." The statement following the table that the locations of the sites indicate a diversity of habitats used by

Irrigation water use in Kansas, 2013

USGS Publications Warehouse

Lanning-Rush, Jennifer L.

2016-03-22

This report, prepared by the U.S. Geological Survey in cooperation with the Kansas Department of Agriculture, Division of Water Resources, presents derivative statistics of 2013 irrigation water use in Kansas. The published regional and county-level statistics from the previous 4 years (2009–12) are shown with the 2013 statistics and are used to calculate a 5-year average. An overall Kansas average and regional averages also are calculated and presented. Total reported irrigation water use in 2013 was 3.3 million acre-feet of water applied to 3.0 million irrigated acres.

Impact of Kansas Ethanol Production on Kansas Transportation

DOT National Transportation Integrated Search

2009-10-01

The rapid expansion of the biofuel industry has driven the Kansas agricultural transportation market into a new era. Nationally, fuel alcohol production increased 452 percent in the 2000-2008 period. The number of ethanol production plants rose 215 p...

Enactment of mandatory pharmacy technician certification in Kansas.

PubMed

Lucas, Amber; Massey, Lindsay; Gill, Taylor; Burger, Gregory; Little, Jeff D

2016-02-01

The successful enactment of mandatory pharmacy technician certification in Kansas is described. In 2004, Kansas began requiring registration of all pharmacy technicians with the state board of pharmacy. Registration identified individuals working as pharmacy technicians but did not require any specific education or certification. In September 2012, the Kansas Board of Pharmacy created a task force of key stakeholders including pharmacists from multiple areas of practice, the University of Kansas School of Pharmacy, organizational leaders from the Kansas Council of Health-System Pharmacists (KCHP) and Kansas Pharmacists Association, and professional lobbyists. The goals of this task force were to research practices of technician certification in other states and to make recommendations to the state board of pharmacy on how Kansas could accomplish mandatory technician certification. The task force outlined the steps needed to achieve legislation that could be supported by the members. These topics included the creation of a technician trainee category, grandfathering certain technicians who had been practicing for a designated period of time, state board-approved exemptions, training requirements, age and education requirements, continuing-education requirements, and pharmacist:technician ratio. The recommendations were finalized at the August 2013 Kansas Pharmacy Summit, and the proposed legislation was introduced and passed during the 2014 legislative session. KCHP members learned many valuable lessons about advocacy and the legislative process with this initiative, including building relationships, working with legislators, and working with other professional organizations. The formation of a task force led to the successful passage of a bill granting the Kansas Board of Pharmacy the authority to issue regulations regarding mandatory pharmacy technician certification. Copyright © 2016 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

Medical Waste Management in Community Health Centers.

PubMed

Tabrizi, Jafar Sadegh; Rezapour, Ramin; Saadati, Mohammad; Seifi, Samira; Amini, Behnam; Varmazyar, Farahnaz

2018-02-01

Non-standard management of medical waste leads to irreparable side effects. This issue is of double importance in health care centers in a city which are the most extensive system for providing Primary Health Care (PHC) across Iran cities. This study investigated the medical waste management standards observation in Tabriz community health care centers, northwestern Iran. In this triangulated cross-sectional study (qualitative-quantitative), data collecting tool was a valid checklist of waste management process developed based on Iranian medical waste management standards. The data were collected in 2015 through process observation and interviews with the health center's staff. The average rate of waste management standards observance in Tabriz community health centers, Tabriz, Iran was 29.8%. This case was 22.8% in dimension of management and training, 27.3% in separating and collecting, 31.2% in transport and temporary storage, and 42.9% in sterilization and disposal. Lack of principal separation of wastes, inappropriate collecting and disposal cycle of waste and disregarding safety tips (fertilizer device performance monitoring, microbial cultures and so on) were among the observed defects in health care centers supported by quantitative data. Medical waste management was not in a desirable situation in Tabriz community health centers. The expansion of community health centers in different regions and non-observance of standards could predispose to incidence the risks resulted from medical wastes. So it is necessary to adopt appropriate policies to promote waste management situation.

U.S. Geological Survey quality-assurance plan for surface-water activities in Kansas, 2015

USGS Publications Warehouse

Painter, Colin C.; Loving, Brian L.

2015-01-01

This Surface Water Quality-Assurance Plan documents the standards, policies, and procedures used by the Kansas Water Science Center (KSWSC) of the U.S. Geological Survey (USGS) for activities related to the collection, processing, storage, analysis, and publication of surface-water data.

Eastern and Central Kansas Country Schools. Country School Legacy: Humanities on the Frontier.

ERIC Educational Resources Information Center

Judge, Sara E.

Country schools in eastern and central Kansas are explored from six different aspects: country schools as historic sites; teachers (their roles, rules, and restrictions); reading, writing, arithmetic, and recitation (a day in a rural school); country schools and the Americanization of ethnic groups; country schools as community centers; and…

Kansas Educational Achievement Report Card 2015. Research Reports

ERIC Educational Resources Information Center

Tallman, Mark; Carter, Ted

2015-01-01

This report includes a high-level overview of student outcome data and how Kansas measures up to the other 49 states. It is meant to complement the other reporting that the Kansas Association of School Boards has released and will be releasing related to improving student outcomes for all Kansas public schools. The following are key findings…

Floods in Kansas City, Missouri and Kansas, September 12-13, 1977

USGS Publications Warehouse

Hauth, Leland D.; Carswell, William J.

1978-01-01

The storm of September 12-13, 1977, produced as much as 16 inches of rainfall in the Kansas City, Missouri-Kansas area, left 25 persons dead, many homeless, and caused over 50 million dollars in damages.Data from National Weather Service recording rain gages indicate the storm came in two bursts within 24 hours. Flood hydrographs developed from streamflow records in the area also reflect the two events, with the second yielding the greater runoff.Peak discharges were determined during and after flood at gaging stations and selected miscellaneous locations. Peak discharges in areas of great rainfall depths were well over the criteria for the 100-year flood.

Patient-centered priorities for improving medication management and adherence.

PubMed

McMullen, Carmit K; Safford, Monika M; Bosworth, Hayden B; Phansalkar, Shobha; Leong, Amye; Fagan, Maureen B; Trontell, Anne; Rumptz, Maureen; Vandermeer, Meredith L; Brinkman, William B; Burkholder, Rebecca; Frank, Lori; Hommel, Kevin; Mathews, Robin; Hornbrook, Mark C; Seid, Michael; Fordis, Michael; Lambert, Bruce; McElwee, Newell; Singh, Jasvinder A

2015-01-01

The Centers for Education and Research on Therapeutics convened a workshop to examine the scientific evidence on medication adherence interventions from the patient-centered perspective and to explore the potential of patient-centered medication management to improve chronic disease treatment. Patients, providers, researchers, and other stakeholders (N = 28) identified and prioritized ideas for future research and practice. We analyzed stakeholder voting on priorities and reviewed themes in workshop discussions. Ten priority areas emerged. Three areas were highly rated by all stakeholder groups: creating tools and systems to facilitate and evaluate patient-centered medication management plans; developing training on patient-centered prescribing for providers; and increasing patients' knowledge about medication management. However, priorities differed across stakeholder groups. Notably, patients prioritized using peer support to improve medication management while researchers did not. Engaging multiple stakeholders in setting a patient-centered research agenda and broadening the scope of adherence interventions to include other aspects of medication management resulted in priorities outside the traditional scope of adherence research. Workshop participants recognized the potential benefits of patient-centered medication management but also identified many challenges to implementation that require additional research and innovation. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Kansas's forest resources in 2002

Treesearch

W. Keith Moser; Robert L. Atchison; Gary J. Brand

2004-01-01

Results of the 2002 annual inventory of Kansas shows an estimated 2.2 million acres of forest land. The oak-hickory type is the most widespread forest type on the landscape, covering over 45.4 percent of all forested land. Softwoods make up approximately 6.4 percent of Kansas's forested acreage. In 2001-2002, the net volume of all live trees and salvable dead...

Delinquent Medical Service Accounts at Naval Medical Center Portsmouth Need Additional Management Oversight

DTIC Science & Technology

2015-03-04

H 4 , 2 0 1 5 Delinquent Medical Service Accounts at Naval Medical Center Portsmouth Need Additional Management Oversight Report No. DODIG-2015...04 MAR 2015 2. REPORT TYPE 3. DATES COVERED 00-00-2015 to 00-00-2015 4. TITLE AND SUBTITLE Delinquent Medical Service Accounts at Naval...i Results in Brief Delinquent Medical Service Accounts at Naval Medical Center Portsmouth Need Additional Management Oversight Visit us at

The Center for Healthy Weight: an academic medical center response to childhood obesity

PubMed Central

Robinson, T N; Kemby, K M

2012-01-01

Childhood obesity represents a worldwide medical and public health challenge. Academic medical centers cannot avoid the effects of the obesity epidemic, and must adopt strategies for their academic, clinical and public policy responses to childhood obesity. The Center for Healthy Weight at Stanford University and Lucile Packard Children's Hospital at Stanford provides an example and model of one such strategy. The design provides both breadth and depth through six cores: Research, Patient Care, Community Programs, Advocating for Public Policy Change, Training and Professional Education, and the Healthy Hospital Initiative. The Center and its cores are designed to facilitate interdisciplinary collaboration across the university, medical school, children's hospital and surrounding community. The foci of these cores are likely to be relevant to almost any academic medical center's mission and functions. PMID:25089192

Endangered Fish Species in Kansas: Historic vs Contemporary Distribution

EPA Science Inventory

Background/Question/Methods Kansas state has more freshwater fish species than other states in the west and northern US. Based on recent count, more than 140 fishes have been documented in Kansas rivers. And at least five are categorized as endangered species in Kansas (and thre...

History of natural flows--Kansas River

USGS Publications Warehouse

Leeson, Elwood R.

1958-01-01

Through its Water Resources Division, the United States Geological Survey has become the major water-resources historian for the nation. The Geological Survey's collection of streamflow records in Kansas began on a very small scale in 1895 in response to some early irrigation interest, Since that time the program has grown, and we now have about 21 350 station-years of record accumulated. A station-year of record is defined as a continuous record of flow collected at a fixed point for a period of one year. Volume of data at hand, however, is not in itself an, adequate measure of its usefullness. An important element in historical streamflow data which enhances its value as a tool for the prediction of the future is the length of continuous records available in the area being studied. The records should be of sufficient length that they may be regarded as a reasonable sample of what has gone before and may be expected in the future. Table 1 gives a graphical inventory of the available streamflow records in Kansas. It shows that, in general, there is a fair coverage of stations with records of about thirty-seven years in length, This is not a long period as history goes but it does include considerable experience with floods and droughts.Although a large quantity of data on Kansas streamflow has been accumulated, hydrologists and planning engineers find that stream flow information for many areas of the State is considerably less than adequate. The problem of obtaining adequate coverage has been given careful study by the Kansas Water Resources Board in cooperation with the U. S. Geological Survey and a report entitled "Development of A Balanced Stream-Gaging Program For Kansas", has been published by the Board as Bulletin No. 4, That report presents an analysis of the existing stream-gaging program and recommendations for a program to meet the rapidly expanding needs for more comprehensive basic data.The Kansas River is formed near Junction City, Kansas, by the

The University of Tennessee Medical Center at Knoxville.

PubMed

Goldman, Mitchell H

2012-09-01

The University of Tennessee Medical Center at Knoxville hosts the University Health Services and the University of Tennessee Graduate School of Medicine. Founded in 1956, the center along with the Department of Surgery has grown in size and in academic stature to become an outstanding tertiary clinical, medical education, and research center.

Public Health Potential of Farmers’ Markets on Medical Center Campuses: A Case Study From Penn State Milton S. Hershey Medical Center

PubMed Central

Kraschnewski, Jennifer L.; Rovniak, Liza S.

2011-01-01

There are currently 7175 farmers’ markets in the United States, and these organizations are increasingly viewed as one facet of the solution to national health problems. There has been a recent trend toward establishing markets on medical center campuses, and such partnerships can augment a medical center's ability to serve community health. However, to our knowledge no studies have described the emergence of a market at a medical center, the barriers and challenges such an initiative has faced, or the nature of programming it may foster. We provide a qualitative description of the process of starting a seasonal, once-a-week, producers-only market at the Pennsylvania State Hershey Medical Center, and we call for greater public health attention to these emerging community spaces. PMID:22021298

Public health potential of farmers' markets on medical center campuses: a case study from Penn State Milton S. Hershey Medical Center.

PubMed

George, Daniel R; Kraschnewski, Jennifer L; Rovniak, Liza S

2011-12-01

There are currently 7175 farmers' markets in the United States, and these organizations are increasingly viewed as one facet of the solution to national health problems. There has been a recent trend toward establishing markets on medical center campuses, and such partnerships can augment a medical center's ability to serve community health. However, to our knowledge no studies have described the emergence of a market at a medical center, the barriers and challenges such an initiative has faced, or the nature of programming it may foster. We provide a qualitative description of the process of starting a seasonal, once-a-week, producers-only market at the Pennsylvania State Hershey Medical Center, and we call for greater public health attention to these emerging community spaces.

Developing physician leaders in academic medical centers.

PubMed

Bachrach, D J

1997-01-01

While physicians have historically held positions of leadership in academic medical centers, there is an increasing trend that physicians will not only guide the clinical, curriculum and scientific direction of the institution, but its business direction as well. Physicians are assuming a greater role in business decision making and are found at the negotiating table with leaders from business, insurance and other integrated health care delivery systems. Physicians who lead "strategic business units" within the academic medical center are expected to acquire and demonstrate enhanced business acumen. There is an increasing demand for formal and informal training programs for physicians in academic medical centers in order to better prepare them for their evolving roles and responsibilities. These may include the pursuit of a second degree in business or health care management; intramurally conducted courses in leadership skill development, management, business and finance; or involvement in extramurally prepared and delivered training programs specifically geared toward physicians as conducted at major universities, often in their schools of business or public health. While part one of this series, which appeared in Volume 43, No. 6 of Medical Group Management Journal addressed, "The changing role of physician leaders at academic medical centers," part 2 will examine as a case study the faculty leadership development program at the University of Texas M.D. Anderson Cancer Center. These two articles were prepared by the author from his research into, and the presentation of a thesis entitled. "The importance of leadership training and development for physicians in academic medical centers in an increasingly complex health care environment," prepared for the Credentials Committee of the American College of Healthcare Executives in partial fulfillment of the requirements for Fellowship in this College.*

Delinquent Medical Service Accounts at Brooke Army Medical Center Need Additional Management Oversight

DTIC Science & Technology

2014-08-13

No. DODIG-2014-101 A U G U S T 1 3 , 2 0 1 4 Delinquent Medical Service Accounts at Brooke Army Medical Center Need Additional Management...13 AUG 2014 2. REPORT TYPE 3. DATES COVERED 00-00-2014 to 00-00-2014 4. TITLE AND SUBTITLE Delinquent Medical Service Accounts at Brooke Army...Results in Brief Delinquent Medical Service Accounts at Brooke Army Medical Center Need Additional Management Oversight Visit us at www.dodig.mil

Forest treatment opportunities for Kansas 1982-1991.

Treesearch

W. Brad Smith; W.J. Moyer

1984-01-01

Reviews treatment opportunities for timber stands in Kansas from 1982 to 1991. Under the assumptions and management guides specified, 45% of Kansas' commercial forest land would benefit from timber harvest or some other form of treatment during the decade.

Improving the traffic safety culture in Kansas.

DOT National Transportation Integrated Search

2017-01-01

The main objective of this research was to provide guidance to the Kansas Department of Transportation (KDOT) in establishing strategies to improve the traffic safety culture in Kansas. This was done by analyzing crash data with respect to the seven ...

Durable superpave mixes in Kansas : technical summary.

DOT National Transportation Integrated Search

2016-05-01

Approximately 89% of 11,000 miles of Kansas roads are surfaced with asphalt. Hundreds of thousands of tons of reclaimed asphalt pavement (RAP) are produced annually in the United States, including in Kansas. This bulk volume of RAP must be economical...

Kansas Adult Observational Safety Belt Usage Rates

DOT National Transportation Integrated Search

2011-07-01

Methodology of Adult Survey - based on the federal guidelines in the Uniform Criteria manual. The Kansas survey is performed at 548 sites on 6 different road types in 20 randomly selected counties which encompass 85% of the population of Kansas. The ...

Kansas Chapter 1 1992-1993 Evaluation.

ERIC Educational Resources Information Center

Kansas State Board of Education, Topeka.

The 1992-93 analysis of the Kansas Chapter 1 evaluation results is described. In the 1992-93 school year, 100 percent (304) of Kansas districts participated in the Chapter 1 program. Approximately 7 percent of the student population participated in Chapter 1 programs, and 82 percent were in grades 1 through 6. A majority of these students were…

Hydrologic Droughts in Kansas - Are They Becoming Worse?

USGS Publications Warehouse

Putnam, James E.; Perry, Charles A.; Wolock, David M.

2008-01-01

Multi-year droughts have been a recurrent feature of the climate and hydrology of Kansas since at least the 1930s. Streamflow records collected by the U.S. Geological Survey (USGS) indicate that water years 2000 to 2006 (October 1, 1999, through September 30, 2006) represent the sixth hydrologic drought during the past eight decades, and that corresponding streamflow levels in some parts of Kansas were lower than those during historic droughts of the 1930s and 1950s, even though the precipitation deficit was not as severe. Record-low streamflows in water year 2006 were recorded at USGS streamgages on the Republican, Smoky Hill, Solomon, Saline, upper Kansas, middle Arkansas, and Little Arkansas Rivers, as well as many tributary sites, and one tributary site of the Neosho River (fig. 1, table 1). Low streamflows during the hydrologic drought also resulted in record low levels at three Federal reservoirs in Kansas (fig. 1, table 2). An unprecedented number of administrative decisions were made by the Division of Water Resources, Kansas Department of Agriculture to curtail water diversions from rivers to maintain minimum desirable streamflows, and low flows on the lower Republican River in Kansas created concerns that Colorado and Nebraska were not complying with the terms of the 1943 Republican River Compact.

Kansas State University: 2+2 Partnerships with Community Colleges

ERIC Educational Resources Information Center

Maes, Sue; Pfortmiller, Jennifer; Sinn, Melinda; Vail, Rosanna

2011-01-01

This article focuses on how Kansas State University (K-State) built partnerships with all 19 community colleges in Kansas and streamlined the process of providing place-bound adult students with access to complete a bachelor's degree while continuing to live, work, and serve in their home communities. Kansas State University (K-State) has been an…

Federal-State Cooperative Program in Kansas, seminar proceedings, July 1985

USGS Publications Warehouse

Huntzinger, T.L.

1985-01-01

During the past few years, water-resource management in Kansas has undergone reorientation with the creation of the Kansas Water Authority and the Kansas Water office. New thrusts toward long-term goals based on the Kansas State Water plan demand strong communication and coordination between all water-related agencies within the State. The seminar discussed in this report was an initial step by the Kansas Water Office to assure the continued presence of a technical-coordination process and to provide an opportunity for the U.S. Geological Survey to summarize their technical-informational activities in Kansas for the benefit of State and Federal water agencies with the State. The seminar was held on July 8 and 9, 1985, in Lawrence, Kansas. The agenda included a summary of the data-collection activities and short synopses of projects completed within the past year and those currently underway. The data program discussions described the information obtained at the surface water, groundwater, water quality, and sediment sites in Kansas. Interpretive projects summarized included studies in groundwater modeling, areal hydrologic analysis, regional analysis of floods , low-flow, high-flow, and flow-volume characteristics, water quality of groundwater and lakes, and traveltime and transit-loss analysis. (USGS)

Johnson Space Center Health and Medical Technical Authority

NASA Technical Reports Server (NTRS)

Fogarty, Jennifer A.

2010-01-01

1.HMTA responsibilities: a) Assure program/project compliance with Agency health and medical requirements at identified key decision points. b) Certify that programs/projects comply with Agency health and medical requirements prior to spaceflight missions. c) Assure technical excellence. 2. Designation of applicable NASA Centers for HMTA implementation and Chief Medical Officer (CMO) appointment. 3. Center CMO responsible for HMTA implementation for programs and projects at the center. JSC HMTA captured in "JSC HMTA Implementation Plan". 4. Establishes specifics of dissenting opinion process consistent with NASA procedural requirements.

The Southern Kansas Seismic Network

NASA Astrophysics Data System (ADS)

Terra, F. M.

2015-12-01

Historically aseismic Harper and Sumner counties in Southern Kansas experienced a dramatic increase in seismicity beginning in early 2014, coincident with the development of new oil production in the Mississippi Lime Play. In order to better understand the potential relationships between seismicity and oil development, the USGS installed a real-time telemetered seismic network in cooperation with the Kansas Geological Survey, the Kansas Corporation Commission, the Kansas Department of Health and Environment, Harper County, and the Oklahoma Geological Survey. The network began operation in March 2014 with an initial deployment of 5 NetQuakes accelerometers and by July 2014 had expanded to include 10 broadband sites. The network currently has 14 stations, all with accelerometers and 12 with broadband seismometers. The network has interstation spacing of 15 - 25 km and typical azimuthal gap of 80 for well-located events. Data are continuously streamed to IRIS at 200 samples per second from most sites. Earthquake locations are augmented with additional stations from the USGS National Network, Oklahoma Geological Survey Seismic Network, Kansas Seismic Monitoring Network and the Enid Oklahoma Network. Since the spring of 2014 over 7500 earthquakes have been identified with data from this network, 1400 of which have been manually timed and cataloged. Focal depths for earthquakes typically range between 2 and 7 km. The catalog is available at earthquake.usgs.gov/earthquakes/search/ under network code 'Ismpkansas'. The network recorded the largest known earthquake in Harper County, Mw 4.3, on October 2, 2014 and in Sumner County, Mw 4.9, on November 12, 2014. Recorded ground motions at the epicenter of the October earthquake were 0.70 g (PGA) and 12 cm/s (PGV). These high ground motion values agree with near-source recordings made by other USGS temporary deployments in the U. S. midcontinent, indicating a significant shaking hazard from such shallow, moderate

[Certified medical centers--A measurable benefit to patients?!].

PubMed

Eberlein-Gonska, Maria; Schellong, Sebastian; Baumann, Michael

2007-01-01

The establishment of medical centers should meet the high requirements of the healthcare system. They should provide innovative solutions for a number of problems, e.g. the interdisciplinary collaboration of various health departments with due regard to their autonomy. This is reminiscent of the implementation and advancement of a quality management system required by law where a clear idea of how to manage the organizational and procedural structures as an integral part of the management concept implemented is missing. The genuine efforts to implement and advance interdisciplinary medical centers are up against "bogus models" created out of sheer marketing interests. The term "medical center" has so far not been protected under trademark law, leaving patients, relatives or even the referring physicians unsure about how to judge a medical center's actual performance. The same is true of certified centers. Their numbers are growing, but not so the transparency about the amount of measurable, traceable and understandable benefits that a certified center provides to the patient. Therefore clear demands need to be placed on certified centers, especially with regard to the implementation of a concept that provides interdisciplinarity and process-oriented transparent structures and defines quality ratios and quality objectives. This includes providing resources for the continuous collection and evaluation of hard and soft data as well as deriving improvement measures. The three centers of the University Hospital Dresden--the University Cancer Center, the University Vascular Center and the University Pain Center--fulfil this high demand. They have created fundamentals for measurable improvement of patient care and are able to present first results.

75 FR 39588 - Kansas Disaster #KS-00044

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-09

... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12218 and 12219] Kansas Disaster KS-00044 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the State of Kansas dated 07/02/2010. Incident: Flash flooding...

76 FR 33394 - Kansas Disaster # KS-00052

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-08

... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12607 and 12608] Kansas Disaster KS-00052 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the State of Kansas dated 05/27/2011. Incident: Reading Tornadoes...

My Kansas Library on the Web

ERIC Educational Resources Information Center

Moreland, Sharon

2009-01-01

In this article, the author, a technology consultant for the Northeast Kansas Library System (NEKLS), shares the story of how the Kansas Library on the Web (KLOW) program was created. KLOW's story begins with the initial startup fund finding and the enthusiasm of the six pilot libraries. The middle of the story has to do with building a flexible,…

Educating for Success: The Legacy of an All-Black School in Southeast Kansas

ERIC Educational Resources Information Center

Patterson, Jean A.; Mickelson, Kathryn A.; Petersen, Jan L.; Gross, Diane S.

2008-01-01

The authors present findings from an oral history of the all-Black Douglass School, which existed in Parsons, Kansas from 1908-1958. The oral history of the school is significant for several reasons: (a) it adds to our understanding of segregated schools outside the South and northern urban centers, (b) the school was razed in 1962, and very…

Medical waste management in Jordan: A study at the King Hussein Medical Center

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

Oweis, Rami; Al-Widyan, Mohamad; Al-Limoon, Ohood

2005-07-01

As in many other developing countries, the generation of regulated medical waste (RMW) in Jordan has increased significantly over the last few decades. Despite the serious impacts of RMW on humans and the environment, only minor attention has been directed to its proper handling and disposal. This study was conducted in the form of a case study at one of Jordan's leading medical centers, namely, the King Hussein Medical Center (KHMC). Its purpose was to report on the current status of medical waste management at KHMC and propose possible measures to improve it. In general, it was found that themore » center's administration was reasonably aware of the importance of medical waste management and practiced some of the measures to adequately handle waste generated at the center. However, it was also found that significant voids were present that need to be addressed in the future including efficient segregation, the use of coded and colored bags, better handling and transfer means, and better monitoring and tracking techniques, as well as the need for training and awareness programs for the personnel.« less

Delinquent Medical Service Accounts at Landstuhl Regional Medical Center Need Additional Management Oversight

DTIC Science & Technology

2016-04-28

L 2 8 , 2 0 1 6 Report No. DODIG-2016-079 Delinquent Medical Service Accounts at Landstuhl Regional Medical Center Need Additional Management...Department of Defense F r a u d , W a s t e & A b u s e DODIG-2016-079 (Project No. D2015-D000CL-0214.000) │ i Results in Brief Delinquent Medical...objective was to determine whether Landstuhl Regional Medical Center (LRMC) effectively managed accounts delinquent over 120 days by properly

Low birth weight in Kansas.

PubMed

Guillory, V James; Lai, Sue Min; Suminski, R; Crawford, G

2015-05-01

Low birth weight (LBW) is associated with infant morbidity and mortality. This is the first study of LBW in Kansas using vital statistics to determine maternal and health care system factors associated with LBW. Low birth weight. Determine if prenatal care, maternal socio-demographic or medical factors, or insurance status were associated with LBW. Birth certificate data were merged with Medicaid eligibility data and subjected to logistic regression analysis. Of the 37,081 single vaginal births, LBW rates were 5.5% overall, 10.8% for African Americans, and 5% for White Americans. Lacking private insurance was associated with 34% more LBW infants (AOR 1.34; 95% CI 1.13-1.58), increased comorbidity, and late or less prenatal care. Low birth weight was associated with maternal medical comorbidity and with previous adverse birth outcomes. Insurance status, prenatal care, and maternal health during pregnancy are associated with LBW. Private insurance was consistently associated with more prenatal care and better outcomes. This study has important implications regarding health care reform.

A Kansas Integrated Commercialization Information Network (KICIN).

ERIC Educational Resources Information Center

Ambler, C.; And Others

A consortium of Kansas economic development service providers is building a web of virtual satellite offices that will demonstrate the delivery of economic development services in all areas of Kansas. These "offices" will use the Internet and a novel information delivery system to reach small and medium-sized businesses and individuals…

40 CFR 81.25 - Metropolitan Kansas City Interstate Air Quality Control Region.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 17 2011-07-01 2011-07-01 false Metropolitan Kansas City Interstate... Designation of Air Quality Control Regions § 81.25 Metropolitan Kansas City Interstate Air Quality Control Region. The Metropolitan Kansas City Interstate Air Quality Control Region (Missouri-Kansas) consists of...

40 CFR 81.25 - Metropolitan Kansas City Interstate Air Quality Control Region.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Metropolitan Kansas City Interstate... Designation of Air Quality Control Regions § 81.25 Metropolitan Kansas City Interstate Air Quality Control Region. The Metropolitan Kansas City Interstate Air Quality Control Region (Missouri-Kansas) consists of...

Public-supply water use in Kansas, 1990-2012

USGS Publications Warehouse

Kenny, Joan F.

2014-01-01

This fact sheet describes water-use data collection and quantities of surface water and groundwater diverted for public supply in Kansas for the years 1990 through 2012. Data used in this fact sheet are from the Kansas Department of Agriculture’s Division of Water Resources and the Kansas Water Office. Water used for public supply represents about 10 percent of all reported water withdrawals in Kansas. Between 1990 and 2012, annual withdrawals for public supply ranged from a low of 121 billion gallons in 1993 to a high of 159 billion gallons in 2012. Differences in annual withdrawals were associated primarily with climatic fluctuations. Six suppliers distributed about one-half of the total water withdrawn for public supply, and nearly three-quarters of the surface water. Surface water represented between 52 and 61 percent of total annual withdrawals for public supply. The proportion of surface water obtained through contracts from Federal reservoirs increased from less than 5 percent in the 1990s to 8 percent in 2011 and 2012. More than 99 percent of the reported water withdrawn for public supply in Kansas in 2012 was metered, which was an increase from 92 percent in 1990. State population increased steadily from 2.5 million people in 1990 to 2.9 million in 2012. Recent estimates indicate that about 95 percent of the total population was served by public water supply; the remainder obtained water from other sources such as private wells. Average per capita water use as calculated for State conservation planning purposes varied by region of the State. The smallest regional average water use for the years 1990–2012 was 98 gallons per person per day in easternmost Kansas, and the largest regional average water use was 274 gallons per person per day in westernmost Kansas.

U.S. academic medical centers under the managed health care environment.

PubMed

Guo, K

1999-06-01

This research investigates the impact of managed health care on academic medical centers in the United States. Academic medical centers hold a unique position in the U.S. health care system through their missions of conducting cutting-edge biomedical research, pursuing clinical and technological innovations, providing state-of-the-art medical care and producing highly qualified health professionals. However, policies to control costs through the use of managed care and limiting resources are detrimental to academic medical centers and impede the advancement of medical science. To survive the threats of managed care in the health care environment, academic medical centers must rely on their upper level managers to derive successful strategies. The methods used in this study include qualitative approaches in the form of key informants and case studies. In addition, a survey questionnaire was sent to 108 CEOs in all the academic medical centers in the U.S. The findings revealed that managers who perform the liaison, monitor, entrepreneur and resource allocator roles are crucial to ensure the survival of academic medical centers, so that academic medical centers can continue their missions to serve the general public and promote their well-being.

Organization of Care for Acute Myocardial Infarction in Rural and Urban Hospitals in Kansas

ERIC Educational Resources Information Center

Ellerbeck, Edward F.; Bhimaraj, Arvind; Perpich, Denise

2004-01-01

One in 4 Americans lives in a rural community and relies on rural hospitals and medical systems for emergent care of acute myocardial infarctions (AMI). The infrastructure and organization of AMI care in rural and urban Kansas hospitals was examined. Using a nominal group process, key elements within hospitals that might influence quality of AMI…

An academic medical center under prolonged rocket attack--organizational, medical, and financial considerations.

PubMed

Bar-El, Yaron; Michaelson, Moshe; Hyames, Gila; Skorecki, Karl; Reisner, Shimon A; Beyar, Rafael

2009-09-01

The Rambam Medical Center, the major academic health center in northern Israel, serving a population of two million and providing specialized tertiary care, was exposed to an unprecedented experience during the Second Lebanon War in the summer of 2006. For more than one month, it was subjected to continuous rocket attacks, but it continued to provide emergency and routine medical services to the civilian population and also served the military personnel who were evacuated from the battlefront. To accomplish the goals of serving the population while itself being under fire, the Rambam Medical Center had to undertake major organizational decisions, which included maximizing safety within the hospital by shifting patients and departments, ensuring that the hospital was properly fortified, managing the health professional teams' work schedules, and providing needed services for the families of employees. The Rambam Medical Center's Level I trauma center expertise included multidisciplinary teams and extensive collaborations; modern imaging modalities usually reserved for peacetime medical practice were frequently used. The function of the hospital teams during the war was efficient and smooth, based on the long-term actions taken to prepare for disasters and wartime conditions. Routine hospital services continued, although at 60% of normal occupancy. Financial losses incurred were primarily due to the decrease in revenue-generating activity. The two most important components of managing the hospital under these conditions are (1) the ability to arrive at prompt and meaningful decisions with respect to the organizational and medical hospital operations and (2) the leadership and management of the professional staff and teams.

The Impact of the Clinical Medical Librarian on Medical Education.

ERIC Educational Resources Information Center

Sarkis, Jeanne; Hamburger, Stephen

1981-01-01

A University of Missouri-Kansas City School of Medicine team approach is described that combines the knowledge and skills of the physician, nurse, clinical pharmacist, clinical medical librarian, etc., into a cooperative unit to provide health education and health care delivery. The impact of the clinical medical librarian is discussed. (MLW)

[RABIN MEDICAL CENTER - A TERTIARY CENTER OF EXCELLENCE IN SERVICE, TEACHING AND RESEARCH].

PubMed

Niv, Yaron; Halpern, Eyran

2017-04-01

Rabin Medical Center (RMC) belongs to Clalit Health Services and is a tertiary, academic medical center with all the facilities of modern and advanced medicine. Annually in the RMC, 650,000 patients are treated in the outpatient clinics, and 100,000 patients are hospitalized in the hospital departments. All these patients are treated by 4500 devoted staff members, including 1000 physicians and 2000 nurses. RMC is one of the largest, centrally located medical centers for medical and nursing students' education in Israel, taking place in clinical departments, as well as in basic sciences courses. We also have a nursing school attached to the hospital. Our vision supports excellence in research. We have a special Research Department that supports RMC researchers, with research coordinators, and all the relevant facilities to assist in clinical and basic science studies. We also promote collaboration efforts with many academic centers in Israel and abroad. The scope of RMC research is broad, including 700 new studies every year and 1500 active studies currently. This issue of Harefuah is dedicated to the clinical and basic science research conducted at RMC with original papers presenting research performed by our departments and laboratories.

Urbanization Impacts on Flooding in the Kansas River Basin and Evaluation of Wetlands as a Mitigation Measure

EPA Science Inventory

This study evaluates the impacts of future land use changes on flooding in the Kansas River Basin. It also studies the impacts of wetlands on flood reduction. The study presents Hydrologic Engineering Centers-Hydrologic Modeling System (HEC-HMS) based runoff modeling and River A...

Kansas Protects and Restores Wetlands, Streams and Riparian Areas

EPA Pesticide Factsheets

Wetland Program Development Grant (WPDG) in 2007 when the Kansas State Conservation Commission began identifying team members interested in developing a framework for a comprehensive Kansas Wetland and Aquatic Resources Conservation Plan.

[Patient-centered medicine for tuberculosis medical services].

PubMed

Fujita, Akira; Narita, Tomoyo

2012-12-01

The 2011 edition of Specific Guiding Principles for Tuberculosis Prevention calls for a streamlined medical services system capable of providing medical care that is customized to the patient's needs. The new 21st Century Japanese version of the Directly Observed Treatment Short Course (DOTS) expands the indication of DOTS to all tuberculosis (TB) patients in need of treatment. Hospital DOTS consists of comprehensive, patient-centered support provided by a DOTS care team. For DOTS in the field, health care providers should select optimal administration support based on patient profiles and local circumstances. In accordance with medical fee revisions for 2012, basic inpatient fees have been raised and new standards for TB hospitals have been established, the result of efforts made by the Japanese Society for Tuberculosis and other associated groups. It is important that the medical care system be improved so that patients can actively engage themselves as a member of the team, for the ultimate goal of practicing patient-centered medicine. We have organized this symposium to explore the best ways for practicing patient-centered medicine in treating TB. It is our sincere hope that this symposium will lead to improved medical treatment for TB patients. 1. Providing patient-centered TB service via utilization of collaborative care pathway: Akiko MATSUOKA (Hiroshima Prefectural Tobu Public Health Center) We have been using two types of collaborative care pathway as one of the means of providing patient-centered TB services since 2008. The first is the clinical pathway, which is mainly used by TB specialist doctors to communicate with local practitioners on future treatment plan (e.g. medication and treatment duration) of patients. The clinical pathway was first piloted in Onomichi district and its use was later expanded to the whole of Hiroshima prefecture. The second is the regional care pathway, which is used to share treatment progress, test results and other

40 CFR 81.251 - Northeast Kansas Intrastate Air Quality Control Region.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Northeast Kansas Intrastate Air... Air Quality Control Regions § 81.251 Northeast Kansas Intrastate Air Quality Control Region. The Northeast Kansas Intrastate Air Quality Control Region consists of the territorial area encompassed by the...

Consumerism: forcing medical practices toward patient-centered care.

PubMed

Ozmon, Jeff

2007-01-01

Consumerism has been apart of many industries over the years; now consumerism may change the way many medical practices deliver healthcare. With the advent of consumer-driven healthcare, employers are shifting the decision-making power to their employees. Benefits strategies like health savings accounts and high-deductible insurance plans now allow the patients to control how and where they spend their money on medical care. Practices that seek to attract the more affluent and informed consumers are beginning to institute patient-centered systems designs that invite patients to actively participate in their healthcare. This article will outline the changes in the healthcare delivery system facing medical practices, the importance of patient-centered care, and six strategies to implement to change toward more patient-centered care.

Sunrayce 97 Continues Day 6 - Manhattan to Smith Center

Science.gov Websites

6 - Manhattan to Smith Center For more information contact: Patrick Booher, Sunrayce Program Manager (202) 586-0713 Smith Center, Kan.- --Racing across the heartland of Kansas at 46.11 mph

Delinquent Medical Service Accounts at David Grant Air Force Medical Center Need Additional Management Oversight

DTIC Science & Technology

2015-09-24

No. DODIG-2015-179 S E P T E M B E R 2 4 , 2 0 1 5 Delinquent Medical Service Accounts at David Grant Air Force Medical Center Need Additional...us at www.dodig.mil Results in Brief Delinquent Medical Service Accounts at David Grant Air Force...Force Medical Center (DGMC) properly managed delinquent accounts over 180 days by effectively transferring the debt to the appropriate debt collection

Economic impacts of railroad abandonment on rural Kansas communities

DOT National Transportation Integrated Search

2003-07-01

Increasing railroad abandonment and other changes in the Kansas grain transportation system have led to increased trucking of grain. Further losses of shortline railroads would have negative effects on rural Kansas communities, including increased ro...

Implementing the patient-centered medical home in complex adaptive systems: Becoming a relationship-centered patient-centered medical home.

