77 FR 16316 - Kentucky Disaster Number KY-00044

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-20

... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 13029 and 13030] Kentucky Disaster Number KY-00044 AGENCY: U.S. Small Business Administration. ACTION: Amendment 2. SUMMARY: This is an amendment of... applications to: U.S. Small Business Administration, Processing and Disbursement Center, 14925 Kingsport Road...

Alternative Fuels Data Center: Kentucky Trucking Company Adds CNG Vehicles

Science.gov Websites

run on compressed natural gas (CNG) in Lousiville, Kentucky. Download QuickTime Video QuickTime (.mov California Nov. 18, 2017 Photo of a car Smart Car Shopping Nov. 4, 2017 Photo of a truck Natural Gas Vehicles truck Idaho Transports Mail and Reduces Emissions with Natural Gas Trucks June 23, 2017 Photo of a

Hispanic Administrators in Kentucky

ERIC Educational Resources Information Center

Ballestero, Victor; Wright, Sam

2008-01-01

The study was designed to provide information on Hispanic administrators in the Commonwealth of Kentucky. The data was obtained from Kentucky school Superintendents or their designees in 175 public school districts. The Hispanic survey contained six questions. The survey was mailed to Kentucky Superintendents on April 21, 2008. A follow-up survey…

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

2009 Kentucky traffic collision facts

DOT National Transportation Integrated Search

2009-01-01

KENTUCKYS TRAFFIC COLLISION FACTS report for 2009 is based on collision reports submitted to the Kentucky State Police : Records Branch. As required by Kentucky Revised Statutes 189.635, every law enforcement agency whose officers investigate :...

2005 Kentucky traffic collision facts

DOT National Transportation Integrated Search

2005-01-01

KENTUCKYS TRAFFIC COLLISION FACTS report for 2005 is based on collision reports submitted to the Kentucky State Police : Records Branch. As required by Kentucky Revised Statutes 189.635, every law enforcement agency whose officers investigate :...

2004 Kentucky traffic collision facts

DOT National Transportation Integrated Search

2004-01-01

KENTUCKYS TRAFFIC COLLISION FACTS report for 2004 is based on collision reports submitted to the Kentucky State Police : Records Branch. As required by Kentucky Revised Statutes 189.635, every law enforcement agency whose officers investigate :...

2008 Kentucky traffic collision facts

DOT National Transportation Integrated Search

2008-01-01

KENTUCKYS TRAFFIC COLLISION FACTS report for 2008 is based on collision reports submitted to the Kentucky State Police : Records Branch. As required by Kentucky Revised Statutes 189.635, every law enforcement agency whose officers investigate :...

2002 Kentucky traffic collision facts

DOT National Transportation Integrated Search

2002-01-01

KENTUCKYS TRAFFIC COLLISION FACTS report for 2002 is based on collision reports submitted to the Kentucky State Police : Records Branch. As required by Kentucky Revised statutes 189.635, every law enforcement agency whose officers investigate :...

2003 Kentucky traffic collision facts

DOT National Transportation Integrated Search

2003-01-01

KENTUCKYS TRAFFIC COLLISION FACTS report for 2003 is based on collision reports submitted to the Kentucky State Police : Records Branch. As required by Kentucky Revised Statutes 189.635, every law enforcement agency whose officers investigate :...

2001 Kentucky traffic collision facts

DOT National Transportation Integrated Search

2001-01-01

KENTUCKYS TRAFFIC COLLISION FACTS report for 2001 is based on collision reports submitted to the Kentucky State Police : Records Branch. As required by Kentucky Revised Statutes 189.635, every law enforcement agency whose officers investigate :...

2007 Kentucky traffic collision facts

DOT National Transportation Integrated Search

2007-01-01

KENTUCKYS TRAFFIC COLLISION FACTS report for 2007 is based on collision reports submitted to the Kentucky State Police : Records Branch. As required by Kentucky Revised Statutes 189.635, every law enforcement agency whose officers investigate :...

2006 Kentucky traffic collision facts

DOT National Transportation Integrated Search

2006-01-01

KENTUCKYS TRAFFIC COLLISION FACTS report for 2006 is based on collision reports submitted to the Kentucky State Police : Records Branch. As required by Kentucky Revised Statutes 189.635, every law enforcement agency whose officers investigate :...

2000 Kentucky traffic collision facts

DOT National Transportation Integrated Search

2000-01-01

KENTUCKYS TRAFFIC COLLISION FACTS report for 2000 is based on collision reports submitted to the Kentucky State Police : Records Branch. As required by Kentucky Revised statutes 189.635, every law enforcement agency whose officers investigate :...

1995 Kentucky traffic accident facts

DOT National Transportation Integrated Search

1995-01-01

KENTUCKYS TRAFFIC ACCIDENT FACTS report for 1995 is based on accident reports submitted to the Accident Unit housed : in the Kentucky State Police Information Services Branch, Records Section. As required by Kentucky Revised statutes 189.635, : ...

1996 Kentucky traffic accident facts

DOT National Transportation Integrated Search

1996-01-01

KENTUCKYS TRAFFIC ACCIDENT FACTS report for 1996 is based on accident reports submitted to the Accident Unit housed : in the Kentucky State Police Information Services Branch, Records Section. As required by Kentucky Revised statutes 189.635, : ...

1998 Kentucky traffic accident facts

DOT National Transportation Integrated Search

1998-01-01

KENTUCKYS TRAFFIC ACCIDENT FACTS report for 1998 is based on accident reports submitted to the Accident Unit housed : in the Kentucky State Police Information Services Branch, Records Section. As required by Kentucky Revised statutes 189.635, : ...

1997 Kentucky traffic accident facts

DOT National Transportation Integrated Search

1997-01-01

KENTUCKYS TRAFFIC ACCIDENT FACTS report for 1997 is based on accident reports submitted to the Accident Unit housed : in the Kentucky State Police Information Services Branch, Records Section. As required by Kentucky Revised statutes 189.635, : ...

Kentucky Traffic Collision Facts 2016

DOT National Transportation Integrated Search

2016-09-26

KENTUCKYS TRAFFIC COLLISION FACTS report is based on collision reports submitted to the Kentucky State Police Records Branch. As required by Kentucky Revised Statutes 189.635, every law enforcement agency whose officers investigate a vehicle ac...

Kentucky traffic collision facts 2015.

DOT National Transportation Integrated Search

2016-01-01

KENTUCKYS TRAFFIC COLLISION FACTS report for 2015 is based on collision reports submitted to the Kentucky State Police Records Branch. As required by Kentucky Revised Statutes 189.635, every law enforcement agency whose officers investigate a v...

2010 Kentucky traffic collision facts

DOT National Transportation Integrated Search

2010-01-01

KENTUCKYS TRAFFIC COLLISION FACTS report for 2010 is based on collision reports submitted to the Kentucky State Police Records Branch. As required by Kentucky Revised Statutes 189.635, every law enforcement agency whose officers investigate a v...

1999 Kentucky traffic accident facts

DOT National Transportation Integrated Search

1999-01-01

KENTUCKYS TRAFFIC COLLISION FACTS report for 1999 is based on accident reports submitted to the Accident Unit housed in the Kentucky State Police Information Services Branch, Records Section. As required by Kentucky Revised statutes 189.635, ev...

Enhancing the Safe and Effective Management of Chronic Pain in Accountable Care Organization Primary Care Practices in Kentucky.

PubMed

Wubu, Selam; Hall, Laura Lee; Straub, Paula; Bair, Matthew J; Marsteller, Jill A; Hsu, Yea-Jen; Schneider, Doron; Hood, Gregory A

Chronic pain is a prevalent chronic condition with significant burden and economic impact in the United States. Chronic pain is particularly abundant in primary care, with an estimated 52% of chronic pain patients obtaining care from primary care physicians (PCPs). However, PCPs often lack adequate training and have limited time and resources to effectively manage chronic pain. Chronic pain management is complex in nature because of high co-occurrence of psychiatric disorders and other medical comorbidities in patients. This article describes a quality improvement initiative conducted by the American College of Physicians (ACP), in collaboration with the Kentucky ACP Chapter, and the Center for Health Services and Outcomes Research at the Johns Hopkins Bloomberg School of Public Health, to enhance chronic pain management in 8 primary care practices participating in Accountable Care Organizations in Kentucky, with a goal of enhancing the screening, diagnosis, and treatment of patients with chronic pain.

Alternative Fuels Data Center: Electric Buses Hit the Streets in Kentucky

Science.gov Websites

, Kentucky, diversified its fleet with all-electric buses. For information about this project, contact Photo of a car Electric Vehicles Charge up at State Parks in West Virginia Dec. 9, 2017 Photo of a car Hydrogen Powers Fuel Cell Vehicles in California Nov. 18, 2017 Photo of a car Smart Car Shopping Nov. 4

Nursing Manpower Licensed in Kentucky, 1979-1981. Kentucky Nursing Education Project.

ERIC Educational Resources Information Center

Kentucky State Council on Higher Education, Frankfort.

Data on nurses licensed in Kentucky for 1979-1981 are presented, as part of the Kentucky Nursing Education Project. Information is provided on: licensure status, home state/district/county, employment status, employment state/district/county, field of employment in nursing, position, highest educational level attained, age, sex, marital status,…

Evaluation of Kentucky's "Buckle Up Kentucky : It's the Law & It's Enforced" campaign.

DOT National Transportation Integrated Search

2003-08-01

The objective of this report was to document the results of the "Buckle Up Kentucky: It's the Law & It's Enforced" campaign in Kentucky. Data were also taken to document the change in usage after enactment of the primary enforcement law. The campaign...

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.

Digital Learning Compass: Distance Education State Almanac 2017. Kentucky

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 Kentucky. The sample for this analysis is comprised of all active, degree-granting…

Kentucky's forests, 2004

Treesearch

Jeffery A. Turner; Christopher M. Oswalt; James L. Chamberlain; Roger C. Conner; Tony G. Johnson; Sonja N. Oswalt; KaDonna C. Randolph

2008-01-01

Forest land area in the Commonwealth of Kentucky amounted to 11.97 million acres, including 11.6 million acres of timberland. Over 110 different species, mostly hardwoods, account for an estimated 21.2 billion cubic feet of all live tree volume. Hardwood forest types occupy 85 percent of Kentucky’s timberland, and oak-hickory is the dominant forest-type group...

Suicide Mortality among Kentucky Farmers, 1979-1985.

ERIC Educational Resources Information Center

Stallones, Lorann

1990-01-01

Compared age-specific suicide rates for Kentucky White farmers, Kentucky White males, and United States White males. Found suicide rates highest for farmers, followed by Kentucky males, and the United States males. All males were most likely to use firearms to commit suicide, but farmers and other Kentucky males used firearms significantly more…

Evaluation of Kentucky's "Buckle Up Kentucky : It's the Law & It's Enforced" 2007 campaign.

DOT National Transportation Integrated Search

2007-08-01

The objective of this report was to document the results of the "Buckle Up Kentucky: It's the Law & It's Enforced" 2007 campaign in Kentucky. Data were also taken to document the change in usage after enactment of the primary enforcement law. The cam...

Evaluation of Kentucky's "Buckle Up Kentucky : It's the Law & It's Enforced" 2004 campaign.

DOT National Transportation Integrated Search

2004-07-01

The objective of this report was to document the results of the "Buckle Up Kentucky: It's the Law & It's Enforced" 2004 campaign in Kentucky. Data were also taken to document the change in usage after enactment of the primary enforcement law. The cam...

Evaluation of Kentucky's "Buckle Up Kentucky : It's the Law & It's Enforced" 2006 campaign.

DOT National Transportation Integrated Search

2006-07-01

The objective of this report was to document the results of the "Buckle Up Kentucky: It's the Law & It's Enforced" 2006 campaign in Kentucky. Data were also taken to document the change in usage after enactment of the primary enforcement law. The cam...

Evaluation of Kentucky's "Buckle Up Kentucky : It's the Law & It's Enforced" 2005 campaign.

DOT National Transportation Integrated Search

2005-07-01

The objective of this report was to document the results of the "Buckle Up Kentucky: It's the Law & It's Enforced" 2005 campaign in Kentucky. Data were also taken to document the change in usage after enactment of the primary enforcement law. The cam...

Kentucky Workforce Pathways Development

ERIC Educational Resources Information Center

Coburn, Karen L.

2017-01-01

The purpose of the study was to determine whether the advent of healthcare information technology was a viable career pathway for the people of northeastern Kentucky. The qualitative study used the Delphi Method to conduct and examine interviews with nine experts in Kentucky's workforce development, economic development, education, and healthcare…

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.

Relative trace-element concern indexes for eastern Kentucky coals

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

Collins, S.L.

Coal trace elements that could affect environmental quality were studied in 372 samples (collected and analyzed by the Kentucky Geological Survey and the United States Geological Survey) from 36 coal beds in eastern Kentucky. Relative trace-element concern indexes are defined as the weighted sum of standarized (substract mean; divide by standard deviation) concentrations. Index R is calculated from uranium and thorium, index 1 from elements of minor concern (antimony, barium, bromine, chloride, cobalt, lithium, manganese, sodium, and strontium), index 2 from elements of moderate concern (chromium, copper, fluorine, nickel, vanadium, and zinc), and index 4 from elements of greatest concernmore » (arsenic, boron, cadmium, lead, mercury, molybdenum, and selenium). Numericals indicate weights, except that index R is weighted by 1, and index 124 is the unweighted sum of indexes 1, 2, and 4. Contour mapping indexes is valid because all indexes have nonnugget effect variograms. Index 124 is low west of Lee and Bell counties, and in Pike County. Index 124 is high in the area bounded by Boyd, Menifee, Knott, and Martin counties and in Owsley, Clay, and Leslie counties. Coal from some areas of eastern Kentucky is less likely to cause environmental problems than that from other areas. Positive correlations of all indexes with the centered log ratios of ash, and negative correlations with centered log ratios of carbon, hydrogen, nitrogen, oxygen, and sulfur indicate that trace elements of concern are predominantly associated with ash. Beneficiation probably would reduce indexes significantly.« less

Forests of Kentucky, 2013

Treesearch

Christopher Oswalt

2017-01-01

This resource update provides an overview of forest resource attributes for Kentucky based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) Program at the Southern Research Station of the Forest Service, U.S. Department of Agriculture in cooperation with the Kentucky Department of Natural Resources Division of Forestry. These estimates, along...

Trends in Adolescent Childbearing in Kentucky: 1970-1977. Kentucky Women: Challenges and Prospects.

ERIC Educational Resources Information Center

Keith, Verna; Garkovich, Lorraine

This report analyzes trends in childbearing among Kentucky's adolescents from 1970 through 1977 and reviews childbearing patterns in Kentucky and in the United States for adolescents aged 10-14 and 15-19 to identify several factors associated with adolescent pregnancy. The fact that adolescent women are reaching biological maturity at an earlier…

Creating an integrated clinical enterprise at the University of Kentucky: the emergence of UK HealthCare.

PubMed

Karpf, Michael; Perman, Jay; Lofgren, Richard; Melgar, Sergio; Butler, Frank; Day, Zed; Clark, Murray; Claypool, Joseph O; Gilbert, Peter; Gombeski, William; Higdon, Courtney M

2007-12-01

If the medical system in the United States is to change, as has been recommended, academic medical centers must, in fact, lead this change process. To prepare for the future, the University of Kentucky decided to move aggressively toward developing an integrated clinical enterprise branded as UK HealthCare, where leadership of the various components of the academic medical center make strategic and financial decisions together to achieve common organizational goals. The authors discuss senior leadership's development of the vision for the enterprise and the governance structure that was established to engage board members and faculty of the institution. They examine the rigorous strategic, facilities, financial, and academic planning that ensued, and the early successes achieved. The authors introduce some of the lessons learned by the organization during the emergence of UK HealthCare and describe the corporate structure and senior management team that was established to support the quick and efficient implementation of the planning strategies. It was this corporate structure and senior management team which has proven to be an effective agent of change and a key to the successful development of a truly integrated clinical enterprise.

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

Kentucky highway user survey 2008.

DOT National Transportation Integrated Search

2009-01-01

This study updates surveys of Kentucky driver opinion regarding the quality of Kentucky's highway system. The survey was conducted in 2008. Data is presented in bar graphs and tables that allow the analysis of changes in public opinion since the firs...

Determination of coalbed methane potential and gas adsorption capacity in Western Kentucky coals

USGS Publications Warehouse

Mardon, S.M.; Takacs, K.G.; Hower, J.C.; Eble, C.F.; Mastalerz, Maria

2006-01-01

The Illinois Basin has not been developed for Coalbed Methane (CBM) production. It is imperative to determine both gas content and other parameters for the Kentucky portion of the Illinois Basin if exploration is to progress and production is to occur in this area. This research is part of a larger project being conducted by the Kentucky Geological Survey to evaluate the CBM production of Pennsylvanian-age western Kentucky coals in Ohio, Webster, and Union counties using methane adsorption isotherms, direct gas desorption measurements, and chemical analyses of coal and gas. This research will investigate relationships between CBM potential and petrographic, surface area, pore size, and gas adsorption isotherm analyses of the coals. Maceral and reflectance analyses are being conducted at the Center for Applied Energy Research. At the Indiana Geological Survey, the surface area and pore size of the coals will be analyzed using a Micrometrics ASAP 2020, and the CO2 isotherm analyses will be conducted using a volumetric adsorption apparatus in a water temperature bath. The aforementioned analyses will be used to determine site specific correlations for the Kentucky part of the Illinois Basin. The data collected will be compared with previous work in the Illinois Basin and will be correlated with data and structural features in the basin. Gas composition and carbon and hydrogen isotopic data suggest mostly thermogenic origin of coalbed gas in coals from Webster and Union Counties, Kentucky, in contrast to the dominantly biogenic character of coalbed gas in Ohio County, Kentucky.

Establishment of a Laboratory for Biofuels Research at the University of Kentucky

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

Crocker, Mark; Crofcheck, Czarena; Andrews, Rodney

2013-03-29

This project was aimed at the development of the biofuels industry in Kentucky by establishing a laboratory to develop improved processes for biomass utilization. The facility is based at the University of Kentucky Center for Applied Energy Research and the Department of Biosystems and Agricultural Engineering, and constitutes an “open” laboratory, i.e., its equipment is available to other Kentucky researchers working in the area. The development of this biofuels facility represents a significant expansion of research infrastructure, and will provide a lasting resource for biobased research endeavors at the University of Kentucky. In order to enhance the laboratory's capabilities andmore » contribute to on-going biofuels research at the University of Kentucky, initial research at the laboratory has focused on the following technical areas: (i) the identification of algae strains suitable for oil production, utilizing flue gas from coal-fired power plants as a source of CO 2; (ii) the conversion of algae to biofuels; and (iii) the development of methods for the analysis of lignin and its deconstruction products. Highlights from these activities include the development of catalysts for the upgrading of lipids to hydrocarbons by means of decarboxylation/decarbonylation (deCOx), a study of bio-oil production from the fast pyrolysis of algae (Scenedesmus), and the application of pyrolytic gas chromatography coupled with mass spectrometry (Py-GC-MS) to the characterization of high lignin biomass feedstocks.« less

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.

View of Tennessee, Virginia, Kentucky border area

NASA Image and Video Library

1973-08-15

SL3-88-053 (July-September 1973) --- A near vertical view of the Tennessee-Virginia-Kentucky border area is seen in this Skylab 3 Earth Resources Experiments Package S190-B (five-inch Earth terrain camera) photograph taken from the Skylab space station in Earth orbit. The clock is in the most southerly corner of the picture. Interstate 81 under construction extends northeast-southwest across the bottom portion of the photograph. The larger urban area nearest the center of the picture is Kingsport, Tennessee. On the southern side of I-80 and east of Kingsport is the city of Bristol, Tennessee-Virginia. Johnson City, Tennessee is the urban area near the edge of the picture southeast of Kingsport. The Holston River, a tributary of the Tennessee River, meanders through the Kingsport area. The characteristic ridge and valley features in the Cumberland Plateau of Kentucky, Tennessee and Virginia are clearly visible. Forests (dark green) occur on the ridges and clearly outline the folded and faulted rock formations. The valleys (light) were formed in the softer rocks as a result of erosion. Agricultural areas are indicated by the characteristic rectangular patterns. Coal production is an important industry of this area; and it is mined by surface open pit operations. The irregular light areas in the Kentucky-Virginia border area are the strip mines which follow the contour of the land. Reclamation of the strip mine areas is aided through accurate knowledge of the mine and drainage systems. Dr. Ronald Brooks of the Wolf Research and Development Corporation can use this photograph in study of strip mine areas in the east central U.S. Federal agencies participating with NASA on the EREP project are the Departments of Agriculture, Commerce, Interior, the Environmental Protection Agency and the Corps of Engineers. All EREP photography is available to the public through the Department of Interior’s Earth Resources Observations Systems Data Center, Sioux Falls, South Dakota

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

Economic costs of low safety belt usage in motor vehicle crashes in Kentucky.

DOT National Transportation Integrated Search

2005-10-01

By passing legislation in 2006 to mandate primary enforcement of the Kentucky state law requiring safety belt use for motor vehicle occupants, the state could expect to realize an overall savings of at least $118 million in direct medical costs over ...

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

Forest statistics of eastern Kentucky

Treesearch

The Forest Survey Organization Central States Forest Experiment Station

1952-01-01

The Forest Survey is conducted in the various regions by the forest experiment stations of the Forest Service. In Kentucky the project is directed by the Central States Forest Experiment Station with headquarters in Columbus, Ohio. This Survey Release presents the more significant preliminary statistics on the forest area and timber volume for the Eastern Kentucky...

Will Kentucky lead the way in synthetic fuels production? A history lesson

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

Musulin, M.

2008-07-01

At four times in the history of the United States, synthetic fuels have been used as the energy savior of the country, from the period immediately following the second World War to the mid 1980s when the Synthetic Fuels Corporation was unceremoniously demolished by the Reagan administration. The Center for Applied Energy Research at the University of Kentucky has been a major player in the game and the state of Kentucky has received much funding for synthetic fuels development since the 1970s. The article traces the history of developments in the field. The fate of the development has in themore » author's opinion been influenced by the misalignment of three 'spheres of influence' - in essence the political economy, environmental/regulatory issues, and the technological innovation process. Synthetic fuels can now become an integral part of what is called a 'multiplex energy strategy' and Kentucky again has the opportunity to build on its prior experience and embrace a new paradigm regarding how clean energy solutions based on gasification technologies can aid the USA. 4 photos.« less

Improving Responsiveness to Fiscal Stress: The Kentucky Experience.

ERIC Educational Resources Information Center

Blanton, Jack C.; And Others

1984-01-01

Kentucky legislation that has restructured the business management of the state's public colleges and universities is discussed. Attention is directed to: conditions in Kentucky prior to the passage of H.B. 622; the events surrounding the development of the legislation; the effects of the legislation on Kentucky's eight universities and 13…

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.

The timber resources of Kentucky

Treesearch

David A. Gansner

1968-01-01

The McSweeney-McNary Forest Research Act of 1928 authorizes the U. S. Forest Service to complete a statewide forest inventory of Kentucky at approximate 10-year intervals as part of the nationwide program of maintaining a current account of our timber resources. The Division of Forestry of the Kentucky Department of Natural Resources and the U. S. Forest Service...

Forest statistics of central Kentucky

Treesearch

The Forest Survey Organization Central States Forest Experiment Station

1950-01-01

This Survey Release presents the more significant preliminary statistics on the forest area and timber volume for each of the four regions of Central Kentucky. A similar report has been published for the Western Kentucky region and a release for the eastern region will be issued as soon as field work and tabulations are completed. Later an analytical report for the...

77 FR 34888 - Kentucky Regulatory Program

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-12

... DEPARTMENT OF THE INTERIOR Office of Surface Mining Reclamation and Enforcement 30 CFR Part 917 [KY-255-FOR; OSM-2012-0004] Kentucky Regulatory Program AGENCY: Office of Surface Mining Reclamation... Program (hereinafter, the ``Kentucky program'') under the Surface Mining Control and Reclamation Act of...

76 FR 50436 - Kentucky Regulatory Program

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-15

... DEPARTMENT OF THE INTERIOR Office of Surface Mining Reclamation and Enforcement 30 CFR Part 917 [KY-254-FOR; OSM-2011-0005] Kentucky Regulatory Program AGENCY: Office of Surface Mining Reclamation... Program (hereinafter, the ``Kentucky program'') under the Surface Mining Control and Reclamation Act of...

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

Migration in Kentucky: Will the Circle Be Unbroken?

ERIC Educational Resources Information Center

Price, Michael

This chapter examines Kentucky's history of net migration, the age and education of recent in-migrants and out-migrants, and implications of these trends for Kentucky in the next century. Kentucky's migration history for much of the 20th century reveals the departure of young adults from the state, an exodus from rural areas, and an attraction of…

Quality-assurance plan for the analysis of fluvial sediment by the U.S. Geological Survey Kentucky Water Science Center Sediment Laboratory

USGS Publications Warehouse

Shreve, Elizabeth A.; Downs, Aimee C.

2005-01-01

This report describes laboratory procedures used by the U.S. Geological Survey Kentucky Water Science Center Sediment Laboratory for the processing and analysis of fluvial-sediment samples for concentration of sand and finer material. The report details the processing of a sediment sample through the laboratory from receiving the sediment sample, through the analytical process, to compiling results of the requested analysis. Procedures for preserving sample integrity, calibrating and maintaining of laboratory and field instruments and equipment, analyzing samples, internal quality assurance and quality control, and validity of the sediment-analysis results also are described. The report includes a list of references cited and a glossary of sediment and quality-assurance terms.

