14 CFR 121.141 - Airplane flight manual.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Airplane flight manual. 121.141 Section 121... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Manual Requirements § 121.141 Airplane flight manual. (a) Each certificate holder shall keep a current approved airplane flight manual for each type of...

14 CFR 121.141 - Airplane flight manual.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Airplane flight manual. 121.141 Section 121... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Manual Requirements § 121.141 Airplane flight manual. (a) Each certificate holder shall keep a current approved airplane flight manual for each type of...

Asphalt Raking. Instructor Manual. Trainee Manual.

ERIC Educational Resources Information Center

Laborers-AGC Education and Training Fund, Pomfret Center, CT.

This packet consists of the instructor and trainee manuals for an asphalt raking course. The instructor manual contains a course schedule for 4 days of instruction, content outline, and instructor outline. The trainee manual is divided into five sections: safety, asphalt basics, placing methods, repair and patching, and clean-up and maintenance.…

46 CFR 160.176-21 - User manuals.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 6 2010-10-01 2010-10-01 false User manuals. 160.176-21 Section 160.176-21 Shipping...: SPECIFICATIONS AND APPROVAL LIFESAVING EQUIPMENT Inflatable Lifejackets § 160.176-21 User manuals. (a) The manufacturer must develop a user's manual for each model of inflatable lifejacket. The content of the manual...

The NASTRAN theoretical manual (level 16.0)

NASA Technical Reports Server (NTRS)

1976-01-01

The manual is a commentary on the NASTRAN computer program, introducing the program to all interested persons. The manual's most important function is to present the developments of the analytical and numerical procedures that underlie the program. This manual is one of the four manuals which document the NASTRAN computer program.

49 CFR 383.131 - Test manuals.

Code of Federal Regulations, 2014 CFR

2014-10-01

... knowledge and skills test examiners. To be pre-approved by FMCSA, the examiner information manual must be... 49 Transportation 5 2014-10-01 2014-10-01 false Test manuals. 383.131 Section 383.131... STANDARDS; REQUIREMENTS AND PENALTIES Tests § 383.131 Test manuals. (a) Driver information manual. (1) A...

49 CFR 383.131 - Test manuals.

Code of Federal Regulations, 2011 CFR

2011-10-01

... knowledge and skills test examiners. To be pre-approved by FMCSA, the examiner information manual must be... 49 Transportation 5 2011-10-01 2011-10-01 false Test manuals. 383.131 Section 383.131... STANDARDS; REQUIREMENTS AND PENALTIES Tests § 383.131 Test manuals. (a) Driver information manual. (1) A...

49 CFR 383.131 - Test manuals.

Code of Federal Regulations, 2013 CFR

2013-10-01

... knowledge and skills test examiners. To be pre-approved by FMCSA, the examiner information manual must be... 49 Transportation 5 2013-10-01 2013-10-01 false Test manuals. 383.131 Section 383.131... STANDARDS; REQUIREMENTS AND PENALTIES Tests § 383.131 Test manuals. (a) Driver information manual. (1) A...

14 CFR 121.141 - Airplane flight manual.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Airplane flight manual. 121.141 Section 121... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Manual Requirements § 121.141 Airplane flight manual. (a) Each certificate holder shall keep a current approved airplane flight manual for each type of...

14 CFR 139.205 - Amendment of Airport Certification Manual.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Amendment of Airport Certification Manual... CERTIFICATION OF AIRPORTS Airport Certification Manual § 139.205 Amendment of Airport Certification Manual. (a) Under § 139.3, the Regional Airports Division Manager may amend any Airport Certification Manual...

14 CFR 139.205 - Amendment of Airport Certification Manual.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Amendment of Airport Certification Manual... CERTIFICATION OF AIRPORTS Airport Certification Manual § 139.205 Amendment of Airport Certification Manual. (a) Under § 139.3, the Regional Airports Division Manager may amend any Airport Certification Manual...

14 CFR 139.205 - Amendment of Airport Certification Manual.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Amendment of Airport Certification Manual... CERTIFICATION OF AIRPORTS Airport Certification Manual § 139.205 Amendment of Airport Certification Manual. (a) Under § 139.3, the Regional Airports Division Manager may amend any Airport Certification Manual...

14 CFR 139.205 - Amendment of Airport Certification Manual.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Amendment of Airport Certification Manual... CERTIFICATION OF AIRPORTS Airport Certification Manual § 139.205 Amendment of Airport Certification Manual. (a) Under § 139.3, the Regional Airports Division Manager may amend any Airport Certification Manual...

Validation of a Cytotechnologist Manual Counting Service for the Ki67 Index in Neuroendocrine Tumors of the Pancreas and Gastrointestinal Tract.

PubMed

Cottenden, Jennielee; Filter, Emily R; Cottreau, Jon; Moore, David; Bullock, Martin; Huang, Weei-Yuarn; Arnason, Thomas

2018-03-01

- Pathologists routinely assess Ki67 immunohistochemistry to grade gastrointestinal and pancreatic neuroendocrine tumors. Unfortunately, manual counts of the Ki67 index are very time consuming and eyeball estimation has been criticized as unreliable. Manual Ki67 counts performed by cytotechnologists could potentially save pathologist time and improve accuracy. - To assess the concordance between manual Ki67 index counts performed by cytotechnologists versus eyeball estimates and manual Ki67 counts by pathologists. - One Ki67 immunohistochemical stain was retrieved from each of 18 archived gastrointestinal or pancreatic neuroendocrine tumor resections. We compared pathologists' Ki67 eyeball estimates on glass slides and printed color images with manual counts performed by 3 cytotechnologists and gold standard manual Ki67 index counts by 3 pathologists. - Tumor grade agreement between pathologist image eyeball estimate and gold standard pathologist manual count was fair (κ = 0.31; 95% CI, 0.030-0.60). In 9 of 20 cases (45%), the mean pathologist eyeball estimate was 1 grade higher than the mean pathologist manual count. There was almost perfect agreement in classifying tumor grade between the mean cytotechnologist manual count and the mean pathologist manual count (κ = 0.910; 95% CI, 0.697-1.00). In 20 cases, there was only 1 grade disagreement between the 2 methods. Eyeball estimation by pathologists required less than 1 minute, whereas manual counts by pathologists required a mean of 17 minutes per case. - Eyeball estimation of the Ki67 index has a high rate of tumor grade misclassification compared with manual counting. Cytotechnologist manual counts are accurate and save pathologist time.

ACT Plan: Technical Manual. 2013/2014

ERIC Educational Resources Information Center

ACT, Inc., 2013

2013-01-01

This manual contains information about the American College Test (ACT) Plan® program. The principal focus of this manual is to document the Plan program's technical adequacy in light of its intended purposes. This manual supersedes the 2011 edition. The content of this manual responds to requirements of the testing industry as established in the…

A Primer for the Design of Practice Manuals: Four Stages of Development

ERIC Educational Resources Information Center

Galinsky, Maeda J.; Fraser, Mark W.; Day, Steven H.; Richman, Jack M.

2013-01-01

Treatment manuals are increasingly being used to guide interventions with individuals, families, groups, organizations, and communities. However, little is known about best practices in designing manuals. We describe a process that provides for the development of manuals and specifies the means by which manuals can be adapted for practice…

Are Drivers' Manuals Right for Reluctant Readers?

ERIC Educational Resources Information Center

Stahl, Norman A.; And Others

Readability formulas were applied to the drivers' manuals of each of the 50 United States and Puerto Rico to determine whether the manuals were appropriate materials for motivating reluctant or low achieving adolescent readers. Four 100-word samples were chosen from each manual, according to four themes common to each manual and of particular…

Pennsylvania Blue Shield Job Linked Skills Program. Teacher's Manual [and] Technical Manual.

ERIC Educational Resources Information Center

Pennsylvania State Univ., University Park. Inst. for the Study of Adult Literacy.

Two closely related publications from the same project, a Teacher's Manual" and a "Technical Manual", are combined here. These manuals are intended to accompany a work force literacy course designed to meet the basic skills needs of midliterate adults employed or preparing for employment in the health insurance industry.…

46 CFR 160.077-29 - PFD Manuals.

Code of Federal Regulations, 2010 CFR

2010-10-01

... limitation must have a user's manual that— (i) Explains in detail the proper care, maintenance, stowage, and... 46 Shipping 6 2010-10-01 2010-10-01 false PFD Manuals. 160.077-29 Section 160.077-29 Shipping... Manuals. (a) Approval. The text of each manual required by this section is reviewed with the application...

76 FR 68328 - Commercial Driver's License Information System State Procedures Manual, Release 5.2.0

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-04

... mandating CDLIS and discusses types of CDLIS users. This Manual also includes descriptions, excerpted from... Manual, Release 5.2.0 AGENCY: Federal Motor Carrier Safety Administration (FMCSA), DOT. ACTION: Final...) Commercial Driver's License Information System (CDLIS) State Procedures Manual (the Manual) (Release 5.2.0...

Manual Therapy: The Historical, Current, and Future Role in the Treatment of Pain

PubMed Central

Smith, A. Russell

2007-01-01

Manual therapy has been an approach in the management of patients with various disorders dating back to ancient times and continues to play a significant role in current health care. The future role of manual therapy in health care is an important area of research. This paper reviews the history of manual therapy, examines the current literature related to the use of manual techniques (including manipulation, massage, and nerve manipulation), and discusses future research topics. The literature related to manual therapy has historically been anecdotal and theoretical, and current research tends to have a generic approach with broad definitions of manual therapy and inconsistencies in the classification of specific disorders. Systematic reviews of various types of manual therapy have differed on their conclusions regarding the effectiveness of this treatment modality. The current demand in health care for evidence-based practice necessitates a movement towards more specificity in the research of the effectiveness of manual therapy, with emphasis on specific patient signs and symptoms and specific manual techniques that result in effective care. PMID:17334604

Evaluation of manual and automatic manually triggered ventilation performance and ergonomics using a simulation model.

PubMed

Marjanovic, Nicolas; Le Floch, Soizig; Jaffrelot, Morgan; L'Her, Erwan

2014-05-01

In the absence of endotracheal intubation, the manual bag-valve-mask (BVM) is the most frequently used ventilation technique during resuscitation. The efficiency of other devices has been poorly studied. The bench-test study described here was designed to evaluate the effectiveness of an automatic, manually triggered system, and to compare it with manual BVM ventilation. A respiratory system bench model was assembled using a lung simulator connected to a manikin to simulate a patient with unprotected airways. Fifty health-care providers from different professional groups (emergency physicians, residents, advanced paramedics, nurses, and paramedics; n = 10 per group) evaluated manual BVM ventilation, and compared it with an automatic manually triggered device (EasyCPR). Three pathological situations were simulated (restrictive, obstructive, normal). Standard ventilation parameters were recorded; the ergonomics of the system were assessed by the health-care professionals using a standard numerical scale once the recordings were completed. The tidal volume fell within the standard range (400-600 mL) for 25.6% of breaths (0.6-45 breaths) using manual BVM ventilation, and for 28.6% of breaths (0.3-80 breaths) using the automatic manually triggered device (EasyCPR) (P < .0002). Peak inspiratory airway pressure was lower using the automatic manually triggered device (EasyCPR) (10.6 ± 5 vs 15.9 ± 10 cm H2O, P < .001). The ventilation rate fell consistently within the guidelines, in the case of the automatic manually triggered device (EasyCPR) only (10.3 ± 2 vs 17.6 ± 6, P < .001). Significant pulmonary overdistention was observed when using the manual BVM device during the normal and obstructive sequences. The nurses and paramedics considered the ergonomics of the automatic manually triggered device (EasyCPR) to be better than those of the manual device. The use of an automatic manually triggered device may improve ventilation efficiency and decrease the risk of pulmonary overdistention, while decreasing the ventilation rate.

Laboratory productivity and the rate of manual peripheral blood smear review: a College of American Pathologists Q-Probes study of 95,141 complete blood count determinations performed in 263 institutions.

PubMed

Novis, David A; Walsh, Molly; Wilkinson, David; St Louis, Mary; Ben-Ezra, Jonathon

2006-05-01

Automated laboratory hematology analyzers are capable of performing differential counts on peripheral blood smears with greater precision and more accurate detection of distributional and morphologic abnormalities than those performed by manual examinations of blood smears. Manual determinations of blood morphology and leukocyte differential counts are time-consuming, expensive, and may not always be necessary. The frequency with which hematology laboratory workers perform manual screens despite the availability of labor-saving features of automated analyzers is unknown. To determine the normative rates with which manual peripheral blood smears were performed in clinical laboratories, to examine laboratory practices associated with higher or lower manual review rates, and to measure the effects of manual smear review on the efficiency of generating complete blood count (CBC) determinations. From each of 3 traditional shifts per day, participants were asked to select serially, 10 automated CBC specimens, and to indicate whether manual scans and/or reviews with complete differential counts were performed on blood smears prepared from those specimens. Sampling continued until a total of 60 peripheral smears were reviewed manually. For each specimen on which a manual review was performed, participants indicated the patient's age, hemoglobin value, white blood cell count, platelet count, and the primary reason why the manual review was performed. Participants also submitted data concerning their institutions' demographic profiles and their laboratories' staffing, work volume, and practices regarding CBC determinations. The rates of manual reviews and estimations of efficiency in performing CBC determinations were obtained from the data. A total of 263 hospitals and independent laboratories, predominantly located in the United States, participating in the College of American Pathologists Q-Probes Program. There were 95,141 CBC determinations examined in this study; participants reviewed 15,423 (16.2%) peripheral blood smears manually. In the median institution (50th percentile), manual reviews of peripheral smears were performed on 26.7% of specimens. Manual differential count review rates were inversely associated with the magnitude of platelet counts that were required by laboratory policy to trigger smear reviews and with the efficiency of generating CBC reports. Lower manual differential count review rates were associated with laboratory policies that allowed manual reviews solely on the basis of abnormal automated red cell parameters and that precluded performing repeat manual reviews within designated time intervals. The manual scan rate elevated with increased number of hospital beds. In more than one third (35.7%) of the peripheral smears reviewed manually, participants claimed to have learned additional information beyond what was available on automated hematology analyzer printouts alone. By adopting certain laboratory practices, it may be possible to reduce the rates of manual reviews of peripheral blood smears and increase the efficiency of generating CBC results.

Hazard House Workbook: A Workbook about Household Chemicals. Leader's Manual. Members Manual.

ERIC Educational Resources Information Center

California State Dept. of Toxic Substance Control, Sacramento.

The two books, the leader's manual and the members' manual address one environmental problem people come into contact with on a daily basis: potentially hazardous household products. The purpose of the books is to educate community groups about hazardous materials. The member's manual shares information about hazardous items and provides facts to…

Guidance document publications list - Office of Environmental Policy and Assistance RCRA/CERCLA Division (EH-413)

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

NONE

1995-08-01

This document provides a listing of Guidance Documents from the RCRA/CERCLA Division for August 1995. Documents are listed under the following categories: RCRA Guidance Manuals; RCRA Information Briefs; CERCLA Guidance Manuals; CERCLA Regulatory Bulletins; RCRA/CERCLA Guidance Manuals; TSCA Guidance Manuals; TSCA Information Briefs; and, Cross Cut Manuals.

The New Zealand Playground Safety Manual: A Report on Its Development, Implementation, and Success.

ERIC Educational Resources Information Center

Jambor, Tom

"The New Zealand Playground Safety Manual" was designed for early childhood services, primary and intermediate schools, and park administrators. The manual was developed with the input of practitioners who attended seminars held throughout New Zealand and who reviewed all segments of the manual. Part 1 of the manual presents five steps…

Guidelines for Keeping the Cornell Farm Account Book. Teacher Manual.

ERIC Educational Resources Information Center

Paterson, Dale J.

This teacher's manual is designed to complement the student manual Guidelines for Keeping Cornell Farm Account Book. The first part of the teacher manual contains lists of concepts that should be taught within each of the fifteen units of instruction. The remainder of the teacher's manual provides the fifteen units of instruction included in the…

Product Manuals: A Consumer Perspective.

ERIC Educational Resources Information Center

Showers, Linda S.; And Others

1993-01-01

Qualitative analysis of insights from consumer focus groups on product manual usage reveals consumer perceptions and preferences regarding manual and safety message format. Results can be used to improve manual design and content. (JOW)

2002 Construction manual

DOT National Transportation Integrated Search

2002-01-01

The Illinois Department of Transportation's Highway Construction Manual has been updated from its previous version. All previous editions of this manual are now obsolete and changes in content have been marked. The Construction Manual provides inform...

Treatment manuals: use in the treatment of bulimia nervosa.

PubMed

Wallace, Laurel M; von Ranson, Kristin M

2011-11-01

As psychology has moved toward emphasizing evidence-based practice, use of treatment manuals has extended from research trials into clinical practice. Minimal research has directly evaluated use of manuals in clinical practice. This survey of international eating disorder professionals examined use of manuals with 259 clinicians' most recent client with bulimia nervosa. Although evidence-based manuals for bulimia nervosa exist, only 35.9% of clinicians reported using a manual. Clinicians were more likely to use a manual if they were younger; were treating an adult client; were clinical psychologists; were involved in research related to eating disorders; and endorsed a cognitive-behavioral orientation. Clinicians were less likely to use a manual if they provided eclectic psychotherapy that incorporated multiple psychotherapeutic approaches. We conclude that psychotherapy provided in clinical practice often does not align with the specific form validated in research trials, and "eclecticism" is at odds with efforts to disseminate manuals into clinical practice. Copyright © 2011 Elsevier Ltd. All rights reserved.

ARS-Media for excel instruction manual

USDA-ARS?s Scientific Manuscript database

ARS-Media for Excel Instruction Manual is the instruction manual that explains how to use the Excel spreadsheet ARS-Media for Excel application. ARS-Media for Excel Instruction Manual is provided as a pdf file....

Caltrans : construction manual

DOT National Transportation Integrated Search

2009-08-01

Caltrans intends this manual as a resource for all personnel engaged in contract administration. The manual establishes policies and procedures for the construction phase of Caltrans projects. However, this manual is not a contract document. It impos...

High-occupancy vehicle guidelines for planning, design and operations

DOT National Transportation Integrated Search

2003-08-01

These guidelines are not intended to supersede Caltrans : Transportation Planning Manual, Project Development : Procedures Manual, Highway Design Manual, Manual : on Uniform Traffic Control Devices (MUTCD) and : California Supplement to the MUTCD ...

Regulation of dynamic postural control to attend manual steadiness constraints.

PubMed

Teixeira, Luis Augusto; Coutinho, Joane Figueiredo Serpa; Coelho, Daniel Boari

2018-05-02

In daily living activities, performance of spatially accurate manual movements in upright stance depends on postural stability. In the present investigation, we aimed to evaluate the effect of the required manual steadiness (task constraint) on the regulation of dynamic postural control. A single group of young participants (n=20) were evaluated in the performance of a dual posturo-manual task of balancing on a platform oscillating in sinusoidal translations at 0.4 Hz (low) or 1 Hz (high) frequencies while stabilizing a cylinder on a handheld tray. Manual task constraint was manipulated by comparing the conditions of keeping the cylinder stationary on its flat or round side, corresponding to low and high manual task constraints, respectively. Results showed that in the low oscillation frequency the high manual task constraint led to lower oscillation amplitudes of the head, center of mass, and tray, in addition to higher relative phase values between ankle/hip-shoulder oscillatory rotations and between center of mass/center of pressure-feet oscillations as compared to values observed in the low manual task constraint. Further analyses showed that the high manual task constraint also affected variables related to both postural (increased amplitudes of center of pressure oscillation) and manual (increased amplitude of shoulder rotations) task components in the high oscillation frequency. These results suggest that control of a dynamic posturo-manual task is modulated in distinct parameters to attend the required manual steadiness in a complex and flexible way.

NASTRAN user's guide (Level 17.5)

NASA Technical Reports Server (NTRS)

Field, E. I.; Herting, D. N.; Morgan, M. J.

1979-01-01

The user's guide is a handbook for engineers and analysts who use the NASTRAN finite element computer program supplements the NASTRAN Theoretical Manual (NASA SP-221), the NASTRAN User's Manual (NASA SP-222), the NASTRAN Programmer's Manual (NASA SP-223), and the NASTRAN Demonstration Program Manual (NASA SP-224). It provides modeling hints, attributes of the program, and references to the four manuals listed.

Computer-Assisted Automated Scoring of Polysomnograms Using the Somnolyzer System.

PubMed

Punjabi, Naresh M; Shifa, Naima; Dorffner, Georg; Patil, Susheel; Pien, Grace; Aurora, Rashmi N

2015-10-01

Manual scoring of polysomnograms is a time-consuming and tedious process. To expedite the scoring of polysomnograms, several computerized algorithms for automated scoring have been developed. The overarching goal of this study was to determine the validity of the Somnolyzer system, an automated system for scoring polysomnograms. The analysis sample comprised of 97 sleep studies. Each polysomnogram was manually scored by certified technologists from four sleep laboratories and concurrently subjected to automated scoring by the Somnolyzer system. Agreement between manual and automated scoring was examined. Sleep staging and scoring of disordered breathing events was conducted using the 2007 American Academy of Sleep Medicine criteria. Clinical sleep laboratories. A high degree of agreement was noted between manual and automated scoring of the apnea-hypopnea index (AHI). The average correlation between the manually scored AHI across the four clinical sites was 0.92 (95% confidence interval: 0.90-0.93). Similarly, the average correlation between the manual and Somnolyzer-scored AHI values was 0.93 (95% confidence interval: 0.91-0.96). Thus, interscorer correlation between the manually scored results was no different than that derived from manual and automated scoring. Substantial concordance in the arousal index, total sleep time, and sleep efficiency between manual and automated scoring was also observed. In contrast, differences were noted between manually and automated scored percentages of sleep stages N1, N2, and N3. Automated analysis of polysomnograms using the Somnolyzer system provides results that are comparable to manual scoring for commonly used metrics in sleep medicine. Although differences exist between manual versus automated scoring for specific sleep stages, the level of agreement between manual and automated scoring is not significantly different than that between any two human scorers. In light of the burden associated with manual scoring, automated scoring platforms provide a viable complement of tools in the diagnostic armamentarium of sleep medicine. © 2015 Associated Professional Sleep Societies, LLC.

Process to evaluate hematological parameters that reflex to manual differential cell counts in a pediatric institution.

PubMed

Guarner, Jeannette; Atuan, Maria Ana; Nix, Barbara; Mishak, Christopher; Vejjajiva, Connie; Curtis, Cheri; Park, Sunita; Mullins, Richard

2010-01-01

Each institution sets specific parameters obtained by automated hematology analyzers to trigger manual counts. We designed a process to decrease the number of manual differential cell counts without impacting patient care. We selected new criteria that prompt manual counts and studied the impact these changes had in 2 days of work and in samples of patients with newly diagnosed leukemia, sickle cell disease, and presence of left shift. By using fewer parameters and expanding our ranges we decreased the number of manual counts by 20%. The parameters that prompted manual counts most frequently were the presence of blast flags and nucleated red blood cells, 2 parameters that were not changed. The parameters that accounted for a decrease in the number of manual counts were the white blood cell count and large unstained cells. Eight of 32 patients with newly diagnosed leukemia did not show blast flags; however, other parameters triggered manual counts. In 47 patients with sickle cell disease, nucleated red cells and red cell variability prompted manual review. Bands were observed in 18% of the specimens and 4% would not have been counted manually with the new criteria, for the latter the mean band count was 2.6%. The process we followed to evaluate hematological parameters that reflex to manual differential cell counts increased efficiency without compromising patient care in our hospital system.

Effect of a worktable position on head and shoulder posture and shoulder muscles in manual material handling.

PubMed

Kim, Min-Hee; Yoo, Won-Gyu

2015-06-05

According to a recent research, manual working with high levels of static contraction, repetitive loads, or extreme working postures involving the neck and shoulder muscles causes an increased risk of neck and shoulder musculoskeletal disorders. We investigated the effects of the forwardly worktable position on head and shoulder angles and shoulder muscle activity in manual material handling tasks. The forward head and shoulder angles and the activity of upper trapezius, levator scapulae, and middle deltoid muscle activities of 15 workers were measured during performing of manual material handling in two tasks that required different forward head and shoulder angles. The second manual material task required a significantly increased forward head and shoulder angle. The upper trapezius and levator scapulae muscle activity in second manual material task was increased significantly compared with first manual material task. The middle deltoid muscle activity in second manual material task was not significantly different compared with first manual material task. Based on this result, the forward head and shoulder angles while performing manual work need to be considered in selection of the forward distance of a worktable form the body. The high level contractions of the neck and shoulder muscles correlated with neck and shoulder pain. Therefore, the forward distance of a worktable can be an important factor in preventing neck and shoulder pain in manual material handling workers.

Nutrient Control Design Manual

EPA Science Inventory

The purpose of this EPA design manual is to provide updated, state‐of‐the‐technology design guidance on nitrogen and phosphorus control at municipal Wastewater Treatment Plants (WWTPs). Similar to previous EPA manuals, this manual contains extensive information on the principles ...

St. Louis Regional Library Network Manuals: Delivery System Manual, INFO-PASS Manual, Interlibrary Loan Protocol, Procedures and Policies Manual.

ERIC Educational Resources Information Center

Saint Louis Regional Library Network, MO.

Included in this set of manuals are: (1) guidelines for document delivery to member libraries within the St. Louis Regional Library Network (SLRLN) in which eligible materials are described, addressing and packing are outlined, routing and deliveries are discussed, and a list of delivery system participants is provided; (2) a descriptive guide to…

Identification of spinal tissues loaded by manual therapy: a robot-based serial dissection technique applied in porcine motion segments.

PubMed

Kawchuk, Gregory N; Carrasco, Alejandro; Beecher, Grayson; Goertzen, Darrell; Prasad, Narasimha

2010-10-15

Serial dissection of porcine motion segments during robotic control of vertebral kinematics. To identify which spinal tissues are loaded in response to manual therapy (manipulation and mobilization) and to what magnitude. Various theoretical constructs attempt to explain how manual therapies load specific spinal tissues. By using a parallel robot to control vertebral kinematics during serial dissection, it is possible to quantify the loads experienced by discrete spinal tissues undergoing common therapeutic procedures such as manual therapy. In 9 porcine cadavers, manual therapy was provided to L3 and the kinematic response of L3-L4 recorded. The exact kinematic trajectory experienced by L3-L4 in response to manual therapy was then replayed to the isolated segment by a parallel robot equipped with a 6-axis load cell. Discrete spinal tissues were then removed and the kinematic pathway replayed. The change in forces and moments following tissue removal were considered to be those applied to that specific tissue by manual therapy. In this study, both manual therapies affected spinal tissues. The intervertebral disc experienced the greatest forces and moments arising from both manipulation and mobilization. This study is the first to identify which tissues are loaded in response to manual therapy. The observation that manual therapy loads some tissues to a much greater magnitude than others offers a possible explanation for its modest treatment effect; only conditions involving these tissues may be influenced by manual therapy. Future studies are planned to determine if manual therapy can be altered to target (or avoid) specific spinal tissues.

Analysis of on-line clinical laboratory manuals and practical recommendations.

PubMed

Beckwith, Bruce; Schwartz, Robert; Pantanowitz, Liron

2004-04-01

On-line clinical laboratory manuals are a valuable resource for medical professionals. To our knowledge, no recommendations currently exist for their content or design. To analyze publicly accessible on-line clinical laboratory manuals and to propose guidelines for their content. We conducted an Internet search for clinical laboratory manuals written in English with individual test listings. Four individual test listings in each manual were evaluated for 16 data elements, including sample requirements, test methodology, units of measure, reference range, and critical values. Web sites were also evaluated for supplementary information and search functions. We identified 48 on-line laboratory manuals, including 24 academic or community hospital laboratories and 24 commercial or reference laboratories. All manuals had search engines and/or test indices. No single manual contained all 16 data elements evaluated. An average of 8.9 (56%) elements were present (range, 4-14). Basic sample requirements (specimen and volume needed) were the elements most commonly present (98% of manuals). The frequency of the remaining data elements varied from 10% to 90%. On-line clinical laboratory manuals originate from both hospital and commercial laboratories. While most manuals were user-friendly and contained adequate specimen-collection information, other important elements, such as reference ranges, were frequently absent. To ensure that clinical laboratory manuals are of maximal utility, we propose the following 13 data elements be included in individual test listings: test name, synonyms, test description, test methodology, sample requirements, volume requirements, collection guidelines, transport guidelines, units of measure, reference range, critical values, test availability, and date of latest revision.

New highway accident location manual for Missouri.

DOT National Transportation Integrated Search

2013-12-01

The Missouri HAL manual is used to identify, analyze, and correct high crash locations, and has not been updated since : 1999. This new edition brings the manual up to date, while incorporating the methodology of the national Highway Safety : Manual ...

Dynamic delivery of the National Transit Database Sampling Manual.

DOT National Transportation Integrated Search

2013-02-01

This project improves the National Transit Database (NTD) Sampling Manual and develops an Internet-based, WordPress-powered interactive Web tool to deliver the new NTD Sampling Manual dynamically. The new manual adds guidance and a tool for transit a...

Dynamic delivery of the National Transit Database sampling manual.

DOT National Transportation Integrated Search

2013-02-01

This project improves the National Transit Database (NTD) Sampling Manual and develops an Internet-based, WordPress-powered interactive Web tool to deliver the new NTD Sampling Manual dynamically. The new manual adds guidance and a tool for transit a...

Manualized treatment programs for FSD: research challenges and recommendations.

PubMed

Hucker, Alice; McCabe, Marita P

2012-02-01

The use of manualized treatment programs offers a useful research framework for assessing psychotherapeutic interventions for female sexual dysfunctions (FSDs), but it does not address all issues related to methodological rigor and replication, and raises new research issues in need of discussion. The goals of this manuscript are to review the literature on treatment trials utilizing manualized psychotherapy treatments for FSD and to explore the benefits and research issues associated with the flexible use of treatment manuals. The method used was the review of the relevant literature. While the use of manualized treatments for FSDs can address certain methodological issues inherent in psychotherapy research, flexibility in manual administration is necessary in order to allow tailoring for individual needs that can be beneficial to both the participant and the research. The flexible use of manuals, as opposed to strict manual adherence, may also be more relevant for clinical utility. In order to administer manualized treatments for FSDs with appropriate flexibility, while also maximizing internal validity and replicability, the authors recommend that predetermined decision rules be utilized to guide individual tailoring, that potential gaps in the manual be identified and addressed, and that differing levels of motivation and readiness for treatment be taken into consideration in the treatment protocol. © 2011 International Society for Sexual Medicine.

Climbing The Knowledge Mountain - The New Solids Processing Design And Management Manual (Presentation)

EPA Science Inventory

The USEPA, Water Environment Federation (WEF) and Water Environment Research Foundation (WERF), under a Cooperative Research and Development Agreement (CRADA), are undertaking a massive effort to produce a Solids Processing Design and Management Manual (Manual). The Manual, repr...

Climbing The Knowledge Mountain - The New Solids Processing Design And Management Manual

EPA Science Inventory

The USEPA, Water Environment Federation (WEF) and Water Environment Research Foundation (WERF), under a Cooperative Research and Development Agreement (CRADA), are undertaking a massive effort to produce a Solids Processing Design and Management Manual (Manual). The Manual, repr...

Important wheelchair skills for new manual wheelchair users: health care professional and wheelchair user perspectives.

PubMed

Morgan, Kerri A; Engsberg, Jack R; Gray, David B

2017-01-01

The purpose of this project was to identify wheelchair skills currently being taught to new manual wheelchair users, identify areas of importance for manual wheelchair skills' training during initial rehabilitation, identify similarities and differences between the perspectives of health care professionals and manual wheelchair users and use the ICF to organize themes related to rehabilitation and learning how to use a manual wheelchair. Focus groups were conducted with health care professionals and experienced manual wheelchair users. ICF codes were used to identify focus group themes. The Activities and Participation codes were more frequently used than Structure, Function and Environment codes. Wheelchair skills identified as important for new manual wheelchair users included propulsion techniques, transfers in an out of the wheelchair, providing maintenance to the wheelchair and navigating barriers such as curbs, ramps and rough terrain. Health care professionals and manual wheelchair users identified the need to incorporate the environment (home and community) into the wheelchair training program. Identifying essential components for training the proper propulsion mechanics and wheelchair skills in new manual wheelchair users is an important step in preventing future health and participation restrictions. Implications for Rehabilitation Wheelchair skills are being addressed frequently during rehabilitation at the activity-dependent level. Propulsion techniques, transfers in an out of the wheelchair, providing maintenance to the wheelchair and navigating barriers such as curbs, ramps and rough terrain are important skills to address during wheelchair training. Environment factors (in the home and community) are important to incorporate into wheelchair training to maximize safe and multiple-environmental-setting uses of manual wheelchairs. The ICF has application to understanding manual wheelchair rehabilitation for wheelchair users and therapists for improving the understanding of manual wheelchair use.

Design Manual: Removal of Fluoride from Drinking Water ...

EPA Pesticide Factsheets

This document is an updated version of the Design Manual: Removal of Fluoride from Drinking Water Supplies by Activated Alumina (Rubel, 1984). The manual is an in-depth presentation of the steps required to design and operate a fluoride removal plant using activated alumina (AA), which is a reliable and cost-effective process for treating excess fluoride from drinking water supplies. Design Manual on removing fluoride from drinking water to support the fluoride MCL - manual

User Manuals for a Primary Care Electronic Medical Record System: A Mixed Methods Study of User- and Vendor-Generated Documents.

PubMed

Shachak, Aviv; Dow, Rustam; Barnsley, Jan; Tu, Karen; Domb, Sharon; Jadad, Alejandro R; Lemieux-Charles, Louise

2013-06-04

Tutorials and user manuals are important forms of impersonal support for using software applications including electronic medical records (EMRs). Differences between user- and vendor documentation may indicate support needs, which are not sufficiently addressed by the official documentation, and reveal new elements that may inform the design of tutorials and user manuals. What are the differences between user-generated tutorials and manuals for an EMR and the official user manual from the software vendor? Effective design of tutorials and user manuals requires careful packaging of information, balance between declarative and procedural texts, an action and task-oriented approach, support for error recognition and recovery, and effective use of visual elements. No previous research compared these elements between formal and informal documents. We conducted an mixed methods study. Seven tutorials and two manuals for an EMR were collected from three family health teams and compared with the official user manual from the software vendor. Documents were qualitatively analyzed using a framework analysis approach in relation to the principles of technical documentation described above. Subsets of the data were quantitatively analyzed using cross-tabulation to compare the types of error information and visual cues in screen captures between user- and vendor-generated manuals. The user-developed tutorials and manuals differed from the vendor-developed manual in that they contained mostly procedural and not declarative information; were customized to the specific workflow, user roles, and patient characteristics; contained more error information related to work processes than to software usage; and used explicit visual cues on screen captures to help users identify window elements. These findings imply that to support EMR implementation, tutorials and manuals need to be customized and adapted to specific organizational contexts and workflows. The main limitation of the study is its generalizability. Future research should address this limitation and may explore alternative approaches to software documentation, such as modular manuals or participatory design.

Can manual ability be measured with a generic ABILHAND scale? A cross-sectional study conducted on six diagnostic groups

PubMed Central

Arnould, Carlyne; Vandervelde, Laure; Batcho, Charles Sèbiyo; Penta, Massimo; Thonnard, Jean-Louis

2012-01-01

Objectives Several ABILHAND Rasch-built manual ability scales were previously developed for chronic stroke (CS), cerebral palsy (CP), rheumatoid arthritis (RA), systemic sclerosis (SSc) and neuromuscular disorders (NMD). The present study aimed to explore the applicability of a generic manual ability scale unbiased by diagnosis and to study the nature of manual ability across diagnoses. Design Cross-sectional study. Setting Outpatient clinic homes (CS, CP, RA), specialised centres (CP), reference centres (CP, NMD) and university hospitals (SSc). Participants 762 patients from six diagnostic groups: 103 CS adults, 113 CP children, 112 RA adults, 156 SSc adults, 124 NMD children and 124 NMD adults. Primary and secondary outcome measures Manual ability as measured by the ABILHAND disease-specific questionnaires, diagnosis and nature (ie, uni-manual or bi-manual involvement and proximal or distal joints involvement) of the ABILHAND manual activities. Results The difficulties of most manual activities were diagnosis dependent. A principal component analysis highlighted that 57% of the variance in the item difficulty between diagnoses was explained by the symmetric or asymmetric nature of the disorders. A generic scale was constructed, from a metric point of view, with 11 items sharing a common difficulty among diagnoses and 41 items displaying a category-specific location (asymmetric: CS, CP; and symmetric: RA, SSc, NMD). This generic scale showed that CP and NMD children had significantly less manual ability than RA patients, who had significantly less manual ability than CS, SSc and NMD adults. However, the generic scale was less discriminative and responsive to small deficits than disease-specific instruments. Conclusions Our finding that most of the manual item difficulties were disease-dependent emphasises the danger of using generic scales without prior investigation of item invariance across diagnostic groups. Nevertheless, a generic manual ability scale could be developed by adjusting and accounting for activities perceived differently in various disorders. PMID:23117570

16 CFR 1211.14 - Instruction manual.

Code of Federal Regulations, 2010 CFR

2010-01-01

... instruction manual shall give complete instructions for the installation, operation, and user maintenance of... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Instruction manual. 1211.14 Section 1211.14... STANDARD FOR AUTOMATIC RESIDENTIAL GARAGE DOOR OPERATORS The Standard § 1211.14 Instruction manual. (a...

21 CFR 892.5650 - Manual radionuclide applicator system.

Code of Federal Regulations, 2013 CFR

2013-04-01

... system. (a) Identification. A manual radionuclide applicator system is a manually operated device... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Manual radionuclide applicator system. 892.5650... planning computer programs, and accessories. (b) Classification. Class I (general controls). The device is...