PubMed

Flieger, Signe Peterson

This study explores the implementation experience of nine primary care practices becoming patient-centered medical homes (PCMH) as part of the New Hampshire Citizens Health Initiative Multi-Stakeholder Medical Home Pilot. The purpose of this study is to apply complex adaptive systems theory and relationship-centered organizations theory to explore how nine diverse primary care practices in New Hampshire implemented the PCMH model and to offer insights for how primary care practices can move from a structural PCMH to a relationship-centered PCMH. Eighty-three interviews were conducted with administrative and clinical staff at the nine pilot practices, payers, and conveners of the pilot between November and December 2011. The interviews were transcribed, coded, and analyzed using both a priori and emergent themes. Although there is value in the structural components of the PCMH (e.g., disease registries), these structures are not enough. Becoming a relationship-centered PCMH requires attention to reflection, sensemaking, learning, and collaboration. This can be facilitated by settings aside time for communication and relationship building through structured meetings about PCMH components as well as the implementation process itself. Moreover, team-based care offers a robust opportunity to move beyond the structures to focus on relationships and collaboration. (a) Recognize that PCMH implementation is not a linear process. (b) Implementing the PCMH from a structural perspective is not enough. Although the National Committee for Quality Assurance or other guidelines can offer guidance on the structural components of PCMH implementation, this should serve only as a starting point. (c) During implementation, set aside structured time for reflection and sensemaking. (d) Use team-based care as a cornerstone of transformation. Reflect on team structures and also interactions of the team members. Taking the time to reflect will facilitate greater sensemaking and learning and

Implementing the patient-centered medical home in complex adaptive systems: Becoming a relationship-centered patient-centered medical home

PubMed Central

Flieger, Signe Peterson

2017-01-01

Background This study explores the implementation experience of nine primary care practices becoming patient-centered medical homes (PCMH) as part of the New Hampshire Citizens Health Initiative Multi-Stakeholder Medical Home Pilot. Purpose The purpose of this study is to apply complex adaptive systems theory and relationship-centered organizations theory to explore how nine diverse primary care practices in New Hampshire implemented the PCMH model and to offer insights for how primary care practices can move from a structural PCMH to a relationship-centered PCMH. Methodology/Approach Eighty-three interviews were conducted with administrative and clinical staff at the nine pilot practices, payers, and conveners of the pilot between November and December 2011. The interviews were transcribed, coded, and analyzed using both a priori and emergent themes. Findings Although there is value in the structural components of the PCMH (e.g., disease registries), these structures are not enough. Becoming a relationship-centered PCMH requires attention to reflection, sensemaking, learning, and collaboration. This can be facilitated by settings aside time for communication and relationship building through structured meetings about PCMH components as well as the implementation process itself. Moreover, team-based care offers a robust opportunity to move beyond the structures to focus on relationships and collaboration. Practice Implications (a) Recognize that PCMH implementation is not a linear process. (b) Implementing the PCMH from a structural perspective is not enough. Although the National Committee for Quality Assurance or other guidelines can offer guidance on the structural components of PCMH implementation, this should serve only as a starting point. (c) During implementation, set aside structured time for reflection and sensemaking. (d) Use team-based care as a cornerstone of transformation. Reflect on team structures and also interactions of the team members. Taking

Archaeological Inventory and Evaluation at Milford, Melvern and Pomona Lakes, Eastern Kansas

DTIC Science & Technology

1988-01-01

Milford, Melvern and Pomona Lakes, Kansas US Army Corps of Engneers Environmental Systems Analysis , Inc. Kansas City District Cultural Resources... Analysis , Inc. Cultural Resources Division Accesikn For Kansas City, Kansas NTIS CRA&I UTIC TA’R Larry J. Schits’ Editor Principal Investigator i. 1988...PERFORMING ORGANIZATION NAME AND ADDRESS S0. PROGRAM ELEMENT. PROJECT. TASK AREA & WORK UNIT NUMBERS Environmental Systems Analysis , Inc. P.O. Box

"A Little Place Getting Smaller": Perceptions of Place and the Depopulation of Gove County, Kansas

ERIC Educational Resources Information Center

Gilbreath, Aaron

2012-01-01

Go west on Interstate 70, past Salina and Highway 81, the unofficial line of demarcation between eastern and western Kansas. Beyond Bob Dole's childhood home of Russell and the regional center of Hays you will come to Gove County. Though the highway is littered with advertisements for Colby and Goodland, towns that lie farther west, nothing…

Kansas Department of Health and Environment: Influenza Surveillance

Science.gov Websites

type (student health, family practice, etc.) each season. Data from the previous two surveillance years Influenza Surveillance in Kansas Kansas regulations do not require health care providers to notify KDHE when Disease Control and Prevention (CDC) and state, local, and territorial health departments. ILINet in

Kansas rail feasibility study

DOT National Transportation Integrated Search

2000-03-01

Intercity passenger transportation in Kansas, as in other Midwest states, is facing enormous : challenges resulting from rapidly changing market forces. These challenges include the : increasing environmental and capital costs of investment in highwa...

2. OVERALL VIEW OF THE MEDICAL CENTER (ESPECIALLY BUILDING 1) ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

2. OVERALL VIEW OF THE MEDICAL CENTER (ESPECIALLY BUILDING 1) FROM THE 'CAMPUS' GROUNDS; LOOKING SW. (Harms) - Veterans Administration Medical Center, Old State Route 13 West, Marion, Williamson County, IL

Characterization and simulation of ground-water flow in the Kansas River Valley at Fort Riley, Kansas, 1990-98

USGS Publications Warehouse

Myers, Nathan C.

2000-01-01

Hydrologic data and a ground-water flow model were used to characterize ground-water flow in the Kansas River alluvial aquifer at Fort Riley in northeast Kansas. The ground-water flow model was developed as a tool to project ground-water flow and potential contaminant-transport paths in the alluvial aquifer on the basis of past hydrologic conditions. The model also was used to estimate historical and hypothetical ground-water flow paths with respect to a private- and several public-supply wells. The ground-water flow model area extends from the Smoky Hill and Republican Rivers downstream to about 2.5 miles downstream from the city of Ogden. The Kansas River Valley has low relief and, except for the area within the Fort Riley Military Reservation, is used primarily for crop production. Sedimentary deposits in the Kansas River Valley, formed after the ancestral Kansas River eroded into bedrock, primarily are alluvial sediment deposited by the river during Quaternary time. The alluvial sediment consists of as much as about 75 feet of poorly sorted, coarse-to-fine sand, silt, and clay, 55 feet of which can be saturated with ground water. The alluvial aquifer is unconfined and is bounded on the sides and bottom by Permian-age shale and limestone bedrock. Hydrologic data indicate that ground water in the Kansas River Valley generally flows in a downstream direction, but flow direction can be quite variable near the Kansas River due to changes in river stage. Ground-water-level changes caused by infiltration of precipitation are difficult to detect because they are masked by larger changes caused by fluctuation in Kansas River stage. Ratios of strontium isotopes Sr87 and Sr86 in water collected from wells in the Camp Funston Area indicate that the ground water along the northern valley wall originates, in part, from upland areas north of the river valley. Water from Threemile Creek, which flows out of the uplands north of the river valley, had Sr87:Sr86 ratios similar to

1. AERIAL VIEW, LOOKING WEST OF 'THE BIRMINGHAM MEDICAL CENTER,' ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. AERIAL VIEW, LOOKING WEST OF 'THE BIRMINGHAM MEDICAL CENTER,' WITH HILLMAN HOSPITAL, THE FIVE-STORY BUILDING (CENTER RIGHT AT 20TH STREET AND SIXTH AVENUE SOUTH), JEFFERSON TOWER (CENTER LEFT AT 20TH STREET AND SEVENTH AVENUE SOUTH, AND THE MANY HOSPITALS AND TEACHING FACILITIES OF THE UNIVERSITY OF ALABAMA AT BIRMINGHAM MEDICAL CENTER. - Hillman Hospital, 600 Block Westside Twentieth Street South, Birmingham, Jefferson County, AL

4. OVERALL VIEW OF THE MEDICAL CENTER (ESPECIALLY BUILDING 2 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. OVERALL VIEW OF THE MEDICAL CENTER (ESPECIALLY BUILDING 2 & BUILDING 1) FROM THE 'CAMPUS' GROUNDS; LOOKING NE. (Harms) - Veterans Administration Medical Center, Old State Route 13 West, Marion, Williamson County, IL

3. OVERALL VIEW OF THE MEDICAL CENTER (ESPECIALLY BUILDING 2 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. OVERALL VIEW OF THE MEDICAL CENTER (ESPECIALLY BUILDING 2 & BUILDING 1) FROM THE 'CAMPUS' GROUNDS; LOOKING NW. (Harms) - Veterans Administration Medical Center, Old State Route 13 West, Marion, Williamson County, IL

ENTRANCE TO CEMETERY FROM VA MEDICAL CENTER CAMPUS, WITH ADMINISTRATION ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

ENTRANCE TO CEMETERY FROM VA MEDICAL CENTER CAMPUS, WITH ADMINISTRATION BUILDING IN BACKGROUND. VIEW TO NORTH. - Bath National Cemetery, Department of Veterans Affairs Medical Center, San Juan Avenue, Bath, Steuben County, NY

Lessons learned: mobile device encryption in the academic medical center.

PubMed

Kusche, Kristopher P

2009-01-01

The academic medical center is faced with the unique challenge of meeting the multi-faceted needs of both a modern healthcare organization and an academic institution, The need for security to protect patient information must be balanced by the academic freedoms expected in the college setting. The Albany Medical Center, consisting of the Albany Medical College and the Albany Medical Center Hospital, was challenged with implementing a solution that would preserve the availability, integrity and confidentiality of business, patient and research data stored on mobile devices. To solve this problem, Albany Medical Center implemented a mobile encryption suite across the enterprise. Such an implementation comes with complexities, from performance across multiple generations of computers and operating systems, to diversity of application use mode and end user adoption, all of which requires thoughtful policy and standards creation, understanding of regulations, and a willingness and ability to work through such diverse needs.

Improving the traffic safety culture in Kansas : technical summary.

DOT National Transportation Integrated Search

2017-01-01

The main objective of this research was to provide guidance to the Kansas Department of Transportation (KDOT) in establishing strategies to improve the traffic safety culture in Kansas. This was done by analyzing crash data with respect to the seven ...

Pick-N-Pull Auto Dismantlers, Kansas City, LLC Inc.

EPA Pesticide Factsheets

The EPA is providing notice of a proposed Administrative Penalty Assessment against Pick-N-Pull Auto Dismantlers, Kansas City, LLC, a subsidiary of Schnitzer Steel Industries, Inc., for alleged violations at its facilities at 8012 East Truman Rd., Kansas C

Kansas's forests, 2005: statistics, methods, and quality assurance

Treesearch

Patrick D. Miles; W. Keith Moser; Charles J. Barnett

2011-01-01

The first full annual inventory of Kansas's forests was completed in 2005 after 8,868 plots were selected and 468 forested plots were visited and measured. This report includes detailed information on forest inventory methods and data quality estimates. Important resource statistics are included in the tables. A detailed analysis of Kansas inventory is presented...

Streamflow alteration at selected sites in Kansas

USGS Publications Warehouse

Juracek, Kyle E.; Eng, Ken

2017-06-26

An understanding of streamflow alteration in response to various disturbances is necessary for the effective management of stream habitat for a variety of species in Kansas. Streamflow alteration can have negative ecological effects. Using a modeling approach, streamflow alteration was assessed for 129 selected U.S. Geological Survey streamgages in the State for which requisite streamflow and basin-characteristic information was available. The assessment involved a comparison of the observed condition from 1980 to 2015 with the predicted expected (least-disturbed) condition for 29 streamflow metrics. The metrics represent various characteristics of streamflow including average flow (annual, monthly) and low and high flow (frequency, duration, magnitude).Streamflow alteration in Kansas was indicated locally, regionally, and statewide. Given the absence of a pronounced trend in annual precipitation in Kansas, a precipitation-related explanation for streamflow alteration was not supported. Thus, the likely explanation for streamflow alteration was human activity. Locally, a flashier flow regime (typified by shorter lag times and more frequent and higher peak discharges) was indicated for three streamgages with urbanized basins that had higher percentages of impervious surfaces than other basins in the State. The combination of localized reservoir effects and regional groundwater pumping from the High Plains aquifer likely was responsible, in part, for diminished conditions indicated for multiple streamflow metrics in western and central Kansas. Statewide, the implementation of agricultural land-management practices to reduce runoff may have been responsible, in part, for a diminished duration and magnitude of high flows. In central and eastern Kansas, implemented agricultural land-management practices may have been partly responsible for an inflated magnitude of low flows at several sites.

KANSAS KIDS COUNT Data Book, 2000: Kansas Children at Risk.

ERIC Educational Resources Information Center

Kansas Action for Children, Inc., Topeka.

This KIDS COUNT Data Book provides state and county data on the well-being of Kansas' children. The statistical portrait is based on 22 indicators of well-being: (1) births to single teens; (2) children living in poverty; (3) children receiving free school meals; (4) children in families receiving economic assistance; (5) childhood deaths; (6)…

Characteristics of medical teachers using student-centered teaching methods.

PubMed

Kim, Kyong-Jee; Hwang, Jee-Young

2017-09-01

This study investigated characteristics of medical teachers who have adopted student-centered teaching methods into their teaching. A 24-item questionnaire consisted of respondent backgrounds, his or her use of student-centered teaching methods, and awareness of the school's educational objectives and curricular principles was administered of faculty members at a private medical school in Korea. Descriptive statistics and chi-square analysis were conducted to compare faculty use of student-centered approaches across different backgrounds and awareness of curricular principles. Overall response rate was 70% (N=140/200), approximately 25% (n=34) of whom were using student-centered teaching methods. Distributions in the faculty use of student-centered teaching methods were significantly higher among basic sciences faculty (versus clinical sciences faculty), with teaching experiences of over 10 years (versus less than 10 years), and who were aware of the school's educational objectives and curricular principles. Our study indicates differences in medical faculty's practice of student-centered teaching across disciplines, teaching experiences, and their understanding of the school's educational objectives curricular principles. These findings have implications for faculty development and institutional support to better promote faculty use of student-centered teaching approaches.

The Stanford University Medical Center and the Federal Government.

ERIC Educational Resources Information Center

Rosenzweig, Robert M.; And Others

The Stanford University Medical Center consists of three main units: a medical school, a set of outpatient clinics, and a hospital. Financing of the center's functions cannot be carried out without federal support, and a network of relationships with government agencies has emerged. The impact of these relationships was discussed with key…

DOE Center of Excellence in Medical Laser Applications. Final report

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

Jacques, S.L.

1998-01-01

An engineering network of collaborating medical laser laboratories are developing laser and optical technologies for medical diagnosis and therapy and are translating the engineering into medical centers in Portland, OR, Houston, TX, and Galveston, TX. The Center includes the University of Texas M.D. Anderson Cancer Center, the University of Texas-Austin, Texas A and M University, Rice University, the University Texas Medical Branch-Galveston, Oregon Medical Laser Center (Providence St. Vincent Medical Center, Oregon Health Sciences University, and Oregon Graduate Institute, Portland, OR), and the University of Oregon. Diagnostics include reflectance, fluorescence, Raman IR, laser photoacoustics, optical coherence tomography, and several newmore » video techniques for spectroscopy and imaging. Therapies include photocoagulation therapy, laser welding, pulsed laser ablation, and light-activated chemotherapy of cancer (photodynamic therapy, or PDT). Medical applications reaching the clinic include optical monitoring of hyperbilirubinemia in newborns, fluorescence detection of cervical dysplasia, laser thrombolysis of blood clots in heart attack and brain stroke, photothermal coagulation of benign prostate hyperplasia, and PDT for both veterinary and human cancer. New technologies include laser optoacoustic imaging of breast tumors and hemorrhage in head trauma and brain stroke, quality control monitoring of dosimetry during PDT for esophageal and lung cancer, polarization video reflectometry of skin cancer, laser welding of artificial tissue replacements, and feedback control of laser welding.« less

State of Kansas: K-12 Enrollment Projection Report

ERIC Educational Resources Information Center

Carter, Ted

2015-01-01

This document contains headcount enrollment projections for the State of Kansas for the 2015-16 school year through the 2019-20 school year. These projections are based on resident live births in Kansas and the headcount enrollment data for previous school years. Based on the available data related to resident live births by county and previous…

40 CFR 282.66 - Kansas State-Administered Program.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Department of Health and Environment, was approved by EPA pursuant to 42 U.S.C. 6991c and part 281 of this Chapter. EPA approved the Kansas program on June 6, 1994 and it was effective on July 6, 1994. (b) Kansas... the authority to exercise its inspection and enforcement authorities under sections 9005 and 9006 of...

Measuring the efficiency of dental departments in medical centers: a nonparametric analysis approach.

PubMed

Wang, Su-Chen; Tsai, Chi-Cheng; Huang, Shun-Te; Hong, Yu-Jue

2002-12-01

Data envelopment analysis (DEA), a cross-sectional study design based on secondary data analysis, was used to evaluate the relative operational efficiency of 16 dental departments in medical centers in Taiwan in 1999. The results indicated that 68.7% of all dental departments in medical centers had poor performance in terms of overall efficiency and scale efficiency. All relatively efficient dental departments were in private medical centers. Half of these dental departments were unable to fully utilize available medical resources. 75.0% of public medical centers did not take full advantage of medical resources at their disposal. In the returns to scale, 56.3% of dental departments in medical centers exhibited increasing returns to scale, due to the insufficient scale influencing overall hospital operational efficiency. Public medical centers accounted for 77.8% of the institutions affected. The scale of dental departments in private medical centers was more appropriate than those in public medical centers. In the sensitivity analysis, the numbers of residents, interns, and published papers were used to assess teaching and research. Greater emphasis on teaching and research in medical centers has a large effect on the relative inefficiency of hospital operation. Dental departments in private medical centers had a higher mean overall efficiency score than those in public medical centers, and the overall efficiency of dental departments in non-university hospitals was greater than those in university hospitals. There was no information to evaluate the long-term efficiency of each dental department in all hospitals. A different combination of input and output variables, using common multipliers for efficiency value measurements in DEA, may help establish different pioneering dental departments in hospitals.

Estimating the discharge for ordinary high water levels in Kansas.

DOT National Transportation Integrated Search

2014-09-01

The water resource design community in Kansas, including the Kansas Department of Transportation : (KDOT), is required to obtain appropriate permits for construction projects. Projects that involve stream : modification, including drainage structures...

Assessing urban forest effects and values: the greater Kansas City region

Treesearch

David J. Nowak; Allison R. Bodine; Robert E. III Hoehn; Daniel E. Crane; Alexis Ellis; Theodore A. Endreny; Yang Yang; Tom Jacobs; Kassie Shelton

2013-01-01

An analysis of trees in the greater Kansas City region of Missouri and Kansas reveals that this area has about 249,450,000 trees with tree and shrub canopy that covers 28.3 percent of the region. The most common tree species are American elm, northern hackberry, Osage-orange, honeylocust, and eastern redcedar. Trees in the greater Kansas City region currently store...

75 FR 35078 - Notice of Acceptance of Concurrent Legislative Jurisdiction in Kansas

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-21

... DEPARTMENT OF THE INTERIOR National Park Service Notice of Acceptance of Concurrent Legislative Jurisdiction in Kansas AGENCY: National Park Service, Department of the Interior. ACTION: Notice of Acceptance... changes over areas administered by the National Park Service in the State of Kansas. The State of Kansas...

Kansas Ethanol Lyons Approval

EPA Pesticide Factsheets

This update August 9, 2016 letter from EPA approves, with modifications, the petition from Kansas Ethanol, LLC, Lyons facility, regarding non-grandfathered ethanol produced through a dry mill process, qualifying under the Clean Air Act for renewable fuel

Kansas Wind Energy Consortium

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

Gruenbacher, Don

2015-12-31

This project addresses both fundamental and applied research problems that will help with problems defined by the DOE “20% Wind by 2030 Report”. In particular, this work focuses on increasing the capacity of small or community wind generation capabilities that would be operated in a distributed generation approach. A consortium (KWEC – Kansas Wind Energy Consortium) of researchers from Kansas State University and Wichita State University aims to dramatically increase the penetration of wind energy via distributed wind power generation. We believe distributed generation through wind power will play a critical role in the ability to reach and extend themore » renewable energy production targets set by the Department of Energy. KWEC aims to find technical and economic solutions to enable widespread implementation of distributed renewable energy resources that would apply to wind.« less

Press releases by academic medical centers: not so academic?

PubMed

Woloshin, Steven; Schwartz, Lisa M; Casella, Samuel L; Kennedy, Abigail T; Larson, Robin J

2009-05-05

The news media are often criticized for exaggerated coverage of weak science. Press releases, a source of information for many journalists, might be a source of those exaggerations. To characterize research press releases from academic medical centers. Content analysis. Press releases from 10 medical centers at each extreme of U.S. News & World Report's rankings for medical research. Press release quality. Academic medical centers issued a mean of 49 press releases annually. Among 200 randomly selected releases analyzed in detail, 87 (44%) promoted animal or laboratory research, of which 64 (74%) explicitly claimed relevance to human health. Among 95 releases about primary human research, 22 (23%) omitted study size and 32 (34%) failed to quantify results. Among all 113 releases about human research, few (17%) promoted studies with the strongest designs (randomized trials or meta-analyses). Forty percent reported on the most limited human studies--those with uncontrolled interventions, small samples (<30 participants), surrogate primary outcomes, or unpublished data--yet 58% lacked the relevant cautions. The effects of press release quality on media coverage were not directly assessed. Press releases from academic medical centers often promote research that has uncertain relevance to human health and do not provide key facts or acknowledge important limitations. National Cancer Institute.

Opportunity for Collaboration Between Radiation Injury Treatment Network Centers and Medical Toxicology Specialists.

PubMed

Davlantes, Elizabeth; Shartar, Samuel; Venero, Jennifer; Steck, Alaina; Langston, Amelia; Kazzi, Ziad N

2017-08-01

The Radiation Injury Treatment Network (RITN) comprises >50 centers across the United States that are poised to care for victims of a radiation emergency. The network is organized around bone marrow transplant centers because these facilities excel in both radiation medicine and the care of patients with severe bone marrow depression. A radiation emergency may cause not only irradiation from an external source but also internal contamination with radioactive material. Because medical toxicologists are trained in radiation injury management and have expertise in the management of internal contamination, RITN centers may benefit from partnerships with medical toxicology resources, which may be located at academic medical centers, hospital inpatient clinical services, outpatient clinics, or poison control centers. We determined the locations of existing RITN centers and assessed their proximity to various medical toxicology resources, including medical toxicology fellowship programs, inpatient toxicology services, outpatient toxicology clinics, and poison control centers. Data were derived from publicly available Internet sources in March 2015. The majority of RITN centers do not have a medical toxicology fellowship, an inpatient toxicology service, or an outpatient toxicology clinic within the same institution. Fifty-seven percent of RITN centers have at least one of these resources located in the same city, however, and 73% of centers have at least one of these resources or a poison control center within the same city. Ninety-five percent of RITN centers have at least one medical toxicology resource within the state. Most RITN centers are located in the same city as at least one medical toxicology resource. Establishing relationships between RITN centers and medical toxicologists needs to be explored further.

Description of water-resource-related data compiled for Reno County, south-central Kansas

USGS Publications Warehouse

Hansen, C.V.

1993-01-01

Water-resource-related data for sites in Reno County, Kansas were compiled in cooperation with the Reno County Health Department as part of the Kansas Department of Health and Environment's Local Environmental Protection Program (LEPP). These data were entered into a relational data-base management system (RDBMS) to facilitate the spatial analysis required to meet the LEPP goals of developing plans for nonpoint-source management and for public- water-supply protection. The data in the RDBMS are organized into digital data sets. The data sets contain the water-resource-related data compiled by the U.S. Geological Survey for 958 wells; by the Kansas Department of Health and Environment for 3,936 wells; by the Kansas Department of Health and Environment for 51 wells, 18 public-water-supply distribution systems, and 7 streams; by the Kansas State Board of Agriculture for 643 wells and 23 streams or surface-water impoundments; and by well-drilling contractors and the Kansas Geological Survey for 96 wells. The data in these five data sets are available from the Reno County Health Department in Hutchinson, Kansas. (USGS)

The Infant Development Center.

ERIC Educational Resources Information Center

Birr, Jack

Reported are services provided to developmentally or behaviorally disturbed children (0-to-3-years-old) and their parents by the Infant Development Center (IDC) in Mission, Kansas. Outlined is information such as the IDC's primary activities (infant developmental stimulation and parental training and support), secondary activities (such as…

Implementation of a pharmacy technician-centered medication reconciliation program at an urban teaching medical center.

PubMed

Sen, Sanchita; Siemianowski, Laura; Murphy, Michelle; McAllister, Susan Coutinho

2014-01-01

An inpatient medication reconciliation (MR) program emphasizing pharmacy technicians' role in the MR process is described. As part of quality-improvement (QI) efforts focused on MR-related adverse drug events, an urban academic medical center in New Jersey implemented a pharmacy technician-centered MR (PTMR) program targeting patients on its internal medicine, oncology, and clinical decision units. The program is staffed by five full- or part-time technicians who are trained in MR methods and work under direct pharmacist supervision, interviewing newly admitted patients and using other information sources (e.g., community pharmacies, physician offices, nursing facilities) to compile an accurate and complete medication list. About 30% of all patients admitted to the hospital are served by the PTMR program, which averages more than 500 cases each month. During one three-month period, 1748 discrepancies on preadmission medication lists were identified, most of which involved the omission of drugs (65.7% of cases) and incorrect information on dose and frequency of use (14.4%). Efforts to overcome resource constraints and other program challenges (e.g., privacy concerns, delays in community pharmacy transmittal of prescription refill lists) are ongoing. To date, most research on PTMR has been conducted in emergency departments or perioperative settings; experience with the PTMR program suggests that this approach can be applied in other hospital areas to improve MR processes and, ultimately, enhance pharmacotherapy safety and effectiveness across transitions of care. Based on experience, providers' perspectives, and QI data, the PTMR program is an effective method to obtain, document, and communicate accurate MR data for patients at this institution.

What's Right with Kansas? (LBNL Science at the Theater)

ScienceCinema

Fuller, Merrian; Jackson, Nancy

2018-06-20

On Monday, Oct. 3 at 7 p.m. in Berkeley's Repertory Theater, the Lab presented "What's Right with Kansas," an evening of conversation with the Kansas-based Climate and Energy Project's founder and board chair, Nancy Jackson, and Berkeley Lab scientist Merrian Fuller, an electricity-market, policy and consumer behavior expert. Berkeley Lab will also debut its video "Common Ground," which showcases how CEP has become a Kansas mainstay and an inspiration to environmental organizations across the country. In a state rife with climate-change skepticism, CEP has changed behavior, and some minds, by employing rural values of thrift, independence, conservation, and friendly competition to promote energy efficiency.

Adult Basic Skills and the Kansas Workforce. Executive Report.

ERIC Educational Resources Information Center

Krider, Charles E.; And Others

This report considers the basic skills levels of adults in Kansas, the provision of basic skills training by public and private agencies, and policy options for improving the basic skills of Kansas's workforce. Following a detailed executive report, chapter 1 reviews the workforce challenge, economic and technological changes, and shifts in…

76 FR 9658 - Approval and Promulgation of Implementation Plans; Kansas: Prevention of Significant...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-22

... greenhouse gas (GHG) under Kansas's New Source Review (NSR) Prevention of Significant Deterioration (PSD) program. First, the SIP revision provides the State of Kansas with authority to issue PSD permits... stationary sources and modification projects become subject to Kansas's PSD permitting requirements for their...

Kansas forest statistics, 1981.

Treesearch

Gerhard K. Raile; John S. Jr. Spencer

1984-01-01

The third inventory of the timber resources of Kansas shows a 1.4% increase in commercial forest area and a 42% gain in growing-stock volume between 1965 and 1981. Highlights and statistics are presented on area, volume, growth, mortality, removals, utilization and biomass.

Academic medical center libraries on the Web.

PubMed Central

Tannery, N H; Wessel, C B

1998-01-01

Academic medical center libraries are moving towards publishing electronically, utilizing networked technologies, and creating digital libraries. The catalyst for this movement has been the Web. An analysis of academic medical center library Web pages was undertaken to assess the information created and communicated in early 1997. A summary of present uses and suggestions for future applications is provided. A method for evaluating and describing the content of library Web sites was designed. The evaluation included categorizing basic information such as description and access to library services, access to commercial databases, and use of interactive forms. The main goal of the evaluation was to assess original resources produced by these libraries. PMID:9803298

76 FR 63940 - Kansas; Major Disaster and Related Determinations

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-14

... follows: I have determined that the damage in certain areas of the State of Kansas resulting from flooding... Act for Public Assistance and Hazard Mitigation will be limited to 75 percent of the total eligible... declaration of a major disaster for the State of Kansas (FEMA-4035-DR), dated September 23, 2011, and related...

Kansas' forest resources in 2003

Treesearch

W. Keith Moser; Robert L. Atchison; Gary J. Brand

2005-01-01

Reports the results of the first three yearly panels (2001-2003) of the fifth inventory of Kansas' forest resources. Includes information on forest area; volume; biomass; growth, removals, and mortality; and forest health.

The University of Kansas Applied Sensing Program: An operational perspective

NASA Technical Reports Server (NTRS)

Martinko, E. A.

1981-01-01

The Kansas applied remote sensing (KARS) program conducts demonstration projects and applied research on remote sensing techniques which enable local, regional, state and federal agency personnel to better utilize available satellite and airborne remote sensing systems. As liason with Kansas agencies for the Earth Resources Laboratory (ERL), Kansas demonstration project, KARS coordinated interagency communication, field data collection, hands-on training, and follow-on technical assistance and worked with Kansas agency personnel in evaluating land cover maps provided by ERL. Short courses are being conducted to provide training in state-of-the-art remote sensing technology for university faculty, state personnel, and persons from private industry and federal government. Topics are listed which were considered in intensive five-day courses covering the acquisition, interpretation, and application of information derived through remote sensing with specific training and hands-on experience in image interpretation and the analysis of LANDSAT data are listed.

5 strategies for improving performance of academic medical centers.

PubMed

Valletta, Robert M; Harkness, Alicia

2013-06-01

Academic medical centers should consider five strategies for becoming more cost-efficient and profitable as reforms are implemented: Make faculty responsible for cost and quality. Explore opportunities to collaborate with community hospitals. Extend care and education beyond the walls of the organization, employing technology and innovative teaching practices. Maximize healthcare IT investment by sharing data-rich patient records with other medical centers and research institutes. Align research with business strategy.

Kansas forest inventory, 1981.

Treesearch

John S. Jr. Spencer; John K. Strickler; William J. Moyer

1984-01-01

The third inventory of the timber resource of Kansas shows a 1.4% increase in commercial forest area and a 42% gain in growing-stock volume between 1965 and 1980. Text and statistics are presented on area, volume, growth, mortality, removals, utilization, biomass, and future timber supply.

A Development Program for Metropolitan Junior College, Kansas City. Volume Three: The Economy, Population, and Manpower Requirements of the Kansas City Metropolitan Area.

ERIC Educational Resources Information Center

Little (Arthur D.), Inc., San Francisco, CA.

The economy, population, and manpower requirements of the Kansas City metropolitan area are examined in this volume of a report for the planning and development of Metropolitan Junior College (MJC). Part I looks at the Kansas City economy, first from a historical perspective and then in terms of recent trends in economic growth; the comparative…

Federal Grant "Seed Money"--Sprouted, Growing and Blooming in the Kansas Sandhills: Interdisciplinary Studies--Their "Place in the Sun."

ERIC Educational Resources Information Center

Bogner, Donna

The Outdoor Research Project of Hutchinson Senior High School in Hutchinson, Kansas, was funded in 1977 to conduct a scientific baseline study of an outdoor education center and a state park. Gifted students used initial limnology tests, fish population studies, and groundcover analyses to produce management recommendations and a computer…

Assessing the Academic Medical Center as a Supportive Learning Community

ERIC Educational Resources Information Center

Gannon, Sam C.

2011-01-01

Academic medical centers are well-known for their emphasis on teaching, research and public service; however, like most large, bureaucratic organizations, they oftentimes suffer from an inability to learn as an organization. The role of the research administrator in the academic medical center has grown over time as the profession itself has…

Fate and transport of cyanobacteria and associated toxins and taste-and-odor compounds from upstream reservoir releases in the Kansas River, Kansas, September and October 2011

USGS Publications Warehouse

Graham, Jennifer L.; Ziegler, Andrew C.; Loving, Brian L.; Loftin, Keith A.

2012-01-01

Cyanobacteria cause a multitude of water-quality concerns, including the potential to produce toxins and taste-and-odor compounds. Toxins and taste-and-odor compounds may cause substantial economic and public health concerns and are of particular interest in lakes, reservoirs, and rivers that are used for drinking-water supply, recreation, or aquaculture. The Kansas River is a primary source of drinking water for about 800,000 people in northeastern Kansas. Water released from Milford Lake to the Kansas River during a toxic cyanobacterial bloom in late August 2011 prompted concerns about cyanobacteria and associated toxins and taste-and-odor compounds in downstream drinking-water supplies. During September and October 2011 water-quality samples were collected to characterize the transport of cyanobacteria and associated compounds from upstream reservoirs to the Kansas River. This study is one of the first to quantitatively document the transport of cyanobacteria and associated compounds during reservoir releases and improves understanding of the fate and transport of cyanotoxins and taste-and-odor compounds downstream from reservoirs. Milford Lake was the only reservoir in the study area with an ongoing cyanobacterial bloom during reservoir releases. Concentrations of cyanobacteria and associated toxins and taste-and-odor compounds in Milford Lake (upstream from the dam) were not necessarily indicative of outflow conditions (below the dam). Total microcystin concentrations, one of the most commonly occurring cyanobacterial toxins, in Milford Lake were 650 to 7,500 times higher than the Kansas Department of Health and Environment guidance level for a public health warning (20 micrograms per liter) for most of September 2011. By comparison, total microcystin concentrations in the Milford Lake outflow generally were less than 10 percent of the concentrations in surface accumulations, and never exceeded 20 micrograms per liter. The Republican River, downstream from

["AGAINST ALL ODDS" - PROMOTING RESEARCH, CLINICAL DEVELOPMENT AND MEDICAL SERVICES OF THE CONFLICT IN THE GALILEE MEDICAL CENTER].

PubMed

Bornstein, Jacob

2017-05-01

The Galilee Medical Center (GMC) is unique in several aspects. Firstly, in the clinical aspect: In recent years, led by the Director of Medical Center, Dr. Masad Barhoum, a considerable momentum of development has taken place to reduce health discrepancies between the center and the periphery. Despite the under- financing of the health system in the Galilee, the GMC opened new clinical departments, introduced advanced medical technology and key staff members were added. This approach is depicted in publications presented in the current issue. Secondly, the aspect of medicine standoff: The GMC is the nearest hospital to the border with neighboring countries. It is also a tertiary center for trauma, due to the establishment of the Department of Neurosurgery, Department of Oral and Maxillofacial Surgery and the Departments of Orthopedic Surgery, general invasive radiology and invasive radiology of the brain. In recent years, the medical center treated hundreds of victims of the civil war in Syria, a third of them - women and children. The injured patients presented unique medical problems that are described in the papers in this issue. Thirdly, the research aspect: The medical center is the main teaching facility of medical students of the Faculty of Medicine in the Galilee of Bar-Ilan University. The Faculty of Medicine, led by the Dean, Prof. Ran Tur-Kaspa, promotes research and teaching in the medical center. Even before the establishment of the Faculty of Medicine, former hospital director, Prof. Shaul Shasha, not only extolled the importance of research, but established a research laboratory years ago. The laboratory continues to pursue translational research by the physicians of the medical center, led by Dr. Shifra Sela and Prof. Batya Kristal, and supported by the current medical center director, Dr. Masad Barhoum. Several studies conducted in this research laboratory are published herewith. With these unique aspects and despite the discrimination in funding

Staff Evaluation of the JCCC Success Center Model.

ERIC Educational Resources Information Center

Weglarz, Shirley G.

This report describes a survey conducted at Johnson County Community College (JCCC) (Kansas) to measure staff perceptions, attitudes, and satisfaction with a variety of aspects of the Success Center/Student Services model, upon which the college's two-year old Success Center is based. Surveys were distributed in December 2001 to 107 Student Center…

A Qualitative Assessment of Weight Control among Rural Kansas Women

ERIC Educational Resources Information Center

Ely, Andrea C.; Befort, Christie; Banitt, Angela; Gibson, Cheryl; Sullivan, Debra

2009-01-01

Objective: To explore weight control beliefs, attitudes, knowledge, and practices among rural Kansas women, and to characterize the relationship of these women with their primary-care providers around weight control. Design: Qualitative research using focus groups. Setting: Three separate communities of rural Kansas. Participants: Six focus groups…

A midwifery-led in-hospital birth center within an academic medical center: successes and challenges.

PubMed

Perdion, Karen; Lesser, Rebecca; Hirsch, Jennifer; Barger, Mary; Kelly, Thomas F; Moore, Thomas R; Lacoursiere, D Yvette

2013-01-01

The University of California San Diego Community Women's Health Program (CWHP) has emerged as a successful and sustainable coexistence model of women's healthcare. The cornerstone of this midwifery practice is California's only in-hospital birth center. Located within the medical center, this unique and physically separate birth center has been the site for more than 4000 births. With 10% cesarean delivery and 98% breast-feeding rates, it is an exceptional example of low-intervention care. Integrating this previously freestanding birth center into an academic center has brought trials of mistrust and ineffectual communication. Education, consistent leadership, and development of multidisciplinary guidelines aided in overcoming these challenges. This collaborative model provides a structure in which residents learn to be respectful consultants and appreciate differences in medical practice. The CWHP and its Birth Center illustrates that through persistence and flexibility a collaborative model of maternity services can flourish and not only positively influence new families but also future generations of providers.

Kansas State Briefing Book on low-level radioactive waste management

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

Not Available

1981-07-01

The Kansas State Briefing Book is one of a series of state briefing books on low-level radioactive waste management practices. It has been prepared to assist state and federal agency officials in planning for safe low-level radioactive waste disposal. The report contains a profile of low-level radioactive waste generators in Kansas. The profile is the result of a survey of radioactive material licensees in Kansas. The briefing book also contains a comprehensive assessment of low-level radioactive waste management issues and concerns as defined by all major interested parties including industry, government, the media, and interest groups. The assessment was developedmore » through personal communications with representatives of interested parties, and through a review of media sources. Lastly, the briefing book provides demographic and socioeconomic data and a discussion of relevant government agencies and activities, all of which may affect waste management practices in Kansas.« less

Kansas forests 2005

Treesearch

W. Keith Moser; Mark H. Hansen; Robert L. Atchison; Gary J. Brand; Brett J. Butler; Susan J. Crocker; Dacia M. Meneguzzo; Mark D. Nelson; Charles H. Perry; William H. IV Reading; Barry T. Wilson; Christopher W. Woodall

2008-01-01

The first completed annual inventory of Kansas forests reports 2.1 million acres of forest land, roughly 4 percent of the total land area in the State. Softwood forests account for nearly 5 percent of the total timberland area. Oak/hickory forest types make up 56 percent of the total hardwood forest land area. Elm/ash/cottonwood accounts for more than 30 percent of the...

Kansas' Forests 2010

Treesearch

W. Keith Moser; Mark H. Hansen; Robert L. Atchison; Brett J. Butler; Susan J. Crocker; Grant Domke; Cassandra M. Kurtz; Andrew Lister; Patrick D. Miles; Mark D. Nelson; Ronald J. Piva; Christopher W. Woodall

2013-01-01

The second completed annual inventory of Kansas' forests reports 2.4 million acres of forest land, roughly 5 percent of the total land area in the State. Softwood forests account for 4.4 percent of the total timberland area. Oak/hickory forest types make up 55 percent of the total hardwood forest land area. Elm/ash/cottonwood accounts for more than 32 percent of...

Water demands in Kansas, 1944-84

USGS Publications Warehouse

Kenny, J.F.

1986-01-01

The State of Kansas has administered water rights according to an appropriations doctrine since 1945. Water rights are issued by the Kansas State Board of Agriculture, Division of Water Resources, for eight categories of beneficial use. Water rights data and limited information on reported water use are stored on a computerized State data base; the U.S. Geological Survey cooperates with the State on maintenance of this system. This report analyzes trends in appropriations from 1944-84 for surface and groundwater for three major categories of use: irrigation, public supply, and industry. Demands for water, represented by these appropriations, are compared for three geographic areas within the State. These areas correspond to general patterns of water availability, population, and enterprises. As of 1984, 87% of the water appropriated for the three major types of use was for irrigation; most of this demand was for groundwater in the western one-third of the State. Seventy-five percent of the water demands in the central one-third of Kansas were met by groundwater; appropriations for irrigation represent the largest demand on water supplies in this area but must compete with appropriations for public supply and industry. Demands for surface water have increased substantially only in the eastern part of the State for industrial use and public supplies. The most prominent trends in water rights permit activity were related to climatic fluctuations, particularly the drought of the 1950's, legislative changes in the 1970 's requiring permits, and growth of urban populations in the central and eastern areas of the State. Analysis of trends in water appropriations can be useful in understanding the water issues facing Kansas in the future. (Author 's abstract)

Kansas business plan for commercial vehicle operations using intelligent transportation systems

DOT National Transportation Integrated Search

1998-04-29

This state business plan is the product of a cooperative effort between state agencies, the Federal Highway Administration, Kansas Turnpike Authority, and the Kansas Motor Carrier Association. The plan represents a shared commitment to move forward w...

Ground-water data collected in the Missouri River Basin units in Kansas during 1954

USGS Publications Warehouse

Mason, B.J.; Loye, Linda

1955-01-01

Ground water studies in the Missouri River basin were begun by the United States Geological Survey during the fall of 1945 as a part of a program for the development of the resources of the basin by the United States Bureau of  Reclamation and other federal agencies. The studies of ground-water resources in the part of Kansas that lies within the Missouri River basin have been coordinated with the cooperative program of ground-water studies which were already being made in Kansas by the U.S Geological Survey, the Kansas State Geological Survey, the Division of Sanitation of the Kansas Board of Health and the Division of Water Resources of the Kansas State Board of Agriculture.  

Ground-water data collected in the Missouri River basin units in Kansas during 1950

USGS Publications Warehouse

Berry, Delmar W.

1951-01-01

Ground-water studies in the Missouri River basin were begun by the United States Geological Survey during the fall of 1945 as a part of a program for the development of the resources of the basin by the United States Bureau of Reclamation and other Federal Agencies. The studies of the ground-water resources in the part of Kansas that lies within the basin have been coordinated with the cooperative program of ground-water studies already being carried on in Kansas by the United States Geological Survey, the State Geological Survey of Kansas,the Division of Sanitation of the Kansas State Board of Health, and the Division of Water Resources of the Kansas State Board of Agriculture.

