Science.gov

Sample records for medium-term development plans

  1. Proclamation No. 51 approving and adopting the Medium-Term Philippine Development Plan for 1987 to 1992, including the supportive regional development plans and investment programs, 12 December 1986.

    PubMed

    1988-01-01

    This document contains certain provisions of the Medium-Term Philippine Development Plan for 1987-92. Chapter 7 covers health, nutrition, and family planning (FP) and describes objectives in these areas as 1) improving the health and nutritional status of the population, 2) working toward achieving health for all by the year 2000 through primary health care, and 3) promoting FP to improve family well-being. Specific strategies include 1) improving provision and use of accessible, appropriate, and adequate services, especially to the poor and to high-risk groups; 2) integrating efforts within the planning sectors and ensuring multisectoral consistency and support; 3) promoting individual and collective responsibility for health, nutrition, and FP; 4) placing greater reliance on indigenous resources and technology; 5) strengthening and sustaining effective collaboration with the private sector; 6) placing greater emphasis on measures which promote good health and nutrition: 7) strengthening promotion of FP as a component of comprehensive maternal and child health; 8) enhancing the status and role of women as program benefactors and implementors; 9) increasing government allocations to the health, nutrition, and FP sector; 10) strengthening information and research-based decision-making and implementation; 11) developing manpower; and 12) improving regulations.

  2. An Example of National Literacy Strategy Medium-Term Planning. The National Literacy Strategy.

    ERIC Educational Resources Information Center

    Department for Education and Skills, London (England).

    These medium-term plans have been produced to support, but not prescribe, teachers' planning. They exemplify ways in which England's National Literacy Strategy (NLS) Framework objectives (and the Early Learning Goals) can be clustered. The Key Stage 1 and Key Stage 2 medium term plans cluster the NLS text, sentence and word level objectives into…

  3. Development of a Medium-term Animal Model Using gpt Delta Rats to Evaluate Chemical Carcinogenicity and Genotoxicity

    PubMed Central

    Matsushita, Kohei; Kijima, Aki; Ishii, Yuji; Takasu, Shinji; Jin, Meilan; Kuroda, Ken; Kawaguchi, Hiroaki; Miyoshi, Noriaki; Nohmi, Takehiko; Ogawa, Kumiko; Umemura, Takashi

    2013-01-01

    In this study, the potential for development of an animal model (GPG46) capable of rapidly detecting chemical carcinogenicity and the underlying mechanisms of action were examined in gpt delta rats using a reporter gene assay to detect mutations and a medium-term rat liver bioassay to detect tumor promotion. The tentative protocol for the GPG46 model was developed based on the results of dose-response exposure to diethylnitrosamine (DEN) and treatment with phenobarbital over time following DEN administration. Briefly, gpt delta rats were exposed to various chemicals for 4 weeks, followed by a partial hepatectomy (PH) to collect samples for an in vivo mutation assay. The mutant frequencies (MFs) of the reporter genes were examined as an indication of tumor initiation. A single intraperitoneal (ip) injection of 10 mg/kg DEN was administered to rats 18 h after the PH to initiate hepatocytes. Tumor-promoting activity was evaluated based on the development of glutathione S-transferase placental form (GST-P)-positive foci at week 10. The genotoxic carcinogens 2-acetylaminofluorene (2-AAF), 2-amino-3-methylimidazo [4,5-f] quinolone (IQ) and safrole (SF), the non-genotoxic carcinogens piperonyl butoxide (PBO) and phenytoin (PHE), the non-carcinogen acetaminophen (APAP) and the genotoxic non-hepatocarcinogen aristolochic acid (AA) were tested to validate the GPG46 model. The validation results indicate that the GPG46 model could be a powerful tool in understanding chemical carcinogenesis and provide valuable information regarding human risk hazards. PMID:23723564

  4. Third Advisory Committee on the Health Manpower Development Medium-Term Programme. Report on a Meeting (Copenhagen, Denmark, November 3-5, 1981).

    ERIC Educational Resources Information Center

    World Health Organization, Copenhagen (Denmark). Regional Office for Europe.

    A report of the 1981 Health Manpower Development Medium-Term Programme, sponsored by the World Health Organization's (WHO) Regional Office for Europe, is presented. The document "European Regional Strategy for Attaining Health for All by the Year 2000" was reviewed, and attention was directed to the present structure of the Regional…

  5. Medium-term exposure of the North Atlantic copepod Calanus finmarchicus (Gunnerus, 1770) to CO2-acidified seawater: effects on survival and development

    NASA Astrophysics Data System (ADS)

    Pedersen, S. A.; Hansen, B. H.; Altin, D.; Olsen, A. J.

    2013-11-01

    The impact of medium-term exposure to CO2-acidified seawater on survival, growth and development was investigated in the North Atlantic copepod Calanus finmarchicus. Using a custom developed experimental system, fertilized eggs and subsequent development stages were exposed to normal seawater (390 ppm CO2) or one of three different levels of CO2-induced acidification (3300, 7300, 9700 ppm CO2). Following the 28-day exposure period, survival was found to be unaffected by exposure to 3300 ppm CO2, but significantly reduced at 7300 and 9700 ppm CO2. Also, the proportion of copepodite stages IV to VI observed in the different treatments was significantly affected in a manner that may indicate a CO2-induced retardation of the rate of ontogenetic development. Morphometric analysis revealed a significant increase in size (prosome length) and lipid storage volume in stage IV copepodites exposed to 3300 ppm CO2 and reduced size in stage III copepodites exposed to 7300 ppm CO2. Together, the findings indicate that a pCO2 level ≤2000 ppm (the highest CO2 level expected by the year 2300) will probably not directly affect survival in C. finmarchicus. Longer term experiments at more moderate CO2 levels are, however, necessary before the possibility that growth and development may be affected below 2000 ppm CO2 can be ruled out.

  6. 24 CFR 576.106 - Short-term and medium-term rental assistance.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false Short-term and medium-term rental... and Eligible Activities § 576.106 Short-term and medium-term rental assistance. (a) General provisions... assistance may be short-term rental assistance, medium-term rental assistance, payment of rental arrears, or...

  7. 24 CFR 576.106 - Short-term and medium-term rental assistance.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Short-term and medium-term rental... and Eligible Activities § 576.106 Short-term and medium-term rental assistance. (a) General provisions... assistance may be short-term rental assistance, medium-term rental assistance, payment of rental arrears, or...

  8. 24 CFR 576.106 - Short-term and medium-term rental assistance.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 3 2012-04-01 2012-04-01 false Short-term and medium-term rental... and Eligible Activities § 576.106 Short-term and medium-term rental assistance. (a) General provisions... assistance may be short-term rental assistance, medium-term rental assistance, payment of rental arrears, or...

  9. Hanford Site Development Plan

    SciTech Connect

    Rinne, C.A.; Curry, R.H.; Hagan, J.W.; Seiler, S.W.; Sommer, D.J. ); Yancey, E.F. )

    1990-01-01

    The Hanford Site Development Plan (Site Development Plan) is intended to guide the short- and long-range development and use of the Hanford Site. All acquisition, development, and permanent facility use at the Hanford Site will conform to the approved plan. The Site Development Plan also serves as the base document for all subsequent studies that involve use of facilities at the Site. This revision is an update of a previous plan. The executive summary presents the highlights of the five major topics covered in the Site Development Plan: general site information, existing conditions, planning analysis, Master Plan, and Five-Year Plan. 56 refs., 67 figs., 31 tabs.

  10. Medium-Term Programme, 1986-1991.

    ERIC Educational Resources Information Center

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

    This long range plan for the International Federation of Library Associations (IFLA) defines the course this international organization will pursue between 1986 and 1991, both for its membership and in relation to organizations and institutions outside of IFLA. The first chapter briefly describes a number of features and issues important to the…

  11. Medium-Term Programme, 1986-1991.

    ERIC Educational Resources Information Center

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

    This long range plan for the International Federation of Library Associations (IFLA) defines the course this international organization will pursue between 1986 and 1991, both for its membership and in relation to organizations and institutions outside of IFLA. The first chapter briefly describes a number of features and issues important to the…

  12. Site Development Planning Handbook

    SciTech Connect

    1981-01-01

    The Handbook provides facility managers and site planners at DOE organizations responsible for planning site developments and facilities utilization a step-by-step planning checklist to ensure that planners at each site are focusing on Department-wide goals and objectives. It begins with a brief discussion of a site development-by-objectives program design to promote, recognize, and implement opportunities for improvements in site utilization through planning. Additional information is included on: assembling existing data, plans, programs, and procedures; establishing realistic objectives; identifying site problems, opportunities; and development needs; determining priorities among development needs; developing short and long-range plans; choosing the right development solutions and meeting minimum legal site restrictions; presenting the plan; implementing elements of the plan; monitoring and reporting plan status; and modifying development program plans. (MCW)

  13. Developing the plan

    NASA Technical Reports Server (NTRS)

    1975-01-01

    The basic sequence in the planning development process is discussed. Alternative ways of satisfying estimated needs, and the selection of an alternative are described along with the development of a plan to implement the selected alternative.

  14. Hanford Site Development Plan

    SciTech Connect

    Hathaway, H.B.; Daly, K.S.; Rinne, C.A.; Seiler, S.W.

    1993-05-01

    The Hanford Site Development Plan (HSDP) provides an overview of land use, infrastructure, and facility requirements to support US Department of Energy (DOE) programs at the Hanford Site. The HSDP`s primary purpose is to inform senior managers and interested parties of development activities and issues that require a commitment of resources to support the Hanford Site. The HSDP provides an existing and future land use plan for the Hanford Site. The HSDP is updated annually in accordance with DOE Order 4320.1B, Site Development Planning, to reflect the mission and overall site development process. Further details about Hanford Site development are defined in individual area development plans.

  15. Medium-Term Results After Treatment of Recalcitrant Lateral Epicondylitis

    PubMed Central

    Meknas, Khaled; Al Hassoni, Thabit N.; Odden-Miland, Åshild; Castillejo, Miguel; Kartus, Jüri

    2013-01-01

    Background: Recalcitrant lateral epicondylitis (elbow extensor–origin tendinosis) is a common cause of elbow pain with many treatment options. In the present study, the medium-term results after open release and radiofrequency microtenotomy are reported. Hypothesis: Microtenotomy would provide long-term pain relief that was as good as the open release method. Study Design: Prospective, randomized trial. Methods: Twenty-four patients randomized to either open release or microtenotomy were assessed after 5 to 7 years. Clinical examination and dynamic infrared thermography (DIRT) of both elbows were performed preoperatively and at the medium-term follow-up. Magnetic resonance imaging (MRI) of both elbows was performed at the medium-term follow-up. Results: Significant pain reduction was found using a visual analog scale (VAS) at the medium-term follow-up in both groups compared with the preoperative assessment (P < .005). The Mayo Elbow Performance Score (MEPS) increased significantly in both groups (P < .01). The improvement in grip strength was not significant in either group. There was no significant difference between the groups in terms of VAS, strength, and the MEPS. On the DIRT examinations, there were significantly fewer hot spots at the medium-term follow-up than preoperatively (P = .0067, both study groups together). The MRI examinations revealed grade II changes in the operated elbow in 1 patient in each group at the medium-term follow-up, while all the other MRI examinations revealed a normal tendon. Conclusion: In this prospective, randomized trial with a medium-term follow-up, the results were similar after surgical release and microtenotomy in patients with recalcitrant lateral epicondylitis. The hypothesis was thus verified. PMID:26535247

  16. Medium-term bioassays as alternative carcinogenicity test.

    PubMed

    Ito, N; Imaida, K; Tamano, S; Hagiwara, A; Shirai, T

    1998-07-01

    A medium-term liver bioassay system for rapid detection of carcinogenic agents using male F344 rats has been developed, in order to bridge the gap between long-term carcinogenicity tests and short-term screening assays. The system is fundamentally based on the two-stage hypothesis of carcinogenesis: initiation with diethylnitrosamine (200 mg/kg bw, i.p.) is followed by test chemical administration during the second, in combination with 2/3 partial hepatectomy. It requires only 8 weeks for animal experimental treatment and a further few weeks for quantitative analysis of immunohistochemically-demonstrated glutathione S-transferase placental form positive hepatic foci. A total of 291 chemicals/substances have already been analyzed in this laboratory and the efficacy of the system for hepatocarcinogens has thereby been well established. This bioassay is particularly useful for dose-response and chemical mixture studies, usually requiring large-scale experiments and also for evaluation of chemopreventive agents. Another bioassay, a medium-term multiorgan bioassay system, using 5 different chemical carcinogens, diethylnitrosamine (DEN), N-methylnitrosourea (MNU), N-butyl-N-(4-hydroxybutyl)nitrosamine (BBN), 1,2-dimethylhydrazine (DMH) and 2,2'-dihydroxy-di-n-propylnitrosamine (DHPN), has also been established for rapid detection of not only hepatocarcinogens, but also other organ-target carcinogens. Rats were initially treated with a single i.p. administration of 100 mg/kg DEN, 4 i.p. administrations of 20 mg/kg MNU, 4 s.c. doses of 40 mg/kg DMH for 2 weeks and then 0.1% DHPN for 2 weeks. Test chemicals are administered after the carcinogens exposure. Animals were sacrificed at the end of week 36, and major organs were examined histologically. Carcinogenic activities of test chemicals were compared between the test chemical treated group and carcinogen exposures group (control group). It is increasingly becoming regarded that these bioassays are useful methods and are

  17. Graphite technology development plan

    SciTech Connect

    1986-07-01

    This document presents the plan for the graphite technology development required to support the design of the 350 MW(t) Modular HTGR within the US National Gas-Cooled Reactor Program. Besides descriptions of the required technology development, cost estimates, and schedules, the plan also includes the associated design functions and design requirements.

  18. Metals technology development plan

    SciTech Connect

    Betts, W.S.

    1987-03-01

    This document presents the plan for the metals technology development required to support the design of the MHTGR within the US National Gas-Cooled Reactor Program. Besides descriptions of the required technology development, cost estimates, and schedules, the plan also includes the associated design functions and design requirements.

  19. Medium term ecohydrological response of peatland bryophytes to canopy disturbance

    NASA Astrophysics Data System (ADS)

    Leonard, Rhoswen; Kettridge, Nick; Krause, Stefan; Devito, Kevin; Granath, Gustaf; Petrone, Richard; Mandoza, Carl; Waddington, James Micheal

    2016-04-01

    Canopy disturbance in northern forested peatlands is widespread. Canopy changes impact the ecohydrological function of moss and peat, which provide the principal carbon store within these carbon rich ecosystems. Different mosses have contrasting contributions to carbon and water fluxes (e.g. Sphagnum fuscum and Pleurozium schreberi) and are strongly influenced by canopy cover. As a result, changes in canopy cover lead to long-term shifts in species composition and associated ecohydrological function. Despite this, the medium-term response to such disturbance, the associated lag in this transition to a new ecohydrological and biogeochemical regime, is not understood. Here we investigate this medium term ecohydrological response to canopy removal using a randomised plot design within a north Albertan peatland. We show no significant ecohydrological change in treatment plots four years after canopy removal. Notably, Pleurozium schreberi and Sphagnum fuscum remained within respective plots post treatment and there was no significant difference in plot resistance to evapotranspiration or carbon exchange. Our results show that canopy removal alone has little impact on bryophyte ecohydrology in the short/medium term. This resistance to disturbance contrasts strongly with dramatic short-term changes observed within mineral soils suggesting that concurrent shifts in the large scale hydrology induced within such disturbances are necessary to cause rapid ecohydrological transitions. Understanding this lagged response is critical to determine the decadal response of carbon and water fluxes in response to disturbance and the rate at which important medium term ecohydrological feedbacks are invoked.

  20. Medium term hurricane catastrophe models: a validation experiment

    NASA Astrophysics Data System (ADS)

    Bonazzi, Alessandro; Turner, Jessica; Dobbin, Alison; Wilson, Paul; Mitas, Christos; Bellone, Enrica

    2013-04-01

    Climate variability is a major source of uncertainty for the insurance industry underwriting hurricane risk. Catastrophe models provide their users with a stochastic set of events that expands the scope of the historical catalogue by including synthetic events that are likely to happen in a defined time-frame. The use of these catastrophe models is widespread in the insurance industry but it is only in recent years that climate variability has been explicitly accounted for. In the insurance parlance "medium term catastrophe model" refers to products that provide an adjusted view of risk that is meant to represent hurricane activity on a 1 to 5 year horizon, as opposed to long term models that integrate across the climate variability of the longest available time series of observations. In this presentation we discuss how a simple reinsurance program can be used to assess the value of medium term catastrophe models. We elaborate on similar concepts as discussed in "Potential Economic Value of Seasonal Hurricane Forecasts" by Emanuel et al. (2012, WCAS) and provide an example based on 24 years of historical data of the Chicago Mercantile Hurricane Index (CHI), an insured loss proxy. Profit and loss volatility of a hypothetical primary insurer are used to score medium term models versus their long term counterpart. Results show that medium term catastrophe models could help a hypothetical primary insurer to improve their financial resiliency to varying climate conditions.

  1. Medium-term dynamics of a middle Adriatic barred beach

    NASA Astrophysics Data System (ADS)

    Postacchini, Matteo; Soldini, Luciano; Lorenzoni, Carlo; Mancinelli, Alessandro

    2017-09-01

    In recent years, attention has been paid to beach protection by means of soft and hard defenses. Along the Italian coast of the Adriatic Sea, sandy beaches are the most common landscape feature and around 70 % of the Marche region's coast (central Adriatic) is protected by defense structures. The longest free-from-obstacle nearshore area in the region includes the beach of Senigallia, frequently monitored in the last decades and characterized by a multiple bar system, which represents a natural beach defense. The bathymetries surveyed in 2006, 2010, 2011, 2012 and 2013 show long-term stability, confirmed by a good adaptation of an analyzed stretch of the beach to the Dean-type equilibrium profile, though a strong short- to medium-term variability of the wave climate has been observed during the monitored periods. The medium-term dynamics of the beach, which deal with the evolution of submerged bars and are of the order of years or seasons, have been related to the wave climate collected, during the analyzed temporal windows, by a wave buoy located about 40 km off Senigallia. An overall interpretation of the hydrodynamics, sediment characteristics and seabed morphology suggests that the wave climate is fundamental for the morphodynamic changes of the beach in the medium term. These medium-term time ranges during which waves mainly come from NNE/ESE are characterized by a larger/smaller steepness and by a larger/smaller relative wave height, and seem to induce seaward/shoreward bar migration as well as bar smoothing/steepening. Moving southeastward, the bar dimension increases, while the equilibrium profile shape suggests the adaptation to a decreasing sediment size in the submerged beach. This is probably due to the presence of both the harbor jetty and river mouth north of the investigated area.

  2. Collection Development Plan.

    ERIC Educational Resources Information Center

    Minnesota State Law Library, St. Paul.

    This collection development plan of the Minnesota State Law Library includes detailed information on policies and annotations. After an overview of the Library's collection, general policy guidelines on the following are discussed: material selection; principles of selection; exclusions; gifts; interlibrary loan; cooperation; replacements;…

  3. Influence of market factors on the pricing of exchange traded metals in the medium term

    NASA Astrophysics Data System (ADS)

    Bogdanov, S. V.; Shevelev, I. M.; Chernyi, S. A.

    2017-06-01

    On the basis of comparison of the influence of the stock exchange factors on the pricing of nonferrous metals for medium term with similar results for short term, it has been established that the main attention should be paid to the changes in the pricing environment on the metal market as a function of the prices of exchange traded metals. The situation on the market of energy carriers (hydrocarbons) and the European, American, and Asian stock exchanges can be based on parity and even significantly influence the variation of the metal prices. In the medium term, constructive development of metal trade should be reasonably promoted by changing the elasticity of supply with regard to prices for exchange traded metals and by applying the stock exchange factors that positively influence the pricing on commodity and stock markets.

  4. A Kalman Filter Technique for Improving Medium-Term Predictions of the Sunspot Number

    NASA Astrophysics Data System (ADS)

    Podladchikova, T.; van der Linden, R.

    2012-04-01

    In this work we describe a technique developed to improve medium-term prediction methods of monthly smoothed sunspot numbers. Each month, the predictions are updated using the last available observations (see the monthly output in real time at http://sidc.oma.be/products/kalfil). The improvement of the predictions is provided by applying an adaptive Kalman filter to the medium-term predictions obtained by any other method, using the six-monthly mean values of sunspot numbers covering the six months between the last available value of the 13-month running mean (the starting point for the predictions) and the "current time" ( i.e. now). Our technique provides an effective estimate of the sunspot index at the current time. This estimate becomes the new starting point for the updated prediction that is shifted six months ahead in comparison with the last available 13-month running mean, and it provides an increase of prediction accuracy. Our technique has been tested on three medium-term prediction methods that are currently in real-time operation: The McNish-Lincoln method (NGDC), the standard method (SIDC), and the combined method (SIDC). With our technique, the prediction accuracy for the McNish-Lincoln method is increased by 17 - 30%, for the standard method by 5 - 21% and for the combined method by 6 - 57%.

  5. Graphite Technology Development Plan

    SciTech Connect

    W. Windes; T. Burchell; M.Carroll

    2010-10-01

    The Next Generation Nuclear Plant (NGNP) will be a helium-cooled High Temperature Gas Reactor (HTGR) with a large graphite core. Graphite physically contains the fuel and comprises the majority of the core volume. Graphite has been used effectively as a structural and moderator material in both research and commercial high-temperature gas-cooled reactors. This development has resulted in graphite being established as a viable structural material for HTGRs. While the general characteristics necessary for producing nuclear grade graphite are understood, historical “nuclear” grades no longer exist. New grades must be fabricated, characterized, and irradiated to demonstrate that current grades of graphite exhibit acceptable non-irradiated and irradiated properties upon which the thermomechanical design of the structural graphite in NGNP is based. This Technology Development Plan outlines the research and development (R&D) activities and associated rationale necessary to qualify nuclear grade graphite for use within the NGNP reactor.

  6. Energy planning in developing countries

    SciTech Connect

    Baum, V.

    1984-01-01

    These papers focus on the capacity of developing nations to plan and implement the development of indigenous energy supplies. They emphasize the management of problems frequently encountered in the implementing even tailor-made energy plans and discuss such practical topics as: energy planning and implementation, energy supply and demand management information and manpower requirements, and the relationship of energy to economic development.

  7. Graphite Technology Development Plan

    SciTech Connect

    W. Windes; T. Burchell; R. Bratton

    2007-09-01

    This technology development plan is designed to provide a clear understanding of the research and development direction necessary for the qualification of nuclear grade graphite for use within the Next Generation Nuclear Plant (NGNP) reactor. The NGNP will be a helium gas cooled Very High Temperature Reactor (VHTR) with a large graphite core. Graphite physically contains the fuel and comprises the majority of the core volume. Considerable effort will be required to ensure that the graphite performance is not compromised during operation. Based upon the perceived requirements the major data needs are outlined and justified from the perspective of reactor design, reatcor performance, or the reactor safety case. The path forward for technology development can then be easily determined for each data need. How the data will be obtained and the inter-relationships between the experimental and modeling activities will define the technology development for graphite R&D. Finally, the variables affecting this R&D program are discussed from a general perspective. Factors that can significantly affect the R&D program such as funding, schedules, available resources, multiple reactor designs, and graphite acquisition are analyzed.

  8. Scenario Planning and Collection Development.

    ERIC Educational Resources Information Center

    Giesecke, Joan

    1999-01-01

    Discussion of the future of library collection development and the need for planning focuses on the technique of scenario planning and discusses the results of scenario planning at the University of NebraskaLincoln that examined collection development and digital information. (LRW)

  9. Development Planning for School Improvement.

    ERIC Educational Resources Information Center

    Hargreaves, David H., Ed.; Hopkins, David, Ed.

    Development planning has recently become a commonly adopted strategy for school improvement in the United Kingdom. Development planning is a description and more formal explication of the process and actions required to plan and manage change with the intention of improving the school. The chapters in this book report on the "state of the…

  10. Developing an effective business plan.

    PubMed

    Lehman, L B

    1996-06-01

    At some time, virtually all managed care executives, and most physician executives, will be asked to develop business plans. Business plans are thoughtful, comprehensive, and realistic descriptions of the many aspects of the formulation of a new business product or line for market. The author describes what goes into the writing of a business plan and how the physician executive should approach this task.

  11. Momentum: "Developing Masterful Marketing Plans."

    ERIC Educational Resources Information Center

    Meservey, Lynne D.

    1988-01-01

    Describes how directors can plan and develop a written marketing plan which can increase enrollment at child care centers. Components of successful marketing plans include parent retention; program merchandising; staff and director training; sales promotions; networking; and enrichment programs/fundraising. (NH)

  12. Momentum: "Developing Masterful Marketing Plans."

    ERIC Educational Resources Information Center

    Meservey, Lynne D.

    1988-01-01

    Describes how directors can plan and develop a written marketing plan which can increase enrollment at child care centers. Components of successful marketing plans include parent retention; program merchandising; staff and director training; sales promotions; networking; and enrichment programs/fundraising. (NH)

  13. Hanford 200 Areas Development Plan

    SciTech Connect

    Rinne, C.A.; Daly, K.S.

    1993-08-01

    The purpose of the Hanford 200 Areas Development Plan (Development Plan) is to guide the physical development of the 200 Areas (which refers to the 200 East Area, 200 West Area, and 200 Area Corridor, located between the 200 East and 200 West Areas) in accordance with US Department of Energy (DOE) Order 4320.lB (DOE 1991a) by performing the following: Establishing a land-use plan and setting land-use categories that meet the needs of existing and proposed activities. Coordinating existing, 5-year, and long-range development plans and guiding growth in accordance with those plans. Establishing development guidelines to encourage cost-effective development and minimize conflicts between adjacent activities. Identifying site development issues that need further analysis. Integrating program plans with development plans to ensure a logical progression of development. Coordinate DOE plans with other agencies [(i.e., Washington State Department of Ecology (Ecology) and US Environmental Protection Agency (EPA)]. Being a support document to the Hanford Site Development Plan (DOE-RL 1990a) (parent document) and providing technical site information relative to the 200 Areas.

  14. The medium term outcome of the Omnifit constrained acetabular cup.

    PubMed

    Bigsby, Ewan; Whitehouse, Michael R; Bannister, Gordon C; Blom, Ashley W

    2012-01-01

    Recurrent dislocation requiring revision surgery occurs in approximately 4% of primary total hip arthroplasties (THAs). To reduce this risk, or to treat those patients who recurrently dislocate, a constrained acetabular component may be used, however there are concerns over the success of such components due to increased mechanical stresses. The purpose of this study was to analyse the survivorship and radiological results for the Omnifit constrained acetabular component, providing a longer patient reported outcome follow-up than previous studies. 117 patients (median age 82 years) underwent a THA with an Omnifit constrained acetabular component. Of these, 45 were primary replacements and 72 were revisions. Survivorship analysis was performed and patients were assessed both radiologically and functionally. At follow-up, 53 patients (45.3%) had died at a median time of 33 months from operation. The median overall follow-up was 7.0 (5.5-8.2) years. Survivors (median age 83 years) reported a median Oxford Hip Score (OHS) of 16.6 (0-48), 87.8% were satisfied with their surgery. 45 (91.8%) of the acetabular components were stable radiologically, 48 (96%) of the femoral components were stable (5 uncemented, 43 cemented) and two possibly unstable. Four of the 117 patients underwent further surgery. Only one required revision of the prosthesis and this was for a periprosthetic fracture. In the medium term the Omnifit constrained acetabular component prevents dislocation and does not cause excessive loosening of either the acetabular or femoral components in our patient population. Our results support the use of the Omnifit constrained acetabular component in elderly patients at risk of dislocation with low functional demand.

  15. Acute and medium term effects of a 10-week running intervention on mood state in apprentices

    PubMed Central

    Walter, Katrin; von Haaren, Birte; Löffler, Simone; Härtel, Sascha; Jansen, Carl-Philipp; Werner, Christian; Stumpp, Jürgen; Bös, Klaus; Hey, Stefan

    2013-01-01

    Exercise and physical activity have proven benefits for physical and psychological well-being. However, it is not clear if healthy young adults can enhance mood in everyday life through regular exercise. Earlier studies mainly showed positive effects of acute exercise and exercise programs on psychological well-being in children, older people and in clinical populations. Few studies controlled participants' physical activity in daily life, performed besides the exercise program, which can impact results. In addition the transition from mood enhancement induced by acute exercise to medium or long-term effects due to regular exercise is not yet determined. The purpose of this pilot study was to examine the acute effects of an aerobic running training on mood and trends in medium term changes of mood in everyday life of young adults. We conducted a 10-week aerobic endurance training with frequent mood assessments and continuous activity monitoring. 23 apprentices, separated into experimental and control group, were monitored over 12 weeks. To control the effectiveness of the aerobic exercise program, participants completed a progressive treadmill test pre and post the intervention period. The three basic mood dimensions energetic arousal, valence and calmness were assessed via electronic diaries. Participants had to rate their mood state frequently on 3 days a week at five times of measurement within 12 weeks. Participants' physical activity was assessed with accelerometers. All mood dimensions increased immediately after acute endurance exercise but results were not significant. The highest acute mood change could be observed in valence (p = 0.07; η2 = 0.27). However, no medium term effects in mood states could be observed after a few weeks of endurance training. Future studies should focus on the interaction between acute and medium term effects of exercise training on mood. The decreasing compliance over the course of the study requires the development of

  16. Succession planning and individual development.

    PubMed

    Goudreau, Kelly A; Hardy, Jacalyn

    2006-06-01

    The authors present a framework for a succession planning and individual development initiative implemented in a Veterans Health Administration facility. Foundational strategic goals and a conceptual framework in the Veterans Affairs system provide the structure for the 3 facility-level succession planning and individual development programs. Outcomes of the programs are promising with 2 of 3 programs demonstrating clear succession planning outcomes and the other one showing positive preliminary results.

  17. Developing an effective business plan.

    PubMed

    Johnson, J E

    1990-01-01

    The cost-consciousness of today's health care industry demands that nurses function as business people as well as care givers. One critical business skill that nurses must develop is writing effective business plans. This article describes a framework for developing successful business plans for both beginning new services and expanding current nursing programs.

  18. Integrating development and population planning.

    PubMed

    1990-06-01

    This article provides an overview of a research project recently completed by the Population Division of the Department of International Economic and Social Affairs of the United Nations. The project entitled "Experiences in integrating development and population planning", provides detailed analyses of the national experiences of India, Mexico, Thailand, and Turkey. These countries were selected because of their relatively long histories of both development and population planning. Additionally, these countries made explicit efforts to integrate these 2 modes of planning and were relatively successful. The introduction of anti-natalist policies and plans have contributed to the decline of total fertility rates in all 4 countries. The integration of development and population planning is defined as a systematic consideration of population factors in the planning process in so far as they significantly influence or are influenced by other variables relevant to development. This article provides a brief analysis on the macro, sectoral, and program levels. The integration of population variables into development planning has been made with the goal of accommodating anticipated population trends. On the macrolevel, the planners in all 4 countries used separately computer population projections as exogenous inputs into macro-economic planning models in order to take into account the influence of demographic factors on variables such as consumption, savings, labor force, production and final demand, and, in the case of India, employment. Sectoral planning methodologies incorporate exogenous population data, such as employment, school enrollment, health care, housing, and infrastructure planning methods. On the program level, population data provide the basis against which performance in service delivery may be measured. Education, public works, health-care delivery, agricultural extension programs, and employment-generating programs are all examples of programs that

  19. The short- to medium-term predictive accuracy of static and dynamic risk assessment measures in a secure forensic hospital.