21 CFR 892.5650 - Manual radionuclide applicator system.

Code of Federal Regulations, 2011 CFR

2011-04-01

... system. (a) Identification. A manual radionuclide applicator system is a manually operated device... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Manual radionuclide applicator system. 892.5650... planning computer programs, and accessories. (b) Classification. Class I (general controls). The device is...

21 CFR 892.5650 - Manual radionuclide applicator system.

Code of Federal Regulations, 2010 CFR

2010-04-01

... system. (a) Identification. A manual radionuclide applicator system is a manually operated device... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Manual radionuclide applicator system. 892.5650... planning computer programs, and accessories. (b) Classification. Class I (general controls). The device is...

21 CFR 892.5650 - Manual radionuclide applicator system.

Code of Federal Regulations, 2014 CFR

2014-04-01

... system. (a) Identification. A manual radionuclide applicator system is a manually operated device... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Manual radionuclide applicator system. 892.5650... planning computer programs, and accessories. (b) Classification. Class I (general controls). The device is...

21 CFR 892.5650 - Manual radionuclide applicator system.

Code of Federal Regulations, 2012 CFR

2012-04-01

... system. (a) Identification. A manual radionuclide applicator system is a manually operated device... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Manual radionuclide applicator system. 892.5650... planning computer programs, and accessories. (b) Classification. Class I (general controls). The device is...

Training Psychiatry Residents in Psychotherapy: The Role of Manualized Treatments.

PubMed

Pagano, Joshua; Kyle, Brandon N; Johnson, Toni L; Saeed, Sy Atezaz

2017-06-01

Evidence-based treatment and manualized psychotherapy have a recent but rich history. As interest and research have progressed, defining the role of treatment manuals in resident training and clinical practice has become more important. Although there is not a universal definition of treatment manual, most clinicians and researchers agree that treatment manuals are an essential piece of evidence-based therapy, and that despite several limitations, they offer advantages in training residents in psychotherapy. Requirements for resident training in psychotherapy have changed over the years, and treatment manuals offer a simple and straightforward way to meet training requirements. In a search limited to only depression, two treatment manuals emerged with the support of research regarding both clinical practice and resident training. In looking toward the future, it will be important for clinicians to remain updated on further advances in evidence based manualized treatment as a tool for training residents in psychotherapy, including recent developments in online and smartphone based treatments.

Dissemination of an Electronic Manual to Build Capacity for Implementing Farmers' Markets with Community Health Centers.

PubMed

Guest, M Aaron; Freedman, Darcy; Alia, Kassandra A; Brandt, Heather M; Friedman, Daniela B

2015-10-01

Community-university partnerships can lend themselves to the development of tools that encourage and promote future community health development. The electronic manual, "Building Farmacies," describes an approach for developing capacity and sustaining a community health center-based farmers' market that emerged through a community-university partnership. Manual development was guided by the Knowledge to Action Framework and experiences developing a multivendor, produce-only farmers' market at a community health center in rural South Carolina. The manual was created to illustrate an innovative solution for community health development. The manual was disseminated electronically through 25 listservs and interested individuals voluntarily completed a Web-based survey to access the free manual. During the 6-month dissemination period, 271 individuals downloaded the manual. Findings highlighted the value of translating community-based participatory research into user-friendly manuals to guide future intervention development and dissemination approaches, and demonstrate the need to include capacity building opportunities to support translation and adoption of interventions. © 2015 Wiley Periodicals, Inc.

Dissemination of an Electronic Manual to Build Capacity for Implementing Farmers’ Markets with Community Health Centers

PubMed Central

Guest, M. Aaron; Alia, Kassandra A.; Brandt, Heather M.; Friedman, Daniela B.

2015-01-01

Abstract Community–university partnerships can lend themselves to the development of tools that encourage and promote future community health development. The electronic manual, “Building Farmacies,” describes an approach for developing capacity and sustaining a community health center–based farmers’ market that emerged through a community–university partnership. Manual development was guided by the Knowledge to Action Framework and experiences developing a multivendor, produce‐only farmers’ market at a community health center in rural South Carolina. The manual was created to illustrate an innovative solution for community health development. The manual was disseminated electronically through 25 listservs and interested individuals voluntarily completed a Web‐based survey to access the free manual. During the 6‐month dissemination period, 271 individuals downloaded the manual. Findings highlighted the value of translating community‐based participatory research into user‐friendly manuals to guide future intervention development and dissemination approaches, and demonstrate the need to include capacity building opportunities to support translation and adoption of interventions. PMID:26296392

Reconceptualising manual therapy skills in contemporary practice.

PubMed

Rabey, Martin; Hall, Toby; Hebron, Clair; Palsson, Thorvaldur Skuli; Christensen, Steffan Wittrup; Moloney, Niamh

2017-06-01

With conflicting evidence regarding the effectiveness of manual therapy calls have arisen within some quarters of the physiotherapy profession challenging the continued use of manual skills for assessment and treatment. A reconceptualisation of the importance of manual examination findings is put forward, based upon a contemporary understanding of pain science, rather than considering these skills only in terms of how they should "guide" manual therapy interventions. The place for manual examination findings within complex, multidimensional presentations is considered using vignettes describing the presentations of five people with low back pain. As part of multidimensional, individualised management, the balance of evidence relating to the effectiveness, mechanisms of action and rationale for manual skills is discussed. It is concluded that if manual examination and therapeutic skills are used in a manner consistent with a contemporary understanding of pain science, multidimensional patient profiles and a person-centred approach, their selective and judicious use still has an important role. Copyright © 2017 Elsevier Ltd. All rights reserved.

Application of the 3D slicer chest imaging platform segmentation algorithm for large lung nodule delineation

PubMed Central

Parmar, Chintan; Blezek, Daniel; Estepar, Raul San Jose; Pieper, Steve; Kim, John; Aerts, Hugo J. W. L.

2017-01-01

Purpose Accurate segmentation of lung nodules is crucial in the development of imaging biomarkers for predicting malignancy of the nodules. Manual segmentation is time consuming and affected by inter-observer variability. We evaluated the robustness and accuracy of a publically available semiautomatic segmentation algorithm that is implemented in the 3D Slicer Chest Imaging Platform (CIP) and compared it with the performance of manual segmentation. Methods CT images of 354 manually segmented nodules were downloaded from the LIDC database. Four radiologists performed the manual segmentation and assessed various nodule characteristics. The semiautomatic CIP segmentation was initialized using the centroid of the manual segmentations, thereby generating four contours for each nodule. The robustness of both segmentation methods was assessed using the region of uncertainty (δ) and Dice similarity index (DSI). The robustness of the segmentation methods was compared using the Wilcoxon-signed rank test (pWilcoxon<0.05). The Dice similarity index (DSIAgree) between the manual and CIP segmentations was computed to estimate the accuracy of the semiautomatic contours. Results The median computational time of the CIP segmentation was 10 s. The median CIP and manually segmented volumes were 477 ml and 309 ml, respectively. CIP segmentations were significantly more robust than manual segmentations (median δCIP = 14ml, median dsiCIP = 99% vs. median δmanual = 222ml, median dsimanual = 82%) with pWilcoxon~10−16. The agreement between CIP and manual segmentations had a median DSIAgree of 60%. While 13% (47/354) of the nodules did not require any manual adjustment, minor to substantial manual adjustments were needed for 87% (305/354) of the nodules. CIP segmentations were observed to perform poorly (median DSIAgree≈50%) for non-/sub-solid nodules with subtle appearances and poorly defined boundaries. Conclusion Semi-automatic CIP segmentation can potentially reduce the physician workload for 13% of nodules owing to its computational efficiency and superior stability compared to manual segmentation. Although manual adjustment is needed for many cases, CIP segmentation provides a preliminary contour for physicians as a starting point. PMID:28594880

Computer-Assisted Automated Scoring of Polysomnograms Using the Somnolyzer System

PubMed Central

Punjabi, Naresh M.; Shifa, Naima; Dorffner, Georg; Patil, Susheel; Pien, Grace; Aurora, Rashmi N.

2015-01-01

Study Objectives: Manual scoring of polysomnograms is a time-consuming and tedious process. To expedite the scoring of polysomnograms, several computerized algorithms for automated scoring have been developed. The overarching goal of this study was to determine the validity of the Somnolyzer system, an automated system for scoring polysomnograms. Design: The analysis sample comprised of 97 sleep studies. Each polysomnogram was manually scored by certified technologists from four sleep laboratories and concurrently subjected to automated scoring by the Somnolyzer system. Agreement between manual and automated scoring was examined. Sleep staging and scoring of disordered breathing events was conducted using the 2007 American Academy of Sleep Medicine criteria. Setting: Clinical sleep laboratories. Measurements and Results: A high degree of agreement was noted between manual and automated scoring of the apnea-hypopnea index (AHI). The average correlation between the manually scored AHI across the four clinical sites was 0.92 (95% confidence interval: 0.90–0.93). Similarly, the average correlation between the manual and Somnolyzer-scored AHI values was 0.93 (95% confidence interval: 0.91–0.96). Thus, interscorer correlation between the manually scored results was no different than that derived from manual and automated scoring. Substantial concordance in the arousal index, total sleep time, and sleep efficiency between manual and automated scoring was also observed. In contrast, differences were noted between manually and automated scored percentages of sleep stages N1, N2, and N3. Conclusion: Automated analysis of polysomnograms using the Somnolyzer system provides results that are comparable to manual scoring for commonly used metrics in sleep medicine. Although differences exist between manual versus automated scoring for specific sleep stages, the level of agreement between manual and automated scoring is not significantly different than that between any two human scorers. In light of the burden associated with manual scoring, automated scoring platforms provide a viable complement of tools in the diagnostic armamentarium of sleep medicine. Citation: Punjabi NM, Shifa N, Dorffner G, Patil S, Pien G, Aurora RN. Computer-assisted automated scoring of polysomnograms using the Somnolyzer system. SLEEP 2015;38(10):1555–1566. PMID:25902809

Unraveling the Mechanisms of Manual Therapy: Modeling an Approach.

PubMed

Bialosky, Joel E; Beneciuk, Jason M; Bishop, Mark D; Coronado, Rogelio A; Penza, Charles W; Simon, Corey B; George, Steven Z

2018-01-01

Synopsis Manual therapy interventions are popular among individual health care providers and their patients; however, systematic reviews do not strongly support their effectiveness. Small treatment effect sizes of manual therapy interventions may result from a "one-size-fits-all" approach to treatment. Mechanistic-based treatment approaches to manual therapy offer an intriguing alternative for identifying patients likely to respond to manual therapy. However, the current lack of knowledge of the mechanisms through which manual therapy interventions inhibit pain limits such an approach. The nature of manual therapy interventions further confounds such an approach, as the related mechanisms are likely a complex interaction of factors related to the patient, the provider, and the environment in which the intervention occurs. Therefore, a model to guide both study design and the interpretation of findings is necessary. We have previously proposed a model suggesting that the mechanical force from a manual therapy intervention results in systemic neurophysiological responses leading to pain inhibition. In this clinical commentary, we provide a narrative appraisal of the model and recommendations to advance the study of manual therapy mechanisms. J Orthop Sports Phys Ther 2018;48(1):8-18. doi:10.2519/jospt.2018.7476.

21 CFR 882.4840 - Manual rongeur.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Manual rongeur. 882.4840 Section 882.4840 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES NEUROLOGICAL DEVICES Neurological Surgical Devices § 882.4840 Manual rongeur. (a) Identification. A manual...

21 CFR 882.4840 - Manual rongeur.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Manual rongeur. 882.4840 Section 882.4840 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES NEUROLOGICAL DEVICES Neurological Surgical Devices § 882.4840 Manual rongeur. (a) Identification. A manual...

77 FR 62431 - Adoption of Updated EDGAR Filer Manual

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-15

...-30227] Adoption of Updated EDGAR Filer Manual AGENCY: Securities and Exchange Commission. ACTION: Final... Electronic Data Gathering, Analysis, and Retrieval System (EDGAR) Filer Manual and related rules to reflect... Manual is approved by the Director of the Federal Register as of October 15, 2012. FOR FURTHER...

76 FR 50414 - International Mail Manual; Incorporation by Reference

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-15

... POSTAL SERVICE 39 CFR Part 20 International Mail Manual; Incorporation by Reference AGENCY: Postal... Standards of the United States Postal Service, International Mail Manual (IMM[supreg]) dated April 17, 2011.... SUPPLEMENTARY INFORMATION: The International Mail Manual was issued on April 17, 2011, and was updated with...

75 FR 34017 - International Mail Manual; Incorporation by Reference

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-16

... POSTAL SERVICE 39 CFR Part 20 International Mail Manual; Incorporation by Reference AGENCY: Postal... Mailing Standards of the United States Postal Service, International Mail Manual (IMM[supreg]) and its..., (202) 268-3789. SUPPLEMENTARY INFORMATION: Issue 36 of the International Mail Manual was issued on May...

Technical Manual: 2002 Series GED Tests

ERIC Educational Resources Information Center

Ezzelle, Carol; Setzer, J. Carl

2009-01-01

This manual was written to provide technical information regarding the 2002 Series GED (General Educational Development) Tests. Throughout this manual, documentation is provided regarding the development of the GED Tests, data collection activities, as well as reliability and validity evidence. The purpose of this manual is to provide evidence…

Education and Human Resources Sector Assessment Manual.

ERIC Educational Resources Information Center

Pigozzi, Mary Joy; Cieutat, Victor J.

This manual endorses and adopts the sector-assessment approach for planning and managing the allocation of educational resources. Chapter 1 presents the manual's goals. Chapter 2 describes the manual's content and information sources, explains the term "sector assessment," identifies the groups that benefit from recommendations made by…

76 FR 30997 - National Transit Database: Amendments to Urbanized Area Annual Reporting Manual

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-27

... Transit Database: Amendments to Urbanized Area Annual Reporting Manual AGENCY: Federal Transit Administration (FTA), DOT. ACTION: Notice of Amendments to 2011 National Transit Database Urbanized Area Annual... Administration's (FTA) 2011 National Transit Database (NTD) Urbanized Area Annual Reporting Manual (Annual Manual...

An evaluation toolkit for Florida's Commuter Assistance Programs (CAP) : a companion to the 1999 CAP evaluation manual

DOT National Transportation Integrated Search

2001-01-01

This manual is a companion piece to the Commuter Assistance Program Evaluation Manual that was developed to assist Florida's Commuter Assistance Programs (CAP) in their efforts to measure and evaluate their performance. This manual is intended to pro...

42 CFR 401.112 - Availability of administrative staff manuals.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 2 2014-10-01 2014-10-01 false Availability of administrative staff manuals. 401... § 401.112 Availability of administrative staff manuals. All CMS administrative staff manuals and instructions to staff personnel which contain policies, procedures, or interpretations that affect the public...

42 CFR 401.112 - Availability of administrative staff manuals.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 2 2013-10-01 2013-10-01 false Availability of administrative staff manuals. 401... § 401.112 Availability of administrative staff manuals. All CMS administrative staff manuals and instructions to staff personnel which contain policies, procedures, or interpretations that affect the public...

42 CFR 401.112 - Availability of administrative staff manuals.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 2 2011-10-01 2011-10-01 false Availability of administrative staff manuals. 401... § 401.112 Availability of administrative staff manuals. All CMS administrative staff manuals and instructions to staff personnel which contain policies, procedures, or interpretations that affect the public...

20 CFR 402.50 - Availability of administrative staff manuals.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Availability of administrative staff manuals... AND RECORDS TO THE PUBLIC § 402.50 Availability of administrative staff manuals. All administrative staff manuals of the Social Security Administration and instructions to staff personnel which contain...

42 CFR 401.112 - Availability of administrative staff manuals.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 2 2010-10-01 2010-10-01 false Availability of administrative staff manuals. 401... § 401.112 Availability of administrative staff manuals. All CMS administrative staff manuals and instructions to staff personnel which contain policies, procedures, or interpretations that affect the public...

20 CFR 402.50 - Availability of administrative staff manuals.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Availability of administrative staff manuals... AND RECORDS TO THE PUBLIC § 402.50 Availability of administrative staff manuals. All administrative staff manuals of the Social Security Administration and instructions to staff personnel which contain...

20 CFR 402.50 - Availability of administrative staff manuals.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Availability of administrative staff manuals... AND RECORDS TO THE PUBLIC § 402.50 Availability of administrative staff manuals. All administrative staff manuals of the Social Security Administration and instructions to staff personnel which contain...

20 CFR 402.50 - Availability of administrative staff manuals.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Availability of administrative staff manuals... AND RECORDS TO THE PUBLIC § 402.50 Availability of administrative staff manuals. All administrative staff manuals of the Social Security Administration and instructions to staff personnel which contain...

20 CFR 402.50 - Availability of administrative staff manuals.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Availability of administrative staff manuals... AND RECORDS TO THE PUBLIC § 402.50 Availability of administrative staff manuals. All administrative staff manuals of the Social Security Administration and instructions to staff personnel which contain...

42 CFR 401.112 - Availability of administrative staff manuals.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 2 2012-10-01 2012-10-01 false Availability of administrative staff manuals. 401... § 401.112 Availability of administrative staff manuals. All CMS administrative staff manuals and instructions to staff personnel which contain policies, procedures, or interpretations that affect the public...

History through Art and Architecture: Ancient Greek Architecture [and] Ancient Greek Sculpture. Teacher's Manual.

ERIC Educational Resources Information Center

Campbell, Ann

This document consists of two teaching manuals designed to accompany a commercially-available "multicultural, interdisciplinary video program," consisting of four still videotape programs (72 minutes, 226 frames), one teaching poster, and these two manuals. "Teacher's Manual: Ancient Greek Architecture" covers: "Ancient…

Analysis and comparison of five contractor safety and health manuals (EG and G, SR II, ORNL, Ashland, and MLGW)

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

Crowder, C.; Hurley, T.

1981-03-01

An analysis is presented of five safety and health contractor manuals against the requirements of the FE OSH Manual (FE 5480.1), and a breakdown in chart form of how the manuals compare to each other is given. It is pointed out that the manuals are inadequate, but that site visits will be necessary to determine the actual comprehensiveness of the facilities' safety and health programs.

Effectiveness of sequential automatic-manual home respiratory polygraphy scoring.

PubMed

Masa, Juan F; Corral, Jaime; Pereira, Ricardo; Duran-Cantolla, Joaquin; Cabello, Marta; Hernández-Blasco, Luis; Monasterio, Carmen; Alonso-Fernandez, Alberto; Chiner, Eusebi; Vázquez-Polo, Francisco-José; Montserrat, Jose M

2013-04-01

Automatic home respiratory polygraphy (HRP) scoring functions can potentially confirm the diagnosis of sleep apnoea-hypopnoea syndrome (SAHS) (obviating technician scoring) in a substantial number of patients. The result would have important management and cost implications. The aim of this study was to determine the diagnostic cost-effectiveness of a sequential HRP scoring protocol (automatic and then manual for residual cases) compared with manual HRP scoring, and with in-hospital polysomnography. We included suspected SAHS patients in a multicentre study and assigned them to home and hospital protocols at random. We constructed receiver operating characteristic (ROC) curves for manual and automatic scoring. Diagnostic agreement for several cut-off points was explored and costs for two equally effective alternatives were calculated. Of 366 randomised patients, 348 completed the protocol. Manual scoring produced better ROC curves than automatic scoring. There was no sensitive automatic or subsequent manual HRP apnoea-hypopnoea index (AHI) cut-off point. The specific cut-off points for automatic and subsequent manual HRP scorings (AHI >25 and >20, respectively) had a specificity of 93% for automatic and 94% for manual scorings. The costs of manual protocol were 9% higher than sequential HRP protocol; these were 69% and 64%, respectively, of the cost of the polysomnography. A sequential HRP scoring protocol is a cost-effective alternative to polysomnography, although with limited cost savings compared to HRP manual scoring.

Root-canal shaping with manual and rotary Ni-Ti files performed by students.

PubMed

Sonntag, D; Delschen, S; Stachniss, V

2003-11-01

To investigate root-canal shaping with manual and rotary Ni-Ti files performed by students. Thirty undergraduate dental students prepared 150 simulated curved root canals in resin blocks with manual Ni-Ti files with a stepback technique and 450 simulated curved canals with rotary Ni-Ti files with a crowndown technique. Incidence of fracture, preparation length, canal shape and preparation time were investigated. Questionnaires were then issued to the students for them to note their experience of the two preparation methods. Zips and elbows occurred significantly (P < 0.001) less frequently with rotary than with manual preparation. The correct preparation length was achieved significantly (P < 0.05) more often with rotary files than with manual files. Instrument fractures were recorded in only 1.3% of cases with both rotary and manual preparation. The mean time required for manual preparation was significantly (P < 0.001) longer than that required for rotary preparation. Prior experience with a hand preparation technique was not reflected in an improved quality of the subsequent rotary preparation. Approximately 83% of the students claimed to have a greater sense of security in rotary than in manual preparation. Overall 50% felt that manual and engine-driven preparation should be given equal status in undergraduate dental education. Inexperienced operators achieved better canal preparations with rotary instruments than with manual files. No difference in fracture rate was recorded between the two systems.

Instruction manual for U.S. Geological Survey sediment observers

USGS Publications Warehouse

Johnson, Gary P.

1997-01-01

This instruction manual is intended for use by U.S. Geological Survey (USGS) Sediment Observers. An overview of the USGS Sediment Program is presented, and basic theory on sediment transport is explained. Step-by-step instructions on when and how to sample for sediment also are presented. USGS Sediment Observer safety issues are discussed and corrective actions are presented. An empty pouch is included at the back of the manual for miscellaneous supplies, such as extra sampler nozzles, thermometers, new gaskets, and markers to be supplied by USGS personnel distributing the manual. A plastic reference card also is included, which can be removed from the manual and kept at the sampling site. Only general guidelines are presented in the manual so space is provided for USGS personnel distributing the manual to fill in project specific instructions.

Radiological control manual. Revision 1

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

Kloepping, R.

1996-05-01

This Lawrence Berkeley National Laboratory Radiological Control Manual (LBNL RCM) has been prepared to provide guidance for site-specific additions, supplements and interpretation of the DOE Radiological Control Manual. The guidance provided in this manual is one methodology to implement the requirements given in Title 10 Code of Federal Regulations Part 835 (10 CFR 835) and the DOE Radiological Control Manual. Information given in this manual is also intended to provide demonstration of compliance to specific requirements in 10 CFR 835. The LBNL RCM (Publication 3113) and LBNL Health and Safety Manual Publication-3000 form the technical basis for the LBNL RPPmore » and will be revised as necessary to ensure that current requirements from Rules and Orders are represented. The LBNL RCM will form the standard for excellence in the implementation of the LBNL RPP.« less

78 FR 60684 - Adoption of Updated EDGAR Filer Manual

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-02

...-30722] Adoption of Updated EDGAR Filer Manual AGENCY: Securities and Exchange Commission. ACTION: Final... Electronic Data Gathering, Analysis, and Retrieval System (EDGAR) Filer Manual and related rules to reflect... the EDGAR Filer Manual is approved by the Director of the Federal Register as of October 2, 2013. FOR...

76 FR 1514 - Adoption of Updated EDGAR Filer Manual

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-11

... Filer Manual and the rule amendments is January 11, 2011. In accordance with the APA,\\8\\ we find that...-29547] Adoption of Updated EDGAR Filer Manual AGENCY: Securities and Exchange Commission. ACTION: Final... Electronic Data Gathering, Analysis, and Retrieval System (EDGAR) Filer Manual to reflect updates to the...

78 FR 29616 - Adoption of Updated EDGAR Filer Manual

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-21

... updated Filer Manual and the rule amendments is May 21, 2013. In accordance with the APA,\\7\\ we find that...-30515] Adoption of Updated EDGAR Filer Manual AGENCY: Securities and Exchange Commission. ACTION: Final... Electronic Data Gathering, Analysis, and Retrieval System (EDGAR) Filer Manual and related rules to reflect...

46 CFR 161.002-12 - Manual fire alarm systems.

Code of Federal Regulations, 2014 CFR

2014-10-01

... the control unit and terminating at manual fire alarm boxes. Power failure alarm devices may be... specifically approved. (b) Types. Manual fire alarm systems shall be one of the following types, or a... using manually operated fire alarm boxes. (3) Other types as may be developed. (c) Power supply. The...

46 CFR 161.002-12 - Manual fire alarm systems.

Code of Federal Regulations, 2012 CFR

2012-10-01

... the control unit and terminating at manual fire alarm boxes. Power failure alarm devices may be... specifically approved. (b) Types. Manual fire alarm systems shall be one of the following types, or a... using manually operated fire alarm boxes. (3) Other types as may be developed. (c) Power supply. The...

46 CFR 161.002-12 - Manual fire alarm systems.

Code of Federal Regulations, 2013 CFR

2013-10-01

... the control unit and terminating at manual fire alarm boxes. Power failure alarm devices may be... specifically approved. (b) Types. Manual fire alarm systems shall be one of the following types, or a... using manually operated fire alarm boxes. (3) Other types as may be developed. (c) Power supply. The...

49 CFR 236.1039 - Operations and Maintenance Manual.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 4 2010-10-01 2010-10-01 false Operations and Maintenance Manual. 236.1039... Train Control Systems § 236.1039 Operations and Maintenance Manual. (a) The railroad shall catalog and..., modification, inspection, and testing of the PTC system and have them in one Operations and Maintenance Manual...

Basic Emergency Medical Technician Skills Manual.

ERIC Educational Resources Information Center

Oklahoma State Dept. of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

This manual was developed to help students preparing to become emergency medical technicians (EMTs) learn standardized basic skills in the field. The manual itemizes the steps and performance criteria of each required skill and uses an accompanying videotape series (not included) to enhance the educational experience. The five units of the manual,…

76 FR 48722 - Domestic Mail Manual; Incorporation by Reference

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-09

... POSTAL SERVICE 39 CFR PART 111 Domestic Mail Manual; Incorporation by Reference AGENCY: Postal... 5, 2011, of the Mailing Standards of the United States Postal Service, Domestic Mail Manual (DMM... the Domestic Mail Manual (DMM) was issued on July 5, 2011. This Issue of the DMM contains all Postal...

77 FR 45246 - Domestic Mail Manual; Incorporation by Reference

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-31

... POSTAL SERVICE 39 CFR Part 111 Domestic Mail Manual; Incorporation by Reference AGENCY: Postal... Standards of the United States Postal Service, Domestic Mail Manual (DMM[supreg]) dated June 24, 2012, and...) 268-3789. SUPPLEMENTARY INFORMATION: The most recent issue of the Domestic Mail Manual (DMM) is dated...

77 FR 64724 - International Mail Manual; Incorporation by Reference

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-23

... POSTAL SERVICE 39 CFR Part 20 International Mail Manual; Incorporation by Reference AGENCY: Postal... Standards of the United States Postal Service, International Mail Manual (IMM[supreg]) dated June 24, 2012... International Mail Manual was issued on June 24, 2012, and was updated with postal bulletin revisions through...

Guidelines for Writing (or Rewriting) Manuals for Instructional Software.

ERIC Educational Resources Information Center

Litchfield, Brenda C.

1990-01-01

Discusses the need for adequate student user manuals for computer software and presents guidelines to help teachers develop these manuals. The sections that a student manual should contain are outlined, including objectives, pretests and posttests for self-evaluation, and worksheets; and examples are given for further clarification. (LRW)

25 CFR 175.5 - Operations manual.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Provisions § 175.5 Operations manual. (a) The Area Director shall establish an operations manual for the... Director shall amend the operations manual as needed. (b) The public shall be notified by the Area Director... shall be published in local newspaper(s) of general circulation, posted at the utility office(s), and...

Education. Louisiana MSRTS Manual. Bulletin 1712.

ERIC Educational Resources Information Center

Louisiana State Dept. of Education, Baton Rouge. Bureau of Migrant Education.

Written for Migrant Student Records Transfer System (MSRTS) specialists, this manual provides information to help them generate, translate, interpret, use, and update a migrant child's educational record. The manual serves as a reference to be used in conjunction with the National MSRTS User's Manual and as initial orientation and subsequent guide…

46 CFR 193.05-1 - Fire detecting, manual alarm, and supervised patrol systems.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 7 2013-10-01 2013-10-01 false Fire detecting, manual alarm, and supervised patrol...) OCEANOGRAPHIC RESEARCH VESSELS FIRE PROTECTION EQUIPMENT Fire Detecting and Extinguishing Equipment, Where Required § 193.05-1 Fire detecting, manual alarm, and supervised patrol systems. (a) Fire detecting, manual...

46 CFR 193.05-1 - Fire detecting, manual alarm, and supervised patrol systems.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 7 2012-10-01 2012-10-01 false Fire detecting, manual alarm, and supervised patrol...) OCEANOGRAPHIC RESEARCH VESSELS FIRE PROTECTION EQUIPMENT Fire Detecting and Extinguishing Equipment, Where Required § 193.05-1 Fire detecting, manual alarm, and supervised patrol systems. (a) Fire detecting, manual...

46 CFR 193.05-1 - Fire detecting, manual alarm, and supervised patrol systems.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 7 2011-10-01 2011-10-01 false Fire detecting, manual alarm, and supervised patrol...) OCEANOGRAPHIC RESEARCH VESSELS FIRE PROTECTION EQUIPMENT Fire Detecting and Extinguishing Equipment, Where Required § 193.05-1 Fire detecting, manual alarm, and supervised patrol systems. (a) Fire detecting, manual...

46 CFR 193.05-1 - Fire detecting, manual alarm, and supervised patrol systems.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 7 2014-10-01 2014-10-01 false Fire detecting, manual alarm, and supervised patrol...) OCEANOGRAPHIC RESEARCH VESSELS FIRE PROTECTION EQUIPMENT Fire Detecting and Extinguishing Equipment, Where Required § 193.05-1 Fire detecting, manual alarm, and supervised patrol systems. (a) Fire detecting, manual...

46 CFR 95.05-1 - Fire detecting, manual alarm, and supervised patrol systems.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 4 2011-10-01 2011-10-01 false Fire detecting, manual alarm, and supervised patrol... AND MISCELLANEOUS VESSELS FIRE PROTECTION EQUIPMENT Fire Detecting and Extinguishing Equipment, Where Required § 95.05-1 Fire detecting, manual alarm, and supervised patrol systems. (a) Fire detecting, manual...

46 CFR 95.05-1 - Fire detecting, manual alarm, and supervised patrol systems.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Fire detecting, manual alarm, and supervised patrol... AND MISCELLANEOUS VESSELS FIRE PROTECTION EQUIPMENT Fire Detecting and Extinguishing Equipment, Where Required § 95.05-1 Fire detecting, manual alarm, and supervised patrol systems. (a) Fire detecting, manual...

46 CFR 193.05-1 - Fire detecting, manual alarm, and supervised patrol systems.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Fire detecting, manual alarm, and supervised patrol...) OCEANOGRAPHIC RESEARCH VESSELS FIRE PROTECTION EQUIPMENT Fire Detecting and Extinguishing Equipment, Where Required § 193.05-1 Fire detecting, manual alarm, and supervised patrol systems. (a) Fire detecting, manual...

46 CFR 95.05-1 - Fire detecting, manual alarm, and supervised patrol systems.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 4 2012-10-01 2012-10-01 false Fire detecting, manual alarm, and supervised patrol... AND MISCELLANEOUS VESSELS FIRE PROTECTION EQUIPMENT Fire Detecting and Extinguishing Equipment, Where Required § 95.05-1 Fire detecting, manual alarm, and supervised patrol systems. (a) Fire detecting, manual...

In-Home Respite Care Program Development. Background. Coordinator's Manual. Training Manual.

ERIC Educational Resources Information Center

Parham, J. D.; And Others

This volume consists of a background discussion, coordinator's manual, and training manual dealing with developing programs for the in-home respite care (IHRC) of the developmentally disabled. Addressed in the background information unit are the nature of developmental disabilities; program variables, planning, and funding; and practical…

39 CFR 20.3 - Availability of the International Mail Manual.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 39 Postal Service 1 2011-07-01 2011-07-01 false Availability of the International Mail Manual. 20.3 Section 20.3 Postal Service UNITED STATES POSTAL SERVICE INTERNATIONAL MAIL INTERNATIONAL POSTAL SERVICE § 20.3 Availability of the International Mail Manual. Copies of the International Mail Manual may...

21 CFR 888.5980 - Manual cast application and removal instrument.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Manual cast application and removal instrument... SERVICES (CONTINUED) MEDICAL DEVICES ORTHOPEDIC DEVICES Surgical Devices § 888.5980 Manual cast application and removal instrument. (a) Identification. A manual cast application and removal instrument is a...

The Use of Treatment Manuals in Cognitive Therapy: Experience and Issues.

ERIC Educational Resources Information Center

Dobson, Keith S.; Shaw, Brian F.

1988-01-01

Traces historical developments in use of treatment manuals in psychotherapy research and reviews characteristics that have facilitated development of cognitive therapy manuals. Reviews arguments in favor of and opposed to further development of treatment manuals. Discusses relevant research and suggests three areas for future treatment manual…

Developing the Rehabilitation Facility Personnel Manual.

ERIC Educational Resources Information Center

Gilbertson, Alan D.

This guide is intended to provide rehabilitation facilities with assistance in developing or improving their facility personnel manual, along with examples of what some rehabilitation facilities are including within their personnel manuals. The introduction to the guide discusses how a facility can begin the formulation of its personnel manual.…

39 CFR 20.3 - Availability of the International Mail Manual.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 39 Postal Service 1 2010-07-01 2010-07-01 false Availability of the International Mail Manual. 20.3 Section 20.3 Postal Service UNITED STATES POSTAL SERVICE INTERNATIONAL MAIL INTERNATIONAL POSTAL SERVICE § 20.3 Availability of the International Mail Manual. Copies of the International Mail Manual may...

Manual on Student Suspensions in New York City Public Schools. Revised.

ERIC Educational Resources Information Center

Advocates for Children of New York, Inc., Long Island City.

This revised manual presents updated guidelines and regulations regarding student suspensions in New York City public schools. The manual is divided into four main sections: principal's suspension; superintendent's suspension; search and seizure; and suspension of special education students. The manual is specifically designed to assist the…

The School Personnel Management System. Manual 1--Tools. Manual 2--Models. Manual 3--Results.

ERIC Educational Resources Information Center

National School Boards Association, Washington, DC.

The School Personnel Management System offers a correlated set of job descriptions, evaluative instruments, policies, tools, forms, and publications intended to aid local school officials in enhancing their personnel management programs. The materials are contained in two looseleaf binders entitled "Manual 1--Tools," and "Manual…

Machine Dictation and Transcription.

ERIC Educational Resources Information Center

Harvey, Evelyn; And Others

This instructional package contains both an instructor's manual and a student's manual for a course in machine dictation and transcription. The instructor's manual contains an overview with tips on teaching the course, letters for dictation, and a key to the letters. The student's manual contains an overview of the course and of the skills needed…

Irrigation Training Manual. Planning, Design, Operation, and Management of Small-Scale Irrigation Systems [and] Irrigation Reference Manual. A Technical Reference to Be Used with the Peace Corps Irrigation Training Manual T0076 in the Selection, Planning, Design, Operation, and Management of Small-Scale Irrigation Systems.

ERIC Educational Resources Information Center

Salazar, LeRoy; And Others

This resource for trainers involved in irrigated agriculture training for Peace Corps volunteers consists of two parts: irrigation training manual and irrigation reference manual. The complete course should fully prepare volunteers serving as irrigation, specialists to plan, implement, evaluate and manage small-scale irrigation projects in arid,…

Can pulsed xenon ultraviolet light systems disinfect aerobic bacteria in the absence of manual disinfection?

PubMed

Jinadatha, Chetan; Villamaria, Frank C; Ganachari-Mallappa, Nagaraja; Brown, Donna S; Liao, I-Chia; Stock, Eileen M; Copeland, Laurel A; Zeber, John E

2015-04-01

Whereas pulsed xenon-based ultraviolet light no-touch disinfection systems are being increasingly used for room disinfection after patient discharge with manual cleaning, their effectiveness in the absence of manual disinfection has not been previously evaluated. Our study indicates that pulsed xenon-based ultraviolet light systems effectively reduce aerobic bacteria in the absence of manual disinfection. These data are important for hospitals planning to adopt this technology as adjunct to routine manual disinfection. Published by Elsevier Inc.

Instruct coders' manual

NASA Technical Reports Server (NTRS)

Friend, J.

1971-01-01

A manual designed both as an instructional manual for beginning coders and as a reference manual for the coding language INSTRUCT, is presented. The manual includes the major programs necessary to implement the teaching system and lists the limitation of current implementation. A detailed description is given of how to code a lesson, what buttons to push, and what utility programs to use. Suggestions for debugging coded lessons and the error messages that may be received during assembly or while running the lesson are given.

A student manual for promoting mental health among high school students.

PubMed

Gigantesco, Antonella; Del Re, Debora; Cascavilla, Isabella

2013-01-01

We describe a school program based on a student manual for promoting mental health and preventing mental illness. A preliminary version of the manual was assessed for face validity by two focus groups. The final version was evaluated for acceptability among 253 students in 10 high schools and 1 middle school in Italy. The manual included 18 chapters (or "units") which address skills for enabling students to cope with their daily lives: communication skills, problem-solving, assertive skills, negotiation, stress management, anger management and conflict resolution. The manual was found to have been acceptable by high school students. The effectiveness of the manual in actually promoting mental health and preventing mental illness is currently being evaluated.

Research- and community-based clinicians' attitudes on treatment manuals.