Water-quality and fluvial-sediment characteristics of selected streams in northeast Kansas

USGS Publications Warehouse

Bevans, H.E.

1982-01-01

In cooperation with the U.S. Soil Conservation Service, an investigation was made of the water-quality and fluvial-sediment characteristics of selected streams in northeast Kansas for which the construction of floodwater-retarding and grade-stabilization structures to control soil erosion is being considered. The predominent chemical type of water in streams draining the study area is calcium bicarbonate. In-stream concentrations of chemical constituents generally decrease with increasing streamflow. Exceptions to this are nitrate and phosphorus, which enter the streams as components of surface runoff. Computed mean annual discharges of dissolved solids ranged from 512 tons for Pony CratkSabetha, Kansas, to 23,900 tons for the Wolf River near Sparks, Kansas. Sediment yields in the study area, predominently silt and clay, are among the largest in the State. Drainage basins in the northern part of the study area yielded the most suspended sediment, with Pony Creek at Sabetha and near Reserve, Kansas, yielding 5,100 tons per square mile per year. Drainage basins in the southern part of the study area yielded less suspended sediment, with Little Grasshopper Creek near Effingham, Kansas, yielding 493 tons per square mile per year and Little Delaware River near Horton, Kansas, yielding 557 tons per square mile per year. (USGS)

Kansas Saw-Log Production Jumps 38 Percent From 1964 to 1969

Treesearch

James E. Blyth; Leonard K. Gould

1971-01-01

About 23 million board feet of saw logs were harvested in Kansas during 1969. Volumewise, cottonwood, walnut, and elm were the most important species. Most of the wood residue generated at the 67 Kansas sawmills was not used.

77 FR 37915 - Kansas; Major Disaster Declaration and Related Determinations

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-25

... to apply for assistance under the Hazard Mitigation Grant Program. The following Catalog of Federal... Presidential declaration of a major disaster for the State of Kansas (FEMA-4063-DR), dated May 24, 2012, and... have determined that the damage in certain areas of the State of Kansas resulting from severe storms...

THE PHYSICAL ASPECTS OF URBANIZATION, PHYSICAL CONSIDERATIONS IN COMMUNITY ACTION. KANSAS STATE UNIVERSITY SHORT COURSE SERIES IN PLANNING AND DEVELOPMENT, 5.

ERIC Educational Resources Information Center

MCGRAW, EUGENE T.

PART OF A KANSAS STATE UNIVERSITY SERIES ON COMMUNITY PLANNING AND DEVELOPMENT, THIS MONOGRAPH DESCRIBES AND DEFINES THE NATURE OF URBAN CENTERS AS PHYSICAL ENTITIES. BASIC LAND USE CATEGORIES AND SUBDIVISIONS, FUNCTIONAL CLASSIFICATIONS OF COMMUNITIES IN THE UNITED STATES (MANUFACTURING, RETAIL, WHOLESALE, DIVERSIFIED, TRANSPORTATION, MINING,…

Patient-centered medical home model: do school-based health centers fit the model?

PubMed

Larson, Satu A; Chapman, Susan A

2013-01-01

School-based health centers (SBHCs) are an important component of health care reform. The SBHC model of care offers accessible, continuous, comprehensive, family-centered, coordinated, and compassionate care to infants, children, and adolescents. These same elements comprise the patient-centered medical home (PCMH) model of care being promoted by the Affordable Care Act with the hope of lowering health care costs by rewarding clinicians for primary care services. PCMH survey tools have been developed to help payers determine whether a clinician/site serves as a PCMH. Our concern is that current survey tools will be unable to capture how a SBHC may provide a medical home and therefore be denied needed funding. This article describes how SBHCs might meet the requirements of one PCMH tool. SBHC stakeholders need to advocate for the creation or modification of existing survey tools that allow the unique characteristics of SBHCs to qualify as PCMHs.

Student perceptions of a patient- centered medical training curriculum

PubMed Central

Gallentine, Ashley; Salinas-Miranda, Abraham A.; Shaffer-Hudkins, Emily; Hinojosa, Sara; Monroe, Alicia

2014-01-01

Objectives To evaluate a patient-centered medical training curriculum, the SELECT program, through perceptions of the inaugural student cohort. Methods Data were collected from two focus groups conducted in the university setting, comprised of fifteen first-year medical students who participated in the SELECT program during its inaugural year. A questioning protocol was used to guide the focus group discussion, which was transcribed and hand-coded through thematic analyses. Results Various themes related to patient-centered care were identified. Students noted changes in their attitudes towards interacting with patients in an empowering and educative manner as a result of communication and motivational interviewing exercises. Additionally, they recognized certain external, structural barriers as well as internal conflict between pragmatism and emotional intelligence that could potentially hinder patient-centered care. The impact of family dynamics and social support on quality of life and health outcomes was acknowledged. Students also emphasized the value of collaborating with multiple health professionals. Lastly, students provided suggestions for program improvement, namely additional simulations, more education regarding other healthcare professionals’ roles, more standardized experiences, and application of principles to acute and primary care. Conclusions Upon completion of the first year of the SELECT program, students gained an appreciation for patient-centered care and various factors and skills that facilitate such care. Additionally, they experienced a dissonance between didactic concepts from the curriculum and observed medical practices. This study highlights the educational benefits of a patient-centered medical curriculum and provides suggestions for future improvement. PMID:25341218

Supply chain optimization at an academic medical center.

PubMed

Labuhn, Jonathan; Almeter, Philip; McLaughlin, Christopher; Fields, Philip; Turner, Benjamin

2017-08-01

A successful supply chain optimization project that leveraged technology, engineering principles, and a technician workflow redesign in the setting of a growing health system is described. With continued rises in medication costs, medication inventory management is increasingly important. Proper management of central pharmacy inventory and floor-stock inventory in automated dispensing cabinets (ADCs) can be challenging. In an effort to improve control of inventory costs in the central pharmacy of a large academic medical center, the pharmacy department implemented a supply chain optimization project in collaboration with the medical center's inhouse team of experts on process improvement and industrial engineering. The project had 2 main components: (1) upgrading and reconfiguring carousel technology within an expanded central pharmacy footprint to generate accurate floor-stock inventory replenishment reports, which resulted in efficiencies within the medication-use system, and (2) implementing a technician workflow redesign and algorithm to right-size the ADC inventory, which decreased inventory stockouts (i.e., incidents of depletion of medication stock) and improved ADC user satisfaction. Through a multifaceted approach to inventory management, the number of stockouts per month was decreased and ADC inventory was optimized, resulting in a one-time inventory cost savings of $220,500. Copyright © 2017 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

NPDES Permit Walter Reed Army Medical Center

EPA Pesticide Factsheets

Under National Pollutant Discharge Elimination System permit number DC0000361, the Department of the Army is authorized to discharge from a facility located at Walter Reed Army Medical Center into receiving waters named Rock Creek.

Estimating the discharge for ordinary high water levels in Kansas : [technical summary].

DOT National Transportation Integrated Search

2014-09-01

The water resource design community in Kansas, including the Kansas Department : of Transportation (KDOT), is required to obtain appropriate permits for construction : projects. Projects that involve stream modification, including drainage structures...

The Manned Spacecraft Center and medical technology

NASA Technical Reports Server (NTRS)

Johnston, R. S.; Pool, S. L.

1974-01-01

A number of medically oriented research and hardware development programs in support of manned space flights have been sponsored by NASA. Blood pressure measuring systems for use in spacecraft are considered. In some cases, complete new bioinstrumentation systems were necessary to accomplish a specific physiological study. Plans for medical research during the Skylab program are discussed along with general questions regarding space-borne health service systems and details concerning the Health Services Support Control Center.

78 FR 56753 - License Amendment for Aptuit, LLC, Kansas City, Missouri

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-13

..., LLC, Kansas City, Missouri AGENCY: Nuclear Regulatory Commission. ACTION: Environmental assessment and... City, Missouri to make it suitable for unrestricted use in accordance with the NRC requirements. The... licensee's Kansas City, Missouri facility as a location of use for radioactive byproduct materials on May...

Kansas Kids Count Data Book, 1997. A Project of Kansas Action for Children.

ERIC Educational Resources Information Center

Kansas Action for Children, Inc., Topeka.

This Kids Count data book profiles the status of children in Kansas, based on 17 indicators of well being. The indicators are grouped into four areas: (1) economic well-being--births to single teens, children approved for free school meals, and children receiving economic assistance; (2) physical health and safety--child death rates, infant…

Kansas Kids Count Data Book, 1995. A Project of Kansas Action for Children.

ERIC Educational Resources Information Center

Hardman, Sydney, Ed.; And Others

This Kids Count data book presents a statistical portrait of the well being of and current conditions faced by the children of Kansas, based on key indicators. Eighteen indicators are detailed in six subject areas: (1) economic well-being; (2) physical health and safety; (3) educational achievement; (4) early childhood care and education; (5)…

Forests of Kansas, 2013

Treesearch

D.M. Meneguzzo; B.J. Butler

2014-01-01

This resource update provides an overview of forest resource attributes for Kansas based on annual inventories conducted by the Forest Inventory and Analysis (FIA) program of the Northern Research Station (NRS) of the U.S. Forest Service. The estimates presented in this update are based on field data collected in 2009-2013 with comparisons made to data collected from...

Sexting in Kansas Schools

ERIC Educational Resources Information Center

May, Dale R.

2011-01-01

This paper is an exploratory study about sexting, the sending of sexually explicit or illicit photos or video between cell phones, in Kansas public schools. An on-line survey asked superintendents to report if they have had an occurrence of sexting in their district. They were also asked if they felt sexting is currently a problem in their…

Forests of Kansas, 2014

Treesearch

D.M. Meneguzzo; S.J. Crocker

2015-01-01

This resource update provides an overview of forest resource attributes for Kansas based on annual inventories conducted by the Forest Inventory and Analysis (FIA) program of the Northern Research Station (NRS) of the U.S. Forest Service. The estimates presented in this update are based on field data collected in 2010-2014 with comparisons made to data collected from...

Kansas' forest resources, 2010

Treesearch

W.K. Moser; C.H. Barnett; C.M. Kurtz; R.A. Atchison

2011-01-01

This publication provides an overview of forest resource attributes for Kansas based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) program at the Northern Research Station of the U.S. Forest Service. These estimates, along with web-posted core tables, will be updated annually. For more information please refer to page 4 of this report....

Kansas' forest resources, 2009

Treesearch

W.K. Moser; M.H. Hansen; C.H. Barnett; R.A. Atchison

2010-01-01

This publication provides an overview of forest resource attributes for Kansas based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) program at the Northern Research Station of the U.S. Forest Service. These estimates, along with web-posted core tables, will be updated annually. For more information please refer to page 4 of this report....

Kansas' forest resources, 2012

Treesearch

W.K. Moser; P.D. Miles; R.A. Atchison

2013-01-01

This publication provides an overview of forest resource attributes for Kansas based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) program at the Northern Research Station of the U.S. Forest Service. These estimates, along with web-posted core tables, will be updated annually. For more information please refer to page 4 of this report....

Kansas' forest resources, 2011

Treesearch

W.K. Moser; D.E. Haugen; R.A. Atchison

2012-01-01

This publication provides an overview of forest resource attributes for Kansas based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) program at the Northern Research Station of the U.S. Forest Service. These estimates, along with web-posted core tables, will be updated annually. For more information please refer to page 4 of this report....

Kansas' Forest Resources, 2007

Treesearch

W.K. Moser; M.H. Hansen; R.L. Atchison

2008-01-01

This publication provides an overview of forest resource attributes for Kansas based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) program at the Northern Research Station of the U.S. Forest Service. These estimates, along with web-posted core tables, will be updated annually. For more information please refer to page 4 of this report....

Safe Sleep Practices of Kansas Birthing Hospitals

PubMed Central

Ahlers-Schmidt, Carolyn R.; Schunn, Christy; Sage, Cherie; Engel, Matthew; Benton, Mary

2018-01-01

Background Sleep-related death is tied with congenital anomalies as the leading cause of infant mortality in Kansas, and external risk factors are present in 83% of these deaths. Hospitals can impact caregiver intentions to follow risk-reduction strategies. This project assessed the current practices and policies of Kansas hospitals with regard to safe sleep. Methods A cross-sectional survey of existing safe sleep practices and policies in Kansas hospitals was performed. Hospitals were categorized based on reported delivery volume and data were compared across hospital sizes. Results Thirty-one of 73 (42%) contacted hospitals responded. Individual survey respondents represented various hospital departments including newborn/well-baby (68%), neonatal intensive care unit (3%) and other non-nursery departments or administration (29%). Fifty-eight percent of respondents reported staff were trained on infant safe sleep; 44% of these held trainings annually. High volume hospitals tended to have more annual training than low or mid volume birth hospitals. Thirty-nine percent reported a safe sleep policy, though most of these (67%) reported never auditing compliance. The top barrier to safe sleep education, regardless of delivery volume, was conflicting patient and family member beliefs. Conclusions Hospital promotion of infant safe sleep is being conducted in Kansas to varying degrees. High and mid volume birth hospitals may need to work more on formal auditing of safe sleep practices, while low volume hospitals may need more staff training. Low volume hospitals also may benefit from access to additional caregiver education materials. Finally, it is important to note hospitals should not be solely responsible for safe sleep education. PMID:29844848

Surface-water-quality assessment of the lower Kansas River basin, Kansas and Nebraska; distribution of trace-element concentrations in dissolved and suspended phases, streambed sediment, and fish samples, May 1987 through April 1990

USGS Publications Warehouse

Tanner, D.Q.

1995-01-01

The distribution of trace elements in dissolved and suspended phases, streambed sediment, and fish samples is described for principal streams in the lower Kansas River Basin, Kansas and Nebraska, from May 1987 through April 1990. Large median concentrations of dissolved lithium and strontium in the Kansas River were related to saline ground-water discharge, and large median concentrations of dissolved strontium in Mill Creek near Paxico, Kansas were related to Permian limestone and shale. Large concentrations of arsenic, chromium, and lead in water were identified downstream from three reservoirs, which may be attributed to resuspension of bed sediment in turbulent flow near the dams or release of water from near the bottom of the reservoirs. Trace elements in streambed sediments greater than background concentrations were identified downstream from the Aurora, Nebraska, wastewater-treatment plant, from industrial or urban areas near Kansas City, Kansas, and from the dam at Perry Lake, Kansas. Median and 90th-percentile concentrations of mercury in fish-tissue samples approximately doubled from 1979-86 to 1987-90. However, concentrations in samples collected during the latter period were less than the National Academy of Sciences and National Academy of Engineering 1972 criterion of 500 micrograms per kilogram for mercury in fish tissue.

Kansas ground-water observation-well network, 1985

USGS Publications Warehouse

Dague, B.J.; Stullken, L.E.

1986-01-01

Water level measurements are made in 1,892 selected wells in 73 counties, which currently (1985) comprise the Kansas groundwater observation-well network. These measurements are made on a continuous, monthly, quarterly, or annual basis. Water level measurements have been made in observation wells since 1937 as part of a cooperative program among the Kansas Geological Survey , the Kansas State Board of Agriculture, the city of Wichita, and the U.S. Geological Survey. The objectives of the observation-well cooperative program are: (1) to provide long-term records of water level fluctuations in representative wells, (2) to facilitate the determination of possible water level trends that may indicate future availability of groundwater supplies, (3) to aid in the determination of possible changes in the base flow of streams, and (4) to provide information for use in water-resources research. This report lists for each well in the network the location, the first year of recorded water level measurement, the frequency and number of measurements, the land-surface altitude, hexagon-grid identifiers for wells in the High Plains aquifer, and the principal geologic unit(s) in which the well is completed. (USGS)

One Approach to Adopting Codes for Radon-Resistant New Construction: Manhattan, Kansas

EPA Pesticide Factsheets

As a member of the Manhattan City Council and the Kansas State Radon Extension Program, Bruce Snead was in an excellent position to champion the adoption of radon-resistant new construction (RRNC) in Manhattan, Kansas.

AmeriFlux US-KFS Kansas Field Station

DOE Data Explorer

Brunsell, Nathaniel [Kansas University

2016-01-01

This is the AmeriFlux version of the carbon flux data for the site US-KFS Kansas Field Station. Site Description - The study is an abandoned grassland at the Kansas Field Station and Ecological Reserves. The site is located within the tallgrass prairie-deciduous forest ecotonal area. The site was subjected to intensive agriculture from the 1940s through the late 1960s. In the mid-1970s, the site was planted with the cool-season grass Bromus inermis and used as a hay meadow until 1987. Then, mowing and burning approximately every five years maintained it as a grassland until 2007, when the eddy flux tower was installed.

Establishment of a university academic spine center: from concept to reality.

PubMed

Arnold, Paul M; Burton, Douglas C; Khan, Talal W; Dixon, Kimberly A; Asher, Marc A; Varghese, George

2013-01-01

In fewer than five years, the University of Kansas Hospital Spine Center became the largest and most comprehensive spine care facility in the greater metropolitan Kansas City area. The 22,000-square-foot facility has 27 exam rooms, four specialized diagnostic rooms, 11 pre-/post-interventional procedure rooms, and a 4000-square-foot outpatient rehabilitation gym. Patients can meet with their physicians, undergo diagnostic tests and treatment, and attend therapy sessions in one location. The multidisciplinary Spine Center brings together orthopedic surgeons, neurosurgeons, neurologists, physical medicine and rehabilitation physicians, psychiatrists, psychologists, pain-management anesthesiologists, radiologists, and physical and occupational therapists. The Spine Center became successful because a group of physicians bought into the philosophy of a comprehensive interdisciplinary program, were willing to sacrifice some territorial claims, and were willing to put patient care and the good of the institution above individual egos.

Kansas Kids Count Data Book, 1999. A Project of Kansas Action for Children.

ERIC Educational Resources Information Center

Kansas Action for Children, Inc., Topeka.

The Kids Count Data Book examines trends in the well-being of Kansas children. This statistical portrait is based on trends in 22 indicators of child well-being, grouped into 5 areas: (1) economic well-being--births to single teens, child poverty rates, free school meals, and family economic assistance; (2) physical health and safety--childhood…

Kansas Kids Count Data Book, 1998. A Project of Kansas Action for Children.

ERIC Educational Resources Information Center

Kansas Action for Children, Inc., Topeka.

The Kids Count Data Book examines trends in the well-being of Kansas children. The statistical portrait is based on trends in 22 indicators of child well-being, grouped into 5 areas: (1) economic well-being--births to single teens, free school meals, family economic assistance, child poverty rates; (2) physical health and safety--childhood deaths,…

Research centers and institutes in U.S. medical schools: a descriptive analysis.

PubMed

Mallon, William T; Bunton, Sarah A

2005-11-01

Research centers and institutes are a common mechanism to organize and facilitate biomedical research at medical schools and universities. The authors report the results of a study on the size, scope, and range of activities of 604 research centers and institutes at research-intensive U.S. medical schools and their parent universities. Centers and institutes with primary missions of patient care, education, or outreach were not included. The findings indicate that, in addition to research, centers and institutes are involved in a range of activities, including education, service, and technology transfer. The centers and institutes the authors studied were more interdisciplinary than those included in previous studies on this topic. Most research centers and institutes did not have authority comparable to academic departments. Only 22% of centers directly appointed faculty members, and most center directors reported to a medical school dean or a department chair. A small group of centers and institutes ("power centers"), however, reported to a university president or provost, and may have considerable power and influence in academic decision making and resource allocation. Two main types of centers and institutes emerge from this research. The first type, which includes the vast of majority of centers, is modest in its scope and marginal in its influence. The second type--with greater amounts of funding, larger staffs, and direct access to institutional decisionmakers--may have a more significant role in the organization and governance of the medical school and university and in the ways that researchers interact within and across academic divisions.

Along the Yellow-Brick Road: Things Are Fine Down Kansas Way.

ERIC Educational Resources Information Center

Killacky, Jim; And Others

University for Man (UFM) has developed into a major national organization, impacting the worlds of lifelong learning, alternative education, and rural and community resource development. It was founded in 1968 when Manhattan, Kansas, residents secured several hundred dollars from the Kansas State University student government to organize seven…

Patient-Centered Tools for Medication Information Search.

PubMed

Wilcox, Lauren; Feiner, Steven; Elhadad, Noémie; Vawdrey, David; Tran, Tran H

2014-05-20

Recent research focused on online health information seeking highlights a heavy reliance on general-purpose search engines. However, current general-purpose search interfaces do not necessarily provide adequate support for non-experts in identifying suitable sources of health information. Popular search engines have recently introduced search tools in their user interfaces for a range of topics. In this work, we explore how such tools can support non-expert, patient-centered health information search. Scoping the current work to medication-related search, we report on findings from a formative study focused on the design of patient-centered, medication-information search tools. Our study included qualitative interviews with patients, family members, and domain experts, as well as observations of their use of Remedy, a technology probe embodying a set of search tools. Post-operative cardiothoracic surgery patients and their visiting family members used the tools to find information about their hospital medications and were interviewed before and after their use. Domain experts conducted similar search tasks and provided qualitative feedback on their preferences and recommendations for designing these tools. Findings from our study suggest the importance of four valuation principles underlying our tools: credibility, readability, consumer perspective, and topical relevance.

Effects of urbanization on water quality in the Kansas River, Shunganunga Creek Basin, and Soldier Creek, Topeka, Kansas, October 1993 through September 1995

USGS Publications Warehouse

Pope, L.M.; Putnam, J.E.

1997-01-01

A study of urban-related water-qulity effects in the Kansas River, Shunganunga Creek Basin, and Soldier Creek in Topeka, Kansas, was conducted from October 1993 through September 1995. The purpose of this report is to assess the effects of urbanization on instream concentrations of selected physical and chemical constituents within the city of Topeka. A network of seven sampling sites was established in the study area. Samples principally were collected at monthly intervals from the Kansas River and from the Shunganunga Creek Basin, and at quarterly intervals from Soldier Creek. The effects of urbanization werestatistically evaluated from differences in constituent concentrations between sites on the same stream. No significant differences in median concentrations of dissolved solids, nutrients, or metals and trace elements, or median densities offecal bacteria were documented between sampling sites upstream and downstream from the major urbanized length of the Kansas River in Topeka.Discharge from the city's primary wastewater- treatment plant is the largest potential source of contamination to the Kansas River. This discharge increased concentrations of dissolved ammonia, totalphosphorus, and densities of fecal bacteria.Calculated dissolved ammonia as nitrogen concentrations in water from the Kansas River ranged from 0.03 to 1.1 milligrams per liter after receiving treatment-plant discharge. However, most of the calculated concentrations wereconsiderably less than 50 percent of Kansas Department of Health and Environment water- quality criteria, with a median value of 20 percent.Generally, treatment-plant discharge increased calculated total phosphorus concentrations in water from the Kansas River by 0.01 to 0.04 milligrams per liter, with a median percentage increase of 7.6 percent. The calculated median densities of fecal coliform and fecal Streptococci bacteria in water from the Kansas River increased from 120 and 150colonies per 100 milliliters of water

Forests of Kansas, 2016

Treesearch

Dacia M. Meneguzzo

2017-01-01

This resource update provides an overview of forest resources in Kansas based on inventories conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program of the Northern Research Station. For annual inventory years 2001-2013, the sample length was equal to 5 years. Beginning in 2014, the cycle length was changed to 7 years. For the 2016 inventory,...

Forests of Kansas, 2015

Treesearch

Dacia M. Meneguzzo

2016-01-01

This resource update provides an overview of forest resources in Kansas based on inventories conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program of the Northern Research Station. For annual inventory years 2001-2013, the sample length was equal to 5 years. Beginning in 2014, the cycle length was changed to 7 years. For the 2015 inventory,...

Kansas Working Papers in Linguistics, Volume 17, Numbers 1 and 2.

ERIC Educational Resources Information Center

Linn, Mary Sarah, Ed.; Oliverio, Giulia R. M., Ed.

"Kansas Working Papers in Linguistics" is intended as a forum for the presentation of the latest original research by the faculty and students of the Department of Linguistics and other related departments of the University of Kansas. Papers in this volume include: "Some Issues in Japanese Accent" (Kenneth Miner);…

Projection: Educational and Training Requirements of the Kansas Economy to 1985.

ERIC Educational Resources Information Center

Kansas State Master Planning Commission, Topeka.

This planning report summarizes the results of the Kansas Master Planning Commission analysis of the labor force requirements of Kansas to 1985. The study objectives were analyzed in terms of demography, geographic, and economic considerations. Accumulative and annual labor force requirements were analyzed in terms of region, occupational group,…

The Evolution of Groundwater Management Paradigms in Kansas, USA

NASA Astrophysics Data System (ADS)

Sophocleous, M. A.

2011-12-01

The purpose of this presentation is to trace the evolution of key water-related laws and management practices in Kansas, from the enactment of the Kansas Water Resources Appropriation Act of 1945 to the present, in order to highlight the state's efforts to create a more sustainable water future and in hopes that others will benefit from Kansas' experience. The 1945 Act provides the basic framework of water law (prior appropriation) in Kansas. Progression of groundwater management in the state encompasses local ground-water management districts (GMDs) and their water-management programs, minimum-streamflow and TMDL standards, water-use reporting and water metering programs, use of modified safe-yield policies in some GMDs, the subbasin water-resources-management program, the integrated resource planning/Aquifer Storage and Recovery project of the City of Wichita, the Central Kansas Water Bank, enhanced aquifer subunits management, and various water conservation programs. While these have all contributed to the slowing down of declines in groundwater levels in the High Plains aquifer and in associated ecosystems, they have not yet succeeded in halting those declines. Based on the assumption that the different management approaches have to operate easily within the prevailing water rights and law framework to succeed, a number of steps are suggested here that may help further halt the declines of the High Plains aquifer. These include eliminating the "use it or lose it" maxim in the prior-appropriation framework, broadening the definition of "beneficial use," regulating domestic and other "exempt" wells, encouraging voluntary "sharing the shortage" agreements, and determining to what extent water rights may be regulated in the public interest without a compensable "taking." Further necessary measures include determining to what extent water-rights holders might be subjected to reasonable dictates without having the security of their rights altered.

Decline of clinical research in academic medical centers.

PubMed

Meador, Kimford J

2015-09-29

Marked changes in US medical school funding began in the 1960s with progressively increasing revenues from clinical services. The growth of clinical revenues slowed in the mid-1990s, creating a funding crisis for US academic health care centers, who responded by having their faculty increase their clinical duties at the expense of research activities. Surveys document the resultant stresses on the academic clinician researcher. The NIH provides greater funding for basic and translational research than for clinical research, and the new Patient-Centered Outcomes Research Institute is inadequately funded to address the scope of needed clinical research. An increasing portion of clinical research is funded by industry, which leaves many important clinical issues unaddressed. There is an inadequate supply of skilled clinical researchers and a lack of external support for clinical research. The impact on the academic environment in university medical centers is especially severe on young faculty, who have a shrinking potential to achieve successful academic careers. National health care research funding policies should encourage the right balance of life-science investigations. Medical universities need to improve and highlight education on clinical research for students, residents, fellows, and young faculty. Medical universities also need to provide appropriate incentives for clinical research. Without training to ensure an adequate supply of skilled clinical researchers and a method to adequately fund clinical research, discoveries from basic and translational research cannot be clinically tested and affect patient care. Thus, many clinical problems will continue to be evaluated and treated with inadequate or even absent evidence-based knowledge. © 2015 American Academy of Neurology.

Decline of clinical research in academic medical centers

PubMed Central

2015-01-01

Marked changes in US medical school funding began in the 1960s with progressively increasing revenues from clinical services. The growth of clinical revenues slowed in the mid-1990s, creating a funding crisis for US academic health care centers, who responded by having their faculty increase their clinical duties at the expense of research activities. Surveys document the resultant stresses on the academic clinician researcher. The NIH provides greater funding for basic and translational research than for clinical research, and the new Patient-Centered Outcomes Research Institute is inadequately funded to address the scope of needed clinical research. An increasing portion of clinical research is funded by industry, which leaves many important clinical issues unaddressed. There is an inadequate supply of skilled clinical researchers and a lack of external support for clinical research. The impact on the academic environment in university medical centers is especially severe on young faculty, who have a shrinking potential to achieve successful academic careers. National health care research funding policies should encourage the right balance of life-science investigations. Medical universities need to improve and highlight education on clinical research for students, residents, fellows, and young faculty. Medical universities also need to provide appropriate incentives for clinical research. Without training to ensure an adequate supply of skilled clinical researchers and a method to adequately fund clinical research, discoveries from basic and translational research cannot be clinically tested and affect patient care. Thus, many clinical problems will continue to be evaluated and treated with inadequate or even absent evidence-based knowledge. PMID:26156509

Green Infrastructure in Kansas City

EPA Science Inventory

We use the state-of-the-art WRF-CMAQ coupled model to simulate the likely effects of a GI implementation strategy in Kansas City, MO/KS on regional meteorology and air quality changes. Two different land surface schemes (Pleim-Xiu and Noah) were implemented to characterize the di...

The Development of Accountability Procedures in Kansas School Districts. Project Kansas 76: Concept Paper.

ERIC Educational Resources Information Center

Sarthory, Joseph A.

Kansas schools are currently accredited individually on the basis of annual reports to the State Department of Education and periodic visits of State Department personnel emphasizing primarily inputs to the educational program. Senate Bill 501 affords school systems the capability to be accredited as a total district on the basis of a five year…

Logistic and linear regression model documentation for statistical relations between continuous real-time and discrete water-quality constituents in the Kansas River, Kansas, July 2012 through June 2015

USGS Publications Warehouse

Foster, Guy M.; Graham, Jennifer L.

2016-04-06

The Kansas River is a primary source of drinking water for about 800,000 people in northeastern Kansas. Source-water supplies are treated by a combination of chemical and physical processes to remove contaminants before distribution. Advanced notification of changing water-quality conditions and cyanobacteria and associated toxin and taste-and-odor compounds provides drinking-water treatment facilities time to develop and implement adequate treatment strategies. The U.S. Geological Survey (USGS), in cooperation with the Kansas Water Office (funded in part through the Kansas State Water Plan Fund), and the City of Lawrence, the City of Topeka, the City of Olathe, and Johnson County Water One, began a study in July 2012 to develop statistical models at two Kansas River sites located upstream from drinking-water intakes. Continuous water-quality monitors have been operated and discrete-water quality samples have been collected on the Kansas River at Wamego (USGS site number 06887500) and De Soto (USGS site number 06892350) since July 2012. Continuous and discrete water-quality data collected during July 2012 through June 2015 were used to develop statistical models for constituents of interest at the Wamego and De Soto sites. Logistic models to continuously estimate the probability of occurrence above selected thresholds were developed for cyanobacteria, microcystin, and geosmin. Linear regression models to continuously estimate constituent concentrations were developed for major ions, dissolved solids, alkalinity, nutrients (nitrogen and phosphorus species), suspended sediment, indicator bacteria (Escherichia coli, fecal coliform, and enterococci), and actinomycetes bacteria. These models will be used to provide real-time estimates of the probability that cyanobacteria and associated compounds exceed thresholds and of the concentrations of other water-quality constituents in the Kansas River. The models documented in this report are useful for characterizing changes

Invest in Kids, Invest in Kansas: Maintaining Our Commitment to Children.

ERIC Educational Resources Information Center

Kansas Action for Children, Inc., Topeka.

This pamphlet presents the concerns of child advocates related to the use of Kansas' portion of the Master Tobacco Settlement for improving the health and well-being of children and youth as legislated in 1999. This state legislation created the Kansas Endowment for Youth Fund (KEY) to receive the tobacco monies, the Children's Initiative Fund…

Kansas: Early Head Start Initiative

ERIC Educational Resources Information Center

Center for Law and Social Policy, Inc. (CLASP), 2012

2012-01-01

Kansas Early Head Start (KEHS) provides comprehensive services following federal Head Start Program Performance Standards for pregnant women and eligible families with children from birth to age 4. KEHS was implemented in 1998 using Child Care and Development Block Grant (CCDBG) quality set-aside dollars augmented by a transfer of federal…

Dry and stable excavations in limestones of the greater Kansas City area of Missouri and Kansas

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

Goebel, E.D.; Parizek, E.J.; Stauffer, T.P.

In the Greater Kansas City area of Missouri and Kansas the bedrock consists largely of a thick sequence of limestone and shale formations of Pennsylvanian age. Three formations are of interest in this report. The Swope Formation contains the Bethany Falls Limestone, the Wyandotte Formation contains the Argentine Limestone and the Farley Limestone, and the Oread Formation contains the Plattsmouth Limestone. Underground workings have been developed by industry in these three formations for a variety of uses, including factories, offices and warehouses. The Bethany Falls Limestone is the unit most widely developed for secondary underground use. The industries which design,more » excavate, and occupy this man-made underground space consider it to be essentially dry and stable. Identification and description of the geologic, topographic, hydrologic, and possible other unique features which allow this operational decision is the primary goal of this investigation.« less

Kansas environmental and resource study: A Great Plains model

NASA Technical Reports Server (NTRS)

Haralick, R. M.; Kanemasu, E. T.; Morain, S. A.; Yarger, H. L.; Ulaby, F. T. (Principal Investigator)

1973-01-01

The land use category of subimage regions over Kansas within an MSS image can be identified with an accuracy of about 70% using the textural-spectral features of the multi-images from the four MSS bands. Ground truth measurements indicate that reflectance ratios of the 545 and 655 nm wavebands provide an index of plant development and possibly physiological stress. Agricultural consultants have expressed substantial interest in work conducted on center pivot irrigation and have inquired as to how they may use ERTS-1 imagery to aid those in the irrigation field. Results of the land use mapping experiment indicate that ERTS-1 imagery has major potential in regionalization. The ways in which land is utilized within these regions may then be studied more effectively than if no adequate regionalization is available.

Analysis of endangered Kansas fish species distribution during historical and contemporary periods (pre- and post-1969)

EPA Science Inventory

Background/Question/Methods Kansas has more freshwater fish species than other states in the west and northern US. More than 140 fishes have recently been documented in Kansas rivers; of these, at least five are categorized as endangered species in Kansas (and threatened species ...

Composition and stable-isotope geochemistry of natural gases from Kansas, Midcontinent, U.S.A.

USGS Publications Warehouse

Jenden, P.D.; Newell, K.D.; Kaplan, I.R.; Watney, W.L.

1988-01-01

More than 28??1012 ft.3 (79??1010 m3) of natural gas and 5.3??109 bbl (8.4??108 m3) of oil have been produced in Kansas, U.S.A., from Paleozoic carbonate and sandstone reservoirs on structural uplifts and shallow embayments along the northern margin of the Anadarko basin. A heavily-explored, geologically well-characterized state, Kansas is an excellent place to study hydrocarbon migration and to test geochemical models for the origin of natural gases. Immature to marginally-mature rocks of eastern Kansas (Cherokee and Forest City basins) produce mixed microbial and thermogenic gases. Gases in this region have wetness = 0.03-51%, methane ??13C = -65 to -43??? and methane ??D = -260 to -150???. Gases from central and western Kansas (Nemaha uplift to Hugoton embayment) are entirely thermogenic and have wetness =4-51%, methane ??13C = -48 to -39??? and methane ??D = -195 to -140???. Ethane and propane ??13C-values throughout Kansas vary from -38 to -28??? and from -35 to -24???, respectively. Mature thermogenic gas (generated from source rocks in southwestern Kansas and the Anadarko basin with 1.0% ??? Ro ??? 1.4%) is recognized throughout the state. Lateral migration into shallow reservoirs on the Central Kansas and northern Nemaha uplifts and in the Cherokee basin probably occurred along basal Pennsylvanian conglomerates and weathered Lower Paleozoic carbonates at the regional sub-Pennsylvanian unconformity. Early thermogenic gas (generated by local source rocks with Ro ??? 0.7%) is recognized in isolated fields in the Salina and Forest City basins, in Ordovician reservoirs beneath the sub-Pennsylvanian unconformity in the Cherokee basin, and in reservoirs generally above the unconformity in the Cherokee and Sedgwick basins, the eastern Central Kansas uplift and the Hugoton embayment. ?? 1988.

78 FR 11751 - Approval and Promulgation of Implementation Plans; State of Kansas; Idle Reduction of Heavy-Duty...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-20

...EPA is taking direct final action to approve revisions to the Kansas State Implementation Plan (SIP) submitted by the State of Kansas on July 27, 2010. The revision includes two new rules which implement restrictions on the idling of heavy duty diesel vehicles and reduce nitrogen oxide (NOX) emissions at stationary sources in the Kansas portion of the Kansas City Maintenance Area for ozone. EPA is approving this revision because the standards and requirements set by the rules will strengthen the Kansas SIP. EPA's approval of this SIP revision is being done in accordance with the requirements of the Clean Air Act (CAA).

Timber Volume in Kansas Counties, 1981

Treesearch

Thomas L. Castonguay

1983-01-01

The third forest inventory of Kansas shows a growing-stock volume of 711.3 million cubic feet and a sawtimber volume of 2,566.2 million board feet in 1981. Hardwoods make up over 99 percent of these totals.

Patient-Centered Tools for Medication Information Search

PubMed Central

Wilcox, Lauren; Feiner, Steven; Elhadad, Noémie; Vawdrey, David; Tran, Tran H.

2016-01-01

Recent research focused on online health information seeking highlights a heavy reliance on general-purpose search engines. However, current general-purpose search interfaces do not necessarily provide adequate support for non-experts in identifying suitable sources of health information. Popular search engines have recently introduced search tools in their user interfaces for a range of topics. In this work, we explore how such tools can support non-expert, patient-centered health information search. Scoping the current work to medication-related search, we report on findings from a formative study focused on the design of patient-centered, medication-information search tools. Our study included qualitative interviews with patients, family members, and domain experts, as well as observations of their use of Remedy, a technology probe embodying a set of search tools. Post-operative cardiothoracic surgery patients and their visiting family members used the tools to find information about their hospital medications and were interviewed before and after their use. Domain experts conducted similar search tasks and provided qualitative feedback on their preferences and recommendations for designing these tools. Findings from our study suggest the importance of four valuation principles underlying our tools: credibility, readability, consumer perspective, and topical relevance. PMID:28163972

Description and quantitative modeling of oolitic reservoir analogs within the lower Kansas City Group (Pennsylvanian), southeastern Kansas

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

French, J.A.; Watney, W.L.

A significant number of petroleum reservoirs within the Kansas City Group in central and western Kansas are dominantly oolitic grainstones that cap 10- to 30-m-thick, shallowing-upward, carbonate-rich depositional sequences. Coeval units that occur at and near the surface in southeastern Kansas contain similar porous lithofacies that have been examined in detail via cores, outcrops, and an extensive log database to better understand the equivalent reservoirs. These studies suggest that individual oolitic, reservoir-quality units in the Bethany Falls Limestone (equivalent to the K zone in the subsurface) developed at several relative sea level stands that occurred during development of a highstandmore » systems tract within this depositional sequence. As many as three grain-rich parasequences may occur at a given location. The occurrence of multiple parasequences indicates a relatively complex history of K-zone deposition, which likely resulted in significant effects on reservoir architecture. Two-dimensional forward modeling of this sequence with our interactive, PC-based software has revealed that limited combinations of parameters such as shelf configuration, eustasy, sedimentation rates, and subsidence rates generate strata successions similar to those observed. Sensitivity analysis coupled with regional characterization of processes suggest ranges of values that these parameters could have had during deposition of these units. The ultimate goal of this modeling is to improve our ability to predict facies development in areas of potential and known hydrocarbon accumulations.« less

77 FR 21760 - Atmos Energy Colorado/Kansas Division; Notice of Baseline Filing

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-11

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR12-19-000] Atmos Energy Colorado/Kansas Division; Notice of Baseline Filing Take notice that on March 30, 2012, Atmos Energy Colorado/Kansas Division (Atmos) submitted a baseline filing of their Statement of Operating Conditions for...

School-Based Health Centers and the Patient-Centered Medical Home. Position Statement

ERIC Educational Resources Information Center

National Assembly on School-Based Health Care, 2010

2010-01-01

The patient-centered medical home (PCMH) is an innovative care delivery model designed to provide comprehensive primary care services to people of all ages by fostering partnerships between patients, families, health care providers and the community. National Assembly on School-Based Health Care (NASBHC) recommends practices and policies that…

Measurement of irrigated acreage in Western Kansas from LANDSAT images

NASA Astrophysics Data System (ADS)

Keene, K. M.; Conley, C. D.