76 FR 12849 - Kentucky Regulatory Program

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-09

... (underground mining). The text of the Kentucky regulations can be found in the administrative record and online... DEPARTMENT OF THE INTERIOR Office of Surface Mining Reclamation and Enforcement 30 CFR Part 917 [KY-252-FOR; OSM-2009-0011] Kentucky Regulatory Program AGENCY: Office of Surface Mining Reclamation...

Kentucky and Missouri School Improvement Models.

ERIC Educational Resources Information Center

Wheeler, Nedra; Agruso, Ramona

The Kentucky Education Reform Act of 1990 mandates radical changes in curriculum, finances, and governance for all Kentucky schools and requires that all schools implement school-based decision making (SBDM). SBDM involves a cooperative problem solving approach to operational decisions. New York's Johnson City school district developed an…

Performance Assessment & KERA. Proceedings of a Conference of the Kentucky Educational Research Association (Lexington, Kentucky, April 1991).

ERIC Educational Resources Information Center

Kentucky Univ., Lexington. Center for Professional Development.

In April 1991, members of the Kentucky Educational Research Association (KERA), held a conference to discuss performance assessment and its use in Kentucky schools. The following papers from the conference are included: (1) "Our Conference and the Performance Assessment Committee" (S. Kifer); (2) "Performance Assessment: A National…

Mandated Preparation Program Redesign: Kentucky Case

ERIC Educational Resources Information Center

Browne-Ferrigno, Tricia

2013-01-01

This case study presents a chronicle of events spanning a decade in Kentucky that led to state policy changes for principal preparation and details the response to those mandated changes by professors at the University of Kentucky. Professors' collaborative efforts resulted in a new teacher leadership program and redesigned principal certification…

Resisting Charters: A Comparative Policy Development Analysis of Washington and Kentucky, 2002-2012

ERIC Educational Resources Information Center

Johnston, Joseph B.

2014-01-01

Over the past two decades, most states have adopted laws enabling charter schools, as charter advocates successfully presented charters as the solution to core problems in urban public education. Yet some states with large urban centers, notably Washington and Kentucky, resisted this seemingly inexorable trend for years. What explains their…

Eastern Kentucky Teacher and Administrative Stress

ERIC Educational Resources Information Center

Wright, Sam; Ballestero, Victor

2011-01-01

The purpose of this research was to survey selected Eastern Kentucky Principals (Elementary, Middle, and High School) to collect data about stress in public schools. A stress survey (Appendix C) was sent to randomly selected elementary, middle, and high school principals located in the Eastern Kentucky region serviced by Morehead State University…

Proceedings of a Workshop on Community Impact Analysis (Lexington, Kentucky, May 24-26, 1982).

ERIC Educational Resources Information Center

Southern Rural Development Center, Mississippi State, MS.

The Southern Rural Development Center in cooperation with the University of Kentucky sponsored a workshop which brought together extension and research personnel interested in rural economic development concerns (i.e., inadequate water supplies, sewer systems, and schools). The proceedings include "Community Growth Management: The Land-Grant…

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.

Women in Kentucky: A Documented Profile.

ERIC Educational Resources Information Center

Stewart, Hester R.

A study was conducted in Kentucky to increase the database available to the state's decision makers concerning women in relation to family status, occupational participation, income and earnings, and issues and concerns that may need greater emphases. Data were gathered through Kentucky government agencies and the U.S. Bureau of the Census as well…

Water resources activities in Kentucky, 1986

USGS Publications Warehouse

Faust, R. J.

1986-01-01

The U.S. Geological Survey, Water Resources Division, conducts three major types of activities in Kentucky in order to provide hydrologic information and understanding needed for the best management of Kentucky 's and the Nation 's water resources. These activities are: (1) Data collection and dissemination; (2) Water-resources appraisals (interpretive studies); and (3) Research. Activities described in some detail following: (1) collection of surface - and groundwater data; (2) operation of stations to collect data on water quality, atmospheric deposition, and sedimentation; (3) flood investigations; (4) water use; (5) small area flood hydrology; (6) feasibility of disposal of radioactive disposal in deep crystalline rocks; (7) development of a groundwater model for the Louisville area; (8) travel times for streams in the Kentucky River Basin; (9) the impact of sinkholes and streams on groundwater flow in a carbonate aquifer system; (10) sedimentation and erosion rates at the Maxey Flats Radioactive Waste Burial site; and (11) evaluation of techniques for evaluating the cumulative impacts of mining as applied to coal fields in Kentucky. (Lantz-PTT)

Cancer Mortality in Rural Appalachian Kentucky. Appalachian Data Bank Report #6.

ERIC Educational Resources Information Center

Tucker, Thomas C.; And Others

This report compares cancer mortality rates in rural Appalachian Kentucky with rates for rural non-Appalachian Kentucky and the U.S. white population. Rural Appalachian Kentucky differs from the rest of rural Kentucky in having a younger, poorer, less educated population with greater employment in mining as opposed to agriculture, and with less…

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.

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

76 FR 31387 - Kentucky Disaster # KY-00040

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-31

... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12599 and 12600] Kentucky Disaster KY-00040 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a Notice of the Presidential declaration of a major disaster for the Commonwealth of Kentucky (FEMA-1976-DR), dated 05/19/ 2011. Incident...

Smoke-free legislation and charitable gaming in Kentucky.

PubMed

Pyles, M K; Hahn, E J

2009-02-01

To determine the effect of municipal smoke-free laws in Kentucky on gross and/or net revenues from charitable gaming activities. Between January 2000 and June 2007, 13 Kentucky communities implemented smoke-free legislation; only three specifically exempted charitable gaming facilities and compliance in several communities was not consistent. Kentucky is a tobacco-growing state that has the highest smoking rate in the United States. A fixed-effects time series design to estimate the impact of municipal smoke-free laws on charitable gaming. 13 Kentucky counties that implemented smoke-free laws during the study period of January 2000 through June 2007. All charitable gaming facilities in 13 counties in which a smoke-free ordinance was enacted during the study period. Gross and net revenues from charitable gaming activities in each county for each quarter of the study period, obtained from the Kentucky Department of Charitable Gaming. When controlling for economic variables, county-specific effects and time trends using a robust statistical framework, there was no significant relation between smoke-free laws and charitable gaming revenues. Municipal smoke-free legislation had no effect on charitable gaming revenues. No significant harm to charitable gaming revenues was associated with the smoke-free legislation during the 7.5-year study period, despite the fact that Kentucky is a tobacco-producing state with higher-than-average smoking rates.

The Summertime Challenge: From California to Kentucky, Camps Offer More than Sunburns and Sing-Alongs.

ERIC Educational Resources Information Center

Hawkins, Joseph A.

1993-01-01

Describes the following summer camps that challenge children to broaden their world views: (1) Encampment for Citizenship (California); (2) Highlander Research and Education Center (Tennessee); (3) Camp It Up (California); (4) Timber Trails Camps (Connecticut); (5) Children Connected to Their Culture Summer Camp (Kentucky); and (6) Westwood…

Measuring the value of Kentucky vehicle enforcement activities.

DOT National Transportation Integrated Search

2008-01-01

The responsibility for monitoring commercial vehicles on Kentuckys roadways and enforcing the applicable laws and regulations falls primarily on Kentucky Vehicle Enforcement (KVE). KVE personnel are involved in a variety of activities including co...

Postsecondary Education Reform in Kentucky. Issue Brief.

ERIC Educational Resources Information Center

Rabuzzi, Daniel A.; Carson, Ron

As governors and states seek to improve the responsiveness of postsecondary education, Kentucky's experience provides a powerful example of a systemic reform strategy. In 1997, Kentucky's governor proposed, and the General Assembly approved, the Postsecondary Education Improvement Act (House Bill 1), which reshaped the state system of public…

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.

NASA-UK STAP: A technology applications program to aid government and industry in Kentucky

NASA Technical Reports Server (NTRS)

1978-01-01

There is a need for a well-defined partnership between universities, and the business and industrial community to promote the transfer of technology. In an effort to foster such a partnership, the Space Systems Program, administered by NASA, has established information dissemination centers in cooperation with various universities throughout the country. As a result of limited success in the transfer of technology to state and local units of government NASA felt that new stimuli and new approaches were needed in the public sector area. NASA selected the University of Kentucky, a land grant institution with a significant research dissemination and service role, as the site for the new program. An annual report of this program at the University of Kentucky is presented.

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

Kentucky | Midmarket Solar Policies in the United States | Solar Research |

Science.gov Websites

NREL Kentucky Kentucky No renewable portfolio standard Carve-out: None Tracking system Attribute Tracking System (PJM-GATS) Kentucky currently has no state renewable portfolio standard or goal and no demand for renewable energy certificates (RECs). However, solar customers may sell RECs to the

Kentucky's nursery situation

Treesearch

Raymond J. Swatzyna

1980-01-01

The Kentucky Division of Forestry operates three tree nurseries producing approximately 12.5 million seedlings. Production is 60% hardwoods and shrubs and 40% pine. Production could be increased to 18 million and species added to meet demand.

Carbon Monoxide Poisoning After an Ice Storm in Kentucky, 2009

PubMed Central

Lutterloh, Emily C.; Iqbal, Shahed; Clower, Jacquelyn H.; Spillerr, Henry A.; Riggs, Margaret A.; Sugg, Tennis J.; Humbaugh, Kraig E.; Cadwell, Betsy L.; Thoroughman, Douglas A.

2011-01-01

Objectives. Carbon monoxide (CO) poisoning is a leading cause of morbidity and mortality during natural disasters. On January 26–27, 2009, a severe ice storm occurred in Kentucky, causing widespread, extended power outages and disrupting transportation and communications. After the storm, CO poisonings were reported throughout the state. The objectives of this investigation were to determine the extent of the problem, identify sources of CO poisoning, characterize cases, make recommendations to reduce morbidity and mortality, and develop prevention strategies. Methods. We obtained data from the Kentucky Regional Poison Center (KRPC), hyperbaric oxygen treatment (HBOT) facilities, and coroners. Additionally, the Kentucky Department for Public Health provided statewide emergency department (ED) and hospitalization data. Results. During the two weeks after the storm, KRPC identified 144 cases of CO poisoning; exposure sources included kerosene heaters, generators, and propane heaters. Hospitals reported 202 ED visits and 26 admissions. Twenty-eight people received HBOT. Ten deaths were attributed to CO poisoning, eight of which were related to inappropriate generator location. Higher rates of CO poisoning were reported in areas with the most ice accumulation. Conclusions. Although CO poisonings are preventable, they continue to occur in postdisaster situations. Recommendations include encouraging use of CO alarms, exploring use of engineering controls on generators to decrease CO exposure, providing specific information regarding safe use and placement of CO-producing devices, and using multiple communication methods to reach people without electricity. PMID:21563718

Flood-inundation maps for a 6.5-mile reach of the Kentucky River at Frankfort, Kentucky

USGS Publications Warehouse

Lant, Jeremiah G.

2013-01-01

Digital flood-inundation maps for a 6.5-mile reach of Kentucky River at Frankfort, Kentucky, were created by the U.S. Geological Survey (USGS) in cooperation with the City of Frankfort Office of Emergency Management. The inundation maps, which can be accessed through the USGS 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 USGS streamgage Kentucky River at Lock 4 at Frankfort, Kentucky (station no. 03287500). Current conditions for the USGS streamgage may be obtained online at the USGS National Water Information System site (http://waterdata.usgs.gov/nwis/inventory?agency_code=USGS&site_no=03287500). In addition, the information has been provided to the National Weather Service (NWS) for incorporation into their Advanced Hydrologic Prediction Service (AHPS) flood warning system (http:/water.weather.gov/ahps/). The NWS forecasts flood hydrographs at many places that are often colocated at USGS streamgages. The forecasted peak-stage information, also available on the Internet, may be used in conjunction with the maps developed in this study to show predicted areas of flood inundation. In this study, flood profiles were computed for the Kentucky River reach by using HEC–RAS, a one-dimensional step-backwater model developed by the U.S. Army Corps of Engineers. The hydraulic model was calibrated by using the most current (2013) stage-discharge relation for the Kentucky River at Lock 4 at Frankfort, Kentucky, in combination with streamgage and high-water-mark measurements collected for a flood event in May 2010. The calibrated model was then used to calculate 26 water-surface profiles for a sequence of flood stages, at 1-foot intervals, referenced to the streamgage datum and ranging from a stage near bankfull to the elevation that breached the levees protecting the City of Frankfort. To delineate the flooded area at

Geography for Life and Standards-Based Education in the Commonwealth of Kentucky

ERIC Educational Resources Information Center

Howarth, David A.; Mountain, Keith R.

2004-01-01

Public education in Kentucky schools was fundamentally changed in 1990 with the passage of the Kentucky Education Reform Act (KERA). This educational reform--mandated by the Kentucky Supreme Court ruling that funding for Kentucky public school districts was neither adequate nor equitably distributed--established a platform on which standards-based…

Closing Kynect and Restructuring Medicaid Threaten Kentucky's Health and Economy.

PubMed

Wright, Charles B; Vanderford, Nathan L

2017-08-01

Following passage of the Patient Protection and Affordable Care Act (ACA) in the United States, the Kentucky Health Benefit Exchange, Kynect, began operating in Kentucky in October 2013. Kentucky expanded Medicaid eligibility in January 2014. Together, Kynect and Medicaid expansion provided access to affordable health care coverage to hundreds of thousands of individuals in Kentucky. However, following the Kentucky gubernatorial election in 2015, the newly inaugurated governor moved to dismantle Kynect and restructure the Medicaid expansion, jeopardizing public health gains and the state economy. As the first state to announce both the closure and restructuring of a state health insurance marketplace and Medicaid expansion, Kentucky may serve as a test case for the rest of the nation for reversal of ACA-related health policies. This article describes Kynect and the Kentucky Medicaid expansion and examines the potential short-term and long-term impacts that may occur following changes in state health policy. Furthermore, this article will offer potential strategies to ameliorate the expected negative impacts of disruption of both Kynect and the Medicaid expansion, such as the creation of a new state insurance marketplace under a new governor, the implementation of a private option, and increasing the state minimum wage for workers. Copyright © 2017 by Duke University Press.

Writing Whirligigs: The Art and Assessment of Writing in Kentucky State Reform.

ERIC Educational Resources Information Center

Wolf, Shelby A.; McIver, Monette C.

In 1990, the state of Kentucky created a new school system through the Kentucky Educational Reform Act (KERA). While KERA mandates wide-ranging progressive reform, testing through the Kentucky Instructional Results Information System (KIRIS) makes sure teachers get the job done. Though all Kentucky teachers are involved in writing, those at the…

Kentucky, 2011-forest inventory and analysis factsheet

Treesearch

Christopher M. Oswalt

2013-01-01

This science update provides an overview of forest resource attributes for the Commonwealth of Kentucky based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) Program at the Southern Research Station of the United States Department of Agriculture Forest Service in cooperation with the Kentucky Department of Natural Resources Division of...

Kentucky STARS for KIDS NOW: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

ERIC Educational Resources Information Center

Child Trends, 2010

2010-01-01

This paper presents a profile of Kentucky's STARS for KIDS NOW prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for…

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.

Open pelvic fractures: the University of Tennessee Medical Center at Knoxville experience over ten years.

PubMed

Black, Emily Anne; Lawson, Christy M; Smith, Scott; Daley, Brian J

2011-01-01

Open fractures of the pelvis remain a devastating injury with a high mortality and morbidity. Such injuries require an aggressive treatment plan and the coordination of trauma and orthopaedic surgeons to achieve the best outcomes. We report our experience at the University of Tennessee Medical Center at Knoxville with open pelvic fractures over the last ten years. After IRB and institutional approval, we reviewed patients admitted with a diagnosis of open fracture of the pelvis from 1999 to 2009. Demographic and admission data were recorded in the trauma registry (TRACS) of the Level I Trauma Center, serving the 1.2 million people living in the regions of east Tennessee, western North Carolina and southeastern Kentucky. Data on fractures were obtained from review of the medical records and radiographs within the chart. There were 3053 pelvic fractures from January 1999 to December 2009. There were 231 deaths in this group (6%) and ages ranged from 18 to 89 years old and Injury Severity Scores ranged from 4 to 75, with a mean of 18.3. Seventy five percent of patients were able to be discharged home. Fifty-two fractures were open. There were 43 men and the mean age was 39 years old. Average ISS was 23 and ranged from 5 to 50. There were 10 deaths (19%) and eight patients underwent angioembolization for control of bleeding (3 deaths). Motorcycle crashes were the most frequent cause of an open fracture, with lateral compression injuries representing 71%. A defined algorithm for fracture management has been in place and employed to assure adequate resuscitation and fracture care and is presented. Open pelvic fractures are usually the result of a high energy transfer, and convey a high morbidity and mortality. A defined resuscitation and fixation strategy improves outcome from historical reports. Injuries from penetrating mechanisms are associated with less morbidity and lower mortality.

[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.

County Data Book 1997: Kentucky Kids Count.

ERIC Educational Resources Information Center

Kentucky Kids Count Consortium.

This Kids Count data book examines trends in the well-being of Kentucky's children on a statewide and county basis. An introduction summarizes some of the trends for Kentucky's children in the 1990s. The bulk of the report presents statewide and county data grouped into five categories: (1) poverty rates and programs (persons in poverty; median…

Region 4: Kentucky Adequate Letter (7/6/2010)

EPA Pesticide Factsheets

This letter from EPA to Kentucky Energy and Environment Cabinet determined the overall mobile source emissions of direct PM2.5 and NOx in the Kentucky portion of the tri-state nonatainment area are an insignificant contributor to the air quality problem

76 FR 38262 - Kentucky Disaster Number KY-00040

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-29

... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12599 and 12600] Kentucky Disaster Number KY-00040 AGENCY: U.S. Small Business Administration. ACTION: Amendment 5. SUMMARY: This is an amendment of the Presidential declaration of a major disaster for the Commonwealth of Kentucky (FEMA-1976-DR...

76 FR 32387 - Kentucky Disaster Number KY-00040

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-06

... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12599 and 12600] Kentucky Disaster Number KY-00040 AGENCY: U.S. Small Business Administration. ACTION: Amendment 2. SUMMARY: This is an amendment of the Presidential declaration of a major disaster for the Commonwealth of Kentucky (FEMA-1976-DR...

76 FR 31671 - Kentucky Disaster Number KY-00040

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-01

... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12599 and 12600] Kentucky Disaster Number KY-00040 AGENCY: U.S. Small Business Administration. ACTION: Amendment 1. SUMMARY: This is an amendment of the Presidential declaration of a major disaster for the Commonwealth of Kentucky (FEMA-1976-DR...

76 FR 37391 - Kentucky Disaster Number KY-00040

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-27

... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12599 and 12600] Kentucky Disaster Number KY-00040 AGENCY: U.S. Small Business Administration. ACTION: Amendment 4. SUMMARY: This is an amendment of the Presidential declaration of a major disaster for the Commonwealth of Kentucky (FEMA-1976-DR...

76 FR 35937 - Kentucky Disaster Number KY-00040

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-20

... U.S. SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12599 and 12600] Kentucky Disaster Number KY-00040 AGENCY: U.S. Small Business Administration. ACTION: Amendment 3. SUMMARY: This is an amendment of the Presidential declaration of a major disaster for the Commonwealth of Kentucky (FEMA-1976-DR...

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

A Guidance Document for Kentucky's Oil and Gas Operators

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

Bender, Rick

The accompanying report, manual and assimilated data represent the initial preparation for submission of an Application for Primacy under the Class II Underground Injection Control (UIC) program on behalf of the Commonwealth of Kentucky. The purpose of this study was to identify deficiencies in Kentucky law and regulation that would prevent the Kentucky Division of Oil and Gas from receiving approval of primacy of the UIC program, currently under control of the United States Environmental Protection Agency (EPA) in Atlanta, Georgia.

Floods of January-February 1957 in southeastern Kentucky and adjacent areas

USGS Publications Warehouse

,

1964-01-01

Heavy rains over an extensive area on January 27-February 2, caused extreme flooding in southeastern Kentucky and adjacent areas in West Virginia, Virginia, and Tennessee. Total rainfall for the storm period ranged from 6-9 inches over most of the report area and was 12? inches at the eastern end of the Virginia-Kentucky State line. The principal basins affected by the storm were those of the Big Sandy, Kentucky, Cumberland, and Tennessee Rivers. Maximum discharge of record occurred in many streams. On Levisa Fork near Grundy, Va., the peak discharge of 33,200 cfs was 50 percent greater than the previous maximum in 17 years of record and was 3.3 times the mean annual flood. The peak discharges on-tributaries of the Kentucky River and on ,the Holston and Clinch Rivers were also the greatest of record and .those on the upper Cumberland River were nearly as great as .those during the historic floods of 1918 and 1946. Total flood damage was estimated at $61 million of which $39 million was in the Big Sandy River basin (mostly in Kentucky) and $15 million was in the Kentucky River basin--$52 million of the total damage was in Kentucky.

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.

Projections of Distributed Photovoltaic Adoption in Kentucky through 2040

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

Gagnon, Pieter; Das, Paritosh

2017-06-21

NREL has used the dGen (Distributed Generation Market Demand Model) to project the adoption of distributed Photovoltaics in Kentucky through 2040. This analysis was conducted by the STAT Network at the request of the Kentucky Energy Office.

Summary of available hydrogeologic data for the northeast portion of the alluvial aquifer at Louisville, Kentucky

USGS Publications Warehouse

Unthank, Michael D.; Nelson, Hugh L.

2006-01-01

The hydrogeologic characteristics of the unconsolidated glacial outwash sand and gravel deposits that compose the northeast portion of the alluvial aquifer at Louisville, Kentucky, indicate a prolific water-bearing formation with approximately 7 billion gallons of ground-water storage and an estimated sustainable yield of over 280 million gallons per day. This abundance of ground water and the need to properly develop and manage this resource has prompted many past investigations (since 1956), which have produced reports, maps, and data files covering a variety of topics relative to the movement, availability, and use of ground water in this area. These data have been compiled into a single report to assist in future development and use of the ground-water resources. Available ground-water data for the alluvial aquifer at Louisville, Kentucky, from Beargrass Creek to Harrods Creek, were compiled from the U.S. Geological Survey National Water Information System and the Kentucky Groundwater Data Repository. Data contained in these databases include ground-water well-construction details and historical ground-water levels, drillers' logs, and water-quality information. Additional data and information were gathered from project files at the U.S. Geological Survey--Kentucky Water Science Center and files at the Louisville Water Company. Information contained in these files included data from area pumping tests describing aquifer characteristics and ground-water flow. Data describing current conditions of the ground-water system in the northeast portion of the alluvial aquifer also are included. Ground-water levels from a network of observation wells show recent trends in the flow system, and information from the Kentucky Division of Water-Groundwater Branch lists current permitted ground-water withdrawals in the area.

511 case studies : Kentucky

DOT National Transportation Integrated Search

2000-11-01

This document is the first of five case studies planned on the implementation of statewide 511 transportation information abbreviated telephone dialing codes. It provides a current snapshot of the progress being made in Kentucky

Analysis of traffic crash data in Kentucky : 1997-2001.

DOT National Transportation Integrated Search

2002-08-01

This report documents an analysis of traffic crash data in Kentucky for the years of 1997 through 2001. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of crash...

Analysis of traffic accident data in Kentucky (1986-1990)

DOT National Transportation Integrated Search

1991-09-01

This report includes an analysis of traffic accident data in Kentucky for the years of 1986-1990. A primary objectve of this study was to determine average statistics for kentucky highways. Average and critical number and rates of accidents were calc...

Analysis of traffic crash data in Kentucky (2011-2015).

DOT National Transportation Integrated Search

2016-09-01

This report documents an analysis of traffic crash data in Kentucky for the years of 2011 through 2015. A primary objective of this study was to determine average crash statistics for Kentucky highways. Rates were calculated for various types of high...

Analysis of traffic crash data in Kentucky (1997-2001)

DOT National Transportation Integrated Search

2002-08-01

This report documents an analysis of traffic crash data in Kentucky for the years of 1997 through 2001. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of crash...

Analysis of Traffic Crash Data in Kentucky (2012-2016).

DOT National Transportation Integrated Search

2017-09-01

This report documents an analysis of traffic crash data in Kentucky for the years of 2012 through 2016. A primary objective of this study was to determine average crash statistics for Kentucky highways. Rates were calculated for various types of high...

Analysis of traffic crash data in Kentucky (2009-2013).

DOT National Transportation Integrated Search

2014-09-01

This report documents an analysis of traffic crash data in Kentucky for the years of 2009 through 2013. A primary objective of this study was to determine average crash statistics for Kentucky highways. Rates were calculated for various types of high...

Analysis of traffic accident data in Kentucky (1994-1998)

DOT National Transportation Integrated Search

1999-09-01

This report includes an analysis of traffic accident data in Kentucky for the years of 1994 through 1998. A primary objective of this study was to determine average accident statistics for Kentucky highways. Average and critical numbers and rates of ...

Analysis of traffic crash data in Kentucky (1996-2000)

DOT National Transportation Integrated Search

2001-09-01

This report documents an analysis of traffic crash data in Kentucky for the years of 1996 through 2000. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of crash...

