Sample records for management protocol stephen

  1. Stephen R. Decker | NREL

    Science.gov Websites

    Stephen R. Decker Photo of Stephen R. Decker Steve Decker Group Research Manager III-Molecular screening Fungal molecular biology and fermentation Non-dilute acid pretreatment technologies Cellulose ," Visual. Exper. (2015) "Identification and molecular characterization of the switchgrass AP2

  2. 75 FR 44291 - Notice of Availability of Draft Environmental Impact Statement and Public Meeting for the AREVA...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-28

    ... FURTHER INFORMATION CONTACT: Mr. Stephen Lemont, Senior Project Manager, Office of Federal and State Materials and Environmental Management Program, via telephone at (301) 415-5163, or via e-mail at Stephen...

  3. 76 FR 53901 - The President's Management Advisory Board (PMAB); Notification of Upcoming Public Advisory Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-30

    ....m. eastern time, ending no later than 12 p.m. FOR FURTHER INFORMATION CONTACT: Mr. Stephen..., General Services Administration, 1776 G Street NW., Washington, DC 20006, at stephen[email protected] following methods: Electronic Statements: Submit written statements to Stephen Brockelman, Designated...

  4. 78 FR 70946 - The President's Management Advisory Board (PMAB); Notification of Upcoming Public Advisory Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-27

    ... 4:30 p.m. FOR FURTHER INFORMATION CONTACT: Mr. Stephen Brockelman, Designated Federal Officer... Street NW., Washington, DC 20006, at stephen[email protected] . SUPPLEMENTARY INFORMATION: Background... stephen[email protected] ; or send paper statements in triplicate to Mr. Brockelman at the PMAB GSA...

  5. Oncosurgical Management of Liver Limited Stage IV Colorectal Cancer: Preliminary Data and Protocol for a Randomized Controlled Trial.

    PubMed

    Sutton, Paul; Vimalachandran, Dale; Poston, Graeme; Fenwick, Stephen; Malik, Hassan

    2018-05-09

    Colorectal cancer is the fourth commonest cancer and second commonest cause of cancer-related death in the United Kingdom. Almost 15% of patients have metastases on presentation. An increasing number of surgical strategies and better neoadjuvant treatment options are responsible for more patients undergoing resection of liver metastases, with prolonged survival in a select group of patients who present with synchronous disease. It is clear that the optimal strategy for the management of these patients remains unclear, and there is certainly a complete absence of Level 1 evidence in the literature. The objective of this study is to undertake preliminary work and devise an outline trial protocol to inform the future development of clinical studies to investigate the management of patients with liver limited stage IV colorectal cancer. We have undertaken some preliminary work and begun the process of designing a randomized controlled trial and present a draft trial protocol here. This study is at the protocol development stage only, and as such no results are available. There is no funding in place for this study, and no anticipated start date. We have presented preliminary work and an outline trial protocol which we anticipate will inform the future development of clinical studies to investigate the management of patients with liver limited stage IV colorectal cancer. We do not believe that the trial we have designed will answer the most significant clinical questions, nor that it is feasible to be delivered within the United Kingdom's National Health Service at this current time. ©Paul Sutton, Dale Vimalachandran, Graeme Poston, Stephen Fenwick, Hassan Malik. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 09.05.2018.

  6. 78 FR 23934 - Change in Bank Control Notices; Acquisitions of Shares of a Bank or Bank Holding Company

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-23

    ... limited liability company, individually, with Stephen L. LaFrance, Jr., Little Rock, Arkansas, as the sole manager, and LAF-GW and Stephen L. LaFrance, Jr., together as a group acting in concert with JSJ Properties, LLC, a Missouri limited liability company, with Stephen L. LaFrance, Jr., Jason P. LaFrance, and...

  7. Enabling Joint Interdependence through Capability Portfolio Management

    DTIC Science & Technology

    2008-06-13

    7 Habits of Highly Effective People , author Stephen Covey notes that “you...incentives to implement the strategy, they 5 Stephen R. Covey, The 7 Habits of Highly Effective People (New York: Simon and Schuster, 1989), 229...and Implement the Best Strategy for Your Business. Boston, MA: Harvard Business School Press, 2005. Covey, Stephen R. The 7 Habits of Highly Effective People .

  8. Client Location in 802.11 Networks

    DTIC Science & Technology

    2007-03-01

    The Encyclopedia of Networking. 1995. Alameda. 3. Forouzan, Behrouz A. TCP/IP Protocol Suite. 2nd ed. New York: Mc- Graw Hill, 2003. 4. Holt, Keith...Proceedings. April 2003: 1353-1358. 18. Willingham, Stephen . Navy Pursuing ‘Smaller, Deployable, Interactive’ Networked Systems. Nov 2000. National

  9. A Management Information System for Construction Management Lessons-Learned

    DTIC Science & Technology

    1989-09-01

    The primary functions of PATRON can be realized by looking at PATRON’s main menu, shown in Figure 6 (PATRON, 1989). According to Stephen Tellier ...expected. Users of the patron system who also have access to SPAN may use it to connect with other LPI on- line services ( Tellier , 1989). BIONET System. The...Information Center, Alexandria VA, 20 July 1989. Tellier , Stephen D., Technical Information Specialist. Telephone interview. Lunar and Planetary

  10. Why Compare? A Response to Stephen Lawton.

    ERIC Educational Resources Information Center

    Gordon, Liz; Pearce, Diane

    1993-01-01

    Aims to stimulate interest in comparative education policy analysis by critiquing a paper by Stephen Lawton. Such comparative analysis is important in understanding neoliberal education reforms, but more work is needed to provide adequate categories for analysis. Lawton's categories, reformulated here as efficiency, managing and provider capture,…

  11. Personnel Information Requirements for the Support of Air Force Squadron Commanders’ Information Systems

    DTIC Science & Technology

    1989-12-01

    problem, was the library search procedure. In their book, Research Methods In Librarianship , Charles 24 Busha and Stephen Harter contend library...Planning," Information and Management, 6:11-25 (1983). 5. Busha, Charles H. and Stephen P. Hatter, Research Methods In Librarianship : Techniques and

  12. Managing the Army National Guard Full-Time Force

    DTIC Science & Technology

    2003-02-14

    October 2002 and Reese, 10 – 11. 104 Covey, Stephen R. The 7 Habits of Highly Effective People . New York: Simon & Schuster, 1989, 193 – 194. 105 This...Manager’s Guide to Training for Improved Performance. New York: McGraw-Hill, Inc., 1992. Covey, Stephen R. The 7 Habits of Highly Effective People . New

  13. Air and Space Expeditionary Force Crisis Action Leadership for Commanders

    DTIC Science & Technology

    2004-04-01

    2002), 337. 2 Mark, Friedman, M.D., Everyday Crisis Management (Naperville, IL: First Decision Press, 2002), 5. 3 Stephen R. Covey, The 7 Habits of Highly Effective People (New...Berkley Publishing Group, 2002), 9. 12 Lt Col Bryan Gallagher, USAF, interviewed by author, February 2004. 13 Stephen R. Covey, The 7 Habits of Highly Effective People (New

  14. Additive Manufacturing: Which DLA-Managed Legacy Parts are Potential AM Candidates

    DTIC Science & Technology

    2016-07-01

    william.t.veney.civ@mail.mil Mr. Scot Seitz Army/G4 717-770-4304 scot.s.seitz.civ@mail.mil Mr. Stephen Luckowski Army/RDECOM 973-724-3100...stephen.l.luckowski.civ@mail.mil Maj. Eric Kirchner Marine Corps/I&L 571-256-7105 eric.kirchner@usmc.mil Capt. Christopher Wood Marine Corps/I&L 571-256-2740

  15. Laparoscopic Stephen-Fowler stage procedure: appropriate management for high intra-abdominal testes.

    PubMed

    Agrawal, Amit; Joshi, Milind; Mishra, Pankaj; Gupta, Rahul; Sanghvi, Beejal; Parelkar, Sandesh

    2010-03-01

    The length of testicular vessels is the main length-limiting factor to bring down the testes in the scrotum. Fowler and Stephen proposed the division of testicular vessels, high and as far from the testes as possible to maintain collateral blood supply, to treat high intra-abdominal testes. Cortesi introduced the diagnostic laparoscopy and Jorden first did the laparoscopic orchiopexy for nonpalpable testes. We had done Fowler-Stephen staged orchiopexy for high intra-abdominal testes, in which both stages were done laparoscopically. In total, 17 testes of 13 patients had undergone laparoscopic staged Fowler-Stephen orchiopexy. The decision to perform a staged Fowler-Stephen orchiopexy was based on the distance of the testis from the deep inguinal ring on laparoscopy. If distance was more than 2.5 cm, then we proceeded to a laparoscopic staged Fowler-Stephen orchiopexy. In the first stage, testicular vessels were cauterized by bipolar diathermy. Laparoscopic second-stage Fowler-Stephen procedure was done 6 months after the first stage. Patients were regularly followed, and the success of the procedure was assessed by the size of the testes and the position in the scrotum. Testicular vascularity was assessed by color Doppler ultrasonography. There was no testicular atrophy on second stage and on follow-up. All testes were in the scrotum with good size on follow-up. There was no complication related to laparoscopy. In cases of high intra-abdominal testes, the staged Fowler-Stephen procedure should be the procedure of choice. This procedure yields a high success rate. Transaction of vessels by bipolar diathermy is a very safe, cost-effective method.

  16. Analysis of Base Services Structure and Development of Cost-Saving Strategies to Counterattack Decreasing Funding Levels

    DTIC Science & Technology

    2005-12-01

    7 habits of highly effective people ” puts it this way: “People and their managers are...corporations and 86 Covey, Stephen R., 7 Habits of Highly Effective People : Powerful Lessons in Personal Change, Simon Schuster, 1989, p. 52. 68...levels from January to July, 2006. Covey, Stephen R., 7 Habits of Highly Effective People : Powerful Lessons in Personal Change,

  17. Thermospheric Neutral Wind Measurement Using the LWA1 and the AFRL Digisonde

    DTIC Science & Technology

    2014-09-26

    Dr. Stephen White Project Manager, AFRL/RVBXS Chief, Battlespace Environment Division This report is published in the...CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT 18. NUMBER OF PAGES 19a. NAME OF RESPONSIBLE PERSON Dr. Stephen White a. REPORT Unclassified b...emission from meteors has not been previously detected, but this is not the first time its existence has been discussed. Hawkins (1958) conducted a

  18. Principles of management.

    PubMed

    Ambrose, Kate

    2005-04-01

    This is an online peer reviewed journal, whose board contains recognised experts in the wound management field and which i s edited by Stephen Thomas, author and director of the Surgical Materials Testing Laboratory.

  19. An interview with: Stephen Paliska on valet parking.

    PubMed

    Paliska, S

    1993-04-01

    Stephen Paliska is general manager and co-founder, with his brother, Paul, of Professional Parking Services, Inc., based in Irvine, CA. The company has been in operation for eight years. PPS's 600 valets provide parking services for more than 80 clients, including hotels, shopping centers, restaurants, and hospitals. In this interview, Paliska discusses the benefits and some potential risks of valet parking and spells out how a training program for valet attendants should be carried out.

  20. Streamlining the Acquisition Process: Should Program Directors be Granted Contracting Authority

    DTIC Science & Technology

    1989-09-01

    relationship between program directors and contracting officers contradicts basic management principles. One of Fayol’s principles of management is that...Franklin, Stephen G. Principles of Management , Eighth Edition. Homewood, II: Richard D. Irwin, Inc., 1982. Thybony, William W. Government Contracting based

  1. Management and the Executive.

    DTIC Science & Technology

    1988-01-01

    8217RDUCTION TO ORGANIZATIONAL BEHAVIOR. 2nd ed. New York, NY: fk; Graw -Hill, 1982. 590 p. HD 31 .M478 1982 (182) Mitroff, Ian I. STAKEHOIDERS OF THE...ROPES TO KNOW: STUDIES IN ORGANIZATIONAL BEHAVIOR. 2nd ed. Columbus, OH: Grid Pub., 1982. 290 p. HD 58.7 .R57 1982 (216) Robbins, Stephen ...34 Stephen J. Carroll and Dennis J. Gillen. W-ADEMY OF MANAGT REVIEN 12:38-51, January 1987 (290) 1 ( "Axe You Firing Talented nagers?" Richard Gould

  2. Gord Stephen | NREL

    Science.gov Websites

    laboratory's understanding of capacity value in modern power systems and enjoys applying probabilistic systems efficiency and load management opportunities Education M.E.S. in Environment and Resource Studies, University

  3. 77 FR 7135 - Gulf of Mexico Fishery Management Council (Council); Public Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-10

    ..., Suite 1100, Tampa, FL 33607. FOR FURTHER INFORMATION CONTACT: Dr. Stephen Bortone, Executive Director, Gulf of Mexico Fishery Management Council; telephone: (813) 348-1630. SUPPLEMENTARY INFORMATION: The Ad... approaches to move the Goliath Grouper beyond the moratorium and collect information to support an...

  4. 75 FR 14427 - Gulf of Mexico Fishery Management Council (Council); Public Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-25

    .... Stephen Bortone, Executive Director, Gulf of Mexico Fishery Management Council; telephone: 813- 348-1630... Reef Fish Scientific and Statistical Committee; discuss Options Paper for Amendment 32 Gag/Red Grouper... Statistical Committee Acceptable Biological Catch Control Rule Report; discuss the Options Paper for the...

  5. 76 FR 16385 - Gulf of Mexico Fishery Management Council; Public Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ... INFORMATION CONTACT: Dr. Stephen Bortone, Executive Director, Gulf of Mexico Fishery Management Council...; Scientific & Statistical Committee Selection; and Reef Fish. 3:45 p.m.-4:15 p.m.--Other Business items will....--Closed Session--The Scientific & Statistical Committees Selection Committee/Full Council will meet to...

  6. Information Technology: Making It All Fit. Track II: Managing Technologies Integration.

    ERIC Educational Resources Information Center

    CAUSE, Boulder, CO.

    Nine papers from the 1988 CAUSE conference's Track II, Managing Technologies Integration, are presented. They include: "Computing in the '90s--Will We Be Ready for the Applications Needed?" (Stephen Patrick); "Glasnost, The Era of 'Openness'" (Bernard W. Gleason); "Academic and Administrative Computing: Are They Really…

  7. Region 1: Rhode Island Adequate Letter (7/15/2008)

    EPA Pesticide Factsheets

    This is a letter from Anne E. Arnold, Manager Air Quality Planning Unit, to Stephen Majkut regarding Rhode Islands Adequacy Status of Transportation Conformity Motor Vehicle Emissions budgets 8-hour ozone nonattainment area.

  8. Knowledge Management Framework for Emerging Infectious Diseases Preparedness and Response: Design and Development of Public Health Document Ontology.

    PubMed

    Zhang, Zhizun; Gonzalez, Mila C; Morse, Stephen S; Venkatasubramanian, Venkat

    2017-10-11

    There are increasing concerns about our preparedness and timely coordinated response across the globe to cope with emerging infectious diseases (EIDs). This poses practical challenges that require exploiting novel knowledge management approaches effectively. This work aims to develop an ontology-driven knowledge management framework that addresses the existing challenges in sharing and reusing public health knowledge. We propose a systems engineering-inspired ontology-driven knowledge management approach. It decomposes public health knowledge into concepts and relations and organizes the elements of knowledge based on the teleological functions. Both knowledge and semantic rules are stored in an ontology and retrieved to answer queries regarding EID preparedness and response. A hybrid concept extraction was implemented in this work. The quality of the ontology was evaluated using the formal evaluation method Ontology Quality Evaluation Framework. Our approach is a potentially effective methodology for managing public health knowledge. Accuracy and comprehensiveness of the ontology can be improved as more knowledge is stored. In the future, a survey will be conducted to collect queries from public health practitioners. The reasoning capacity of the ontology will be evaluated using the queries and hypothetical outbreaks. We suggest the importance of developing a knowledge sharing standard like the Gene Ontology for the public health domain. ©Zhizun Zhang, Mila C Gonzalez, Stephen S Morse, Venkat Venkatasubramanian. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 11.10.2017.

  9. 77 FR 73457 - Nominations for Membership on the Ocean Research Advisory Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-10

    ... submitted via email to CDR Stephen D. Martin, US Navy, at stephen[email protected] . Contact Information...; or CDR Stephen D. Martin, telephone 703- 696-4395. SUPPLEMENTARY INFORMATION: ORAP is a statutorily... email to CDR Stephen Martin ( stephen[email protected] ) no later than 5:00 p.m. EST, January 31, 2013...

  10. Getting the Best Value in a Source Selection

    DTIC Science & Technology

    2015-12-01

    leadership, for both civilian and military program managers . Army COL James C. Mills relieved COL Gary D. Stephens as project manager for the...Precision Fires Rocket and Missile Systems (PFRMS) on July 15. COL William D. Jackson relieved COL Thomas H. Todd as project manager for Utility...Helicopters (UH) on July 15. COL Shane N. Fullmer relieved COL John Cavedo, Jr. as project manager for Joint Program Office, Joint Light Tactical Vehicles

  11. 75 FR 6218 - Notice of Availability of Draft Director's Order Concerning National Park Service (NPS) Policies...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-08

    ... Harvey, Chief, Park Facility Management Division, 1849 C Street, NW., Washington, DC 20240, or to his.... Dated: December 9, 2009. Stephen E. Whitesell, Associate Director, Park Planning, Facilities, and Lands...

  12. 78 FR 35930 - Change in Bank Control Notices; Acquisitions of Shares of a Bank or Bank Holding Company

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-14

    ... Peachtree Street NE., Atlanta, Georgia 30309: 1. Charles P. Stephens, Atlanta, Georgia, individually and as trustee of MAD Trust for S.D. Stephens, SDT U/A 12-23-92 trust, MAD GST for CA Stephens trust, and MAD GST for SR Stephens trust; Sandra D. Stephens, Atlanta, Georgia, individually and as trustee of MAD Trust...

  13. 76 FR 68500 - Performance Review Board Appointments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-04

    ... Gillette, Jodi Glenn, Douglas Glomb, Stephen Gonzales-Schreiner, Roseann Gould, Rowan Guertin, Stephen..., Christopher Scott, Mary Gibson Shackelton, Stephen Sheehan, Denise Shillito, Daniel Shope, Thomas Siekaniec... Wells, Sandra Wenk, Daniel Whitesell, Stephen Woody, William Thomas Mulhern, Director, Office of Human...

  14. Foreword

    Treesearch

    David N. Bengston

    2012-01-01

    Environmental foresight is insight into future environmental challenges and opportunities, and the ability to apply that insight to prepare wisely for a sustainable future. Successful environmental planning, management, and policy require the development and continual updating of foresight. U.S. Environmental Protection Agency (EPA) Administrator Stephen Johnson has...

  15. Perceived Managerial and Leadership Effectiveness within Mexican and British Public Sector Hospitals: A Cross-Nation Comparative Analysis

    ERIC Educational Resources Information Center

    Hamlin, Robert G.; Ruiz, Carlos E.; Wang, Jia

    2011-01-01

    Stephen M. Shortell, dean of the School of Public Health, distinguished professor of health policy and management, and professor of organization behavior in the Haas School of Business, University of California-Berkeley, has argued that evidence-based management needs to be married with evidence-based medicine if sustainable improvement in the…

  16. 78 FR 20100 - Public Utility District No. 1 of Snohomish County, WA; Notice of Technical Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-03

    ... Contact: Stephen Bowler, stephen[email protected] or (202) 502-6861. d. Purpose of Meeting: Discuss the.... Please email Stephen Bowler at stephen[email protected] or call (202) 502-6861 by Monday, April 15, 2013...

  17. 76 FR 6774 - Equity and Excellence Commission

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-08

    ... FURTHER INFORMATION CONTACT: Stephen Chen, Designated Federal Official, Equity and Excellence Commission, U.S. Department of Education, 400 Maryland Avenue, SE., Washington, DC 20202. E-mail: Stephen.Chen... contact Stephen Chen via e-mail at stephen[email protected] Individuals interested in attending the meeting...

  18. Stephen Thomas | NREL

    Science.gov Websites

    Stephen Thomas Stephen Thomas Researcher IV-Applied Mathematics Stephen.Thomas@nrel.gov | 303-275 -3949 Throughout his research and consulting career, Dr. Thomas has focused on the intersection of high to join the National Center for Atmospheric Research (NCAR), working on high performance and scalable

  19. 76 FR 30947 - Stephen Lee Seldon: Debarment Order

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-27

    ...] Stephen Lee Seldon: Debarment Order AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY... Act (the FD&C Act) permanently debarring Stephen Lee Seldon, M.D. from providing services in any... authority delegated to the Director (Staff Manual Guide 1410.35), finds that Stephen Lee Seldon has been...

  20. 75 FR 30405 - Change in Bank Control Notices; Acquisition of Shares of Bank or Bank Holding Companies

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-01

    ... Revocable Trust, James E. Ukrop, Trustee; Robert Stephen Ukrop; The Amended and Restated Robert Stephen Ukrop Revocable Trust, Robert Stephen Ukrop, Trustee; Robert Scott Ukrop; The Amendment and Restatement.... Ukrop; The Robert Stephen Ukrop, Revocable Trust, Joseph Ukrop, Jr., Trustee; Jacquelin Ukrop Aronson...

  1. Proceedings of the Annual Meeting of the Association for Education in Journalism and Mass Communication (83rd, Phoenix, Arizona, August 9-12, 2000). Media Management and Economics Division.

    ERIC Educational Resources Information Center

    Association for Education in Journalism and Mass Communication.

    The Media Management and Economics Division section of the proceedings contains the following nine papers: "Weekly Newspaper Industry: A Baseline Study" (David C. Coulson, Stephen Lacy and Jonathan Wilson); "News Hole Sizing Policies at Nondaily Newspapers" (Ken Smith); "The Influence of Timing of Market Entry on…

  2. A POTENTIAL ECOFORECAST FOR PROTOZOAL INFECTIONS OF THE EASTERN OYSTER (CRASSOSTREA VIRGINICA)

    EPA Science Inventory

    McLaughlin, Shawn M. and Stephen J. Jordan. 2003. Potential Ecoforecast for Protozoal Infections of the Eastern Oyster (Crassostrea virginica) in the Upper Chesapeake Bay. In: Ecological Forecasting: New Tools for Coastal Marine Ecosystem Management. Nathalie Valette-Silver and D...

  3. Teaching Project Management

    ERIC Educational Resources Information Center

    Portz, Stephen M.

    2014-01-01

    Many studies support the fact that students participating in projectbased learning experiences show significantly higher learning gains than traditional instructional methods (Frank and Barzilai, 2006). Stephen Portz believes many educators recognize this, but because TPBL is fraught with so many challenges, many teachers avoid it or use it only…

  4. Post-exposure temperature influence on the toxicity of conventional and new chemistry insecticides to green lacewing Chrysoperla carnea (Stephens) (Neuroptera: Chrysopidae)

    PubMed Central

    Mansoor, Muhammad Mudassir; Afzal, Muhammad; Raza, Abu Bakar M.; Akram, Zeeshan; Waqar, Adil; Afzal, Muhammad Babar Shahzad

    2014-01-01

    Chrysoperla carnea (Stephens) is an important biological control agent currently being used in many integrated pest management (IPM) programs to control insect pests. The effect of post-treatment temperature on insecticide toxicity of a spinosyn (spinosad), pyrethroid (lambda cyhalothrin), organophosphate (chlorpyrifos) and new chemistry (acetamiprid) to C. carnea larvae was investigated under laboratory conditions. Temperature coefficients of each insecticide tested were evaluated. From 20 to 40 °C, toxicity of lambda cyhalothrin and spinosad decreased by 2.15- and 1.87-fold while toxicity of acetamiprid and chlorpyrifos increased by 2.00 and 1.79-fold, respectively. The study demonstrates that pesticide effectiveness may vary according to environmental conditions. In cropping systems where multiple insecticide products are used, attention should be given to temperature variation as a key factor in making pest management strategies safer for biological control agents. Insecticides with a negative temperature coefficient may play a constructive role to conserve C. carnea populations. PMID:25972753

  5. Post-exposure temperature influence on the toxicity of conventional and new chemistry insecticides to green lacewing Chrysoperla carnea (Stephens) (Neuroptera: Chrysopidae).

    PubMed

    Mansoor, Muhammad Mudassir; Afzal, Muhammad; Raza, Abu Bakar M; Akram, Zeeshan; Waqar, Adil; Afzal, Muhammad Babar Shahzad

    2015-05-01

    Chrysoperla carnea (Stephens) is an important biological control agent currently being used in many integrated pest management (IPM) programs to control insect pests. The effect of post-treatment temperature on insecticide toxicity of a spinosyn (spinosad), pyrethroid (lambda cyhalothrin), organophosphate (chlorpyrifos) and new chemistry (acetamiprid) to C. carnea larvae was investigated under laboratory conditions. Temperature coefficients of each insecticide tested were evaluated. From 20 to 40 °C, toxicity of lambda cyhalothrin and spinosad decreased by 2.15- and 1.87-fold while toxicity of acetamiprid and chlorpyrifos increased by 2.00 and 1.79-fold, respectively. The study demonstrates that pesticide effectiveness may vary according to environmental conditions. In cropping systems where multiple insecticide products are used, attention should be given to temperature variation as a key factor in making pest management strategies safer for biological control agents. Insecticides with a negative temperature coefficient may play a constructive role to conserve C. carnea populations.

  6. 75 FR 8741 - Notice of Intent to Repatriate Cultural Items: Stephen F. Austin State University, Nacogdoches, TX

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-25

    ...: Stephen F. Austin State University, Nacogdoches, TX AGENCY: National Park Service, Interior. ACTION... Act (NAGPRA), 25 U.S.C. 3005, of the intent to repatriate cultural items in the control of Stephen F... of Oklahoma, which was under contract with Stephen F. Austin State University. In 1957, 15 cultural...

  7. 78 FR 30861 - Membership of the Office of the Secretary Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-23

    ... Officer and Assistant Secretary for Administration Frederick E. Stephens, Deputy Assistant Secretary for... T. Alston, Director, Financial Reporting and Internal Controls Michael E. Phelps, Director, Office of Budget Lisa Casias, Director for Financial Management and Deputy Chief Financial Officer Office of...

  8. A Patent Dilemma

    ERIC Educational Resources Information Center

    Downes, Stephen

    2007-01-01

    When Blackboard unveiled its U.S. patent for 44 features of learning management systems and then filed a patent infringement suit against Design2Learn, the response of the educational technology community was negative and swift. Stephen Downes discusses why many educators oppose Blackboard's proprietary claims to technologies long considered in…

  9. Lecture Alternatives in Teaching English.

    ERIC Educational Resources Information Center

    Judy, Stephen, Ed.

    The five sections of the document are: General Discussion; Classroom Experiences; Evaluation and Non-Lecture Teaching; A Closing Note; and Appendix. The ten papers presented are as follows: "Lecture Alternatives and the English Class" by Stephen Judy; "Let's See How it Goes: A View of the Teacher as Manager of Student-Initiated Activities" by…

  10. Ambassador Stephen Krasner’s Orienting Principle for Foreign Policy (and Military Management) - Responsible Sovereignty

    DTIC Science & Technology

    2012-04-01

    measures. These instabilities gener- ate further disorder, cause violent internal conflicts that resist easy solution, and create mushrooming ... cultivate their own hu- manity and justice and maintain their laws and insti- tutions. By these means they make their governments invincible.”31 Fifth, the

  11. Technology for Transition and Postsecondary Success: Supporting Executive Function

    ERIC Educational Resources Information Center

    Hayes, Gillian; Hosaflook, Stephen

    2015-01-01

    This six-page (tri-fold) laminated reference guide by Gillian Hayes and Stephen Hosaflook focuses on readily available tools for augmenting and supporting the development of executive function skills, such as time and task management, organization, and self-regulation. These skills are crucial for accomplishing a variety of transition-related…

  12. Places to Go: Sakai|http://www.sakaiproject.org/

    ERIC Educational Resources Information Center

    Downes, Stephen

    2006-01-01

    Stephen Downes continues his examination of open source learning management systems (LMSs) with a visit to Sakai's Web site. While Sakai's Web site is not particularly easy to navigate, it provides access to a large community and constellation of related online learning products and initiatives. Visitors can visit discussion forums to ask…

  13. Management of Suicide-Related Events during Deployment

    DTIC Science & Technology

    2015-02-01

    the supervision of the site PI, Dr. Barbara Stanley. Ms. Emily Biggs , a Master’s level Research assistant, left her position to attend graduate...study progress. The members of the Expert Panel are Lanny Berman, Ph.D., ABPP; Stephen V. Bowles, Ph.D., ABPP; John Bradley, M.D.; Russell B. Carr, M.D

  14. 77 FR 1025 - Security Zones; Cruise Ships, San Pedro Bay, CA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-09

    ... of the sea buoys bounding the Port of Los Angeles or Port of Long Beach or at designated anchorages... prohibited unless specifically authorized by the Captain of the Port (COTP) Los Angeles-- Long Beach, or his... Management, Coast Guard Sector Los Angeles--Long Beach, Coast Guard; telephone (310) 521-3860, email Stephen...

  15. 76 FR 17 - Changes in Flood Elevation Determinations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-03

    ... 24, 2010 080101 1121). of Larimer County February 15, 2010; Johnson, Chair Pro-Tem, (09-08-0465P...: Collier (FEMA Docket No.: B- City of Marco Island February 19, 2010; Mr. Stephen T. Thompson, February 9, 2010 120426 1121). (09-04-7821P). February 26, 2010; Marco Island City Naples Daily News. Manager, 50...

  16. Software Supply Chain Risk Management: From Products to Systems of Systems

    DTIC Science & Technology

    2010-12-01

    an n 2009 Graw er the , has linked on, the Maturity e authors l services o agreed icrosoft, gie CMU/SEI-2010-TN-026 | 12 Model...threat modeling is a part of Microsoft’s SDL [Howard 2006, Swiderski 2004]. Stephen Lipner has designated it as the most important part of the

  17. Reasons for decision in the matter of Maritimes and Northeast Pipeline Management Ltd. application dated 24 February 1998 for approval of the plan, profile and book of reference respecting the detailed pipeline route from Goldboro, N.S. to St. Stephen, N.B.: MH-3-98

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

    NONE

    1998-12-31

    In December 1997, Maritimes and Northeast Pipeline Management Ltd. received approval to construct and operate a natural gas pipeline consisting of about 558 kilometers of 762-millimeter pipe to be located within a one-kilometer-wide corridor extending from Goldboro, Nova Scotia to the international border near St. Stephen, New Brunswick. This report covers the second stage of the pipeline approval process where the detailed route is determined. It presents the views of the pipeline company, various landowners and mineral rights holders objecting to the proposed detailed route, and the National Energy Board with regard to two issues: The best possible detailed routemore » for the pipeline, and the most appropriate methods and timing of constructing the pipeline. Specific land/mineral rights owner cases including the nature of the objection, possible alternate routes, and the Board decision in each case are described.« less

  18. 78 FR 49469 - Stephen Glen Guerra, Inmate #98595-279, FCI Yazoo City Medium, Federal Correctional Institution...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-14

    ... DEPARTMENT OF COMMERCE Bureau of Industry and Security Stephen Glen Guerra, Inmate 98595-279, FCI... Export Privileges On February 6, 2012, in the U.S. District Court, Western District of Texas, Stephen... conviction. [[Page 49470

  19. 77 FR 66068 - Amendment of Class E Airspace; Breckenridge, TX

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-01

    ...) Standard Instrument Approach Procedures at Stephens County Airport. The airport's geographic coordinates... controlled airspace at Stephens County Airport (77 FR 50648) Docket No. FAA-2012-0653. Interested parties... instrument approach procedures at Stephens County Airport, Breckenridge, TX. This action is necessary for the...

  20. Letters in this Issue

    NASA Astrophysics Data System (ADS)

    1998-01-01

    Reforming the General Chemistry Textbook individual letters by Edward T. Samulski; Stephen J. Hawkes; Stephen J. Fisher; J. Stephen Hartman; A. R. H. Cole; Stanley Pine, Ronald Archer, and Herbert Kaesz; Jimmy Reeves; Robert Hill; and Brock Spencer, C. Bradley Moore and Nedah Rose. Re: article by R. J. Gillespie The author replies

  1. The Academic Non-Consultation Phenomenon Revisited: A Research Agenda

    ERIC Educational Resources Information Center

    Nguyen, Nhien; Hansen, Jens Ørding

    2017-01-01

    Purpose: The purpose of this paper is to revive interest in the question, never definitively answered, which Stephen Watson raised in the title of his 2000 paper, "Why is it that management academics rarely advise on their own institutions?" It is argued that finding the answer to the question would not only be interesting in and of…

  2. Exploring the Connections between Adult and Management Education

    ERIC Educational Resources Information Center

    Brookfield, Stephen D.; Kalliath, Thomas; Laiken, Marilyn

    2006-01-01

    Stephen Brookfield has written and edited 10 books on adult learning, teaching, and critical thinking. He is a recipient of a number of awards, including the World Award for Literature in Adult Education (in 1986, 1989, 1996, and 2005), the Imogene Okes Award for Outstanding Research in Adult Education (in 1986), and the Leadership Award from the…

  3. IFLA General Conference, 1987. Division of Management and Technology. Library Building and Equipment Section. Information Technology Section. Papers.

    ERIC Educational Resources Information Center

    International Federation of Library Associations, The Hague (Netherlands).

    The six papers in this collection focus on library buildings and equipment and information technology: (1) "Library Equipment in a Changing Library Environment" (Margaret Beckman, Canada); (2) "The New Building for the British Library" (Colin St. John Wilson, United Kingdom); (3) "User Interaction with Online Catalogue" (Stephen Walker, United…

  4. A Corrupt Medium: Stephen Burroughs and the Bridgehampton, New York, Library.

    ERIC Educational Resources Information Center

    Ashton, Susanna

    2003-01-01

    Discusses criminal Stephen Burroughs'"The Memoirs of Stephen Burroughs", a well-known rogue narrative of the 19th century, and his campaign to establish a library in Bridgehampton, New York. Topics include rationalism; the role of reading; the growth of libraries following the American Revolution; and the role of individual…

  5. 78 FR 6321 - Stephen Phillips, Brentwood Dam Ventures, LLC; Notice of Transfer of Exemption

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-30

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 4254-009] Stephen Phillips, Brentwood Dam Ventures, LLC; Notice of Transfer of Exemption 1. By letter filed May 31, 2006 and supplemented on January 15, 2013, Stephen Phillips and Brentwood Dam Ventures, LLC informed the Commission that...

  6. 75 FR 8742 - Notice of Inventory Completion: Stephen F. Austin State University, Nacogdoches, TX

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-25

    ... repository of the anthropology lab some time after 1975. No known individual was identified. No associated... the repository of the Stephen F. Austin State University anthropology lab. No known individual was.... The human remains are located in the repository of the Stephen F. Austin State University anthropology...

  7. John Lloyd Stephens and Frederick Catherwood: Mayan Explorers.

    ERIC Educational Resources Information Center

    McDermott, Michael

    This mini-unit focuses on the lives and accomplishments of John Lloyd Stephens and Frederick Catherwood and their contacts with the Maya. This project deals specifically with how Stephens' published accounts and Catherwood's drawings became the basis from which all further Mayan research developed. These two explorers were the first to describe…

  8. Reading Stephen King: Issues of Censorship, Student Choice, and Popular Literature.

    ERIC Educational Resources Information Center

    Power, Brenda Miller, Ed.; Wilhelm, Jeffrey D., Ed.; Chandler, Kelly, Ed.

    This collection of essays grew out of the "Reading Stephen King Conference" held at the University of Maine in 1996. Stephen King's books have become a lightning rod for the tensions around issues of including "mass market" popular literature in middle and high school English classes and of who chooses what students read.…

  9. Viral Activity | Center for Cancer Research

    Cancer.gov

    In the last four decades, HIV has gone from being an unknown killer to the cause of a manageable chronic disease. Stephen Hughes, Ph.D., Chief of CCR’s Retroviral Replication Laboratory, began his study of retroviruses before HIV was identified, but quickly made the virus the main focus of his research career. Hughes is internationally recognized for his work on two of the

  10. A Framework for Developing Scalable Geodesign Products

    DTIC Science & Technology

    2017-09-01

    Jean S. Noellsch Writer/Editor (CTR) Information Science and Knowledge Management Branch Engineer Research and Development Center ERDC/CERL MP-17...a design proposal with im- pact simulations informed by geographic context” (Flaxman 2009, 29). Stephen Ervin, a landscape architect, emphasizes the...communications technologies to foster collaborative, information -based design projects, and that depends upon timely feedback about impacts and implications of

  11. Leadership Development: A Senior Leader Case Study

    DTIC Science & Technology

    2014-10-01

    LIFE model Element Investigative Question Strategy How does (development program) posture (or fail to posture ) leaders to meet organizational...Management How does (development program) adequately posture (or fail to posture ) officer talent capable of filling talent gaps within the...LIFE model in figure 1 stems from conceptualizing and integrat- ing elements of leadership development in the work of Stephen Co- hen , Lisa Gabel

  12. The changing roles of natural resource professionals: providing tools to students to teach the public about fire

    Treesearch

    Pat Stephens Williams; Brian P. Oswald; Karen Stafford; Justice Jones; David Kulhavy

    2011-01-01

    The Arthur Temple College of Forestry and Agriculture (ATCOFA) at Stephen F. Austin State University is taking a proactive stance toward preparing forestry students to work closely with the public on fire planning in wildland-urban interface areas. ATCOFA's incorporation of the "Changing Roles" curriculum provides lessons on how natural resource managers...

  13. Kindness in the Art Classroom: Kind Thoughts on Stephen Rowland

    ERIC Educational Resources Information Center

    Lampert, Nancy

    2011-01-01

    This article is a response to Stephen Rowland's article, "Kindness," which appeared in "London Review of Education," November 2009. Much to my amazement, Stephen Rowland's article was the only one I found when I did a global database search on "kindness in education". I had thought that I would find reams of information in the databases on the…

  14. 77 FR 61003 - Stephen C. Delaney, Jr.: Debarment Order

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-05

    ...] Stephen C. Delaney, Jr.: Debarment Order AGENCY: Food and Drug Administration, HHS. ACTION: Notice... Cosmetic Act (the FD&C Act) debarring Stephen C. Delaney, Jr. for a period of 5 years from importing... INFORMATION: I. Background Section 306(b)(1)(C) of the FD&C Act (21 U.S.C. 335a(b)(1)(C)) permits FDA to debar...

  15. Financial Measures Conference: Uses of College and University Financial Assessment in Institutional Management and Public Policy Analysis. Proceedings of the 1980 Working Conference (Annapolis, Maryland, October 23-24, 1980).

    ERIC Educational Resources Information Center

    Stich, Judith, Ed.

    Proceedings of the 1980 Financial Measures Conference are presented. Papers and authors are as follows: "Ratio Analysis in Higher Education" (John Minter); "Computerized Application of Financial Assessment Technology" (Daniel Updegrove and Stephen D. Campbell); "The Uses and Utility of HEGIS Financial Data" (Loyd…

  16. Language Teacher Education in a Fast-Changing World. Anthology Series 29. Selected Papers from a Seminar on Language Teacher Education in a Fast-Changing World (April 1992).

    ERIC Educational Resources Information Center

    Sadtono, Eugenius, Ed.

    Selected papers from a 1992 seminar on innovations in language teacher education include: "Collaboration in Assessment: Empowering the Individual Course Member" (Leslie Dickinson); "An Approach to the Evaluation of ELT Preparation Programs" (Stephen J. Gaies); "Human Resources Development in the Management of English Language Programs: An…

  17. Design of Experiment Approach to Hydrogen Re-embrittlement Evaluation WP-2152

    DTIC Science & Technology

    2015-04-01

    2152 by Scott M Grendahl, Hoang Nguyen, Franklin Kellogg , Shuying Zhu, and Stephen Jones Approved for public release...and Materials Research Directorate, ARL Hoang Nguyen and Franklin Kellogg Bowhead Science and Technology, LLC Shuying Zhu and Stephen Jones The...ELEMENT NUMBER 6. AUTHOR(S) Scott M Grendahl, Hoang Nguyen, Franklin Kellogg , Shuying Zhu, and Stephen Jones 5d. PROJECT NUMBER W74RDV20769717 5e

  18. A Tailored Systems Engineering Framework for Science and Technology Projects

    DTIC Science & Technology

    2009-03-01

    PROJECTS THESIS Stephen M. Behm Major, USAF J . Bradford Pitzer Major, USAF Jane F. White Civilian, US AFIT/GSE/ENV/09-M02 DEPARTMENT OF THE...Engineering Stephen M. Behm, Major, USAF J . Bradford Pitzer, Major, USAF Jane F. White, Civilian, US March 2009 APPROVED FOR PUBLIC...Stephen M. Behm, Major, USAF J . Bradford Pitzer, Major, USAF Jane F. White, Civilian, US Approved: iv AFIT/GSE/ENV

  19. Prostate Cancer Survivors with Rising PSA and Their Spouses: Treatment Decision Making and Quality of Life

    DTIC Science & Technology

    2009-12-31

    Active Engagement, Protective Buffering, and Overprotection questionnaire and Stephen Lepore’s 15-item Social Constraints Scale have been added to the...questionnaires (the Active Engagement, Protective Buffering, and Overprotection questionnaire and Stephen Lepore’s 15- item Social Constraints Scale) is still...this end we included the Active Engagement, Protective Buffering and Overprotection questionnaire and Stephen Lepore’s 15-item Social Constraints

  20. Stephen Hawking NASA 50th

    NASA Image and Video Library

    2008-06-12

    Dr. Stephen Hawking, a professor of mathematics at the University of Cambridge, left, and his daughter Lucy Hawking talk about their co-authored children's book "George's Secret Key to the Universe" Monday, April 21, 2008, at George Washington University's Morton Auditorium in Washington. Stephen Hawking also delivered a speech entitled "Why we should go into space" during a lecture that is part of a series honoring NASA's 50th Anniversary, Photo Credit: (NASA/Paul. E. Alers)

  1. 75 FR 70259 - Sunshine Act; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-17

    ... Time. Contact Person for More Information: Stephen Llewellyn, Executive Officer, on (202) 663-4070. Dated: November 15, 2010. Stephen Llewellyn, Executive Officer, Executive Secretariat. This Notice...

  2. 76 FR 42709 - Sunshine Act Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-19

    ... numbers listed above. CONTACT PERSON FOR MORE INFORMATION: Stephen Llewellyn, Executive Officer on (202) 663-4070. Dated: July 15, 2011. Stephen Llewellyn, Executive Officer, Executive Secretariat. [FR Doc...

  3. 75 FR 80810 - Sunshine Act Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-23

    .... CONTACT PERSON FOR MORE INFORMATION: Stephen Llewellyn, Executive Officer on (202) 663-4070. Dated: December 21, 2010. Stephen Llewellyn, Executive Officer, Executive Secretariat. [FR Doc. 2010-32529 Filed...

  4. Combating WMD Journal. Issue 1

    DTIC Science & Technology

    2007-01-01

    Design /Layout CW5 Stephen A. Gomes Ms. Helen M. Stewart DISTRIBUTION STATEMENtI A Approved for Public Release Distribution Unlimited FRO THE DIECO...forming to assist Echelon Above Corps Army elements NBC Defence Factors in the Design , Testing and Accep- with CWMD planning capability. Their initial...Counterproliferation (CP) and Con- with smaller number of officers (-160 designers of the current Officer Pro- sequence Management (CM) arenas FA52s and 275 EOD

  5. GOES-S Prelaunch News Conference

    NASA Image and Video Library

    2018-02-27

    GOES-S Prelaunch News Conference hosted by NASA Communications' Tori Mclendon, with Stephen Volz, Director for Satellite and Information Services, NOAA; Tim Walsh, GOES-R system program director (acting), NOAA; Sandra Smalley, Director, NASA Joint Agency Satellite Division; Tim Dunn, NASA Launch Director, Kennedy Space Center, Florida; Scott Messer, Program Manager, NASA Missions, United Launch Alliance; and Kathy Winters, Launch Weather Officer, 45th Weather Squadron, Cape Canaveral Air Force Station, Florida.

  6. The United States Army Comprehensive Soldier Fitness: A Critical Look

    DTIC Science & Technology

    2013-03-01

    Psychoanalysis Professor Stephen Soldz, stated “ the problems identified with CSF are legion. It is time for the Army to step back from uncritically...Frederick J. Gellert Department of Command, Leadership and Management Project Adviser This manuscript is submitted in partial fulfillment of the ...organization and at every level within the Army, MRTs serve as the principal advisor to the leadership regarding CSF and as a resource for Soldiers

  7. Man Portable Vector EMI Sensor for Full UXO Characterization

    DTIC Science & Technology

    2012-05-01

    with project management and coordination. Drs. Laurens Beran, Leonard Pasion , and Stephen Billings advised on technical aspects and Dr. Gregory Schultz...approximated as a point dipole (e.g., Bell et al., 2001; Pasion and Oldenburg, 2001; Gasperikova et al., 2009). The process of estimating the target...39, 1286–1293. Bell, T. 2005. Geo-location Requirements for UXO Discrimination. SERDP Geo-location Workshop. Billings, S., L. Pasion , N. Lhomme

  8. Quality improvement to guide the new health system.

    PubMed

    Merry, M D

    2001-03-01

    While there are many areas, such as intensive care treatment and pain management, where great gains in quality improvement can be made, the greatest strides will come as the leaders and trustees in health care organizations begin to create "the industrial revolution" in their organizations by creating cultures of quality. Stephen Shortell recommends the following list of things board members can do to improve quality in their organizations.

  9. Annual Science and Engineering Technology Conference/DOD Technology Exposition (7th). Volume 2. Wednesday - Thursday

    DTIC Science & Technology

    2006-04-20

    Disruptive Technologies • Army Approach to Disruptive Technologies and Transition Mr. Dennis Schmidt, Director, Science & Technology Integration, Office of...the Assistant Secretary of the Army for Research and Technology • Navy Approach to Disruptive Technologies and Transition Mr. Lewis DeSandre, Program...Manager, ONR 351 • Air Force Approach to Disruptive Technologies and Transition Colonel Mark Stephen, Associate Deputy Assistant Secretary (Science

  10. 7th Annual Science and Engineering Technology Conference/DoD Technology Exposition Volume 1

    DTIC Science & Technology

    2006-04-20

    Disruptive Technologies • Army Approach to Disruptive Technologies and Transition Mr. Dennis Schmidt, Director, Science & Technology Integration, Office of...the Assistant Secretary of the Army for Research and Technology • Navy Approach to Disruptive Technologies and Transition Mr. Lewis DeSandre, Program...Manager, ONR 351 • Air Force Approach to Disruptive Technologies and Transition Colonel Mark Stephen, Associate Deputy Assistant Secretary (Science

  11. 76 FR 12733 - Sunshine Act Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-08

    ... the voice and TTY numbers listed above. CONTACT PERSON FOR MORE INFORMATION: Stephen Llewellyn, Executive Officer on (202) 663-4070. Dated: March 4, 2011. Stephen Llewellyn, Executive Officer, Executive...

  12. 75 FR 65674 - Sunshine Act Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-26

    ... confidential commercial information. CONTACT PERSON FOR MORE INFORMATION: Stephen L. Sharfman, General Counsel, Postal Regulatory Commission, 901 New York Avenue, NW., Suite 200, Washington, DC 20268-0001, at stephen...

  13. 76 FR 31611 - Sunshine Act Meeting Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-01

    ... voice and TTY numbers listed above. CONTACT PERSON FOR MORE INFORMATION: Stephen Llewellyn, Executive Officer on (202) 663-4070. Dated: May 27, 2011. Stephen Llewellyn, Executive Officer, Executive...

  14. 75 FR 77921 - Post Office Closing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-14

    ... entries. This document corrects those entries. FOR FURTHER INFORMATION CONTACT: Stephen L. Sharfman, General Counsel, at 202-789-6824 or stephen[email protected] . Correction In the Federal Register of...

  15. 75 FR 59750 - Sunshine Act Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-28

    .... CONTACT PERSON FOR FURTHER INFORMATION: Stephen L. Sharfman, General Counsel, Postal Regulatory Commission, at 202-789-6820 or stephen[email protected] (for questions concerning the agenda) and Shoshana M...