    PubMed

    Chu, Chi Meng; Thomas, Stuart D M; Ogloff, James R P; Daffern, Michael

    2013-04-01

    Although violence risk assessment knowledge and practice has advanced over the past few decades, it remains practically difficult to decide which measures clinicians should use to assess and make decisions about the violence potential of individuals on an ongoing basis, particularly in the short to medium term. Within this context, this study sought to compare the predictive accuracy of dynamic risk assessment measures for violence with static risk assessment measures over the short term (up to 1 month) and medium term (up to 6 months) in a forensic psychiatric inpatient setting. Results showed that dynamic measures were generally more accurate than static measures for short- to medium-term predictions of inpatient aggression. These findings highlight the necessity of using risk assessment measures that are sensitive to important clinical risk state variables to improve the short- to medium-term prediction of aggression within the forensic inpatient setting. Such knowledge can assist with the development of more accurate and efficient risk assessment procedures, including the selection of appropriate risk assessment instruments to manage and prevent the violence of offenders with mental illnesses during inpatient treatment.

  20. A medium-term, stochastic forecast model to support sustainable, mixed fisheries management in the Mediterranean Sea.

    PubMed

    Rätz, H-J; Charef, A; Abella, A J; Colloca, F; Ligas, A; Mannini, A; Lloret, J

    2013-10-01

    A medium-term (10 year) stochastic forecast model is developed and presented for mixed fisheries that can provide estimations of age-specific parameters for a maximum of 10 stocks and 10 fisheries. Designed to support fishery managers dealing with complex, multi-annual management plans, the model can be used to quantitatively test the consequences of various stock-specific and fishery-specific decisions, using non-equilibrium stock dynamics. Such decisions include fishing restrictions and other strategies aimed at achieving sustainable mixed fisheries consistent with the concept of maximum sustainable yield (MSY). In order to test the model, recently gathered data on seven stocks and four fisheries operating in the Ligurian and North Tyrrhenian Seas are used to generate quantitative, 10 year predictions of biomass and catch trends under four different management scenarios. The results show that using the fishing mortality at MSY as the biological reference point for the management of all stocks would be a strong incentive to reduce the technical interactions among concurrent fishing strategies. This would optimize the stock-specific exploitation and be consistent with sustainability criteria. © 2013 The Fisheries Society of the British Isles.

  1. The personal development planning cycle.

    PubMed

    Bryson, David

    2011-12-01

    This Learning and CPD sheet is designed to pull together into a framework many of the activities that have already been published. It should also help anyone planning to go for audit of their CPD or who have been requested to submit for audit. There are a number of different ways of viewing the Personal Development Planning (PDP) or CPD cycle; the one covered here is just one example and shouldn't be seen as the only way of looking at PDP. For a greater range of activities, look at the book "Skills for Success: The Personal Development Planning Handbook" by Cottrell and the companion website.

  2. Aggressive development plans

    SciTech Connect

    McCandless, D.H.

    1993-11-01

    Hydropower developments are capital-intensive, are subject to uncertainty in water availability, and have a somewhat higher construction-cost risk than thermal projects. However, a developer who selects an attractive site, arranges a good financial package, and designs and constructs a well-conceived hydropower project can earn an attractive long-term return while providing a dependable, low-cost source of energy to consumers. In the Philippines, many attractive hydropower sites are now available. As demonstrated by the attendance at the US Trade and Development Agency-sponsored Symposium on Power Development and Investment Opportunities in the Philippines, in Washington, D.C., on Sept. 21 and 22, 1993, there is a growing interest in private hydropower. Following its successful record in implementing thermal private power developments, the Philippines now offers many attractive opportunities to exploit its tremendous potential in the hydropower sector.

  3. Spacelift Development Plan

    DTIC Science & Technology

    2010-02-02

    Reusable • All Rocket (Two-Stage-to-Orbit (TSTO) • All Hypersonic ( TBCC + RBCC)* • Rocket and Hypersonic (RBCC) _____________ * TBCC = Turbine-Based... Test • Mission Assurance ELV 33 0 RBS 12 61 RBS • Balance ELV-RLV production and development costs, resulting in lower LCC for most cases • ~50

  4. LDUA engineering development plan

    SciTech Connect

    Engstrom, J.W.

    1994-09-15

    This document provides guidance to perform Light Duty Utility Arm (LDUA) development work and documentation required to validate the design of the LDUA System.The LDUA system will be used to deploy various types of sensors and devices to demonstrate the technology and qualify the integrated systems for operational use in the Hanford single shell tanks to characterize the waste inside and assess tank integrity.

  5. Avionics test bed development plan

    NASA Technical Reports Server (NTRS)

    Harris, L. H.; Parks, J. M.; Murdock, C. R.

    1981-01-01

    The plan is for a facility for the early investigation and evaluation of new concepts for the control of large space structures, orbiter attached flex body experiments, and orbiter enhancements. This plan outlines a distributed data processing facility that will utilize the current JSC laboratory resources for the test bed development. The future studies required for implementation, the management system for project control, and the baseline system configuration are described.

  6. Developing a reproductive life plan.

    PubMed

    Files, Julia A; Frey, Keith A; David, Paru S; Hunt, Katherine S; Noble, Brie N; Mayer, Anita P

    2011-01-01

    The purpose of this article is 2-fold: to emphasize the importance of a reproductive life plan and to define its key elements. We review the 2006 recommendations from the Centers for Disease Control and Prevention (CDC) regarding ways to improve the delivery of preconception health care to women in the United States, with particular focus on encouraging individual reproductive responsibility throughout the life span and on encouraging every woman to develop a reproductive life plan. We propose recommendations for the content of a reproductive life plan and explore ways to incorporate the guidelines from the CDC into clinical practice. By encouraging women to consider their plans for childbearing before they become pregnant, clinicians have the opportunity to influence behavior before pregnancy, which may decrease the incidence of unintended pregnancies and adverse pregnancy outcomes. © 2011 by the American College of Nurse‐Midwives.

  7. Towards smart energy systems: application of kernel machine regression for medium term electricity load forecasting.

    PubMed

    Alamaniotis, Miltiadis; Bargiotas, Dimitrios; Tsoukalas, Lefteri H

    2016-01-01

    Integration of energy systems with information technologies has facilitated the realization of smart energy systems that utilize information to optimize system operation. To that end, crucial in optimizing energy system operation is the accurate, ahead-of-time forecasting of load demand. In particular, load forecasting allows planning of system expansion, and decision making for enhancing system safety and reliability. In this paper, the application of two types of kernel machines for medium term load forecasting (MTLF) is presented and their performance is recorded based on a set of historical electricity load demand data. The two kernel machine models and more specifically Gaussian process regression (GPR) and relevance vector regression (RVR) are utilized for making predictions over future load demand. Both models, i.e., GPR and RVR, are equipped with a Gaussian kernel and are tested on daily predictions for a 30-day-ahead horizon taken from the New England Area. Furthermore, their performance is compared to the ARMA(2,2) model with respect to mean average percentage error and squared correlation coefficient. Results demonstrate the superiority of RVR over the other forecasting models in performing MTLF.

  8. Developing an Effective Dissemination Plan.

    ERIC Educational Resources Information Center

    Southwest Educational Development Laboratory, Austin, TX. National Center for the Dissemination of Disability Research.

    This booklet offers guidelines for the development of dissemination strategies, especially those concerned with research and programs. Individual sections address: the importance of including sound dissemination plans in grant proposals, factors found to be closely related to information utilization in the dissemination process, a philosophical…

  9. Diagnostics development plan for ZR.

    SciTech Connect

    Hanson, David Lester

    2003-09-01

    The Z Refurbishment (ZR) Project is a program to upgrade the Z machine at SNL with modern durable pulsed power technology, providing additional shot capacity and improved reliability as well as advanced capabilities for both pulsed x-ray production and high pressure generation. The development of enhanced diagnostic capabilities is an essential requirement for ZR to meet critical mission needs. This report presents a comprehensive plan for diagnostic instrument and infrastructure development for the first few years of ZR operation. The focus of the plan is on: (1) developing diagnostic instruments with high spatial and temporal resolution, capable of low noise operation and survival in the severe EMP, bremsstrahlung, and blast environments of ZR; and (2) providing diagnostic infrastructure improvements, including reduced diagnostic trigger signal jitter, more and flexible diagnostic line-of-sight access, and the capability for efficient exchange of diagnostics with other laboratories. This diagnostic plan is the first step in an extended process to provide enhanced diagnostic capabilities for ZR to meet the diverse programmatic needs of a broad range of defense, energy, and general science programs of an international user community into the next decade.

  10. Energy planning in developing countries

    SciTech Connect

    Meier, P.M.

    1986-01-01

    This book provides discussion of analytical methods for energy-sector planning in developing countries. The author addresses such topics as energy balances, the Reference Energy System (RES), approaches to demand forecasting, project evaluation (including capital budgeting), techniques for dealing with uncertainty, financial accounting as applied to the typical parastatal electric utility of a developing country, techniques for pricing studies, scenario analysis, and approaches to the evaluation of macroeconomic impacts of energy-sector decisions. Extensive use is made of case-study material, including examples from Haiti, Tunisia, the Sudan, Jordan, Mauritius, Thailand, Sri Lanka, and Liberia.

  11. Avionics test bed development plan

    NASA Technical Reports Server (NTRS)

    Harris, L. H.; Parks, J. M.; Murdock, C. R.

    1981-01-01

    A development plan for a proposed avionics test bed facility for the early investigation and evaluation of new concepts for the control of large space structures, orbiter attached flex body experiments, and orbiter enhancements is presented. A distributed data processing facility that utilizes the current laboratory resources for the test bed development is outlined. Future studies required for implementation, the management system for project control, and the baseline system configuration are defined. A background analysis of the specific hardware system for the preliminary baseline avionics test bed system is included.

  12. DWPF Development Plan. Revision 1

    SciTech Connect

    Holtzscheiter, E.W.

    1994-05-09

    The DWPF Development Plan is based on an evaluation process flowsheet and related waste management systems. The scope is shown in Figure 1 entitled ``DWPF Process Development Systems.`` To identify the critical development efforts, each system has been analyzed to determine: The identification of unresolved technology issues. A technology issue (TI) is one that requires basic development to resolve a previously unknown process or equipment problem and is managed via the Technology Assurance Program co-chaired by DWPF and SRTC. Areas that require further work to sufficiently define the process basis or technical operating envelop for DWPF. This activity involves the application of sound engineering and development principles to define the scope of work required to complete the technical data. The identification of the level of effort and expertise required to provide process technical consultation during the start-up and demonstration of this first of a kind plant.

  13. Short-term and medium-term health effects of 9/11.

    PubMed

    Perlman, Sharon E; Friedman, Stephen; Galea, Sandro; Nair, Hemanth P; Eros-Sarnyai, Monika; Stellman, Steven D; Hon, Jeffrey; Greene, Carolyn M

    2011-09-03

    The New York City terrorist attacks on Sept 11, 2001 (9/11), killed nearly 2800 people and thousands more had subsequent health problems. In this Review of health effects in the short and medium terms, strong evidence is provided for associations between experiencing or witnessing events related to 9/11 and post-traumatic stress disorder and respiratory illness, with a correlation between prolonged, intense exposure and increased overall illness and disability. Rescue and recovery workers, especially those who arrived early at the World Trade Center site or worked for longer periods, were more likely to develop respiratory illness than were other exposed groups. Risk factors for post-traumatic stress disorder included proximity to the site on 9/11, living or working in lower Manhattan, rescue or recovery work at the World Trade Center site, event-related loss of spouse, and low social support. Investigators note associations between 9/11 exposures and additional disorders, such as depression and substance use; however, for some health problems association with exposures related to 9/11 is unclear.

  14. Develop a Professional Learning Plan

    ERIC Educational Resources Information Center

    Journal of Staff Development, 2013

    2013-01-01

    A professional learning plan establishes short-and long-term plans for professional learning and implementation of the learning. Such plans guide individuals, schools, districts, and states in coordinating learning experiences designed to achieve outcomes for educators and students. Professional learning plans focus on the program of educator…

  15. Develop a Professional Learning Plan

    ERIC Educational Resources Information Center

    Journal of Staff Development, 2013

    2013-01-01

    A professional learning plan establishes short-and long-term plans for professional learning and implementation of the learning. Such plans guide individuals, schools, districts, and states in coordinating learning experiences designed to achieve outcomes for educators and students. Professional learning plans focus on the program of educator…

  16. Validation of short and medium term operational solar radiation forecasts in the US

    SciTech Connect

    Perez, Richard; Kivalov, Sergey; Schlemmer, James; Hemker, Karl Jr.; Renne, David; Hoff, Thomas E.

    2010-12-15

    This paper presents a validation of the short and medium term global irradiance forecasts that are produced as part of the US data set. The short term forecasts that extend up to 6-h ahead are based upon cloud motion derived from consecutive geostationary satellite images. The medium term forecasts extend up to 6-days-ahead and are modeled from gridded cloud cover forecasts from the US National Digital Forecast Database. The forecast algorithms are validated against ground measurements for seven climatically distinct locations in the United States for 1 year. An initial analysis of regional performance using satellite-derived irradiances as a benchmark reference is also presented. (author)

  17. [Medium-term strategy for the specific management of pneumology hospitals and wards after the decentralization of the sanitary system].

    PubMed

    Muşat, Simona Nicoleta; Ioniţa, Diana; Paceonea, Mirela; Chiriac, Nona Delia; Stoicescu, Ileana Paula; Mihălţan, F D

    2011-01-01

    Identifying and promoting new management techniques for the descentralized pneumology hospitals or wards was one of the most ambitious objectives of the project "Quality in the pneumology medical services through continuous medical education and organizational flexibility", financed by the Human Resourses Development Sectorial Operational Programme 2007-2013 (ID 58451). The "Medium term Strategy on the specific management of the pneumology hospitals or wards after the descentralization of the sanitary system" presented in the article was written by the project's experts and discussed with pneumology managers and local authorities representatives. This Strategy application depends on the colaboration of the pneumology hospitals with professional associations, and local and central authorities.

  18. Information Communication Technology Planning in Developing Countries

    ERIC Educational Resources Information Center

    Malapile, Sandy; Keengwe, Jared

    2014-01-01

    This article explores major issues related to Information Communication Technology (ICT) in education and technology planning. Using the diffusion of innovation theory, the authors examine technology planning opportunities and challenges in Developing countries (DCs), technology planning trends in schools, and existing technology planning models…

  19. Information Communication Technology Planning in Developing Countries

    ERIC Educational Resources Information Center

    Malapile, Sandy; Keengwe, Jared

    2014-01-01

    This article explores major issues related to Information Communication Technology (ICT) in education and technology planning. Using the diffusion of innovation theory, the authors examine technology planning opportunities and challenges in Developing countries (DCs), technology planning trends in schools, and existing technology planning models…

  20. 1994 Site Development Plan: A plan with vision

    SciTech Connect

    Not Available

    1994-07-01

    The 1994 Lawrence Livermore National Laboratory Site Development Plan has been developed during a period of great change and uncertainty. Our goal is to make possible the best use of the Laboratory`s resources to meet shifting national priorities in the post-Cold War world. Site Planning is an important component of the overall Laboratory strategic planning process. This plan focuses on opportunities for the Laboratory as well as on key site development issues including facility construction, redevelopment and reuse, site accessibility, and security. A major challenge is to achieve sufficient stability in the site planning and execution so that the processes of construction can occur efficiently while at the same time providing sufficient flexibility in site facilities so that a range of changing national needs can be accommodated. We are closely coupled to the DOE strategic planning process to meet this challenge.

  1. Development and Change through Scenario Planning

    ERIC Educational Resources Information Center

    Chermack, Thomas J.; Walton, John S.

    2004-01-01

    This paper examines the role of scenario planning as a development and change intervention. To do so, this article provides an overview of scenario planning and an overview of development and change in organizations. The article then builds on the philosophical orientations of development and change through scenario planning introducing the…

  2. The Medium Term Schooling and Health Effects of Low Birth Weight: Evidence from Siblings

    ERIC Educational Resources Information Center

    Fletcher, Jason M.

    2011-01-01

    Research has shown that low birth weight is linked to infant mortality as well as longer term outcomes. This paper examines the medium term outcomes that may link low birth weight to adult disadvantage using a national longitudinal sample with a large sample of siblings (Add Health). Results show strong effects on several educational outcomes,…

  3. Short- and medium-term prognosis in patients hospitalized for COPD exacerbation: the CODEX index.

    PubMed

    Almagro, Pedro; Soriano, Joan B; Cabrera, Francisco J; Boixeda, Ramon; Alonso-Ortiz, M Belen; Barreiro, Bienvenido; Diez-Manglano, Jesus; Murio, Cristina; Heredia, Josep L

    2014-05-01

    No valid tools exist for evaluating the prognosis in the short and medium term after hospital discharge of patients with COPD. Our hypothesis was that a new index based on the CODEX (comorbidity, obstruction, dyspnea, and previous severe exacerbations) index can accurately predict mortality, hospital readmission, and their combination for the period from 3 months to 1 year after discharge in patients hospitalized for COPD. A multicenter study of patients hospitalized for COPD exacerbations was used to develop the CODEX index, and a different patient cohort was used for validation. Comorbidity was measured using the age-adjusted Charlson index, whereas dyspnea, obstruction, and severe exacerbations were calculated according to BODEX (BMI, airfl ow obstruction, dyspnea, and previous severe exacerbations) thresholds. Information about mortality and readmissions for COPD or other causes was collected at 3 and 12 months after hospital discharge. Two sets of 606 and 377 patients were included in the development and validation cohorts, respectively. The CODEX index was associated with mortality at 3 months ( P < .0001; hazard ratio [HR], 1.5; 95% CI, 1.2-1.8) and 1 year ( P < .0001; HR, 1.3; 95% CI, 1.2-1.5 ), hospital readmissions in the same periods, and their combination (all P < .0001). All CODEX C statistics were superior to those of the BODEX, DOSE (dyspnea, airfl ow obstruction, smoking status, and exacerbation frequency), and updated ADO (age, dyspnea, and airfl ow obstruction) indexes. The CODEX index was a useful predictor of survival and readmission at both 3 months and 1 year after hospital discharge for a COPD exacerbation, with a prognostic capacity superior to other previously published indexes.

  4. Geothermal development plan: Yuma County

    SciTech Connect

    White, D.H.; Goldstone, L.A.

    1982-08-01

    The Yuma County Area Development Plan evaluated the county-wide market potential for utilizing geothermal energy. The study identified four potential geothermal resource areas with temperatures less than 90/sup 0/C (194/sup 0/F), and in addition, two areas are inferred to contain geothermal resources with intermediate (90/sup 0/C to 150/sup 0/C, 194/sup 0/F to 300/sup 0/F) temperature potential. The resource areas are isolated, although one resource area is located near Yuma, Arizona. One resource site is inferred to contain a hot dry rock resource. Anticipated population growth in the county is expected to be 2 percent per year over the next 40 years. The primary employment sector is agriculture, though some light industry is located in the county. Water supplies are found to be adequate to support future growth without advese affect on agriculture. Six firms were found in Yuma County which may be able to utilize geothermal energy for process heat needs. In addition, several agricultural processors were found, concentrated in citrus processing and livestock raising. Geothermal energy utilization projections suggest that by the year 2000, geothermal energy may economically provide the energy equivalent of 53,000 barrels of oil per year to the industrial sector if developed privately. Geothermal utilization projections increase to 132,000 barrels of oil per year by 2000 if a municipal utility developed the resource.

  5. Developing a Global Green Freight Action Plan

    EPA Pesticide Factsheets

    This Climate and Clean Air Coalition (CCAC) presentation gives an overview of the Global Green Freight Action Plan to improve the energy efficiency and environmental performance of freight operations worldwide along with developing an action plan.

  6. Developing and Implementing a Marketing Plan.

    ERIC Educational Resources Information Center

    McCalmon, Byron G.

    1987-01-01

    A program focusing on recruitment of new freshmen at the University of Colorado at Boulder illustrates some major planning considerations in the development, implementation, and evaluation of a marketing plan. (MSE)

  7. Medium-term multi-organ carcinogenesis bioassay of ethyl tertiary-butyl ether in rats.

    PubMed

    Hagiwara, Akihiro; Doi, Yuko; Imai, Norio; Nakashima, Hironao; Ono, Takahiro; Kawabe, Mayumi; Furukawa, Fumio; Tamano, Seiko; Nagano, Kasuke; Fukushima, Shoji

    2011-11-18

    The modifying potential of ethyl tertiary-butyl ether (ETBE) on tumor development was investigated in a medium-term multi-organ carcinogenesis bioassay using male F344 rats. Animals were sequentially given 5 carcinogens with different target sites in the first 4 weeks for multi-organ initiation. After one week they received ETBE by gavage at dose levels of 0 (control), 300 or 1000mg/kg/day until experimental week 28. Further groups were also given ETBE at doses of 0 or 1000mg/kg/day without prior carcinogen application. Incidences and multiplicities of follicular cell hyperplasias and neoplasms in the thyroid were significantly increased at dose levels of more than 300mg/kg/day. Combined incidences of squamous cell hyperplasias and papillomas of the forestomach were also significantly increased at 300 and 1000mg/kg/day. Incidences and multiplicities of adenocarcinomas in the colon were increased at 1000mg/kg/day. The numbers and areas of glutathione S-transferase placental form (GST-P) positive foci per unit area of the liver sections, and the incidence of hepatocellular adenomas were also significantly increased at 1000mg/kg/day, along with multiplicities of atypical hyperplasias of renal tubules of the kidney and the incidence of papillomatosis of the urinary bladder. This latter lesion was also seen at low incidence at 1000mg/kg/day without initiation. Thus, the current results indicate that ETBE has tumor promoting potential for the thyroid and forestomach at dose levels of 300mg/kg/day and more, and for the colon, liver, kidney and urinary bladder at 1000mg/kg/day, under the present experimental conditions.

  8. Planned Change for Personnel Development: Strategic Planning and the CSPD.

    ERIC Educational Resources Information Center

    Riffle, Christy; Smith-Davis, Judy

    As a result of the evolving concept and practice of the Comprehensive System of Personnel Development (CSPD) required by federal law, this resource has been produced to introduce leaders of special education and related services to the concepts of strategic planning and planned change for the CSPD. It contains information, resources, and examples…

  9. Towards medium-term (order of months) morphodynamic modelling of the Teign estuary, UK

    NASA Astrophysics Data System (ADS)

    Bernardes, Marcos E. C.; Davidson, Mark A.; Dyer, Keith R.; George, Ken J.

    2006-07-01

    The main objective of this paper is to address the principal mechanisms involved in the medium-term (order of months to years) morphodynamic evolution of estuaries through the application of a process-based numerical modelling. The Teign estuary (Teignmouth, UK) is the selected site. The system is forced by the macrotidal semi-diurnal tide in the English Channel and is perturbed to a minor extent by high river discharge events (freshets). Although waves have a definite influence on the adjacent coastal area, Wells (Teignmouth Quay Development Environmental Statement: Changes to Physical Processes. Report R.984c:140. ABP Marine Environmental Research Ltd., Southampton, 2002b) suggested that swell waves do not enter the estuary. Hence, wave effects are neglected in this study, as only tides and the river discharge are taken into account. The sediment grain size is highly variable, but mainly sandy. Within the frame of the COAST3D project ( http://www.hrwallingford.co.uk/projects/COAST3D ), four bathymetric surveys of the adjacent coastal area were carried out at a nearly weekly intervals. The outer estuary and the adjacent coastal area were also surveyed every 6 months as part of the COASTVIEW project ( http://thecoastviewproject.org ). Based on these data and on continuously measured parameters, such as water level, waves, wind and river discharge, numerical modelling of the morphodynamic processes can be tested. To replicate the morphological changes in the medium-term within a feasible simulation time, forcing conditions are reduced through the use of an input reduction method (called ensemble technique). In this study, simulations are based on the coupling between Telemac-2D and its non-cohesive sediment

  10. Rat medium-term multi-organ carcinogenesis bioassay of Agaricus blazei Murrill fruit-body extract.

    PubMed

    Doi, Yuko; Furukawa, Fumio; Suguro, Mayuko; Ito, Hikaru; Imai, Norio; Nabae, Kyoko; Toda, Yosuke; Inatomi, Satoshi; Kinugasa, Satomi; Kobayashi, Hitoshi

    2010-01-01

    The modifying potential of Agaricus blazei Murrill fruit-body extract (ABFE) on tumor development was investigated in a medium-term multi-organ carcinogenesis bioassay. Male 6-week-old F344 rats were treated with N-nitrosodiethylamine (DEN), N-methyl-N-nitrosourea (MNU), 1,2-dimethylhydrazine dihydrochloride (DMH), N-butyl-N-(hydroxybutyl)-nitrosamine (BBN), and diisopropanolnitrosamine (DHPN) for initiation (DMBDD treatment). After a 1-week withdrawal period, the animals received distilled water (vehicle control) or ABFE A, gamma-amino butyric acid (GABA) at 0.8 mg/kg, ABFE B (GABA level of 3.0mg/kg) or ABFE C (GABA level of 12.0mg/kg) by gavage for 24 weeks. There were no effects of ABFE on survival rate, general condition, body weight, food and water consumption, and organ weights. The multiplicity of large intestinal nodules, smaller than 2mm was significantly increased in the ABFE C group with DMBDD treatment. However, there were no significantly inter-group differences in incidences of hyperplastic or neoplastic lesions in colon or other organs, or in immunohistochemically identified preneoplastic lesions in the liver. In conclusion, A. blazei Murrill fruit-body extract, even at a GABA level up to 12 mg/kg, did not exert modifying potential in the present medium-term multi-organ carcinogenesis bioassay in male F344 rats (DMBDD method).

  11. Developing a strategic marketing plan.

    PubMed

    Zipin, M L

    1989-06-01

    Strategic planning is essential to the survival of today's hospital. Whether the hospital is an academic medical center, a community hospital or some other type of organization, the key to success is a thorough market planning process. The four-phase process described here focuses on an academic medical center, but it is equally applicable to other types of hospitals.

  12. Locate, Plan, Develop, Use An Outdoor Classroom.

    ERIC Educational Resources Information Center

    Soil Conservation Service (USDA), Upper Darby, PA.

    Designed to aid educational institutions and community organizations in selecting, planning, developing and using outdoor learning areas as outdoor classrooms, this guide includes: (1) Learning by Discovery (scientific, cultural, and recreational goals); (2) The Initial Planning Effort (use of: a planning committee including teachers,…

  13. School Shop Development: Research and Planning.

    ERIC Educational Resources Information Center

    Rockwell Manufacturing Co., Pittsburgh, PA.

    This facility planning guide was developed by a commercial firm for use by school personnel in planning and equiping industrial education shops. It is based on an analysis of reports made by the company's 150 field representatives and information furnished by school administrators and architects. Five fundamental planning concepts and a cycle of…

  14. [Medium-term forecast of solar cosmic rays radiation risk during a manned Mars mission].

    PubMed

    Petrov, V M; Vlasov, A G

    2006-01-01

    Medium-term forecasting radiation hazard from solar cosmic rays will be vital in a manned Mars mission. Modern methods of space physics lack acceptable reliability in medium-term forecasting the SCR onset and parameters. The proposed estimation of average radiation risk from SCR during the manned Mars mission is made with the use of existing SCR fluence and spectrum models and correlation of solar particle event frequency with predicted Wolf number. Radiation risk is considered an additional death probability from acute radiation reactions (ergonomic component) or acute radial disease in flight. The algorithm for radiation risk calculation is described and resulted risk levels for various periods of the 23-th solar cycle are presented. Applicability of this method to advance forecasting and possible improvements are being investigated. Recommendations to the crew based on risk estimation are exemplified.

  15. Morphological characteristics and medium-term evolution of the beaches between Ceuta and Cabo Negro (Morocco)

    NASA Astrophysics Data System (ADS)

    Anfuso, G.; Martínez Del Pozo, J. A.; Nachite, D.; Benavente, J.; Macias, A.

    2007-05-01

    This work presents the results of a combined study on the beach morphology and the evolution at short- and medium-term of the littoral between Ceuta and Cabo Negro (Morocco). It is an interesting sector showing a great increase of human occupation and coastal structures. The monitoring program allowed for the reconstruction of the beach morphological behavior and the seasonal changes. The studied beaches presented reflective profiles recording little seasonality, with the most notable morphological changes being strictly related to storms. Surf Similarity and Surf Scaling parameters highlighted the existence of intermediate and reflective beach states, characterized by plunging breakers. Aerial photographs and a satellite image have been geo-referenced and elaborated with GIS tools to reconstruct the short- and medium-term evolution of the littoral and the sediment transport pathways. The littoral showed important erosion at short- and medium-term related to a negative sedimentary budget because of offshore transport. Sand accumulation was recorded close to the main ports, i.e., Marina Smir and Marina Kabila. These port structures constituted impermeable, fixed limits, which divided the studied area into littoral cells. Other free, transit limits were also observed.

  16. [Short- and medium-term results of cavo-pulmonary anastomosis].

    PubMed

    Kane, A; Godart, F; Rey, C; Brevière, G M; Vaksmann, G; Francart, C

    1998-05-01

    The authors report the medium term results of total cavo-pulmonary connections in 50 patients treated between 1988 and 1997. the cardiac lesions were single ventricle (n = 27), tricuspid atresia (n = 11), mitral atresia (n = 2), pulmonary atresia with intact septum (n = 2) or more complex lesions (n = 8). The mean age at surgery was 75 +/- 6 months. There were no operative deaths but two early reoperations were required. After surgery, oxygen saturation increased from 76 to 91% (p = 0.001). Early complications included: 11 mild cardiac failures, 19 pericordial or pleural effusions and 6 supraventricular arrhythmias. At medium term (average follow-up of 59 months), there were no fatalities and all were in NYHA Classes I and II. Cyanosis was observed in 12 patients: right-to-left atrial shunt (n = 7), 2 of which were closed percutaneously, shunt from the azygos system to the suprahepatic veins in 5 cases with Kawashima, 2 of which were reoperated, pulmonary arterio-venous fistula (n = 3). Six patients had arrhythmias and 3 had regressive thromboses. At the end of follow-up, 8 patients remained cyanotic, 4 had antiarrhythmic therapy and 2 had mild ventricular dysfunction. In conclusion, the results of total cavo-pulmonary connections are satisfactory at short and medium term and may be proposed for patients with complex univentricular cardiac malformations.

  17. Colorado Technology Transfer Plan for Economic Development.

    ERIC Educational Resources Information Center

    Colorado Advanced Tech. Inst., Denver.