Analysis of traffic crash data in Kentucky : 1996-2000.

DOT National Transportation Integrated Search

2001-09-01

This report documents an analysis of traffic crash data in Kentucky for the years of 1996 through 2000. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of crash...

Analysis of traffic crash data in Kentucky : 2002-2006.

DOT National Transportation Integrated Search

2007-09-01

This report includes an analysis of traffic accident data in Kentucky for the years of 2002 through 2006. A primary objective of this study was to determine average accident statistics for Kentucky highways. Average and critical numbers and rates of ...

Analysis of traffic crash data in Kentucky : 2000-2004.

DOT National Transportation Integrated Search

2005-08-01

This report includes an analysis of traffic accident data in Kentucky for the years of 2000 through 2004. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of cra...

Analysis of traffic crash data in Kentucky : 1998-2002.

DOT National Transportation Integrated Search

2003-09-01

This report documents an analysis of traffic accident data in Kentucky for the years of 1998 through 2002. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of cr...

Analysis of traffic crash data in Kentucky : 2001-2005.

DOT National Transportation Integrated Search

2006-08-01

This report includes an analysis of traffic accident data in Kentucky for the years of 2001 through 2005. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical rates of crashes were ca...

Analysis of traffic crash data in Kentucky : 2003-2007.

DOT National Transportation Integrated Search

2008-08-01

This report includes an analysis of traffic accident data in Kentucky for the years of 2003 through 2007. A primary objective of this study was to determine average accident statistics for Kentucky highways. Average and critical numbers and rates of ...

Analysis of traffic crash data in Kentucky : 2005-2009.

DOT National Transportation Integrated Search

2010-08-01

This report documents an analysis of traffic crash data in Kentucky for the years of 2005 through 2009. A primary objectives of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of cras...

Analysis of traffic crash data in Kentucky : 2004-2008.

DOT National Transportation Integrated Search

2009-09-01

The report documents an analysis of traffic crash data in Kentucky for the years of 2004 through 2008. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of crashe...

Kentucky, 2010—forest inventory and analysis factsheet

Treesearch

Christopher M. Oswalt

2012-01-01

This publication provides an overview of forest resource attributes for the Commonwealth of Kentucky based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) Program at the Southern Research Station of the U.S. Department of Agriculture Forest Service in cooperation with the Kentucky Department of Natural Resources Division of Forestry. These...

Eastern Kentucky Teacher and Administrative Stress: Part II

ERIC Educational Resources Information Center

Wright, Sam; Ballestero, Victor

2012-01-01

The purpose of this research was to survey selected Eastern Kentucky Teachers (Elementary, Middle, and High School) to collect data about stress in public schools. This was a continuation study for Eastern Kentucky that collected data on how men and women teachers and men and women administrators handle stress. A stress survey (Appendix C) was…

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.

[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.

State Synergies and Disease Surveillance: Creating an Electronic Health Data Communication Model for Cancer Reporting and Comparative Effectiveness Research in Kentucky

PubMed Central

Reams, Christopher; Powell, Mallory; Edwards, Rob

2014-01-01

Purpose: This case study describes the collaboration between a state public health department, a major research university, and a health extension service funded as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act to establish an interoperable health information system for disease surveillance through electronic reporting of systemic therapy data from numerous oncology practices in Kentucky. The experience of the Kentucky cancer surveillance system can help local and state entities achieve greater effectiveness in designing communication efforts to increase usage of electronic health records (EHRs) and health information exchanges (HIEs), help eligible clinicians meet these new standards in patient care, and conduct disease surveillance in a learning health system. Innovation: We document and assess the statewide efforts of early health information technology (HIT) adopters in Kentucky to facilitate the nation’s first electronic transmission of a clinical document architecture (CDA) from a physician office to a state cancer surveillance registry in November 2012. Successful transmission of the CDA not only represented a landmark for technology innovators, informaticists, and clinicians, but it also set in motion a new communication mechanism by which state and federal agencies can capture and trade vital cancer statistics in a way that is safe, secure, and timely. The corresponding impact this has on cancer surveillance and comparative effective research is immense. With guidance from the Centers for Disease Control and Prevention (CDC), the Kentucky Cancer Registry (KCR), the Kentucky Health Information Exchange (KHIE), and the Kentucky Regional Extension Center (KREC) have moved one step further in transforming the interoperable health environment for improved disease surveillance. Credibility: This case study describes the efforts of established and reputable agencies, including the KCR, the state department of health

Southern Illinois and Western Kentucky, USA

NASA Image and Video Library

1973-06-22

SL2-81-194 (22 June 1973) --- This view of southern Illinois and Western Kentucky (37.0N, 88.5W), with the winding Ohio River in between also illustrates the rich agriculture potential of the flood plains in the river bottom lands. To the east are the waters of Lake Kentucky and Lake Barkley which flow into the Ohio at Paducah, KY and may be seen stretching for several miles. Except for the Land Between the Lakes State Park, Extensive agriculture may be seen throughout the area. Photo credit: NASA

Towards developing Kentucky's landscape change maps

USGS Publications Warehouse

Zourarakis, D.P.; Lambert, S.C.; Palmer, M.

2003-01-01

The Kentucky Landscape Snapshot Project, a NASA-funded project, was established to provide a first baseline land cover/land use map for Kentucky. Through this endeavor, change detection will be institutionalized, thus aiding in decision-making at the local, state, and federal planning levels. 2002 Landsat 7 imaginery was classified following and Anderson Level III scheme, providing an enhancement over the 1992 USGS National Land Cover Data Set. Also as part of the deliverables, imperviousness and canopy closure layers were produced with the aid of IKONOS high resolution, multispectral imagery.

Status of H-Coal commercial activities. [Kentucky

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

Hicks, H.N. Jr.

1981-01-01

The H-Coal process is a development of Hydrocarbon Research, Inc. (HRI). It converts coal by catalytic hydrogenation to substitutes for petroleum ranging from a low sulfur fuel oil to an all distillate synthetic crude, the latter representing a potential source of raw material for the petrochemical industry. The process is a related application to HRI's H-Oil process which is used commercially for the desulfurization of residual oils from crude oil refining. A large scale pilot plant was constructed at Catlettsburg, Kentucky that is designed to process 200 to 600 TPD of coal. The paper includes an update on the keymore » activities associated with the Breckinridge Project: Pilot Plant H-Coal at Catlettsburg, Kentucky; commercial design activities in Houston; and permit and EIS activities for the Addison, Kentucky plant site.« less

Globally Competitive, Locally Engaged: The Case of Kentucky

ERIC Educational Resources Information Center

McGuinness, Aims C., Jr.

2008-01-01

The Commonwealth of Kentucky, a state with among the lowest levels of per capita income and education attainment in the United States, embarked on an ambitious set of higher education reforms in 1997 aimed at elevating the state to the national average of educational attainment by 2020. At the time of their enactment, the Kentucky reforms were…

Eastern Kentucky Teacher and Administrative Stress: Part III

ERIC Educational Resources Information Center

Wright, Sam; Ballestero, Victor

2012-01-01

The purpose of this research was to survey randomly selected Eastern Kentucky Superintendents to collect data about stress in public schools. This was the third year of a continuation study for Eastern Kentucky that collected data on how men and women teachers and men and women administrators handle stress. A stress survey (Appendix A) was sent to…

Womanpower in the United States and in Kentucky.

ERIC Educational Resources Information Center

Huelsman, B. Ryle

By 1975, the Kentucky and United States female labor force participation rates were both 41 percent. Although pre-World War II data are lacking for the Commonwealth, it was not until 1950 that the labor force participation rate for Kentucky women reached 20.4 percent, a figure achieved nationally as early as 1920. The distribution of women to men…

Farm Crisis in Kentucky: What Can We Do?

ERIC Educational Resources Information Center

Ilvento, Thomas W.; Christenson, James A.

1986-01-01

A new era of farming is evolving in Kentucky. Resulting primarily from the loss of medium-sized operations, there has been a decline in the total number of farms. The real value of farmland dropped 16% in Kentucky between 1981 and 1985. More farmers are seeking off-farm employment in order to continue family operations. Similarly, more farmers…

[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

Defining the role of University of Kentucky HealthCare in its medical market--how strategic planning creates the intersection of good public policy and good business practices.

PubMed

Karpf, Michael; Lofgren, Richard; Bricker, Timothy; Claypool, Joseph O; Zembrodt, Jim; Perman, Jay; Higdon, Courtney M

2009-02-01

In response both to national pressures to reduce costs and improve health care access and outcomes and to local pressures to become a top-20 public research university, the University of Kentucky moved toward an integrated clinical enterprise, UK HealthCare, to create a common vision, shared goals, and an effective decision-making process. The leadership formed the vision and then embarked on a comprehensive and coordinated planning process that addressed financial, clinical, academic, and operational issues. The authors describe in depth the strategic planning process and specifically the definition of UK HealthCare's role in its medical marketplace. They began a rigorous process to assess and develop goals for the clinical programs and followed the progress of these programs through meetings driven by data and attended by the organization's senior leadership. They describe their approach to working with rural and community hospitals throughout central, eastern, and southern Kentucky to support the health care infrastructure of the state. They review the early successes of their strategic approach and describe the lessons they learned. The clinical successes have led to academic gains. The experience of UK HealthCare suggests that good business practices and good public policy are synergistic.

Kentucky and SREB

ERIC Educational Resources Information Center

Southern Regional Education Board (SREB), 2009

2009-01-01

The Southern Regional Education Board is a nonprofit organization that works collaboratively with Kentucky and 15 other member states to improve education at every level--from pre-K to postdoctoral study--through many effective programs and initiatives. SREB's "Challenge to Lead" Goals for Education, which call for the region to lead 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.

Kentucky Information Dissemination System. Fall Dissemination Conference Follow-Up.

ERIC Educational Resources Information Center

Kentucky State Dept. of Education, Frankfort. Office of Communication Services.

Describing a state conference on information dissemination held in November 1979 in Frankfort, Kentucky, this report contains conference materials and evaluations of the mini-seminars and awareness sessions conducted there. Materials include a final agenda, seminar and roundabout topics, a description of the Kentucky Department of Education…

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

Kentucky DOE EPSCoR Program

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

Grulke, Eric; Stencel, John

2011-09-13

The KY DOE EPSCoR Program supports two research clusters. The Materials Cluster uses unique equipment and computational methods that involve research expertise at the University of Kentucky and University of Louisville. This team determines the physical, chemical and mechanical properties of nanostructured materials and examines the dominant mechanisms involved in the formation of new self-assembled nanostructures. State-of-the-art parallel computational methods and algorithms are used to overcome current limitations of processing that otherwise are restricted to small system sizes and short times. The team also focuses on developing and applying advanced microtechnology fabrication techniques and the application of microelectrornechanical systems (MEMS)more » for creating new materials, novel microdevices, and integrated microsensors. The second research cluster concentrates on High Energy and Nuclear Physics. lt connects research and educational activities at the University of Kentucky, Eastern Kentucky University and national DOE research laboratories. Its vision is to establish world-class research status dedicated to experimental and theoretical investigations in strong interaction physics. The research provides a forum, facilities, and support for scientists to interact and collaborate in subatomic physics research. The program enables increased student involvement in fundamental physics research through the establishment of graduate fellowships and collaborative work.« less

Implementation and Effects of LDC and MDC in Kentucky Districts. Policy Brief No. 13

ERIC Educational Resources Information Center

Herman, Joan; Epstein, Scott; Leon, Seth; Matrundola, Deborah La Torre; Reber, Sarah; Choi, Kilchan

2015-01-01

Kentucky has been a leader in the movement to more rigorous college and career ready standards to support their students' success in the 21st century. Kentucky was the first state to adopt new college and career ready standards (CCRS)--termed the Kentucky Core Academic Standards. Many of Kentucky's districts have moved proactively and…

Regionalization of harmonic-mean streamflows in Kentucky

USGS Publications Warehouse

Martin, Gary R.; Ruhl, Kevin J.

1993-01-01

Harmonic-mean streamflow (Qh), defined as the reciprocal of the arithmetic mean of the reciprocal daily streamflow values, was determined for selected stream sites in Kentucky. Daily mean discharges for the available period of record through the 1989 water year at 230 continuous record streamflow-gaging stations located in and adjacent to Kentucky were used in the analysis. Periods of record affected by regulation were identified and analyzed separately from periods of record unaffected by regulation. Record-extension procedures were applied to short-term stations to reducetime-sampling error and, thus, improve estimates of the long-term Qh. Techniques to estimate the Qh at ungaged stream sites in Kentucky were developed. A regression model relating Qh to total drainage area and streamflow-variability index was presented with example applications. The regression model has a standard error of estimate of 76 percent and a standard error of prediction of 78 percent.

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

Race to the Top - Early Learning Challenge: 2014 Annual Performance Report Kentucky

ERIC Educational Resources Information Center

Race to the Top - Early Learning Challenge, 2015

2015-01-01

This Race to the Top - Early Learning Challenge (RTT-ELC) annual performance report for the year 2014 describes Kentucky's accomplishments, lessons learned, challenges, and strategies Kentucky will implement to address those challenges. In December of 2013, Kentucky received notice that they would join 19 other States as a winner of the Race to…

Results Matter: A Decade of Difference in Kentucky's Public Schools, 1990-2000.

ERIC Educational Resources Information Center

Kentucky State Dept. of Education, Frankfort.

In 1989, the Kentucky Supreme Court ruled that Kentucky's education system was unconstitutional and invalidated the entire body of school law. In response, the General Assembly passed the Kentucky Education Reform Act of 1990 (KERA), a completely new educational system. This report upon the 10th anniversary of KERA's passage documents how key…

Business Industry Technical Assistance Center, Hazard Community College.

ERIC Educational Resources Information Center

Marrow, Alvin J.

The Business Industry and Technical Assistance Center (BITAC) was established in 1986 at Hazard Community College, in Kentucky, to serve as an information and technical assistance center for small business. As the local area began to face layoffs in the coal mining industry, however, the center extended its services in four principal areas:…

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

76 FR 53142 - Kentucky; Major Disaster and Related Determinations

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-25

... Stafford Act for Public Assistance and Hazard Mitigation will be limited to 75 percent of the total... declaration of a major disaster for the Commonwealth of Kentucky (FEMA-4008-DR), dated July 25, 2011, and...''), as follows: I have determined that the damage in certain areas of the Commonwealth of Kentucky...

Biodegradation potential of chlorinated solvents in ground water at the Naval Surface Warfare Center, Louisville, Kentucky, July 1999 to February 2000

USGS Publications Warehouse

Vroblesky, Don A.; Bradley, Paul M.; Petkewich, Matthew D.; Casey, Clifton C.

2001-01-01

The U.S. Geological Survey, in cooperation with the U.S. Department of the Navy, Southern Division Naval Facilities Engineering Command, investigated the potential for biodegradation of chlorinated solvents in ground water at the Naval Surface Warfare Center (also known as the Naval Ordnance Station, or the station), Louisville, Kentucky. The subsurface down to at least 100 feet at the station is characterized, from shallowest to deepest, by overburden deposits, a shale layer, and limestone. In general, all of the strata are poorly permeable. The permeable zones of the overburden and the limestone make up the overburden aquifer and the bedrock aquifer, respectively. Observed concentrations of redox-sensitive solutes suggest that the predominant anaerobic terminal electron accepting process in the overburden aquifer can shift between iron reduction and sulfate reduction, possibly as a result of rainfall-induced oxidation events. Daughter-product concentrations and laboratory experiments indicate that a variety of mechanisms, including reductive dechlorination and cometabolic oxidation, appear to be actively

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

Development of Multiple Primary Cancers in Lung Cancer Patients: Appalachian Versus Non-Appalachian Populations of Kentucky.

PubMed

Pravosud, Vira; Huang, Bin; Tucker, Thomas; Vanderford, Nathan L

2017-12-01

The aim of this study was to investigate whether patients with lung cancer in Appalachian Kentucky are more likely to develop multiple primary cancers than patients in non-Appalachian Kentucky. Additional analyses were conducted to identify other factors that may be associated with an increased hazard of developing multiple primary cancers in patients with lung cancer. The data for this retrospective, population-based cohort study of 26,456 primary lung cancer patients were drawn from the Kentucky Cancer Registry. For inclusion in the study, patients must have been diagnosed between January 1, 2000 and December 31, 2013 and they must either have continually resided in Appalachian Kentucky or continually resided in non-Appalachian Kentucky. Cases were excluded if the patient was diagnosed as having additional primary cancers within 3 months of the initial diagnosis of primary lung cancer. The medical records for each case were examined to determine whether the patient was subsequently diagnosed as having additional primary cancers. The Cox proportional hazards model was then used to assess whether there was an association between the region in which the patients live and the likelihood of developing multiple primary cancers. Time to event was considered as the time from diagnosis to either death or development of a second primary cancer. The results presented here indicate that the risk of developing multiple primary cancers is the same for patients with lung cancer throughout Kentucky (hazard ratio [HR] 1.002, P = 0.9713). We found no evidence for a greater hazard in patients from Appalachia; however, additional analyses revealed several high-risk groups. Male patients and older patients had a significantly greater hazard of developing multiple primary cancers (HR 1.169, P = 0.012 and 1.015, P = 0.0001, respectively). In addition, patients who underwent surgery and those who were diagnosed initially as having an earlier stage of cancer also were more likely to

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.

The Implementation of Kentucky's School-Based Decision Making Program.

ERIC Educational Resources Information Center

Kentucky Univ., Lexington. Inst. on Education Reform.

This report describes what schools and educators across Kentucky are doing to implement school reform in school-based decision-making based on the Kentucky Education Reform Act of 1990 (KERA). The School-Based Decision Making (SBDM) component of KERA is a decentralized governance structure that vests great authority in SBDM councils operating at…

OPEN PELVIC FRACTURES: THE UNIVERSITY OF TENNESSEE MEDICAL CENTER AT KNOXVILLE EXPERIENCE OVER TEN YEARS

PubMed Central

Black, Emily Anne; Lawson, Christy M; Smith, Scott; Daley, Brian J

2011-01-01

Introduction Open fractures of the pelvis remain a devastating injury with a high mortality and morbidity. Such injuries require an aggressive treatment plan and the coordination of trauma and orthopaedic surgeons to achieve the best outcomes. We report our experience at the University of Tennessee Medical Center at Knoxville with open pelvic fractures over the last ten years. Methods After IRB and institutional approval, we reviewed patients admitted with a diagnosis of open fracture of the pelvis from 1999 to 2009. Demographic and admission data were recorded in the trauma registry (TRACS) of the Level I Trauma Center, serving the 1.2 million people living in the regions of east Tennessee, western North Carolina and southeastern Kentucky. Data on fractures were obtained from review of the medical records and radiographs within the chart Results There were 3053 pelvic fractures from January 1999 to December 2009. There were 231 deaths in this group (6%) and ages ranged from 18 to 89 years old and Injury Severity Scores ranged from 4 to 75, with a mean of 18.3. Seventy five percent of patients were able to be discharged home. Fifty-two fractures were open. There were 43 men and the mean age was 39 years old. Average ISS was 23 and ranged from 5 to 50. There were 10 deaths (19%) and eight patients underwent an-gioembolization for control of bleeding (3 deaths). Motorcycle crashes were the most frequent cause of an open fracture, with lateral compression injuries representing 71%. A defined algorithm for fracture management has been in place and employed to assure adequate resuscitation and fracture care and is presented. Discussion Open pelvic fractures are usually the result of a high energy transfer, and convey a high morbidity and mortality. A defined resuscitation and fixation strategy improves outcome from historical reports. Injuries from penetrating mechanisms are associated with less morbidity and lower mortality. PMID:22096441

It's Up to Us! Broad Form Deeds in Kentucky.

ERIC Educational Resources Information Center

Zuercher, Melanie A., Ed.

This adult literacy curriculum best serves groups of students, but is also effective for one-on-one tutoring methods. The material covers the history of broad form deeds in Kentucky (instruments with which coal rights, but not the farmlands above the coal, were sold to mining companies) and includes four personal narratives of Kentucky residents…

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

Bill would establish pilot project for denturism in Kentucky.

PubMed

Campbell, C A

2000-04-01

HB 238 has been reported favorably to the floor of the House of Representatives by the Committee on Licensing and Occupations, but has not yet been acted upon by the full House. When asked whether he thought his legislation would be approved, Representative Burch said he thought the bill had a "50-50" chance of passing the Kentucky legislature this year. Sources within the Kentucky dental laboratory and dental communities disagree on the legislation's chances for passage. Some within the industry feel the legislation simply does not have enough votes to pass the General Assembly, primarily because of opposition from the Kentucky Dental Association. Others speculate that the bill has a better opportunity to be approved this year than it did in the previous years when it was introduced. The Kentucky General Assembly adjourns its session for the year 2000 on April 12, so there will be a quick answer to the question of whether HB 238 will be approved. The May issue of this column will provide details.

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.

Kentucky's Individualized Kindergartens: A State Network Design for Early Intervention.

ERIC Educational Resources Information Center

Bright, B.; Cansler, D. P.

The KIK (Kentucky Individualized Kindergartens) project, a collaborative project between Kentucky's Department of Education and the Chapel Hill (NC) Training-Outreach project, is designed to serve high risk children. KIK provides early identification of high risk kindergarteners, development of individualized education programs, and implementation…

77 FR 47062 - Kentucky Municipal Power Agency; Notice of Filing

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-07

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. EL12-94-000] Kentucky Municipal Power Agency; Notice of Filing Take notice that on July 30, 2012, Kentucky Municipal Power Agency filed a Proposed Revenue Requirement for reactive supply service under Midwest Independent Transmission...

77 FR 61595 - Kentucky Municipal Power Agency; Notice of Filing

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-10

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. EL13-3-000] Kentucky Municipal Power Agency; Notice of Filing Take notice that on October 1, 2012, Kentucky Municipal Power Agency filed its Revised and Superseding Proposed Revenue Requirement for reactive supply service under...

Quantification of the benefits of access management for Kentucky : final report.

DOT National Transportation Integrated Search

2006-07-01

This report describes the benefits quantification performed for the proposed access management plan for Kentucky. This study evaluates the capacity, safety and economic impacts associated with access management programs. The proposed Kentucky access ...

Genetic lineages of Salmonella enterica serovar Kentucky spreading in pet reptiles.

PubMed

Zając, Magdalena; Wasyl, Dariusz; Hoszowski, Andrzej; Le Hello, Simon; Szulowski, Krzysztof

2013-10-25

The purpose of the study was to define genetic diversity of reptilian Salmonella enterica serovar (S.) Kentucky isolates and their epidemiological relations to the ones from poultry, food, and environmental origin in Poland. Between 2010 and 2012 twenty-four S. Kentucky isolates derived from snakes (N=8), geckos (N=7), chameleons (N=4), agamas (N=1), lizard (N=1), and environmental swabs taken from reptile exhibition (N=3) were identified. They were characterized with antimicrobial minimal inhibitory concentration testing, XbaI-PFGE and MLST typing. The profiles compared to S. Kentucky available in BioNumerics local laboratory database (N=40) showed 67.3% of relatedness among reptile isolates. Three genetic lineages were defined. The first lineage gathered 20 reptile isolates with 83.4% of similarity and wild-type MICs for all antimicrobials tested but streptomycin in single case. The remaining three reptilian and one post-exhibition environment S. Kentucky isolates were clustered (87.2%) with isolates originating from poultry, mainly turkey, food, and environment and presented variable non-wild type MICs to numerous antimicrobials. The third S. Kentucky lineage was composed of two isolates from feed (96.3%). The results suggest diverse sources and independent routes of infection. Most of the isolates belonged to reptile-associated clones spread both horizontally and vertically. Simultaneously, PFGE profiles and MLST type indistinguishable from the ones observed in poultry point out carnivore reptiles as possible vector of infection with multidrug and high-level ciprofloxacin resistant (MIC≥8 mg/L) S. Kentucky. Public awareness and education are required to prevent potential reptile-associated S. Kentucky infections in humans. Copyright © 2013 Elsevier B.V. All rights reserved.

Master Plan: Lake Barkley, Cumberland River, Kentucky - Tennessee.

DTIC Science & Technology

1983-01-01

VASE 2 LOISVLLE7, DIXON GPM INGTAt PARK 28 PT. MA6AC STT PARR-*BCOLUMBUS BELMONT BATTLE ST PARK 10 REELFOOT LAKE STATV P-’ t ELYFREST STATE PAP, 01.6T...Plan: Lake garkley,Cumberland River, 3 Kentucky - Tennessee. Master Plan Update. 6. PERFORMING ORG. REPORT NUMBER 7- AUTHOR(s) 8. CONTRACT OR GRANT...block number) Lake Barkley, Kentucky. Interpretative programs. Cumberland River Recreation. Land Between the Lakes . Master Plan. 20. ABSTRACT (Continue

30 CFR 917.15 - Approval of Kentucky regulatory program amendments.

Code of Federal Regulations, 2010 CFR

2010-07-01

... amendments. 917.15 Section 917.15 Mineral Resources OFFICE OF SURFACE MINING RECLAMATION AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE KENTUCKY... Production After Mining;” “Estimated Crop Yields on Prime Farmland Soils in Western Kentucky Coalfields...

30 CFR 917.15 - Approval of Kentucky regulatory program amendments.

Code of Federal Regulations, 2012 CFR

2012-07-01

... amendments. 917.15 Section 917.15 Mineral Resources OFFICE OF SURFACE MINING RECLAMATION AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE KENTUCKY... Production After Mining;” “Estimated Crop Yields on Prime Farmland Soils in Western Kentucky Coalfields...