  16. 75 FR 5634 - Sunshine Act Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-03

    ... agenda item no. 13 to public observation. CONTACT PERSON FOR FURTHER INFORMATION: Stephen L. Sharfman, General Counsel, Postal Regulatory Commission, at 202-789-6820 or stephen[email protected] . Dated...

  17. 75 FR 4429 - Sunshine Act Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-27

    ... operational goals. CONTACT PERSON FOR FURTHER INFORMATION: Stephen L. Sharfman, General Counsel, Postal Regulatory Commission, at 202-789-6820 or stephen[email protected] . Dated: January 25, 2010. Shoshana M...

  18. 75 FR 51505 - Sunshine Act Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-20

    ... PERSON FOR MORE INFORMATION: Stephen L. Sharfman, General Counsel, Postal Regulatory Commission, 901 New York Avenue, NW., Suite 200, Washington, DC 20268-0001, stephen[email protected] or 202-789- 6820...

  19. 75 FR 82025 - Sunshine Act Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-29

    ... MORE INFORMATION: Stephen Llewellyn, Executive Officer on (202) 663-4070. Dated: December 27, 2010. Stephen Llewellyn, Executive Officer, Executive Secretariat. [FR Doc. 2010-32962 Filed 12-27-10; 4:15 pm...

  20. The Credibility of America’s Extended Nuclear Deterrent: The Case of the Republic of Turkey

    DTIC Science & Technology

    2009-04-01

    program. In his 2006 Foreign Affairs article, “After Proliferation: What to Do if More States Go Nuclear,” author Stephen Rosen used Turkey and Saudi...Endowment for International Peace, Washington, DC, 28 October 2008), 3-4. 4 Stephen Peter Rosen , “After Proliferation: What to do if More States Go...without an Adversary,” International Security 16, no 4 (Spring 1992); Stephen P. Rosen , After Proliferation: What to Do if More States Go Nuclear

  1. 75 FR 71473 - Sunshine Act Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-23

    ... FOR MORE INFORMATION: Stephen L. Sharfman, General Counsel, Postal Regulatory Commission, 901 New York Avenue, NW., Suite 200, Washington, DC 20268-0001, at stephen[email protected] or 202-789- 6820 (for...

  2. 75 FR 62815 - Sunshine Act; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-13

    ... using the voice and TTY numbers listed above. Contact Person for More Information: Stephen Llewellyn, Executive Officer on (202) 663- 4070. This Notice issued October 8, 2010. Stephen Llewellyn, Executive...

  3. 76 FR 70131 - Sunshine Act Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-10

    ... be made by using the voice and TTY numbers listed above. CONTACT PERSON FOR MORE INFORMATION: Stephen Llewellyn, Executive Officer on (202) 663-4070. This notice issued November 7, 2011. Stephen Llewellyn...

  4. Kids and Cafeterias: How Safe are Federal School Lunches? Joint Hearing before the Committee of Government Management, Restructuring, and the District of Columbia Subcommittee of the Committee on Governmental Affairs, United States Senate and the Subcommittee on Government Efficiency, Financial Management, and Intergovernmental Relations of the Committee on Government Reform, House of Representatives, One Hundred Seventh Congress, Second Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Governmental Affairs.

    Noting the significant increase since 1990 in food-borne illnesses affecting school children, these hearings transcripts provide testimony on the safety of federal school lunches. Statements by Senator Richard Durbin and Representatives Stephen Horn, Janice Schakowsky, and Carolyn Maloney emphasized the array of federal agencies with various food…

  5. 78 FR 1604 - Department Regulatory Agenda; Semiannual Summary

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-08

    ... NPRM 06/00/13 Regulatory Flexibility Analysis Required: Yes. Agency Contact: Stephen A Glowacki... 20591, Phone: 202-385-4898, Email: stephen.a.glowacki@faa.gov . RIN: 2120-AJ60 340. +Flight Crewmember...

  6. 76 FR 2113 - Sunshine Act; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-12

    ... be made by using the voice and TTY numbers listed above. CONTACT PERSON FOR MORE INFORMATION: Stephen Llewellyn, Executive Officer on (202) 663-4070. Dated: This Notice Issued January 10, 2011. Stephen...

  7. Genetics Home Reference: harlequin ichthyosis

    MedlinePlus

    ... Hepenstal PJ, Dale BA, Tadini G, Fleckman P, Stephens KG, Sybert VP, Mallory SB, North BV, Witt ... Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): University of ...

  8. 76 FR 82323 - Sunshine Act Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-30

    ... Thursday, January 5, 2012, at 11 a.m. CONTACT PERSON FOR MORE INFORMATION: Stephen L. Sharfman, General Counsel, (202) 789-6820 or stephen[email protected] . Shoshana M. Grove, Secretary. [FR Doc. 2011-33665...

  9. State of the Practice of Intrusion Detection Technologies

    DTIC Science & Technology

    2000-01-01

    security incident response teams ) - the role of IDS in threat management, such as defining alarm severity, monitoring, alerting, and policy-based...attacks in an effort to sneak under the radar of security specialists and intrusion detection software, a U.S. Navy network security team said today...to get the smoking gun," said Stephen Northcutt, head of the Shadow intrusion detection team at the Naval Surface Warfare Center. "To know what’s

  10. Evaluation of the Effectiveness of LTR Training versus Simulation Training and Stress Inoculation

    DTIC Science & Technology

    2015-10-01

    to impact performance. Dr. Stephen Barnes’ Grant W81XWH-11-2-0155#11322004 sponsored by the Department of Defense Telemedicine and Advanced Research...for reducing this burden to Department of Defense , Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188...estimates in 2016 dollars. We used the 2.9% discount rate mandated by the US Office of Management and Budget (2016) and US Department of Defense

  11. 78 FR 67333 - Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-12

    .... Arnold William G. Bostic, Jr. Stephen B. Burke Joanne Buenzli Crane Susan R. Helper Ron S. Jarmin Enrique... Stephens Sonja Steptoe Frank A. Vitrano Katherine K. Wallman Adam Wilczewski The term of each PRB member...

  12. 78 FR 64048 - Intelligent Transportation Systems Program Advisory Committee; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    .... Members of the public who wish to participate in the web conference must request approval from Mr. Stephen... Transportation, Research and Innovative Technology Administration, ITS Joint Program Office, Attention: Stephen...

  13. 77 FR 69915 - Advisory Committee on Historical Diplomatic Documentation; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-21

    ... concerning the meeting should be directed to Stephen P. Randolph, Executive Secretary, Advisory Committee on..., telephone (202) 663-1123, (email [email protected] ). Dated: November 13, 2012 Stephen P. Randolph...

  14. Genetics Home Reference: hemophilia

    MedlinePlus

    ... Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): University of ... Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): University of ...

  15. Genetics Home Reference: pontocerebellar hypoplasia

    MedlinePlus

    ... Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): University of ... Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): University of ...

  16. 78 FR 40737 - Issuance of Two Experimental Use Permits

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-08

    .... SUMMARY: EPA has granted experimental use permits (EUPs) to the following pesticide applicants: Stephen L... has issued the following EUPs: 1. 88877-EUP-1. (EPA-HQ-OPP-2012-0181). Issuance. Stephen L. Dobson...

  17. 76 FR 22940 - Intelligent Transportation Systems Program Advisory Committee; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-25

    ... participate must notify Mr. Stephen Glasscock, the Committee Designated Federal Official, at (202) 366-9126 no... Administration, ITS Joint Program Office, Attention: Stephen Glasscock, 1200 New Jersey Avenue, SE., HOIT, Room...

  18. Genetics Home Reference: cleidocranial dysplasia

    MedlinePlus

    ... Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): University of ... gov/books/NBK1513/ Citation on PubMed Roberts T, Stephen L, Beighton P. Cleidocranial dysplasia: a review of ...

  19. 29 CFR 1952.120 - Description of the plan.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Washington; (7) Letter from Stephen C. Way, Assistant Attorney General to Thomas C. Brown, October 19, 1972...) Letter from Stephen C. Way to the Assistant Secretary, January 5, 1973, clarifying most of the remaining...

  20. 78 FR 747 - Changes in Flood Hazard Determinations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-04

    ... 485456 (11-06-4571P). Stephen H. Market Street, team.com/ DonCarlos, Mayor, Baytown, TX lomrs.htm. City... Honorable Bob 840 Boonville http://www.starr- December 27, 2012 290149 Springfield (12- Stephens, Mayor...

  1. Genetics Home Reference: primary hyperoxaluria

    MedlinePlus

    ... Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ... Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ...

  2. Genetics Home Reference: oculocutaneous albinism

    MedlinePlus

    ... Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ... Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ...

  3. Genetics Home Reference: cutis laxa

    MedlinePlus

    ... Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ... Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ...

  4. Genetics Home Reference: galactosemia

    MedlinePlus

    ... Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ... Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ...

  5. Development of a Personnel Database System for Watch Scheduling on Hellenic Navy Ships

    DTIC Science & Technology

    1988-09-01

    USER VINCENT SEVERSON 69758 S. CH. PO TORPEDO STEPHEN OHANIAN 75321 CH. PO NAVIGATOR RONALD THORNGATE 75732 CH. PO COMMUNICATION PETER WHISTON 75988 CH...WATSON 68123 M. CH. PO RADIO NICK TOWBER 69322 S. CH. PO RADAR USER BEN SCOTT 69345 S. CH. PO RADAR USER VINCENT SEVERSON 69758 S. CH. PO TORPEDO STEPHEN ...WATCH ASS S. CH. PO OHANIAN STEPHEN A TORPEDO ST TOR. CONTR. CH. PO THORNGATE RONALD A DAM. ST 1 LEADER CH. PO WHISTON PETER B BRIDGE COM. LEADER CH. PO

  6. Sediment transport mechanics

    NASA Astrophysics Data System (ADS)

    Ballio, Francesco; Tait, Simon

    2012-12-01

    The Editor of Acta Geophysica and the Guest Editors wish to dedicate this Topical Issue on Sediment Transport Mechanics to the memory of Stephen Coleman, who died recently. During his career, Stephen had made an outstanding scientific contribution to the topic of Sediment Transport. The level of his contribution is demonstrated in the paper by Aberle, Coleman, and Nikora included in this issue, on which he started working before becoming aware of the illness that led to his untimely death. For scholars and colleagues Stephen remains an example of intellectual honesty and scientific insight.

  7. Beyond Intelligence Testing.

    ERIC Educational Resources Information Center

    White, Stephen; And Others

    1988-01-01

    Articles on IQ testing are presented: "Opportunity and Intelligence" (Stephen White); "Beyond the IQ: Education and Human Development" (Howard Gardner); "Beyond IQ Testing" (Robert J. Sternberg); "Working Smarter" (Roger J. Peters); "Varieties of Mind" (John L. Doris, Stephen J. Ceci); "Human…

  8. Genetics Home Reference: multiple endocrine neoplasia

    MedlinePlus

    ... Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): University of ... Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): University of ...

  9. Genetics Home Reference: polycystic kidney disease

    MedlinePlus

    ... Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): University of ... Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): University of ...

  10. Genetics Home Reference: 9q22.3 microdeletion

    MedlinePlus

    ... Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ... Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ...

  11. 78 FR 28776 - Approval and Promulgation of Implementation Plans; Kentucky; Stage II Requirements for Enterprise...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-16

    ... the December 12, 2006, EPA policy memorandum from Stephen D. Page, entitled ``Removal of Stage II... memorandum from Stephen D. Page entitled, ``Removal of Stage II Vapor Recovery in Situations Where Widespread...

  12. Sculpture, cast iron lamps at northeast corner of Stephen Sitter ...

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

    Sculpture, cast iron lamps at northeast corner of Stephen Sitter Avenue and Forney road, with scale - National Park Seminary, Bounded by Capitol Beltway (I-495), Linden Lane, Woodstove Avenue, & Smith Drive, Silver Spring, Montgomery County, MD

  13. Leading Change: The Military as a Learning Organization

    DTIC Science & Technology

    1998-01-01

    people see in the one thing. 38Stephen R. Covey, The 7 Habits of Highly Effective People (Australia...Visionary Companies. New York: Harper Business, 1994. Covey, Stephen R. The 7 Habits of Highly Effective People . Australia: The Business Library

  14. Population dynamics and life history of a geographically restricted seahorse, Hippocampus whitei.

    PubMed

    Harasti, D; Martin-Smith, K; Gladstone, W

    2012-09-01

    The aim of this study was to collect data on population dynamics and life history for White's seahorse Hippocampus whitei, a geographically restricted species that is listed as data deficient under the IUCN Red List. Data from H. whitei populations were collected from two regions, Port Stephens (north) and Sydney Harbour (south) in New South Wales, Australia, covering most of the known range of H. whitei, from 2005 to 2010. Over 1000 individuals were tagged using fluorescent elastomer and on subsequent recaptures were re-measured for growth data that were used in a forced Gulland-Holt plot to develop growth parameters for use in a specialized von Bertalanffy growth-function model. Growth parameters for Port Stephens were: females L(∞) = 149·2 mm and K = 2·034 per year and males L(∞) = 147·9 mm and K = 2·520 per year compared with estimates from Sydney Harbour: females L(∞) = 139·8 mm and K = 1·285 per year and males L(∞) = 141·6 mm and K = 1·223 per year. Whilst there was no significant difference in growth between sexes for each region, H. whitei in Port Stephens grew significantly quicker and larger and matured and reproduced at a younger age than those from Sydney Harbour. The life span of H. whitei is at least 5 years in the wild with six individuals recorded reaching this age. Data collected on breeding pairs found that H. whitei displays life-long monogamy with three pairs observed remaining pair bonded over three consecutive breeding years. Baseline population densities were derived for two Port Stephens' sites (0·035 and 0·110 m(-2)) and for Manly in Sydney Harbour (1·050 m(-2)). Even though the life-history parameters of H. whitei suggest it may be reasonably resilient, precaution should be taken in its future management as a result of its limited geographical distribution and increasing pressures from anthropogenic sources on its habitats. © 2012 The Authors. Journal of Fish Biology © 2012 The Fisheries Society of the British Isles.

  15. Book review: Ecology of North American freshwater fishes

    USGS Publications Warehouse

    Bonar, Scott A.

    2014-01-01

    This book will be important in courses for upper undergraduates studying fish ecology or for graduate students. However, it will also be an excellent reference for the fishery manager who asks ‘Why does this fish do that?’. With the wealth of great information contained in Ross’ book, chances are an answer will be found. Review info: Ecology of North American freshwater fishes. Edited by Stephen T. Ross, 2013. ISBN: 978-0520249455, 408 pp.

  16. 77 FR 24978 - Eastern States: Filing of Plats of Survey; Mississippi

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-26

    ... surveyed are: St. Stephens Meridian, Mississippi T. 9 N., R. 17 W. The supplemental plat of Section 1, in Township 9 North, Range 17 West, of the St. Stephens Meridian, in the State Mississippi, and was accepted...

  17. 75 FR 38540 - Notice of Filing of Plats of Survey, Alaska

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-02

    ...: Stephen B. Hamrick, 907-271-5481, fax 907-271-4549, e-mail [email protected] . SUPPLEMENTARY INFORMATION.... Stephen B. Hamrick, Chief Cadastral Surveyor. [FR Doc. 2010-16220 Filed 7-1-10; 8:45 am] BILLING CODE 4310...

  18. 75 FR 80069 - Eastern States: Filing of Plat of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-21

    ... lands surveyed are: St. Stephens Meridian, Alabama T. 17 N., R. 19 E. The plat of survey represents the... Township 17 North, Range 19 East, of the St. Stephens Meridian, in the State of Alabama, and was accepted...

  19. 75 FR 53333 - Notice of Filing of Plats of Survey, Alaska

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-31

    ... CONTACT: Stephen B. Hamrick, 907-271-5481, fax 907-271-4549, e-mail [email protected] . SUPPLEMENTARY... guarantee that we will be able to do so. Authority: 43 U.S.C. 3; 53. Stephen B. Hamrick, Chief Cadastral...

  20. Congressional Testimony: Statement of Stephen J. Nesbitt Before the Committee on Environment and Public Works United States Senate

    EPA Pesticide Factsheets

    Statement of Stephen J. Nesbitt Assistant Inspector General for Investigations Office of Inspector General U.S. Environmental Protection Agency Before the Committee on Environment and Public Works United States Senate

  1. The West Family Chiropractic Dynasty: celebrating a century of accomplishment in Canada: Part I: Archibald B. West, DC, Samuel H. West, DC and Stephen E. West, DC: The Founding Father, his Son and Grandson.

    PubMed

    Brown, Douglas M

    2010-09-01

    This historical treatise documents the unbroken legacy of the West family of chiropractors which has flourished in Canada for over 100 years. Part I, unearths the origins, development and careers of Archibald West, the founder of this dynasty, his son Samuel and grandson Stephen. Part II, not yet ready for publication, will delve into the lives of Archibald's brother Samson and his chiropractic progeny, as well as a nephew of Stephen and another relative of Frederick West.

  2. 76 FR 62804 - Duke Energy Carolinas, LLC; Notice of Meetings To Discuss Resource Issues Related to the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-11

    ... 29607. \\*\\ Registration is required. Please see item g. below. c. FERC Contact: Stephen Bowler at (202) 505-6861 or stephen[email protected] . d. Purpose of Meetings: Duke is holding regular meetings of its...

  3. 76 FR 33783 - Public Availability of the U.S. International Trade Commission's FY 2010 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-09

    ...: Questions regarding the service contract inventory should be directed to Stephen A. McLaughlin in the Office of Administration at 202-205-3131 or Stephen[email protected] . By order to the Commission. Dated...

  4. 77 FR 2755 - Eastern States: Filing of Plats of Survey; Alabama and Minnesota

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-19

    ... Indian Affairs. The lands surveyed are: St. Stephens Meridian, Alabama T. 2 N., R. 6 E. The plat of... North, Range 6 East, of the St. Stephens Meridian, in the State of Alabama, and was accepted December 20...

  5. General Merrill A. McPeak Leadership and Organizational Change

    DTIC Science & Technology

    2001-06-01

    20 Quoted in Stephen R. Covey, The 7 Habits of Highly Effective People : Powerful Lessons in Personal Change...Support. Washington D.C.: Dept. of the Army, 1996. Covey, Stephen R. The 7 Habits of Highly Effective People : Powerful Lessons in Personal Change

  6. Stephen Baylin, M.D., Explains Genetics and Epigenetics - TCGA

    Cancer.gov

    Stephen Baylin, M.D., at the Johns Hopkins Kimmel Cancer Center discusses the how alterations in the DNA code are deciphered in a combined effort with The Cancer Genome Atlas at the National Cancer Institute to decode the brain cancer genome.

  7. Official portrait of astronaut Stephen S. Oswald

    NASA Technical Reports Server (NTRS)

    1992-01-01

    Official portrait of astronaut Stephen S. Oswald. Oswald, a member of Astronaut Class 11, wears launch and entry suit (LES) with launch and entry helmet (LEH) positioned at his side. In the background is the United States (U.S.) flag and a space shuttle orbiter model.

  8. Leader Development: Leveraging Combat Power Through Leadership,

    DTIC Science & Technology

    1993-12-17

    performance for all rangers, officer and enlisted. 68. Stephen R. Covey, The 7 Habits of Highly Effective People : Restoring the Character Ethic. (New...Orange, New Jersey; Leadership Library of America, 1990). Covey, Stephen R. The 7 Habits of Highly Effective People : Restoring the Character Ethic. (New

  9. June 6, 2011 Letter from Shelley Lucas to Stephen Smith and Melissa Waters

    EPA Pesticide Factsheets

    June 6, 2011 Letter from Shelley Lucas to Stephen Smith and Melissa Waters, USEPA, Subject: Response to Information Request Under 92 U.S.C. 9604 to Gannett Co., Inc., Dated March 24, 2011, Regarding Capitol City Plume Site, Montgomery, AL

  10. Stephen Hawking's Universe. Teacher's Guide.

    ERIC Educational Resources Information Center

    Thompson, Malcolm H.; Rameau, Jonathan D.

    This program guide is meant to help teachers assist their students in viewing the six-part public television series, "Stephen Hawking's Universe." The guide features program summaries that give background information and brief synopses of the programs; previewing activities that familiarize students with the subject; vocabulary that…

  11. 1. Historic American Buildings Survey Photocopy MATHER HOUSE IN 1879 ...

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

    1. Historic American Buildings Survey Photocopy MATHER HOUSE IN 1879 (Left to Right, Phoebe Mather, Rana Mather, and Betsy Mather Lockwood) Original in Possession of Mrs. Edward R. McPherson, Jr. - Stephen Tyng Mather House, 19 Stephen Mather Road, Darien, Fairfield County, CT

  12. Bioaccumulation of perfluoroalkyl substances in exploited fish and crustaceans: Spatial trends across two estuarine systems.

    PubMed

    Taylor, Matthew D; Beyer-Robson, Janina; Johnson, Daniel D; Knott, Nathan A; Bowles, Karl C

    2018-06-01

    Spatial patterns in perfluoroalkyl substances were quantified for exploited fish and crustaceans across two contrasting Australian estuaries (Port Stephens and Hunter River). Perfluorooctane sulfonate (PFOS) was detected in 77% of composites from Port Stephens and 100% of composites from Hunter River. Most species from Port Stephens showed a clear trend with distance to source. In contrast, only a subset of species showed this trend in the Hunter River, potentially due to species movement patterns and differing hydrology. Spatial modelling showed that PFOS concentrations were expected to exceed the relevant trigger value up to ~13,500 m from the main point source for Port Stephens and ~9000 m for the Hunter River. These results represent the first major investigation of bioaccumulation of PFASs in exploited species in Australian estuaries, and highlight various factors that can contribute to spatial patterns in bioaccumulation. Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.

  13. Lower Mississippi River Environmental Program. Report 13. Preliminary Environmental Design Considerations Associated with Articulated Concrete Mattress Revetments along the Lower Mississippi River

    DTIC Science & Technology

    1988-05-01

    Engineer Water Resources Support Center, Fort Belvoir, Va. Conner, J. W., Pennington, C. H., and Bosley, T. R. 1983. "Larval Fish of Selected Aquatic ...Mississippi River Environmental Program; Report 13 6a NAME OF PERFORMING ORGANIZATION 6b OFFICE SYMBOL 7a. NAME OF MONITORING ORGANIZATION Aquatic Ecosystem...Jenkins, Aquatic Ecosystem Analysts, PO Box 4188, Fayetteville, Ark. Mr. Stephen P. Cobb, MRC, Vicksburg, Miss., was the project officer and program manager

  14. Near-Field Thermal Coupling of a Nanoscale Interface and QED Kapitza Conductance of Nano-Carbon Thermal Interconnect Materials

    DTIC Science & Technology

    2015-10-26

    Conductance  in Nanocarbon Thermal Interconnects", in Proceedings of Workshop on Innovative Nanoscale  Devices and Systems, Eds.  Koji  Ishibashi, Stephen M...Workshop on Innovative Nanoscale  Devices and Systems, Eds. Viktor Sverdlov, Berry Jonker, Siegfried Selberherr,  Koji  Ishibashi,  Stephen M. Goodnick...Proceedings of Workshop on Innovative Nanoscale Devices and Systems, Eds. Koji Ishibashi, Stephen M. Goodnick, Siegfried Selberherr, Akira Fujiwara (12/2-7

  15. Victorian medical politics: the fate of Dr Alfred Stephens (1821-90).

    PubMed

    Ward, O C

    2010-02-01

    Dr Alfred Stephens was the co-founder of the Liverpool Children's Infirmary. The institution was funded initially by Matthew Gregson (1800-76) and later by public subscription. Opened in 1851, it was the second Children's Hospital in England. Alfred Stephens was a general practitioner without higher qualifications. In due course he perceived that the free treatment of children at the Infirmary affected his income and he redirected patients to his practice. This led to confrontation with his colleagues and the Board of the Infirmary, and good relations were never restored. His name has not been commemorated nor his charitable work remembered.

  16. Science and the Humanities: Stephen Jay Gould's Quest to Join the High Table

    ERIC Educational Resources Information Center

    Ruse, Michael

    2013-01-01

    Stephen Jay Gould was a scientist, a paleobiologist, who was also a professional-level historian of science. This essay explores Gould's work, showing how he used the history of science to further his agenda as a working scientist.

  17. Toward Valid Measurement of Stephen Pepper's World Hypotheses.

    ERIC Educational Resources Information Center

    Johnson, John A.

    Two measures of the "world hypotheses" of Stephen Pepper were mailed to 100 sociobiologists, 87 behaviorists, 79 personality psychologists, and 45 human developmentalists. The World Hypothesis Scale (WHS) was designed to measure Pepper's four world views: (1) formism; (2) mechanism; (3) organicism; and (4) contextualism. The…

  18. Strategic Leadership Development: An Operation Domain Application

    DTIC Science & Technology

    1997-03-01

    effectiveness. Notes 1 Quoted in Stephen R. Covey The 7 Habits of Highly Effective People : Restoring the Character Ethic (New York: Simon and Schuster...Press, Inc., 1993. Covey, Stephen R. The 7 Habits of Highly Effective People : Restoring the Character Ethic. New York, Simon and Schuster 1989

  19. Stephen Schneider and the "Double Ethical Bind" of Climate Change Communication

    ERIC Educational Resources Information Center

    Russill, Chris

    2010-01-01

    Stephen Schneider's perspective on climate change communication is distinguished by its longevity, a keen anticipation of research findings, historical understanding, and grounding in first-person experience. In this article, the author elaborates Schneider's work in terms of its key claims, suggestive research directions, and lessons for…

  20. Exploring Stephen Krashen's "i+1" Acquisition Model in the Classroom

    ERIC Educational Resources Information Center

    Payne, Mark

    2011-01-01

    Stephen Krashen's theories can appear "seductive" to teachers of languages, in that they identify a seemingly clear way forward for language acquisition in the classroom. However, reification of Krashen's theories, in particular the notion of attaining "i+1" through comprehensible input, is demonstrated to be problematic. Based…

  1. An Interview with Stephen Vitiello

    ERIC Educational Resources Information Center

    Lampert, Nancy

    2013-01-01

    Stephen Vitiello is a world-renowned contemporary sound artist whom the author has known as a colleague for several years. This article presents an interview about the overall body of Vitiello's work to date, and his thoughts on teaching at Virginia Commonwealth University. The interview explores the creative and noncreative tensions between…

  2. Systemic Operational Design: Enhancing the Joint Operation Planning Process

    DTIC Science & Technology

    2007-05-20

    Epistemological Bumpf of the Way Ahead for Operational Design? p. 42. 79 Stephen R. Covey, The 7 Habits of Highly Effective People . (New York: Fireside...John Wiley and Sons, Ltd. Covey, Stephen R. 1989. The 7 Habits of Highly Effective People . New York: Fireside Publishing. Creveld, Martin Van

  3. Developing Character and Aligning Personal Values with Organizational Values in the United States Coast Guard

    DTIC Science & Technology

    2000-06-02

    York: Simon & Schuster, 1991). 30Stephen R. Covey, The 7 Habits of Highly Effective People , Powerful Lessons in Personal Change (New York: Simon...California: Parker & Son Publications, Inc., 1991. Covey, Stephen R. The 7 Habits of Highly Effective People , Powerful Lessons in Personal Change

  4. Moving an Expeditionary Force: Three Case Studies in Afghanistan

    DTIC Science & Technology

    2003-01-01

    its individual parts.” 258 Stephen R. Covey, The 7 Habits of Highly Effective People (New York: Simon & Schuster, 1989), 186. 48 anywhere in the world...transcon.htm, accessed 26 January 2003]. Covey, Stephen R. The 7 Habits of Highly Effective People . New York: Simon & Schuster, 1989. Department of

  5. Provincial Reconstruction Teams: Who’s in Charge?

    DTIC Science & Technology

    2011-05-20

    permission of General Mattis. 41 U.S. President, NSPD-44. 42 Stephen R. Covey, The 7 Habits of Highly Effective People , (New York: Simon & Schuster...September 5, 2010). Covey, Stephen R. The 7 Habits of Highly Effective People . New York: Simon & Schuster, Inc., 1990. Crane, Conrad C. and W

  6. Stephen Hawking NASA 50th

    NASA Image and Video Library

    2008-06-12

    Dr. Stephen Hawking, a professor of mathematics at the University of Cambridge, delivers a speech entitled "Why we should go into space" during a lecture that is part of a series honoring NASA's 50th Anniversary, Monday, April 21, 2008, at George Washington University's Morton Auditorium in Washington. Photo Credit: (NASA/Paul. E. Alers)

  7. Stephen Hawking NASA 50th

    NASA Image and Video Library

    2008-04-20

    Dr. Stephen Hawking, a professor of mathematics at the University of Cambridge, delivers a speech entitled "Why we should go into space" during a lecture that is part of a series honoring NASA's 50th Anniversary, Monday, April 21, 2008, at George Washington University's Morton Auditorium in Washington. Photo Credit: (NASA/Paul. E. Alers)

  8. TOXICOLOGICAL EFFECTS OF PARTICULATE MATTER DERIVED FROM THE DESTRUCTION OF THE WORLD TRADE CENTER

    EPA Science Inventory

    May 15, 2002
    Abstract submitted by Stephen H. Gavett for American Association for Aerosol Research (AAAR) annual meeting October 7-11, 2002 in Charlotte, NC.

    TOXICOLOGICAL EFFECTS OF PARTICULATE MATTER DERIVED FROM THE DESTRUCTION OF THE WORLD TRADE CENTER
    Stephen H ...

  9. An Assessment of Some Watch Schedule Variants Used in Cdn Patrol Frigates: OP Nanook 2011

    DTIC Science & Technology

    2012-12-01

    Original signed by Stephen Boyne Stephen Boyne Section Head, Individiual Behavior and Performance Approved for release by Original sighed by Joseph V...with the US Army, is employed by SAIC (Science Applications International Corporation) and Johns Hopkins University and is currently under contract to

  10. KSC-04pd0524

    NASA Image and Video Library

    2004-03-05

    KENNEDY SPACE CENTER, FLA. - The STS-114 crew pose for a photo in front of a solid rocket booster aft skirt in the SRB Assembly and Refurbishment Facility. In front, from left, are Cynthia Perrons, electrical technician with United Space Alliance; Commander Eileen Collins, Pilot James Kelly, and Mission Specialists Charles Camarda and Andrew Thomas. In back are Paul Gutierrez, associate program manager in SRB Element, USA; John Cleary Jr., electrical engineer with USA; Mike Leppert, project lead, Manufacturing Operations, USA; Don Noah, Materials and Processes engineer, USA; Bob Herman, deputy associate program manager, SRB Element, USA; Mission Specialist Soichi Noguchi; Dale Marlow, thermal protection system engineer with USA; Mission Specialist Stephen Robinson; Greg Henry, director, Manufacturing Operations, USA.

  11. Dr. John J. Stephens, Jr., metallurgist extraordinaire.

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

    Hosking, Floyd Michael

    The organizers of the Dr. John J. Stephens, Jr. Memorial Symposium: Deformation and Interfacial Phenomena in Advanced High-Temperature Materials are honoring the memory of Dr. Stephens and his many technical contributions that were accomplished over a relatively brief twenty year career. His research spanned the areas of creep and deformation of metals, dispersion-strengthened alloys and their properties, metal matrix composite materials, processing and properties of refractory metals, joining of ceramic-ceramic and metal-ceramic systems, active braze alloy development, and mechanical modeling of soldered and brazed assemblies. The purpose of this presentation is to highlight his research and engineering accomplishments, particularly duringmore » his professional career at Sandia National Laboratories in Albuquerque, NM.« less

  12. Increasing the Entering Student Admissions Profile at Stephen F. Austin University. A Feasibility Study.

    ERIC Educational Resources Information Center

    National Center for Higher Education Management Systems, Boulder, CO.

    This study investigated the potential impact on enrollment of raising academic admissions requirements for first-semester freshmen at Stephen F. Austin University (Texas). Data collected in spring 1998 included three years of enrollment and admissions data from SFA's admissions office, 1995-96 statewide high school graduate and individual school…

  13. Effective Technology Insertion: The Key to Evolutionary Acquisition Program

    DTIC Science & Technology

    2004-05-03

    Army War College, 7 April 2003. 47Orazia A. Di Marca ; Rejto, Stephen B. Rejto and Thomas Gomez, “ Open System Design and Evolutionary Acquisition...to Military Applications-Report No. D-2002-107. 14 June 2002. Di Marca , Orazia A.; Rejto, StephenB., and Gomez, Thomas, “ Open System Design and

  14. Military Review. Volume 80, Number 4, July-August 2000

    DTIC Science & Technology

    2000-08-01

    Politics, Book 7, written in 350 B.C., trans. Benjamin Jowett, xiii, 1331 b24b39. 3.Stephen Covey, The 7 Habits of Highly Effective People : Restoring the...daily activities of subordinates. Stephen Covey, The 7 Habits of Highly Effective People : Restoring the Character Ethic, uses the notion of alignment to

  15. Key Ingredients for Sustained Excellence

    DTIC Science & Technology

    1997-04-01

    7 Habits of Highly Effective People , (New...Warner Books, Inc., 1993), 47-48. 2 Stephen R. Covey, The 7 Habits of Highly Effective People (New York: Simon & Schuster, Inc., 1989), 188-200. 3 Max...Centered Leadership. New York: Simon & Schuster Inc., 1992. Covey, Stephen R., The 7 Habits of Highly Effective People . New York: Simon &

  16. The Penetration of Educational Leadership Texts by Revelation and Prophecy: The Case of Stephen R. Covey.

    ERIC Educational Resources Information Center

    English, Fenwick W.

    2002-01-01

    Argues that the uncritical citation of Stephen R. Covey's book, "The 7 Habits of Highly Effective People," in educational administration texts undermines the social-scientific foundation of university-based administrator preparation. Asserts that the Covey's book is based on Mormon metaphysics, not social science. (Contains 41…

  17. Reconsidering the Role of Stephen Foster in the Music Classroom

    ERIC Educational Resources Information Center

    Forness, Jennifer

    2016-01-01

    The place of Stephen Foster and the music of American minstrelsy should be reconsidered for the music classroom. Some of this repertoire can be offensive because of its historical context and racially insensitive language. Critical theory can provide a framework for choosing repertoire that creates dialogue about racial structures in music. The…

  18. Work Papers of the Summer Intitute of Linguistics, 1993. University of North Dakota Session, Volume 37.

    ERIC Educational Resources Information Center

    Dooley, Robert A., Ed.; Meyer, Jim, Ed.

    This volume of work papers from the Summer Institute of Linguistics includes the following: "Goals and Indirect Objects in Seri" (Stephen A. Marlett); "Seri Kinship Terminology" (Mary B. Moser and Stephen A. Marlett); "Quiegolani Zapotec Phonology" (Sue Regnier); "Role and Reference Grammar" (Robert D. Van…

  19. 78 FR 44029 - Establishment of Rules and Policies for the Digital Audio Radio Satellite Service in the 2310...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-23

    ... 9605, February 11, 2013, are effective July 23, 2013. FOR FURTHER INFORMATION CONTACT: Stephen Duall, Satellite Division, International Bureau, at (202) 418-1103, or email: stephen[email protected] . SUPPLEMENTARY... accordance with the Communications Act of 1934, as amended. Federal Communications Commission. Marlene H...

  20. Rethinking Interventions To Combat Racism.

    ERIC Educational Resources Information Center

    Bhavnani, Reena

    This book arose as a result of the findings of the Stephen Lawrence murder inquiry, particularly the relationship to education and training about racism. Sir William Macpherson began his inquiry in 1998 following the racially motivated murder of Stephen Lawrence. The inquiry examined the causes of Lawrence's death, lessons to be learned from it,…

  1. The Importance of Critical Reflection in College Teaching: Two Reviews of Stephen Brookfield's Book, Becoming a Critically Reflective Teacher.

    ERIC Educational Resources Information Center

    King, Rosalyn M.; Hibbison, Eric P.

    2000-01-01

    Discusses Stephen Brookfield's book, Becoming a Critically Reflective Teacher. Presents three categories of assumptions he believes teachers must make about their teaching: paradigmatic, prescriptive, and causal. States that Brookfield encourages engaging in critical conversation with peers in order to improve teaching methods. Provides strategies…

  2. THE JAMES MADISON WOOD QUADRANGLE, STEPHENS COLLEGE, COLUMBIA, MISSOURI.

    ERIC Educational Resources Information Center

    MCBRIDE, WILMA

    THE JAMES MADISON WOOD QUADRANGLE AT STEPHENS COLLEGE IS A COMPLEX OF BUILDINGS DESIGNED TO MAKE POSSIBLE A FLEXIBLE EDUCATIONAL ENVIRONMENT. A LIBRARY HOUSES A GREAT VARIETY OF AUDIO-VISUAL RESOURCES AND BOOKS. A COMMUNICATION CENTER INCORPORATES TELEVISION AND RADIO FACILITIES, A FILM PRODUCTION STUDIO, AND AUDIO-VISUAL FACILITIES. THE LEARNING…

  3. The Compleat Teacher-Scholar: An Interview with Stephen F. Davis

    ERIC Educational Resources Information Center

    Buskist, William

    2009-01-01

    Stephen F. Davis is Emeritus Professor of Psychology at Emporia State University. He served as the 2002-2003 Knapp Distinguished Professor of Arts and Sciences at the University of San Diego. Currently, he is Distinguished Guest Professor at Morningside College and Visiting Distinguished Professor of Psychology at Texas Wesleyan University. Since…

  4. Strange Gravity: Toward a Unified Theory of Joint Warfighting

    DTIC Science & Technology

    2001-05-31

    A Brief History of Time : From...74. 115 Carl von Clausewitz, On War, 606. 116 Stephen Hawking, A Brief History of Time , 169. 63 APPENDIX Clausewitz on the Center of Gravity This...Storm over Iraq: Airpower in the Gulf War. Washington: Smithsonian Institution Press, 1992. Hawking, Stephen. A Brief History of Time : From

  5. Power/Knowledge for Educational Theory: Stephen Ball and the Reception of Foucault

    ERIC Educational Resources Information Center

    Wang, Chia-Ling

    2011-01-01

    This paper explores the significance of the concept of power/knowledge in educational theory. The argument proceeds in two main parts. In the first, I consider aspects of Stephen J. Ball's highly influential work in educational theory. I examine his reception of Foucault's concept of power/knowledge and suggest that there are problems in his…

  6. Astronaut Stephen Oswald during emergency bailout training

    NASA Technical Reports Server (NTRS)

    1994-01-01

    Suited in a training version of the Shuttle partial-pressure launch and entry garment, astronaut Stephen S. Oswald, STS-67 commander, gets help with a piece of gear from Boeing's David Brandt. The scene was photographed prior to a session of emergency bailout training in the 25-feet deep pool at JSC's Weightless Environment Training Facility (WETF).

  7. Wrestling with Stephen and Matilda: Planning Challenging Enquiries to Engage Year 7 in Medieval Anarchy

    ERIC Educational Resources Information Center

    McDougall, Hannah

    2013-01-01

    McDougall found learning about Stephen and Matilda fascinating, was sure that her pupils would also and designed an enquiry to engage them in "the anarchy" of 1139-1153 AD. Pupils enjoyed exploring "the anarchy" and learning about it enhanced their knowledge and understanding of the medieval period considerably. However,…

  8. Gaze Step Distributions Reflect Fixations and Saccades: A Comment on Stephen and Mirman (2010)

    ERIC Educational Resources Information Center

    Bogartz, Richard S.; Staub, Adrian

    2012-01-01

    In three experimental tasks Stephen and Mirman (2010) measured gaze steps, the distance in pixels between gaze positions on successive samples from an eyetracker. They argued that the distribution of gaze steps is best fit by the lognormal distribution, and based on this analysis they concluded that interactive cognitive processes underlie eye…

  9. Using H. Stephen Glenn's Developing Capable People Program with Adults in Montana: How Effective Is the Curriculum?

    ERIC Educational Resources Information Center

    Astroth, Kirk A.; Lorbeer, Scott

    1998-01-01

    Pre/posttest scores of 30 participants in H. Stephen Glenn's Developing Capable People (DCP) program offered by Montana Extension showed that DCP effectively increased the use of positive behaviors and decreased negative behaviors in adults interacting with youth. These changes were sustained over 18 months after program completion. (SK)

  10. 76 FR 26656 - Energy Conservation Program: Energy Conservation Standards for Residential Clothes Dryers and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-09

    ... (202) 586-2945 or e-mail: [email protected] . FOR FURTHER INFORMATION CONTACT: Stephen L...: stephen[email protected] . Ms. Elizabeth Kohl, U.S. Department of Energy, Office of General Counsel.... 6291-6309; 28 U.S.C. 2461 note. 2. Revise Sec. 430.32 paragraphs (b), and (h) to read as follows: Sec...

  11. Using Stephen Crane's "Maggie" To Teach the Progressive Era.

    ERIC Educational Resources Information Center

    Gerwin, David; Manolios, Vassilios; Popodopoulos, Lia

    1999-01-01

    Outlines a lesson plan designed for an eleventh-grade U.S. history class in which the students learn about the Progressive Era by reading Stephen Crane's "Maggie: A Girl of the Streets." Explains that students analyze point of view, role play a talk show, write an essay, and complete a long-term research project. (CMK)

  12. STEPHEN CRANE'S "THE O'RUDDY"--A PROBLEM IN AUTHORSHIP DISCRIMINATION.

    ERIC Educational Resources Information Center

    O'DONNELL, BERNARD

    THE PURPOSE OF THIS ANALYSIS WAS TO DISCOVER CERTAIN ASPECTS OF STYLE (BOTH LEXICAL AND GRAMMATICAL) WHICH COULD BE COUNTED AND WHICH WOULD, WHEN COMPARED, DIFFERENTIATE BETWEEN THE WRITTEN PROSE OF TWO AUTHORS. THE SUBJECT SELECTED FOR ANALYSIS WAS "THE O'RUDDY," BEGUN BY STEPHEN CRANE AND COMPLETED BY ROBERT BARR. SINCE THERE WAS NO…

  13. The Stephen F. Austin Experimental Forest

    Treesearch

    Cary C. Russell; Ronald E. Thill; David L. Kulhavy

    2002-01-01

    On December 14, 1944, the Seventy-Eighth United States Congress passed a bill that authorized the transfer of 2,560 acres in Nacogdoches County, Texas, to the research branch of the United States Forest Service (USFS). This land became the Stephen F. Austin Experimental Forest (SFAEF) on September 19. 1945. One of eighty-one federal experimental forests and ranges...

  14. Stephen Hawking bags big new 3m physics prize

    NASA Astrophysics Data System (ADS)

    Johnston, Hamish

    2013-01-01

    A massive 3m in prize money has gone to the British cosmologist Stephen Hawking for his work on black holes, quantum gravity and the early universe. The award is one of two "special fundamental physics prizes" from the Fundamental Physics Prize Foundation, which was set up earlier this year by the Russian physicist-turned-entrepreneur Yuri Milner.

  15. Reply to Humphreys' and Parsons'"Piagetian Tasks Measure Intelligence and Intelligence Tests Assess Cognitive Development."

    ERIC Educational Resources Information Center

    Glass, Gene V.; Stephens, Beth

    1980-01-01

    Relationships among Piagetian reasoning assessments and standard measures of intelligence and achievement were determined in 1972 by Stephens, McLaughlin, Miller, and Glass (EJ 055 112). The data were reanalyzed by Humphreys and Parsons in 1979 (EJ 218 642). In reply, Glass and Stephens note fallacies in Humphreys' and Parsons' reasoning.…

  16. 76 FR 52852 - Energy Conservation Program: Energy Conservation Standards for Residential Clothes Dryers and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-24

    ... INFORMATION CONTACT: Stephen L. Witkowski, U.S. Department of Energy, Office of Energy Efficiency and...-0121, (202) 586-7463, e-mail: stephen[email protected] . Ms. Elizabeth Kohl, U.S. Department of... paragraphs (b) and (h) to read as follows: Sec. 430.32 Energy and water conservation standards and their...

  17. 76 FR 42607 - Airworthiness Directives; The Boeing Company Model 767-200, -300, and -400ER Series Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-19

    ... CONTACT: Stephen Styskal, Aerospace Engineer, Cabin Safety and Environmental Systems Branch, ANM-150S, FAA...) 917-6439; fax: (425) 917-6590; e- mail: stephen[email protected] . SUPPLEMENTARY INFORMATION: Comments... Information (h) Actions done before the effective date of this AD in accordance with Boeing Special Attention...

  18. Tripping with Stephen Gaskin: An Exploration of a Hippy Adult Educator

    ERIC Educational Resources Information Center

    Morley, Gabriel Patrick

    2012-01-01

    For the last 40 years, Stephen Gaskin has been an adult educator on the fringe, working with tens of thousands of adults in the counterculture movement in pursuit of social change regarding marijuana legalization, women's rights, environmental justice issues and beyond. Gaskin has written 11 books about his experiences teaching and learning…

  19. Maniac Talk - Stephen Ungar

    NASA Image and Video Library

    2016-08-24

    Stephen Ungar Maniac Lecture, August 24, 2016 NASA climate scientist Stephen Ungar presented a Maniac lecture entitled, "My Intellectual Journey from 'Idiot' to 'Savant'." Steve shared his journey from somewhat problematic childhood, spanning World War 2, through early formative years leading to his six decades of association with NASA. Learn why, although race, religion and ethnicity played a role in his identity, he self-identify himself as a Physicist. According to Steve, NASA has served as a safe harbor for those afflicted with his condition and provided him an opportunity to make meaningful contributions to society. Steve also briefly touched on his good fortune in serving as the initial Mission Scientist for EO-1, "NASA's Science and Technology Pathfinder to the 21st Century."

  20. GOES-R Prelaunch News Conference

    NASA Image and Video Library

    2016-11-17

    NASA and industry leaders participate in a Geostationary Operational Environmental Satellite (GOES-R), prelaunch news conference in the Kennedy Space Center's Press Site auditorium in Florida. NASA and industry leaders include: Michael Curie, of NASA Communications; Stephen Volz, assistant administrator for satellite and information services, National Oceanic and Atmospheric Administration (NOAA's); Greg Mandt, GOES-R system program director, NOAA; Sandra Smalley, director, Joint Agency Satellite Division, NASA Headquarters; Omar Baez, launch director, NASA Kennedy; Scott Messer, program manager, NASA Missions, United Launch Alliance; and Clay Flinn, launch weather officer, 4th Weather Squadron, Cape Canaveral Air Force Station.

  1. GOES-R Prelaunch News Conference

    NASA Image and Video Library

    2016-11-17

    Members of the news media attend a Geostationary Operational Environmental Satellite (GOES-R) prelaunch news conference in the Kennedy Space Center's Press Site auditorium in Florida. NASA and industry leaders include: Michael Curie, of NASA Communications; Stephen Volz, assistant administrator for satellite and information services, National Oceanic and Atmospheric Administration (NOAA's); Greg Mandt, GOES-R system program director, NOAA; Sandra Smalley, director, Joint Agency Satellite Division, NASA Headquarters; Omar Baez, launch director, NASA Kennedy; Scott Messer, program manager, NASA Missions, United Launch Alliance; and Clay Flinn, launch weather officer, 4th Weather Squadron, Cape Canaveral Air Force Station.

  2. Improvement of burn pain management through routine pain monitoring and pain management protocol.

    PubMed

    Yang, Hyeong Tae; Hur, Giyeun; Kwak, In-Suk; Yim, Haejun; Cho, Yong Suk; Kim, Dohern; Hur, Jun; Kim, Jong Hyun; Lee, Boung Chul; Seo, Cheong Hoon; Chun, Wook

    2013-06-01

    Pain management is an important aspect of burn management. We developed a routine pain monitoring system and pain management protocol for burn patients. The purpose of this study is to evaluate the effectiveness of our new pain management system. From May 2011 to November 2011, the prospective study was performed with 107 burn patients. We performed control group (n=58) data analysis and then developed the pain management protocol and monitoring system. Next, we applied our protocol to patients and performed protocol group (n=49) data analysis, and compared this to control group data. Data analysis was performed using the Numeric Rating Scale (NRS) of background pain and procedural pain, Clinician-Administered PTSD Scale (CAPS), Hamilton Depression Rating Scale (HDRS), State-Trait Anxiety Inventory Scale (STAIS), and Holmes and Rahe Stress Scale (HRSS). The NRS of background pain for the protocol group was significantly decreased compared to the control group (2.8±2.0 versus 3.9±1.9), and the NRS of procedural pain of the protocol group was significantly decreased compared to the control group (4.8±2.8 versus 3.7±2.5). CAPS and HDRS were decreased in the protocol group, but did not have statistical significance. STAIS and HRSS were decreased in the protocol group, but only the STAIS had statistical significance. Our new pain management system was effective in burn pain management. However, adequate pain management can only be accomplished by a continuous and thorough effort. Therefore, pain control protocol and pain monitoring systems need to be under constant revision and improvement using creative ideas and approaches. Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.