    Recognizing the importance of technology transfer to economic growth, the U.S. Economic Development Administration (EDA) provided the Colorado Advanced Technology Institute (CATI) with a grant to coordinate the development of a plan for using technology transfer in Colorado's economic development. The plan, outlined in this report, describes the…

  18. Nascom System Development Plan: System Description, Capabilities and Plans

    NASA Technical Reports Server (NTRS)

    1995-01-01

    The NASA Communications (Nascom) System Development Plan (NSDP), reissued annually, describes the organization of Nascom, how it obtains communication services, its current systems, its relationship with other NASA centers and International Partner Agencies, some major spaceflight projects which generate significant operational communication support requirements, and major Nascom projects in various stages of development or implementation.

  19. The Economics of Development Planning.

    ERIC Educational Resources Information Center

    Paton, G. Jeffry

    Relevant macroeconomic perspectives to improve investment planning and managing of resources in colleges and universities is discussed. Five sections are as follows: (1) simple relationships between expenditures and giving (simple costs and returns); (2) conceptual refinements: predisposition and capacity (effects of predisposition, effects of…

  20. Linking Career Development and Human Resource Planning.

    ERIC Educational Resources Information Center

    Gutteridge, Thomas G.

    When organizations integrate their career development and human resources planning activities into a comprehensive whole, it is the exception rather than the rule. One reason for the frequent dichotomy between career development and human resource planning is the failure to recognize that they are complements rather than synonyms or substitutes.…

  1. The Personnel Development and Planning Project.

    ERIC Educational Resources Information Center

    Stakenas, Robert; And Others

    1979-01-01

    The purpose of the project is to identify goals for vocational education in Florida through the year 2000 and to develop a system plan for achieving them. Project components are leadership and project coordination, staff development, a planning team, needs assessment surveys, futures research, an economic utility model, and dissemination and…

  2. Medium term municipal solid waste generation prediction by autoregressive integrated moving average

    SciTech Connect

    Younes, Mohammad K.; Nopiah, Z. M.; Basri, Noor Ezlin A.; Basri, Hassan

    2014-09-12

    Generally, solid waste handling and management are performed by municipality or local authority. In most of developing countries, local authorities suffer from serious solid waste management (SWM) problems and insufficient data and strategic planning. Thus it is important to develop robust solid waste generation forecasting model. It helps to proper manage the generated solid waste and to develop future plan based on relatively accurate figures. In Malaysia, solid waste generation rate increases rapidly due to the population growth and new consumption trends that characterize the modern life style. This paper aims to develop monthly solid waste forecasting model using Autoregressive Integrated Moving Average (ARIMA), such model is applicable even though there is lack of data and will help the municipality properly establish the annual service plan. The results show that ARIMA (6,1,0) model predicts monthly municipal solid waste generation with root mean square error equals to 0.0952 and the model forecast residuals are within accepted 95% confident interval.

  3. Medium term municipal solid waste generation prediction by autoregressive integrated moving average

    NASA Astrophysics Data System (ADS)

    Younes, Mohammad K.; Nopiah, Z. M.; Basri, Noor Ezlin A.; Basri, Hassan

    2014-09-01

    Generally, solid waste handling and management are performed by municipality or local authority. In most of developing countries, local authorities suffer from serious solid waste management (SWM) problems and insufficient data and strategic planning. Thus it is important to develop robust solid waste generation forecasting model. It helps to proper manage the generated solid waste and to develop future plan based on relatively accurate figures. In Malaysia, solid waste generation rate increases rapidly due to the population growth and new consumption trends that characterize the modern life style. This paper aims to develop monthly solid waste forecasting model using Autoregressive Integrated Moving Average (ARIMA), such model is applicable even though there is lack of data and will help the municipality properly establish the annual service plan. The results show that ARIMA (6,1,0) model predicts monthly municipal solid waste generation with root mean square error equals to 0.0952 and the model forecast residuals are within accepted 95% confident interval.

  4. Technical Note: Medium-term morphodynamics in an unprotected sandy beach of the Adriatic Sea

    NASA Astrophysics Data System (ADS)

    Postacchini, M.; Soldini, L.; Lorenzoni, C.; Mancinelli, A.

    2015-08-01

    In the recent years attention has been paid to the beach protection by means of soft and hard defenses. Along the Italian coasts of the Adriatic Sea, sandy beaches are the most common landscapes and around 70 % of the Marche-Region coasts (central Adriatic), is protected by defense structures. The longest free-from-obstacle nearshore area in the Region includes the beach of Senigallia, characterized by a multiple barred beach, frequently monitored during the last decades. The bathymetries surveyed in 2006, 2010, 2011, 2012 and 2013 show a good adaptation of the beach to the Dean-type equilibrium profile, though a strong short-/medium-term variability of the wave climate has been observed during the monitored periods. This suggests a slight influence of wave forcing on the long-term profiles, which seems to only depend on the sediment size. Further, the medium-term dynamics of the submerged bars and their geometric features have been related to the wave climate collected by a wave buoy located 40 km off Senigallia during the analyzed temporal windows. An overall interpretation of the complete dynamics, i.e. hydrodynamics (buoy data), sediment characteristics (equilibrium-profile A parameter) and morphodynamics (bathymetric surveys), suggests that the wave climate is fundamental for the morphodynamic changes of the beach in the medium term: waves coming from NNE/ESE are characterized by a larger/smaller steepness and induce seaward/shoreward bar migration, as well as bar smoothing/steepening. Moving southward, the bar dimension increases, while the equilibrium profile suggests a decrease of the sediment size in the submerged beach, this probably due to the presence of both harbor jetty and river mouth North of the investigated area.

  5. 43 CFR 3931.50 - Exploration plan and plan of development modifications.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Exploration plan and plan of development... EXPLORATION AND LEASES Plans of Development and Exploration Plans § 3931.50 Exploration plan and plan of... approved exploration plan or POD to adjust to changed conditions, new information, improved methods, and...

  6. A medium-term rat liver bioassay for rapid in vivo detection of carcinogenic potential of chemicals.

    PubMed

    Ito, Nobuyuki; Tamano, Seiko; Shirai, Tomoyuki

    2003-01-01

    A reliable medium-term bioassay system for rapid detection of carcinogenic potential of chemicals in the human environment has been developed. The 8-week-protocol consists of 2 stages; male F344 rats are given a single intraperitoneal injection of diethylnitrosamine (200 mg/kg) for initiation of liver carcinogenesis, followed by a 6-week test chemical treatment starting 2 weeks thereafter. Test chemicals are usually given in the diet or the drinking water and in the 2nd week of test chemical treatment, all rats are subjected to two-thirds partial hepatectomy in order to induce regenerative cell replication. The end-point marker is the glutathione S-transferase placental form (GST-P)-positive hepatic focus, the numbers and sizes of which are analyzed using an image-analyzer and expressed as values per unit liver section (1 cm2). When the yield of GST-P-positive foci is significantly enhanced (P<0.05) over the control value, a chemical is judged to possess carcinogenic or promotion potential for the liver. Among 313 chemicals already tested in this system in our laboratory, 30/31 (97%) mutagenic hepatocarcinogens and 29/33 (88%) non-mutagenic hepatocarcinogens gave positive results. Ten out of 43 (23%) agents known to be carcinogenic in organs other than the liver were also positive. It is particularly important that only one of 48 non-carcinogens gave a very weak positive result, so that the system has a very low false-positivity rate. It is now well documented that the assay system is highly effective for detecting hepatocarcinogens, bridging the gap between traditional long-term carcinogenicity tests and short-term screening assays. At the Fourth International Conference on Harmonization, our medium-term liver bioassay based on an initiation and promotion protocol was recommended in the guidelines as an acceptable alternative to the long-term rodent carcinogenicity test.

  7. Assessment of myocardial deformation: Predicting medium-term left ventricular dysfunction after surgery in patients with chronic mitral regurgitation.

    PubMed

    de Agustín, José A; Pérez de Isla, Leopoldo; Núñez-Gil, Iván J; Vivas, David; Manzano, María del C; Marcos-Alberca, Pedro; Fernández-Golfín, Covadonga; Corros, Cecilia; Almería, Carlos; Rodrigo, José L; Aubele, Adalia; Herrera, Dionisio; Rodríguez, Enrique; Macaya, Carlos; Zamorano, José

    2010-05-01

    The development of left ventricular dysfunction after mitral valve replacement is a common problem in patients with chronic severe mitral regurgitation. Assessment of myocardial deformation enables myocardial contractility to be accurately estimated. Our aim was to compare the value of the preoperative strain and strain rate derived by either speckle-tracking echocardiography or tissue Doppler imaging (TDI) for predicting the medium-term decrease in left ventricular ejection fraction (LVEF) following surgery. This prospective study involved 38 consecutive patients with chronic severe mitral regurgitation who were scheduled for mitral valve replacement. The longitudinal strain and strain rate in the interventricular septum were measured preoperatively using speckle-tracking echocardiography and TDI. The LVEF was determined preoperatively and postoperatively using 3-dimensional echocardiography. Echocardiographic assessments were performed in the 48 hours prior to surgery and 6 months postoperatively. The patients' mean age was 59.9+/-11.3 years and 10 (29.4%) were male. Both speckle-tracking echocardiography and TDI were found to be predictors of a >10% decrease in LVEF at 6 months. However, the predictive value of speckle-tracking echocardiography was greater than that of TDI. The longitudinal strain at baseline in the interventricular septum as measured by speckle-tracking echocardiography was the most powerful predictor; the area under the curve was 0.85 and the optimal cut-off value was -0.11. Speckle-tracking echocardiography can be used to predict a decrease in LVEF over the medium term after mitral valve replacement. Moreover, the predictive accuracy of speckle-tracking echocardiography was greater than that of TDI.

  8. Put your development plan into action.

    PubMed

    Day-Calder, Mandy

    2017-04-05

    Having completed your appraisal, you will have a plan for the year ahead. Hopefully you have learned from your appraisal discussion and feel motivated. But to have a successful year ahead and grow as a nursing professional, you will need to turn your personal development plan (PDP) into action. Here we look at ways you can do so without feeling overwhelmed.

  9. Health Services Development Plan, 1983-1987.

    PubMed

    1987-01-01

    The following are excerpts from this Plan [Health Services Development Plan] relating to family planning: "5. Family Life Development: Emphases must be given to Family Life Development in place of Family Planning. As a result the demographic characteristics of the population must be studied in relation to their impact on health and the quality of life, and programs developed in answer to these needs. This Government interprets Family Planning as much more than reduction of the birthrate. It accepts as its concept a program which includes Family and Family Life Development. The concept fundamentally includes programs for raising the quality of life and social well-being. The basic tenet to be stressed is the return to a greater sense of respect for womanhood and a greater responsibility for men and women in terms of their interpersonal relationships and ultimately the total development of the individual and family in society. The Government sees family life development as the main stay and principal fabric of the society and its heritage. However it accepts that in the short term both traditional and improved procedures of family planning will have to be followed until the message of family life development can bring about the desired results. Further, the Government now firmly intends to develop policies in population planning and to cause the Ministry of Health in conjunction with other Ministries and organizations to develop and introduce new policies in family planning and family life development which will be consonant with the high standard of life and lifestyle now being enjoyed by Barbadians."

  10. Medium-term analysis of modern ceramic-on-ceramic bearing in THA.

    PubMed

    Aldrian, Silke; Nau, Thomas; Gillesberger, Felix; Petras, Nina; Ehall, Reinhard

    2009-01-01

    A variety of different bearing surfaces have been used to avoid osteolysis following hip replacement. We report a retrospective review of medium-term results of a modern ceramic-ceramic bearing (Biolox, CeramTec, Plochingen, Germany) and uncemented components (Alpha Cera Fit Alphanorm, Lassnitzhohe, Austria) in 107 hip arthroplasties. The clinical outcome based on serial radiographs and scoring was assessed with a minimum follow-up of 7 years (mean, 7, 6 years; range, 7, 1-8, 3 years). The average age of the patients at surgery was 64, 6 + 11, 7 years (range: 21-88 years). The mean Harris hip score was 90, 4 (range, 84, 7-99, 2). Three patients with an extra long femoral neck experienced fracture of the ceramic femoral head, resulting in cessation of use of this combination. Radiological evaluation did not reveal any signs of lysis or loosening. Massive heterotopic ossification was seen in three patients. Medium-term follow-up showed excellent clinical and radiological results. Continued follow-up will be required to determine if this ceramic-on-ceramic bearing is associated with extended survivorship.

  11. Quality Assurance Project Plan Development Tool

    EPA Pesticide Factsheets

    This tool contains information designed to assist in developing a Quality Assurance (QA) Project Plan that meets EPA requirements for projects that involve surface or groundwater monitoring and/or the collection and analysis of water samples.

  12. Individualized Development Plan for Female Electronic Technicians.

    ERIC Educational Resources Information Center

    Whyte, Helena; D'Anna, Lee

    1991-01-01

    At Los Alamos National Laboratory, 17 female electronic technicians participated in an individual development plan involving mentoring, basic education, and technical training. Four have been promoted, six are pursuing associate or bachelor's degrees, and two are pursuing certification. (SK)

  13. Planned development of the space shuttle vehicle

    NASA Technical Reports Server (NTRS)

    1972-01-01

    Information pertaining to the planned development of the space shuttle vehicle is presented. The package contains: (1) President's statement; (2) Dr. Fletcher's statement; (3) space shuttle fact sheet; (4) important reasons for the space shuttle.

  14. Medium-term evolution of water repellency and aggregate stability in Mediterranean calcareous soils after wildfire

    NASA Astrophysics Data System (ADS)

    Gordillo-Rivero, Ángel; García-Moreno, Jorge; Zavala, Lorena M.; Jordán, Antonio; Granged, Arturo JP; Gil, Juan

    2013-04-01

    Wildfires are a common feature of Mediterranean ecosystems due to environmental factors and anthropic influence, especially in those areas where land use change and the development of touristic infrastructures are more intense. Wildfires induce a series of soil changes affecting their physical and chemical properties and the hydrological and erosive response. Two of the properties that are commonly affected by burning are soil water repellency (WR) and aggregate stability (AS). Both properties play an important role in the hydrological response of soils and other processes, and may be used as indices for assessing burn severity (Gordillo-Rivero et al., 2013). OBJECTIVES The field study was carried out between August 2006 (date of burning) and August 2011 with the following objectives: [i] to study the changes in SWR and AS immediately after fire and in the medium-term (6 years after burning) and its distribution within aggregate size fractions (<2, 1-2, 0.5-1 and 0.25-0.5 mm), [ii] to assess the relationships between postfire AS and WR, and [iii] to investigate interactions between AS and WR and different factors (site, time since burning, lithology and vegetation type) in calcareous Mediterranean soils. METHODS Five areas affected by wildfires during summer 2006 were selected for this research. Vegetation was characterized by grassland and Mediterranean shrubland. Soils were calcareous, with loam to clayey texture. As shown from adjacent areas, soils were wettable or slightly water-repellent immediately before burning. Soil WR and AS were measured in soil samples (0-15 mm deep) in fine earth (<2 mm) and aggregate sieve fractions (1-2, 0.5-1 and 0.25-0.5 mm). WR was assessed using the WDPT test, and AS was determined as the percentage of stable aggregates after laboratory rainfall simulation. RESULTS Both properties showed different tendencies in different aggregate size fractions. Results showed that soil WR was induced in wettable soils or enhanced in slightly or

  15. Medium-Term Outcomes Following Endovascular Repair of Infrarenal Abdominal Aortic Aneurysms with an Unfavourable Proximal Neck

    SciTech Connect

    Saha, Prakash Hughes, John Patel, Ashish S. Donati, Tommaso Sallam, Morad Patel, Sanjay D. Bell, Rachel E.; Katsanos, Konstantinos; Modarai, Bijan Zayed, Hany A.

    2015-08-15

    PurposeThe purpose of this study was to evaluate medium-term outcomes following endovascular repair of abdominal aortic aneurysms (EVAR) with unfavourable neck anatomy using stent grafts with a 36 mm or larger proximal diameter.Materials and MethodsA retrospective review of 27 patients who underwent elective EVAR between 2006 and 2008 using a stent graft with a 36 mm or larger proximal diameter was carried out. All patients had computed tomography angiography (CTA) for procedure planning, and detailed assessment of the aneurysm neck was performed using a three-dimensional CTA workstation. Patients were followed up with CTA at 3 and 12 months and annual duplex thereafter.ResultsThe median aneurysm diameter was 7 cm, and the median aneurysm neck diameter was 31 mm. Cook Zenith stent grafts were used in all patients, with a proximal diameter of 36 mm (n = 25) and 40 mm (n = 2). Primary and assisted primary technical success rates were 74 and 93 %, respectively. The follow-up period ranged from 62 to 84 months, with a median of 72 months. 15 patients died during follow-up. Two patients died from aortic rupture, and the remaining patients died from cardiac disease (n = 4), chest sepsis (n = 6), cancer (n = 2) and renal failure (n = 1). Complications included type I endoleak (n = 5), limb occlusion (n = 2), limb stenosis (n = 2), limb kinking (n = 1), dissection of an artery (n = 1), occlusion of a femorofemoral cross-over graft (n = 1) and poor attachment of a distal limb (n = 1).ConclusionsEVAR using stent grafts in the presence of an unfavourable neck has a high risk of complications. Medium-term survival in this group is low but mainly due to patient co-morbidities.

  16. Idaho National Engineering Laboratory site development plan

    SciTech Connect

    Not Available

    1994-09-01

    This plan briefly describes the 20-year outlook for the Idaho National Engineering Laboratory (INEL). Missions, workloads, worker populations, facilities, land, and other resources necessary to fulfill the 20-year site development vision for the INEL are addressed. In addition, the plan examines factors that could enhance or deter new or expanded missions at the INEL. And finally, the plan discusses specific site development issues facing the INEL, possible solutions, resources required to resolve these issues, and the anticipated impacts if these issues remain unresolved.

  17. [Medium-term effectiveness of total hip arthroplasty with straight tapered rectangular femoral prosthesis].

    PubMed

    Liu, Hongwei; Gu, Weidong; Sun, Junying

    2013-05-01

    To investigate the medium-term effectiveness of straight tapered rectangular femoral prosthesis in total hip arthroplasty (THA). Between May 2004 and June 2006, 58 cases (61 hips) of hip joint disease underwent THA with straight tapered rectangular femoral prosthesis and the clinical data of 43 cases (45 hips) followed up more than 6 years were retrospectively analyzed. There were 21 males (23 hips) and 22 females (22 hips) with an average age of 51.6 years (range, 25-75 years), including 12 cases (12 hips) of congenital developmental dysplasia of the hip, 1 case (1 hip) of osteoarthritis secondary to acetabular dysplasia, 1 case (1 hip) of hip deformity after poliomyelitis, 9 cases (9 hips) of femoral neck fractures, 8 cases (8 hips) of avascular necrosis of the femoral head, 8 cases (8 hips) of osteoarthritis of the hip joint, 2 cases (3 hips) of rheumatoid arthritis, and 2 cases (3 hips) of ankylosing spondylitis. Unilateral replacement was performed in 41 cases and bilateral replacement in 2 cases. The Harris score was 41.7 +/-10.4 before operation. X-ray examination was performed to analyze the location of femoral prostheses and evaluate the stability of the prosthesis-bone interface, and Harris score was used to evaluate the hip function. Periprosthetic fracture occurred in 3 hips, and thigh pain in 4 hips after operation. Forty-three cases (45 hips) were followed up 74-99 months (mean, 85 months). Harris score was 87.6 +/- 8.3 at last follow-up, showing significant difference when compared with preoperative score (t=23.14, P=0.00). The X-ray examination showed that 9 hips had heterotopic ossification; bone resorption caused by stress shielding was observed at the proximal femur in 42 hips. But the stability of the prosthesis-bone interface was good; no infection or dislocation occurred; and no revision for aseptic loosening was performed in all cases. The survival rate of the femoral prosthesis was 100% during medium-term follow-up. THA with straight tapered

  18. Research and development quality assurance planning

    SciTech Connect

    Hoke, P.B.

    1990-05-14

    Planning for quality assurance (QA) in research and development (R D) is like stealing eggs without waking up the chickens. The QA program should be as unobtrusive as possible. Researchers require a QA program that affords them an environment capable of supporting repeatable experiments with accurate data without unduly stifling their creative abilities. Careful advance planning ensures that the intensity of control provided by quality-related systems is commensurate with the importance and scope of the activities being performed. Good scientific practices applied to small bench-scale projects may require minimal additional controls. As projects increase in size and complexity the controls imposed through planning must, by necessity, be increased. Research and development QA planning, just like any other planning, involves all affected individuals. The application of control systems is determined by factors such as customer or sponsor requirements, the importance of an item or activity to the experiment's success, and the organizational complexity of the project. Many larger experiments are highly dependent on quality-related support activities such as calibration, engineering design, and inspection provided by organizations outside the R D group. Since, in most cases, the expense of support activities is taken directly from funds available for research, it is important for the researchers to be involved in the planning efforts to help determine and agree with the level of QA effort required. A single plan will often suffice for organizations engaged in large numbers of similar experiments. Complex experiments may require unique QA plans or additions to existing plans. Once implemented, the R D QA plans, like any others, require audits or surveillances and may require revisions if the scope of the experiment changes. 1 ref., 1 fig.

  19. Developing Motor Planning over Ages

    ERIC Educational Resources Information Center

    Thibaut, Jean-Pierre; Toussaint, Lucette

    2010-01-01

    Few studies have explored the development of response selection processes in children in the case of object manipulation. In the current research, we studied the "end-state comfort effect," the tendency to ensure a comfortable position at the end rather than at the beginning of simple object manipulation tasks. We used two versions of the…

  20. Open Technology Development: Roadmap Plan

    DTIC Science & Technology

    2006-04-01

    Benevolent Dictator(s). In the case of the development of Linux, Linus Torvalds makes the final decision with respect to direction of the code...roadmap study: • Paul Brinkley, OSD, Business Transformation Office • Dale Christensen, SECNAV, DON CIO Office • Robert Gold, Associate Director for

  1. Energy planning for development - needs and approaches

    SciTech Connect

    Mubayi, V

    1981-01-01

    The capability of developing countries to carry out comprehensive national energy planning is examined. The analytical methods or models constructed for analyzing the energy system have to take into account the specific context in which they are built to address issues of interest to development planners. Issues discussed are resource development and technology research, energy equity considerations to all peoples in a nation, the pricing policy, and the balance of payments considerations. The impartance of the availability of adequate skilled personnel and training programs to impart the requisite skill necessary to carry out the planning is discussed. Various surveys were conducted to determine the training needs for energy planners in developing countries. (MCW)

  2. Geothermal development plan: Yuma county

    SciTech Connect

    White, D.H.

    1981-01-01

    One hot spring and 33 wells drilled in the county discharge water at temperatures sufficient for direct-use geothermal applications such as process heat and space heating and cooling. Currently, one industry within the county has been identified which may be able to use geothermal energy for its process heat requirements. Also, a computer simulation model was used to predict geothermal energy on line as a function of time under both private and city-owned utility development of the resource.

  3. Gas distribution safety development plan

    SciTech Connect

    Drake, E.M.; Richardson, D.L.; Long, M.H.

    1981-12-01

    To identify the safety research needs of the gas distribution industry, ADL analysts reviewed recently completed and ongoing research projects related to gas distribution system safety, both in the US and abroad, compiled a list of existing projects that should be continued and 11 new projects that the Gas Research Institute should begin, and developed a method for ranking the importance of the projects elected for funding. GRI's current program satisfies most of the identified safety research needs.

  4. Mound measurements - quantifying medium-term soil erosion under olive trees in Northern Jordan

    NASA Astrophysics Data System (ADS)

    Kraushaar, S.; Herrmann, N.; Ollesch, G.; Vogel, H.-J.; Siebert, C.

    2014-05-01

    Over the last few decades many quantitative erosion studies have revealed that olive orchard expansion and increased mechanization in southern European countries have led to increased soil erosion under olive trees. Consequently, these studies have suggested different methods of mitigation. In light of the 2014 European trading zone expansion to countries east and south of the Mediterranean, a further intensification of olive plantations is postulated to meet market demands. To attain first medium-term estimates of erosion in Northern Jordan and its driving factors, a new method measuring olive mounds was implemented. Seven fields with clearly erosive structures were chosen throughout the Wadi Al-Arab catchment in Northern Jordan. Topographic measurements were used to reconstruct the historical and recent surface level and calculate the volume eroded since the planting of the trees. A total of 81 bulk density measurements and 14 tree cores allowed the estimation of the soil loss in tons per hectare. The combination of modified land use map and slope information helped to identify similar olive fields with high erosive potential. Results show that the method provides medium-term quantitative estimates for averaged soil loss consistent with some existing results from similar research areas in the Mediterranean. They clearly indicate the significant potential for erosion in olive orchards with around 95 ± 8 t ha- 1 yr- 1. Tillage practice and water erosion were identified as critical erosion processes, both depending on tillage characteristics, tillage timing, and soil parent material. The investigated fields represent about 19% of the catchment's surface area and are likely to contribute to the measured yearly sediment yield that fills up the Wadi Al-Arab reservoir with sediments.

  5. Navigated Cementless Total Knee Arthroplasty - Medium-Term Clinical and Radiological Results§

    PubMed Central

    Schüttrumpf, Jan P; Balcarek, Peter; Sehmisch, Stephan; Frosch, Stephan; Wachowski, Martin M; Stürmer, Klaus M; Walde, Hans-Joachim; Walde, Tim A

    2012-01-01

    Purpose: The objective of this prospective study was to evaluate the medium-term clinical and radiological results after navigated cementless implantation, without patella resurfacing, of a total knee endoprosthesis with tibial and femoral press-fit components, with a focus on survival rate and clinical outcome. The innovation is the non-cemented fixation together with the use of a navigation system. Scope and Methods: Sixty patients with gonarthrosis were included consecutively in this study. In all cases, the cementless Columbus total knee endoprosthesis with a coating out of pure titanium was implanted, using a navigation system. The Knee Society Score showed a statistically significant increase from 75 (± 21.26) before surgery to 180 (± 16.15) after a mean follow-up of 5.6 (± 0.25) years. The last radiological examination revealed no osteolysis. No radiolucent lines were seen at any time in the area of the femoral prosthetic components. In the tibial area, radiolucent lines were seen in 24.4 % of the cases, mostly in the distal uncoated part of the stem. During follow-up, no prosthesis had to be replaced because of aseptic loosening while in 2 cases revision surgery was necessary due to septic loosening and in 1 case due to unexplainable pain. Results and Conclusions: Navigated cementless implantation of the Columbus total knee endoprosthesis yielded good clinical and radiological results in the medium term. The excellent radiological osteointegration of the prosthetic components, coated with a microporous pure titanium layer and implanted with a press-fit technique, should be emphasized. PMID:22550552

  6. On the analysis of the medium term planform dynamics of meandering rivers

    NASA Astrophysics Data System (ADS)

    Gutierrez, Ronald R.; Abad, Jorge D.

    2014-05-01

    The continuous wavelet transform is applied to the analysis of curvature signals from both synthetic meanders and 52 realizations from 16 natural meanders ranging from class B to class G (Brice classification), thus providing information on the spatial distribution of their arc-wavelength spectrum, and therefore, representing an objective characterization of meanders. Past research has studied the meander dynamics by using the centerline (short-term frame) and the valley centerline (long-term frame). The present study introduces a medium term frame, termed the mean center (MC), which is defined as the medium term coherent wave being present in the meander planimetry for a period that is strongly governed by the occurrence of cutoff events; although in the absence of them, it is present for ˜10 to ˜30 years. The MC is obtained by using a methodology that combines the capabilities of the principal component analysis and the discrete wavelet transforms. The application of wavelet cross correlation shows that peaks in the centerline curvature are strongly correlated with those of the MC suggesting that (1) a linear relationship between them may be associated to bank processes and, (2) in all other cases, a higher nonlinear relationship may be induced by autogenic hydrodynamic processes. In freely meandering rivers, compound bends, multiple loops, and cutoff events are associated to peaks in the MC local curvature. We define the planform amplitudes as the orthogonal distance of the centerline from mean center. Planform amplitudes (orthogonal distance of the centerline from mean center) are normally distributed and ranges from 2 to 20 river mean widths.

  7. Geothermal development plan: northern Arizona

    SciTech Connect

    White, D.H.; Goldstone, L.A.

    1981-01-01

    Much of the northern counties (Apache, Coconino, Gila, Mohave, Navajo and Yavapai) is located in the Colorado Plateau province, a region of low geothermal potential. Two areas that do show some potential are the Flagstaff - San Francisco Peaks area and the Springerville area. Flagstaff is rapidly becoming the manufacturing center of Arizona and will have many opportunities to use geothermal energy to satisfy part of its increasing need for energy. Using a computer simulation model, projections of geothermal energy on line as a function of time are made for both private and city-owned utility development of a resource.

  8. Developing Ministerial Collaborative Planning Capacity

    DTIC Science & Technology

    2012-03-14

    the MNSTC-I era and, its successor organization the Iraq Training and Advisory Mission for the Ministry of Interior ( ITAM -MoI) that focused on the...organization can exercise influence over.26 The training partnership between the DRMI and the MoI was one of the few success stories in ITAM -MoI’s...efforts to develop institutional capacity within the MoI. Over a nineteen-month period, the DRMI, MoI JRC, and ITAM -MoI partnered to host 14

  9. WRAP process area development control work plan

    SciTech Connect

    Leist, K.L., Fluor Daniel Hanford

    1997-02-27

    This work plan defines the manner in which the Waste Receiving and Processing Facility, Module I Process Area will be maintained under development control status. This status permits resolution of identified design discrepancies, control system changes, as-building of equipment, and perform modifications to increase process operability and maintainability as parallel efforts. This work plan maintains configuration control as these efforts are undertaken. This task will end with system testing and reissue of field verified design drawings.

  10. Geothermal development plan: Yuma County

    NASA Astrophysics Data System (ADS)

    White, D. H.; Goldstone, L. A.

    1982-08-01

    The potential for utilizing geothermal energy was evaluated. Four potential geothermal resource areas with temperatures less than 900C (1940F) were identified, and in addition, two areas are inferred to contain geothermal resources with intermediate temperature potential. The resource areas are isolated. One resource site contains a hot dry rock resource. Anticipated population growth in the county is expected to be 2% per year over the next 40 years. The primary employment sector is agriculture, though some light industry is located in the county. Water supplies are found to be adequate to support future growth without adverse affect on agriculture. In addition, several agricultural processors were found, concentrated in citrus processing and livestock raising. It is suggested that by the year 2000, geothermal energy may economically provide the energy equivalent of 53,000 barrels of oil per year to the industrial sector if developed privately. Geothermal utilization projections increase to 132,000 barrels of oil per year by 2000 if a municipal utility developed the resource.

  11. Development of a transportation planning tool

    SciTech Connect

    Funkhouser, B.R.; Moyer, J.W.; Ballweg, E.L.

    1994-07-01

    This paper describes the application of simulation modeling and logistics techniques to the development of a planning tool for the Department of Energy (DOE). The focus of the Transportation Planning Model (TPM) tool is to aid DOE and Sandia analysts in the planning of future fleet sizes, driver and support personnel sizes, base site locations, and resource balancing among the base sites. The design approach is to develop a rapid modeling environment which will allow analysts to easily set up a shipment scenario and perform multiple ``what if`` evaluations. The TPM is being developed on personal computers using commercial off-the shelf (COTS) software tools under the WINDOWS{reg_sign} operating environment. Prototype development of the TPM has been completed.