PubMed

Barry, Declan T; Fulgieri, Melissa D; Lavery, Meaghan E; Chawarski, Marek C; Najavits, Lisa M; Schottenfeld, Richard S; Pantalon, Michael V

2008-01-01

We assessed the attitudes of 18 research- and 22 community-based substance abuse clinicians on treatment manuals. Research and community clinicians exhibited favorable attitudes toward manuals, and the majority (72% and 77%, respectively) reported an interest in learning more about substance use disorder (SUD) treatment manuals. Among community clinicians, greater years of experience was significantly associated with less favorable attitudes toward treatment manuals. Research clinicians endorsed significantly higher ratings for the importance attached to "theoretical rationale/overview" and "main session points to address" than community clinicians. Findings suggest that community SUD clinicians are already familiar with and have positive attitudes toward manuals, but specific subgroups have concerns that should be addressed.

Free manual of cadaver dissection modifiable by other anatomists.

PubMed

Chung, Beom Sun; Chung, Min Suk

2015-06-01

Even in the rapidly changing field of cadaver dissection, published guide books still play an important role in the anatomy lab. However, commercial manuals with lengthy volumes and inflexible copyrights have several limitations which can be complemented by open-source manuals. Recently, the authors have manufactured and distributed a free electronic dissection manual (anatomy.co.kr), where descriptions are written concisely and images are drawn schematically. Moreover, simplified signs are employed to represent the cadaver viewing angles and manner of dissection. Based on the original files of this manual, other anatomists can revise and utilize the descriptions and figures. We expect many updated versions of our manual to be shared between students all over the world.

CSTEM User Manual

NASA Technical Reports Server (NTRS)

Hartle, M.; McKnight, R. L.

2000-01-01

This manual is a combination of a user manual, theory manual, and programmer manual. The reader is assumed to have some previous exposure to the finite element method. This manual is written with the idea that the CSTEM (Coupled Structural Thermal Electromagnetic-Computer Code) user needs to have a basic understanding of what the code is actually doing in order to properly use the code. For that reason, the underlying theory and methods used in the code are described to a basic level of detail. The manual gives an overview of the CSTEM code: how the code came into existence, a basic description of what the code does, and the order in which it happens (a flowchart). Appendices provide a listing and very brief description of every file used by the CSTEM code, including the type of file it is, what routine regularly accesses the file, and what routine opens the file, as well as special features included in CSTEM.

Yield and complications in percutaneous renal biopsy. A comparison between ultrasound-guided gun-biopsy and manual techniques in native and transplant kidneys.

PubMed

Nyman, R S; Cappelen-Smith, J; al Suhaibani, H; Alfurayh, O; Shakweer, W; Akhtar, M

1997-05-01

To compare the yield and complications of ultrasound-guided gun-biopsy and manual Tru-Cut techniques in percutaneous renal biopsy. A total of 448 biopsies were reviewed. They comprised 124 manual and 131 gun-biopsies in native kidneys, and 111 manual and 82 gun-biopsies in transplant kidneys. The gun-biopsies were performed under real-time ultrasound (US) guidance. The manual technique used US mainly for marking the position of the kidney. There was a significantly higher diagnostic yield and fewer complications in the gun-biopsy group. A total of 8 major complications were found, all in the manual group. Provided that the operator is experienced in US scanning, a switch from the manual technique to real-time US-guided gun-biopsy will result in the improvement of diagnostic accuracy together with a reduced risk of complications.

Developing a Manualized Occupational Therapy Diabetes Management Intervention: Resilient, Empowered, Active Living With Diabetes.

PubMed

Pyatak, Elizabeth A; Carandang, Kristine; Davis, Shain

2015-07-01

This article reports on the development of a manualized occupational therapy intervention for diabetes management. An initial theoretical framework and core content areas for a Stage I intervention manual were developed based on an in-depth needs assessment and review of existing literature. After evaluation by a panel of experts and completion of a feasibility study, the intervention was revised into a Stage 2 manual in preparation for a randomized study evaluating the intervention's efficacy. In developing the initial manual, we delineated core theoretical principles to allow for flexible application and tailoring of the intervention's content areas. Expert panel feedback and feasibility study results led to changes to the intervention structure and content as we developed the Stage 2 manual. Through describing this process, we illustrate the dynamic evolution of intervention manuals, which undergo revisions due to both theoretical and practical considerations at each stage of the research-to-clinical practice pipeline.

Camp Health Aide Manual = Manual para trabajadores de salud.

ERIC Educational Resources Information Center

Robinson, June Grube; And Others

This bilingual manual serves as a textbook for migrant Camp Health Aides. Camp Health Aides are members of migrant labor camps enlisted to provide information about health and social services to migrant workers and their families. The manual is divided into 12 tabbed sections representing lessons. Teaching notes printed on contrasting paper…

SRM Manual, Selected Resource Materials: Description and Evaluation.

ERIC Educational Resources Information Center

Alberta Dept. of Education, Edmonton. Special Educational Services Branch.

Provided in the manual is descriptive and evaluative information on 67 instructional materials or programs frequently used with exceptional children in Alberta schools. A flow chart describes the three methods of using the manual: l) to obtain descriptive and evaluative information of an instruction program in the manual 2) to classify and record…

1 CFR 12.3 - The United States Government Manual.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 1 General Provisions 1 2011-01-01 2011-01-01 false The United States Government Manual. 12.3... States Government Manual. (a) Copies of The United States Government Manual shall be made available to... legislative courts of the United States will be provided with one copy based on a written request from the...

1 CFR 12.3 - The United States Government Manual.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 1 General Provisions 1 2010-01-01 2010-01-01 false The United States Government Manual. 12.3... States Government Manual. (a) Copies of The United States Government Manual shall be made available to... legislative courts of the United States will be provided with one copy based on a written request from the...

Introduction to Social Psychology: Administrative Manual [And] Student Manual [And] Unit Study Guide.

ERIC Educational Resources Information Center

Rankin, Robert E.

This learning package is a three-semester-hour, independent-study course in social psychology designed for postsecondary, external degree students. Keyed to the commercially published textbook "Social Psychology: Explorations in Understanding" (Del Mar, CA: CRM, 1974), the package consists of an administrator manual, a student manual, and a…

46 CFR 62.25-10 - Manual alternate control systems.

Code of Federal Regulations, 2011 CFR

2011-10-01

... automatic primary control system failure; (2) Be suitable for manual control for prolonged periods; (3) Be... 46 Shipping 2 2011-10-01 2011-10-01 false Manual alternate control systems. 62.25-10 Section 62.25... AUTOMATION General Requirements for All Automated Vital Systems § 62.25-10 Manual alternate control systems...

75 FR 52976 - Issuance of Revised Users' Manual for Commission Mediation Program for Investigations Under...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-30

... INTERNATIONAL TRADE COMMISSION Issuance of Revised Users' Manual for Commission Mediation Program... 65615 (Nov. 8, 2008). The Commission has determined to issue a revised Users' Manual for its program for the mediation of investigations under section 337 of the Tariff Act of 1930. The revised Users' Manual...

14 CFR 21.5 - Airplane or Rotorcraft Flight Manual.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Airplane or Rotorcraft Flight Manual. 21.5... CERTIFICATION PROCEDURES FOR PRODUCTS AND PARTS General § 21.5 Airplane or Rotorcraft Flight Manual. (a) With each airplane or rotorcraft that was not type certificated with an Airplane or Rotorcraft Flight Manual...

ESH&Q Joule: Greg Gilbert | News

Science.gov Websites

Accelerator Division Accelerator Physics Center Office of the Chief Safety Officer Environment, Safety, Health Plan II Policies Manuals Manuals Engineering Manual Environment, Safety and Health Manual (FESHM) Fermi . "Having been at the lab for a while, I've seen safety initiatives come and go," Greg said

Process Control Manual for Aerobic Biological Wastewater Treatment Facilities.

ERIC Educational Resources Information Center

Environmental Protection Agency, Washington, DC. Office of Water Programs.

This Environmental Protection Agency (EPA) publication is an operations manual for activated sludge and trickling filter wastewater treatment facilities. The stated purpose of the manual is to provide an on-the-job reference for operators of these two types of treatment plants. The overall objective of the manual is to aid the operator in…

14 CFR 21.308 - Quality manual.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Quality manual. 21.308 Section 21.308... PROCEDURES FOR PRODUCTS AND PARTS Approval of Materials, Parts, Processes, and Appliances § 21.308 Quality manual. Each applicant for or holder of a PMA must provide a manual describing its quality system to the...

14 CFR 21.5 - Airplane or Rotorcraft Flight Manual.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Airplane or Rotorcraft Flight Manual. 21.5... CERTIFICATION PROCEDURES FOR PRODUCTS AND PARTS General § 21.5 Airplane or Rotorcraft Flight Manual. (a) With each airplane or rotorcraft not type certificated with an Airplane or Rotorcraft Flight Manual and...

14 CFR 21.5 - Airplane or Rotorcraft Flight Manual.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Airplane or Rotorcraft Flight Manual. 21.5... CERTIFICATION PROCEDURES FOR PRODUCTS AND PARTS General § 21.5 Airplane or Rotorcraft Flight Manual. (a) With each airplane or rotorcraft not type certificated with an Airplane or Rotorcraft Flight Manual and...

14 CFR 21.5 - Airplane or Rotorcraft Flight Manual.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Airplane or Rotorcraft Flight Manual. 21.5... CERTIFICATION PROCEDURES FOR PRODUCTS AND PARTS General § 21.5 Airplane or Rotorcraft Flight Manual. (a) With each airplane or rotorcraft not type certificated with an Airplane or Rotorcraft Flight Manual and...

14 CFR 125.75 - Airplane flight manual.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Airplane flight manual. 125.75 Section 125... OPERATIONS: AIRPLANES HAVING A SEATING CAPACITY OF 20 OR MORE PASSENGERS OR A MAXIMUM PAYLOAD CAPACITY OF 6... Airplane flight manual. (a) Each certificate holder shall keep a current approved Airplane Flight Manual or...

Shift of Manual Preference in Right-Handers Following Unimanual Practice

ERIC Educational Resources Information Center

Teixeira, Luis Augusto; Teixeira, Maria Candida Tocci

2007-01-01

The effect of unimanual practice of the non-preferred hand on manual asymmetry and manual preference for sequential finger movements was evaluated in right-handers before, immediately after, and 30 days following practice. The results demonstrate that unimanual practice induced a persistent shift of manual preference for the experimental task in…

i5k | National Agricultural Library

Science.gov Websites

genome browser, and the Apollo manual curation service. Over 50 arthropod genomes are now part of the i5k (done by Dan Hughes at Baylor) with manual annotations by the research community (done via Web Apollo with manual annotations by the research community (via the Apollo manual annotation software). insects

TV Trouble-Shooting Manual. Volumes 7-8. Part 3: Synchronisation and Deflection Circuits. Student and Instructor's Manuals.

ERIC Educational Resources Information Center

Mukai, Masaaki; Kobayashi, Ryozo

These volumes are, respectively, the self-instructional student manual and the teacher manual that cover the third set of training topics in this course for television repair technicians. Both contain identical information on synchronization and deflection circuits, including sections on the principle of synchronized deflection, synchronization…

Dysfunctional Workers, Functional Texts: The Transformation of Work in Institutional Procedure Manuals.

ERIC Educational Resources Information Center

Sullivan, Francis J.

1997-01-01

Examines how conflicts between management and workers over division of labor are enacted in two manuals--the official manual operationalizing Internal Revenue Service (IRS) regulations and a "translation" of the official manual--governing tax examiners' work in an IRS Service Center. Finds that systemic differences between the manuals…

Automatic Scaling of Digisonde Ionograms Test and Evaluation Report.

DTIC Science & Technology

1982-09-01

Labrador 30 21 IManual MUF - Auto MUFj/Manual MUF April 1980 Goose Bay, Labrador 31 22 IManual MUF - Auto MUFI /Manual MUF July 1980 Goose Bay...Labrador 32 23 IManual MUF - Auto MUFI /Manual MUF September 1980 Goose Bay, Labrador 33 24 !Manual M(3000) - Auto M(3000)1 January 1980 Goose Bay, Labrador

22 CFR 308.10 - Security of records systems-manual and automated.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Security of records systems-manual and automated... Security of records systems—manual and automated. The head of the agency has the responsibility of... destruction of manual and automatic record systems. These security safeguards shall apply to all systems in...

14 CFR 125.75 - Airplane flight manual.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Airplane flight manual. 125.75 Section 125... OPERATIONS: AIRPLANES HAVING A SEATING CAPACITY OF 20 OR MORE PASSENGERS OR A MAXIMUM PAYLOAD CAPACITY OF 6... Airplane flight manual. (a) Each certificate holder shall keep a current approved Airplane Flight Manual or...

Validation of Agricultural Mechanics Curriculum Manual.

ERIC Educational Resources Information Center

Hatcher, Elizabeth; And Others

This study was concerned with the validation of the Oklahoma Curriculum and Instructional Materials Center's agricultural mechanics curriculum manual and the development of a model whereby future manuals can be validated. Five units in the manual were randomly selected from a list of units to be taught during the second semester of the 1977-78…

Ciencias 2. Manual do Professor (Science Teacher's Manual).

ERIC Educational Resources Information Center

Raposo, Lucilia

This is the teacher's manual for Ciencias 2, the second in a series of elementary science textbooks for Portuguese-speaking students. The student textbook contains 10 chapters and 57 activities. The teacher's manual presents an explanation of the educational goals and the organization of the content, Topics included are environment, the human,…

Vocational-Technical Physics Project. Instructor's Manual. Field Test Edition.

ERIC Educational Resources Information Center

Forsyth Technical Inst., Winston-Salem, NC.

This instructor's manual in vocational physics consists of five modules: Jacks, Thermometers, The Alternator, The Pool Table, and The Radiator. It is an individualized approach, designed for use with accompanying student manuals on each of the individual modules. Each module in the instructor's manual consists of a general description plus an…

A Course on Operational Considerations in Wastewater Treatment Plant Design. Instructor's Manual.

ERIC Educational Resources Information Center

Cooper, John W.; And Others

This manual contains 17 instructional units (sequenced to correspond to parallel chapters in a student's manual) focusing on upgrading the design of wastewater plant facilities and serving as a reference source for establishing criteria for upgrading wastewater treatment plants. The manual also furnishes information for modifying plant design to…

Introduction to Hydraulics. Student's Manual.

ERIC Educational Resources Information Center

Texas Univ., Austin. Extension Instruction and Materials Center.

This manual on hydraulics is one of a series of individualized instructional materials for students. The manual is self-paced, but is designed to be used under the supervision of an instructor. The manual contains 10 assignments, each with all the information needed, a list of objectives that should be met, and exercise questions that can help in…

Radiology Aide. Instructor Key [and] Student Manual.

ERIC Educational Resources Information Center

Hartwein, Jon; Dunham, John

This manual can be used independently by students in secondary health occupations programs or by persons receiving on-the-job training in a radiology department. The manual includes an instructor's key that provides answers to the activity sheets and unit evaluations. The manual consists of the following five units: (1) orientation to radiology;…

21 CFR 880.6785 - Manual patient transfer device.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Miscellaneous Devices § 880.6785 Manual patient transfer device. (a) Identification. A manual patient transfer device is a device consisting of a wheeled stretcher and a mechanism on which a patient can be placed so... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Manual patient transfer device. 880.6785 Section...

Hand preferences in captive orangutans (Pongo pygmaeus).

PubMed

O'malley, Robert C; McGrew, W C

2006-07-01

The strength of the evidence for population-level handedness in the great apes is a topic of considerable debate, yet there have been few studies of handedness in orangutans. We conducted a study of manual lateralization in a captive group of eight orangutans (Pongo pygmaeus) ranking the degrees of manual preference according to a defined framework. We analyzed five behavioral patterns: eat (one- and two-handed), make/modify tool, oral tool-use, and manual tool-use. Although some individuals showed significant manual preferences for one or more tasks, at the group-level both one-handed and two-handed eating, oral tool-use, and make/modify tool were ranked at level 1 (unlateralized). Manual tool-use was ranked at level 2, with four subjects demonstrating significant hand preferences, but no group-level bias to the right or left. Four subjects also showed hand specialization to the right or left across several tasks. These results are consistent with most previous studies of manual preference in orangutans. The emergence of manual lateralization in orangutans may relate to more complex manipulative tasks. We hypothesize that more challenging manual tasks elicit stronger hand preferences.

Assessment of the impact of the change from manual to automated coding on mortality statistics in Australia.

PubMed

McKenzie, Kirsten; Walker, Sue; Tong, Shilu

It remains unclear whether the change from a manual to an automated coding system (ACS) for deaths has significantly affected the consistency of Australian mortality data. The underlying causes of 34,000 deaths registered in 1997 in Australia were dual coded, in ICD-9 manually, and by using an automated computer coding program. The diseases most affected by the change from manual to ACS were senile/presenile dementia, and pneumonia. The most common disease to which a manually assigned underlying cause of senile dementia was coded with ACS was unspecified psychoses (37.2%). Only 12.5% of codes assigned by ACS as senile dementia were coded the same by manual coders. This study indicates some important differences in mortality rates when comparing mortality data that have been coded manually with those coded using an automated computer coding program. These differences may be related to both the different interpretation of ICD coding rules between manual and automated coding, and different co-morbidities or co-existing conditions among demographic groups.

Update of the Dutch manual for costing studies in health care

PubMed Central

Kanters, Tim A.; Bouwmans, Clazien A. M.; van der Linden, Naomi; Tan, Siok Swan; Hakkaart-van Roijen, Leona

2017-01-01

Objectives Dutch health economic guidelines include a costing manual, which describes preferred research methodology for costing studies and reference prices to ensure high quality studies and comparability between study outcomes. This paper describes the most important revisions of the costing manual compared to the previous version. Methods An online survey was sent out to potential users of the costing manual to identify topics for improvement. The costing manual was aligned with contemporary health economic guidelines. All methodology sections and parameter values needed for costing studies, particularly reference prices, were updated. An expert panel of health economists was consulted several times during the review process. The revised manual was reviewed by two members of the expert panel and by reviewers of the Dutch Health Care Institute. Results The majority of survey respondents was satisfied with content and usability of the existing costing manual. Respondents recommended updating reference prices and adding some particular commonly needed reference prices. Costs categories were adjusted to the international standard: 1) costs within the health care sector; 2) patient and family costs; and 3) costs in other sectors. Reference prices were updated to reflect 2014 values. The methodology chapter was rewritten to match the requirements of the costing manual and preferences of the users. Reference prices for nursing days of specific wards, for diagnostic procedures and nurse practitioners were added. Conclusions The usability of the costing manual was increased and parameter values were updated. The costing manual became integrated in the new health economic guidelines. PMID:29121647

Update of the Dutch manual for costing studies in health care.

PubMed

Kanters, Tim A; Bouwmans, Clazien A M; van der Linden, Naomi; Tan, Siok Swan; Hakkaart-van Roijen, Leona

2017-01-01

Dutch health economic guidelines include a costing manual, which describes preferred research methodology for costing studies and reference prices to ensure high quality studies and comparability between study outcomes. This paper describes the most important revisions of the costing manual compared to the previous version. An online survey was sent out to potential users of the costing manual to identify topics for improvement. The costing manual was aligned with contemporary health economic guidelines. All methodology sections and parameter values needed for costing studies, particularly reference prices, were updated. An expert panel of health economists was consulted several times during the review process. The revised manual was reviewed by two members of the expert panel and by reviewers of the Dutch Health Care Institute. The majority of survey respondents was satisfied with content and usability of the existing costing manual. Respondents recommended updating reference prices and adding some particular commonly needed reference prices. Costs categories were adjusted to the international standard: 1) costs within the health care sector; 2) patient and family costs; and 3) costs in other sectors. Reference prices were updated to reflect 2014 values. The methodology chapter was rewritten to match the requirements of the costing manual and preferences of the users. Reference prices for nursing days of specific wards, for diagnostic procedures and nurse practitioners were added. The usability of the costing manual was increased and parameter values were updated. The costing manual became integrated in the new health economic guidelines.

Eye-Hand Synergy and Intermittent Behaviors during Target-Directed Tracking with Visual and Non-visual Information

PubMed Central

Huang, Chien-Ting; Hwang, Ing-Shiou

2012-01-01

Visual feedback and non-visual information play different roles in tracking of an external target. This study explored the respective roles of the visual and non-visual information in eleven healthy volunteers who coupled the manual cursor to a rhythmically moving target of 0.5 Hz under three sensorimotor conditions: eye-alone tracking (EA), eye-hand tracking with visual feedback of manual outputs (EH tracking), and the same tracking without such feedback (EHM tracking). Tracking error, kinematic variables, and movement intermittency (saccade and speed pulse) were contrasted among tracking conditions. The results showed that EHM tracking exhibited larger pursuit gain, less tracking error, and less movement intermittency for the ocular plant than EA tracking. With the vision of manual cursor, EH tracking achieved superior tracking congruency of the ocular and manual effectors with smaller movement intermittency than EHM tracking, except that the rate precision of manual action was similar for both types of tracking. The present study demonstrated that visibility of manual consequences altered mutual relationships between movement intermittency and tracking error. The speed pulse metrics of manual output were linked to ocular tracking error, and saccade events were time-locked to the positional error of manual tracking during EH tracking. In conclusion, peripheral non-visual information is critical to smooth pursuit characteristics and rate control of rhythmic manual tracking. Visual information adds to eye-hand synchrony, underlying improved amplitude control and elaborate error interpretation during oculo-manual tracking. PMID:23236498

User Manuals for a Primary Care Electronic Medical Record System: A Mixed Methods Study of User- and Vendor-Generated Documents

PubMed Central

Dow, Rustam; Barnsley, Jan; Tu, Karen; Domb, Sharon; Jadad, Alejandro R.; Lemieux-Charles, Louise

2015-01-01

Research problem Tutorials and user manuals are important forms of impersonal support for using software applications including electronic medical records (EMRs). Differences between user- and vendor documentation may indicate support needs, which are not sufficiently addressed by the official documentation, and reveal new elements that may inform the design of tutorials and user manuals. Research question What are the differences between user-generated tutorials and manuals for an EMR and the official user manual from the software vendor? Literature review Effective design of tutorials and user manuals requires careful packaging of information, balance between declarative and procedural texts, an action and task-oriented approach, support for error recognition and recovery, and effective use of visual elements. No previous research compared these elements between formal and informal documents. Methodology We conducted an mixed methods study. Seven tutorials and two manuals for an EMR were collected from three family health teams and compared with the official user manual from the software vendor. Documents were qualitatively analyzed using a framework analysis approach in relation to the principles of technical documentation described above. Subsets of the data were quantitatively analyzed using cross-tabulation to compare the types of error information and visual cues in screen captures between user- and vendor-generated manuals. Results and discussion The user-developed tutorials and manuals differed from the vendor-developed manual in that they contained mostly procedural and not declarative information; were customized to the specific workflow, user roles, and patient characteristics; contained more error information related to work processes than to software usage; and used explicit visual cues on screen captures to help users identify window elements. These findings imply that to support EMR implementation, tutorials and manuals need to be customized and adapted to specific organizational contexts and workflows. The main limitation of the study is its generalizability. Future research should address this limitation and may explore alternative approaches to software documentation, such as modular manuals or participatory design. PMID:26190888

Comparison of CT Fluoroscopy-Guided Manual and CT-Guided Robotic Positioning System for In Vivo Needle Placements in Swine Liver

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

Cornelis, F.; Takaki, H.; Laskhmanan, M.

PurposeTo compare CT fluoroscopy-guided manual and CT-guided robotic positioning system (RPS)-assisted needle placement by experienced IR physicians to targets in swine liver.Materials and MethodsManual and RPS-assisted needle placement was performed by six experienced IR physicians to four 5 mm fiducial seeds placed in swine liver (n = 6). Placement performance was assessed for placement accuracy, procedure time, number of confirmatory scans, needle manipulations, and procedure radiation dose. Intra-modality difference in performance for each physician was assessed using paired t test. Inter-physician performance variation for each modality was analyzed using Kruskal–Wallis test.ResultsPaired comparison of manual and RPS-assisted placements to a target by the samemore » physician indicated accuracy outcomes was not statistically different (manual: 4.53 mm; RPS: 4.66 mm; p = 0.41), but manual placement resulted in higher total radiation dose (manual: 1075.77 mGy/cm; RPS: 636.4 mGy/cm; p = 0.03), required more confirmation scans (manual: 6.6; RPS: 1.6; p < 0.0001) and needle manipulations (manual: 4.6; RPS: 0.4; p < 0.0001). Procedure time for RPS was longer than manual placement (manual: 6.12 min; RPS: 9.7 min; p = 0.0003). Comparison of inter-physician performance during manual placement indicated significant differences in the time taken to complete placements (p = 0.008) and number of repositions (p = 0.04) but not in other study measures (p > 0.05). Comparison of inter-physician performance during RPS-assisted placement suggested statistically significant differences in procedure time (p = 0.02) and not in other study measures (p > 0.05).ConclusionsCT-guided RPS-assisted needle placement reduced radiation dose, number of confirmatory scans, and needle manipulations when compared to manual needle placement by experienced IR physicians, with equivalent accuracy.« less

Human Rights: Respecting Our Differences, Teachers' Manual [And] Human Rights: Respecting Our Differences, Students' Manual.

ERIC Educational Resources Information Center

McCardle, Elizabeth, Ed.

This unit on human rights designed for secondary students in Alberta, Canada includes both student and teacher manuals. Eleven chapters in the student manual examine what human rights are, the causes and effects of prejudice and discrimination, relevant laws, and social action. Each chapter includes readings followed by discussion questions and…

Use of a Policy/Regulation Manual System in Public Higher Education.

ERIC Educational Resources Information Center

Becker, Harry A.

Public higher education's use of a policy/regulation (P/R) manual system, a mechanism for providing information, was investigated. Attention was directed to the following concerns: the prevailing judgment of higher education authorities regarding the value of a P/R manual system; whether it is general practice to employ a P/R manual system in…

Topographic Map and Compass Use. A Teaching Packet to Supplement the Student Manual.

ERIC Educational Resources Information Center

Taylor, Michael

This teacher's manual is designed to supplement the student manual for a unit of study on topographic map and compass use. The beginning section of the manual discusses (1) teaching strategy and evaluation, (2) teaching time and facilities, (3) materials and equipment required, (4) suggested field experience, (5) setting up a compass competition,…

Treatment Manuals: The Good, the Bad and the Useful

ERIC Educational Resources Information Center

Hollin, Clive R.

2009-01-01

This paper offers a commentary on the debate between Marshall and Mann on the desirability and merits of treatment manuals in the treatment of sexual offenders. Marshall offers a view of manuals as restrictive to clinical practice and as stifling to clinical innovation. Mann takes the position that manuals are a vital component in effective…

Parenting Manuals on Underage Drinking: Differences between Alcohol Industry and Non-Industry Publications

ERIC Educational Resources Information Center

Lindsay, Gordon B.; Merrill, Ray M.; Owens, Adam; Barleen, Nathan A.

2008-01-01

Background: There is some debate over the efficacy of alcohol industry parenting manuals. Purpose: This study compares the content and focus of alcohol industry and non-industry "talk to your child about drinking" parenting manuals. Methods: Parenting manuals from Anheuser-Busch and Miller Brewing Company were compared to federal government and…

Wetlands & Wildlife: Alaska Wildlife Curriculum Teacher Information Manual, Parts I-II.

ERIC Educational Resources Information Center

Sigman, Marilyn; And Others

This document consists of a teacher manual and a set of information cards. The teacher manual is designed to educate Alaskan students about the important functions of Alaska's wetlands and about the fish and wildlife that live there. Part I of the manual explores Alaska's wetland habitats, the plants and animals that live there, and the…

Books and Pets: Our Friends for Life! Arizona Reading Program Manual.

ERIC Educational Resources Information Center

Arizona State Dept. of Library, Archives and Public Records, Phoenix.

This reading program manual delineates the "Books and Pets" program, a project of Arizona Reads, which is a collaboration between the Arizona Humanities Council and the Arizona State Library, Archives, and Public Records. A CD-ROM version of the program accompanies the manual. The manual is divided into the following parts: Introduction;…

A Review of Extension Master Gardener Training Manuals from around the United States

ERIC Educational Resources Information Center

Moore, Kathleen; Bradley, Lucy K.

2015-01-01

Extension Master Gardener Volunteers (EMGVs) are recruited and trained to answer questions and diagnose gardening problems for the public. Most states have developed an EMGV Manual for use in the initial training. Thirty-two EMGV Training manuals from across the United States were reviewed for form and content. While many of the manuals have…

46 CFR 161.002-12 - Manual fire alarm systems.

Code of Federal Regulations, 2010 CFR

2010-10-01

.... (a) General. A manual fire alarm system shall consist of a power supply, a control unit on which are... using manually operated fire alarm boxes. (3) Other types as may be developed. (c) Power supply. The power supply shall be as specified for automatic fire detecting system by § 161.002-9. (d) Manual fire...

46 CFR 161.002-12 - Manual fire alarm systems.

Code of Federal Regulations, 2011 CFR

2011-10-01

.... (a) General. A manual fire alarm system shall consist of a power supply, a control unit on which are... using manually operated fire alarm boxes. (3) Other types as may be developed. (c) Power supply. The power supply shall be as specified for automatic fire detecting system by § 161.002-9. (d) Manual fire...

Writing Experiment Manuals in Science Education: The Impact of Writing, Genre, and Audience

ERIC Educational Resources Information Center

Rijlaarsdam, Gert; Couzijn, Michel; Janssen, Tanja; Braaksma, Martine; Kieft, Marleen

2006-01-01

In this study, Grade 9 students wrote experiment manuals for their peers describing a simple physics investigation to explore whether air takes space. Peers executed these manuals and their processes were videotaped. In several experimental conditions, these videotapes were played back for authors. Then they had to rewrite the experiment manual.…

Head Start Social Services Training Manual for Coordinators and Staff.

ERIC Educational Resources Information Center

Administration for Children, Youth, and Families (DHHS), Washington, DC. Head Start Bureau.

This training manual is designed for use by local Head Start programs in training current and new entry-level staff to deliver comprehensive social services to Head Start families. The introductory section of the manual provides an overview of Head Start, describes its social service component, and explains the organization of the manual. The…

Course Manual for X-Ray Measurements.

ERIC Educational Resources Information Center

Food and Drug Administration (DHEW), Rockville, MD. Bureau of Radiological Health.

This is the second of a series of three instructor manuals in x-ray science and engineering and is produced as part of a project of Oregon State University's Bureau of Radiological Health. This manual, and the two campanion manuals, have been tested in courses at Oregon State. These materials have been designed to serve as models for teaching and…

21 CFR 878.4950 - Manual operating table and accessories and manual operating chair and accessories.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Manual operating table and accessories and manual operating chair and accessories. 878.4950 Section 878.4950 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES...

21 CFR 878.4950 - Manual operating table and accessories and manual operating chair and accessories.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Manual operating table and accessories and manual operating chair and accessories. 878.4950 Section 878.4950 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES...

21 CFR 878.4950 - Manual operating table and accessories and manual operating chair and accessories.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Manual operating table and accessories and manual operating chair and accessories. 878.4950 Section 878.4950 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES...

21 CFR 878.4950 - Manual operating table and accessories and manual operating chair and accessories.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Manual operating table and accessories and manual operating chair and accessories. 878.4950 Section 878.4950 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES...

21 CFR 878.4950 - Manual operating table and accessories and manual operating chair and accessories.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Manual operating table and accessories and manual operating chair and accessories. 878.4950 Section 878.4950 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES...

TV Trouble-Shooting Manual. Volumes 15-16. Part 7: Power-Supply Circuit. Student and Instructor's Manuals.

ERIC Educational Resources Information Center

Mukai, Masaaki; Kobayashi, Ryozo

These volumes are, respectively, the self-instructional student manual and the teacher manual that cover the seventh set of training topics in this course for television repair technicians. Both contain identical information on the television power supply circuit, including sections on the rectifier circuit and the voltage regulator circuit.…

Developing hospital identity manuals: a reference tool for illustrators.

PubMed

Schaffer, J A; Zimmerman, S B

1990-01-01

Because of an increase in hospital marketing efforts, medical illustrators may be asked to assist in developing and implementing hospital identity manuals, which specify the graphic standards for visual communications media. A checklist survey of existing identity manuals and a literature review were conducted by one of the authors, a medical illustrator, to help her to develop a manual for her hospital employer. This article documents the literature review, the study, and the identity manual development, and presents recommendations to help other medical illustrators who might become involved in similar assignments.

Thermal spray manual for machinery components

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

Travis, R.; Ginther, C.; Herbstritt, M.

1995-12-31

The Thermal Spray Manual For Machinery Components is a National Shipbuilding Research (SP-7) Project. This Manual is being developed by Puget Sound Naval Shipyard with the help of other government thermal spray facilities and SP-7 panel members. The purpose of the manual is to provide marine repair facilities with a ``how to do`` document that will be ``user friendly`` and known to be technically sound through production experience. The manual`s intent is to give marine repair facilities the ability to maximize the thermal spray process as a repair method for machinery components and to give these facilities guidelines on howmore » to become qualified to receive certification that they meet the requirements of Military Standard 1687A.« less

The contribution of major diagnostic causes to socioeconomic differences in disability retirement.

PubMed

Polvinen, Anu; Laaksonen, Mikko; Gould, Raija; Lahelma, Eero; Martikainen, Pekka

2014-07-01

The aim of this study was twofold: to investigate socioeconomic differences in disability retirement (DR) due to major diseases and find out which diseases contribute most to the overall socioeconomic differences in DR. The data were longitudinal register-based (10% sample of Finns) from Statistics Finland. These data included 258 428 participants aged 35-64 years during the follow-up. The participants were employed or unemployed before the follow-up period 1997-2010. Of all participants, 14 303 men and 13 188 women ended up in DR during the follow-up. Socioeconomic status was categorized into upper- and lower-class non-manual employees, manual workers, and self-employed persons. Cox models were used to estimate hazard ratios for DR due to different diseases. Compared to upper-class non-manual employees, DR was especially high for manual workers whose retirement diagnoses included psychoactive substance use, musculoskeletal diseases (MSD), or cardiovascular diseases. Socioeconomic differences in DR were stronger for younger age groups and men versus women. For females and males, the largest part of the excess DR among manual workers compared to upper-class non-manual employees was due to MSD. In the age group 54-64 years, the contribution of MSD to the total excess was >50% among male manual workers and 75% among female manual workers. Excess DR due to mental disorders concerned only 35-54-year-old manual workers (among 23% men and 26% women). The contribution of MSD to the total excess DR among lower socioeconomic groups was large. Prevention of MSD among manual workers would likely reduce socioeconomic differences in DR.

Assessing the Agreement Between Eo-Based Semi-Automated Landslide Maps with Fuzzy Manual Landslide Delineation

NASA Astrophysics Data System (ADS)

Albrecht, F.; Hölbling, D.; Friedl, B.

2017-09-01

Landslide mapping benefits from the ever increasing availability of Earth Observation (EO) data resulting from programmes like the Copernicus Sentinel missions and improved infrastructure for data access. However, there arises the need for improved automated landslide information extraction processes from EO data while the dominant method is still manual delineation. Object-based image analysis (OBIA) provides the means for the fast and efficient extraction of landslide information. To prove its quality, automated results are often compared to manually delineated landslide maps. Although there is awareness of the uncertainties inherent in manual delineations, there is a lack of understanding how they affect the levels of agreement in a direct comparison of OBIA-derived landslide maps and manually derived landslide maps. In order to provide an improved reference, we present a fuzzy approach for the manual delineation of landslides on optical satellite images, thereby making the inherent uncertainties of the delineation explicit. The fuzzy manual delineation and the OBIA classification are compared by accuracy metrics accepted in the remote sensing community. We have tested this approach for high resolution (HR) satellite images of three large landslides in Austria and Italy. We were able to show that the deviation of the OBIA result from the manual delineation can mainly be attributed to the uncertainty inherent in the manual delineation process, a relevant issue for the design of validation processes for OBIA-derived landslide maps.

Comparative evaluation of root surface after manual instrumentation with and without Er:YAG laser as an auxiliary therapy: in-vitro study

NASA Astrophysics Data System (ADS)

Lizarelli, Rosane F. Z.; Ferreira, Zulene A.; Torquato, Tatiana M.; Sampaio, Jose E. C.; Bagnato, Vanderlei S.

2000-03-01

One of the most important difficulty in the periodontal disease treatment resides in the impossibility of decontamination of roots just affected by the periodontal disease through mechanical tools. Manual dental scaling results in the amorphous material without continuity solution due to the dental cut, denominated smear layer. The main purpose of the present study was to evaluate the structure of the radicular surface using two methods for periodontal treatments: manual and mechanical associated to the irrigation with water and with EDTA (ethylene diamine tetracycline acid), followed by the application of the Er:YAG laser or the same without laser. Thirty teeth were selected with periodontal involvement. The radicular surface was scraped with ultrasound and planed vigorously, with manual instrumentation. The teeth were divided ramdomically in several groups: GI -- control, just manual instrumentation and water irrigation; GII -- manual instrumentation, EDTA irrigation; GIII -- manual instrumentation, EDTA irrigation, Er:YAG laser irradiation; GIV -- manual instrumentation, laser irradiation; and, GV -- manual instrumentation, laser irradiation and EDTA. Kruskall Wallis statistical test was applied and shows that there was not significance difference at the level of 5% among the five groups, however, when the groups were compared in pairs, GII X GIV and GII X GV shows difference in 5%, and GI X GII, difference at 1% level. The results show equivalence around the used methodology.