30 CFR 917.15 - Approval of Kentucky regulatory program amendments.

Code of Federal Regulations, 2011 CFR

2011-07-01

... amendments. 917.15 Section 917.15 Mineral Resources OFFICE OF SURFACE MINING RECLAMATION AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE KENTUCKY... Production After Mining;” “Estimated Crop Yields on Prime Farmland Soils in Western Kentucky Coalfields...

30 CFR 917.15 - Approval of Kentucky regulatory program amendments.

Code of Federal Regulations, 2014 CFR

2014-07-01

... amendments. 917.15 Section 917.15 Mineral Resources OFFICE OF SURFACE MINING RECLAMATION AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE KENTUCKY... Production After Mining;” “Estimated Crop Yields on Prime Farmland Soils in Western Kentucky Coalfields...

30 CFR 917.15 - Approval of Kentucky regulatory program amendments.

Code of Federal Regulations, 2013 CFR

2013-07-01

... amendments. 917.15 Section 917.15 Mineral Resources OFFICE OF SURFACE MINING RECLAMATION AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE KENTUCKY... Production After Mining;” “Estimated Crop Yields on Prime Farmland Soils in Western Kentucky Coalfields...

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.

Dual-Credit in Kentucky

ERIC Educational Resources Information Center

Stephenson, Lisa G.

2013-01-01

Credit-based transition programs provide high school students with opportunities to jump start their college education. The Kentucky Community and Technical College System (KCTCS) offers college credit through dual-credit programs. While KCTCS dual-credit offerings have been successful in helping high school students start their college education…

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.

Geologic mapping of Kentucky; a history and evaluation of the Kentucky Geological Survey--U.S. Geological Survey Mapping Program, 1960-1978

USGS Publications Warehouse

Cressman, Earle Rupert; Noger, Martin C.

1981-01-01

In 1960, the U.S. Geological Survey and the Kentucky Geological Survey began a program to map the State geologically at a scale of 1:24,000 and to publish the maps as 707 U.S. Geological Survey Geologic Quadrangle Maps. Fieldwork was completed by the spring of 1977, and all maps were published by December 1978. Geologic mapping of the State was proposed by the Kentucky Society of Professional Engineers in 1959. Wallace W. Hagan, Director and State Geologist of the Kentucky Geological Survey, and Preston McGrain, Assistant State Geologist, promoted support for the proposal among organizations such as Chambers of Commerce, industrial associations, professional societies, and among members of the State government. It was also arranged for the U.S. Geological Survey to supply mapping personnel and to publish the maps; the cost would be shared equally by the two organizations. Members of the U.S. Geological Survey assigned to the program were organized as the Branch of Kentucky Geology. Branch headquarters, including an editorial staff, was at Lexington, Ky., but actual mapping was conducted from 18 field offices distributed throughout the State. The Publications Division of the U.S. Geological Survey established a cartographic office at Lexington to prepare the maps for publication. About 260 people, including more than 200 professionals, were assigned to the Branch of Kentucky Geology by the U.S. Geological Survey at one time or another. The most geologists assigned any one year was 61. To complete the mapping and ancillary studies, 661 professional man-years were required, compared with an original estimate of 600 man-years. A wide variety of field methods were used, but most geologists relied on the surveying altimeter to obtain elevations. Surface data were supplemented by drill-hole records, and several dozen shallow diamond-drill holes were drilled to aid the mapping. Geologists generally scribed their own maps, with a consequent saving of publication costs

From the lab bench: Overcoming limitations of bermudagrass in Kentucky

USDA-ARS?s Scientific Manuscript database

A column was written on the advantages and disadvantages of utilizing bermudagrass as a pasture forage in Kentucky. Bermudagrass is a warm-season perennial with a short growth distribution in Kentucky - May to the first light freeze. There is concern about sensitivity of the subtropical grass to c...

Water resources activities in Kentucky, 1993-94

USGS Publications Warehouse

Maglothin, L. S.; Forbes, R.W.

1994-01-01

The U.S. Geological Survey (USGS) is the principal Federal water-resources data collection and investigation agency. Through the Water Resources Division District Office in Kentucky, the USGS investigates the occurrence, distribution, quantity, movement, and chemical and biological quality of surface and ground water in the State. The mission of this program is to collect, interpret, and publish information on water resources. Almost all research and data collection is a cooperative effort in which planning and financial support are shared by State and local agencies and governments. Other activities are funded by other Federal agencies or by direct Congressional appropriation. This report is intended to inform the public and cooperating agencies, vitally interested in the water resources of Kentucky, as to the current status of the Distfict's data collection and investigation program. Included in the report are summaries of water-resources activities in Kentucky conducted by the USGS. Also included is a description of the USGS mission and program, District organization, funding sources and cooperating agencies, and a list of USGS publications relevant to the water resources of the State.

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.

Kentucky's Automotive Certification Program.

ERIC Educational Resources Information Center

Kentucky State Dept. of Education, Frankfort. Office of Vocational Education.

The state of Kentucky recognized a need to standardize automotive mechanics training throughout the state and to establish minimum guidelines for the quality of instruction in such programs. To meet these needs, the Office of Vocational Education selected the National Institute for Automotive Service Excellence (ASE) and began the certification…

Superintendent Turnover in Kentucky. Issues & Answers. REL 2011-No. 113

ERIC Educational Resources Information Center

Johnson, Jerry; Huffman, Tyler; Madden, Karen; Shope, Shane

2011-01-01

This study examines superintendent turnover in Kentucky public school districts for 1998/99-2007/08, looking at how turnover varies by rural status, Appalachian and non-Appalachian region, and 2007/08 school district characteristics. Key findings include: (1) Kentucky school districts averaged one superintendent turnover during 1998/99-2007/08;…

Kentucky highway user survey 2004.

DOT National Transportation Integrated Search

2004-06-01

The purpose of this study was to continue the efforts begun in 1997 to monitor Kentucky public opinion regarding the quality of highway systems, including a portion to measure satisfaction with current drivers license and registration renewal proc...

Kentucky highway user survey 2001.

DOT National Transportation Integrated Search

2002-04-01

The purpose of this study was to continue the efforts begun in 1997 to monitor Kentucky public opinion regarding the quality of highway systems, including a portion to measure satisfaction with current drivers license and registration renewal proc...

Kentucky highway user survey 2000

DOT National Transportation Integrated Search

2001-07-01

The purpose of this study was to continue the efforts begun in 1997 to monitor Kentucky public opinion regarding the quality of the highway system and also includes a portion to measure satisfaction with the current drivers' license and registration ...

Kentucky highway users survey 2000

DOT National Transportation Integrated Search

2001-07-01

The purpose of this study was to continue the efforts begun in 1997 to monitor Kentucky public opinion regarding the quality of the highway system and also includes a portion to measure satisfaction with the current drivers' license and registration ...

40 CFR 81.411 - Kentucky.

Code of Federal Regulations, 2012 CFR

2012-07-01

... AREAS FOR AIR QUALITY PLANNING PURPOSES Identification of Mandatory Class I Federal Areas Where Visibility Is an Important Value § 81.411 Kentucky. Area name Acreage Public Law establishing Federal land manager Mammoth Cave NP 51,303 69-283 USDI-NPS ...

40 CFR 81.411 - Kentucky.

Code of Federal Regulations, 2011 CFR

2011-07-01

... AREAS FOR AIR QUALITY PLANNING PURPOSES Identification of Mandatory Class I Federal Areas Where Visibility Is an Important Value § 81.411 Kentucky. Area name Acreage Public Law establishing Federal land manager Mammoth Cave NP 51,303 69-283 USDI-NPS ...

40 CFR 81.411 - Kentucky.

Code of Federal Regulations, 2014 CFR

2014-07-01

... AREAS FOR AIR QUALITY PLANNING PURPOSES Identification of Mandatory Class I Federal Areas Where Visibility Is an Important Value § 81.411 Kentucky. Area name Acreage Public Law establishing Federal land manager Mammoth Cave NP 51,303 69-283 USDI-NPS ...

40 CFR 81.411 - Kentucky.

Code of Federal Regulations, 2013 CFR

2013-07-01

... AREAS FOR AIR QUALITY PLANNING PURPOSES Identification of Mandatory Class I Federal Areas Where Visibility Is an Important Value § 81.411 Kentucky. Area name Acreage Public Law establishing Federal land manager Mammoth Cave NP 51,303 69-283 USDI-NPS ...

40 CFR 81.411 - Kentucky.

Code of Federal Regulations, 2010 CFR

2010-07-01

... AREAS FOR AIR QUALITY PLANNING PURPOSES Identification of Mandatory Class I Federal Areas Where Visibility Is an Important Value § 81.411 Kentucky. Area name Acreage Public Law establishing Federal land manager Mammoth Cave NP 51,303 69-283 USDI-NPS ...

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

Innovations in Teaching on Aging: Integrative and Interactive Approaches.

ERIC Educational Resources Information Center

Timiras, Paola S.

1981-01-01

Presents summaries of current programs on aging and gerontology at these five institutions: University of Texas Health Science Center (San Antonio), Michigan State University (East Lansing), University of California (Berkeley), University of Colorado Medical Center (Denver), and University of Kentucky Medical Center (Lexington). (CS)

Elementary Change: Moving toward Systemic School Reform in Rural Kentucky.

ERIC Educational Resources Information Center

Kannapel, Patricia J.; Aagaard, Lola; Coe, Pamelia; Reeves, Cynthia A.

From 1990 to 2000, a qualitative study of the implementation of the Kentucky Education Reform Act (KERA) was conducted in four small rural school districts in Kentucky. KERA reflects key components of what would later be termed "systemic reform": a unifying set of goals that all students must attain, a coherent system of instructional…

Kentucky Environmental Education Council Goals in Kentucky Elementary Schools: A Descriptive Case Study

ERIC Educational Resources Information Center

Hodge, Connie

2013-01-01

Environmental Education (EE) refers to a broad array of approaches in which an instructor uses the environment as a means to integrate various subjects and real world learning. Research supported the idea that EE instruction had a positive correlation to academic achievement. Under the Kentucky Education Cabinet of the Department of Education, the…

Shippingport, Kentucky, is the type locality for the white-footed mouse, Peromyscus leucopus (Rafinesque, 1818) (Mammalia: Rodentia: Cricetidae)

USGS Publications Warehouse

Woodman, Neal

2015-01-01

The white-footed mouse, Musculus leucopus Rafinesque, 1818 (= Peromyscus leucopus), is a common small mammal that is widespread in the eastern and central United States. Its abundance in many habitats renders it ecologically important, and its status as a reservoir for hantavirus and Lyme disease gives the species medical and economic significance. The recognition of two cytotypes and up to 17 morphological subspecies of P. leucopus indicates considerable variation in the species, and to understand this variation, it is important that the nominate subspecies be adequately defined so as to act as a standard for comparison. Relevant to this standard for the white-footed mouse is its type locality, which has generally been accepted to be either the vague "pine barrens of Kentucky" or the mouth of the Ohio River. Newly assembled information regarding the life and travels of Constantine S. Rafinesque, the North American naturalist who described P. leucopus, establishes that Rafinesque observed this species in July 1818 while visiting Shippingport, Kentucky, which is now within the city limits of Louisville, Jefferson Co., Kentucky. Shippingport is therefore the actual type locality for this species.

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.

78 FR 34370 - East Kentucky Power Cooperative, Inc.; Notice of Filing

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-07

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket Nos. EL13-68-000] East Kentucky Power Cooperative, Inc.; Notice of Filing Take notice that on May 30, 2013, East Kentucky Power Cooperative, Inc. filed its proposed revenue requirements for reactive supply and voltage control from...

Evaluating reforestation success on a surface mine in eastern Kentucky

Treesearch

Claudia Cotton; Christopher Barton; John Lhotka; Patrick N. Angel; Donald Graves

2012-01-01

Reclamation through reforestation is becoming more common in Kentucky as studies uncover what treatments are most effective for successful tree establishment. “Success” is defined by the Commonwealth of Kentucky in terms of height and survival percentage of outplanted and naturally regenerated species. While this definition of success provides a measure of site...

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…

Forest statistics of Kentucky

Treesearch

The Forest Survey Organization Central States Forest Experiment Station

1952-01-01

The Forest Survey is conducted in the various regions by the forest experiment stations of the Forest Service. In Kentucky the project is directed by the Central States Forest Experiment Station with headquarters in Columbus, Ohio. This Survey Release presents the more significant preliminary statistics on the forest area, timber volume, timber growth, and timber drain...

Forests of Kentucky, 2014

Treesearch

Thomas Brandeis; Andy Hartsell; KaDonna Randolph; Sonja Oswalt; Consuelo Brandeis

2016-01-01

This resource update provides an overview of forest resources in Kentucky based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program at the Southern Research Station. Estimates are based on field data collected using the FIA annualized sample design and are updated yearly. The estimates presented in this update are...

["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

75 FR 65319 - East Kentucky Power Cooperative, Inc.; Notice of Filing

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-22

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. NJ11-2-000] East Kentucky Power Cooperative, Inc.; Notice of Filing October 15, 2010. Take notice that on October 8, 2010, East Kentucky Power Cooperative, Inc. submitted its tariff filing per 35.25(e): Baseline Non-Jurisdictional...

75 FR 70234 - East Kentucky Power Cooperative, Inc.; Notice of Filing

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-17

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. NJ11-3-000] East Kentucky Power Cooperative, Inc.; Notice of Filing November 8, 2010. Take notice that on October 25, 2010, East Kentucky Power Cooperative, Inc. submitted its Revised Open Access Transmission Tariff (OATT) section 23...

Evaluation of ground-water quality data from Kentucky

USGS Publications Warehouse

Sprinkle, C.L.; Davis, R.W.; Mull, D.S.

1983-01-01

The report reviews and summarizes 10,578 chemical analyses, from 2,362 wells and springs in Kentucky. These water-quality data were collected prior to September 30, 1981, and are available in computer files of the U.S. Geological Survey. The principal water-bearing rocks in Kentucky were combined into 10 major groups to aid in data summary preparation and general description of the ground-water quality of the State. Ground water in Kentucky is generally fresh near the outcrop of the rocks comprising the aquifer. Slightly saline to briny water occurs at variable depths beneath the freshwater. Preparation of quadrilinear diagrams revealed three principal geochemical processes in the aquifers of Kentucky: (1) mixing of freshwater and saline water in an interface zone; (2) dedolomitization of the Devonian and Silurian and Lower Mississippian carbonate rocks; (3) sodium for calcium exchange in the freshwater sections of many of the sandstone-shale aquifers. A number of errors and deficiencies were found in the data base. The principal deficiencies were: (1) very few complete analyses which included important field measurements; (2) inadequate definition of the chemistry of the freshwater-saline water interface zone throughout much of the State; (3) no analyses of stable isotopes and dissolved gases; (4) fewer than 10 analyses of most trace metals, radionuclides, and man-made organic chemicals; and (5) no data on bacteria in ground water from any aquifer in the State. (USGS)

Brecciated and mineralized coals in Union County Western Kentucky coal field

USGS Publications Warehouse

Hower, J.C.; Williams, D.A.; Eble, C.F.; Sakulpitakphon, T.; Moecher, D.P.

2001-01-01

Coals from the D-2 and D-3 boreholes in the Grove Center 7 1/2 min quadrangle, Union County, KY, have been found to be highly brecciated and mineralized. The mineralization is dominated by a carbonate assemblage with minor sulfides and sulfates. Included among the secondary minerals is the lead selenide, clausthalite. Overall, the emplacement of secondary vein minerals was responsible for raising the rank of the coals from the 0.6-0.7% Rmax range found in the area to as high as 0.95-0.99% Rmax. A 1.3-m-thick coal found in one of the boreholes is unique among known Western Kentucky coals in having less than 50% vitrinite. Semifusinite and fusinite dominate the maceral assemblages. The coal is also low in sulfur coal, which is unusual for the Illinois Basin. It has an ash yield of less than 10%; much of it dominated by pervasive carbonate veining. The age of the thick coal in core D-2 is similar to that of the Elm Lick coal bed, found elsewhere in the Western Kentucky coalfield. The coals in D-3 are younger, having Stephanian palynomorph assemblages. ?? 2001 Elsevier Science B.V. All rights reserved.

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.

The Changing “Face” of Endocarditis in Kentucky: A Rise in Tricuspid Cases

PubMed Central

Seratnahaei, Arash; Leung, Steve W.; Charnigo, Richard J.; Cummings, Matthew S.; Sorrell, Vincent L.; Smith, Mikel D.

2015-01-01

Background Advancements in medical technology and increased life expectancy have been described as contributing to the evolution of endocarditis. We sought to determine whether there has been a change in the incidence, demographics, microbiology, complications, and outcomes of infective endocarditis over a ten-year time span. Methods We screened 28,420 transthoracic and transesophageal echocardiogram reports performed at our center for the following indications: fever, masses, emboli (including stroke), sepsis, bacteremia, and endocarditis in two time periods: 1999 through 2000 and 2009 through 2010. Data were collected from diagnosed endocarditis cases. Results Overall, 143 cases of infective endocarditis were analyzed (48 in 1999-2000 and 95 in 2009-2010). The endocarditis incidence per number of admissions remained nearly constant at 0.113% for 1999-2000 and 0.148% for 2009-2010 (p = 0.153). However, tricuspid valve involvement increased markedly from 6% to 36% (p < 0.001). Also, reported history of intravenous drug use increased from 15% to 40% (p = 0.002). Valvular complications doubled from 17% to 35% (p = 0.031). Septic pulmonary emboli increased from 10% to 25% (p = 0.047). Despite these noted differences, inpatient mortality remained unchanged at 25% and 28% (p = 0.696) for the two time periods, respectively. Conclusions The incidence of endocarditis at our center has not changed and mortality remains high, but the “face of endocarditis” in Kentucky has evolved with an increased incidence of tricuspid valve involvement, valvular complications, and embolic events. PMID:24769025

Radiological Sciences Discipline Advisory Group Final Report. Kentucky Allied Health Project.

ERIC Educational Resources Information Center

Kentucky Council on Public Higher Education, Frankfort.

Radiological sciences education in Kentucky and articulation within this field are examined, based on the Kentucky Allied Health Project (KAHP), which designed an articulated statewide system to promote entry and exit of personnel at a variety of educational levels. The KAHP model promotes articulation in learning, planning, and resource…

Rehabilitation Therapy Discipline Advisory Group Final Report. Kentucky Allied Health Project.

ERIC Educational Resources Information Center

Kentucky Council on Public Higher Education, Frankfort.

Rehabilitation therapy education in Kentucky and articulation within the fields of physical therapy and occupational therapy are examined, based on the Kentucky Allied Health Project (KAHP). The KAHP's model system of allied health education promotes articulation in learning, planning, and resource utilization, and seeks to meet the needs of…

Evaluation of geophysical methods and geophysical contractors on four projects in Kentucky.

DOT National Transportation Integrated Search

2007-03-01

his report details four geophysical testing projects that were conducted in Kentucky for the Kentucky Transportation Cabinet. The four projects were as follows: KY 101, Edmonson and Warren Counties, US 31-W, Elizabethtown Bypass, Hardin County, KY 61...

Kentucky Peer Exchange : Strategic Highway Safety Plans (SHSPs) - An RSPCB Peer Exchange

DOT National Transportation Integrated Search

2015-06-01

This report summarizes a peer exchange hosted by the Kentucky Transportation Cabinet (KYTC) and the Kentucky Office of Highway Safety (KOHS) on June 16-17, 2015, in Frankfort, KY. The event included peer representatives from the Georgia Department of...

Accelerated Innovation Deployment (AID) Demonstration : KYTC—Roundabout Installation Project in London, Kentucky.

DOT National Transportation Integrated Search

2017-11-01

This document serves as the final report on the construction and opening of the Roundabout Project in London, Kentucky (Kentucky Item Number 11904.1). This project (hereafter referred to as the London Roundabout) was constructed on the authority o...

A Spatial Analysis of Contextual Effects on Educational Accountability in Kentucky.

ERIC Educational Resources Information Center

Pitts, Timothy C.; Reeves, Edward B.

A cornerstone of the Kentucky Education Reform Act of 1990 was the creation of a high-stakes performance assessment program called the Kentucky Instructional Results Information System (KIRIS). KIRIS test results were the basis for granting monetary rewards to schools and school districts where student test performance improved significantly and…

Superintendent Turnover in Kentucky. Summary. Issues & Answers. REL 2011-No. 113

ERIC Educational Resources Information Center

Johnson, Jerry; Huffman, Tyler; Madden, Karen; Shope, Shane

2011-01-01

This study examines superintendent turnover in Kentucky public school districts for 1998/99-2007/08, looking at how turnover varies by rural status, Appalachian and non-Appalachian region, and 2007/08 school district characteristics. Key findings include: (1) Kentucky school districts averaged one superintendent turnover during 1998/99-2007/08;…

76 FR 41088 - Approval and Promulgation of Implementation Plans; Kentucky; 110(a)(1) and (2) Infrastructure...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-13

...EPA is taking final action to approve the December 13, 2007, submission by the Commonwealth of Kentucky, through the Kentucky Division of Air Quality (KDAQ) as demonstrating that the Commonwealth meets the state implementation plan (SIP) requirements of sections 110(a)(1) and (2) of the Clean Air Act (CAA or the Act) for the 1997 8- hour ozone national ambient air quality standards (NAAQS). Section 110(a) of the CAA requires that each state adopt and submit a SIP for the implementation, maintenance, and enforcement of each NAAQS promulgated by the EPA, which is commonly referred to as an ``infrastructure'' SIP. Kentucky certified that the Kentucky SIP contains provisions that ensure the 1997 8-hour ozone NAAQS is implemented, enforced, and maintained in Kentucky (hereafter referred to as ``infrastructure submission''). Kentucky's infrastructure submission, provided to EPA on December 13, 2007, addressed all the required infrastructure elements for the 1997 8-hour ozone NAAQS. Additionally, EPA is responding to adverse comments received on EPA's March 17, 2011, proposed approval of Kentucky's December 13, 2007, infrastructure submission.

Kentucky's highway incident management strategic plan.

DOT National Transportation Integrated Search

2005-06-01

Kentucky s Highway Incident Management Strategic Plan consists of a mission statement, 4 goals, 16 objectives, and 49 action strategies. The action strategies are arranged by priority and recommended time frame for implementation. When implemented...

Revision of the Rainfall-intensity Duration Curves for the commonwealth of Kentucky.

DOT National Transportation Integrated Search

1999-06-01

The purpose of this study was to revise and update the existing Rainfall Intensity- Duration-Frequency (IDF) Curves for the Commonwealth of Kentucky. The nine curves that currently govern Kentucky are based on data from First-Order Weather Stations i...

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

Divergent evolution in fluviokarst landscapes of central Kentucky

USGS Publications Warehouse

Phillips, J.D.; Martin, L.L.; Nordberg, V.G.; Andrews, W.A.

2004-01-01

Central Kentucky is characterized by a mixture of karst and fluvial features, typically manifested as mosaic of karst-rich/ channel-poor (KRCP) and channel-rich/karst-poor (CRKP) environments. At the regional scale the location and distribution of KRCP and CRKP areas are not always systematically related to structural, lithological, topographic, or other controls. This study examines the relationship of KRCP and CRKP zones along the Kentucky River gorge area, where rapid incision in the last 1??5 million years has lowered local base levels and modified slopes on the edge of the inner bluegrass plateau. At the scale of detailed field mapping on foot within a 4 km2 area, the development of karst and fluvial features is controlled by highly localized structural and topographic constraints, and can be related to slope changes associated with retreat of the Kentucky River gorge escarpment. A conceptual model of karst/fluvial transitions is presented, which suggests that minor, localized variations are sufficient to trigger a karst-fluvial or fluvial-karst switch when critical slope thresholds are crossed. ?? 2004 John Wiley and Sons, Ltd.

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.

Challenges for the New Century: Trends That Will Influence Kentucky's Future.

ERIC Educational Resources Information Center

Smith-Mello, Michal; Childress, Michael T.; Watts, Amy; Watkins, John F.

Trends that will influence Kentucky's future were examined along with policy options for responding to those trends. According to the analysis, the effects of the new economy on Kentucky has been mixed. Although many Kentuckians have benefited from the new economy, the state's least educated and poorest residents are falling further behind the…

On Teaching Biotechnology in Kentucky.

ERIC Educational Resources Information Center

Brown, Dan C.; Kemp, Michael C.; Hall, Jennifer

1998-01-01

One study surveyed 187 Kentucky teachers (36% agriculture, 32% science, 32% technology education); they rated importance of content organizers, topics, transferable skills, and delivery methods for biotechnology. A second study received responses from 70 of 150 teachers; 45 thought science teachers or an integrated team should teach biotechnology;…

Redesigning an Education System: Early Observations from Kentucky. Strategic Investment: Tough Choices for America's Future.

ERIC Educational Resources Information Center

David, Jane L.

The Kentucky Education Reform Act (KERA) is the most comprehensive reform legislation nationally, bringing substantial change to all levels of the educational system. A group of researchers who have spent time in schools in Kentucky and policy analysts knowledgeable about Kentucky and other state education reform efforts convened in October 1992…

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.

Where We Stand: Comparative Study of Japanese and Kentucky Educational Requirements.