  12. Rock support system development test plan

    SciTech Connect

    Patricio, J.G. . Rockwell Hanford Operations)

    1984-03-30

    The Test Plan has been prepared to support design activities for the development of a rock support system for a Nuclear Waste Repository in Basalt (NWRB). The rock support system is assumed to consist of a combination of shotcrete and rock bolts. The seven testing activities include mix development and physical testing of shotcrete, durability testing of shotcrete, durability testing of rock bolt grouts, field tests on rock bolts, field testing of shotcrete, and heated room test. The objective of the Test Plan is to develop required data through combined laboratory, field, and office studies for design and design validation of the rock support system. The overall Test Plan is developed to provide a logical progression from laboratory tests performed to characterize fundamental thermomechanical properties of shotcrete and grouts, to field tests on rock bolts and shotcrete, and in situ performance tests. 21 refs., 15 figs., 33 tabs.

  13. Geothermal development plan: Pima County

    SciTech Connect

    White, D.H.; Goldstone, L.A.

    1982-08-01

    The Pima County Area Development evaluated the county-wide market potential for utilizing geothermal energy. The study identified four potential geothermal resource areas with temperatures less than 100{sup 0}C (212{sup 0}F), and in addition, one area is identified as having a temperature of 147{sup 0}F (297{sup 0}F). Geothermal resources are found to occur in Tucson where average population growth rates of two to three percent per year are expected over the next 40 years. Rapid growth in the manufacturing sector and the existence of major copper mines provide opportunities for the direct utilization of geothermal energy. However, available water supplies are identified as a major constraint to projected growth. The study also includes a regional energy analysis, future predictions for energy consumption and energy prices. A major section of the report is aimed at identifying potential geothermal users in Pima County and providing projections of maximum economic geothermal utilization. The study identifies 115 firms in 32 industrial classes that have some potential for geothermal use. In addition, 26 agribusiness firms were found in the county.

  14. Geothermal development plan: Pima County

    NASA Astrophysics Data System (ADS)

    White, D. H.; Goldstone, L. A.

    1982-08-01

    The Pima County Area Development evaluated the county-wide market potential for utilizing geothermal energy. Four potential geothermal resource areas with temperatures less than 1000 C (2120 F) were identified. In addition, one area is identified as having a temperature of 1470 F (2970 F). Geothermal resources are found to occur in Tecson where average population growth rates of two to three percent per year are expected over the next 40 years. Rapid growth in the manufacturing sector and the existence of major copper mines provide opportunities for the direct utilization of geothermal energy. However, available water supplies are identified as a major constraing to projected growth. A regional energy analysis, future predictions for energy consumption, and energy prices are given. Potential geothermal users in Pima County are identified and projections of maximum economic geothermal utilization are given. One hundred fifteen firms in 32 industrial classes have some potential for geothermal use are identified. In addition, 26 agribusiness firms were found in the county.

  15. Effective Professional Development Planning: The Wisconsin PDP

    ERIC Educational Resources Information Center

    Fischer, John A.

    2010-01-01

    Designed to improve PK-12 professional learning and increase student achievement, Wisconsin's policymakers developed and implemented new educator licensing guidelines (PI 34) and a Professional Development Plan (PDP) system based on empirical research and national policy trends in 2004. As PI 34 and the PDP system are relatively new, the…

  16. Life Planning Education: A Youth Development Program.

    ERIC Educational Resources Information Center

    Center for Population Options, Washington, DC.

    This document presents the curriculum guide for Life Planning Education, a youth development program that focuses on two of the most important tasks teenagers face: preparing for the world of work and dealing with their own sexual and reproductive development, feelings, and behaviors. These two tasks are integrated in the curriculum in a way that…

  17. University of Pennsylvania Campus Development Plan.

    ERIC Educational Resources Information Center

    Pennsylvania Univ., Philadelphia. Univ. Planning Office.

    Based on enrollment, building area and parking area projections, the development plan describes very briefly these areas of development: parking and housing, administration, athletics, academic departments, libraries, museums, related community and commercial services, transportation, land acquisition, and the neighborhood. Very detailed sketches…

  18. Planning and developing a diagnostic imaging center.

    PubMed

    Meehan, Margaret J; Whelton, Dianne G

    2004-12-01

    The convergence of an aging population, new technology, and an increasing number of clinical applications and reimbursements has created a favorable environment for ambulatory imaging centers. From a patient's perspective, features such as easy access, parking, appointment availability, and a setting that caters to outpatients are attractive compared with the hospital environment. Before embarking on a venture, the execution of a careful, thorough planning process, from the inception of the idea to the opening, is vital to success. This article provides guidance on the process by discussing the process of determining whether a project is feasible; developing a business plan that will measure potential success; locating, financing, and planning space; contractor selection and project management; and planning operations.

  19. Biopharmaceutic planning in pediatric drug development.

    PubMed

    Purohit, Vivek S

    2012-09-01

    Pediatric drug development is a required consideration for all drug development programs. Age-appropriate formulations such as suspensions, chewable tablets, oral disintegrating tablets, etc., are typically developed and used in the pediatric clinical studies. However, it is not uncommon to use enabling formulations in the pivotal pediatric clinical study followed by bridging bioavailability and/or bioequivalence studies. Development of age-appropriate formulations is an essential part of pediatric drug development and adds additional biopharmaceutical considerations to an already complex problem. Careful planning of biopharmaceutic data collection during the adult and pediatric development program can contribute significantly to the biopharmaceutic risk assessment and planning of appropriate clinical studies leading to successful development of pediatric formulations.

  20. Global Nuclear Energy Partnership Technology Development Plan

    SciTech Connect

    David J. Hill

    2007-07-01

    This plan describes the GNEP Technology Demonstration Program (GNEP-TDP). It has been prepared to guide the development of integrated plans and budgets for realizing the domestic portion of the GNEP vision as well as providing the basis for developing international cooperation. Beginning with the GNEP overall goals, it describes the basic technical objectives for each element of the program, summarizes the technology status and identifies the areas of greatest technical risk. On this basis a proposed technology demonstration program is described that can deliver the required information for a Secretarial decision in the summer of 2008 and support construction of facilities.

  1. Area development plan for Radio Island

    SciTech Connect

    Not Available

    1982-06-01

    An Area Development Plan for Radio Island and its environs is presented. The different ways are identified in which the available waterfront/port areas in the Atlantic Beach-Morehead City-Beaufort Harbor area are being utilized or could be developed. Economic, community and environmental impacts that are potentially associated with the various development options are assessed. An overall concept plan for the development of the port/harbor area that best meets the diverse needs of the region and its residents is detailed. Specific recommendations regarding the future development of Radio Island are made. The current controversy is over the development of a coal export terminal on Radio Island. This project provides a policy guide that identified future growth objectives based on the consideration and balancing of various interests.

  2. Medium-term Morphologic Response to Variations in Spatial and Temporal Forcing: Fire Island New York

    NASA Astrophysics Data System (ADS)

    Hapke, C. J.; List, J. H.; Plant, N. G.; Schwab, W. C.; Lentz, E. E.

    2012-12-01

    Fire Island, located off the south shore of Long Island, NY, is a relatively long (52 km) barrier that has evolved in different modes - a stable central segment, a transgressive segment to the east and a prograding spit to the west. The spatial variation in formative and evolution processes is expressed in both the long-term (geologic) time scales via the geomorphic characteristics of the island and in the multi-decade to century (medium-term) shoreline record that is the focus of this study. We hypothesize that interaction between oceanographic forcing and antecedent geology influences coastal response on both temporal and spatial scales. To test this hypothesis, we examine the spatial and temporal behavior of the medium-term record using thirty-three shorelines spanning seventy-eight years. Both changes in shoreline form (shape) and a regression time series of shoreline change are assessed. Patterns emerge that indicate different scales of both temporal and spatial forcing, dominantly along the central and western portions of the barrier. Both the century-scale regression pattern and the averaged shoreline form mimic the shape of the island as a whole suggesting modern change is influenced by the same processes and constraints that are documented in the geologic record. High modern rates of shoreline and dune retreat along the eastern portion of the island provide evidence that this portion of the island is continuing to transgress in response to storms and sea-level rise. The behavior of the central portion of the barrier appears to be geologically constrained by a glacial outwash lobe on the adjacent inner shelf which may reduce the wave energy reaching this portion of the island as well as contribute sediment to the littoral budget. Shoreline behavior along the western portion of the island is more variable than along the other portions of the island, and there are pervasive and repeating patterns of change that appear to have a spatial scaling similar to the

  3. Linear accelerator radiosurgery for vestibular schwannomas: Results of medium-term follow-up.

    PubMed

    Ellenbogen, Jonathan R; Waqar, Mueez; Kinshuck, Andrew J; Jenkinson, Michael D; Lesser, Tristram H J; Husband, David; Javadpour, Mohsen

    2015-01-01

    To examine tumour control, via volume changes, and the complications of linear accelerator (LINAC)-based stereotactic radiosurgery (SRS) treatment of vestibular schwannomas (VSs) on medium-term follow-up. Between September 2003 and November 2009 fifty consecutive patients with VSs treated with SRS using a marginal dose of 12.5 Gy utilizing a LINAC equipped with a micro-multileaf collimator were identified. Evaluation included serial magnetic resonance imaging (MRI), and neurological and hearing examinations. The median tumour volume at treatment was 2.4 (range: 0.24-10.59) cm3. The intracranial diameter of the tumours ranged between 7.7 and 28.7 (median: 15.8) mm. Follow-up MRI was available for analysis on 49 patients. The median radiological follow-up period was 5.8 (range: 1.4-9.2) years. The median tumour volume at last follow-up was 1.1 (range: 0.03-5.3) cm3. VS decreased in size in 45 (90%) patients, with a median reduction in tumour volume of 1.46 (range: 0.06-9.29) cm3 or a median tumour size reduction of 59% of the baseline (range: 6-90%) in these patients. VS remained stable in 2 patients and increased in size in 2 patients. Only 1 patient (2%) required additional intervention (surgery). 15 patients had useful hearing pre-treatment; 10 post-treatment pure-tone audiograms of these patients were available. 5 (50%) patients still had useful hearing post treatment. Non-auditory adverse radiation effects included new (House-Brackmann grade II) or worsened facial nerve palsy (House-Brackmann grade II to grade V) in 2 (4%) patients and trigeminal sensory disturbance in 2 (4%) patients. At medium term, the vast majority of VSs treated with LINAC-based SRS exhibit tumour shrinkage. The slightly higher rate of facial nerve palsy compared with Gamma Knife surgery (GKS) results may be related to the learning curve. Other complications were similar to reported GKS results for VSs of comparable sizes.

  4. Healthcare resource utilization after medium-term residential assessment for epilepsy and psychogenic nonepileptic seizures.

    PubMed

    Anderson, James; Hill, Joanne; Alford, Max; Oto, Maria; Russell, Aline; Razvi, Saif

    2016-09-01

    Epilepsy and epilepsy mimics may lead to high healthcare resource utilization (HRU) including diagnostic resources. The William Quarrier Scottish Epilepsy Centre (SEC) provides medium-term residential assessment (MTRA; average length of stay: 28days) and treatment for complex presentations of epilepsy and related conditions (principally psychogenic nonepileptic seizures, PNES). We studied the effect of MTRA on HRU in a defined health board area in Scotland. A retrospective audit of individuals admitted to the SEC from a defined health board area using SEC and health board medical records. Neurological HRU assessed included emergency department visits, hospital admissions, outpatient clinic appointments, and brain imaging prior to and post-MTRA. Healthcare resource utilization was also compared with individuals referred but not admitted to the SEC because of individual circumstances and choice. Seventy-three individuals (51 female, average age: 37.51; 22 men, average age: 43.72) were identified from three years of admissions (1st April 2010 to 31st March 2013). Final diagnosis was epilepsy (ES), 32; ES and psychogenic nonepileptic seizures (ES+PNES), 17; and PNES alone, 24. Twenty-two individuals were identified as a comparison group (8 men, 14 women; average age: 37.21 and 43.90, respectively). Total average contacts per patient per year (CPY) was significantly different pre- and post-MTRA (4.16 vs. 1.32; t(72)=6.11, p<.0001, d=.72). Comparison of HRU in the first year of baseline and last full year of follow-up showed a post-MTRA reduction in HRU for PNES of 92.28%, for ES of 46.81%, and for ES+PNES of 28.3%. During the course of follow-up, PNES CPY continued to drop (1.13 first year vs. 0.10 at 3years post-MTRA). For individuals with epilepsy (with or without PNES), HRU use dropped significantly in the year after admission, and these gains remained stable (total first vs. third postdischarge CPY, 1.74 vs. 1.29). The participants in the comparison group, who were

  5. Short- and medium-term response to storms on three Mediterranean coarse-grained beaches

    NASA Astrophysics Data System (ADS)

    Grottoli, Edoardo; Bertoni, Duccio; Ciavola, Paolo

    2017-10-01

    The storm response of three Italian coarse-grained beaches was investigated to better understand the morphodynamics of coarse-clastic beaches in a microtidal context. Two of the studied sites are located on the eastern side of the country (Portonovo and Sirolo) and the third one (Marina di Pisa) is on the western side. Portonovo and Sirolo are mixed sand and gravel beaches where the storms approach from two main directions, SE and NE. Marina di Pisa is a coarse-grained, gravel-dominated beach, exposed to storms driven by SW winds. Gravel nourishments were undertaken in recent years on the three sites. Beach topography was monitored measuring the same network of cross sections at a monthly (i.e. short-term) to seasonal frequency (i.e. medium-term). Geomorphic changes were examined before and after storm occurrences by means of profile analyses and shoreline position evaluations. The beach orientation and the influence of hard structures are the main factors controlling the transport and accumulation of significant amount of sediments and the consequent high variability of beach morphology over the medium-term. For Marina di Pisa, storms tend to accumulate material towards the upper part of the beach with no shoreline rotation and no chance to recover the initial configuration. Sirolo and Portonovo showed a similar behaviour that is more typical of pocket beaches. Both beaches show shoreline rotation after storms in a clockwise or counter-clockwise direction according to the incoming wave direction. The wider and longer beach at Sirolo allows the accumulation of a thin layer of sediment during storms, rather than at Portonovo where, given its longshore and landward boundaries, the beach material tends to accumulate in greater thickness. After storms, Sirolo and especially Portonovo can quickly recover the initial beach configuration, as soon as another storm of comparable energy approaches from the opposite direction of the previous one. Large morphological

  6. 7 CFR 1924.5 - Planning development work.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 12 2010-01-01 2010-01-01 false Planning development work. 1924.5 Section 1924.5... REGULATIONS CONSTRUCTION AND REPAIR Planning and Performing Construction and Other Development § 1924.5 Planning development work. (a) Extent of development. For an FO loan, the plans for development will...

  7. Planning and Developing Innovative Community Colleges.

    ERIC Educational Resources Information Center

    Evans, N. Dean; Neagley, Ross L.

    Designed for trustees, college planners, and teachers and students of administration, this monograph presents a comprehensive approach to the design and development of modern community colleges. Topics covered in this book include: (l) state planning structures and regulation systems for higher education; (2) needs assessment techniques; (3)…

  8. Academic Development Plan, 1996-2002.

    ERIC Educational Resources Information Center

    Hawaii Univ., Kahului. Maui Community Coll.

    The Maui Community College (MCC) (Hawaii) Academic Development Plan (ADP) plays a major role in guiding the institution's efforts to serve Maui County residents. The ADP is updated every two years. This ADP focuses on the years from 1996 to 2002. MCC's long-range goals are: (1) community based curricular and instructional excellence,…

  9. Employee Motivation for Personal Development Plan Effectiveness

    ERIC Educational Resources Information Center

    Eisele, Lisa; Grohnert, Therese; Beausaert, Simon; Segers, Mien

    2013-01-01

    Purpose: This article aims to understand conditions under which personal development plans (PDPs) can effectively be implemented for professional learning. Both the organization's manner of supporting the PDP practice as well as the individual employee's motivation is taken into account. Design/ methodology/approach: A questionnaire was…

  10. Personal Development Plans and Equal Opportunities.

    ERIC Educational Resources Information Center

    Bullock, Kate; And Others

    1996-01-01

    Group interviews and observations of 477 British secondary students in a personal development planning (PDP) project were analyzed. Both male and female students were highly motivated toward career success, but males had greater confidence in their self-knowledge. The quality of the PDP process was highly influenced by the skills of tutors who…

  11. Plans for Follow Through Research and Development.

    ERIC Educational Resources Information Center

    Schiller, Jeffry; And Others

    Intended to develop new approaches to Follow Through services, the research plan described in this document is the first step in a collaborative effort of the National Institute of Education (NIE) and the Follow Through Division of the Department of Education. Prior to the delineation of the preliminary research strategy, background information…

  12. Developing Career Planning and Placement Strategies.

    ERIC Educational Resources Information Center

    Kolvitz, Marcia, Ed.

    These three conference papers from the Biennial Conference on Postsecondary Education for Persons who are Deaf or Hard of Hearing focus on career planning and placement strategies for students with deafness or hard of hearing. The first paper, "Successful Job Development and Placement Strategies with Deaf and Hard of Hearing College…

  13. Intersectoral planning for city health development.

    PubMed

    Green, Geoff

    2012-04-01

    The article reviews the evolution and process of city health development planning (CHDP) in municipalities participating in the European Network of Healthy Cities organized by the European Region of the World Health Organization. The concept of CHDP combines elements from three theoretical domains: (a) health development, (b) city governance, and (c) urban planning. The setting was the 77 cities which participated in Phase IV (2003-2008) of the network. Evidence was gathered principally from a general evaluation questionnaire sent to all network cities. CHDPs are strategic documents giving direction to municipalities and partner agencies. Analysis revealed a trend away from "classic" CHDPs with a primary focus on health development towards ensuring a health dimension to other sector plans, and into the overarching strategies of city governments. Linked to the Phase IV priority themes of Healthy aging and healthy urban planning, cities further developed the concept and application of human-centered sustainability. More work is required to utilize cost-benefit analysis and health impact assessment to unmask the synergies between health and economic prosperity.

  14. Designing a Collection Development Plan for Sailor.

    ERIC Educational Resources Information Center

    Davis, Denise M.

    1996-01-01

    Sailor, Maryland's public information network, has become a national model for public libraries and states planning telecommunications networks and library systems integration. This article summarizes the design and implementation of the network's Internet resource collection development, highlighting the database committee, editorial board,…

  15. Employee Motivation for Personal Development Plan Effectiveness

    ERIC Educational Resources Information Center

    Eisele, Lisa; Grohnert, Therese; Beausaert, Simon; Segers, Mien

    2013-01-01

    Purpose: This article aims to understand conditions under which personal development plans (PDPs) can effectively be implemented for professional learning. Both the organization's manner of supporting the PDP practice as well as the individual employee's motivation is taken into account. Design/ methodology/approach: A questionnaire was…

  16. ISV technology development plan for buried waste

    SciTech Connect

    Nickelson, D.F.; Callow, R.A. ); Luey, J.K. )

    1992-07-01

    This report identifies the main technical issues facing the in situ vitrification (ISV) application to buried waste, and presents a plan showing the top-level schedule and projected resources needed to develop and demonstrate the technology for meeting Environmental Restoration Department (ERD) needs. The plan also proposes a model strategy for the technology transfer from the Department of Energy's Office of Technology Development (DOE-OTD) to the Office of Environmental Restoration (DOE-ER) as the technology proceeds from issues resolution (development) to demonstration and remedial readiness. Implementation of the plan would require $34,91 1K in total funding to be spread in the years FY-93 through FY-98. Of this amount, $10,183K is planned to be funded by DOE-OTD through the ISV Integrated Program. The remaining amount, $24,728K, is recommended to be split between the Department of Energy (DOE) Office of Technology Development ($6,670K) and DOE Office of Environmental Restoration ($18,058K).

  17. ISV technology development plan for buried waste

    SciTech Connect

    Nickelson, D.F.; Callow, R.A.; Luey, J.K.

    1992-07-01

    This report identifies the main technical issues facing the in situ vitrification (ISV) application to buried waste, and presents a plan showing the top-level schedule and projected resources needed to develop and demonstrate the technology for meeting Environmental Restoration Department (ERD) needs. The plan also proposes a model strategy for the technology transfer from the Department of Energy`s Office of Technology Development (DOE-OTD) to the Office of Environmental Restoration (DOE-ER) as the technology proceeds from issues resolution (development) to demonstration and remedial readiness. Implementation of the plan would require $34,91 1K in total funding to be spread in the years FY-93 through FY-98. Of this amount, $10,183K is planned to be funded by DOE-OTD through the ISV Integrated Program. The remaining amount, $24,728K, is recommended to be split between the Department of Energy (DOE) Office of Technology Development ($6,670K) and DOE Office of Environmental Restoration ($18,058K).

  18. Book Development in National Communications and Planning.

    ERIC Educational Resources Information Center

    Thapar, Romesh

    In the developing countries of South and Southeast Asia where advancing technologies threaten the stability of traditional societies, books should be used to increase understanding and provide for a smooth transition into a modernized culture. The planning and coordinating of publishing that would serve this purpose demands changes in authorship,…

  19. Prospective medium-term results of multimodal pain management in patients with lumbar radiculopathy

    PubMed Central

    Benditz, A.; Madl, M.; Loher, M.; Grifka, J.; Boluki, D.; Linhardt, O.

    2016-01-01

    Lumbar radiculopathy is one of the most common diseases of modern civilisation. Multimodal pain management (MPM) represents a central approach to avoiding surgery. Only few medium-term results have been published in the literature so far. This study compared subjective and objective as well as anamnestic and clinical parameters of 60 patients who had undergone inpatient MPM because of lumbar radiculopathy before and 1 year ±2 weeks after treatment. The majority of patients were very satisfied (35%) or satisfied (52%) with the treatment outcome. Merely 8 patients commented neutrally and none negatively. The finger-floor distance had decreased significantly (p < 0.01), and 30 patients (50%) had shown improved mobility of the spine after therapy. The need for painkillers had also been significantly reduced after 1 year. The arithmetical average of pain on a visual analogue scale was 7.21 before treatment, which had significantly decreased to 3.58 at follow-up (p < 0.01). MPM is an effective approach for treating lumbar radiculopathy by mechanical nerve root irritation. Therefore, in the absence of an absolute indication for surgery or an absolute contradiction for MPM, patients should first be treated with this minimally invasive therapy. PMID:27305956

  20. Clinical and Radiological Results over the Medium Term of Isolated Acetabular Revision

    PubMed Central

    Andreani, Lorenzo; Bonicoli, Enrico; Niccolai, Francesco; Lisanti, Michele

    2014-01-01

    Acetabular cup loosening is associated with pain, reduced function, and instability of the implant. If such event happens while the femoral implant is in a satisfactory position and is well fixed to the bone, isolated acetabular revision surgery is indicated. The aim of this single-center retrospective study was to evaluate the clinical and radiological results over the medium term (12-month follow-up mean 36, max 60) of isolated acetabular revisions surgery using a porous hemispheric revision shell matched with a cemented all-poly cup and large diameter femoral head (>32). 33 patients were enrolled. We collect any relevant data from the clinical board. Routine clinical and radiographic examinations were performed preoperatively; the postoperative follow-up was made at 1, 3, and 6 months and yearly thereafter. At the last available follow-up, we report satisfactory improvement of functional scores in all the patients; 2 patients (6.1%) showed thigh pain and only 4 hips (12.11%) presented mild groin pain; all the femoral components are well fixed and there were no potential or pending rerevisions. With bias due to the follow-up and to the retrospective design of the study, we report clinical, functional, and radiological satisfactory results. PMID:25610894

  1. [Medium-term results of arthroscopic repair of relapsing anteroinferior glenohumeral instability].

    PubMed

    García-Rodríguez, R; Díez-Nicolás, E; Vilá-y-Rico, J; Martín-López, C M; Cano-Egea, J M

    2011-01-01

    Arthroscopic repair of Bankart lesion has become the treatment of choice of anterior shoulder instability. Our objective is to analyze the medium-term results of arthroscopic Bankart repair. Between January 1999 and November 2007, 86 shoulders of 85 patients with diagnosis of relapsing shoulder dislocation were treated arthroscopically. After a mean 62-month follow-up (minimum 24 months) the results obtained were retrospectively assessed according the Rowe and Constant functional scales. A statistical analysis was done of the relation between functional results and age, sex, the side operated, capsulorrhaphy, rehabilitation and postoperative immobilization in our series. Moreover, the validity of MRI for diagnosing Bankart lesion was assessed. Eighty-five percent of patients had good or excellent results according to the Rowe scale. The mean Constant scale score was 90.6. There-dislocation rate in our series was 9%. The statistical analysis showed that female sex and immobilization time were related with worse results according to the Constant scale. In our hands, arthroscopic Bankart repair provides results similar to those in other published series. MRI is a useful diagnostic test in our setting, albeit its important implications for the diagnosis of Bankart lesion. Female sex and prolonged immobilization were related with worse functional results.

  2. Development Bank Encourages Natural Disaster Planning

    NASA Astrophysics Data System (ADS)

    Zielinski, Sarah

    2006-02-01

    In an effort to make countries in Latin America and the Caribbean less vulnerable to natural disasters, the Inter-American Development Bank (IDB) announced on 21 December 2005 that it has developed a new draft disaster risk management policy to encourage its member countries to plan for these events. The IDB, the major development bank for the region, decided to place a focus on natural disaster risk planning following several devastating disasters in the region in the 1990s, including 1998's Hurricane Mitch, said Caroline Clarke, IDB senior specialist in disaster prevention and risk management. The IDB provides loans, technical assistance, and policy guidance to reduce poverty and promote sustainable development in Latin America and the Caribbean.

  3. Development Plan for the Fuel Cycle Simulator

    SciTech Connect

    Brent Dixon

    2011-09-01

    The Fuel Cycle Simulator (FCS) project was initiated late in FY-10 as the activity to develop a next generation fuel cycle dynamic analysis tool for achieving the Systems Analysis Campaign 'Grand Challenge.' This challenge, as documented in the Campaign Implementation Plan, is to: 'Develop a fuel cycle simulator as part of a suite of tools to support decision-making, communication, and education, that synthesizes and visually explains the multiple attributes of potential fuel cycles.'

  4. Space Station Mission Planning Study (MPS) development study. Volume 3: Software development plan

    NASA Technical Reports Server (NTRS)

    Klus, W. L.

    1987-01-01

    A software development plan is presented for the definition, design, and implementation of the Space Station (SS) Payload Mission Planning System (MPS). This plan is an evolving document and must be updated periodically as the SS design and operations concepts as well as the SS MPS concept evolve. The major segments of this plan are as follows: an overview of the SS MPS and a description of its required capabilities including the computer programs identified as configurable items with an explanation of the place and function of each within the system; an overview of the project plan and a detailed description of each development project activity breaking each into lower level tasks where applicable; identification of the resources required and recommendations for the manner in which they should be utilized including recommended schedules and estimated manpower requirements; and a description of the practices, standards, and techniques recommended for the SS MPS Software (SW) development.

  5. Guidelines for Analysis of Environmental Health Planning in Developing Countries. Volume 2: Environmental Health Planning. International Health Planning Methods Series.

    ERIC Educational Resources Information Center

    Fraser, Renee White; Shani, Hadasa

    Intended to assist Agency for International Development (AID) officers, advisors, and health officials in incorporating health planning into national plans for economic development, this second of ten manuals in the International Health Planning Methods Series deals with assessment, planning, and evaluation in the field of environmental health.…

  6. Guidelines for Analysis of Environmental Health Planning in Developing Countries. Volume 2: Environmental Health Planning. International Health Planning Methods Series.

    ERIC Educational Resources Information Center

    Fraser, Renee White; Shani, Hadasa

    Intended to assist Agency for International Development (AID) officers, advisors, and health officials in incorporating health planning into national plans for economic development, this second of ten manuals in the International Health Planning Methods Series deals with assessment, planning, and evaluation in the field of environmental health.…

  7. 36 CFR 219.7 - New plan development or plan revision.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... PLANNING National Forest System Land Management Planning § 219.7 New plan development or plan revision. (a... information from the assessment and monitoring to identify a preliminary need to change the existing plan and... Wilderness Preservation System and determine whether to recommend any such lands for wilderness designation...

  8. Developing and executing a strategic plan.

    PubMed

    Morley, Glenn

    2010-02-01

    Because of the historic economic crisis, the past 18 months--2008 and the first half of 2009--have been challenging for many plastic surgery practices. Prior to the economic crisis in 2008, many practices enjoyed success with little synchronization between financial and productivity results, practice goals, and strategic planning. Now, suddenly, there is a great deal of interest in the alignment of budgets and financial reporting, marketing return on investment (ROI), staff accountability, and overhead management. The process of developing a business plan can serve to bring clarity and objectivity to the assessment of practice goals and market dynamics. The business planning process also provides assurance of more efficient use of the practice's human and capital resources. Ultimately, the process will bring order, discipline, and focus to practice stakeholders, thus increasing the likelihood of meeting or exceeding practice goals. The process: (1) defining the mission of the practice; (2) completing a competitive analysis for your market; (3) completing an assessment of your current environment; (4) completing an assessment of the financial health of your practice; (5) preparation of a SWOT (strengths, weakness, opportunity, threat) analysis; and (6) a translation of your mission statement into specific long-term goals and short-term performance objectives. The outcome of completing these tasks should be an actionable plan that will serve as a guide or road map for the practice. A well-articulated plan will solidify staff confidence, continue the advancement of a strong business foundation, and provide clear navigation through this new economic landscape in a way that preserves your ability to provide the care you have devoted yourselves to deliver. Today's needs, and yesterday's lessons, dictate that a well-documented strategic action plan be undertaken.

  9. Nonshaved cranial surgery in black Africans: technical report and a medium-term prospective outcome study.

    PubMed

    Adeleye, Amos O

    2016-07-01

    Nonshaved neurosurgery, cranial or spinal, is well reported among Caucasians but hardly among native Africans. The ungroomed scalp hairs of black Africans have unique anthropological characteristics needing special attention for shaveless cranial surgery. A technical report of the execution of this surgical procedure among an indigenous patient population in a sub-Sahara African country is presented, as well as an outcome analysis in a prospective cohort over a 7-year period. A total of 303 patients (211 males, 70 %) fulfilled the criteria for this study. The surgical procedure was primary in 278 (92 %) and redo in 8 %. It was emergency surgery in 153 (51 %). They were trauma craniotomies or decompressive craniectomies in 95 cases (31 %), craniotomies for tumour resections in 86 (28 %), and the surgical dissections for other conditions in 122 (41 %). The duration of surgery ranged from 30 min to 8.5 h, mean 2.5 (SD, 1.6), median 2. In-hospital clinical outcome was good (normal status or moderate deficit on dichotomized Glasgow outcome scale (GOS)) in 273 (90.1 %) cases while surgical site infections occurred in only 10 cases (3.3 %). The type of surgery, redo or primary, did not have any significant association with the in-hospital outcome (p = 0.5), nor with the presence of surgical site infection (SSI) (p = 0.7). The length of follow-up ranged from 2 to 63 months (mean, 7) with no untoward complications reported so far. Medium-term outcome of nonshaved neurosurgery in this indigenous black Africans remains favourable with no attendant significant adverse after-effects.