Treatment manuals and the advancement of psychoanalytic knowledge: The Treatment Manual of the Tavistock Adult Depression Study.

PubMed

Taylor, David

2015-06-01

This paper has two aims: first, it seeks to understand the absence of treatment manuals in psychoanalysis. Secondly, it summarizes the treatment manual of the Tavistock Adult Depression Study, which describes the form of psychoanalytic psychotherapy whose effectiveness has been evaluated both in the Tavistock Adult Depression Study (TADS); and in the German Die Langzeittherapie bei chronischen Depressionen (LAC) Studie. Throughout the history of psychoanalysis, opinions about treatment manuals, empirical research and their antecedents have been deeply divided. After tracing the often polarized unfolding of these matters, the paper proposes that emotional and cognitive difficulties as well as scientific ones underpin their persistence. It is suggested that greater familiarity with them may lead to better combinations of outcome research and psychoanalysis: for example, the Tavistock manual seeks to match one account of the objects, aims, values, spirit and methods of psychoanalysis (as well as of connected forms of psychoanalytic psychotherapy); and also to meet what is required of treatment manuals by random allocation controlled trials. It has been a crucial element in the above studies of the outcome of long-term psychoanalytic psychotherapies with chronically depressed patients. After describing the Tavistock Manual, the paper concludes suggesting that, if appropriately constructed, treatment manuals can make a contribution to the advancement of specifically psychoanalytic knowledge. Copyright © 2015 Institute of Psychoanalysis.

Cuerpo de Paz Manual de Sistema de Programacion y Capacitacion (Peace Corps Programming and Training System Manual): T0063.

ERIC Educational Resources Information Center

Peace Corps, Washington, DC.

This Spanish version of the Peace Corps Programming and Training System Manual is designed to help field staff members of the Peace Corps train volunteers. Its task descriptions, guidelines, examples, and definitions are intended to be practical and informative rather than restrictive. The manual is divided into six major sections: (1)…

Guidelines for Writing the Director's Manual for a Simulation Game.

ERIC Educational Resources Information Center

Fennessey, Gail M.

The Director's Manual is an important part of any simulation game. This paper provides an outline that will help the game designer prepare a well-organized and effective manual. Six sections that should be in the manual are discussed: the overview of the game, preparing for the game session, the game session, debriefing the game (the post game…

The NASTRAN User's Manual (Level 15)

NASA Technical Reports Server (NTRS)

Mccormick, C. W. (Editor)

1972-01-01

The User's manual for the NASA Structural Analysis (NASTRAN) program is presented. The manual contains all information needed to solve problems with NASTRAN. The volume is instructional and encyclopedic. The manual includes instruction in structural modeling techniques, instruction in input preparation, and information to assist the interpretation of the output. Descriptions of all input data cards, restart procedures, and diagnostic messages are developed.

The Melwood Manual: A Planning and Operations Manual for Horticultural Training and Work Co-op Programs.

ERIC Educational Resources Information Center

Melwood Horticultural Training Center, Inc., Upper Marlboro, MD.

This manual is intended as a resource for anyone involved in planning, developing, and/or operating a horticultural training or work co-op program for the handicapped. Following an introductory chapter, the manual is divided into three parts with the greatest weight given to the second part. Part I elaborates on development of the horticulture…

IMAGES: Information Manual of Alternatives Guiding Educational Success.

ERIC Educational Resources Information Center

Texas Education Agency, Austin.

This resource manual was developed to assist Texas school districts in their efforts to address and respond to the dropout problem. A 1986 study revealed a dropout rate of 33 per cent in Texas. A task force was initiated in 1987 to study the educational and social problem and produce this manual as a step toward overcoming it. The manual has the…

A Coordinated Response to Child Abuse and Neglect: A Basic Manual. [Revised and Expanded.] The User Manual Series.

ERIC Educational Resources Information Center

DePanfilis, Diane; Salus, Marsha K.

This manual provides the foundation for a series of manuals on child abuse and neglect, and addresses community prevention, identification, and treatment efforts. It is intended to be used by all professionals involved in child protection: child protective services, law enforcement, education, mental health, legal services, health care, and early…

Proceedings of the Annual Conference on Manual Control (15th) held March 20 - 22, 1979, Wright State University, Dayton, Ohio

DTIC Science & Technology

1979-11-01

Performance in a Precognitive Tracking Task," Proc. 13th Annual Conf. on Manual Control, pp. 152-165, June 1977. (32] Repa Brian S. and Robert S. Zucker...operators that have received attention in manual control. Precognitive manual control displays differ from the pursuit and compensatory displays of the

Principles and Practices of Occupational Safety and Health: Student Manual: Booklet Six.

ERIC Educational Resources Information Center

Occupational Safety and Health Administration, Washington, DC.

The manual is the sixth of six student manuals for use in a course on occupational health and safety for supervisory personnel. The manual contains lessons 12 and 13 of the 15 consecutively-numbered lessons, each of which contains study questions (and answers) interwoven with the text and review questions at the end of each section. Lesson 12…

Principles and Practices of Occupational Safety and Health: Student Manual: Booklet Three.

ERIC Educational Resources Information Center

Occupational Safety and Health Administration, Washington, DC.

The manual is the third of six student manuals for use in a course on occupational health and safety for supervisory personnel. The manual contains lessons 6 and 7 of the 15 consecutively-numbered lessons, each of which contains study questions (and answers) interwoven with the text and review questions at the end of each section. Lesson 6 covers…

Dialects for the Stage: A Manual and Two Casette Tapes.

ERIC Educational Resources Information Center

Machlin, Evangeline

This document contains a manual and two cassette tapes designed to help actors and actresses learn to speak various dialects. The tapes and the manual are arranged for the play-it-and-say-it method of dialect acquisition. The first three parts discuss the tapes and the manual in general, the dialect texts and dialect data, and the steps involved…

Making Basic Math Skills Work for You in Marketing. Student Manual and Laboratory Guide.

ERIC Educational Resources Information Center

Klewer, Edwin D.

This student manual and workbook is the second part of a mathematics series for use with high school students. The manual is to be used to apply the mathematics skills that students have learned in a first part called "Developing Basic Math Skills for Marketing." The manual presents conceptual instruction in mathematics in a competency based…

An Introduction to the Consumer's Society. An Instruction Manual with Resources for Teaching Limited-English Speaking Students. Consumer Education, Nutrition, Parenting.

ERIC Educational Resources Information Center

Antonelli, Sharon

These three instruction manuals are designed as aids for faculty and staff teaching consumer education, nutrition, and parenting. They include resources for teaching limited English speaking students. A 17-page Vocational English as a Second Language (VESL) annotated bibliography precedes the instruction manuals. Each manual consists of 18 units.…

Crafts Development and Marketing Manual. Appropriate Technologies for Development. Peace Corps Information Collection & Exchange Manual Series No. M-24.

ERIC Educational Resources Information Center

Ramsay, Caroline C.; And Others

This manual was developed to help Peace Corps volunteers assist local craftspeople in developing nations in initiating and operating small businesses to produce and market their products. The manual is organized in eight chapters that cover the following topics: the crafts environment, common problems and solutions for a crafts business,…

Pollutant Assessments Group procedures manual: Volume 2, Technical procedures

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

Not Available

1992-03-01

This is volume 2 of the manuals that describes the technical procedures currently in use by the Pollution Assessments Group. This manual incorporates new developments in hazardous waste assessment technology and administrative policy. Descriptions of the equipment, procedures and operations of such things as radiation detection, soil sampling, radionuclide monitoring, and equipment decontamination are included in this manual. (MB)

TV Trouble-Shooting Manual. Volumes 9-10. Part 4: Chroma-Signal Reproduction Circuit. Student and Instructor's Manuals.

ERIC Educational Resources Information Center

Mukai, Masaaki; Kobayashi, Ryozo

These volumes are, respectively, the self-instructional student manual and the teacher manual that cover the fourth set of training topics in this course. Both contain identical information on the chroma signal reproduction circuit, including a block diagram of a chroma signal reproduction circuit and sections on the bandpass amplifier circuit,…

Principles and Practices of Occupational Safety and Health: Student Manual: Booklet Four.

ERIC Educational Resources Information Center

Occupational Safety and Health Administration, Washington, DC.

The manual is the fourth of six student manuals for use in a course on occupational health and safety for supervisory personnel. The manual contains lessons 8-11 of the 15 consecutively-numbered lessons, each of which contains study questions (and answers) interwoven with the text and review questions at the end of each section. Lesson 8 discusses…

Anger Management for Substance Abuse and Mental Health Clients: A Cognitive Behavioral Therapy Manual [and] Participant Workbook.

ERIC Educational Resources Information Center

Reilly, Patrick M.; Shopshire, Michael S.; Durazzo, Timothy C.; Campbell, Torri A.

This manual and workbook set focuses on anger management. The manual was designed for use by qualified substance abuse and mental health clinicians who work with substance abuse and mental health clients with concurrent anger programs. The manual describes a 12-week cognitive behavioral anger management group treatment. Each of the 12 90-minute…

Welding Fundamentals. U.S.O.E. 17.23 16. Student's Manual [and] Instructor's Guide.

ERIC Educational Resources Information Center

Fulgham, Wayne

This two-part publication covers the fundamentals for the beginning welder. The student's manual includes many illustrations to acquaint the student with tools and materials used in the welding trade. The manual is self-contained and is written for use in all types of trade and industrial classes. The manual contains 10 lessons, each of which…

18 CFR 410.1 - Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations. 410.1 Section 410.1 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL BASIN REGULATIONS; WATER CODE AND ADMINISTRATIVE MANUAL-PART III...

18 CFR 410.1 - Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 18 Conservation of Power and Water Resources 2 2014-04-01 2014-04-01 false Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations. 410.1 Section 410.1 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL BASIN REGULATIONS; WATER CODE AND ADMINISTRATIVE MANUAL-PART III...

18 CFR 410.1 - Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 18 Conservation of Power and Water Resources 2 2013-04-01 2012-04-01 true Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations. 410.1 Section 410.1 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL BASIN REGULATIONS; WATER CODE AND ADMINISTRATIVE MANUAL-PART III...

18 CFR 410.1 - Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 18 Conservation of Power and Water Resources 2 2012-04-01 2012-04-01 false Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations. 410.1 Section 410.1 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL BASIN REGULATIONS; WATER CODE AND ADMINISTRATIVE MANUAL-PART III...

18 CFR 3b.204 - Safeguarding information in manual and computer-based record systems.

Code of Federal Regulations, 2014 CFR

2014-04-01

... information in manual and computer-based record systems. 3b.204 Section 3b.204 Conservation of Power and Water... Collection of Records § 3b.204 Safeguarding information in manual and computer-based record systems. (a) The administrative and physical controls to protect the information in the manual and computer-based record systems...

18 CFR 3b.204 - Safeguarding information in manual and computer-based record systems.

Code of Federal Regulations, 2011 CFR

2011-04-01

... information in manual and computer-based record systems. 3b.204 Section 3b.204 Conservation of Power and Water... Collection of Records § 3b.204 Safeguarding information in manual and computer-based record systems. (a) The administrative and physical controls to protect the information in the manual and computer-based record systems...

18 CFR 3b.204 - Safeguarding information in manual and computer-based record systems.

Code of Federal Regulations, 2012 CFR

2012-04-01

... information in manual and computer-based record systems. 3b.204 Section 3b.204 Conservation of Power and Water... Collection of Records § 3b.204 Safeguarding information in manual and computer-based record systems. (a) The administrative and physical controls to protect the information in the manual and computer-based record systems...

18 CFR 3b.204 - Safeguarding information in manual and computer-based record systems.

Code of Federal Regulations, 2013 CFR

2013-04-01

... information in manual and computer-based record systems. 3b.204 Section 3b.204 Conservation of Power and Water... Collection of Records § 3b.204 Safeguarding information in manual and computer-based record systems. (a) The administrative and physical controls to protect the information in the manual and computer-based record systems...

Command Post Program Study. Volume 1 - Main Report

DTIC Science & Technology

1973-03-01

Field Manual 30-9, Military Intelligence Battalion - Field Am. Washington: March 1968. _ Field Manual 32-20, Electronic Warfare. Washington: 14...Mechanized). A-18 TOE 30-88T, Military Intelligence Support Detachment, Military Intelligence Battalion, Field Army. TOE 30-206T, Headquarters and... Field Manual 30-9, Military Intelligence Battalion - Field Army. Washington: March 1968. _ Field Manual 32-20, Electronic Warfare. Washington: 14

Practices & Procedures of Mason Tending I & II. Instructor Manual. Trainee Manual.

ERIC Educational Resources Information Center

Laborers-AGC Education and Training Fund, Pomfret Center, CT.

This packet consists of the instructor and trainee manuals for two courses: practices and procedures of mason tending I and II. The instructor manual for mason tending I contains a schedule for a 40-hour, 5-day course and instructor outline. The outline provides a step-by-step description of the instructor's activities and includes answer sheets…

Principles and Practices of Occupational Safety and Health: Student Manual: Booklet Two.

ERIC Educational Resources Information Center

Occupational Safety and Health Administration, Washington, DC.

The manual is the second of six student manuals for use in a course on occupational health and safety for supervisory personnel. The manual contains lessons 4 and 5 of the 15 consecutively-numbered lessons, each of which contains study questions (and answers) interwoven with the text and review questions at the end of each section. (Lesson 4…

Principles and Practices of Occupational Safety and Health: Student Manual: Booklet One.

ERIC Educational Resources Information Center

Occupational Safety and Health Administration, Washington, DC.

The manual is the first of six student manuals for use in a course on occupational health and safety for supervisory personnel. The manual contains lessons 1-3 of the 15 consecutively-numbered lessons, each of which contains study questions (and answers) interwoven with the text and review questions at the end of each section. Lesson 1 (three…

Principles and Practices of Occupational Safety and Health: Student Manual: Booklet Five.

ERIC Educational Resources Information Center

Occupational Safety and Health Administration, Washington, DC.

The manual is the fifth of six student manuals for use in a course on occupational health and safety for supervisory personnel. The manual contains lessons 14 and 15 of the 15 consecutively-numbered lessons, each of which contains study questions (and answers) interwoven with the text and review questions at the end of each section. Lesson 14…

Organizational Effectiveness Case Development Manual

DTIC Science & Technology

1980-10-01

Target audience Legal issues UAmographic information Sanctions Write-up format L eaching case Pay-off s The manual is a guide for developing...most efficient and effective way. The manual is divided into three main sections: (1) on the issues of client system sanction, confidentiality, and...CASE DEVELOPMENT MANUAL James Bedoian, Larry E. Greiner, Charles P. Schaefer, Warren H. Schmidt, Stanley R. Weingart System Development Corporation

Small Enterprise Development Pre-Service Training Manual. Training for Development. Peace Corps Information Collection & Exchange Training Manual No. T-42.

ERIC Educational Resources Information Center

Pragma Corp., Falls Church, VA.

This manual is intended to assist Peace Corps trainers in providing preservice technical training in small enterprise development. The manual includes a total of 40 training sessions divided among 10 learning modules. The following topics are covered: the main principles of small enterprise development; Peace Corps volunteers as small enterprise…

The working mechanism of manual therapy in participants with chronic tension-type headache.

PubMed

Castien, René; Blankenstein, Annette; van der Windt, Daniëlle; Heymans, Martijn W; Dekker, Joost

2013-10-01

Prospective longitudinal study. To explore the working mechanism of manual therapy, we investigated whether 3 cervical spine variables were mediators of the effect of manual therapy on headache frequency. Background Manual therapy has been shown to reduce headache frequency in participants with chronic tension-type headache (CTTH). To what extent specific elements of treatment contribute to the effectiveness of manual therapy in CTTH is unknown. One hundred eighty-two participants with CTTH participated in a prospective longitudinal study: 142 underwent manual therapy and 40 participants received usual care by their general practitioner. Regression analysis was performed according to the steps described by Baron and Kenny, and the proportion of mediated effect was estimated for 3 potential mediators: (1) cervical range of motion, (2) neck flexor endurance, and (3) forward head posture. Outcome was defined as a 50% or greater reduction in headache days. Neck flexor endurance mediated 24.5% of the effect of manual therapy. Cervical range of motion and forward head posture showed no mediated effect. Increased neck flexor endurance appears to be a working mechanism of manual therapy. This finding supports isometric training of neck flexors in participants with CTTH. Trial registered with Netherlands Trial Register (TR 1074).

Stapled or manual suturing in esophagojejunostomy after total gastrectomy: a comparison of outcome in 379 patients.

PubMed

Fujimoto, S; Takahashi, M; Endoh, F; Takai, M; Kobayashi, K; Kiuchi, S; Konno, C; Obata, G; Okui, K

1991-09-01

From January 1983 to December 1989, we performed esophagojejunostomy on 379 patients who underwent total gastrectomy for gastric cancer. A mechanical EEA stapler or conventional manual suturing was used. The clinical outcomes of 199 patients in whom stapling was used (stapler group) and 180 patients in whom manual suturing was done (manual group) were compared. Two of the 199 patients in the stapler group and 3 of the 180 patients in the manual group died of causes directly related to the anastomosis. In the stapler group, 16 stapled anastomoses were formed supradiaphragmatically, and manual suturing was done for 6 patients. The highly placed anastomosis was formed without left thoracotomy or with median sternotomy in 8 of the 16 patients in whom the stapling device was used and in 1 of the 6 patients in whom manual suturing was used. The incidence of anastomotic leakage and stenosis did not differ between the groups. Thus, the mechanical stapler facilitated the construction of a rapid, reliable esophagojejunostomic anastomosis.

Technology Reinvestment Project Manufacturing Education and Training. Volume 1

NASA Technical Reports Server (NTRS)

Schroer, Bernard J.; Bond, Arthur J.

1997-01-01

The manufacturing education program is a joint program between the University of Alabama in Huntsville's (UAH) College of Engineering and Alabama A&M University's (AAMLJ) School of Engineering and Technology. The objective of the program is to provide more hands-on experiences to undergraduate engineering and engineering technology students. The scope of work consisted of. Year 1, Task 1: Review courses at Alabama Industrial Development Training (AIDT); Task 2: Review courses at UAH and AAMU; Task 3: Develop new lab manuals; Task 4: Field test manuals; Task 5: Prepare annual report. Year 2, Task 1: Incorporate feedback into lab manuals; Task 2 : Introduce lab manuals into classes; Task 3: Field test manuals; Task 4: Prepare annual report. Year 3, Task 1: Incorporate feedback into lab manuals; Task 2: Introduce lab manuals into remaining classes; Task 3: Conduct evaluation with assistance of industry; Task 4: Prepare final report. This report only summarizes the activities of the University of Alabama in Huntsville. The activities of Alabama A&M University are contained in a separate report.

Developing a Manualized Occupational Therapy Diabetes Management Intervention: Resilient, Empowered, Active Living With Diabetes

PubMed Central

Pyatak, Elizabeth A.; Carandang, Kristine; Davis, Shain

2016-01-01

This article reports on the development of a manualized occupational therapy intervention for diabetes management. An initial theoretical framework and core content areas for a Stage 1 intervention manual were developed based on an in-depth needs assessment and review of existing literature. After evaluation by a panel of experts and completion of a feasibility study, the intervention was revised into a Stage 2 manual in preparation for a randomized study evaluating the intervention’s efficacy. In developing the initial manual, we delineated core theoretical principles to allow for flexible application and tailoring of the intervention’s content areas. Expert panel feedback and feasibility study results led to changes to the intervention structure and content as we developed the Stage 2 manual. Through describing this process, we illustrate the dynamic evolution of intervention manuals, which undergo revisions due to both theoretical and practical considerations at each stage of the research-to-clinical practice pipeline. PMID:26594741

29 CFR 541.704 - Use of manuals.

Code of Federal Regulations, 2013 CFR

2013-07-01

... DELIMITING THE EXEMPTIONS FOR EXECUTIVE, ADMINISTRATIVE, PROFESSIONAL, COMPUTER AND OUTSIDE SALES EMPLOYEES Definitions and Miscellaneous Provisions § 541.704 Use of manuals. The use of manuals, guidelines or other...

29 CFR 541.704 - Use of manuals.

Code of Federal Regulations, 2012 CFR

2012-07-01

... DELIMITING THE EXEMPTIONS FOR EXECUTIVE, ADMINISTRATIVE, PROFESSIONAL, COMPUTER AND OUTSIDE SALES EMPLOYEES Definitions and Miscellaneous Provisions § 541.704 Use of manuals. The use of manuals, guidelines or other...

29 CFR 541.704 - Use of manuals.

Code of Federal Regulations, 2011 CFR

2011-07-01

... DELIMITING THE EXEMPTIONS FOR EXECUTIVE, ADMINISTRATIVE, PROFESSIONAL, COMPUTER AND OUTSIDE SALES EMPLOYEES Definitions and Miscellaneous Provisions § 541.704 Use of manuals. The use of manuals, guidelines or other...

29 CFR 541.704 - Use of manuals.

Code of Federal Regulations, 2014 CFR

2014-07-01

... DELIMITING THE EXEMPTIONS FOR EXECUTIVE, ADMINISTRATIVE, PROFESSIONAL, COMPUTER AND OUTSIDE SALES EMPLOYEES Definitions and Miscellaneous Provisions § 541.704 Use of manuals. The use of manuals, guidelines or other...

Tennessee environmental procedures manual

DOT National Transportation Integrated Search

2007-04-16

The Tennessee Environmental Procedures Manual (TEPM or manual) provides guidance for the preparation of environmental analysis and documentation for federally funded and state-funded transportation projects. /Abstract from report, p. I-1/

Guidelines for Adapting Manualized Interventions for New Target Populations: A Step-Wise Approach Using Anger Management as a Model

PubMed Central

Goldstein, Naomi E. S.; Kemp, Kathleen A.; Leff, Stephen S.; Lochman, John E.

2014-01-01

The use of manual-based interventions tends to improve client outcomes and promote replicability. With an increasingly strong link between funding and the use of empirically supported prevention and intervention programs, manual development and adaptation have become research priorities. As a result, researchers and scholars have generated guidelines for developing manuals from scratch, but there are no extant guidelines for adapting empirically supported, manualized prevention and intervention programs for use with new populations. Thus, this article proposes step-by-step guidelines for the manual adaptation process. It also describes two adaptations of an extensively researched anger management intervention to exemplify how an empirically supported program was systematically and efficiently adapted to achieve similar outcomes with vastly different populations in unique settings. PMID:25110403

Market analysis and program for use for energy conservation manuals: a marketing plan. Final report

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

Not Available

1977-02-25

The FEA, with a mission to analyze total national energy usage, formulate policy, and stimulate actions that will increase domestic energy supply and decrease energy demand, decided to develop effective energy conservation manuals for decision makers in existing buildings. The manuals developed are: Building Owner's and Manager's Guide to Energy Conservation; Building Operator's Guide to Energy Conservation; and Architect's and Engineer's Guide to Energy Conservation. The background and scope of the entire project which led to the development of the manuals is discussed in the introduction of this publication. Part II, Market Analysis, provides insight into the character of themore » designated audiences for the manuals. Part III, Program for Use, is a marketing and promotion plan for the manuals.« less

Frequency of dosage prescribing medication errors associated with manual prescriptions for very preterm infants.

PubMed

Horri, J; Cransac, A; Quantin, C; Abrahamowicz, M; Ferdynus, C; Sgro, C; Robillard, P-Y; Iacobelli, S; Gouyon, J-B

2014-12-01

The risk of dosage Prescription Medication Error (PME) among manually written prescriptions within 'mixed' prescribing system (computerized physician order entry (CPOE) + manual prescriptions) has not been previously assessed in neonatology. This study aimed to evaluate the rate of dosage PME related to manual prescriptions in the high-risk population of very preterm infants (GA < 33 weeks) in a mixed prescription system. The study was based on a retrospective review of a random sample of manual daily prescriptions in two neonatal intensive care units (NICU) A and B, located in different French University hospitals (Dijon and La Reunion island). Daily prescription was defined as the set of all drugs manually prescribed on a single day for one patient. Dosage error was defined as a deviation of at least ±10% from the weight-appropriate recommended dose. The analyses were based on the assessment of 676 manually prescribed drugs from NICU A (58 different drugs from 93 newborns and 240 daily prescriptions) and 354 manually prescribed drugs from NICU B (73 different drugs from 131 newborns and 241 daily prescriptions). The dosage error rate per 100 manually prescribed drugs was similar in both NICU: 3·8% (95% CI: 2·5-5·6%) in NICU A and 3·1% (95% CI: 1·6-5·5%) in NICU B (P = 0·54). Among all the 37 identified dosage errors, the over-dosing was almost as frequent as the under-dosing (17 and 20 errors, respectively). Potentially severe dosage errors occurred in a total of seven drug prescriptions. None of the dosage PME was recorded in the corresponding medical files and information on clinical outcome was not sufficient to identify clinical conditions related to dosage PME. Overall, 46·8% of manually prescribed drugs were off label or unlicensed, with no significant differences between prescriptions with or without dosage error. The risk of a dosage PME increased significantly if the drug was included in the CPOE system but was manually prescribed (OR = 3·3; 95% CI: 1·6-7·0, P < 0·001). The presence of dosage PME in the manual prescriptions written within mixed prescription systems suggests that manual prescriptions should be totally avoided in neonatal units. © 2014 John Wiley & Sons Ltd.

Response Evaluation of Malignant Liver Lesions After TACE/SIRT: Comparison of Manual and Semi-Automatic Measurement of Different Response Criteria in Multislice CT.

PubMed

Höink, Anna Janina; Schülke, Christoph; Koch, Raphael; Löhnert, Annika; Kammerer, Sara; Fortkamp, Rasmus; Heindel, Walter; Buerke, Boris

2017-11-01

Purpose  To compare measurement precision and interobserver variability in the evaluation of hepatocellular carcinoma (HCC) and liver metastases in MSCT before and after transarterial local ablative therapies. Materials and Methods  Retrospective study of 72 patients with malignant liver lesions (42 metastases; 30 HCCs) before and after therapy (43 SIRT procedures; 29 TACE procedures). Established (LAD; SAD; WHO) and vitality-based parameters (mRECIST; mLAD; mSAD; EASL) were assessed manually and semi-automatically by two readers. The relative interobserver difference (RID) and intraclass correlation coefficient (ICC) were calculated. Results  The median RID for vitality-based parameters was lower from semi-automatic than from manual measurement of mLAD (manual 12.5 %; semi-automatic 3.4 %), mSAD (manual 12.7 %; semi-automatic 5.7 %) and EASL (manual 10.4 %; semi-automatic 1.8 %). The difference in established parameters was not statistically noticeable (p > 0.05). The ICCs of LAD (manual 0.984; semi-automatic 0.982), SAD (manual 0.975; semi-automatic 0.958) and WHO (manual 0.984; semi-automatic 0.978) are high, both in manual and semi-automatic measurements. The ICCs of manual measurements of mLAD (0.897), mSAD (0.844) and EASL (0.875) are lower. This decrease cannot be found in semi-automatic measurements of mLAD (0.997), mSAD (0.992) and EASL (0.998). Conclusion  Vitality-based tumor measurements of HCC and metastases after transarterial local therapies should be performed semi-automatically due to greater measurement precision, thus increasing the reproducibility and in turn the reliability of therapeutic decisions. Key points   · Liver lesion measurements according to EASL and mRECIST are more precise when performed semi-automatically.. · The higher reproducibility may facilitate a more reliable classification of therapy response.. · Measurements according to RECIST and WHO offer equivalent precision semi-automatically and manually.. Citation Format · Höink AJ, Schülke C, Koch R et al. Response Evaluation of Malignant Liver Lesions After TACE/SIRT: Comparison of Manual and Semi-Automatic Measurement of Different Response Criteria in Multislice CT. Fortschr Röntgenstr 2017; 189: 1067 - 1075. © Georg Thieme Verlag KG Stuttgart · New York.

78 FR 22367 - Proposed Information Collection (Service Data Manual) Activity: Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-15

... technical medical equipment and devices or mechanical equipment. DATES: Written comments and recommendations... manuals and maintenance/repair manuals when technical medical equipment and devices, or mechanical...

Covered bridge manual

DOT National Transportation Integrated Search

2005-04-01

This manual provides guidance to those involved with all aspects of the work, from initial inspection and evaluation, through the engineering of rehabilitation, to construction issues. Broadly speaking, this manual covers general terminology and hist...

Addition of higher order plate and shell elements into NASTRAN computer program

NASA Technical Reports Server (NTRS)

Narayanaswami, R.; Goglia, G. L.

1976-01-01

Two higher order plate elements, the linear strain triangular membrane element and the quintic bending element, along with a shallow shell element, suitable for inclusion into the NASTRAN (NASA Structural Analysis) program are described. Additions to the NASTRAN Theoretical Manual, Users' Manual, Programmers' Manual and the NASTRAN Demonstration Problem Manual, for inclusion of these elements into the NASTRAN program are also presented.

33 CFR 183.37 - Maximum weight capacity: Boats rated for manual propulsion and boats rated for outboard motors of...

Code of Federal Regulations, 2014 CFR

2014-07-01

... rated for manual propulsion and boats rated for outboard motors of 2 horsepower or less. 183.37 Section... for manual propulsion and boats rated for outboard motors of 2 horsepower or less. (a) The maximum weight capacity marked on a boat that is rated for manual propulsion or for motors of 2 horsepower or...

33 CFR 183.37 - Maximum weight capacity: Boats rated for manual propulsion and boats rated for outboard motors of...

Code of Federal Regulations, 2013 CFR

2013-07-01

... rated for manual propulsion and boats rated for outboard motors of 2 horsepower or less. 183.37 Section... for manual propulsion and boats rated for outboard motors of 2 horsepower or less. (a) The maximum weight capacity marked on a boat that is rated for manual propulsion or for motors of 2 horsepower or...

33 CFR 183.43 - Persons capacity: Boats rated for manual propulsion and boats rated for outboard motors of 2...

Code of Federal Regulations, 2012 CFR

2012-07-01

... manual propulsion and boats rated for outboard motors of 2 horsepower or less. 183.43 Section 183.43... AND ASSOCIATED EQUIPMENT Safe Loading § 183.43 Persons capacity: Boats rated for manual propulsion and... boat that is rated for manual propulsion or for motors of 2 horsepower or less must not exceed: (1) For...

33 CFR 183.43 - Persons capacity: Boats rated for manual propulsion and boats rated for outboard motors of 2...

Code of Federal Regulations, 2014 CFR

2014-07-01

... manual propulsion and boats rated for outboard motors of 2 horsepower or less. 183.43 Section 183.43... AND ASSOCIATED EQUIPMENT Safe Loading § 183.43 Persons capacity: Boats rated for manual propulsion and... boat that is rated for manual propulsion or for motors of 2 horsepower or less must not exceed: (1) For...

33 CFR 183.43 - Persons capacity: Boats rated for manual propulsion and boats rated for outboard motors of 2...

Code of Federal Regulations, 2010 CFR

2010-07-01

... manual propulsion and boats rated for outboard motors of 2 horsepower or less. 183.43 Section 183.43... AND ASSOCIATED EQUIPMENT Safe Loading § 183.43 Persons capacity: Boats rated for manual propulsion and... boat that is rated for manual propulsion or for motors of 2 horsepower or less must not exceed: (1) For...

33 CFR 183.37 - Maximum weight capacity: Boats rated for manual propulsion and boats rated for outboard motors of...

Code of Federal Regulations, 2012 CFR

2012-07-01

... rated for manual propulsion and boats rated for outboard motors of 2 horsepower or less. 183.37 Section... for manual propulsion and boats rated for outboard motors of 2 horsepower or less. (a) The maximum weight capacity marked on a boat that is rated for manual propulsion or for motors of 2 horsepower or...

33 CFR 183.43 - Persons capacity: Boats rated for manual propulsion and boats rated for outboard motors of 2...

Code of Federal Regulations, 2011 CFR

2011-07-01

... manual propulsion and boats rated for outboard motors of 2 horsepower or less. 183.43 Section 183.43... AND ASSOCIATED EQUIPMENT Safe Loading § 183.43 Persons capacity: Boats rated for manual propulsion and... boat that is rated for manual propulsion or for motors of 2 horsepower or less must not exceed: (1) For...

33 CFR 183.37 - Maximum weight capacity: Boats rated for manual propulsion and boats rated for outboard motors of...

Code of Federal Regulations, 2010 CFR

2010-07-01

... rated for manual propulsion and boats rated for outboard motors of 2 horsepower or less. 183.37 Section... for manual propulsion and boats rated for outboard motors of 2 horsepower or less. (a) The maximum weight capacity marked on a boat that is rated for manual propulsion or for motors of 2 horsepower or...

33 CFR 183.37 - Maximum weight capacity: Boats rated for manual propulsion and boats rated for outboard motors of...

Code of Federal Regulations, 2011 CFR

2011-07-01

... rated for manual propulsion and boats rated for outboard motors of 2 horsepower or less. 183.37 Section... for manual propulsion and boats rated for outboard motors of 2 horsepower or less. (a) The maximum weight capacity marked on a boat that is rated for manual propulsion or for motors of 2 horsepower or...

High School and Beyond: Twins and Siblings' File Users' Manual, User's Manual for Teacher Comment File, Friends File Users' Manual.

ERIC Educational Resources Information Center

National Center for Education Statistics (ED), Washington, DC.

These three users' manuals are for specific files of the High School and Beyond Study, a national longitudinal study of high school sophomores and seniors in 1980. The three files are computerized databases that are available on magnetic tape. As one component of base year data collection, information identifying twins, triplets, and some non-twin…

Manual Laboratorio de Microbiologia. Documento de trabajo Programa de Educacion en Ocupaciones de Salud (Microbiology Laboratory Manual. Curriculum Document. Program of Education in Health Occupations).

ERIC Educational Resources Information Center

Puerto Rico State Dept. of Education, Hato Rey. Area for Vocational and Technical Education.

This laboratory manual on microbiology begins with an introduction relating the study of microorganisms to health occupations education and stressing the importance of teaching critical thinking. The introduction is followed by general instructions for the use of the manual and an illustration of hand washing procedures. The 13 laboratory…

Nosotras viviremos. Las destrezas: Un manual de capacitacion para trabajar con jovenes latinas campesinas (A Capacity Building Training Manual for Working with Latina Farmworking Youth).

ERIC Educational Resources Information Center

Bolomey, Antonieta; Munoz-Lopez, Rosie; Ramirez-Garnica, Gabriela; Ramos, Flavia S.

This project builds organizational and staff capacity to deliver HIV/AIDS education to farmworking Hispanic female adolescents and women. It includes two training manuals, one addressing the issues of farmworking mothers/mentors, and one addressing the issues of preadolescent and adolescent farmworking girls. This manual for girls emphasizes…

Things for You to Know. Fuel System. Student Manual--Introduction. Small Engine Repair Series. First Edition.

ERIC Educational Resources Information Center

Hill, Pamela

This student manual, part of a small-engine repair series on servicing fuel systems, is designed for use by special needs students in Texas. Information covered in this manual is considered to be the minimum that students need to know about fuel systems in order to get small-engine repair jobs. The manual introduces students to small-engine fuel…

Major Appliance Repairer. D.O.T. 723.381-010. T.E.A. 17.02 00. Student's Manual.

ERIC Educational Resources Information Center

Bacon, Bill; Sutton, Mack

This manual on repair of major appliances is one of a series of individualized instructional materials for students. The manual is self-paced, but is designed to be used under the supervision of a coordinator or an instructor. The manual contains 36 assignments, each with all the information needed, a list of objectives that should be met, and…

TV Trouble-Shooting Manual. Volumes 3-4. Part 1: Block Diagram of Colour TV Receiver and Signal Flow. Student and Instructor's Manuals.

ERIC Educational Resources Information Center

Mukai, Masaaki; Kobayashi, Ryozo

These volumes are, respectively, the self-instructional student manual and the teacher manual that cover the first set of training topics in this course for television repair technicians. Both volumes contain the following two sections: (1) Functional Block Diagram of a Colour TV Receiver, including information on the video reproduction circuit,…

Introduction to Solar Heating and Cooling Systems. D.O.T. 637.281 and .381. Student's Manual.

ERIC Educational Resources Information Center

Grimes, L. A., Jr.

This manual on solar heating and cooling systems is one of a series of individualized instructional materials for students. The manual is self-paced, but is designed to be used under the supervision of a coordinator or an instructor. The manual contains 15 assignments, each with all the information needed, a list of objectives that should be met,…

33 CFR 183.43 - Persons capacity: Boats rated for manual propulsion and boats rated for outboard motors of 2...

Code of Federal Regulations, 2013 CFR

2013-07-01

... manual propulsion and boats rated for outboard motors of 2 horsepower or less. 183.43 Section 183.43... AND ASSOCIATED EQUIPMENT Safe Loading § 183.43 Persons capacity: Boats rated for manual propulsion and... boat that is rated for manual propulsion or for motors of 2 horsepower or less must not exceed: (1) For...

Solar and Energy Conserving Food Technologies: A Training Manual. Training for Development. Peace Corps Information Collection & Exchange Training Manual No. T-17.

ERIC Educational Resources Information Center

Farallones Inst., Occidental, CA.