1980-03-01

In the past four decades, irrigated acreage in western Kansas has increased rapidly. Optimum utilization of vital groundwater supplies requires implementation of long-term water-management programs. One important variable in such programs is up-to-date information on acreage under irrigation. Conventional ground survey methods of estimating irrigated acreage are too slow to be of maximum use in water-management programs. Visual interpretation of LANDSAT images permits more rapid measurement of irrigated acreage, but procedures are tedious and still relatively slow. For example, using a LANDSAT false-color composite image in areas of western Kansas with few landmarks, it is impossible to keep track of fields by examination under low-power microscope. Irrigated fields are more easily delineated on a photographically enlarged false-color composite and are traced on an overlay for measurement. Interpretation and measurement required 6 weeks for a four-county (3140 mi2, 8133 km2) test area. Video image-analysis equipment permits rapid measurement of irrigated acreage. Spectral response of irrigated summer crops in western Kansas on MSS band 5 (visible red, 0.6-0.7 μm) images is low in contrast to high response from harvested and fallow fields and from common soil types. Therefore, irrigated acreage in western Kansas can be uniquely discriminated by video image analysis. The area of irrigated crops in a given area of view is measured directly. Sources of error are small in western Kansas. After preliminary preparation of the images, the time required to measure irrigated acreage was 1 h per county (average area, 876 ml2 or 2269 km2).

Surface waters of Kansas, 1895-1919

USGS Publications Warehouse

Rice, R.C.

1921-01-01

The collection of long-time records of stream-flow in Kansas which is published in this volume has been prepared for the use of those who are concerned with the different phases of the utilization of water in the state.

Kansas City Transportation and Local-Scale Air Quality Study (KC-TRAQS) Fact Sheet

EPA Pesticide Factsheets

In fall 2017, the U.S. Environmental Protection Agency (EPA) launched the Kansas City Transportation Local-Scale Air Quality Study (KC-TRAQS) to learn more about local community air quality in three neighborhoods in Kansas City, KS.

Publication and reporting of clinical trial results: cross sectional analysis across academic medical centers.

PubMed

Chen, Ruijun; Desai, Nihar R; Ross, Joseph S; Zhang, Weiwei; Chau, Katherine H; Wayda, Brian; Murugiah, Karthik; Lu, Daniel Y; Mittal, Amit; Krumholz, Harlan M

2016-02-17

To determine rates of publication and reporting of results within two years for all completed clinical trials registered in ClinicalTrials.gov across leading academic medical centers in the United States. Cross sectional analysis. Academic medical centers in the United States. Academic medical centers with 40 or more completed interventional trials registered on ClinicalTrials.gov. Using the Aggregate Analysis of ClinicalTrials.gov database and manual review, we identified all interventional clinical trials registered on ClinicalTrials.gov with a primary completion date between October 2007 and September 2010 and with a lead investigator affiliated with an academic medical center. The proportion of trials that disseminated results, defined as publication or reporting of results on ClinicalTrials.gov, overall and within 24 months of study completion. We identified 4347 interventional clinical trials across 51 academic medical centers. Among the trials, 1005 (23%) enrolled more than 100 patients, 1216 (28%) were double blind, and 2169 (50%) were phase II through IV. Overall, academic medical centers disseminated results for 2892 (66%) trials, with 1560 (35.9%) achieving this within 24 months of study completion. The proportion of clinical trials with results disseminated within 24 months of study completion ranged from 16.2% (6/37) to 55.3% (57/103) across academic medical centers. The proportion of clinical trials published within 24 months of study completion ranged from 10.8% (4/37) to 40.3% (31/77) across academic medical centers, whereas results reporting on ClinicalTrials.gov ranged from 1.6% (2/122) to 40.7% (72/177). Despite the ethical mandate and expressed values and mission of academic institutions, there is poor performance and noticeable variation in the dissemination of clinical trial results across leading academic medical centers. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go

Marketing the academic medical center group practice.

PubMed

Eudes, J A; Divis, K L

1992-01-01

From a marketing perspective, there are many differences between private and academic medical center (AMC) group practices. Given the growing competition between the two, write John Eudes and Kathy Divis, it is important for the AMC group practice to understand and use these differences to develop a competitive market advantage.

Kansas Business Education Curriculum Guide.

ERIC Educational Resources Information Center

Groneman, Nancy; Owen, Susan

This curriculum guide was developed to help business education teachers in Kansas improve and update their curricula to meet the needs of the present and future electronic office. The guide is based upon the premise that computer and keyboarding skills will be needed by all students and that communication skills and knowledge of word…

Kansas Students Enjoy Summertime "Mountain Ventures"

ERIC Educational Resources Information Center

Highfill, Kenneth M.

1974-01-01

Describes an elective biology program offered at Lawrence High School (Kansas) that emphasizes basic field biology, ecology, conservation, camping, first aid, mountaineering, and map reading. Groups of students spend two weeks in the Rocky Mountains developing knowledge and skills in these areas. (JR)

Integrated care management: aligning medical call centers and nurse triage services.

PubMed

Kastens, J M

1998-01-01

Successful integrated delivery systems must aggressively design new approaches to managing patient care. Implementing a comprehensive care management model to coordinate patient care across the continuum is essential to improving patient care and reducing costs. The practice of telephone nursing and the need for experienced registered nurses to staff medical call centers, nurse triage centers, and outbound telemanagement is expanding as the penetration of full-risk capitated managed care contracts are signed. As health systems design their new care delivery approaches and care management models, medical call centers will be an integral approach to managing demand for services, chronic illnesses, and prevention strategies.

Quantitative water quality with ERTS-1. [Kansas water resources

NASA Technical Reports Server (NTRS)

Yarger, H. L.; Mccauley, J. R.; James, G. W.; Magnuson, L. M.; Marzolf, G. R.

1974-01-01

Analyses of ERTS-1 MSS computer compatible tapes of reservoir scenes in Kansas along with ground truth show that MSS bands and band ratios can be used for reliable prediction of suspended loads up to at least 900 ppm. The major reservoirs in Kansas, as well as in other Great Plains states, are playing increasingly important roles in flood control, recreation, agriculture, and urban water supply. Satellite imagery is proving useful for acquiring timely low cost water quality data required for optimum management of these fresh water resources.

Architivity: Union Station. An Interdisciplinary Guide to Kansas City's Most Monumental Landmark.

ERIC Educational Resources Information Center

Graves, Ginny, Ed.

The American Institute of Architects, locally and nationally, is active in supporting environmental education efforts in the schools. Because of its "endangered" status, Union Station in Kansas City, Missouri, was chosen by the Kansas City chapter as the second focus landmark in the their series. This interdisciplinary field guide serves…

Chemical and Biological Terrorism: Improvements to Emergency Medical Response.

ERIC Educational Resources Information Center

DeGraffenreid, Jeff Gordon

The challenge facing many emergency medical services (EMS) is the implementation of a comprehensive educational strategy to address emergency responses to terrorism. One such service, Johnson County (Kansas) Medical Action, needed a strategy that would keep paramedics safe and offer the community an effective approach to mitigation. A…

Kansas City Plots Next Steps

ERIC Educational Resources Information Center

Finkel, Ed

2012-01-01

Kansas City (Missouri) Public Schools is at a crossroads. The district has struggled for decades with poor academic achievement, dwindling enrollment and budget, and short-term superintendents--27 in the past 40 years. Most recently, after a two-year stint during which he helped the district get its financial house in order, closing nearly half of…

Do medical residents perform patient-centered medical home tasks? A mixed-methods study

PubMed Central

Block, Lauren; LaVine, Nancy; Verbsky, Jennifer; Sagar, Ankita; Smith, Miriam A.; Lane, Susan; Conigliaro, Joseph; Chaudhry, Saima A.

2017-01-01

ABSTRACT Background: Increasingly, residents are being trained in Patient-centered Medical Home (PCMH) settings. A set of PCMH entrustable professional activities (EPAs) for residents has been defined but not evaluated in practice. Objective: To understand whether residents trained at PCMH sites reported higher likelihood of engaging in PCMH tasks than those training in non-PCMH sites. Design: Survey and nominal group data from post-graduate trainees at three residency programs. Results: A total of 179 residents responded (80% response). Over half (52%) cared for patients at PCMH sites. Residents at PCMH sites were more likely to report engaging in tasks in the NCQA domains of enhancing access and continuity (p < 0.01 for 4/11 tasks), planning and managing care (p < 0.01 for 3/4 tasks), providing self-care and community support (p < 0.01 for 3/5 tasks), and identifying and managing patient populations (p < 0.01 for 1/6 tasks), but were not more likely to report tracking and coordinating care or measuring and improving performance. Residents at PCMH sites were more likely to report working with medical assistants (p < 0.01), but not other healthcare professionals. Qualitative data showed staff teamwork and continuity of care as facilitators of patient-centered care, and technological problems and office inefficiencies as barriers to care. Conclusions: Residents trained at PCMH sites were more likely to engage in tasks in several NCQA domains, but not care coordination and quality assessment. Similar facilitators and barriers to trainee provision of patient-centered care were cited regardless of PCMH status. Curricula on PCMH principles and workflows that foster continuity and communication may help to inform residents on PCMH tenets and incorporate residents into team-based care. Abbreviations: EPA: Entrustable professional activity; GIM: General Internal Medicine; NCQA: National Center for Quality Assurance; PCMH: Patient-centered medical home PMID

Kansas timber industry--an assessment of timber product output and use, 1993.

Treesearch

Ronald L. Hackett; John K. Strickler

1996-01-01

Reports findings of a survey of all primary wood-using mills in Kansas in 1993 and compares those findings with earlier surveys. Reports production and receipts of industrial roundwood by product, species, and county. Also reports the quantity, type, and disposition of wood and bark residues generated by Kansas's primary wood-using industry.

The Economic Impact of Higher Education on the Kansas City Metropolitan Area 1988-1989. A Report.

ERIC Educational Resources Information Center

Kansas City Regional Council for Higher Education, MO.

A study was formally requested by the Kansas City Regional Council for Higher Education Institutional Research Directors' Group in the spring of 1990, to examine the economic impact of higher education on the Kansas City, Missouri and Kansas, metropolitan area. An economic impact model was used which includes the four major components of direct…

The Role of the Academic Medical Center in the PSRO Program

ERIC Educational Resources Information Center

Jessee, William F.; Goran, Michael J.

1976-01-01

The author contends that the professional standards review organization (PSRO), a national effort to assure high quality medical care, offers a challenge and an opportunity to the academic medical center. He discusses potential impact on role definition, criteria development, continuing medical education, curriculum evaluation, and attitudinal and…

Water resources data, Kansas, water year 2004

USGS Publications Warehouse

Putnam, J.E.; Schneider, D.R.

2005-01-01

Water-resources data for the 2004 water year for Kansas consist of records of stage, discharge, and water quality of streams; elevation and contents of lakes and reservoirs; and water levels of ground-water wells. This report contains records for water discharge at 155 complete-record gaging stations; elevation and contents at 17 lakes and reservoirs; water-quality records at 2 precipitation stations, water-level data at 14 observation wells; and records of specific conductance, pH, water temperature, dissolved oxygen, and turbidity at 16 gaging stations and 2 lakes with water-quality monitors. Also included are discharge data for 29 high-flow partial-record stations. These data represent that part of the National Water Information System collected by the U.S. Geological Survey in cooperation with local, State, and Federal agencies in Kansas.

En Garde: Fencing at Kansas City's Central Computers Unlimited/Classical Greek Magnet High School, 1991-1995

ERIC Educational Resources Information Center

Poos, Bradley W.

2015-01-01

Central High School in Kansas City, Missouri is one of the oldest schools west of the Mississippi and the first public high school built in Kansas City. Kansas City's magnet plan resulted in Central High School being rebuilt as the Central Computers Unlimited/Classical Greek Magnet High School, a school that was designed to offer students an…

Geospatial economics of the woody biomass supply in Kansas -- A case study

Treesearch

Olga Khaliukova; Darci Paull; Sarah L. Lewis-Gonzales; Nicolas Andre; Larry E. Biles; Timothy M. Young; James H. Perdue

2017-01-01

This research assessed the geospatial supply of cellulosic feedstocks for potential mill sites in Kansas (KS), with procurement zones extending to Arkansas (AR), Iowa(IA), Missouri(MO), Oklahoma (OK), and Nebraska (NE). A web-based modeling system, the Kansas Biomass Supply Assessment Tool, was developed to identify least-cost sourcing areas for logging residues and...

Decision making in acquiring medical technologies in Israeli medical centers: a preliminary study.

PubMed

Greenberg, Dan; Pliskin, Joseph S; Peterburg, Yitzhak

2003-01-01

This preliminary study had two objectives: a) charting the considerations relevant to decisions about acquisition of new medical technology at the hospital level; and b) creating a basis for the development of a research tool that will examine the function of the Israeli health system in assessment of new medical technologies. A comprehensive literature review and in-depth interviews with decision makers at different levels allowed formulation of criteria considered by decision makers when they decide to purchase and use (or disallow the use) of new medical technology. The resulting questionnaire was sent to medical center directors, along with a letter explaining the goals of the study. The questionnaire included 31 possible considerations for decision making concerning the acquisition of new medical technology by medical centers. The interviewees were asked to indicate the relevance of each consideration in the decision-making process. The most relevant criteria for the adoption of new technologies related to the need for a large capital investment, clinical efficacy of the technology as well as its influence on side effects and complication rates, and a formal approval by the Ministry of Health. Most interviewees stated that pressures exerted by the industry, by patients, or by senior physicians in the hospital are less relevant to decision making. Very small and usually not statistically significant differences in the ranking of hospital directors were found according to the hospitals' ownership, size, or location. The present study is a basis for a future study that will map and describe the function of hospital decision makers within the area of new technology assessment and the decision-making process in the adoption of new healthcare technologies.

Flood-inundation maps for Indian Creek and Tomahawk Creek, Johnson County, Kansas, 2014

USGS Publications Warehouse

Peters, Arin J.; Studley, Seth E.

2016-01-25

Digital flood-inundation maps for a 6.4-mile upper reach of Indian Creek from College Boulevard to the confluence with Tomahawk Creek, a 3.9-mile reach of Tomahawk Creek from 127th Street to the confluence with Indian Creek, and a 1.9-mile lower reach of Indian Creek from the confluence with Tomahawk Creek to just beyond the Kansas/Missouri border at State Line Road in Johnson County, Kansas, were created by the U.S. Geological Survey in cooperation with the city of Overland Park, Kansas. The flood-inundation maps, which can be accessed through the U.S. Geological Survey Flood Inundation Mapping Science Web site at http://water.usgs.gov/osw/flood_inundation/, depict estimates of the areal extent and depth of flooding corresponding to selected water levels (stages) at the U.S. Geological Survey streamgages on Indian Creek at Overland Park, Kansas; Indian Creek at State Line Road, Leawood, Kansas; and Tomahawk Creek near Overland Park, Kansas. Near real time stages at these streamgages may be obtained on the Web from the U.S. Geological Survey National Water Information System at http://waterdata.usgs.gov/nwis or the National Weather Service Advanced Hydrologic Prediction Service at http://water.weather.gov/ahps/, which also forecasts flood hydrographs at these sites.Flood profiles were computed for the stream reaches by means of a one-dimensional step-backwater model. The model was calibrated for each reach by using the most current stage-discharge relations at the streamgages. The hydraulic models were then used to determine 15 water-surface profiles for Indian Creek at Overland Park, Kansas; 17 water-surface profiles for Indian Creek at State Line Road, Leawood, Kansas; and 14 water-surface profiles for Tomahawk Creek near Overland Park, Kansas, for flood stages at 1-foot intervals referenced to the streamgage datum and ranging from bankfull to the next interval above the 0.2-percent annual exceedance probability flood level (500-year recurrence interval). The

Economic Vitality: Challenge and Opportunity. Selected Readings from the Fall Conference of the Kansas Library Association: Public Library Section (Hutchinson, Kansas, September 28-29, 1988). Monograph Series Number 9.

ERIC Educational Resources Information Center

Emporia State Univ., KS. School of Library and Information Management.

In September 1988, the Public Library/Trustees Section of the Kansas Library Association, with the support of the School of Library and Information Management at Emporia State University and the Kansas State Library, held a conference on economic vitality. Following a "Review and Preview" by Martha Hale, Dean of the School of Library and…

Hydrologic and water-quality conditions in the Kansas River, northeast Kansas, November 2001-August 2002, and simulation of ammonia assimilative capacity and bacteria transport during low flow

USGS Publications Warehouse

Rasmussen, Patrick P.; Christensen, Victoria G.

2005-01-01

Four hypothetical simulations of varied effluent discharges from existing WWTFs and addition of a proposed WWTF near DeSoto were simulated to better understand future water-quality conditions in the Kansas River. Results indicated that ammonia and dissolved-oxygen concentrations in the Kansas River will decrease from the conditions observed during synoptic surveys II (February 25 through March 1, 2002) and III (July 22 through August 8, 2002) except near the proposed WWTF where concentrations of ammonia would be near or exceed criteria for waterborne species. Effects of the proposed WWTF on dissolved oxygen would result in concentrations less than the State of Kansas aquatic-life-support use criteria of 5.0 milligrams per liter for 1 to 2 miles downstream from either of the proposed sites. 

Tumor Registry Follow-Up at Army Medical Centers.

DTIC Science & Technology

1983-06-03

7a. NAME OF MONITORING ORGANIZATION U.S. AIW-BAYL) R UNIVERSITY (If applicable) GRAD PGM4 IN HEALTH CARE ADMIN HSHA-IHC 6c. ADDRESS (City, State, and...Cancer Program," The Hospital Medical Staff 11, No. 2 (February 1982): 12. 3Charles R . Smart, "The Commission on Cancer," Bulletin, American College of...Mq. 5- a- _ , . . . . - -, uo-----. *_ . . < -% - ’ . ’.- ."-. b-" -" ... ." .. .- r ’° ... V .r’v" - 36 Tumor Registry Letterman Army Medical Center

Maryland Multipayor Patient-centered Medical Home Program

PubMed Central

Marsteller, Jill A.; Hsu, Yea-Jen; Gill, Christine; Kiptanui, Zippora; Fakeye, Oludolapo A.; Engineer, Lilly D.; Perlmutter, Donna; Khanna, Niharika; Rattinger, Gail B.; Nichols, Donald

2018-01-01

Objective: To evaluate impact of the Maryland Multipayor Patient-centered Medical Home Program (MMPP) on: (1) quality, utilization, and costs of care; (2) beneficiaries’ experiences and satisfaction with care; and (3) perceptions of providers. Design: 4-year quasiexperimental design with a difference-in-differences analytic approach to compare changes in outcomes between MMPP practices and propensity score-matched comparisons; pre-post design for patient-reported outcomes among MMPP beneficiaries. Subjects: Beneficiaries (Medicaid-insured and privately insured) and providers in 52 MMPP practices and 104 matched comparisons in Maryland. Intervention: Participating practices received unconditional financial support and coaching to facilitate functioning as medical homes, membership in a learning collaborative to promote education and dissemination of best practices, and performance-based payments. Measures: Sixteen quality, 20 utilization, and 13 cost measures from administrative data; patient-reported outcomes on care delivery, trust in provider, access to care, and chronic illness management; and provider perceptions of team operation, team culture, satisfaction with care provided, and patient-centered medical home transformation. Results: The MMPP had mixed impact on site-level quality and utilization measures. Participation was significantly associated with lower inpatient and outpatient payments in the first year among privately insured beneficiaries, and for the entire duration among Medicaid beneficiaries. There was indication that MMPP practices shifted responsibility for certain administrative tasks from clinicians to medical assistants or care managers. The program had limited effect on measures of patient satisfaction (although response rates were low) and on provider perceptions. Conclusions: The MMPP demonstrated mixed results of its impact and indicated differential program effects for privately insured and Medicaid beneficiaries. PMID:29462077

Association between patient-centered medical home rating and operating cost at federally funded health centers.

PubMed

Nocon, Robert S; Sharma, Ravi; Birnberg, Jonathan M; Ngo-Metzger, Quyen; Lee, Sang Mee; Chin, Marshall H

2012-07-04

Little is known about the cost associated with a health center's rating as a patient-centered medical home (PCMH). To determine whether PCMH rating is associated with operating cost among health centers funded by the US Health Resources and Services Administration. Cross-sectional study of PCMH rating and operating cost in 2009. PCMH rating was assessed through surveys of health center administrators conducted by Harris Interactive of all 1009 Health Resources and Services Administration–funded community health centers. The survey provided scores from 0 (worst) to 100 (best) for total PCMH score and 6 subscales: access/communication, care management, external coordination, patient tracking, test/referral tracking, and quality improvement. Costs were obtained from the Uniform Data System reports submitted to the Health Resources and Services Administration. We used generalized linear models to determine the relationship between PCMH rating and operating cost. Operating cost per physician full-time equivalent, operating cost per patient per month, and medical cost per visit. Six hundred sixty-nine health centers (66%) were included in the study sample, with 340 excluded because of nonresponse or incomplete data. Mean total PCMH score was 60 (SD, 12; range, 21-90). For the average health center, a 10-point higher total PCMH score was associated with a $2.26 (4.6%) higher operating cost per patient per month (95% CI, $0.86-$4.12). Among PCMH subscales, a 10-point higher score for patient tracking was associated with higher operating cost per physician full-time equivalent ($27,300; 95% CI, $3047-$57,804) and higher operating cost per patient per month ($1.06; 95% CI, $0.29-$1.98). A 10-point higher score for quality improvement was also associated with higher operating cost per physician full-time equivalent ($32,731; 95% CI, $1571-$73,670) and higher operating cost per patient per month ($1.86; 95% CI, $0.54-$3.61). A 10-point higher PCMH subscale score for access

77 FR 23244 - Atmos Energy Colorado/Kansas Division; Notice of Revised Baseline Filing

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-18

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR12-22-000] Atmos Energy Colorado/Kansas Division; Notice of Revised Baseline Filing Take notice that on April 10, 2012, Atmos Energy Colorado/Kansas Division (Atmos) filed a revised baseline filing of their Statement of Operating...

Project THEMIS: A Center for Remote Sensing.

DTIC Science & Technology

This report summarizes the technical work accomplished under Project THEMIS, A Center for Remote Sensing at the University of Kansas during the...period 16 September 1967 through 15 September 1973. The highlights of the four major areas forming the remote sensing system are presented. A detailed description of the latest radar spectrometer results is presented.

Research Plan for the National Center for Medical Rehabilitation Research.

ERIC Educational Resources Information Center

National Inst. of Child Health and Human Development (NIH), Bethesda, MD.

This research plan describes a framework for defining and developing the field of rehabilitation sciences and research opportunities for the National Center for Medical Rehabilitation Research (NCMRR) and other agencies funding medical rehabilitation research. The plan addresses the needs of both persons who are involved in habilitation and in…

Trend Analysis of Annual and Seasonal Rainfall in Kansas

NASA Astrophysics Data System (ADS)

Rahmani, V.; Hutchinson, S. L.; Hutchinson, J.; Anandhi, A.

2012-12-01

Precipitation has direct impacts on agricultural production, water resources management, and recreational activities, all of which have significant economic impacts. Thus developing a solid understanding of rainfall patterns and trends is important, and is particularly vital for regions with high climate variability like Kansas. In this study, the annual and seasonal rainfall trends were analyzed using daily precipitation data for four consecutive periods (1891-1920, 1921-1950, 1951-1980, and 1981-2010) and an overall data range of 1890 through 2011 from 23 stations in Kansas. The overall analysis showed that on average Kansas receives 714 mm of rain annually with a strong gradient from west (425 mm, Tribune) to east (1069 mm, Columbus). Due to this gradient, western and central Kansas require more irrigation water than eastern Kansas during the summer growing season to reach the plant water requirements and optimize yield. In addition, a gradual increase in total annual rainfall was found for 21 of 23 stations with a greater increase for recent years (1956 through 2011) and eastern part. The average trend slope for the state is 0.7 mm/yr with a minimum value of -0.8 mm/yr for Saint Francis in Northwest and a maximum value of 2 mm/yr for Independence in Southeast. Seasonal analysis showed that all stations received the most rain during the summer season (June, July, Aug) followed by Spring, Fall and Winter respectively. Investigating the number of dry days (days with rain less than or equal to 2.5 mm) showed that 17 of 23 had a decreasing trend from west to east and across time with the greatest decrease of -0.07 days/yr for Winfield in South and the greatest increase of 0.05 days/yr for Elkhart in Southwest. When assessing the number of dry days between rainfall events, it was found that the majority of the stations had a decreasing trend for most of the months from west to east and across time. These results indicate that Kansas is experiencing fewer dry days and

A cryptologic based trust center for medical images.

PubMed

Wong, S T

1996-01-01

To investigate practical solutions that can integrate cryptographic techniques and picture archiving and communication systems (PACS) to improve the security of medical images. The PACS at the University of California San Francisco Medical Center consolidate images and associated data from various scanners into a centralized data archive and transmit them to remote display stations for review and consultation purposes. The purpose of this study is to investigate the model of a digital trust center that integrates cryptographic algorithms and protocols seamlessly into such a digital radiology environment to improve the security of medical images. The timing performance of encryption, decryption, and transmission of the cryptographic protocols over 81 volumetric PACS datasets has been measured. Lossless data compression is also applied before the encryption. The transmission performance is measured against three types of networks of different bandwidths: narrow-band Integrated Services Digital Network, Ethernet, and OC-3c Asynchronous Transfer Mode. The proposed digital trust center provides a cryptosystem solution to protect the confidentiality and to determine the authenticity of digital images in hospitals. The results of this study indicate that diagnostic images such as x-rays and magnetic resonance images could be routinely encrypted in PACS. However, applying encryption in teleradiology and PACS is a tradeoff between communications performance and security measures. Many people are uncertain about how to integrate cryptographic algorithms coherently into existing operations of the clinical enterprise. This paper describes a centralized cryptosystem architecture to ensure image data authenticity in a digital radiology department. The system performance has been evaluated in a hospital-integrated PACS environment.

Wooded Strips and Windbreaks in Kansas, 1981

Treesearch

Thomas L. Castonguay; Mark H. Hansen

1984-01-01

In 1981 wooded strips and windbreaks in Kansas coverd 336,000 acres and were more than 54,000 miles long. Wooded strips contained 300 million board feet of sawtimber and 92 million cubic feet of growing stock.

Kansas highway LED illumination manual : a guide for the use of LED lighting systems.

DOT National Transportation Integrated Search

2015-12-01

The research project was aimed to assist the Kansas Department of Transportation (KDOT) in the development of a Highway LED Illumination Manual for guiding the upcoming implementation of successful LED roadway lighting systems in Kansas to replace th...

Kansas legislators prioritize obesity but overlook nutrition and physical activity issues.

PubMed

Heinrich, Katie M; Stephen, Mellina O; Vaughan, Katherine B; Kellogg, Melinda

2013-01-01

State-level policymakers play an important role in the fight against obesity because of their ability to create policies that influence opportunities for physical activity and nutrition. In 2011, we investigated how Kansas policymakers regarded obesity, nutrition, and physical activity in comparison to other issues. This study used a cross-sectional design. This study was conducted in Kansas, a predominately rural and Republican Midwestern state. All 181 state-level policymakers in Kansas were mailed a cover letter and survey. Policymakers were asked to identify and rate the importance of issues or problems in need of attention for Kansas. The 2011 state legislative report was content analyzed and coded to match the survey. Comparisons were made by political party. Of the 49 policymakers who completed a survey, 37 were Republicans and 43 were elected to their position. Although obesity-related issues were rated second highest after jobs, physical activity- and nutrition-related issues were not seen as important problems; moreover, little corresponding legislation was introduced. Other key issues identified by policymakers included budget/spending/taxes, education, jobs/economy, and drug abuse, with more legislation reflecting these problems. The Democrats ranked 11 issues as more significant problems than did the Republicans: quality of public education, poverty, access to health care, lack of affordable housing, ethics in government, lack of public health training, access to healthy groceries, lack of pedestrian walkways/crosswalks/sidewalks, pedestrian safety, air pollution, and global warming (P < .05). There is a need to provide more public health education on the relationship between nutrition and physical activity issues and obesity for Kansas policymakers. Issues identified may be similar for other predominately rural and Republican states.

A Cultural Assessment of Tripler Regional Medical Center.

DTIC Science & Technology

1997-05-15

add value to the beneficiaries. The path Tripler Regional Medical Center has chosen to achieve the level of service quality required to sustain or grow...employing TQM management methods. The goals of this training include improvement in management, service quality , and in employee satisfaction, among

Medication Adherence among Adolescents in a School-Based Health Center

ERIC Educational Resources Information Center

Mears, Cynthia J.; Charlebois, Nicole M.; Holl, Jane L.

2006-01-01

School-based health centers are an integral part of the health care delivery system for low-income children. Medication adherence for these patients may be challenging because the student is often responsible for bringing home the prescription and receiving the instructions. This study assesses medication fill, initiation, and adherence rates…

State Education Activities to Support Mission Growth. NGA Center for Best Practices. Issue Brief

ERIC Educational Resources Information Center

Butler, Tara A.

2009-01-01

The National Governors Association Center for Best Practices (NGA Center) leads a Mission Growth Working Group, which consists of states that are significantly impacted by the growth of military bases. The group includes state representatives appointed by the governors of Alabama, Colorado, Florida, Georgia, Hawaii, Kansas, Kentucky, Louisiana,…

Trend of knowledge production of research centers in the field of medical sciences in iran.

PubMed

Falahat, K; Eftekhari, Mb; Habibi, E; Djalalinia, Sh; Peykari, N; Owlia, P; Malekafzali, H; Ghanei, M; Mojarrab, Sh

2013-01-01

Establishment of medical research centers at universities and health-related organizations and annually evaluation of their research activities was one of the strategic policies which followed by governmental organization in last decade in order to strengthening the connections between health research system and health system. The aim of this study is to scrutinize the role of medical research centers in medical science production in Iran. This study is a cross sectional which has been performed based on existing reports on national scientometrics and evaluation results of research performance of medical research centers between years 2001 to 2010. During last decade number of medical research centers increased from 53 in 2001 to 359 in 2010. Simultaneous scientific output of medical research centers has been increased especially articles indexed in ISI (web of science). Proper policy implementation in the field of health research system during last decades led to improving capacity building and growth knowledge production of medical science in recent years in Iran. The process embedding research into the health systems requires planning up until research products improves health outcomes and health equity in country.

Water Resources Data, Kansas, Water Year 2001

USGS Publications Warehouse

Putnam, J.E.; Lacock, D.L.; Schneider, D.R.

2002-01-01

Water-resources data for the 2001 water year for Kansas consist of records of stage, discharge, and water quality of streams; elevation and contents of lakes and reservoirs; and water levels of ground-water wells. This report contains records for water discharge at 145 complete-record gaging stations; elevation and contents at 20 lakes and reservoirs; waterquality records at 2 precipitation stations, water-level data at 19 observation wells; and records of specific conductance, pH, water temperature, dissolved oxygen, and turbidity at 11 gaging stations. Also included are discharge data for 26 high-flow partial-record stations, miscellaneous onsite water-quality data collected at 140 stations, and suspended-sediment concentration for 12 stations. These data represent that part of the National Water Information System collected by the U.S. Geological Survey in cooperation with local, State, and Federal agencies in Kansas.

Water Resources Data, Kansas, Water Year 2002

USGS Publications Warehouse

Putnam, J.E.; Schneider, D.R.

2003-01-01

Water-resources data for the 2002 water year for Kansas consist of records of stage, discharge, and water quality of streams; elevation and contents of lakes and reservoirs; and water levels of ground-water wells. This report contains records for water discharge at 149 complete-record gaging stations; elevation and contents at 20 lakes and reservoirs; waterquality records at 2 precipitation stations, water-level data at 18 observation wells; and records of specific conductance, pH, water temperature, dissolved oxygen, and turbidity at 11 gaging stations. Also included are discharge data for 26 high-flow partial-record stations, miscellaneous onsite water-quality data collected at 142 stations, and suspended-sediment concentration for 12 stations. These data represent that part of the National Water Information System collected by the U.S. Geological Survey in cooperation with local, State, and Federal agencies in Kansas.

Water Resources Data, Kansas, Water Year 1999

USGS Publications Warehouse

Putnam, J.E.; Lacock, D.L.; Schneider, D.R.; Carlson, M.D.

2000-01-01

Water-resources data for the 1999 water year for Kansas consist of records of stage, discharge, and water quality of streams; elevation and contents of lakes and reservoirs; and water levels of ground-water wells. This report contains records for water discharge at 143 gaging stations; elevation and contents at 19 watershed lakes and reservoirs; and water-level data at 19 observation wells; and records of specific conductance, pH, water temperature, dissolved oxygen, and turbidity at 4 stations. Also included are data for 26 high-flow and 2 low-flow partial-record stations; and 2 chemical quality of precipitation stations. Miscellaneous onsite water-quality data were collected at 132 stations. These data represent that part of the National Water Information System collected by the U.S. Geological Survey in cooperation with State, local, and Federal agencies in Kansas.

Waving "A Bough of Challenge": Forestry on the Kansas Grasslands, 1868-1915

ERIC Educational Resources Information Center

Drake, Brian Allen

2003-01-01

Kansas is legendary for geographical monotony, for a landscape allegedly so absent of trees and relief that the state has become the butt of national jokes and a cultural synonym for flat. U.S. Forest Service researchers noted in 1999 that forests covered slightly less than 3 percent of the state. So prevalent is the idea of a treeless Kansas that…

A management plan for hospitals and medical centers facing radiation incidents.

PubMed

Davari, Fereshteh; Zahed, Arash

2015-09-01

Nowadays, application of nuclear technology in different industries has largely expanded worldwide. Proportionately, the risk of nuclear incidents and the resulting injuries have, therefore, increased in recent years. Preparedness is an important part of the crisis management cycle; therefore efficient preplanning seems crucial to any crisis management plan. Equipped with facilities and experienced personnel, hospitals naturally engage with the response to disasters. The main purpose of our study was to present a practical management pattern for hospitals and medical centers in case they encounter a nuclear emergency. In this descriptive qualitative study, data were collected through experimental observations, sources like Safety manuals released by the International Atomic Energy Agency and interviews with experts to gather their ideas along with Delphi method for polling, and brainstorming. In addition, the 45 experts were interviewed on three targeted using brainstorming and Delphi method. We finally proposed a management plan along with a set of practicality standards for hospitals and medical centers to optimally respond to nuclear medical emergencies when a radiation incident happens nearby. With respect to the great importance of preparedness against nuclear incidents adoption and regular practice of nuclear crisis management codes for hospitals and medical centers seems quite necessary.

Pick-N-Pull Auto Dismantlers, Kansas City, LLC Inc. - Clean Water Act Public Notice

EPA Pesticide Factsheets

The EPA is providing notice of a proposed Administrative Penalty Assessment against Pick-N-Pull Auto Dismantlers, Kansas City, LLC, a subsidiary of Schnitzer Steel Industries, Inc., for alleged violations at its facilities at 8012 East Truman Rd., Kansas C

Early experiences with big data at an academic medical center.

PubMed

Halamka, John D

2014-07-01

Beth Israel Deaconess Medical Center (BIDMC), an academic health care institution affiliated with Harvard University, has been an early adopter of electronic applications since the 1970s. Various departments of the medical center and the physician practice groups affiliated with it have implemented electronic health records, filmless imaging, and networked medical devices to such an extent that data storage at BIDMC now amounts to three petabytes and continues to grow at a rate of 25 percent a year. Initially, the greatest technical challenge was the cost and complexity of data storage. However, today the major focus is on transforming raw data into information, knowledge, and wisdom. This article discusses the data growth, increasing importance of analytics, and changing user requirements that have shaped the management of big data at BIDMC. Project HOPE—The People-to-People Health Foundation, Inc.

Kansas Profile: Alcohol, Tobacco & Other Drugs.

ERIC Educational Resources Information Center

Drug Strategies, Washington, DC.

One of a series of state profiles, this report describes the dimensions of the problems caused by alcohol, tobacco, and other drugs in Kansas and the public and private initiatives to reduce these problems. It highlights positive developments and identifies areas to be strengthened. Demographic characteristics, state agency organization, and state…

Kansas Extended Curricular Standards for Mathematics.

ERIC Educational Resources Information Center

Kansas State Board of Education, Topeka.

This document is an extension of the Kansas Curricular Standards for Mathematics. These standards, benchmarks, and examples are intended to be used in developing curricular materials for students who are eligible for the alternative assessment. One difference in the extended mathematics standards from the general education standards is that grade…

Kansas School Expenditures 1998-99 through 2014-15: Trends and Details. Research Reports

ERIC Educational Resources Information Center

Kansas Association of School Boards, 2016

2016-01-01

This report examines the Kansas school district expenditure data provided by the Kansas State Department of Education on (KSDE) through its Comparative Performance & Fiscal System (CPFS--http:// cpfs.ksde.org/), which includes all school district expenditures reported by Fund, Object, and Sub Object from the 1998-99 school year through the…

SMARTE: IMPROVING REVITALIZATION DECISIONS FOR KANSAS COMMUNITIES

EPA Science Inventory

The Kansas Department of Health and Environment (KDHE) Brownfields program helps local governments (city/county) and non-profit organizations appropriately assess, clean up, and reuse contaminated properties that they own or purchase. Reuse and redevelopment of abandoned, idle, o...

Sediment oxygen demand in eastern Kansas streams, 2014 and 2015

USGS Publications Warehouse

Foster, Guy M.; King, Lindsey R.; Graham, Jennifer L.

2016-08-29

Dissolved oxygen concentrations in streams are affected by physical, chemical, and biological factors in the water column and streambed, and are an important factor for the survival of aquatic organisms. Sediment oxygen demand (SOD) rates in Kansas streams are not well understood. During 2014 and 2015, the U.S. Geological Survey, in cooperation with the Kansas Department of Health and Environment, measured SOD at eight stream sites in eastern Kansas to quantify SOD rates and variability with respect to season, land use, and bottom-sediment characteristics. Sediment oxygen demand rates (SODT) ranged from 0.01 to 3.15 grams per square meter per day at the ambient temperature of the measurements. The summer mean SOD rate was 3.0-times larger than the late fall mean rate, likely because of increased biological activity at warm water temperatures. Given the substantial amount of variability in SOD rates possible within sites, heterogeneity of substrate type is an important consideration when designing SOD studies and interpreting the results. Sediment oxygen demand in eastern Kansas streams was correlated with land use and streambed-sediment characteristics, though the strength of relations varied seasonally. The small number of study sites precluded a more detailed analysis. The effect of basin land use and streambed sediment characteristics on SOD is currently (2016) not well understood, and there may be many contributing factors including basin influences on water quality that affect biogeochemical cycles and the biological communities supported by the stream.

Pediatric ADHD Medication Exposures Reported to US Poison Control Centers.

PubMed

King, Samantha A; Casavant, Marcel J; Spiller, Henry A; Hodges, Nichole L; Chounthirath, Thitphalak; Smith, Gary A

2018-06-01

: media-1vid110.1542/5754332180001PEDS-VA_2017-3872 Video Abstract OBJECTIVES: To describe the characteristics and trends of exposures to attention-deficit/hyperactivity disorder (ADHD) medications among individuals 0 to 19 years old reported to US poison control centers. National Poison Data System data from 2000 through 2014 were retrospectively analyzed to examine pediatric ADHD medication exposures. From 2000 through 2014, there were 156 365 exposures reported to US poison control centers related to ADHD medications. The overall rate of reported exposures increased 71.2% from 2000 to 2011, followed by a 6.2% decrease from 2011 to 2014. Three-fourths (76.0%) of exposures involved children ≤12 years old. Methylphenidate and amphetamine medications accounted for 46.2% and 44.5% of exposures, respectively. The most common reason for exposure was therapeutic error (41.6%). Intentional medication exposures (including suspected suicide and medication abuse and/or misuse) were reported most often among adolescents (13-19 years old), accounting for 50.2% of exposures in this age group. Overall, the majority of exposed individuals (60.4%) did not receive health care facility treatment; however, 6.2% were admitted to a hospital for medical treatment, and there were 3 deaths. The increasing number and rate of reported ADHD medication exposures during the study period is consistent with increasing trends in ADHD diagnosis and medication prescribing. Exposures associated with suspected suicide or medication abuse and/or misuse among adolescents are of particular concern. Unintentional and intentional pediatric exposures to ADHD medications are an increasing problem in the United States, affecting children of all ages. Copyright © 2018 by the American Academy of Pediatrics.

Kansas' forest resources in 2004

Treesearch

W. Keith Moser; Mark H. Hansen; Gary J. Brand; Melissa Powers

2006-01-01

Presents some of the major findings of the first 4 years of the fifth inventory of Kansas' forest resources. Since 1994, total forest land area has increased by more than 580,000 acres, to 2,126,100 acres. As with earlier inventories, oak/hickory is the largest forest type on the landscape, making up more than 52.3 percent of all forested land. Softwoods make up...

Association Between Patient-Centered Medical Home Rating and Operating Cost at Federally Funded Health Centers

PubMed Central

Nocon, Robert S.; Sharma, Ravi; Birnberg, Jonathan M.; Ngo-Metzger, Quyen; Lee, Sang Mee; Chin, Marshall H.