  10. Transcatheter aortic valve implantation in very elderly patients: immediate results and medium term follow-up

    PubMed Central

    Pascual, Isaac; Muñoz-García, Antonio J; López-Otero, Diego; Avanzas, Pablo; Jimenez-Navarro, Manuel F; Cid-Alvarez, Belén; del Valle, Raquel; Alonso-Briales, Juan H; Ocaranza-Sanchez, Raimundo; Hernández, José M; Trillo-Nouche, Ramiro; Morís, César

    2015-01-01

    Objective To evaluate immediate transcatheter aortic valve implantation (TAVI) results and medium-term follow-up in very elderly patients with severe and symptomatic aortic stenosis (AS). Methods This multicenter, observational and prospective study was carried out in three hospitals. We included consecutive very elderly (> 85 years) patients with severe AS treated by TAVI. The primary endpoint was to evaluate death rates from any cause at two years. Results The study included 160 consecutive patients with a mean age of 87 ± 2.1 years (range from 85 to 94 years) and a mean logistic EuroSCORE of 18.8% ± 11.2% with 57 (35.6%) patients scoring ≥ 20%. Procedural success rate was 97.5%, with 25 (15.6%) patients experiencing acute complications with major bleeding (the most frequent). Global mortality rate during hospitalization was 8.8% (n = 14) and 30-day mortality rate was 10% (n = 16). Median follow up period was 252.24 ± 232.17 days. During the follow-up period, 28 (17.5%) patients died (17 of them due to cardiac causes). The estimated two year overall and cardiac survival rates using the Kaplan-Meier method were 71% and 86.4%, respectively. Cox proportional hazard regression showed that the variable EuroSCORE ≥ 20 was the unique variable associated with overall mortality. Conclusions TAVI is safe and effective in a selected population of very elderly patients. Our findings support the adoption of this new procedure in this complex group of patients. PMID:26345138

  11. Medium term water deficit elicits distinct transcriptome responses in Eucalyptus species of contrasting environmental origin.

    PubMed

    Spokevicius, Antanas V; Tibbits, Josquin; Rigault, Philippe; Nolin, Marc-Alexandre; Müller, Caroline; Merchant, Andrew

    2017-04-07

    Climatic and edaphic conditions over geological timescales have generated enormous diversity of adaptive traits and high speciation within the genus Eucalyptus (L. Hér.). Eucalypt species occur from high rainfall to semi-arid zones and from the tropics to latitudes as high as 43°S. Despite several morphological and metabolomic characterizations, little is known regarding gene expression differences that underpin differences in tolerance to environmental change. Using species of contrasting taxonomy, morphology and physiology (E. globulus and E. cladocalyx), this study combines physiological characterizations with 'second-generation' sequencing to identify key genes involved in eucalypt responses to medium-term water limitation. One hundred twenty Million high-quality HiSeq reads were created from 14 tissue samples in plants that had been successfully subjected to a water deficit treatment or a well-watered control. Alignment to the E. grandis genome saw 23,623 genes of which 468 exhibited differential expression (FDR < 0.01) in one or both ecotypes in response to the treatment. Further analysis identified 80 genes that demonstrated a significant species-specific response of which 74 were linked to the 'dry' species E. cladocalyx where 23 of these genes were uncharacterised. The majority (approximately 80%) of these differentially expressed genes, were expressed in stem tissue. Key genes that differentiated species responses were linked to photoprotection/redox balance, phytohormone/signalling, primary photosynthesis/cellular metabolism and secondary metabolism based on plant metabolic pathway network analysis. These results highlight a more definitive response to water deficit by a 'dry' climate eucalypt, particularly in stem tissue, identifying key pathways and associated genes that are responsible for the differences between 'wet' and 'dry' climate eucalypts. This knowledge provides the opportunity to further investigate and understand the mechanisms and

  12. Early and medium term results of the sleeve valve-sparing procedure for aortic root ectasia.

    PubMed

    Gamba, Amando; Tasca, Giordano; Giannico, Floriana; Lobiati, Elisabetta; Skouse, Douglas; Galanti, Andrea; Martino, Antonello Stefano; Triggiani, Michele

    2015-04-01

    The aim of this retrospective study was to evaluate our experience of using a simplified aortic valve sleeve procedure to treat aortic root ectasia and aneurysms with or without aortic regurgitation. In experienced hands, 2 aortic valve-sparing procedures, ie, Yacoub and David, have yielded excellent long-term results in the treatment of aortic root aneurysms, with or without aortic regurgitation. However, these techniques are demanding and not widely used. Recently, a new and simplified valve-sparing technique, named "sleeve procedure," has been proposed, and has yielded encouraging early results. Ninety consecutive patients with aortic root aneurysms underwent sleeve procedures from October 2006 to October 2012. Follow-up data (clinical 100% complete and echocardiographic 93% complete) were acquired from our outpatient clinic or from the referring cardiologist. The mean age of the patients was 61.5 ± 12.5 years, 79% were male, 16 (18%) had a bicuspid valve, 3 had Marfan syndrome, and 2 had aortic dissection. Over a mean clinical follow-up of 34 ± 19 months, 2 patients died from noncardiac causes and 1 was reoperated on for the recurrence of aortic regurgitation. On follow-up echocardiography after a mean of 18 ± 9 months, aortic regurgitation was absent/negligible, mild or moderate in 62%, 37%, and 1% of patients, respectively, and the diameters of the annulus, Valsalva sinuses, and sinotubular junction were 27.3 + 2.2, 37.0 + 3.4, and 30.6 + 3.1 mm, respectively. Our encouraging early and medium term results suggest that the sleeve procedure is a safe and effective aortic valve-sparing technique for the treatment of aortic root ectasia and aneurysm. However, longer follow-up is needed in order to draw definitive conclusions. Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  13. Short- and medium-term efficacy of specific hydrotherapy in inherited ichthyosis.

    PubMed

    Bodemer, C; Bourrat, E; Mazereeuw-Hautier, J; Boralevi, F; Barbarot, S; Bessis, D; Blanchet-Bardon, C; Bourdon-Lanoy, E; Stalder, J-F; Ribet, V; Guerrero, D; Sibaud, V

    2011-11-01

    Management of inherited ichthyoses is symptomatic. Despite treatment, skin symptoms have a major impact on patients' quality of life (QoL). To assess the short- and medium-term efficacy of hydrotherapy on QoL and clinical symptoms of patients with inherited ichthyosis. In this 9-month prospective, open-label, multicentre study, 20 children and 24 adults with ichthyosis were enrolled in several French reference and competence centres, 2 months before undergoing a 3-week treatment with specific hydrotherapeutic management at Avène Hydrotherapy Centre. At baseline (2 months before hydrotherapy), beginning (D0) and end of hydrotherapy (D18), and 3 and 6 months later at the reference and competence centres, patients self-assessed QoL using the Dermatology Life Quality Index (DLQI) or its paediatric version (Children's DLQI), and investigators evaluated ichthyosis severity using a specific clinical ichthyosis score. The DLQI scores were significantly improved not only at the end of the hydrotherapy treatment (-56% vs. baseline; mean ± SD 3·59 ± 4·30 at D18 vs. 8·35 ± 5·71 at D0; P < 0·0001), but also at 3 months (-28% vs. baseline; P = 0·01) and 6 months after hydrotherapy (-26% vs. baseline; mean ± SD 5·21 ± 5·11 vs. 6·89 ± 5·38; P = 0·03) (primary criterion). Clinical symptoms were also significantly improved at all post-treatment visits, with a decrease of the mean clinical ichthyosis score by -38% between D0 and D18, by -30% at 3 months and by -31% at 6 months vs. baseline. A 3-week treatment at Avène Hydrotherapy Centre provided significant and persisting improvement of QoL and clinical symptoms in patients with inherited ichthyoses. © 2011 The Authors. BJD © 2011 British Association of Dermatologists.

  14. Policy Guidelines for Medium-Term Priorities 1997 to 2000 = Politische Leitlinien fur die mittelfristigen Prioritaten von 1997 bis 2000 = Orientations de politique concernant les priorites a moyen terme de 1997 a l'an 2000.

    ERIC Educational Resources Information Center

    European Centre for the Development of Vocational Training, Thessaloniki (Greece).

    This booklet details the policy guidelines to which the European Centre for the Development of Vocational Training (CEDEFOP) will adhere when working to achieve its medium-term priorities in 1997-2000. The following items are stated in the booklet's six sections: legal requirements, agreements, and publications on which CEDEFOP's policy guidelines…

  15. Short-term and medium-term clinical outcomes of laparoscopic-assisted and open surgery for colorectal cancer: a single center retrospective case-control study

    PubMed Central

    2011-01-01

    Background Laparoscopic procedure is a rapid developed technique in colorectal surgery. In this investigation we aim at assessing the diversities of short-term and medium-term clinical outcomes of laparoscopic-assisted versus open surgery for colorectal cancer. Methods A total number of 519 patients with non-metastatic colorectal cancer were enrolled for this study. The patients underwent either laparoscopic-assisted surgery (LAP) (n = 254) or open surgery (OP) (n = 265). Surgical techniques, perioperative managements and clinical follow-ups were standardized. Short-term perioperative data and medium-term recurrence and survival were compared and analyzed between the two groups. Results There were no differences in perioperative parameters between the two groups except in regards to a trend of faster recovery in laparoscopic procedures. There was no statistically significant difference in postoperative complications, reoperation rate, or perioperative mortality. Statistically significant differences in a faster return of gastrointestinal function and shorter hospital stay were identified in favor of laparoscopic-assisted resection. In colon and rectal cancer cases separately, the overall survival, cancer-free survival and recurrence rate were similar in two groups. There was also no tendency of significant differences in overall survival, cancer-free survival and recurrence in stage I-II and stage III patients in two cancer categories between the two groups, respectively. pT, lymph node metastasis, and clinical stage were independent predictors of overall death risk, while pT, pN, lymph node metastasis and clinical stage were found to be the independent predictors of recurrence risk in enrolled patients database. Conclusions Laparoscopic-assisted procedure has more benefits on postoperative recovery, while has the same effects on medium-term recurrence and survival compared with open surgery in the treatment of non-metastatic colorectal cancer. PMID:21794159

  16. Evidence development and publication planning: strategic process.

    PubMed

    Wittek, Michael R; Jo Williams, Mary; Carlson, Angeline M

    2009-11-01

    A number of decisions in the health care field rely heavily on published clinical evidence. A systematic approach to evidence development and publication planning is required to develop a portfolio of evidence that includes at minimum information on efficacy, safety, durability of effect, quality of life, and economic outcomes. The approach requires a critical assessment of available literature, identification of gaps in the literature, and a strategic plan to fill the gaps to ensure the availability of evidence demanded for clinical decisions, coverage/payment decisions and health technology assessments. The purpose of this manuscript is to offer a six-step strategic process leading to a portfolio of evidence that meets the informational needs of providers, payers, and governmental agencies concerning patient access to a therapy.

  17. National Development Plan, 1987-1990.

    PubMed

    1988-01-01

    The National Development Plan of Honduras for 1987-90 includes in its section on "satisfaction of the living necessities of the population" the goal of decreasing population growth through education. Specifically, Honduras seeks to coordinate efforts to formulate basic population communication studies in all related areas, to continue production of population education materials, to include population education in regular primary education programs, and to intensify the training of teachers at the primary, secondary, and literacy-program levels. A second goal identified in the development plan is to decrease population growth resulting from international migration. A third, and related, goal is to improve the institutional framework relating to population and migration policy and to improve demographic information systems, including the census and the collection of vital statistics.

  18. 7 CFR 1751.102 - Modernization Plan Developer; eligibility.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 11 2010-01-01 2010-01-01 false Modernization Plan Developer; eligibility. 1751.102... State Telecommunications Modernization Plan § 1751.102 Modernization Plan Developer; eligibility. (a) Each PUC is eligible until February 13, 1996 to develop a proposed Modernization Plan and deliver it to...

  19. 43 CFR 1610.4-2 - Development of planning criteria.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Development of planning criteria. 1610.4-2... Management Planning § 1610.4-2 Development of planning criteria. (a) The Field Manager will prepare criteria to guide development of the resource management plan or revision, to ensure: (1) It is tailored to...

  20. 42 CFR 417.920 - Planning and initial development.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Planning and initial development. 417.920 Section....920 Planning and initial development. (a) Under section 1304 of the PHS Act, grants and loan guarantees were awarded for projects for planning and initial development of HMOs. (b) Planning projects...

  1. 42 CFR 417.920 - Planning and initial development.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Planning and initial development. 417.920 Section....920 Planning and initial development. (a) Under section 1304 of the PHS Act, grants and loan guarantees were awarded for projects for planning and initial development of HMOs. (b) Planning projects...

  2. 43 CFR 1610.4-2 - Development of planning criteria.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Development of planning criteria. 1610.4-2... Management Planning § 1610.4-2 Development of planning criteria. (a) The Field Manager will prepare criteria to guide development of the resource management plan or revision, to ensure: (1) It is tailored to...

  3. The Medium-Term Labor Market Returns to Community College Awards: Evidence from North Carolina. A CAPSEE Working Paper

    ERIC Educational Resources Information Center

    Belfield, Clive; Liu, Yuen Ting; Trimble, Madeline Joy

    2014-01-01

    In this paper, the authors examine the relative labor market gains for first-time college students who enrolled in the North Carolina Community College System in 2002-03. The medium-term returns to diplomas, certificates, and degrees are compared with returns for students who accumulated college credits but did not graduate. The authors also…

  4. The Short- to Medium-Term Predictive Accuracy of Static and Dynamic Risk Assessment Measures in a Secure Forensic Hospital

    ERIC Educational Resources Information Center

    Chu, Chi Meng; Thomas, Stuart D. M.; Ogloff, James R. P.; Daffern, Michael

    2013-01-01

    Although violence risk assessment knowledge and practice has advanced over the past few decades, it remains practically difficult to decide which measures clinicians should use to assess and make decisions about the violence potential of individuals on an ongoing basis, particularly in the short to medium term. Within this context, this study…

  5. The Short- to Medium-Term Predictive Accuracy of Static and Dynamic Risk Assessment Measures in a Secure Forensic Hospital

    ERIC Educational Resources Information Center

    Chu, Chi Meng; Thomas, Stuart D. M.; Ogloff, James R. P.; Daffern, Michael

    2013-01-01

    Although violence risk assessment knowledge and practice has advanced over the past few decades, it remains practically difficult to decide which measures clinicians should use to assess and make decisions about the violence potential of individuals on an ongoing basis, particularly in the short to medium term. Within this context, this study…

  6. Open tension-free hernioplasty using a novel lightweight self-gripping mesh: medium-term experience from two institutions.

    PubMed

    Pedano, Nicolás; Pastor, Carlos; Arredondo, Jorge; Poveda, Ignacio; Ruiz, Jaime; Montón, Soledad; Molina, María; Hernández-Lizoain, José Luis

    2012-02-01

    The process of mesh fixation and the potential risk of associated chronic pain are always surgeon's main concerns in hernia surgery. A wide variety of lightweight mesh models are currently available on the market to overcome some of these problems showing good preliminary results, but no data representing the medium- or long-term results. The present study aims to report the clinical outcomes of two institutional series of patients who underwent hernia repair using a partially absorbable auto adherent mesh (Parietene™ Progrip™--PP). A prospective analysis was performed including unselected patients with primary groin hernia who underwent a standardized Lichtenstein procedure using the PP mesh at two tertiary institutions. During the 2-year study period, 181 patients (167 males; 14 females) with a median age of 63 years (19-85 years) were operated on at both centers. Short-term complications occurred in 27 patients (15%), the most commonly seen being urinary retention (6%) followed by hematoma (5%) and acute orchitis (2%). With a median follow-up of 17 months (12-29 months), 4 patients (2%) had a feeling of a foreign body in the groin, and 7 (4%) developed chronic pain. A total of four patients (2%) developed recurrence. In our experience, the use of the PP mesh for hernioplasties offers a potential benefit not only in the short-term period but also in a medium-term follow-up with low recurrence and late chronic pain rates. However, this particular mesh does not fully prevent all complications and chronic pain and recurrent hernias have been reported for the first time.

  7. Developing a strategic marketing plan for hospitals.

    PubMed

    Dychtwald, K; Zitter, M

    1988-09-01

    The initial stages of developing a strategic marketing plan for hospitals are explored in this excerpt from the book, The Role of the Hospital in an Aging Society: A Blueprint for Action. The elderly have unique perceptual, cognitive, social, and psychological needs and preferences, and a marketing strategy for eldercare services must reflect these factors, as well as the financial role of third-party payers and the decision-making influence of families and physicians. Among the elements the hospital must address when developing a marketing strategy are market selection and segmentation, targeting markets with specific services, pricing, and positioning the hospital for a maximum share of the eldercare market.

  8. Terrestrial Planet Finder: Technology Development Plans

    NASA Technical Reports Server (NTRS)

    Lindensmith, Chris

    2004-01-01

    One of humanity's oldest questions is whether life exists elsewhere in the universe. The Terrestrial Planet Finder (TPF) mission will survey stars in our stellar neighborhood to search for planets and perform spectroscopic measurements to identify potential biomarkers in their atmospheres. In response to the recently published President's Plan for Space Exploration, TPF has plans to launch a visible-light coronagraph in 2014, and a separated-spacecraft infrared interferometer in 2016. Substantial funding has been committed to the development of the key technologies that are required to meet these goals for launch in the next decade. Efforts underway through industry and university contracts and at JPL include a number of system and subsystem testbeds, as well as components and numerical modeling capabilities. The science, technology, and design efforts are closely coupled to ensure that requirements and capabilities will be consistent and meet the science goals.

  9. Servicer system demonstration plan and capability development

    NASA Astrophysics Data System (ADS)

    1987-12-01

    An orbital maneuvering vehicle (OMV) front end kit is defined which is capable of performing in-situ fluid resupply and modular maintenance of free flying spacecraft based on the integrated orbital servicing system (IOSS) concept. The compatibility of the IOSS to perform gas and fluid umbilical connect and disconnect functions utilizing connect systems currently available or in development is addressed. A series of tasks involving on-orbit servicing and the engineering test unit (ETU) of the on-orbit service were studied. The objective is the advancement of orbital servicing by expanding the Spacecraft Servicing Demonstration Plan (SSDP) to include detail demonstration planning using the Multimission Modular Spacecraft (MMS) and upgrading the ETU control.

  10. Servicer system demonstration plan and capability development

    NASA Technical Reports Server (NTRS)

    1987-01-01

    An orbital maneuvering vehicle (OMV) front end kit is defined which is capable of performing in-situ fluid resupply and modular maintenance of free flying spacecraft based on the integrated orbital servicing system (IOSS) concept. The compatibility of the IOSS to perform gas and fluid umbilical connect and disconnect functions utilizing connect systems currently available or in development is addressed. A series of tasks involving on-orbit servicing and the engineering test unit (ETU) of the on-orbit service were studied. The objective is the advancement of orbital servicing by expanding the Spacecraft Servicing Demonstration Plan (SSDP) to include detail demonstration planning using the Multimission Modular Spacecraft (MMS) and upgrading the ETU control.

  11. Terrestrial Planet Finder: Technology Development Plans

    NASA Technical Reports Server (NTRS)

    Lindensmith, Chris

    2004-01-01

    One of humanity's oldest questions is whether life exists elsewhere in the universe. The Terrestrial Planet Finder (TPF) mission will survey stars in our stellar neighborhood to search for planets and perform spectroscopic measurements to identify potential biomarkers in their atmospheres. In response to the recently published President's Plan for Space Exploration, TPF has plans to launch a visible-light coronagraph in 2014, and a separated-spacecraft infrared interferometer in 2016. Substantial funding has been committed to the development of the key technologies that are required to meet these goals for launch in the next decade. Efforts underway through industry and university contracts and at JPL include a number of system and subsystem testbeds, as well as components and numerical modeling capabilities. The science, technology, and design efforts are closely coupled to ensure that requirements and capabilities will be consistent and meet the science goals.

  12. Short- and Medium-term Atmospheric Effects of Very Large Solar Proton Events

    NASA Technical Reports Server (NTRS)

    Jackman, Charles H.; Marsh, Daniel R.; Vitt, Francis M.; Garcia, Rolando R.; Fleming, Eric L.; Labow, Gordon J.; Randall, Cora E.; Lopez-Puertas, Manuel; Funke, Bernd

    2007-01-01

    Long-term variations in ozone have been caused by both natural and humankind related processes. In particular, the humankind or anthropogenic influence on ozone from chlorofluorocarbons and halons (chlorine and bromine) has led to international regulations greatly limiting the release of these substances. These anthropogenic effects on ozone are most important in polar regions and have been significant since the 1970s. Certain natural ozone influences are also important in polar regions and are caused by the impact of solar charged particles on the atmosphere. Such natural variations have been studied in order to better quantify the human influence on polar ozone. Large-scale explosions on the Sun near solar maximum lead to emissions of charged particles (mainly protons and electrons), some of which enter the Earth's magnetosphere and rain down on the polar regions. "Solar proton events" have been used to describe these phenomena since the protons associated with these solar events sometimes create a significant atmospheric disturbance. We have used the National Center for Atmospheric Research (NCAR) Whole Atmosphere Community Climate Model (WACCM) to study the short- and medium-term (days to a few months) influences of solar proton events between 1963 and 2005 on stratospheric ozone. The four largest events in the past 45 years (August 1972; October 1989; July 2000; and October-November 2003) caused very distinctive polar changes in layers of the Earth's atmosphere known as the stratosphere (12-50 km; -7-30 miles) and mesosphere (50-90 km; 30-55 miles). The solar protons connected with these events created hydrogen- and nitrogen- containing compounds, which led to the polar ozone destruction. The hydrogen-containing compounds have very short lifetimes and lasted for only a few days (typically the duration of the solar proton event). On the other hand, the nitrogen-containing compounds lasted much longer, especially in the Winter. The nitrogen oxides were predicted

  13. 42 CFR 417.920 - Planning and initial development.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... awarded for projects for planning and initial development of HMOs. (b) Planning projects included projects... 42 Public Health 3 2011-10-01 2011-10-01 false Planning and initial development. 417.920 Section... HEALTH CARE PREPAYMENT PLANS Administration of Outstanding Loans and Loan Guarantees § 417.920...

  14. Developing and executing an effective research plan.

    PubMed

    Weber, Robert J; Cobaugh, Daniel J

    2008-11-01

    Practical approaches to successful implementation of practice-based research are examined. In order to successfully complete a research project, its scope must be clearly defined. The research question and the specific aims or objectives should guide the study. For practice-based research, the clinical setting is the most likely source to find important research questions. The research idea should be realistic and relevant to the interests of the investigators and the organization and its patients. Once the lead investigator has developed a research idea, a comprehensive literature review should be performed. The aims of the project should be new, relevant, concise, and feasible. The researchers must budget adequate time to carefully consider, develop, and seek input on the research question and objectives using the principles of project management. Identifying a group of individuals that can work together to ensure successful completion of the proposed research should be one of the first steps in developing the research plan. Dividing work tasks can alleviate workload for individual members of the research team. The development of a timeline to help guide the execution of the research project plan is critical. Steps that can be especially time-consuming include obtaining financial support, garnering support from key stakeholders, and getting institutional review board consent. One of the primary goals of conducting research is to share the knowledge that has been gained through presentations at national and international conferences and publications in peer-reviewed biomedical journals. Practice-based research presents numerous challenges, especially for new investigators. Integration of the principles of project management into research planning can lead to more efficient study execution and higher-quality results.

  15. [Population variables as fundamental in development planning].

    PubMed

    Diongue, A; Sow, E B

    1990-03-01

    This article summarizes the major points extracted from an interview with the Head of the Population Division at the Economic Commission for Africa (ECA) regarding the problems of integrating population variables with the socioeconomic development of developing countries. 1) The Kilimanjaro Program of Action remains the basic framework that ECA uses as a reference point in matters pertaining to population; 2) Regarding the World Bank and the International Monetary Fund's structural adjustment policies (SAP's), ECA's position is one which stresses the need to ensure that the social aspects of SAP's are met in the short term such as the needs of the aged, women and children; however, population problems are long-term and require long-term solutions; 3) During the past 15-20 years population issues have not been properly integrated in the short-term solutions to development problems; ECA encourages governments to integrate demographic variables and population issues in their development plans to achieve long-term solutions; however, the short-term obstacles include infant mortality, infectious diseases and the debt crisis; 4) ECA has proposed an African Alternative SAP (AASAP) to highlight the existence of social problems and the multiple variables affecting the African countries; the AASAP also encourages regional cooperation to strengthen the negotiating position to obtain more resources that with effective management systems can improve the conditions of individual countries; 5) family planning and contraception remain integral components of a population policy and it is important that governments recognize the need to fight against infant and maternal mortality. Family planning encompasses much more than contraception.

  16. KSC Education Technology Research and Development Plan

    NASA Technical Reports Server (NTRS)

    Odell, Michael R. L.

    2003-01-01

    Educational technology is facilitating new approaches to teaching and learning science, technology, engineering, and mathematics (STEM) education. Cognitive research is beginning to inform educators about how students learn providing a basis for design of more effective learning environments incorporating technology. At the same time, access to computers, the Internet and other technology tools are becoming common features in K-20 classrooms. Encouraged by these developments, STEM educators are transforming traditional STEM education into active learning environments that hold the promise of enhancing learning. This document illustrates the use of technology in STEM education today, identifies possible areas of development, links this development to the NASA Strategic Plan, and makes recommendations for the Kennedy Space Center (KSC) Education Office for consideration in the research, development, and design of new educational technologies and applications.

  17. Naval Oil Shale Reserves: conceptual development plan

    SciTech Connect

    Not Available

    1982-06-09

    The plan presented here is, first, to design and build a 20,000 BPD plant. After one year of operation, plant expansion to 50,000 BPD would start. Additional plants would be started every three years until 200,000 BPD production was achieved. This production rate can be sustained by the NOSR 1 resource for over 30 years, using current technology, with additional recoverable potential from lower grade shales as economics or technology improves. The development program is divided into five phases. Phase 0 includes preparing and securing the necessary approvals, competitive selection of one or more technologies for retorting, and detailed engineering design. Phase 1a is construction of the 20,000 BPD production facility, Phase 1b is expansion to 50,000 BPD. Phases 2, 3, and 4 each add an additional 50,000 BPD plant. Costs and revenues, based on the planned schedule and production, and on a $35 per barrel value for the upgraded syncrude are presented. A three-year budget of $3.2 million (in 1982 dollars) is required initially to complete and support the necessary approval packages and to provide the engineering basis for the technology selection. The subsequent 2-1/2 years will require $140 million for permits, technology selection, detailed engineering design, and complete technical, management and procurement plans for Phase 1a, the construction of the 20,000 BPD facility.

  18. Multiyear Research, Development and Demonstration Plan

    SciTech Connect

    EERE

    2012-03-16

    The Fuel Cell Technologies Office Multi-Year Research, Development, and Demonstration (MYRD&D) Plan describes the goals, objectives, technical targets, tasks, and schedules for all activities within the Fuel Cell Technologies (FCT) Office, which is part of the U.S. Department of Energy's Office of Energy Efficiency and Renewable Energy. The MYRD&D Plan is a living document, which is revised periodically to reflect progress in the technologies, revisions to developmental timelines and targets, updates based on external reviews, and changes in the scope of the FCT Office. The document was first published in 2003, and revised in 2005. The document was significantly revised in 2012 to reflect scientific advancements and the changing technological landscape. Any revisions made to the MYRD&D Plan are conducted through a rigorous Change Control process as documented in the Systems Integration section of this report. The hydrogen and fuel cell activities within DOE continue to receive extensive review by stakeholders in the hydrogen and fuel cell community, including panels of the National Research Council and the National Academy of Engineering.

  19. Simulation of medium-term soil redistributions for different land use and landscape design scenarios within a vineyard landscape in Mediterranean France

    NASA Astrophysics Data System (ADS)

    David, Mélodie; Follain, Stéphane; Ciampalini, Rossano; Le Bissonnais, Yves; Couturier, Alain; Walter, Christian

    2014-06-01

    Inappropriate agricultural land management practices cause irreversible soil losses in many parts of Europe. Soil degradation is predicted to increase in the next future as an effect of climate and cropping system changes. The most concerned areas are expected to be those already severely affected by erosion, as is the whole of the Mediterranean. Medium-term soil erosion models could be useful tools to analyse, understand and simulate complex interactions between geomorphic processes and human pressures for better assessment of medium-term soil redistributions associated with land use and landscape design change. The aim of this study was to compare the effects of various agricultural land uses and landscape design strategies on water and tillage erosion. The first step was to develop land use and landscape design scenarios of an agricultural Mediterranean landscape. Then, all of the scenarios were compared in terms of the soil redistribution using the LandSoil model. The results indicate that potential soil conservation associated with the adoption of sustainable land uses surpasses the potential conservation associated with certain landscape design. A detailed analysis of within-landscape soil redistributions suggests that land use is a major factor controlling sediment production, whereas landscape design is a major factor controlling hillslope connectivity.

  20. 7 CFR 1781.15 - Planning and performing development.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 12 2011-01-01 2011-01-01 false Planning and performing development. 1781.15 Section..., DEPARTMENT OF AGRICULTURE (CONTINUED) RESOURCE CONSERVATION AND DEVELOPMENT (RCD) LOANS AND WATERSHED (WS) LOANS AND ADVANCES § 1781.15 Planning and performing development. Planning and performing development...

  1. 7 CFR 1781.15 - Planning and performing development.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 12 2010-01-01 2010-01-01 false Planning and performing development. 1781.15 Section..., DEPARTMENT OF AGRICULTURE (CONTINUED) RESOURCE CONSERVATION AND DEVELOPMENT (RCD) LOANS AND WATERSHED (WS) LOANS AND ADVANCES § 1781.15 Planning and performing development. Planning and performing development...

  2. 7 CFR 1781.15 - Planning and performing development.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 12 2012-01-01 2012-01-01 false Planning and performing development. 1781.15 Section..., DEPARTMENT OF AGRICULTURE (CONTINUED) RESOURCE CONSERVATION AND DEVELOPMENT (RCD) LOANS AND WATERSHED (WS) LOANS AND ADVANCES § 1781.15 Planning and performing development. Planning and performing development...

  3. 7 CFR 1781.15 - Planning and performing development.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 12 2014-01-01 2013-01-01 true Planning and performing development. 1781.15 Section..., DEPARTMENT OF AGRICULTURE (CONTINUED) RESOURCE CONSERVATION AND DEVELOPMENT (RCD) LOANS AND WATERSHED (WS) LOANS AND ADVANCES § 1781.15 Planning and performing development. Planning and performing development...

  4. 7 CFR 1781.15 - Planning and performing development.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 12 2013-01-01 2013-01-01 false Planning and performing development. 1781.15 Section..., DEPARTMENT OF AGRICULTURE (CONTINUED) RESOURCE CONSERVATION AND DEVELOPMENT (RCD) LOANS AND WATERSHED (WS) LOANS AND ADVANCES § 1781.15 Planning and performing development. Planning and performing development...