ERIC Educational Resources Information Center

Yoo, Yushin

The educational systems and requirements of Japan and Kentucky are compared in seven different areas. The first area compares total instruction days and illustrates the differences with a chart. Kentucky requires 175 days of instruction while Japan requires 240 days. Because of this Japanese students spend 150 to 300 more hours per year in school…

CIVIL RIGHTS U.S.A. PUBLIC SCHOOL--SOUTHERN STATES, 1962, KENTUCKY.

ERIC Educational Resources Information Center

KNOWLES, LAURENCE W.

DESEGREGATION OF KENTUCKY SCHOOLS BEGAN IN 1955 WITH A FEW SCATTERED DISTRICTS. THE MAJOR STEP CAME IN 1956, WHEN THE PUBLIC SCHOOLS OF LOUISVILLE WERE OPENED TO ALL CHILDREN WITHOUT REGARD TO RACE. SINCE 1956, THERE HAS BEEN STEADY, ALTHOUGH MEASURED, PROGRESS IN SCHOOL DESEGREGATION. IN 1962 ABOUT HALF OF KENTUCKY'S NEGRO STUDENTS ATTENDED…

FORMS AND SCOPE OF POVERTY IN KENTUCKY. RESOURCE DEVELOPMENT SERIES 10.

ERIC Educational Resources Information Center

RAMSEY, RALPH J.

THE PURPOSE OF THIS PUBLICATION WAS TO IDENTIFY POVERTY AND TO DESCRIBE PARTICULAR POVERTY SITUATIONS IN KENTUCKY. POVERTY IS DESCRIBED AS BEING A CONDITION OF DEPRIVATION IN ANY ASPECT OF LIVING WHICH HANDICAPS A PERSON IN ACQUIRING THE GOOD THINGS OF LIFE. FOR MEASURING THE EXTENT OF POVERTY IN KENTUCKY, THE FOLLOWING FACTORS WERE…

2020 Vision: A Strategic Agenda for Kentucky's System of Postsecondary Education.

ERIC Educational Resources Information Center

Kentucky Community and Technical Coll. System, Lexington.

The paper discusses educational planning for Kentucky Community and Technical College System. A responsive and flexible system of postsecondary education is the most important tool needed to help Kentucky flourish in the early decades of the 21st century. Right now, the proportion of the population with less than a high school diploma is greater…

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.

Archived data management system in Kentucky.

DOT National Transportation Integrated Search

2007-05-01

Archived Data User Service (ADUS) was added to the national ITS architecture in 1999 to enable multiple uses for ITS-generated data. In Kentucky, ARTIMIS and TRIMARC are collecting volume, speed, occupancy, length-based classification, and incident d...

Kentucky physicians and politics.

PubMed

VonderHaar, W P; Monnig, W B

1998-09-01

Approximately 19% of Kentucky Physicians are KEMPAC members or contribute to state legislative and Gubernatorial candidates. This limited study of political activity indicates that a small percentage of physicians participate in the political process. Despite the small number of contributors to state legislative candidates, KMA's legislative and lobbying effort is highly effective and members receive high quality service and representation in the political arena.

Controlling Kentucky bluegrass with herbicide and burning is influenced by invasion level

USDA-ARS?s Scientific Manuscript database

Kentucky bluegrass (Poa pratensis L.) is a cool-season perennial grass that is increasing on Northern Great Plains rangelands. The Sheyenne National Grasslands (SNG), located in Southeast North Dakota and one of the last publically owned remnants of the tall-grass prairie are threatened by Kentucky...

View of Virginia, Tennessee, Kentucky border area

NASA Image and Video Library

1973-08-30

SL3-45-020 (July-September 1973) --- A vertical view of the Virginia-Tennessee-Kentucky border area as photographed from Earth orbit by one of the six lenses of the Itek-furnished S190-A Multispectral Photographic Facility Experiment aboard the Skylab space station. This picture was taken with type 2443 infrared color film. The S190-A experiment is part of the Skylab Earth Resources Experiments Package. The long, narrow ridge is Pine Mountain; and it is crossed by U.S. 25E at Pineville near its southernmost end. Some 25 miles south of Pineville U.S. 25E passes through the famed Cumberland Gap which at 1,600 feet elevation crosses Cumberland Mountain. Kingsport, Tennessee is located east of Cumberland Gap near the center of the picture. Bristol, Tennessee-Virginia is further east. Greenville and Elizabethton, Tennessee can also be seen in this photograph. The clouds across the southeast edge of the picture are over the Blue Ridge Mountains. Federal agencies participating with NASA on the EREP project are the Departments of Agriculture, Commerce, Interior, the Environmental Protection Agency and the Corps of Engineers. All EREP photography is available to the public through the Department of Interior?s Earth Resources Observations Systems Data Center, Sioux Falls, 57198. Photo credit: NASA

A Guidance Document for Kentucky's Oil and Gas Operations

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

None, None

1998-11-10

This technical report is a summary of the progress made for "A Guidance Document for Kentucky's Oil and Gas Operators". During this quarter, the document received continued review and editing in an elec-tronic format to satisfy the United States Department of Energy (DOE). Comments received from oil and gas operators reviewing this document prompted contact to be made with the United States Environmental Protection Agency (USEPA) to develop an addendum section to provide better explanation of USEPA requirements for Class II injection wells in Kentucky.

Kentucky Transportation Cabinet : annual assessment of customer needs and satisfaction : mail survey report

DOT National Transportation Integrated Search

1997-11-01

The Kentucky Transportation Cabinet, both through its own quality initiative and a statewide 'Empower Kentucky' campaign, has a commitment to achieve new levels of quality in the development, construction and maintenance of highways. In order to gage...

Identification of pavement distress in Kentucky.

DOT National Transportation Integrated Search

2006-04-01

In Kentucky, the roads are comprised primarily of two types of pavement. The first being Portland Cement Concrete (PCC) a rigid pavement, and the other is Asphaltic Concrete (AC), a flexible pavement. There is a noticeable difference in their appeara...

Economic effects of Ohio's smoke-free law on Kentucky and Ohio border counties.

PubMed

Pyles, Mark K; Hahn, Ellen J

2011-01-01

To determine if the Ohio statewide smoke-free law is associated with economic activity in Ohio or Kentucky counties that lie on the border between the two states. In November 2006, Ohio implemented a comprehensive statewide smoke-free law for all indoor workplaces. A feasible generalised least squares (FLGS) time series design to estimate the impact of the Ohio smoke-free law on Kentucky and Ohio border counties. Six Kentucky and six Ohio counties that lie on the border between the two states. All reporting hospitality and accommodation establishments in all Kentucky and Ohio counties including but not limited to food and drinking establishments, hotels and casinos. Total number of employees, total wages paid and number of reported establishments in all hospitality and accommodation services, 6 years before Ohio's law and 1 year after. There is no evidence of a disproportionate change in economic activity in Ohio or Kentucky border counties relative to their non-border counterparts. There was no evidence of a relation between Ohio's smoke-free law and economic activity in Kentucky border counties. The law generated a positive influence on wages and number of establishments in Ohio border counties. The null result cannot be explained by low test power, as minimum changes necessary in the dependent variables to detect a significant influence are very reasonable in size. Our data add to the large body of evidence that smoke-free laws are neutral with respect to the hospitality business across jurisdictions with and without laws.

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.

Understanding Barriers to Colorectal Cancer Screening in Kentucky.

PubMed

Knight, Jennifer Redmond; Kanotra, Sarojini; Siameh, Seth; Jones, Jessica; Thompson, Becki; Thomas-Cox, Sue

2015-06-18

Colorectal cancer screening rates have increased significantly in Kentucky, from 35% in 1999 to 66% in 2012. A continued improvement in screening requires identification of existing barriers and implementation of interventions to address barriers. The state of Kentucky added a question to the 2012 Kentucky Behavioral Risk Factor Surveillance System survey for respondents aged 50 years or older who answered no to ever having been screened for colorectal cancer by colonoscopy or sigmoidoscopy to assess the reasons why respondents had not been screened. Combined responses constituted 4 categories: attitudes and beliefs, health care provider and health care systems barriers, cost, and other. Prevalence estimates for barriers were calculated by using raking weights and were stratified by race/ethnicity, sex, education, income, and health insurance coverage. Logistic regression estimated odds ratios for barriers to screening. The most common barriers in all areas were related to attitudes and beliefs, followed by health care provider and systems, and cost. Non-Hispanic whites and respondents with more than a high school education were more likely to choose attitudes and beliefs as a barrier than were non-Hispanic blacks and those with less than a high school education. Respondents with low incomes and with no insurance were significantly more likely to select cost as a barrier. No significant associations were observed between demographic variables and the selection of a health care provider and a health care system. Barriers related to education, race/ethnicity, income, and insurance coverage should be considered when designing interventions. Expansion of Medicaid and implementation of the Affordable Care Act in Kentucky could have an impact on reducing these barriers.

Professional Development: Report from the Prichard Committee for Academic Excellence, Task Force on Improving Kentucky Schools.

ERIC Educational Resources Information Center

Prichard Committee for Academic Excellence, Lexington, KY.

This report presents the Prichard Committee recommendations on professional development of Kentucky teachers. They are based on the results of a steering committee of Kentucky educators and are being implemented in a Pew Charitable Trusts project. The overall finding was that for school reform to succeed in Kentucky, greatly enhanced professional…

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.

Materials Center Collections and Procedures: Suggested Modifications.

ERIC Educational Resources Information Center

Davis, Larry L.

This description of a three year project of services to educators by the Kentucky Department of Education Materials Center includes the current collections, future collections, and the anticipated procedures necessary to provide optimum service and best utilize those materials. The plan involves better coordination between the three major…

Clinical Laboratory Sciences Discipline Advisory Group Final Report. Kentucky Allied Health Project.

ERIC Educational Resources Information Center

Kentucky Council on Public Higher Education, Frankfort.

Education in the clinical laboratory sciences in Kentucky and articulation within the field are examined, based on the Kentucky Allied Health Project (KAHP), which designed an articulated statewide system to promote entry and exit of personnel at a variety of educational levels. The KAHP model promotes articulation in learning, planning, and…

Teacher Education: Report from the Prichard Committee for Academic Excellence, Task Force on Improving Kentucky Schools.

ERIC Educational Resources Information Center

Prichard Committee for Academic Excellence, Lexington, KY.

The Prichard Committee, a citizens volunteer organization in Kentucky, has studied the current state of teacher education in Kentucky and presents its final recommendations. Teacher education reform has been slow in Kentucky due to its low priority on campus, the lack of a champion to push the reform, and the difficulties of instigating the…

Forest statistics of western Kentucky

Treesearch

The Forest Survey Organization Central States Forest Experiment Station

1950-01-01

This Survey Release presents the more significant preliminary statistics on the forest area and timber volume for the western region of Kentucky. Similar reports for the remainder of the state will be published as soon as statistical tabulations are completed. Later, an analytical report for the state will be published which will interpret forest area, timber volume,...

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

Kentucky Kindergartens: Guidelines, Recommendations, and Regulations.

ERIC Educational Resources Information Center

Kentucky State Dept. of Education, Frankfort. Div. of Program Development.

This publication presents the principles and recommendations underlying the design of curricula for Kentucky's kindergarten children. Contents focus on (1) characteristics of the kindergarten child; (2) assessment of the kindergarten child; (3) recording, reporting, and evaluating; (4) the exceptional kindergarten child, with particular attention…

KENTUCKY STRAIGHT PIPES REPORT, DECEMBER 2002

EPA Science Inventory

The poor sanitary conditions and water pollution problems EPA observed in the Kentucky counties of Harlan, Martin, Bath, and Montgomery were of the highest concern. The widespread scale of both the straight pipe issues as well as package plant wastewater problems present an envir...

Water-quality assessment of the Kentucky River basin, Kentucky; nutrients, sediments, and pesticides in streams, 1987-90

USGS Publications Warehouse

Haag, K.H.; Porter, S.D.

1995-01-01

The U.S. Geological Survey investigated the water quality of the Kentucky River Basin in Kentucky as part of the National Water Quality Assessment program. Data collected during 1987-90 were used to describe the spatial and temporal variability of nutrients, suspended sediment, and pesticides in streams. Concentrations of phosphorus were signifi- cantly correlated with urban and agricultural land use. The high phosphorus content of Bluegrass Region soils was an important source of phosphorus in streams. At many sites in urban areas, all of the stream nitrogen load was attributable to wastewater- treatment-plant effluent. Tributary streams affected by agricultural sources of nutrients contained higher densities of phytoplankton than streams that drained forested areas. Data indicate that a consid- erable percentage of total nitrogen was transported as algal biomass during periods of low discharge. Average suspended-sediment concentrations for the study period were positively correlated with dis- charge. There was a downward trend in suspended- sediment concentrations downstream in the Kentucky River main stem during the study. Although a large amount of suspended sediment originates in the Eastern Coal Field Region, contributions of suspended sediment from the Red River and other tributary streams of the Knobs Region also are important. The most frequently detected herbicides in water samples were atrazine, 2,4-D, alachlor, metolachlor, and dicamba. Diazinon, malathion, and parathion were the most frequently detected organo- phosphate insecticides in water samples. Detectable concentrations of aldrin, chlordane, DDT, DDE, dieldrin, endrin, endosulfan, heptachlor, heptachlor epoxide, and lindane were found in streambed- sediment samples.

Strategies Used to Enable CTE Programs to Be High Performing in Kentucky

ERIC Educational Resources Information Center

Stubbs, Steven A.; Stubbs, Joyce A.

2017-01-01

The state of Kentucky mandated College and Career Readiness as a part of the revised education accountability system. The new system is known as Unbridled Learning assessment and accountability. As a result of this mandate high schools in Kentucky are trying to understand the steps necessary to implement a successful College and Career Ready…

Lasting Legacies: Kentucky Superintendents Create Success Strategies That Reach into the Future

ERIC Educational Resources Information Center

Chirichello, Michael; Neihof, James; Orr, Anthony; Cochran, J. Robin; Berry, Buddy; Livingood, Ron; Stafford, Robert

2018-01-01

A legacy of leadership is more than a bench, as demonstrated by six Kentucky school superintendents who share a common commitment to providing a resource for continuous professional learning for district superintendents. The six leaders met at the end of their doctorate of education program at Northern Kentucky University in May 2015 to contribute…

The Impact of Kentucky's Educational Reform Act on Writing throughout the Commonwealth.

ERIC Educational Resources Information Center

Harnack, Andrew; And Others

1994-01-01

The central role of writing in Kentucky's Education Reform Act is most evident in Kentucky's new assessment system, which employs writing on all levels. Even tests that have recently included multiple-choice items may be replaced by response items that require students to apply knowledge, concepts, and skills in a writing format. Writing itself is…

Campus Computing Environment: University of Kentucky.

ERIC Educational Resources Information Center

CAUSE/EFFECT, 1989

1989-01-01

A dramatic growth in computing and communications was precipitated largely by the leadership of President David Roselle at the University of Kentucky. A new operational structure of information resource management includes not only computing (academic and administrative) and communications, instructional resources, and printing/mailing services,…

Salmonella enterica isolated from wildlife at two Ohio rehabilitation centers.

PubMed

Jijón, Steffani; Wetzel, Amy; LeJeune, Jeffrey

2007-09-01

Between May and September 2004, fecal samples from various wildlife species admitted to two rehabilitation centers in Ohio were cultured for Salmonella enterica and Escherichia coli O157:H7. Eight of 71 (11%) samples, including specimens from three opossums (Didelphis virginiana), two gray squirrels (Sciurus carolinensis), a woodchuck (Marmota monax), a Harris hawk (Parabuteo unicinctus), and a screech owl (Otus asio) tested positive for Salmonella serovars Braenderup, Senftenberg, Oranienburg, and Kentucky. The Salmonella Oranienburg isolates were indistinguishable by pulsed-field gel electrophoresis. Most isolates were susceptible to commonly used antibiotics; however, the Salmonella Kentucky isolate was resistant to multiple beta-lactam antibiotics (amoxicillin/clavulanic acid and ampicillin), cefoxitin, and ceftiofur, a third-generation cephalosporin. Escherichia coli O157:H7 was not isolated from any sample. Transmission of Salmonella from wildlife may occur between animals at rehabilitation centers.

Partial harvesting of hardwood sawtimber in Kentucky and Tennessee, 2002–2014

Treesearch

Thomas J. Brandeis

2017-01-01

Partial harvesting is the predominant but not exclusive cutting treatment applied to the hardwood forests of Kentucky and Tennessee. Hardwood harvest in Kentucky showed a slight downward trend from 2006 to 2014, with most of the volume harvested in partial logging operations. Tennessee did not show this same downward trend, and the amount of hardwood volume harvested...

Invasive plants found in Kentucky forests, 2009 forest inventory and analysis factsheet

Treesearch

Christopher M. Oswalt; Sonja N. Oswalt

2012-01-01

This publication provides an overview of nonnative invasive plants found in forests of the Commonwealth of Kentucky based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) Program at the Southern Research Station of the U.S. Department of Agriculture Forest Service in cooperation with the Kentucky Division of Forestry. These estimates and...

76 FR 2361 - Atmos Energy-Kentucky/Mid-States Division; Notice of Baseline Filing

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-13

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR11-77-000] Atmos Energy--Kentucky/Mid-States Division; Notice of Baseline Filing January 5, 2011. Take notice that on December 30, 2010, Atmos Energy--Kentucky/Mid- States Division submitted a revised baseline filing of their...

Innovative financing options for Kentucky's transportation infrastructure.

DOT National Transportation Integrated Search

2001-04-01

Given the need to maximize Kentuckys limited highway system funding, the purpose of this study was to review and analyze new transportation financing innovations suggested by the Federal Highway Administration. The FHWA suggestions may provide way...

Drainage Areas of Streams at Selected Locations in Kentucky

DTIC Science & Technology

1981-01-01

23󈧸", Long 82 ° 17󈧇" 195 LICK CREEK .2 .3 .70 1 .81 03207995 Levisa Fork (Fishtrap Lake ) near Millard--Lat 37°26󈧄", Long 82 ° 24󈧾" 195 MILLARD...130 .1 209 .3 392 1,015 (Area in Kentucky) 84 .6 219 (Area outside Kentucky) 308 798 03208000 Levisa Fork (below Fishtrap Lake ) near Millard--Lat 37...547 1,417 Elkhorn Creek Basin--at Russell Fork mile 12 .3 Little Elkhorn Creek at Jenkins--Lat 37 ° 10󈧊", Long 82°38󈧊", at Elkhorn Lake outlet

Kentucky Public Water-Supply Withdrawals During 1995, 2000, and 2005

USGS Publications Warehouse

Downs, Aimee C.; Caldwell, William E.

2007-01-01

The U.S. Geological Survey, in cooperation with the Kentucky Division of Water, has compiled the reported permitted public water-supply-withdrawal data for Kentucky for 2005. Water-withdrawal data for 1995 and 2000 were previously published in Solley and others (1998) and Hutson and others (2004), respectively. This report is a graphical representation of permitted withdrawals for 1995, 2000, and 2005. Public suppliers that are regulated through the Kentucky Division of Water, Water-Withdrawal Permitting Program, withdrew a total of 496, 525, and 558 million gallons per day (Mgal/d) in 1995, 2000, and 2005, respectively. In 2005, 489 Mgal/d (88 percent) came from surface-water sources, and 69 Mgal/d (12 percent) came from ground-water sources. Small increases and decreases in permitted public water-supply withdrawals can be attributed to population changes. Large increases and decreases can be attributed to merging of supply systems, change(s) in source, or purchases from other counties.

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

Highly drug-resistant Salmonella enterica serotype Kentucky ST198-X1: a microbiological study.

PubMed

Le Hello, Simon; Harrois, Dorothée; Bouchrif, Brahim; Sontag, Lucile; Elhani, Dalèle; Guibert, Véronique; Zerouali, Khalid; Weill, François-Xavier

2013-08-01

Salmonella enterica is a major global food-borne pathogen, causing life-threatening infections. Ciprofloxacin and extended-spectrum cephalosporins (ESCs) are the drugs of choice for severe infections. We previously reported a ciprofloxacin-resistant S. enterica serotype Kentucky (S Kentucky) ST198-X1 strain that emerged in Egypt and spread throughout Africa and the Middle East from 2002 to 2008. We aimed to monitor recent trends in the location of transmission and antimicrobial resistance of this strain. We analysed isolates of S Kentucky collected by the French national surveillance system for salmonellosis in France from Jan 1, 2000, to Dec 31, 2011, and at two sites in Casablanca, Morocco, between Jan 1, 2003, and Dec 31, 2011. We analysed patterns of travel of patients infected with a ciprofloxacin-resistant strain of S Kentucky. We identified isolates showing resistance to ESCs or decreased susceptibility to carbapenems, characterised isolates by XbaI-pulsed field gel electrophoresis and multilocus sequence typing, and assessed mechanisms of bacterial resistance to antimicrobial drugs. 954 (1%) of 128,836 serotyped Salmonella spp isolates in France were identified as S Kentucky, as were 30 (13%) of 226 Salmonella spp isolates from Morocco. During 2000-08, 200 (40%) of 497 subculturable isolates of S Kentucky obtained in France were resistant to ciprofloxacin, compared with 376 (83%) of 455 isolates in 2009-11, suggesting a recent increase in ciprofloxacin resistance in France. Travel histories suggested S Kentucky infections originated predominantly in east Africa, north Africa, west Africa, and the Middle East, but also arose in India. We report several occurrences of acquisition of extended-spectrum β-lactamase (CTX-M-1, CTX-M-15), plasmid-encoded cephalosporinase (CMY-2), or carbapenemase (OXA-48, VIM-2) genes by ciprofloxacin-resistant isolates of S Kentucky ST198-X1 from the Mediterranean area since 2009. Many of these highly drug-resistant isolates were

75 FR 51119 - Kentucky Disaster Number KY-00035

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-18

... Loans): Madison, Mason, Rowan. Contiguous Counties: (Economic Injury Loans Only): Kentucky: Bath... Assistance Numbers 59002 and 59008) James E. Rivera, Associate Administrator for Disaster Assistance. [FR Doc...

The timber industries of Kentucky

Treesearch

James T. Bones; Chauncey J. Lohr

1977-01-01

The 1974 timber-industry survey in Kentucky showed that, since 1969: Total timber output has increased 1 percent to 98.1 million cubic feet. Sawlog production has declined less than ½ percent to 489 million board feet. Pulpwood production has increased 69 percent to 133 thousand cords. Veneer-log production has declined 10 percent to 6.3 million board feet....

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…

The timber industries of Kentucky, 1986

Treesearch

Eric H. Wharton; Stephen C. Kayse; Robert L., Jr. Nevel; Robert L. Nevel

1992-01-01

A statistical report based on a survey of primary wood manufacturers using wood from Kentucky. Contains statistics on production and consumption of industrial forest products by species, geographic units, and state; and production and disposition of manufacturing residues. Includes graphics and statistical tables showing current and historical data.

Water-quality assessment of the Kentucky River Basin, Kentucky; distribution of metals and other trace elements in sediment and water, 1987-90

USGS Publications Warehouse

Porter, Stephen D.; White, Kevin D.; Clark, J.R.

1995-01-01

The U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) Program is designed to provide a nationally consistent description of the current status of water quality, to define water-quality trends, and to relate past and present water-quality conditions to natural features, uses of land and water, and other water-quality effects from human activities. The Kentucky River Basin is one of four NAWQA pilot projects that focused primarily on the quality of surface water. Water, sediment, and bedrock samples were collected in the Kentucky River Basin during 1987-90 for the purpose of (1) describing the spatial distribution, transport, and temporal variability of metals and other trace elements in streams of the basin; (2) estimating mean annual loads, yields, and trends of constituent concentrations and identifying potential causes (or sources) of spatial patterns; (3) providing baseline information for concentrations of metals in streambed and suspended sediments; (4) identifying stream reaches in the Kentucky River Basin with chronic water-quality problems; and (5) evaluating the merits of the NAWQA pilot study-approach for the assessment of metals and other trace elements in a river system. The spatial distribution of metals and other trace elements in streambed sediments of the Kentucky River Basin is associated with regional differences of geology, land use and cover, and the results of human activities. Median concentrations of constituents differed significantly among physiographic regions of the basin because of relations to bedrock geochemistry and land disturbance. Concentrations of potentially toxic metals were large in urban and industrial areas of the basin. Elevated concentrations of certain metals were also found in streambed sediments of the Knobs Region because of the presence of Devonian shale bedrock. Elevated concentrations of lead and zinc found in streambed sediments of the Bluegrass Region are likely associated with urban

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

An Investigation of Freshwater Mussels (Unionidae) in the Tennessee River below Kentucky Lock and Dam.

DTIC Science & Technology

1991-07-01

Division of Water , Murray, KY. Sickel, J. B. 1987. "Survey of Freshwater Mussels in the Kentucky Dam Tailwater at the Site of the Proposed Reed...AN]ITECHNICAL REPORT EL-91-8 AN INVESTIGATION OF FRESHWATER MUSSELS (UNiONIDAE) IN THE TENNESSEE RIVER BELOW KENTUCKY LOCK AND DAM by ADA 24 0 265...SUBTITLE S. FUNDING NUMBERS An Investigation of Freshwater Mussels (Unionidae) in the Tennessee River Below Kentucky Lock and Dam 6. AUTHOR(S) Andrew C

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.

2009 safety belt usage survey in Kentucky.

DOT National Transportation Integrated Search

2009-07-01

The objective of this study was to establish 2009 safety belt and child safety seat usage rates in Kentucky. The 2009 survey continues to document the results after enactment of original "secondary enforcement" statewide mandatory safety belt law in ...