2013-01-01

Context Little is known about the cost associated with a health center’s rating as a patient-centered medical home (PCMH). Objective To determine whether PCMH rating is associated with operating cost among health centers funded by the US Health Resources and Services Administration. Design, Setting, and Participants Cross-sectional study of PCMH rating and operating cost in 2009. PCMH rating was assessed through surveys of health center administrators conducted by Harris Interactive of all 1009 Health Resources and Services Administration–funded community health centers. The survey provided scores from 0 (worst) to 100 (best) for total PCMH score and 6 subscales: access/communication, care management, external coordination, patient tracking, test/referral tracking, and quality improvement. Costs were obtained from the Uniform Data System reports submitted to the Health Resources and Services Administration. We used generalized linear models to determine the relationship between PCMH rating and operating cost. Main Outcome Measures Operating cost per physician full-time equivalent, operating cost per patient per month, and medical cost per visit. Results Six hundred sixty-nine health centers (66%) were included in the study sample, with 340 excluded because of nonresponse or incomplete data. Mean total PCMH score was 60 (SD,12; range, 21–90). For the average health center, a 10-point higher total PCMH score was associated with a $2.26 (4.6%) higher operating cost per patient per month (95% CI, $0.86–$4.12). Among PCMH subscales, a 10-point higher score for patient tracking was associated with higher operating cost per physician full-time equivalent ($27 300; 95% CI,$3047–$57 804) and higher operating cost per patient per month ($1.06;95%CI,$0.29–$1.98). A 10-point higher score for quality improvement was also associated with higher operating cost per physician full-time equivalent ($32 731; 95% CI, $1571–$73 670) and higher operating cost per patient

Estimation of constituent concentrations, densities, loads, and yields in lower Kansas River, northeast Kansas, using regression models and continuous water-quality monitoring, January 2000 through December 2003

USGS Publications Warehouse

Rasmussen, Teresa J.; Ziegler, Andrew C.; Rasmussen, Patrick P.

2005-01-01

The lower Kansas River is an important source of drinking water for hundreds of thousands of people in northeast Kansas. Constituents of concern identified by the Kansas Department of Health and Environment (KDHE) for streams in the lower Kansas River Basin include sulfate, chloride, nutrients, atrazine, bacteria, and sediment. Real-time continuous water-quality monitors were operated at three locations along the lower Kansas River from July 1999 through September 2004 to provide in-stream measurements of specific conductance, pH, water temperature, turbidity, and dissolved oxygen and to estimate concentrations for constituents of concern. Estimates of concentration and densities were combined with streamflow to calculate constituent loads and yields from January 2000 through December 2003. The Wamego monitoring site is located 44 river miles upstream from the Topeka monitoring site, which is 65 river miles upstream from the DeSoto monitoring site, which is 18 river miles upstream from where the Kansas River flows into the Missouri River. Land use in the Kansas River Basin is dominated by grassland and cropland, and streamflow is affected substantially by reservoirs. Water quality at the three monitoring sites varied with hydrologic conditions, season, and proximity to constituent sources. Nutrient and sediment concentrations and bacteria densities were substantially larger during periods of increased streamflow, indicating important contributions from nonpoint sources in the drainage basin. During the study period, pH remained well above the KDHE lower criterion of 6.5 standard units at all sites in all years, but exceeded the upper criterion of 8.5 standard units annually between 2 percent of the time (Wamego in 2001) and 65 percent of the time (DeSoto in 2003). The dissolved oxygen concentration was less than the minimum aquatic-life-support criterion of 5.0 milligrams per liter less than 1 percent of the time at all sites. Dissolved solids, a measure of the

Patient-centered medical homes for patients with disabilities.

PubMed

Hernandez, Brigida; Damiani, Marco; Wang, T Arthur; Driscoll, Carolyn; Dellabella, Peter; LePera, Nicole; Mentari, Michael

2015-01-01

The patient-centered medical home is an innovative approach to improve health care outcomes. To address the unique needs of patients with intellectual and developmental disabilities (IDDs), a large health care provider reevaluated the National Committee for Quality Assurance's 6 medical home standards: (a) enhance access and continuity, (b) identify and manage patient populations, (c) plan and manage care, (d) provide self-care and community support, (e) track and coordinate care, and (f) measure and improve performance. This article describes issues to consider when serving patients with IDDs.

Kansas Hears from Critics of Evolution: Foes Dominate Sessions before State Board Panel

ERIC Educational Resources Information Center

Cavanagh, Sean

2005-01-01

The theory of evolution was subjected to the first of several courtroom-style hearings in Kansas, an occasion colored by detailed testimony, forceful cross-examinations, and quarrels over biological events that occurred millions of years ago. A three-member subcommittee of the Kansas state board of education is staging the hearings to consider…

Clinical case management and navigation for colonoscopy screening in an academic medical center.

PubMed

Cavanagh, Mary F; Lane, Dorothy S; Messina, Catherine R; Anderson, Joseph C

2013-08-01

One of 5 nationally funded Centers for Disease Control and Prevention Colorectal Cancer (CRC) Screening Demonstration Programs, Project SCOPE, was conducted at an academic medical center and provided colonoscopy screening at no cost to underserved minority patients from local community health centers. Established barriers to CRC screening (eg, financial, language, transportation) among the target population were addressed through clinical coordination of care by key project staff. The use of a clinician with a patient navigator allowed for the performance of precolonoscopy "telephone visits" instead of office visits to the gastroenterologist in virtually all patients. The clinician elicited information relevant to making screening decisions (eg, past medical and surgical history, focused review of systems, medication/supplement use, CRC screening history). The patient navigator reduced barriers, including, but not limited to, scheduling, transportation, and physical navigation of the medical center on the day of colonoscopy. Preprogram preparation was vital in laying groundwork for the project, yet enhancements to the program were ongoing throughout the screening period. Detailed referral forms from primary care physicians, coupled with information obtained during telephone interviews, facilitated high colonoscopy completion rates and excellent patient satisfaction. Similarly valuable was the employment of a bilingual patient navigator, who provided practical and emotional patient support. Academic medical centers can be efficient models for providing CRC screening to disadvantaged populations. Coordination of care by a preventive medicine department, directing the recruitment, scheduling, prescreening education, and the evaluation and preparation of target populations had an overall positive effect on CRC screening with colonoscopy among patients from a community health center. © 2013 American Cancer Society.

Analysis of surface-water data network in Kansas for effectiveness in providing regional streamflow information

USGS Publications Warehouse

Medina, K.D.; Tasker, Gary D.

1985-01-01

The surface water data network in Kansas was analyzed using generalized least squares regression for its effectiveness in providing regional streamflow information. The correlation and time-sampling error of the streamflow characteristic are considered in the generalized least squares method. Unregulated medium-flow, low-flow and high-flow characteristics were selected to be representative of the regional information that can be obtained from streamflow gaging station records for use in evaluating the effectiveness of continuing the present network stations, discontinuing some stations; and/or adding new stations. The analysis used streamflow records for all currently operated stations that were not affected by regulation and discontinued stations for which unregulated flow characteristics , as well as physical and climatic characteristics, were available. The state was divided into three network areas, western, northeastern, and southeastern Kansas, and analysis was made for three streamflow characteristics in each area, using three planning horizons. The analysis showed that the maximum reduction of sampling mean square error for each cost level could be obtained by adding new stations and discontinuing some of the present network stations. Large reductions in sampling mean square error for low-flow information could be accomplished in all three network areas, with western Kansas having the most dramatic reduction. The addition of new stations would be most beneficial for man- flow information in western Kansas, and to lesser degrees in the other two areas. The reduction of sampling mean square error for high-flow information would benefit most from the addition of new stations in western Kansas, and the effect diminishes to lesser degrees in the other two areas. Southeastern Kansas showed the smallest error reduction in high-flow information. A comparison among all three network areas indicated that funding resources could be most effectively used by

78 FR 11804 - Approval and Promulgation of Implementation Plans; State of Kansas; Idle Reduction of Heavy-Duty...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-20

...EPA is proposing to approve the State Implementation Plan (SIP) submitted by the State of Kansas on July 27, 2010, to add two new rules which implement restrictions on the idling of heavy duty diesel vehicles and reduce nitrogen oxide (NOX) emissions at stationary sources in the Kansas portion of the Kansas City Maintenance Area for ozone. EPA is approving this revision because the standards and requirements set by the rules will strengthen the Kansas SIP. EPA's approval of this SIP revision is being done in accordance with the requirements of the Clean Air Act (CAA).

A cryptologic based trust center for medical images.

PubMed Central

Wong, S T

1996-01-01

OBJECTIVE: To investigate practical solutions that can integrate cryptographic techniques and picture archiving and communication systems (PACS) to improve the security of medical images. DESIGN: The PACS at the University of California San Francisco Medical Center consolidate images and associated data from various scanners into a centralized data archive and transmit them to remote display stations for review and consultation purposes. The purpose of this study is to investigate the model of a digital trust center that integrates cryptographic algorithms and protocols seamlessly into such a digital radiology environment to improve the security of medical images. MEASUREMENTS: The timing performance of encryption, decryption, and transmission of the cryptographic protocols over 81 volumetric PACS datasets has been measured. Lossless data compression is also applied before the encryption. The transmission performance is measured against three types of networks of different bandwidths: narrow-band Integrated Services Digital Network, Ethernet, and OC-3c Asynchronous Transfer Mode. RESULTS: The proposed digital trust center provides a cryptosystem solution to protect the confidentiality and to determine the authenticity of digital images in hospitals. The results of this study indicate that diagnostic images such as x-rays and magnetic resonance images could be routinely encrypted in PACS. However, applying encryption in teleradiology and PACS is a tradeoff between communications performance and security measures. CONCLUSION: Many people are uncertain about how to integrate cryptographic algorithms coherently into existing operations of the clinical enterprise. This paper describes a centralized cryptosystem architecture to ensure image data authenticity in a digital radiology department. The system performance has been evaluated in a hospital-integrated PACS environment. PMID:8930857

Fall may be imminent for Kansas Cherokee basin coalbed gas output

USGS Publications Warehouse

Newell, K. David

2010-01-01

Natural gas production in the Kansas portion of the Cherokee basin, Southeastern Kansas, for 2008 was 49.1 bcf. The great majority of Cherokee basin gas production is now coal-bed methane (CBM). The major producers are Quest Energy LLC, Dart Cherokee Basin Operating Co. LLC, and Layne Energy Operating LLC. Most CBM in Southeastern Kansas is from Middle and Upper Pennsylvanian high-volatile B and A rank bituminous coals at 800 to 1,200 ft depth. Rates of decline for the CBM wells generally decrease the longer a well produces. A gentler collective decline of 13.8% is calculated by averaging the number of new producing wells in a given year with that of the previous year. By the calculations using the gentler overall 13.8% decline rate, if more than 918 successful CBM wells are drilled in 2009, then gas production will increase from 2008 to 2009.

PASTE: patient-centered SMS text tagging in a medication management system.

PubMed

Stenner, Shane P; Johnson, Kevin B; Denny, Joshua C

2012-01-01

To evaluate the performance of a system that extracts medication information and administration-related actions from patient short message service (SMS) messages. Mobile technologies provide a platform for electronic patient-centered medication management. MyMediHealth (MMH) is a medication management system that includes a medication scheduler, a medication administration record, and a reminder engine that sends text messages to cell phones. The object of this work was to extend MMH to allow two-way interaction using mobile phone-based SMS technology. Unprompted text-message communication with patients using natural language could engage patients in their healthcare, but presents unique natural language processing challenges. The authors developed a new functional component of MMH, the Patient-centered Automated SMS Tagging Engine (PASTE). The PASTE web service uses natural language processing methods, custom lexicons, and existing knowledge sources to extract and tag medication information from patient text messages. A pilot evaluation of PASTE was completed using 130 medication messages anonymously submitted by 16 volunteers via a website. System output was compared with manually tagged messages. Verified medication names, medication terms, and action terms reached high F-measures of 91.3%, 94.7%, and 90.4%, respectively. The overall medication name F-measure was 79.8%, and the medication action term F-measure was 90%. Other studies have demonstrated systems that successfully extract medication information from clinical documents using semantic tagging, regular expression-based approaches, or a combination of both approaches. This evaluation demonstrates the feasibility of extracting medication information from patient-generated medication messages.

PASTE: patient-centered SMS text tagging in a medication management system

PubMed Central

Johnson, Kevin B; Denny, Joshua C

2011-01-01

Objective To evaluate the performance of a system that extracts medication information and administration-related actions from patient short message service (SMS) messages. Design Mobile technologies provide a platform for electronic patient-centered medication management. MyMediHealth (MMH) is a medication management system that includes a medication scheduler, a medication administration record, and a reminder engine that sends text messages to cell phones. The object of this work was to extend MMH to allow two-way interaction using mobile phone-based SMS technology. Unprompted text-message communication with patients using natural language could engage patients in their healthcare, but presents unique natural language processing challenges. The authors developed a new functional component of MMH, the Patient-centered Automated SMS Tagging Engine (PASTE). The PASTE web service uses natural language processing methods, custom lexicons, and existing knowledge sources to extract and tag medication information from patient text messages. Measurements A pilot evaluation of PASTE was completed using 130 medication messages anonymously submitted by 16 volunteers via a website. System output was compared with manually tagged messages. Results Verified medication names, medication terms, and action terms reached high F-measures of 91.3%, 94.7%, and 90.4%, respectively. The overall medication name F-measure was 79.8%, and the medication action term F-measure was 90%. Conclusion Other studies have demonstrated systems that successfully extract medication information from clinical documents using semantic tagging, regular expression-based approaches, or a combination of both approaches. This evaluation demonstrates the feasibility of extracting medication information from patient-generated medication messages. PMID:21984605

MAP OF ECOREGIONS OF NEBRASKA AND KANSAS

EPA Science Inventory

The ecoregions of Kansas and Nebraska have been identified, mapped, and described and provide a geographic structure for environmental resources research, assessment, monitoring, and management. This project is part of a larger effort by the U.S. EPA to create a national, hierar...

Water Resources Data, Kansas, Water Year 2000

USGS Publications Warehouse

Putnam, J.E.; Lacock, D.L.; Schneider, D.R.; Carlson, M.D.

2001-01-01

Water-resources data for the 2000 water year for Kansas consist of records of stage, discharge, and water quality of streams; elevation and contents of lakes and reservoirs; and water levels of ground-water wells. This report contains records for water discharge at 144 complete-record gaging stations; elevation and contents at 19 lakes and reservoirs; water-quality records at 2 precipitation stations, water-level data at 18 observation wells; and records of specific conductance, pH, water temperature, dissolved oxygen, and turbidity at 8 gaging stations. Also included are discharge data for 26 high-flow partial-record stations, and miscellaneous onsite water-quality data collected at 134 stations, and suspended-sediment concentration for 12 stations. These data represent that part of the National Water Information System collected by the U.S. Geological Survey in cooperation with local, State, and Federal agencies in Kansas.

Water Resources Data--Kansas, Water Year 2003

USGS Publications Warehouse

Putnam, J.E.; Schneider, D.R.

2004-01-01

Water-resources data for the 2003 water year for Kansas consist of records of stage, discharge, and water quality of streams; elevation and contents of lakes and reservoirs; and water levels of ground-water wells. This report contains records for water discharge at 148 complete-record gaging stations; elevation and contents at 17 lakes and reservoirs; water-quality records at 2 precipitation stations, water-level data at 12 observation wells; and records of specific conductance, pH, water temperature, dissolved oxygen, and turbidity at 11 gaging stations and 2 lakes with water-quality monitors. Also included are discharge data for 27 high-flow partial-record stations, miscellaneous onsite water-quality data collected at 138 stations, and suspended-sediment concentration for 11 stations. These data represent that part of the National Water Information System collected by the U.S. Geological Survey in cooperation with local, State, and Federal agencies in Kansas.

Claretian Medical Center Task Analysis. Worker Education Program.

ERIC Educational Resources Information Center

Union of Needletrades, Industrial and Textile Employees.

This task analysis for positions at the Claretian Medical Center in southeast Chicago was developed to improve communication and customer service in the workplace. The task analysis was prepared through clinic tours, employee interviews, and supervisor questionnaires. It is used for the purpose of curriculum development for onsite instruction in…

Surface waters of Kansas, 1919-1924

USGS Publications Warehouse

Kinnison, H.B.

1926-01-01

From 1906 to 1916 no stream-gaging investigations were made in Kansas, and the only records available for this period are those of river stages taken by the United States Weather Bureau, at a few selected stations, for use by the river forcast service. The floods of 1908, 1909 and 1915 occurred during this period.

State Teacher Policy Yearbook, 2009. Kansas

ERIC Educational Resources Information Center

Rosen, Kelli M.; Madden, Trisha M.; Maltz, Stephanie T.; Myers-Preston, Tracey L.

2009-01-01

This Kansas edition of the National Council on Teacher Quality's (NCTQ's) 2009 "State Teacher Policy Yearbook" is the third annual look at state policies impacting the teaching profession. It is hoped that this report will help focus attention on areas where state policymakers can make changes that will have a positive impact on teacher…

Water-quality and biologic data for the Blue River basin, Kansas City metropolitan area, Missouri and Kansas, October 2000 to October 2004

USGS Publications Warehouse

Wilkison, Donald H.; Armstrong, Daniel J.; Brown, Rebecca E.; Poulton, Barry C.; Cahill, Jeffrey D.; Zaugg, Steven D.

2005-01-01

This report presents water-quality and biologic data collected in the Blue River Basin, metropolitan Kansas City, Missouri and Kansas, from October 2000 to October 2004. Data were collected in cooperation with the city of Kansas City, Missouri, Water Services Department as part of an ongoing study designed to characterize long-term water-quality trends in the basin and to provide data to support a strategy for combined sewer overflow control. These data include values of physical properties, fecal indicator bacteria densities, suspended sediment, and concentrations of major ions, nutrients, trace elements, organic wastewater compounds, and pharmaceutical compounds in base-flow and stormflow stream samples and bottom sediments. Six surface-water sites in the basin were sampled 13 times during base-flow conditions and during a minimum of 7 storms. Benthic macroinvertebrate communities are described at 10 sites in the basin and 1 site outside the basin. Water-column and bottom-sediment data from impounded reaches of Brush Creek are provided. Continuous specific conductance, pH, water-quality temperature, turbidity, and dissolved oxygen data are provided for two streams-the Blue River and Brush Creek. Sampling, analytical, and quality assurance methods used in data collection during the study also are described in the report.

The Patient-Centered Medical Home Neighbor: A Critical Concept for a Redesigned Healthcare Delivery System

DTIC Science & Technology

2011-01-25

Sharing Knowledge: Achieving Breakthrough Performance 2010 Military Health System Conference The Patient -Centered Medical Home Neighbor: A Critical...DATE 25 JAN 2011 2. REPORT TYPE 3. DATES COVERED 00-00-2011 to 00-00-2011 4. TITLE AND SUBTITLE The Patient -Centered Medical Home Neighbor: A...Conference What is the Patient -Centered Medical Home?  …a vision of health care as it should be  …a framework for organizing systems of care at both the

Design and initial results from a supported education initiative: the Kansas Consumer as Provider program.

PubMed

McDiarmid, Diane; Rapp, Charles; Ratzlaff, Sarah

2005-01-01

Despite increased attention to consumer-providers, there remains a lack of models that prepare, support, and sustain consumers in provider roles. This article describes the Consumer as Provider (CAP) Training program at the University of Kansas School of Social Welfare, which creates opportunities for individuals with severe psychiatric disabilities to develop knowledge and skills to be effective as human service providers. CAP fosters a partnership between colleges and community mental health centers where students experience classroom and internship activities. Outcome from a 2-year longitudinal study on CAP graduates indicates increased employability, especially in social services field, and higher post-secondary educational involvement.

Effects of irrigation practices on water use in the groundwater management districts within the Kansas high plains, 1991-2003

USGS Publications Warehouse

Perry, Charles A.

2006-01-01

Data compiled for the High Plains region of Kansas that includes five Groundwater Management Districts (GMDs) were analyzed for trends in irrigation water use, acres irrigated, precipitation, irrigation system types, and irrigated crop types to determine the effects of irrigation practices on water use over time. For the study period 1991 through 2003, precipitation decreased significantly (with 95-percent confidence) in northwestern and west-central Kansas but not in the southwestern and south-central parts of the State. Irrigation water use had no statistically significant trend during this period. There was a good (R= -0.77) relation between average regional precipitation and total GMD irrigation water use. When irrigation water use was adjusted for this relation, there was a positive trend (90-percent confidence level) in the adjusted irrigation water use. Another adjustment to water use was made using the ratio of annual precipitation to 1991-2005 average precipitation, which resulted in a negative trend (95-percent confidence level) in irrigation water use. This demonstrated the contradictory nature of precipitation adjustments to water use, making their utility somewhat suspect. GMD 3 in southwestern Kansas used 63 percent of the total acre-feet of irrigation water within all the GMDs. When all GMDs are considered, the number of irrigated acres for flood and center pivot systems without drop nozzles decreased significantly during the study period. At the same time the number of drop nozzle irrigated acres increased significantly. The number of irrigated acres of water-intensive crops (corn, alfalfa, and soybeans) also increased significantly, whereas the number of less- or non-water-intensive crops (grain sorghum and wheat), and multiple crop type acres decreased. Drop nozzle irrigation systems used approximately 2 percent less water in a year-by-year comparison than center pivot systems and 8 to 11 percent less water than flood irrigation. The best

Surface-water-quality assessment of the lower Kansas River basin, Kansas and Nebraska; results of investigations, 1987-90

USGS Publications Warehouse

Helgesen, J.O.

1995-01-01

Surface-water-quality conditions and trends were assessed in the lower Kansas River Basin, which drains about 15,300 square miles of mainly agricultural land in southeast Nebraska and northeast Kansas. On the basis of established water-quality criteria, most streams in the basin were suitable for uses such as public-water supply, irrigation, and maintenance of aquatic life. However, most concerns identified from a previous analysis of available data through 1986 are substantiated by analysis of data for May 1987 through April 1990. Less-than-normal precipitation and runoff during 1987-90 affected surface-water quality and are important factors in the interpretation of results.Dissolved-solids concentrations in the main stem Kansas River during May 1987 through April 1990 commonly exceeded 500 milligrams per liter, which may be of concern for public-water supplies and for the irrigation of sensitive crops. Large concentrations of chloride in the Kansas River are derived from ground water discharging in the Smoky Hill River Basin west of the study unit. Trends of increasing concentrations of some dissolved major ions were statistically significant in the northwestern part of the study unit, which could reflect substantial increases in irrigated acreage.The largest concentrations of suspended sediment in streams during May 1987 through April 1990 were associated with high-density cropland in areas of little local relief and medium-density irrigated cropland in more dissected areas. The smallest concentrations were measured downstream from large reservoirs and in streams draining areas having little or no row-crop cultivation. Mean annual suspended-sediment transport rates in the main stem Kansas River increased substantially in the downstream direction. No conclusions could be reached concerning the relations of suspended-sediment transport, yields, or trends to natural and human factors.The largest sources of nitrogen and phosphorus in the study unit were fertilizer

The Kansas Migrant Survey: An Interpretive Profile of the Mexican-American Migrant Family.

ERIC Educational Resources Information Center

Gutierrez, Elizabeth; Lujan, Herman D.

Originally a federally-funded organization created to serve migrant families in the 16 counties of Western Kansas, the Kansas Council of Agricultural Workers and Low-Income Families (KCAW-LIF) marked the first major effort to cope with the problems of migrant life by providing basic services at public cost. A survey of 245 migrant families was…

Medical student socio-demographic characteristics and attitudes toward patient centered care: do race, socioeconomic status and gender matter? A report from the Medical Student CHANGES study.

PubMed

Hardeman, Rachel R; Burgess, Diana; Phelan, Sean; Yeazel, Mark; Nelson, David; van Ryn, Michelle

2015-03-01

To determine whether attitudes toward patient-centered care differed by socio-demographic characteristics (race, gender, socioeconomic status) among a cohort of 3191 first year Black and White medical students attending a stratified random sample of US medical schools. This study used baseline data from Medical Student CHANGES, a large national longitudinal cohort study of medical students. Multiple logistic regression was used to assess the association of race, gender and SES with attitudes toward patient-centered care. Female gender and low SES were significant predictors of positive attitudes toward patient-centered care. Age was also a significant predictor of positive attitudes toward patient-centered care such that students older than the average age of US medical students had more positive attitudes. Black versus white race was not associated with attitudes toward patient-centered care. New medical students' attitudes toward patient-centered care may shape their response to curricula and the quality and style of care that they provide as physicians. Some students may be predisposed to attitudes that lead to both greater receptivity to curricula and the provision of higher-quality, more patient-centered care. Medical school curricula with targeted messages about the benefits and value of patient-centered care, framed in ways that are consistent with the beliefs and world-view of medical students and the recruitment of a socioeconomically diverse sample of students into medical schools are vital for improved care. Published by Elsevier Ireland Ltd.

Geohydrology of the High Plains Aquifer, western Kansas

USGS Publications Warehouse

Stullken, L.E.; Watts, Kenneth R.; Lindgren, R.J.

1985-01-01

The High Plains aquifer underlies 174,050 sq mi of eight states (Colorado, Kansas, Nebraska, New Mexico, Oklahoma, South Dakota, Texas, and Wyoming) and contains approximately 3.3 billion acre-ft of water in storage. Saturated thicknesses within the aquifer are as great as 600 ft near the southern border of southwest Kansas. The aquifer is replenished primarily by infiltration from precipitation. Average precipitation at the Garden City Experiment Station is 18.93 in/yr. Groundwater flow is generally from west to east under unconfined conditions. Hydraulic connection with subcropping consolidated aquifers allows ground water to flow vertically in minor quantities. The aquifer is depleted primarily by irrigation. Hydraulic conductivity estimates from 1,612 lithologic logs had an average value of 75 ft/day, with a standard deviation of 35 ft/day. Specific yields estimated from the same lithologic logs had a mean of 0.17 and a standard deviation of 0.047. Water from the High Plains aquifer in Kansas generally is suitable for human and animal consumption and irrigation of crops. Typically, it is a calcium bicarbonate type water, with concentrations of total dissolved solids ranging from 250 to 500 mg/L. The quality of water in the aquifer deteriorates toward the east due to mixing with recharge water containing dissolved minerals leached from the overlying soil and unsaturated zones and mineralized water from adjacent bedrock units. The simulated water budget for the steady state model of predevelopment (pre-1950) conditions in the High Plains aquifer in northwest Kansas showed that annual recharge to the aquifer from infiltration of precipitation was 87,000 acre-ft/yr and from boundary inflow, 21,000 acre-ft/yr. Annual discharge from the aquifer was 108,000 acre-ft/yr, including 81,000 acre-ft/yr from leakage to streams, 23,000 acre-ft from outflow at the boundaries of the aquifer, and 4,000 acre-ft from municipal and industrial pumpage. (Lantz-PTT)

[E-learning in ENT: Usage in University Medical Centers in Germany].

PubMed

Freiherr von Saß, Peter; Klenzner, Thomas; Scheckenbach, Kathrin; Chaker, Adam

2017-03-01

E-learning is an essential part of innovative medical teaching concepts. The challenging anatomy and physiology in ENT is considered particularly suitable for self-assessed and adaptive e-learning. Usage and data on daily experience with e-learning in German ENT-university hospitals are currently unavailable and the degree of implementation of blended learning including feed-back from medical students are currently not known. We investigated the current need and usage of e-learning in academic ENT medical centers in Germany. We surveyed students and chairs for Otorhinolaryngology electronically and paperbased during the summer semester 2015. Our investigation revealed an overall heterogenous picture on quality and quantity of offered e-learning applications. While the overall amount of e-learning in academic ENT in Germany is rather low, at least half of the ENT-hospitals in medical faculties reported that e-learning had improved their own teaching activities. More collaboration among medical faculties and academic ENT-centers may help to explore new potentials, overcome technical difficulties and help to realize more ambitious projects. © Georg Thieme Verlag KG Stuttgart · New York.

A model of precambrian geology of Kansas derived from gravity and magnetic data

NASA Astrophysics Data System (ADS)

Xia, Jianghai; Sprowl, Donald R.; Steeples, Don W.

1996-10-01

The fabric of the Precambrian geology of Kansas is revealed through inversion of gravity and magnetic data to pseudo-lithology. There are five main steps in the inversion process: (1) reduction of potential-field data to a horizontal plane in the wavenumber domain; (2) separation of the residual anomaly of interest from the regional background, where an assumption is made that the regional anomaly could be represented by some order of polynomial; (3) subtraction of the signal due to the known topography on the Phanerozoic/Precambrian boundary from the residual anomaly (we assume what is left at this stage are the signals due to lateral variation in the Precambrian lithology); (4) inversion of the residual anomaly in the wavenumber domain to density and magnetization distribution in the top part of the Precambrian constrained by the known geologic information; (5) derivation of pseudo-lithology by characterization of density and magnetization. The boundary between the older Central Plains Province to the north and the Southern Granite-Rhyolite Province to the south is clearly delineated. The Midcontinent Rift System appears to widen in central Kansas and involve a considerable portion of southern Kansas. Lithologies in southwestern Kansas appear to change over fairly small areas and include mafic rocks which have not been encountered in drill holes. The texture of the potential field data from southwestern Kansas suggests a history of continental growth by broad extension.

A model of Precambrian geology of Kansas derived from gravity and magnetic data

USGS Publications Warehouse

Xia, J.; Sprowl, D.R.; Steeples, D.W.

1996-01-01

The fabric of the Precambrian geology of Kansas is revealed through inversion of gravity and magnetic data to pseudo-lithology. There are five main steps in the inversion process: (1) reduction of potential-field data to a horizontal plane in the wavenumber domain; (2) separation of the residual anomaly of interest from the regional background, where an assumption is made that the regional anomaly could be represented by some order of polynomial; (3) subtraction of the signal due to the known topography on the Phanerozoic/Precambrian boundary from the residual anomaly (we assume what is left at this stage are the signals due to lateral variation in the Precambrian lithology); (4) inversion of the residual anomaly in the wavenumber domain to density and magnetization distribution in the top part of the Precambrian constrained by the known geologic information; (5) derivation of pseudo-lithology by characterization of density and magnetization. The boundary between the older Central Plains Province to the north and the Southern Granite-Rhyolite Province to the south is clearly delineated. The Midcontinent Rift System appears to widen in central Kansas and involve a considerable portion of southern Kansas. Lithologies in southwestern Kansas appear to change over fairly small areas and include mafic rocks which have not been encountered in drill holes. The texture of the potential field data from southwestern Kansas suggests a history of continental growth by broad extension. Copyright ?? 1996 Elsevier Science Ltd.

78 FR 26679 - Kansas Disaster #KS-00073

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-07

... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 13557 and 13558] Kansas Disaster KS-00073 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a Notice of the Presidential... INFORMATION CONTACT: A. Escobar, Office of Disaster Assistance, U.S. Small Business Administration, 409 3rd...

Region 7 States Air Quality Monitoring Plans - Kansas

EPA Pesticide Factsheets

National Ambient Air Quality Standard (NAAQS) - Iowa, Kansas, Missouri, and Nebraska; Annual Monitoring Network Plans, Five-Year Monitoring Network Assessments, and approval documentation. Each year, states are required to submit an annual monitoring netwo

Kansas KIDS COUNT Data Book, 2001.

ERIC Educational Resources Information Center

Kansas Action for Children, Inc., Topeka.

This Kids Count Data Book provides state and county trends in the well-being of Kansas' children. The statistical portrait is based on 21 indicators of well-being: (1) births to single teens; (2) children in poverty; (3) children approved for free school meals; (4) childhood deaths; (5) infant mortality; (6) births with early prenatal care; (7)…

Reducing length of stay provides key to improvement in Veterans Administration Medical Center.

PubMed

Huebler, L A; Christian, J A; Marcella, L W

1980-02-01

Concerted resolve and coordinated planning on the part of both administrative and patient care staff at the medical center made it possible to treat more patients in fewer beds than ever before and to improve the core staffing ratio at the same time. Staffing was enhanced and new programs were developed using available resources. Reduction of the average LOS for patients throughout the medical center was a primary factor in these achievements. In addition, formal quality assurance activities were strengthened; with careful planning and increased funding, the renovation of facilities and purchase of new equipment was also possible, thus making the improvement project comprehensive. These changes have had a major, beneficial impact on the delivery of health care a the Dublin Veterans Administration Medical Center.

A Podiatric Medical Residency Program in an Academic Health Science Center

ERIC Educational Resources Information Center

Bogy, Louis T.; And Others

1977-01-01

The podiatric medical residency program in the Health Science Center at San Antonio provides an intensive exposure for the newly graduated podiatrist to practice in a multidisciplinary environment. Residents become more familiar with general medical and surgical diseases and disorders as well as podiatric pathology. (LBH)

The patient-centered medical home neighbor: A primary care physician's view.

PubMed

Sinsky, Christine A

2011-01-04

The American College of Physicians' position paper on the patient-centered medical home neighbor (PCMH-N) extends the work of the patient-centered medical home (PCMH) as a means of improving the delivery of health care. Recognizing that the PCMH does not exist in isolation, the PCMH-N concept outlines expectations for comanagement, communication, and care coordination and broadens responsibility for safe, effective, and efficient care beyond primary care to include physicians of all specialties. As such, it is a fitting follow-up to the PCMH and moves further down the road toward improved care for complex patients. Yet, there is more work to be done. Truly transforming the U.S. health care system around personalized medical homes embedded in highly functional medical neighborhoods will require better staffing models; more robust electronic information tools; aligned incentives for quality and efficiency within payment and regulatory policies; and a culture of greater engagement of patients, their families, and communities.

Evaluating Community Engagement in an Academic Medical Center

PubMed Central

Shone, Laura P.; Dozier, Ann M.; Newton, Gail L.; Green, Theresa; Bennett, Nancy M.

2014-01-01

From the perspective of academic medical centers (AMCs), community engagement is a collaborative process of working toward mutually defined goals to improve the community’s health, and involves partnerships between AMCs, individuals, and entities representing the surrounding community. AMCs increasingly recognize the importance of community engagement, and recent programs such as Prevention Research Centers and Clinical and Translational Science Awards have highlighted community engagement activities. However, there is no standard or accepted metric for evaluating AMCs’ performance and impact of community engagement activities. In this article, the authors present a framework for evaluating AMCs’ community engagement activities. The framework includes broad goals and specific activities within each goal, wherein goals and activities are evaluated using a health services research framework consisting of structure, process, and outcome criteria. To illustrate how to use this community engagement evaluation framework, the authors present specific community engagement goals and activities of the University of Rochester Medical Center to (1) improve the health of the community served by the AMC; (2) increase the AMC’s capacity for community engagement; and (3) increase generalizable knowledge and practices in community engagement and public health. Using a structure-process-outcomes framework, a multidisciplinary team should regularly evaluate an AMC’s community engagement program with the purpose of measurably improving the performance of the AMC and the health of its surrounding community. PMID:24556768

Mammal Silhouettes No. 1, The Kansas School Naturalist, Volume 19 Number 1, October, 1972

ERIC Educational Resources Information Center

Boles, Robert J., Ed.

1972-01-01

An insert in this issue of Nature Study,'' this quarterly periodical ( The Kansas School Naturalist'') is free of charge to Kansas school personnel, conservationists, youth leaders, and other adults interested in nature education. This issue focuses on mammals and contains general information about the moose, elk, muskox, camel, walrus, etc. (LK)

Evaluation Brief: Implementation and Outcomes of Kansas Multi-Tier System of Supports: 2011-2014

ERIC Educational Resources Information Center

Reedy, Kristen; Lacireno-Paquet, Natalie

2015-01-01

States, school districts, and schools across the country are increasingly implementing multi-tier systems of support (MTSS) to improve outcomes for all students. Kansas is no exception. The Kansas MTSS is designed to improve outcomes for all students by instituting system-level change across the classroom, school, district, and state. Such…

UNIVERSITY OF KANSAS SMART GRID DEMONSTRATION PROJECT

EPA Science Inventory

The University of Kansas (KU) EcoHawks Design Project began in 2008 with the conversion of a discarded 1974 Volkswagen Super Beetle into a fuel neutral series hybrid running on 100% biodiesel created from waste vegetable oil. This project continued in year two through upgradi...

Patient opinion regarding patient-centered medical home fundamentals.

PubMed

Wexler, Randell K; King, Dana E; Andrews, Mark

2012-04-01

Although conceptually there is agreement on how the Patient-Centered Medical Home (PCMH) should be organized, there is little information regarding which PCMH components are the most important to patients. An anonymous, voluntary survey was administered to patients at three US academic medical centers. Questions sought opinions regarding the National Committee for Quality Assurance's key components and essential elements of the PCMH. Analysis of the survey responses was conducted using SAS version 9.1. A total of 780 surveys were returned. Patients expressed believing strongly that the ability to coordinate care, help patients to manage their own disease, and track laboratory results were the most important aspects of a PCMH office. There were no differences in response to the survey according to age, sex, race, or site. Patients listed care coordination, patient self-management, and improved access to care as the top priority attributes of a PCMH. Patients were consistent in their opinions that care coordination, access, and patient self-management were the most important elements of a PCMH.

Evaluation of high friction surface locations in Kansas.

DOT National Transportation Integrated Search

2016-05-01

In 2009, the Kansas Department of Transportation entered into an agreement with the Federal Highway : Administration to fulfill the requirements of the High Friction Surface Materials Enhancing Safety at Horizontal : Curves on the National Highway Sy...

Patient-centered interventions to improve medication management and adherence: a qualitative review of research findings

PubMed Central

Kuntz, Jennifer L.; Safford, Monika M.; Singh, Jasvinder A.; Phansalkar, Shobha; Slight, Sarah P.; Her, Qoua Liang; Lapointe, Nancy Allen; Mathews, Robin; O’Brien, Emily; Brinkman, William B.; Hommel, Kevin; Farmer, Kevin C.; Klinger, Elissa; Maniam, Nivethietha; Sobko, Heather J.; Bailey, Stacy C.; Cho, Insook; Rumptz, Maureen H.; Vandermeer, Meredith L.; Hornbrook, Mark C.

2018-01-01

Objective Patient-centered approaches to improving medication adherence hold promise, but evidence of their effectiveness is unclear. This review reports the current state of scientific research around interventions to improve medication management through four patient-centered domains: shared decision-making, methods to enhance effective prescribing, systems for eliciting and acting on patient feedback about medication use and treatment goals, and medication-taking behavior. Methods We reviewed literature on interventions that fell into these domains and were published between January 2007 and May 2013. Two reviewers abstracted information and categorized studies by intervention type. Results We identified 60 studies, of which 40% focused on patient education. Other intervention types included augmented pharmacy services, decision aids, shared decision-making, and clinical review of patient adherence. Medication adherence was an outcome in most (70%) of the studies, although 50% also examined patient-centered outcomes. Conclusions We identified a large number of medication management interventions that incorporated patient-centered care and improved patient outcomes. We were unable to determine whether these interventions are more effective than traditional medication adherence interventions. Practice Implications Additional research is needed to identify effective and feasible approaches to incorporate patient-centeredness into the medication management processes of the current health care system, if appropriate. PMID:25264309

Ground-water data collected in the Missouri River Basin units in Kansas during 1953

USGS Publications Warehouse

Mason, B.J.

1954-01-01

Ground-water studies in the Missouri River basin were begun by the United States Geological Survey during the fall of 1945 as a part of a program for the development of the resources of the basin by the United States Bureau of Reclamation and other Federal Agencies. The studies of the ground-water resources in the part of Kansas that lies within the Missouri River basin have been coordinated with the cooperative program of ground water studies which were already being made in Kansas by the U. S. Geological Survey, the State Geological Survey of Kansas, the Division of Sanitation of the Kansas State Board of Health, and the Division of Water Resources of the Kansas State Board of Agriculture.Areas in which ground-water data have been and are being collected are the following: Almena unit in Norton and Phillips Counties; Bostwick unit in Jewell, Republic, and Cloud Counties; Cedar Bluff unit in Ellis, Rush, and Trego Counties; Glen Elder unit in Mitchell County; Kanopolis unit in Ellsworth, McPherson, and Saline Counties; Kirwin unit in Phillips, Smiths and Osborne Counties; St. Francis unit in Cheyenne County; Webster unit in Osborne County; and Wilson unit in Lincoln County. (See fig. 1.) Data relating to the Ladder Creek project in Greeley, Gove, Lane, Logan, Scott, Wallace, and Wichita Counties will be published later in a separate report.

Kansas Department of Transportation 2014 chip seal manual.

DOT National Transportation Integrated Search

2014-03-01

A chip seal is a very effective thin surface treatment process used by maintenance managers to : preserve existing asphalt pavements. The Kansas Department of Transportation (KDOT) 2014 Chip Seal : Manual is a guide that provides guidelines, backgrou...