  3. Science, Intelligence, and Educational Policy: The Mismeasure of Frankenstein (with Apologies to Mary Shelley and Stephen Jay Gould).

    ERIC Educational Resources Information Center

    Zappardino, Pamela

    Stephen Jay Gould points out in "The Mismeasure of Man" (1981), "Science, since people must do it, is a socially embedded activity. It progresses by hunch, vision, and intuition." The legacy of the traditional construct of intelligence and its measurement through intelligence quotient (IQ) tests has not been educational improvement. Its legacy in…

  4. Globalization, Edu-Business and Network Governance: The Policy Sociology of Stephen J. Ball and Rethinking Education Policy Analysis

    ERIC Educational Resources Information Center

    Lingard, Bob; Sellar, Sam

    2013-01-01

    This paper traces developments across Stephen J. Ball's policy sociology in education "oeuvre" and considers their implications for doing research on education policy today. It begins with an account of his policy sociology trilogy from the 1990s, which outlined his conception of the policy cycle consisting of the contexts of influence,…

  5. School Choice Research in Five European Countries: The Circulation of Stephen Ball's Concepts and Interpretations

    ERIC Educational Resources Information Center

    van Zanten, Agnès; Kosunen, Sonja

    2013-01-01

    This article analyzes the influence of Stephen Ball's work on research on markets and school choice in five European countries (Finland, France, Norway, Spain, and Sweden). The main focus is on the intellectual circulation of ideas, but the authors also take into account the relationship between ideas and social and political changes, as well as…

  6. Contributions of Stephen J. Ball to the Research on Educational and Curriculum Policies in Brazil

    ERIC Educational Resources Information Center

    Mainardes, Jefferson; Gandin, Luis Armando

    2013-01-01

    This article aims at showcasing the main contributions of Stephen J. Ball to educational research in Brazil, particularly to the study of educational and curriculum policies. We also highlight some of the limitations in the incorporation of Ball's ideas in Brazil as well as some of the challenges that these author's ideas pose to Brazilian…

  7. Between Traditions: Stephen Ball and the Critical Sociology of Education

    ERIC Educational Resources Information Center

    Apple, Michael W.

    2013-01-01

    Stephen Ball's work has deservedly received a good deal of attention. In this article, I detail a number of tasks in which the critical sociologist of education--as a "public intellectual"--should engage. I then place Ball's work within these tasks and evaluate his contributions to them. In the process, I show that one of the…

  8. Perspectives: Antioch University's James Craiglow and the University System of New Hampshire's Stephen Reno on Business and Higher Education

    ERIC Educational Resources Information Center

    Jensen, Cherryl

    2003-01-01

    What does business want from higher education? What does higher education want from business? To shed light on these issues, the author conducted an interview with presidents of two distinctly different higher education systems, James H. Craiglow and Stephen J. Reno. Craiglow is the chancellor of Antioch University, a private five-campus…

  9. Accurate Arabic Script Language/Dialect Classification

    DTIC Science & Technology

    2014-01-01

    Army Research Laboratory Accurate Arabic Script Language/Dialect Classification by Stephen C. Tratz ARL-TR-6761 January 2014 Approved for public...1197 ARL-TR-6761 January 2014 Accurate Arabic Script Language/Dialect Classification Stephen C. Tratz Computational and Information Sciences...Include area code) Standard Form 298 (Rev. 8/98) Prescribed by ANSI Std. Z39.18 January 2014 Final Accurate Arabic Script Language/Dialect Classification

  10. What's So Funny about Stephen Toulmin?: Using Cartoons to Teach the Toulmin Analysis

    ERIC Educational Resources Information Center

    Brunk-Chavez, Beth L.

    2004-01-01

    The Toulmin model of argument was introduced in 1958 by British philosopher Stephen Toulmin in "The Uses of Argument" and adapted by compositionists in the late 1970s and early 1980s. Consisting of six parts--claim, support, warrant, backing, rebuttal, and qualifiers--the model provides a means for composition students "to describe the process by…

  11. The System of Systems Architecture Feasibility Assessment Model

    DTIC Science & Technology

    2016-06-01

    OF SYSTEMS ARCHITECTURE FEASIBILITY ASSESSMENT MODEL by Stephen E. Gillespie June 2016 Dissertation Supervisor Eugene Paulo THIS PAGE...Dissertation 4. TITLE AND SUBTITLE THE SYSTEM OF SYSTEMS ARCHITECTURE FEASIBILITY ASSESSMENT MODEL 5. FUNDING NUMBERS 6. AUTHOR(S) Stephen E...SoS architecture feasibility assessment model (SoS-AFAM). Together, these extend current model- based systems engineering (MBSE) and SoS engineering

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

    Miller, James A.

    This is a pretty pretentious title, but I promised that I would write something autobiographical in this space, and I will do that. However, first I want to thank everyone who contributed to the Festschrift. When Stephen Klippenstein told me that he and Craig Taatjes had gotten approval for it (against my advice), I envisioned a situation where the issue had only two papers, both co-authored by Stephen. Luckily that turned out not to be the case. At the time of this writing there are forty-three manuscripts at various stages of review. I am extremely grateful to Craig and Stephen,more » to the editors of the journal, and to all the authors for the tribute. It is far and away the most flattering thing that anyone has ever done for me in my career.« less

  13. All of Us Are Present. The Stephens College Symposium. Women's Education: The Future (Columbia, Missouri, February 15-18, 1983).

    ERIC Educational Resources Information Center

    Bender, Eleanor M., Ed.; And Others

    Women's education and the future are considered in 10 papers/summaries from a 1983 symposium at Stephens College. Four basic themes are addressed: effects of social change on women's lives; the diversity of women students (in age, racial/ethnic background, economic level); structure/content of the college curriculum; and the necessity to make…

  14. Ohio Army National Guard Mental Health Initiative: Risk and Resilience Factors for Combat-Related Posttraumatic Psychopathology and Post Combat Adjustment

    DTIC Science & Technology

    2011-10-01

    Goldmann, M.P.H., Edwin Shirley, Ph.D., Thomas Fine, M.A., Toyomi Goto, M.A., Kimberly Wilson, MSW, Stephen Ganocy, Ph.D., Philip Chan, M.S., Alphonse ...Kimberly Wilson, MSW, Stephen Ganocy, Ph.D., Philip Chan, M.S., Alphonse Derus, B.S., Mary Beth Serrano, M.A., Sandro Galea, M.D. Literature

  15. A Historical Analysis of the Leadership and Strategic Plan of Chancellor Stephen R. Portch in the University System of Georgia

    ERIC Educational Resources Information Center

    Fairchild-Pierce, Jennifer Elis

    2008-01-01

    This dissertation provides historical insight into the design and implementation of one strategic plan of a public higher education system in an effort to inform future similar strategic planning processes. On July 1, 1994, the Board of Regents appointed Stephen R. Portch the ninth Chancellor of the University System of Georgia. The timing was…

  16. SeisCORK Engineering Design Study

    DTIC Science & Technology

    2006-05-01

    Stephen, R. A., et al. (1994a), The seafloor borehole array seismic system (SEABASS) and VLF ambient noise, Marine Geophysical Researches, 16, 243...286. Stephen, R. A., et al. (1994b), The Seafloor Borehole Array Seismic System (SEABASS) and VLF Ambient Noise, Marine Geophysical Researches, 16, 243...Contents Executive Summary 4 Introduction 5 General Science Goals and Justification for Borehole Seismology in the Seafloor 6 Validating Surface Seismic

  17. The Predictability of Large-Scale, Short-Period Ocean Variability in the Philippine Sea and the Influence of Such Variability on Long-Range Acoustic Propagation

    DTIC Science & Technology

    2012-10-15

    Odom, J. Orcutt, T. Rossby, H. Sagen, S. Sandven, J. Simmen, E. Skarsoulis, B. Southall, K. Stafford, R. Stephen, K. J. Vigness -Raposa, S. Vinogradov...Sagen, S. Sandven, J. Simmen, E. Skarsoulis, B. Southall, K. Stafford, R. Stephen, K. J. Vigness -Raposa, S. Vinogradov, K. B. Wong, P. F. Worcester, C

  18. Israel’s Second Lebanon War: A Failure of Afghan Model Warfare?

    DTIC Science & Technology

    2007-05-10

    Israeli experience in the Second Lebanon War will be compared against the American experience in Afghanistan as analyzed by Dr. Stephen Biddle in his...Biddle’s arguments regarding the so-called “Afghan Model” reinforces the validity of the conclusions Dr. Biddle derives regarding the U.S. success in...an irregular guerilla force. 2 Stephen Biddle , Afghanistan and the Future of Warfare

  19. Establishing an Intellectual and Theoretical Foundation for the After Action Review Process - A Literature Review

    DTIC Science & Technology

    2011-04-01

    Research Institute Technology-Based Training Research Unit Stephen L. Goldberg , Chief April 2011 United States Army...Research Unit Stephen L. Goldberg , Chief U.S. Army Research Institute for the Behavioral and Social Sciences 2511 Jefferson Davis Highway...statements of approval voiced by command elements. Rather, researchers must complete a program of transfer of training studies to show that variations in

  20. Path Calculation and Packet Translation for UAV Surveillance in Support of Wireless Sensor Networks

    DTIC Science & Technology

    2006-09-01

    AND PACKET TRANSLATION FOR UAV SURVEILLANCE IN SUPPORT OF WIRELESS SENSOR NETWORKS by Stephen Schall September 2006 Thesis Advisor...Calculation and Packet Translation for UAV Surveillance in Support of Wireless Sensor Networks 6. AUTHOR(S) Stephen Schall 5. FUNDING NUMBERS 7...200 words) Wireless Sensor Networks (WSNs) are a relatively new technology with many potential applications, including military and

  1. Developing Molecular Genetic Tools to Facilitate Economic Production in Green Algae

    DTIC Science & Technology

    2012-09-10

    Economic Production in Green Algae FA9550-10-1-0052 Georgianna, David, R Gimpel, Javier Hannon, Michael, J Mayfield, Stephen, P Prof. Stephen...Final Performance Report Project Title: Developing Molecular Genetic Tools to Facilitate Economic Production in Green Algae Award Number... ECONOMIC PRODUCTION IN GREEN ALGAE ABSTRACT It is now accepted that algae have enormous potential to generate economically viable and

  2. Genetic analysis of adult plant, quantitative resistance to stripe rust in wheat cultivar 'Stephens' in multi-environment trials.

    PubMed

    Dolores Vazquez, M; James Peterson, C; Riera-Lizarazu, Oscar; Chen, Xianming; Heesacker, Adam; Ammar, Karim; Crossa, Jose; Mundt, Christopher C

    2012-01-01

    The wheat (Triticum aestivum L.) cultivar 'Stephens' has been grown commercially in the USA Pacific Northwest for 30 years. The durable resistance of 'Stephens' to stripe rust (Puccinia striiformis f. sp. tritici) was believed to be due to a combination of seedling and adult plant resistance genes. Multilocation field trials, diversity array technology (DArT), and simple sequence repeat (SSR) markers were used to identify quantitative trait loci (QTL) for resistance. Recombinant inbred lines were assessed for stripe rust response in eight locations/years, five in 2008 and three in 2009. The data from Mt. Vernon, WA, differed from all other environments, and composite interval mapping (CIM) identified three QTL, QYrst.orr-1AL, QYrst.orr-4BS, and QYrpl.orr-6AL, which accounted for 12, 11, and 6% of the phenotypic variance, respectively. CIM across the remaining six environments identified four main QTL. Two QTL, QYrst.orr-2BS.2 and QYrst.orr-7AS, were detected in five of six environments and explained 11 and 15% of the phenotypic variance, respectively. Two other QTL, QYrst.orr-2AS and QYrpl.orr-4BL, were detected across four and three of six environments, and explained 19 and 9% of the phenotypic variance, respectively. The susceptible parent 'Platte' contributed QYrpl.orr-4BL and QYrpl.orr-6AL, with the remaining QTL originating from 'Stephens'. For each environment, additional minor QTL were detected, each accounting for 6-10% of the phenotypic variance. Different QTL with moderate effects were identified in both 'Stephens' and 'Platte'. Significant QTL × environment interactions were evident, suggesting that specificity to plant stage, pathogen genotype, and/or temperature was important.

  3. KSC-2009-3613

    NASA Image and Video Library

    2009-06-08

    CAPE CANAVERAL, Fla. – During a media event in the Space Station Processing Facility at NASA's Kennedy Space Center in Florida to showcase the newest section of the International Space Station, the Tranquility node, astronauts who will deliver the node on the STS-130 mission were available for questions. From left are Pilot Terry Virts and Mission Specialists Stephen Robinson and Kathryn Hire. At right are other guests, Philippe Deloo, ISS Nodes project manager with the European Space Agency, and Rafael Garcia, ISS Nodes and Express Logistics Carrier project manager with NASA's Johnson Space Center. Managers from NASA, the European Space Agency, Thales Alenia Space and Boeing -- the organizations involved in building and processing the module for flight -- were available for a question-and-answer session during the event. Tranquility is a pressurized module that will provide room for many of the station's life support systems. Photo credit: NASA/Jim Grossmann

  4. KSC-98pc1882

    NASA Image and Video Library

    1998-12-18

    Federal, state, NASA, KSC and Space Florida Authority (SFA) officials dig in at the planned site of a multi-purpose hangar, phase one of the Reusable Launch Vehicle (RLV) Support Complex to be built near the Shuttle Landing Facility. From left, they are a representative from Rush Construction; Ed O'Connor, executive director of the Spaceport Florida Authority (SFA); Stephen T. Black, Lockheed Martin technical operations program manager; Warren Wiley, deputy director of engineering development; Tom Best, district director, representing U.S. Congressman Dave Weldon; Roy Bridges, director, Kennedy Space Center; Bill Posey, 32nd district representative; Randy Ball, state representative; Charlie Bronson, state senator; Donald McMonagle, manager of launch integration; and John London, Marshall Space Flight Center X-34 program manager. The new complex is jointly funded by SFA, NASA's Space Shuttle Program and Kennedy Space Center. It is intended to support the Space Shuttle and other RLV and X-vehicle systems. Completion is expected by the year 2000

  5. Physical Studies of Brown Dwarfs and Extrasolar Planets

    NASA Technical Reports Server (NTRS)

    Noll, Keith

    2004-01-01

    The main purpose of this grant proposal was to fund the ongoing work on brown dwarfs by Denise Stephens during her tenure at STScI as a postdoctoral researcher. We have completed approximately half of the three-year grant period. Dr. Stephens has now assumed to role of senior research associate at Johns Hopkins University and in this position is eligible to be PI of grants. Because the bulk of the work and funds under this grant have been and will continue to be for the purposes of supporting Dr. Stephens, we are transferring control of the grant to her at JHU. This closeout is a formality to allow that transfer. The largest project was the completion of a major work on the infrared photometry of L and T dwarfs. The paper was published in January 2004.

  6. My Life and Career (So Far) in Combustion Chemistry

    DOE PAGES

    Miller, James A.

    2007-05-10

    This is a pretty pretentious title, but I promised that I would write something autobiographical in this space, and I will do that. However, first I want to thank everyone who contributed to the Festschrift. When Stephen Klippenstein told me that he and Craig Taatjes had gotten approval for it (against my advice), I envisioned a situation where the issue had only two papers, both co-authored by Stephen. Luckily that turned out not to be the case. At the time of this writing there are forty-three manuscripts at various stages of review. I am extremely grateful to Craig and Stephen,more » to the editors of the journal, and to all the authors for the tribute. It is far and away the most flattering thing that anyone has ever done for me in my career.« less

  7. Statistical Methods for Studying Genetic Variation in Populations

    DTIC Science & Technology

    2012-08-01

    Committee: Eric Xing (Chair) Stephen Fienberg Kathryn Roeder Martin Kreitman Submitted in partial fulfillment of the requirements for the degree of...thank my committee members, Prof. Stephen Fienberg, Prof. Kathryn Roeder, and Prof. Martin Kreitman, for agreeing to be on my committee and providing...Thanks to Diane Stidle and Michelle Martin for many years of patient help with countless queries - from mundane queries like “How do I find this room

  8. Comparing India’s Counterinsurgency Approaches in Sri Lanka and Against the Naxalites

    DTIC Science & Technology

    2015-05-21

    141. 130 Stephen Van Evera, Guide to Methods for Students of Political Science (Ithaca: Cornell University Press, 1997), 56. 24 Additionally...for Students and Researchers (Chicago Guides to Writing, Editing, and Publishing). 8th ed. Chicago: University Of Chicago Press, 2013. Van Evera...Stephen. Guide to Methods for Students of Political Science. Ithaca: Cornell University Press, 1997. Werake, Mahinda, and P.V.J. Jayasekera, eds

  9. Leader and Team Adaptation: The Influence and Development of Key Attributes and Processes

    DTIC Science & Technology

    2009-08-01

    Stephen J. Zaccaro Deanna Banks Lee Kiechel-Koles Cary Kemp Paige Bader George Mason University August 2009 United States Army...Department of the Army George Mason University Technical reviews by: Jay Goodwin, Army Research Institute Stanley M. Halpin, Army Research...NUMBER 611102 6. AUTHOR(S) Stephen J. Zaccaro, Deanna Banks, Lee Kiechel-Koles, Cary Kemp, and Paige Bader ( George Mason University) 5c

  10. Chief Stephen's Parky: One Year in the Life of an Athapascan Girl. The Council for Indian Education Series.

    ERIC Educational Resources Information Center

    Chandonnet, Ann

    This book tells the fictional story of Olga, the wife of Chief Stephen, leader of a Tanaina Athapascan village on Cook Inlet, northwest of Anchorage, Alaska. Olga works for one full year with great courage and independence trapping ground squirrels and gathering materials needed to tan, dye, and sew furs to make a parka for her husband. She uses…

  11. Isolating and Discriminating Overlapping Signatures in Cluttered Environments

    DTIC Science & Technology

    2011-05-11

    Lin-Ping Song, Douglas W. Oldenburg, Leonard R. Pasion , and Stephen D. Billings. Transient electromagnetic inversion for multiple targets. SPIE...and Remote Sensing, 39(6):1294 – 1298, 2001. ISSN 0196-2892. 33, 34 [52] L. R. Pasion and D. W. Oldenburg. A discrimination algorithm for UXO using...R. Pasion , Douglas W. Oldenburg, and Stephen D. Billings. Com- puting transient electromagnetic response of a metallic object with a spheroidal

  12. Gambling with the Universe

    NASA Astrophysics Data System (ADS)

    Hawking, Stephen

    2002-05-01

    This is an excerpt from Stephen Hawking's book The Universe in a Nutshell. Roger Penrose and Stephen Hawking, Lucasian Professor of Mathematics at the University of Cambridge, were able to show that Einstein's General Theory of Relativity implied that the universe and time itself must have had a beginning in a tremendous explosion. The discovery of the expansion of the universe is one of the great intellectual revolutions of the twentieth century.

  13. Challenges of German Land Forces 2030 and Beyond

    DTIC Science & Technology

    2011-03-24

    Defense, Army Staff, February 2009 - May 2010). 52 VUCA - volatility, uncertainty, complexity, and ambiguity. Gerras, Stephen J., ed., Strategic...2007). Gerras, Stephen J., ed., Strategic Leadership Primer, 3rd ed. (Carlisle: U.S. Army War College, 2010). Gray, Colin S., Modern Strategy (Oxford...Profession, 2nd rev. and exp. ed. (Boston: Mc Graw Hill Custom Publishing, 2005). Alan G. Stolberg, “Crafting National Interests in the 21st

  14. An Automated Weather Research and Forecasting (WRF)-Based Nowcasting System: Software Description

    DTIC Science & Technology

    2013-10-01

    14. ABSTRACT A Web service /Web interface software package has been engineered to address the need for an automated means to run the Weather Research...An Automated Weather Research and Forecasting (WRF)- Based Nowcasting System: Software Description by Stephen F. Kirby, Brian P. Reen, and...Based Nowcasting System: Software Description Stephen F. Kirby, Brian P. Reen, and Robert E. Dumais Jr. Computational and Information Sciences

  15. An Evaluation of the TRIPS Computer System (Extended Technical Report)

    DTIC Science & Technology

    2008-07-08

    Mario Marino Nitya Ranganathan Behnam Robatmili Aaron Smith James Burrill Stephen W. Keckler Doug Burger Kathryn S. McKinley Computer Architecture and...Marino, Nitya Ranganathan , Behnam Robatmili, Aaron Smith, James Burrill, Stephen W. Keckler, Doug Burger, Kathryn S. McKinley; ASPLOS 2009, Washington DC...aggressively register allo- cate more memory accesses by using programmer knowledge about pointer aliasing, much of which may be automated. They also

  16. Establishing treatment protocols for clinical mastitis.

    PubMed

    Roberson, Jerry R

    2003-03-01

    Each farm has a unique mix of mastitis pathogens and management procedures that have evolved over time. The herd veterinarian should work with the manager/owner to systematically develop treatment protocols that meet the needs and management of the farm. To establish a mastitis treatment protocol, it is necessary to develop a system to routinely identify clinical mastitis cases, develop a herd-specific severity level assessment system, manage the clinical mastitis cases based on severity level and culture result (when available), avoid antibiotic residues, and monitor the success of the system and alter the protocol as necessary.

  17. Telemetry Standards, RCC Standard 106-17. Chapter 21. Telemetry Network Standard Introduction

    DTIC Science & Technology

    2017-07-01

    Critical RF radio frequency RFC Request for Comment SNMP Simple Network Management Protocol TA test article TCP Transmission Control Protocol...chapters might be of most interest for a particular reader. In order to guide the reader toward the chapters of further interest , the applicable... Simple Network Management Protocol (SNMP) to pass management information through the system. The SNMP management information bases (MIBs) provide

  18. "The Role of the Unit in Physics and Psychometrics" by Stephen Humphry--One Small Step for the Rasch Model, but Possibly One Giant Leap for Measurement in the Social Sciences

    ERIC Educational Resources Information Center

    Salzberger, Thomas

    2011-01-01

    Compared to traditional test theory, where person measures are typically referenced to the distribution of a population, item response theory allows for a much more meaningful interpretation of measures as they can be directly compared to item locations. However, Stephen Humphry shows that the crucial role of the unit of measurement has been…

  19. Top scientists join Stephen Hawking at Perimeter Institute

    NASA Astrophysics Data System (ADS)

    Banks, Michael

    2009-03-01

    Nine leading researchers are to join Stephen Hawking as visiting fellows at the Perimeter Institute for Theoretical Physics in Ontario, Canada. The researchers, who include string theorists Leonard Susskind from Stanford University and Asoka Sen from the Harisch-Chandra Research Institute in India, will each spend a few months of the year at the institute as "distinguished research chairs". They will be joined by another 30 scientists to be announced at a later date.

  20. A View of Cyberterrorism Five Years Later (PREPRINT)

    DTIC Science & Technology

    2007-01-01

    2006, http://www.zone-h.org/content/view/10/30/, accessed June 12, 2006. 17 Stephen Ulph, “Internet Mujahideen Refine Electronic Warfare Tactics...Jeffrey Pool, “Technology and Security Discussions on the Jihadist Forums,” Jamestown Foundation, October 11, 2005. 26 Stephen Ulph, “Internet...Domination Design,” The Age, August 24, 2005. 36 Dan Verton, Black Ice, Mc- Graw Hill, 2003, pp. 88-91. 37 Susan Schmidt, “Qatari Man Designated

  1. Bottom Interaction in Ocean Acoustic Propagation

    DTIC Science & Technology

    2014-09-30

    deep seafloor (greater than the critical depth). What is the relationship between the seismic (ground motion) noise on the seafloor and the acoustic...ocean bottom seismometers (OBSs), but were very weak on the deep vertical line array (Deep VLA), located above 750 m from the seafloor. Stephen et al...was carried out in April-May 2011 near the location of the PhilSea10 Distributed Vertical Line Array (DVLA) (Stephen et al., 2011). The second

  2. Bottom Interaction in Ocean Acoustic Propagation

    DTIC Science & Technology

    2015-09-30

    the deep seafloor (greater than the critical depth). What is the relationship between the seismic (ground motion) noise on the seafloor and the...ocean bottom seismometers (OBSs), but were very weak on the deep vertical line array (Deep VLA), located above 750 m from the seafloor. Stephen et...carried out in April-May 2011 near the location of the PhilSea10 Distributed Vertical Line Array (DVLA) (Stephen et al., 2011). The second experiment

  3. European Security and NATO Enlargement: A View from Central Europe.

    DTIC Science & Technology

    1998-04-01

    8217iii 3. REPORT TYPE AND DATES COVERED Final fieport European Security and NATO Enlargement: A View from Central Europe (U) 6. AUTHOR(S) Stephen J...of views , including some not often heard, on the issues connected with NATO enlargement. 14. SUBJECT TERMS United States; NATO; post-Cold War...298-102 EUROPEAN SECURITY AND NATO ENLARGEMENT: A VIEW FROM CENTRAL EUROPE Edited by Stephen J. Blank April 1998 f"W DISTRIBUTION STATEMENT

  4. The Drivers of Indias Nuclear Weapons Program

    DTIC Science & Technology

    2014-06-01

    Pokhran and Beyond, 235. 304 Sunil Dasgupta, “The Reluctant Nuclear Power,” in Arming without Aiming, ed. Stephen Cohen and Sunil Dasgupta...Development,” Economic and Political Weekly 35, no. 31 (July 29–August 4, 2000): 2769. 332 Sunil Dasgupta, “Struggling with Reform,” in Arming without Aiming...ed. Stephen Cohen and Sunil Dasgupta (Washington, DC: Brookings Institution Press, 2010), 33. 333 Clary, “The Future of Pakistan’s Nuclear Weapons

  5. Catalytic Decomposition of Hydroxylammonium Nitrate Ionic Liquid: Enhancement of NO Formation

    DTIC Science & Technology

    2017-04-24

    Nitrate Ionic Liquid : Enhancement of NO Formation Steven D. Chambreau, Denisia M. Popolan-Vaida, Ghanshyam L. Vaghjiani, and Stephen R. Leone Air Force...Hydroxylammonium Nitrate Ionic Liquid : Enhancement of NO Formation Steven D. Chambreau,† Denisia M. Popolan-Vaida,‡,§ Ghanshyam L. Vaghjiani,*,∥ and Stephen R...nitrate (HAN)ionic liquid as a replacement for hydrazine as a spacecraft monopropellant has been of great interest recently due to the reduced toxicity

  6. Clinical and Molecular Consequences of NF1 Microdeletion

    DTIC Science & Technology

    2005-05-01

    and Cell Biology of NFl, NF2 and Schwannomatosis , Aspen, June, 2005 "* Abstract: Shinohara MM, Kuechle MK, Graves J, Stephens K. Neurofibromin is a...caspase target. The CTF International Consortium for the Molecular and Cell Biology of NF1, NF2 and Schwannomatosis , Aspen, June, 2005. "* Abstract...Molecular and Cell Biology of NF1, NF2 and Schwannomatosis , Aspen, June, 2005 Abstract: Shinohara MM, Kuechle MK, Graves J, Stephens K. Neurofibromin is a

  7. Technical Reports Prepared Under Contract N00014-76-C-0475.

    DTIC Science & Technology

    1987-05-29

    264 Approximations to Densities in Geometric H. Solomon 10/27/78 Probability M.A. Stephens 3. Technical Relort No. Title Author Date 265 Sequential ...Certain Multivariate S. Iyengar 8/12/82 Normal Probabilities 323 EDF Statistics for Testing for the Gamma M.A. Stephens 8/13/82 Distribution with...20-85 Nets 360 Random Sequential Coding By Hamming Distance Yoshiaki Itoh 07-11-85 Herbert Solomon 361 Transforming Censored Samples And Testing Fit

  8. Anaemia management protocols in the care of haemodialysis patients: examining patient outcomes.

    PubMed

    Saunders, Sushila; MacLeod, Martha L P; Salyers, Vince; MacMillan, Peter D; Ogborn, Malcolm R

    2013-08-01

    To determine whether the use of a nurse-driven protocol in the haemodialysis setting is as safe and effective as traditional physician-driven approaches to anaemia management. The role of haemodialysis nurses in renal anaemia management has evolved through the implementation of nurse-driven protocols, addressing the trend of exceeding haemoglobin targets and rising costs of erythropoietin-stimulating agents. Retrospective, non-equivalent case control group design. The sample was from three haemodialysis units in a control group (n = 64) and three haemodialysis units in a protocol group (n = 43). The protocol group used a nurse-driven renal anaemia management protocol, while the control group used a traditional physician-driven approach to renal anaemia management. All retrospective data were obtained from a provincial renal database. Data were analysed using chi-square tests and t-tests. Patient outcomes examined were haemoglobin levels, transferrin saturation levels, erythropoietin-stimulating agents use and intravenous iron use. Cost comparisons were determined using average use of erythropoietin-stimulating agents and intravenous iron. Control and protocol groups reached haemoglobin target levels. In the protocol group, 75% reached transferrin saturation target levels in comparison with 25% of the control group. Use and costs for iron was higher in the control group, while use and costs for erythropoietin was higher in the protocol group. The higher usage of erythropoietin-stimulating agents was potentially related to comorbid conditions amongst the protocol group. A nurse-driven protocol approach to renal anaemia management was as effective as the physician-driven approach in reaching haemoglobin and transferrin saturation levels. Further examination of the use and dosing of erythropoietin-stimulating agents and intravenous iron, their impact on haemoglobin levels related to patient comorbidities and subsequent cost effectiveness of protocols is required. Using a nurse-driven protocol in practice supports the independent nursing role while contributing to safe patient outcomes. © 2013 Blackwell Publishing Ltd.

  9. Active management of labor

    PubMed Central

    Rogers, Rebecca G; Gardner, Michael O; Tool, Kevin J; Ainsley, Jeanne; Gilson, George

    2000-01-01

    Objective To compare the costs of a protocol of active management of labor with those of traditional labor management. Design Cost analysis of a randomized controlled trial. Methods From August 1992 to April 1996, we randomly allocated 405 women whose infants were delivered at the University of New Mexico Health Sciences Center, Albuquerque, to an active management of labor protocol that had substantially reduced the duration of labor or a control protocol. We calculated the average cost for each delivery, using both actual costs and charges. Results The average cost for women assigned to the active management protocol was $2,480.79 compared with an average cost of $2,528.61 for women in the control group (P = 0.55). For women whose infant was delivered by cesarean section, the average cost was $4,771.54 for active management of labor and $4,468.89 for the control protocol (P = 0.16). Spontaneous vaginal deliveries cost an average of $27.00 more for actively managed patients compared with the cost for the control protocol. Conclusions The reduced duration of labor by active management did not translate into significant cost savings. Overall, an average cost saving of only $47.91, or 2%, was achieved for labors that were actively managed. This reduction in cost was due to a decrease in the rate of cesarean sections in women whose labor was actively managed and not to a decreased duration of labor. PMID:10778374

  10. Instructor Handbook for the Protocol Modules on Classroom Management. Utah Protocol Materials Project.

    ERIC Educational Resources Information Center

    Langer, Philip; Borg, Walter R.

    This handbook is designed to acquaint the teacher educator with the training materials in classroom management prepared by the Utah State University Protocol Training Project. It deals with the protocol materials generally and with each module specifically, and includes the following sections: (a) an introduction to and rationale for protocol…

  11. Temporal Changes in Rat Liver Gene Expression after Acute Cadmium and Chromium Exposure

    DTIC Science & Technology

    2015-05-19

    William E. Dennis3, Valerie C. Minarchick4, Stephen S. Leonard4, David A. Jackson3, Jonathan D. Stallings3, John A. Lewis3* 1 ORISE Postdoctoral Fellow...pharmaceutical, industrial processes or environmental contamination. Cr is extensively used for stainless steel production, PLOSONE | DOI:10.1371/journal.pone...Michael Madejczyk; Christine Baer; William Dennis; Valerie Minarchick; Stephen Leonard 5d. PROJECT NUMBER 5e. TASK NUMBER X1 5f. WORK UNIT NUMBER

  12. Stability Characteristics of a Combat Aircraft with Control Surface Failure

    DTIC Science & Technology

    1989-11-01

    I TI l ’ ’- ELECT 71 JAN 0 219903 ~OF S STABILITY CHARACTERISTICS OF A COMBAT AIRCRAFT WITH CONTROL SURFACE FAILURE Thesis Captain Stephen M. Zaiser...CONTROL SURFACE FAILURE Thesis Captain Stephen M. Zaiser AFIT/GAEIENY/89D-42 Approved for Public Release; Distribution unlimited DTIC ELECTE JAN0 2 19901...m m mm m m mm immmmm m D - STABILITY CHARACTERISTICS OF A COMBAT AIRCRAFT WITH CONTROL SURFACE FAILURE Thesis Presented to the

  13. Feature Extraction and Classification of Magnetic and EMI Data, San Luis Obispo, CA

    DTIC Science & Technology

    2010-07-01

    Stephen Billings Dr. Len Pasion Dr. Nicolas Lhomme Kevin Kingdon Jon Jacobson Sky Research, Inc. Dr. Douglas Oldenburg Dr. Lin Ping Song...Discrimination Strategies for Application to Live Sites W912HQ-05-C-0018 ESTCP 0504Dr. Stephen Billings, Dr. Len Pasion , Dr. Nicolas Lhomme, Kevin...e.g. Hart et al., 2001; Collins et al., 2001; Pasion & Oldenburg, 2001; Zhang et al., 2003a, 2003b; Billings, 2004). The most promising discrimination

  14. Strategic Implications of Expanded Turkish-Israeli Military Relations

    DTIC Science & Technology

    1999-12-01

    Impact on the Middle East," Middle East Journal, Vol. 52, No. 2 (Spring 1998), p. 192. 30 Stephen Kinzer, "Israel and Turkey: A Mideast Friendship...freeforall/19-9-98/ir6804.htrnl [15 April 1999]. 154 Stephen Kinzer, Turkey Gets Tough With Its Neighbors, The Age, 7 January 1999. Available...Johns Hopkins Press, 1971. 118 Waltz N. Kenneth. Theory of International Politics. New York, NY: Mc Graw Hill, 1979. Yost S. David. NATO Transformed

  15. The Future of Theoretical Physics and Cosmology

    NASA Astrophysics Data System (ADS)

    Gibbons, G. W.; Shellard, E. P. S.; Rankin, S. J.

    2003-11-01

    Based on lectures given in honor of Stephen Hawking's 60th birthday, this book comprises contributions from the world's leading theoretical physicists. Popular lectures progress to a critical evaluation of more advanced subjects in modern cosmology and theoretical physics. Topics covered include the origin of the universe, warped spacetime, cosmological singularities, quantum gravity, black holes, string theory, quantum cosmology and inflation. The volume provides a fascinating overview of the variety of subjects to which Stephen Hawking has contributed.

  16. Air Force Leadership Study: The Need for Deliberate Development

    DTIC Science & Technology

    2012-02-01

    Skills, 1. For future military operating environment studies, see Stephen J . Zaccaro, Richard J . Klimoski, and Lisa A. Boyce, The Changing U.S...fresh-voice -2176107.html. 13. Stephen J . Hagel et al., The Future of Global US Air Force Basing 2010– 2040, unpublished manuscript (Maxwell AFB, AL...it included the senior commanders of Amer- ica’s primary allies. Marshall’s simple calculus was Conner’s and, now, Eisenhower’s: If the United States

  17. High Frequency Bottom Interaction in Range Dependent Biot Media

    DTIC Science & Technology

    1999-09-30

    acoust . Soc. Am. Stephen, R.A. Benchmark models for propagation and scattering in Biot media. Fall ASA, Norfolk, VA, October...1998, J. Acoust . Soc. Am., 104, 1808. X. Zhu and G. A. McMechan, “Numerical simulation of seismic responses of poroelastic reservoirs using Biot...reverberation from rough and heterogeneous seafloors. J. acoust . Soc. Am. Stephen, R.A., in press. Optimum and standard beam widths for numerical modeling of interface scattering problems. J. acoust . Soc. Am.

  18. U.S.-India Relations: Partners in Democracy

    DTIC Science & Technology

    2014-02-01

    1029-49. Dasgupta, Sunil and Stephen P. Cohen. "Is India Ending Its Strategic Restraint Doctrine?" Washington Quarterly 34, no. 2(Spring 2011): 163-77...Security on the Borders of India." The Journal of Asian Studies 68, no. 2(May 2009): 519-42. Dasgupta, Sunil and Stephen P..Cohen. "Arms Sales for India...Nuclear Weapons: Aspiring to “Indefinite Retention”? " Bulletin of the Atomic Scientists 68, no. 5(September 2012-October 2012): 88-95. Dasgupta, Sunil

  19. Elder Abuse Identification in the Prehospital Setting: An Examination of State Emergency Medical Services Protocols.

    PubMed

    Namboodri, Brooke L; Rosen, Tony; Dayaa, Joseph A; Bischof, Jason J; Ramadan, Nadeem; Patel, Mehul D; Grover, Joseph; Brice, Jane H; Platts-Mills, Timothy F

    2018-03-22

    To describe statewide emergency medical service (EMS) protocols relating to identification, management, and reporting of elder abuse in the prehospital setting. Cross-sectional analysis. Statewide EMS protocols in the United States. Publicly available statewide EMS protocols identified from published literature, http://EMSprotocols.org, and each state's public health website. Protocols were reviewed to determine whether elder abuse was mentioned, elder abuse was defined, potential indicators of elder abuse were listed, management of older adults experiencing abuse was described, and instructions regarding reporting were provided. EMS protocols for child abuse were reviewed in the same manner for the purpose of comparison. Of the 35 publicly available statewide EMS protocols, only 14 (40.0%) mention elder abuse. Of protocols that mention elder abuse, 6 (42.9%) define elder abuse, 10 (71.4%) describe indicators of elder abuse, 8 (57.1%) provide instruction regarding management, and 12 (85.7%) provide instruction regarding reporting. Almost twice as many states met each of these metrics for child abuse. Statewide EMS protocols for elder abuse vary in regard to identification, management, and reporting, with the majority of states having no content on this subject. Expansion and standardization of protocols may increase the identification of elder abuse. © 2018, Copyright the Authors Journal compilation © 2018, The American Geriatrics Society.

  20. Resource use and costs of type 2 diabetes patients receiving managed or protocolized primary care: a controlled clinical trial.

    PubMed

    van der Heijden, Amber A W A; de Bruijne, Martine C; Feenstra, Talitha L; Dekker, Jacqueline M; Baan, Caroline A; Bosmans, Judith E; Bot, Sandra D M; Donker, Gé A; Nijpels, Giel

    2014-06-25

    The increasing prevalence of diabetes is associated with increased health care use and costs. Innovations to improve the quality of care, manage the increasing demand for health care and control the growth of health care costs are needed. The aim of this study is to evaluate the care process and costs of managed, protocolized and usual care for type 2 diabetes patients from a societal perspective. In two distinct regions of the Netherlands, both managed and protocolized diabetes care were implemented. Managed care was characterized by centralized organization, coordination, responsibility and centralized annual assessment. Protocolized care had a partly centralized organizational structure. Usual care was characterized by a decentralized organizational structure. Using a quasi-experimental control group pretest-posttest design, the care process (guideline adherence) and costs were compared between managed (n = 253), protocolized (n = 197), and usual care (n = 333). We made a distinction between direct health care costs, direct non-health care costs and indirect costs. Multivariate regression models were used to estimate differences in costs adjusted for confounding factors. Because of the skewed distribution of the costs, bootstrapping methods (5000 replications) with a bias-corrected and accelerated approach were used to estimate 95% confidence intervals (CI) around the differences in costs. Compared to usual and protocolized care, in managed care more patients were treated according to diabetes guidelines. Secondary health care use was higher in patients under usual care compared to managed and protocolized care. Compared to usual care, direct costs were significantly lower in managed care (€-1.181 (95% CI: -2.597 to -334)) while indirect costs were higher (€ 758 (95% CI: -353 to 2.701), although not significant. Direct, indirect and total costs were lower in protocolized care compared to usual care (though not significantly). Compared to usual care, managed care was significantly associated with better process in terms of diabetes care, fewer secondary care consultations and lower health care costs. The same trends were seen for protocolized care, however they were not statistically significant. Current Controlled trials: ISRCTN66124817.

  1. Resource use and costs of type 2 diabetes patients receiving managed or protocolized primary care: a controlled clinical trial

    PubMed Central

    2014-01-01

    Background The increasing prevalence of diabetes is associated with increased health care use and costs. Innovations to improve the quality of care, manage the increasing demand for health care and control the growth of health care costs are needed. The aim of this study is to evaluate the care process and costs of managed, protocolized and usual care for type 2 diabetes patients from a societal perspective. Methods In two distinct regions of the Netherlands, both managed and protocolized diabetes care were implemented. Managed care was characterized by centralized organization, coordination, responsibility and centralized annual assessment. Protocolized care had a partly centralized organizational structure. Usual care was characterized by a decentralized organizational structure. Using a quasi-experimental control group pretest-posttest design, the care process (guideline adherence) and costs were compared between managed (n = 253), protocolized (n = 197), and usual care (n = 333). We made a distinction between direct health care costs, direct non-health care costs and indirect costs. Multivariate regression models were used to estimate differences in costs adjusted for confounding factors. Because of the skewed distribution of the costs, bootstrapping methods (5000 replications) with a bias-corrected and accelerated approach were used to estimate 95% confidence intervals (CI) around the differences in costs. Results Compared to usual and protocolized care, in managed care more patients were treated according to diabetes guidelines. Secondary health care use was higher in patients under usual care compared to managed and protocolized care. Compared to usual care, direct costs were significantly lower in managed care (€-1.181 (95% CI: -2.597 to -334)) while indirect costs were higher (€758 (95% CI: -353 to 2.701), although not significant. Direct, indirect and total costs were lower in protocolized care compared to usual care (though not significantly). Conclusions Compared to usual care, managed care was significantly associated with better process in terms of diabetes care, fewer secondary care consultations and lower health care costs. The same trends were seen for protocolized care, however they were not statistically significant. Trial registration Current Controlled trials: ISRCTN66124817. PMID:24966055

  2. Supporting Tablet Configuration, Tracking, and Infection Control Practices in Digital Health Interventions: Study Protocol.

    PubMed

    Furberg, Robert D; Ortiz, Alexa M; Zulkiewicz, Brittany A; Hudson, Jordan P; Taylor, Olivia M; Lewis, Megan A

    2016-06-27

    Tablet-based health care interventions have the potential to encourage patient care in a timelier manner, allow physicians convenient access to patient records, and provide an improved method for patient education. However, along with the continued adoption of tablet technologies, there is a concomitant need to develop protocols focusing on the configuration, management, and maintenance of these devices within the health care setting to support the conduct of clinical research. Develop three protocols to support tablet configuration, tablet management, and tablet maintenance. The Configurator software, Tile technology, and current infection control recommendations were employed to develop three distinct protocols for tablet-based digital health interventions. Configurator is a mobile device management software specifically for iPhone operating system (iOS) devices. The capabilities and current applications of Configurator were reviewed and used to develop the protocol to support device configuration. Tile is a tracking tag associated with a free mobile app available for iOS and Android devices. The features associated with Tile were evaluated and used to develop the Tile protocol to support tablet management. Furthermore, current recommendations on preventing health care-related infections were reviewed to develop the infection control protocol to support tablet maintenance. This article provides three protocols: the Configurator protocol, the Tile protocol, and the infection control protocol. These protocols can help to ensure consistent implementation of tablet-based interventions, enhance fidelity when employing tablets for research purposes, and serve as a guide for tablet deployments within clinical settings.

  3. STS-114: Discovery Flight Day 7 Post MMT Meeting

    NASA Technical Reports Server (NTRS)

    2005-01-01

    Wayne Hale Space Shuttle Deputy Program Manager, and Chuck Campbell Subsystem Engineer in Aerothermodynamics are seen in this post mission management teem briefing on this seventh day of space flight. Wayne Hale begins with talking about how the International Space Station has been resupplied with its necessities, and that the Control Moment Gyroscope (CSG) has been replaced. Hale expresses his concern about the health of the Space Shuttle Discovery with the two protruding gap fillers present, and the aerothermodynamics surrounding the gap fillers. These concerns led to the conclusion to have spacewalker Stephen Robinson remove the gap fillers during EVA-3. Campbell shows a video of the protruding gap filler aft of Nose Landing Gear Door (NLGD). Campbell and Hale answer questions from the news media about the risks of performing this spacewalk, boundary layer transitions, flight safety, inspections, and temperature concerns.

  4. Design and Testing of an H2/O2 Predetonator for a Simulated Rotating Detonation Engine Channel

    DTIC Science & Technology

    2013-03-01

    Diameter PDE Pulse Detonation Engines RDE Rotating Detonation Engine WPAFB Wright Patterson Air Force Base ZND Zeldovich, von Neumann and Doring xv...DESIGN AND TESTING OF AN H2/O2 PREDETONATOR FOR A SIMULATED ROTATING DETONATION ENGINE CHANNEL THESIS Stephen J. Miller, 2Lt, USAF AFIT-ENY-13-M-23...RELEASE; DISTRIBUTION UNLIMITED AFIT-ENY-13-M-23 DESIGN AND TESTING OF AN H2/O2 PREDETONATOR FOR A SIMULATED ROTATING DETONATION ENGINE CHANNEL Stephen

  5. Astronaut Stephen Oswald and fellow crew members on middeck

    NASA Technical Reports Server (NTRS)

    1995-01-01

    Astronaut Stephen S. Oswald (center), STS-67 mission commander, is seen with two of his fellow crew members and an experiment which required a great deal of his time on the middeck of the Earth orbiting Space Shuttle Endeavour. Astronaut John M. Grunsfeld inputs mission data on a computer while listening to a cassette. Astronaut William G. Gregory (right edge of frame), pilot, consults a check list. The Middeck Active Control Experiment (MACE), not in use here, can be seen in upper center.

  6. Stephen H. Schneider (1945-2010)

    NASA Astrophysics Data System (ADS)

    Santer, Ben; Solomon, Susan

    2010-10-01

    Stephen H. Schneider, a pioneering climate scientist, prolific author, and inspirational teacher, passed away on 19 July 2010 while on travel in Europe. He was 65. As is clear from the outpouring of testimonials since his passing, atmospheric science has lost a towering figure, one whose impact as a scientist and communicator was exceeded only by his extraordinary human qualities. Steve Schneider touched lives; built bridges of communication to the public, to policy makers, and across disciplines; and established a distinguished record of seminal scientific breakthroughs.

  7. Additional Analysis of the ESTCP Discrimination Study Data at Camp Sibert, Alabama. Project 200504: Practical Discrimination Strategies for Application to Live Sites

    DTIC Science & Technology

    2008-10-20

    Dr. Stephen Billings Dr. Leonard Pasion Sky Research, Inc) Laurens Beran UBC-GIF Approved for public release; distribution...Sites 5. FUNDING NUMBERS Contract # W912HQ-05-C-0018 6. AUTHOR(S) Dr. Stephen Billings, Dr. Leonard Pasion (Sky Research, Inc.) Laurens Beran...representative of the test datasets. ESTCP MM-0504: Additional Analysis of Camp Sibert Data Sky Research Inc October 2008 References [1] L.R. Pasion , N

  8. The fiftieth anniversary of the first public announcement of the successful test of fission: Proceedings

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

    Not Available

    This report contains comments and discussions on the history of fission. The following people comments and lectures are discussed in this report: Remarks and introduction of Maxine F. Singer; president's message, Maxine F. Singer; introduction of Stephen Joel Trachtenberg; President's message, Stephen Joel Trachtenberg; introduction of Frederick Seitz; lecture: Nuclear Science: Promises and Perceptions, '' Frederick Seitz; introduction of K. Alex Mueller; lecture: High Temperature Ferroelectricity and Superconductivity,'' introduction of Edward Teller; and lecture: Toward a More Secure World,'' Edward Teller.

  9. Using a CLIPS expert system to automatically manage TCP/IP networks and their components

    NASA Technical Reports Server (NTRS)

    Faul, Ben M.