  5. High-energy facility development plan

    NASA Technical Reports Server (NTRS)

    Walker, Arthur B. C., Jr.; Roberts, W. T.; Dabbs, J. R.

    1988-01-01

    Approaches to the deployment of instruments for the study of high-energy solar emissions alone or in conjunction with other solar instruments are considered. The Space Station has been identified as the preferred mode for the deployment of the Advanced Solar Observatory, and it is suggested that a proposed High-Energy Facility could be on a coorbiting platform. The implementation plan for the High-Energy Facility involves the definition of the interface structures required to mount the facility instruments to the Space Station and the development of hard X-ray and gamma-ray imaging, spectroscopic, and polarimetric instruments.

  6. Enviromental Development Plan: special nuclear materials production

    SciTech Connect

    Not Available

    1980-07-01

    This Environmental Development Plan includes the process steps and facilities necessary for the production of plutonium and tritium for Government needs and the production of some other radioactive materials that will be used for heat and radiation sources by domestic and international customers. The production reactors and the spent fuel processing plants and their effluents are discussed, but the defense wastes from them are treated in a separate EDP. The scope does not include transportation, decontamination and decommissioning, safeguards and security, or use of the SNM products.

  7. Standard Review Plan Update and Development Program

    SciTech Connect

    Not Available

    1992-05-01

    This implementing procedures document (IPD) was prepared for use in implementing tasks under the standard review plan update and development program (SRP-UDP). The IPD provides comprehensive guidance and detailed procedures for SRP-UDP tasks. The IPD is mandatory for contractors performing work for the SRP-UDP. It is guidance for the staff. At the completion of the SRP-UDP, the IPD will be revised (to remove the UDP aspects) and will replace NRR Office Letter No. 800 as long-term maintenance procedures.

  8. High-energy facility development plan

    NASA Technical Reports Server (NTRS)

    Walker, Arthur B. C., Jr.; Roberts, W. T.; Dabbs, J. R.

    1988-01-01

    Approaches to the deployment of instruments for the study of high-energy solar emissions alone or in conjunction with other solar instruments are considered. The Space Station has been identified as the preferred mode for the deployment of the Advanced Solar Observatory, and it is suggested that a proposed High-Energy Facility could be on a coorbiting platform. The implementation plan for the High-Energy Facility involves the definition of the interface structures required to mount the facility instruments to the Space Station and the development of hard X-ray and gamma-ray imaging, spectroscopic, and polarimetric instruments.

  9. Center Planning and Development Student Engineer

    NASA Technical Reports Server (NTRS)

    Jenkins, Kenneth T.

    2013-01-01

    This fall I was the Student Trainee (Engineering) Pathways Intern (co-op) at the Kennedy Space Center (KSC) in the Center Planning Development (CPD) Directorate. CPD works with commercial companies who are interested using KSCs unique capabilities in spaceflight, spacecraft processing, ground systems and Research Development (RD) projects that fall in line with NASAs mission and goals. CPD is divided into four (4) groups: (1) AD-A, which works on the Master Planning for center, (2) AD-B (where I am), which works on project management and integration, (3) AD-C, which works on partnership development, and (4) AD-T, which works on the RD aspects of partnerships. CPDs main goal is to one day make KSC the worlds largest spaceport and maintain the center as a leader in space exploration. CPD is a very diverse group with employees having a wide knowledge of not only the Space Shuttle, but also that of the Apollo era. Our director of CPD, Scott Colloredo, is on the advisory board for Commercial Space Operations (CSO) and has a degree at ERAU. I worked on a number of different tasks for AD-B, as well as CPD, that includes, but not limited to: reviewing and reissuing engineering drawings from the Apollo and Shuttle eras, to supporting NASA rocket launches (MAVEN), and working on actual agreementsproposals that will be used in the partnership process with multiple partners. Most of the work I have done is sensitive information and cannot be disclosed.

  10. Evolutionary development of path planning algorithms

    SciTech Connect

    Hage, M

    1998-09-01

    This paper describes the use of evolutionary software techniques for developing both genetic algorithms and genetic programs. Genetic algorithms are evolved to solve a specific problem within a fixed and known environment. While genetic algorithms can evolve to become very optimized for their task, they often are very specialized and perform poorly if the environment changes. Genetic programs are evolved through simultaneous training in a variety of environments to develop a more general controller behavior that operates in unknown environments. Performance of genetic programs is less optimal than a specially bred algorithm for an individual environment, but the controller performs acceptably under a wider variety of circumstances. The example problem addressed in this paper is evolutionary development of algorithms and programs for path planning in nuclear environments, such as Chernobyl.

  11. Fuel Fabrication Capability Research and Development Plan

    SciTech Connect

    Senor, David J.; Burkes, Douglas

    2014-04-17

    The purpose of this document is to provide a comprehensive review of the mission of the Fuel Fabrication Capability (FFC) within the Global Threat Reduction Initiative Convert Program, along with research and development (R&D) needs that have been identified as necessary to ensuring mission success. The design and fabrication of successful nuclear fuels must be closely linked endeavors. Therefore, the overriding motivation behind the FFC R&D program described in this plan is to foster closer integration between fuel design and fabrication to reduce programmatic risk. These motivating factors are all interrelated, and progress addressing one will aid understanding of the others. The FFC R&D needs fall into two principal categories, 1) baseline process optimization, to refine the existing fabrication technologies, and 2) manufacturing process alternatives, to evaluate new fabrication technologies that could provide improvements in quality, repeatability, material utilization, or cost. The FFC R&D Plan examines efforts currently under way in regard to coupon, foil, plate, and fuel element manufacturing, and provides recommendations for a number of R&D topics that are of high priority but not currently funded (i.e., knowledge gaps). The plan ties all FFC R&D efforts into a unified vision that supports the overall Convert Program schedule in general, and the fabrication schedule leading up to the MP-1 and FSP-1 irradiation experiments specifically. The fabrication technology decision gates and down-selection logic and schedules are tied to the schedule for fabricating the MP-1 fuel plates, which will provide the necessary data to make a final fuel fabrication process down-selection. Because of the short turnaround between MP-1 and the follow-on FSP-1 and MP-2 experiments, the suite of specimen types that will be available for MP-1 will be the same as those available for FSP-1 and MP-2. Therefore, the only opportunity to explore parameter space and alternative processing

  12. Strategic Planning for New Presidents: Developing an Entrance Plan

    ERIC Educational Resources Information Center

    Garza Mitchell, Regina L.; Maldonado, Cesar

    2015-01-01

    Community colleges are greatly impacted by turbulent external forces while also experiencing turnover in the topmost leadership positions. New presidents must learn how to lead an institution while also planning for purposeful change that will allow the college to thrive. In this article, the authors propose a method for new presidents to develop…

  13. Strategic Planning for New Presidents: Developing an Entrance Plan

    ERIC Educational Resources Information Center

    Garza Mitchell, Regina L.; Maldonado, Cesar

    2015-01-01

    Community colleges are greatly impacted by turbulent external forces while also experiencing turnover in the topmost leadership positions. New presidents must learn how to lead an institution while also planning for purposeful change that will allow the college to thrive. In this article, the authors propose a method for new presidents to develop…

  14. Faculty Development: Planning for Individual and Institutional Renewal.

    ERIC Educational Resources Information Center

    Wurster, Stephen H.; McCartney, Jesse F.

    1980-01-01

    The history and definition of faculty development are reviewed and a comprehensive approach to planned change at Ball State is described. It links organizationally, through a vice-president of instructional affairs, academic planning and faculty development. Contributions of faculty development to morale and institutional planning are discussed.…

  15. 43 CFR 3183.6 - Plan of development.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Plan of development. 3183.6 Section 3183.6... Filing and Approval of Documents § 3183.6 Plan of development. Three counterparts of all plans of development and operation shall be submitted for approval under an approved agreement. ...

  16. 7 CFR 1778.22 - Planning development and procurement.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 12 2014-01-01 2013-01-01 true Planning development and procurement. 1778.22 Section 1778.22 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE... Planning development and procurement. Planning development and procurement for grants made under this part...

  17. 7 CFR 1778.22 - Planning development and procurement.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 12 2011-01-01 2011-01-01 false Planning development and procurement. 1778.22 Section 1778.22 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE... Planning development and procurement. Planning development and procurement for grants made under this part...

  18. 7 CFR 1778.22 - Planning development and procurement.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 12 2010-01-01 2010-01-01 false Planning development and procurement. 1778.22 Section 1778.22 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE... Planning development and procurement. Planning development and procurement for grants made under this part...

  19. 42 CFR 417.920 - Planning and initial development.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Planning and initial development. 417.920 Section... and initial development. (a) Under section 1304 of the PHS Act, grants and loan guarantees were awarded for projects for planning and initial development of HMOs. (b) Planning projects included projects...

  20. 43 CFR 3183.6 - Plan of development.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Plan of development. 3183.6 Section 3183.6... Filing and Approval of Documents § 3183.6 Plan of development. Three counterparts of all plans of development and operation shall be submitted for approval under an approved agreement. ...

  1. 7 CFR 1778.22 - Planning development and procurement.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 12 2013-01-01 2013-01-01 false Planning development and procurement. 1778.22 Section 1778.22 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE... Planning development and procurement. Planning development and procurement for grants made under this part...

  2. 7 CFR 1778.22 - Planning development and procurement.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 12 2012-01-01 2012-01-01 false Planning development and procurement. 1778.22 Section 1778.22 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE... Planning development and procurement. Planning development and procurement for grants made under this part...

  3. Development of Consistency between Marketing and Planning.

    ERIC Educational Resources Information Center

    Williford, A. Michael

    1986-01-01

    Examined descriptive information about marketing, enrollment management, institutional planning and factors affecting them. A factor analysis of statistically appropriate variables identified factors associated with a state of symbiosis between marketing and institutional planning. (Author/BL)

  4. Volcanic Eruption: Students Develop a Contingency Plan

    NASA Astrophysics Data System (ADS)

    Meisinger, Philipp; Wittlich, Christian

    2013-04-01

    , causing a blockage and afflux of the Rhine, which, due to the given conditions of a very narrow valley, would lead to excessive flooding affecting even the greater Rhine-Main-region. Not to mention the consequences of a pyroclastic flow, dropping volcanic bombs and further hazardous/disastrous consequences. In comparison to other "potentially active" or "active volcanoes", e.g. the Vesuvius, the Laacher See is scarcely monitored and according to recent publications poorly analyzed in terms of contingency and evacuation plans. This offers space for critical analysis and creative solutions to an existing problem. Short: We need geographers and their knowledge to provide help. Given these facts, the Laacher See could be the layout for a very interesting geography project bringing together previously gained knowledge and understanding of volcanic activities, their destructive powers, consequences and risks in case of an eruption in combination with their topographical characteristics. Your students thereby act the role of a geoscientist developing contingency plans and evacuation zones for the greater Laacher See area. This involves a detailed analysis of the topographical characteristics based on (classic) topographic maps or online via the use of a GIS (e.g. Google maps). In a second step students enlist the possible consequences they already know according to their range and copy them onto a transparency layer on the topographic map. Using such a layer technique students add population density, important topographic features and maybe even anticipated wind directions to their map. The information density and the specific layout of this map are thereby only determined by the student's previous knowledge, their personal abilities and skills and the amount of time provided. This offers the opportunities to even differentiate the task within your group and provide support adjusted to the individual students level. On the basis of their own thematic map your students should be

  5. Children's Services Planning in Northern Ireland: Developing a Planning Model to Address Rights and Needs

    ERIC Educational Resources Information Center

    McTernan, Eamon; Godfrey, Ann

    2006-01-01

    This article reflects on a number of key concepts and planning tools that have been developed or adapted through the inter-agency planning of services for children and young people in Northern Ireland (Children's Services Planning). These conceptual models have been developed between 1999 and 2005 and illustrate the key contribution of Children's…

  6. [Regional development planning and migration: the fourth comprehensive national development plan].

    PubMed

    Wakabayashi, K

    1987-04-01

    In 1986, the National Land Agency of Japan published the Development Plan for the National Capital Region and the outline of the 4th Comprehensive National Development Plan. Ever since the 1st Comprehensive National Development Plan in 1962, basic objectives of the plans have been well-balanced development of national land, adjustment of regional disparities, and dissolution of overcongestion and depopulation. Japan experienced rapid urbanization in the period from the war reconstruction of the 1940s through the high economic growth of the 1950s and 1960s. Particularly, during the high economic growth of the 1960s, the concentration of population and industry was extremely notable in the 3 metropolitan regions centering around Tokyo, Osaka, and Nagoya. There are indications of increases in excess migration to metropolitan regions once again, but this is due to increases of migration only to the Tokyo Metropolitan Regions. No such indications are seen for the Nagoya and Osaka Metropolitan Regions. Tokyo Metropolitan Regions are changing more and more, as a important international center of banking and information in the world; on the other hand, Osaka is lessening its sphere of influence. Particularly, from the 1980s, the concentration of population and nucleus functional institutions is extremely notable in the Tokyo Metropolitan Regions. The main objective of this paper is to analyze Tokyo New Industrial Cities, and other depopulated areas, through the distribution of population and the location of industry.

  7. Radioisotope thermoelectric generator transportation system subsystem 143 software development plan

    SciTech Connect

    King, D.A.

    1994-11-10

    This plan describes the activities to be performed and the controls to be applied to the process of specifying, developing, and qualifying the data acquisition software for the Radioisotope Thermoelectric Generator (RTG) Transportation System Subsystem 143 Instrumentation and Data Acquisition System (IDAS). This plan will serve as a software quality assurance plan, a verification and validation (V and V) plan, and a configuration management plan.

  8. Radioisotope thermoelectric generator transportation system subsystem 143 software development plan

    NASA Astrophysics Data System (ADS)

    King, D. A.

    1994-11-01

    This plan describes the activities to be performed and the controls to be applied to the process of specifying, developing, and qualifying the data acquisition software for the Radioisotope Thermoelectric Generator (RTG) Transportation System Subsystem 143 Instrumentation and Data Acquisition System (IDAS). This plan will serve as a software quality assurance plan, a verification and validation (V and V) plan, and a configuration management plan.

  9. Software Development Plan for DESCARTES and CIDER

    SciTech Connect

    Eslinger, P.W.

    1992-12-08

    This Software Development Plan (SDP) outlines all software activities required to obtain functional environmental accumulation and individual dose codes for the Hanford Environmental Dose Reconstruction (HEDR) project. The modeling activities addressed use the output of the air transport-code HATCHET to compute radionuclide concentrations in environmental pathways, and continue on through calculations of dose for individuals. The Hanford Environmental Dose Reconstruction (HEDR) Project has a deliverable in the June 1993 time frame to be able to start computing doses to individuals from nuclear-related activities on the Hanford Site during and following World War II. The CIDER code will compute doses and their uncertainties for individuals living in the contaminated environment computed by DESCARTES. The projected size of the code is 3000 lines.

  10. Medium Term Follow-up of Achilles Tendon Lengthening in the Treatment of Ankle Equinus in Cerebral Palsy

    PubMed Central

    Dietz, Frederick R; Albright, Jay C; Dolan, Lori

    2006-01-01

    Introduction: The optimal treatment for equinus of the ankle in ambulatory patients with cerebral palsy is not known. This study assessed the medium term follow-up results of treatment of spastic ankle equinus deformity in cerebral palsy using Hoke or coronal Z-lengthening of the Achilles tendon. It was hypothesized that the use of Achilles tendon lengthening (TAL) as a treatment for spastic ankle equinus during gait results in a high rate of over-weakening of the triceps surae resulting in crouch gait. We also investigated patient characteristics that could identify which patients are at risk for crouch gait due to triceps surae weakening from Achilles tendon lengthening. Materials and Methods: Seventy-nine patients (114 procedures) who had undergone Achilles lengthening were retrospectively reviewed to determine how many patients developed crouch gait with dorsiflexion of the ankle throughout stance phase requiring anterior-floor-reaction bracing. The following patient characteristics were evaluated: age at surgery, geographic type of cerebral palsy, length of follow-up, need for anterior-floor-reaction bracing, length of time after surgery when brace was prescribed, age at time of need for bracing, side of surgery, technique used, additional procedures performed at time of TAL, previous or later procedures performed, and walking ability. Results: The average age at the time of TAL was 7 years and 3 months, and the average follow-up was seven years. The geographic type of cerebral palsy greatly affected the outcome. None of the twenty-three hemiplegic patients required bracing. Fourteen of 34 (41%) patients with spastic diplegia and seven of fourteen (50%) patients with spastic quadriplegia required bracing. There was no significant difference in outcome between the Hoke and the Z-lengthening procedures. Patients who underwent more procedures and bilateral procedures were more likely to require anterior-floor-reaction bracing. Conclusions: Achilles tendon

  11. NASCOM system development plan: System description, capabilities, and plans, FY 94-2

    NASA Technical Reports Server (NTRS)

    1994-01-01

    The Nascom System Development Plan (NSDP) for FY 94-2 contains 17 sections. It is a management document containing the approved plan for maintaining the Nascom Network System. Topics covered include an overview of Nascom systems and services, major ground communication support systems, low-speed data system, voice system, high-speed data system, Nascom support for NASA networks, Nascom planning for NASA missions, and network upgrade and advanced systems developments and plans.

  12. 43 CFR 10005.17 - Plan development process.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...'S MITIGATION AND CONSERVATION PLAN § 10005.17 Plan development process. Following adoption of the... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Plan development process. 10005.17 Section... will have 90 days to submit project proposals. The project solicitation process is discussed in...

  13. 44 CFR 78.5 - Flood Mitigation Plan development.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Flood Mitigation Plan development. 78.5 Section 78.5 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY... MITIGATION ASSISTANCE § 78.5 Flood Mitigation Plan development. A Flood Mitigation Plan will articulate a...

  14. 44 CFR 78.5 - Flood Mitigation Plan development.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Flood Mitigation Plan development. 78.5 Section 78.5 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY... MITIGATION ASSISTANCE § 78.5 Flood Mitigation Plan development. A Flood Mitigation Plan will articulate a...

  15. 43 CFR 10005.17 - Plan development process.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Plan development process. 10005.17 Section 10005.17 Public Lands: Interior Regulations Relating to Public Lands (Continued) UTAH RECLAMATION...'S MITIGATION AND CONSERVATION PLAN § 10005.17 Plan development process. Following adoption of the...

  16. 43 CFR 10005.17 - Plan development process.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Plan development process. 10005.17 Section 10005.17 Public Lands: Interior Regulations Relating to Public Lands (Continued) UTAH RECLAMATION...'S MITIGATION AND CONSERVATION PLAN § 10005.17 Plan development process. Following adoption of the...

  17. 44 CFR 78.5 - Flood Mitigation Plan development.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Flood Mitigation Plan development. 78.5 Section 78.5 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY... MITIGATION ASSISTANCE § 78.5 Flood Mitigation Plan development. A Flood Mitigation Plan will articulate a...

  18. Brazil Vocational Education. Aspects of Economic Policy & Planning. Proceedings of the Conference at Northeastern University (Boston, Massachusetts, June 11-12, 1984). CIHED Conference Series No. 4.

    ERIC Educational Resources Information Center

    Schachter, Gustav, Ed.

    These proceedings consist of the following eight papers: "Vocational Training in Brazil--Aspects of Economic Policy and Planning," by Gustav Schachter "Economic Stabilization and Medium Term Development Strategy in Brazil," by Peter T. Knight; "Training and Development," by Manuel Zymelman; "The Organization of…

  19. ECONOMIC DEVELOPMENT PLANNING AND INFORMATION SYSTEMS: A DISCUSSION AND BIBLIOGRAPHY,

    DTIC Science & Technology

    The first part of the report discusses the possible applications of computer based information systems in economics of development planning, with...planning, including some relevant literature in computer based modeling techniques and information systems . (Author)

  20. 7 CFR 1924.105 - Planning/performing development.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... for a specific site. Planning must take into consideration topography, soils, climate, adjacent land... changing demands. All planning and performing development work is the responsibility of the applicant or...

  1. 7 CFR 1924.105 - Planning/performing development.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... for a specific site. Planning must take into consideration topography, soils, climate, adjacent land... changing demands. All planning and performing development work is the responsibility of the applicant or...

  2. 7 CFR 1924.105 - Planning/performing development.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... for a specific site. Planning must take into consideration topography, soils, climate, adjacent land... changing demands. All planning and performing development work is the responsibility of the applicant or...

  3. 7 CFR 1924.105 - Planning/performing development.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... for a specific site. Planning must take into consideration topography, soils, climate, adjacent land... changing demands. All planning and performing development work is the responsibility of the applicant or...

  4. Developing a Master Plan for Your School. School Buildings Planning, Design, and Construction Series No. 1.

    ERIC Educational Resources Information Center

    Odell, John H.

    A school construction guide offers key personnel in school development projects information on the complex task of master planning and construction of schools in Australia. This chapter of the guide provides advice on how to set up a master planning team and establish a plan for quickly completing the building process. It provides an overview of…

  5. Planning for Life: Developing and Recognizing Exemplary Career Planning Programs. A Resource Guide for Counselors.

    ERIC Educational Resources Information Center

    Dahir, Carol, Ed.

    Recognizing the importance of the need for effective career planning, the United States Army, in conjunction with the Council of Economic Development, conducted a forum to focus on this issue. What emerged was a program called Planning for Life, which annually recognizes outstanding career planning programs at the state and national level. The…

  6. Short- and Medium-Term Effects of Low-Level Laser Therapy on Periodontal Status in Lingual Orthodontic Patients.

    PubMed

    Abellán, Rosa; Gómez, Clara; Oteo, María Dolores; Scuzzo, Giuseppe; Palma, Juan Carlos

    2016-07-01

    The purpose of this study was to evaluate the short- and medium-term effects of low-level laser therapy (LLLT) applied in repeated doses in adults with a healthy periodontium treated by lingual orthodontic appliances. Plaque accumulation, in combination with difficulty in removing it in lingual orthodontic patients, can cause gingival inflammation. Twelve orthodontic patients scheduled for fixed lingual orthodontic treatment were selected. Clinical measurements [visible plaque index (VPI), bleeding on probing (BOP), and probing depth (PD), and collection of gingival crevicular fluid (GCF)], which was used to measure the levels of interleukin-1beta (IL-1β) and tumor necrosis factor alpha (TNF-α), was performed before bonding the lingual device, and at the short-term (1, 2, 3 months) and medium-term (12 months) follow-up appointments. For each patient, quadrant 1 or 2 was randomly chosen for irradiation by a diode laser (λ = 670 nm, 190 mW, 6.05 W/cm(2), 60 sec/ tooth) (Laser Group) and the contralateral quadrant was used as the Control Group. In both studied groups, a slight worsening of the periodontal condition was observed, which was evident at the 3rd month follow-up and which was mainly at the lingual side in the Control Group. The levels of IL-1β in the GCF were significantly increased in the Control Group compared with the Laser Group at the 2nd and 3rd months after bonding. At the 12th month follow-up, an improvement of the inflammation was observed in both groups in the study. LLLT showed short-term effects by preventing a substantial increase in IL-1β levels. At medium-term follow-up, LLLT diminished VPI, BOP, and PD scores.

  7. Bipolar plasma vaporization versus standard transurethral resection in secondary bladder neck sclerosis: a prospective, medium-term, randomized comparison

    PubMed Central

    Geavlete, Bogdan; Moldoveanu, Cristian; Iacoboaie, Catalin

    2013-01-01

    Objectives: This prospective, randomized, medium-term trial aimed to assess the efficiency, safety and postoperative results of bipolar plasma vaporization (BPV) in comparison with monopolar transurethral resection (TUR) in cases of secondary bladder neck sclerosis (BNS). Methods: A total of 70 patients with BNS secondary to transurethral resection of the prostate (TURP; 46 cases), open prostatectomy for benign prostatic hypertrophy (BPH; 18 cases) and radical prostatectomy for prostate cancer (6 cases) were enrolled in the trial. The inclusion criteria consisted of maximum flow rate (Q max) <10 ml/s and International Prostate Symptom Score (IPSS) >19. All patients were evaluated preoperatively and at 1, 3, 6, 12 and 18 months after surgery by IPSS, quality of life score (QoL), Q max and postvoiding residual urinary volume (PVR). Results: The mean operation time (10.3 versus 14.9 minutes), catheterization period (0.75 versus 2.1 days) and hospital stay (1.1 versus 3.2 days) were significantly reduced in the BPV series. During the immediate postoperative follow up, recatheterization for acute urinary retention only occurred in the TUR series (5.7%). The medium-term retreatment requirements due to BNS recurrence were lower in the BPV study arm (2.8% versus 8.5%). At the 1, 3, 6, 12 and 18 months assessments, statistically similar parameters were found concerning the IPSS and QoL symptom scores, Q max and PVR values specific for the two therapeutic alternatives. Conclusions: BPV constitutes a valuable endoscopic treatment approach for secondary BNS. The method emphasized superior efficacy, a satisfactory safety profile and similar medium-term follow-up features when compared with standard TUR. PMID:23554842

  8. Developing Strategic Planning for the Retail Market.

    ERIC Educational Resources Information Center

    Greenawalt, Richard A.

    1983-01-01

    Retailers need a strategic plan that will enable them to adapt to changing trends and work with new ideas. Questions retailers should ask to shape the strategic plan and generic strategies--overall cost leadership, differentiation, and marketing to a particular group or offering a special service--are discussed. (SR)

  9. Developing Strategic Planning for the Retail Market.

    ERIC Educational Resources Information Center

    Greenawalt, Richard A.

    1983-01-01

    Retailers need a strategic plan that will enable them to adapt to changing trends and work with new ideas. Questions retailers should ask to shape the strategic plan and generic strategies--overall cost leadership, differentiation, and marketing to a particular group or offering a special service--are discussed. (SR)

  10. Succession Planning and Targeted Leadership Development

    ERIC Educational Resources Information Center

    Wallin, Desna; Cameron, Don W.; Sharples, Kent

    2005-01-01

    A growing number of colleges and boards of trustees are looking to the future by embracing succession planning as the key to assuring college sustainability in an environment that requires global thinking, strategic planning and political savvy. Once confined to the corporate world or to family businesses, and limited to the CEO, succession…

  11. Chemical sensors technology development planning workshop

    SciTech Connect

    Bastiaans, G.J.; Haas, W.J. Jr.; Junk, G.A.

    1993-03-01

    The workshop participants were asked to: (1) Assess the current capabilities of chemical sensor technologies for addressing US Department of Energy (DOE) Environmental Restoration and Waste Management (EM) needs; (2) Estimate potential near term (one to two years) and intermediate term (three to five years) capabilities for addressing those needs; and (3) Generate a ranked list of specific recommendations on what research and development (R&D) should be funded to provide the necessary capabilities. The needs were described in terms of two pervasive EM problems, the in situ determination of chlorinated volatile organic compounds (VOCs), and selected metals in various matrices at DOE sites. The R&D recommendations were to be ranked according to the estimated likelihood that the product technology will be ready for application within the time frame it is needed and the estimated return on investment. The principal conclusions and recommendations of the workshop are as follows: Chemical sensors capable of in situ determinations can significantly reduce analytical costs; Chemical sensors have been developed for certain VOCs in gases and water but none are currently capable of in situ determination of VOCs in soils; The DOE need for in situ determination of metals in soils cannot be addressed with existing chemical sensors and the prospects for their availability in three to five years are uncertain; Adaptation, if necessary, and field application of laboratory analytical instruments and those few chemical sensors that are already in field testing is the best approach for the near term; The chemical sensor technology development plan should include balanced support for near- and intermediate-term efforts.

  12. Developing a game plan for good sportsmanship.

    PubMed

    Lodl, Kathleen

    2005-01-01

    It is widely believed in the United States that competition is beneficial for youngsters. However, the media are full of examples of players, fans, and coaches whose behavior veers out of control. There have been well-documented examples of youth in livestock competitions illegally medicating show animals to make them appear calmer, officials biasing their rulings toward a team that will take the most fans to a playoff game, and team rivalries that have become so caustic as to be dangerous for competitors and fans. A university extension and its partners created a program called "Great Fans. Great Sports." in order to teach the kinds of behaviors we wish to instill among all who are involved in competitions. It requires entire communities to develop and implement plans for enhancing sportsmanship in music, debate, drama, 4-H, and other arenas, as well as sports. The goal is to make good sportsmanship not the exception but the norm. The authors provide anecdotal evidence that "Great Fans. Great Sports." is having a positive impact on the attitudes and behaviors of competitors, fans, and communities.

  13. Geothermal development plan: northern Arizona counties

    SciTech Connect

    White, D.H.; Goldstone, L.A.

    1982-08-01

    The Northern Counties Area Development Plan evaluated the regional market potential for utilizing geothermal energy. This study identified five potential geothermal resource areas, four of which have low temperature (<90{sup 0}C, 194{sup 0}F) potential and one possible igneous system. The average population growth rate in the Northern Counties is expected to be five percent per year over the next 40 years, with Mohave and Yavapai Counties growing the fastest. Rapid growth is anticipated in all major employment sectors, including trade, service, manufacturing, mining and utilities. A regional energy use analysis is included, containing information on current energy use patterns for all user classes. Water supplies are expected to be adequate for expected growth generally, though Yavapai and Gila Counties will experience water deficiencies. A preliminary district heating analysis is included for the towns of Alpine and Springerville. Both communities are believed located on geothermal resource sites. The study also contains a section identifying potential geothermal resource users in northern Arizona.

  14. Geothermal development plan: Graham/Greenlee Counties

    SciTech Connect

    White, D.H.; Goldstone, L.A.

    1982-08-01

    The Graham/Greenlee County Area Development Plan evaluated the region-wide market potential for utilizing geothermal energy. The study identified five potential geothermal resource areas with temperatures less than 100{sup 0}C (212{sup 0}F). In addition, seven areas are inferred to contain higher temperature resources with the Clifton Hot Springs area having electrical potential. Geothermal resources are found to occur near Safford and Clifton, the two major population centers. Future population growth in the two counties is expected to average less than two percent per year over the next 40 years. Growth in the mining, trade and services economic sectors provide opportunities for the direct utilization of geothermal energy. A regional energy use analysis is included containing energy use and price projections. Water supplies are found to be adequate for urban needs, though agricultural and mineral water use may be limited in the future. The study also contains a preliminary economic analysis for two district heating systems as well as a section matching geothermal resources to potential users.

  15. GSG-GIS development program plan

    SciTech Connect

    Lee, R.C.

    1992-10-15

    For the past 40 years, the Savannah River Site (SRS) has been subjected to numerous geological and geotechnical investigations in support of facility construction and waste site development and remediation. Over this period,.a variety of different subcontractors have collected large quantities of geoscience data. In addition, current programs involve numerous investigators from different departments, and consequently, earth science data and interpretations are scattered among the departments, investigators, and subcontractors at SRS. As a result, scientific and management decisions cannot take advantage of the significant body of information that exists at SRS. Recent DOE Orders (Systematic Evaluation Program, 1991) have put specific requirements on their contractors to compile geological databases to coordinate DOE site data gathering and interpretations, and to assist in compiling safety analysis reports. The Earth Science Advisory Committee and the Environmental Advisory Committee have also made specific recommendations on the management of SRS geoscience data. This plan describes a management system to identify, communicate, and compile SRS geological (including geohydrologic), seismological, and geotechnical (656) data and interpretations on a Geographic Information System (GIS).