Evaluation of Motorcycle Safety in Kansas : Technical Summary

DOT National Transportation Integrated Search

2012-01-01

Over the past several years, motorcycle fatalities have increased at an alarming rate in the United States. Motorcycle safety issues in Kansas are no different from the national scenario. Accordingly, this study attempted to investigate motorcycle cr...

Improving Medication Knowledge among Older Adults with Heart Failure: A Patient-Centered Approach to Instruction Design

ERIC Educational Resources Information Center

Morrow, Daniel G.; Weiner, Michael; Young, James; Steinley, Douglas; Deer, Melissa; Murray, Michael D.

2005-01-01

Purpose: We investigated whether patient-centered instructions for chronic heart failure medications increase comprehension and memory for medication information in older adults diagnosed with chronic heart failure. Design and Methods: Patient-centered instructions for familiar and unfamiliar medications were compared with instructions for the…

Building and Running a Collaborative Internet Filter Is Akin to a Kansas Barn Raising

ERIC Educational Resources Information Center

Reddick, Thomas

2004-01-01

The Northeast Kansas Library System's filtering project started out as a response to the passage of CIPA, the Children's Internet Protection Act, in January 2001. Originally called "onGuard," it was a service that the Northeast Kansas Library System created for its members. When the Supreme Court ruling did uphold the constitutionality…

Walter Reed Army Medical Center's Internet-based electronic health portal.

PubMed

Abbott, Kevin C; Boocks, Carl E; Sun, Zhengyi; Boal, Thomas R; Poropatich, Ronald K

2003-12-01

Use of the World Wide Web (WWW) and electronic media to facilitate medical care has been the subject of many reports in the popular press. However, few reports have documented the results of implementing electronic health portals for essential medical tasks, such as prescription refills and appointments. At Walter Reed Army Medical Center, "Search & Learn" medical information, Internet-based prescription refills and patient appointments were established in January 2001. A multiphase retrospective analysis was conducted to determine the use of the "Search & Learn" medical information and the relative number of prescription refills and appointments conducted via the WWW compared with conventional methods. From January 2001 to May 2002, there were 34,741 refills and 819 appointments made over the Internet compared with 2,275,112 refills and approximately 500,000 appointments made conventionally. WWW activity accounted for 1.52% of refills and 0.16% of appointments. There was a steady increase in this percentage over the time of the analysis. In April of 2002, the monthly average of online refills had risen to 4.57% and online appointments were at 0.27%. Online refills were projected to account for 10% of all prescriptions in 2 years. The "Search & Learn" medical information portion of our web site received 147,429 unique visits during this same time frame, which was an average of 326 visitors per day. WWW-based methods of conducting essential medical tasks accounted for a small but rapidly increasing percentage of total activity at Walter Reed Army Medical Center. Subsequent phases of analysis will assess demographic and geographic factors and aid in the design of future systems to increase use of the Internet-based systems.

1977 Kansas Field Crop Insect Control Recommendations.

ERIC Educational Resources Information Center

Brooks, Leroy; Gates, Dell E.

This publication is prepared to aid producers in selecting methods of insect population management that have proved effective under Kansas conditions. Topics covered include insect control on alfalfa, soil insects attacking corn, insects attacking above-ground parts of corn, and sorghum, wheat, and soybean insect control. The insecticides…

Kansas State University Libraries' OCR Labeling Project.

ERIC Educational Resources Information Center

Thierer, Joyce; Bower, Merry

This publication describes the planning and implementation of an optical character recognition (OCR) labeling project, the first stage of Kansas State University (KSU) Libraries' program of conversion from a manual to an automated circulation system. It is noted that a telephone survey of libraries with automated circulation systems and…

Kansas City Metropolitan Community Colleges. Audit Report.

ERIC Educational Resources Information Center

Missouri Office of the State Auditor, Jefferson City.

This audit report reviews the employment contracts, related compensation, and other benefits provided for the chancellor and other officers of the Kansas City Metropolitan Community Colleges (KCMCC) in Missouri. The chancellor is allowed to either solicit bids or negotiate for contracted services such as architects, construction managers,…

Focus: Profile of Kansas Community College Presidents.

ERIC Educational Resources Information Center

Parker, Paul; Parker, Patrick W.

In 1983, a study was conducted of the characteristics of the chief administrative officers of the 19 community colleges in Kansas. A survey instrument was sent to each current president, requesting information on personal characteristics, prior preparation and experiences, and administrative, professional, and community activities. Study findings,…

78 FR 74163 - Harrison Medical Center, a Subsidiary of Franciscan Health System Bremerton, Washington; Notice...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-10

... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-83,070] Harrison Medical Center, a Subsidiary of Franciscan Health System Bremerton, Washington; Notice of Negative Determination... workers of Harrison Medical Center, a subsidiary of Franciscan Health System, Bremerton, Washington...

Quarry Creek - Excavation, Analysis and Prospect of a Kansas City Hopewell Site, Fort Leavenworth, Kansas

DTIC Science & Technology

1993-06-01

1941), who lists 53 species of reeds, grasses and sedges; 79 species of trees, shrubs and vines ; and 223 species of herbaceous plants. While some of...limited areas of Minnesota, Michigan, Ohio, and Indiana and in more extensive areas of Iowa, Illinois, eastern Nebraska, eastern Kansas, northern Missouri...possession of prairie areas... During long, dry periods the process has been reversed. Grasses invade wooded areas and kill the shrubs and trees probably

RadNet Air Data From Kansas City, KS

EPA Pesticide Factsheets

This page presents radiation air monitoring and air filter analysis data for Kansas City, KS from EPA's RadNet system. RadNet is a nationwide network of monitoring stations that measure radiation in air, drinking water and precipitation.

Seventy-five years of aggregate research in Kansas

DOT National Transportation Integrated Search

1999-03-01

The Kansas Department of Transportation (KDOT) has a long history of aggregate research directed towards finding the most reliable and durable aggregate for highway construction. Beginning with a study on freeze thaw durability in 1928, this paper su...

Current activities of medical centers for dementia in Japan.

PubMed

Awata, Shuichi

2014-04-01

We investigated the current activities of medical centers for dementia (MCD), and proposed recommendations for a national dementia strategy. A questionnaire was mailed to 172 hospitals designated as MCD as of 7 August 2012. Data from 117 MCD that adequately responded and were designated by 1 April 2012 were analyzed. The mean and median numbers of medical consultations per MCD were 1035 and 595/year (range 114-8541/year), those of patients diagnosed with dementia-related disorders were 266 and 231/year (range 3-1179/year), those of patients with dementia-related disorders admitted to the MCD hospital were 89 and 47/year (0-1176/year), and mean and median proportions of patients discharged within 2 months were 45.5 and 36.8% (range 0-100%). Outreach services in collaboration with a community general support center were provided in 23.9%, while training for community general support center staff members was carried out in 66.7%. Of MCD hospitals, 31.6% were designated as an emergency medical hospital, and of these, specialist liaison-team services for patients with dementia in the emergency room were provided in 56.8%. Most MCD are considered to function fairly well in line with the guidelines published by the Ministry of Health, Labour and Welfare. However, there is a huge discrepancy in the number of patients diagnosed with dementia-related disorders and the length of stay for inpatient care among facilities. To make all MCD function adequately, the activity of MCD should be monitored longitudinally using the standardized assessment methods. © 2014 Japan Geriatrics Society.

Roles of Medical Record and Statistic Staff on Research at the Tawanchai Center.

PubMed

Pattaranit, Rumpan; Chantachum, Vasana; Lekboonyasin, Orathai; Pradubwong, Suteera

2015-08-01

The medical record and statistic staffs play a crucial role behind the achievements of treatment and research of physicians, nurses and other health care professionals. The medical record and statistic staff are in charge of keeping patient medical records; creating databases; presenting information; sorting patient's information; providing patient medical records and related information for various medical teams and researchers; Besides, the medical record and statistic staff have collaboration with the Center of Cleft Lip-Palate, Khon Kaen University in association with the Tawanchai Project. The Tawanchai Center is an organization, involving multidisciplinary team which aims to continuing provide care for patients with cleft lip and palate and craniofacial deformities who need a long term of treatment since newborns until the age of 19 years. With support and encouragement from the Tawanchai team, the medical record and statistic staff have involved in research under the Tawanchai Centre since then and produced a number of publications locally and internationally.

Quantitative Assessment of Factors Related to Customer Satisfaction with MoDOT in the Kansas City Area.

DOT National Transportation Integrated Search

2008-01-01

A mailed survey was sent to approximately twenty thousand citizens from District Four (Kansas City Area) residents in order to gather statistical evidence for : supporting or eliminating reasons for the satisfaction discrepancy between Kansas City Ar...

Critical Care Organizations in Academic Medical Centers in North America: A Descriptive Report.

PubMed

Pastores, Stephen M; Halpern, Neil A; Oropello, John M; Kostelecky, Natalie; Kvetan, Vladimir

2015-10-01

With the exception of a few single-center descriptive reports, data on critical care organizations are relatively sparse. The objectives of our study were to determine the structure, governance, and experience to date of established critical care organizations in North American academic medical centers. A 46-item survey questionnaire was electronically distributed using Survey Monkey to the leadership of 27 identified critical care organizations in the United States and Canada between September 2014 and February 2015. A critical care organization had to be headed by a physician and have primary governance over the majority, if not all, of the ICUs in the medical center. We received 24 responses (89%). The majority of the critical care organizations (83%) were called departments, centers, systems, or operations committees. Approximately two thirds of respondents were from larger (> 500 beds) urban institutions, and nearly 80% were primary university medical centers. On average, there were six ICUs per academic medical center with a mean of four ICUs under critical care organization governance. In these ICUs, intensivists were present in-house 24/7 in 49%; advanced practice providers in 63%; hospitalists in 21%; and telemedicine coverage in 14%. Nearly 60% of respondents indicated that they had a separate hospital budget to support data management and reporting, oversight of their ICUs, and rapid response teams. The transition from the traditional model of ICUs within departmentally controlled services or divisions to a critical care organization was described as gradual in 50% and complete in only 25%. Nearly 90% indicated that their critical care organization governance structure was either moderately or highly effective; a similar number suggested that their critical care organizations were evolving with increasing domain and financial control of the ICUs at their respective institutions. Our survey of the very few critical care organizations in North American

Characteristics of Child Abuse Homicides in the State of Kansas from 1994 to 2007

ERIC Educational Resources Information Center

Kajese, Tanyaradzwa M.; Nguyen, Linh T.; Pham, Giao Q.; Pham, Van K.; Melhorn, Katherine; Kallail, K. James

2011-01-01

Objective: This study described the epidemiology of child abuse homicides in the state of Kansas from 1994 to 2007. It focused on obtaining significant details on all recorded child abuse homicides in Kansas during this time frame to provide critical information that can be used for future preventive measures. Methods: A retrospective case review…

The Origin and Management of a State/Industry/University Research Center.

ERIC Educational Resources Information Center

Loper, Gerald D.; Sudermann, Frederick

1998-01-01

Describes the origins and first two years of a focused collaborative project involving Wichita State University (Kansas), the aviation industry, and state economic-development organizations. The center is industry-driven and reflects the industry's current technological needs. The arrangement can offer significant advantages to each stakeholder,…

Development of a longitudinal integrated clerkship at an academic medical center

PubMed Central

Poncelet, Ann; Bokser, Seth; Calton, Brook; Hauer, Karen E.; Kirsch, Heidi; Jones, Tracey; Lai, Cindy J.; Mazotti, Lindsay; Shore, William; Teherani, Arianne; Tong, Lowell; Wamsley, Maria; Robertson, Patricia

2011-01-01

In 2005, medical educators at the University of California, San Francisco (UCSF), began developing the Parnassus Integrated Student Clinical Experiences (PISCES) program, a year-long longitudinal integrated clerkship at its academic medical center. The principles guiding this new clerkship were continuity with faculty preceptors, patients, and peers; a developmentally progressive curriculum with an emphasis on interdisciplinary teaching; and exposure to undiagnosed illness in acute and chronic care settings. Innovative elements included quarterly student evaluation sessions with all preceptors together, peer-to-peer evaluation, and oversight advising with an assigned faculty member. PISCES launched with eight medical students for the 2007/2008 academic year and expanded to 15 students for 2008/2009. Compared to UCSF's traditional core clerkships, evaluations from PISCES indicated significantly higher student satisfaction with faculty teaching, formal didactics, direct observation of clinical skills, and feedback. Student performance on discipline-specific examinations and United States Medical Licensing Examination step 2 CK was equivalent to and on standardized patient examinations was slightly superior to that of traditional peers. Participants' career interests ranged from primary care to surgical subspecialties. These results demonstrate that a longitudinal integrated clerkship can be implemented successfully at a tertiary care academic medical center. PMID:21475642

Development of a longitudinal integrated clerkship at an academic medical center.

PubMed

Poncelet, Ann; Bokser, Seth; Calton, Brook; Hauer, Karen E; Kirsch, Heidi; Jones, Tracey; Lai, Cindy J; Mazotti, Lindsay; Shore, William; Teherani, Arianne; Tong, Lowell; Wamsley, Maria; Robertson, Patricia

2011-04-04

In 2005, medical educators at the University of California, San Francisco (UCSF), began developing the Parnassus Integrated Student Clinical Experiences (PISCES) program, a year-long longitudinal integrated clerkship at its academic medical center. The principles guiding this new clerkship were continuity with faculty preceptors, patients, and peers; a developmentally progressive curriculum with an emphasis on interdisciplinary teaching; and exposure to undiagnosed illness in acute and chronic care settings. Innovative elements included quarterly student evaluation sessions with all preceptors together, peer-to-peer evaluation, and oversight advising with an assigned faculty member. PISCES launched with eight medical students for the 2007/2008 academic year and expanded to 15 students for 2008/2009. Compared to UCSF's traditional core clerkships, evaluations from PISCES indicated significantly higher student satisfaction with faculty teaching, formal didactics, direct observation of clinical skills, and feedback. Student performance on discipline-specific examinations and United States Medical Licensing Examination step 2 CK was equivalent to and on standardized patient examinations was slightly superior to that of traditional peers. Participants' career interests ranged from primary care to surgical subspecialties. These results demonstrate that a longitudinal integrated clerkship can be implemented successfully at a tertiary care academic medical center.

Continuous real-time water information: an important Kansas resource

USGS Publications Warehouse

Loving, Brian L.; Putnam, James E.; Turk, Donita M.

2014-01-01

Continuous real-time information on streams, lakes, and groundwater is an important Kansas resource that can safeguard lives and property, and ensure adequate water resources for a healthy State economy. The U.S. Geological Survey (USGS) operates approximately 230 water-monitoring stations at Kansas streams, lakes, and groundwater sites. Most of these stations are funded cooperatively in partnerships with local, tribal, State, or other Federal agencies. The USGS real-time water-monitoring network provides long-term, accurate, and objective information that meets the needs of many customers. Whether the customer is a water-management or water-quality agency, an emergency planner, a power or navigational official, a farmer, a canoeist, or a fisherman, all can benefit from the continuous real-time water information gathered by the USGS.

Environmental Programs Information: Affecting Kansas Public Schools

ERIC Educational Resources Information Center

Kansas State Department of Education, 2004

2004-01-01

This document provides a brief overview of the environmental issues that affect Kansas public schools. Specific programs that address these problems are included, along with their contact information. This document contains information on the following issues and programs: (1) Department of Health and Environment; (2) air; (3) asbestos; (4)…

KANSAS STATE PLAN FOR ADULT BASIC EDUCATION.

ERIC Educational Resources Information Center

Kansas State Dept. of Public Instruction, Topeka.

THE KANSAS PLAN IS DESIGNED TO HELP ESTABLISH NEW LOCAL ADULT BASIC EDUCATION PROGRAMS, AND TO EXPAND AND IMPROVE EXISTING ONES. INSTRUCTIONAL CONTENT WILL INCLUDE READING AND WRITING, SPEAKING AND LISTENING SKILLS, CITIZENSHIP, CONSUMER EDUCATION, HUMAN RELATIONS, AND FAMILY LIFE EDUCATION. EARLY STAGES OF PLANNING (TO JUNE 30, 1966) WILL STRESS…

Patient-centered medical homes: will health care reform provide new options for rural communities and providers?

PubMed

Bolin, Jane N; Gamm, Larry; Vest, Joshua R; Edwardson, Nick; Miller, Thomas R

2011-01-01

Many are calling for the expansion of the patient-centered medical home model into rural and underserved populations as a transformative strategy to address issues of access, efficiency, quality, and sustainability in the delivery of health care. Patient-centered medical homes have been touted as a promising cost-saving model for comprehensive management of persons with chronic diseases and disabilities, but it is unclear how rural practitioners in medically underserved areas will implement the patient-centered medical home. This article examines how the Patient Protection & Affordable Care Act of 2010 will enhance rural providers' ability to provide patient-centered care and services contemplated under the Act in a comprehensive, coordinated, cost-effective way despite leaner budgets and health workforce shortages.

Kansas highway LED illumination manual : a guide for the use of LED lighting systems : [technical summary].

DOT National Transportation Integrated Search

2015-12-01

The research project was aimed to assist the Kansas Department of Transportation (KDOT) in the development of a Highway LED Illumination Manual for guiding the upcoming implementation of successful LED roadway lighting systems in Kansas to replace th...

Kansas State University DOE/KEURP Site Operator Program. Year 3, Third quarter report, January 1, 1994--March 31, 1994

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

Hague, J.R.

Formed on July 15, 1981, the goal of this program is to undertake applied research and development projects that may enhance reliability and minimize the cost of electric service in Kansas. The Kansas Electric Utilities Research Program (KEURP) is a contractual joint venture between six major electric utilities that serve the residents of the State of Kansas. The establishment of KEURP was made possible by the Kansas Corporation Commission (KCC). The KCC allowed Kansas electric utilities to include research and development (R & D) costs in their operating expenses, including dues to the Electric Power Research Institute (EPRI). Kansas universitiesmore » play a unique role in KEURP with representation on the executive, technical and advisory committees of the program. The universities receive significant direct and indirect support from KEURP through direct funded projects as well as KEURP/EPRI co-funded projects. KEURP is working with EPRI researchers on projects to develop or expand Kansans knowledge and expertise in the fields of high technology and economic development. KEURP is a major source of funding in the electric/hybrid vehicle demonstration program.« less

Developing physician leaders in academic medical centers. Part 1: Their changing role.

PubMed

Bachrach, D J

1996-01-01

While physicians have historically held positions of leadership in academic medical centers, there is an increasing trend that physicians will not only guide the clinical, curriculum and scientific direction of the institution, but its business direction as well. Physicians are assuming a greater role in business decision making and are found at the negotiating table with leaders from business, insurance and other integrated health care delivery systems. Physicians who lead "strategic business units" within the academic medical center are expected to acquire and demonstrate enhanced business acumen. There is an increasing demand for formal and informal training programs for physicians in academic medical centers in order to better prepare them for their evolving roles and responsibilities. These may include the pursuit of a second degree in business or health care management, intramurally conducted courses in leadership skill development; management, business and finance; or involvement in extramurally prepared and delivered training programs specifically geared toward physicians as conducted at major universities, often in their schools of business or public health. This article article was prepared by the author from research into and presentation of a thesis entitled. "The Importance of Leadership Training And Development For Physicians In Academic Medical Centers In An Increasingly Complex Healthcare Environment, " prepared for the Credentials Committee of the American College of Healthcare Executives in partial fulfillment of the requirements for Fellowship in the College (ACHE). Part 2 will appear in the next issue of the Journal.

76 FR 31340 - Medicare Program; Notification of Closure of St. Vincent's Medical Center

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-31

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS-1587-N... & Medicaid Services (CMS), HHS. ACTION: Notice. SUMMARY: This notice announces the closure of St. Vincent's Medical Center and the initiation of an application process for hospitals to apply to the Centers for...

Estimation of potential runoff-contributing areas in the Kansas-Lower Republican River Basin, Kansas

USGS Publications Warehouse

Juracek, Kyle E.

1999-01-01

Digital soils and topographic data were used to estimate and compare potential runoff-contributing areas for 19 selected subbasins representing soil, slope, and runoff variability within the Kansas-Lower Republican (KLR) River Basin. Potential runoff-contributing areas were estimated separately and collectively for the processes of infiltration-excess and saturation-excess overland flow using a set of environmental conditions that represented high, moderate, and low potential runoff. For infiltration-excess overland flow, various rainfall intensities and soil permeabilities were used. For saturation-excess overland flow, antecedent soil-moisture conditions and a topographic wetness index were used. Results indicated that the subbasins with relatively high potential runoff are located in the central part of the KLR River Basin. These subbasins are Black Vermillion River, Clarks Creek, Delaware River upstream from Muscotah, Grasshopper Creek, Mill Creek (Wabaunsee County), Soldier Creek, Vermillion Creek (Pottawatomie County), and Wildcat Creek. The subbasins with relatively low potential runoff are located in the western one-third of the KLR River Basin, with one exception, and are Buffalo Creek, Little Blue River upstream from Barnes, Mill Creek (Washington County), Republican River between Concordia and Clay Center, Republican River upstream from Concordia, Wakarusa River downstream from Clinton Lake (exception), and White Rock Creek. The ability to distinguish the subbasins as having relatively high or low potential runoff was possible mostly due to the variability of soil permeability across the KLR River Basin.

Can Japanese students embrace learner-centered methods for teaching medical interviewing skills? Focus groups.

PubMed

Saiki, Takuya; Mukohara, Kei; Otani, Takashi; Ban, Nobutaro

2011-01-01

Students' perceptions of learner-centered methods for teaching medical interviewing skills have not been fully explored. To explore Japanese students' perceptions of learner-centered methods for teaching medical interviewing skills such as role play with student-created scenarios, peer-assisted video reviews, and student-led small group debriefing. We conducted three focus groups with a total of 15 students who participated in the learner-centered seminars on medical interviewing skills at the Nagoya University School of Medicine. The transcripts were analyzed by two authors independently. Keywords and concepts were identified and a thematic framework was developed. Overall, students valued the experience of writing their own scenarios for role play, but some questioned their realism. Many students commented that peer-assisted video reviews provided them with more objective perspectives on their performance. However, some students expressed concerns about competitiveness during the video reviews. While students appreciated teachers' minimum involvement in the group debriefing, some criticized that teachers did not explain the objectives of the seminar clearly. Many students had difficulties in exchanging constructive feedback. We were able to gain new insights into positive and negative perceptions of students about learner-centered methods for teaching medical interviewing skills at one medical school in Japan.

D-cracking field performance of Portland cement concrete pavements containing limestone in Kansas : phase 1 report.

DOT National Transportation Integrated Search

2012-05-01

Premature deterioration of concrete pavement due to D-Cracking has been a problem in Kansas since the 1930s. : Limestone is the major source of coarse aggregate in eastern Kansas where the majority of the concrete pavements are : constructed. D-Crack...

Computer Assisted Multi-Center Creation of Medical Knowledge Bases

PubMed Central

Giuse, Nunzia Bettinsoli; Giuse, Dario A.; Miller, Randolph A.

1988-01-01

Computer programs which support different aspects of medical care have been developed in recent years. Their capabilities range from diagnosis to medical imaging, and include hospital management systems and therapy prescription. In spite of their diversity these systems have one commonality: their reliance on a large body of medical knowledge in computer-readable form. This knowledge enables such programs to draw inferences, validate hypotheses, and in general to perform their intended task. As has been clear to developers of such systems, however, the creation and maintenance of medical knowledge bases are very expensive. Practical and economical difficulties encountered during this long-term process have discouraged most attempts. This paper discusses knowledge base creation and maintenance, with special emphasis on medical applications. We first describe the methods currently used and their limitations. We then present our recent work on developing tools and methodologies which will assist in the process of creating a medical knowledge base. We focus, in particular, on the possibility of multi-center creation of the knowledge base.

77 FR 16314 - Kansas Disaster # KS-00062

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-20

... Administrative declaration of a disaster for the State of Kansas dated 03/12/2012. Incident: Severe Storms and a Tornado. Incident Period: 02/28/2012 through 02/29/2012. Effective Date: 03/12/2012. Physical Loan Application Deadline Date: 05/11/2012. Economic Injury (EIDL) Loan Application Deadline Date: 12/12/2012...

Kansas Working Papers in Linguistics. Volume 19.

ERIC Educational Resources Information Center

Roby, Linda M., Ed.

1994-01-01

This collection of papers presents the latest original research by the institutions. The papers in Number 1 are: (1) "Xhosa departments of the University of Kansas, as well as contributors from other institutions. The papers in Number 1 are: (1) "Xhosa Nominal Tonology: A Domain-Based Approach" (Mbulelo Jokweni); (2) "On the…

An analysis of the forest resources of Kansas.

Treesearch

Earl C. Leatherberry; Thomas L. Schmidt; John K. Strickler; Raymond G. Aslin

1999-01-01

The fourth inventory of Kansas' forests reports 52.4 million acres of land, of which 1.5 million acres are forested. Presents an in-depth analysis of the forest resources and contains detailed tables of area volume, growth, removals, mortality, and ownership.

75 FR 55619 - Kansas Disaster Number KS-00045

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-13

... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12272 and 12273] Kansas Disaster Number KS-00045 AGENCY: U.S. Small Business Administration. ACTION: Amendment 1. SUMMARY: This is an amendment of... of Federal Domestic Assistance Numbers 59002 and 59008) James E. Rivera, Associate Administrator for...

The NASA Specialized Center of Research and Training (NSCORT) in Gravitational Biology

NASA Technical Reports Server (NTRS)

Spooner, B. S.; Guikema, J. A.

1992-01-01

The Life Sciences Division of NASA has initiated a NASA Specialized Centers of Research and Training (NSCORT) program. Three Centers were designated in late 1990, as the culmination of an in-depth peer review analysis of proposals from universities across the nation and around the world. Kansas State University was selected as the NSCORT in Gravitational Biology. This Center is headquartered in the KSU Division of Biology and has a research, training, and outreach function that focuses on cellular and developmental biology.

78 FR 41911 - Foreign-Trade Zone 161-Sedgwick County, Kansas; Authorization of Production Activity; Siemens...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-12

... DEPARTMENT OF COMMERCE Foreign-Trade Zones Board [B-27-2013] Foreign-Trade Zone 161--Sedgwick County, Kansas; Authorization of Production Activity; Siemens Energy, Inc. (Wind Turbine Nacelles and Hubs); Hutchinson, Kansas On March 7, 2013, Siemens Energy, Inc., an operator of FTZ 161, submitted a notification of proposed production activity to...

A Longitudinal Study of Microcomputer Usage at the Community College Level in Kansas, Spring/94.

ERIC Educational Resources Information Center

Leite, Pedro T.

As part of a longitudinal project to inventory computer equipment and identify current instructional use of microcomputers in Kansas community colleges, surveys were sent to the 19 community colleges in Kansas in spring 1994. The surveys solicited data on student enrollment, which subject areas utilized microcomputers, types of hardware available,…

Calibrating the mechanistic-empirical pavement design guide for Kansas.

DOT National Transportation Integrated Search

2015-04-01

The Kansas Department of Transportation (KDOT) is moving toward the implementation of the new American : Association of State Highway and Transportation Officials (AASHTO) Mechanistic-Empirical Pavement Design Guide (MEPDG) : for pavement design. The...

Genetics Home Reference: geleophysic dysplasia

MedlinePlus

... Heart Institute: Valve Disease Patient Support and Advocacy Resources (6 links) Human Growth Foundation Little People of America Little People UK Resource list from the University of Kansas Medical Center: ...

Design for Medical Education. The Development and Planning of a Medical College and Care Center.

ERIC Educational Resources Information Center

Peery, Thomas M.; Green, Alan C.

Planning and design procedures which one medical education center employed in translating its educational objectives, philosophy and techniques into laboratory, classroom and clinic facilities are described. Basic planning considerations included--(1) determination of the curriculum, (2) facility utilization rate, (3) housing of research…

Curriculum Development and Evaluation for a Cancer Education Program.

ERIC Educational Resources Information Center

Deslauriers, Marc P.

1980-01-01

The Mid-America Cancer Center Program has developed a comprehensive approach for evaluating the cancer education curriculum at the University of Kansas Medical Center. The project included a review of all cancer-related teaching objectives and the development of an interdepartmental oncology curriculum. (JMD)

Catastrophic sinkhole formation in Kansas: A case study

USGS Publications Warehouse

Lambrecht, J.L.; Miller, R.D.

2006-01-01

Sinkholes represent a hazard to property and human safety in a wide variety of geologic settings across the globe. In most cases, the subsidence rate of a sinkhole represents the most significant potential impact and risk to public safety. Since 1979, the Kansas Geological Survey has studied numerous sinkholes using high-resolution seismic reflection in an attempt to better understand the mechanisms that control their formation. Most sinkholes in central Kansas form as a result of dissolution of the Permian Hutchinson salt (Figure 1). The fluid source and associated pathway responsible for leaching these bedded evaporites have been natural, anthropogenic, and a combination of both. Sinkholes have been a part of the landscape in the North American midcontinent long before modern oil, gas, and mineral exploration, but clearly the activities of man have played a significant role in both increasing the number of sinkholes and affecting their subsidence rates.

DOE Center of Excellence in Medical Laser Applications. Final report, December 1, 1994--November 30, 1997

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

Jacques, S.L.

1998-01-01

An engineering network of collaborating medical laser laboratories are developing laser and optical technologies for medical diagnosis and therapy and are translating the engineering into medical centers in Portland OR, Houston TX, and Galveston TX. The Center includes the University of Texas M.D. Anderson Cancer Center, the University of Texas-Austin, Texas A and M University, Rice University, the University Texas Medical Branch-Galveston, Oregon Medical Laser Center (Providence St. Vincent Medical Center, Oregon Health Sciences University, and Oregon Graduate Institute, Portland, OR), and the University of Oregon. Diagnostics include reflectance, fluorescence, Raman IR, laser photoacoustics, optical coherence tomography, and several newmore » video techniques for spectroscopy and imaging. Therapies include photocoagulation therapy, laser welding, pulsed laser ablation, and light-activated chemotherapy of cancer (photodynamic therapy, or PDT). Medical applications reaching the clinic include optical monitoring of hyperbilirubinemia in newborns, fluorescence detection of cervical dysplasia, laser thrombolysis of blood clots in heart attack and brain stroke, photothermal coagulant of benign prostate hyperplasia, and PDT for both veterinary and human cancer. New technologies include laser optoacoustic imaging of breast tumors and hemorrhage in head trauma and brain stroke, quality control monitoring of dosimetry during PDT for esophageal and lung cancer, polarization video reflectometry of skin cancer, laser welding of artificial tissue replacements, and feedback control of laser welding.« less

Relating calls to US poison centers for potential exposures to medications to Centers for Disease Control and Prevention reporting of influenza-like illness.

PubMed

Beauchamp, Gillian A; McKeown, Nathanael J; Rodriguez, Sergio; Spyker, Daniel A

2016-03-01

The Centers for Disease Control (CDC) monitors influenza like illness (ILI) and the National Poison Data System (NPDS) warehouses call data uploaded by US poison centers regarding reported exposures to medication. We examined the relationship between calls to poison centers regarding reported exposures to medications commonly used to treat ILI and weekly reports of ILI. The CDC reports ILI, by age group, for each of 10 Health and Human Services (HHS) regions. We examined NPDS summary data from calls reported to poison centers regarding reported exposures to acetaminophen, cough/cold medications, and promethazine, for the same weeks, age groups, and HHS regions for influenza seasons 2000-2013. ILI and NPDS exposures were examined using graphical plots, descriptive statistics, stepwise regression analysis, and Geographic Information Systems (GIS). About 5,101,841 influenza-like illness cases were reported to the CDC, and 2,122,940 calls regarding reported exposures to medications commonly used to treat ILI, were reported by poison centers to the NPDS over the 13 flu seasons. Analysis of stepwise models of the linear untransformed data involving 24 NPDS data groups and for 60 ILI measures, over the 13 influenza seasons, demonstrated that reported exposures to medications used to treat ILI correlated with reported cases of ILI with a median R(2 )=( )0.489 (min R(2 )=( )0.248, max R(2 )=( )0.717), with mean ± SD of R(2 )=( )0.494 ± 0.121. Median number of parameters used (degrees of freedom - 1) was 7. NPDS data regarding poison center calls for selected ILI medication exposures were highly correlated with CDC ILI data. Since NPDS data are available in real time, it provides complimentary ILI monitoring. This approach may provide public health value in predicting other illnesses which are not currently as thoroughly monitored.

Photocopy of photograph in Fitzsimons Army Medical Center real property ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), showing south and east sides. - Fitzsimons General Hospital, Ice Plant, Southwest Corner of East I Avenue & North Thirteenth Street, Aurora, Adams County, CO

Hospital CIO Explains Blockchain Potential: An Interview with Beth Israel Deaconess Medical Center's John Halamka.

PubMed

Mertz, Leslie

2018-01-01

Work is already underway to bring blockchain technology to the healthcare industry, and hospital administrators are trying to figure out what it can do for them, their clinicians, and their patients. That includes administrators at Beth Israel Deaconess Medical Center, a leading academic medical center located in Boston.

A Study to Determine Patient Waiting Time at the Outpatient Pharmacy at Wilford Hall USAF Medical Center

DTIC Science & Technology

1988-06-01

at Wilford Hall USAF Medical Center significantly reduced the patient wait time at the main outpatient pharmacy. Satellite pharmacies have been ).’l...PRESENTING TO WINDOW 1, 19 MAR 88. 47 C:. A’.’E-:A: -ESCRIRTIONS PER PATIENT ...........48 H. WILFORD HALL MEDICAL CENTER OUTPATIENT QUESTIONNAIRE...that wait times at tne outpatient pharmacy were excessive. It was this concern that motivated the Medical Center Administrator to request that patient

Developing Community-Focused Solutions using a Food-Energy-Water Calculator, with Initial Application to Western Kansas

NASA Astrophysics Data System (ADS)

Hill, M. C.; Pahwa, A.; Rogers, D.; Roundy, J. K.; Barron, R. W.

2017-12-01

Many agricultural areas are facing difficult circumstances. Kansas is one example, with problems that are typical. Past agricultural and hydrologic data document how irrigation in western Kansas has produced a multi-billion-dollar agricultural economy that is now threatened by pumping-induced declines in groundwater levels. Although reduced pumping could mitigate much of the threat and preserve much of Kansas' agricultural economy (albeit at a reduced level) in the long term, a primary disincentive for reducing pumping is the immediate economic impact of diminished irrigation. One alternative to continued unsustainable groundwater use is a water-energy tradeoff program that seeks to reduce pumping from the Ogallala aquifer to sustainable rates while maintaining local income levels. This program would allow development of the region's rich wind and solar energy resources in a way that focuses on local economic benefits, in exchange for water rights concessions from affected stakeholders. In considering this alternative, most citizens are currently unable to address a key question, "What could this mean for me?" Answering this question requires knowledge of agriculture, energy, water, economics, and drought probabilities, knowledge that is available at Kansas universities. This talk presents a joint University of Kansas - Kansas State University effort to address this need through development of the Food-Energy-Water Calculator. This talk will present the idea and discuss how the calculator would work. It is suggested that the framework created provides a powerful way to organize data and analysis results, and thus to seek solutions to difficult problems in many regions of the US and the world.

Summary of hydrologic conditions in Kansas, water year 2016

USGS Publications Warehouse

Louen, Justin M.

2017-04-06

The U.S. Geological Survey (USGS), in cooperation with Federal, State, and local agencies, maintains a long-term network of hydrologic monitoring sites in Kansas. Real-time data are collected at 216 streamgage sites and are verified throughout the year with regular measurements of streamflow made by USGS personnel. Annual assessments of hydrologic conditions are made by comparing statistical analyses of current and historical water year (WY) data for the period of record. A WY is the 12-month period from October 1 through September 30 and is designated by the calendar year in which the period ends. Long-term monitoring of hydrologic conditions in Kansas provides critical information for water-supply management, flood forecasting, reservoir operations, irrigation scheduling, bridge and culvert design, ecological monitoring, and many other uses.

PERFORMANCE OF CONVENTIONAL REMEDIAL TECHNOLOGY FOR TREATMENT OF MTBE AND BENZENE AT UST SITES IN KANSAS

EPA Science Inventory

Ground water at most UST spills sites in Kansas contains both MTBE and benzene, and both contaminants must be effectively treated to close the sites. Soil vacuum extraction, air sparging, and excavation are the most common treatment technologies in Kansas. To compare the relati...

Family-initiated dialogue about medications during family-centered rounds.

PubMed

Benjamin, Jessica M; Cox, Elizabeth D; Trapskin, Philip J; Rajamanickam, Victoria P; Jorgenson, Roderick C; Weber, Holly L; Pearson, Rachel E; Carayon, Pascale; Lubcke, Nikki L

2015-01-01

Experts suggest family engagement in care can improve safety for hospitalized children. Family-centered rounds (FCRs) can offer families the opportunity to participate in error recovery related to children's medications. The objective of this study was to describe family-initiated dialogue about medications and health care team responses to this dialogue during FCR to understand the potential for FCR to foster safe medication use. FCR were video-recorded daily for 150 hospitalized children. Coders sorted family-initiated medication dialogue into mutually exclusive categories, reflecting place of administration, therapeutic class, topic, and health care team responses. Health care team responses were coded to reflect intent, actions taken by the team, and appropriateness of any changes. Eighty-three (55%) of the 150 families raised 318 medication topics during 347 FCR. Most family-initiated dialogue focused on inpatient medications (65%), with home medications comprising 35%. Anti-infectives (31%), analgesics (14%), and corticosteroids (11%) were the most commonly discussed medications. The most common medication topics raised by families were scheduling (24%) and adverse drug reactions (11%). Although most health care team responses were provision of information (74%), appropriate changes to the child's medications occurred in response to 8% of family-initiated dialogue, with most changes preventing or addressing adverse drug reactions or scheduling issues. Most families initiated dialogue regarding medications during FCRs, including both inpatient and home medications. They raised topics that altered treatment and were important for medication safety, adherence, and satisfaction. Study findings suggest specific medication topics that health care teams can anticipate addressing during FCR. Copyright © 2015 by the American Academy of Pediatrics.

Integration of pharmacists into a patient-centered medical home.

PubMed

Scott, Mollie Ashe; Hitch, Bill; Ray, Lisa; Colvin, Gaye

2011-01-01

To define the joint principles of the patient-centered medical home (PCMH) and describe the integration of pharmacists into a PCMH. Family medicine residency training program in North Carolina from 2001 to 2011. Mountain Area Health Education Family Health Center is a family medicine residency training program that is part of the North Carolina Area Health Education Center system. The goal of the organization is to train and retain health care students and residents. The practice is recognized as a level III PCMH by the National Committee for Quality Assurance (NCQA) and seeks to provide quality, safe, patient-centered care according to the joint principles of PCMH. Pharmacists, nurses, nutritionists, care managers, Spanish translators, and behavioral medicine specialists work collaboratively with physicians to provide seamless, comprehensive care. The Department of Pharmacotherapy is embedded in the family medicine clinic. Three pharmacists and two pharmacy residents are involved in providing direct patient care services, ensuring access to community resources, assisting patients with transitions of care, providing interprofessional education, and participating in continuous quality improvement initiatives. The pharmacists serve as clinical pharmacist practitioners and provide medication therapy management services in a pharmacotherapy clinic, anticoagulation clinics, and an osteoporosis clinic and via an inpatient family medicine service. Multiple learners such as student pharmacists, pharmacy residents, and family medicine residents rotate through the various pharmacy clinics to learn about pharmacotherapeutic principles and the role of the pharmacist in PCMH. PCMH is a comprehensive, patient-centered, team-based approach to population management in the primary care setting. Pharmacists play a vital role in PCMH and make fundamental contributions to patient care across health care settings. Such innovations in the ambulatory care setting create a unique niche

Stubbs v. North Memorial Medical Center.

PubMed

1989-11-14

Bonnie Stubbs had cosmetic surgery performed as an outpatient at North Memorial Medical Center. The doctor took "before" and "after" photographs of the surgery which were then used in promotional material without Stubbs' consent. Stubbs alleged that the use of the photographs invaded her privacy, caused her emotional distress, and violated her rights under Minnesota's Patients' Bill of Rights. The trial court found no right to relief. The Minnesota Court of Appeals ruled that Stubbs may have a right to relief on the principle that an implied contract was breached between Stubbs and the physician. The Court of Appeals remanded the case for further proceedings in that light.

Photocopy of photograph in the Fitzsimons Army Medical Center real ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), east and south sides. - Fitzsimons General Hospital, Pharmacy & Prophylactic Station, Northwest Corner of West McAfee Avenue & South Eighth Street, Aurora, Adams County, CO

Exploring leadership roles, goals, and barriers among Kansas registered nurses: a descriptive cross-sectional study.