    1991-01-01

    A expert system that can directly manage networks components on a Transmission Control Protocol/Internet Protocol (TCP/IP) network is described. Previous expert systems for managing networks have focused on managing network faults after they occur. However, this proactive expert system can monitor and control network components in near real time. The ability to directly manage network elements from the C Language Integrated Production System (CLIPS) is accomplished by the integration of the Simple Network Management Protocol (SNMP) and a Abstract Syntax Notation (ASN) parser into the CLIPS artificial intelligence language.

  10. Twenty Seven Years of Quantum Cryptography!

    NASA Astrophysics Data System (ADS)

    Hughes, Richard

    2011-03-01

    One of the fundamental goals of cryptographic research is to minimize the assumptions underlying the protocols that enable secure communications between pairs or groups of users. In 1984, building on earlier research by Stephen Wiesner, Charles Bennett and Gilles Brassard showed how quantum physics could be harnessed to provide information-theoretic security for protocols such as the distribution of cryptographic keys, which enables two parties to secure their conventional communications. Bennett and Brassard and colleagues performed a proof-of-principle quantum key distribution (QKD) experiment with single-photon quantum state transmission over a 32-cm air path in 1991. This seminal experiment led other researchers to explore QKD in optical fibers and over line-of-sight outdoor atmospheric paths (``free-space''), resulting in dramatic increases in range, bit rate and security. These advances have been enabled by improvements in sources and single-photon detectors. Also in 1991 Artur Ekert showed how the security of QKD could be related to quantum entanglement. This insight led to a deeper understanding and proof of QKD security with practical sources and detectors in the presence of transmission loss and channel noise. Today, QKD has been implemented over ranges much greater than 100km in both fiber and free-space, multi-node network testbeds have been demonstrated, and satellite-based QKD is under study in several countries. ``Quantum hacking'' researchers have shown the importance of extending security considerations to the classical devices that produce and detect the photon quantum states. New quantum cryptographic protocols such as secure identification have been proposed, and others such as quantum secret splitting have been demonstrated. It is now possible to envision quantum cryptography providing a more secure alternative to present-day cryptographic methods for many secure communications functions. My talk will survey these remarkable developments.

  11. Task Force Delay Study. Denver Stapleton International Airport, Volume II.

    DTIC Science & Technology

    1980-03-01

    Stephen L. 11. Hockaday Manager Sl H/j c 2nclosure cc: x. Fred Jaeger bcc: Mr. Herb Hubbard, UAL TFD Correspondence H. Fan 0 JI-. *~ ~ E ~ n ti ~’L1 -J (D...34 Attachment E contains a list of additional delay experiments discussed at the previous Task Force meeting. I I P M. M. &6 Co. Mr. Phillip J. LaRochelle March... E -05B Western. C-01, C7.O3, C-05, CO2 , C-04, C-06, Continental,, C-07, C-09, C-11, C-15, C-10, C-12, C-14, C-16 Trans World,, D-01, D-03, D-05, D-07

  12. Cost savings using a protocol approach to manage anemia in a hemodialysis unit.

    PubMed

    Charlesworth, Emily C; Richardson, Robert M; Battistella, Marisa

    2014-01-01

    National guidelines recommend using anemia management protocols to guide treatment. The objective of this study was to determine if an anemia management protocol would improve hemoglobin (Hgb) indices in hemodialysis patients and to measure whether the protocol would reduce the use and cost of darbepoetin alfa (DBO) and intravenous (IV) iron in hemodialysis patients. An anemia management protocol was created and implemented for hemodialysis patients at our institution. A retrospective observational review of the use of DBO and IV iron as well as changes in Hgb, transferrin saturation and ferritin in 174 patients was conducted 6 months before and after implementation of the anemia protocol. The number of Hgb measurements in the target range increased from 44.3 to 46.0% (p = 0.48) after protocol implementation. The mean weekly dose of DBO was reduced from 34.56 ± 31.12 to 31.11 ± 28.64 μg post-protocol implementation (p = 0.011), which translated to a cost savings of USD 41,649 over 6 months. The mean monthly IV iron dose also decreased from 139.56 ± 98.83 to 97.65 ± 79.05 mg (p < 0.005), a cost savings of USD 18,594 over the same time period. The use of an anemia management protocol resulted in the deprescribing of DBO and iron agents while increasing the number of patients in the target Hgb range, which led to significant cost savings in the treatment of anemia.

  13. TH-C-18A-08: A Management Tool for CT Dose Monitoring, Analysis, and Protocol Review

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

    Wang, J; Chan, F; Newman, B

    2014-06-15

    Purpose: To develop a customizable tool for enterprise-wide managing of CT protocols and analyzing radiation dose information of CT exams for a variety of quality control applications Methods: All clinical CT protocols implemented on the 11 CT scanners at our institution were extracted in digital format. The original protocols had been preset by our CT management team. A commercial CT dose tracking software (DoseWatch,GE healthcare,WI) was used to collect exam information (exam date, patient age etc.), scanning parameters, and radiation doses for all CT exams. We developed a Matlab-based program (MathWorks,MA) with graphic user interface which allows to analyze themore » scanning protocols with the actual dose estimates, and compare the data to national (ACR,AAPM) and internal reference values for CT quality control. Results: The CT protocol review portion of our tool allows the user to look up the scanning and image reconstruction parameters of any protocol on any of the installed CT systems among about 120 protocols per scanner. In the dose analysis tool, dose information of all CT exams (from 05/2013 to 02/2014) was stratified on a protocol level, and within a protocol down to series level, i.e. each individual exposure event. This allows numerical and graphical review of dose information of any combination of scanner models, protocols and series. The key functions of the tool include: statistics of CTDI, DLP and SSDE, dose monitoring using user-set CTDI/DLP/SSDE thresholds, look-up of any CT exam dose data, and CT protocol review. Conclusion: our inhouse CT management tool provides radiologists, technologists and administration a first-hand near real-time enterprise-wide knowledge on CT dose levels of different exam types. Medical physicists use this tool to manage CT protocols, compare and optimize dose levels across different scanner models. It provides technologists feedback on CT scanning operation, and knowledge on important dose baselines and thresholds.« less

  14. Variability of DKA Management Among Pediatric Emergency Room and Critical Care Providers: A Call for More Evidence-Based and Cost-Effective Care?

    PubMed

    Clark, Matthew G; Dalabih, Abdallah

    2014-09-01

    Management protocols have been shown to be effective in the pediatric emergency medicine (PEM) and pediatric critical care (PCC) settings. Treatment protocols define clear goals which are achieved with consistency in implementation. Over the last decade, many new recommendations have been proposed on managing diabetic ketoacidosis (DKA). Although no perfect set of guidelines exist, many institutions are developing DKA treatment protocols. We sought to determine the variability between institutions in implementation of these protocols.

  15. A protocol using coho salmon to monitor Tongass National Forest Land and Resource Management Plan standards and guidelines for fish habitat.

    Treesearch

    M.D. Bryant; Trent McDonald; R. Aho; B.E. Wright; Michelle Bourassa Stahl

    2008-01-01

    We describe a protocol to monitor the effectiveness of the Tongass Land Management Plan (TLMP) management standards for maintaining fish habitat. The protocol uses juvenile coho salmon (Oncorhynchus kisutch) in small tributary streams in forested watersheds. We used a 3-year pilot study to develop detailed methods to estimate juvenile salmonid...

  16. Development of a waste management protocol based on assessment of knowledge and practice of healthcare personnel in surgical departments.

    PubMed

    Mostafa, Gehan M A; Shazly, Mona M; Sherief, Wafaa I

    2009-01-01

    Good healthcare waste management in a hospital depends on a dedicated waste management team, good administration, careful planning, sound organization, underpinning legislation, adequate financing, and full participation by trained staff. Hence, waste management protocols must be convenient and sensible. To assess the knowledge and practice related to waste management among doctors, nurses, and housekeepers in the surgical departments at Al-Mansoura University Hospital, and to design and validate a waste management protocol for the health team in these settings. This cross-sectional study was carried out in the eight surgical departments at Al-Mansoura University Hospital. All health care personnel and their assistants were included: 38 doctors, 106 nurses, and 56 housekeepers. Two groups of jury were included for experts' opinions validation of the developed protocol, one from academia (30 members) and the other from service providers (30 members). Data were collected using a self-administered knowledge questionnaire for nurses and doctors, and an interview questionnaire for housekeepers. Observation checklists were used for assessment of performance. The researchers developed the first draft of the waste management protocol according to the results of the analysis of the data collected in the assessment phase. Then, the protocol was presented to the jury group for validation, and then was implemented. Only 27.4% of the nurses, 32.1% of the housekeepers, and 36.8% of the doctors had satisfactory knowledge. Concerning practice, 18.9% of the nurses, 7.1% of the housekeepers, and none of the doctors had adequate practice. Nurses' knowledge score had a statistically significant weak positive correlation with the attendance of training courses (r=0.23, p<0.05). Validation of the developed protocol was done, and the percent of agreement ranged between 60.0% and 96.7% for the service group, and 60.0% and 90.0% for the academia group. The majority of the doctors, nurses, and housekeepers have unsatisfactory knowledge and inadequate practice related to health care waste management. The knowledge among nurses is positively affected by attendance of training programs. Based on the findings, a protocol for healthcare waste management was developed and validated. It is recommended to implement the developed waste management protocol for the surgical departments in the designed hospital, with establishment of waste management audits.

  17. First use of halothane in the United States, C. Ronald Stephen, M.D. (1916-2006).

    PubMed

    Giesecke, Adolph H

    2008-01-01

    Anesthesia is one of the most valued discoveries in all of history. Almost immediately after the first public demonstration of ether anesthesia, a search for a better drug began. Ether, despite its flammability, persisted as the primary inhalation agent for over a hundred years. The breakthrough came with the introduction of a non-flammable volatile anesthetic called halothane in 1955. The drug was approved by the FDA in 1958 and quickly became the most commonly used agent in the United States. It was a quantum leap forward in the safety of anesthetic drugs. It became obsolete in 1988 because of hepatotoxicity. Three eminent anesthesiologists: Drs. Abajian of Vermont, Siker of Pittsburgh and Stephen of Duke could have been the first to use halothane in the USA. My review of the documents and writings of the three confirm that Dr. C. Ronald Stephen of Duke University was indeed the first to use and publish on halothane anesthesia in the USA.

  18. A no-man's-land of sex: Reading Stephen Gordon and "her" critics.

    PubMed

    Costello, Katherine A

    2018-04-03

    One of the most read novels of lesbian, transgender, and queer criticism, Radclyffe Hall's novel The Well of Loneliness (1928) has given rise to numerous and contradictory interpretations of the protagonist Stephen Gordon's complex relationship to her body. Some have argued that she is a historically specific example of female masculinity, others that she is a lesbian who wishes she were more feminine, and others still that she is a prototypical transsexual character. Focusing on the exemplary essays by Jack Halberstam, Teresa de Lauretis, and Jay Prosser, I argue that the coexistence of mutually exclusive interpretations of Stephen Gordon's relationship to her femaleness suggests that the novel is, in fact, a demand to readers to unmoor identity from sex and to recognize what I call "sexual indeterminacy." Lesbian, transgender, and queer theory's tendency to elide the literariness of literary objects and their reliance on critique as the primary mode of reading and argumentation have made it impossible for critics to see that the novel is explicitly about what cannot be settled.

  19. Model study of St. Stephen powerhouse fish passage facilities, Cooper River rediversion project, South Carolina. Final report

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

    Hite, J.E.; Murphy, T.E.

    1998-09-01

    This report documents a model study of the St. Stephen Power Plant, located in Berkely County, South Carolina. A previous model study revealed that the fish lift at the powerhouse could be improved by providing auxiliary attraction flows to the fish entrances. An auxiliary attraction flow (AAF) system was proposed that uses a siphon to obtain the auxiliary attraction water from the reservoir. The model investigations reported herein address the flow conditions at the discharge end of the siphon; the hydraulic aspects of the siphon are not addressed. Three different models were used to evaluate flow conditions at the dischargemore » end of the AAF system. A 1:25-scale model of the St. Stephen powerhouse was used to improve the fish entrance conditions and to evaluate the outlet conditions for the initial AAF system. As the investigations progressed, the design of the siphon discharge system was modified to include downstream fish migration and debris passage.« less

  20. Adequate Security Protocols Adopt in a Conceptual Model in Identity Management for the Civil Registry of Ecuador

    NASA Astrophysics Data System (ADS)

    Toapanta, Moisés; Mafla, Enrique; Orizaga, Antonio

    2017-08-01

    We analyzed the problems of security of the information of the civil registries and identification at world level that are considered strategic. The objective is to adopt the appropriate security protocols in a conceptual model in the identity management for the Civil Registry of Ecuador. In this phase, the appropriate security protocols were determined in a Conceptual Model in Identity Management with Authentication, Authorization and Auditing (AAA). We used the deductive method and exploratory research to define the appropriate security protocols to be adopted in the identity model: IPSec, DNSsec, Radius, SSL, TLS, IEEE 802.1X EAP, Set. It was a prototype of the location of the security protocols adopted in the logical design of the technological infrastructure considering the conceptual model for Identity, Authentication, Authorization, and Audit management. It was concluded that the adopted protocols are appropriate for a distributed database and should have a direct relationship with the algorithms, which allows vulnerability and risk mitigation taking into account confidentiality, integrity and availability (CIA).

  1. Impact of a lung transplantation donor-management protocol on lung donation and recipient outcomes.

    PubMed

    Angel, Luis F; Levine, Deborah J; Restrepo, Marcos I; Johnson, Scott; Sako, Edward; Carpenter, Andrea; Calhoon, John; Cornell, John E; Adams, Sandra G; Chisholm, Gary B; Nespral, Joe; Roberson, Ann; Levine, Stephanie M

    2006-09-15

    One of the limitations associated with lung transplantation is the lack of available organs. To determine whether a lung donor-management protocol could increase the number of lungs for transplantation without affecting the survival rates of the recipients. We implemented the San Antonio Lung Transplant protocol for managing potential lung donors according to modifications of standard criteria for donor selection and strategies for donor management. We then compared information gathered during a 4-yr period, during which the protocol was used with information gathered during a 4-yr period before protocol implementation. Primary outcome measures were the procurement rate of lungs and the 30-d and 1-yr survival rates of recipients. We reviewed data from 711 potential lung donors. The mean rate of lung procurement was significantly higher (p < 0.0001) during the protocol period (25.5%) than during the pre-protocol period (11.5%), with an estimated risk ratio of 2.2 in favor of the protocol period. More patients received transplants during the protocol period (n = 121) than during the pre-protocol period (n = 53; p < 0.0001). Of 98 actual lung donors during the protocol period, 53 (54%) had initially been considered poor donors; these donors provided 64 (53%) of the 121 lung transplants. The type of donor was not associated with significant differences in recipients' 30-d and 1-yr survival rates or any clinical measures of adequate graft function. The protocol was associated with a significant increase in the number of lung donors and transplant procedures without compromising pulmonary function, length of stay, or survival of the recipients.

  2. Supporting Tablet Configuration, Tracking, and Infection Control Practices in Digital Health Interventions: Study Protocol

    PubMed Central

    Furberg, Robert D; Zulkiewicz, Brittany A; Hudson, Jordan P; Taylor, Olivia M; Lewis, Megan A

    2016-01-01

    Background Tablet-based health care interventions have the potential to encourage patient care in a timelier manner, allow physicians convenient access to patient records, and provide an improved method for patient education. However, along with the continued adoption of tablet technologies, there is a concomitant need to develop protocols focusing on the configuration, management, and maintenance of these devices within the health care setting to support the conduct of clinical research. Objective Develop three protocols to support tablet configuration, tablet management, and tablet maintenance. Methods The Configurator software, Tile technology, and current infection control recommendations were employed to develop three distinct protocols for tablet-based digital health interventions. Configurator is a mobile device management software specifically for iPhone operating system (iOS) devices. The capabilities and current applications of Configurator were reviewed and used to develop the protocol to support device configuration. Tile is a tracking tag associated with a free mobile app available for iOS and Android devices. The features associated with Tile were evaluated and used to develop the Tile protocol to support tablet management. Furthermore, current recommendations on preventing health care–related infections were reviewed to develop the infection control protocol to support tablet maintenance. Results This article provides three protocols: the Configurator protocol, the Tile protocol, and the infection control protocol. Conclusions These protocols can help to ensure consistent implementation of tablet-based interventions, enhance fidelity when employing tablets for research purposes, and serve as a guide for tablet deployments within clinical settings. PMID:27350013

  3. Advances in Imaging and Management Trends of Traumatic Aortic Injuries.

    PubMed

    Nagpal, Prashant; Mullan, Brian F; Sen, Indrani; Saboo, Sachin S; Khandelwal, Ashish

    2017-05-01

    Acute traumatic aortic injury (ATAI) is a life-threatening injury. CT is the imaging tool of choice, and the knowledge of direct and indirect signs of injury, grading system, and current management protocol helps the emergency radiologist to better identify and classify the injury and provide additional details that can impact management options. Newer dual-source CT technology with ultrafast acquisition speed has also influenced the appropriate protocol for imaging in patients with suspected ATAI. This review highlights the imaging protocol in patients with blunt trauma, CT appearance and grading systems of ATAI, management options, and the role of the multidisciplinary team in the management of these patients. We also briefly review the current literature on the definition, treatment, and follow-up protocol in patients with minimal aortic injury.

  4. KSC-2009-3614

    NASA Image and Video Library

    2009-06-08

    CAPE CANAVERAL, Fla. – During a media event at NASA's Kennedy Space Center in Florida to showcase the newest section of the International Space Station, the Tranquility node, STS-130 Commander George Zamka speaks to the media and guests. Tranquility will be delivered to the station during space shuttle Endeavour's STS-130 mission, targeted for launch in February 2010. Others present at right of Zamka are Russ Romanella, director of the ISS and Payload Processing Directorate, STS-130 Pilot Terry Virts and Mission Specialists Stephen Robinson and Kathryn Hire, Philippe Deloo, ISS Nodes project manager with the European Space Agency, and Rafael Garcia, ISS Nodes and Express Logistics Carrier project manager with NASA's Johnson Space Center. Managers from NASA, the European Space Agency, Thales Alenia Space and Boeing -- the organizations involved in building and processing the module for flight -- were available for a question-and-answer session during the event. Tranquility will be delivered to the station during space shuttle Endeavour's STS-130 mission, targeted for launch in February 2010. Photo credit: NASA/Jim Grossmann

  5. Introduction to the effects of wildland fire on aquatic ecosystems in the Western USA

    USGS Publications Warehouse

    Rieman, B.; Gresswell, Robert E.; Young, M.; Luce, C.

    2003-01-01

    The management of wildfire has long been controversial. The role of fire and fire-related management in terrestrial and aquatic ecosystems has become an important focus in recent years, but the general debate is not new. In his recent book, Stephen Pyne (2001 )describes the political and scientific debate surrounding the creation of the U.S. Forest Service and the emergence of fire suppression as a central tenet of wildland management. Essentially, views in the first decade of the 20th century focused on fire as good or evil: a tool that might benefit other resources or interests (e.g. Indian burning) and mitigate larger more destructive fires, or a threat to the recruitment and productivity of newly designated forest reserves. The “great fires” in the Western USA in 1910 and the associated loss of human life and property largely forged the public and political will to suppress fire on a massive scale.

  6. Leveraging the trusted clinician: documenting disease management program enrollment.

    PubMed

    Frazee, Sharon Glave; Kirkpatrick, Patricia; Fabius, Raymond; Chimera, Joseph

    2007-02-01

    The objective of this study was to test the hypothesis that an integrated disease management (IDM) protocol (patent-pending), which combines telephonic-delivered disease management (TDM) with a worksite-based primary care center and pharmacy delivery, would yield higher contact and enrollment rates than traditional remote disease management alone. IDM is characterized by the combination of standard TDM with a worksite-based primary care and pharmacy delivery protocol led by trusted clinicians. This prospective cohort study tracks contact and enrollment rates for persons assigned to either IDM or traditional TDM protocols, and compares them on contact and enrollment efficiency. The IDM protocol showed a significant improvement in contact and enrollment rates over traditional TDM. Integrating a worksite-based primary care and pharmacy delivery system led by trusted clinicians with traditional TDM increases contact and enrollment rates, resulting in higher patient engagement. The IDM protocol should be adopted by employers seeking higher returns on their investment in disease management programming.

  7. Assessing and Managing Risk with Suicidal Individuals

    ERIC Educational Resources Information Center

    Linehan, Marsh M.; Comtois, Katherine A.; Ward-Ciesielski, Erin F.

    2012-01-01

    The University of Washington Risk Assessment Protocol (UWRAP) and Risk Assessment and Management Protocol (UWRAMP) have been used in numerous clinical trials treating high-risk suicidal individuals over several years. These protocols structure assessors and treatment providers to provide a thorough suicide risk assessment, review standards of care…

  8. Implementation of Symptom Protocols for Nurses Providing Telephone‐Based Cancer Symptom Management: A Comparative Case Study

    PubMed Central

    Green, Esther; Ballantyne, Barbara; Tarasuk, Joy; Skrutkowski, Myriam; Carley, Meg; Chapman, Kim; Kuziemsky, Craig; Kolari, Erin; Sabo, Brenda; Saucier, Andréanne; Shaw, Tara; Tardif, Lucie; Truant, Tracy; Cummings, Greta G.; Howell, Doris

    2016-01-01

    ABSTRACT Background The pan‐Canadian Oncology Symptom Triage and Remote Support (COSTaRS) team developed 13 evidence‐informed protocols for symptom management. Aim To build an effective and sustainable approach for implementing the COSTaRS protocols for nurses providing telephone‐based symptom support to cancer patients. Methods A comparative case study was guided by the Knowledge to Action Framework. Three cases were created for three Canadian oncology programs that have nurses providing telephone support. Teams of researchers and knowledge users: (a) assessed barriers and facilitators influencing protocol use, (b) adapted protocols for local use, (c) intervened to address barriers, (d) monitored use, and (e) assessed barriers and facilitators influencing sustained use. Analysis was within and across cases. Results At baseline, >85% nurses rated protocols positively but barriers were identified (64‐80% needed training). Patients and families identified similar barriers and thought protocols would enhance consistency among nurses teaching self‐management. Twenty‐two COSTaRS workshops reached 85% to 97% of targeted nurses (N = 119). Nurses felt more confident with symptom management and using the COSTaRS protocols (p < .01). Protocol adaptations addressed barriers (e.g., health records approval, creating pocket versions, distributing with telephone messages). Chart audits revealed that protocols used were documented for 11% to 47% of patient calls. Sustained use requires organizational alignment and ongoing leadership support. Linking Evidence to Action Protocol uptake was similar to trials that have evaluated tailored interventions to improve professional practice by overcoming identified barriers. Collaborating with knowledge users facilitated interpretation of findings, aided protocol adaptation, and supported implementation. Protocol implementation in nursing requires a tailored approach. A multifaceted intervention approach increased nurses’ use of evidence‐informed protocols during telephone calls with patients about symptoms. Training and other interventions improved nurses’ confidence with using COSTaRS protocols and their uptake was evident in some documented telephone calls. Protocols could be adapted for use by patients and nurses globally. PMID:27243574

  9. Clinical Trials Management | Division of Cancer Prevention

    Cancer.gov

    Information for researchers about developing, reporting, and managing NCI-funded cancer prevention clinical trials. Protocol Information Office The central clearinghouse for clinical trials management within the Division of Cancer Prevention.Read more about the Protocol Information Office. | Information for researchers about developing, reporting, and managing NCI-funded

  10. 106-17 Telemetry Management Resources Chapter 25

    DTIC Science & Technology

    2017-07-01

    aspects of the TmNS system . There are two primary protocols for accessing the management resources: Simple Network Management Protocol (SNMP) and... management resources as well as a basic HTTP clients and servers for a more RESTful approach to system management . Both tools are available from the...Telemetry Standards, RCC Standard 106-17 Chapter 25, July 2017 i CHAPTER 25 Management Resources Acronyms

  11. SNMP-SI: A Network Management Tool Based on Slow Intelligence System Approach

    NASA Astrophysics Data System (ADS)

    Colace, Francesco; de Santo, Massimo; Ferrandino, Salvatore

    The last decade has witnessed an intense spread of computer networks that has been further accelerated with the introduction of wireless networks. Simultaneously with, this growth has increased significantly the problems of network management. Especially in small companies, where there is no provision of personnel assigned to these tasks, the management of such networks is often complex and malfunctions can have significant impacts on their businesses. A possible solution is the adoption of Simple Network Management Protocol. Simple Network Management Protocol (SNMP) is a standard protocol used to exchange network management information. It is part of the Transmission Control Protocol/Internet Protocol (TCP/IP) protocol suite. SNMP provides a tool for network administrators to manage network performance, find and solve network problems, and plan for network growth. SNMP has a big disadvantage: its simple design means that the information it deals with is neither detailed nor well organized enough to deal with the expanding modern networking requirements. Over the past years much efforts has been given to improve the lack of Simple Network Management Protocol and new frameworks has been developed: A promising approach involves the use of Ontology. This is the starting point of this paper where a novel approach to the network management based on the use of the Slow Intelligence System methodologies and Ontology based techniques is proposed. Slow Intelligence Systems is a general-purpose systems characterized by being able to improve performance over time through a process involving enumeration, propagation, adaptation, elimination and concentration. Therefore, the proposed approach aims to develop a system able to acquire, according to an SNMP standard, information from the various hosts that are in the managed networks and apply solutions in order to solve problems. To check the feasibility of this model first experimental results in a real scenario are showed.

  12. Intraoperative blood glucose management: impact of a real-time decision support system on adherence to institutional protocol.

    PubMed

    Nair, Bala G; Grunzweig, Katherine; Peterson, Gene N; Horibe, Mayumi; Neradilek, Moni B; Newman, Shu-Fang; Van Norman, Gail; Schwid, Howard A; Hao, Wei; Hirsch, Irl B; Patchen Dellinger, E

    2016-06-01

    Poor perioperative glycemic management can lead to negative surgical outcome. Improved compliance to glucose control protocol could lead to better glucose management. An Anesthesia Information Management System based decision support system-Smart Anesthesia Manager™ (SAM) was used to generate real-time reminders to the anesthesia providers to closely adhere to our institutional glucose management protocol. Compliance to hourly glucose measurements and correct insulin dose adjustments was compared for the baseline period (12 months) without SAM and the intervention period (12 months) with SAM decision support. Additionally, glucose management parameters were compared for the baseline and intervention periods. A total of 1587 cases during baseline and 1997 cases during intervention met the criteria for glucose management (diabetic patients or non-diabetic patients with glucose level >140 mg/dL). Among the intervention cases anesthesia providers chose to use SAM reminders 48.7 % of the time primarily for patients who had diabetes, higher HbA1C or body mass index, while disabling the system for the remaining cases. Compliance to hourly glucose measurement and correct insulin doses increased significantly during the intervention period when compared with the baseline (from 52.6 to 71.2 % and from 13.5 to 24.4 %, respectively). In spite of improved compliance to institutional protocol, the mean glucose levels and other glycemic management parameters did not show significant improvement with SAM reminders. Real-time electronic reminders improved intraoperative compliance to institutional glucose management protocol though glycemic parameters did not improve even when there was greater compliance to the protocol.

  13. Compliance with AAPM Practice Guideline 1.a: CT Protocol Management and Review — from the perspective of a university hospital

    PubMed Central

    Bour, Robert K.; Pozniak, Myron; Ranallo, Frank N.

    2015-01-01

    The purpose of this paper is to describe our experience with the AAPM Medical Physics Practice Guideline 1.a: “CT Protocol Management and Review Practice Guideline”. Specifically, we will share how our institution's quality management system addresses the suggestions within the AAPM practice report. We feel this paper is needed as it was beyond the scope of the AAPM practice guideline to provide specific details on fulfilling individual guidelines. Our hope is that other institutions will be able to emulate some of our practices and that this article would encourage other types of centers (e.g., community hospitals) to share their methodology for approaching CT protocol optimization and quality control. Our institution had a functioning CT protocol optimization process, albeit informal, since we began using CT. Recently, we made our protocol development and validation process compliant with a number of the ISO 9001:2008 clauses and this required us to formalize the roles of the members of our CT protocol optimization team. We rely heavily on PACS‐based IT solutions for acquiring radiologist feedback on the performance of our CT protocols and the performance of our CT scanners in terms of dose (scanner output) and the function of the automatic tube current modulation. Specific details on our quality management system covering both quality control and ongoing optimization have been provided. The roles of each CT protocol team member have been defined, and the critical role that IT solutions provides for the management of files and the monitoring of CT protocols has been reviewed. In addition, the invaluable role management provides by being a champion for the project has been explained; lack of a project champion will mitigate the efforts of a CT protocol optimization team. Meeting the guidelines set forth in the AAPM practice guideline was not inherently difficult, but did, in our case, require the cooperation of radiologists, technologists, physicists, IT, administrative staff, and hospital management. Some of the IT solutions presented in this paper are novel and currently unique to our institution. PACS number: 87.57.Q PMID:26103176

  14. MR efficiency using automated MRI-desktop eProtocol

    NASA Astrophysics Data System (ADS)

    Gao, Fei; Xu, Yanzhe; Panda, Anshuman; Zhang, Min; Hanson, James; Su, Congzhe; Wu, Teresa; Pavlicek, William; James, Judy R.

    2017-03-01

    MRI protocols are instruction sheets that radiology technologists use in routine clinical practice for guidance (e.g., slice position, acquisition parameters etc.). In Mayo Clinic Arizona (MCA), there are over 900 MR protocols (ranging across neuro, body, cardiac, breast etc.) which makes maintaining and updating the protocol instructions a labor intensive effort. The task is even more challenging given different vendors (Siemens, GE etc.). This is a universal problem faced by all the hospitals and/or medical research institutions. To increase the efficiency of the MR practice, we designed and implemented a web-based platform (eProtocol) to automate the management of MRI protocols. It is built upon a database that automatically extracts protocol information from DICOM compliant images and provides a user-friendly interface to the technologists to create, edit and update the protocols. Advanced operations such as protocol migrations from scanner to scanner and capability to upload Multimedia content were also implemented. To the best of our knowledge, eProtocol is the first MR protocol automated management tool used clinically. It is expected that this platform will significantly improve the radiology operations efficiency including better image quality and exam consistency, fewer repeat examinations and less acquisition errors. These protocols instructions will be readily available to the technologists during scans. In addition, this web-based platform can be extended to other imaging modalities such as CT, Mammography, and Interventional Radiology and different vendors for imaging protocol management.

  15. Contextual information management: An example of independent-checking in the review of laboratory-based bloodstain pattern analysis.

    PubMed

    Osborne, Nikola K P; Taylor, Michael C

    2018-05-01

    This article describes a New Zealand forensic agency's contextual information management protocol for bloodstain pattern evidence examined in the laboratory. In an effort to create a protocol that would have minimal impact on current work-flow, while still effectively removing task-irrelevant contextual information, the protocol was designed following an in-depth consultation with management and forensic staff. The resulting design was for a protocol of independent-checking (i.e. blind peer-review) where the checker's interpretation of the evidence is conducted in the absence of case information and the original examiner's notes or interpretation(s). At the conclusion of a ten-case trial period, there was widespread agreement that the protocol had minimal impact on the number of people required, the cost, or the time to complete an item examination. The agency is now looking to adopt the protocol into standard operating procedures and in some cases the protocol has been extended to cover other laboratory-based examinations (e.g. fabric damage, shoeprint examination, and physical fits). The protocol developed during this trial provides a useful example for agencies seeking to adopt contextual information management into their workflow. Copyright © 2018 The Chartered Society of Forensic Sciences. Published by Elsevier B.V. All rights reserved.

  16. Problem Solving and the Development of Expertise in Management.

    ERIC Educational Resources Information Center

    Lash, Fredrick B.

    This study investigated novice and expert problem solving behavior in management to examine the role of domain specific knowledge on problem solving processes. Forty-one middle level marketing managers in a large petrochemical organization provided think aloud protocols in response to two hypothetical management scenarios. Protocol analysis…

  17. Advances in Imaging and Management Trends of Traumatic Aortic Injuries

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

    Nagpal, Prashant, E-mail: drprashantnagpal@gmail.com, E-mail: Prashant-nagpal@uiowa.edu; Mullan, Brian F.; Sen, Indrani

    Acute traumatic aortic injury (ATAI) is a life-threatening injury. CT is the imaging tool of choice, and the knowledge of direct and indirect signs of injury, grading system, and current management protocol helps the emergency radiologist to better identify and classify the injury and provide additional details that can impact management options. Newer dual-source CT technology with ultrafast acquisition speed has also influenced the appropriate protocol for imaging in patients with suspected ATAI. This review highlights the imaging protocol in patients with blunt trauma, CT appearance and grading systems of ATAI, management options, and the role of the multidisciplinary teammore » in the management of these patients. We also briefly review the current literature on the definition, treatment, and follow-up protocol in patients with minimal aortic injury.« less

  18. Radioactive Waste in the Nordic and Far East Seas; a Soviet Legacy with International Environmental and National Security Repercussions

    DTIC Science & Technology

    1994-01-01

    362. 17 Janusz Kindler , and Stephen F. Lintner, "An Action Plan to Clean Up the Baltic’, Environment, Volume 35, No. 8, O~ober 1993: 7. 18...Independent States of the Former Soviet Union, W~shington De, GPO, May 1993, Volume 4, Supplement No. 2: 9. Io6 Janusz Kindler , and Stephen F. Lintner...of the Post-Soviet.Press, Volume XLV, No. 44, December 1, 1993: 27. Greenberger, Leonard S. "Nuclear Waste and the NIMBY Syndrome ", Public Utilities

  19. The fiftieth anniversary of the first public announcement of the successful test of fission: Proceedings

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

    Not Available

    This report contains comments and discussions on the history of fission. The following people comments and lectures are discussed in this report: Remarks and introduction of Maxine F. Singer; president`s message, Maxine F. Singer; introduction of Stephen Joel Trachtenberg; President`s message, Stephen Joel Trachtenberg; introduction of Frederick Seitz; lecture: ``Nuclear Science: Promises and Perceptions, `` Frederick Seitz; introduction of K. Alex Mueller; lecture: ``High Temperature Ferroelectricity and Superconductivity,`` introduction of Edward Teller; and lecture: ``Toward a More Secure World,`` Edward Teller.

  20. Should I Stay or Should I Go? Building a Mental Construct for Senior Officers Contemplating Leaving the Service Over Matters of Policy

    DTIC Science & Technology

    2011-06-01

    15 Richard Swain, "Reflection on an Ethic of Officership," Parameters vol 37 no 1 (2007): 12. 16 Stephen E. Ambrose and Stephen E...34An Interview with Michael G. Mullen," 7. 4 Richard Swain, "Reflection on an Ethic of Officership," Parameters vol 37 no 1 (2007): 1-2. The section...on foundational documents is inspired and informed by Dr. Swain’s essay. According to Colonel Richard Swain, USA, Ret., “The ethic of

  1. Geologic map of the Stephens City quadrangle, Clark, Frederick, and Warren Counties, Virginia

    USGS Publications Warehouse

    Weary, D.J.; Orndorff, R.C.; Aleman-Gonzalez, W.

    2006-01-01

    The Stephens City 1:24,000-scale quadrangle is one of several quadrangles in Frederick County, Virginia being mapped by geologists from the U.S. Geological Survey in Reston, VA with funding from the National Cooperative Geologic Mapping Program. This work is part of a project being lead by the U.S. Geological Survey Water Resources Discipline, Virginia District, to investigate the geologic framework and groundwater resources of Frederick County as well as other areas in the northern Shenandoah Valley of Virginia and West Virginia.

  2. Festschrift in the honor of Stephen H. White's 70th Birthday.

    PubMed

    Bondar, Ana-Nicoleta; Woolf, Thomas B; Tobias, Douglas J

    2011-01-01

    The Symposium 'Frontiers in membrane and membrane protein biophysics: experiments and theory', held this year at the University of California, Irvine (August 19-20), celebrated the 70th Birthday of Stephen H. White by bringing together distinguished experimentalists and theoreticians to discuss the state of the art and future challenges in the field of membrane and membrane protein biophysics. The meeting and this special issue highlight the highly interdisciplinary nature of membrane and membrane protein biophysics, and the tremendous contributions that S. H. White and his lab have brought to the field.

  3. Impact of a pharmacist-driven warfarin management protocol on achieving therapeutic International Normalized Ratios.

    PubMed

    Downing, Amanda; Mortimer, Molly; Hiers, Jill

    2016-03-01

    Warfarin is a high alert medication and a challenge to dose and monitor. Pharmacist-driven warfarin management has been shown to decrease the time international normalized ratio (INR) is out of range, which may reduce undesired outcomes. The purpose of this study is to assess the effect of the implementation of a pharmacist-driven warfarin management protocol on the achievement of therapeutic INRs. A warfarin management protocol was developed using evidence based literature and similar protocols from other institutions. Pharmacists utilized the protocol to provide patient specific warfarin dosing upon provider referral. To evaluate the protocol's impact, a retrospective chart review pre- and post-implementation was completed for admitted patients receiving warfarin. Three hundred twenty-seven charts were reviewed for pre- and post-implementation data. INRs within therapeutic range increased from 27.8% before protocol implementation to 38.5% after implementation. There was also a reduction in subtherapeutic INRs (55.3% pre to 39% post) and supratherapeutic INRs 5 or above (3.7% pre to 2.6% post). Supratherapeutic INRs between 3 and 5 did increase from 13.2% before protocol implementation to 19.9% in the pharmacist managed group. In addition to reducing the time to achievement of therapeutic INRs by 0.5 days, implementation of the protocol resulted in an increased the number of patients with at least one therapeutic INR during admission (35% pre to 40% post). The implementation of a pharmacist-driven warfarin dosing protocol increased therapeutic INRs, and decreased the time to therapeutic range, as well as the proportion of subtherapeutic INRs and supratherapeutic INRs 5 or greater. Additional benefits of the protocol include documentation of Joint Commission National Patient Safety Goal compliance, promotion of interdisciplinary collaboration and increased continuity of care. Copyright © 2016 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  4. Difficult‐to‐control asthma management through the use of a specific protocol

    PubMed Central

    Giavina‐Bianchi, Pedro; Aun, Marcelo Vivolo; Bisaccioni, Carla; Agondi, Rosana; Kalil, Jorge

    2010-01-01

    The present study is a critical review of difficult‐to‐control asthma, highlighting the characteristics and severity of the disease. It also presents a protocol for the management of patients with this asthma phenotype. The protocol, which was based on relevant studies in the literature, is described and analyzed. PMID:21049219

  5. National Football League Head, Neck and Spine Committee's Concussion Diagnosis and Management Protocol: 2017-18 season.

    PubMed

    Ellenbogen, Richard G; Batjer, Hunt; Cardenas, Javier; Berger, Mitchel; Bailes, Julian; Pieroth, Elizabeth; Heyer, Robert; Theodore, Nicholas; Hsu, Wellington; Nabel, Elizabeth; Maroon, Joe; Cantu, Robert; Barnes, Ronnie; Collins, James; Putukian, Margot; Lonser, Russell; Solomon, Gary; Sills, Allen

    2018-03-16

    One of the National Football League's (NFL) Head, Neck and Spine Committee's principal goals is to create a 'best practice' protocol for concussion diagnosis and management for its players. The science related to concussion diagnosis and management continues to evolve, thus the protocol has evolved contemporaneously. The Fifth International Conference on Concussion in Sport was held in Berlin in 2016, and guidelines for sports concussion diagnosis and management were revised and refined. The NFL Head, Neck and Spine Committee has synthesised the most recent empirical evidence for sports concussion diagnosis and management including the Berlin consensus statement and tailored it to the game played in the NFL. One of the goals of the Committee is to provide a standardised, reliable, efficient and evidence-based protocol for concussion diagnosis and management that can be applied in this professional sport during practice and game day. In this article, the end-of-season version of the 2017-18 NFL Concussion Diagnosis and Management Protocol is described along with its clinical rationale. Immediate actions for concussion programme enhancement and research are reviewed. It is the Committee's expectation that the protocol will undergo refinement and revision over time as the science and clinical practice related to concussion in sports crystallise. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  6. Phosphine resistance does not confer cross-resistance to sulfuryl fluoride in four major stored grain insect pests.

    PubMed

    Jagadeesan, Rajeswaran; Nayak, Manoj K

    2017-07-01

    Susceptibility to phosphine (PH 3 ) and sulfuryl fluoride (SF) and cross-resistance to SF were evaluated in two life stages (eggs and adults) of key grain insect pests, Rhyzopertha dominca (F.), Sitophilus oryzae (L.), Cryptolestes ferrugineus (Stephens), and Tribolium castaneum (Herbst). This study was performed with an aim to integrate SF into phosphine resistance management programmes in Australia. Characterisation of susceptibility and resistance to phosphine in eggs and adults showed that C. ferrugineus was the most tolerant as well as resistant species. Mortality responses of eggs and adults to SF at 25 °C revealed T. castaneum to be the most tolerant species followed by S. oryzae, C. ferrugineus and R. dominica. A high dose range of SF, 50.8-62.2 mg L -1 over 48 h, representing c (concentration) × t (time) products of 2438-2985 gh m -3 , was required for complete control of eggs of T. castaneum, whereas eggs of the least tolerant R. dominca required only 630 gh m -3 for 48 h (13.13 mg L -1 ). Mortality response of eggs and adults of phosphine-resistant strains to SF in all four species confirmed the lack of cross-resistance to SF. Our research concludes that phosphine resistance does not confer cross-resistance to SF in grain insect pests irrespective of the variation in levels of tolerance to SF itself or resistance to phosphine in their egg and adult stages. While our study confirms that SF has potential as a 'phosphine resistance breaker', the observed higher tolerance in eggs stresses the importance of developing SF fumigation protocols with longer exposure periods. © 2016 Society of Chemical Industry. © 2016 Society of Chemical Industry.

  7. Pain management for joint arthroplasty: preemptive analgesia.

    PubMed

    Mallory, Thomas H; Lombardi, Adolph V; Fada, Robert A; Dodds, Kathleen L; Adams, Joanne B

    2002-06-01

    Scheduled preoperative and postoperative analgesia should be offered in a multimodal management model. By a combined drug synergy effect, the central nervous system, afferent pathways, and peripheral wound site are modified collectively. In an ongoing effort to improve perioperative pain management, we retrospectively compared the results of a previously reported pain management protocol with 2 more recent groups of patients managed with modified pain protocols. In the earlier control protocol, epidural anesthesia was discontinued on arrival to the postanesthesia care unit, and regularly scheduled oral opioids and intravenous hydromorphone for breakthrough pain were initiated. The first more recent group used epidural anesthesia, and the second group used spinal anesthesia. Both protocols featured the use of cyclooxygenase-2-inhibiting anti-inflammatory medication administered for 2 weeks preoperatively and continued for 10 days postoperatively and patient-controlled analgesia for 24 hours followed by scheduled oral opioids. Copyright 2002, Elsevier Science (USA).

  8. KSC-04PD-2216

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. This panel comprising former and current Safety and Mission Assurance (S&MA) management talk about identifying and comparing safety challenges of the past, present and future during Spaceport Super Safety and Health Day (SS&H) at KSC. Larry Crawford, left, is director of S&MA. SS&H Day included guest speakers Dr. Pamela Peeke, Navy Com. Stephen E. Iwanowicz, NASAs Dr. Kristine Calderon and Olympic-great Bruce Jenner. In addition, many vendors exhibits were on display for employees. Super Safety and Health Day was initiated at KSC in 1998 to increase awareness of the importance of safety and health among the government and contractor workforce. The theme for this years event was Safety and Health: A Winning Combination.

  9. Implementation of a Goal-Based Systems Engineering Process Using the Systems Modeling Language (SysML)

    NASA Technical Reports Server (NTRS)

    Breckenridge, Jonathan T.; Johnson, Stephen B.

    2013-01-01

    This paper describes the core framework used to implement a Goal-Function Tree (GFT) based systems engineering process using the Systems Modeling Language. It defines a set of principles built upon by the theoretical approach described in the InfoTech 2013 ISHM paper titled "Goal-Function Tree Modeling for Systems Engineering and Fault Management" presented by Dr. Stephen B. Johnson. Using the SysML language, the principles in this paper describe the expansion of the SysML language as a baseline in order to: hierarchically describe a system, describe that system functionally within success space, and allocate detection mechanisms to success functions for system protection.

  10. KSC-98pc1023

    NASA Image and Video Library

    1998-09-02

    During a break in the Crew Equipment Interface Test (CEIT), the STS-95 crew gathers with United Space Alliance (USA) personnel and their families. From left are Pilot Steven W. Lindsey; Payload Specialist John H. Glenn Jr., a senator from Ohio; Pedro Duque, with the European Space Agency (ESA); Mission Specialist Stephen K. Robinson, Ph.D.; Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); Mission Commander Curtis L. Brown Jr. (with arm raised); Mission Specialist Scott E. Parazynski, M.D.; Jim Furr, USA National Space Flight Awareness representative; Jack King, USA Public Affairs; Bob Sieck, KSC director of Shuttle Processing; and Ed Adamek, USA vice president and associate program manager for Ground Operations at KSC

  11. iLAP: a workflow-driven software for experimental protocol development, data acquisition and analysis

    PubMed Central

    2009-01-01

    Background In recent years, the genome biology community has expended considerable effort to confront the challenges of managing heterogeneous data in a structured and organized way and developed laboratory information management systems (LIMS) for both raw and processed data. On the other hand, electronic notebooks were developed to record and manage scientific data, and facilitate data-sharing. Software which enables both, management of large datasets and digital recording of laboratory procedures would serve a real need in laboratories using medium and high-throughput techniques. Results We have developed iLAP (Laboratory data management, Analysis, and Protocol development), a workflow-driven information management system specifically designed to create and manage experimental protocols, and to analyze and share laboratory data. The system combines experimental protocol development, wizard-based data acquisition, and high-throughput data analysis into a single, integrated system. We demonstrate the power and the flexibility of the platform using a microscopy case study based on a combinatorial multiple fluorescence in situ hybridization (m-FISH) protocol and 3D-image reconstruction. iLAP is freely available under the open source license AGPL from http://genome.tugraz.at/iLAP/. Conclusion iLAP is a flexible and versatile information management system, which has the potential to close the gap between electronic notebooks and LIMS and can therefore be of great value for a broad scientific community. PMID:19941647

  12. 78 FR 14359 - Verizon Business Networks Services, Inc., Senior Analysts-Order Management, Voice Over Internet...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... Business Networks Services, Inc., Senior Analysts-Order Management, Voice Over Internet Protocol, Small And Medium Business, Tampa, Florida; Verizon Business Networks Services, Inc., Senior Coordinator-Order... Business Networks Services, Inc., Senior Analysts-Order Management, Voice Over Internet Protocol, Small and...

  13. Festschrift in the Honor of Stephen H. White’s 70th Birthday

    PubMed Central

    2010-01-01

    The Symposium ‘Frontiers in membrane and membrane protein biophysics: experiments and theory’, held this year at the University of California, Irvine (August 19–20), celebrated the 70th Birthday of Stephen H. White by bringing together distinguished experimentalists and theoreticians to discuss the state of the art and future challenges in the field of membrane and membrane protein biophysics. The meeting and this special issue highlight the highly interdisciplinary nature of membrane and membrane protein biophysics, and the tremendous contributions that S. H. White and his lab have brought to the field. PMID:21191785

  14. NASA Honors Legacy of Renowned Astrophysicist Stephen Hawking

    NASA Image and Video Library

    2018-03-14

    NASA is honoring visionary physicist Stephen Hawking, who died at his home in Cambridge, England, early Wednesday morning. Acting NASA Administrator Robert Lightfoot noted Hawking’s role as a “passionate communicator who wanted to share the excitement of discovery with all,” adding that his “impact cannot be overstated.” “Stephen’s breakthroughs in the fields of physics and astronomy not only changed how we view the cosmos, but also has played, and will continue to play, a pivotal role in shaping NASA’s efforts to explore our solar system and beyond,” said Lightfoot.