  16. Area development plan of the geothermal potential in planning region 8, Roosevelt - Custer area

    SciTech Connect

    Not Available

    1980-07-01

    Geothermal resource data, the Roosevelt-Custer Region development plan, and energy, economic, and institutional considerations are presented. Environmental considerations and water availability are discussed. (MHR)

  17. Thinking around the Corner: The Development of Planning Abilities

    ERIC Educational Resources Information Center

    Kaller, Cristopher P.; Rahm, Benjamin; Spreer, Joachim; Mader, Irina; Unterrainer, Josef M.

    2008-01-01

    The ability to plan and search ahead is essential for problem solving in most situations in everyday life. To investigate the development of planning and related processes, a sample of four- and five-year-old children was examined in a variant of the Tower of London, a frequently used neuropsychological assessment tool of planning abilities. The…

  18. Intelligent Tools for Planning Knowledge base Development and Verification

    NASA Technical Reports Server (NTRS)

    Chien, Steve A.

    1996-01-01

    A key obstacle hampering fielding of AI planning applications is the considerable expense of developing, verifying, updating, and maintaining the planning knowledge base (KB). Planning systems must be able to compare favorably in terms of software lifecycle costs to other means of automation such as scripts or rule-based expert systems.

  19. 44 CFR 78.5 - Flood Mitigation Plan development.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Flood Mitigation Plan..., DEPARTMENT OF HOMELAND SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program FLOOD MITIGATION ASSISTANCE § 78.5 Flood Mitigation Plan development. A Flood Mitigation Plan will articulate a...

  20. 44 CFR 78.5 - Flood Mitigation Plan development.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Flood Mitigation Plan..., DEPARTMENT OF HOMELAND SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program FLOOD MITIGATION ASSISTANCE § 78.5 Flood Mitigation Plan development. A Flood Mitigation Plan will articulate a...

  1. A Guide for Developing a Business Plan for Charter Schools.

    ERIC Educational Resources Information Center

    Charter Friends National Network, St. Paul, MN.

    This guide may be used by charter school operators in developing a business plan that can be used as a management tool in individual schools and in preparing applications for charters, renewals, and grants and loans. A sound business plan must reflect the school's ideas, assets, and needs clearly and succinctly. Drafting a business plan begins…

  2. Trinidad's mismatched expectations. Planning and development review.

    PubMed

    Conway, D

    1984-11-01

    In 1974 petrodollars helped to boost living standards for many of the population of the Republic of Trinidad and Tobago. Yet, a failure to address the consequences of uncontrolled urbanization, especially in and around the capital, Port of Spain, threatens to undermine further improvements in the quality of Trinidadian life. Trinidad's urbanization has been associated with upward social mobility and a burgeoning middle class, such that social aspirations and spatial mobility tend to coincide. Thus, internal migration has involved a heterogeneous mixture of classes with the common denominator being a desire to improve one's standard of living. For most this means residence in or proximity to Port of Spain, the country's commercial, administrative, and cultural hub. Migration into and within Port of Spain and northwest corridors of West and East St. George County has contributed to several tricky problems, overwhelming regional planning efforts, inflating the costs of houses and land, and accelerating social alienation among urban Trinidadians. Problems could have been eased if government planning had given adequate recognition to spatial variations in societal organization, regional economic structures, and resource distribution. Trinidad changed markedly in the years 1974-81. New wealth has brought its own problems and old problems have worsened for lack of attention. The idea of decentralized growth poles at Sangre Grande, Point Fortin, La Brea, and Guayaguayare-Galeota now seems impossible to realize. The Capital region has for 10 years been absorbing a larger share of the population, now roughly half the total. It generates virtually all the island's employment opportunities and attracts the lion's share of private sector investment. Overcrowding in residences, unsanitary drainage, shortages of potable water, traffic congestion, and air pollution all have reduced the quality of life compared to 10 years ago. From 1974 onward the issue of economic development no

  3. Plan EJ 2014: Science Tools Development

    EPA Pesticide Factsheets

    Under Plan EJ 2014, EPA has committed to building a strong scientific foundation for supporting environmental justice and conducting disproportionate impact analysis, particularly methods to appropriately characterize and assess cumulative impacts.

  4. Hidden Tools for Life Planning and Development.

    ERIC Educational Resources Information Center

    Shepard, John W.; And Others, Eds.

    1991-01-01

    Includes "Leisureman and the Future of Life Planning" (Edwards); "Leisure: A Hidden Counseling Tool" (Zorn, Kimeldorf); "Breakthrough in Productivity" (Faulkner); "Volunteerism" (Schindler-Rainman); "Building Bridges" (Larkin, Burdick); "Religion" (Whitten); "Knowledge of…

  5. Hidden Tools for Life Planning and Development.

    ERIC Educational Resources Information Center

    Shepard, John W.; And Others, Eds.

    1991-01-01

    Includes "Leisureman and the Future of Life Planning" (Edwards); "Leisure: A Hidden Counseling Tool" (Zorn, Kimeldorf); "Breakthrough in Productivity" (Faulkner); "Volunteerism" (Schindler-Rainman); "Building Bridges" (Larkin, Burdick); "Religion" (Whitten); "Knowledge of…

  6. Development and Impact of the Global Plan

    PubMed Central

    von Zinkernagel, Deborah; Kiragu, Karusa

    2017-01-01

    Abstract: The Global Plan towards the elimination of new HIV infections among children by 2015 and keeping their mothers alive (Global Plan) was transformative, helping drive a 60% reduction in new HIV infections among children in 21 priority countries in sub-Saharan Africa from 2009 to 2015. It mobilized unprecedented political, technical, and community leadership at all levels to accelerate progress toward its ambitious targets. This progress is well documented, many specific elements of which are explained in greater detail across this JAIDS supplement. What is often less well or widely understood are the critical aspects of the Global Plan that shaped its structure and determined its impact; the factors and forces that coalesced to form a deep and diverse coalition of contributing partners committed to catalyzing change and action; and the critical lessons that the Global Plan leaves behind, a living legacy to inform and improve ongoing efforts to achieve its ultimate goals. PMID:28398991

  7. Clustering of symptoms of mental disorder in the medium-term following conflict: an epidemiological study in Timor-Leste.

    PubMed

    Silove, Derrick; Ivancic, Lorraine; Rees, Susan; Bateman-Steel, Catherine; Steel, Zachary

    2014-10-30

    It is important to define subpopulations with mental health and psychosocial reactions in the medium-term following conflict to ensure that an appropriate array of services are provided to meet the diversity of needs. We conducted a latent class analysis (LCA) on epidemiological data drawn from an urban and rural sample of 1221 adults (581 men and 640 women, response 82%) in post-conflict Timor Leste 4 years after the cessation of violence. The prevalence of PTSD was 4.9%; severe distress 4.8%; anger attacks 38.3%; and paranoid-like symptoms 10.9%. The best fitting LCA yielded three classes comprising those with no or minimal symptoms (86%), a class with anger-paranoia (13%) and a comorbid mental disorder class (1.5%) characterized by PTSD (100%) and severe distress (98%). The comorbid mental disorder class had an over-representation of men, the unemployed, residents in the urban area and persons with the greatest exposure to human rights trauma, murder and health stress. The anger-paranoia class experienced moderate levels of trauma and had an over-representation of urban dwellers, women, and those with higher levels of education. The analysis assists in clarifying the populations with mental disorder and adverse psychosocial reactions in need of intervention in the medium-term following conflict. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  8. Medium-term outcome of recipients of marginal donor hearts selected with new stress-echocardiographic techniques over standard criteria

    PubMed Central

    2014-01-01

    Background Heart transplantation is limited by severe donor organ shortage. Regardless of the changes made in the acceptance of marginal donors, any such mechanism cannot be considered successful unless recipient graft survival rates remain acceptable. A stress echo-driven selection of donors has proven successful in older donors with normal left ventricular resting function and in standard donors with reversible resting left ventricular dysfunction acutely improving during stress, or slowly improving (over hours) during intensive hormonal treatment. Aim of this study is to assess the medium-term outcome of recipients of marginal donor hearts selected with new echocardiographic techniques over standard criteria. Methods and results We enrolled 43 recipients of marginal donor hearts: age > 55 years, or < 55 years but with concomitant risk factors, n = 32; acutely improving during stress, n = 3; or slowly improving during hormonal treatment, n = 8. At follow-up (median, 30 months; interquartile range, 21–52 months), 37 of the recipients were still alive. One-year survival was 93%. Conclusion The strict use of new stress-echocardiographic techniques over standard criteria of marginal donor management, together with comprehensive monitoring of the donor, has the potential to substantially increase the number of donor hearts without adverse effects on recipient medium-term outcome. PMID:24935114

  9. Servicers system demonstration plan and capability development

    NASA Technical Reports Server (NTRS)

    Bulboaca, M. A.; Cuseo, J. A.; Derocher, W. L., Jr.; Maples, R. W.; Reynolds, P. C.; Sterrett, R. A.

    1985-01-01

    A plan for the demonstration of the exchange of Multi-Mission Modular Spacecraft (MMS) modules using the servicer mechanism Engineering Test Unit (ETU) was prepared and executed. The plan included: establishment of requirements, conceptual design, selection of MMS spacecraft mockup configuration, selection of MMS module mockup configuration, evaluation of adequacy of ETU load capability, and selection of a stowage rack arrangement. The MMS module exchange demonstration mockup equipment was designed, fabricated, checked out, shipped, installed, and demonstrated.

  10. 7 CFR 22.306 - Financing rural development planning.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Financing rural development planning. 22.306 Section 22.306 Agriculture Office of the Secretary of Agriculture RURAL DEVELOPMENT COORDINATION Roles and... Department of Housing and Urban Development planning and management assistance program or other...

  11. 7 CFR 22.306 - Financing rural development planning.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 1 2012-01-01 2012-01-01 false Financing rural development planning. 22.306 Section 22.306 Agriculture Office of the Secretary of Agriculture RURAL DEVELOPMENT COORDINATION Roles and... Department of Housing and Urban Development planning and management assistance program or other...

  12. 7 CFR 22.306 - Financing rural development planning.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 1 2011-01-01 2011-01-01 false Financing rural development planning. 22.306 Section 22.306 Agriculture Office of the Secretary of Agriculture RURAL DEVELOPMENT COORDINATION Roles and... Department of Housing and Urban Development planning and management assistance program or other...

  13. 7 CFR 22.306 - Financing rural development planning.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 1 2014-01-01 2014-01-01 false Financing rural development planning. 22.306 Section 22.306 Agriculture Office of the Secretary of Agriculture RURAL DEVELOPMENT COORDINATION Roles and... Department of Housing and Urban Development planning and management assistance program or other...

  14. 24. PHOTOCOPY OF PLAN DRAWING. Quartermaster Research and Development Laboratory, ...

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

    24. PHOTOCOPY OF PLAN DRAWING. Quartermaster Research and Development Laboratory, Natick, Mass, Climatic Building, First Floor Plan, Architectural. Drawing No. 35-07-01, Sheet 2 of 72, 1952, updated to 1985. (Source: NRDEC). - Natick Research & Development Laboratories, Climatic Chambers Building, U.S. Army Natick Research, Development & Engineering Center (NRDEC), Natick, Middlesex County, MA

  15. 49 CFR 37.137 - Paratransit plan development.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 1 2011-10-01 2011-10-01 false Paratransit plan development. 37.137 Section 37... development. (a) Survey of existing services. Each submitting entity shall survey the area to be covered by... development of its paratransit plan, including at least the following: (1) Outreach. Each submitting entity...

  16. 49 CFR 37.137 - Paratransit plan development.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 1 2012-10-01 2012-10-01 false Paratransit plan development. 37.137 Section 37... development. (a) Survey of existing services. Each submitting entity shall survey the area to be covered by... development of its paratransit plan, including at least the following: (1) Outreach. Each submitting entity...

  17. 25. PHOTOCOPY OF PLAN DRAWING. Quartermaster Research and Development Laboratory, ...

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

    25. PHOTOCOPY OF PLAN DRAWING. Quartermaster Research and Development Laboratory, Natick, Mass. Climatic Building, First Floor Plan, Refrigeration and Engineering. Drawing No. 35-07-01, Sheet 52 of 72, 1952. (Source: NRDEC). - Natick Research & Development Laboratories, Climatic Chambers Building, U.S. Army Natick Research, Development & Engineering Center (NRDEC), Natick, Middlesex County, MA

  18. 7 CFR 22.306 - Financing rural development planning.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 1 2013-01-01 2013-01-01 false Financing rural development planning. 22.306 Section 22.306 Agriculture Office of the Secretary of Agriculture RURAL DEVELOPMENT COORDINATION Roles and Responsibilities of State Governments § 22.306 Financing rural development planning. States will be required to...

  19. 49 CFR 37.137 - Paratransit plan development.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 1 2013-10-01 2013-10-01 false Paratransit plan development. 37.137 Section 37... development. (a) Survey of existing services. Each submitting entity shall survey the area to be covered by... development of its paratransit plan, including at least the following: (1) Outreach. Each submitting entity...

  20. 49 CFR 37.137 - Paratransit plan development.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 1 2014-10-01 2014-10-01 false Paratransit plan development. 37.137 Section 37... development. (a) Survey of existing services. Each submitting entity shall survey the area to be covered by... development of its paratransit plan, including at least the following: (1) Outreach. Each submitting entity...

  1. [World population, family planning and development].

    PubMed

    Van Roosmalen, J

    1992-03-21

    The 1991 world population report of the UNFPA projects a world population of 8.504 billion by 2025. The prevalence of the use of modern contraceptives increased from 9% in previous years to an average of 51% at the present time: to 70% in East Asia, to 60% in Latin America, but only to 17% in Africa. 20% of pregnancies are unwanted, the prevention of which would reduce the expected population by 2.2 billion people in 2100. Without birth control programs today there would be 412 million more people in Asia, Latin America, and Africa; and in 2100 1.48 billion would live on Earth instead of 10 billion forecast by the World Bank. The aim of UNFPA is to increase contraceptive prevalence form 51% to 59% by 2000: from 381 million users in 1991 to 567 million acceptors. Only 15% of men use contraceptives, although the prevention of sexually transmitted diseases especially AIDS makes the use of condoms highly advisable. In the report scant mention is made of breast feeding as a family planning method, although the Bellagio Consensus of 1988 states that if a woman almost exclusively breast feeds during lactation amenorrhea a more than 98% protection against pregnancy is offered during the 1st 6 months postpartum. During this period no additional contraception is necessary until the 1st menstruation occurs. Women in Bangladesh taking an oral contraceptive after delivery had shorter birth intervals than women exclusively relying on breast feeding. The Working Group of Medical Development Association issued guidelines concerning contraceptive methods including subdermal implant of levonorgestrel, although excessively strict standards can foil the contraceptive needs of the Third World. Their reproductive mortality is mainly determined by an extremely high maternal mortality rather than by complications from contraceptive use.

  2. Characterization of barrier properties and inducible VEGF expression of several types of retinal pigment epithelium in medium-term culture.

    PubMed

    Geisen, Pete; McColm, Janet R; King, Bradley M; Hartnett, M Elizabeth

    2006-09-01

    levels of VEGF protein in media and cell lysates (777.2; 54.4 pg/mg protein, respectively), whereas hfRPE and D407 produced significantly less (media: 5.7 [p = 0.001], 323.6 pg/mg protein [p = 0.01]; lysate: 0 [p < 0.001], 3.5 pg/mg protein [p < 0.001], respectively). Primary RPE cells and those from cell lines had different responses to medium-term culture or hypoxic stress. Primary isolation of hfRPE cells with careful control of culture conditions to assure adequate differentiation is recommended when using this cell as an example of a highly polarized epithelium. For disease, use of RPE cells that do not require long-term culture are more efficient and may be more relevant to study certain pathologies.

  3. [Viability of 7 kinds of medicinal plant seeds stored in medium-term gene bank of the National Medicinal Plant Gene Bank].

    PubMed

    Jin, Yue; Yang, Cheng-Min; Wei, Jian-He

    2016-05-01

    In order to evaluate seed viability of Platycodon grandiflorum, Schizonepeta tenuifolia, Andrographis paniculat, Codonopsis pilosula, Scutellaria baicalensis, Leonurus japonicus, Rabdosia rubescens, stored in the medium-term gene bank of the National Medicinal Plant Gene Bank for 4 years, we tested seed germination rate of 7 species of medicinal plant and analyzed the change of significance of levels of the germination rate in pre and post store. Seed germination rates of 7 species of medicinal plants were all decreased after 4 years, and the decrease of S. tenuifolia and S. baicalensis germination rates were much smaller than other species. The higher initial germination rate of P. grandiflorum, C. pilosula, R. rubescens seed has the smaller decline of germination rate, but the data of A. paniculata showed the opposite trend. The rate decline of the germination of S. tenuifolia and S. baicalensis was roughly the same in different germination rate interval. The results showed that low temperature storage could effectively prolong the seed longevity, and maintain the seed vigor. Moreover, it is necessary to study on the storage characteristics of the main medicinal plant seeds, and establish the monitoring plan and regeneration standard. Copyright© by the Chinese Pharmaceutical Association.

  4. Medium-term shoreline evolution of the mediterranean coast of Andalusia (SW Spain)

    NASA Astrophysics Data System (ADS)

    Liguori, Vincenzo; Manno, Giorgio; Messina, Enrica; Anfuso, Giorgio; Suffo, Miguel

    2015-04-01

    to Garrucha harbor, with values of +2 m/y. Erosion rates ranged from -0.4 m/y (at Playa Casarones, Rubite) and -0.7 m/y (at Playa Castillos de Baños, Granada) to c. -2 m/y (at Punta de los Hornicos, Almeria). The analysis of coastline evolution revealed as the distribution of erosion areas is strictly related to the incorrect design of coastal structures and their negative effects on downdrift areas. Obtained results clearly evidenced as, in order to evaluate the efficiency of emplaced coastal defense structures, a continuous coastal evolution monitoring plan should be implemented. Keywords: coast, shoreline, coastal erosion, rate-of-change, aerial photographs.

  5. Yearly planning meetings: individualized development plans aren't just more paperwork.

    PubMed

    Vincent, Ben J; Scholes, Clarissa; Staller, Max V; Wunderlich, Zeba; Estrada, Javier; Park, Jeehae; Bragdon, Meghan D J; Lopez Rivera, Francheska; Biette, Kelly M; DePace, Angela H

    2015-06-04

    The National Institutes of Health (NIH) encourages trainees to make Individualized Development Plans to help them prepare for academic and nonacademic careers. We describe our approach to building an Individualized Development Plan, the reasons we find them useful and empowering for both PIs and trainees, and resources to help other labs implement them constructively.

  6. Turnaround Operations Analysis for OTV. Volume 3: Technology Development Plan

    NASA Technical Reports Server (NTRS)

    1988-01-01

    An integrated technology development plan for the technologies required to process both GBOTVs and SBOTVs are described. The plan includes definition of the tests and experiments to be accomplished on the ground, in a Space Shuttle Sortie Mission, on an Expendable Launch Vehicle, or at the Space Station as a Technology Development Mission (TDM). The plan reflects and accommodates current and projected research and technology programs where appropriate.

  7. Lawrence Berkeley Laboratory, FY 1993 Site Development Plan

    SciTech Connect

    Not Available

    1993-04-01

    The Lawrence Berkeley Laboratory (LBL) 1993 Site Development Plan (SDP) provides analysis and policy guidance for the effective use and orderly development of land and facilities at the LBL main site. The SDP directly supports LBL`s role as a multiprogram national laboratory operated by the University of California (UC) for the Department of Energy (DOE). It is a concise policy document, prepared in compliance with DOE Order 4320.1 B, and is coupled to the 1993 Laboratory Integrated Facilities Plan (LIFP). It also serves as the current DOE framework for the implementation of the 1987 Long Range Development Plan (LRDP) approved by the Regents of the University of California. The SDP is updated annually, with periodic major revisions consistent with DOE policy and approved plans of the Regents. The plan is reviewed and approved by the DOE San Francisco Field Office. The specific purposes of the SDP are to: Summarize the mission and community setting of the Laboratory; Describe program trends and projections and future resource requirements; Describe site planning goals and future facilities and land uses; and Describe site planning issues and potential infrastructure replacement solutions. The SDP concisely expresses the policies for future development based on planning concepts, the anticipated needs of research programs, and site potential and constraints. The 1993 LIFP and other planning data provide detailed support for the plans identified in this document.

  8. A case-control study of medium-term exposure to ambient nitrogen dioxide pollution and hospitalization for stroke

    PubMed Central

    2013-01-01

    Background There are several plausible mechanisms whereby either short or long term exposure to pollution can increase the risk of stroke. Over the last decade, several studies have reported associations between short-term (day-to-day) increases in ambient air pollution and stroke. The findings from a smaller number of studies that have looked at long-term exposure to air pollution and stroke have been mixed. Most of these epidemiological studies have assigned exposure to air pollution based on place of residence, but these assignments are typically based on relatively coarse spatial resolutions. To date, few studies have evaluated medium-term exposures (i.e, exposures over the past season or year). To address this research gap, we evaluated associations between highly spatially resolved estimates of ambient nitrogen dioxide (NO2), a marker of traffic pollution, and emergency department visits for stroke in Edmonton, Canada. Methods This was a case-control study with cases defined as those who presented to an Edmonton area hospital emergency department between 2007 and 2009 with an acute ischemic stroke, hemorrhagic stroke, or transient ischemic attack. Controls were patients who presented to the same emergency departments for lacerations, sprains, or strains. A land-use regression model provided estimates of NO2 that were assigned to the place of residence. Logistic regression methods were used to estimate odds ratios for stroke in relation to an increase in the interquartile range of NO2 (5 ppb), adjusted for age, sex, meteorological variables, and neighborhood effects. Results The study included 4,696 stroke (cases) and 37,723 injury patients (controls). For all strokes combined, there was no association with NO2. Namely, the odds ratio associated with an interquartile increase in NO2 was 1.01 (95% confidence interval {CI}: 0.94-1.08). No associations were evident for any of the stroke subtypes examined. Conclusion When combined with our earlier work in

  9. Army Mobility Energy Research & Development Plan.

    DTIC Science & Technology

    1980-01-01

    12,395 (USAF) 29. PIC NO: 2016 Title: Marine Tribology - Improved Lubricating Fluids for Ships Service Performing Agency: David Taylor Naval Ship R&D...15, 1976. 37. "Project Plan for Reliability Fleet Testing of Alcohol/Gasoline Blends," U.S. Department of Energy HCP /M2184-01 (Rev), part of the

  10. Youth Individual Development Accounts: Retirement Planning Initiatives

    ERIC Educational Resources Information Center

    Shobe, Marcia A.; Sturm, Stephanie L.

    2007-01-01

    Given the growing interest in a privatized Social Security system and the lack of adequate retirement planning among many people in the United States, many households are often ill prepared for retirement. The outlook for low-income populations is even bleaker because they are often not privy to the same financial education and asset-building…

  11. Youth Individual Development Accounts: Retirement Planning Initiatives

    ERIC Educational Resources Information Center

    Shobe, Marcia A.; Sturm, Stephanie L.

    2007-01-01

    Given the growing interest in a privatized Social Security system and the lack of adequate retirement planning among many people in the United States, many households are often ill prepared for retirement. The outlook for low-income populations is even bleaker because they are often not privy to the same financial education and asset-building…

  12. A Developing State Plan for Library Services.

    ERIC Educational Resources Information Center

    New Jersey State Library, Trenton.

    This dynamic approach to a state plan for library services places clear responsibility upon the state library, the profession, and library users to monitor and evaluate library services of all types, to communicate the needs of state residents, and to perfect the delivery of quality services within the limits of cost effectiveness. While the plan…

  13. Organisational Problems in Planning Educational Development.

    ERIC Educational Resources Information Center

    Organisation for Economic Cooperation and Development, Paris (France). Directorate for Scientific Affairs.

    Papers submitted to a meeting of economists, educators, and government officials discuss the organizational implications of the link between education and economic growth. Following an introduction by Henning Friis, the authors and titles of the papers are (1) Necat Erder, "Some Administrative Problems in Educational Planning," (2) Raymond…

  14. Developing Your School Grounds: A Planning Primer.

    ERIC Educational Resources Information Center

    Clearing, 1998

    1998-01-01

    Describes the planning steps and other practical considerations to establish successful trails, outdoor classrooms, or other environmental education improvements on school grounds. Steps include determining needs and methods for promoting projects, resources, site assessment, property lines, safety, and maintenance. Possible projects described…

  15. Organisational Problems in Planning Educational Development.

    ERIC Educational Resources Information Center

    Organisation for Economic Cooperation and Development, Paris (France). Directorate for Scientific Affairs.

    Papers submitted to a meeting of economists, educators, and government officials discuss the organizational implications of the link between education and economic growth. Following an introduction by Henning Friis, the authors and titles of the papers are (1) Necat Erder, "Some Administrative Problems in Educational Planning," (2) Raymond…

  16. Development Plan for Relocation to the Nichols Avenue School

    ERIC Educational Resources Information Center

    21st Century School Fund, 2004

    2004-01-01

    In this report, Thurgood Marshall Academy Public Charter High School (TMA) submits its Development Plan for the renovation and improvements to the Nichols Avenue School building and site, which will serve as the future home for their school. Working with an experienced planning, design and construction team, they have prepared a Development Plan…

  17. Development and Reliability of the Comprehensive Crisis Plan Checklist

    ERIC Educational Resources Information Center

    Aspiranti, Kathleen B.; Pelchar, Taylor K.; McCLeary, Daniel F.; Bain, Sherry K.; Foster, Lisa N.

    2011-01-01

    It is of vital importance that children are educated in a safe environment. Every school needs to have a well-developed crisis management document containing plans for prevention, intervention, and postvention. We developed the Comprehensive Crisis Plan Checklist (CCPC) to serve as a valuable tool that can be used to assist practitioners with…

  18. Demographic, Employment and Development Trends: The Need for Integrated Planning.

    ERIC Educational Resources Information Center

    Farooq, Ghazi M.; MacKellar, F. Landis

    1990-01-01

    The authors contend that problems associated with rapid population growth in developing countries must be tackled through comprehensive planning. They discuss impacts of demography on labor supply and demand and migration. Then they propose a practical framework for population and human resource development planning and policy formation. (SK)

  19. Long Range Development Plan, University of California, Riverside.

    ERIC Educational Resources Information Center

    Russell (George Vernon) and Associates, Architects and Planners.

    A long range development plan, conceived as a general guide to final objectives, uses many diagrams and maps to illustrate the text. The plan is predicated on the assumption that orderly and efficient development of site possibilities is subject to ever-changing influences. The following areas are examined--(1) campus environment, (2) academic…

  20. Factors Influencing Technology Planning in Developing Countries: A Literature Review

    ERIC Educational Resources Information Center

    Keengwe, Jared; Malapile, Sandy

    2014-01-01

    This article is a literature review concerning the factors that play an important role in the development of educational technology plans in the educational system of developing countries (DCs). Largely, the technology plans are influenced by factors that emanates from within the country (internal) and those outside of their borders (external).…

  1. Development and Reliability of the Comprehensive Crisis Plan Checklist

    ERIC Educational Resources Information Center

    Aspiranti, Kathleen B.; Pelchar, Taylor K.; McCLeary, Daniel F.; Bain, Sherry K.; Foster, Lisa N.

    2011-01-01

    It is of vital importance that children are educated in a safe environment. Every school needs to have a well-developed crisis management document containing plans for prevention, intervention, and postvention. We developed the Comprehensive Crisis Plan Checklist (CCPC) to serve as a valuable tool that can be used to assist practitioners with…

  2. 7 CFR 4279.156 - Planning and performing development.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Planning and performing development. 4279.156 Section 4279.156 Agriculture Regulations of the Department of Agriculture (Continued) RURAL BUSINESS... Industry Loans § 4279.156 Planning and performing development. (a) Design policy. The lender must...

  3. 25 CFR 20.511 - Should permanency plans be developed?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... AND SOCIAL SERVICES PROGRAMS Child Assistance Foster Care § 20.511 Should permanency plans be developed? Permanency planning must be developed for all child placements within 6 months after initial placement of the child. Every reasonable effort will be made to preserve the family and/or reunify the...

  4. Adult Education, Basic Human Needs, and Integrated Development Planning

    ERIC Educational Resources Information Center

    Green, Reginald Herbold

    1976-01-01

    This paper argues for an integrated approach to adult education which would require an examination of basic human needs and national development planning each in its own terms. The paper's argument is centered on liberation and participation as ends, not means: Education, development, and planning must be seen and acted on as an integrated whole.…

  5. Long Range Development Plan, University of California, Riverside.

    ERIC Educational Resources Information Center

    Russell (George Vernon) and Associates, Architects and Planners.

    A long range development plan, conceived as a general guide to final objectives, uses many diagrams and maps to illustrate the text. The plan is predicated on the assumption that orderly and efficient development of site possibilities is subject to ever-changing influences. The following areas are examined--(1) campus environment, (2) academic…

  6. 46 CFR 8.530 - Plan development and approval.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 1 2012-10-01 2012-10-01 false Plan development and approval. 8.530 Section 8.530 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES APPLICABLE TO THE PUBLIC VESSEL INSPECTION ALTERNATIVES Streamlined Inspection Program § 8.530 Plan development and approval. The Company SIP Agent will...

  7. 46 CFR 8.530 - Plan development and approval.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 1 2011-10-01 2011-10-01 false Plan development and approval. 8.530 Section 8.530 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES APPLICABLE TO THE PUBLIC VESSEL INSPECTION ALTERNATIVES Streamlined Inspection Program § 8.530 Plan development and approval. The Company SIP Agent will...

  8. 46 CFR 8.530 - Plan development and approval.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 1 2013-10-01 2013-10-01 false Plan development and approval. 8.530 Section 8.530 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES APPLICABLE TO THE PUBLIC VESSEL INSPECTION ALTERNATIVES Streamlined Inspection Program § 8.530 Plan development and approval. The Company SIP Agent will...

  9. 46 CFR 8.530 - Plan development and approval.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Plan development and approval. 8.530 Section 8.530 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES APPLICABLE TO THE PUBLIC VESSEL INSPECTION ALTERNATIVES Streamlined Inspection Program § 8.530 Plan development and approval. The Company SIP Agent will...

  10. 46 CFR 8.530 - Plan development and approval.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 1 2014-10-01 2014-10-01 false Plan development and approval. 8.530 Section 8.530 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES APPLICABLE TO THE PUBLIC VESSEL INSPECTION ALTERNATIVES Streamlined Inspection Program § 8.530 Plan development and approval. The Company SIP Agent will...

  11. 7 CFR 4279.156 - Planning and performing development.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 15 2013-01-01 2013-01-01 false Planning and performing development. 4279.156 Section 4279.156 Agriculture Regulations of the Department of Agriculture (Continued) RURAL BUSINESS... Industry Loans § 4279.156 Planning and performing development. (a) Design policy. The lender must ensure...