PubMed

Peltzer, Jill N; Ford, Debra J; Shen, Qiuhua; Fischgrund, Avery; Teel, Cynthia S; Pierce, Janet; Jamison, Marian; Waldon, Trynn

2015-01-01

The Institute of Medicine's Future of Nursing report advocates for full nurse leader representation across multiple settings to address current challenges in our health care system. The purpose of this study was to examine nursing leadership development needs among Kansas registered nurses (RNs). Data were collected through an online survey and analyzed using quantitative and qualitative methods. Nearly 1,000 Kansas RNs participated. Most reported holding one or more leadership positions. Prevalent leadership goals were health care organization volunteer administrative roles. The most frequently identified barrier to developing leadership roles was time constraints. Many wanted to develop skills to serve on a board, 20% were interested in personal leadership development, and 19% in policy development. Based on the findings, the Kansas Action Coalition leadership team is developing programs to address the leadership needs of Kansas RNs. By building capacity in advanced leadership roles, RNs will be better prepared serve as full partners and lead efforts to promote the health of Kansans. Copyright © 2015 Elsevier Inc. All rights reserved.

Early Lessons on Bundled Payment at an Academic Medical Center.

PubMed

Jubelt, Lindsay E; Goldfeld, Keith S; Blecker, Saul B; Chung, Wei-Yi; Bendo, John A; Bosco, Joseph A; Errico, Thomas J; Frempong-Boadu, Anthony K; Iorio, Richard; Slover, James D; Horwitz, Leora I

2017-09-01

Orthopaedic care is shifting to alternative payment models. We examined whether New York University Langone Medical Center achieved savings under the Centers for Medicare and Medicaid Services Bundled Payments for Care Improvement initiative. This study was a difference-in-differences study of Medicare fee-for-service patients hospitalized from April 2011 to June 2012 and October 2013 to December 2014 for lower extremity joint arthroplasty, cardiac valve procedures, or spine surgery (intervention groups), or for congestive heart failure, major bowel procedures, medical peripheral vascular disorders, medical noninfectious orthopaedic care, or stroke (control group). We examined total episode costs and costs by service category. We included 2,940 intervention episodes and 1,474 control episodes. Relative to the trend in the control group, lower extremity joint arthroplasty episodes achieved the greatest savings: adjusted average episode cost during the intervention period decreased by $3,017 (95% confidence interval [CI], -$6,066 to $31). For cardiac procedures, the adjusted average episode cost decreased by $2,999 (95% CI, -$8,103 to $2,105), and for spinal fusion, it increased by $8,291 (95% CI, $2,879 to $13,703). Savings were driven predominantly by shifting postdischarge care from inpatient rehabilitation facilities to home. Spinal fusion index admission costs increased because of changes in surgical technique. Under bundled payment, New York University Langone Medical Center decreased total episode costs in patients undergoing lower extremity joint arthroplasty. For patients undergoing cardiac valve procedures, evidence of savings was not as strong, and for patients undergoing spinal fusion, total episode costs increased. For all three conditions, the proportion of patients referred to inpatient rehabilitation facilities upon discharge decreased. These changes were not associated with an increase in index hospital length of stay or readmission rate

The 'Adventist advantage'. Glendale Adventist Medical Center distinguishes itself.

PubMed

Botvin, Judith D

2002-01-01

Glendale Adventist Medical Center, Glendale, Calif., adopted an image-building campaign to differentiate the 450-bed hospital from its neighbors. This included the headline "Adventist Advantage," used in a series of sophisticated ads, printed in gold. In all their efforts, marketers consider the sensibilities of the sizable Armenian, Korean, Hispanic and Chinese populations.

Latitudinal comparisons of walleye growth in North America and factors influencing growth of walleyes in Kansas reservoirs

USGS Publications Warehouse

Quist, M.C.; Guy, C.S.; Schultz, R.D.; Stephen, J.L.

2003-01-01

We compared the growth of walleyes Stizostedion vitreum in Kansas to that of other populations throughout North America and determined the effects of the abundance of gizzard shad Dorosoma cepedianum and temperature on the growth of walleyes in Kansas reservoirs. Age was estimated from scales and otoliths collected from walleyes (N = 2,072) sampled with gill nets from eight Kansas reservoirs during fall in 1991-1999. Age-0 gizzard shad abundance was indexed based on summer seining information, and temperature data were obtained from the National Oceanic and Atmospheric Administration. Parameter estimates of von Bertalanffy growth models indicated that the growth of walleyes in Kansas was more similar to that of southern latitude populations (e.g., Mississippi and Texas) than to that of northern (e.g., Manitoba, Minnesota and South Dakota) or middle latitude (e.g., Colorado and Iowa) populations. Northern and middle latitude populations had lower mean back-calculated lengths at age 1, lower growth coefficients, and greater longevity than southern and Kansas populations. A relative growth index (RGI; [Lt/Ls ] ?? 100, where Lt is the observed length at age and Ls is the age-specific standard length derived from a pooled von Bertalanffy growth model) and standardized percentile values (percentile values of mean back-calculated lengths at age) indicated that the growth of walleyes in Kansas was above average compared with that of other populations in North America. The annual growth increments of Kansas walleyes were more variable among years than among reservoirs. The growth increments of age-0 and age-1 walleyes were positively related to the catch rates of gizzard shad smaller than 80 mm, whereas the growth of age-2 and age-3 walleyes was inversely related to mean summer air temperature. Our results provide a framework for comparing North American walleye populations, and our proposed RGI provides a simple, easily interpreted index of growth.

Preparing Academic Medical Centers for the Clinical Learning Environment Review: Alliance of Independent Academic Medical Centers National Initiative IV Outcomes and Evaluation

PubMed Central

Wehbe-Janek, Hania; Markova, Tsveti; Polis, Rachael L.; Peters, Marguerite; Liu, Yang

2016-01-01

Background: Driven by changes to improve quality in patient care and population health while reducing costs, evolvement of the health system calls for restructuring health professionals' education and aligning it with the healthcare delivery system. In response to these changes, the Accreditation Council for Graduate Medical Education's Clinical Learning Environment Review (CLER) encourages the integration of health system leadership, faculty, and residents in restructuring graduate medical education (GME). Innovative approaches to achieving this restructuring and the CLER objectives are essential. Methods: The Alliance of Independent Academic Medical Centers National Initiative (NI) IV provided a multiinstitutional learning collaborative focused on supporting GME redesign. From October 2013 through March 2015, participants conducted relevant projects, attended onsite meetings, and participated in teleconferences and webinars addressing the CLER areas. Participants shared best practices, resources, and experiences. We designed a pre/post descriptive study to examine outcomes. Results: Thirty-three institutions completed NI IV, and at its conclusion, the majority reported greater CLER readiness compared with baseline. Twenty-two (88.0%) institutions reported that NI IV had a great impact on advancing their efforts in the CLER area of their project focus, and 15 (62.5%) reported a great impact in other CLER focus areas. Opportunities to share progress with other teams and the national group meetings were reported to contribute to teams' success. Conclusion: The NI IV learning collaborative prepared institutions for CLER, suggesting successful integration of the clinical and educational enterprises. We propose that national learning collaboratives of GME-sponsoring health systems enable advancement of their education mission, leading ultimately to better healthcare outcomes. This learning model may be generalizable to newfound programs for academic medical centers

Ground-water data collected in the Missouri River Basin units in Kansas during 1949

USGS Publications Warehouse

Berry, Delmar W.

1950-01-01

Ground-water studies in the Missouri River Basin were begun by the United States Geological Survey during the fall of 1945 as a part of the program for development of the resources of the basin by the U.S. Bureau of Reclamation and other Federal Agencies. The studies of the ground-water resources in the part of Kansas that lies within the Basin have been coordinated with the cooperative program of ground-water studies already being carried on in Kansas by the Federal Geological Survey and the State Geological Survey of Kansas with the cooperation of the Division of Sanitation of the Kansas State Board of Health and the Division of Water Resources of the Kansas State Board of Agriculture. Areas in which ground-water data have been collected under the Missouri Basin program include the Almena Unit in Norton and Phillips Counties; the Bostwick Unit in Jewell, Republic, and Cloud Counties; the Cedar Bluff Unit in Ellis, Rush, and Trego Counties; the Glen Elder Unit in Mitchell County; the Webster Unit in Osborne County; and the Wilson Unit in Lincoln County. Most of the ground-water data presented in this report were collected during 1949. Most of the data collected in these areas prior to the end of 1947 were presented in a report that was mimeographed in September 1948 and most of the data collected during 1948 were presented in a report that was mimeographed in November 1949. This report is the third of a series of annual reports on ground-water data collected in the Missouri Basin units in Kansas. These annual reports are a means of more promptly releasing for administrative use the data collected each year. Data that are included in the annual reports for a given area will be assembled later in a report on the geology and hydrology of that area. An index of the data collected and presented in the 1947, 1948, and 1949 reports is given in table 1.

Ground-water data collected in the Missouri River Basin units in Kansas during 1948

USGS Publications Warehouse

Berry, Delmar W.

1950-01-01

Ground-water studies in the Missouri River Basin were begun by the U.S. Geological Survey during the fall of 1945 as a part of the program for development of the resources of the basin by the U.S. Bureau of Reclamation and other Federal agencies. The studies of the ground-water resources in the part of Kansas that lies within the basin have been coordinated with the cooperative program of ground-water studies already being carried on in Kansas by the Federal Geological Survey and the Kansas State Geological Survey with the cooperation of the Division of Sanitation of the Kansas State Board of health and the Division of Water Resources of the Kansas State Board of Agriculture.Areas in which ground-water data have been collected under the Missouri Basin program include the Almena Unit in Norton and Phillips Counties; the Bostwick Unit in Jewell, Republic, and Cloud Counties; the Cedar Bluff Unit in Ellis and Trego Counties; the Glen Elder Unit in Mitchell County; the Kanopolis Unit in McPherson and Saline Counties; the Kirwin Unit in Phillips, Smith, and Osborne Counties; the St. Francis Unit in Cheyenne County; the Webster Unit in Osborne County; and the Wilson Unit in Lincoln County.Most of the ground-water data presented in this report were collected during 1948. Most of the data collected in these areas prior to the end of 1947 were presented in a report mimeographed in September 1948. This report and the previous report are the first two of a series of annual reports on ground-water studies in the Missouri Basin units in Kansas. These reports are a means of more promptly releasing for administrative use the data collected each year. Data for a given area that are included in the annual reports will be assembled later in a report on the geology and hydrology of that area.

The Volume and Mix of Inpatient Services Provided by Academic Medical Centers.

ERIC Educational Resources Information Center

Moy, Ernest; And Others

1996-01-01

A study examined trends in the volume and type of inpatient clinical diagnoses, common medical services, and specialized services in academic medical centers (AMCs)--integrated and independent, other teaching hospitals, and nonteaching hospitals. Results indicate that despite rapid change in the health care environment, little change has occurred…

PROJECT HEAD START MEDICAL--A GUIDE FOR DIRECTION OF CHILD DEVELOPMENT CENTERS.

ERIC Educational Resources Information Center

Office of Economic Opportunity, Washington, DC.

HEALTH SERVICES OF PROJECT HEAD START CHILD DEVELOPMENT CENTERS PROVIDE--A MEDICAL EVALUATION OF EACH CHILD INCLUDING MEDICAL HISTORY, DEVELOPMENTAL ASSESSMENT, AND PHYSICAL EXAMINATION, SCREENING TESTS FOR VISION, HEARING, SPEECH, AND TUBERCULOSIS, LABORATORY TESTS OF URINE FOR ALBUMIN AND TESTS OF SUGAR AND BLOOD FOR ANEMIA, DENTAL ASSESSMENT,…

Rebuilding It Better: Greensburg, Kansas. Kiowa County Courthouse

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

D. Egan

2010-04-14

This document is one in a series of five that showcases the green, sustainable buildings in Greensburg, Kansas. The Kiowa County Courthouse was one of only two buildings left standing after the tornado, which allowed the building to be renovated and refurbished rather than torn down.

Indiana and the Kansas-Nebraska Act of 1854.

ERIC Educational Resources Information Center

Medland, William J.; Rosenberg, Morton M.

1984-01-01

The Kansas-Nebraska Act, which repealed the ban against slavery in the North, served as a catalyst to activate numerous groups which were unhappy with the Indiana Democratic Party. From this period emerged the new Republican party and also a revitalized Democratic party with new leadership. (IS)

Assessment of Biomass Pelletization Options for Greensburg, Kansas

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

Haase, S.

2010-05-01

This report provides an overview of a technical report on an assessment NREL conducted in Greensburg, Kansas, to identify potential opportunities to develop a biomass pelletization or briquetting plant in the region. See NREL/TP-7A2-45843 for the Executive Summary of this report.

Dealing With Deans and Academic Medical Center Leadership: Advice From Leaders.

PubMed

Sanfilippo, Fred; Powell, Deborah; Folberg, Robert; Tykocinski, Mark

2018-01-01

The 2017 Association of Pathology Chairs Annual Meeting included a session for department chairs and other department leaders on "how to deal with deans and academic medical center leadership." The session was focused on discussing ways to foster positive relationships with university, medical school, and health system leaders, and productively address issues and opportunities with them. Presentations and a panel discussion were provided by 4 former pathology chairs who subsequently have served as medical deans and in other leadership positions including university provost, medical center CEO, and health system board chair. There was a strong consensus among the participants on how best to deal with superiors about problems, conflicts, and requests for additional resources and authority. The importance of teamwork and accountability in developing a constructive and collaborative relationship with leaders and peers was discussed in detail. Effectiveness in communication, negotiation, and departmental advocacy were highlighted as important skills. As limited resources and increased regulations have become growing problems for universities and health systems, internal stress and competition have increased. In this rapidly changing environment, advice on how chairs can interact most productively with institutional leaders is becoming increasingly important.

The application of remote sensing to resource management and environmental quality programs in Kansas

NASA Technical Reports Server (NTRS)

Barr, B. G.; Martinko, E. A. (Principal Investigator)

1983-01-01

The activities of the Kansas Applied Remote Sensing (KARS) Program during the period April 1, 1982 through Marsh 31, 1983 are described. The most important work revolved around the Kansas Interagency Task Force on Applied Remote Sensing and its efforts to establish an operational service oriented remote sensing program in Kansas state government. Concomitant with this work was the upgrading of KARS capabilities to process data for state agencies through the vehicle of a low cost digital data processing system. The KARS Program continued to take an active role in irrigation mapping. KARS is now integrating data acquired through analysis of LANDSAT into geographic information systems designed for evaluating groundwater resources. KARS also continues to work at the national level on the national inventory of state natural resources information systems.

Physician Payment Methods and the Patient-Centered Medical Home: Comment on "A Troubled Asset Relief Program for the Patient-Centered Medical Home".

PubMed

Quinn, Kevin

This commentary analyzes the patient-centered medical home (PCMH) model within a framework of the 8 basic payment methods in health care. PCMHs are firmly within the fee-for-service tradition. Changes to the process and structure of the Resource Based Relative Value Scale, which underlies almost all physician fee schedules, could make PCMHs more financially viable. Of the alternative payment methods being considered, shared savings models are unlikely to transform medical practice whereas capitation models place unrealistic expectations on providers to accept epidemiological risk. Episode payment may strike a feasible balance for PCMHs, with newly available episode definitions presenting opportunities not previously available.

Home medication support for childhood cancer: family-centered design and testing.

PubMed

Walsh, Kathleen E; Biggins, Colleen; Blasko, Deb; Christiansen, Steven M; Fischer, Shira H; Keuker, Christopher; Klugman, Robert; Mazor, Kathleen M

2014-11-01

Errors in the use of medications at home by children with cancer are common, and interventions to support correct use are needed. We sought to (1) engage stakeholders in the design and development of an intervention to prevent errors in home medication use, and (2) evaluate the acceptability and usefulness of the intervention. We convened a multidisciplinary team of parents, clinicians, technology experts, and researchers to develop an intervention using a two-step user-centered design process. First, parents and oncologists provided input on the design. Second, a parent panel and two oncology nurses refined draft materials. In a feasibility study, we used questionnaires to assess usefulness and acceptability. Medication error rates were assessed via monthly telephone interviews with parents. We successfully partnered with parents, clinicians, and IT experts to develop Home Medication Support (HoMeS), a family-centered Web-based intervention. HoMeS includes a medication calendar with decision support, a communication tool, adverse effect information, a metric conversion chart, and other information. The 15 families in the feasibility study gave HoMeS high ratings for acceptability and usefulness. Half recorded information on the calendar to indicate to other caregivers that doses were given; 34% brought it to the clinic to communicate with their clinician about home medication use. There was no change in the rate of medication errors in this feasibility study. We created and tested a stakeholder-designed, Web-based intervention to support home chemotherapy use, which parents rated highly. This tool may prevent serious medication errors in a larger study. Copyright © 2014 by American Society of Clinical Oncology.

Primary forest products industry and timber use, Kansas, 1980.

Treesearch

James E. Blyth; Leonard K. Gould; W. Brad Smith

1984-01-01

Highlights recent Kansas forest industry trends, production and receipts of saw logs in 1980, and production of other timber products in 1980. Reports on wood and bark residue generated at primary mills and the disposition of this residue.

Tracking Active Learning in the Medical School Curriculum: A Learning-Centered Approach.

PubMed

McCoy, Lise; Pettit, Robin K; Kellar, Charlyn; Morgan, Christine

2018-01-01

Medical education is moving toward active learning during large group lecture sessions. This study investigated the saturation and breadth of active learning techniques implemented in first year medical school large group sessions. Data collection involved retrospective curriculum review and semistructured interviews with 20 faculty. The authors piloted a taxonomy of active learning techniques and mapped learning techniques to attributes of learning-centered instruction. Faculty implemented 25 different active learning techniques over the course of 9 first year courses. Of 646 hours of large group instruction, 476 (74%) involved at least 1 active learning component. The frequency and variety of active learning components integrated throughout the year 1 curriculum reflect faculty familiarity with active learning methods and their support of an active learning culture. This project has sparked reflection on teaching practices and facilitated an evolution from teacher-centered to learning-centered instruction.

Skylab study of water quality. [Kansas

NASA Technical Reports Server (NTRS)

Yarger, H. L. (Principal Investigator); Mccauley, J. R.

1975-01-01

The author has identified the following significant results. Apparent reflectance levels in the Skylab S190A and S192 bands, from one pass over three Kansas reservoirs, exhibit good statistical correlation with suspended solids. Band ratios appear to yield the best results. The concentration of suspended solids, mostly inorganic sediment, has the most effect on the reflected energy. Dissolved solids concentrations up to 200 ppm were not detectable by the Skylab sensors.

Dr. North and the Kansas City Newspaper War: Public Health Advocacy Collides with Main Street Respectability.

ERIC Educational Resources Information Center

Kovarik, Bill

A case study examined a 1920 controversy between two newspapers. One of the last vestiges of the era of "yellow journalism" was the editorial "war" between the Kansas City "Star" and the Kansas City "Post" which culminated in a 1921 showdown. The "Star," a champion of main street interests and…

Pest Status and Distribution of the Stem Borer, Dectes texanus, in Kansas

PubMed Central

Buschman, Lawrent L.; Sloderbeck, Phillip E.

2010-01-01

The Dectes stem borer, Dectes texanus LeConte (Coleoptera: Cerambycidae), is currently receiving increased attention as a pest of soybeans in the Great Plains of North America. Field surveys were conducted in 1999 and in 2008 to record the distribution of this pest in Kansas. These surveys documented an increase in the abundance of the pest and an expansion in the range of this insect westward and eastward. The percentage of fields with more than 50% of plants infested also increased from 4% in 1999 to 11% in 2008. The far eastern counties still had surprisingly few infested fields even though much of the Kansas soybean acreage is located in these counties. It is not clear if D. texanus simply haven't expanded into eastern Kansas yet or if there is an ecological barrier that keeps them from doing so. Field crop entomologists from across eastern North America were sent an email questionnaire and their responses indicate that this pest is now well established as a pest of soybeans in at least 14 states across eastern North America. PMID:21268702

Water-resources reports prepared by or in cooperation with the U.S. Geological Survey, Kansas, 1886-1983

USGS Publications Warehouse

Combs, L.J.

1984-01-01

Water-resources data and the results of hydrologic investigations in Kansas are published or released by the U.S. Geological Survey, by cooperating State or Federal agencies, or by technical or scientific journals. This report lists more than 800 water-resources reports prepared by or in cooperation with the U.S. Geological Survey in Kansas for 1886 through 1983. The reports are listed by author, publication series, year of publication, and subject. The first water-resources investigations by the U.S. Geological Survey in Kansas was completed by A.C. Peale in 1886. The first cooperative program with a State agency was initiated 9 years later in 1895 and included the first stream-gaging stations operated by the Survey in western Kansas. The U.S. Geological Survey continues to investigate the occurrence, quantity, quality, distribution, and movement of surface and ground waters within the State. (USGS)

Results of an Institutional LGBT Climate Survey at an Academic Medical Center.

PubMed

Chester, Sean D; Ehrenfeld, Jesse M; Eckstrand, Kristen L

2014-12-01

The purpose of this study was to characterize the climate and culture experienced by lesbian, gay, bisexual, and transgender (LGBT) employees and students at one large academic medical center. An anonymous, online institutional climate survey was used to assess the attitudes and experiences of LGBT employees and students. There were 42 LGBT and 14 non-LGBT survey participants. Results revealed that a surprisingly large percentage of LGBT individuals experienced pressure to remain "closeted" and were harassed despite medical center policies of non-discrimination. Continuing training, inclusive policies and practices, and the development of mechanisms to address LGBT-specific harassment are necessary for improving institutional climate.

Estimating design discharges for drainage structures in western Kansas.

DOT National Transportation Integrated Search

2013-06-01

KDOT engineers have expressed concern that the hydrologic methods in the current KDOT Design Manual (Volume I, : Part C, 2011) may lead to over-sizing of drainage structures in Western Kansas. Some new structures designed by the current : methods are...

Determination of streamflow of the Arkansas River near Bentley in south-central Kansas

USGS Publications Warehouse

Perry, Charles A.

2012-01-01

The Kansas Department of Agriculture, Division of Water Resources, requires that the streamflow of the Arkansas River just upstream from Bentley in south-central Kansas be measured or calculated before groundwater can be pumped from the well field. When the daily streamflow of the Arkansas River near Bentley is less than 165 cubic feet per second (ft3/s), pumping must be curtailed. Daily streamflow near Bentley was calculated by determining the relations between streamflow data from two reference streamgages with a concurrent record of 24 years, one located 17.2 miles (mi) upstream and one located 10.9 mi downstream, and streamflow at a temporary gage located just upstream from Bentley (Arkansas River near Bentley, Kansas). Flow-duration curves for the two reference streamgages indicate that during 1988?2011, the mean daily streamflow was less than 165 ft3/s 30 to 35 percent of the time. During extreme low-flow (drought) conditions, the reach of the Arkansas River between Hutchinson and Maize can lose flow to the adjacent alluvial aquifer, with streamflow losses as much as 1.6 cubic feet per second per mile. Three models were developed to calculate the streamflow of the Arkansas River near Bentley, Kansas. The model chosen depends on the data available and on whether the reach of the Arkansas River between Hutchinson and Maize is gaining or losing groundwater from or to the adjacent alluvial aquifer. The first model was a pair of equations developed from linear regressions of the relation between daily streamflow data from the Bentley streamgage and daily streamflow data from either the Arkansas River near Hutchinson, Kansas, station (station number 07143330) or the Arkansas River near Maize, Kansas, station (station number 07143375). The standard error of the Hutchinson-only equation was 22.8 ft3/s, and the standard error of the Maize-only equation was 22.3 ft3/s. The single-station model would be used if only one streamgage was available. In the second model, the

Quality of Care Assessment: The Role of Faculty at Academic Medical Centers.

ERIC Educational Resources Information Center

Brook, Robert H.

Currently, there is not a single university medical center in which an acceptable routine system to assure quality of care has been established. This may result from reliance on the structure of the medical education process as a proxy measure to assure that physicians perform appropriately in their role. Several studies have been conducted to…

Tracking Active Learning in the Medical School Curriculum: A Learning-Centered Approach

PubMed Central

McCoy, Lise; Pettit, Robin K; Kellar, Charlyn; Morgan, Christine

2018-01-01

Background: Medical education is moving toward active learning during large group lecture sessions. This study investigated the saturation and breadth of active learning techniques implemented in first year medical school large group sessions. Methods: Data collection involved retrospective curriculum review and semistructured interviews with 20 faculty. The authors piloted a taxonomy of active learning techniques and mapped learning techniques to attributes of learning-centered instruction. Results: Faculty implemented 25 different active learning techniques over the course of 9 first year courses. Of 646 hours of large group instruction, 476 (74%) involved at least 1 active learning component. Conclusions: The frequency and variety of active learning components integrated throughout the year 1 curriculum reflect faculty familiarity with active learning methods and their support of an active learning culture. This project has sparked reflection on teaching practices and facilitated an evolution from teacher-centered to learning-centered instruction. PMID:29707649

Photocopy of post card from Fitzsimons Army Medical Center Public ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of post card from Fitzsimons Army Medical Center Public Affairs Office, building 120. Photograph by Rocky Mountain photo. CO was no copyrighted and is , therefore, in the public domain. - Fitzsimons General Hospital, Memorial Tablet, West McAfee, South of Building No. 524, Aurora, Adams County, CO

The financial management of research centers and institutes at U.S. medical schools: findings from six institutions.

PubMed

Mallon, William T

2006-06-01

To explore three questions surrounding the financial management of research centers and institutes at U.S. medical schools: How do medical schools allocate institutional funds to centers and institutes? How and by whom are those decisions made? What are the implications of these decision-making models on the future of the academic biomedical research enterprise? Using a qualitative research design, the author and associates interviewed over 150 faculty members and administrators at six medical schools and their parent universities in 2004. Interview data were transcribed, coded, and analyzed using a grounded theory approach. This methodology generated rich descriptions and explanations of the six medical schools, which can produce extrapolations to, but not necessarily generalizable findings to, other institutions and settings. An examination of four dimensions of financial decision-making-funding timing, process, structure, and culture-produces two essential models of how medical schools approach the financial management of research centers. In the first, a "charity" model, center directors make hat-in-hand appeals directly to the dean, the result of which may depend on individual negotiation skills and personal relationships. In the second, a "planned-giving" model, the process for obtaining and renewing funds is institutionalized, agreed upon, and monitored. The ways in which deans, administrators, department chairs, and center directors attend to, decide upon, and carry out financial decisions can influence how people throughout the medical school think about interdisciplinary and collaborative activities marshalled though centers and institutes.

Collection Development Policy for the University of Kansas Libraries.

ERIC Educational Resources Information Center

Sheldon, Ted, Ed.; And Others

This policy reflects developmental patterns governing the evolution of collections in the University of Kansas Libraries. Policy statements, written by bibliographers, are provided for 54 subject areas: African studies; anthropology; applied English; architecture and urban design; art; astronomy and physics; biological sciences; business…

Notification: Evaluation of Cherryvale, Kansas National Zinc Company site

EPA Pesticide Factsheets

July 12, 2012. The purpose of this memorandum is to notify you that the OIG plans to conduct a review ofthe process followed by EPA Region 7 in the handling of site related contamination at the Cherryvale, Kansas National Zinc Company site.

Residential fuelwood consumption and production in Kansas, 1994.

Treesearch

Dennis M. May

1996-01-01

Reports findings on the latest survey of residential fuelwood consumption and production in Kansas. Topics examined include the geographic distribution of residential fuelwood consumption and production within the state; the species of trees used for residential fuelwood; the types of wood-burning facilities used; the reasons for burning fuelwood; and the land,...

Money and School Performance. Lessons from the Kansas City Desegregation Experiment. Policy Analysis No. 298.

ERIC Educational Resources Information Center

Ciotti, Paul

To improve the education of black students and to encourage desegregation, a federal judge ordered the Kansas City (Missouri) school district to come up with a cost-is-no-object educational plan and ordered local and state taxpayers to find the money to pay for it. Kansas City spent as much as $11,700 per pupil, more money per pupil on a cost of…

Satellite medical centers project

NASA Astrophysics Data System (ADS)

Aggarwal, Arvind

2002-08-01

World class health care for common man at low affordable cost: anywhere, anytime The project envisages to set up a national network of satellite Medical centers. Each SMC would be manned by doctors, nurses and technicians, six doctors, six nurses, six technicians would be required to provide 24 hour cover, each SMC would operate 24 hours x 7 days. It would be equipped with the Digital telemedicine devices for capturing clinical patient information and investigations in the form of voice, images and data and create an audiovisual text file - a virtual Digital patient. Through the broad band connectivity the virtual patient can be sent to the central hub, manned by specialists, specialists from several specialists sitting together can view the virtual patient and provide a specialized opinion, they can see the virtual patient, see the examination on line through video conference or even PCs, talk to the patient and the doctor at the SMC and controlle capturing of information during examination and investigations of the patient at the SMC - thus creating a virtual Digital consultant at the SMC. Central hub shall be connected to the doctors and consultants in remote locations or tertiary care hospitals any where in the world, thus creating a virtual hub the hierarchical system shall provide upgradation of knowledge to thedoctors in central hub and smc and thus continued medical education and benefit the patient thru the world class treatment in the smc located at his door step. SMC shall be set up by franchisee who shall get safe business opportunity with high returns, patients shall get Low cost user friendly worldclass health care anywhere anytime, Doctors can get better meaningful selfemplyment with better earnings, flexibility of working time and place. SMC shall provide a wide variety of services from primary care to world class Global consultation for difficult patients.

Impact of a pharmacy technician-centered medication reconciliation program on medication discrepancies and implementation of recommendations.

PubMed

Kraus, Sarah K; Sen, Sanchita; Murphy, Michelle; Pontiggia, Laura

2017-01-01

To evaluate the impact of a pharmacy-technician centered medication reconciliation (PTMR) program by identifying and quantifying medication discrepancies and outcomes of pharmacist medication reconciliation recommendations. A retrospective chart review was performed on two-hundred patients admitted to the internal medicine teaching services at Cooper University Hospital in Camden, NJ. Patients were selected using a stratified systematic sample approach and were included if they received a pharmacy technician medication history and a pharmacist medication reconciliation at any point during their hospital admission. Pharmacist identified medication discrepancies were analyzed using descriptive statistics, bivariate analyses. Potential risk factors were identified using multivariate analyses, such as logistic regression and CART. The priority level of significance was set at 0.05. Three-hundred and sixty-five medication discrepancies were identified out of the 200 included patients. The four most common discrepancies were omission (64.7%), non-formulary omission (16.2%), dose discrepancy (10.1%), and frequency discrepancy (4.1%). Twenty-two percent of pharmacist recommendations were implemented by the prescriber within 72 hours. A PTMR program with dedicated pharmacy technicians and pharmacists identifies many medication discrepancies at admission and provides opportunities for pharmacist reconciliation recommendations.

Impact of a pharmacy technician-centered medication reconciliation program on medication discrepancies and implementation of recommendations

PubMed Central

2016-01-01

Objectives: To evaluate the impact of a pharmacy-technician centered medication reconciliation (PTMR) program by identifying and quantifying medication discrepancies and outcomes of pharmacist medication reconciliation recommendations. Methods: A retrospective chart review was performed on two-hundred patients admitted to the internal medicine teaching services at Cooper University Hospital in Camden, NJ. Patients were selected using a stratified systematic sample approach and were included if they received a pharmacy technician medication history and a pharmacist medication reconciliation at any point during their hospital admission. Pharmacist identified medication discrepancies were analyzed using descriptive statistics, bivariate analyses. Potential risk factors were identified using multivariate analyses, such as logistic regression and CART. The priority level of significance was set at 0.05. Results: Three-hundred and sixty-five medication discrepancies were identified out of the 200 included patients. The four most common discrepancies were omission (64.7%), non-formulary omission (16.2%), dose discrepancy (10.1%), and frequency discrepancy (4.1%). Twenty-two percent of pharmacist recommendations were implemented by the prescriber within 72 hours. Conclusion: A PTMR program with dedicated pharmacy technicians and pharmacists identifies many medication discrepancies at admission and provides opportunities for pharmacist reconciliation recommendations. PMID:28690691

An Architecture for Continuous Data Quality Monitoring in Medical Centers.

PubMed

Endler, Gregor; Schwab, Peter K; Wahl, Andreas M; Tenschert, Johannes; Lenz, Richard

2015-01-01

In the medical domain, data quality is very important. Since requirements and data change frequently, continuous and sustainable monitoring and improvement of data quality is necessary. Working together with managers of medical centers, we developed an architecture for a data quality monitoring system. The architecture enables domain experts to adapt the system during runtime to match their specifications using a built-in rule system. It also allows arbitrarily complex analyses to be integrated into the monitoring cycle. We evaluate our architecture by matching its components to the well-known data quality methodology TDQM.

Data documentation for the 1981 summer vegetation experiment. [Kansas River floodplain

NASA Technical Reports Server (NTRS)

Ulaby, F. T. (Principal Investigator); Brisco, B.; Allen, C.

1982-01-01

The mobile agricultural radar sensor was used to collect data from 31 fields in the floodplain of the Kansas River east of Lawrence, Kansas during the summer of 1981. Corn, soybeans, and wheat crops were observed from May 1 to November 11. Radar backscattering measurements were acquired at 10.2 GHz for VV and VH polarizations at 50 deg incidence angles for all fields and at 30 deg, 40 deg, 50 deg, 60 deg, and 70 deg for nine of the 31 fields. Target parameters describing the vegatation and soil characteristics, such as plant moisture, plant height, soil moisture, etc., were also measured. The methodology, radar backscatter data and associated ground-truth data obtained during this experiment are documented.

Orthopedic injuries from the Andover, Kansas, tornado.

PubMed

Rosenfield, A L; McQueen, D A; Lucas, G L

1994-05-01

Devastating tornados struck the state of Kansas on Friday, April 26, 1991. Twenty lives were lost and many people were injured. Property damage was extensive. Overall, the outcome of those admitted to the various hospitals was good, with few orthopedic-related complications. The low complication rate can be attributed to thorough open wound management and suspicion and recognition of other potential orthopedic complications such as compartment syndrome.

Public and private health initiatives in Kansas.

PubMed

Fonner, E

1998-01-01

This article summarizes several health initiatives in Kansas that are being forwarded by way of public/private partnerships. Consensus is being shaped on the standardization of health data and use of actionable indicators. Statewide public health improvement planning is also being pursued. A group of large employers and state agencies are creating a basis for group purchasing, consumer assessments of health plans, and coordinated public policy formulation.

Hydrologic data for Soldier Creek Basin, Kansas

USGS Publications Warehouse

Carswell, William J.

1978-01-01

Selected hydrologic data collected in the Soldier Creek basin in Kansas are available on magnetic tape in card-image format. Data on the tape include water discharge in fifteen-minute and daily time intervals; rainfall in fifteen-minute and daily time intervals; concentrations and particle sizes of suspended sediment; particle sizes of bed material; ground-water levels; and chemical quality of water in concentrations of selected constituents.

Transforming Student Health Services through Purpose-Driven Assessment Techniques

ERIC Educational Resources Information Center

Knoll, Dorothy; Meiers, Chris; Honeck, Sara

2006-01-01

The University of Kansas Medical Center did a comprehensive review of the services provided in the Student Health Center (SHC). Using purpose-driven assessment techniques, areas needing improvement were identified. The results of the survey were presented to students and, with student support, student health fees were increased to fund desired…

D-cracking field performance of portland cement concrete pavements containing limestone in Kansas : phase 1 report : technical summary.

DOT National Transportation Integrated Search

2012-05-01

Introduction: Premature deterioration of concrete pavement due to D-cracking has been a problem in Kansas since the 1930s. Limestone is the major source of coarse aggregate in eastern Kansas where the majority of the concrete pavements are constructe...

Foreshocks and Swarms of Induced Seismicity in Southern Kansas

NASA Astrophysics Data System (ADS)

Rubinstein, J. L.; Skoumal, R.; Dougherty, S. L.; Cochran, E. S.

2017-12-01

Protracted foreshock sequences and swarm-like behavior have been observed for a number of induced earthquakes, including Guy-Greenbrier, Raton Basin, Youngstown, and the Fairview sequences. Many other induced earthquake sequences have seen intermittent seismicity before the largest earthquake in the sequence. The prevalence of foreshocks and swarms as part of induced earthquake sequences likely reflects the ongoing increase in and expansion of fluid pressure in a region, such that higher magnitude events will occur once a large region has been sufficiently influenced by fluid injection. Diffusion of fluid pressure has been observed in some induced seismicity sequences whereby seismicity moves away from an injector, making the earlier events foreshocks. Natural seismicity in other parts of the central and eastern United States experience far fewer foreshock sequences. This is additional evidence that injection-caused increase in fluid pressure is the reason that these foreshocks and swarms are occurring. To better understand foreshocks and swarm-like behavior of induced seismicity, we examine the seismicity in southern Kansas from 2014-2017. The seismic network in southern Kansas represents the densest, longest-running (>3.5 years) network with publicly available data in near-real-time in an area of induced seismicity. This has yielded a magnitude of completeness of 2.0, which is lower than in most other areas of induced seismicity. We further enhance this catalog by using template matching. With this expanded catalog, we identify and examine foreshock and swarm behavior for all M3.5 and larger mainshocks in Kansas.

Advancing Postsecondary Opportunity, Completion, and Productivity: Essential Performance Indicators for Kansas and Selected Peer States. 2012-2013

ERIC Educational Resources Information Center

Midwestern Higher Education Compact, 2014

2014-01-01

This report portrays various performance indicators that are intended to facilitate an assessment of the postsecondary education system in Kansas. Descriptive statistics are presented for Kansas and five other comparison states as well as the nation. Comparison states were selected according to the degree of similarity of population…

76 FR 76122 - Foreign-Trade Zone 15-Kansas City, MO; Application for Manufacturing Authority; Blount, Inc. (Log...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-06

... DEPARTMENT OF COMMERCE Foreign-Trade Zones Board [Docket 76-2011] Foreign-Trade Zone 15--Kansas... application has been submitted to the Foreign-Trade Zones Board (the Board) by the Greater Kansas City Foreign Trade Zone, Inc., grantee of FTZ 15, requesting manufacturing authority on behalf of Blount, Inc...

Overview of water resources in and near Indian lands in northeastern Kansas and southeastern Nebraska

USGS Publications Warehouse

Trombley, T.J.; Wolf, R.J.; Jordan, P.R.; Brewer, L.D.

1996-01-01

An overview of water resources is provided for a 4,005-square-mile area of northeastern Kansas and southeastern Nebraska that includes the treatylands for the Iowa Tribe of Kansas and Nebraska, the Kickapoo Tribe of Kansas, the Prairie Band of Potawatomi, and the Sac and Fox Tribe ofMissouri. The only plentiful supplies of surface water are available from the Missouri and Kansas Rivers. The smallest mean streamflows for 4 consecutive months occur in November through February for most streams in the area. The smallest flows for 7 consecutive days in a year occur most often in August, September, or October. The typical seasonal distribution of streamflows indicates a pattern favorable for the same-year use of small surface-water impoundments for low-flow augmentation; large flows that could be impounded typically occur in the month shortly before augmentation is most needed. However, droughts of 2 or more consecutive years are common and would largely negate the advantage of using small impoundments except for very small water-supply needs. Alluvial deposits along the Kansas and Missouri Rivers provide the largest well yields in the study area, but these deposits are limited in areal extent. The Kansas River alluvium reaches a maximum saturated thickness of about 70 feet, and the Missouri River alluvium reaches a maximum thickness of 120 feet. Well yields in the Kansas River generally range from 300 to 1,000 gallons per minute (gal/min) but may be as large as 2,500 gal/min. Well yields in the Missouri River alluvium generally range from 150 to 2,500 gal/min but may be as large as 3,000 gal/min. Although generally capable only of small sustained yields to wells, minor aquifers are important because they are available throughout most of the study area. Within the thick, mostly fine-grained glacial deposits, isolated sand and gravel layers may yield adequate supplies for stock- watering or domestic use. Sodium concentrations exceed the U.S. Environmental Protection

Final report : site reclassification investigation for Courtland, Kansas.