  15. Diagnostic Interference: People’s Use of Information in Incomplete Bayesian World Problems

    DTIC Science & Technology

    1990-07-01

    them was the one who did it. Stephen and Paul are 5 year old twins. One afternoon their mother hired a new babysitter so she could go out to do errands...Paul broke the lamp? _ Reliability. Stephen’s and Paul’s mother enjoys dressing them alike. Before she left, she had said to the babysitter " New ...complementarity); and it one already has a degree of belief p(H) in proposition H, and one is given new evidence E pertinent to the truth of H, one can use a

  16. CoAP-Based Mobility Management for the Internet of Things

    PubMed Central

    Chun, Seung-Man; Kim, Hyun-Su; Park, Jong-Tae

    2015-01-01

    Most of the current mobility management protocols such as Mobile IP and its variants standardized by the IETF may not be suitable to support mobility management for Web-based applications in an Internet of Things (IoT) environment. This is because the sensor nodes have limited power capacity, usually operating in sleep/wakeup mode in a constrained wireless network. In addition, sometimes the sensor nodes may act as the server using the CoAP protocol in an IoT environment. This makes it difficult for Web clients to properly retrieve the sensing data from the mobile sensor nodes in an IoT environment. In this article, we propose a mobility management protocol, named CoMP, which can effectively retrieve the sensing data of sensor nodes while they are moving. The salient feature of CoMP is that it makes use of the IETF CoAP protocol for mobility management, instead of using Mobile IP. Thus CoMP can eliminates the additional signaling overhead of Mobile IP, provides reliable mobility management, and prevents the packet loss. CoMP employs a separate location management server to keep track of the location of the mobile sensor nodes. In order to prevent the loss of important sensing data during movement, a holding mode of operation has been introduced. All the signaling procedures including discovery, registration, binding and holding have been designed by extending the IETF CoAP protocol. The numerical analysis and simulation have been done for performance evaluation in terms of the handover latency and packet loss. The results show that the proposed CoMP is superior to previous mobility management protocols, i.e., Mobile IPv4/v6 (MIPv4/v6), Hierarchical Mobile IPv4/v6 (HMIPv4/v6), in terms of the handover latency and packet loss. PMID:26151214

  17. A Collaborative Protocol for Encopresis Management in School-Aged Children.

    ERIC Educational Resources Information Center

    Chaney, Carol A.

    1995-01-01

    Encopresis affects a small percentage of children, but most parents are unaware of the condition and react punitively. The lengthy, complex management program usually includes physiological and behavioral approaches. The collaborative management protocol focuses on medical clinicians, families, children, school nurses, and teachers, and can help…

  18. Advanced dementia pain management protocols.

    PubMed

    Montoro-Lorite, Mercedes; Canalias-Reverter, Montserrat

    Pain management in advanced dementia is complex because of neurological deficits present in these patients, and nurses are directly responsible for providing interventions for the evaluation, management and relief of pain for people suffering from this health problem. In order to facilitate and help decision-makers, pain experts recommend the use of standardized protocols to guide pain management, but in Spain, comprehensive pain management protocols have not yet been developed for advanced dementia. This article reflects the need for an integrated management of pain in advanced dementia. From the review and analysis of the most current and relevant studies in the literature, we performed an approximation of the scales for the determination of pain in these patients, with the observational scale PAINAD being the most recommended for the hospital setting. In addition, we provide an overview for comprehensive management of pain in advanced dementia through the conceptual framework «a hierarchy of pain assessment techniques by McCaffery and Pasero» for the development and implementation of standardized protocols, including a four-phase cyclical process (evaluation, planning/performance, revaluation and recording), which can facilitate the correct management of pain in these patients. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  19. Emergency airway management in critically injured patients: a survey of U.S. aero-medical transport programs.

    PubMed

    James, Dorsha N; Voskresensky, Igor V; Jack, Meg; Cotton, Bryan A

    2009-06-01

    Pre-hospital airway management represents the intervention most likely to impact outcomes in critically injured patients. As such, airway management issues dominate quality improvement (QI) reviews of aero-medical programs. The purpose of this study was to evaluate current practice patterns of airway management in trauma among U.S. aero-medical service (AMS) programs. The Association of Air Medical Services (AAMS) Resource Guide from 2005 to 2006 was utilized to identify the e-mail addresses of all directors of U.S. aero-medical transport programs. Program directors from 182 U.S. aero-medical programs were asked to participate in an anonymous, web-based survey of emergency airway management protocols and practices. Non-responders to the initial request were contacted a second time by e-mail. 89 programs responded. 98.9% have rapid sequence intubation (RSI) protocols. 90% use succinylcholine, 70% use long-acting neuromuscular blockers (NMB) within their RSI protocol. 77% have protocols for mandatory in-flight sedation but only 13% have similar protocols for maintenance paralytics. 60% administer long-acting NMB immediately after RSI, 13% after confirmation of neurological activity. Given clinical scenarios, however, 97% administer long-acting NMB to patients with scene and in-flight Glasgow Coma Scale (GCS) of 3, even for brief transport times. The majority of AMS programs have well defined RSI and in-flight sedation protocols, while protocols for in-flight NMB are uncommon. Despite this, nearly all programs administer long-acting NMB following RSI, irrespective of GCS or flight time. Given the impact of in-flight NMB on initial assessment, early intervention, and injury severity scoring, a critical appraisal of current AMS airway management practices appears warranted.

  20. Comparative Study on Various Authentication Protocols in Wireless Sensor Networks.

    PubMed

    Rajeswari, S Raja; Seenivasagam, V

    2016-01-01

    Wireless sensor networks (WSNs) consist of lightweight devices with low cost, low power, and short-ranged wireless communication. The sensors can communicate with each other to form a network. In WSNs, broadcast transmission is widely used along with the maximum usage of wireless networks and their applications. Hence, it has become crucial to authenticate broadcast messages. Key management is also an active research topic in WSNs. Several key management schemes have been introduced, and their benefits are not recognized in a specific WSN application. Security services are vital for ensuring the integrity, authenticity, and confidentiality of the critical information. Therefore, the authentication mechanisms are required to support these security services and to be resilient to distinct attacks. Various authentication protocols such as key management protocols, lightweight authentication protocols, and broadcast authentication protocols are compared and analyzed for all secure transmission applications. The major goal of this survey is to compare and find out the appropriate protocol for further research. Moreover, the comparisons between various authentication techniques are also illustrated.

  1. Comparative Study on Various Authentication Protocols in Wireless Sensor Networks

    PubMed Central

    Rajeswari, S. Raja; Seenivasagam, V.

    2016-01-01

    Wireless sensor networks (WSNs) consist of lightweight devices with low cost, low power, and short-ranged wireless communication. The sensors can communicate with each other to form a network. In WSNs, broadcast transmission is widely used along with the maximum usage of wireless networks and their applications. Hence, it has become crucial to authenticate broadcast messages. Key management is also an active research topic in WSNs. Several key management schemes have been introduced, and their benefits are not recognized in a specific WSN application. Security services are vital for ensuring the integrity, authenticity, and confidentiality of the critical information. Therefore, the authentication mechanisms are required to support these security services and to be resilient to distinct attacks. Various authentication protocols such as key management protocols, lightweight authentication protocols, and broadcast authentication protocols are compared and analyzed for all secure transmission applications. The major goal of this survey is to compare and find out the appropriate protocol for further research. Moreover, the comparisons between various authentication techniques are also illustrated. PMID:26881272

  2. Implementing a pain management nursing protocol for orthopaedic surgical patients: Results from a PAIN OUT project.

    PubMed

    Cui, Cui; Wang, Ling-Xiao; Li, Qi; Zaslansky, Ruth; Li, Li

    2018-04-01

    To investigate the effect of introducing a standardised pain management nursing protocol in orthopaedic patients undergoing surgery. Postoperative pain is a common phenomenon but is still undertreated in hospitalised patients. Nurses' lack of sufficient knowledge and skills about pain management may be a contributing factor to poor outcomes. An interventional, separate sample pre- and post-test. A pain management nursing protocol was introduced and a handbook and training sessions regarding management of postsurgical pain were provided to the nurses on a Joint Orthopaedic ward at a university-affiliated general hospital in Guangzhou, China. Before and after the intervention, nurses' knowledge about pain management and attitudes were assessed, and perioperative management practices and pain-related patient-reported outcomes were evaluated. Sixteen and 15 registered nurses, and 77 and 71 patients participated in the study before and after the intervention, respectively. Nurses' scores related to knowledge and skills increased significantly after the protocol was introduced but were still insufficient with regard to pharmacological-related items. The proportion of patients receiving a combined opioid and nonopioid increased after the intervention. Clinically significant changes were observed in some patient-reported outcomes, such as worst pain since surgery, percentage of time experiencing severe pain, and pain interference with activities out of bed. There were significant changes in nonpharmacological methods administered by nurses to patients or used by patients to relieve pain. Implementation of a pain management nursing protocol combined with education in one surgical ward was associated with nurses' increased knowledge and attitudes regarding pain, a change in some management practices, and improvement in a number of pain-related patient-reported outcomes. It was feasible to develop and implement a standardised pain management nursing protocol and use it in the clinical routine. The intervention had an effect on changing some features of care, with an improvement in patient-reported outcomes. Support by leaders and medical team facilitated the process of the implementation. © 2017 John Wiley & Sons Ltd.

  3. Development and Feasibility Testing of PROMPT-Care, an eHealth System for Collection and Use of Patient-Reported Outcome Measures for Personalized Treatment and Care: A Study Protocol.

    PubMed

    Girgis, Afaf; Delaney, Geoff P; Arnold, Anthony; Miller, Alexis Andrew; Levesque, Janelle V; Kaadan, Nasreen; Carolan, Martin G; Cook, Nicole; Masters, Kenneth; Tran, Thomas T; Sandell, Tiffany; Durcinoska, Ivana; Gerges, Martha; Avery, Sandra; Ng, Weng; Della-Fiorentina, Stephen; Dhillon, Haryana M; Maher, Ashley

    2016-11-24

    Patient-reported outcome (PRO) measures have been used widely to screen for depression, anxiety, and symptoms in cancer patients. Computer-based applications that collect patients' responses and transfer them to the treating health professional in real time have the potential to improve patient well-being and cancer outcomes. This study will test the feasibility and acceptability of a newly developed eHealth system which facilitates PRO data capture from cancer patients, data linkage and retrieval to support clinical decisions and patient self-management, and data retrieval to support ongoing evaluation and innovative research. The eHealth system is being developed in consultation with 3 overarching content-specific expert advisory groups convened for this project: the clinical advisory group, technical advisory group, and evaluation advisory group. The following work has already been completed during this phase of the study: the Patient-Reported Outcome Measures for Personalized Treatment and Care (PROMPT-Care) eHealth system was developed, patient-reported outcomes were selected (distress, symptoms, unmet needs), algorithms to inform intervention thresholds for clinical and self-management were determined, clinician PRO feedback summary and longitudinal reports were designed, and patient self-management resources were collated. PROsaiq, a custom information technology system, will transfer PRO data in real time into the hospital-based oncology information system to support clinical decision making. The PROMPT-Care system feasibility and acceptability will be assessed through patients completing PROMPT-Care assessments, participating in face-to-face cognitive interviews, and completing evaluation surveys and telephone interviews and oncology staff participating in telephone interviews. Over the course of 3 months, the system will be pilot-tested with up to 50 patients receiving treatment or follow-up care and 6 oncology staff at 2 hospitals in New South Wales, Australia. Data will be collected to determine the accuracy and completeness of data transfer procedures, extent of missing data from participants' assessments, acceptability of the eHealth system and usefulness of the self-management resources (via patient evaluation surveys and interviews), and acceptability and perceived usefulness of real-time PRO reporting (via oncology staff interviews) at the completion of the pilot phase. This research investigates implementation of evidence into real world clinical practice through development of an efficient and user-friendly eHealth system. This study of feasibility and acceptability of the newly developed eHealth system will inform the next stage of larger scale testing and future implementation of the system as part of routine care. Australian New Zealand Clinical Trials Registry ACTRN1261500135294; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=369299&isReview=true (Archived by WebCite at http://www.webcitation.org/6lzylG5A0). ©Afaf Girgis, Geoff P Delaney, Anthony Arnold, Alexis Andrew Miller, Janelle V Levesque, Nasreen Kaadan, Martin G Carolan, Nicole Cook, Kenneth Masters, Thomas T Tran, Tiffany Sandell, Ivana Durcinoska, Martha Gerges, Sandra Avery, Weng Ng, Stephen Della-Fiorentina, Haryana M Dhillon, Ashley Maher. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 24.11.2016.

  4. An Overview of the Object Protocol Model (OPM) and the OPM Data Management Tools.

    ERIC Educational Resources Information Center

    Chen, I-Min A.; Markowitz, Victor M.

    1995-01-01

    Discussion of database management tools for scientific information focuses on the Object Protocol Model (OPM) and data management tools based on OPM. Topics include the need for new constructs for modeling scientific experiments, modeling object structures and experiments in OPM, queries and updates, and developing scientific database applications…

  5. A vascular laboratory protocol for improving and managing after-hours suspected acute deep venous thrombosis.

    PubMed

    Martin, Angela H; Eckert, George; Lemmon, Gary W; Sawchuk, Alan; Dalsing, Michael C

    2014-04-01

    This study reviews the clinical and workforce impact of a suggested protocol designed for the management of suspected acute deep venous thrombosis (DVT) in patients seen after standard vascular laboratory business hours. The protocol included the use of Wells score, D-dimer and a single dose of therapeutic anticoagulant to defer venous duplex ultrasound (VDU) testing until routine business hours unless contraindicated. Information was collected on medical history, physical exam and the timing of any diagnostic studies and treatment provided. Over 15% of studies done after-hours were deemed unnecessary by our protocol and in every individual the results were negative for an acute DVT. There were no adverse events from a one-time dose of anticoagulant. Limiting emergency VDU coverage to evaluate for acute DVT based on a management protocol can eliminate unnecessary after-hours VDU testing without having a negative impact on patient care.

  6. The Impact of a Management Protocol on the Outcomes of Child Abuse in Hospitalized Children in Hong Kong

    ERIC Educational Resources Information Center

    Lee, Anselm C. W.; Li, C. H.; So, K. T.

    2006-01-01

    Objective: To study the outcomes of children hospitalized for suspected child abuse before and after the implementation of a management protocol in a hospital in Hong Kong. Study period: Two 2-year periods before (1994-1995) and after (2002-2003) the implementation of the protocol in 1998. Methods: This is a retrospective hospital chart review in…

  7. Implementing a Pro-forma for Multidisciplinary Management of an Enterocutaneous Fistula: A Case Study.

    PubMed

    Samad, Sohel; Anele, Chukwuemeka; Akhtar, Mansoor; Doughan, Samer

    2015-06-01

    Optimal management of patients with an entercocutaneous fistula (ECF) requires utilization of the sepsis, nutrition, anatomy, and surgical procedure (SNAP) protocol. The protocol includes early detection and treatment of sepsis, optimizing patient nutrition through oral and parenteral routes, identifying the fistula anatomy, optimal fistula management, and proceeding to corrective surgery when appropriate. The protocol requires multidisciplinary team (MDT) coordination among surgeons, nurses, dietitians, stoma nurses, and physiotherapists. This case study describes a 70-year-old man who developed an ECF subsequent to a laparotomy for a small bowel obstruction. Following a period of ileus, 16 days post laparotomy the patient developed a high-output (2,000 mL per day) fistula. The patient also became pyrexial with raised inflammatory markers, requiring antibiotic treatment. Following development of his ECF, he was managed using the SNAP protocol for the duration of his admission; however, in implementing this protocol with this patient, clinicians noted fluid charts were inadequate to allow effective management of the variables. Thus, a new pro-forma was created that encompassed fluid balance, nutritional status, and pertinent blood test results, as well as perifistular skin condition, medication, and documentation of management plans from the MDT team. The pro-forma was recorded daily in the patient notes. Following implementation of the pro-forma and the SNAP protocol, the patient recovered well clinically over a period of 4 weeks with a decrease in his fistula output to 300-500 mL per day, and he was discharged with plans for further corrective surgery to resect the fistula and for bowel re-anastomoses. Although fluid charts are readily available, they do not include all pertinent variables for optimal management of patients with an ECF. Further research is needed to validate the pro-forma and evaluate its effect on patient outcomes.

  8. Delivery room management of very low birth weight infants in Germany, Austria and Switzerland - a comparison of protocols

    PubMed Central

    2010-01-01

    Background Surveys from the USA, Australia and Spain have shown significant inter-institutional variation in delivery room (DR) management of very low birth weight infants (VLBWI, < 1500 g) at birth, despite regularly updated international guidelines. Objective To investigate protocols for DR management of VLBWI in Germany, Austria and Switzerland and to compare these with the 2005 ILCOR guidelines. Methods DR management protocols were surveyed in a prospective, questionnaire-based survey in 2008. Results were compared between countries and between academic and non-academic units. Protocols were compared to the 2005 ILCOR guidelines. Results In total, 190/249 units (76%) replied. Protocols for DR management existed in 94% of units. Statistically significant differences between countries were found regarding provision of 24 hr in house neonatal service; presence of a designated resuscitation area; devices for respiratory support; use of pressure-controlled manual ventilation devices; volume control by respirator; and dosage of Surfactant. There were no statistically significant differences regarding application and monitoring of supplementary oxygen, or targeted saturation levels, or for the use of sustained inflations. Comparison of academic and non-academic hospitals showed no significant differences, apart from the targeted saturation levels (SpO2) at 10 min. of life. Comparison with ILCOR guidelines showed good adherence to the 2005 recommendations. Summary Delivery room management in German, Austrian and Swiss neonatal units was commonly based on written protocols. Only minor differences were found regarding the DR setup, devices used and the targeted ranges for SpO2 and FiO2. DR management was in good accordance with 2005 ILCOR guidelines, some units already incorporated evidence beyond the ILCOR statement into their routine practice. PMID:21159574

  9. A proposed group management scheme for XTP multicast

    NASA Technical Reports Server (NTRS)

    Dempsey, Bert J.; Weaver, Alfred C.

    1990-01-01

    The purpose of a group management scheme is to enable its associated transfer layer protocol to be responsive to user determined reliability requirements for multicasting. Group management (GM) must assist the client process in coordinating multicast group membership, allow the user to express the subset of the multicast group that a particular multicast distribution must reach in order to be successful (reliable), and provide the transfer layer protocol with the group membership information necessary to guarantee delivery to this subset. GM provides services and mechanisms that respond to the need of the client process or process level management protocols to coordinate, modify, and determine attributes of the multicast group, especially membership. XTP GM provides a link between process groups and their multicast groups by maintaining a group membership database that identifies members in a name space understood by the underlying transfer layer protocol. Other attributes of the multicast group useful to both the client process and the data transfer protocol may be stored in the database. Examples include the relative dispersion, most recent update, and default delivery parameters of a group.

  10. [Preoperative fluid management contributes to the prevention of intraoperative hypothermia].

    PubMed

    Yatabe, Tomoaki; Yokoyama, Masataka

    2011-07-01

    Intraoperative hypothermia causes several unfavorable events such as surgical site infection and cardiovascular events. Therefore, during anesthesia, temperature is routinely regulated, mainly by using external heating devices. Recently, oral amino acid intake and intravenous amino acid or fructose infusion have been reported to prevent intraoperative hypothermia during general and regional anesthesia. Diet (nutrient)-induced thermogenesis is considered to help prevent intraoperative hypothermia. Since the Enhanced Recovery After Surgery (ERAS) protocol has been introduced, it has been used in perioperative management in many hospitals. Prevention of intraoperative hypothermia is included in this protocol. According to the protocol, anesthesiologists play an important role in both intraoperative and perioperative management. Management of optimal body temperature by preoperative fluid management alone may be difficult. To this end, preoperative fluid management and nutrient management strategies such as preoperative oral fluid intake and carbohydrate loading have the potential to contribute to the prevention of intraoperative hypothermia.

  11. Evaluation of a protocol for the non-operative management of perforated peptic ulcer.

    PubMed

    Marshall, C; Ramaswamy, P; Bergin, F G; Rosenberg, I L; Leaper, D J

    1999-01-01

    The non-operative management of perforated peptic ulcer has previously been shown to be both safe and effective although it remains controversial. A protocol for non-operative management was set up in this hospital in 1989. Adherence to the guidelines in the protocol has been audited over a 6-year period with a review of outcome. The case-notes of patients with a diagnosis of perforated peptic ulcer were reviewed. Twelve guidelines from the protocol were selected for evaluation of compliance to the protocol. Forty-nine patients underwent non-operative treatment initially. Eight patients failed to respond and underwent operation. Complications included abscess formation (seven patients), renal failure (one), gastric ileus (one), chest infection (two), and cardiac failure and stroke (one). Four deaths occurred in this group. Adherence to certain protocol guidelines was poor, notably those concerning prevention of thromboembolism, use of antibiotics, use of contrast examination to confirm the diagnosis and referral for follow-up endoscopy. Two gastric cancers were detected on subsequent endoscopy. This experience demonstrates that non-operative treatment can be used successfully in a general hospital. Adherence to protocol guidelines was found to be variable and the protocol has therefore been simplified. This study highlights the need for an accurate diagnosis and the importance of follow-up endoscopy.

  12. Hack the Planet: What we Talk About When we Talk About Geoengineering

    NASA Astrophysics Data System (ADS)

    Kintisch, E.

    2010-12-01

    Hack the Planet (Wiley, 2010) explores how an idea once basically anathema to meetings like AGU has, in the space of a few years, become part of the geoscience mainstream. Through chapters involving researchers like David Battisti, Stephen Salter, Edward Teller and Brent Constanz the book documents the roots of this shift and how scientists are breaking new ground in the controversial field. And it shows how trying to engineer the planet's climate or manage its carbon poses novel scientific, geopolitical and moral risks and rewards. This session will cover how the topic of climate engineering has moved from something geoscientists don't talk about to something geoscientists can talk about, to something, in my view, that geoscientists must talk about.

  13. Viral Activity | Center for Cancer Research

    Cancer.gov

    In the last four decades, HIV has gone from being an unknown killer to the cause of a manageable chronic disease. Stephen Hughes, Ph.D., Chief of CCR’s Retroviral Replication Laboratory, began his study of retroviruses before HIV was identified, but quickly made the virus the main focus of his research career. Hughes is internationally recognized for his work on two of the three essential enzymes in the HIV life cycle: reverse transcriptase (RT) and integrase (IN). His work has shed light on the emergence of drug resistance and, more recently, the nature of reservoirs of HIV that persist despite combination antiretroviral therapy. He has also used engineered host proteins that redirect HIV integration as tools for understanding eukaryotic chromatin organization.

  14. KSC-08pd3583

    NASA Image and Video Library

    2008-10-15

    CAPE CANAVERAL, Fla. – At NASA's Kennedy Space Center in Florida, the NASA Railroad Maintenance Crew and Railroad and Transportation Management Team pose alongside NASA Railroad locomotive 3. From left, in front are Rick Koury, Chris Bryant and Tony Andrade. Behind, from left, are Will Eriksen, Mike Stephens, Kurt Bush, Gary Steele, John Muzzy, Mike Fitch, Chuck Sturgill and Jesse Crews. The maintenance team completed the refurbishment of locomotive 3 in October. The 15-month process, including a new paint scheme, dealt with extensive corrosion to the locomotive because of Kennedy's proximity to the Atlantic Ocean. Locomotives 1 and 2 also will be refurbished eventually. The NASA Railroad locomotives are SW-1500 switch engines built by Electro Motive Diesel (EMD). Photo credit: NASA/Amanda Diller

  15. Development of an alcohol withdrawal protocol: CNS collaborative exemplar.

    PubMed

    Phillips, Susan; Haycock, Camille; Boyle, Deborah

    2006-01-01

    The purpose of this process improvement project was to develop an Alcohol Withdrawal Syndrome (AWS) management protocol for acute care. The prevalence of alcohol abuse in our society presents challenges for health professionals, and few nurses have received formal education on the identification and treatment of AWS, which has frequently resulted in ineffective, nonstandardized care. However, nurses practicing in medical-surgical, emergency, trauma, and critical care settings must be astute in the assessment and management of AWS. DESIGN/BACKGROUND/RATIONALE: Following an analysis of existing management protocols, a behavioral health clinical nurse specialist was asked to lead a work team composed of physicians, pharmacists, and nurses to develop a new evidence-based alcohol withdrawal protocol for acute care. By implementing a standardized assessment tool and treatment protocol, clinical nurse specialists empowered nursing staff with strategies to prevent the serious medical complications associated with AWS. FINDINGS/OUTCOMES: The development and integration of a safe and effective treatment protocol to manage AWS was facilitated by collaborative, evidence-based decision making. Clinical experience and specialty expertise were integrated by clinical nurse specialists skilled in group dynamics, problem-solving, and the implementation of change. Improving care of patients in AWS is an exemplar for clinical nurse specialist roles as change agent and patient advocate.

  16. Evidence supporting the need for a common soil monitoring protocol

    Treesearch

    Derrick A. Reeves; Mark D. Coleman; Deborah S. Page-Dumroese

    2013-01-01

    Many public land management agencies monitor forest soils for levels of disturbance related to management activities. Although several soil disturbance monitoring protocols based on visual observation have been developed to assess the amount and types of disturbance caused by forest management, no common method is currently used on National Forest lands in the United...

  17. Improving heart failure disease management in skilled nursing facilities: lessons learned.

    PubMed

    Dolansky, Mary A; Hitch, Jeanne A; Piña, Ileana L; Boxer, Rebecca S

    2013-11-01

    The purpose of the study was to design and evaluate an improvement project that implemented HF management in four skilled nursing facilities (SNFs). Kotter's Change Management principles were used to guide the implementation. In addition, half of the facilities had an implementation coach who met with facility staff weekly for 4 months and monthly for 5 months. Weekly and monthly audits were performed that documented compliance with eight key aspects of the protocol. Contextual factors were captured using field notes. Adherence to the HF management protocols was variable ranging from 17% to 82%. Facilitators of implementation included staff who championed the project, an implementation coach, and physician involvement. Barriers were high staff turnover and a hierarchal culture. Opportunities exist to integrate HF management protocols to improve SNF care.

  18. Optimization of protocol design: a path to efficient, lower cost clinical trial execution

    PubMed Central

    Malikova, Marina A

    2016-01-01

    Managing clinical trials requires strategic planning and efficient execution. In order to achieve a timely delivery of important clinical trials’ outcomes, it is useful to establish standardized trial management guidelines and develop robust scoring methodology for evaluation of study protocol complexity. This review will explore the challenges clinical teams face in developing protocols to ensure that the right patients are enrolled and the right data are collected to demonstrate that a drug is safe and efficacious, while managing study costs and study complexity based on proposed comprehensive scoring model. Key factors to consider when developing protocols and techniques to minimize complexity will be discussed. A methodology to identify processes at planning phase, approaches to increase fiscal return and mitigate fiscal compliance risk for clinical trials will be addressed. PMID:28031939

  19. Knowledge, attitudes, beliefs and behaviour intentions for three bowel management practices in intensive care: effects of a targeted protocol implementation for nursing and medical staff.

    PubMed

    Knowles, Serena; Lam, Lawrence T; McInnes, Elizabeth; Elliott, Doug; Hardy, Jennifer; Middleton, Sandy

    2015-01-01

    Bowel management protocols have the potential to minimize complications for critically ill patients. Targeted implementation can increase the uptake of protocols by clinicians into practice. The theory of planned behaviour offers a framework in which to investigate clinicians' intention to perform the behaviour of interest. This study aimed to evaluate the effect of implementing a bowel management protocol on intensive care nursing and medical staffs' knowledge, attitude, subjective norms, perceived behavioural control, behaviour intentions, role perceptions and past behaviours in relation to three bowel management practices. A descriptive before and after survey using a self-administered questionnaire sent to nursing and medical staff working within three intensive care units before and after implementation of our bowel management protocol (pre: May - June 2008; post: Feb - May 2009). Participants had significantly higher knowledge scores post-implementation of our protocol (pre mean score 17.6; post mean score 19.3; p = 0.004). Post-implementation there was a significant increase in: self-reported past behaviour (pre mean score 5.38; post mean score 7.11; p = 0.002) and subjective norms scores (pre mean score 3.62; post mean score 4.18; p = 0.016) for bowel assessment; and behaviour intention (pre mean score 5.22; post mean score 5.65; p = 0.048) for administration of enema. This evaluation, informed by the theory of planned behaviour, has provided useful insights into factors that influence clinician intentions to perform evidence-based bowel management practices in intensive care. Addressing factors such as knowledge, attitudes and beliefs can assist in targeting implementation strategies to positively affect clinician behaviour change. Despite an increase in clinicians' knowledge scores, our implementation strategy did not, however, significantly change clinician behaviour intentions for all three bowel management practices. Further research is required to explore the influence of opinion leaders and organizational culture on clinicians' behaviour intentions related to bowel management for intensive care patients.

  20. A Mobility-Aware QoS Signaling Protocol for Ambient Networks

    NASA Astrophysics Data System (ADS)

    Jeong, Seong-Ho; Lee, Sung-Hyuck; Bang, Jongho

    Mobility-aware quality of service (QoS) signaling is crucial to provide seamless multimedia services in the ambient environment where mobile nodes may move frequently between different wireless access networks. The mobility of an IP-based node in ambient networks affects routing paths, and as a result, can have a significant impact on the operation and state management of QoS signaling protocols. In this paper, we first analyze the impact of mobility on QoS signaling protocols and how the protocols operate in mobility scenarios. We then propose an efficient mobility-aware QoS signaling protocol which can operate adaptively in ambient networks. The key features of the protocol include the fast discovery of a crossover node where the old and new paths converge or diverge due to handover and the localized state management for seamless services. Our analytical and simulation/experimental results show that the proposed/implemented protocol works better than existing protocols in the IP-based mobile environment.

  1. National protocol framework for the inventory and monitoring of bees

    USGS Publications Warehouse

    Droege, Sam; Engler, Joseph D.; Sellers, Elizabeth A.; Lee O'Brien,

    2016-01-01

    This national protocol framework is a standardized tool for the inventory and monitoring of the approximately 4,200 species of native and non-native bee species that may be found within the National Wildlife Refuge System (NWRS) administered by the U.S. Fish and Wildlife Service (USFWS). However, this protocol framework may also be used by other organizations and individuals to monitor bees in any given habitat or location. Our goal is to provide USFWS stations within the NWRS (NWRS stations are land units managed by the USFWS such as national wildlife refuges, national fish hatcheries, wetland management districts, conservation areas, leased lands, etc.) with techniques for developing an initial baseline inventory of what bee species are present on their lands and to provide an inexpensive, simple technique for monitoring bees continuously and for monitoring and evaluating long-term population trends and management impacts. The latter long-term monitoring technique requires a minimal time burden for the individual station, yet can provide a good statistical sample of changing populations that can be investigated at the station, regional, and national levels within the USFWS’ jurisdiction, and compared to other sites within the United States and Canada. This protocol framework was developed in cooperation with the United States Geological Survey (USGS), the USFWS, and a worldwide network of bee researchers who have investigated the techniques and methods for capturing bees and tracking population changes. The protocol framework evolved from field and lab-based investigations at the USGS Bee Inventory and Monitoring Laboratory at the Patuxent Wildlife Research Center in Beltsville, Maryland starting in 2002 and was refined by a large number of USFWS, academic, and state groups. It includes a Protocol Introduction and a set of 8 Standard Operating Procedures or SOPs and adheres to national standards of protocol content and organization. The Protocol Narrative describes the history and need for the protocol framework and summarizes the basic elements of objectives, sampling design, field methods, training, data management, analysis, and reporting. The SOPs provide more detail and specific instructions for implementing the protocol framework. A central database, for managing all the resulting data is under development. We welcome use of this protocol framework by our partners, as appropriate for their bee inventory and monitoring objectives.

  2. OpenFlow arbitrated programmable network channels for managing quantum metadata

    DOE PAGES

    Dasari, Venkat R.; Humble, Travis S.

    2016-10-10

    Quantum networks must classically exchange complex metadata between devices in order to carry out information for protocols such as teleportation, super-dense coding, and quantum key distribution. Demonstrating the integration of these new communication methods with existing network protocols, channels, and data forwarding mechanisms remains an open challenge. Software-defined networking (SDN) offers robust and flexible strategies for managing diverse network devices and uses. We adapt the principles of SDN to the deployment of quantum networks, which are composed from unique devices that operate according to the laws of quantum mechanics. We show how quantum metadata can be managed within a software-definedmore » network using the OpenFlow protocol, and we describe how OpenFlow management of classical optical channels is compatible with emerging quantum communication protocols. We next give an example specification of the metadata needed to manage and control quantum physical layer (QPHY) behavior and we extend the OpenFlow interface to accommodate this quantum metadata. Here, we conclude by discussing near-term experimental efforts that can realize SDN’s principles for quantum communication.« less

  3. OpenFlow arbitrated programmable network channels for managing quantum metadata

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

    Dasari, Venkat R.; Humble, Travis S.

    Quantum networks must classically exchange complex metadata between devices in order to carry out information for protocols such as teleportation, super-dense coding, and quantum key distribution. Demonstrating the integration of these new communication methods with existing network protocols, channels, and data forwarding mechanisms remains an open challenge. Software-defined networking (SDN) offers robust and flexible strategies for managing diverse network devices and uses. We adapt the principles of SDN to the deployment of quantum networks, which are composed from unique devices that operate according to the laws of quantum mechanics. We show how quantum metadata can be managed within a software-definedmore » network using the OpenFlow protocol, and we describe how OpenFlow management of classical optical channels is compatible with emerging quantum communication protocols. We next give an example specification of the metadata needed to manage and control quantum physical layer (QPHY) behavior and we extend the OpenFlow interface to accommodate this quantum metadata. Here, we conclude by discussing near-term experimental efforts that can realize SDN’s principles for quantum communication.« less

  4. KSC-2012-3731

    NASA Image and Video Library

    2012-07-09

    CAPE CANAVERAL, Fla. – Near the Hypergolic Maintenance Facility at NASA’s Kennedy Space Center in Florida, a groundbreaking ceremony was held to mark the location of the Ground Operations Demonstration Unit Liquid Hydrogen, or GODU LH2, test site. From left, are Johnny Nguyen, Fluids Test and Technology Development branch chief Emily Watkins, engineering intern Jeff Walls, Engineering Services Contract, or ESC, Cryogenics Test Lab engineer Kelly Currin, systems engineer Stephen Huff and Rudy Werlink partially hidden, cryogenics engineers Angela Krenn, systems engineer Doug Hammond, command and control engineer in the electrical division William Notardonato, GODU LH2 project manager and Kevin Jumper, ESC Cryogenics Test Lab manager. The GODU LH2 test site is one of the projects in NASA’s Advanced Exploration Systems Program. The site will be used to demonstrate advanced liquid hydrogen systems that are cost and energy efficient ways to store and transfer liquid hydrogen during process, loading, launch and spaceflight. The main components of the site will be a storage tank and a cryogenic refrigerator. Photo credit: NASA/Dimitri Gerondidakis

  5. KSC-2012-3732

    NASA Image and Video Library

    2012-07-09

    CAPE CANAVERAL, Fla. – Near the Hypergolic Maintenance Facility at NASA’s Kennedy Space Center in Florida, a groundbreaking ceremony was held to mark the location of the Ground Operations Demonstration Unit Liquid Hydrogen, or GODU LH2, test site. From left, are Johnny Nguyen, Fluids Test and Technology Development branch chief Emily Watkins, engineering intern Jeff Walls, Engineering Services Contract, or ESC, Cryogenics Test Lab engineer Kelly Currin, systems engineer Stephen Huff and Rudy Werlink partially hidden, cryogenics engineers Angela Krenn, systems engineer Doug Hammond, command and control engineer in the electrical division William Notardonato, GODU LH2 project manager and Kevin Jumper, ESC Cryogenics Test Lab manager. The GODU LH2 test site is one of the projects in NASA’s Advanced Exploration Systems Program. The site will be used to demonstrate advanced liquid hydrogen systems that are cost and energy efficient ways to store and transfer liquid hydrogen during process, loading, launch and spaceflight. The main components of the site will be a storage tank and a cryogenic refrigerator. Photo credit: NASA/Dimitri Gerondidakis

  6. Bayesian adaptive survey protocols for resource management

    USGS Publications Warehouse

    Halstead, Brian J.; Wylie, Glenn D.; Coates, Peter S.; Casazza, Michael L.

    2011-01-01

    Transparency in resource management decisions requires a proper accounting of uncertainty at multiple stages of the decision-making process. As information becomes available, periodic review and updating of resource management protocols reduces uncertainty and improves management decisions. One of the most basic steps to mitigating anthropogenic effects on populations is determining if a population of a species occurs in an area that will be affected by human activity. Species are rarely detected with certainty, however, and falsely declaring a species absent can cause improper conservation decisions or even extirpation of populations. We propose a method to design survey protocols for imperfectly detected species that accounts for multiple sources of uncertainty in the detection process, is capable of quantitatively incorporating expert opinion into the decision-making process, allows periodic updates to the protocol, and permits resource managers to weigh the severity of consequences if the species is falsely declared absent. We developed our method using the giant gartersnake (Thamnophis gigas), a threatened species precinctive to the Central Valley of California, as a case study. Survey date was negatively related to the probability of detecting the giant gartersnake, and water temperature was positively related to the probability of detecting the giant gartersnake at a sampled location. Reporting sampling effort, timing and duration of surveys, and water temperatures would allow resource managers to evaluate the probability that the giant gartersnake occurs at sampled sites where it is not detected. This information would also allow periodic updates and quantitative evaluation of changes to the giant gartersnake survey protocol. Because it naturally allows multiple sources of information and is predicated upon the idea of updating information, Bayesian analysis is well-suited to solving the problem of developing efficient sampling protocols for species of conservation concern.

  7. An energy-efficient MAC protocol using dynamic queue management for delay-tolerant mobile sensor networks.

    PubMed

    Li, Jie; Li, Qiyue; Qu, Yugui; Zhao, Baohua

    2011-01-01

    Conventional MAC protocols for wireless sensor network perform poorly when faced with a delay-tolerant mobile network environment. Characterized by a highly dynamic and sparse topology, poor network connectivity as well as data delay-tolerance, delay-tolerant mobile sensor networks exacerbate the severe power constraints and memory limitations of nodes. This paper proposes an energy-efficient MAC protocol using dynamic queue management (EQ-MAC) for power saving and data queue management. Via data transfers initiated by the target sink and the use of a dynamic queue management strategy based on priority, EQ-MAC effectively avoids untargeted transfers, increases the chance of successful data transmission, and makes useful data reach the target terminal in a timely manner. Experimental results show that EQ-MAC has high energy efficiency in comparison with a conventional MAC protocol. It also achieves a 46% decrease in packet drop probability, 79% increase in system throughput, and 25% decrease in mean packet delay.

  8. An Energy-Efficient MAC Protocol Using Dynamic Queue Management for Delay-Tolerant Mobile Sensor Networks

    PubMed Central

    Li, Jie; Li, Qiyue; Qu, Yugui; Zhao, Baohua

    2011-01-01

    Conventional MAC protocols for wireless sensor network perform poorly when faced with a delay-tolerant mobile network environment. Characterized by a highly dynamic and sparse topology, poor network connectivity as well as data delay-tolerance, delay-tolerant mobile sensor networks exacerbate the severe power constraints and memory limitations of nodes. This paper proposes an energy-efficient MAC protocol using dynamic queue management (EQ-MAC) for power saving and data queue management. Via data transfers initiated by the target sink and the use of a dynamic queue management strategy based on priority, EQ-MAC effectively avoids untargeted transfers, increases the chance of successful data transmission, and makes useful data reach the target terminal in a timely manner. Experimental results show that EQ-MAC has high energy efficiency in comparison with a conventional MAC protocol. It also achieves a 46% decrease in packet drop probability, 79% increase in system throughput, and 25% decrease in mean packet delay. PMID:22319385

  9. A Hybrid Authentication and Authorization Process for Control System Networks

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

    Manz, David O.; Edgar, Thomas W.; Fink, Glenn A.

    2010-08-25

    Convergence of control system and IT networks require that security, privacy, and trust be addressed. Trust management continues to plague traditional IT managers and is even more complex when extended into control system networks, with potentially millions of entities, a mission that requires 100% availability. Yet these very networks necessitate a trusted secure environment where controllers and managers can be assured that the systems are secure and functioning properly. We propose a hybrid authentication management protocol that addresses the unique issues inherent within control system networks, while leveraging the considerable research and momentum in existing IT authentication schemes. Our hybridmore » authentication protocol for control systems provides end device to end device authentication within a remote station and between remote stations and control centers. Additionally, the hybrid protocol is failsafe and will not interrupt communication or control of vital systems in a network partition or device failure. Finally, the hybrid protocol is resilient to transitory link loss and can operate in an island mode until connectivity is reestablished.« less

  10. Indication-Based Ordering: A New Paradigm for Glycemic Control in Hospitalized Inpatients

    PubMed Central

    Lee, Joshua; Clay, Brian; Zelazny, Ziband; Maynard, Gregory

    2008-01-01

    Background Inpatient glycemic control is a constant challenge. Institutional insulin management protocols and structured order sets are commonly advocated but poorly studied. Effective and validated methods to integrate algorithmic protocol guidance into the insulin ordering process are needed. Methods We introduced a basic structured set of computerized insulin orders (Version 1), and later introduced a paper insulin management protocol, to assist users with the order set. Metrics were devised to assess the impact of the protocol on insulin use, glycemic control, and hypoglycemia using pharmacy data and point of care glucose tests. When incremental improvement was seen (as described in the results), Version 2 of the insulin orders was created to further streamline the process. Results The percentage of regimens containing basal insulin improved with Version 1. The percentage of patient days with hypoglycemia improved from 3.68% at baseline to 2.59% with Version 1 plus the paper insulin management protocol, representing a relative risk for hypoglycemic day of 0.70 [confidence interval (CI) 0.62, 0.80]. The relative risk of an uncontrolled (mean glucose over 180 mg/dl) patient stay was reduced to 0.84 (CI 0.77, 0.91) with Version 1 and was reduced further to 0.73 (CI 0.66, 0.81) with the paper protocol. Version 2 used clinician-entered patient parameters to guide protocol-based insulin ordering and simultaneously improved the flexibility and ease of ordering over Version 1. Conclusion Patient parameter and protocol-based clinical decision support, added to computerized provider order entry, has a track record of improving glycemic control indices. This justifies the incorporation of these algorithms into online order management. PMID:19885198

  11. Evaluation of an electronic health record-supported obesity management protocol implemented in a community health center: a cautionary note.

    PubMed

    Steglitz, Jeremy; Sommers, Mary; Talen, Mary R; Thornton, Louise K; Spring, Bonnie

    2015-07-01

    Primary care clinicians are well-positioned to intervene in the obesity epidemic. We studied whether implementation of an obesity intake protocol and electronic health record (EHR) form to guide behavior modification would facilitate identification and management of adult obesity in a Federally Qualified Health Center serving low-income, Hispanic patients. In three studies, we examined clinician and patient outcomes before and after the addition of the weight management protocol and form. In the Clinician Study, 12 clinicians self-reported obesity management practices. In the Population Study, BMI and order data from 5000 patients and all 40 clinicians in the practice were extracted from the EHR preintervention and postintervention. In the Exposure Study, EHR-documented outcomes for a sub-sample of 46 patients actually exposed to the obesity management form were compared to matched controls. Clinicians reported that the intake protocol and form increased their performance of obesity-related assessments and their confidence in managing obesity. However, no improvement in obesity management practices or patient weight-loss was evident in EHR records for the overall clinic population. Further analysis revealed that only 55 patients were exposed to the form. Exposed patients were twice as likely to receive weight-loss counseling following the intervention, as compared to before, and more likely than matched controls. However, their obesity outcomes did not differ. Results suggest that an obesity intake protocol and EHR-based weight management form may facilitate clinician weight-loss counseling among those exposed to the form. Significant implementation barriers can limit exposure, however, and need to be addressed. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  12. Development of pig welfare assessment protocol integrating animal-, environment-, and management-based measures.

    PubMed

    Renggaman, Anriansyah; Choi, Hong L; Sudiarto, Sartika Ia; Alasaarela, Laura; Nam, Ok S

    2015-01-01

    Due to increased interest in animal welfare, there is now a need for a comprehensive assessment protocol to be used in intensive pig farming systems. There are two current welfare assessment protocols for pigs: Welfare Quality® Assessment Protocols (applicable in the Europe Union), that mostly focuses on animal-based measures, and the Swine Welfare Assurance Program (applicable in the United States), that mostly focuses on management- and environment-based measures. In certain cases, however, animal-based measures might not be adequate for properly assessing pig welfare status. Similarly, welfare assessment that relies only on environment- and management-based measures might not represent the actual welfare status of pigs. Therefore, the objective of this paper was to develop a new welfare protocol by integrating animal-, environment-, and management-based measures. The background for selection of certain welfare criteria and modification of the scoring systems from existing welfare assessment protocols are described. The developed pig welfare assessment protocol consists of 17 criteria that are related to four main principles of welfare (good feeding, good housing, good health, and appropriate behavior). Good feeding, good housing, and good health were assessed using a 3-point scale: 0 (good welfare), 1 (moderate welfare), and 2 (poor welfare). In certain cases, only a 2-point scale was used: 0 (certain condition is present) or 2 (certain condition is absent). Appropriate behavior was assessed by scan sampling of positive and negative social behaviors based on qualitative behavior assessment and human-animal relationship tests. Modification of the body condition score into a 3-point scale revealed pigs with a moderate body condition (score 1). Moreover, additional criteria such as feed quality confirmed that farms had moderate (score 1) or poor feed quality (score 2), especially those farms located in a high relative humidity region. The developed protocol can be utilized to assess welfare status in an intensive pig farming system. Although further improvements are still needed, this study is a first step in developing a pig welfare assessment protocol that combines animal-, environment-, and management-based measures.

  13. A proactive approach for managing indoor air quality

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

    Greene, R.E.; Casey, J.M.; Williams, P.L.

    1997-11-01

    Ventilation and maintenance, followed by psychosocial issues, are the factors most often implicated in indoor air quality (IAQ) investigations. The absence of accepted exposure standards and the presence of a wide variety of building designs, ages, ventilation systems, and usages often make IAQ complaint investigations ineffective. Thus, the best approach to achieving IAQ is to prevent problems from occurring. This paper presents the framework for a proactive approach to managing the causes most often implicated in IAQ investigations. It is the aim of this proactive protocol to provide a cost-effective guide for preventing IAQ problems in nonindustrial settings and inmore » buildings for which there are no current IAQ complaints. The proposed protocol focuses on heating, ventilation, and air-conditioning (HVAC) system maintenance and operation; psychosocial factors; and the handling and investigation of complaints. An IAQ manager is designated to implement and manage the protocol. The HVAC system portion of the protocol focuses on proper maintenance of the components often identified as sources of problems in IAQ studies, documentation of the maintenance procedures, and training of individuals responsible for building maintenance. The protocol addresses the psychosocial factors with an environmental survey that rates the occupants` perceptions of the indoor air to identify potential IAQ problems. The psychosocial portion of the protocol also incorporates occupant education and awareness. Finally, a three-step initial investigation procedure for addressing IAQ problems is presented.« less

  14. 42 CFR 438.352 - External quality review protocols.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false External quality review protocols. 438.352 Section... SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS MANAGED CARE External Quality Review § 438.352 External quality review protocols. Each protocol must specify— (a) The data to be gathered; (b) The sources of the...

  15. The management of Convulsive Refractory Status Epilepticus in adults in the UK: No consistency in practice and little access to continuous EEG monitoring.