Based on experience in the field, this training manual was developed to help Peace Corps trainers plan and implement inservice training programs in solar and other energy conserving food technologies for Peace Corps volunteers and community workers. Using a competency-based format, the manual contains 20 sessions (learning modules) that focus on…

Manual unloading of the lumbar spine: can it identify immediate responders to mechanical traction in a low back pain population? A study of reliability and criterion referenced predictive validity

PubMed Central

Swanson, Brian T.; Riley, Sean P.; Cote, Mark P.; Leger, Robin R.; Moss, Isaac L.; Carlos,, John

2016-01-01

Background To date, no research has examined the reliability or predictive validity of manual unloading tests of the lumbar spine to identify potential responders to lumbar mechanical traction. Purpose To determine: (1) the intra and inter-rater reliability of a manual unloading test of the lumbar spine and (2) the criterion referenced predictive validity for the manual unloading test. Methods Ten volunteers with low back pain (LBP) underwent a manual unloading test to establish reliability. In a separate procedure, 30 consecutive patients with LBP (age 50·86±11·51) were assessed for pain in their most provocative standing position (visual analog scale (VAS) 49·53±25·52 mm). Patients were assessed with a manual unloading test in their most provocative position followed by a single application of intermittent mechanical traction. Post traction, pain in the provocative position was reassessed and utilized as the outcome criterion. Results The test of unloading demonstrated substantial intra and inter-rater reliability K = 1·00, P = 0·002, K = 0·737, P = 0·001, respectively. There were statistically significant within group differences for pain response following traction for patients with a positive manual unloading test (P<0·001), while patients with a negative manual unloading test did not demonstrate a statistically significant change (P>0·05). There were significant between group differences for proportion of responders to traction based on manual unloading response (P = 0·031), and manual unloading response demonstrated a moderate to strong relationship with traction response Phi = 0·443, P = 0·015. Discussion and conclusion The manual unloading test appears to be a reliable test and has a moderate to strong correlation with pain relief that exceeds minimal clinically important difference (MCID) following traction supporting the validity of this test. PMID:27559274

Manuals Used in the National Aquatic Resource Surveys

EPA Pesticide Factsheets

Various manuals are used to communicate the methods and guidelines for the National Aquatic Resource Surveys. The Field Operations Manual: outlines the field protocols that crews will utilize to sample sites.

29 CFR 1952.372 - Completion of developmental steps and certification.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Manual and Industrial Hygiene Field Operations Manual. The State has adopted subsequent Federal changes... intent to utilize and adopt the March 30, 1984 Federal Industrial Hygiene Technical Manual. These...

Evaluation of Visual Acuity Measurements after Autorefraction versus Manual Refraction in Eyes with and without Diabetic Macular Edema

PubMed Central

Sun, Jennifer K.; Qin, Haijing; Aiello, Lloyd Paul; Melia, Michele; Beck, Roy W.; Andreoli, Christopher M.; Edwards, Paul A.; Glassman, Adam R.; Pavlica, Michael R.

2012-01-01

Objective To compare visual acuity (VA) scores after autorefraction versus research protocol manual refraction in eyes of patients with diabetes and a wide range of VA. Methods Electronic Early Treatment Diabetic Retinopathy Study (E-ETDRS) VA Test© letter score (EVA) was measured after autorefraction (AR-EVA) and after Diabetic Retinopathy Clinical Research Network (DRCR.net) protocol manual refraction (MR-EVA). Testing order was randomized, study participants and VA examiners were masked to refraction source, and a second EVA utilizing an identical manual refraction (MR-EVAsupl) was performed to determine test-retest variability. Results In 878 eyes of 456 study participants, median MR-EVA was 74 (Snellen equivalent approximately 20/32). Spherical equivalent was often similar for manual and autorefraction (median difference: 0.00, 5th and 95th percentiles −1.75 to +1.13 Diopters). However, on average, MR-EVA results were slightly better than AR-EVA results across the entire VA range. Furthermore, variability between AR-EVA and MR-EVA was substantially greater than the test-retest variability of MR-EVA (P<0.001). Variability of differences was highly dependent on autorefractor model. Conclusions Across a wide range of VA at multiple sites using a variety of autorefractors, VA measurements tend to be worse with autorefraction than manual refraction. Differences between individual autorefractor models were identified. However, even among autorefractor models comparing most favorably to manual refraction, VA variability between autorefraction and manual refraction is higher than the test-retest variability of manual refraction. The results suggest that with current instruments, autorefraction is not an acceptable substitute for manual refraction for most clinical trials with primary outcomes dependent on best-corrected VA. PMID:22159173

Comparison of remote magnetic navigation ablation and manual ablation of idiopathic ventricular arrhythmia after failed manual ablation.

PubMed

Kawamura, Mitsuharu; Scheinman, Melvin M; Tseng, Zian H; Lee, Byron K; Marcus, Gregory M; Badhwar, Nitish

2017-01-01

Catheter ablation for idiopathic ventricular arrhythmia (VA) is effective and safe, but efficacy is frequently limited due to an epicardial origin and difficult anatomy. The remote magnetic navigation (RMN) catheter has a flexible catheter design allowing access to difficult anatomy. We describe the efficacy of the RMN for ablation of idiopathic VA after failed manual ablation. Among 235 patients with idiopathic VA referred for catheter ablation, we identified 51 patients who were referred for repeat ablation after a failed manual ablation. We analyzed the clinical characteristics, including the successful ablation site and findings at electrophysiology study, in repeat procedures conducted using RMN as compared with manual ablation. Among these patients, 22 (43 %) underwent repeat ablation with the RMN and 29 (57 %) underwent repeat ablation with a manual ablation. Overall, successful ablation rate was significantly higher using RMN as compared with manual ablation (91 vs. 69 %, P = 0.02). Fluoroscopy time in the RMN was 17 ± 12 min as compared with 43 ± 18 min in the manual ablation (P = 0.009). Successful ablation rate in the posterior right ventricular outflow tract (RVOT) plus posterior-tricuspid annulus was higher with RMN as compared with manual ablation (92 vs. 50 %, P = 0.03). Neither groups exhibited any major complications. The RMN is more effective in selected patients with recurrent idiopathic VA after failed manual ablation and is associated with less fluoroscopy time. The RMN catheters have a flexible design enabling them to access otherwise difficult anatomy including the posterior tricuspid annulus and posterior RVOT.

Phantom Study Investigating the Accuracy of Manual and Automatic Image Fusion with the GE Logiq E9: Implications for use in Percutaneous Liver Interventions.

PubMed

Burgmans, Mark Christiaan; den Harder, J Michiel; Meershoek, Philippa; van den Berg, Nynke S; Chan, Shaun Xavier Ju Min; van Leeuwen, Fijs W B; van Erkel, Arian R

2017-06-01

To determine the accuracy of automatic and manual co-registration methods for image fusion of three-dimensional computed tomography (CT) with real-time ultrasonography (US) for image-guided liver interventions. CT images of a skills phantom with liver lesions were acquired and co-registered to US using GE Logiq E9 navigation software. Manual co-registration was compared to automatic and semiautomatic co-registration using an active tracker. Also, manual point registration was compared to plane registration with and without an additional translation point. Finally, comparison was made between manual and automatic selection of reference points. In each experiment, accuracy of the co-registration method was determined by measurement of the residual displacement in phantom lesions by two independent observers. Mean displacements for a superficial and deep liver lesion were comparable after manual and semiautomatic co-registration: 2.4 and 2.0 mm versus 2.0 and 2.5 mm, respectively. Both methods were significantly better than automatic co-registration: 5.9 and 5.2 mm residual displacement (p < 0.001; p < 0.01). The accuracy of manual point registration was higher than that of plane registration, the latter being heavily dependent on accurate matching of axial CT and US images by the operator. Automatic reference point selection resulted in significantly lower registration accuracy compared to manual point selection despite lower root-mean-square deviation (RMSD) values. The accuracy of manual and semiautomatic co-registration is better than that of automatic co-registration. For manual co-registration using a plane, choosing the correct plane orientation is an essential first step in the registration process. Automatic reference point selection based on RMSD values is error-prone.

Texas highway operations manual

DOT National Transportation Integrated Search

1992-08-01

This document was developed for the Texas Department of Transportation to serve as a Department manual : addressing highway operations. The information in the manual covers a wide range of operational issues related tc : the planning, design, constru...

47 CFR 64.903 - Cost allocation manuals.

Code of Federal Regulations, 2012 CFR

2012-10-01

.... Annual cost allocation manual updates shall be filed on or before the last working day of each calendar... update their cost allocation manuals at least annually, except that changes to the cost apportionment...

47 CFR 64.903 - Cost allocation manuals.

Code of Federal Regulations, 2013 CFR

2013-10-01

.... Annual cost allocation manual updates shall be filed on or before the last working day of each calendar... update their cost allocation manuals at least annually, except that changes to the cost apportionment...

47 CFR 64.903 - Cost allocation manuals.

Code of Federal Regulations, 2011 CFR

2011-10-01

.... Annual cost allocation manual updates shall be filed on or before the last working day of each calendar... update their cost allocation manuals at least annually, except that changes to the cost apportionment...

47 CFR 64.903 - Cost allocation manuals.

Code of Federal Regulations, 2014 CFR

2014-10-01

.... Annual cost allocation manual updates shall be filed on or before the last working day of each calendar... update their cost allocation manuals at least annually, except that changes to the cost apportionment...

Asphalt pavement inspector's manual

DOT National Transportation Integrated Search

2002-07-01

The information currently available on asphalt paving would fill a small library. Furthermore, DOT&PF's Alaska Construction Manual describes procedures for the Department's staff to use on all aspects of construction projects. This manual draws on th...

Workplace Safety Manual

DOT National Transportation Integrated Search

2002-04-10

N.C. Department of Transportation's workplace safety manual for online viewing. : The government of North Carolina feels that all employees are responsible for safety : on the job. This manual describes and sets out the operation of safety program : ...

DESIGN MANUAL: PHOSPHORUS REMOVAL

EPA Science Inventory

This manual summarizes process design information for the best developed methods for removing phosphorus from wastewater. his manual discusses several proven phosphorus removal methods, including phosphorus removal obtainable through biological activity as well as chemical precip...

Best practices procurement manual

DOT National Transportation Integrated Search

2002-08-01

This Manual provides recipients of Federal Transit Administration (FTA) funds suggestions on conducting third party procurements to assist them in meeting the standards of FTA Circular 4220.1D (the Circular). The Manual consists of suggested procedur...

Manualization of Occupational Therapy Using Ayres Sensory Integration® for Autism.

PubMed

Hunt, Joanne; van Hooydonk, Elke; Faller, Patricia; Mailloux, Zoe; Schaaf, Roseann

2017-07-01

This article reports on the development of a Stage 3 manual (following pilot effectiveness study) for implementing occupational therapy using Ayres Sensory Integration® (OT/ASI) for children with autism spectrum disorders to enhance participation in daily occupations. Three stakeholder groups were surveyed to aid in translation of manual from research to practice (i.e., Stage 3 manual) and an expert consensus meeting was held to finalize recommendations. Data indicated that the manuals usability could be improved by including a section on frequently encountered problems and solutions, and by including video case examples. Also recommended were greater chapter uniformity, improved clarity of forms and charts, and inclusion of a glossary. Changes were made and subject to expert review and consensus using modified Delphi process. The Stage 3 manual has been rigorously vetted and is ready for practice and research replication.

Efficacy of self-help manuals for anxiety disorders in primary care: a systematic review.

PubMed

van Boeijen, Christine A; van Balkom, Anton J L M; van Oppen, Patricia; Blankenstein, Nettie; Cherpanath, Ammani; van Dyck, Richard

2005-04-01

The purpose of this study was to review effectiveness studies of self-help manuals for anxiety disorders in primary care. A systematic review of six identified randomized controlled trials was carried out. In addition to outcome, the articles were coded on quality variables. The studies included differed with respect to the methodological quality, measurements used and size of the study population. Despite these differences, global results suggest that a self-help manual is an effective treatment possibility for primary care patients with anxiety disorders. The more time that was spent on guidance on the use of the self-help manual the greater was its effectiveness. Treatment with a self-help manual for anxiety disorders may be effective in primary care. Data are lacking on the feasibility and cost-effectiveness of these manuals.

Thoracic manual therapy is not more effective than placebo thoracic manual therapy in patients with shoulder dysfunctions: A systematic review with meta-analysis.

PubMed

Bizzarri, Paolo; Buzzatti, Luca; Cattrysse, Erik; Scafoglieri, Aldo

2018-02-01

Manual treatments targeting different regions (shoulder, cervical spine, thoracic spine, ribs) have been studied to deal with patients complaining of shoulder pain. Thoracic manual treatments seem able to produce beneficial effects on this group of patients. However, it is not clear whether the patient improvement is a consequence of thoracic manual therapy or a placebo effect. To compare the efficacy of thoracic manual therapy and placebo thoracic manual treatment for patients with shoulder dysfunction. Electronic databases (MEDLINE, CENTRAL, PEDro, CINAHL, WoS, EMBASE, ERIC) were searched through November 2016. Randomized Controlled Trials assessing pain, mobility and function were selected. The Cochrane bias estimation tool was applied. Outcome results were either extracted or computed from raw data. Meta-analysis was performed for outcomes with low heterogeneity. Four studies were included in the review. The methodology of the included studies was generally good except for one study that was rated as high risk of bias. Meta-analysis showed no significant effect for "pain at present" (SMD -0.02; 95% CI: -0.35, 0.32) and "pain during movement" (SMD -0.12; 95% CI: -0.45, 0.21). There is very low to low quality of evidence that a single session of thoracic manual therapy is not more effective than a single session of placebo thoracic manual therapy in patients with shoulder dysfunction at immediate post-treatment. Copyright © 2017 Elsevier Ltd. All rights reserved.

A Comparison of Cough Assistance Techniques in Patients with Respiratory Muscle Weakness.

PubMed

Kim, Sun Mi; Choi, Won Ah; Won, Yu Hui; Kang, Seong Woong

2016-11-01

To assess the ability of a mechanical in-exsufflator (MI-E), either alone or in combination with manual thrust, to augment cough in patients with neuromuscular disease (NMD) and respiratory muscle dysfunction. For this randomized crossover single-center controlled trial, patients with noninvasive ventilator-dependent NMD were recruited. The primary outcome was peak cough flow (PCF), which was measured in each patient after a cough that was unassisted, manually assisted following a maximum insufflation capacity (MIC) maneuver, assisted by MI-E, or assisted by manual thrust plus MI-E. The cough augmentation techniques were provided in random order. PCF was measured using a new device, the Cough Aid. All 40 enrolled participants (37 males, three females; average age, 20.9±7.2 years) completed the study. The mean (standard deviation) PCFs in the unassisted, manually assisted following an MIC maneuver, MI-E-assisted, and manual thrust plus MI-E-assisted conditions were 95.7 (40.5), 155.9 (53.1), 177.2 (33.9), and 202.4 (46.6) L/min, respectively. All three interventions significantly improved PCF. However, manual assistance following an MIC maneuver was significantly less effective than MI-E alone. Manual thrust plus MI-E was significantly more effective than both of these interventions. In patients with NMD and respiratory muscle dysfunction, MI-E alone was more effective than manual assistance following an MIC maneuver. However, MI-E used in conjunction with manual thrust improved PCF even further.

Curso: Auxiliar de Farmacia. Guia. Farmacia Teorica: Manual del Estudiante. Matematica General: Manual del Estudiante. Documento de Trabajo (Pharmacy Assistant Course Guide. Theoretical Pharmacy Student Manual. General Mathematics Student Manual. Working Document).

ERIC Educational Resources Information Center

Puerto Rico State Dept. of Education, Hato Rey. Area for Vocational and Technical Education.

The three parts of this document are intended for a 3-semester course for pharmacy assistants. The course guide contains the following sections: occupational description; educational philosophy; general objectives; tasks/competencies for each unit; course organization; brief description of the topics; student standards; and evaluation methods.…

Automatic Organ Localization for Adaptive Radiation Therapy for Prostate Cancer

DTIC Science & Technology

2005-05-01

and provides a framework for task 3. Key Research Accomplishments "* Comparison of manual segmentation with our automatic method, using several...well as manual segmentations by a different rater. "* Computation of the actual cumulative dose delivered to both the cancerous and critical healthy...adaptive treatment of prostate or other cancer. As a result, all such work must be done manually . However, manual segmentation of the tumor and neighboring

Nosotras viviremos. Los consejos: Un manual de capacitacion para trabajar con madres latinas campesinas (A Capacity Building Training Manual for Working with Latina Farmworking Mothers and Mentors of Girls).

ERIC Educational Resources Information Center

Bolomey, Antonieta; Munoz-Lopez, Rosie; Ramirez-Garnica, Gabriela; Ramos, Flavia S.

This project builds organizational and staff capacity to deliver HIV/AIDS education to farmworking Hispanic female adolescents and women. It includes two training manuals, one addressing the issues of farmworking mothers/mentors, and one addressing the issues of preadolescent and adolescent farmworking girls. This manual for mothers contains…

The computational structural mechanics testbed procedures manual

NASA Technical Reports Server (NTRS)

Stewart, Caroline B. (Compiler)

1991-01-01

The purpose of this manual is to document the standard high level command language procedures of the Computational Structural Mechanics (CSM) Testbed software system. A description of each procedure including its function, commands, data interface, and use is presented. This manual is designed to assist users in defining and using command procedures to perform structural analysis in the CSM Testbed User's Manual and the CSM Testbed Data Library Description.

Development and Implementation of an Interactive Uniform Regulations Manual for the United States Marine Corps

DTIC Science & Technology

2006-09-01

IMPLEMENTATION OF AN INTERACTIVE UNIFORM REGULATIONS MANUAL FOR THE UNITED STATES MARINE CORPS by Michael H. Villar Carsten Krause...SUBTITLE: Development and Implementation of an Interactive Uniform Regulations Manual for the United States Marine Corps 6. AUTHOR(S) Michael H. Villar...IMPLEMENTATION OF AN INTERACTIVE UNIFORM REGULATIONS MANUAL FOR THE UNITED STATES MARINE CORPS Michael H. Villar Major, United States Marine Corps B.A

Manual tracing versus smartphone application (app) tracing: a comparative study.

PubMed

Sayar, Gülşilay; Kilinc, Delal Dara

2017-11-01

This study aimed to compare the results of conventional manual cephalometric tracing with those acquired with smartphone application cephalometric tracing. The cephalometric radiographs of 55 patients (25 females and 30 males) were traced via the manual and app methods and were subsequently examined with Steiner's analysis. Five skeletal measurements, five dental measurements and two soft tissue measurements were managed based on 21 landmarks. The durations of the performances of the two methods were also compared. SNA (Sella, Nasion, A point angle) and SNB (Sella, Nasion, B point angle) values for the manual method were statistically lower (p < .001) than those for the app method. The ANB value for the manual method was statistically lower than that of app method. L1-NB (°) and upper lip protrusion values for the manual method were statistically higher than those for the app method. Go-GN/SN, U1-NA (°) and U1-NA (mm) values for manual method were statistically lower than those for the app method. No differences between the two methods were found in the L1-NB (mm), occlusal plane to SN, interincisal angle or lower lip protrusion values. Although statistically significant differences were found between the two methods, the cephalometric tracing proceeded faster with the app method than with the manual method.

Can Family-Based Treatment of Anorexia Nervosa Be Manualized?

PubMed Central

Lock, James; Le Grange, Daniel

2001-01-01

The authors report on the development of a manual for treating adolescents with anorexia nervosa modeled on a family-based intervention originating at the Maudsley Hospital in London. The manual provides the first detailed account of a clinical approach shown to be consistently efficacious in randomized clinical trials for this disorder. Manualized family therapy appears to be acceptable to therapists, patients, and families. Preliminary outcomes are comparable to what would be expected in clinically supervised sessions. These results suggest that through the use of this manual a valuable treatment approach can now be tested more broadly in controlled and uncontrolled settings. PMID:11696652

Developing a manual for strengthening mental health nurses' clinical supervision.

PubMed

Buus, Niels; Cassedy, Paul; Gonge, Henrik

2013-05-01

In this article, we report findings from a study aimed at developing the content and implementation of a manual for a research-based intervention on clinical supervision of mental health nursing staff. The intervention was designed to strengthen already existing supervision practices through educational preparation for supervision and systematic reflection on supervision. The intervention consists of three sessions and was implemented on two groups of mental health hospital staff. We present an outline of the manual and explain how the trial sessions made us adjust the preliminary manual. The effects of implementing the manual will subsequently be analysed in an independent randomised controlled trial.

No-passing zone system: user's manual.

DOT National Transportation Integrated Search

2016-08-01

This Users Manual is intended for traffic engineers and technicians who will be either conducting passing sight distance : measurement runs in the field or processing the collected data in the office. This Users Manual includes: : - A descripti...

Missouri Highway Safety Manual Recalibration

DOT National Transportation Integrated Search

2018-05-01

The Highway Safety Manual (HSM) is a national manual for analyzing the highway safety of various facilities, including rural roads, urban arterials, freeways, and intersections. The HSM was first published in 2010, and a 2014 supplement addressed fre...

Highway Safety Manual applied in Missouri - freeway/software.

DOT National Transportation Integrated Search

2016-06-01

AASHTOs Highway Safety Manual (HSM) facilitates the quantitative safety analysis of highway facilities. In a 2014 : supplement, freeway facilities were added to the original HSM manual which allows the modeling of highway : interchanges. This repo...

[Manual therapy in general practice].

PubMed

Березуцкий, Владимир И

2016-01-01

The article is devoted to manual therapy practice for diagnostics and treatment of vertebrogenic pain syndrome in general practice. Analytical roundup of sources proves medical advantage of implementation of manual therapy basic methods by general practice specialists.

WIM data analyst's manual

DOT National Transportation Integrated Search

2010-06-01

This manual provides information and recommended procedures to be utilized by an agencys Weigh-in-Motion (WIM) Office Data Analyst to perform validation and quality control (QC) checks of WIM traffic data. This manual focuses on data generated by ...

Nutrient Control Design Manual

EPA Science Inventory

The Nutrient Control Design Manual will present an extensive state-of-the-technology review of the engineering design and operation of nitrogen and phosphorous control technologies and techniques applied at municipal wastewater treatment plants (WWTPs). This manual will present ...

46 CFR 160.076-37 - Owner's manual.

Code of Federal Regulations, 2010 CFR

2010-10-01

... accordance with § 160.076-13. (b) Manual contents. Each owner's manual must contain the information specified..., and reasons for, the approval conditions. [CGD 94-110, 60 FR 32848, June 23, 1995, as amended by CGD...

I spy with my little eye: Analysis of airline pilots' gaze patterns in a manual instrument flight scenario.

PubMed

Haslbeck, Andreas; Zhang, Bo

2017-09-01

The aim of this study was to analyze pilots' visual scanning in a manual approach and landing scenario. Manual flying skills suffer from increasing use of automation. In addition, predominantly long-haul pilots with only a few opportunities to practice these skills experience this decline. Airline pilots representing different levels of practice (short-haul vs. long-haul) had to perform a manual raw data precision approach while their visual scanning was recorded by an eye-tracking device. The analysis of gaze patterns, which are based on predominant saccades, revealed one main group of saccades among long-haul pilots. In contrast, short-haul pilots showed more balanced scanning using two different groups of saccades. Short-haul pilots generally demonstrated better manual flight performance and within this group, one type of scan pattern was found to facilitate the manual landing task more. Long-haul pilots tend to utilize visual scanning behaviors that are inappropriate for the manual ILS landing task. This lack of skills needs to be addressed by providing specific training and more practice. Copyright © 2017 Elsevier Ltd. All rights reserved.

Systems thinking applied to safety during manual handling tasks in the transport and storage industry.

PubMed

Goode, Natassia; Salmon, Paul M; Lenné, Michael G; Hillard, Peter

2014-07-01

Injuries resulting from manual handling tasks represent an on-going problem for the transport and storage industry. This article describes an application of a systems theory-based approach, Rasmussen's (1997. Safety Science 27, 183), risk management framework, to the analysis of the factors influencing safety during manual handling activities in a freight handling organisation. Observations of manual handling activities, cognitive decision method interviews with workers (n=27) and interviews with managers (n=35) were used to gather information about three manual handling activities. Hierarchical task analysis and thematic analysis were used to identify potential risk factors and performance shaping factors across the levels of Rasmussen's framework. These different data sources were then integrated using Rasmussen's Accimap technique to provide an overall analysis of the factors influencing safety during manual handling activities in this context. The findings demonstrate how a systems theory-based approach can be applied to this domain, and suggest that policy-orientated, rather than worker-orientated, changes are required to prevent future manual handling injuries. Copyright © 2013 Elsevier Ltd. All rights reserved.

Replacing ODCs in a Critical Hand Cleaning Manual Electronics Assembly Operation

NASA Technical Reports Server (NTRS)

Bonner, J. K.; Walton, Sharon

1997-01-01

The manufacture of high reliability electronics assemblies for spacecraft and ground support equipment still often involves manual assembly processes. In addition, rework and repair of critical assemblies aslo often entails manual assembly processes.

Structures manual

DOT National Transportation Integrated Search

2001-01-01

This manual was written as a guide for use by design personnel in the Vermont Agency of Transportation Structures Section. This manual covers the design responsibilities of the Section. It does not cover other functions that are a part of the Structu...

Oregon Department of Transportation : access management best practices manual.

DOT National Transportation Integrated Search

2012-12-01

This manual is provided as a resource to help Oregon transportation professionals quantify the expected benefits of various access management applications. As a result, this manual includes recommendations for how to evaluate potential access managem...

Accessibility for elderly and handicapped pedestrians : a manual for cities

DOT National Transportation Integrated Search

1987-10-01

Since publication in 1980 of FHWA's manual entitled, Development of Priority Accesible Networks: an Implementation Manual - Provisions for the Elderly Handicapped Pedestrians, Federal rules and standards have been updated and revised. Cities across t...

Lost and Found

Science.gov Websites

Packard Operating Manual HP-IB System DC Power Supplies HP Models 6632A, 6633A, 6634A National Instruments LabView2 User Manual (Jan 1993 Edition) Hewlett Packard Operating and Service Manual HP-IB Isolated DAC

Manual traffic control for planned special events and emergencies.

DOT National Transportation Integrated Search

2015-11-01

Manual traffic control is a common intersection control strategy in which trained personnel, : typically police law enforcement officers, allocate intersection right-of-way to approaching vehicles. : Manual intersection control is a key part of manag...

Flexible pavement rehabilitation manual. Rev., June 2001

DOT National Transportation Integrated Search

2001-06-01

This manual delineates the basic design strategies of the 1979 "Asphalt Concrete Overlay Design Manual" plus the many changes in procedures, and incorporates the use of new strategies and materials presently being used by Caltrans. Environmental conc...

Industrial labor relations manual

NASA Technical Reports Server (NTRS)

1992-01-01

The NASA Industrial Labor Relations Manual provides internal guidelines and procedures to assist NASA Field Installations in dealing with contractor labor management disputes, Service Contract Act variance hearings, and to provide access of Labor Union Representatives to NASA for the purpose of maintaining schedules and goals in connection with vital NASA programs. This manual will be revised by page changes as revisions become necessary. Initial distribution of this manual has been made to NASA Headquarters and Field Installations.

Career Education. Industrial Arts Objectives, Grades 6-12. DS Manual 2890.1 [and] Approved List of Essential Textbooks/Instructional Materials for Industrial Arts, Grades 6-12. DS Manual 2890.2; Revised.

ERIC Educational Resources Information Center

Dependents Schools (DOD), Washington, DC.

Designed to assist the instructor in presenting curriculum content based upon industry and technology, this manual presents a program description and the instructional objectives for the industrial arts program in the Department of Defense Dependents Schools (DoDDS). Six sections are included in the manual: Industrial Arts Program Objectives,…

40 CFR Table A-1 to Subpart A of... - Summary of Applicable Requirements for Reference and Equivalent Methods for Air Monitoring of...

Code of Federal Regulations, 2010 CFR

2010-07-01

... Methods for Air Monitoring of Criteria Pollutants Pollutant Ref. or equivalent Manual or automated Applicable part 50 appendix Applicable subparts of part 53 A B C D E F SO2 Reference Manual A Equivalent Manual ✓ ✓ Automated ✓ ✓ ✓ CO Reference Automated C ✓ ✓ Equivalent Manual ✓ ✓ Automated ✓ ✓ ✓ O3...

Battery Calendar Life Estimator Manual Modeling and Simulation

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

Jon P. Christophersen; Ira Bloom; Ed Thomas

2012-10-01

The Battery Life Estimator (BLE) Manual has been prepared to assist developers in their efforts to estimate the calendar life of advanced batteries for automotive applications. Testing requirements and procedures are defined by the various manuals previously published under the United States Advanced Battery Consortium (USABC). The purpose of this manual is to describe and standardize a method for estimating calendar life based on statistical models and degradation data acquired from typical USABC battery testing.

Battery Life Estimator Manual Linear Modeling and Simulation

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

Jon P. Christophersen; Ira Bloom; Ed Thomas

2009-08-01

The Battery Life Estimator (BLE) Manual has been prepared to assist developers in their efforts to estimate the calendar life of advanced batteries for automotive applications. Testing requirements and procedures are defined by the various manuals previously published under the United States Advanced Battery Consortium (USABC). The purpose of this manual is to describe and standardize a method for estimating calendar life based on statistical models and degradation data acquired from typical USABC battery testing.

Development and Evaluation of a Manual for Extended Brief Intervention for Alcohol Misuse for Adults with Mild to Moderate Intellectual Disabilities Living in the Community: The EBI-LD Study Manual

ERIC Educational Resources Information Center

Kouimtsidis, Christos; Scior, Katrina; Baio, Gianluca; Hunter, Rachael; Pezzoni, Vittoria; Hassiotis, Angela

2017-01-01

Background: Extended brief interventions for alcohol misuse are effective in the general population. The process of manualising the first ever such intervention for people with mild to moderate intellectual disabilities in the UK is the focus of this study. Methods: The manual was an adaptation of existing manuals based on Motivational Enhancement…

Users manual for the improved NASA Lewis ice accretion code LEWICE 1.6

NASA Technical Reports Server (NTRS)

Wright, William B.

1995-01-01

This report is intended as an update/replacement to NASA CR 185129 'User's Manual for the NASALewis Ice Accretion Prediction Code (LEWICE)' and as an update to NASA CR 195387 'Update to the NASA Lewis Ice Accretion Code LEWICE'. In addition to describing the changes specifically made for this version, information from previous manuals will be duplicated so that the user will not need three manuals to use this code.

Advanced On-the-Job Training System: System Specification

DTIC Science & Technology

1990-05-01

3.1.5.2.10 Evaluation Subsystem spotfor the Traking Devopment and Deliery Subsystem ..... 22 3.1.5.2.11 TrIning Development=dDelivery Subsystem sL...e. Alsys Ada compiler f. Ethernet Local Area Network reference manual(s) g. Infotron 992 network reference manual(s) h. Computer Program Source...1989 a. Daily check of mainframe components, including all elements critical to support the terminal network . b. Restoration of mainframe equipment

A Manual for a Laboratory Information Management System (LIMS) For Light Stable Isotopes - Version 7.0

DTIC Science & Technology

1998-01-01

A MANUAL FOR A LABORATORY INFORMATION MANAGEMENT SYSTEM (LIMS) FOR LIGHT STABLE ISOTOPES— VERSION 7.0 U.S. GEOLOGICAL SURVEY Open-File Report 98-284...Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 A MANUAL FOR A LABORATORY INFORMATION MANAGEMENT SYSTEM (LIMS) FOR LIGHT STABLE...Europa Scientific ..................................................120 1 A MANUAL FOR A LABORATORY INFORMATION MANAGEMENT SYSTEM (LIMS) FOR LIGHT STABLE

Analysis of FY79 Army Aircraft Accidents.

DTIC Science & Technology

1980-04-01

maintenance and field manuals . *.7 "reel world" Army operations. It Includes detailed lemons Additional requirmnent indifId by the results of the le-a...and 2. Emphb and direction to upgrade training at unit trufe of akrraft control, and school levels. R% eview the current aulons nd manuals to 3. Unit...Evaluation and revision of Army regulations, e Evluate effectiveness of programs desgned to technical manuals , field manuals , and other written Insure

Manual transmission enhances attention and driving performance of ADHD adolescent males: pilot study.

PubMed

Cox, Daniel J; Punja, Mohan; Powers, Katie; Merkel, R Lawrence; Burket, Roger; Moore, Melissa; Thorndike, Frances; Kovatchev, Boris

2006-11-01

Inattention is a major contributor to driving mishaps and is especially problematic among adolescent drivers with ADHD, possibly contributing to their 2 to 4 times higher incidence of collisions. Manual transmission has been demonstrated to be associated with greater arousal. This study tests the hypotheses that manual transmission, compared to automatic transmission, would be associated with better attention and performance on a driving simulator. Ten adolescent drivers with ADHD practice driving on the simulator in the manual and automatic mode. Employing a single-blind, cross-over design, participants drive the simulator at 19:30 and 22:30 hr for 30 min in both transmissions and rate their attention to driving. Subjectively, participants report being more attentive while driving in manual transmission mode. Objectively, participants drive safer in the manual transmission mode. Although in need of replication, this pilot study suggests a behavioral intervention to improve driving performance among ADHD adolescents.

The operations manual: a mechanism for improving the research process.

PubMed

Bowman, Ann; Wyman, Jean F; Peters, Jennifer

2002-01-01

The development and use of an operations manual has the potential to improve the capacity of nurse scientists to address the complex, multifaceted issues associated with conducting research in today's healthcare environment. An operations manual facilitates communication, standardizes training and evaluation, and enhances the development and standard implementation of clear policies, processes, and protocols. A 10-year review of methodology articles in relevant nursing journals revealed no attention to this topic. This article will discuss how an operations manual can improve the conduct of research methods and outcomes for both small-scale and large-scale research studies. It also describes the purpose and components of a prototype operations manual for use in quantitative research. The operations manual increases reliability and reproducibility of the research while improving the management of study processes. It can prevent costly and untimely delays or errors in the conduct of research.

A Pilot Study of Community-Friendly Manual Guided Drug Counseling

PubMed Central

Crits-Christoph, Paul; Gibbons, Mary Beth Connolly; Ring-Kurtz, Sarah; Gallop, Robert; Present, Julie

2009-01-01

To facilitate effectiveness testing and dissemination of treatments to community based setting, therapist training manuals that are more “community friendly” are needed. The aim of the current project was to create revised versions of individual drug counseling (IDC) and group drug counseling (GDC) treatment manuals for cocaine dependence and to conduct a preliminary study of their effectiveness. After changing the format and context of existing drug counseling manuals to have greater ease of use in the community, draft manuals were given to 23 community-based counselors for their feedback. Final versions were then used in a pilot randomized clinical trial involving 41 cocaine dependent patients who received 3 months of either IDC + GDC or GDC alone treatment. Counselors implemented the new treatment manuals with acceptable levels of adherence and competence. Outcome results indicated that substantial change in drug use was evident, but the amount of abstinence obtained was limited. PMID:19038525

A Content Analysis of General Chemistry Laboratory Manuals for Evidence of Higher-Order Cognitive Tasks

NASA Astrophysics Data System (ADS)

Domin, Daniel S.

1999-01-01

The science laboratory instructional environment is ideal for fostering the development of problem-solving, manipulative, and higher-order thinking skills: the skills needed by today's learner to compete in an ever increasing technology-based society. This paper reports the results of a content analysis of ten general chemistry laboratory manuals. Three experiments from each manual were examined for evidence of higher-order cognitive activities. Analysis was based upon the six major cognitive categories of Bloom's Taxonomy of Educational Objectives: knowledge, comprehension, application, analysis, synthesis, and evaluation. The results of this study show that the overwhelming majority of general chemistry laboratory manuals provide tasks that require the use of only the lower-order cognitive skills: knowledge, comprehension, and application. Two of the laboratory manuals were disparate in having activities that utilized higher-order cognition. I describe the instructional strategies used within these manuals to foster higher-order cognitive development.

Statistical evaluation of manual segmentation of a diffuse low-grade glioma MRI dataset.

PubMed

Ben Abdallah, Meriem; Blonski, Marie; Wantz-Mezieres, Sophie; Gaudeau, Yann; Taillandier, Luc; Moureaux, Jean-Marie

2016-08-01

Software-based manual segmentation is critical to the supervision of diffuse low-grade glioma patients and to the optimal treatment's choice. However, manual segmentation being time-consuming, it is difficult to include it in the clinical routine. An alternative to circumvent the time cost of manual segmentation could be to share the task among different practitioners, providing it can be reproduced. The goal of our work is to assess diffuse low-grade gliomas' manual segmentation's reproducibility on MRI scans, with regard to practitioners, their experience and field of expertise. A panel of 13 experts manually segmented 12 diffuse low-grade glioma clinical MRI datasets using the OSIRIX software. A statistical analysis gave promising results, as the practitioner factor, the medical specialty and the years of experience seem to have no significant impact on the average values of the tumor volume variable.

Implementation of remote video auditing with feedback and compliance for manual-cleaning protocols of endoscopic retrograde cholangiopancreatography endoscopes.

PubMed

Armellino, Donna; Cifu, Kelly; Wallace, Maureen; Johnson, Sherly; DiCapua, John; Dowling, Oonagh; Jacobs, Mitchel; Browning, Susan

2018-05-01

A pilot initiative to assess the use of remote video auditing in monitoring compliance with manual-cleaning protocols for endoscopic retrograde cholangiopancreatography (ERCP) endoscopes was performed. Compliance with manual-cleaning steps following the initiation of feedback was measured. A video feed of the ERCP reprocessing room was provided to remote auditors who scored items of an ERCP endoscope manual-cleaning checklist. Compliance feedback was provided in the form of reports and reeducation. Outcomes were reported as checklist compliance. The use of remote video auditing to document manual processing is a feasible approach and feedback and reeducation increased manual-cleaning compliance from 53.1% (95% confidence interval, 34.7-71.6) to 98.9% (95.0% confidence interval, 98.1-99.6). Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Assessment of Alternative Interfaces for Manual Commanding of Spacecraft Systems: Compatibility with Flexible Allocation Policies

NASA Technical Reports Server (NTRS)

Billman, Dorrit Owen; Schreckenghost, Debra; Miri, Pardis

2014-01-01

Astronauts will be responsible for executing a much larger body of procedures as human exploration moves further from Earth and Mission Control. Efficient, reliable methods for executing these procedures, including manual, automated, and mixed execution will be important. Our interface integrates step-by-step instruction with the means for execution. The research reported here compared manual execution using the new system to a system analogous to the manual-only system currently in use on the International Space Station, to assess whether user performance in manual operations would be as good or better with the new than with the legacy system. The system used also allows flexible automated execution. The system and our data lay the foundation for integrating automated execution into the flow of procedures designed for humans. In our formative study, we found speed and accuracy of manual procedure execution was better using the new, integrated interface over the legacy design.