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

LaFreniere, L. M.; Dennis, C. B.; Environmental Science Division

2006-01-31

The Commodity Credit Corporation (CCC), an agency of the U.S. Department of Agriculture (USDA), formerly operated a grain storage facility in Courtland, Kansas. Prior to 1986, commercial grain fumigants containing carbon tetrachloride were commonly used by the CCC/USDA and the grain industry to preserve stored grain. In 1999, the Kansas Department of Health and Environment (KDHE) identified the former CCC/USDA operation as the likely source of carbon tetrachloride found in groundwater east of the former CCC/USDA facility in Courtland. Sampling by the KDHE in April 1998 had found carbon tetrachloride in the Garman residence lawn and garden well at amore » concentration of 2.1 {micro}g/L and in the Hoard residence lawn and garden well at a concentration of 0.5 {micro}g/L. Subsequent soil and groundwater sampling by the KDHE at the former CCC/USDA facility found no indication of a continuing source, and subsequent sampling of the affected wells showed generally declining contaminant levels. At the request of the KDHE and the CCC/USDA, Argonne National Laboratory prepared a Work Plan for Groundwater Sampling for Potential Site Reclassification, Courtland, Kansas (Argonne 2004). The objective of the proposed work was to conduct a single groundwater monitoring event and collect information necessary to update the status of the previously detected groundwater contamination, in support of an evaluation of appropriate actions for reclassification of the status of this site from active to resolved, under the Intergovernmental Agreement between the KDHE and the USDA's Farm Service Agency (FSA). The reclassification would be in accordance with the KDHE's Reclassification Plan (Policy No. BERRS-024, online at http://www.kdhe.state.ks.us/pdf/ber/scp/reclass.pdf). The KDHE approved the Work Plan on August 8, 2005. Sampling was conducted on September 7, 2005.« less

Final Corrective Action Study for the Former CCC/USDA Facility in Hanover, Kansas

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

LaFreniere, Lorraine M.

Low concentrations of carbon tetrachloride in groundwater and vapor intrusion into a limited number of residences (attributable to the contaminant concentrations in groundwater) have been identified in Hanover, Kansas, at and near a grain storage facility formerly leased and operated by the Commodity Credit Corporation of the U.S. Department of Agriculture (CCC/USDA). At the request of the Kansas Department of Health and Environment (KDHE 2009h), the CCC/USDA has prepared this Corrective Action Study (CAS) for the facility. The CAS examines corrective actions to address the contamination in groundwater and soil vapor.

Green Infrastructure for CSO Control in Kansas City, Missouri

EPA Science Inventory

Kansas City Water Services Department (WSD) conducted extensive modeling and economic studies of its combined sewer system over the last 5 years, for submittal of its long term control plan to EPA. These studies and recent funding opportunities have provided the impetus for sele...

Statistical and Financial Information of Kansas Community Junior Colleges.

ERIC Educational Resources Information Center

Kansas State Dept. of Education, Topeka.

Data tables outline statistical and financial information for the 19 Kansas community junior colleges. Eight sections concern the following: (1) 1977-78 actual general fund expenditures in areas of administration, instruction, student services, health, transportation, plant operation and maintenance, fixed charges, food services, student body…

Evaluation of Kansas and Missouri rural seat belt demonstrations.

DOT National Transportation Integrated Search

2016-04-01

Research has shown seat belt use is lower in rural areas of the United States, which may be one reason fatalities are higher in these areas. NHTSA sponsored two State-level demonstration projects to increase seat belt use in rural areas of Kansas and...

Kansas Early Childhood Research Institute on Transitions. Final Report.

ERIC Educational Resources Information Center

Rice, Mabel L.; O'Brien, Marion

This final report describes research projects and other activities of the Kansas Early Childhood Research Institute (KECRI), a multi-investigator, cross-disciplinary Institute focusing on successful transitions for young (birth to age 8) children with disabilities or developmental delays. Interventions were developed, evaluated, and disseminated…

75 FR 14170 - Medical Device Epidemiology Network: Developing Partnership Between the Center for Devices and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-24

... methods for medical device comparative analyses, best practices and best design and analysis methods. II... the performance of medical devices (including comparative effectiveness studies). The centers...

Solar heating and domestic hot water system installed at Kansas City, Fire Station, Kansas City, Missouri. Final report

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

None

1980-07-01

This document is the final report of the solar energy heating and hot water system installed at the Kansas City Fire Station, Number 24, 2309 Hardesty Street, Kansas City, Missouri. The solar system was designed to provide 47 percent of the space heating, 8800 square feet area and 75 percent of the domestic hot water (DHW) load. The solar system consists of 2808 square feet of Solaron, model 2001, air, flat plate collector subsystem, a concrete box storage subsystem which contains 1428 cubic feet of 1/2 inch diameter pebbles weighing 71 1/2 tons, a DHW preheat tank, blowers, pumps, heatmore » exchangers, air ducting, controls and associated plumbing. Two 120-gallon electric DHW heaters supply domestic hot water which is preheated by the solar system. Auxiliary space heating is provided by three electric heat pumps with electric resistance heaters and four 30-kilowatt electric unit heaters. There are six modes of system operation. This project is part of the Department of Energy PON-1 Solar Demonstration Program with DOE cost sharing $154,282 of the $174,372 solar system cost. The Final Design Review was held March 1977, the system became operational March 1979 and acceptance test was completed in September 1979.« less

Promoting cancer screening within the patient centered medical home.

PubMed

Sarfaty, Mona; Wender, Richard; Smith, Robert

2011-01-01

While consensus has grown that primary care is the essential access point in a high-performing health care system, the current model of primary care underperforms in both chronic disease management and prevention. The Patient Centered Medical Home model (PCMH) is at the center of efforts to reinvent primary care practice, and is regarded as the most promising approach to addressing the burden of chronic disease, improving health outcomes, and reducing health spending. However, the potential for the medical home to improve the delivery of cancer screening (and preventive services in general) has received limited attention in both conceptualization and practice. Medical home demonstrations to date have included few evidence-based preventive services in their outcome measures, and few have evaluated the effect of different payment models. Decreasing use of hospitals and emergency rooms and an emphasis on improving chronic care represent improvements in effective delivery of healthcare, but leave opportunities for reducing the burden of cancer untouched. Data confirm that what does or does not happen in the primary care setting has a substantial impact on cancer outcomes. Insofar as cancer is the leading cause of death before age 80, the PCMH model must prioritize adherence to cancer screening according to recommended guidelines, and systems, financial incentives, and reimbursements must be aligned to achieve that goal. This article explores capacities that are needed in the medical home model to facilitate the integration of cancer screening and other preventive services. These capacities include improved patient access and communication, health risk assessments, periodic preventive health exams, use of registries that store cancer risk information and screening history, ability to track and follow up on tests and referrals, feedback on performance, and payment models that reward cancer screening. Copyright © 2011 American Cancer Society, Inc.

Using a medical simulation center as an electronic health record usability laboratory

PubMed Central

Landman, Adam B; Redden, Lisa; Neri, Pamela; Poole, Stephen; Horsky, Jan; Raja, Ali S; Pozner, Charles N; Schiff, Gordon; Poon, Eric G

2014-01-01

Usability testing is increasingly being recognized as a way to increase the usability and safety of health information technology (HIT). Medical simulation centers can serve as testing environments for HIT usability studies. We integrated the quality assurance version of our emergency department (ED) electronic health record (EHR) into our medical simulation center and piloted a clinical care scenario in which emergency medicine resident physicians evaluated a simulated ED patient and documented electronically using the ED EHR. Meticulous planning and close collaboration with expert simulation staff was important for designing test scenarios, pilot testing, and running the sessions. Similarly, working with information systems teams was important for integration of the EHR. Electronic tools are needed to facilitate entry of fictitious clinical results while the simulation scenario is unfolding. EHRs can be successfully integrated into existing simulation centers, which may provide realistic environments for usability testing, training, and evaluation of human–computer interactions. PMID:24249778

To Green or Not to Green? Evaluation of Green Stormwater Infrastructure in Kansas City Middle Blue River Project

EPA Science Inventory

The City of Kansas City, Mo., Water Services Department is implementing a pilot project to measure and evaluate the performance of green infrastructure. Information obtained through this pilot project will be used to guide the design of green solutions throughout Kansas City und...

78 FR 70934 - Trespassing on DOE Property: Kansas City Plant Facilities

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-27

..., National Nuclear Security Administration, Kirtland Operations operating area. The facilities are described...). Addition of the Kirtland Operations operating area property does not terminate the prior Kansas City Plant...

A Report to the Kansas Council of Instructional Administrators on Institutional Effectiveness Assessment and Student Academic Achievement.

ERIC Educational Resources Information Center

Gibson, Ken

Recent accreditation guidelines of the North Central Association of Colleges and Schools, as well as various legislative initiatives, require two-year institutions in Kansas to develop measures of student achievement as part of their overall assessment of institutional effectiveness. In July and August of 1992, a subcommittee of the Kansas Council…

Evaluation of high friction surface locations in Kansas : technical summary.

DOT National Transportation Integrated Search

2016-05-01

In 2009, the Kansas Department of Transportation entered into an agreement with the Federal Highway Administration to fulfill the requirements of the High Friction Surface Materials Enhancing Safety at Horizontal Curves on the National Highway System...

Improving safety of teenage and young adult drivers in Kansas.

DOT National Transportation Integrated Search

2013-12-01

Statistics show that young drivers have higher motor vehicle crash rates compared to other age groups. This study investigated : characteristics, contributory causes, and factors which increase injury severity of young driver crashes in Kansas by com...

78 FR 41400 - Decision To Evaluate a Petition To Designate a Class of Employees From the Kansas City Plant in...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-10

...: Facility: Kansas City Plant. Location: Kansas City, Missouri. Job Titles and/or Job Duties: All employees... INFORMATION CONTACT: Stuart L. Hinnefeld, Director, Division of Compensation Analysis and Support, [[Page...

Towards Interactive Medical Content Delivery Between Simulated Body Sensor Networks and Practical Data Center.

PubMed

Shi, Xiaobo; Li, Wei; Song, Jeungeun; Hossain, M Shamim; Mizanur Rahman, Sk Md; Alelaiwi, Abdulhameed

2016-10-01

With the development of IoT (Internet of Thing), big data analysis and cloud computing, traditional medical information system integrates with these new technologies. The establishment of cloud-based smart healthcare application gets more and more attention. In this paper, semi-physical simulation technology is applied to cloud-based smart healthcare system. The Body sensor network (BSN) of system transmit has two ways of data collection and transmission. The one is using practical BSN to collect data and transmitting it to the data center. The other is transmitting real medical data to practical data center by simulating BSN. In order to transmit real medical data to practical data center by simulating BSN under semi-physical simulation environment, this paper designs an OPNET packet structure, defines a gateway node model between simulating BSN and practical data center and builds a custom protocol stack. Moreover, this paper conducts a large amount of simulation on the real data transmission through simulation network connecting with practical network. The simulation result can provides a reference for parameter settings of fully practical network and reduces the cost of devices and personnel involved.

A Business Case Analysis: Establishment of a Sub-Acute Ward for Tripler Army Medical Center

DTIC Science & Technology

2007-03-31

7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) S. PERFORMING ORGANIZATION REPORT Tripler Army Medical Center I Jarrett White Road TAMC, Hawaii ...Reichenberg, CHES Tripler Army Medical Center, Hawaii Date Complete: 31 March 2007 Date Submitted: 31 March 2007 Running Heading: Establishment of a Sub... Hawaii for his personal insight. Running Heading: Establishment of a Sub-Acute Ward 4 Abstract This business case examines the likely costs and

Leveraging community-academic partnerships to improve healthy food access in an urban, Kansas City, Kansas, community.

PubMed

Mabachi, Natabhona M; Kimminau, Kim S

2012-01-01

Americans can combat overweight (OW) and obesity by eating unprocessed, fresh foods. However, all Americans do not have equal access to these recommended foods. Low-income, minority, urban neighborhoods in particular often have limited access to healthy resources, although they are vulnerable to higher levels of OW and obesity. This project used community-based participatory research (CBPR) principles to investigate the food needs of residents and develop a business plan to improve access to healthy food options in an urban, Kansas City, Kansas, neighborhood. Partner community organizations were mobilized to conduct a Community Food Assessment survey. The surveys were accompanied by flyers that were part of the communication engagement strategy. Statistical analysis of the surveys was conducted. We engaged low-income, minority population (40% Latino, 30% African American) urban communities at the household level. Survey results provided in-depth information about residents' food needs and thoughts on how to improve food access. Results were reported to community members at a town hall style meeting. Developing a strategic plan to engage a community and develop trust is crucial to sustaining a partnership particularly when working with underserved communities. This project demonstrates that, if well managed, the benefits of academic and community partnerships outweigh the challenges thus such relationships should be encouraged and supported by communities, academic institutions, local and national government, and funders. A CBPR approach to understanding an urban community's food needs and opinions is important for comprehensive food access planning.

Implementation of Epic Beaker Anatomic Pathology at an Academic Medical Center.

PubMed

Blau, John Larry; Wilford, Joseph D; Dane, Susan K; Karandikar, Nitin J; Fuller, Emily S; Jacobsmeier, Debbie J; Jans, Melissa A; Horning, Elisabeth A; Krasowski, Matthew D; Ford, Bradley A; Becker, Kent R; Beranek, Jeanine M; Robinson, Robert A

2017-01-01

Beaker is a relatively new laboratory information system (LIS) offered by Epic Systems Corporation as part of its suite of health-care software and bundled with its electronic medical record, EpicCare. It is divided into two modules, Beaker anatomic pathology (Beaker AP) and Beaker Clinical Pathology. In this report, we describe our experience implementing Beaker AP version 2014 at an academic medical center with a go-live date of October 2015. This report covers preimplementation preparations and challenges beginning in September 2014, issues discovered soon after go-live in October 2015, and some post go-live optimizations using data from meetings, debriefings, and the project closure document. We share specific issues that we encountered during implementation, including difficulties with the proposed frozen section workflow, developing a shared specimen source dictionary, and implementation of the standard Beaker workflow in large institution with trainees. We share specific strategies that we used to overcome these issues for a successful Beaker AP implementation. Several areas of the laboratory-required adaptation of the default Beaker build parameters to meet the needs of the workflow in a busy academic medical center. In a few areas, our laboratory was unable to use the Beaker functionality to support our workflow, and we have continued to use paper or have altered our workflow. In spite of several difficulties that required creative solutions before go-live, the implementation has been successful based on satisfaction surveys completed by pathologists and others who use the software. However, optimization of Beaker workflows has continued to be an ongoing process after go-live to the present time. The Beaker AP LIS can be successfully implemented at an academic medical center but requires significant forethought, creative adaptation, and continued shared management of the ongoing product by institutional and departmental information technology staff as well

Rebuilding It Better: Greensburg, Kansas. Kiowa County Courthouse (Brochure)

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

Not Available

2010-04-01

This document is one in a series of five that showcases the green, sustainable buildings in Greensburg, Kansas. The Kiowa County Courthouse was one of only two buildings left standing after the tornado, which allowed the building to be renovated and refurbished rather than torn down.

School Librarian Staffing Levels and Student Achievement as Represented in 2006-2009 Kansas Annual Yearly Progress Data

ERIC Educational Resources Information Center

Dow, Mirah J.; McMahon-Lakin, Jacqueline

2012-01-01

To address the presence or absence of school librarians in Kansas public schools, a study using analysis of covariance (ANCOVA) was designed to investigate staffing levels for library media specialists (LMSs), the label used for school librarians in licensed-personnel data in Kansas, and student achievement at the school level. Five subject areas…

Family strengths and the Kansas Marital Satisfaction Scale: a factor analytic study.

PubMed

Schumm, W R; Bollman, S R; Jurich, A P; Hatch, R C

2001-06-01

20 new items were developed to measure six concepts of family strengths and were administered, along with the Kansas Marital Satisfaction Scale, to over 266 married subjects as part of a larger survey of current and former members of the Christian Church (Disciples of Christ). A common factor analysis suggested that most of the items were associated with their expected factors, while reliability analyses indicated that most of the scales had acceptable estimates of internal consistency. The marital satisfaction items clearly were associated with their own factor and not other factors, providing support for the unidimensional nature of the Kansas Marital Satisfaction Scale and for its construct validity.

Genetics Home Reference: methemoglobinemia, beta-globin type

MedlinePlus

... American Society of Hematology Resource List from the University of Kansas Medical Center: ... Melarkode K, Prinzhausen H. Hemoglobin M variant and congenital methemoglobinemia: methylene blue will not be effective in the presence of hemoglobin M. Can J ...

What do clinicians want? Interest in integrative health services at a North Carolina academic medical center

PubMed Central

Kemper, Kathi J; Dirkse, Deborah; Eadie, Dee; Pennington, Melissa

2007-01-01

Background Use of complementary medicine is common, consumer driven and usually outpatient focused. We wished to determine interest among the medical staff at a North Carolina academic medical center in integrating diverse therapies and services into comprehensive care. Methods We conducted a cross sectional on-line survey of physicians, nurse practitioners and physician assistants at a tertiary care medical center in 2006. The survey contained questions on referrals and recommendations in the past year and interest in therapies or services if they were to be provided at the medical center in the future. Results Responses were received from 173 clinicians in 26 different departments, programs and centers. There was strong interest in offering several specific therapies: therapeutic exercise (77%), expert consultation about herbs and dietary supplements (69%), and massage (66%); there was even stronger interest in offering comprehensive treatment programs such as multidisciplinary pain management (84%), comprehensive nutritional assessment and advice (84%), obesity/healthy lifestyle promotion (80%), fit for life (exercise and lifestyle program, 76%), diabetes healthy lifestyle promotion (73%); and comprehensive psychological services for stress management, including hypnosis and biofeedback (73%). Conclusion There is strong interest among medical staff at an academic health center in comprehensive, integrated services for pain, obesity, and diabetes and in specific services in fitness, nutrition and stress management. Future studies will need to assess the cost-effectiveness of such services, as well as their financial sustainability and impact on patient satisfaction, health and quality of life. PMID:17291340

Laboratory evaluation of characteristics of recycled asphalt pavement in Kansas.

DOT National Transportation Integrated Search

2011-09-01

The main objective of this research was to evaluate characteristics of milled Recycled Asphalt : Pavements (RAP) collected from selected milled roadways in Kansas. The RAP was collected from three : selected milled roadways including K-25 in Grant Co...

Key Elements of Clinical Physician Leadership at an Academic Medical Center

PubMed Central

Dine, C. Jessica; Kahn, Jeremy M; Abella, Benjamin S; Asch, David A; Shea, Judy A

2011-01-01

Background A considerable body of literature in the management sciences has defined leadership and how leadership skills can be attained. There is considerably less literature about leadership within medical settings. Physicians-in-training are frequently placed in leadership positions ranging from running a clinical team or overseeing a resuscitation effort. However, physicians-in-training rarely receive such training. The objective of this study was to discover characteristics associated with effective physician leadership at an academic medical center for future development of such training. Methods We conducted focus groups with medical professionals (attending physicians, residents, and nurses) at an academic medical center. The focus group discussion script was designed to elicit participants' perceptions of qualities necessary for physician leadership. The lead question asked participants to imagine a scenario in which they either acted as or observed a physician leader. Two independent reviewers reviewed transcripts to identify key domains of physician leadership. Results Although the context was not specified, the focus group participants discussed leadership in the context of a clinical team. They identified 4 important themes: management of the team, establishing a vision, communication, and personal attributes. Conclusions Physician leadership exists in clinical settings. This study highlights the elements essential to that leadership. Understanding the physician attributes and behaviors that result in effective leadership and teamwork can lay the groundwork for more formal leadership education for physicians-in-training. PMID:22379520

Nurturing 21st century physician knowledge, skills and attitudes with medical home innovations: the Wright Center for Graduate Medical Education teaching health center curriculum experience

PubMed Central

Palamaner Subash Shantha, Ghanshyam; Gollamudi, Lakshmi Rani; Sheth, Jignesh; Ebersole, Brian; Gardner, Katlyn J.; Nardella, Julie; Ruddy, Meaghan P.; Meade, Lauren

2015-01-01

Purpose. The effect of patient centered medical home (PCMH) curriculum interventions on residents’ self-reported and demonstrated knowledge, skills and attitudes in PCMH competency arenas (KSA) is lacking in the literature. This study aimed to assess the impact of PCMH curricular innovations on the KSA of Internal Medicine residents. Methods. Twenty four (24) Internal Medicine residents—12 Traditional (TR) track residents and 12 Teaching Health Center (THC) track residents—began training in Academic Year (AY) 2011 at the Wright Center for Graduate Medical Education (WCGME). They were followed through AY2013, covering three years of training. PCMH curricular innovations were focally applied July 2011 until May 2012 to THC residents. These curricular innovations were spread program-wide in May 2012. Semi-annual, validated PCMH Clinician Assessments assessing KSA were started in AY2011 and were completed by all residents. Results. Mean KSA scores of TR residents were similar to those of THC residents at baseline for all PCMH competencies. In May 2012, mean scores of THC residents were significantly higher than TR residents for most KSA. After program-wide implementation of PCMH innovations, mean scores of TR residents for all KSA improved and most became equalized to those of THC residents. Globally improved KSA scores of THC and TR residents were maintained through May 2014, with the majority of improvements above baseline and reaching statistical significance. Conclusions. PCMH curricular innovations inspired by Health Resources and Services Administration (HRSA’s) Teaching Health Center funded residency program expansion quickly and consistently improved the KSA of Internal Medicine residents. PMID:25699213

Impact of a Regional Pharmacy Call Center on Telephone Access Metrics Within the Veterans Health Administration.

PubMed

White, Christina A; Jones, Marshall R; Kuester, Melanie K; Myers, Kelly L; Schnarr, Barbara A

2015-05-01

To establish a cost-effective centralized pharmacy call center to serve the patients of Veterans Integrated Service Network (VISN) 11 that would meet established performance metrics. A pilot project began in August 2011 with the Indianapolis VA Medical Center (VAMC) and the Health Resource Center (HRC) in Topeka, Kansas. The Indianapolis VAMC used a first-call resolution business model consisting of pharmacy technicians receiving tier 1 phone calls that could be escalated to a tier 2 line that consisted of lead technicians and pharmacists, while the HRC utilized general telephone agents that would transfer unresolved calls to the primary facility. Pre- and post-VISN 11 Pharmacy Call Center performance metrics were compared for each of the 7 facilities in the network with the goals being monthly average abandoned call rate less than 5% and average speed to answer less than 30 seconds. Cost per call was also compared. The average abandoned call rate for the network during the year prior to VISN 11 Pharmacy Call Center implementation (August 2010-July 2011) was 15.66% and decreased to 3% in July 2014. The average abandoned call rate decreased for each individual facility. In fiscal year 2014, the VISN 11 Pharmacy Call Center was operating at a cost of $4.35 per call while providing more services than the HRC, resulting in less workload being transferred back to the individual facilities. A centralized VISN pharmacy call center is a reasonable alternative to individual facility call centers or the HRC.

Evaluation of Patient Centered Medical Home Practice Transformation Initiatives

PubMed Central

Crabtree, Benjamin F.; Chase, Sabrina M.; Wise, Christopher G.; Schiff, Gordon D.; Schmidt, Laura A.; Goyzueta, Jeanette R.; Malouin, Rebecca A.; Payne, Susan M. C.; Quinn, Michael T.; Nutting, Paul A.; Miller, William L.; Jaén, Carlos Roberto

2011-01-01

Background The patient-centered medical home (PCMH) has become a widely cited solution to the deficiencies in primary care delivery in the United States. To achieve the magnitude of change being called for in primary care, quality improvement interventions must focus on whole-system redesign, and not just isolated parts of medical practices. Methods Investigators participating in 9 different evaluations of Patient Centered Medical Home implementation shared experiences, methodological strategies, and evaluation challenges for evaluating primary care practice redesign. Results A year-long iterative process of sharing and reflecting on experiences produced consensus on 7 recommendations for future PCMH evaluations: (1) look critically at models being implemented and identify aspects requiring modification; (2) include embedded qualitative and quantitative data collection to detail the implementation process; (3) capture details concerning how different PCMH components interact with one another over time; (4) understand and describe how and why physician and staff roles do, or do not evolve; (5) identify the effectiveness of individual PCMH components and how they are used; (6) capture how primary care practices interface with other entities such as specialists, hospitals, and referral services; and (7) measure resources required for initiating and sustaining innovations. Conclusions Broad-based longitudinal, mixed-methods designs that provide for shared learning among practice participants, program implementers, and evaluators are necessary to evaluate the novelty and promise of the PCMH model. All PCMH evaluations should as comprehensive as possible, and at a minimum should include a combination of brief observations and targeted qualitative interviews along with quantitative measures. PMID:21079525

Evaluation of patient centered medical home practice transformation initiatives.

PubMed

Crabtree, Benjamin F; Chase, Sabrina M; Wise, Christopher G; Schiff, Gordon D; Schmidt, Laura A; Goyzueta, Jeanette R; Malouin, Rebecca A; Payne, Susan M C; Quinn, Michael T; Nutting, Paul A; Miller, William L; Jaén, Carlos Roberto

2011-01-01

The patient-centered medical home (PCMH) has become a widely cited solution to the deficiencies in primary care delivery in the United States. To achieve the magnitude of change being called for in primary care, quality improvement interventions must focus on whole-system redesign, and not just isolated parts of medical practices. Investigators participating in 9 different evaluations of Patient Centered Medical Home implementation shared experiences, methodological strategies, and evaluation challenges for evaluating primary care practice redesign. A year-long iterative process of sharing and reflecting on experiences produced consensus on 7 recommendations for future PCMH evaluations: (1) look critically at models being implemented and identify aspects requiring modification; (2) include embedded qualitative and quantitative data collection to detail the implementation process; (3) capture details concerning how different PCMH components interact with one another over time; (4) understand and describe how and why physician and staff roles do, or do not evolve; (5) identify the effectiveness of individual PCMH components and how they are used; (6) capture how primary care practices interface with other entities such as specialists, hospitals, and referral services; and (7) measure resources required for initiating and sustaining innovations. Broad-based longitudinal, mixed-methods designs that provide for shared learning among practice participants, program implementers, and evaluators are necessary to evaluate the novelty and promise of the PCMH model. All PCMH evaluations should as comprehensive as possible, and at a minimum should include a combination of brief observations and targeted qualitative interviews along with quantitative measures.

Recognition as a patient-centered medical home: fundamental or incidental?

PubMed

Dohan, Daniel; McCuistion, Mary Honodel; Frosch, Dominick L; Hung, Dorothy Y; Tai-Seale, Ming

2013-01-01

Little is known about reasons why a medical group would seek recognition as a patient-centered medical home (PCMH). We examined the motivations for seeking recognition in one group and assessed why the group allowed recognition to lapse 3 years later. As part of a larger mixed methods case study, we conducted 38 key informant interviews with executives, clinicians, and front-line staff. Interviews were conducted according to a guide that evolved during the project and were audio-recorded and fully transcribed. Transcripts were analyzed and thematically coded. PCMH principles were consistent with the organization's culture and mission, which valued innovation and putting patients first. Motivations for implementing specific PCMH components varied; some components were seen as part of the organization's patient-centered culture, whereas others helped the practice compete in its local market. Informants consistently reported that National Committee for Quality Assurance recognition arose incidentally because of a 1-time incentive from a local group of large employers and because the organization decided to allocate some organizational resources to respond to the complex reporting requirements for about one-half of its clinics. Becoming patient centered and seeking recognition as such ran along separate but parallel tracks within this organization. As the Affordable Care Act continues to focus attention on primary care redesign, this apparent disconnect should be borne in mind.

Surface-water-quality assessment of the lower Kansas River basin, Kansas and Nebraska; project data November 1986 through April 1990

USGS Publications Warehouse

Fallon, J.D.; McChesney, J.A.

1993-01-01

Surface-water-quality data were collected from the lower Kansas River Basin in Kansas and Nebraska. The data are presented in 17 tables consisting of physical properties, concentrations of dissolved solids and major ions, dissolved and total nutrients, dissolved and total major metals and trace elements, radioactivity, organic carbon, pesticides and other synthetic-organic compounds, bacteria and chlorophyll-a, in water; particle-size distributions and concentrations of major metals and trace elements in suspended and streambed sediment; and concentrations of synthetic-organic compounds in streambed sediment. The data are grouped within each table by sampling sites, arranged in downstream order. Ninety-one sites were sampled in the study area. These sampling sites are classified in three, non-exclusive categories (fixed, synoptic, and miscellaneous sites) on the basis of sampling frequency and location. Sampling sites are presented on a plate and in 3 tables, cross-referenced by downstream order, alphabetical order, U.S. Geological Survey identification number, sampling-site classification category, and types of analyses performed at each site. The methods used to collect, analyze, and verify the accuracy of the data also are presented. (USGS)

Community health centers employ diverse staffing patterns, which can provide productivity lessons for medical practices.

PubMed

Ku, Leighton; Frogner, Bianca K; Steinmetz, Erika; Pittman, Patricia

2015-01-01

Community health centers are at the forefront of ambulatory care practices in their use of nonphysician clinicians and team-based primary care. We examined medical staffing patterns, the contributions of different types of staff to productivity, and the factors associated with staffing at community health centers across the United States. We identified four different staffing patterns: typical, high advanced-practice staff, high nursing staff, and high other medical staff. Overall, productivity per staff person was similar across the four staffing patterns. We found that physicians make the greatest contributions to productivity, but advanced-practice staff, nurses, and other medical staff also contribute. Patterns of community health center staffing are driven by numerous factors, including the concentration of clinicians in communities, nurse practitioner scope-of-practice laws, and patient characteristics such as insurance status. Our findings suggest that other group medical practices could incorporate more nonphysician staff without sacrificing productivity and thus profitability. However, the new staffing patterns that evolve may be affected by characteristics of the practice location or the types of patients served. Project HOPE—The People-to-People Health Foundation, Inc.

Final Monitoring Plan for Site Closure at Inman, Kansas

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

LaFreniere, Lorraine M.

Inman, Kansas, is a rural town located in southwest McPherson County, in sections 8, 9, 16, and 17, Township 21 South, Range 4 West (Figure 1.1). There are 1,377 people in 513 households, as of the census of 2010. The Commodity Credit Corporation of the U.S. Department of Agriculture (CCC/USDA), operated a grain storage facility at the southern edge of the city of Inman, Kansas, from 1954 to 1965. During this time, commercial grain fumigants containing carbon tetrachloride were in common use by the grain storage industry to preserve grain in their facilities. In 1997, trace to low levels ofmore » carbon tetrachloride (below the maximum contamination level [MCL] of 5.0 μg/L) were detected in three private wells near the former grain storage facility at Inman, as part of a statewide USDA private well sampling program that was implemented by the Kansas Department of Health and Environment (KDHE) near former CCC/USDA facilities. No public water supply wells were identified within 1 mi of the town by the KDHE in 1998. Carbon tetrachloride is the contaminant of primary concern at sites associated with grain storage operations. To determine whether the former CCC/USDA facility at Inman is a potential contaminant source and its possible relationship to the carbon tetrachloride contamination in groundwater, the CCC/USDA agreed to conduct a multi-phase investigation at Inman. The investigation was performed by the Environmental Science Division of Argonne National Laboratory in accordance with the Intergovernmental Agreement between the KDHE and the Farm Service Agency of the USDA.« less

Final work plan : environmental site investigation at Sylvan Grove, Kansas.

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

LaFreniere, L. M.

determining what future CCC/USDA actions may be necessary, with the ultimate goal of achieving classification of the Sylvan Grove site at no further action status. The proposed activities are to be performed on behalf of the CCC/USDA by the Environmental Science Division of Argonne National Laboratory, a nonprofit, multidisciplinary research center operated by the UChicago Argonne, LLC, for the U.S. Department of Energy. Argonne provides technical assistance to the CCC/USDA concerning environmental site characterization and remediation at former grain storage facilities. Argonne issued a Master Work Plan (Argonne 2002) that has been approved by the KDHE. The Master Work Plan describes the general scope of all investigations at former CCC/USDA facilities in Kansas and provides guidance for these investigations. That document should be consulted for the complete details of plans for work associated with the former CCC/USDA facility at Sylvan Grove.« less

76 FR 62050 - Issuance of a Loan Guarantee to Abengoa Bioenergy Biomass of Kansas, LLC for the Abengoa...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-06

... DEPARTMENT OF ENERGY Issuance of a Loan Guarantee to Abengoa Bioenergy Biomass of Kansas, LLC for... 2005 (EPAct 2005) to Abengoa Bioenergy Biomass of Kansas, LLC (Abengoa) for construction and start-up... combination of biomass feedstocks, such as corn stover and wheat straw, to produce cellulosic ethanol and to...

Estimating design discharges for drainage structures in western Kansas : [summary].

DOT National Transportation Integrated Search

2013-06-01

KDOT engineers have expressed concern that the hydrologic methods in the current KDOT Design Manual (Volume I, Part C, 2011) may lead to over-sizing of drainage structures in Western Kansas. Some new structures designed by the current methods are muc...

Estimates of Median Flows for Streams on the 1999 Kansas Surface Water Register

USGS Publications Warehouse

Perry, Charles A.; Wolock, David M.; Artman, Joshua C.

2004-01-01

The Kansas State Legislature, by enacting Kansas Statute KSA 82a?2001 et. seq., mandated the criteria for determining which Kansas stream segments would be subject to classification by the State. One criterion for the selection as a classified stream segment is based on the statistic of median flow being equal to or greater than 1 cubic foot per second. As specified by KSA 82a?2001 et. seq., median flows were determined from U.S. Geological Survey streamflow-gaging-station data by using the most-recent 10 years of gaged data (KSA) for each streamflow-gaging station. Median flows also were determined by using gaged data from the entire period of record (all-available hydrology, AAH). Least-squares multiple regression techniques were used, along with Tobit analyses, to develop equations for estimating median flows for uncontrolled stream segments. The drainage area of the gaging stations on uncontrolled stream segments used in the regression analyses ranged from 2.06 to 12,004 square miles. A logarithmic transformation of the data was needed to develop the best linear relation for computing median flows. In the regression analyses, the significant climatic and basin characteristics, in order of importance, were drainage area, mean annual precipitation, mean basin permeability, and mean basin slope. Tobit analyses of KSA data yielded a model standard error of prediction of 0.285 logarithmic units, and the best equations using Tobit analyses of AAH data had a model standard error of prediction of 0.250 logarithmic units. These regression equations and an interpolation procedure were used to compute median flows for the uncontrolled stream segments on the 1999 Kansas Surface Water Register. Measured median flows from gaging stations were incorporated into the regression-estimated median flows along the stream segments where available. The segments that were uncontrolled were interpolated using gaged data weighted according to the drainage area and the bias between the

Final corrective action study for the former CCC/USDA facility in Ramona, Kansas.

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

LaFreniere, L. M.

Past operations at a grain storage facility formerly leased and operated by the Commodity Credit Corporation of the U.S. Department of Agriculture (CCC/USDA) in Ramona, Kansas, resulted in low concentrations of carbon tetrachloride in groundwater that slightly exceed the regulatory standard in only one location. As requested by the Kansas Department of Health and Environment, the CCC/USDA has prepared a Corrective Action Study (CAS) for the facility. The CAS examines corrective actions to address groundwater impacted by the former CCC/USDA facility but not releases caused by other potential groundwater contamination sources in Ramona. Four remedial alternatives were considered in themore » CAS. The recommended remedial alternative in the CAS consists of Environmental Use Control to prevent the inadvertent use of groundwater as a water supply source, coupled with groundwater monitoring to verify the continued natural improvement in groundwater quality. The Commodity Credit Corporation of the U.S. Department of Agriculture (CCC/USDA) has directed Argonne National Laboratory to prepare a Corrective Action Study (CAS), consistent with guidance from the Kansas Department of Health and Environment (KDHE 2001a), for the CCC/USDA grain storage facility formerly located in Ramona, Kansas. This effort is pursuant to a KDHE (2007a) request. Although carbon tetrachloride levels at the Ramona site are low, they remain above the Kansas Tier 2 risk-based screening level (RBSL) and the U.S. Environmental Protection Agency (EPA) maximum contaminant level (MCL) of 5 {micro}g/L (Kansas 2003, 2004). In its request for the CAS, the KDHE (2007a) stated that, because of these levels, risk is associated with potential future exposure to contaminated groundwater. The KDHE therefore determined that additional measures are warranted to limit future use of the property and/or exposure to contaminated media as part of site closure. The KDHE further requested comparison of at least two

Estimated flood-inundation maps for Cowskin Creek in western Wichita, Kansas

USGS Publications Warehouse

Studley, Seth E.

2003-01-01

The October 31, 1998, flood on Cowskin Creek in western Wichita, Kansas, caused millions of dollars in damages. Emergency management personnel and flood mitigation teams had difficulty in efficiently identifying areas affected by the flooding, and no warning was given to residents because flood-inundation information was not available. To provide detailed information about future flooding on Cowskin Creek, high-resolution estimated flood-inundation maps were developed using geographic information system technology and advanced hydraulic analysis. Two-foot-interval land-surface elevation data from a 1996 flood insurance study were used to create a three-dimensional topographic representation of the study area for hydraulic analysis. The data computed from the hydraulic analyses were converted into geographic information system format with software from the U.S. Army Corps of Engineers' Hydrologic Engineering Center. The results were overlaid on the three-dimensional topographic representation of the study area to produce maps of estimated flood-inundation areas and estimated depths of water in the inundated areas for 1-foot increments on the basis of stream stage at an index streamflow-gaging station. A Web site (http://ks.water.usgs.gov/Kansas/cowskin.floodwatch) was developed to provide the public with information pertaining to flooding in the study area. The Web site shows graphs of the real-time streamflow data for U.S. Geological Survey gaging stations in the area and monitors the National Weather Service Arkansas-Red Basin River Forecast Center for Cowskin Creek flood-forecast information. When a flood is forecast for the Cowskin Creek Basin, an estimated flood-inundation map is displayed for the stream stage closest to the National Weather Service's forecasted peak stage. Users of the Web site are able to view the estimated flood-inundation maps for selected stages at any time and to access information about this report and about flooding in general. Flood

Development by Design: Mitigating Wind Development's Impacts on Wildlife in Kansas

PubMed Central

Obermeyer, Brian; Manes, Robert; Kiesecker, Joseph; Fargione, Joseph; Sochi, Kei

2011-01-01

Wind energy, if improperly sited, can impact wildlife through direct mortality and habitat loss and fragmentation, in contrast to its environmental benefits in the areas of greenhouse gas, air quality, and water quality. Fortunately, risks to wildlife from wind energy may be alleviated through proper siting and mitigation offsets. Here we identify areas in Kansas where wind development is incompatible with conservation, areas where wind development may proceed but with compensatory mitigation for impacts, and areas where development could proceed without the need for compensatory mitigation. We demonstrate that approximately 10.3 million ha in Kansas (48 percent of the state) has the potential to provide 478 GW of installed capacity while still meeting conservation goals. Of this total, approximately 2.7 million ha would require no compensatory mitigation and could produce up to 125 GW of installed capacity. This is 1,648 percent higher than the level of wind development needed in Kansas by 2030 if the United States is to get 20 percent of its electricity from wind. Projects that avoid and offset impacts consistent with this analysis could be awarded “Green Certification.” Certification may help to expand and sustain the wind industry by facilitating the completion of individual projects sited to avoid sensitive areas and protecting the industry's reputation as an ecologically friendly source of electricity. PMID:22046333

Photodynamic research at Baylor University Medical Center Dallas, Texas

NASA Astrophysics Data System (ADS)

Gulliya, Kirpal S.; Matthews, James Lester; Sogandares-Bernal, Franklin M.; Aronoff, Billie L.; Judy, Millard M.

1993-03-01

We received our first CO2 laser at Baylor University Medical Center in December 1974, following a trip to Israel in January of that year. Discussion with the customs office of the propriety of charging an 18% import tax lasted for nine months. We lost that argument. Baylor has been using lasers of many types for many procedures since that time. About ten years ago, through the kindness of Tom Dougherty and Roswell Park, we started working with photodynamic therapy, first with hematoporphyrin I and later with dihematoporphyrin ether (II). In February 1984, we were invited to a conference at Los Alamos, New Mexico, U.S.A. on medical applications of the free electron laser as part of the Star Wars Program. A grant application from Baylor was approved that November, but funding did not start for many months. This funding contributed to the development of a new research center as part of Baylor Research Institute. Many of the projects investigated at Baylor dealt with applications of the free electron laser (FEL), after it became available. A staff was assembled and many projects are still ongoing. I would like to outline those which are in some way related to photodynamic therapy.

WASTE MINIMIZATION OPPORTUNITY ASSESSMENT: OPTICAL FABRICATION LABORATORY - FITZSIMMONS ARMY MEDICAL CENTER

EPA Science Inventory

Under the Waste Reduction Evaluations at Federal Sites (WREAFS) program, RREL has taken the initiative to merge the experience and resources of the EPA with other Federal agencies. At the Fitzsimmons Army Medical Center (FAMC) in Aurora, Colorado, the Army and the EPA cooperated ...

Calibrating the mechanistic-empirical pavement design guide for Kansas : [technical summary].

DOT National Transportation Integrated Search

2015-04-01

The Kansas Department of Transportation (KDOT) is moving toward the implementation : of the new American Association of State Highway and Transportation Officials : (AASHTO) Mechanistic-Empirical Pavement Design Guide (MEPDG) for pavement : design. T...