    PubMed

    Patel, Mitesh; Bagary, Manny; McCorry, Dougall

    2015-01-01

    Convulsive Status Epilepticus (CSE) is a common neurological emergency with patients presenting with prolonged epileptic activity. Sub-optimal management is coupled with high morbidity and mortality. Continuous electroencephalogram (EEG) monitoring is considered essential by the National Institute for Health and Care Excellence (NICE) in the management of Convulsive Refractory Status Epilepticus (CRSE). The aim of this research was to determine current clinical practice in the management of CRSE amongst adults in intensive care units (ICU) in the UK and establish if the use of a standardised protocol requires re-enforcement within trusts. 75 randomly selected UK NHS Trusts were contacted and asked to complete a questionnaire in addition to providing their protocol for CRSE management in ICU. 55 (73%) trusts responded. While 31 (56% of responders) had a protocol available in ICU for early stages of CSE, just 21 (38%) trusts had specific guidelines if CRSE occurred. Only 23 (42%) trusts involved neurologists at any stage of management and just 18 (33%) have access to continuous EEG monitoring. This study identifies significant inconsistency in the management of CSE in ICU's across the UK. A minority of ICU units have a protocol for CRSE or access to continuous EEG monitoring despite it being considered fundamental for management and supported by NICE guidance. Copyright © 2014 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

  16. STS-114 Crew Interview: Stephen Robinson

    NASA Technical Reports Server (NTRS)

    2003-01-01

    Stephen Robinson, Mission Specialist 2 (MS2), of the STS-114 space mission is seen during a prelaunch interview. He discusses his duties as flight engineer, Extravehicular Activity 2 (EVA 2) spacewalker, and medical officer. Robinson answers questions about his interests in spaceflight and the specific goals of the mission. He identifies this mission as the International Space Station Resupply Mission because supplies and experiments are brought to the International Space Station and Expedition 6 crew of Commander Kenneth Bowersox, and Flight Engineers Donald Pettit and Nikolai Budarin are returning to Earth. Lastly, he talks about the docking of the Space Shuttle Atlantis with the International Space Station. He looks forward to this experience in space.

  17. KENNEDY SPACE CENTER, FLA. - STS-114 Mission Specialist Stephen Robinson arrives at KSC aboard a T-38 jet aircraft. He and other crew members are at the Center for familiarization activities with equipment. The mission is Logistics Flight 1, scheduled to deliver the Multi-Purpose Logistics Module carrying supplies and equipment to the Space Station and the external stowage platform.

    NASA Image and Video Library

    2004-03-05

    KENNEDY SPACE CENTER, FLA. - STS-114 Mission Specialist Stephen Robinson arrives at KSC aboard a T-38 jet aircraft. He and other crew members are at the Center for familiarization activities with equipment. The mission is Logistics Flight 1, scheduled to deliver the Multi-Purpose Logistics Module carrying supplies and equipment to the Space Station and the external stowage platform.

  18. On the Disposition of Maunders' Origninal Butterfly Diagram

    NASA Astrophysics Data System (ADS)

    Bogdan, T. J.

    2000-05-01

    On 21 May 1940, Annie S. D. Maunder mailed the original drawing of the celebrated ``Maunder Butterfly Diagram" to Stephen A., and his daughter Margaret L., Ionides. Later that same year Stephen and Margaret gave the diagram ``on indefinite loan" to Walter Orr Roberts, then the Superintendent of Fremont Pass Station of the Harvard College Observatory. The framed diagram remains on display today at the scion of that organization, the High Altitude Observatory of the National Center for Atmospheric Research, in Boulder Colorado. Drawing upon the original correspondences, this contribution recounts the story behind the travels of the ``Maunder Butterfly" during the second World War. The National Center for Atmospheric Research is sponsored by the National Science Foundation.

  19. Breakdown of the Bardeen-Stephen law for free flux flow in Bi2Sr2CaCu2O8+δ

    NASA Astrophysics Data System (ADS)

    Pallinger, Á.; Sas, B.; Pethes, I.; Vad, K.; Williams, F. I. B.; Kriza, G.

    2008-09-01

    Pulsed high-current experiments in single crystals of the high- Tc superconductor Bi2Sr2CaCu2O8+δ in a c -axis-directed magnetic field H reveal that the ab -face resistance in the free flux flow regime is a solely logarithmic function of H , devoid of any power-law component. Reanalysis of published data confirms this result and leads to empirical analytical forms for the ab plane and c axis resistivities, ρab∝H3/4 , which does not obey the expected Bardeen-Stephen result for free flux flow and ρc∝H-3/4log2H .

  20. Solar space heating for the Visitors Center, Stephens College, Columbia, Missouri

    NASA Technical Reports Server (NTRS)

    1980-01-01

    The solar energy system located at the Visitors' Center on the Stephens College Campus, Columbia, Missouri is discussed. The system is installed in a four-story, 15,000 square foot building. The solar energy system is an integral design of the building and utilizes 176 hydronic flat plate collectors which use a 50 percent water ethylene blycol solution and water-to-water heat exchanger. Solar heated water is stored in a 5,000 gallon water storage tank located in the basement equipment room. A natural gas fired hot water boiler supplies hot water when the solar energy heat supply fails to meet the demand. The designed solar contribution is 71 percent of the heating load.

  1. The West family chiropractic dynasty: celebrating a century of accomplishment in Canada: Part II: Samson J. West, David I. West, Neil A. West, Megan L. West, R. Ian Buchanan and James L. West.

    PubMed

    Brown, Douglas M

    2011-06-01

    This historical paper documents the unbroken legacy of the West family of chiropractors which has flourished in Canada for over 100 years. Part I, unearthed the origins, development and careers of Archibald West, the founder of this dynasty, his son Samuel and grandson Stephen. Part II, delves into the life of Archie's brother Samson, and Samson's chiropractic progeny: grandsons David and Neil, and great granddaughter Megan. Then it goes back to look at Stephen West's nephew, R. Ian Buchanan and ends with a descendant of another branch of the family tree, James L. West.

  2. A Data Scheduling and Management Infrastructure for the TEAM Network

    NASA Astrophysics Data System (ADS)

    Andelman, S.; Baru, C.; Chandra, S.; Fegraus, E.; Lin, K.; Unwin, R.

    2009-04-01

    The objective of the Tropical Ecology Assessment and Monitoring Network (www.teamnetwork.org) is "To generate real time data for monitoring long-term trends in tropical biodiversity through a global network of TEAM sites (i.e. field stations in tropical forests), providing an early warning system on the status of biodiversity to effectively guide conservation action". To achieve this, the TEAM Network operates by collecting data via standardized protocols at TEAM Sites. The standardized TEAM protocols include the Climate, Vegetation and Terrestrial Vertebrate Protocols. Some sites also implement additional protocols. There are currently 7 TEAM Sites with plans to grow the network to 15 by June 30, 2009 and 50 TEAM Sites by the end of 2010. Climate Protocol The Climate Protocol entails the collection of climate data via meteorological stations located at the TEAM Sites. This includes information such as precipitation, temperature, wind direction and strength and various solar radiation measurements. Vegetation Protocol The Vegetation Protocol collects standardized information on tropical forest trees and lianas. A TEAM Site will have between 6-9 1ha plots where trees and lianas larger than a pre-specified size are mapped, identified and measured. This results in each TEAM Site repeatedly measuring between 3000-5000 trees annually. Terrestrial Vertebrate Protocol The Terrestrial Vertebrate Protocol collects standardized information on mid-sized tropical forest fauna (i.e. birds and mammals). This information is collected via camera traps (i.e. digital cameras with motion sensors housed in weather proof casings). The images taken by the camera trap are reviewed to identify what species are captured in the image by the camera trap. The image and the interpretation of what is in the image are the data for the Terrestrial Vertebrate Protocol. The amount of data collected through the TEAM protocols provides a significant yet exciting IT challenge. The TEAM Network is currently partnering with the San Diego Super Computer Center to build the data management infrastructure. Data collected from the three core protocols as well as others are currently made available through the TEAM Network portal, which provides the content management framework, the data scheduling and management framework, an administrative framework to implement and manage TEAM sites, collaborative tools and a number of tools and applications utilizing Google Map and Google Earth products. A critical element of the TEAM Network data management infrastructure is to make the data publicly available in as close to real-time as possible (the TEAM Network Data Use Policy: http://www.teamnetwork.org/en/data/policy). This requires two essential tasks to be accomplished, 1) A data collection schedule has to be planned, proposed and approved for a given TEAM site. This is a challenging process since TEAM sites are geographically distributed across the tropics and hence have different seasons where they schedule field sampling for the different TEAM protocols. Capturing this information and ensuring that TEAM sites follow the outlined legal contract is key to the data collection process and 2) A stream-lined and efficient information management system to ensure data collected from the field meet the minimum data standards (i.e. are of the highest scientific quality) and are securely transferred, archived, processed and be rapidly made publicaly available, as a finished consumable product via the TEAM Network portal. The TEAM Network is achieving these goals by implementing an end-to-end framework consisting of the Sampling Scheduler application and the Data Management Framework. Sampling Scheduler The Sampling Scheduler is a project management, calendar based portal application that will allow scientists at a TEAM site to schedule field sampling for each of the TEAM protocols implemented at that site. The sampling scheduler addresses the specific requirements established in the TEAM protocols with the logistical scheduling needs of each TEAM Site. For example, each TEAM protocol defines when data must be collected (e.g. time of day, number of times per year, during which seasons, etc) as well as where data must be collected (from which sampling units, which trees, etc). Each TEAM Site has a limited number of resources and must create plans that will both satisfy the requirements of the protocols as well as be logistically feasible for their TEAM Site. With 15 TEAM Sites (and many more coming soon) the schedules of each TEAM Site must be communicated to the Network Office to ensure data are being collected as scheduled and to address the many problems when working in difficult environments like Tropical Forests. The Sampling Schedule provides built-in proposal and approval functionality to ensure that the TEAM Sites are and the Network office are in sync as well as provides the capability to modify schedules when needed. The Data Management Framework The Data Management framework is a three-tier data ingestion, edit and review application for protocols defined in the TEAM network. The data ingestion framework provides online web forms for field personnel to submit and edit data collected at TEAM Sites. These web forms will be accessible from the TEAM content management site. Once the data is securely uploaded, cured, processed and approved, it will be made publicly available for consumption by the scientific community. The Data Management framework, when combined with the Sampling Scheduler provides a closed loop Data Scheduling and Management infrastructure. All information starting from data collection plan, tools to input, modify and curate data, review and run QA/QC tests, as well as verify data are collected as planed are included. Finally, TEAM Network data are available for download via the Data Query and Download Application. This application utilizes a Google Maps custom interface to search, visualize, and download TEAM Network data. References • TEAM Network, http://www.teamnetwork.org • Center for Applied Biodiversity Science, Conservation International. http://science.conservation.org/portal/server.pt • TEAM Data Query and Download Application, http://www.teamnetwork.org/en/data/query

  3. Managing symptoms during cancer treatments: evaluating the implementation of evidence-informed remote support protocols

    PubMed Central

    2012-01-01

    Background Management of cancer treatment-related symptoms is an important safety issue given that symptoms can become life-threatening and often occur when patients are at home. With funding from the Canadian Partnership Against Cancer, a pan-Canadian steering committee was established with representation from eight provinces to develop symptom protocols using a rigorous methodology (CAN-IMPLEMENT©). Each protocol is based on a systematic review of the literature to identify relevant clinical practice guidelines. Protocols were validated by cancer nurses from across Canada. The aim of this study is to build an effective and sustainable approach for implementing evidence-informed protocols for nurses to use when providing remote symptom assessment, triage, and guidance in self-management for patients experiencing symptoms while undergoing cancer treatments. Methods A prospective mixed-methods study design will be used. Guided by the Knowledge to Action Framework, the study will involve (a) establishing an advisory knowledge user team in each of three targeted settings; (b) assessing factors influencing nurses’ use of protocols using interviews/focus groups and a standardized survey instrument; (c) adapting protocols for local use, ensuring fidelity of the content; (d) selecting intervention strategies to overcome known barriers and implementing the protocols; (e) conducting think-aloud usability testing; (f) evaluating protocol use and outcomes by conducting an audit of 100 randomly selected charts at each of the three settings; and (g) assessing satisfaction with remote support using symptom protocols and change in nurses’ barriers to use using survey instruments. The primary outcome is sustained use of the protocols, defined as use in 75% of the calls. Descriptive analysis will be conducted for the barriers, use of protocols, and chart audit outcomes. Content analysis will be conducted on interviews/focus groups and usability testing with comparisons across settings. Discussion Given the importance of patient safety, patient-centered care, and delivery of quality services, learning how to effectively implement evidence-informed symptom protocols in oncology healthcare services is essential for ensuring safe, consistent, and effective care for individuals with cancer. This study is likely to have a significant contribution to the delivery of remote oncology services, as well as influence symptom management by patients at home. PMID:23164244

  4. A Novel Re-keying Function Protocol (NRFP) For Wireless Sensor Network Security

    PubMed Central

    Abdullah, Maan Younis; Hua, Gui Wei; Alsharabi, Naif

    2008-01-01

    This paper describes a novel re-keying function protocol (NRFP) for wireless sensor network security. A re-keying process management system for sensor networks is designed to support in-network processing. The design of the protocol is motivated by decentralization key management for wireless sensor networks (WSNs), covering key deployment, key refreshment, and key establishment. NRFP supports the establishment of novel administrative functions for sensor nodes that derive/re-derive a session key for each communication session. The protocol proposes direct connection, in-direct connection and hybrid connection. NRFP also includes an efficient protocol for local broadcast authentication based on the use of one-way key chains. A salient feature of the authentication protocol is that it supports source authentication without precluding innetwork processing. Security and performance analysis shows that it is very efficient in computation, communication and storage and, that NRFP is also effective in defending against many sophisticated attacks. PMID:27873963

  5. A Novel Re-keying Function Protocol (NRFP) For Wireless Sensor Network Security.

    PubMed

    Abdullah, Maan Younis; Hua, Gui Wei; Alsharabi, Naif

    2008-12-04

    This paper describes a novel re-keying function protocol (NRFP) for wireless sensor network security. A re-keying process management system for sensor networks is designed to support in-network processing. The design of the protocol is motivated by decentralization key management for wireless sensor networks (WSNs), covering key deployment, key refreshment, and key establishment. NRFP supports the establishment of novel administrative functions for sensor nodes that derive/re-derive a session key for each communication session. The protocol proposes direct connection, in-direct connection and hybrid connection. NRFP also includes an efficient protocol for local broadcast authentication based on the use of one-way key chains. A salient feature of the authentication protocol is that it supports source authentication without precluding in-network processing. Security and performance analysis shows that it is very efficient in computation, communication and storage and, that NRFP is also effective in defending against many sophisticated attacks.

  6. Sensitivity of goodness-of-fit statistics to rainfall data rounding off

    NASA Astrophysics Data System (ADS)

    Deidda, Roberto; Puliga, Michelangelo

    An analysis based on the L-moments theory suggests of adopting the generalized Pareto distribution to interpret daily rainfall depths recorded by the rain-gauge network of the Hydrological Survey of the Sardinia Region. Nevertheless, a big problem, not yet completely resolved, arises in the estimation of a left-censoring threshold able to assure a good fitting of rainfall data with the generalized Pareto distribution. In order to detect an optimal threshold, keeping the largest possible number of data, we chose to apply a “failure-to-reject” method based on goodness-of-fit tests, as it was proposed by Choulakian and Stephens [Choulakian, V., Stephens, M.A., 2001. Goodness-of-fit tests for the generalized Pareto distribution. Technometrics 43, 478-484]. Unfortunately, the application of the test, using percentage points provided by Choulakian and Stephens (2001), did not succeed in detecting a useful threshold value in most analyzed time series. A deeper analysis revealed that these failures are mainly due to the presence of large quantities of rounding off values among sample data, affecting the distribution of goodness-of-fit statistics and leading to significant departures from percentage points expected for continuous random variables. A procedure based on Monte Carlo simulations is thus proposed to overcome these problems.

  7. Odontostomatologic management of patients receiving oral anticoagulant therapy: a retrospective multicentric study

    PubMed Central

    2011-01-01

    Introduction Today, we frequently find patients taking oral anticoagulant therapy (OAT), a prophylaxis against the occurrence of thromboembolic events. An oral surgeon needs to know how to better manage such patients, in order to avoid hemorrhagic and thromboembolic complications. Materials and methods A group of 193 patients (119 men aged between 46 and 82 and 74 women aged between 54 and 76) undergoing OAT for more than 5 years were managed with a standardized management protocol and a 2-months follow-up. The aim of the present study was to apply a protocol, which could provide a safe intra- and postoperative management of patients on OAT. Results Among the 193 patients, only 2 had postoperative complications. Conclusions We think that the protocol used in the present study can be used for complete safety in the treatment of this type of patients. PMID:21771331

  8. Comparison of greenhouse gas offset quantification protocols for nitrogen management in dryland wheat cropping systems in the Pacific Northwest

    USDA-ARS?s Scientific Manuscript database

    In the carbon market, greenhouse gas (GHG) offset protocols need to ensure that emission reductions are of high quality, quantifiable and real. However, lack of consistency across protocols for quantifying emission reductions compromise the credibility of offsets generated. Thus, protocol quantifica...

  9. Safety and efficacy of an intensive insulin protocol in a burn-trauma intensive care unit.

    PubMed

    Cochran, Amalia; Davis, Lynn; Morris, Stephen E; Saffle, Jeffrey R

    2008-01-01

    Aggressive glycemic management in critically ill patients with acute burn injury or life-threatening soft-tissue infections has not been thoroughly evaluated. An intensive insulin protocol with target glucose values of less than 120 mg/dl was implemented in October 2005 in our regional Burn-Trauma intensive care unit. We reviewed our initial experience with this protocol to evaluate the safety and efficacy of aggressive glycemic control in these patient groups. Patients were placed on the intensive insulin protocol based upon the need for glycemic management during their hospitalization for burn or soft-tissue disease. Patient information prospectively collected while on protocol included all measured blood glucose values, total daily insulin use, and incidence of hypoglycemic episodes, defined as serum glucose <60 mg/dl. Thirty patients (17 burns, 13 soft-tissue infections) were placed on the intensive insulin protocol during the first 16 months of use. The mean daily blood glucose level for burn patients was 115.9 mg/dl and for soft-tissue disease patients was 119.5 mg/dl. There was a 5% incidence of hypoglycemic episodes per protocol day. All hypoglycemic episodes were treated by holding the insulin infusion, and no episode had known adverse effects. Hyperglycemia in critically ill patients with burns and extensive soft-tissue disease can be effectively managed with an insulin protocol that targets blood glucose values of less than 120 mg/dl with minimal incidence of hypoglycemia. A multicenter prospective randomized trial would provide the ideal forum for evaluating clinical outcome benefits of using an intensive insulin protocol.

  10. KSC-98pc1776

    NASA Image and Video Library

    1998-12-03

    KENNEDY SPACE CENTER, FLA. -- Participants pose for a photo at the Space Station Processing Facility ceremony transferring the "Leonardo" Multipurpose Logistics Module (MPLM) from the Italian Space Agency, Agenzia Spaziale Italiana (ASI), to NASA. From left, they are astronaut Jim Voss, European Space Agency astronauts Umberto Guidoni of Italy and Christer Fuglesang of Sweden, NASA International Space Station Program Manager Randy Brinkley, NASA Administrator Daniel S. Goldin, ASI President Sergio De Julio and Stephen Francois, director, International Space Station Launch Site Support at KSC. The MPLM, a reusable logistics carrier, will be the primary delivery system used to resupply and return International Space Station cargo requiring a pressurized environment. Leonardo is the first of three MPLM carriers for the International Space Station. It is scheduled to be launched on Space Shuttle Mission STS-100, targeted for April 2000

  11. Acute Pancreatitis-Progress and Challenges: A Report on an International Symposium.

    PubMed

    Afghani, Elham; Pandol, Stephen J; Shimosegawa, Tooru; Sutton, Robert; Wu, Bechien U; Vege, Santhi Swaroop; Gorelick, Fred; Hirota, Morihisa; Windsor, John; Lo, Simon K; Freeman, Martin L; Lerch, Markus M; Tsuji, Yoshihisa; Melmed, Gil Y; Wassef, Wahid; Mayerle, Julia

    2015-11-01

    An international symposium entitled "Acute pancreatitis: progress and challenges" was held on November 5, 2014 at the Hapuna Beach Hotel, Big Island, Hawaii, as part of the 45th Anniversary Meeting of the American Pancreatic Association and the Japanese Pancreas Society. The course was organized and directed by Drs. Stephen Pandol, Tooru Shimosegawa, Robert Sutton, Bechien Wu, and Santhi Swaroop Vege. The symposium objectives were to: (1) highlight current issues in management of acute pancreatitis, (2) discuss promising treatments, (3) consider development of quality indicators and improved measures of disease activity, and (4) present a framework for international collaboration for development of new therapies. This article represents a compilation and adaptation of brief summaries prepared by speakers at the symposium with the purpose of broadly disseminating information and initiatives.

  12. Acute Pancreatitis—Progress and Challenges

    PubMed Central

    Afghani, Elham; Pandol, Stephen J.; Shimosegawa, Tooru; Sutton, Robert; Wu, Bechien U.; Vege, Santhi Swaroop; Gorelick, Fred; Hirota, Morihisa; Windsor, John; Lo, Simon K.; Freeman, Martin L.; Lerch, Markus M.; Tsuji, Yoshihisa; Melmed, Gil Y.; Wassef, Wahid; Mayerle, Julia

    2016-01-01

    An international symposium entitled “Acute pancreatitis: progress and challenges” was held on November 5, 2014 at the Hapuna Beach Hotel, Big Island, Hawaii, as part of the 45th Anniversary Meeting of the American Pancreatic Association and the Japanese Pancreas Society. The course was organized and directed by Drs. Stephen Pandol, Tooru Shimosegawa, Robert Sutton, Bechien Wu, and Santhi Swaroop Vege. The symposium objectives were to: (1) highlight current issues in management of acute pancreatitis, (2) discuss promising treatments, (3) consider development of quality indicators and improved measures of disease activity, and (4) present a framework for international collaboration for development of new therapies. This article represents a compilation and adaptation of brief summaries prepared by speakers at the symposium with the purpose of broadly disseminating information and initiatives. PMID:26465949

  13. Argumentation and evidence.

    PubMed

    Upshur, R E G; Colak, Errol

    2003-01-01

    This essay explores the role of informal logic and its application in the context of current debates regarding evidence-based medicine. This aim is achieved through a discussion of the goals and objectives of evidence-based medicine and a review of the criticisms raised against evidence-based medicine. The contributions to informal logic by Stephen Toulmin and Douglas Walton are explicated and their relevance for evidence-based medicine is discussed in relation to a common clinical scenario: hypertension management. This essay concludes with a discussion on the relationship between clinical reasoning, rationality, and evidence. It is argued that informal logic has the virtue of bringing explicitness to the role of evidence in clinical reasoning, and brings sensitivity to understanding the role of dialogical context in the need for evidence in clinical decision making.

  14. Apxs Chemical Composition of the Kimberley Sandstone in Gale Crater

    NASA Astrophysics Data System (ADS)

    Gellert, R.; Boyd, N.; Campbell, J. L.; VanBommel, S.; Thompson, L. M.; Schmidt, M. E.; Berger, J. A.; Clark, B. C.; Grotzinger, J. P.; Yen, A. S.; Fisk, M. R.

    2014-12-01

    Kimberley was chosen as a major waypoint of the MSL rover Curiosity on its way to Mount Sharp. APXS data before drilling showed interestingly high K, Fe and Zn. This warranted drilling of the fine-grained sandstone for detailed investigations with SAM and Chemin. With significantly lower Na, Al and higher K, Mg and Fe, the composition of the drill target Windjana is very distinct from the previous ones in the mudstones at Yellowknife Bay. Up to 2000 ppm Br and 4000 ppm Zn post-brush were among the highest measured values in Gale Crater. The excavated fines, stemming from about 6cm, showed lower Br, but even higher Zn. Preliminary Chemin results indicate K-feldspar and magnetite being major mineral phases in Windjana, which is consistent with the pre drill APXS result and derived CIPW norms. Inside the accessible work volume of the arm at the drill site ChemCam exposed a greyish, shinier patch of rock underneath the dust, dubbed Stephen. ChemCam sees a high Mn signal in most of the spots. An APXS integration revealed high MnO as well (~4%), in addition to high Mg, Cl,K,Ni,Zn,Br,Cu,Ge and for the first time an APXS detectable amount of ~300 ppm Co. The surface might reflect a thin surface layer and may underestimate the higher Z elemental concentration since the APXS analysis assumes an infinite sample. Important elemental correlations are likely not impacted. A four spot daytime raster of Stephen before leaving the drill site showed a good correlation of Mn with Zn, Cu and Ni. All spots have 3-3.5% Cl, the highest values measured on Mars so far. While the stratigraphic setting of the Stephen sample is discussed elsewhere, the similarity with Mn deep-sea nodules is striking, e.g. the APXS calibration sample GBW07296. Whatever process formed Stephen, the process of Mn scavenging high Z trace metals from solutions seems to have happened similarly at this site on Mars.

  15. A clinical pathway for the postoperative management of hypocalcemia after pediatric thyroidectomy reduces blood draws.

    PubMed

    Patel, Neha A; Bly, Randall A; Adams, Seth; Carlin, Kristen; Parikh, Sanjay R; Dahl, John P; Manning, Scott

    2018-02-01

    Postoperative calcium management is challenging following pediatric thyroidectomy given potential limitations in self-reporting symptoms and compliance with phlebotomy. A protocol was created at our tertiary children's institution utilizing intraoperative parathyroid hormone (PTH) levels to guide electrolyte management during hospitalization. The objective of this study was to determine the effect of a new thyroidectomy postoperative management protocol on two primary outcomes: (1) the number of postoperative calcium blood draws and (2) the length of hospital stay. Institutional review board approved retrospective study (2010-2016). Consecutive pediatric total thyroidectomy and completion thyroidectomy ± neck dissection cases from 1/1/2010 through 8/5/2016 at a single tertiary children's institution were retrospectively reviewed before and after initiation of a new management protocol. All cases after 2/1/2014 comprised the experimental group (post-protocol implementation). The pre-protocol control group consisted of cases prior to 2/1/2014. Multivariable linear and Poisson regression models were used to compare the control and experimental groups for outcome measure of number of calcium lab draws and hospital length of stay. 53 patients were included (n = 23, control group; n = 30 experimental group). The median age was 15 years. 41 patients (77.4%) were female. Postoperative calcium draws decreased from a mean of 5.2 to 3.6 per day post-protocol implementation (Rate Ratio = 0.70, p < .001), adjusting for covariates. The mean number of total inpatient calcium draws before protocol initiation was 13.3 (±13.20) compared to 7.2 (±4.25) in the post-protocol implementation group. Length of stay was 2.1 days in the control group and 1.8 days post-protocol implementation (p = .29). Patients who underwent concurrent neck dissection had a longer mean length of stay of 2.32 days compared to 1.66 days in those patients who did not undergo a neck dissection (p = .02). Hypocalcemia was also associated with a longer mean length of stay of 2.41 days compared to 1.60 days in patients who did not develop hypocalcemia (p < .01). The number of calcium blood draws was significantly reduced after introduction of a standardized protocol based on intraoperative PTH levels. The hospital length of stay did not change. Adoption of a standardized postoperative protocol based on intraoperative PTH levels may reduce the number of blood draws in children undergoing thyroidectomy. Copyright © 2017 Elsevier B.V. All rights reserved.

  16. Protocol compliance and time management in blunt trauma resuscitation.

    PubMed

    Spanjersberg, W R; Bergs, E A; Mushkudiani, N; Klimek, M; Schipper, I B

    2009-01-01

    To study advanced trauma life support (ATLS) protocol adherence prospectively in trauma resuscitation and to analyse time management of daily multidisciplinary trauma resuscitation at a level 1 trauma centre, for both moderately and severely injured patients. All victims of severe blunt trauma were consecutively included. Patients with a revised trauma score (RTS) of 12 were resuscitated by a "minor trauma" team and patients with an RTS of less than 12 were resuscitated by a "severe trauma" team. Digital video recordings were used to analyse protocol compliance and time management during initial assessment. From 1 May to 1 September 2003, 193 resuscitations were included. The "minor trauma" team assessed 119 patients, with a mean injury severity score (ISS) of 7 (range 1-45). Overall protocol compliance was 42%, ranging from 0% for thoracic percussion to 93% for thoracic auscultation. The median resuscitation time was 45.9 minutes (range 39.7-55.9). The "severe team" assessed 74 patients, with a mean ISS of 22 (range 1-59). Overall protocol compliance was 53%, ranging from 4% for thoracic percussion to 95% for thoracic auscultation. Resuscitation took 34.8 minutes median (range 21.6-44.1). Results showed the current trauma resuscitation to be ATLS-like, with sometimes very low protocol compliance rates. Timing of secondary survey and radiology and thus time efficiency remains a challenge in all trauma patients. To assess the effect of trauma resuscitation protocols on outcome, protocol adherence needs to be improved.

  17. Improving management performance of P2PSIP for mobile sensing in wireless overlays.

    PubMed

    Sendín-Raña, Pablo; González-Castaño, Francisco Javier; Gómez-Cuba, Felipe; Asorey-Cacheda, Rafael; Pousada-Carballo, José María

    2013-11-08

    Future wireless communications are heading towards an all-Internet Protocol (all-IP) design, and will rely on the Session Initiation Protocol (SIP) to manage services, such as voice over IP (VoIP). The centralized architecture of traditional SIP has numerous disadvantages for mobile ad hoc services that may be possibly overcome by advanced peer-to-peer (P2P) technologies initially developed for the Internet. In the context of mobile sensing, P2PSIP protocols facilitate decentralized and fast communications with sensor-enabled terminals. Nevertheless, in order to make P2PSIP protocols feasible in mobile sensing networks, it is necessary to minimize overhead transmissions for signaling purposes, which reduces the battery lifetime. In this paper, we present a solution to improve the management of wireless overlay networks by defining an adaptive algorithm for the calculation of refresh time. The main advantage of the proposed algorithm is that it takes into account new parameters, such as the delay between nodes, and provides satisfactory performance and reliability levels at a much lower management overhead than previous approaches. The proposed solution can be applied to many structured P2P overlays or P2PSIP protocols. We evaluate it with Kademlia-based distributed hash tables (DHT) and dSIP.

  18. Improving Management Performance of P2PSIP for Mobile Sensing in Wireless Overlays

    PubMed Central

    Sendín-Raña, Pablo; González-Castaño, Francisco Javier; Gómez-Cuba, Felipe; Asorey-Cacheda, Rafael; Pousada-Carballo, José María

    2013-01-01

    Future wireless communications are heading towards an all-Internet Protocol (all-IP) design, and will rely on the Session Initiation Protocol (SIP) to manage services, such as voice over IP (VoIP). The centralized architecture of traditional SIP has numerous disadvantages for mobile ad hoc services that may be possibly overcome by advanced peer-to-peer (P2P) technologies initially developed for the Internet. In the context of mobile sensing, P2PSIP protocols facilitate decentralized and fast communications with sensor-enabled terminals. Nevertheless, in order to make P2PSIP protocols feasible in mobile sensing networks, it is necessary to minimize overhead transmissions for signaling purposes, which reduces the battery lifetime. In this paper, we present a solution to improve the management of wireless overlay networks by defining an adaptive algorithm for the calculation of refresh time. The main advantage of the proposed algorithm is that it takes into account new parameters, such as the delay between nodes, and provides satisfactory performance and reliability levels at a much lower management overhead than previous approaches. The proposed solution can be applied to many structured P2P overlays or P2PSIP protocols. We evaluate it with Kademlia-based distributed hash tables (DHT) and dSIP PMID:24217358

  19. Current protocols in the management of oral submucous fibrosis: An update.

    PubMed

    Arakeri, Gururaj; Rai, Kirthi Kumar; Boraks, George; Patil, Shekar Gowda; Aljabab, Abdulsalam S; Merkx, M A W; Carrozzo, Marco; Brennan, Peter A

    2017-07-01

    Oral submucous fibrosis (OSMF) is a debilitating condition of oral cavity which has significant potential for malignant transformation. In spite of over 20 years of research, the pathogenesis of the condition is still obscure and no single management modality is effective. Many OSMF treatment protocols have been proposed to alleviate the signs and symptoms of the disorder and there is overwhelming evidence that as areca nut is primary cause, stopping its use may have a considerable effect on symptoms rather than reversing pre-existing fibrosis. We present a review of the current protocols for managing OSMF. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  20. Scoring System for the Management of Acute Gallstone Pancreatitis: Cost Analysis of a Prospective Study.

    PubMed

    Prigoff, Jake G; Swain, Gary W; Divino, Celia M

    2016-05-01

    Predicting the presence of a persistent common bile duct (CBD) stone is a difficult and expensive task. The aim of this study is to determine if a previously described protocol-based scoring system is a cost-effective strategy. The protocol includes all patients with gallstone pancreatitis and stratifies them based on laboratory values and imaging to high, medium, and low likelihood of persistent stones. The patient's stratification then dictates the next course of management. A decision analytic model was developed to compare the costs for patients who followed the protocol versus those that did not. Clinical data model inputs were obtained from a prospective study conducted at The Mount Sinai Medical Center to validate the protocol from Oct 2009 to May 2013. The study included all patients presenting with gallstone pancreatitis regardless of disease severity. Seventy-three patients followed the proposed protocol and 32 did not. The protocol group cost an average of $14,962/patient and the non-protocol group cost $17,138/patient for procedural costs. Mean length of stay for protocol and non-protocol patients was 5.6 and 7.7 days, respectively. The proposed protocol is a cost-effective way to determine the course for patients with gallstone pancreatitis, reducing total procedural costs over 12 %.

  1. Protocol for the management of psychiatric patients with psychomotor agitation.

    PubMed

    Vieta, Eduard; Garriga, Marina; Cardete, Laura; Bernardo, Miquel; Lombraña, María; Blanch, Jordi; Catalán, Rosa; Vázquez, Mireia; Soler, Victòria; Ortuño, Noélia; Martínez-Arán, Anabel

    2017-09-08

    Psychomotor agitation (PMA) is a state of motor restlessness and mental tension that requires prompt recognition, appropriate assessment and management to minimize anxiety for the patient and reduce the risk for escalation to aggression and violence. Standardized and applicable protocols and algorithms can assist healthcare providers to identify patients at risk of PMA, achieve timely diagnosis and implement minimally invasive management strategies to ensure patient and staff safety and resolution of the episode. Spanish experts in PMA from different disciplines (psychiatrists, psychologists and nurses) convened in Barcelona for a meeting in April 2016. Based on recently issued international consensus guidelines on the standard of care for psychiatric patients with PMA, the meeting provided the opportunity to address the complexities in the assessment and management of PMA from different perspectives. The attendees worked towards producing a consensus for a unified approach to PMA according to the local standards of care and current local legislations. The draft protocol developed was reviewed and ratified by all members of the panel prior to its presentation to the Catalan Society of Psychiatry and Mental Health, the Spanish Society of Biological Psychiatry (SEPB) and the Spanish Network Centre for Research in Mental Health (CIBERSAM) for input. The final protocol and algorithms were then submitted to these organizations for endorsement. The protocol presented here provides guidance on the appropriate selection and use of pharmacological agents (inhaled/oral/IM), seclusion, and physical restraint for psychiatric patients suspected of or presenting with PMA. The protocol is applicable within the Spanish healthcare system. Implementation of the protocol and the constituent algorithms described here should ensure the best standard of care of patients at risk of PMA. Episodes of PMA could be identified earlier in their clinical course and patients could be managed in the least invasive and coercive manner, ensuring their own safety and that of others around them. Establishing specialized teams in agitation and providing them with continued training on the identification of agitation, patient management and therapeutic alternatives might reduce the burden of PMA for both the patient and the healthcare system.

  2. Is it economical to manage jointly for wood and carbon under the Climate Action Reserve Protocol? In: Standiford, Richard B.; Weller, Theodore J.; Piirto, Douglas D.; Stuart, John D., tech

    Treesearch

    Richard P. Thompson; Steve R. Auten

    2012-01-01

    To quantify the benefits and costs of modifying forest management for additional climate benefits, Cal Poly's Swanton Pacific demonstration forest was used to test the Climate Action Reserve's protocol and identify management strategies for both wood and carbon markets. Residing in the Southern Sub-district with its clearcutting restrictions, Swanton offers...

  3. STS-110 Crew Interview: Stephen Frick

    NASA Technical Reports Server (NTRS)

    2002-01-01

    STS-110 Pilot Stephen Frick is seen during this preflight interview, where he gives a quick overview of the mission before answering questions about his inspiration to become an astronaut and his career path. Frick outlines his role in the mission in general, and specifically during the docking and extravehicular activities (EVAs). He describes the payload (S0 Truss and Mobile Transporter) and the dry run installation of the S0 truss that will take place the day before the EVA for the actual installation. Frick discusses the planned EVAs in detail and outlines what supplies will be left for the resident crew of the International Space Station (ISS). He ends with his thoughts on the most valuable aspect of the ISS.

  4. From Expert Protocols to Standardized Management of Infectious Diseases.

    PubMed

    Lagier, Jean-Christophe; Aubry, Camille; Delord, Marion; Michelet, Pierre; Tissot-Dupont, Hervé; Million, Matthieu; Brouqui, Philippe; Raoult, Didier; Parola, Philippe

    2017-08-15

    We report here 4 examples of management of infectious diseases (IDs) at the University Hospital Institute Méditerranée Infection in Marseille, France, to illustrate the value of expert protocols feeding standardized management of IDs. First, we describe our experience on Q fever and Tropheryma whipplei infection management based on in vitro data and clinical outcome. Second, we describe our management-based approach for the treatment of infective endocarditis, leading to a strong reduction of mortality rate. Third, we report our use of fecal microbiota transplantation to face severe Clostridium difficile infections and to perform decolonization of patients colonized by emerging highly resistant bacteria. Finally, we present the standardized management of the main acute infections in patients admitted in the emergency department, promoting antibiotics by oral route, checking compliance with the protocol, and avoiding the unnecessary use of intravenous and urinary tract catheters. Overall, the standardization of the management is the keystone to reduce both mortality and morbidity related to IDs. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

  5. Fluid management with a simplified conservative protocol for the acute respiratory distress syndrome*.

    PubMed

    Grissom, Colin K; Hirshberg, Eliotte L; Dickerson, Justin B; Brown, Samuel M; Lanspa, Michael J; Liu, Kathleen D; Schoenfeld, David; Tidswell, Mark; Hite, R Duncan; Rock, Peter; Miller, Russell R; Morris, Alan H

    2015-02-01

    In the Fluid and Catheter Treatment Trial (FACTT) of the National Institutes of Health Acute Respiratory Distress Syndrome Network, a conservative fluid protocol (FACTT Conservative) resulted in a lower cumulative fluid balance and better outcomes than a liberal fluid protocol (FACTT Liberal). Subsequent Acute Respiratory Distress Syndrome Network studies used a simplified conservative fluid protocol (FACTT Lite). The objective of this study was to compare the performance of FACTT Lite, FACTT Conservative, and FACTT Liberal protocols. Retrospective comparison of FACTT Lite, FACTT Conservative, and FACTT Liberal. Primary outcome was cumulative fluid balance over 7 days. Secondary outcomes were 60-day adjusted mortality and ventilator-free days through day 28. Safety outcomes were prevalence of acute kidney injury and new shock. ICUs of Acute Respiratory Distress Syndrome Network participating hospitals. Five hundred three subjects managed with FACTT Conservative, 497 subjects managed with FACTT Liberal, and 1,124 subjects managed with FACTT Lite. Fluid management by protocol. Cumulative fluid balance was 1,918 ± 323 mL in FACTT Lite, -136 ± 491 mL in FACTT Conservative, and 6,992 ± 502 mL in FACTT Liberal (p < 0.001). Mortality was not different between groups (24% in FACTT Lite, 25% in FACTT Conservative and Liberal, p = 0.84). Ventilator-free days in FACTT Lite (14.9 ± 0.3) were equivalent to FACTT Conservative (14.6 ± 0.5) (p = 0.61) and greater than in FACTT Liberal (12.1 ± 0.5, p < 0.001 vs Lite). Acute kidney injury prevalence was 58% in FACTT Lite and 57% in FACTT Conservative (p = 0.72). Prevalence of new shock in FACTT Lite (9%) was lower than in FACTT Conservative (13%) (p = 0.007 vs Lite) and similar to FACTT Liberal (11%) (p = 0.18 vs Lite). FACTT Lite had a greater cumulative fluid balance than FACTT Conservative but had equivalent clinical and safety outcomes. FACTT Lite is an alternative to FACTT Conservative for fluid management in Acute Respiratory Distress Syndrome.

  6. Frequency of "Pocket" Hematoma in Patients Receiving Vitamin K Antagonist and Antiplatelet Therapy at the Time of Pacemaker or Cardioverter Defibrillator Implantation (from the POCKET Study).

    PubMed

    Malagù, Michele; Trevisan, Filippo; Scalone, Antonella; Marcantoni, Lina; Sammarco, Giuseppe; Bertini, Matteo

    2017-04-01

    In patients undergoing cardiac device implantation, anticoagulant and antiplatelet therapy are associated with an increased risk of pocket hematoma. In case of vitamin K antagonist therapy, a strategy of continued warfarin with no heparin bridge showed a reduction of pocket hematoma. Evidence regarding antiplatelet therapy management is limited. This is a single-center observational study which reflects our systematic approach to the problem. In 2012, we proposed an improved management protocol for anticoagulant and antiplatelet therapy (no-bridge protocol) based on individual thromboembolic risk stratification, noninterruption of oral anticoagulation, no bridge with heparin and elastic adherence compression bandage. The primary end point was the incidence of clinically significant pocket hematoma in the first 30 days after implantation. A total of 1,035 patients were enrolled, of whom 522 received the standard management and 513 the new protocol. The primary end point occurred in 34 patients of the standard management group and 8 patients of the no-bridge protocol group (6.5% vs 1.6%, p <0.001). Patients in the standard management group had a higher incidence of pocket infections (2.3% vs 0.6%, p = 0.02), lead dislodgements (4.8% vs 2.1%, p = 0.02), and thromboembolic events (1.3% vs 0.0%, p <0.01). On a multivariate analysis, heparin and coronary artery disease were independent predictors of pocket hematoma (relative risk [RR] 3.48, 95% confidence interval [CI] 1.55 to 7.83 and RR 2.43, 95% CI 1.25 to 4.76, respectively), whereas the no-bridge protocol was associated with a reduction of pocket hematoma (RR 0.33, 95% CI 0.14 to 0.76). New anticoagulant and antiplatelet therapy management protocol was associated with a reduced incidence of clinically significant pocket hematomas, thromboembolic events, pocket infections, and lead dislodgements. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. Evaluation of two clinical protocols for the management of women with vaginal discharge in southern Thailand.

    PubMed

    Chandeying, V; Skov, S; Kemapunmanus, M; Law, M; Geater, A; Rowe, P

    1998-06-01

    (1) To compare the effectiveness of two clinical protocols for the management of vaginal discharge in the situations where no laboratory facilities are available but speculum examination is possible and where basic laboratory facilities are available. (2) To determine clinical and simple laboratory indicators for diagnosis of patients with vaginal discharge in the local setting. Alternate allocation of subjects to one of two management protocols. Women presenting to university gynaecology outpatients department with a complaint of vaginal discharge. Subjects were alternately allocated management according to one of two protocols: one without (group A) and one with (group B) immediate access to results of basic laboratory tests. Full clinical assessment including speculum examination and microbiological assessment for infection with gonorrhoea, chlamydia, candida, trichomonas, and bacterial vaginosis was performed on all women. Follow up assessment of clinical and microbiological response was performed 1-2 weeks later. At initial assessment, both groups were similar in all respects except that more group B women had inflammation of the vulva. The prevalences of various conditions were: candidiasis 22%, bacterial vaginosis 38%, trichomoniasis 4%, chlamydia 4%, gonorrhoea 0.4%. There was no association between any demographic characteristic and diagnosis of cause of the discharge. Both protocols resulted in clinically and statistically significant improvements for women with candidiasis, bacterial vaginosis, and trichomoniasis. There were no clinically important differences in outcomes between the two protocols. The sensitivities and specificities of various indicators were: curd-like vaginal discharge for candidiasis, 72% and 100%; homogeneous vaginal discharge for bacterial vaginosis or trichomoniasis, 94% and 88%; absent or scanty lactobacilli for bacterial vaginosis, 99% and 68%; > 20% clue cells for bacterial vaginosis, 81% and 99%; visible endocervical mucopus for chlamydia or gonorrhoea, 36% and 86%; microscopic endocervical mucopus for chlamydia or gonorrhoea, 64% and 69%. Both protocols were equally effective in managing women with abnormal vaginal discharge. Simple clinical indicators for candidiasis, bacterial vaginosis, or trichomonas as in protocol A are sufficiently sensitive and specific for use in situations with no laboratory support. A modification to protocol A could increase detection of bacterial vaginosis at basic health service level. Further work is needed to identify appropriate indicators for infection with chlamydia or gonorrhoea.

  8. Evaluation of two clinical protocols for the management of women with vaginal discharge in southern Thailand

    PubMed Central

    Chandeying, V.; Skov, S.; Kemapunmanus, M.; Law, M.; Geater, A.; Rowe, P.

    1998-01-01

    OBJECTIVES: (1) To compare the effectiveness of two clinical protocols for the management of vaginal discharge in the situations where no laboratory facilities are available but speculum examination is possible and where basic laboratory facilities are available. (2) To determine clinical and simple laboratory indicators for diagnosis of patients with vaginal discharge in the local setting. DESIGN: Alternate allocation of subjects to one of two management protocols. SUBJECTS: Women presenting to university gynaecology outpatients department with a complaint of vaginal discharge. METHODS: Subjects were alternately allocated management according to one of two protocols: one without (group A) and one with (group B) immediate access to results of basic laboratory tests. Full clinical assessment including speculum examination and microbiological assessment for infection with gonorrhoea, chlamydia, candida, trichomonas, and bacterial vaginosis was performed on all women. Follow up assessment of clinical and microbiological response was performed 1-2 weeks later. RESULTS: At initial assessment, both groups were similar in all respects except that more group B women had inflammation of the vulva. The prevalences of various conditions were: candidiasis 22%, bacterial vaginosis 38%, trichomoniasis 4%, chlamydia 4%, gonorrhoea 0.4%. There was no association between any demographic characteristic and diagnosis of cause of the discharge. Both protocols resulted in clinically and statistically significant improvements for women with candidiasis, bacterial vaginosis, and trichomoniasis. There were no clinically important differences in outcomes between the two protocols. The sensitivities and specificities of various indicators were: curd-like vaginal discharge for candidiasis, 72% and 100%; homogeneous vaginal discharge for bacterial vaginosis or trichomoniasis, 94% and 88%; absent or scanty lactobacilli for bacterial vaginosis, 99% and 68%; > 20% clue cells for bacterial vaginosis, 81% and 99%; visible endocervical mucopus for chlamydia or gonorrhoea, 36% and 86%; microscopic endocervical mucopus for chlamydia or gonorrhoea, 64% and 69%. CONCLUSIONS: Both protocols were equally effective in managing women with abnormal vaginal discharge. Simple clinical indicators for candidiasis, bacterial vaginosis, or trichomonas as in protocol A are sufficiently sensitive and specific for use in situations with no laboratory support. A modification to protocol A could increase detection of bacterial vaginosis at basic health service level. Further work is needed to identify appropriate indicators for infection with chlamydia or gonorrhoea. 


 PMID:9849555

  9. An Approach to Verifying Completeness and Consistency in a Rule-Based Expert System.

    DTIC Science & Technology

    1982-08-01

    peolea with the se e S knowlede base by observing en t om. W0hile thorough testing is an "samt4 Pert of V*flfyL the ooIlst4ftl and capleteness of a...physicians at Stanford’s Oncology Day Care Center on the management of patients who are on experimental treatment protocols. These protocols serve to...for oncology protocol management . Prooceedings of 7th IJCAI, pp. 876- 881, Vancouver, B.C., August 1981. I. van Melle, W. A Domain-Independent system

  10. How does Australia's largest dolphin-watching industry affect the behaviour of a small and resident population of Indo-Pacific bottlenose dolphins?