2002 safety belt usage survey in Kentucky.

DOT National Transportation Integrated Search

2002-07-01

The objective of this study was to establish 2002 safety belt and child safety seat usage rates in Kentucky. The 2002 survey continues to document the results after enactment of original "secondary enforcement" statewide mandatory safety belt law in ...

2001 safety belt usage survey in Kentucky.

DOT National Transportation Integrated Search

2001-08-01

The objective of this study was to establish 2001 safety belt and child safety seat usage rates in Kentucky. The 2001 survey continues to document the results after enactment of original "secondary enforcement" statewide mandatory safety belt law in ...

KY-CTDS : Kentucky contract time determination system

DOT National Transportation Integrated Search

2000-06-30

This research project was to update the KyTC's planning tool used for the determination of contract time allotted for contractors to complete highway construction projects in the Commonwealth of Kentucky. Although this issue was initially raised by t...

A spatial cluster analysis of tractor overturns in Kentucky from 1960 to 2002

USGS Publications Warehouse

Saman, D.M.; Cole, H.P.; Odoi, A.; Myers, M.L.; Carey, D.I.; Westneat, S.C.

2012-01-01

Background: Agricultural tractor overturns without rollover protective structures are the leading cause of farm fatalities in the United States. To our knowledge, no studies have incorporated the spatial scan statistic in identifying high-risk areas for tractor overturns. The aim of this study was to determine whether tractor overturns cluster in certain parts of Kentucky and identify factors associated with tractor overturns. Methods: A spatial statistical analysis using Kulldorff's spatial scan statistic was performed to identify county clusters at greatest risk for tractor overturns. A regression analysis was then performed to identify factors associated with tractor overturns. Results: The spatial analysis revealed a cluster of higher than expected tractor overturns in four counties in northern Kentucky (RR = 2.55) and 10 counties in eastern Kentucky (RR = 1.97). Higher rates of tractor overturns were associated with steeper average percent slope of pasture land by county (p = 0.0002) and a greater percent of total tractors with less than 40 horsepower by county (p<0.0001). Conclusions: This study reveals that geographic hotspots of tractor overturns exist in Kentucky and identifies factors associated with overturns. This study provides policymakers a guide to targeted county-level interventions (e.g., roll-over protective structures promotion interventions) with the intention of reducing tractor overturns in the highest risk counties in Kentucky. ?? 2012 Saman et al.

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.

The effect of parental involvement on problematic social behaviors among school-age children in Kentucky.

PubMed

Robl, Joyce M; Jewell, Tracey D; Kanotra, Sarojini

2012-12-01

This study examines the associations among parental active involvement and healthy role modeling behavior with social behavior among children in Kentucky and the nation. Data from the 2007 National Survey of Children's Health was used, limited to children 6-17 years old. The dependent variable was a composite measure of problematic social behavior. Independent variables included parental involvement, parental healthy role modeling, and demographic variables. Chi square tests of independence were completed for bivariate analyses and multivariable logistic regression models were developed for Kentucky and the nation. The prevalence of problematic social behaviors in children was 10.4 % in Kentucky and 8.8 % in the nation. The parents of children in Kentucky who often exhibited problematic social behavior reported poor parent-child communication (50.4 %), not coping well with parenthood (56.5 %), parental aggravation (48.3 %), and less emotional help with parenting (9.1 %). The factor with the largest magnitude of association in Kentucky (adjusted odds ratio [AOR] = 6.2; 95 % confidence interval [CI]: 1.6, 24.5) and the nation (AOR = 4.8; 95 % CI: 3.3, 7.0) was observed for whether or not the parent communicated well with the child. Additional factors associated with problematic social behavior among children in Kentucky were living in a single parent, mother-led household, and having a parent with fair or poor mental health. Public health programs that target factors addressing the parent-child dyad, parent-child communication, and model healthy relationships may reduce the occurrence of problematic social behavior in 6-17-year-old children in Kentucky.

76 FR 4597 - Approval and Promulgation of Air Quality Implementation Plans; Kentucky; Disapproval of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-26

... intention to complete a rule to address interstate pollution transport in the eastern half of the... and Promulgation of Air Quality Implementation Plans; Kentucky; Disapproval of Interstate Transport... Kentucky's State implementation plan (SIP) meets the interstate transport requirements with regard to the...

Snow Day Learning: First Years of Kentucky's Non-Traditional Instruction Days

ERIC Educational Resources Information Center

Hammons, Karen R.

2017-01-01

Non-traditional instruction days in Kentucky, as well as other states, are becoming increasingly popular as weather- and illness-related school closings compromise time in the classroom. This exploratory research study recounted the beginning of the use of non-traditional instruction days in the state of Kentucky as well as the current status…

2010 safety belt usage survey in Kentucky.

DOT National Transportation Integrated Search

2010-07-01

The objective of this study was to establish 2010 safety belt and child safety seat usage rates in Kentucky. The 2010 survey continues to document the results after enactment of the original "second enforcement" statewide mandatory safety belt law in...

2007 safety belt usage survey in Kentucky.

DOT National Transportation Integrated Search

2007-08-01

The objective of this study was to establish 2007 safety belt and child safety seat usage rates in Kentucky. The 2007 survey continues to document the results after enactment of the initial "second enforcement" statewide mandatory safety belt law in ...

2006 safety belt usage survey in Kentucky.

DOT National Transportation Integrated Search

2006-08-01

The objective of this study was to establish 2006 safety belt and child safety seat usage rates in Kentucky. The 2006 survey continues to document the results after enactment of the initial "second enforcement" statewide mandatory safety belt law in ...

2008 safety belt usage survey in Kentucky.

DOT National Transportation Integrated Search

2008-08-01

The objective of this study was to establish 2008 safety belt and child safety seat usage rates in Kentucky. The 2008 survey continues to document the results after enactment of the initial "second enforcement" statewide mandatory safety belt law in ...

2005 safety belt usage survey in Kentucky.

DOT National Transportation Integrated Search

2005-08-01

The objective of this study was to establish 2005 safety belt and child safety seat usage rates in Kentucky. The 2005 survey continues to document the results after enactment of the initial "second enforcement" statewide mandatory safety belt law in ...

Costs Associated with Equine Breeding in Kentucky

NASA Astrophysics Data System (ADS)

Walker, Cassandra L.

There were approximately 9 million horses in the United States having a 102 billion impact on the U.S. economy (AHC, 2005). Over 1 million of those horses were involved in the breeding sector. In Kentucky, nearly 18% of the horse population have been involved in breeding. Managing an equine enterprise can be difficult, particularly given that many who undertake such endeavors do not have a background or education in business management. Kentucky Cooperative Extension has produced interactive spreadsheets to help horse owners better understand the costs associated with owning horses or managing certain equine businesses, including boarding and training operations. However, there has been little support for breeders. Therefore, the objectives of this study were to provide owners with a list of services offered for breeding and the costs associated with those services. Survey questions were created from a list of topics pertinent to equine breeding and from that list of questions, an electronic survey was created. The survey was sent via Qualtrics Survey Software to collect information on stallion and mare management costs as well as expenses related to owning and breeding. Question topics included veterinary and housing costs, management and advertising expenses, and membership fees. A total of 78 farms were selected from the 2013 breeder's listings for the Kentucky Quarter Horse Association (n = 39) and the Kentucky Thoroughbred Farm Managers' Club (n = 26), and other breed association contacts (n = 13). These farms were selected from the lists by outside individuals who were not related to the project. Participants were asked to answer all questions relevant to the farm. After the initial survey distribution, follow-up e-mails and phone calls were conducted in order to answer any questions participants might have had about the survey. Survey response rate was 32.1% (25 of 78 surveys returned). Farms in Kentucky had an average of two farm-owned and two outside

Coal resources of the Hazard District, Kentucky: Breathitt, Knott, Leslie, Perry and parts of Harlan and Letcher counties

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

Brant, R.A.; Chesnut, D.R.; Frankie, W.T.

This report is the fifth in the Energy Resource Series published by the University of Kentucky Institute for Mining and Minerals Research (IMMR), with the Kentucky Geological Survey (KGS). It summarizes the coal resources of the Hazard District (Breathitt, Knott, Leslie, Perry, and parts of Harlan and Letcher counties) of the Eastern Kentucky Coal Field as calculated by the Kentucky Geological Survey. Tonnage estimates for the individual coal beds in the district are presented in tabular form, along with resource maps of the major coal beds.

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

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,…

Stress Indicators of Kentucky Elementary Principals.

ERIC Educational Resources Information Center

Kirby, H. J.; And Others

Stress has become a problem to educational administrators who often report a high level of stress. This study explored the perceived stress levels of Kentucky elementary school principals. Questionnaires mailed to 200 elementary school principals produced 115 usable returns, a 57.5 percent response rate. The questionnaire consisted of a 24-item…

"That Dog Won't Hunt!": Exemplary School Change Efforts within the Kentucky Reform.

ERIC Educational Resources Information Center

Wolf, Shelby A.; Borko, Hilda; Elliott, Rebekah L.; McIver, Monette C.

2000-01-01

Presents case studies of four exemplary schools as they worked to meet the demands of the Kentucky Education Reform Act (KERA) and the assessment system, the Kentucky Instructional Results Information System. Finds that the ways schools met the challenges were unique to each site, but outlines aspect common to teachers in all four sites. (SLD)

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…

Construction, Geologic, and Hydrologic Data for Observation Wells in the Reelfoot Lake Area, Tennessee and Kentucky

DTIC Science & Technology

1987-01-01

AND HYDROLOGIC DATA FOR OBSERVATION WELLS IN THE REELFOOT LAKE AREA, TENNESSEE AND KENTUCKY ($3 1 .cz Prepared in cooperation with the...Observation Wells in The Reelfoot Lake Area, Tennessee and Kentucky 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d...Prescribed by ANSI Std Z39-18 CONSTRUCTION, GEOLOGIC, AND HYDROLOGIC DATA FOR OBSERVATION WELLS IN THE REELFOOT LAKE AREA, TENNESSEE AND KENTUCKY Michael

2014 safety belt usage survey in Kentucky.

DOT National Transportation Integrated Search

2014-08-01

The objective of the survey summarized in this report was to establish a statewide safety belt usage rate in Kentucky for 2014. This rate can be compared to those determined from previous surveys. The 2014 statewide survey continues to document the i...

2001 Safety belt usage survey in Kentucky

DOT National Transportation Integrated Search

2001-08-01

The objective of this study was to establish 2001 safety belt and child safety seat usage rates in Kentucky. The 2001 survey continues to document the results after enactment of a statewide mandatory safety belt law in 1994. It also documented the lo...

2002 safety belt usage survey in Kentucky

DOT National Transportation Integrated Search

2002-07-01

The objective of this study was to establish 2002 safety belt and child safety seat usage rates in Kentucky. The 2002 survey continues to document the results after enactment of a statewide mandatory safety belt law in 1994. Data were collected at 20...

2003 safety belt usage survey in Kentucky.

DOT National Transportation Integrated Search

2003-08-01

The objective of this study was to establish 2003 safety belt and child safety seat usage rates in Kentucky. The 2003 survey continues to document the results after enactment of a statewide mandatory safety belt law in 1994 and safety belt enforcemen...

2000 Safety belt usage survey in Kentucky

DOT National Transportation Integrated Search

2000-08-01

The objective of this study was to establish 2000 safety belt and child safety seat usage rates in Kentucky. The 2000 survey continues to document the results after enactment of a statewide mandatory safety belt law in 1994. Data were collected at 20...

2004 safety belt usage survey in Kentucky.

DOT National Transportation Integrated Search

2004-08-01

The objective of this study was to establish 2004 safety belt and child safety seat usage rates in Kentucky. The 2004 survey continues to document the results after enactment of a statewide mandatory safety belt law in 1994 and safety belt enforcemen...

A Study of One and Two Room Schools in Kentucky. The Little Red School House in Kentucky.

ERIC Educational Resources Information Center

Kentucky State Dept. of Education, Frankfort. Bureau of Pupil Personnel Services.

This study presents historical data describing the building and consolidating of 1 and 2 room schools in Kentucky from 1914 to 1969. The report consists of 4 sections: (1) brief history, (2) pictures, (3) newspaper clippings, and (4) maps. [Not available in hard copy due to marginal legibility of original document.] (TL)

Mercury in Eastern Kentucky coals: Geologic aspects and possible reduction strategies

USGS Publications Warehouse

Hower, J.C.; Eble, C.F.; Quick, J.C.

2005-01-01

Mercury emissions from US coal-fired power plants will be regulated by the US Environmental Protection Agency (USEPA) before the end of the decade. Because of this, the control of Hg in coal is important. Control is fundamentally based on the knowledge of the amounts of Hg in mined, beneficiated, and as-fired coal. Eastern Kentucky coals, on a reserve district level, have Hg contents similar to the USA average for coal at mines. Individual coals show greater variation at the bench scale, with Hg enrichment common in the top bench, often associated with enhanced levels of pyritic sulfur. Some of the variation between parts of eastern Kentucky is also based on the position relative to major faults. The Pine Mountain thrust fault appears to be responsible for elemental enrichment, including Hg, in coals on the footwall side of the thrust. Eastern Kentucky coals shipped to power plants in 1999, the year the USEPA requested coal quality information on coal deliveries, indicate that coals shipped from the region have 0.09 ppm Hg, compared to 0.10 ppm for all delivered coals in the USA. On an equal energy basis, and given equal concentrations of Hg, the high volatile bituminous coals from eastern Kentucky would emit less Hg than lower rank coals from other USA regions. ?? 2005 Elsevier B.V. All rights reserved.

Resources. An Overview of the University of Kentucky Community College System, Part Six.

ERIC Educational Resources Information Center

Kentucky Univ., Lexington. Community Coll. System.

The Commission to Study the Future of Community Colleges in Kentucky was established in 1988 to review the accomplishments of the Kentucky Community College System (KCCS) and to provide direction for the KCCS towards the year 2000. Developed as part of a collection of reports on the KCCS for use by the Commission in its work, this report provides…

Characterizing coal beds in western Kentucky with the Al-La-Sc coherent triad

USGS Publications Warehouse

Chyi, L.L.; Medlin, J.H.

1996-01-01

Cyclic sedimentation and lateral facies changes make coal bed correlations inconclusive and difficult. This uncertainty can be further complicated if a coal basin has been structurally deformed. Coal macerals can be studied to indicate the nature and degree of coalification. Their use in coal bed correlation, however, is limited. Most of the trace elements and their ratios that have been studied show significant within-bed lateral and stratigraphic variations, and thus are not effective in correlating coal beds regionally. Geochemically coherent groups of elements, such as rare earth elements (REE) and platinum group elements (PGE), appear to be highly differentiated in coal-forming environments. Geochemical coherent elemental triads appear to be useful for coal bed identification or fingerprinting. The best triad which was demonstrated to be effective in coal bed characterization in western Kentucky, is that of Al, La and Sc. These three elements are highly correlated with one another and they can be determined accurately and simultaneously with instrumental neutron activation analysis (INAA). The elemental triad Al-La-Sc is used to identify and fingerprint three key coal beds in western Kentucky: the Springfield (western Kentucky No. 9), the Davis (western Kentucky No. 6), and the Mining City and Dawson Springs are both considered to be the No. 4 coal bed in western Kentucky). Four distinct groupings can be recognized by use of the Al-La-Sc triad. The Dawson Springs coals have the highest Al/(La + Sc) ratios, followed by the Springfield, the Davis and the Mining City. The Mining City coal bed generally has the highest La/Sc ratio. However, the Dawson Springs is not correlated with the Mining City using the triad analysis, even though they have reportedly similar stratigraphic positions in the western Kentucky coal basin. The Al-La-Sc triad appears to be effective in discriminating between the Springfield and the Davis coal beds throughout the entire Illinois

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.

Kentucky's Children: County Data Book, 1994.

ERIC Educational Resources Information Center

Kentucky Kids Count Consortium.

This report provides a statistical portrait of Kentucky children's well-being, by county and in the state overall. Part 1 of the report, "Young Families in Peril," profiles poverty in the state, noting that the vast majority of poor families are working, married-couple households; however, families with household heads younger than 30…

State Teacher Policy Yearbook, 2009. Kentucky

ERIC Educational Resources Information Center

National Council on Teacher Quality, 2009

2009-01-01

The Kentucky 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…

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

Kentucky pharmacists' opinions of the potential reclassification of pseudoephedrine as a legend drug.

PubMed

Monson, Kathleen E; Freeman, Patricia R; Goodin, Amie J; Talbert, Jeffery; Blumenschein, Karen

2014-01-01

To collect and analyze Kentucky pharmacists' opinions of the effectiveness of current methamphetamine precursor controls, to analyze proposed legislation to make pseudoephedrine (PSE) a legend drug, and to analyze the potential impact of such legislation on pharmacy practice and patients. Descriptive, nonexperimental survey study. Kentucky; June through October 2012. 431 Kentucky community pharmacists. Mailed survey. Perceived efficacy of current methamphetamine precursor controls, anticipated impact on individual pharmacy practices and patients of proposed legislation to make PSE available by prescription only, and current opinions about the proposed legislation. Analysis of 431 community pharmacists showed that approximately 77% believed proposed legislation to make PSE available by prescription only would be effective in reducing methamphetamine abuse and methamphetamine-related laboratory incidents, with 56.2% indicating support for the proposed legislation. Pharmacists practicing in chain pharmacies were 2.9 times more likely to support the legislation than pharmacists practicing in independent pharmacies. Additional factors influencing pharmacist support included Kentucky region of practice, anticipated impact on time spent on PSE activities, pharmacy profit, methamphetamine abuse, and methamphetamine-related laboratory incidents. Pharmacists practicing in regions of Kentucky associated with higher methamphetamine abuse appear to more strongly support the proposed legislation. Pharmacists are at the frontline of PSE distribution. Gaining a better understanding of issues surrounding the distribution of PSE will enhance the likelihood that future legislation may be crafted to reduce methamphetamine production, laboratory incidents, and abuse while minimizing inconvenience and cost.

75 FR 22737 - Agenda and Notice of Public Meeting of the Kentucky Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-30

... COMMISSION ON CIVIL RIGHTS Agenda and Notice of Public Meeting of the Kentucky Advisory Committee... Civil Rights (Commission), and the Federal Advisory Committee Act (FACA), that a meeting of the Kentucky... Southern Regional Office, U.S. Commission on Civil Rights, 61 Forsyth Street, Suite 18T40, Atlanta, GA...

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

Forest Statistics for Kentucky - 1975 and 1988

Treesearch

Carol L. Alerich

1990-01-01

A statistical report on the fourth forest survey of Kentucky (1988). Findings are displayed in 204 tables containing estimates of forest area, number of trees, timber volume, tree biomass, and timber products output. Data are presented at three levels: state, geographic unit, and county.

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

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…

Water-quality assessment of the Kentucky River basin, Kentucky; results of investigations of surface-water quality, 1987-90

USGS Publications Warehouse

Haag, K.H.; Garcia, Rene; Jarrett, G.L.; Porter, S.D.

1995-01-01

The U.S. Geological Survey investigated the water quality of the Kentucky River Basin in Kentucky as part of the National Water-Quality Assessment program. Data collected during 1987-90 were used to describe the spatial and temporal variability of water-quality constituents including metals and trace elements, nutrients, sediments, pesticides, dissolved oxygen, and fecal-coliform bacteria. Oil-production activities were the source of barium, bromide, chloride, magnesium, and sodium in several watersheds. High concentrations of aluminum, iron, and zinc were related to surface mining in the Eastern Coal Field Region. High concentrations of lead and zinc occurred in streambed sediments in urban areas, whereas concentrations of arsenic, strontium, and uranium were associated with natural geologic sources. Concentrations of phosphorus were significantly correlated with urban and agricultural land use. The high phosphorus content of Bluegrass Region soils was an important source of phosphorus in streams. At many sites in urban areas, most of the stream nitrogen load was attributable to wastewater-treatment-plant effluent. Average suspended-sediment concentrations were positively correlated with discharge. There was a downward trend in suspended-sediment concentrations downstream in the Kentucky River main stem during the study. The most frequently detected herbicides in water samples were atrazine, 2,4-D, alachlor, metolachlor, and dicamba. Diazinon, malathion, and parathion were the most frequently detected organophosphate insecticides in water samples. Detectable concentrations of aldrin, chlordane, DDT, DDE, dieldrin, endrin, endosulfan, heptachlor, and lindane were found in streambed-sediment samples. Dissolved-oxygen concentrations were sometimes below the minimum concentration needed to sustain aquatic life. At some sites, high concentrations of fecal-indicator bacteria were found and water samples did not meet sanitary water-quality criteria.

Increasing the medical school applicant pool: a key to training more rural physicians.

PubMed

Anderson, Danielle M; Whitler, Elmer T; Johnson, Andrew O; Elam, Carol L; Wilson, Emery A; Asher, Linda M

2009-09-01

Workforce studies show shortages of physicians in many areas of the United States. These shortages are especially severe in states such as Kentucky with many rural counties and are predicted to worsen in the future unless there are changes throughout our educational system to build aspirations and prepare students for medical school education. To examine rural-urban differences and community characteristics of applicants and matriculants to Kentucky's two allopathic medical schools and influences on the educational aspirations of young students who wish to become physicians. The number of Kentucky applicants and matriculants to allopathic medical schools was obtained from the Association of American Medical College's data warehouse for the period from 2002-2006. A continuous, multidimensional measure was used to classify counties by degree of rurality. Socio-demographic variables were selected for the counties of residence for applicants and matriculants. Model variables were tested in a least squares multiple regression model for their ability to explain patterns among Kentucky's 120 counties in the number of both resident applicants and matriculants to medical school. Data from a survey of middle school participants in summer health camps were analyzed to help identify important influences on young students aspiring to a career as a health professional, especially becoming a physician, and how these might be supported to increase the supply of rural medical school applicants. The low number of rural applicants to medical school was highly correlated with the relative rurality of their county of residence, a low physician-to-population ratio and a low number of total primary care physicians. The percentage of county residents having a bachelor's degree level of education or higher had a positive impact on the application rate. Respondents became interested in health careers at age 15 or younger, and parents and grandparents, teachers, and close associates

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.

Lithostratigraphy of Upper Ordovician strata exposed in Kentucky

USGS Publications Warehouse

Weir, Gordon Whitney; Peterson, Warren Lee; Swadley, W.C.

1984-01-01

Ordovician formations above the Lexington Limestone crop out in the Blue Grass region of Kentucky and along the Cumberland River and its tributaries. The formations are all conformable and in places intertongue and intergrade. The major Ordovician units above the Lexington Limestone in the Blue Grass region are: The Clays Ferry Formation, the Kope Formation, the Garrard Siltstone, the Fairview Formation, the Calloway Creek Limestone, the Grant Lake Limestone, the Ashlock Formation, the Bull Fork Formation, and the Drakes Formation. The Clays Ferry Formation is made up of subequal amounts of fossiliferous limestone and shale and minor siltstone; the Clays Ferry is as much as 300 ft thick and intertongues with the Lexington Limestone and the Kope Formation. The Kope Formation resembles the partly equivalent Clays Ferry but has a higher shale content (60-80 percent) and thicker layers of shale; the Kope, as much as 275 ft thick, is mostly restricted to the northern part of the State. The Garrard Siltstone, which consists of very calcitic siltstone and minor shale, overlies the Clays Ferry Formation in the southeastern part of the Blue Grass region; the Garrard, as much as 100 ft thick, feathers out into the upper part of the Clays Ferry in southern central and northern east-central Kentucky. The Fairview Formation is characterized by even-bedded limestone interlayered with nearly equal amounts of shale and minor siltstone. The Fairview crops out in the northern part of the Blue Grass region, where it generally overlies the Kope Formation or the Garrard Siltstone; it grades southward into the Calloway Creek Limestone. The Calloway Creek contains more limestone (generally at least 70 percent) and is more irregularly and thinner bedded than the Fairview. The Grant Lake Limestone is composed of nodular-bedded limestone (70-90 percent), interlayered and intermixed with shale; it overlies the Fairview Formation in the northern part of the Blue Grass region and the Calloway

Kentucky commercial vehicle safety applications evaluation : technical report.

DOT National Transportation Integrated Search

2008-01-31

An advanced-technology Integrated Safety and Security Enforcement System (ISSES), now deployed at three commercial vehicle inspection sites along interstate highways in Kentucky, was evaluated from the point of view of system performance, potential e...

Kentucky's forest products industry: performance and contribution to the state's economy, 1970 to 1980.

Treesearch

Con H. Schallau; Wilbur R. Maki; Bennett B. Foster; Clair H. Redmond

1986-01-01

Employment and earnings in Kentucky's forest products industry, like those of most Southern States, grew significantly between 1970 and 1980. In fact, Kentucky's share of the Nation's forest products employment and earnings increased during this period. In 1980, lumber and wood products accounted for the largest share of the industry's employment,...

77 FR 26775 - Kentucky; Amendment No. 6 to Notice of a Major Disaster Declaration

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-07

.... FEMA-4057-DR; Docket ID FEMA-2012-0002] Kentucky; Amendment No. 6 to Notice of a Major Disaster... notice of a major disaster declaration for the Commonwealth of Kentucky (FEMA-4057-DR), dated March 6... in his declaration of March 6, 2012. Adair County for Public Assistance. Bath County for Public...