California Publicly-Owned Utilities (POUs) – LBNL ‘Beyond Widgets’ Project. Task: ambient lighting and occupancy-based plug load control. System Program Manual

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

Robinson, Alastair; Mathew, Paul A.; Regnier, Cynthia

This program manual contains detailed technical information for implementing an incentive program for task-ambient lighting and occupancy-based plug load control. This manual was developed by Lawrence Berkeley National Laboratory, in collaboration with the California Publicly-Owned Utilities (CA POUs) as a partner in the ‘Beyond Widgets’ program funded by the U.S. Department of Energy Building Technologies Office. The primary audience for this manual is the program staff of the various CA POUs. It may also be used by other utility incentive programs to help develop similar programs. It is anticipated that the content of this manual be utilized by the CAmore » POU staff for developing related documents such as the Technical Resource Manual and other filings pertaining to the rollout of an energy systems-based rebate incentive program.« less

A corrosion control manual for rail rapid transit

NASA Technical Reports Server (NTRS)

Gilbert, L. O.; Fitzgerald, J. F., II; Menke, J. T.

1982-01-01

In 1979, during the planning stage of the Metropolitan Dade County Transit System, the need was expressed for a corrosion control manual oriented to urban rapid transit system use. This manual responds to that need. The objective of the manual is to aid rail rapid transit agencies by providing practical solutions to selected corrosion problems. The scope of the manual encompasses corrosion problems of the facilities of rapid transit systems: structures and tracks, platforms and stations, power and signals, and cars. It also discusses stray electric current corrosion. Both design and maintenance solutions are provided for each problem. Also included are descriptions of the types of corrosion and their causes, descriptions of rapid transit properties, a list of corrosion control committees and NASA, DOD, and ASTM specifications and design criteria to which reference is made in the manual. A bibliography of papers and excerpts of reports and a glossary of frequency used terms are provided.

Individual muscle segmentation in MR images: A 3D propagation through 2D non-linear registration approaches.

PubMed

Ogier, Augustin; Sdika, Michael; Foure, Alexandre; Le Troter, Arnaud; Bendahan, David

2017-07-01

Manual and automated segmentation of individual muscles in magnetic resonance images have been recognized as challenging given the high variability of shapes between muscles and subjects and the discontinuity or lack of visible boundaries between muscles. In the present study, we proposed an original algorithm allowing a semi-automatic transversal propagation of manually-drawn masks. Our strategy was based on several ascending and descending non-linear registration approaches which is similar to the estimation of a Lagrangian trajectory applied to manual masks. Using several manually-segmented slices, we have evaluated our algorithm on the four muscles of the quadriceps femoris group. We mainly showed that our 3D propagated segmentation was very accurate with an averaged Dice similarity coefficient value higher than 0.91 for the minimal manual input of only two manually-segmented slices.

A pilot study of community-friendly manual-guided drug counseling.

PubMed

Crits-Christoph, Paul; Gibbons, Mary Beth Connolly; Ring-Kurtz, Sarah; Gallop, Robert; Present, Julie

2009-07-01

Therapist training manuals that are more "community friendly" are needed to facilitate effectiveness testing and dissemination of treatments to community based setting. The aim of the current project was to create revised versions of individual drug counseling (IDC) and group drug counseling (GDC) treatment manuals for cocaine dependence and to conduct a preliminary study of their effectiveness. After changing the format and context of existing drug counseling manuals to have greater ease of use in the community, draft manuals were given to 23 community-based counselors for their feedback. Final versions were then used in a pilot randomized clinical trial involving 41 cocaine-dependent patients who received 3 months of either IDC + GDC or GDC-alone treatment. Counselors implemented the new treatment manuals with acceptable levels of adherence and competence. Outcome results indicated that substantial change in drug use was evident, but the amount of abstinence obtained was limited.

Lifetime socioeconomic position and mortality: prospective observational study.

PubMed Central

Smith, G. D.; Hart, C.; Blane, D.; Gillis, C.; Hawthorne, V.

1997-01-01

OBJECTIVES: To assess the influence of socioeconomic position over a lifetime on risk factors for cardiovascular disease, on morbidity, and on mortality from various causes. DESIGN: Prospective observational study with 21 years of follow up. Social class was determined as manual or non-manual at three stages of participants' lives: from the social class of their father's job, the social class of their first job, and the social class of their job at the time of screening. A cumulative social class indicator was constructed, ranging from non-manual social class at all three stages of life to manual social class at all three stages. SETTING: 27 workplaces in the west of Scotland. PARTICIPANTS: 5766 men aged 35-64 at the time of examination. MAIN OUTCOME MEASURES: Prevalence and level of risk factors for cardiovascular disease; morbidity; and mortality from broad causes of death. RESULTS: From non-manual social class locations at all three life stages to manual at all stages there were strong positive trends for blood pressure, body mass index, current cigarette smoking, angina, and bronchitis. Inverse trends were seen for height, cholesterol concentration, lung function, and being an ex-smoker. 1580 men died during follow up. Age adjusted relative death rates in comparison with the men of non-manual social class locations at all three stages of life were 1.29 (95% confidence interval 1.08 to 1.56) in men of two non-manual and one manual social class; 1.45 (1.21 to 1.73) in men of two manual and one non-manual social class; and 1.71 (1.46 to 2.01) in men of manual social class at all three stages. Mortality from cardiovascular disease showed a similar graded association with cumulative social class. Mortality from cancer was mainly raised among men of manual social class at all three stages. Adjustment for a wide range of risk factors caused little attenuation in the association of cumulative social class with mortality from all causes and from cardiovascular disease; greater attenuation was seen in the association with mortality from non-cardiovascular, non-cancer disease. Fathers having a manual [corrected] occupation was strongly associated with mortality from cardiovascular disease: relative rate 1.41 (1.15 to 1.72). Participants' social class at the time of screening was more strongly associated than the other social class indicators with mortality from cancer and from non-cardiovascular, non-cancer causes. CONCLUSIONS: Socioeconomic factors acting over the lifetime affect health and risk of premature death. The relative importance of influences at different stages varies for the cause of death. Studies with data on socioeconomic circumstances at only one stage of life are inadequate for fully elucidating the contribution of socioeconomic factors to health and mortality risk. PMID:9055712

Two thumbs and one index: A comparison of manual coordination in touch-typing and mobile-typing.

PubMed

Cerni, Tania; Longcamp, Marieke; Job, Remo

2016-06-01

It has been extensively demonstrated that in touch-typing, manual alternation is performed faster than manual repetition (see i.e. Rumelhart & Norman, 1982), due to parallel activation of successive keystrokes. In this experiment, we tested whether the manual coordination patterns typical of touch-typing can be observed in mobile-typing. We recruited skilled touch-typists and divided them into two groups depending on their typing habits on the mobile device. The "one-hand" group typed with one index finger on the mobile, and therefore produced words exclusively through manual repetition. The "two-hands" group used two thumbs, and therefore produced words through a combination of mobile-typing repetitions and alternations. The two groups were tested in a typing to dictation task with both a standard keyboard and a mobile keyboard. Results showed that manual alternation and manual repetition patterns are similar in touch-typing and in mobile-typing. For the "two-hands" group, the mean interkeystroke intervals (IKIs) for touch-typing decreased as manual alterations in words increased in both touch- and mobile-typing. The "one-hand" group showed an opposite pattern in mobile-typing. Bigram frequency was correlated with IKIs per bigrams in both tasks and groups, but the correlation for the "one-hand" group in mobile-typing was different. Our results suggest that manual coordination processes are the same in touch-typing and in mobile-typing despite different effectors, provided that both hands are used to type. Copyright © 2016 Elsevier B.V. All rights reserved.

Validity of a Manual Soft Tissue Profile Prediction Method Following Mandibular Setback Osteotomy

PubMed Central

Kolokitha, Olga-Elpis

2007-01-01

Objectives The aim of this study was to determine the validity of a manual cephalometric method used for predicting the post-operative soft tissue profiles of patients who underwent mandibular setback surgery and compare it to a computerized cephalometric prediction method (Dentofacial Planner). Lateral cephalograms of 18 adults with mandibular prognathism taken at the end of pre-surgical orthodontics and approximately one year after surgery were used. Methods To test the validity of the manual method the prediction tracings were compared to the actual post-operative tracings. The Dentofacial Planner software was used to develop the computerized post-surgical prediction tracings. Both manual and computerized prediction printouts were analyzed by using the cephalometric system PORDIOS. Statistical analysis was performed by means of t-test. Results Comparison between manual prediction tracings and the actual post-operative profile showed that the manual method results in more convex soft tissue profiles; the upper lip was found in a more prominent position, upper lip thickness was increased and, the mandible and lower lip were found in a less posterior position than that of the actual profiles. Comparison between computerized and manual prediction methods showed that in the manual method upper lip thickness was increased, the upper lip was found in a more anterior position and the lower anterior facial height was increased as compared to the computerized prediction method. Conclusions Cephalometric simulation of post-operative soft tissue profile following orthodontic-surgical management of mandibular prognathism imposes certain limitations related to the methods implied. However, both manual and computerized prediction methods remain a useful tool for patient communication. PMID:19212468

Validity of a manual soft tissue profile prediction method following mandibular setback osteotomy.

PubMed

Kolokitha, Olga-Elpis

2007-10-01

The aim of this study was to determine the validity of a manual cephalometric method used for predicting the post-operative soft tissue profiles of patients who underwent mandibular setback surgery and compare it to a computerized cephalometric prediction method (Dentofacial Planner). Lateral cephalograms of 18 adults with mandibular prognathism taken at the end of pre-surgical orthodontics and approximately one year after surgery were used. To test the validity of the manual method the prediction tracings were compared to the actual post-operative tracings. The Dentofacial Planner software was used to develop the computerized post-surgical prediction tracings. Both manual and computerized prediction printouts were analyzed by using the cephalometric system PORDIOS. Statistical analysis was performed by means of t-test. Comparison between manual prediction tracings and the actual post-operative profile showed that the manual method results in more convex soft tissue profiles; the upper lip was found in a more prominent position, upper lip thickness was increased and, the mandible and lower lip were found in a less posterior position than that of the actual profiles. Comparison between computerized and manual prediction methods showed that in the manual method upper lip thickness was increased, the upper lip was found in a more anterior position and the lower anterior facial height was increased as compared to the computerized prediction method. Cephalometric simulation of post-operative soft tissue profile following orthodontic-surgical management of mandibular prognathism imposes certain limitations related to the methods implied. However, both manual and computerized prediction methods remain a useful tool for patient communication.

Battery Test Manual For Electric Vehicles, Revision 3

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

Christophersen, Jon P.

2015-06-01

This battery test procedure manual was prepared for the United States Department of Energy (DOE), Office of Energy Efficiency and Renewable Energy (EERE), Vehicle Technologies Office. It is based on technical targets for commercial viability established for energy storage development projects aimed at meeting system level DOE goals for Electric Vehicles (EV). The specific procedures defined in this manual support the performance and life characterization of advanced battery devices under development for EVs. However, it does share some methods described in the previously published battery test manual for plug-in hybrid electric vehicles. Due to the complexity of some of themore » procedures and supporting analysis, future revisions including some modifications and clarifications of these procedures are expected. As in previous battery and capacitor test manuals, this version of the manual defines testing methods for full-size battery systems, along with provisions for scaling these tests for modules, cells or other subscale level devices. The DOE-United States Advanced Battery Consortium (USABC), Technical Advisory Committee (TAC) supported the development of the manual. Technical Team points of contact responsible for its development and revision are Chul Bae of Ford Motor Company and Jon P. Christophersen of the Idaho National Laboratory. The development of this manual was funded by the Unites States Department of Energy, Office of Energy Efficiency and Renewable Energy, Vehicle Technologies Office. Technical direction from DOE was provided by David Howell, Energy Storage R&D Manager and Hybrid Electric Systems Team Leader. Comments and questions regarding the manual should be directed to Jon P. Christophersen at the Idaho National Laboratory (jon.christophersen@inl.gov).« less

End-tidal CO2-guided automated robot CPR system in the pig. Preliminary communication.

PubMed

Suh, Gil Joon; Park, Jaeheung; Lee, Jung Chan; Na, Sang Hoon; Kwon, Woon Yong; Kim, Kyung Su; Kim, Taegyun; Jung, Yoon Sun; Ko, Jung-In; Shin, So Mi; You, Kyoung Min

2018-06-01

Our aim was to compare the efficacy of the end-tidal CO 2 -guided automated robot CPR (robot CPR) system with manual CPR and mechanical device CPR. We developed the algorithm of the robot CPR system which automatically finds the optimal compression position under the guidance of end-tidal CO 2 feedback in swine models of cardiac arrest. Then, 18 pigs after 11 min of cardiac arrest were randomly assigned to one of three groups, robot CPR, LUCAS CPR, and manual CPR groups (n = 6 each group). Return of spontaneous circulation (ROSC) and Neurological Deficit Score 48 h after ROSC were compared. A ROSC was achieved in 5 pigs, 4 pigs, and 3 pigs in the robot CPR, LUCAS CPR, and manual CPR groups, respectively (p = 0.47). Robot CPR showed a significant difference in Neurological Deficit Score 48 h after ROSC compared to manual CPR, whereas LUCAS CPR showed no significant difference over manual CPR. (p = 0.01; Robot versus Manual adjusted p = 0.04, Robot versus LUCAS adjusted p = 0.07, Manual versus LUCAS adjusted p = 1.00). The end-tidal CO 2 -guided automated robot CPR system did not significantly improve ROSC rate in a swine model of cardiac arrest. However, robot CPR showed significant improvement of Neurological Deficit Score 48 h after ROSC compared to Manual CPR while LUCAS CPR showed no significant improvement compared to Manual CPR. Copyright © 2018 Elsevier B.V. All rights reserved.

Becoming a manual occupation? The construction of a therapy manual for use with language impaired children in mainstream primary schools.

PubMed

McCartney, Elspeth; Boyle, James; Bannatyne, Susan; Jessiman, Emma; Campbell, Cathy; Kelsey, Cherry; Smith, Jennifer; O'Hare, Anne

2004-01-01

The construction of therapy protocols for a large-scale randomized controlled trial comparing speech and language therapists and assistants, and group and individual therapy approaches for children aged 6-11 in mainstream schools is outlined. The aim was to outline the decision-making processes that led to the construction of the research therapy manual, and to give a preliminary report on compliance with the manual. A search of the research and professional literature and of published therapy materials was conducted to locate usable examples of effective language therapy for primary school children. Results were collated into a manual of therapy principles and activities to structure research intervention. The use of the manual with children (n=30) receiving individual or group direct therapy from a speech and language therapist in the first phase of intervention was audited. Very few high-level research studies were found, but the professional literature gave added information. Therapies for comprehension monitoring, vocabulary development, later grammar and narrative were adapted for the research intervention, and procedures compiled into a manual to guide research speech and language therapists and assistants. The audit of direct therapy suggested that the manual was useable, providing a suitable range of activities and materials for therapy intervention. Its use helped to record the therapy offered to research children, and formed a sound basis for discussion amongst speech and language therapists and between speech and language therapist/assistant pairs. The construction and use of a therapy manual allowed the provision of replicable therapy within the research project whilst maintaining flexibility.

Information Security – Guidance for Manually Completing the Information Security Awareness Training

EPA Pesticide Factsheets

The purpose of this guidance is to provide an alternative manual process for disseminating EPA Information Security Awareness Training (ISAT) materials and collecting results from EPA users who elect to complete the ISAT manually.

Caltrans : transit funding manual : managing the delivery of transit projects

DOT National Transportation Integrated Search

2001-05-01

This manual attempts to provide a step by step transit funding process. Included in this manual : is an overview of Caltrans Division of Mass Transportation, roles and responsibilities in : assisting local agencies to deliver transit projects. Transi...

Petrographic methods of examining hardened concrete : a petrographic manual.

DOT National Transportation Integrated Search

1997-11-01

This manual was undertaken to record for all persons wishing to do concrete : petrography the petrographic procedures that have been found useful at the : Virginia Transportation Research Council. The manual is made up of an : introduction and chapte...

Designing a User Manual to Support an In-House Database.

ERIC Educational Resources Information Center

Kraft, Melissa A.; Pugh, W. Jean

1988-01-01

Describes the steps involved in designing a user manual for an in-house database. Topics covered include goal definition, target audience identification, production scheduling, design and production choices, testing and review, and updating of the manual. (CLB)

Gravel Roads: Maintenance and Design Manual

EPA Pesticide Factsheets

This manual was developed with a major emphasis on the maintenance of gravel roads, including some basic design elements. The purpose of the manual is to provide clear and helpful information for doing a better job of maintaining gravel roads.

VDOT manual of practice for stormwater management.

DOT National Transportation Integrated Search

2004-01-01

This document is a revision of the VDOT Manual of Practice for Planning Stormwater Management prepared in 1991. The objective of this revised manual is to provide updated information regarding the management of stormwater at VDOT projects and facilit...

Calibration of highway safety manual work zone crash modification factors.

DOT National Transportation Integrated Search

2014-06-01

The Highway Safety Manual is the national safety manual that provides quantitative methods for analyzing highway safety. The : HSM presents crash modification factors related to work zone characteristics such as work zone duration and length. These c...

Seismic retrofitting manual for highway structures. Part 1, Bridges

DOT National Transportation Integrated Search

2006-01-01

This report is the first of a two-part publication entitled "Seismic retrofitting manual for highway structures". Part 1 of this manual is based on previous Federal Highway Administration (FHWA) publications on this subject including Seismic Retrofit...

Flexible and composite structures for premium pavements. Volume 2, Design manual

DOT National Transportation Integrated Search

1980-11-01

This design manual presents the results of a detailed study to identify and design flexible and composite pavement configurations which will perform as premium or "zero-maintenance" pavements. This manual includes identification and classification of...

Installation and service manual for the U.S. Geological Survey manometers

USGS Publications Warehouse

Craig, James D.

1983-01-01

The purpose of this manual is to describe the installation, operation, and maintenance of the bubble-gage manometers currently (1982) used by the U.S. Geological Survey. Other applications of these devices, such as the long manometer and differential manometer, are discussed, and accessories available for them are described. The bubble gage (water-stage manometer with gas-purge system) described in the Installation and Service Manual, October 1962, has been extensively modified and developed into the STACOM (stabilized and temperature compensated) device. This chapter is the manual for the STACOM unit and an update of the manual for the screw-type bubble gage. A parts list is included for both units.

Skylab Saturn 1B flight manual

NASA Technical Reports Server (NTRS)

1972-01-01

A Saturn 1B Flight Manual provides launch vehicle systems descriptions and predicted performance data for the Skylab missions. Vehicle SL-2 (SA-206) is the baseline for this manual; but, as a result of the great similarity, the material is representative of SL-3 and SL-4 launch vehicles, also. The Flight Manual is not a control document but is intended primarily as an aid to astronauts who are training for Skylab missions. In order to provide a comprehensive reference for that purpose, the manual also contains descriptions of the ground support interfaces, prelaunch operations, and emergency procedures. Mission variables and constraints are summarized, and mission control monitoring and data flow during launch preparation and flight are discussed.

GOES data-collection system instrumentation, installation, and maintenance manual

USGS Publications Warehouse

Blee, J.W.; Herlong, H.E.; Kaufmann, C.D.; Hardee, J.H.; Field, M.L.; Middelburg, R.F.

1986-01-01

The purpose of the manual is to describe the installation, operation, and maintenance of Geostationary Operational Environmental Satellite (GOES) data collection platforms (DCP's) and associated equipment. This manual is not a substitute for DCP manufacturers ' manuals but is additional material that describes the application of data-collection platforms in the Water Resources Division. Power supplies, encoders, antennas, Mini Monitors, voltage analog devices, and the installation of these at streamflow-gaging stations are discussed in detail. (USGS)

Manual de Adiestramiento sobre Terapia de Rehidratacion Oral y Control de las Enfermedades Diarreicas (Oral Rehydration Therapy and the Control of Diarrheal Diseases). Training for Development. Peace Corps Information Collection & Exchange Training Manual No. T-53.

ERIC Educational Resources Information Center

Clark, Mari; And Others

This Spanish-language manual was developed to train Peace Corps volunteers and other community health workers in Spanish-speaking countries in oral rehydration therapy (ORT) and the control of diarrheal diseases. Using a competency-based format, the manual contains three training modules (organized in seven sessions) that focus on interrelated…

User Manual and Source Code for a LAMMPS Implementation of Constant Energy Dissipative Particle Dynamics (DPD-E)

DTIC Science & Technology

2014-06-01

User Manual and Source Code for a LAMMPS Implementation of Constant Energy Dissipative Particle Dynamics (DPD-E) by James P. Larentzos...Laboratory Aberdeen Proving Ground, MD 21005-5069 ARL-SR-290 June 2014 User Manual and Source Code for a LAMMPS Implementation of Constant...3. DATES COVERED (From - To) September 2013–February 2014 4. TITLE AND SUBTITLE User Manual and Source Code for a LAMMPS Implementation of

Historical Doctrinal Publications of the U.S. Army; a Union List

DTIC Science & Technology

1983-02-01

27FI/2 20 Mar 78 Soldier’s Manual: Vulcan/Faar Repairer MOSC 27F, Skill Levels 1 & 2 AS 9-27F3 20 Mar 78 Soldier’s Manual: Vulcan/Faar Repairer MOSC ...27F (Skill Level 3) AS 9-27F/CM 20 Mar 78 Commander’s Manual: Vulcan/Faar Repairer, MOSC 27F AS 9-27GI/2 20 Mar 78 Solder’s Manual: Chaparral/Redeye

The AASM scoring manual: a critical appraisal.

PubMed

Grigg-Damberger, Madeleine M

2009-11-01

Summarize recently published studies and critiques evaluating the effects of the American Academy of Sleep Medicine (AASM) Sleep Scoring Manual. Only a few retrospective studies have been published evaluating the new AASM Scoring Manual. These have shown that when scoring polysomnograms (PSGs) using the AASM rules compared to previous standards and guidelines: increased amount and percentage of sleep time in Non-Rapid Eye Movement Sleep (NREM) 1 (N1) and N3 sleep, and decreased NREM 2 (N2) sleep; improved interscorer reliability when scoring sleep stages in adults; large differences in apnea-hypopnea indexes (AHIs) using different hypopnea scoring definitions; and PSGs scored using the 'recommended' hypopnea definition in the new manual identified no significant sleep disordered breathing in 40% of lean individuals with symptomatic OSA (AHI ≥5/h by 1999 'Chicago' criteria) and a favorable response to treatment. Two years have passed since the AASM Scoring Manual was published, garnering less criticism than was feared by those who developed it. The improvement in interscorer reliability using the Manual is heartening since this goal shaped many of the choices made. The alternative hypopnea rule should be endorsed as a recommended option. The AASM Scoring Manual provides a foundation upon which we all can build rules and methods that quantify the complexity of sleep and its disorders. Multicenter validation and refinement of the Manual is encouraged.

Natural Language Processing As an Alternative to Manual Reporting of Colonoscopy Quality Metrics

PubMed Central

RAJU, GOTTUMUKKALA S.; LUM, PHILLIP J.; SLACK, REBECCA; THIRUMURTHI, SELVI; LYNCH, PATRICK M.; MILLER, ETHAN; WESTON, BRIAN R.; DAVILA, MARTA L.; BHUTANI, MANOOP S.; SHAFI, MEHNAZ A.; BRESALIER, ROBERT S.; DEKOVICH, ALEXANDER A.; LEE, JEFFREY H.; GUHA, SUSHOVAN; PANDE, MALA; BLECHACZ, BORIS; RASHID, ASIF; ROUTBORT, MARK; SHUTTLESWORTH, GLADIS; MISHRA, LOPA; STROEHLEIN, JOHN R.; ROSS, WILLIAM A.

2015-01-01

BACKGROUND & AIMS The adenoma detection rate (ADR) is a quality metric tied to interval colon cancer occurrence. However, manual extraction of data to calculate and track the ADR in clinical practice is labor-intensive. To overcome this difficulty, we developed a natural language processing (NLP) method to identify patients, who underwent their first screening colonoscopy, identify adenomas and sessile serrated adenomas (SSA). We compared the NLP generated results with that of manual data extraction to test the accuracy of NLP, and report on colonoscopy quality metrics using NLP. METHODS Identification of screening colonoscopies using NLP was compared with that using the manual method for 12,748 patients who underwent colonoscopies from July 2010 to February 2013. Also, identification of adenomas and SSAs using NLP was compared with that using the manual method with 2259 matched patient records. Colonoscopy ADRs using these methods were generated for each physician. RESULTS NLP correctly identified 91.3% of the screening examinations, whereas the manual method identified 87.8% of them. Both the manual method and NLP correctly identified examinations of patients with adenomas and SSAs in the matched records almost perfectly. Both NLP and manual method produce comparable values for ADR for each endoscopist as well as the group as a whole. CONCLUSIONS NLP can correctly identify screening colonoscopies, accurately identify adenomas and SSAs in a pathology database, and provide real-time quality metrics for colonoscopy. PMID:25910665

Should electronic faucets be used in intensive care and hematology units?

PubMed

Merrer, Jacques; Girou, Emmanuelle; Ducellier, David; Clavreul, Nicole; Cizeau, Florence; Legrand, Patrick; Leneveu, Michel

2005-12-01

To compare bacterial contamination associated with electronic faucets and manual faucets in wards admitting patients highly susceptible to infection. Water samples from electronic faucets and manual faucets were taken according to the French recommendations on water surveillance in healthcare settings. Hematology and intensive care units (ICUs) of a 900-bed university hospital and a 500-bed general hospital. Overall 227 water samples were collected, 92 from electronic faucets and 135 from manual faucets. Thirty-six (39%) of the water samples from electronic faucets and 2 (1%) from manual faucets yielded pathogenic bacteria. In hematology wards 17 (30%) samples from electronic faucets and 2 (2%) from manual faucets were contaminated. In ICUs 19 (53%) samples from electronic faucets and none of 48 from manual faucets were contaminated. All samples were contaminated with various strains of Pseudomonas aeruginosa (8 to >100 CFU/100 ml). Despite hyperchlorination the electronic faucets remained contaminated. Replacing the contaminated electronic faucets by manual faucets led to a complete and sustained elimination of bacterial contamination. Contamination was not associated with a particular brand of electronic faucets. Our findings demonstrate that electronic faucets are significantly more frequently contaminated than manual faucets and could be a major reservoir for P. aeruginosa. Wards admitting patients highly susceptible to infection and using electronic faucets should be aware of this potential threat. Moreover, units already equipped with these devices, should check water quality periodically.

Comparison of manual therapy and exercise therapy in osteoarthritis of the hip: a randomized clinical trial.

PubMed

Hoeksma, Hugo L; Dekker, Joost; Ronday, H Karel; Heering, Annet; van der Lubbe, Nico; Vel, Cees; Breedveld, Ferdinand C; van den Ende, Cornelia H M

2004-10-15

To determine the effectiveness of a manual therapy program compared with an exercise therapy program in patients with osteoarthritis (OA) of the hip. A single-blind, randomized clinical trial of 109 hip OA patients was carried out in the outpatient clinic for physical therapy of a large hospital. The manual therapy program focused on specific manipulations and mobilization of the hip joint. The exercise therapy program focused on active exercises to improve muscle function and joint motion. The treatment period was 5 weeks (9 sessions). The primary outcome was general perceived improvement after treatment. Secondary outcomes included pain, hip function, walking speed, range of motion, and quality of life. Of 109 patients included in the study, 56 were allocated to manual therapy and 53 to exercise therapy. No major differences were found on baseline characteristics between groups. Success rates (primary outcome) after 5 weeks were 81% in the manual therapy group and 50% in the exercise group (odds ratio 1.92, 95% confidence interval 1.30, 2.60). Furthermore, patients in the manual therapy group had significantly better outcomes on pain, stiffness, hip function, and range of motion. Effects of manual therapy on the improvement of pain, hip function, and range of motion endured after 29 weeks. The effect of the manual therapy program on hip function is superior to the exercise therapy program in patients with OA of the hip.

The Neural Basis of Speech Perception through Lipreading and Manual Cues: Evidence from Deaf Native Users of Cued Speech

PubMed Central

Aparicio, Mario; Peigneux, Philippe; Charlier, Brigitte; Balériaux, Danielle; Kavec, Martin; Leybaert, Jacqueline

2017-01-01

We present here the first neuroimaging data for perception of Cued Speech (CS) by deaf adults who are native users of CS. CS is a visual mode of communicating a spoken language through a set of manual cues which accompany lipreading and disambiguate it. With CS, sublexical units of the oral language are conveyed clearly and completely through the visual modality without requiring hearing. The comparison of neural processing of CS in deaf individuals with processing of audiovisual (AV) speech in normally hearing individuals represents a unique opportunity to explore the similarities and differences in neural processing of an oral language delivered in a visuo-manual vs. an AV modality. The study included deaf adult participants who were early CS users and native hearing users of French who process speech audiovisually. Words were presented in an event-related fMRI design. Three conditions were presented to each group of participants. The deaf participants saw CS words (manual + lipread), words presented as manual cues alone, and words presented to be lipread without manual cues. The hearing group saw AV spoken words, audio-alone and lipread-alone. Three findings are highlighted. First, the middle and superior temporal gyrus (excluding Heschl’s gyrus) and left inferior frontal gyrus pars triangularis constituted a common, amodal neural basis for AV and CS perception. Second, integration was inferred in posterior parts of superior temporal sulcus for audio and lipread information in AV speech, but in the occipito-temporal junction, including MT/V5, for the manual cues and lipreading in CS. Third, the perception of manual cues showed a much greater overlap with the regions activated by CS (manual + lipreading) than lipreading alone did. This supports the notion that manual cues play a larger role than lipreading for CS processing. The present study contributes to a better understanding of the role of manual cues as support of visual speech perception in the framework of the multimodal nature of human communication. PMID:28424636

Cost effectiveness of physiotherapy, manual therapy, and general practitioner care for neck pain: economic evaluation alongside a randomised controlled trial

PubMed Central

Bos, Ingeborg B C Korthals-de; Hoving, Jan L; van Tulder, Maurits W; Mölken, Maureen P M H Rutten-van; Adèr, Herman J; de Vet, Henrica C W; Koes, Bart W; Vondeling, Hindrik; Bouter, Lex M

2003-01-01

Objective To evaluate the cost effectiveness of physiotherapy, manual therapy, and care by a general practitioner for patients with neck pain. Design Economic evaluation alongside a randomised controlled trial. Setting Primary care. Participants 183 patients with neck pain for at least two weeks recruited by 42 general practitioners and randomly allocated to manual therapy (n=60, spinal mobilisation), physiotherapy (n=59, mainly exercise), or general practitioner care (n=64, counselling, education, and drugs). Main outcome measures Clinical outcomes were perceived recovery, intensity of pain, functional disability, and quality of life. Direct and indirect costs were measured by means of cost diaries that were kept by patients for one year. Differences in mean costs between groups, cost effectiveness, and cost utility ratios were evaluated by applying non-parametric bootstrapping techniques. Results The manual therapy group showed a faster improvement than the physiotherapy group and the general practitioner care group up to 26 weeks, but differences were negligible by follow up at 52 weeks. The total costs of manual therapy (€447; £273; $402) were around one third of the costs of physiotherapy (€1297) and general practitioner care (€1379). These differences were significant: P<0.01 for manual therapy versus physiotherapy and manual therapy versus general practitioner care and P=0.55 for general practitioner care versus physiotherapy. The cost effectiveness ratios and the cost utility ratios showed that manual therapy was less costly and more effective than physiotherapy or general practitioner care. Conclusions Manual therapy (spinal mobilisation) is more effective and less costly for treating neck pain than physiotherapy or care by a general practitioner. What is already known on this topicThe cost of treating neck pain is considerableMany conservative interventions are available, such as prescription drugs, yet their cost effectiveness has not been evaluatedNo randomised trials of conservative treatment for neck pain have so far included an economic evaluationWhat this study addsManual therapy is more effective and less costly than physiotherapy or care by a general practitioner for treating neck painPatients undergoing manual therapy recovered more quickly than those undergoing the other interventions PMID:12714472

Pollution Prevention Benefits Manual: Phase II. Volume 1: The Manual and Volume 2: Appendices (1989)

EPA Pesticide Factsheets

Manual is intended to help polluters evaluate the economic feasibility of pollution prevention or waste minimization alternatives to current practices, helping polluters evaluate how much a pollution prevention alternative will cost vs. current practices.

Traffic Line Manual; September,1996

DOT National Transportation Integrated Search

1996-09-01

The purpose of this manual is to establish a guide for uniformity of traffic line and pavement markings throughout the state highway system. The manual is intended to be used by highway maintenance traffic line crews to assist them in their daily wor...

Development of manuals for the effective use of variable message signs.

DOT National Transportation Integrated Search

1995-01-01

A comprehensive research effort to develop operator's manuals for variable message signs (VMSs) was undertaken to improve the operations of both portable and permanent (fixed-site) VMSs in Virginia. This report describes the development of two manual...

40 CFR 63.1547 - Monitoring requirements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... standard operating procedures manual that describes in detail the procedures for inspection, maintenance...) The standard operating procedures manual for baghouses required by paragraph (a) of this section shall... specified in the standard operating procedures manual for inspections and routine maintenance shall, at a...

40 CFR 63.1547 - Monitoring requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... standard operating procedures manual that describes in detail the procedures for inspection, maintenance...) The standard operating procedures manual for baghouses required by paragraph (a) of this section shall... specified in the standard operating procedures manual for inspections and routine maintenance shall, at a...

EPA Air Pollution Control Cost Manual

EPA Science Inventory

EPA's Air Pollution Control Cost Manual provides guidance for the development of accurate and consistent costs for air pollution control devices. A long-standing document prepared by EPA, the Control Cost Manual focuses on point source and stationary area source air pollution con...

Validation of Interdisciplinary Cooperative Education Manual.

ERIC Educational Resources Information Center

Stone, Sheila D.

A field test examined the validity of the "Interdisciplinary Cooperative Education Curriculum Manual." (Among those topics covered in the manual are the following: vocational student organizations, leadership, civic responsibility, health and safety, human relations, communications, resource management, consumer skills, consumer law,…

46 CFR 160.176-19 - Servicing.

Code of Federal Regulations, 2010 CFR

2010-10-01

... section contains requirements for servicing facilities, manuals, training, guidelines, and records. Other... follow the procedures in the service manual required by this section. (2) Each servicing facility must... strong sunlight, and have appropriate temperature and humidity control as specified in the service manual...

Evaluation of visual acuity measurements after autorefraction vs manual refraction in eyes with and without diabetic macular edema.

PubMed

Sun, Jennifer K; Qin, Haijing; Aiello, Lloyd Paul; Melia, Michele; Beck, Roy W; Andreoli, Christopher M; Edwards, Paul A; Glassman, Adam R; Pavlica, Michael R

2012-04-01

To compare visual acuity (VA) scores after autorefraction vs manual refraction in eyes of patients with diabetes mellitus and a wide range of VAs. The letter score from the Electronic Visual Acuity (EVA) test from the electronic Early Treatment Diabetic Retinopathy Study was measured after autorefraction (AR-EVA score) and after manual refraction (MR-EVA score), which is the research protocol of the Diabetic Retinopathy Clinical Research Network. Testing order was randomized, study participants and VA examiners were masked to refraction source, and a second EVA test using an identical supplemental manual refraction (MR-EVAsuppl score) was performed to determine test-retest variability. In 878 eyes of 456 study participants, the median MR-EVA score was 74 (Snellen equivalent, approximately 20/32). The spherical equivalent was often similar for manual refraction and autorefraction (median difference, 0.00; 5th-95th percentile range, -1.75 to 1.13 diopters). However, on average, the MR-EVA scores were slightly better than the AR-EVA scores, across the entire VA range. Furthermore, the variability between the AR-EVA scores and the MR-EVA scores was substantially greater than the test-retest variability of the MR-EVA scores (P < .001). The variability of differences was highly dependent on the autorefractor model. Across a wide range of VAs at multiple sites using a variety of autorefractors, VA measurements tend to be worse with autorefraction than manual refraction. Differences between individual autorefractor models were identified. However, even among autorefractor models that compare most favorably with manual refraction, VA variability between autorefraction and manual refraction is higher than the test-retest variability of manual refraction. The results suggest that, with current instruments, autorefraction is not an acceptable substitute for manual refraction for most clinical trials with primary outcomes dependent on best-corrected VA.