    PubMed

    Steckenreuter, Andre; Möller, Luciana; Harcourt, Robert

    2012-04-30

    The small, genetically distinct population of Indo-Pacific bottlenose dolphins (Tursiops aduncus) in Port Stephens, New South Wales (NSW), is the target of the largest dolphin-watching industry in Australia and is located within the Port Stephens - Great Lakes Marine Park that was created in 2005. The effects of this industry have been identified as of significant management importance by the Marine Parks Authority NSW. Accordingly, the impact of commercial dolphin-watching boats was investigated from boat-based surveys from August 2008 to August 2009. Presence of dolphin-watching boats altered both the dolphins' behavioural states and activity budgets. Dolphins spent 66.5% less time feeding and 44.2% less time socialising, spent four times more milling, and were never observed to rest in the presence of dolphin-watching boats. Moreover, dolphin groups were more cohesive during dolphin-watching boat encounters and dolphins tended to avoid tour boats. These effects were exacerbated as the number of boats increased and the distance from boats decreased. The rate of approach was high with boats approaching each dolphin group three times per day in winter and six times in summer. Moreover, groups of dolphins with newborns were approached closer than state regulated minimum approach distances in nine out of ten encounters. Globally, dolphin-watching industries frequent small resident groups of coastal dolphins and effects are likely to be similar. We suggest that existing controls are inadequate and that these together with additional regulations be enforced by a regular presence of authorities. We suggest no more than one dolphin-watching boat within 50 m of a group of dolphins, or 100 m if calves are present. Operating times of dolphin-watching boats should be restricted in numbers after 1 pm, i.e., during preferred foraging times for dolphins. Additionally, exclusion zones should be considered to reduce pressure on dolphins undertaking critical activities such as feeding and resting. We recommend monitoring the effectiveness of new regulations that are incorporated in the reviewed marine park management plan in 2012 for a period of three years. Copyright © 2011 Elsevier Ltd. All rights reserved.

  11. A Method of Managing Severe Traumatic Brain Injury in the Absence of Intracranial Pressure Monitoring: The Imaging and Clinical Examination Protocol.

    PubMed

    Chesnut, Randall M; Temkin, Nancy; Dikmen, Sureyya; Rondina, Carlos; Videtta, Walter; Petroni, Gustavo; Lujan, Silvia; Alanis, Victor; Falcao, Antonio; de la Fuenta, Gustavo; Gonzalez, Luis; Jibaja, Manuel; Lavarden, Arturo; Sandi, Freddy; Mérida, Roberto; Romero, Ricardo; Pridgeon, Jim; Barber, Jason; Machamer, Joan; Chaddock, Kelley

    2018-01-01

    The imaging and clinical examination (ICE) algorithm used in the Benchmark Evidence from South American Trials: Treatment of Intracranial Pressure (BEST TRIP) randomized controlled trial is the only prospectively investigated clinical protocol for traumatic brain injury management without intracranial pressure (ICP) monitoring. As the default literature standard, it warrants careful evaluation. We present the ICE protocol in detail and analyze the demographics, outcome, treatment intensity, frequency of intervention usage, and related adverse events in the ICE-protocol cohort. The 167 ICE protocol patients were young (median 29 years) with a median Glasgow Coma Scale motor score of 4 but with anisocoria or abnormal pupillary reactivity in 40%. This protocol produced outcomes not significantly different from those randomized to the monitor-based protocol (favorable 6-month extended Glasgow Outcome Score in 39%; 41% mortality rate). Agents commonly employed to treat suspected intracranial hypertension included low-/moderate-dose hypertonic saline (72%) and mannitol (57%), mild hyperventilation (adjusted partial pressure of carbon dioxide 30-35 mm Hg in 73%), and pressors to maintain cerebral perfusion (62%). High-dose hyperosmotics or barbiturates were uncommonly used. Adverse event incidence was low and comparable to the BEST TRIP monitored group. Although this protocol should produce similar/acceptable results under circumstances comparable to those in the trial, influences such as longer pre-hospital times and non-specialist transport personnel, plus an intensive care unit model of aggressive physician-intensive care by small groups of neurotrauma-focused intensivists, which differs from most high-resource models, support caution in expecting the same results in dissimilar settings. Finally, this protocol's ICP-titration approach to suspected intracranial hypertension (vs. crisis management for monitored ICP) warrants further study.

  12. An investigation into current protocols and radiographer opinions on contrast extravasation in Irish CT departments.

    PubMed

    Cleary, N; McNulty, J P; Foley, S J; Kelly, E

    2017-11-01

    Iodinated contrast extravasation is a serious complication associated with intravenous administration in radiology. Departmental protocols and the radiographer's approach on both prevention techniques and treatment will affect the prevalence of extravasation, and the eventual outcome for the patient when it does occur. To examine contrast extravasation protocols in place in Irish CT departments for alignment with European Society of Urogenital Radiology (ESUR) Guidelines (2014); to establish radiographer's opinions on contrast extravasation; and to examine radiographer adherence to protocols. Contrast extravasation protocols from a purposively selected sample of CT departments across Ireland (n = 6) were compared to ESUR guidelines, followed by an online survey of CT radiographers practicing in the participating centres. All participating CT departments (n = 5) had written protocols in place. High risk patients, such as elderly or unconscious, were identified in most protocols, however, children were mentioned in just one protocol and obese patients were not specified in any. The response rate of CT radiographers was 23% (n = 24). 58% (n = 14) of respondents indicated that contrast extravasation was more likely during CTA examinations. While high levels of confidence in managing extravasation were reported, suggested treatment approaches, and confidence in same, was more variable. Clinical workload in CT departments was also identified as a factor impacting on patient care and management. While contrast extravasation protocols were generally in line with ESUR Guidelines, high risk patients may not be getting sufficient attention. More radiographer awareness of patient monitoring needs, particularly in busy departments with a heavy workload may also reduce extravasation risk, and improve management of same. Copyright © 2017 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.

  13. Impact of a Noninvasive Ventilation Protocol in Hospitalized Children With Acute Respiratory Failure.

    PubMed

    Jalil, Yorschua; Damiani, Felipe; Astudillo, Claudia; Villarroel, Gregory; Barañao, Patricio; Bustos, Edson; Silva, Alejandra; Mendez, Mireya

    2017-12-01

    Noninvasive ventilation (NIV) has proven to be useful in the management of children with acute respiratory failure as a result of acute lower respiratory infection. Despite this, evidence addressing the initiation and/or discontinuation criteria of NIV in children remains limited. The objective of this study was to evaluate the usefulness and clinical impact of an NIV protocol in hospitalized children with acute respiratory failure because of acute lower respiratory infection. A randomized controlled clinical trial was carried out among subjects admitted during the winter season at Hospital Josefina Martinez between May and October of 2013. Inclusion criteria were age 3 months to 2 y, diagnosis of acute lower respiratory infection and requiring NIV according to a Modified Wood Scale score of ≥ 4 points. Subjects were randomized to NIV management according to medical criteria (control group) or to protocolized management of NIV (protocol group). Hours of NIV, hospital stay, and supplemental oxygen use after discontinuation of NIV, severity changes after NIV initiation, respiratory symptoms, and proportion of intubations were considered as events of interest. A total of 23 subjects were analyzed in the control group and 24 were analyzed in the protocol group. Hours of hospital stay, NIV, and supplemental oxygen post-NIV were not significantly different between groups ( P = .70, .69, and .68, respectively). There were also no differences in intubation rate (3 of 29 for the control group and 2 of 31 for the protocol group). For the total sample there was a statistically significant decrease in the Modified Wood Scale score after 1 h of NIV ( P < .001). A similar result was observed when performing a stratified intragroup analysis. We observed that the implementation of an NIV management protocol that integrates initiation and discontinuation criteria for NIV is feasible. However, its use showed no advantages over a non-protocolized strategy. Copyright © 2017 by Daedalus Enterprises.

  14. Resistance of green lacewing, Chrysoperla carnea Stephens to nitenpyram: Cross-resistance patterns, mechanism, stability, and realized heritability.

    PubMed

    Mansoor, Muhammad Mudassir; Raza, Abu Bakar Muhammad; Abbas, Naeem; Aqueel, Muhammad Anjum; Afzal, Muhammad

    2017-01-01

    The green lacewing, Chrysoperla carnea Stephens (Neuroptera: Chrysopidae) is a major generalist predator employed in integrated pest management (IPM) plans for pest control on many crops. Nitenpyram, a neonicotinoid insecticide has widely been used against the sucking pests of cotton in Pakistan. Therefore, a field green lacewing strain was exposed to nitenpyram for five generations to investigate resistance evolution, cross-resistance pattern, stability, realized heritability, and mechanisms of resistance. Before starting the selection with nitenpyram, a field collected strain showed 22.08-, 23.09-, 484.69- and 602.90-fold resistance to nitenpyram, buprofezin, spinosad and acetamiprid, respectively compared with the Susceptible strain. After continuous selection for five generations (G1-G5) with nitenpyram in the laboratory, the Field strain (Niten-SEL) developed a resistance ratio of 423.95 at G6. The Niten-SEL strain at G6 showed no cross-resistance to buprofezin and acetamiprid and negative cross-resistance to spinosad compared with the Field strain (G1). For resistance stability, the Niten-SEL strain was left unexposed to any insecticide for four generations (G6-G9) and bioassay results at G10 showed that resistance to nitenpyram, buprofezin and spinosad was stable, while resistance to acetamiprid was unstable. The realized heritability values were 0.97, 0.16, 0.03, and -0.16 to nitenpyram, buprofezin, acetamiprid and spinosad, respectively, after five generations of selection. Moreover, the enzyme inhibitors (PBO or DEF) significantly decreased the nitenpyram resistance in the resistant strain, suggesting that resistance was due to microsomal oxidases and esterases. These results are very helpful for integration of green lacewings in IPM programs. Copyright © 2016 Elsevier B.V. All rights reserved.

  15. 50 CFR 600.757 - Operational protocols.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 50 Wildlife and Fisheries 8 2010-10-01 2010-10-01 false Operational protocols. 600.757 Section 600.757 Wildlife and Fisheries FISHERY CONSERVATION AND MANAGEMENT, NATIONAL OCEANIC AND ATMOSPHERIC... Operational protocols. (a) Services of conveners and facilitators. A Council or NMFS may employ or enter into...

  16. GWOT Vascular Injury Study 2 Supplemental Project: Impact of Prophylactic Fasciotomy

    DTIC Science & Technology

    2017-10-01

    of the project ? The overall goal is to determine the impact of the widespread use of fasciotomies on current medical/surgical practices, management ...Diane Miller Project Role: Program Manager Nearest person month worked: 12 Contribution to Project : Ms. Miller is responsible for the day-to-day...each branch of service. Goals/Milestones CY14 Goal – Protocol/Staffing  Write and submit protocol to IRB  Hire project manager CY15 Goals – Data

  17. 76 FR 44028 - Texas; Major Disaster and Related Determinations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-22

    ..., Dawson, Duval, Eastland, Garza, Glasscock, Hall, Hemphill, Hockley, Irion, Kent, King, Lynn, Martin, Mason, Mitchell, Moore, Motley, Pecos, Presidio, Scurry, Stephens, Sterling, Sutton, Terrell, Terry...

  18. A Mechanism for Reliable Mobility Management for Internet of Things Using CoAP

    PubMed Central

    Chun, Seung-Man; Park, Jong-Tae

    2017-01-01

    Under unreliable constrained wireless networks for Internet of Things (IoT) environments, the loss of the signaling message may frequently occur. Mobile Internet Protocol version 6 (MIPv6) and its variants do not consider this situation. Consequently, as a constrained device moves around different wireless networks, its Internet Protocol (IP) connectivity may be frequently disrupted and power can be drained rapidly. This can result in the loss of important sensing data or a large delay for time-critical IoT services such as healthcare monitoring and disaster management. This paper presents a reliable mobility management mechanism in Internet of Things environments with lossy low-power constrained device and network characteristics. The idea is to use the Internet Engineering Task Force (IETF) Constrained Application Protocol (CoAP) retransmission mechanism to achieve both reliability and simplicity for reliable IoT mobility management. Detailed architecture, algorithms, and message extensions for reliable mobility management are presented. Finally, performance is evaluated using both mathematical analysis and simulation. PMID:28085109

  19. A Mechanism for Reliable Mobility Management for Internet of Things Using CoAP.

    PubMed

    Chun, Seung-Man; Park, Jong-Tae

    2017-01-12

    Under unreliable constrained wireless networks for Internet of Things (IoT) environments, the loss of the signaling message may frequently occur. Mobile Internet Protocol version 6 (MIPv6) and its variants do not consider this situation. Consequently, as a constrained device moves around different wireless networks, its Internet Protocol (IP) connectivity may be frequently disrupted and power can be drained rapidly. This can result in the loss of important sensing data or a large delay for time-critical IoT services such as healthcare monitoring and disaster management. This paper presents a reliable mobility management mechanism in Internet of Things environments with lossy low-power constrained device and network characteristics. The idea is to use the Internet Engineering Task Force (IETF) Constrained Application Protocol (CoAP) retransmission mechanism to achieve both reliability and simplicity for reliable IoT mobility management. Detailed architecture, algorithms, and message extensions for reliable mobility management are presented. Finally, performance is evaluated using both mathematical analysis and simulation.

  20. "Validity" and "liceity" in conjugal acts: A reply to Stephen Napier on the HIV-condom debate.

    PubMed

    Arias, Joseph

    2016-08-01

    Stephen Napier has argued against the soundness of what he calls the "Canon-Law argument" against the moral permissibility of a couple employing a condom for the sake of one spouse avoiding the contraction of HIV from the other spouse. Without an attempt to provide a full defense of the Canon-Law argument per se, this paper argues that Napier has not shown that argument to be inadequate. Napier's critique of that argument suffers from unsubstantiated counterexamples and from a failure to take into account analogous senses of "procreative end" in reference to the conjugal act. Using magisterial documents and canonical sources, this paper suggests that the distinction between validity and liceity can be usefully applied to conjugal acts. Lay Summary: Stephen Napier has argued in favor of the claim that there is no plausible argument for thinking that married couples who use a condom in order to prevent HIV transmission are necessarily doing something morally wrong. In responding to Napier by showing that his arguments in favor of his claim are inconclusive, this article introduces a distinction, frequently used in sacramental theology, between validity and liceity (lawfulness) and applies this distinction to marital actions. I argue that some modifications to martial actions make them merely unlawful, whereas other modifications-such as using an intact condom-make them both unlawful and "invalid."

  1. “Validity” and “liceity” in conjugal acts: A reply to Stephen Napier on the HIV-condom debate

    PubMed Central

    Arias, Joseph

    2016-01-01

    Stephen Napier has argued against the soundness of what he calls the “Canon-Law argument” against the moral permissibility of a couple employing a condom for the sake of one spouse avoiding the contraction of HIV from the other spouse. Without an attempt to provide a full defense of the Canon-Law argument per se, this paper argues that Napier has not shown that argument to be inadequate. Napier's critique of that argument suffers from unsubstantiated counterexamples and from a failure to take into account analogous senses of "procreative end" in reference to the conjugal act. Using magisterial documents and canonical sources, this paper suggests that the distinction between validity and liceity can be usefully applied to conjugal acts. Lay Summary: Stephen Napier has argued in favor of the claim that there is no plausible argument for thinking that married couples who use a condom in order to prevent HIV transmission are necessarily doing something morally wrong. In responding to Napier by showing that his arguments in favor of his claim are inconclusive, this article introduces a distinction, frequently used in sacramental theology, between validity and liceity (lawfulness) and applies this distinction to marital actions. I argue that some modifications to martial actions make them merely unlawful, whereas other modifications—such as using an intact condom—make them both unlawful and “invalid.” PMID:27833210

  2. Stephen Neidle on cancer therapy and G-quadruplex inhibitors. Interview by Joanna De Souza.

    PubMed

    Neidle, Stephen

    2004-09-15

    Stephen Neidle was educated at Imperial College, London, where he graduated in chemistry and then proceeded to do a PhD in crystallography. After a period as an ICI Fellow, he joined the Biophysics Department at King's College, which ignited his interest in nucleic acid structural studies. He was appointed as one of the first Cancer Research Campaign Career Development Awardees, becoming a Life Fellow on moving to the Institute of Cancer Research. He was appointed to the Chair of Biophysics at the Institute of Cancer Research in 1990, and moved to the new Chair of Chemical Biology at the School of Pharmacy in the University of London in 2002, where he also directs the Cancer Research UK Biomolecular Structure Group. He is currently Chairman of the Chemical Biology Forum of the Royal Society of Chemistry, which is involved in developing the interface between chemistry and the life sciences. He will shortly assume the Directorship of the newly-established Centre for Cancer Medicines at the School. Stephen Neidle has received several awards for his work on drug-nucleic acid recognition and drug design, including the 2000 prize of the Biological and Medicinal Chemistry Sector of the Royal Society of Chemistry, and its 2002 Interdisciplinary Award. He was the 2004 Paul Ehrlich Lecturer of the French Societé de Chimie Therapeutique, and was recently awarded the 2004 Aventis Prize in Medicinal Chemistry.

  3. A Multicenter Cohort Study of Treatments and Hospital Outcomes in Neonatal Abstinence Syndrome

    PubMed Central

    Wexelblatt, Scott L.; Crowley, Moira; Grow, Jennifer L.; Jasin, Lisa R.; Klebanoff, Mark A.; McClead, Richard E.; Meinzen-Derr, Jareen; Mohan, Vedagiri K.; Stein, Howard; Walsh, Michele C.

    2014-01-01

    OBJECTIVES: To compare pharmacologic treatment strategies for neonatal abstinence syndrome (NAS) with respect to total duration of opioid treatment and length of inpatient hospital stay. METHODS: We conducted a cohort analysis of late preterm and term neonates who received inpatient pharmacologic treatment of NAS at one of 20 hospitals throughout 6 Ohio regions from January 2012 through July 2013. Physicians managed NAS using 1 of 6 regionally based strategies. RESULTS: Among 547 pharmacologically treated infants, we documented 417 infants managed using an established NAS weaning protocol and 130 patients managed without protocol-driven weaning. Regardless of the treatment opioid chosen, when we accounted for hospital variation, infants receiving protocol-based weans experienced a significantly shorter duration of opioid treatment (17.7 vs 32.1 days, P < .0001) and shorter hospital stay (22.7 vs 32.1 days, P = .004). Among infants receiving protocol-based weaning, there was no difference in the duration of opioid treatment or length of stay when we compared those treated with morphine with those treated with methadone. Additionally, infants treated with phenobarbital were treated with the drug for a longer duration among those following a morphine-based compared with methadone-based weaning protocol. (P ≤ .002). CONCLUSIONS: Use of a stringent protocol to treat NAS, regardless of the initial opioid chosen, reduces the duration of opioid exposure and length of hospital stay. Because the major driver of cost is length of hospitalization, the implications for a reduction in cost of care for NAS management could be substantial. PMID:25070317

  4. Review and publication of protocol submissions to Trials - what have we learned in 10 years?

    PubMed

    Li, Tianjing; Boutron, Isabelle; Al-Shahi Salman, Rustam; Cobo, Erik; Flemyng, Ella; Grimshaw, Jeremy M; Altman, Douglas G

    2016-12-16

    Trials has 10 years of experience in providing open access publication of protocols for randomised controlled trials. In this editorial, the senior editors and editors-in-chief of Trials discuss editorial issues regarding managing trial protocol submissions, including the content and format of the protocol, timing of submission, approaches to tracking protocol amendments, and the purpose of peer reviewing a protocol submission. With the clarification and guidance provided, we hope we can make the process of publishing trial protocols more efficient and useful to trial investigators and readers.

  5. Variability in Usual Care Mechanical Ventilation for Pediatric Acute Respiratory Distress Syndrome: Time for a Decision Support Protocol?

    PubMed

    Newth, Christopher J L; Sward, Katherine A; Khemani, Robinder G; Page, Kent; Meert, Kathleen L; Carcillo, Joseph A; Shanley, Thomas P; Moler, Frank W; Pollack, Murray M; Dalton, Heidi J; Wessel, David L; Berger, John T; Berg, Robert A; Harrison, Rick E; Holubkov, Richard; Doctor, Allan; Dean, J Michael; Jenkins, Tammara L; Nicholson, Carol E

    2017-11-01

    Although pediatric intensivists philosophically embrace lung protective ventilation for acute lung injury and acute respiratory distress syndrome, we hypothesized that ventilator management varies. We assessed ventilator management by evaluating changes to ventilator settings in response to blood gases, pulse oximetry, or end-tidal CO2. We also assessed the potential impact that a pediatric mechanical ventilation protocol adapted from National Heart Lung and Blood Institute acute respiratory distress syndrome network protocols could have on reducing variability by comparing actual changes in ventilator settings to those recommended by the protocol. Prospective observational study. Eight tertiary care U.S. PICUs, October 2011 to April 2012. One hundred twenty patients (age range 17 d to 18 yr) with acute lung injury/acute respiratory distress syndrome. Two thousand hundred arterial and capillary blood gases, 3,964 oxygen saturation by pulse oximetry, and 2,757 end-tidal CO2 values were associated with 3,983 ventilator settings. Ventilation mode at study onset was pressure control 60%, volume control 19%, pressure-regulated volume control 18%, and high-frequency oscillatory ventilation 3%. Clinicians changed FIO2 by ±5 or ±10% increments every 8 hours. Positive end-expiratory pressure was limited at ~10 cm H2O as oxygenation worsened, lower than would have been recommended by the protocol. In the first 72 hours of mechanical ventilation, maximum tidal volume/kg using predicted versus actual body weight was 10.3 (8.5-12.9) (median [interquartile range]) versus 9.2 mL/kg (7.6-12.0) (p < 0.001). Intensivists made changes similar to protocol recommendations 29% of the time, opposite to the protocol's recommendation 12% of the time and no changes 56% of the time. Ventilator management varies substantially in children with acute respiratory distress syndrome. Opportunities exist to minimize variability and potentially injurious ventilator settings by using a pediatric mechanical ventilation protocol offering adequately explicit instructions for given clinical situations. An accepted protocol could also reduce confounding by mechanical ventilation management in a clinical trial.

  6. ED15-0229-01

    NASA Image and Video Library

    2015-08-03

    From left, former Desert Christian students Logan Francisco, Kyler Stephens and Jonathan Lokos and NASA Armstrong mentor Allen Parker show the elements of the experiment launched into space on Dec. 3.

  7. CT protocol management: simplifying the process by using a master protocol concept.

    PubMed

    Szczykutowicz, Timothy P; Bour, Robert K; Rubert, Nicholas; Wendt, Gary; Pozniak, Myron; Ranallo, Frank N

    2015-07-08

    This article explains a method for creating CT protocols for a wide range of patient body sizes and clinical indications, using detailed tube current information from a small set of commonly used protocols. Analytical expressions were created relating CT technical acquisition parameters which can be used to create new CT protocols on a given scanner or customize protocols from one scanner to another. Plots of mA as a function of patient size for specific anatomical regions were generated and used to identify the tube output needs for patients as a function of size for a single master protocol. Tube output data were obtained from the DICOM header of clinical images from our PACS and patient size was measured from CT localizer radiographs under IRB approval. This master protocol was then used to create 11 additional master protocols. The 12 master protocols were further combined to create 39 single and multiphase clinical protocols. Radiologist acceptance rate of exams scanned using the clinical protocols was monitored for 12,857 patients to analyze the effectiveness of the presented protocol management methods using a two-tailed Fisher's exact test. A single routine adult abdominal protocol was used as the master protocol to create 11 additional master abdominal protocols of varying dose and beam energy. Situations in which the maximum tube current would have been exceeded are presented, and the trade-offs between increasing the effective tube output via 1) decreasing pitch, 2) increasing the scan time, or 3) increasing the kV are discussed. Out of 12 master protocols customized across three different scanners, only one had a statistically significant acceptance rate that differed from the scanner it was customized from. The difference, however, was only 1% and was judged to be negligible. All other master protocols differed in acceptance rate insignificantly between scanners. The methodology described in this paper allows a small set of master protocols to be adapted among different clinical indications on a single scanner and among different CT scanners.

  8. A GIS-based protocol for the simulation and evaluation of realistic 3-D thinning scenarios in recreational forest management.

    PubMed

    Lin, Chinsu; Thomson, Gavin; Hung, Shih-Hsiang; Lin, Yu-Dung

    2012-12-30

    This study introduces a GIS-based protocol for the simulation and evaluation of thinning treatments in recreational forest management. The protocol was implemented in a research study based on an area of recreational forest in Alishan National Scenic Area, Taiwan. Ground survey data were mapped to a GIS database, to create a precise, yet flexible, GIS-based digital forest. The digital forest model was used to generate 18 different thinning scenario images and one image of the existing unthinned forest. A questionnaire was completed by 456 participants while simultaneously viewing the scenario images. The questionnaire was used to determine the scenic beauty preferences of the respondents. Statistical analysis of the data revealed that the respondents preferred low density, upper-storey thinning treatments and a dispersed retention pattern of the remaining trees. High density upper-storey treatments evoked a strongly negative reaction in the observers. The experiment demonstrated that the proposed protocol is suitable for selecting an appropriate thinning strategy for recreational forest and that the protocol has practical value in recreational forest management. Copyright © 2012 Elsevier Ltd. All rights reserved.

  9. Informal and formal trail monitoring protocols and baseline conditions: Acadia National Park

    USGS Publications Warehouse

    Marion, Jeffrey L.; Wimpey, Jeremy F.; Park, L.

    2011-01-01

    At Acadia National Park, changing visitor use levels and patterns have contributed to an increasing degree of visitor use impacts to natural and cultural resources. To better understand the extent and severity of these resource impacts and identify effective management techniques, the park sponsored this research to develop monitoring protocols, collect baseline data, and identify suggestions for management strategies. Formal and informal trails were surveyed and their resource conditions were assessed and characterized to support park planning and management decision-making.

  10. TH-E-209-00: Radiation Dose Monitoring and Protocol Management

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

    NONE

    Radiation dose monitoring solutions have opened up new opportunities for medical physicists to be more involved in modern clinical radiology practices. In particular, with the help of comprehensive radiation dose data, data-driven protocol management and informed case follow up are now feasible. Significant challenges remain however and the problems faced by medical physicists are highly heterogeneous. Imaging systems from multiple vendors and a wide range of vintages co-exist in the same department and employ data communication protocols that are not fully standardized or implemented making harmonization complex. Many different solutions for radiation dose monitoring have been implemented by imaging facilitiesmore » over the past few years. Such systems are based on commercial software, home-grown IT solutions, manual PACS data dumping, etc., and diverse pathways can be used to bring the data to impact clinical practice. The speakers will share their experiences with creating or tailoring radiation dose monitoring/management systems and procedures over the past few years, which vary significantly in design and scope. Topics to cover: (1) fluoroscopic dose monitoring and high radiation event handling from a large academic hospital; (2) dose monitoring and protocol optimization in pediatric radiology; and (3) development of a home-grown IT solution and dose data analysis framework. Learning Objectives: Describe the scope and range of radiation dose monitoring and protocol management in a modern radiology practice Review examples of data available from a variety of systems and how it managed and conveyed. Reflect on the role of the physicist in radiation dose awareness.« less

  11. Perspectives on the dental school learning environment: putting theory X and theory Y into action in dental education.

    PubMed

    Connor, Joseph P; Troendle, Karen

    2008-12-01

    Theory X and Theory Y are terms coined by Douglas McGregor to express the belief that managers' behaviors are shaped by their assumptions about the motivation of their subordinates. The theories were applied to dental education in a Perspectives article published in the August 2007 issue of the Journal of Dental Education. This article explains how those seemingly contradictory theories can be reconciled using the concept of the "emotional bank account" introduced by Stephen Covey in The 7 Habits of Highly Effective People. Understanding the underlying concept of an emotional bank account helps dental educators to bridge the generation gap between instructors, born during the baby boom period of 1946-63, and dental students, born after 1980, who are referred to as "Generation Y" or "millennials."

  12. Breakthrough Listen - A New Search for Life in the Universe

    NASA Astrophysics Data System (ADS)

    Worden, Pete

    On July 20, 2015 Yuri Milner and Stephen Hawking announced a new set of scientific initiatives - a SETI search called Breakthrough Listen and a contest to devise potential messages in response to a detection entitled Breakthrough Message. These are the first of several privately-funded Breakthrough Initiatives, designed to answer the fundamental science questions surrounding the origin, extent and nature of life in the universe. The initiatives are managed by the Breakthrough Prize Foundation. With Breakthrough Listen, Radio SETI observations have begun at the Green Bank Radio Telescope (GBT) and optical SETI at the Lick Observatory Automated Planet Finder (APF). Observations will soon commence at the CSIRO Parkes Radio Telescope. Other SETI instruments and observations are under consideration. In addition, several other initiatives are under development including an expanded search for life in the universe.

  13. The ceremonial transfer of Leonardo, the first MPLM, from ASI to NASA

    NASA Technical Reports Server (NTRS)

    1998-01-01

    Participants pose for a photo at the Space Station Processing Facility ceremony transferring the 'Leonardo' Multipurpose Logistics Module (MPLM) from the Italian Space Agency, Agenzia Spaziale Italiana (ASI), to NASA. From left, they are astronaut Jim Voss, European Space Agency astronauts Umberto Guidoni of Italy and Christer Fuglesang of Sweden, NASA International Space Station Program Manager Randy Brinkley, NASA Administrator Daniel S. Goldin, ASI President Sergio De Julio and Stephen Francois, director, International Space Station Launch Site Support at KSC. The MPLM, a reusable logistics carrier, will be the primary delivery system used to resupply and return International Space Station cargo requiring a pressurized environment. Leonardo is the first of three MPLM carriers for the International Space Station. It is scheduled to be launched on Space Shuttle Mission STS-100, targeted for April 2000.

  14. Microgravity

    NASA Image and Video Library

    1995-03-02

    Onboard Space Shuttle Endeavour (STS-67) astronaut John Grunsfeld works at a laptop computer while wearing a headset. Commander Stephen Oswald watches Grunsfeld and Pilot Bill Gregory reads a checklist on the shuttle mid-deck.

  15. REFractions: The Representing Equivalent Fractions Game

    ERIC Educational Resources Information Center

    Tucker, Stephen I.

    2014-01-01

    Stephen Tucker presents a fractions game that addresses a range of fraction concepts including equivalence and computation. The REFractions game also improves students' fluency with representing, comparing and adding fractions.

  16. 77 FR 75199 - Notice of Sunshine Act Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-19

    ... museum and the establishment of the William H. Gross Stamp Gallery. Chairman's Public Comment Period... pending litigation. CONTACT PERSON FOR MORE INFORMATION: Stephen L. Sharfman, General Counsel, Postal...

  17. 2007 Children's Health Protection Advisory Committee Letters

    EPA Pesticide Factsheets

    These letters to and from Administrator Stephen Johnson are regarding mutagenic mode of action, carcinogenicity, NAAQS for ozone, evaluating existing and new chemicals, research translation, and NAAQS for lead.

  18. Hawking's Israel boycott sparks heated response

    NASA Astrophysics Data System (ADS)

    Dacey, James

    2013-06-01

    The controversial decision by Stephen Hawking to boycott a prominent conference in Jerusalem in protest against the policies of the Israeli government has provoked strong responses from academics and commentators.

  19. STS-95 Mission Specialist Stephen Robinson suits up for launch

    NASA Technical Reports Server (NTRS)

    1998-01-01

    STS-95 Mission Specialist Stephen K. Robinson gives a thumbs up as he dons his flight suit in the Operations and Checkout Building with the help of suit tech George Brittingham (lower right). The final fitting takes place prior to the crew walkout and transport to Launch Pad 39B. Targeted for launch at 2 p.m. EST on Oct. 29, the mission is expected to last 8 days, 21 hours and 49 minutes, and return to KSC at 11:49 a.m. EST on Nov. 7. The STS-95 mission includes research payloads such as the Spartan solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as the SPACEHAB single module with experiments on space flight and the aging process.

  20. KENNEDY SPACE CENTER, FLA. - STS-114 Mission Specialists Wendy Lawrence (left) and Stephen Robinson (right) look at the insert for Discovery’s nose cap that is being fitted with thermal protection system insulation blankets. The mission crew is spending time becoming familiar with Shuttle and mission equipment. The mission is Logistics Flight 1, which is scheduled to deliver supplies and equipment plus the external stowage platform to the International Space Station.

    NASA Image and Video Library

    2004-03-05

    KENNEDY SPACE CENTER, FLA. - STS-114 Mission Specialists Wendy Lawrence (left) and Stephen Robinson (right) look at the insert for Discovery’s nose cap that is being fitted with thermal protection system insulation blankets. The mission crew is spending time becoming familiar with Shuttle and mission equipment. The mission is Logistics Flight 1, which is scheduled to deliver supplies and equipment plus the external stowage platform to the International Space Station.

  1. Weight for Stephen Finlay.

    PubMed

    Evers, Daan

    2013-04-01

    According to Stephen Finlay, ' A ought to X ' means that X -ing is more conducive to contextually salient ends than relevant alternatives. This in turn is analysed in terms of probability. I show why this theory of 'ought' is hard to square with a theory of a reason's weight which could explain why ' A ought to X ' logically entails that the balance of reasons favours that A X -es. I develop two theories of weight to illustrate my point. I first look at the prospects of a theory of weight based on expected utility theory. I then suggest a simpler theory. Although neither allows that ' A ought to X ' logically entails that the balance of reasons favours that A X -es, this price may be accepted. For there remains a strong pragmatic relation between these claims.

  2. Design Science Research toward Designing/Prototyping a Repeatable Model for Testing Location Management (LM) Algorithms for Wireless Networking

    ERIC Educational Resources Information Center

    Peacock, Christopher

    2012-01-01

    The purpose of this research effort was to develop a model that provides repeatable Location Management (LM) testing using a network simulation tool, QualNet version 5.1 (2011). The model will provide current and future protocol developers a framework to simulate stable protocol environments for development. This study used the Design Science…

  3. An expert system to advise astronauts during experiments: The protocol manager module

    NASA Technical Reports Server (NTRS)

    Haymann-Haber, Guido; Colombano, Silvano P.; Groleau, Nicolas; Rosenthal, Don; Szolovits, Peter; Young, Laurence R.

    1990-01-01

    Perhaps the scarcest resource for manned flight experiments - on Spacelab or on the Space Station Freedom - will continue to be crew time. To maximize the efficiency of the crew and to make use of their abilities to work as scientist collaborators as well as equipment operators, normally requires more training in a wide variety of disciplines than is practical. The successful application of on-board expert systems, as envisioned by the Principal Investigator in a Box program, should alleviate the training bottleneck and provide the astronaut with the guidance and coaching needed to permit him or her to operate an experiment according to the desires and knowledge of the PI, despite changes in conditions. The Protocol Manager module of the system is discussed. The Protocol Manager receives experiment data that has been summarized and categorized by the other modules. The Protocol Manager acts on the data in real-time, by employing expert system techniques. Its recommendations are based on heuristics provided by the Principal Investigator in charge of the experiment. This prototype was developed on a Macintosh II by employing CLIPS, a forward-chaining rule-based system, and HyperCard as an object-oriented user interface builder.

  4. "The Good Man Speaking Well," or Business as Usual.

    ERIC Educational Resources Information Center

    Lyon, Arabella

    1994-01-01

    Comments on the interview of Stephen Toulmin in the preceding issue of this journal. Critiques Toulmin's concepts regarding logical consensus and pluralism. Discusses various kinds of pluralisms. (HB)

  5. 75 FR 69080 - Ocean Transportation Intermediary License Applicants

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-10

    ... & OFF), 6205 Peachtree-Dunwoody Road, Atlanta, GA 30328, Officers: Christopher S. Stephens, Vice... NVO License. R.H. Shipping & Chartering (USA) (NVO), 10077 Grogans Mill Road, 310, Spring, TX 77380...

  6. 75 FR 70673 - Ocean Transportation Intermediary License Applicants

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-18

    ..., Fairview, NJ 07650, Officers: Yoon H. Cho, Vice President/Secretary (Qualifying Individual), Young S. Cho...., Rancho Palos Verdes, CA 90275, Officers: Stephen M. Kiang, President (Qualifying Individual), Benjamin L...

  7. An Interview with Stephen King.

    ERIC Educational Resources Information Center

    Janeczko, Paul

    1980-01-01

    The author of five best-selling novels, including "Carrie,""Salem's Lot,""The Shining,""The Stand," and "The Dead Zone," discusses the teaching of creative writing at high school and college levels. (DF)

  8. Recommended features of protocols for long-term ecological monitoring

    USGS Publications Warehouse

    Oakley, Karen L.; Boudreau, Susan L.; Humphrey, Sioux-Z

    2001-01-01

    In 1991, the National Park Service (NPS) selected seven parks to serve as prototypes for development of a long-term ecological monitoring program. Denali National Park and Preserve was one of the prototype parks selected. The principal focus of this national program was to detect and document resource changes and to understand the forces driving those changes. One of the major tasks of each prototype park was to develop monitoring protocols. In this paper, we discuss some lessons learned and what we believe to be the most important features of protocols.One of the many lessons we have learned is that monitoring protocols vary greatly in content and format. This variation leads to confusion about what information protocols should contain and how they should be formatted. Problems we have observed in existing protocols include (1) not providing enough detail, (2) omitting critical topics (such as data management), and (3) mixing explanation with instructions. Once written, protocols often sit on the shelf to collect dust, allowing methods changes to occur without being adequately considered, tested, or documented. Because a lengthy and costly research effort is often needed to develop protocols, a vision of what the final product should look like is helpful. Based on our involvement with the prototype monitoring program for Denali (Oakley and Boudreau 2000), we recommend key features of protocols, including a scheme for linking protocols to data in the data management system and for tracking protocol revisions. A protocol system is crucial for producing long-term data sets of known quality that meet program objectives.

  9. The implementation and evaluation of an evidence-based statewide prehospital pain management protocol developed using the national prehospital evidence-based guideline model process for emergency medical services.

    PubMed

    Brown, Kathleen M; Hirshon, Jon Mark; Alcorta, Richard; Weik, Tasmeen S; Lawner, Ben; Ho, Shiu; Wright, Joseph L

    2014-01-01

    In 2008, the National Highway Traffic Safety Administration funded the development of a model process for the development and implementation of evidence-based guidelines (EBGs) for emergency medical services (EMS). We report on the implementation and evaluation of an evidence-based prehospital pain management protocol developed using this model process. An evidence-based protocol for prehospital management of pain resulting from injuries and burns was reviewed by the Protocol Review Committee (PRC) of the Maryland Institute for Emergency Medical Services Systems (MIEMSS). The PRC recommended revisions to the Maryland protocol that reflected recommendations in the EBG: weight-based dosing and repeat dosing of morphine. A training curriculum was developed and implemented using Maryland's online Learning Management System and successfully accessed by 3,941 paramedics and 15,969 BLS providers. Field providers submitted electronic patient care reports to the MIEMSS statewide prehospital database. Inclusion criteria were injured or burned patients transported by Maryland ambulances to Maryland hospitals whose electronic patient care records included data for level of EMS provider training during a 12-month preimplementation period and a 12-month postimplementation period from September 2010 through March 2012. We compared the percentage of patients receiving pain scale assessments and morphine, as well as the dose of morphine administered and the use of naloxone as a rescue medication for opiate use, before and after the protocol change. No differences were seen in the percentage of patients who had a pain score documented or the percent of patients receiving morphine before and after the protocol change, but there was a significant increase in the total dose and dose in mg/kg administered per patient. During the postintervention phase, patients received an 18% higher total morphine dose and a 14.9% greater mg/kg dose. We demonstrated that the implementation of a revised statewide prehospital pain management protocol based on an EBG developed using the National Prehospital Evidence-based Guideline Model Process was associated with an increase in dosing of narcotic pain medication consistent with that recommended by the EBG. No differences were seen in the percentage of patients receiving opiate analgesia or in the documentation of pain scores.

  10. Home-Based HIV Testing and Counseling for Male Couples (Project Nexus): A Protocol for a Randomized Controlled Trial.

    PubMed

    Stephenson, Rob; Freeland, Ryan; Sullivan, Stephen P; Riley, Erin; Johnson, Brent A; Mitchell, Jason; McFarland, Deborah; Sullivan, Patrick S

    2017-05-30

    HIV prevalence remains high among men who have sex with men (MSM) in the United States, yet the majority of research has focused on MSM as individuals, not as dyads, and has discussed HIV risks primarily in the context of casual sex. Nexus is an online prevention program that combines home-based HIV testing and couples HIV testing and counseling (CHTC). It allows partners in dyadic MSM relationships to receive HIV testing and care in the comfort of their designated residence, via video-based chat. By using video-based technologies (eg, VSee video chat), male couples receive counseling and support from a remote online counselor, while testing for HIV at home. This randomized control trial (RCT) aims to examine the effects of video-based counseling combined with home-based HIV testing on couples' management of HIV risk, formation and adherence to explicit sexual agreements, and sexual risk-taking. The research implements a prospective RCT of 400 online-recruited male couples: 200 self-reported concordant-negative couples and 200 self-reported discordant couples. Couples in the control arm will receive one or two home-based HIV self-testing kits and will be asked to report their results via the study's website. Couples in the experimental arm will receive one or two home-based HIV self-testing kits and will conduct these tests together under the facilitation of a remotely located counselor during a prescheduled VSee-based video CHTC session. Study assessments are taken at baseline, as well as at 3- and 6-month follow-up sessions. Project Nexus was launched in April 2016 and is ongoing. To date, 219 eligible couples have been enrolled and randomized. Combining home-based HIV testing with video-based counseling creates an opportunity to expand CHTC to male couples who (1) live outside metro areas, (2) live in rural areas without access to testing services or LGBTQ resources, or (3) feel that current clinic-based testing is not for them (eg, due to fears of discrimination associated with HIV and/or sexuality). ClinicalTrials.gov NCT02335138; https://clinicaltrials.gov/ct2/show/NCT02335138 (Archived by WebCite at http://www.webcitation.org/6qHxtNIdW). ©Rob Stephenson, Ryan Freeland, Stephen P Sullivan, Erin Riley, Brent A Johnson, Jason Mitchell, Deborah McFarland, Patrick S Sullivan. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 30.05.2017.

  11. Secure authentication protocol for Internet applications over CATV network

    NASA Astrophysics Data System (ADS)

    Chin, Le-Pond

    1998-02-01

    An authentication protocol is proposed in this paper to implement secure functions which include two way authentication and key management between end users and head-end. The protocol can protect transmission from frauds, attacks such as reply and wiretap. Location privacy is also achieved. A rest protocol is designed to restore the system once when systems fail. The security is verified by taking several security and privacy requirements into consideration.

  12. Cost-utility analysis of an advanced pressure ulcer management protocol followed by trained wound, ostomy, and continence nurses.

    PubMed

    Kaitani, Toshiko; Nakagami, Gojiro; Iizaka, Shinji; Fukuda, Takashi; Oe, Makoto; Igarashi, Ataru; Mori, Taketoshi; Takemura, Yukie; Mizokami, Yuko; Sugama, Junko; Sanada, Hiromi

    2015-01-01

    The high prevalence of severe pressure ulcers (PUs) is an important issue that requires to be highlighted in Japan. In a previous study, we devised an advanced PU management protocol to enable early detection of and intervention for deep tissue injury and critical colonization. This protocol was effective for preventing more severe PUs. The present study aimed to compare the cost-effectiveness of the care provided using an advanced PU management protocol, from a medical provider's perspective, implemented by trained wound, ostomy, and continence nurses (WOCNs), with that of conventional care provided by a control group of WOCNs. A Markov model was constructed for a 1-year time horizon to determine the incremental cost-effectiveness ratio of advanced PU management compared with conventional care. The number of quality-adjusted life-years gained, and the cost in Japanese yen (¥) ($US1 = ¥120; 2015) was used as the outcome. Model inputs for clinical probabilities and related costs were based on our previous clinical trial results. Univariate sensitivity analyses were performed. Furthermore, a Bayesian multivariate probability sensitivity analysis was performed using Monte Carlo simulations with advanced PU management. Two different models were created for initial cohort distribution. For both models, the expected effectiveness for the intervention group using advanced PU management techniques was high, with a low expected cost value. The sensitivity analyses suggested that the results were robust. Intervention by WOCNs using advanced PU management techniques was more effective and cost-effective than conventional care. © 2015 by the Wound Healing Society.

  13. Forest bird monitoring protocol for strategic habitat conservation and endangered species management on O'ahu Forest National Wildlife Refuge, Island of O'ahu, Hawai'i

    USGS Publications Warehouse

    Camp, Richard J.; Gorresen, P. Marcos; Banko, Paul C.

    2011-01-01

    This report describes the results of a pilot forest bird survey and a consequent forest bird monitoring protocol that was developed for the O'ahu Forest National Wildlife Refuge, O'ahu Island, Hawai'i. The pilot survey was conducted to inform aspects of the monitoring protocol and to provide a baseline with which to compare future surveys on the Refuge. The protocol was developed in an adaptive management framework to track bird distribution and abundance and to meet the strategic habitat conservation requirements of the Refuge. Funding for this research was provided through a Science Support Partnership grant sponsored jointly by the U.S. Geological Survey (USGS) and the U.S. Fish and Wildlife Service (USFWS).

  14. Region 5: Indiana Adequate Letter (11/4/2005)

    EPA Pesticide Factsheets

    This is a letter from Stephen Rothblatt, Director, to Kathryn Watson regarding the redesignation petition and maintenance plan for the Jackson County and Greene County 8-hour ozone nonattainment area.

  15. Equal Access.

    ERIC Educational Resources Information Center

    De Patta, Joe

    2003-01-01

    Presents an interview with Stephen McCarthy, co-partner and president of Equal Access ADA Consulting Architects of San Diego, California, about designing schools to naturally integrate compliance with the Americans with Disabilities Act (ADA). (EV)

  16. Defense.gov Special Report: Travels with Panetta

    Science.gov Websites

    in Australia Defense Secretary Leon E. Panetta and Australian Defense Minister Stephen Smith have , Secretary Clinton, Minister Carr and Minister Smith at AUSMIN Ministerial, Perth, Australia Media

  17. Protocols development for security and privacy of radio frequency identification systems

    NASA Astrophysics Data System (ADS)

    Sabbagha, Fatin

    There are benefits to adopting radio frequency identification (RFID) technology, although there are methods of attack that can compromise the system. This research determined how that may happen and what possible solutions can keep that from happening. Protocols were developed to implement better security. In addition, new topologies were developed to handle the problems of the key management. Previously proposed protocols focused on providing mutual authentication and privacy between readers and tags. However, those protocols are still vulnerable to be attacked. These protocols were analyzed and the disadvantages shown for each one. Previous works assumed that the channels between readers and the servers were secure. In the proposed protocols, a compromised reader is considered along with how to prevent tags from being read by that reader. The new protocols provide mutual authentication between readers and tags and, at the same time, remove the compromised reader from the system. Three protocols are proposed. In the first protocol, a mutual authentication is achieved and a compromised reader is not allowed in the network. In the second protocol, the number of times a reader contacts the server is reduced. The third protocol provides authentication and privacy between tags and readers using a trusted third party. The developed topology is implemented using python language and simulates work to check the efficiency regarding the processing time. The three protocols are implemented by writing codes in C language and then compiling them in MSP430. IAR Embedded workbench is used, which is an integrated development environment with the C/C++ compiler to generate a faster code and to debug the microcontroller. In summary, the goal of this research is to find solutions for the problems on previously proposed protocols, handle a compromised reader, and solve key management problems.

  18. Rethinking Traffic Management: Design of Optimizable Networks

    DTIC Science & Technology

    2008-06-01

    Though this paper used optimization theory to design and analyze DaVinci , op- timization theory is one of many possible tools to enable a grounded...dynamically allocate bandwidth shares. The distributed protocols can be implemented using DaVinci : Dynamically Adaptive VIrtual Networks for a Customized...Internet. In DaVinci , each virtual network runs traffic-management protocols optimized for a traffic class, and link bandwidth is dynamically allocated

  19. The Use of Protocols as Educational Tools for House Officers.

    ERIC Educational Resources Information Center

    Dworin, Aaron M.; Stross, Jeoffrey K.

    1979-01-01

    A project was initiated to determine whether protocols for the management of dysuria would be accepted by clinic house officers and whether these protocols could influence the care given to patients. Positive results were obtained in both areas. Significant improvement in documentation of patient history and diagnostic accuracy were noted. (JMD)

  20. Teaching Integrity in Empirical Research: A Protocol for Documenting Data Management and Analysis

    ERIC Educational Resources Information Center

    Ball, Richard; Medeiros, Norm

    2012-01-01

    This article describes a protocol the authors developed for teaching undergraduates to document their statistical analyses for empirical research projects so that their results are completely reproducible and verifiable. The protocol is guided by the principle that the documentation prepared to accompany an empirical research project should be…

  1. An Overview and Analysis of Mobile Internet Protocols in Cellular Environments.

    ERIC Educational Resources Information Center

    Chao, Han-Chieh

    2001-01-01

    Notes that cellular is the inevitable future architecture for the personal communication service system. Discusses the current cellular support based on Mobile Internet Protocol version 6 (Ipv6) and points out the shortfalls of using Mobile IP. Highlights protocols especially for mobile management schemes which can optimize a high-speed mobile…

  2. 77 FR 9906 - Nationwide Categorical Waivers Under Section 1605 (Buy American) of the American Recovery and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-21

    ... (4) network manager for conversion of proprietary protocol--Staefa brand system--to a non-proprietary... conversion of proprietary protocol--Staefa brand system--to a non-proprietary open source protocol, are not... their scouting process did not locate any domestic manufacturers for these exact or equivalent items. In...