Making the Best Better: Assessing the Professional Development Needs of Kentucky 4-H Agents

ERIC Educational Resources Information Center

Stamper, Charles E.

2017-01-01

University of Kentucky Cooperative Extension Specialist for 4-H Youth Development conducted a comprehensive needs assessment of the professional development system of Kentucky 4-H Youth Development Agents. A qualitative research design was used to give nine 4-H Agents the opportunity to identify the strengths and challenges of the current…

78 FR 50373 - Agenda and Notice of Public Meeting of the Kentucky Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-19

... COMMISSION ON CIVIL RIGHTS Agenda and Notice of Public Meeting of the Kentucky Advisory Committee... Civil Rights (Commission) and the Federal Advisory Committee Act (FACA) that a meeting of the Kentucky... Office, U.S. Commission on Civil Rights, 61 Forsyth St. SW., Suite 16T126, Atlanta, GA 30303. Persons...

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…

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.

78 FR 58884 - Approval and Promulgation of Implementation Plans; Kentucky; Stage II Requirements for Enterprise...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-25

...] Approval and Promulgation of Implementation Plans; Kentucky; Stage II Requirements for Enterprise Holdings... Kentucky Division for Air Quality (KDAQ) on April 25, 2013, for the purpose of exempting an Enterprise... subject Enterprise Holdings, Inc., facility is currently being constructed at the Cincinnati/Northern...

Water resources data, Kentucky. Water year 1991

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

McClain, D.L.; Byrd, F.D.; Brown, A.C.

1991-12-31

Water resources data for the 1991 water year for Kentucky consist of records of stage, discharge, and water quality of streams and lakes; and water-levels of wells. This report includes daily discharge records for 115 stream-gaging stations. It also includes water-quality data for 38 stations sampled at regular intervals. Also published are 13 daily temperature and 8 specific conductance records, and 85 miscellaneous temperature and specific conductance determinations for the gaging stations. Suspended-sediment data for 12 stations (of which 5 are daily) are also published. Ground-water levels are published for 23 recording and 117 partial sites. Precipitation data at amore » regular interval is published for 1 site. Additional water data were collected at various sites not involved in the systematic data-collection program and are published as miscellaneous measurement and analyses. These data represent that part of the National Water Data System operated by the US Geological Survey and cooperation State and Federal agencies in Kentucky.« less

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.

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.

Safety and capacity evaluation for interstates in Kentucky.

DOT National Transportation Integrated Search

2005-04-01

This analysis and evaluation was directed toward assessing safety and capacity issues on interstates in Kentucky and, particularly, the manner in which commercial vehicle traffic affects these issues. Analyses was undertaken to show past trends and p...

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.

Invasion and transmission of Salmonella Kentucky in an adult dairy herd using approximate Bayesian computation

USDA-ARS?s Scientific Manuscript database

An outbreak of Salmonella Kentucky followed by a high level of sustained endemic prevalence was recently observed in a US adult dairy herd enrolled in a longitudinal study involving intensive fecal sampling. To understand the invasion ability and transmission dynamics of Salmonella Kentucky in dairy...

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

Kentucky pharmacists' opinions of the potential reclassification of pseudoephedrine as a legend drug

PubMed Central

Monson, Kathleen E.; Freeman, Patricia R.; Goodin, Amie J.; Talbert, Jeffery; Blumenschein, Karen

2015-01-01

Objectives To collect and analyze Kentucky pharmacists' opinions of the effectiveness of current methamphetamine precursor controls, to analyze proposed legislation to make pseudoephedrine (PSE) a legend drug, and to analyze the potential impact of such legislation on pharmacy practice and patients. Design Descriptive, nonexperimental survey study. Setting Kentucky; June through October 2012. Participants 431 Kentucky community pharmacists. Intervention Mailed survey. Main outcome measures Perceived efficacy of current methamphetamine precursor controls, anticipated impact on individual pharmacy practices and patients of proposed legislation to make PSE available by prescription only, and current opinions about the proposed legislation. Results Analysis of 431 community pharmacists showed that approximately 77% believed proposed legislation to make PSE available by prescription only would be effective in reducing methamphetamine abuse and methamphetamine-related laboratory incidents, with 56.2% indicating support for the proposed legislation. Pharmacists practicing in chain pharmacies were 2.9 times more likely to support the legislation than pharmacists practicing in independent pharmacies. Additional factors influencing pharmacist support included Kentucky region of practice, anticipated impact on time spent on PSE activities, pharmacy profit, methamphetamine abuse, and methamphetamine-related laboratory incidents. Pharmacists practicing in regions of Kentucky associated with higher methamphetamine abuse appear to more strongly support the proposed legislation. Conclusion Pharmacists are at the frontline of PSE distribution. Gaining a better understanding of issues surrounding the distribution of PSE will enhance the likelihood that future legislation may be crafted to reduce methamphetamine production, laboratory incidents, and abuse while minimizing inconvenience and cost. PMID:25063261

Barriers to receiving substance abuse treatment among rural pregnant women in Kentucky.

PubMed

Jackson, Afton; Shannon, Lisa

2012-12-01

Research presenting outcomes for women who enter substance abuse treatment during pregnancy consistently shows benefits. While treatment has nearly universal benefits, there are many barriers to seeking substance abuse treatment for pregnant women. The purpose of this study is to explore barriers for rural pregnant women seeking substance abuse treatment. There were three eligibility criteria for study participation: (1) aged 18 and older, (2) pregnant, and (3) undergoing short-term inpatient detoxification at the University of Kentucky Chandler Medical Center. Eighty-five rural women (N = 85) were included in the analysis. Substance use history and previous treatment were assessed with measures adapted from the Addiction Severity Index. Treatment barriers were measured with three qualitative questions and were coded into four overarching categories: availability, accessibility, affordability, and acceptability barriers. This sample had an extensive substance use history. Almost all participants had used alcohol (98%), marijuana (98%), illicit opiates (99%), and cigarettes (97%). On average, participants reported about two barriers to receiving treatment (Mean = 1.8; SD = 1.3), with over 80% of the sample reporting having experienced any barrier to treatment. The majority experienced acceptability (51%) and accessibility (49%) barriers. Twenty-six percent (26%) of the sample reported availability barriers. A smaller percentage of participants reported affordability barriers (13%). Rural pregnant women seeking substance abuse treatment face many obstacles to receiving needed treatment. More studies on barriers to substance abuse treatment among rural pregnant women are needed. Identifying these barriers can help in improving treatment access and services.

CRISPR Typing and Antibiotic Resistance Correlates with Polyphyletic Distribution in Human Isolates of Salmonella Kentucky.

PubMed

Vosik, Dorothy; Tewari, Deepanker; Dettinger, Lisa; M'ikanatha, Nkuchia M; Shariat, Nikki W

2018-02-01

Although infrequently associated with reported salmonellosis in humans, Salmonella enterica, subsp. enterica serovar Kentucky (ser. Kentucky) is the most common nonclinical, nonhuman serovar reported in the United States. The goal of this study was to use Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR)-multi-virulence-locus sequence typing (MVLST) to subtype a collection of human clinical isolates of ser. Kentucky submitted to the Pennsylvania Department of Health and to determine the extent of antibiotic resistance in these strains. This analysis highlighted the polyphyletic nature of ser. Kentucky, and separated our isolates into two groups, Group I and Group II, which were equally represented in our collection. Furthermore, antimicrobial susceptibility testing on all isolates using a National Antimicrobial Resistance Monitoring System (NARMS) panel of antibiotics demonstrated that resistance profiles could be divided into two groups. Group I isolates were resistant to cephems and penicillins, whereas Group II isolates were resistant to quinolones, gentamicin, and sulfisoxazole. Collectively, 50% of isolates were resistant to three or more classes of antibiotics and 30% were resistant to five or more classes. The correlation of antibiotic resistance with the two different lineages may reflect adaptation within two distinct reservoirs of ser. Kentucky, with differential exposure to antimicrobials.

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.

College to High School: Kentucky's Dual Enrollment Alternative

ERIC Educational Resources Information Center

Stephenson, Lisa G.

2014-01-01

This chapter provides an overview of results from a recent qualitative study of two Middle College High Schools in Kentucky. The qualitative study utilized Rapid Assessment Process to identify essential elements needed to implement and maintain educational partnerships.

Development of Kentucky's highway incident management strategic plan.

DOT National Transportation Integrated Search

2005-05-01

ven though Kentucky has undertaken many initiatives to improve specific aspects of incident management, there has never been a plan that establishes an overall framework for a systematic, statewide, multi-agency effort to improve the management of hi...

The forest-land owners of Kentucky

Treesearch

Thomas W. Birch; Douglas S. Powell

1978-01-01

Ninety-two percent of the commercial forest land in Kentucky--11 million acres--is in the hands of some 455,600 private owners. Ninety-four percent of these owners are individuals. The "average" individual owner is in late middle age, has little formal education, receives a modest income, has a farm or rural background, has owned his woodland more than 10...

rpoS-Regulated Core Genes Involved in the Competitive Fitness of Salmonella enterica Serovar Kentucky in the Intestines of Chickens

PubMed Central

Cheng, Ying; Pedroso, Adriana Ayres; Porwollik, Steffen; McClelland, Michael; Lee, Margie D.; Kwan, Tiffany; Zamperini, Katherine; Soni, Vivek; Sellers, Holly S.; Russell, Scott M.

2014-01-01

Salmonella enterica serovar Kentucky has become the most frequently isolated serovar from poultry in the United States over the past decade. Despite its prevalence in poultry, it causes few human illnesses in the United States. The dominance of S. Kentucky in poultry does not appear to be due to single introduction of a clonal strain, and its reduced virulence appears to correlate with the absence of virulence genes grvA, sseI, sopE, and sodC1. S. Kentucky's prevalence in poultry is possibly attributable to its metabolic adaptation to the chicken cecum. While there were no difference in the growth rate of S. Kentucky and S. Typhimurium grown microaerophilically in cecal contents, S. Kentucky persisted longer when chickens were coinfected with S. Typhimurium. The in vivo advantage that S. Kentucky has over S. Typhimurium appears to be due to differential regulation of core Salmonella genes via the stationary-phase sigma factor rpoS. Microarray analysis of Salmonella grown in cecal contents in vitro identified several metabolic genes and motility and adherence genes that are differentially activated in S. Kentucky. The contributions of four of these operons (mgl, prp, nar, and csg) to Salmonella colonization in chickens were assessed. Deletion of mgl and csg reduced S. Kentucky persistence in competition studies in chickens infected with wild-type or mutant strains. Subtle mutations affecting differential regulation of core Salmonella genes appear to be important in Salmonella's adaptation to its animal host and especially for S. Kentucky's emergence as the dominant serovar in poultry. PMID:25362062

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.

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

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

Comparison of the Eastern and Western Kentucky coal fields (Pennsylvanian), USA-why are coal distribution patterns and sulfur contents so different in these coal fields?

USGS Publications Warehouse

Greb, S.F.; Eble, C.F.; Chesnut, D.R.

2002-01-01

More than 130 Mt of Pennsylvanian coal is produced annually from two coal fields in Kentucky. The Western Kentucky Coal Field occurs in part of the Illinois Basin, an intercratonic basin, and the Eastern Kentucky Coal Field occurs in the Central Appalachian Basin, a foreland basin. The basins are only separated by 140 km, but mined western Kentucky coal beds exhibit significantly higher sulfur values than eastern Kentucky coals. Higher-sulfur coal beds in western Kentucky have generally been inferred to be caused by more marine influences than for eastern Kentucky coals. Comparison of strata in the two coal fields shows that more strata and more coal beds accumulated in the Eastern than Western Kentucky Coal Field in the Early and Middle Pennsylvanian, inferred to represent greater generation of tectonic accommodation in the foreland basin. Eastern Kentucky coal beds exhibit a greater tendency toward splitting and occurring in zones than time-equivalent western Kentucky coal beds, which is also inferred to represent foreland accommodation influences, overprinted by autogenic sedimentation effects. Western Kentucky coal beds exhibit higher sulfur values than their eastern counterparts, but western Kentucky coals occurring in Langsettian through Bolsovian strata can be low in sulfur content. Eastern Kentucky coal beds may increase in sulfur content beneath marine zones, but generally are still lower in sulfur than mined Western Kentucky coal beds, indicating that controls other than purely marine influences must have influenced coal quality. The bulk of production in the Eastern Kentucky Coal Field is from Duckmantian and Bolsovian coal beds, whereas production in the Western Kentucky Coal Field is from Westphalian D coals. Langsettian through Bolsovian paleoclimates in eastern Kentucky were favorable for peat doming, so numerous low-sulfur coals accumulated. These coals tend to occur in zones and are prone to lateral splitting because of foreland tectonic and

76 FR 35938 - Kentucky Disaster Number KY-00039

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-20

... U.S. SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12566 and 12567] Kentucky Disaster Number KY-00039 AGENCY: U.S. Small Business Administration. ACTION: Amendment 6. SUMMARY: This is an...: Submit completed loan applications to: U.S. Small Business Administration, Processing and Disbursement...

76 FR 37166 - Kentucky Disaster Number KY-00039

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-24

... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12566 and 12567] Kentucky Disaster Number KY-00039 AGENCY: U.S. Small Business Administration. ACTION: Amendment 7. SUMMARY: This is an amendment of... Domestic Assistance Numbers 59002 and 59008) James E. Rivera, Associate Administrator for Disaster...

76 FR 32387 - Kentucky Disaster Number KY-00039

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-06

... SMALL BUSINESS ADMINISTRATION Disaster Declaration 12566 and 12567 Kentucky Disaster Number KY-00039 AGENCY: U.S. Small Business Administration. ACTION: Amendment 4. SUMMARY: This is an amendment of... original declaration remains unchanged. (Catalog of Federal Domestic Assistance Numbers 59002 and 59008...

75 FR 35511 - Kentucky Disaster Number KY-00032

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-22

... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12168 and 12169] Kentucky Disaster Number KY-00032 AGENCY: Small Business Administration. ACTION: Amendment 5. SUMMARY: This is an amendment of the... Domestic Assistance Numbers 59002 and 59008) Roger B. Garland, Acting Associate Administrator for Disaster...

Evaluation of Kentucky's Click it or Ticket campaign.

DOT National Transportation Integrated Search

2001-08-01

The objective of this report was to document the results of the Click It or Ticket campaign in Kentucky. The campaign involved a combination of earned media, paid media, and enforcement. : The evaluation of the campaign included documenting the activ...

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…

The Implementation of Dual Credit Programs in Six Nonurban Kentucky School Districts. REL 2016-136

ERIC Educational Resources Information Center

Piontek, Mary E.; Kannapel, Patricia J.; Flory, Michael; Stewart, Molly S.

2016-01-01

A key strategy of the Kentucky Department of Education's and Council on Postsecondary Education's College and Career Readiness Delivery plan is to provide opportunities for high school students to earn college credit. Districts across Kentucky are implementing dual credit programs, but there is little sharing of information about the…

Developing Entrepreneurial Economies in Rural Regions: Lessons from Kentucky and Appalachia. Open Field Occasional Report.

ERIC Educational Resources Information Center

Gurwitt, Rob; Kimel, Kris

A 1996 workshop held in Harrodsburg, Kentucky, explored the challenge of creating an entrepreneurial economy in predominantly rural states such as Kentucky with little or no history of widespread entrepreneurial activity. Traditional approaches to economic development in such states, such as spending on relocation incentives for out-of-state…

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

77 FR 41980 - Uniontown Hydro, LLC, Project No. 12958-001-Kentucky and Indiana, Uniontown Hydroelectric Project...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-17

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Uniontown Hydro, LLC, Project No. 12958-001-Kentucky and Indiana, Uniontown Hydroelectric Project; Newburgh Hydro, LLC, Project No. 12962-001-Kentucky and Indiana, Newburgh Hydroelectric Project; Notice of Revised Restricted Service List for a...

Achieving 80% BSN by 2020: Lessons Learned From Kentucky's Registered Nurses.

PubMed

Warshawsky, Nora E; Brandford, Arica; Barnum, Nancy; Westneat, Susan

2015-09-01

The aim of this study was to understand the educational status and plans of Kentucky's RN workforce in advancing nursing educational levels. The Institute of Medicine called for 80% of nurses to hold a minimum of a BSN by 2020. Nurse leaders from practice, academe, and the community need evidence to guide the development of effective strategies. An electronic survey was administered to Kentucky's RNs. This descriptive analysis was based on 1363 usable responses. Only 40% of Kentucky's RNs held at least a BSN. Another 17% were enrolled in a nursing degree program; half of those enrolled were pursuing a BSN. Of those not enrolled in a degree program, 61.5% reported no plans to return to school. The top barriers were lack of perceived benefit, financial concerns, family obligations, and planned retirement. The top motivating factor was career advancement. The gap between the current reality and the goal is wide. Nurse leaders will need to develop creative strategies that strengthen motivating factors and reduce barriers to accelerate movement toward increasing BSN rates.

A compilation of mineral occurrences and the relationship of occurrences to structural elements of the Kentucky and Tennessee region

NASA Technical Reports Server (NTRS)

Mayhew, M. A.; Myers, D. M.

1984-01-01

A very prominent magnetic anomaly measured by MAGSAT over the eastern mid-continent of the United States was inferred to have a source region beneath Kentucky and Tennessee. Prominent aeromagnetic and gravity anomalies are also associated with the inferred source region. A crustal model constructed to fit these anomalies interpreted the complex as a large mafic plutonic intrusion of Precambrian age. The complex was named the Kentucky body. It was noticed that the Jessamine Dome, which is a locus of intense faulting and mineralization, occurs near the northern end of the Kentucky body, and that more generally there seemed to be a spatial relationship between mineral occurrence and the body. The relationship between mineral deposits in Kentucky and Tennessee and the Kentucky body was investigated. A compilation of mineral occurrences in the region, classified according to type and age, is presented.

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.

A preview of Kentucky's forest resource

Treesearch

Joseph E. Barnard; Teresa M. Bowers

1977-01-01

Forty-eight percent of the total land area of Kentucky is forest. Sixty-three percent of this forest land is the oak-hickory forest type and 47 percent of the forest area supports sawtimber stands. There has been a 23-percent increase in the volume of growing stock and a 24-percent increase in the volume of sawtimber since the 1963 inventory. Total volume of growing...

Kentucky harvest and utilization study, 2007

Treesearch

Jason A. Cooper; James W. Bentley

2013-01-01

In 2007, a harvest and utilization study was conducted on 53 operations in Kentucky. There were 1,310 total trees measured: 263 or 20 percent were softwood, while 1,047 or 80 percent were hardwood. Results from this study showed that 82 percent of the total softwood volume measured was utilized for a product, and 18 percent was left as logging residue. Seventy-two...

The Operations of Kentucky Rural School Councils.

ERIC Educational Resources Information Center

Din, Feng S.

1998-01-01

A survey of 127 rural Kentucky school councils found that more parent members than teacher members held positive views about their school-council performance, and more teacher members than principals had such opinions. Members indicated main benefits to the school from council performance and main problems faced by school councils. Contains 22…

Kentucky, 2007 forest inventory and analysis factsheet

Treesearch

Christopher M. Oswalt; Christopher R. King; Tony G. Johnson

2010-01-01

This science update provides an overview of the forest resource attributes of Kentucky. The overview is based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) Program at the Southern Research Station of the USDA Forest Service. The inventory, along with Web-posted supplemental tables, will be updated annually.

[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.

Dual Enrollment Courses in Kentucky: High School Students' Participation and Completion Rates. REL 2016-137

ERIC Educational Resources Information Center

Lochmiller, Chad R.; Sugimoto, Thomas J.; Muller, Patricia A.; Mosier, Gina G.; Williamson, Steven E.

2016-01-01

Kentucky is using dual enrollment as one strategy to improve access to postsecondary education for its high school students, particularly after passage of Kentucky Senate Bill 1 in 2009, which focused on improving college and career readiness. The Regional Educational Laboratory (REL) Appalachia undertook a descriptive study of participation in…

Widespread distribution of ticks and selected tick-borne pathogens in Kentucky (USA).

PubMed

Lockwood, Bessie H; Stasiak, Iga; Pfaff, Madeleine A; Cleveland, Christopher A; Yabsley, Michael J

2018-03-01

The geographical distribution of Ixodes scapularis and Amblyomma maculatum ticks is poorly understood in Kentucky. We conducted a convenience survey of wildlife species (white-tailed deer (Odocoileus virginianus), elk (Cervus canadensis) and black bears (Ursus americanus)) for ticks from October 2015 to January 2017. We detected four tick species including Amblyomma americanum, Dermacentor albipictus, I. scapularis and A. maculatum. Although the former two tick species were previously known to be widely distributed in Kentucky, we also found that I. scapularis and A. maculatum were also widespread. Because of the limited data available for pathogens from I. scapularis and A. maculatum, we tested them for Borrelia and Rickettsia spp. by polymerase chain reaction assays. Prevalence of Borrelia burgdorferi sensu stricto and Rickettsia parkeri were 11% and 3%, respectively. These data indicate that public health measures are important to prevent tick-borne diseases in Kentucky. Copyright © 2018 Elsevier GmbH. All rights reserved.

77 FR 19405 - Kentucky Disaster Number KY-00045

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-30

... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 13050 and 13051] Kentucky Disaster Number KY-00045 AGENCY: U.S. Small Business Administration. ACTION: Amendment 1. SUMMARY: This is an amendment of... unchanged. (Catalog of Federal Domestic Assistance Numbers 59002 and 59008) James E. Rivera, Associate...

76 FR 31671 - Kentucky Disaster Number KY-00039

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-01

... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12566 and 12567] Kentucky Disaster Number KY-00039 AGENCY: U.S. Small Business Administration. ACTION: Amendment 3. SUMMARY: This is an amendment of... Assistance Numbers 59002 and 59008) James E. Rivera, Associate Administrator for Disaster Assistance. [FR Doc...

76 FR 78194 - Approval and Promulgation of Air Quality Implementation Plans; Commonwealth of Kentucky; Regional...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-16

...EPA is proposing a limited approval and a limited disapproval of two revisions to the Kentucky State Implementation Plan (SIP) submitted by the Commonwealth of Kentucky through the Kentucky Energy and Environment Cabinet, Division of Air Quality (KYDAQ), on June 25, 2008, and May 28, 2010, that address regional haze for the first implementation period. These revisions address the requirements of the Clean Air Act (CAA or Act) and EPA's rules that require states to prevent any future and remedy any existing anthropogenic impairment of visibility in mandatory Class I areas (national parks and wilderness areas) caused by emissions of air pollutants from numerous sources located over a wide geographic area (also referred to as the ``regional haze program''). States are required to assure reasonable progress toward the national goal of achieving natural visibility conditions in Class I areas. EPA is proposing a limited approval of these SIP revisions to implement the regional haze requirements for Kentucky on the basis that the revisions, as a whole, strengthen the Kentucky SIP. Also in this action, EPA is proposing a limited disapproval of these same SIP revisions because of the deficiencies in the Commonwealth's regional haze SIP submittal arising from the remand by the U.S. Court of Appeals for the District of Columbia Circuit (DC Circuit) to EPA of the Clean Air Interstate Rule (CAIR).

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.

Tennessee Valley and Eastern Kentucky Wind Working Group

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

Katie Stokes

2012-05-03

In December 2009, the Southern Alliance for Clean Energy (SACE), through a partnership with the Appalachian Regional Commission, EKPC, Kentucky's Department for Energy Development and Independence, SACE, Tennessee's Department of Environment and Conservation, and TVA, and through a contract with the Department of Energy, established the Tennessee Valley and Eastern Kentucky Wind Working Group (TVEKWWG). TVEKWWG consists of a strong network of people and organizations. Working together, they provide information to various organizations and stakeholders regarding the responsible development of wind power in the state. Members include representatives from utility interests, state and federal agencies, economic development organizations, non-government organizations,more » local decision makers, educational institutions, and wind industry representatives. The working group is facilitated by the Southern Alliance for Clean Energy. TVEKWWG supports the Department of Energy by helping educate and inform key stakeholders about wind energy in the state of Tennessee.« less

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

Goals for Education. Challenge to Lead: Kentucky

ERIC Educational Resources Information Center

Southern Regional Education Board, 2004

2004-01-01

The Southern Regional Education Board adopted Challenge to Lead education goals to focus and hold attention on educational improvement in its 16 states. This report provides an overview of Kentucky's progress toward meeting these important goals. Challenge to Lead asserts: "With almost half of the new jobs created in America in the 1990s,…

Kentucky Kids Count 2002 County Data Book.

ERIC Educational Resources Information Center

Salley, Valerie

This Kids Count data book examines statewide trends in the well-being of Kentucky's children. The statistical portrait is based on indicators of child well-being in the areas of: (1) child poverty; (2) family types; (4) child living arrangements and parental employment; (4) births; (5) child and teen deaths; (6) economic security; (7) student…

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.

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

Kentucky Teacher Preparation and Certification Handbook. 1983 Edition.

ERIC Educational Resources Information Center

Kentucky State Dept. of Education, Frankfort. Div. of Teacher Education and Certification.

This handbook includes teacher preparation and certification regulations adopted by the Kentucky State Board of Education through March 1983. State standards are delineated for: (1) statutory provisions relating to teacher education and certification; (2) teacher certification procedures; (3) ranking of teacher qualifications; (4) evaluation and…

Lexington and Kentucky's Inner Bluegrass Region. Pathways in Geography Series, Site Guide Title No. 10.