Phantom Study Investigating the Accuracy of Manual and Automatic Image Fusion with the GE Logiq E9: Implications for use in Percutaneous Liver Interventions

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

Burgmans, Mark Christiaan, E-mail: m.c.burgmans@lumc.nl; Harder, J. Michiel den, E-mail: chiel.den.harder@gmail.com; Meershoek, Philippa, E-mail: P.Meershoek@lumc.nl

PurposeTo determine the accuracy of automatic and manual co-registration methods for image fusion of three-dimensional computed tomography (CT) with real-time ultrasonography (US) for image-guided liver interventions.Materials and MethodsCT images of a skills phantom with liver lesions were acquired and co-registered to US using GE Logiq E9 navigation software. Manual co-registration was compared to automatic and semiautomatic co-registration using an active tracker. Also, manual point registration was compared to plane registration with and without an additional translation point. Finally, comparison was made between manual and automatic selection of reference points. In each experiment, accuracy of the co-registration method was determined bymore » measurement of the residual displacement in phantom lesions by two independent observers.ResultsMean displacements for a superficial and deep liver lesion were comparable after manual and semiautomatic co-registration: 2.4 and 2.0 mm versus 2.0 and 2.5 mm, respectively. Both methods were significantly better than automatic co-registration: 5.9 and 5.2 mm residual displacement (p < 0.001; p < 0.01). The accuracy of manual point registration was higher than that of plane registration, the latter being heavily dependent on accurate matching of axial CT and US images by the operator. Automatic reference point selection resulted in significantly lower registration accuracy compared to manual point selection despite lower root-mean-square deviation (RMSD) values.ConclusionThe accuracy of manual and semiautomatic co-registration is better than that of automatic co-registration. For manual co-registration using a plane, choosing the correct plane orientation is an essential first step in the registration process. Automatic reference point selection based on RMSD values is error-prone.« less

Why Neck Pain Patients Are Not Referred to Manual Therapy: A Qualitative Study among Dutch Primary Care Stakeholders

PubMed Central

Dikkers, Marije F.; Westerman, Marjan J.; Rubinstein, Sidney M.; van Tulder, Maurits W.; Anema, Johannes R.

2016-01-01

Background Treatment of neck pain with manual therapy demonstrated to be more effective and cost-effective than general practitioner (GP) care or physiotherapy in a high quality RCT in the Netherlands in 2002. However, referral to manual therapy for neck pain is still relatively low. This study aims to explore the barriers and facilitators affecting the implementation of manual therapy in neck pain management in primary care. Methods An explorative study was conducted comprising semi-structured interviews with GPs (n = 13), physiotherapists (n = 10), manual therapists (n = 7) and their patients with neck pain (n = 27), and three focus groups with additional stakeholders (n = 10–12 per group). A thematic analysis approach was used. Results Different barriers and facilitators for referral were found for patients, GPs and physiotherapists on the individual level, but also in the interaction between stakeholders and their context. Individual perceptions such as knowledge and beliefs about manual therapy for neck pain either impeded or facilitated referral. Fear for complications associated with cervical manipulation was an important barrier for patients as well as GPs. For GPs and physiotherapists it was important whether they perceived it was part of their professional role to refer for manual therapy. Existing relations formed referral behavior, and the trust in a particular practitioner was a recurrent theme among GPs and physiotherapist as well as patients. The contextual factor availability of manual therapy played a role for all stakeholders. Conclusions Barriers and facilitators were found especially in individual perceptions on manual therapy for neck pain (e.g. knowledge and beliefs), the interaction between stakeholders (e.g. collaboration and trust) and the organizational context. Implementation strategies that focus on these different aspects seem to be likely to optimize referral rates and the use of manual therapy in primary care management of neck pain. PMID:27311067

Evaluation of Automated and Semi-Automated Scoring of Polysomnographic Recordings from a Clinical Trial Using Zolpidem in the Treatment of Insomnia

PubMed Central

Svetnik, Vladimir; Ma, Junshui; Soper, Keith A.; Doran, Scott; Renger, John J.; Deacon, Steve; Koblan, Ken S.

2007-01-01

Objective: To evaluate the performance of 2 automated systems, Morpheus and Somnolyzer24X7, with various levels of human review/editing, in scoring polysomnographic (PSG) recordings from a clinical trial using zolpidem in a model of transient insomnia. Methods: 164 all-night PSG recordings from 82 subjects collected during 2 nights of sleep, one under placebo and one under zolpidem (10 mg) treatment were used. For each recording, 6 different methods were used to provide sleep stage scores based on Rechtschaffen & Kales criteria: 1) full manual scoring, 2) automated scoring by Morpheus 3) automated scoring by Somnolyzer24X7, 4) automated scoring by Morpheus with full manual review, 5) automated scoring by Morpheus with partial manual review, 6) automated scoring by Somnolyzer24X7 with partial manual review. Ten traditional clinical efficacy measures of sleep initiation, maintenance, and architecture were calculated. Results: Pair-wise epoch-by-epoch agreements between fully automated and manual scores were in the range of intersite manual scoring agreements reported in the literature (70%-72%). Pair-wise epoch-by-epoch agreements between automated scores manually reviewed were higher (73%-76%). The direction and statistical significance of treatment effect sizes using traditional efficacy endpoints were essentially the same whichever method was used. As the degree of manual review increased, the magnitude of the effect size approached those estimated with fully manual scoring. Conclusion: Automated or semi-automated sleep PSG scoring offers valuable alternatives to costly, time consuming, and intrasite and intersite variable manual scoring, especially in large multicenter clinical trials. Reduction in scoring variability may also reduce the sample size of a clinical trial. Citation: Svetnik V; Ma J; Soper KA; Doran S; Renger JJ; Deacon S; Koblan KS. Evaluation of automated and semi-automated scoring of polysomnographic recordings from a clinical trial using zolpidem in the treatment of insomnia. SLEEP 2007;30(11):1562-1574. PMID:18041489

Analysis of manual segmentation in paranasal CT images.

PubMed

Tingelhoff, Kathrin; Eichhorn, Klaus W G; Wagner, Ingo; Kunkel, Maria E; Moral, Analia I; Rilk, Markus E; Wahl, Friedrich M; Bootz, Friedrich

2008-09-01

Manual segmentation is often used for evaluation of automatic or semi-automatic segmentation. The purpose of this paper is to describe the inter and intraindividual variability, the dubiety of manual segmentation as a gold standard and to find reasons for the discrepancy. We realized two experiments. In the first one ten ENT surgeons, ten medical students and one engineer outlined the right maxillary sinus and ethmoid sinuses manually on a standard CT dataset of a human head. In the second experiment two participants outlined maxillary sinus and ethmoid sinuses five times consecutively. Manual segmentation was accomplished with custom software using a line segmentation tool. The first experiment shows the interindividual variability of manual segmentation which is higher for ethmoidal sinuses than for maxillary sinuses. The variability can be caused by the level of experience, different interpretation of the CT data or different levels of accuracy. The second experiment shows intraindividual variability which is lower than interindividual variability. Most variances in both experiments appear during segmentation of ethmoidal sinuses and outlining hiatus semilunaris. Concerning the inter and intraindividual variances the segmentation result of one manual segmenter could not directly be used as gold standard for the evaluation of automatic segmentation algorithms.

Development and evaluation of an interactive electronic laboratory manual for cooperative learning of medical histology.

PubMed

Khalil, Mohammed K; Kirkley, Debbie L; Kibble, Jonathan D

2013-01-01

This article describes the development of an interactive computer-based laboratory manual, created to facilitate the teaching and learning of medical histology. The overarching goal of developing the manual is to facilitate self-directed group interactivities that actively engage students during laboratory sessions. The design of the manual includes guided instruction for students to navigate virtual slides, exercises for students to monitor learning, and cases to provide clinical relevance. At the end of the laboratory activities, student groups can generate a laboratory report that may be used to provide formative feedback. The instructional value of the manual was evaluated by a questionnaire containing both closed-ended and open-ended items. Closed-ended items using a five-point Likert-scale assessed the format and navigation, instructional contents, group process, and learning process. Open-ended items assessed student's perception on the effectiveness of the manual in facilitating their learning. After implementation for two consecutive years, student evaluation of the manual was highly positive and indicated that it facilitated their learning by reinforcing and clarifying classroom sessions, improved their understanding, facilitated active and cooperative learning, and supported self-monitoring of their learning. Copyright © 2013 American Association of Anatomists.

Semi-automating the manual literature search for systematic reviews increases efficiency.

PubMed

Chapman, Andrea L; Morgan, Laura C; Gartlehner, Gerald

2010-03-01

To minimise retrieval bias, manual literature searches are a key part of the search process of any systematic review. Considering the need to have accurate information, valid results of the manual literature search are essential to ensure scientific standards; likewise efficient approaches that minimise the amount of personnel time required to conduct a manual literature search are of great interest. The objective of this project was to determine the validity and efficiency of a new manual search method that utilises the scopus database. We used the traditional manual search approach as the gold standard to determine the validity and efficiency of the proposed scopus method. Outcome measures included completeness of article detection and personnel time involved. Using both methods independently, we compared the results based on accuracy of the results, validity and time spent conducting the search, efficiency. Regarding accuracy, the scopus method identified the same studies as the traditional approach indicating its validity. In terms of efficiency, using scopus led to a time saving of 62.5% compared with the traditional approach (3 h versus 8 h). The scopus method can significantly improve the efficiency of manual searches and thus of systematic reviews.

Root canal shaping with manual stainless steel files and rotary Ni-Ti files performed by students.

PubMed

Sonntag, D; Guntermann, A; Kim, S K; Stachniss, V

2003-04-01

To investigate root canal shaping with manual stainless steel files and rotary Ni-Ti files by students. Two hundred and ten simulated root canals with the same geometrical shape and size in acrylic resin blocks were prepared by 21 undergraduate dental students with manual stainless steel files using a stepback technique or with rotary Ni-Ti files in crown-down technique. Preparation length, canal shape, incidence of fracture and preparation time were investigated. Zips and elbows occurred significantly (P < 0.001) less frequently with rotary than with manual preparation. The correct preparation length was achieved significantly (P < 0.05) more often with rotary Ni-Ti files than with manual stainless steel files. Fractures occurred significantly (P < 0.05) less frequently with hand instrumentation. The mean time required for manual preparation was significantly (P < 0.001) longer than that required for rotary preparation. Prior experience with a hand preparation technique was not reflected in an improved quality of the subsequent engine-driven preparation. Inexperienced operators achieved better canal preparations with rotary Ni-Ti instruments than with manual stainless steel files. However, rotary preparation was associated with significantly more fractures.

Do treatment manuals undermine youth-therapist alliance in community clinical practice?

PubMed

Langer, David A; McLeod, Bryce D; Weisz, John R

2011-08-01

Some critics of treatment manuals have argued that their use may undermine the quality of the client-therapist alliance. This notion was tested in the context of youth psychotherapy delivered by therapists in community clinics. Seventy-six clinically referred youths (57% female, age 8-15 years, 34% Caucasian) were randomly assigned to receive nonmanualized usual care or manual-guided treatment to address anxiety or depressive disorders. Treatment was provided in community clinics by clinic therapists randomly assigned to treatment condition. Youth-therapist alliance was measured with the Therapy Process Observational Coding System--Alliance (TPOCS-A) scale at 4 points throughout treatment and with the youth report Therapeutic Alliance Scale for Children (TASC) at the end of treatment. Youths who received manual-guided treatment had significantly higher observer-rated alliance than usual care youths early in treatment; the 2 groups converged over time, and mean observer-rated alliance did not differ by condition. Similarly, the manual-guided and usual care groups did not differ on youth report of alliance. Our findings did not support the contention that using manuals to guide treatment harms the youth-therapist alliance. In fact, use of manuals was related to a stronger alliance in the early phase of treatment.

OPERATION AND MAINTENANCE MANUAL FOR ELECTROSTATIC PRECIPITATORS

EPA Science Inventory

The manual focuses on the operation and maintenance (O/M) of typical electrostatic precipitators (ESPs). It summarizes available information on theory and design in sufficient detail to provide a basic background O/M portions of the manual. Although O/M-related air pollution prob...

How to Write Effective Procedure Manuals.

ERIC Educational Resources Information Center

Wold, Geoffrey H.

1987-01-01

Describes six key guidelines for developing usable procedure manuals, including defining the audience; designing a standard format; preparing an outline; using a clear, concise writing style; testing the procedures; and "finalizing" the product with indices, glossaries, appendices, and section tabs. Well-written manuals can increase…

Learning Resources Evaluations Manual.

ERIC Educational Resources Information Center

Nunes, Evelyn H., Ed.

This manual contains evaluations of 196 instructional products listed in Virginia's Adult Basic Education Curricula Resource Catalog. It is intended as a convenient reference manual for making informed decisions concerning materials for adult learners in adult basic education, English-as-a-Second-Language instruction, and general educational…

MANUAL: BIOVENTING PRINCIPLES AND PRACTICE VOLUME II. BIOVENTING DESIGN

EPA Science Inventory

The results from bioventing research and development efforts and from the pilot-scale bioventing systems have been used to produce this two-volume manual. Although this design manual has been written based on extensive experience with petroleum hydrocarbons (and thus, many exampl...

GERTS GQ User's Manual.

ERIC Educational Resources Information Center

Akiba, Y.; And Others

This user's manual for the simulation program Graphical Evaluation and Review Technique (GERT) GQ contains sections on nodes, branches, program input description and format, and program output, as well as examples. Also included is a programmer's manual which contains information on scheduling, subroutine descriptions, COMMON Variables, and…

PROCESS DESIGN MANUAL FOR SLUDGE TREATMENT AND DISPOSAL

EPA Science Inventory

The purpose of this manual is to provide the engineering community and related industry with a new source of information to be used in the planning, design, and operation of present and future wastewater pollution control facilities. This manual supplements this existing knowledg...

24 CFR 3282.207 - Manufactured home consumer manual requirements.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 24 Housing and Urban Development 5 2014-04-01 2014-04-01 false Manufactured home consumer manual... HOUSING AND URBAN DEVELOPMENT MANUFACTURED HOME PROCEDURAL AND ENFORCEMENT REGULATIONS Manufacturer Inspection and Certification Requirements § 3282.207 Manufactured home consumer manual requirements. (a) The...

24 CFR 3285.501 - Home installation manual supplements.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 24 Housing and Urban Development 5 2014-04-01 2014-04-01 false Home installation manual... HOUSING AND URBAN DEVELOPMENT MODEL MANUFACTURED HOME INSTALLATION STANDARDS Optional Features § 3285.501 Home installation manual supplements. Supplemental instructions for optional equipment or features must...

24 CFR 3285.501 - Home installation manual supplements.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 24 Housing and Urban Development 5 2013-04-01 2013-04-01 false Home installation manual... HOUSING AND URBAN DEVELOPMENT MODEL MANUFACTURED HOME INSTALLATION STANDARDS Optional Features § 3285.501 Home installation manual supplements. Supplemental instructions for optional equipment or features must...

24 CFR 3285.501 - Home installation manual supplements.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Home installation manual... HOUSING AND URBAN DEVELOPMENT MODEL MANUFACTURED HOME INSTALLATION STANDARDS Optional Features § 3285.501 Home installation manual supplements. Supplemental instructions for optional equipment or features must...

24 CFR 3282.207 - Manufactured home consumer manual requirements.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 24 Housing and Urban Development 5 2012-04-01 2012-04-01 false Manufactured home consumer manual... HOUSING AND URBAN DEVELOPMENT MANUFACTURED HOME PROCEDURAL AND ENFORCEMENT REGULATIONS Manufacturer Inspection and Certification Requirements § 3282.207 Manufactured home consumer manual requirements. (a) The...

24 CFR 3282.207 - Manufactured home consumer manual requirements.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 24 Housing and Urban Development 5 2013-04-01 2013-04-01 false Manufactured home consumer manual... HOUSING AND URBAN DEVELOPMENT MANUFACTURED HOME PROCEDURAL AND ENFORCEMENT REGULATIONS Manufacturer Inspection and Certification Requirements § 3282.207 Manufactured home consumer manual requirements. (a) The...

24 CFR 3285.501 - Home installation manual supplements.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 24 Housing and Urban Development 5 2011-04-01 2011-04-01 false Home installation manual... HOUSING AND URBAN DEVELOPMENT MODEL MANUFACTURED HOME INSTALLATION STANDARDS Optional Features § 3285.501 Home installation manual supplements. Supplemental instructions for optional equipment or features must...

24 CFR 3282.207 - Manufactured home consumer manual requirements.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 24 Housing and Urban Development 5 2011-04-01 2011-04-01 false Manufactured home consumer manual... HOUSING AND URBAN DEVELOPMENT MANUFACTURED HOME PROCEDURAL AND ENFORCEMENT REGULATIONS Manufacturer Inspection and Certification Requirements § 3282.207 Manufactured home consumer manual requirements. (a) The...

24 CFR 3285.501 - Home installation manual supplements.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 24 Housing and Urban Development 5 2012-04-01 2012-04-01 false Home installation manual... HOUSING AND URBAN DEVELOPMENT MODEL MANUFACTURED HOME INSTALLATION STANDARDS Optional Features § 3285.501 Home installation manual supplements. Supplemental instructions for optional equipment or features must...

Measuring pedestrian volumes and conflicts. Volume III, Measuring pedestrian volumes : a users manual

DOT National Transportation Integrated Search

1988-03-01

Users of the manual are expected to be in divisions responsible for pedestrian safety in cities, counties, and other jurisdictions. The users manual outlines a step-by-step procedure to measure pedestrian volumes using small count intervals. Appendix...

MANUAL: GROUND-WATER AND LEACHATE TREATMENT SYSTEMS

EPA Science Inventory

This manual was developed for remedial design engineers and regulatory personnel who oversee the ex situ ground water or leachate treatment efforts of the regulated community. The manual can be used as a treatment technology screening tool in conjunction with other references. Mo...

VDOT manual of practice for planning stormwater management.

DOT National Transportation Integrated Search

1992-01-01

The final report is in the form of a manual of practice for the VDOT to use in planning its stormwater management strategies. The manual was proposed to aid in the selection and design of erosion control practices and stormwater control practices for...

40 CFR 63.548 - Monitoring requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

...) You must prepare, and at all times operate according to, a standard operating procedures manual that...) You must submit the standard operating procedures manual for baghouses required by paragraph (a) of... that you specify in the standard operating procedures manual for inspections and routine maintenance...

40 CFR 63.1547 - Monitoring requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

... according to, a standard operating procedures manual that describes in detail the procedures for inspection...) The standard operating procedures manual for baghouses required by paragraph (a) of this section must... specified in the standard operating procedures manual for inspections and routine maintenance must, at a...

40 CFR 63.1547 - Monitoring requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

... according to, a standard operating procedures manual that describes in detail the procedures for inspection...) The standard operating procedures manual for baghouses required by paragraph (a) of this section must... specified in the standard operating procedures manual for inspections and routine maintenance must, at a...

40 CFR 63.548 - Monitoring requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

...) You must prepare, and at all times operate according to, a standard operating procedures manual that...) You must submit the standard operating procedures manual for baghouses required by paragraph (a) of... that you specify in the standard operating procedures manual for inspections and routine maintenance...

40 CFR 63.1547 - Monitoring requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

... according to, a standard operating procedures manual that describes in detail the procedures for inspection...) The standard operating procedures manual for baghouses required by paragraph (a) of this section must... specified in the standard operating procedures manual for inspections and routine maintenance must, at a...

40 CFR 63.548 - Monitoring requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

...) You must prepare, and at all times operate according to, a standard operating procedures manual that...) You must submit the standard operating procedures manual for baghouses required by paragraph (a) of... that you specify in the standard operating procedures manual for inspections and routine maintenance...

Apparel Research Network (ARN); Apparel Order Processing Module (AOPM): Field User Manual, Version 1

DTIC Science & Technology

1997-09-30

changes. Cancel Button Closes the Site Information Screen, abandoning changes. APPAREL ORDER PROCESSING MODULE FIELD USER MANUAL Ordering Official...on the Ordering Official Information Screen. APPAREL ORDER PROCESSING MODULE FIELD USER MANUAL Ordering Official Information Screen (Jjj

Airport Performance Model : Volume 2 - User's Manual and Program Documentation

DOT National Transportation Integrated Search

1978-10-01

Volume II contains a User's manual and program documentation for the Airport Performance Model. This computer-based model is written in FORTRAN IV for the DEC-10. The user's manual describes the user inputs to the interactive program and gives sample...

An annotated outline for a traffic management center operations manual

DOT National Transportation Integrated Search

2000-10-01

This draft Traffic Management Center (TMC) and Operations manual outline is meant to serve as a model "checklist" for the development of similar manuals used in deployed environments. The purpose of this outline is to provide a reference for agencies...

ONSITE WASTEWATER TREATMENT SYSTEMS MANUAL - REVISED FEBRUARY 2002

EPA Science Inventory

This update of the 1980 Design Manual: Onsite Wastewater Treatment and Disposal Systems was developed to provide supplemental and new information for wastewater treatment professionals in both the public and private sectors. This manual is not intended to replace the previous man...

Basic manual lensometry: a guide for measuring distance and near glasses.

PubMed

Garber, N

2000-01-01

Manual lensometry is a basic component of ophthalmic clinical care. You will find it necessary to check lens prescriptions manually when the written prescription does not match the results of an automated lensometer or when automated lensometry is not available.

Manual for Refugee Sponsorship.

ERIC Educational Resources Information Center

Brewer, Kathleen; Taran, Patrick A.

This manual provides guidelines for religious congregations interested in setting up programs to sponsor refugees. The manual describes the psychological implications of the refugee experience and discusses initial steps in organizing for sponsorship. Detailed information is provided for sponsors regarding: finances and mobilization of resources;…

Michigan Department of Transportation state planning and research part II program : research and implementation manual [revised June 2014].

DOT National Transportation Integrated Search

2014-06-01

The Research and Implementation Manual describes the administrative processes used by : Research Administration to develop and implement the Michigan Department of Transportation : (MDOT) research program. Contents of this manual include a discussion...

SIMULATION MODEL FOR WATERSHED MANAGEMENT PLANNING. VOLUME 2. MODEL USER MANUAL

EPA Science Inventory

This report provides a user manual for the hydrologic, nonpoint source pollution simulation of the generalized planning model for evaluating forest and farming management alternatives. The manual contains an explanation of application of specific code and indicates changes that s...

A Manual on risk management for the public transit industry

DOT National Transportation Integrated Search

1986-09-01

APTA is pleased to offer this manual on Risk Management for the Public Transit Industry to its members. This manual was funded by the American Public Transit Association (APTA), and was written to assist the non-insurance transit professional in crea...

The MAGIC (Manually Assisted Gaming of Integrated Combat) Model,

DTIC Science & Technology

1982-05-01

IP -6 7 6 7 Zo - A O - ?G O 6 7 9 N L mhhhhh1h8I 1-I THE MAGIC (MANUALLY ASSISTED GAMING OF INTEGRATED COMBAT) MODEL Milton G. Weiner May 1982 L io...Corporation Santa Monica, California 90406 - - ~-. - - -i 77 THE MAGIC (MANUALLY ASSISTED GAMING OF INTEGRATED COMBAT) MODEL Milton G. Weiner May 1982 THE... MAGIC (MANUALLY ASSISTED GAMING OF INTEGRATED COMBAT) MODEL Milton G. Weiner The Rand Corporation, Santa Monica, California The MAGIC model isn’Vt

Microbial ecology laboratory procedures manual NASA/MSFC

NASA Technical Reports Server (NTRS)

Huff, Timothy L.

1990-01-01

An essential part of the efficient operation of any microbiology laboratory involved in sample analysis is a standard procedures manual. The purpose of this manual is to provide concise and well defined instructions on routine technical procedures involving sample analysis and methods for monitoring and maintaining quality control within the laboratory. Of equal importance is the safe operation of the laboratory. This manual outlines detailed procedures to be followed in the microbial ecology laboratory to assure safety, analytical control, and validity of results.

Quality Assurance in Military Hospitals - A Proposal for Reform

DTIC Science & Technology

1988-04-01

a score of 0, 1, or 2. The sum of the five scores is the APGAR score. K. Niswander, Manual of Obstetrics: Diagnosis and Therapy 396-397 (1980). A...in accrediting military hospitals. It does this through use of an Accreditation Manual for Hospitals (AMH) which is updated annually. The manual also...serves as the basis for the survey report from which inspectors report on- site findings.ൗ The manual is in outline format. 1 5 ’ Each standard and

A Model to Predict Final Cost Growth in a Weapon System Development Program

DTIC Science & Technology

1975-08-01

Manual Calculation ..... .............. ... 117 11. Data and Results of 3 x 2 Manual Calculation .................... .. 119 12. Quarterly F-5E... manually calculated. The data and results are in Table 10. The computer program for these calculations is listed in Figure 12 with results in Figure...13. Table 10 Data and Results of 2 x 2 Manual Calculation Outcome Aspect Poor Acceptable 1 .5 .5 2 .3 .7 The total number of events possible are: (2)2

Field manual for the collection of Navajo Nation streamflow-gage data

USGS Publications Warehouse

Hart, Robert J.; Fisk, Gregory G.

2014-01-01

The Field Manual for the Collection of Navajo Nation Streamflow-Gage Data (Navajo Field Manual) is based on established (standard) U.S. Geological Survey streamflow-gaging methods and provides guidelines specifically designed for the Navajo Department of Water Resources personnel who establish and maintain streamflow gages. The Navajo Field Manual addresses field visits, including essential field equipment and the selection of and routine visits to streamflow-gaging stations, examines surveying methods for determining peak flows (indirect measurements), discusses safety considerations, and defines basic terms.

Solder Reflow Failures in Electronic Components During Manual Soldering

NASA Technical Reports Server (NTRS)

Teverovsky, Alexander; Greenwell, Chris; Felt, Frederick

2008-01-01

This viewgraph presentation reviews the solder reflow failures in electronic components that occur during manual soldering. It discusses the specifics of manual-soldering-induced failures in plastic devices with internal solder joints. The failure analysis turned up that molten solder had squeezed up to the die surface along the die molding compound interface, and the dice were not protected with glassivation allowing solder to short gate and source to the drain contact. The failure analysis concluded that the parts failed due to overheating during manual soldering.

Image 100 procedures manual development: Applications system library definition and Image 100 software definition

NASA Technical Reports Server (NTRS)

Guseman, L. F., Jr.; Decell, H. P., Jr.

1975-01-01

An outline for an Image 100 procedures manual for Earth Resources Program image analysis was developed which sets forth guidelines that provide a basis for the preparation and updating of an Image 100 Procedures Manual. The scope of the outline was limited to definition of general features of a procedures manual together with special features of an interactive system. Computer programs were identified which should be implemented as part of an applications oriented library for the system.

System Hazard Analysis of TACOM’s Crew Station/Turret Motion Base Simulator

DTIC Science & Technology

1992-01-01

Safety devices have been located on the equipment where necessary and are described in the Contraves USA Manual No. IM-27751, "INSTRUCTION MANUAL FOR...OF TACOM’s CREW STATION/TURRET MOTION BASE SIMULATOR" and Contraves USA Manual No. IM-27751, "INSTRUCTION MANUAL FOR TACOM" in an attempt to satisfy... Contraves USA and assembled jointly by Contraves USA and TACOM. All control compensation was performed by TACOM. The CS/TMBS is expected to open doors

CSAR (Combat, Search and Rescue) Aide: Design Requirements for a Combat Search and Rescue Decision Support System for Joint Rescue Coordination Centers

DTIC Science & Technology

1989-06-01

with acetate depicting intelligence estimates of the order of battle (updated manually by intelligence specialists), in regulations, manuals , and a...mundane tasks (e.g. typing messages, filling out forms, and chasing down data) must be performed manually . The possibility of an important fact...formulate the requirements for CSAR AIDE. 2-1 D?cisiion Support Systems A Decision Support System (DSS) is a "systea ( manual or automated) that

Morphologic features and surgically induced astigmatism of femtosecond laser versus manual clear corneal incisions.

PubMed

Zhu, Sha; Qu, Naibin; Wang, Wei; Zhu, Yanan; Shentu, Xingchao; Chen, Peiqing; Xu, Wen; Yao, Ke

2017-11-01

To compare the morphologic features and surgically induced astigmatism (SIA) between laser and manual clear corneal incisions (CCIs) after femtosecond laser-assisted cataract surgery. Eye Center, 2nd Affiliated Hospital, Medical College of Zhejiang University, Hangzhou, China. Prospective case series. Patients had femtosecond laser-assisted cataract surgery with a CCI created with the laser or manually after random allocation. The corrected distance visual acuity, corneal topography, and anterior segment optical coherence tomography were assessed at the 1-day, 1-week, 1-month, and 3-month follow-ups. The laser CCI group comprised 45 eyes and the manual CCI group, 48 eyes. The SIA was significantly lower in the manual CCI group than the laser CCI group at all visits (P < .05). At the 1-day and 1-week follow-ups, the mean CCI thickness was significantly smaller in the manual CCI group (P < .05). In the laser CCI group, the perpendicular linear distance between the external wound opening and the corneal vertex central line was statistically shorter than in the manual CCI group (P < .05). At 3 months, the SIA was correlated with the perpendicular linear distance with a Pearson correlation coefficient of -0.341 (P = .001). Femtosecond laser-created CCIs for cataract surgery caused more SIA than manually created CCIs, which could have resulted from inaccurate or uncertain corneal incision positioning of the femtosecond machine. Manual creation of CCIs is recommended in femtosecond laser-assisted cataract surgery until the locating system for the femtosecond laser incision is updated. Copyright © 2017 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Association between heart rate variability and manual pulse rate.

PubMed

Hart, John

2013-09-01

One model for neurological assessment in chiropractic pertains to autonomic variability, tested commonly with heart rate variability (HRV). Since HRV may not be convenient to use on all patient visits, more user-friendly methods may help fill-in the gaps. Accordingly, this study tests the association between manual pulse rate and heart rate variability. The manual rates were also compared to the heart rate derived from HRV. Forty-eight chiropractic students were examined with heart rate variability (SDNN and mean heart rate) and two manual radial pulse rate measurements. Inclusion criteria consisted of participants being chiropractic students. Exclusion criteria for 46 of the participants consisted of a body mass index being greater than 30, age greater than 35, and history of: a) dizziness upon standing, b) treatment of psychiatric disorders, and c) diabetes. No exclusion criteria were applied to the remaining two participants who were also convenience sample volunteers. Linear associations between the manual pulse rate methods and the two heart rate variability measures (SDNN and mean heart) were tested with Pearson's correlation and simple linear regression. Moderate strength inverse (expected) correlations were observed between both manual pulse rate methods and SDNN (r = -0.640, 95% CI -0.781, -0.435; r = -0.632, 95% CI -0.776, -0.425). Strong direct (expected) relationships were observed between the manual pulse rate methods and heart rate derived from HRV technology (r = 0.934, 95% CI 0.885, 0.962; r = 0.941, 95% CI 0.897, 0.966). Manual pulse rates may be a useful option for assessing autonomic variability. Furthermore, this study showed a strong relationship between manual pulse rates and heart rate derived from HRV technology.

U.S. Department of Energy Vehicle Technologies Program: Battery Test Manual For Plug-In Hybrid Electric Vehicles

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

Christophersen, Jon P.

2014-09-01

This battery test procedure manual was prepared for the United States Department of Energy (DOE), Office of Energy Efficiency and Renewable Energy (EERE), Vehicle Technologies Office. It is based on technical targets for commercial viability established for energy storage development projects aimed at meeting system level DOE goals for Plug-in Hybrid Electric Vehicles (PHEV). The specific procedures defined in this manual support the performance and life characterization of advanced battery devices under development for PHEV’s. However, it does share some methods described in the previously published battery test manual for power-assist hybrid electric vehicles. Due to the complexity of somemore » of the procedures and supporting analysis, future revisions including some modifications and clarifications of these procedures are expected. As in previous battery and capacitor test manuals, this version of the manual defines testing methods for full-size battery systems, along with provisions for scaling these tests for modules, cells or other subscale level devices. The DOE-United States Advanced Battery Consortium (USABC), Technical Advisory Committee (TAC) supported the development of the manual. Technical Team points of contact responsible for its development and revision are Renata M. Arsenault of Ford Motor Company and Jon P. Christophersen of the Idaho National Laboratory. The development of this manual was funded by the Unites States Department of Energy, Office of Energy Efficiency and Renewable Energy, Vehicle Technologies Office. Technical direction from DOE was provided by David Howell, Energy Storage R&D Manager and Hybrid Electric Systems Team Leader. Comments and questions regarding the manual should be directed to Jon P. Christophersen at the Idaho National Laboratory (jon.christophersen@inl.gov).« less

The diagnostic performance of leak-plugging automated segmentation versus manual tracing of breast lesions on ultrasound images.

PubMed

Xiong, Hui; Sultan, Laith R; Cary, Theodore W; Schultz, Susan M; Bouzghar, Ghizlane; Sehgal, Chandra M

2017-05-01

To assess the diagnostic performance of a leak-plugging segmentation method that we have developed for delineating breast masses on ultrasound images. Fifty-two biopsy-proven breast lesion images were analyzed by three observers using the leak-plugging and manual segmentation methods. From each segmentation method, grayscale and morphological features were extracted and classified as malignant or benign by logistic regression analysis. The performance of leak-plugging and manual segmentations was compared by: size of the lesion, overlap area ( O a ) between the margins, and area under the ROC curves ( A z ). The lesion size from leak-plugging segmentation correlated closely with that from manual tracing ( R 2 of 0.91). O a was higher for leak plugging, 0.92 ± 0.01 and 0.86 ± 0.06 for benign and malignant masses, respectively, compared to 0.80 ± 0.04 and 0.73 ± 0.02 for manual tracings. Overall O a between leak-plugging and manual segmentations was 0.79 ± 0.14 for benign and 0.73 ± 0.14 for malignant lesions. A z for leak plugging was consistently higher (0.910 ± 0.003) compared to 0.888 ± 0.012 for manual tracings. The coefficient of variation of A z between three observers was 0.29% for leak plugging compared to 1.3% for manual tracings. The diagnostic performance, size measurements, and observer variability for automated leak-plugging segmentations were either comparable to or better than those of manual tracings.

Manual Versus Mechanical Compression of the Radial Artery After Transradial Coronary Angiography: The MEMORY Multicenter Randomized Trial.

PubMed

Petroglou, Dimitrios; Didagelos, Matthaios; Chalikias, Georgios; Tziakas, Dimitrios; Tsigkas, Grigorios; Hahalis, Georgios; Koutouzis, Michael; Ntatsios, Antonios; Tsiafoutis, Ioannis; Hamilos, Michael; Kouparanis, Antonios; Konstantinidis, Nikolaos; Sofidis, Georgios; Pancholy, Samir B; Karvounis, Haralambos; Bertrand, Olivier Francois; Ziakas, Antonios

2018-06-11

The aim of this study was to compare manual versus mechanical compression of the radial artery after coronary angiography via transradial access regarding radial artery occlusion (RAO), access-site bleeding complications, and duration of hemostasis. Hemostasis of the radial artery after sheath removal can be achieved either by manual compression at the puncture site or by using a mechanical hemostasis device. Because mechanical compression exerts a more stable, continuous pressure on the artery, it could be hypothesized that it is more effective compared with manual compression regarding hemostasis time, bleeding, and RAO risks. A total of 589 patients undergoing diagnostic coronary angiography by transradial access with a 5-F sheath were randomized in a 1:1 ratio to receive either manual or mechanical patent hemostasis of the radial artery. Radial artery patency was evaluated by color duplex ultrasonography 24 h after the procedure. The primary endpoint was early RAO at 24 h. Secondary endpoints included access-site bleeding complications and duration of hemostasis. Thirty-six (12%) early RAOs occurred in the manual group, and 24 (8%) occurred in the mechanical group (p = 0.176). There were no significant differences between the 2 groups regarding access-site bleeding complications (hematoma, 52 [17%] vs. 50 [18%]; p = 0.749; bleedings, 8 [3%] vs. 9 [3%]; p = 1.000). Duration of hemostasis was significantly shorter in the manual group (22 ± 34 min vs. 119 ± 72 min with mechanical compression; p < 0.001). Manual and mechanical compression resulted in similar rates of early RAO, although the total duration of hemostasis was significantly shorter in the manual group. Copyright © 2018 American College of Cardiology Foundation. All rights reserved.

Manual rotation to decrease operative delivery in posterior or transverse positions.

PubMed

Le Ray, Camille; Deneux-Tharaux, Catherine; Khireddine, Imane; Dreyfus, Michel; Vardon, Delphine; Goffinet, François

2013-09-01

To assess the effect of a policy of manual rotation on the mode of delivery of fetuses in posterior or transverse positions at full dilatation. This was a prospective study to compare two policies of management for posterior and transverse positions in two different hospitals (Hospital 1: no manual rotation and Hospital 2: manual rotation). We used univariable and multivariable analyses to study the association between the management policy for posterior and transverse positions at full dilatation in these hospitals and maternal and neonatal outcomes. The principal end point was operative delivery (ie, cesarean or instrumental vaginal delivery). All factors associated with the risk of operative delivery in the univariable analysis (P<.1) were included in the logistic regression models. We then specifically studied whether manual rotation was independently associated with a reduction in operative deliveries. The rate of posterior or transverse positions at full dilatation was 15.9% (n=111) in Hospital 1 and 15.3% (n=220) in Hospital 2 (P=.75). Of the 172 attempts of manual rotation in Hospital 2, 155 (90.1%) were successful. The rate of operative delivery was significantly lower in Hospital 2, which performed manual rotations (23.2% compared with 38.7% in Hospital 1, adjusted odds ratio [OR] 0.52, 95% confidence interval [CI] 0.28-0.95). After multivariable analysis, manual rotation remained significantly associated with a reduction in the risk of operative delivery (adjusted OR 0.45, 95% CI 0.25-0.85). Five-minute Apgar score and arterial pH at birth were similar in the two hospitals. For fetuses in posterior or transverse positions at full dilatation, a strategy of manual rotation is associated with a reduction in the rate of operative delivery. III.

The ability of a sustained within-session finding of pain reduction during traction to dictate improved outcomes from a manual therapy approach on patients with osteoarthritis of the hip.