  3. Review of techniques to prevent introduction of zebra mussels (Dreissena polymorpha) during native mussel (Unionoidea) conservation activities

    USGS Publications Warehouse

    Cope, W.G.; Newton, T.J.; Gatenby, C.M.

    2003-01-01

    Because of the declines in diversity and abundance of native freshwater mussels (superfamily Unionoidea), and the potential decimation of populations of native mussels resulting from the rapid spread of the exotic zebra mussel Dreissena polymorpha, management options to eliminate or reduce the threat of the zebra mussel are needed. Relocating native mussels to refugia (artificial and natural) has been proposed to mitigate the threat of zebra mussels to native species. Relocation of native mussels to refugia such as fish hatchery facilities or natural habitats within their historic range. Which are unlikely to be infested by zebra mussels, necessitates that protocols be developed to prevent the inadvertent introduction of zebra mussels. Several recent studies have developed Such protocols, and have assessed their effectiveness on the health and survival of native mussels during subsequent relocation to various refugia. The purpose of this project is to synthesize and evaluate the current protocols and to develop a set of procedures that resource managers and researchers should consider before conducting conservation activities in zebra mussel infested waters. We found that the existing protocols have many common points of concern, such as facility modification and suitability, zebra mussel risk assessment and management procedures, and health and disease management procedures. These conservation protocols may have broad applicability to other situations and locations. A summary and evaluation of the information in these main areas, along with recommended guidelines, are presented in this article.

  4. 2005 Children's Health Protection Advisory Committee Letters

    EPA Pesticide Factsheets

    These letters, mainly to and from Administrators Stephen Johnson, regard the Clean Air Mercury Rule, Particulate Matter National Ambient Air Quality Standards, cancer susceptibility, fish consumption advisories, human subjects, hurricanes, and pesticides.

  5. Predicting the whirlwind

    NASA Astrophysics Data System (ADS)

    Ornes, Stephen

    2017-07-01

    Across the wide open plains of the central US and inside air-conditioned computer laboratories, scientists of different stripes are probing one of nature's most devastating phenomena: tornadoes. Stephen Ornes offers a snapshot of their work

  6. Paul Dirac

    NASA Astrophysics Data System (ADS)

    Pais, Abraham; Jacob, Maurice; Olive, David I.; Atiyah, Michael F.

    2005-09-01

    Preface Peter Goddard; Dirac memorial address Stephen Hawking; 1. Paul Dirac: aspects of his life and work Abraham Pais; 2. Antimatter Maurice Jacob; 3. The monopole David Olive; 4. The Dirac equation and geometry Michael F. Atiyah.

  7. Paul Dirac

    NASA Astrophysics Data System (ADS)

    Pais, Abraham; Jacob, Maurice; Olive, David I.; Atiyah, Michael F.

    1998-02-01

    Preface Peter Goddard; Dirac memorial address Stephen Hawking; 1. Paul Dirac: aspects of his life and work Abraham Pais; 2. Antimatter Maurice Jacob; 3. The monopole David Olive; 4. The Dirac equation and geometry Michael F. Atiyah.

  8. 78 FR 38336 - Ocean Transportation Intermediary License Applicants

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-26

    ..., President (QI), Stephen B. Schwark, Treasurer, Application Type: License Transfer to EFL Container Lines...., Suite K, Mobile, AL 36609, Officers: Thomas (Mac) H. McPhillips IV, Assistant Vice President (QI), Oscar...

  9. 2006 Children's Health Protection Advisory Committee Letters

    EPA Pesticide Factsheets

    These letters to and from Administrator Stephen Johnson are regarding risks from polybrominated biphenyl ethers (PBEs), the Voluntary Children's Chemical Evaluation Project, perchlorate PRG and water contamination, and NAAQS for particulate matter.

  10. Eliciting improved quantitative judgements using the IDEA protocol: A case study in natural resource management.

    PubMed

    Hemming, Victoria; Walshe, Terry V; Hanea, Anca M; Fidler, Fiona; Burgman, Mark A

    2018-01-01

    Natural resource management uses expert judgement to estimate facts that inform important decisions. Unfortunately, expert judgement is often derived by informal and largely untested protocols, despite evidence that the quality of judgements can be improved with structured approaches. We attribute the lack of uptake of structured protocols to the dearth of illustrative examples that demonstrate how they can be applied within pressing time and resource constraints, while also improving judgements. In this paper, we demonstrate how the IDEA protocol for structured expert elicitation may be deployed to overcome operational challenges while improving the quality of judgements. The protocol was applied to the estimation of 14 future abiotic and biotic events on the Great Barrier Reef, Australia. Seventy-six participants with varying levels of expertise related to the Great Barrier Reef were recruited and allocated randomly to eight groups. Each participant provided their judgements using the four-step question format of the IDEA protocol ('Investigate', 'Discuss', 'Estimate', 'Aggregate') through remote elicitation. When the events were realised, the participant judgements were scored in terms of accuracy, calibration and informativeness. The results demonstrate that the IDEA protocol provides a practical, cost-effective, and repeatable approach to the elicitation of quantitative estimates and uncertainty via remote elicitation. We emphasise that i) the aggregation of diverse individual judgements into pooled group judgments almost always outperformed individuals, and ii) use of a modified Delphi approach helped to remove linguistic ambiguity, and further improved individual and group judgements. Importantly, the protocol encourages review, critical appraisal and replication, each of which is required if judgements are to be used in place of data in a scientific context. The results add to the growing body of literature that demonstrates the merit of using structured elicitation protocols. We urge decision-makers and analysts to use insights and examples to improve the evidence base of expert judgement in natural resource management.

  11. Flood Lites: Resources for Gifted and Talented Children and Youth.

    ERIC Educational Resources Information Center

    Flood, Dennis

    1992-01-01

    Two educational resources for use with gifted students are evaluated. Positively rated are "The Gifted Evaluation Scale" (Stephen B. Carney) and "The Psychology of Achievement" (audiotape series by Brian Tracy). (DB)

  12. Region 4: Tennessee Withdrawn Letter (2/10/2009)

    EPA Pesticide Factsheets

    This is a letter from Barry Stephens, Director, to Stan Meiburg regarding Clean Air Act - Withdrawal of Request to Re designate the Greater Knoxville, Tennessee area to attainment of the 1997 Ozone NAAQ's.

  13. 16. Historic American Buildings Survey, E. P. McFarland, Photographer July ...

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

    16. Historic American Buildings Survey, E. P. McFarland, Photographer July 1936, MISCELLANEOUS ARTICLES FOUND IN ROOMS OF HOUSE. - Stephen Verity Homestead, Montauk Highway & Washington Avenue, Seaford, Nassau County, NY

  14. "Universe" event at AIMS

    NASA Astrophysics Data System (ADS)

    2008-06-01

    Report of event of 11 May 2008 held at the African Institute of Mathematical Sciences (Muizenberg, Cape), with speakers Michael Griffin (Administrator of NASA), Stephen Hawking (Cambridge), David Gross (Kavli Institute, Santa Barbara) and George Smoot (Berkeley).

  15. 77 FR 43047 - Modoc County Resource Advisory Committee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-23

    ...; or Resource Advisory Coordinator, Stephen Riley at (530) 233-8705. SUPPLEMENTARY INFORMATION: The... also be set aside for public comments at the beginning of the meeting. Dated: July 16, 2012. Kimberly H...

  16. Indicators and protocols for monitoring impacts of formal and informal trails in protected areas

    USGS Publications Warehouse

    Marion, Jeffrey L.; Leung, Yu-Fai

    2011-01-01

    Trails are a common recreation infrastructure in protected areas and their conditions affect the quality of natural resources and visitor experiences. Various trail impact indicators and assessment protocols have been developed in support of monitoring programs, which are often used for management decision-making or as part of visitor capacity management frameworks. This paper reviews common indicators and assessment protocols for three types of trails, surfaced formal trails, unsurfaced formal trails, and informal (visitor-created) trails. Monitoring methods and selected data from three U.S. National Park Service units are presented to illustrate some common trail impact indicators and assessment options.

  17. STS-93 M.S. Stephen Hawley in the White Room

    NASA Technical Reports Server (NTRS)

    1999-01-01

    STS-93 Mission Specialist Stephen A. Hawley (Ph.D.) is checked out by white room closeout crew members before entering the orbiter Columbia. In the background is Mission Specialist Michel Tognini of France, waiting to enter Columbia. The white room is an environmental chamber at the end of the orbiter access arm that provides entry to the orbiter crew compartment. STS-93 is a five-day mission primarily to release the Chandra X-ray Observatory, which will allow scientists from around the world to study some of the most distant, powerful and dynamic objects in the universe. After Space Shuttle Columbia's July 20 and 22 launch attempts were scrubbed, the launch was again rescheduled for Friday, July 23, at 12:24 a.m. EDT. The target landing date is July 27 at 11:20 p.m. EDT.

  18. Social anxiety, alcohol expectancies, and self-efficacy as predictors of heavy drinking in college students.

    PubMed

    Gilles, Donna M; Turk, Cynthia L; Fresco, David M

    2006-03-01

    Burke and Stephens (1999) [Burke, R.S., Stephens, R.S. Social anxiety and drinking in college students: A social cognitive theory analysis. Clinical Psychology Review, 19, (1999) 513-530.] proposed a social cognitive theory of heavy drinking in college students. According to this theory, alcohol expectancies for social facilitation and self-efficacy for refusing heavy drinking in anxiety-producing social situations moderate the relationship between social anxiety and drinking. In the current study, a significant three-way interaction was observed among social anxiety, expectancies, and self-efficacy when amount and frequency of drinking was the dependent variable. As predicted by the model, socially anxious college students with low self-efficacy for avoiding heavy drinking in social situations and high positive expectancies for social facilitation reported more alcohol consumption than other socially anxious individuals.

  19. The Dynamics of Creativity & the Courage to BE

    NASA Astrophysics Data System (ADS)

    Abraham, Frederick David

    The following sections are included: * Preliminary Note * Definitions Of Creativity * American Heritage (Morris, 1969-78)55 * Howard Gardner (1993)33 * Stephen Nachmanovich (1990)58 * Dynamical Metaphor * Literary, Philosophic, and Religious Roots of Ideas of Creativity * Myth * Mysticism * Existentialism * Psychological Analysis of Creativity * Barman (& Freud), The Two Faces of Creativity (1989)18 * Stephen Nachmanovich, Free Play: Improvisation in Life and Art (1990)58 * Rollo May Man's Search for Himself, Chap 6, The Creative Conscience (1953)53. * Joy P. Guilford, The Psychometric Approach. (1950,1953)37,38 * Wolfgang Köhler, The Mentality of Apes (1925)46,47 * Csitszentmihalyi, Humanistic Attributional Approaches; Flow(1990)25; The Evolving Mind (1993)26 * Howard Gardner, Creating Minds (1993)33 * Summary of Dynamical Concepts Involved In Creativity * Self-Organizational Bifurcations are Creativity * Chaos and Instability Facilitate Creativity * Chaos at the Controls * Summary * Acknowledgement * References

  20. Correction to: The role of oral co-trimoxazole in treating Nocardia farcinica keratitis: a case report.

    PubMed

    Sharma, Neharika; O'Hagan, Stephen

    2018-01-08

    This article [1] was unintentionally published twice in this journal, by the same authors.The following [1] should be considered the version of record and used for citation purposes: "Neharika Sharma and Stephen O'Hagan, The role of oral co-trimoxazole in treating Nocardia farcinica keratitis: a case report. Journal of Ophthalmic Inflammation and Infection (2016) 6:21 DOI 10.1186/s12348-016-0087-y".The duplicate [2]: "Neharika Sharma and Stephen O'Hagan, The role of oral co-trimoxazole in treating Nocardia farcinica keratitis: a case report. Journal of Ophthalmic Inflammation and Infection (2016) 6:23 DOI 10.1186/s12348-016-0091-2" is to be ignored.BioMed Central apologizes to the readers of the journal for not detecting the duplication during the publication process.

  1. Diagnostic and Therapeutic Knowledge and Practices in the Management of Congenital Syphilis by Pediatricians in Public Maternity Hospitals in Brazil.

    PubMed

    Dos Santos, Raquel Rodrigues; Niquini, Roberta Pereira; Bastos, Francisco Inácio; Domingues, Rosa Maria Soares Madeira

    2017-01-01

    The study aimed to assess conformity with Brazil's standard protocol for diagnostic and therapeutic practices in the management of congenital syphilis by pediatricians in public maternity hospitals. A cross-sectional study was conducted in 2015 with 41 pediatricians working in all the public maternity hospitals in Teresina, the capital of Piauí State, Northeast Brazil, through self-completed questionnaires. The study assessed the conformity of knowledge and practices according to the Brazilian Ministry of Health protocols. The study has made evident low access to training courses (54%) and insufficient knowledge of the case definition of congenital syphilis (42%) and rapid tests for syphilis (39%). Flaws were observed in the diagnostic workup and treatment of newborns. Requesting VDRL (88%) and correct treatment of neurosyphilis (88%) were the practices that showed the highest conformity with standard protocols. Low conformity with protocols leads to missed opportunities for identifying and adequately treating congenital syphilis. Based on the barriers identified in the study, better access to diagnostic and treatment protocols, improved recording on prenatal cards and hospital patient charts, availability of tests and medicines, and educational work with pregnant women should be urgently implemented, aiming to reverse the currently inadequate management of congenital syphilis and to curb its spread.

  2. Chest tube management following pulmonary lobectomy: change of protocol results in fewer air leaks.

    PubMed

    Bertholet, Joost W M; Joosten, Joris J A; Keemers-Gels, Mariël E; van den Wildenberg, Frits J H; Barendregt, Wouter B

    2011-01-01

    Much controversy exists regarding the management of chest tubes following pulmonary lobectomy. The objective of this study was to analyse the effect of a new chest tube management protocol on clinical features, such as postoperative air leak, drain characteristics, 30-day postoperative complications and length of hospital stay. We retrospectively analysed 133 patients who underwent pulmonary lobectomy, from January 2005 to December 2008. A new chest tube protocol was introduced on 1 January 2007 and included placement of a single chest tube and early conversion to water seal. The chest tube was removed when air leak had resolved and (non-chylous) fluid drainage was <400 ml/day. The results of patients in the old (n=68) and the new protocol (n=65) were compared. In the new protocol group the median duration of air leak and duration of chest tube drainage declined significantly. Also the length of hospital stay decreased significantly to a median of eight days. The number of reinterventions and 30-day morbidity and mortality rates did not differ significantly. Our data suggest that placement of a single chest tube and early conversion to water seal decreases the duration of air leak and chest tube drainage and length of hospital stay.

  3. Intervention mapping protocol for developing a theory-based diabetes self-management education program.

    PubMed

    Song, Misoon; Choi, Suyoung; Kim, Se-An; Seo, Kyoungsan; Lee, Soo Jin

    2015-01-01

    Development of behavior theory-based health promotion programs is encouraged with the paradigm shift from contents to behavior outcomes. This article describes the development process of the diabetes self-management program for older Koreans (DSME-OK) using intervention mapping (IM) protocol. The IM protocol includes needs assessment, defining goals and objectives, identifying theory and determinants, developing a matrix to form change objectives, selecting strategies and methods, structuring the program, and planning for evaluation and pilot testing. The DSME-OK adopted seven behavior objectives developed by the American Association of Diabetes Educators as behavioral outcomes. The program applied an information-motivation-behavioral skills model, and interventions were targeted to 3 determinants to change health behaviors. Specific methods were selected to achieve each objective guided by IM protocol. As the final step, program evaluation was planned including a pilot test. The DSME-OK was structured as the 3 determinants of the IMB model were intervened to achieve behavior objectives in each session. The program has 12 weekly 90-min sessions tailored for older adults. Using the IM protocol in developing a theory-based self-management program was beneficial in terms of providing a systematic guide to developing theory-based and behavior outcome-focused health education programs.

  4. A pilot audit of a protocol for ambulatory investigation of predicted low-risk patients with possible pulmonary embolism.

    PubMed

    McDonald, A H; Murphy, R

    2011-09-01

    Patients with possible pulmonary embolism (PE) commonly present to acute medical services. Research has led to the identification of low-risk patients suitable for ambulatory management. We report on a protocol designed to select low-risk patients for ambulatory investigation if confirmatory imaging is not available that day. The protocol was piloted in the Emergency Department and Medical Assessment Area at the Royal Infirmary of Edinburgh. We retrospectively analysed electronic patient records in an open observational audit of all patients managed in the ambulatory arm over five months of use. We analysed 45 patients' records. Of these, 91.1% required imaging to confirm or refute PE, 62.2% received a computed tomography pulmonary angiogram (CTPA). In 25% of patients, PE was confirmed with musculoskeletal pain (22.7%), and respiratory tract infection (15.9%) the next most prevalent diagnoses. Alternative diagnoses was provided by CTPA in 32% of cases. We identified no adverse events or readmissions but individualised follow-up was not attempted. The data from this audit suggests this protocol can be applied to select and manage low-risk patients suitable for ambulatory investigation of possible PE. A larger prospective comparative study would be required to accurately define the safety and effectiveness of this protocol.

  5. Mean Effect of the Albedo of the Earth on Artificial Satellite Trajectories: an Update Over 2000-2015.

    NASA Astrophysics Data System (ADS)

    Sandri, T.; Deleflie, F.; Sammuneh, M. A.; Coulot, D.; Pollet, A.; Biancale, R.; Marty, J. C.

    2016-12-01

    Part of the energy received on the Earth from the Sun is split into two components, a short wave component which corresponds to the visible emissivity of the Earth's surface (albedo), and the long wave part corresponding to the thermic emissivity (infrared wavelengths). These two components induce non gravitational forces on the orbits of artificial satellites, towards the radial direction (mainly), that we are evaluating to derive a mean model. We use three kinds of data sets to investigate the order of magnitudes of the orbit perturbations: (i) Stephens tables, (Stephens, 1980), ECMWF (European Centre for Medium-Range Weather Forecasts ) data sets (that are available at GRGS, Groupe de Recherche de Géodésie Spatiale, France), and CERES (Clouds and the Earth's Radiant Energy System) data sets (publickly available). From the trajectography point of view, based on post-fit residual analysis of LEO and MEO geodetic satellites, we analyze what is the data set leading to the lowest residual level. Then, following an approach close to the one developed by Stephens, we propose a set of monthly grids that are averaged over the period 2000-2015. We propose as well an analytic formulation that can be used independently from the grids. This analytical modeling is finally used as a model in the orbit computation s/w that is used within our group, and namely GINS. The evaluation is carried out over very short (a couple of days) or very long periods of time.

  6. Spin Dynamics in the electron-doped high-Tc superconductors Pr0.88LaCe0.12CuO4-δ

    NASA Astrophysics Data System (ADS)

    Dai, Pengcheng

    2007-03-01

    We briefly review results of recent neutron scattering experiments designed to probe the evolution of antiferromagnetic (AF) order and spin dynamics in the electron- doped Pr0.88LaCe0.12CuO4-δ (PLCCO) as the system is tuned from its as-grown non-superconducting AF state into an optimally doped superconductor (Tc = 27.5 K) without static AF order [1-3]. For under doped materials, a quasi-two- dimensional spin-density wave was found to coexist with three- dimensional AF order and superconductivity. In addition, the low-energy spin excitations follow Bose statistics. In the case of optimally doped material, we have discovered a magnetic resonance intimately related to superconductivity analogous to the resonance in hole-doped materials. On the other hand, the low energy spin excitations have very weak temperature dependence and do not follow Bose statistics, in sharp contrast to the as-grown nonsuperconducting materials. 1 Stephen D. Wilson, Pengcheng Dai, Shiliang Li, Songxue Chi, H. J. Kang, and J. W. Lynn, Nature (London) 442, 59 (2006). 2 Stephen D. Wilson, Shiliang Li, Hyungje Woo, Pengcheng Dai, H. A. Mook, C. D. Frost, S. Komiya, and Y. Ando, Phys. Rev. Lett. 96, 157001 (2006). 3. Stephen D. Wilson, Shiliang Li, Pengcheng Dai, Wei Bao, J. H. Chung, H. J. Kang, S.-H. Lee, S. Komiya, and Y. Ando, Phys. Rev. B 74, 144514 (2006).

  7. Consensus guidelines on management of childhood convulsive status epilepticus.

    PubMed

    Mishra, Devendra; Sharma, Suvasini; Sankhyan, Naveen; Konanki, Ramesh; Kamate, Mahesh; Kanhere, Sujata; Aneja, Satinder

    2014-12-01

    Status epilepticus has a wide etiological spectrum, and significant morbidity and mortality. Management using a pre-determined uniform protocol leads to better outcomes. Multiple protocols for management of childhood status epilepticus are available, without much consensus. A 'Multi-disciplinary Consensus Development Workshop on Management of Status Epilepticus in Children in India' was organized. The invited experts included Pediatricians, Pediatric neurologists, Neurologists, Epileptologists, and Pediatric intensive care specialists from India, with experience in the relevant field. Experts had previously been divided into focus groups and had interacted on telephone and e-mail regarding their group recommendations, and developed consensus on the topic. During the meeting, each group presented their recommendations, which were deliberated upon by the house and a consensus was reached on various issues; the document was finalized after incorporating suggestions of experts on the draft document. To provide consensus guidelines on evaluation and management of convulsive status epilepticus in children in India (excluding neonatal and super-refractory status epilepticus). Each institution should use a pre-determined protocol for management of status epilepticus; pre-hospital management and early stabilization is the key to a satisfactory outcome of status epilepticus. Pharmacotherapy should not be delayed for any investigations; the initial management should consist of a parenteral benzodiazepine by any route feasible. Subsequent management has been detailed. The group also felt the need for more epidemiological research on status epilepticus from India, and identified certain research areas for the purpose.

  8. CT protocol management: simplifying the process by using a master protocol concept

    PubMed Central

    Bour, Robert K.; Rubert, Nicholas; Wendt, Gary; Pozniak, Myron; Ranallo, Frank N.

    2015-01-01

    This article explains a method for creating CT protocols for a wide range of patient body sizes and clinical indications, using detailed tube current information from a small set of commonly used protocols. Analytical expressions were created relating CT technical acquisition parameters which can be used to create new CT protocols on a given scanner or customize protocols from one scanner to another. Plots of mA as a function of patient size for specific anatomical regions were generated and used to identify the tube output needs for patients as a function of size for a single master protocol. Tube output data were obtained from the DICOM header of clinical images from our PACS and patient size was measured from CT localizer radiographs under IRB approval. This master protocol was then used to create 11 additional master protocols. The 12 master protocols were further combined to create 39 single and multiphase clinical protocols. Radiologist acceptance rate of exams scanned using the clinical protocols was monitored for 12,857 patients to analyze the effectiveness of the presented protocol management methods using a two‐tailed Fisher's exact test. A single routine adult abdominal protocol was used as the master protocol to create 11 additional master abdominal protocols of varying dose and beam energy. Situations in which the maximum tube current would have been exceeded are presented, and the trade‐offs between increasing the effective tube output via 1) decreasing pitch, 2) increasing the scan time, or 3) increasing the kV are discussed. Out of 12 master protocols customized across three different scanners, only one had a statistically significant acceptance rate that differed from the scanner it was customized from. The difference, however, was only 1% and was judged to be negligible. All other master protocols differed in acceptance rate insignificantly between scanners. The methodology described in this paper allows a small set of master protocols to be adapted among different clinical indications on a single scanner and among different CT scanners. PACS number: 87.57.Q PMID:26219005

  9. Efficient Mobility Management Signalling in Network Mobility Supported PMIPV6

    PubMed Central

    Jebaseeli Samuelraj, Ananthi; Jayapal, Sundararajan

    2015-01-01

    Proxy Mobile IPV6 (PMIPV6) is a network based mobility management protocol which supports node's mobility without the contribution from the respective mobile node. PMIPV6 is initially designed to support individual node mobility and it should be enhanced to support mobile network movement. NEMO-BSP is an existing protocol to support network mobility (NEMO) in PMIPV6 network. Due to the underlying differences in basic protocols, NEMO-BSP cannot be directly applied to PMIPV6 network. Mobility management signaling and data structures used for individual node's mobility should be modified to support group nodes' mobility management efficiently. Though a lot of research work is in progress to implement mobile network movement in PMIPV6, it is not yet standardized and each suffers with different shortcomings. This research work proposes modifications in NEMO-BSP and PMIPV6 to achieve NEMO support in PMIPV6. It mainly concentrates on optimizing the number and size of mobility signaling exchanged while mobile network or mobile network node changes its access point. PMID:26366431

  10. Informal trail monitoring protocols: Denali National Park and Preserve. Final Report, October 2011

    USGS Publications Warehouse

    Marion, Jeffrey L.; Wimpey, Jeremy F.

    2011-01-01

    Managers at Alaska?s Denali National Park and Preserve (DENA) sponsored this research to assess and monitor visitor-created informal trails (ITs). DENA is located in south-central Alaska and managed as a six million acre wilderness park. This program of research was guided by the following objectives: (1) Investigate alternative methods for monitoring the spatial distribution, aggregate lineal extent, and tread conditions of informal (visitor-created) trails within the park. (2) In consultation with park staff, develop, pilot test, and refine cost-effective and scientifically defensible trail monitoring procedures that are fully integrated with the park?s Geographic Information System. (3) Prepare a technical report that compiles and presents research results and their management implications. This report presents the protocol development and field testing process, illustrates the types of data produced by their application, and provides guidance for their application and use. The protocols described provide managers with an efficient means to document and monitor IT conditions in settings ranging from pristine to intensively visited.

  11. Efficient Mobility Management Signalling in Network Mobility Supported PMIPV6.

    PubMed

    Samuelraj, Ananthi Jebaseeli; Jayapal, Sundararajan

    2015-01-01

    Proxy Mobile IPV6 (PMIPV6) is a network based mobility management protocol which supports node's mobility without the contribution from the respective mobile node. PMIPV6 is initially designed to support individual node mobility and it should be enhanced to support mobile network movement. NEMO-BSP is an existing protocol to support network mobility (NEMO) in PMIPV6 network. Due to the underlying differences in basic protocols, NEMO-BSP cannot be directly applied to PMIPV6 network. Mobility management signaling and data structures used for individual node's mobility should be modified to support group nodes' mobility management efficiently. Though a lot of research work is in progress to implement mobile network movement in PMIPV6, it is not yet standardized and each suffers with different shortcomings. This research work proposes modifications in NEMO-BSP and PMIPV6 to achieve NEMO support in PMIPV6. It mainly concentrates on optimizing the number and size of mobility signaling exchanged while mobile network or mobile network node changes its access point.

  12. [Effect of a multidisciplinar protocol on the clinical results obtained after bariatric surgery].

    PubMed

    Cánovas Gaillemin, B; Sastre Martos, J; Moreno Segura, G; Llamazares Iglesias, O; Familiar Casado, C; Abad de Castro, S; López Pardo, R; Sánchez-Cabezudo Muñoz, M A

    2011-01-01

    Bariatric surgery has been shown to be an effective therapy for weight loss in patients with severe obesity, and the implementation of a multidisciplinar management protocol is recommended. To assess the usefulness of the implementation of a management protocol in obesity surgery based on the Spanish Consensus Document of the SEEDO. Retrospective comparative study of the outcomes in patients previously operated (51 patients) and after the implementation of the protocol (66 patients). The following data were gathered: anthropometry, pre-and post-surgery comorbidities, post-surgical nutritional and surgical complications, validated Quality of Life questionnaire, and dietary habits. Withdrawals (l7.6%) and alcoholism (5.8%) were higher in patients pre- versus post-implementation of the protocol (4.5% vs. 3%, respectively), the differences being statistically significant. The mortality rate was 2% in the pre-protocol group and 0% in the postprotocol group. The dietary habits were better in the post-protocol group, the pre-protocol group presenting a higher percentage of feeding-behavior disorders (5.1%) although not reaching a statistical significance. The improvement in quality of life was higher in the post-protocol group for all items, but only reaching statistical significance in sexual activity (p = 0.004). In the pre-protocol group, 70.5% of the patients had more than one nutritional complication vs. 32.8% in the post-protocol group (p < 0.05). There were no differences regarding the percentage of weight in excess lost at two years (> 50% in 81.3% in the pre-protocol group vs. 74.8% in the pos-protocol group) or the comorbidities. Bariatric surgery achieves excellent outcomes in weight loss, comorbidities, and quality of life, but presents nutritional, surgical, and psychiatric complications that require a protocol-based and multidisciplinary approach. Our protocol improves the outcomes regarding the withdrawal rates, feeding-behavior disorders, dietary habits, nutritional complications, and quality of life.

  13. Streetlight Control System Based on Wireless Communication over DALI Protocol

    PubMed Central

    Bellido-Outeiriño, Francisco José; Quiles-Latorre, Francisco Javier; Moreno-Moreno, Carlos Diego; Flores-Arias, José María; Moreno-García, Isabel; Ortiz-López, Manuel

    2016-01-01

    Public lighting represents a large part of the energy consumption of towns and cities. Efficient management of public lighting can entail significant energy savings. This work presents a smart system for managing public lighting networks based on wireless communication and the DALI protocol. Wireless communication entails significant economic savings, as there is no need to install new wiring and visual impacts and damage to the facades of historical buildings in city centers are avoided. The DALI protocol uses bidirectional communication with the ballast, which allows its status to be controlled and monitored at all times. The novelty of this work is that it tackles all aspects related to the management of public lighting: a standard protocol, DALI, was selected to control the ballast, a wireless node based on the IEEE 802.15.4 standard with a DALI interface was designed, a network layer that considers the topology of the lighting network has been developed, and lastly, some user-friendly applications for the control and maintenance of the system by the technical crews of the different towns and cities have been developed. PMID:27128923

  14. Management's role in shaping organizational culture.

    PubMed

    Kane-Urrabazo, Christine

    2006-04-01

    The present study addresses the importance of the manager's role in the development and maintenance of organizational culture. It describes the types of cultures that exist and manager characteristics that are essential to facilitating a healthy workplace. While many managers do not deny the importance of organizational culture in employee satisfaction, few fail to realize the direct impact they have in shaping it. It is oftentimes believed that cultures are predetermined; however, this is a false assumption. It is crucial that managers at all levels are aware of their roles and responsibilities in upholding positive workplace environments that can increase employee satisfaction. Dissatisfaction is the major cause of turnover and can have detrimental cost and environmental effects on the agency. Four critical components of culture (i.e. trust and trustworthiness, empowerment and delegation, consistency and mentorship) are discussed, as is the role of managers in turning these into positive cultural traits. The viewpoints of several authors, such as Stephen Covey, Mark McCormack and Charles Handy, are explored in relation to the development of organizational culture. Additional theories--Kanter's 'Theory of Organizational Empowerment', Locke's 'Goal-setting Theory' and the 'Social Exchange Theory'- supplement these viewpoints. Managers are always under the magnifying glass, with each action carefully scrutinized by subordinates. They must exercise caution when making decisions, ensuring that fairness and equitability exists among staff, and that ethical standards are upheld on a continual basis. The four cultural components, viewed as managerial traits of trust and trustworthiness, empowerment, consistency and mentorship coexist at all times regardless of the type of culture. Managers must put support systems and other mechanisms into place that allow employees the opportunity to empower themselves and to flourish, thus increasing their own effectiveness as well as that of the organization.

  15. Health-care management of an unexpected case of Ebola virus disease at the Alcorcón Foundation University Teaching Hospital.

    PubMed

    Rodríguez-Caravaca, Gil; Timermans, Rafael; Parra-Ramírez, Juan Manuel; Domínguez-Hernández, Francisco Javier; Algora-Weber, Alejandro; Delgado-Iribarren, Alberto; Hermida-Gutiérrez, Guillermo

    2015-04-01

    The first Ebola virus infected patient outside Africa was diagnosed and treated at Alcorcón Foundation University Teaching Hospital (AFUTH). We describe the integrated management strategy (medical, occupational health, preventive and public health) applied to the case. Descriptive study of health-care management of an unexpected case of Ebola virus disease (EVD) at AFUTH treated on 6 October 2014. We describe the clinical evolution of the patient while he was attended at the Emergency Department, the drawing-up process of the action protocol, the process of training of hospital staff, the administrative management for transferring the patient to the referral centre, and the measures implemented for cleaning, disinfection and management of waste. Qualitative variables are expressed as percentages. Our centre designed and updated, from May to October, five versions of the acting and care protocol for patients with EVD. The protocol was in force at the AFUTH when a nursing assistant was attended on 6 October 2014. All preventive, diagnostic and therapeutic measures outlined in the protocol were applied and 206 professionals had received training and information about care procedures with a suspect case. Health-care management of an unexpected case of EVD was adequate and there was no secondary cases in our staff as a result. All resources available should be used to fight EVD. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

  16. An inventory and monitoring plan for a Sonoran Desert ecosystem; Barry M. Goldwater Range-West

    USGS Publications Warehouse

    Villarreal, Miguel L.; van Riper, Charles; Lovich, Robert E.; Palmer, Robert L.; Nauman, Travis; Studd, Sarah E.; Drake, Sam; Rosenberg, Abigail S.; Malusa, Jim; Pearce, Ronald L.

    2011-01-01

    Marine Corps Air Station Yuma manages the Barry M. Goldwater Range-West, which encompasses approximately 2,800 square kilometers of Sonoran Desert habitat in southwestern Arizona. The Barry M. Goldwater Range is a major U.S. military installation designed as an air combat training location for the U.S. Marine Corps and U.S. Air Force, but it also includes some of the most pristine desert habitat in the United States. In an effort to ensure the long-term viability of this unique natural resource, the U.S. Geological Survey (USGS) has developed an Integrated Natural Resources Management Plan and Inventory and Monitoring Plan to guide natural resource management of the Barry M. Goldwater Range-West. This Inventory and Monitoring Plan provides a framework for long-term ecosystem monitoring on Barry M. Goldwater Range-West lands by identifying existing and potential threats to ecosystem function, prioritizing resources for monitoring, and providing information and protocols necessary to initiate a long-term ecosystem monitoring program. The Inventory and Monitoring Plan and related protocols were developed through extensive review of existing Sonoran Desert monitoring programs and monitoring literature and through a 2-day workshop with resource managers, monitoring experts, and other stakeholders. The Barry M. Goldwater Range-West Inventory and Monitoring Plan stresses the importance of regional monitoring partnerships and protocol standardization for understanding landscape-scale ecosystem changes in the Sonoran Desert; information and protocols contained within the plan may also be of interest to land managers engaged in large-scale ecosystem monitoring and adaptive management of other arid regions.

  17. A Department-of-Anesthesiology-based management protocol for perioperative corneal abrasions

    PubMed Central

    Lichter, Jessica R; Marr, Lawrence B; Schilling, Dennis E; Hudson, Mark E; Boretsky, Robert H; Barad, Roxana F; Chelly, Jacques E

    2015-01-01

    Introduction Corneal abrasions (CAs) are the most prevalent ocular injuries in the perioperative period. Previously, patients at our community hospital would wait for an ophthalmologist to be available to manage these minor injuries. To decrease this waiting period – and thereby increase patient satisfaction – we developed an anesthesiology-based protocol to manage minor CAs arising in the recovery room. The current study sought to assess this protocol’s efficacy as well as further establish the incidence and some risk factors of CA. Methods This was a hospital-based, observational study. As per protocol, anesthesiologists saw and diagnosed any patient exhibiting symptoms of CA, after which they initiated a preestablished treatment regimen. To examine the efficacy of this protocol between March 2007 and December 2011, the number of CAs anesthesiologists managed and time to treatment were recorded. Additionally, the frequency of CAs was established along with some of their risk factors. Results Throughout the study period, there were 91,064 surgical cases, with 118 CAs (0.13% incidence). Anesthesiology alone managed 110 (93.22%) of these cases. The median time between the end of anesthesia to the time of prescribed ophthalmic medication was 156 minutes (first–third interquartile range: 108–219). All patients experienced resolution of symptoms by the morning following their complaint. Compared to the general surgical population, CA patients were older (P<0.01) and underwent longer surgeries (P<0.01). Conclusion Minor CAs can be safely and effectively managed using an anesthesiology-based approach. Advanced age and longer surgery are confirmed as risk factors for these injuries. PMID:26392749

  18. Chapter 2: Commercial and Industrial Lighting Evaluation Protocol. The Uniform Methods Project: Methods for Determining Energy Efficiency Savings for Specific Measures

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

    Kurnik, Charles W; Gowans, Dakers; Telarico, Chad

    The Commercial and Industrial Lighting Evaluation Protocol (the protocol) describes methods to account for gross energy savings resulting from the programmatic installation of efficient lighting equipment in large populations of commercial, industrial, and other nonresidential facilities. This protocol does not address savings resulting from changes in codes and standards, or from education and training activities. A separate Uniform Methods Project (UMP) protocol, Chapter 3: Commercial and Industrial Lighting Controls Evaluation Protocol, addresses methods for evaluating savings resulting from lighting control measures such as adding time clocks, tuning energy management system commands, and adding occupancy sensors.

  19. Monitoring protocols: options, approaches, implementation, benefits

    USDA-ARS?s Scientific Manuscript database

    Monitoring and adaptive management are fundamental concepts to rangeland management across land management agencies and embodied as best management practices for private landowners. Historically, rangeland monitoring was limited to determining impacts or maximizing the potential of specific land use...

  20. Implementation of an Intensive Care Unit-Specific Alcohol Withdrawal Syndrome Management Protocol Reduces the Need for Mechanical Ventilation.

    PubMed

    Heavner, Jason J; Akgün, Kathleen M; Heavner, Mojdeh S; Eng, Claire C; Drew, Matthew; Jackson, Peter; Pritchard, David; Honiden, Shyoko

    2018-05-25

    Alcohol use disorders are prevalent and put patients at risk for developing alcohol withdrawal syndrome (AWS). Treatment of AWS with a symptom-triggered protocol standardizes management and may avoid AWS-related complications. The objective of this study was to evaluate whether implementation of an intensive care unit (ICU)-specific, symptom-triggered protocol for management of AWS was associated with improved clinical outcomes and, in particular, would reduce the risk of patients with AWS requiring mechanical ventilation. Retrospective pre-post-protocol implementation study. Thirty-six-bed, closed medical ICU (MICU) at a large, tertiary care, teaching hospital in an urban setting. A total of 233 adults admitted to the MICU with any diagnosis of alcohol use disorders based on International Classification of Diseases, Ninth Revision codes and who received at least one dose of any benzodiazepine; of these patients, 139 were in the pre-protocol era (August 2009-January 2010 and August 2010-January 2011), and 94 were in the post-protocol era (August 2012-January 2013), after implementation of the Yale Alcohol Withdrawal Protocol (YAWP) in April 2012. The YAWP pairs a modified Minnesota Detoxification Scale with an order set that includes benzodiazepine dosing regimens and suggests adjuvant therapies. AWS was the primary reason for ICU admission (107/233 patients [45.9%]) and did not significantly vary between eras (P=0.2). Of the 233 patients included, 81.1% were male and 67.0% were white, which did not significantly differ by study era. Severity of illness at MICU admission did not significantly differ between patients in the pre-protocol and post-protocol eras (median [interquartile range] Acute Physiology and Chronic Health Evaluation [APACHE] II scores of 12 [9-17] and 12.5 [7-16], respectively, p=0.4). Median lorazepam-equivalent dose per MICU day, duration of benzodiazepine infusion, and use of adjuvant therapy were not significantly different between eras. MICU intubation was less common in the post-protocol era (36/139 patients [25.9%] pre-protocol vs 8/94 patients [8.5%] post-protocol, p=0.0009). ICU-related pneumonia was also decreased in the post-protocol era (30/139 patients [21.6%] pre-protocol vs 10/94 patients [10.6%] post-protocol, p=0.03). After adjusting for demographics, adjuvant therapies, and Acute Physiology and Chronic Health Evaluation II scores, protocol implementation was associated with a decreased odds of MICU intubation (odds ratio 0.13; 95% confidence interval 0.04-0.39). Implementation of YAWP was associated with a decreased risk of MICU intubation in patients at risk for AWS. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  1. Exploring the attributes of critical thinking: a conceptual basis.

    PubMed

    Forneris, Susan G

    2004-01-01

    Many teaching methods used in nursing education to enhance critical thinking focus on teaching students how to directly apply knowledge; a technically rational approach. While seemingly effective at enhancing students' critical thinking abilities in structured learning situations, these methods don't prepare students to operationalize critical thinking to manage the complexities that actually exist in practice. The work of contemporary educational theorists Paulo Freire, Donald Schon, Chris Argyris, Jack Mezirow, Stephen Brookfield, and Robert Tennyson all share similar perspectives on thinking in practice and the use of reflection to achieve a coherence of understanding. Their perspectives provide insight on how educators can shift from a means-end approach to operationalizing thinking in practice. The author identifies four attributes of critical thinking in practice evidenced in these views, followed by a discussion of specific educational strategies that reflect these attributes, and operationalize a critical thinking process in nursing practice to achieve a coherence of understanding.

  2. Daily pan evaporation modelling using a neuro-fuzzy computing technique

    NASA Astrophysics Data System (ADS)

    Kişi, Özgür

    2006-10-01

    SummaryEvaporation, as a major component of the hydrologic cycle, is important in water resources development and management. This paper investigates the abilities of neuro-fuzzy (NF) technique to improve the accuracy of daily evaporation estimation. Five different NF models comprising various combinations of daily climatic variables, that is, air temperature, solar radiation, wind speed, pressure and humidity are developed to evaluate degree of effect of each of these variables on evaporation. A comparison is made between the estimates provided by the NF model and the artificial neural networks (ANNs). The Stephens-Stewart (SS) method is also considered for the comparison. Various statistic measures are used to evaluate the performance of the models. Based on the comparisons, it was found that the NF computing technique could be employed successfully in modelling evaporation process from the available climatic data. The ANN also found to perform better than the SS method.

  3. KSC-08pd1719

    NASA Image and Video Library

    2008-06-14

    CAPE CANAVERAL, Fla. – After their successful STS-124 mission and landing on Runway 15 at NASA's Kennedy Space Center, Mission Specialists Karen Nyberg and Akihiko Hoshide, Pilot Ken Ham and Mission Specialist Ron Garan are greeted by the Japan Aerospace Exploration Agency's Director of Program Management and Integration Yuichi Yamaura and Vice President Kaoru Mamiya, Center Director Bill Parsons and Associate Administrator for Space Operations Bill Gerstenmaier. Following Garan is Chief of the Astronaut Corps Stephen Lindsay and astronaut Janet Kavandi. Space shuttle Discovery's main landing gear touched down at 11:15:19 a.m. EDT on Runway 15. The nose landing gear touched down at 11:15:30 a.m. and wheel stop was at 11:16:19 a.m. The mission completed 5.7 million miles. The STS-124 mission delivered the Japan Aerospace Exploration Agency's large Japanese Pressurized Module and its remote manipulator system to the space station. Photo credit: NASA/Kim Shiflett

  4. Genetics Home Reference: amyotrophic lateral sclerosis

    MedlinePlus

    ... Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ... Vos KJ, Nishimura AL, Sreedharan J, Hu X, Smith B, Ruddy D, Wright P, Ganesalingam J, Williams ...

  5. Genetics Home Reference: autoimmune lymphoproliferative syndrome

    MedlinePlus

    ... area? Other Names for This Condition ALPS Canale-Smith syndrome Related Information How are genetic conditions and ... Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ...

  6. Genetics Home Reference: tyrosine hydroxylase deficiency

    MedlinePlus

    ... Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ... MA, Hol FA, Smeitink J, Seeger J, Grattan-Smith P, Ryan MM, Hoffmann GF, Donati MA, Blau ...

  7. Shocking chocolate into shape

    NASA Astrophysics Data System (ADS)

    Ornes, Stephen

    2016-11-01

    Wouldn't you love chocolate to have less fat but all the taste? Stephen Ornes discovers how the study of electrorheological fluids has led one physicist to a develop a new way to trim the fat from chocolate

  8. The return of supersolids

    NASA Astrophysics Data System (ADS)

    Ornes, Stephen

    2017-02-01

    Following a false alarm in 2004, two groups report what could be the first observation of supersolids, a theoretically predicted state of matter that is both a superfluid and a solid at the same time. Stephen Ornes reports

  9. Kiln control

    NASA Astrophysics Data System (ADS)

    Adams, Bob

    2016-03-01

    In reply to the feature article “Bubble signatures revealed in antique artefacts” by Stephen C Wallace and Geraldine Kenney-Wallace (January pp34-38) about how physics can help to tell a real antique porcelain object from a fake.

  10. 76 FR 39812 - Modoc County Resource Advisory Committee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-07

    ... Coordinator, Stephen Riley at (530) 233-8705. SUPPLEMENTARY INFORMATION: The business meeting on July 11, 2011... meeting. Dated: June 23, 2011. Kimberly H. Anderson, Forest Supervisor. [FR Doc. 2011-17022 Filed 7-6-11...

  11. Stephen's Second Birthday

    ERIC Educational Resources Information Center

    Brown, Catherine C.

    1977-01-01

    A mother relates the first 2 years of development and treatment of her son with cystic hygroma, a rare condition which affects the lymph glands and causes tumors in the neck, tongue, and in more serious cases, the lungs. (SBH)

  12. Hawking's acting roles

    NASA Astrophysics Data System (ADS)

    Castell, Stephen

    2012-06-01

    In the wake of Stephen Hawking's appearance on the TV show The Big Bang Theory, last month's "Quanta" page (May p3), included a request: "If you think Hawking should appear in any other TV shows, then let us know".

  13. NASA at the Space & Science Festival

    NASA Image and Video Library

    2017-08-05

    Honeybee Robotics co-founder and chairman Stephen Gorevan participates in a panel discussion titled "The Big Picture", Saturday, Aug. 5, 2017 at the Intrepid Sea, Air & Space Museum in New York City. Photo Credit: (NASA/Bill Ingalls)

  14. 76 FR 20757 - Self-Regulatory Organizations; Financial Industry Regulatory Authority, Inc.; Order Granting...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-13

    ... Education, Christine Lazaro, Esq., Supervising Attorney, Clair S. Seu, Student Intern, and Stephen Chou, Student Intern, St. John's University School of Law Securities Arbitration Clinic, dated March 15, 2011...

  15. 77 FR 63872 - Senior Executive Service; Appointment of Members to the Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-17

    ... Resources--Kim L.H. Green. Rotating Membership ASP Kathleen E. Franks, Director, Office of Regulatory and... OLMS Stephen J. Willertz, Director, Office of Enforcement and International Union Audits--appointment...

  16. 76 FR 75559 - Notice of Meeting, National Capital Memorial Advisory Commission

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-02

    ....gov for specific information regarding sites under consideration. (3) Review of H.R. 3278, a bill to... 7, 2011. Stephen E. Whitesell, Regional Director, National Capital Region. [FR Doc. 2011-31042 Filed...

  17. Genetics Home Reference: Char syndrome

    MedlinePlus

    ... Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ... 42-6. Citation on PubMed Slavotinek A, Clayton-Smith J, Super M. Familial patent ductus arteriosus: a ...

  18. Genetics Home Reference: severe congenital neutropenia

    MedlinePlus

    ... Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews® [Internet]. Seattle (WA): ... Yesilipek A, Fischer A, Bierings M, Ozturk G, Smith O, Veys P, Ljungman P, Peffault de Latour ...

  19. Genetics Experts Unite to I.D. Unknown Katrina Victims

    MedlinePlus

    ... News From NIH Genetics Experts Unite to I.D. Unknown Katrina Victims Past Issues / Summer 2006 Table ... and genetics," says team member Stephen Sherry, Ph.D., of NLM's National Center for Biotechnology Information, "is ...

  20. 7 CFR Appendix A to Part 3600 - List of State Statistical Offices

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 32803 Georgia, Stephens Federal Building, Suite 320, Athens, GA 30613 Hawaii, State Department of Agriculture Building, 1428 South King Street, Honolulu, HI 96814 Idaho, 2224 Old Penitentiary Road, Boise, ID...

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