ERIC Educational Resources Information Center

Ulack, Richard, Ed.; And Others

This meeting site guide for Lexington, Kentucky and the Bluegrass region around Lexington illustrates why the state of Kentucky and this region are excellent examples of how geography plays out on the land, how regions emerge, and how human events and processes, in the context of the physical environment, lead to differentiation and distinction,…

History of gas production from Devonian shale in eastern Kentucky

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

Kemper, J.R.; Frankie, W.T.; Smath, R.A.

More than 10,500 wells that penetrate the Devonian shale have been compiled into a data base covering a 25-county area of eastern Kentucky. This area includes the Big Sandy gas field, the largest in the Appalachian basin, and marginal areas to the southwest, west, and northwest. The development of the Big Sandy gas field began in the 1920s in western Floyd County, Kentucky, and moved concentrically outward through 1970. Since 1971, the trend has been for infill and marginal drilling, and fewer companies have been involved. The resulting outline of the Big Sandy gas field covers most of Letcher, Knott,more » Floyd, Martin, and Pike Counties in Kentucky; it also extends into West Virginia. Outside the Big Sandy gas field, exploration for gas has been inconsistent, with a much higher ratio of dry holes. The results of this study, which was partially supported by the Gas Research Institute (GRI), indicate that certain geologic factors, such as fracture size and spacing, probably determine the distribution of commercial gas reserves as well as the outline of the Big Sandy gas field. Future Big Sandy infill and extension drilling will need to be based on an understanding of these factors.« less

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…

Deep-coal potential in the Appalachian Coal Basin, USA: The Kentucky model

USGS Publications Warehouse

Haney, D.C.; Chesnut, D.R.

1997-01-01

The Eastern Kentucky Coal Field is located in the Appalachian Basin of the United States and occupies an area of approximately 15,000 square kilometers. The coal beds range from a few centimeters to several meters in thickness and consist of high-grade bituminous coal. Currently the amount of coal mined by surface methods exceeds underground extraction; however, there is a steady and gradual shift toward underground mining. In the future, as near-surface resources are depleted, this trend toward increased underground mining will continue. Knowledge about deeper coals is essential for future economic development of resources. Preliminary investigations indicate that coal-bearing strata with deep-mining potential exist in several parts of eastern Kentucky, especially along the Eastern Kentucky Syncline. Eastern Kentucky coals are Westphalian A through D; however, current production is from major beds of Westphalian A and B. Because coals that occur above drainage are more easily accessible and are generally of better quality, most of the current mining takes place in formations that are at or near the surface. In the future, however, due to environmental regulations and increased demands, it will be necessary to attempt to utilize deeper coals about which little is known. Future development of deep resources will require data from boreholes and high-resolution geophysical-logging techniques. There is also potential for coal-bed methane from the deeper coals which could be an important resource in the Appalachian Coal Basin where a natural gas distribution system already exists.

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.

77 FR 56208 - Filing Dates for the Kentucky Special Election in the 4th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-12

... FEDERAL ELECTION COMMISSION [Notice 2012-06] Filing Dates for the Kentucky Special Election in the 4th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Kentucky has scheduled a general election on November 6, 2012, to fill the U.S...

County Data Book 1995: Kentucky Kids Count.

ERIC Educational Resources Information Center

Kentucky Youth Advocates, Inc., Louisville.

This data book presents findings of the Kids Count project on current conditions faced by Kentucky children age birth through 19. For each county, and for the state, comparisons are provided between the base years of 1980-1982 and the most recent years 1992-1994. Counties are ranked against each other and trend graphs are provided for the studied…

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...

Review of lignite resources of western Tennessee and the Jackson Purchase area, western Kentucky

USGS Publications Warehouse

Hackley, Paul C.; Warwick, Peter D.; Thomas, Roger E.; Nichols, Douglas J.

2006-01-01

Introduction: This review of the lignite deposits of western Tennessee and the Jackson Purchase area in western Kentucky (Fig. 1) is a preliminary report on part of the U.S. Geological Survey's National Coal Resource Assessment of the Gulf Coastal Plain Coal Province. Lignite deposits of western Kentucky and Tennessee are an extension of the Gulf Coastal Plain Coal Province (Cushing and others, 1964), and currently are not economic to mine. These deposits have not been extensively investigated or developed as an energy resource. This review includes a description of the geology of the lignite-bearing units, a discussion of the available coal quality data, and information on organic petrology. Palynological data for lignite samples collected in Kentucky and Tennessee as part of this work are presented in an Appendix.

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.

Catching up to College and Career Readiness in Kentucky. ACT Research Report Series. 2014 (4)

ERIC Educational Resources Information Center

Dougherty, Chrys; Hiserote, Linda; Shaw, Teresa

2014-01-01

This report focuses on the extent to which students who are academically far off track in fourth or eighth grade in Kentucky catch up by eighth or eleventh grade. We studied three recent cohorts of Kentucky students whose eighth-grade ACT Explore® scores were more than one standard deviation below the ACT Explore benchmark scores associated with…

Kentucky Principal Perceptions of the State's New Teacher Evaluation System: A Survey Analysis

ERIC Educational Resources Information Center

Dodson, Richard L.

2015-01-01

This research examines how public school principals in Kentucky perceive their new teacher evaluation system and the proficiency exam they must take and pass in order to evaluate their staff. An online survey was developed and 308 out of an estimated 1,100 working school principals across Kentucky responded, yielding a response rate of 28%.…

Defining perennial, intermittent and ephemeral channels in eastern Kentucky: application to forestry best management practices

Treesearch

J. R. Svec; R. K. Kolka; J. W. Stringer

2003-01-01

In Kentucky stream classification is used to determine which forestry best management practice (BMP) to apply in riparian zones. Kentucky defines stream classes as follows (Stringer and others 1998): a) perennial streams that hold water throughout the year, b) intermittent streams that hold water during wet portions of the year, and c) ephemeral channels that hold...

Race, Policy, and Politics: The Kentucky Plan for Equal Opportunity in Postsecondary Education, 1982-2009

ERIC Educational Resources Information Center

Moore, Sandra

2013-01-01

The Commonwealth of Kentucky was identified in the Adams v Richardson case as one of the nineteen states that were cited for providing separate but equal education for black and white students in higher education. The Office of Civil Rights (OCR) required the state of Kentucky to develop a voluntary desegregation plan for its state institutions to…

A Guide to the Kentucky System of Interventions

ERIC Educational Resources Information Center

Kentucky Department of Education, 2012

2012-01-01

The Kentucky System of Interventions (KSI) framework emphasizes optimizing instruction through targeted accelerated learning, development of teacher expertise and responsiveness to the needs of all learners. This approach to Response to Intervention (RtI) provides the structures needed for closing achievement gaps, ensuring readiness to learn and…

Kentucky Teacher Preparation and Certification Handbook. 1981 Edition.

ERIC Educational Resources Information Center

Kentucky State Dept. of Education, Frankfort.

This handbook sets forth the regulations of the Kentucky State Board of Education that relate to teacher education and certification. The following topics are covered: (1) selected statutory provisions relating to teacher education and certification; (2) teacher certification procedures; (3) ranking of teacher qualifications; (4) procedures for…

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.

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

Creating Geologically Based Radon Potential Maps for Kentucky

NASA Astrophysics Data System (ADS)

Overfield, B.; Hahn, E.; Wiggins, A.; Andrews, W. M., Jr.

2017-12-01

Radon potential in the United States, Kentucky in particular, has historically been communicated using a single hazard level for each county; however, physical phenomena are not controlled by administrative boundaries, so single-value county maps do not reflect the significant variations in radon potential in each county. A more accurate approach uses bedrock geology as a predictive tool. A team of nurses, health educators, statisticians, and geologists partnered to create 120 county maps showing spatial variations in radon potential by intersecting residential radon test kit results (N = 60,000) with a statewide 1:24,000-scale bedrock geology coverage to determine statistically valid radon-potential estimates for each geologic unit. Maps using geology as a predictive tool for radon potential are inherently more detailed than single-value county maps. This mapping project revealed that areas in central and south-central Kentucky with the highest radon potential are underlain by shales and karstic limestones.

Systematic Outcomes Research for Corrections-Based Treatment: Implications from the Criminal Justice Kentucky Treatment Outcome Study

ERIC Educational Resources Information Center

Staton-Tindall, Michele; McNees, Erin; Leukefeld, Carl G.; Walker, Robert; Thompson, LaDonna; Pangburn, Kevin; Oser, Carrie B.

2009-01-01

Over the last four years, the Kentucky correctional system has expanded corrections-based modified therapeutic community treatment from 6 programs to 24 programs. To examine the effectiveness of these programs, the state initiated a systematic treatment outcome study known as the Criminal Justice Kentucky Treatment Outcome Study (CJKTOS). The…

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.

Hydrocarbon potential of Upper Devonian black shale, eastern Kentucky

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

Johnston, I.M.; Frankie, W.T.; Moody, J.R.

The gas-producing Upper Devonian black shales of eastern Kentucky represent cycles of organic units alternating with less-organic units that were dominated by an influx of clastics from a northeastern source. This pattern of sedimentation is typical throughout the southern Appalachian basin in areas basinal to, yet still influenced by, the Catskill delta to the northwest. These black shales, which thin westward onto the Cincinnati arch, dip eastward into the Appalachian basin. To evaluate the future gas potential of Devonian shale, a data base has been compiled, consisting of specific geologic and engineering information from 5920 Devonian shale wells in Letcher,more » Knott, Floyd, Martin, and Pike Counties, Kentucky. The first successful gas completion in eastern Kentucky was drilled in Martin County in 1901. Comparison of initial open-flow potential (IP) and long-term production data for these wells demonstrates that higher IP values generally indicate wells of higher production potential. Areas of higher IP are aligned linearly, and these lineaments are interpreted to be related to fracture systems within the Devonian shale. These fractures may be basement influenced. Temperature log analyses indicate that the greatest number of natural gas shows occur in the lower Huron Member of the Ohio Shale. Using both the temperature log to indicate gas shows and the gamma-ray log to determine the producing unit is a workable method for selecting the interval for treatment.« less

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.

76 FR 20853 - Approval and Promulgation of Air Quality Implementation Plans; Kentucky; Approval of Section 110...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-14

... NAAQS through the year 2020 for the Four Kentucky Areas. These maintenance plans meet applicable... period of 10 years after redesignation, consistent with the CAA section 175A(a). EPA approved Kentucky's... attainment areas) were required to submit 10-year maintenance plans pursuant to section 110(a)(1) of the CAA...

Reclassification to the NCAA Division I Football Bowl Subdivision: A Case Study at Western Kentucky University

ERIC Educational Resources Information Center

Upright, Paula A.

2009-01-01

The purpose of this study was to describe the reclassification process of Western Kentucky University's football program from the Football Championship Subdivision (FCS) to the Football Bowl Subdivision (FBS), the highest and most visible level of NCAA competition. Three research questions guided the study: (a) Why did Western Kentucky University…

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.

Options for Kentucky's Energy Future

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

Larry Demick

2012-11-01

Three important imperatives are being pursued by the Commonwealth of Kentucky: ? Developing a viable economic future for the highly trained and experienced workforce and for the Paducah area that today supports, and is supported by, the operations of the US Department of Energy’s (DOE’s) Paducah Gaseous Diffusion Plant (PGDP). Currently, the PGDP is scheduled to be taken out of service in May, 2013. ? Restructuring the economic future for Kentucky’s most abundant indigenous resource and an important industry – the extraction and utilization of coal. The future of coal is being challenged by evolving and increasing requirements for itsmore » extraction and use, primarily from the perspective of environmental restrictions. Further, it is important that the economic value derived from this important resource for the Commonwealth, its people and its economy is commensurate with the risks involved. Over 70% of the extracted coal is exported from the Commonwealth and hence not used to directly expand the Commonwealth’s economy beyond the severance taxes on coal production. ? Ensuring a viable energy future for Kentucky to guarantee a continued reliable and affordable source of energy for its industries and people. Today, over 90% of Kentucky’s electricity is generated by burning coal with a delivered electric power price that is among the lowest in the United States. Anticipated increased environmental requirements necessitate looking at alternative forms of energy production, and in particular electricity generation.« less

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...

Intelligent transportation systems business plan for Kentucky : final report.

DOT National Transportation Integrated Search

2001-09-01

This report presents a Business Plan for Intelligent Transportation Systems (ITS) in Kentucky. The purpose of the Business Plan is to define ITS projects that are planned for implementation from 2002 through 2007. The list of projects contained withi...

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.

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.

Racial disparities in survival after diagnosis of prostate cancer in Kentucky, 2001-2010.

PubMed

Antwi, Samuel; Tucker, Thomas C; Coker, Ann L; Fleming, Steve T

2013-07-01

Whether the African American race remains a significant predictor of poorer prostate cancer survival after adjusting for other sociodemographic and treatment-related factors remains unclear. We examined whether disparities in survival among 18,900 African American and Caucasian men diagnosed with prostate cancer in Kentucky remained after adjusting for health insurance (payor source), cancer treatment, cancer stage at diagnosis, prostate-specific antigen (PSA) level, smoking status, and Appalachian region. After adjusting for these predictors, African American men living in Kentucky had poorer prostate cancer survival after 5 years (hazard ratio [HR] = 1.33; 95% confidence interval = 1.11, 1.59) and 10 years (HR = 1.39; 95% CI = 1.18, 1.28) of follow-up, and for the entire follow-up period (HR = 1.41; 95% CI = 1.26, 1.65) compared to their Caucasian counterparts. Thus, health insurance status, cancer treatment, cancer stage at diagnosis, PSA level at diagnosis, smoking status, and geographic location did not explain the racial gap in survival in Kentucky.

Genome sequences of Salmonella enterica subsp. Kentucky ST152 isolated from dairy cows in the United States

USDA-ARS?s Scientific Manuscript database

Salmonella enterica subsp. enterica serovar Kentucky is frequently isolated from dairy cows in the United States, but is an infrequent cause of human salmonellosis. To investigate the genomic features of S. Kentucky strains isolated from these animals, genomes of eight isolates were sequenced and ad...

Evaluation of Kentucky's "Click It or Ticket" 2008 campaign.

DOT National Transportation Integrated Search

2008-07-01

The objective of this report was to document the results of the "Click It or Ticket" 2008 campaign in Kentucky. The campaign involved a combination of earned media, paid media, and enforcement. : The evaluation of the campaign included documenting th...

Alternative Fuels Data Center

Science.gov Websites

Volkswagen Settlement Allocation The Kentucky General Assembly must approve the allocation of any funds the Commonwealth receives from the Volkswagen Mitigation Trust Agreement. Kentucky will hold all

A Field Guide to Kentucky Rivers and Streams.

ERIC Educational Resources Information Center

Kentucky State Div. of Water, Frankfort. Kentucky Natural Resources and Environmental Protection Cabinet.

This field guide was especially developed for Water Watch--a public participation program in Kentucky that encourages citizens to adopt a stream, lake or wetland, and then gain hands-on experience in protecting and enhancing their adopted water resources. Understanding the relationships between life and the environment helps people to appreciate…

Needs Assessment of Hospitality/Tourism Industry in Kentucky.

ERIC Educational Resources Information Center

Gibbs, Shirley

This report of an assessment of the hospitality/tourism industry in Kentucky begins with a history/description of the hospitality/tourism industry written from research; the hospitality/tourism training programs conducted by various institutions in the state are also described. For the assessment itself, two survey instruments were prepared and…

Estimation of average daily traffic on local roads in Kentucky.

DOT National Transportation Integrated Search

2016-07-01

Kentucky Transportation Cabinet (KYTC) officials use annual average daily traffic (AADT) to estimate intersection : performance across the state maintained highway system. KYTC currently collects AADTs for state maintained : roads but frequently lack...

Maintenance and operations plan for intelligent transportation systems in Kentucky.

DOT National Transportation Integrated Search

2004-06-01

This report presents a Maintenance and Operations Plan for Intelligent Transportation Systems (ITS) in Kentucky. It was developed using substantial stakeholder input and provides recommendations and specific strategies for supporting and coordinating...

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…

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.

Assessment and Accountability: Report from the Prichard Committee for Academic Excellence, Task Force on Improving Kentucky Schools.

ERIC Educational Resources Information Center

Prichard Committee for Academic Excellence, Lexington, KY.

As part of a Kentucky effort to improve public education and to increase taxpayer confidence in expanded educational funding, a citizen committee examined and made recommendations on approaches to school accountability and assessment, particularly student testing in the Kentucky Instructional Results Information System (KIRIS). The recommendations…

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

Analysis of traffic accident data in Kentucky (1995-1999)

DOT National Transportation Integrated Search

2000-09-01

This report includes an analysis of traffic accidents data in Kentucky for the year 1995-1999. A primary objective of this study was to determined average and critical numbers and rates of accidents for various types of highways in rural and urban ar...

Kentucky Preschool Evaluation Project, 1998-1999. Final Report.

ERIC Educational Resources Information Center

Hemmeter, Mary Louise; Townley, Kim; Wilson, Stephen; Epstein, Ann; Hines, Huyi

This evaluation of the Kentucky Preschool Program (KPP) focused on two broad areas: (1) readiness for kindergarten; and (2) promotion of language and literacy in the classroom and at home. Key findings include the following: (1) most children who were ineligible because of family income status successfully transitioned to kindergarten; (2) several…

Kentucky County Data Book. Resource Development Series 16.

ERIC Educational Resources Information Center

Ramsey, Ralph J.; Warner, Paul D.

Providing information by counties, grouped according to Extension Areas and Area Development Districts, this data book is designed as an aid to identification of Kentucky problems. Included are definitions of terms, explanations of comparability of 1960 and 1970 figures, suggested uses, and exemplary uses. Tables provide 1960 and 1970 figures on:…

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.

Extent of Kentucky bluegrass and its effect on native plant species diversity and ecosystem services in the Northern Great Plains of the USA

USDA-ARS?s Scientific Manuscript database

The geographic spread of Kentucky bluegrass in rangelands of the USA has increased significantly over the past 3 decades. Preliminary analysis indicates that Kentucky bluegrass occupies over half of all ecological sites across the Northern Great Plains. Kentucky bluegrass has served as nutritious fo...

Catching up to College and Career Readiness in Kentucky. ACT Working Paper Series. WP-2014-04

ERIC Educational Resources Information Center

Dougherty, Chrys; Hiserote, Linda; Shaw, Teresa

2014-01-01

This report focuses on the extent to which students who are academically far off track in fourth or eighth grade in Kentucky catch up by eighth or eleventh grade. We studied three recent cohorts of Kentucky students whose eighth-grade ACT Explore® scores were more than one standard deviation below the ACT Explore benchmark scores associated with…

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.

Practical solution concepts for planning and designing roadways in Kentucky.

DOT National Transportation Integrated Search

2008-10-01

Kentucky's highway agency has embarked upon an initiative tagged "Practical Solutions" which sets its goal toward reducing costs throughout the project development process extended into operations and maintenance of all highway facilities. This study...

Cambrian potential indicated in Kentucky Rome trough

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

Harris, D.C.; Drahovzal, J.A.

1996-02-19

This paper reviews recent gas discoveries in the Kentucky Rome trough and the implications for future developments. It reviews the geology and stratigraphy of this structure and identifies the potential zones of production and trapping mechanisms. It provides results from geologic logs and seismic data to provide cross sectional and structural interpretations. Finally it discusses the gas composition of natural gas recovered from the basin.

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

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.

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

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,…

Evaluation of International Students' Perceptions of Eastern Kentucky University

ERIC Educational Resources Information Center

Sultana, Qaisar; Smith, Ron

2011-01-01

The study examined the perceptions of international students concerning their academic, social, and cultural experiences at Eastern Kentucky University (EKU) and suggestions for improvement. Researchers prepared a questionnaire consisting of 24 items seeking information related to students' demographics and their perceptions about quality of…

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.

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.

Evaluation of Kentucky's "You Drink and Drive. You Lose" campaign.

DOT National Transportation Integrated Search

2002-10-01

Kentucky was selected within the Southeast Region of the United States by the National Highway Traffic Safety Administration to conduct a comprehensive impaired driving campaign entitled "You Drink & Drive. You Lose". The campaign was conducted aroun...

For All Kids: How Kentucky Is Closing the High School Graduation Gap for Low-Income Students

ERIC Educational Resources Information Center

Fox, Joanna Hornig; Ingram, Erin S.; Depaoli, Jennifer L.

2016-01-01

In the 2012-13 school year, Kentucky led the nation with an 85.4 percent high school graduation rate for low-income students and a one-percentage-point graduation gap between low-income and non-low-income students. In 2013-14 the state ranked fourth in the nation with a seven-percentage-point incomebased graduation rate gap. Even though Kentucky's…

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.

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.

An Architectural Study of Some Folk Structures in the Area of the Paintsville Lake Dam, Johnson and Morgan Counties, Kentucky,

DTIC Science & Technology

1982-08-27

and is included in this report. Legal documents including tax lists, deed and census information as well as extant church records were examined during...returned to Paintsville, Kentucky, to conduct a week- long examination of deed and tax information available in the 3ohnson County Courthouse. Although the...known.) David McKenzie was not the only one of his family to move to eastern Kentucky. James McKenzie was listed on the Floyd County, Kentucky, tax list

A Field Guide to Kentucky Lakes and Wetlands.

ERIC Educational Resources Information Center

Kentucky State Div. of Water, Frankfort. Kentucky Natural Resources and Environmental Protection Cabinet.

Lakes and wetlands make up that part of Kentucky's water bodies commonly referred to as standing waters. These waters serve many purposes for the people of the state and are necessary and valued elements of its natural resources. This field guide was designed to provide useful background information and reference material for the study of these…

Taxation of unmined minerals; Current developments in the Commonwealth of Kentucky

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

Bremberg, B.P.

1989-01-01

This paper reports on the Kentucky Revenue Cabinet which began implementing its controversial unmined minerals tax program. The Revenue Cabinet should complete its first annual assessment under this program in December, 1989. The Revenue Cabinet's initial efforts to collect basic data concerning the Commonwealth's coal bearing lands has yielded data coverage for 5 million of Kentucky's 10 million acres of coal lands. Approximately 1000 detailed information returns have been filed. The returns will be used to help create an undeveloped mineral reserves inventory, determine mineral ownership, and value mineral reserves. This new program is run by the Revenue Cabinet's Mineralmore » Valuation Section, under the Division of Technical Support, Department of Property Taxation. It has been in business since September of 1988.« less

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.

Kentucky and the Southern Regional Education Board, December 2014

ERIC Educational Resources Information Center

Southern Regional Education Board (SREB), 2014

2014-01-01

This report details Kentucky's participation in Southern Regional Education Board (SREB) programs and services from December 2013 through November 2014. Appropriations from member states support SREB's core operations and general services. SREB leverages the long-standing commitment of member states to attract external funding for an array of…

Comprehensive School Reform & Student Achievement in Kentucky Middle Schools

ERIC Educational Resources Information Center

Evans-Andris, Melissa; Usui, Wayne M.

2008-01-01

This project examines the effects of Comprehensive School Reform (CSR) models on the achievement of students in Kentucky middle schools. Previous studies exploring the effects of CSR on schools and student achievement have rendered mixed results (Berends, 2000; May & Supovitz, 2006; May, Supovitz, & Perda, 2004; RAND, 2002; Zhang,…

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…

Satellite and surface geophysical expression of anomalous crustal structure in Kentucky and Tennessee

NASA Technical Reports Server (NTRS)

Mayhew, M. A.; Thomas, H. H.; Wasilewski, P. J.

1981-01-01

An equivalent layer magnetization model is discussed. Inversion of long wavelength satellite magnetic anomaly data indicates a very magnetic source region centered in south central Kentucky. Refraction profiles suggest that the source of the gravity anomaly is a large mass of rock occupying much of the crustal thickness. The outline of the source delineated by gravity contours is also discernible in aeromagnetic anomaly patterns. The mafic plutonic complex, and several lines of evidence are consistent with a rift association. The body is, however, clearly related to the inferred position of the Grenville Front. It is bounded on the north by the fault zones of the 38th Parallel Lineament. It is suggested that such magnetization levels are achieved with magnetic mineralogies produced by normal oxidation and metamorphic processes and enhanced by viscous build-up, especially in mafic rocks of alkaline character.

Realizing Kentucky's Educational Attainment Goal: A Look in the Rear View Mirror and down the Road Ahead

ERIC Educational Resources Information Center

Kelly, Patrick J.

2011-01-01

In 1997, policymakers in Kentucky enacted perhaps the most sweeping higher education reform legislation of any state in the past two decades. Kentucky's Postsecondary Education Improvement Act (House Bill 1) has been heralded by many higher education leaders across the U.S. as one of the great success stories--a rare instance when a state's…

Meeting Kentucky's Transportation needs and priorities : citizens' perceptions and recommendations.

DOT National Transportation Integrated Search

2005-08-01

This study was designed to (1) consider the role of public input in the transportation planning process; (2) obtain citizen perceptions of system needs and develop priorities in the state of Kentucky; and (3) use that experience (and the experiences ...

Administrative Settlement Agreement and Order on Consent for Removal Action - Kentucky Wood Preserving Superfund Site. Docket No. 04-2009-3762

EPA Pesticide Factsheets

Contains legal agreement for the Kentucky Wood Preserving Superfund site under CERCLA Sections 104, 106(a), 107 and 122, Winchester, Kentucky, February 9, 2009 Region ID: 04 DocID: 10452978, DocDate: 02-09-2009

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