PubMed

Wright, Alexis A; Abbott, J Haxby; Baxter, Dave; Cook, Chad

2010-09-01

THE OBJECTIVES OF THIS STUDY WERE TO: (1) determine the association of a within-session finding after traction of the hip with self-report of well-being, pain, and self-report of function at 9 weeks; and (2) to determine if the interactions between the within-session finding and the outcome measure are different between groups of patients with hip OA who receive and who do not receive manual therapy. Data were retrospectively analysed in 70 subjects who were part of a randomized control trial. Correlation analyses of within-session findings from the initial visit after traction of a concordantly painful hip were compared to self-report measures for function, pain, and well-being at 9 weeks. A comparison of slope coefficients between manual therapy and non-manual therapy groups was performed to determine the interactive aspects of the within-session finding. Although the correlations for the manual therapy group were higher than for the supervised neglect group, none of the correlational analyses for both groups was strong or significant. Significant differences in the slope coefficients for well-being and pain were found, suggesting that the interactions between the within-session findings and the targeted outcomes were different in the manual therapy group versus supervised neglect group. These findings suggest that within-session findings during the initial evaluation are not strongly related to a positive outcome after manual therapy, although the interaction of the finding of a within-session change and the use of manual therapy is more compelling than the finding in a sample of patients who did not receive manual therapy.

DBCG hypo trial validation of radiotherapy parameters from a national data bank versus manual reporting.

PubMed

Brink, Carsten; Lorenzen, Ebbe L; Krogh, Simon Long; Westberg, Jonas; Berg, Martin; Jensen, Ingelise; Thomsen, Mette Skovhus; Yates, Esben Svitzer; Offersen, Birgitte Vrou

2018-01-01

The current study evaluates the data quality achievable using a national data bank for reporting radiotherapy parameters relative to the classical manual reporting method of selected parameters. The data comparison is based on 1522 Danish patients of the DBCG hypo trial with data stored in the Danish national radiotherapy data bank. In line with standard DBCG trial practice selected parameters were also reported manually to the DBCG database. Categorical variables are compared using contingency tables, and comparison of continuous parameters is presented in scatter plots. For categorical variables 25 differences between the data bank and manual values were located. Of these 23 were related to mistakes in the manual reported value whilst the remaining two were a wrong classification in the data bank. The wrong classification in the data bank was related to lack of dose information, since the two patients had been treated with an electron boost based on a manual calculation, thus data was not exported to the data bank, and this was not detected prior to comparison with the manual data. For a few database fields in the manual data an ambiguity of the parameter definition of the specific field is seen in the data. This was not the case for the data bank, which extract all data consistently. In terms of data quality the data bank is superior to manually reported values. However, there is a need to allocate resources for checking the validity of the available data as well as ensuring that all relevant data is present. The data bank contains more detailed information, and thus facilitates research related to the actual dose distribution in the patients.

Providing best practice in manual blood pressure measurement.

PubMed

Alexis, Obrey

This article discusses the practical skills and underpinning knowledge needed when manually taking a patients blood pressure. The author defines blood pressure and the terms systolic and diastolic and explores the purpose of manual measurement. The article also goes on to examine what is meant by normal blood pressure, hypertension and hypotension, as well as factors that may influence blood pressure measurement. There is a brief outline of the equipment used for manually measuring blood pressure, followed by some factors that may affect the accuracy of the final reading. The author also highlights the different positions used for taking blood pressure and the arguments surrounding their respective merits. Finally, the article includes a practical step-by-step guide to manual blood pressure measurement.

Guatemala's ministry of health rapid response team manuals.

PubMed

Hernandez, Luis; Hanson, Kimberly M; Martel, Lise D

2014-01-01

The function of public health rapid response teams (RRTs) is to quickly identify, investigate, and control an outbreak before it can spread. The Central America Regional Office in Guatemala provided assistance to the Guatemalan Ministry of Health and Social Assistance (MSPAS) to develop RRT manuals at the district and regional levels. The manuals are divided into 4 sections: background, activity lists, standard operating procedures, and annexes. The manuals outline Guatemala's RRT members' responsibilities and will be tested in the near future through tabletop exercises. The development of the manuals is a concrete and significant step toward the attainment of Guatemala's IHR goals and should be integrated into a larger emergency management system to promote "a world safe and secure from global health threats posed by infectious diseases."

USEPA MUNICIPAL WASTEWATER TREATMENT BY CONSTRUCTED WETLANDS MANUAL

EPA Science Inventory

A description of the upcoming USEPA manual is presented along with discussion of salient points of the conceptual approach employed in its development. The manual is the first to recognize and identify the primary removal mechanisms in these systems when they are applied to preli...

Livestock Nutrition and Feeding. Student Manual. Second Edition.

ERIC Educational Resources Information Center

Ridenour, Harlan E.

This manual is designed to help agricultural education students and teachers to apply scientific facts and principles to problem-solving procedures in determining nutritious and economical livestock feeding programs. The manual provides applied scientific activities in biological science and chemistry, mathematics, and communication skills. It…

Missouri DECA: 2010-2011 Policy Manual

ERIC Educational Resources Information Center

Missouri Department of Elementary and Secondary Education, 2011

2011-01-01

This paper presents the Missouri DECA Policy Manual. This manual contains the following sections: (1) DECA Board of Directors; (2) State Sales Projects; (3) State Officers; (4) Districts; (5) Competitive Events; (6) General Conference Information; (7) Fall Leadership & State Officer Election Conference; (8) Central Region Leadership…

FHWA Field Manual for Bridge Painting Inspection

DOT National Transportation Integrated Search

1997-10-01

This manual is a model to be followed by bridge paint inspectors on how to perform inspection duties properly. Given that most of today's bridge-paint work is being done on existing steel, this manual is geared toward people working in the field on e...

33 CFR 385.3 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... performance of the Central and Southern Project and other water management systems in the South Florida... locations and times. Natural system means all land and water managed by the Federal government or the State... System Operating Manual and Project Operating Manuals. Operating Manuals contain water control plans...

33 CFR 385.3 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... performance of the Central and Southern Project and other water management systems in the South Florida... locations and times. Natural system means all land and water managed by the Federal government or the State... System Operating Manual and Project Operating Manuals. Operating Manuals contain water control plans...

Simple Experiments in Psychology.

ERIC Educational Resources Information Center

Ray, Wilbert S.

This material, developed for use in secondary schools, is a programmed-type learning package consisting of an "Instructor's Manual", a "Student's Introduction", and a "Laboratory Manual". The general goal of the program is to teach students to distinguish between reliable and unreliable information. The "Laboratory Manual" contains nine simple…

21 CFR 868.1030 - Manual algesimeter.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Manual algesimeter. 868.1030 Section 868.1030 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES ANESTHESIOLOGY DEVICES Diagnostic Devices § 868.1030 Manual algesimeter. (a) Identification. A...

21 CFR 868.1030 - Manual algesimeter.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Manual algesimeter. 868.1030 Section 868.1030 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES ANESTHESIOLOGY DEVICES Diagnostic Devices § 868.1030 Manual algesimeter. (a) Identification. A...

Miami University Information Manual.

ERIC Educational Resources Information Center

Miami Univ., Oxford, OH.

The 1975 information manual is designed to provide current data on policies, procedures, services, facilities, organization and governance of Miami University and, through the extensive index, quick access to this information. The manual is complementary to the university catalog and directory. Information relating to students is in the Student…

33 CFR 154.300 - Operations manual: General.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Operations manual: General. 154.300 Section 154.300 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION FACILITIES TRANSFERRING OIL OR HAZARDOUS MATERIAL IN BULK Operations Manual § 154.300...

33 CFR 154.300 - Operations manual: General.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Operations manual: General. 154.300 Section 154.300 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION FACILITIES TRANSFERRING OIL OR HAZARDOUS MATERIAL IN BULK Operations Manual § 154.300...

Dental Charting. Student's Manual.

ERIC Educational Resources Information Center

Weaver, Trudy Karlene; Apfel, Maura

This manual is part of a series dealing with skills and information needed by students in dental assisting. The individualized student materials are suitable for classroom, laboratory, or cooperative training programs. This student manual contains four units covering the following topics: dental anatomical terminology; tooth numbering systems;…

14 CFR 139.205 - Amendment of Airport Certification Manual.

Code of Federal Regulations, 2010 CFR

2010-01-01

...) Under § 139.3, the Regional Airports Division Manager may amend any Airport Certification Manual... Airports Division Manager's own initiative, if the Regional Airports Division Manager determines that... proposed amendment to its Airport Certification Manual to the Regional Airports Division Manager at least...

L&D Manual Turn Lane Storage Validation/Update

DOT National Transportation Integrated Search

2012-08-01

Queuing occurs at intersections mostly due to overflow or inadequacy of turn bays. The ODOT L&D : Manual Volume 1 has storage requirements for both signalized and unsignalized intersections. Figures : 401-9E and 401-10E of the L&D Manual provide the ...

14 CFR 25.1587 - Performance information.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Performance information. 25.1587 Section 25... Manual § 25.1587 Performance information. (a) Each Airplane Flight Manual must contain information to... Manual must contain the performance information computed under the applicable provisions of this part...

14 CFR 29.1587 - Performance information.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Performance information. 29.1587 Section 29... Manual § 29.1587 Performance information. Flight manual performance information which exceeds any... rotorcraft, the Rotorcraft Flight Manual must contain a summary of the performance data, including data...

14 CFR 29.1587 - Performance information.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Performance information. 29.1587 Section 29... Manual § 29.1587 Performance information. Flight manual performance information which exceeds any... rotorcraft, the Rotorcraft Flight Manual must contain a summary of the performance data, including data...

14 CFR 25.1587 - Performance information.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Performance information. 25.1587 Section 25... Manual § 25.1587 Performance information. (a) Each Airplane Flight Manual must contain information to... Manual must contain the performance information computed under the applicable provisions of this part...

14 CFR 29.1587 - Performance information.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Performance information. 29.1587 Section 29... Manual § 29.1587 Performance information. Flight manual performance information which exceeds any... rotorcraft, the Rotorcraft Flight Manual must contain a summary of the performance data, including data...

14 CFR 29.1587 - Performance information.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Performance information. 29.1587 Section 29... Manual § 29.1587 Performance information. Flight manual performance information which exceeds any... rotorcraft, the Rotorcraft Flight Manual must contain a summary of the performance data, including data...

14 CFR 25.1587 - Performance information.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Performance information. 25.1587 Section 25... Manual § 25.1587 Performance information. (a) Each Airplane Flight Manual must contain information to... Manual must contain the performance information computed under the applicable provisions of this part...

14 CFR 25.1587 - Performance information.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Performance information. 25.1587 Section 25... Manual § 25.1587 Performance information. (a) Each Airplane Flight Manual must contain information to... Manual must contain the performance information computed under the applicable provisions of this part...

Action Research Projects in Distance Education: A Manual.

ERIC Educational Resources Information Center

Ramakrishna, C. Pushpa; Prasad, V. S.

This manual, prepared by the Distance Education Council (India) presents guidelines for action research in distance education, balancing practical research activities with a sound theoretical research base. Chapter 1, "Scope, Purpose and Design of the Manual," suggests several definitions of research; draws distinctions between academic…

Michigan Department of Transportation state planning and research part II program : research and implementation manual [revision 3: October 2015].

DOT National Transportation Integrated Search

2015-01-01

The Research and Implementation Manual describes the administrative processes used by Research Administration to develop and implement the Michigan Department of Transportation (MDOT) research program. Contents of this manual include a discussion of ...

Motor Development: Manual of Alternative Procedures.

ERIC Educational Resources Information Center

McCormack, James E.

The manual of alternative procedures for teaching handicapped children focuses on programming, planning, and implementing training in the gross motor (posture, limb control, locomotion) and fine motor (facial, digital) skills. The manual consists of the following sections: specific teaching tactics commonly used in motor training stiuations…

47 CFR 64.903 - Cost allocation manuals.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 47 Telecommunication 3 2010-10-01 2010-10-01 false Cost allocation manuals. 64.903 Section 64.903... RULES RELATING TO COMMON CARRIERS Allocation of Costs § 64.903 Cost allocation manuals. (a) Each incumbent local exchange carrier having annual revenues from regulated telecommunications operations that...

Terminology Manual.

ERIC Educational Resources Information Center

Felber, Helmut

A product of the International Information Center for Terminology (Infoterm), this manual is designed to serve as a reference tool for practitioners active in terminology work and documentation. The manual explores the basic ideas of the Vienna School of Terminology and explains developments in the area of applied computer aided terminography…

Effect of cold conditions on manual performance while wearing petroleum industry protective clothing.

PubMed

Wiggen, Øystein Nordrum; Heen, Sigri; Færevik, Hilde; Reinertsen, Randi Eidsmo

2011-01-01

The purpose of this study was to investigate manual performance and thermal responses during low work intensity in persons wearing standard protective clothing in the petroleum industry when they were exposed to a range of temperatures (5, -5, -15 and -25℃) that are relevant to environmental conditions for petroleum industry personnel in northern regions. Twelve men participated in the study. Protective clothing was adjusted for the given cold exposure according to current practices. The subjects performed manual tests five times under each environmental condition. The manual performance test battery consisted of four different tests: tactile sensation (Semmes-Weinstein monofilaments), finger dexterity (Purdue Pegboard), hand dexterity (Complete Minnesota dexterity test) and grip strength (grip dynamometer). We found that exposure to -5℃ or colder lowered skin and body temperatures and reduced manual performance during low work intensity. In conclusion the current protective clothing at a given cold exposure is not adequate to maintain manual performance and thermal balance for petroleum workers in the high north.

Testing an automated method to estimate ground-water recharge from streamflow records

USGS Publications Warehouse

Rutledge, A.T.; Daniel, C.C.

1994-01-01

The computer program, RORA, allows automated analysis of streamflow hydrographs to estimate ground-water recharge. Output from the program, which is based on the recession-curve-displacement method (often referred to as the Rorabaugh method, for whom the program is named), was compared to estimates of recharge obtained from a manual analysis of 156 years of streamflow record from 15 streamflow-gaging stations in the eastern United States. Statistical tests showed that there was no significant difference between paired estimates of annual recharge by the two methods. Tests of results produced by the four workers who performed the manual method showed that results can differ significantly between workers. Twenty-two percent of the variation between manual and automated estimates could be attributed to having different workers perform the manual method. The program RORA will produce estimates of recharge equivalent to estimates produced manually, greatly increase the speed od analysis, and reduce the subjectivity inherent in manual analysis.

Battery Test Manual For Plug-In Hybrid Electric Vehicles

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

Jeffrey R. Belt

2010-09-01

This battery test procedure manual was prepared for the United States Department of Energy (DOE), Office of Energy Efficiency and Renewable Energy (EERE), Vehicle Technologies Program. It is based on technical targets established for energy storage development projects aimed at meeting system level DOE goals for Plug-in Hybrid Electric Vehicles (PHEV). The specific procedures defined in this manual support the performance and life characterization of advanced battery devices under development for PHEV’s. However, it does share some methods described in the previously published battery test manual for power-assist hybrid electric vehicles. Due to the complexity of some of the proceduresmore » and supporting analysis, a revision including some modifications and clarifications of these procedures is expected. As in previous battery and capacitor test manuals, this version of the manual defines testing methods for full-size battery systems, along with provisions for scaling these tests for modules, cells or other subscale level devices.« less

Battery Test Manual For Plug-In Hybrid Electric Vehicles

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

Jeffrey R. Belt

2010-12-01

This battery test procedure manual was prepared for the United States Department of Energy (DOE), Office of Energy Efficiency and Renewable Energy (EERE), Vehicle Technologies Program. It is based on technical targets established for energy storage development projects aimed at meeting system level DOE goals for Plug-in Hybrid Electric Vehicles (PHEV). The specific procedures defined in this manual support the performance and life characterization of advanced battery devices under development for PHEV’s. However, it does share some methods described in the previously published battery test manual for power-assist hybrid electric vehicles. Due to the complexity of some of the proceduresmore » and supporting analysis, a revision including some modifications and clarifications of these procedures is expected. As in previous battery and capacitor test manuals, this version of the manual defines testing methods for full-size battery systems, along with provisions for scaling these tests for modules, cells or other subscale level devices.« less

Assessment of Manual Operation Time for the Manufacturing of Thin Film Transistor Liquid Crystal Display: A Bayesian Approach

NASA Astrophysics Data System (ADS)

Shen, Chien-wen

2009-01-01

During the processes of TFT-LCD manufacturing, steps like visual inspection of panel surface defects still heavily rely on manual operations. As the manual inspection time of TFT-LCD manufacturing could range from 4 hours to 1 day, the reliability of time forecasting is thus important for production planning, scheduling and customer response. This study would like to propose a practical and easy-to-implement prediction model through the approach of Bayesian networks for time estimation of manual operated procedures in TFT-LCD manufacturing. Given the lack of prior knowledge about manual operation time, algorithms of necessary path condition and expectation-maximization are used for structural learning and estimation of conditional probability distributions respectively. This study also applied Bayesian inference to evaluate the relationships between explanatory variables and manual operation time. With the empirical applications of this proposed forecasting model, approach of Bayesian networks demonstrates its practicability and prediction accountability.

First step in managing bulimia nervosa: controlled trial of therapeutic manual.

PubMed Central

Treasure, J.; Schmidt, U.; Troop, N.; Tiller, J.; Todd, G.; Keilen, M.; Dodge, E.

1994-01-01

OBJECTIVE--To test the short term efficacy of a self directed treatment manual for bulimia nervosa. DESIGN--Randomised controlled trial of the manual against cognitive behavioural therapy and a waiting list. SETTING--Tertiary referral centre. SUBJECTS--81 consecutive referrals presenting with bulimia nervosa or atypical bulimia nervosa. MAIN OUTCOME MEASURES--Frequency of binge eating, vomiting, and other behaviours to control weight as well as abstinence from these behaviours. RESULTS--Cognitive behavioural treatment produced a significant reduction in the frequency of binge eating, vomiting, and other behaviours to control weight. The manual significantly reduced frequency of binge eating and weight control behaviours other than vomiting, and there was no change in the group on the waiting list. Full remission was achieved in five (24%) of the group assigned to cognitive behavioural treatment, nine (22%) of the group who used the manual, and two (11%) of the group on the waiting list. CONCLUSIONS--A self directed treatment manual may be a useful first intervention in the treatment of bulimia nervosa. PMID:8142791

Investigation of complexity of the instruction manuals for electrical coffeepots.

PubMed

Fernandes, C A; Teixeira, J M; Merino, E A D

2014-01-01

Electrical coffeepots are commonly used in professional and residential environments. Their instruction manuals are related to issues that involve the user's safety and ability to operate the machine correctly. To provide the best product performance to the user, one must indicate or inform the correct usability, to turn the interaction easier. This research proposes to investigate the instruction manuals of the electrical coffeepots. Four coffee pot instruction manuals were analyzed in relation to the complexity through the heuristic evaluation. For that, eight experts of the Graphic Design were chosen to answer twenty four questions with the aim of analyzing: images; texts; layout development; information and warnings. This study shows the results of the 04 (four) items analyzed: a) images; b) texts; c) layout development; d) information and warnings, together with the suggestions of improvements for each manual. It is believed that the methodological procedures for the application of the heuristic evaluation have facilitated the diagnosis of fragilities and barriers that the users find during the interaction with electrical coffeepot manuals.

Gravity versus manual external rotation stress view in evaluating ankle stability: a prospective study.

PubMed

LeBa, Thu-Ba; Gugala, Zbigniew; Morris, Randal P; Panchbhavi, Vinod K

2015-06-01

The purpose of this prospective study was to determine whether gravity versus manual external rotation stress testing effectively detects widening of the medial clear space in isolated ankle fractures when compared with the uninjured contralateral side. Manual external rotation stress and gravity stress tests were performed on injured and uninjured ankles of ankle fracture patients in a clinic setting. Medial clear space measurements were recorded and differences between gravity and manual stress views were determined. Twenty consecutive patients with ankle injury were enrolled in the study. When compared with the uninjured side, gravity stress views showed a statistically significant (P = .017) increase in medial clear space widening (1.85 ± 1.07 mm) compared with manual stress view widening (1.35 ± 1.04 mm). This study suggests that gravity stress views are as effective as manual external rotation stress views in detecting medial clear space widening in isolated fibular fractures. Diagnostic, Level II: Prospective, comparative trial. © 2014 The Author(s).

The performance of an automatic acoustic-based program classifier compared to hearing aid users' manual selection of listening programs.

PubMed

Searchfield, Grant D; Linford, Tania; Kobayashi, Kei; Crowhen, David; Latzel, Matthias

2018-03-01

To compare preference for and performance of manually selected programmes to an automatic sound classifier, the Phonak AutoSense OS. A single blind repeated measures study. Participants were fit with Phonak Virto V90 ITE aids; preferences for different listening programmes were compared across four different sound scenarios (speech in: quiet, noise, loud noise and a car). Following a 4-week trial preferences were reassessed and the users preferred programme was compared to the automatic classifier for sound quality and hearing in noise (HINT test) using a 12 loudspeaker array. Twenty-five participants with symmetrical moderate-severe sensorineural hearing loss. Participant preferences of manual programme for scenarios varied considerably between and within sessions. A HINT Speech Reception Threshold (SRT) advantage was observed for the automatic classifier over participant's manual selection for speech in quiet, loud noise and car noise. Sound quality ratings were similar for both manual and automatic selections. The use of a sound classifier is a viable alternative to manual programme selection.

Multimodal assessment of visual attention using the Bethesda Eye & Attention Measure (BEAM).

PubMed

Ettenhofer, Mark L; Hershaw, Jamie N; Barry, David M

2016-01-01

Computerized cognitive tests measuring manual response time (RT) and errors are often used in the assessment of visual attention. Evidence suggests that saccadic RT and errors may also provide valuable information about attention. This study was conducted to examine a novel approach to multimodal assessment of visual attention incorporating concurrent measurements of saccadic eye movements and manual responses. A computerized cognitive task, the Bethesda Eye & Attention Measure (BEAM) v.34, was designed to evaluate key attention networks through concurrent measurement of saccadic and manual RT and inhibition errors. Results from a community sample of n = 54 adults were analyzed to examine effects of BEAM attention cues on manual and saccadic RT and inhibition errors, internal reliability of BEAM metrics, relationships between parallel saccadic and manual metrics, and relationships of BEAM metrics to demographic characteristics. Effects of BEAM attention cues (alerting, orienting, interference, gap, and no-go signals) were consistent with previous literature examining key attention processes. However, corresponding saccadic and manual measurements were weakly related to each other, and only manual measurements were related to estimated verbal intelligence or years of education. This study provides preliminary support for the feasibility of multimodal assessment of visual attention using the BEAM. Results suggest that BEAM saccadic and manual metrics provide divergent measurements. Additional research will be needed to obtain comprehensive normative data, to cross-validate BEAM measurements with other indicators of neural and cognitive function, and to evaluate the utility of these metrics within clinical populations of interest.

The influence of image setting on intracranial translucency measurement by manual and semi-automated system.

PubMed

Zhen, Li; Yang, Xin; Ting, Yuen Ha; Chen, Min; Leung, Tak Yeung

2013-09-01

To investigate the agreement between manual and semi-automated system and the effect of different image settings on intracranial translucency (IT) measurement. A prospective study was conducted on 55 women carrying singleton pregnancy who attended first trimester Down syndrome screening. IT was measured both manually and by semi-automated system at the same default image setting. The IT measurements were then repeated with the post-processing changes in the image setting one at a time. The difference in IT measurements between the altered and the original images were assessed. Intracranial translucency was successfully measured on 55 images both manually and by semi-automated method. There was strong agreement in IT measurements between the two methods with a mean difference (manual minus semi-automated) of 0.011 mm (95% confidence interval--0.052 mm-0.094 mm). There were statistically significant variations in both manual and semi-automated IT measurement after changing the Gain and the Contrast. The greatest changes occurred when the Contrast was reduced to 1 (IT reduced by 0.591 mm in semi-automated; 0.565 mm in manual), followed by when the Gain was increased to 15 (IT reduced by 0.424 mm in semi-automated; 0.524 mm in manual). The image settings may affect IT identification and measurement. Increased Gain and reduced Contrast are the most influential factors and may cause under-measurement of IT. © 2013 John Wiley & Sons, Ltd.

Heavy smoking rate trends and related factors in Korean occupational groups: analysis of KNHANES 2007-2012 data.

PubMed

Kim, Bo-Guen; Pang, Do-Dam; Park, Young-Jun; Lee, Jong-In; Kim, Hyoung-Ryoul; Myong, Jun-Pyo; Jang, Tae-Won

2015-11-12

The present study was designed to investigate the smoking and heavy smoking trends and identify possible related factors among Korean male workers from 2007 to 2012 by occupational groups. The data were derived from the fourth (2007-2009) and fifth (2010-2012) waves of the Korean National Health and Nutrition Examination Survey (KNHANES). Occupational groups were categorised into three groups, which were non-manual, manual and service and sales groups. Age-adjusted prevalence rates of smoking and heavy smoking (>20 cigarettes/day) in men aged 25-64 years were calculated. Factors associated with heavy smoking were investigated using logistic regression analyses. Smoking rate in manual workers decreased gradually over time (p for trend <0.0001). Smoking rate was higher in manual than non-manual workers, but the difference reduced over time (p for trend <0.0001). Heavy smoking rate decreased from 2007 to 2012 (p for trend <0.0001). Heavy smoking rate was higher in manual than non-manual workers; however, this difference increased over time. Stress, depressive mood and long working hours (≥60 h/week) were associated with heavy smoking. Antismoking policy should focus on current and heavy smokers. Workplace antismoking programmes should consider working hours and stress, especially in manual workers. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Antifungal Susceptibility Testing in HIV/AIDS Patients: a Comparison Between Automated Machine and Manual Method.

PubMed

Nelwan, Erni J; Indrasanti, Evi; Sinto, Robert; Nurchaida, Farida; Sosrosumihardjo, Rustadi

2016-01-01

to evaluate the performance of Vitek2 compact machine (Biomerieux Inc. ver 04.02, France) in reference to manual methods for susceptibility test for Candida resistance among HIV/AIDS patients. a comparison study to evaluate Vitek2 compact machine (Biomerieux Inc. ver 04.02, France) in reference to manual methods for susceptibility test for Candida resistance among HIV/AIDS patient was done. Categorical agreement between manual disc diffusion and Vitek2 machine was calculated using predefined criteria. Time to susceptibility result for automated and manual methods were measured. there were 137 Candida isolates comprising eight Candida species with C.albicans and C. glabrata as the first (56.2%) and second (15.3%) most common species, respectively. For fluconazole drug, among the C. albicans, 2.6% was found resistant on manual disc diffusion methods and no resistant was determined by Vitek2 machine; whereas 100% C. krusei was identified as resistant on both methods. Resistant patterns for C. glabrata to fluconazole, voriconazole and amphotericin B were 52.4%, 23.8%, 23.8% vs. 9.5%, 9.5%, 4.8% respectively between manual diffusion disc methods and Vitek2 machine. Time to susceptibility result for automated methods compared to Vitex2 machine was shorter for all Candida species. there is a good categorical agreement between manual disc diffusion and Vitek2 machine, except for C. glabrata for measuring the antifungal resistant. Time to susceptibility result for automated methods is shorter for all Candida species.

Manual vs. computer-assisted sperm analysis: can CASA replace manual assessment of human semen in clinical practice?

PubMed

Talarczyk-Desole, Joanna; Berger, Anna; Taszarek-Hauke, Grażyna; Hauke, Jan; Pawelczyk, Leszek; Jedrzejczak, Piotr

2017-01-01

The aim of the study was to check the quality of computer-assisted sperm analysis (CASA) system in comparison to the reference manual method as well as standardization of the computer-assisted semen assessment. The study was conducted between January and June 2015 at the Andrology Laboratory of the Division of Infertility and Reproductive Endocrinology, Poznań University of Medical Sciences, Poland. The study group consisted of 230 men who gave sperm samples for the first time in our center as part of an infertility investigation. The samples underwent manual and computer-assisted assessment of concentration, motility and morphology. A total of 184 samples were examined twice: manually, according to the 2010 WHO recommendations, and with CASA, using the program set-tings provided by the manufacturer. Additionally, 46 samples underwent two manual analyses and two computer-assisted analyses. The p-value of p < 0.05 was considered as statistically significant. Statistically significant differences were found between all of the investigated sperm parameters, except for non-progressive motility, measured with CASA and manually. In the group of patients where all analyses with each method were performed twice on the same sample we found no significant differences between both assessments of the same probe, neither in the samples analyzed manually nor with CASA, although standard deviation was higher in the CASA group. Our results suggest that computer-assisted sperm analysis requires further improvement for a wider application in clinical practice.

Development of a manualized protocol of massage therapy for clinical trials in osteoarthritis.

PubMed

Ali, Ather; Kahn, Janet; Rosenberger, Lisa; Perlman, Adam I

2012-10-04

Clinical trial design of manual therapies may be especially challenging as techniques are often individualized and practitioner-dependent. This paper describes our methods in creating a standardized Swedish massage protocol tailored to subjects with osteoarthritis of the knee while respectful of the individualized nature of massage therapy, as well as implementation of this protocol in two randomized clinical trials. The manualization process involved a collaborative process between methodologic and clinical experts, with the explicit goals of creating a reproducible semi-structured protocol for massage therapy, while allowing some latitude for therapists' clinical judgment and maintaining consistency with a prior pilot study. The manualized protocol addressed identical specified body regions with distinct 30- and 60-min protocols, using standard Swedish strokes. Each protocol specifies the time allocated to each body region. The manualized 30- and 60-min protocols were implemented in a dual-site 24-week randomized dose-finding trial in patients with osteoarthritis of the knee, and is currently being implemented in a three-site 52-week efficacy trial of manualized Swedish massage therapy. In the dose-finding study, therapists adhered to the protocols and significant treatment effects were demonstrated. The massage protocol was manualized, using standard techniques, and made flexible for individual practitioner and subject needs. The protocol has been applied in two randomized clinical trials. This manualized Swedish massage protocol has real-world utility and can be readily utilized both in the research and clinical settings. Clinicaltrials.gov NCT00970008 (18 August 2009).

Management of occiput posterior position in the second stage of labor: a survey of midwifery practice in Australia.

PubMed

Phipps, Hala; de Vries, Brad; Jagadish, Ujvala; Hyett, Jon

2014-03-01

The management of the occiput posterior (OP) position has been controversial for many years. Manual rotation can be performed by midwives and could reduce cesarean sections and instrumental births. We aimed to determine current midwifery views, knowledge, and practice of manual rotation. A de-identified, self-reported questionnaire was e-mailed to all Australian College of Midwives full members (n = 3,997). Of 3,182 surveyed, 57 percent (1,817) responded, of whom 51 percent (920) were currently practicing midwifery. Seventy-seven percent of midwives thought that manual rotation at full dilatation was a valid intervention. Sixty-four percent stated the procedure was acceptable before instrumental delivery, but 30 percent were unsure. Most practicing midwives (93%) had heard of manual rotation, but only 18 percent had performed one in the last year. Midwives would support the routine performance of manual rotation for OP position if it reduced operative births from 68 to 50 percent and would support manual rotation for occiput transverse (OT) position if it reduced operative births from 39 to 25 percent. This study indicates that manual rotation is considered acceptable by most midwives in Australia, yet is only performed by a minority. Midwives would be willing to perform prophylactic manual rotation if it was known to facilitate normal vaginal births suggesting a scope to introduce this procedure into widespread clinical practice. © 2014, Copyright the Authors Journal compilation © 2014, Wiley Periodicals, Inc.

Dental Chairside Technique. Student's Manual.

ERIC Educational Resources Information Center

Apfel, Maura; Weaver, Trudy Karlene

This manual is part of a series dealing with skills and information needed by students in dental assisting. The individualized student materials are suitable for classroom, laboratory, or cooperative training programs. This student manual contains four units covering the following topics: local anesthesia; dental office emergencies; oral hygiene;…

78 FR 9783 - Airworthiness Directives; Bombardier, Inc. Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-12

...) has been made to the Time Limits/ Maintenance Checks (TLMC) manual to introduce a new Airworthiness... have already been done. (g) Time Limits/Maintenance Checks (TLMC) Manual Revision Within 60 days after... Challenger Time Limits/Maintenance Checks Manual, PSP 605. (ii) Canadair Challenger Temporary Revision 5-250...

Project Developmental Continuity: PDC Classroom Observation Manual.

ERIC Educational Resources Information Center

Meece, Judy; And Others

This classroom observation manual (Fall 1976) was developed for use in the evaluation of Project Developmental Continuity (PDC), a Head Start demonstration program aimed at providing educational and developmental continuity between children's Head Start and primary school experiences. The manual provides detailed instructions for the observer on…

76 FR 37195 - Proposed Collection; Comment Request for Regulation Project

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-24

... preparer penalties-manual signature requirement. DATES: Written comments should be received on or before... . SUPPLEMENTARY INFORMATION: Title: Preparer Penalties-Manual Signature Requirement (Sec. 1.6695-1(B)). OMB Number..., satisfy the manual signature requirements by using a facsimile signature. However, they will be required...

Materials inventory management manual

NASA Technical Reports Server (NTRS)

1992-01-01

This NASA Materials Inventory Management Manual (NHB 4100.1) is issued pursuant to Section 203(c)(1) of the National Aeronautics and Space Act of 1958 (42 USC 2473). It sets forth policy, performance standards, and procedures governing the acquisition, management and use of materials. This Manual is effective upon receipt.

Tutor Reference Manual. Second Edition.

ERIC Educational Resources Information Center

Clark, John T., Ed.; Williams, Ron, Jr., Ed.

This manual, intended for use by tutors working with adults learning to read, offers a consolidated resource of specific instructional techniques and provides additional suggestions not covered in basic tutoring workshops. The manual summarizes a variety of approaches commonly used to instruct adults and provides background for three modes of…

Manual for a Volunteer Services System.

ERIC Educational Resources Information Center

Helgerson, Linda; And Others

This manual presents guidelines for planning, monitoring, and controlling the development and operation of volunteer assistance programs. The materials included address questions related to both the process of establishing a volunteer program and the administration of a volunteer management system. The manual is not intended to provide a blueprint…

A Manual for Teachers of Indochinese Students.

ERIC Educational Resources Information Center

Phap, Dam Trung

This is a manual for teachers of Indochinese students. The manual begins with brief cultural, linguistic, and historical descriptions of Vietnam, Laos, and Cambodian people. The tenets of animism, Buddhism, Taoism, Confucianism, and Christianity, as practiced in Indochina are reviewed. Also discussed are Indochinese attitudes toward learning and…

46 CFR 112.35-5 - Manually started emergency systems.

Code of Federal Regulations, 2011 CFR

2011-10-01

....35-5 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Manually Controlled Emergency Systems Having a Storage Battery or a Diesel Engine or Gas Turbine Driven Generator as the Sole Emergency Power Source § 112.35-5 Manually...

46 CFR 112.35-5 - Manually started emergency systems.

Code of Federal Regulations, 2013 CFR

2013-10-01

....35-5 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Manually Controlled Emergency Systems Having a Storage Battery or a Diesel Engine or Gas Turbine Driven Generator as the Sole Emergency Power Source § 112.35-5 Manually...

46 CFR 112.35-5 - Manually started emergency systems.

Code of Federal Regulations, 2014 CFR

2014-10-01

....35-5 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Manually Controlled Emergency Systems Having a Storage Battery or a Diesel Engine or Gas Turbine Driven Generator as the Sole Emergency Power Source § 112.35-5 Manually...

46 CFR 112.35-5 - Manually started emergency systems.

Code of Federal Regulations, 2012 CFR

2012-10-01

....35-5 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Manually Controlled Emergency Systems Having a Storage Battery or a Diesel Engine or Gas Turbine Driven Generator as the Sole Emergency Power Source § 112.35-5 Manually...

46 CFR 112.35-5 - Manually started emergency systems.

Code of Federal Regulations, 2010 CFR

2010-10-01

....35-5 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Manually Controlled Emergency Systems Having a Storage Battery or a Diesel Engine or Gas Turbine Driven Generator as the Sole Emergency Power Source § 112.35-5 Manually...

The Brockport Physical Fitness Test Training Manual. [Project Target].

ERIC Educational Resources Information Center

Winnick, Joseph P.; Short, Francis X., Ed.

This training manual presents information on the Brockport Physical Fitness Test (BPFT), a criterion-referenced fitness test for children and adolescents with disabilities. The first chapter of the test training manual includes information dealing with health-related criterion-referenced testing, the interaction between physical activity and…

IPM for Pennsylvania Schools: A How-To Manual.

ERIC Educational Resources Information Center

Martz, Eston, Ed.

This manual presents practical advice on planning and adopting an integrated pest management (IPM) program for Pennsylvania educational facilities. The manual covers how to implement a school IPM, school IPM operational information for the school administrator, and technical information for Pennsylvania schools concerning various pests found in…

Users' Manual for ILSS (Revised ILSLOC) : Simulation for Derogation Effects on the Instrument Landing System

DOT National Transportation Integrated Search

1976-12-01

The manual presents the complete ILSLOC computer program package. In addition to including a thorough description of the program itself and a commented listing, the manual contains a brief description of the ILS system and antenna patterns. To illust...

Validation and application of Highway Safety Manual (Part D) and developing Florida CMF Manual, phase 2.

DOT National Transportation Integrated Search

2016-05-01

The Highway Safety Manual (HSM) Part D provides a comprehensive list of the effects of safety treatments : (countermeasures). These effects are quantified by crash modification factors (CMF) which are based on compilation : from past studies of the e...