  12. Factors Influencing Technology Planning in Developing Countries: A Literature Review

    ERIC Educational Resources Information Center

    Keengwe, Jared; Malapile, Sandy

    2014-01-01

    This article is a literature review concerning the factors that play an important role in the development of educational technology plans in the educational system of developing countries (DCs). Largely, the technology plans are influenced by factors that emanates from within the country (internal) and those outside of their borders (external).…

  13. Evaluation of the medium-term outcomes and impact of the Rowan Nicks Scholarship Programme.

    PubMed

    Masterton, John P; Moss, Daliah; Korin, Stephanie J; Watters, David A K

    2014-03-01

    Rowan Nicks was a cardiothoracic surgeon in Sydney. He endowed the Rowan Nicks Scholarship Programme of the Royal Australasian College of Surgeons, which was initiated in 1991 to provide opportunities for clinicians from developing countries so that they return to their countries as leaders and teachers. This paper's objective was to evaluate the outcomes and impact of the scholarship on individuals and their communities. A survey was undertaken of 34 eligible scholars of whom 29 participated. It was directed at whether objectives were achieved in technical skills, patient management and in competency in research and leadership. Ninety-eight per cent of scholars returned to work in their home country. Twenty-eight of 29 were working in their chosen specialty and had returned to their former positions. The clinical/operative skills obtained were regarded as useful by 86%, and 22/29 (76%) scholars reported they had gained worthwhile leadership and administrative skills. Improved clinical outcomes for patients were achieved as evidenced by reduced mortality and less disability. There was also a positive impact on health systems. The best documented of these were improved trauma management, development of paediatric surgery in rural Bangladesh, a new cardiac unit in Myanmar, organ transplantation and better injury outcomes in Papua New Guinea. The programme has resulted in potential and actual leaders returning to their home countries where they positively impacted on health and surgical services. This has resulted in a reduced burden of surgical disease in the scholars' countries as measured by less death, disability and deformity. © 2014 Royal Australasian College of Surgeons.

  14. Climate adaptation planning in practice: an evaluation of adaptation plans from three developed nations

    SciTech Connect

    Preston, Benjamin L; Westaway, Richard M.; Yuen, Emma J.

    2011-04-01

    Formal planning for climate change adaptation is emerging rapidly at a range of geo-political scales. This first generation of adaptation plans provides useful information regarding how institutions are framing the issue of adaptation and the range of processes that are recognized as being part of an adaptation response. To better understand adaptation planning among developed nations, a set of 57 adaptation plans from Australia, the United Kingdom and the United States was evaluated against a suite of 19 planning processes identified from existing guidance instruments for adaptation planning. Total scores among evaluated plans ranged from 16% of the maximum possible score to 61%, with an average of 37%. These results suggest adaptation plans are largely under-developed. Critical weaknesses in adaptation planning are related to limited consideration for non-climatic factors as well as neglect for issues of adaptive capacity including entitlements to various forms of capital needed for effective adaptation. Such gaps in planning suggest there are opportunities for institutions to make better use of existing guidance for adaptation planning and the need to consider the broader governance context in which adaptation will occur. In addition, the adaptation options prescribed by adaptation plans reflect a preferential bias toward low-risk capacity-building (72% of identified options) over the delivery of specific actions to reduce vulnerability. To the extent these findings are representative of the state of developed nation adaptation planning, there appear to be significant deficiencies in climate change preparedness, even among those nations often assumed to have the greatest adaptive capacity.

  15. Enhancement of hemocompatibility of the MERA monopivot centrifugal pump: toward medium-term use.

    PubMed

    Yamane, Takashi; Kosaka, Ryo; Nishida, Masahiro; Maruyama, Osamu; Yamamoto, Yoshihiro; Kuwana, Katsuyuki; Kawamura, Hiroshi; Shiraishi, Yasuyuki; Yambe, Tomoyuki; Sankai, Yoshiyuki; Tsutsui, Tatsuo

    2013-02-01

    The MERA monopivot centrifugal pump has been developed for use in open-heart surgery, circulatory support, and bridge-to-decision for up to 4 weeks. The pump has a closed-type, 50-mm diameter impeller with four straight paths. The impeller is supported by a monopivot bearing and is driven by a radial-flux magnet-coupling motor. Because flow visualization experiments have clarified sufficient pivot wash and stagnation at the sharp corner of the pivot support was suggested, sharp corners were removed in the design stage. The index of hemolysis of the pump operating at more than 200 mm Hg was found to be lower than that of a commercial pump. Four-week animal tests were then conducted two times; improvement of thrombus formation was seen in the female pivot through modification of female pivot geometry. Overall antithrombogenicity was also recorded. Finally, to assure mid-term use, an additional 4-week durability test revealed that the rate of the axial pivot wear was as small as 1.1 µm/day. The present in vitro and in vivo studies revealed that the MERA monopivot centrifugal pump has sufficient hemocompatibility and durability for up to 4 weeks.

  16. Development of a state medical surge plan, Part II: Components of a medical surge plan.

    PubMed

    Moser, Royce; Connelly, Colleen; Baker, Lloyd; Barton, Richard; Buttrey, Jan; Morris, Stephen; Saffle, Jeffrey; Whitney, Jolene R

    2006-01-01

    In 2003, the Utah State Department of Health received funding from the Health Resources and Services Administration to develop a medical surge plan to increase the number of available hospital beds in the state by 1250 beds, including 125 beds for burn or critical trauma patients. A prior article discussed the planning procedures and process. This article describes the major components of the plan, including analysis of threats, direction and control, activation and system response; communications; and critical issues.

  17. Medium-term predictions of cumulative runoff in a Mediterranean mountain river.

    NASA Astrophysics Data System (ADS)

    Gulliver, Zacarías; Herrero, Javier; José Polo, María

    2016-04-01

    It is important to find patterns and hidden connections between data to assess the development of decision-making tools for water management. The climate variability of the Mediterranean environments makes it necessary the establishment of methodological/hydrological frameworks that allow us to limit the uncertainty on the decision for further periods within the year, and thus achieve better resource utilization. For that, a study of different machine learning methods has been applied in a Mediterranean mountainous basin in South Spain, by means of an ensemble classification and regression approach to predict the river flow volumes for further periods on a quarterly scale. The predictions are made within the same hydrological year and under two different time schemes, after three (A-scheme) and six months (B-scheme), testing the further periods. The study was carried out with the longest streamflow time series registered in the basin (43 years), collected at a high mountain gauge station (Narila, 975 metres above sea level) in the Guadalfeo River. This station is located in the upstream part of the river (with an associated 67 km2 contributing area), where there are not significant human alterations of the natural hydrological cycle (withdrawals or discharges) and with a strong influence of the snow regime. The set of selected predictors for the river water volumes includes cumulated runoff, cumulated rainfall and the average of different Climate indexes. The results show that the nature of future periods can be classified accurately in our study case by the methods proposed, classifying correctly more than 90 % of the values during the testing period.

  18. Developing a strategic human resources plan for the Urban Angel.

    PubMed

    Owen, Susan M

    2011-01-01

    In healthcare a significant portion of the budget is related to human resources. However, many healthcare organizations have yet to develop and implement a focused organizational strategy that ensures all human resources are managed in a way that best supports the successful achievement of corporate strategies. St. Michael's Hospital, in Toronto, Ontario, recognized the benefits of a strategic human resources management plan. During an eight-month planning process, St. Michael's Hospital undertook the planning for and development of a strategic human resources management plan. Key learnings are outlined in this paper.

  19. Medium-term outcomes following limb salvage for severe open tibia fracture are similar to trans-tibial amputation.

    PubMed

    Penn-Barwell, J G; Myatt, R W; Bennett, P M; Sargeant, I D

    2015-02-01

    Extremity injuries define the surgical burden of recent conflicts. Current literature is inconclusive when assessing the merits of limb salvage over amputation. The aim of this study was to determine medium term functional outcomes in military casualties undergoing limb salvage for severe open tibia fractures, and compare them to equivalent outcomes for unilateral trans-tibial amputees. Cases of severe open diaphyseal tibia fractures sustained in combat between 2006 and 2010, as described in a previously published series, were contacted. Consenting individuals conducted a brief telephone interview and were asked to complete a SF-36 questionnaire. These results were compared to a similar cohort of 18 military patients who sustained a unilateral trans-tibial amputation between 2004 and 2010. Forty-nine patients with 57 severe open tibia fractures met the inclusion criteria. Telephone follow-up and SF-36 questionnaire data was available for 30 patients (61%). The median follow-up was 4 years (49 months, IQR 39-63). Ten of the 30 patients required revision surgery, three of which involved conversion from initial fixation to a circular frame for non- or mal-union. Twenty-two of the 30 patients (73%) recovered sufficiently to complete an age-standardised basic military fitness test. The median physical component score of SF-36 in the limb salvage group was 46 (IQR 35-54) which was similar to the trans-tibial amputation cohort (p=0.3057, Mann-Whitney). Similarly there was no difference in mental component scores between the limb salvage and amputation groups (p=0.1595, Mann-Whitney). There was no significant difference in the proportion of patients in either the amputation or limb salvage group reporting pain (p=0.1157, Fisher's exact test) or with respect to SF-36 physical pain scores (p=0.5258, Mann-Whitney). This study demonstrates that medium term outcomes for military patients are similar following trans-tibial amputation or limb salvage following combat trauma.

  20. Diphenylarsinic acid exerts promotion effects on hepatobiliary carcinogenesis in a rat medium-term multiorgan carcinogenicity bioassay

    PubMed Central

    Ishii, Naomi; Gi, Min; Fujioka, Masaki; Yamano, Shotaro; Okumura, Mai; Kakehashi, Anna; Wanibuchi, Hideki

    2016-01-01

    We have previously demonstrated that diphenylarsinic acid (DPAA) promotes liver carcinogenesis in rats in a medium-term liver carcinogenicity bioassay. However, the effects of DPAA on other organs have not been determined. In the present study, the effects of DPAA on carcinogenesis were investigated using a rat multiorgan carcinogenicity bioassay. A total of 60 six-week-old male F344 rats were treated with the carcinogens diethylnitrosamine, N-butyl-N-(4-hydroxybutyl) nitrosamine, N-methyl-N-nitrosourea, N-bis (2-hydroxypropyl) nitrosamine, and 1,2-dimethylhydrazine dihydrochloride to initiate carcinogenesis in multiple organs. After initiation, DPAA was given at a dose of 0, 5, or 20 ppm in drinking water for 27 weeks. The incidences of moderate and severe bile duct hyperplasia were significantly increased in the 20 ppm DPAA group (29.4%, 70.6%, respectively) compared with the 0 ppm DPAA group (0%, 0%, respectively), and the incidence and multiplicity of cholangioma were significantly increased in the 20 ppm DPAA group (29.4%, 0.4 ± 0.8/rat) compared with the 0 ppm DPAA group (0%, 0/rat). The total number and average area of glutathione S-transferase placenta form-positive foci, preneoplastic lesions in rat livers, were significantly increased in the 20 ppm DPAA group (10.5 ± 2.2/cm2, 5.3 ± 1.7 mm2/cm2) compared with the 0 ppm DPAA group (6.2 ± 2.9/cm2, 2.4 ± 1.4 mm2/cm2). In conclusion, our results demonstrate that DPAA promotes hepatobiliary carcinogenesis in a rat medium-term multiorgan carcinogenicity bioassay; no promotion effects were observed in other organs. PMID:28190923

  1. Enhancement of preneoplastic lesion yield by Chios Mastic Gum in a rat liver medium-term carcinogenesis bioassay

    SciTech Connect

    Doi, Kenichiro Wei, Min; Kitano, Mitsuaki; Uematsu, Naomi; Inoue, Masayo; Wanibuchi, Hideki

    2009-01-01

    The mastic (Pistacia lentiscus var. chia) tree is native throughout the Mediterranean region and has long proved a source of food additives and medical treatments. To investigate the modifying effects of Chios Mastic Gum on rat liver carcinogenesis, 6-week-old male F344 rats were subjected to the established rat liver medium-term carcinogenesis bioassay (Ito-test). At the commencement, rats (groups 1-4) were intraperitoneally injected with 200 mg/kg body weight of diethylnitrosamine (DEN). After two weeks, mastic was added to CRF (Charles River Formula)-1 powdered basal diet at doses of 0, 0.01, 0.1 and 1% in groups 1-4, respectively. At week 3, all rats were underwent two-thirds partial hepatectomy. The experiment was terminated at week 8. As results show, liver weights were significantly increased in a mastic dose-dependent manner among groups 1-4. The numbers (/cm{sup 2}) and the areas (mm{sup 2}/cm{sup 2}) of glutathione S-transferase placental form (GST-P)-positive cell foci ({>=} 0.2 mm in diameter) were significantly increased in the DEN-1% group compared to the DEN-alone group, along with the average areas per foci and larger-sized foci ({>=} 0.4 mm). 5-Bromo-2'-deoxyuridine (BrdU) + GST-P double-immunohistochemistry showed the highest BrdU-labeling indices within GST-P foci in the DEN-1% group. 8-hydroxydeoxyguanosine (8-OHdG) levels in liver DNA did not vary, while real-time quantitative polymerase chain reaction (PCR) analysis of livers revealed many up- or down-regulated genes in the DEN-1% group. In conclusion, this is the first report to display a promotion potential of Chios Mastic Gum on the formation of preneoplastic lesions in the established rat liver medium-term carcinogenesis bioassay.

  2. [Medium-term results of a Day Hospital insulin therapy program for patients with type 2 diabetes mellitus].

    PubMed

    Quirós, Carmen; Amor, Antonio J; de Hollanda, Ana M; Yago, Gemma; Ara, Pilar; Conget, Ignacio

    2014-03-20

    The profile of the patient with type 2 diabetes mellitus (DM2) who requires insulin therapy is very diverse as are the results of this intervention and short/middle-term patient management. We evaluated the midterm results of an outpatient program starting insulin therapy with≥2 insulin injections/day in terms of metabolic control in different groups of patients. We analyzed prospectively 131 patients with DM2, without previous insulin treatment, who were prescribed treatment with≥2 insulin injections/day and who were enrolled in a specific ambulatory program in order to start insulin therapy in a Day Hospital for 6 months. The initial glycosylated hemoglobin (HbA1c) was 11.3 (2.3) % and decreased to 6.3 (1.4) % in 6 months, with HbA1c<7% in 72.5% of them. The group of recently diagnosed patients (<3 months, symptomatic severe hyperglycemia, D-group) were younger (57.1 [10.8] vs 64.2 [12.1] years; P<.01) and had a higher starting HbA1c (12.1 [1.8] vs 10.5 [2.5] %; P<.001) than patients included in the program for oral antidiabetic drugs' failure (F-group). At the end of the program 50% of D-group patients did not need insulin (6.3% on F-group [P<.001]). There were no significant differences in either of 2 groups at study ends according to the final treatment scheme. Counselling patients with DM2 to start insulin with more than one injection per day in Day Hospital setting achieves and maintains a good metabolic control in the medium term in different patient profiles. Among symptomatic and recently diagnosed patients, insulin therapy can be stopped in 50% of them at the medium term. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  3. IDC Re-Engineering Phase 3 Development Plan.

    SciTech Connect

    Harris, James M.; Burns, John F.; Pollock, David L.

    2017-01-01

    Sandia National Laboratories has prepared a project development plan that proposes how the parties interested in the IDC Re-Engineering system will coordinate its development, testing and transition to operations.

  4. OTEC Anchors: Selection and Plan for Development.

    DTIC Science & Technology

    1977-12-01

    Anchor systems capable of maintaining the Ocean Thermal Energy Conversion ( OTEC ) power plants on station were identified and compared. Deadweight...for OTEC , however, is probably not necessary because it is expected that such hard seafloor anchor sites are best avoided by OTEC plants. A plan for...structural analysis and design technique for the anchor, and finally a demonstration of a near prototype size OTEC free-fall deadweight anchor in early 1980. (Author)

  5. Remote sensing for rural development planning in Africa

    NASA Technical Reports Server (NTRS)

    Dunford, C.; Mouat, D. A.; Norton-Griffiths, M.; Slaymaker, D. M.

    1983-01-01

    Multilevel remote-sensing techniques were combined to provide land resource and land-use information for rural development planning in Arusha Region, Tanzania. Enhanced Landsat imagery, supplemented by low-level aerial survey data, slope angle data from topographic sheets, and existing reports on vegetation and soil conditions, was used jointly by image analysts and district-level land-management officials to divide the region's six districts into land-planning units. District-planning officials selected a number of these land-planning units for priority planning and development activities. For the priority areas, natural color aerial photographs provided detailed information for land-use planning discussions between district officials and villagers. Consideration of the efficiency of this remote sensing approach leads to general recommendations for similar applications. The technology and timing of data collection and interpretation activities should allow maximum participation by intended users of the information.

  6. Naval Medical Research and Development Strategic Plan

    DTIC Science & Technology

    2008-03-01

    career events and health outcomes in active-duty personnel and dependents. It includes short- and long-term population-based studies of chronic and...semiannual meetings. CONCLUSION Our Strategic Plan reflects the current guidance and direction of senior civilian and military leadership and aligns NMR&D...to r p itc h) 5) B ro ch ur e, D V D , a nd tr i- fo ld s ar e in w or k C ol le ct d at a fro m co m m an d- w id e – in iti al

  7. High incidence of osteochondral lesions after open reduction and internal fixation of displaced ankle fractures: Medium-term follow-up of 100 cases.

    PubMed

    Regier, Marc; Petersen, Jan Philipp; Hamurcu, Ahmet; Vettorazzi, Eik; Behzadi, Cyrus; Hoffmann, Michael; Großterlinden, Lars G; Fensky, Florian; Klatte, Till Orla; Weiser, Lukas; Rueger, Johannes M; Spiro, Alexander S

    2016-03-01

    The incidence of osteochondral lesions (OCLs) in association with displaced ankle fractures has only been examined in two previous studies. In both studies magnetic resonance imaging (MRI) was performed prior to open reduction and internal fixation (ORIF). Because MRI may overdiagnose or overestimate the extent of OCLs in an acute trauma setting the aim of this study was to determine the incidence of OCLs after ORIF of displaced ankle fractures using MRI at medium-term follow-up, and to analyse if the severity of fracture or the clinical outcome correlates with the incidence of OCLs. Following institutional review board approval a total of 100 patients (mean age, 41.3 years; range, 17.9-64.3 years) with a displaced ankle fracture who had undergone ORIF according to the AO principles were included in this study. The American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score was used to quantify the clinical outcome and MR images were evaluated for OCLs of the talus and distal tibia after a mean of 34.5 months (range, 17.5-54.1 months). OCLs were found in 40.4% of the patients. Logistic regression revealed a significant correlation between the severity of fracture and the incidence of OCLs. Patients with a trimalleolar fracture (p=0.04) or an ankle fracture dislocation (p=0.003) had a significantly higher risk for developing an OCL compared to those with a type B fracture. Logistic regression also demonstrated a significant correlation between the clinical outcome (AOFAS score) and the incidence of OCLs (p=0.01). The risk for developing an OCL increases up to 5.6% when the AOFAS score decreases by one point. OCLs were frequently found in association with acute ankle fractures at medium-term follow-up, and the severity of fracture was associated with an increased number of OCLs. Considering the disadvantages of MRI including the high cost and limited availability, the results of this study may help to explain why anatomic surgical realignment of displaced

  8. Development of a district mental healthcare plan in Uganda.

    PubMed

    Kigozi, Fred N; Kizza, Dorothy; Nakku, Juliet; Ssebunnya, Joshua; Ndyanabangi, Sheila; Nakiganda, Blandina; Lund, Crick; Patel, Vikram

    2016-01-01

    Evidence is needed for the integration of mental health into primary care advocated by the national health sector strategic investment plan in Uganda. To describe the processes of developing a district mental healthcare plan (MHCP) in rural Uganda that facilitates integration of mental health into primary care. Mixed methods using a situational analysis, qualitative studies, theory of change workshops and partial piloting of the plan at two levels informed the MHCP. A MHCP was developed with packages of care to facilitate integration at the organisational, facility and community levels of the district health system, including a specified human resource mix. The partial embedding period supports its practical application. Key barriers to scaling up the plan were identified. A real-world plan for the district was developed with involvement of stakeholders. Pilot testing demonstrated its feasibility and implications for future scaling up. © The Royal College of Psychiatrists 2016.

  9. Developing a publicity plan for library research: the Rochester Study.

    PubMed

    Smith, B T

    1992-01-01

    The hospital librarians in Rochester, New York and a research team developed and administered a questionnaire to measure the impact of information provided by the librarian on physicians' clinical decision making. While the research was underway, the librarians also developed a publicity plan. The goal of the plan was to create awareness of the study results in the local client population, as well as in the health care community at large. The plan served to describe and put in priority order the types of media that the librarians would use to publicize the study to target groups. This article includes examples of a nationwide and an institution-specific publicity plan. those developing publicity plans for future library research may want to allocate adequate funds to hire a media consultant to increase their prospects for national exposure.

  10. Development of a district mental healthcare plan in Uganda

    PubMed Central

    Kigozi, Fred N.; Kizza, Dorothy; Nakku, Juliet; Ssebunnya, Joshua; Ndyanabangi, Sheila; Nakiganda, Blandina; Lund, Crick; Patel, Vikram

    2016-01-01

    Background Evidence is needed for the integration of mental health into primary care advocated by the national health sector strategic investment plan in Uganda. Aims To describe the processes of developing a district mental healthcare plan (MHCP) in rural Uganda that facilitates integration of mental health into primary care. Method Mixed methods using a situational analysis, qualitative studies, theory of change workshops and partial piloting of the plan at two levels informed the MHCP. Results A MHCP was developed with packages of care to facilitate integration at the organisational, facility and community levels of the district health system, including a specified human resource mix. The partial embedding period supports its practical application. Key barriers to scaling up the plan were identified. Conclusions A real-world plan for the district was developed with involvement of stakeholders. Pilot testing demonstrated its feasibility and implications for future scaling up. PMID:26447171

  11. 30 CFR 250.202 - What criteria must the Exploration Plan (EP), Development and Production Plan (DPP), or...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false What criteria must the Exploration Plan (EP), Development and Production Plan (DPP), or Development Operations Coordination Document (DOCD) meet? 250.202... § 250.202 What criteria must the Exploration Plan (EP), Development and Production Plan (DPP), or...

  12. A National Plan for the Development of Library Services.

    ERIC Educational Resources Information Center

    Kaungamno, Ezekiel E.

    The five essential features of any good library plan are objectives, inputs, process, outputs, and evaluation. In developing countries, the following factors affect, and should be considered, in the formulation of library plans: illiteracy, lack of educational facilities, no common language, insufficient funds, and geographical features and the…

  13. Development and Planning Perspectives on Virginia's Henrico College.

    ERIC Educational Resources Information Center

    Vacik, Stephen M.; Miller, Michael T.

    This paper examines the history of the growth, development, and failure of Henrico College (Virginia), the first planned college in colonial America, and draws implications for contemporary higher education. It considers the role of the Virginia Company of London during the early 17th century in the college's early planning, the school's purpose…

  14. 7 CFR 1751.102 - Modernization Plan Developer; eligibility.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 11 2011-01-01 2011-01-01 false Modernization Plan Developer; eligibility. 1751.102 Section 1751.102 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE TELECOMMUNICATIONS SYSTEM PLANNING AND DESIGN CRITERIA, AND PROCEDURES...

  15. Strategic Planning for Policy Development--An Evolving Model.

    ERIC Educational Resources Information Center

    Verstegen, Deborah A.; Wagoner, Jennings L., Jr.

    1989-01-01

    Strategic planning, a necessary alternative to logical incrementalism in turbulent environments, will let educators move from a reactive to a proactive posture. This article briefly reviews strategic planning literature, focuses on environmental scanning, and describes an evolving model developed for the chief state school officers of a four-state…

  16. Development of Planning Behaviour and Decision Making Ability of Children

    ERIC Educational Resources Information Center

    Mahapatra, Shamita

    2016-01-01

    Decision making, a complex mental activity underlying the act of choosing from among the alternatives in attaining a goal constitutes the core component of planning, a higher order cognitive process as per the PASS theory of intelligence. An attempt, therefore, has been made in the present study to examine the development of planning behaviour in…

  17. Motivations and Barriers for Policymakers to Developing State Adaptation Plans

    NASA Astrophysics Data System (ADS)

    Miller, R.; Sylak-Glassman, E.

    2016-12-01

    Current approaches for developing high-quality adaptation plan require significant resources. In recent years, communities have grown to embrace adaptive plans across multiple forms, including adaptive capacity assessments, resilience strategies, and vulnerability assessments. Across the United States, as of this writing, 14 states have established adaptation plans, with another 8 states having begun the process. Given the high resources requirements and increasing interest in the development of adaptation plans, we aim to examine patterns behind the establishment of resilience plans at the state level. We examine demographic, financial, political, and physical characteristics associated with different states in an effort to explore the reasoning behind investing in the development of adaptation plans. This analysis considers quantitative and qualitative factors, including recent elections for political parties, politicians' climate-related statements and campaign promises, demographics, budgets, and regional climate threats. The analysis aims to identify motivations for state leadership taking action to develop adaptation plans. Results from the analysis seek to identify the primary drivers and barriers associated with state-wide resilience planning. These results could inform the design of scientific communication tools or approaches to aid future adaptation responses to climate change.

  18. The Development of Educational Planning in the Congo (K).

    ERIC Educational Resources Information Center

    Rideout, William M., Jr.

    The development of the Congo's present formal education system began shortly after Protestant missionaries first entered the region in 1878. A distinct imprint had not been made on educational planning by the colonial government until problems compounded by the First World War demanded attention. A 20-year plan, which rested firmly and comfortably…

  19. Ohio's Career Development Blueprint. Individual Career Plan, Middle School.

    ERIC Educational Resources Information Center

    Ohio State Dept. of Education, Columbus. Div. of Vocational and Career Education.

    This publication provides materials to assist in the individual career plan (ICP) process in grades 6-8. Suggestions are made related to career planning teams. Focus is on 12 key topics, all necessary for a middle-grade student to consider before developing an ICP. The topics are self awareness; self assessment; career information; exploration;…

  20. Ohio's Career Development Blueprint. Individual Career Plan, K thru 5.

    ERIC Educational Resources Information Center

    Ohio State Dept. of Education, Columbus. Div. of Vocational and Career Education.

    This publication provides materials to assist in Ohio's individual career plan (ICP) process in grades K-5. Suggestions are made related to delivery and role of a career development liaison. Focus is on 12 key topics: self awareness; self assessment; career information; exploration; academic planning; reduction of bias; future trends;…

  1. Ohio's Career Development Blueprint. Individual Career Plan, High School.

    ERIC Educational Resources Information Center

    Ohio State Dept. of Education, Columbus. Div. of Vocational and Career Education.

    This publication offers guidance on how to provide high school students who have developed an individual career plan (ICP) in Grade 8 with additional opportunities to explore and verify their educational and career goals and to formally review, revise, and add to their ICP document annually. Suggestions are made related to career planning teams.…

  2. 25 CFR 20.511 - Should permanency plans be developed?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false Should permanency plans be developed? 20.511 Section 20.511 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Child Assistance Foster Care § 20.511 Should permanency plans...

  3. 25 CFR 20.511 - Should permanency plans be developed?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false Should permanency plans be developed? 20.511 Section 20.511 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Child Assistance Foster Care § 20.511 Should permanency plans...

  4. 25 CFR 20.511 - Should permanency plans be developed?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true Should permanency plans be developed? 20.511 Section 20.511 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Child Assistance Foster Care § 20.511 Should permanency plans...

  5. 25 CFR 20.511 - Should permanency plans be developed?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false Should permanency plans be developed? 20.511 Section 20.511 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Child Assistance Foster Care § 20.511 Should permanency plans...

  6. The Development of an Interdisciplinary Social Planning Concentration.

    ERIC Educational Resources Information Center

    Howe, Elizabeth; And Others

    1980-01-01

    The origins, development, and structure of a social planning program offered jointly by the School of Social Work and the Department of Urban and Regional Planning at the University of Wisconsin-Madison are described. The exchange has proven useful for both faculty and students in each department. (Author/MLW)

  7. Adult Basic Skills: Developing a Local Action Plan.

    ERIC Educational Resources Information Center

    Basic Skills Agency, London (England).

    This document presents advice from the United Kingdom's Basic Skills Agency regarding developing local action plans. The first 20% of the document defines basic skills and discusses the following action plan components: (1) an estimate of the area's need for basic skills training; (2) a target to reduce the area's estimated scale of need; (3)…

  8. Academic Development Plan, Honolulu Community College, 1987-1995.

    ERIC Educational Resources Information Center

    Kessinger, Peter R.

    This academic development plan outlines the priorities of Honolulu Community College (HCC) for the years 1987 to 1995. After providing a history and description of the campus, the report explains the planning process, which involved campus-wide participation by representatives of faculty, staff, and advisory committees. The report then discusses…

  9. Space Station thermal management system development status and plans

    NASA Technical Reports Server (NTRS)

    Rankin, J. G.

    1985-01-01

    The manned Space Station, as currently designed, contains a baseline thermal management system (TMS) which uses components and subsystems never before employed in manned spacecraft. The basis for the technology used in the TMS design is the result of a long-term TMS Technology Development Plan which was initiated in 1979. Rankin and Marshall (1983) have discussed the history and progress of that plan from its beginnings to early 1983. The present paper is concerned with the status of activities conducted at the NASA Lyndon B. Johnson Space Center (JSC) under this plan since 1983, taking into account also a summary of activities planned for the next several years.

  10. Lawrence Berkeley Laboratory FY 1992 Site Development Plan

    SciTech Connect

    Not Available

    1992-03-01

    The Lawrence Berkeley Laboratory 1992 Site Development Plan (SDP) provides analysis and policy guidance for the effective use and orderly development of land and facilities at the LBL main site. The SDP directly supports LBL's role as a multiprogram national laboratory operated by the University of California for the DOE. It is a concise policy document, prepared in compliance with DOE Order 4320.1B and based on revisions to the 1991 Technical Site Information (TSI). It also serves as the current DOE framework for the implementation of the 1987 Long Range Development Plan (LRDP) approved by the Regents of the University of California. The SDP is updated annually, with periodic major revisions consistent with DOE policy and approved plans of the Regents. The specific purposed of the SDP are to: Summarize the mission and community setting of the Laboratory; describe program trends and projections and future resource requirements; describe site planning goals and future facilities and land uses; and describe site planning issues and potential solutions. The SDP concisely expresses the policies for future development based on planning concepts, the anticipated needs of research programs, and site potential and constraints. The 1992 TSI document and other planning data provide detailed support for the plans identified in this document. Preparation of the SDP was coordinated by the Office for Planning and Development with technical support and data preparation by the Plant Engineering Department. Programmatic data and information are from program divisions and technical resource divisions, including the Environment, Health Safety Division. The 1992 SDP is consistent with approved university guidelines and future building area, land use, and population projections identified in the 1987 LRDP and the 1987 Site Development Plan Environmental Impact Report prepared under the California Environment Quality Act.

  11. Lawrence Berkeley Laboratory FY 1992 Site Development Plan

    SciTech Connect

    Not Available

    1992-03-01

    The Lawrence Berkeley Laboratory 1992 Site Development Plan (SDP) provides analysis and policy guidance for the effective use and orderly development of land and facilities at the LBL main site. The SDP directly supports LBL`s role as a multiprogram national laboratory operated by the University of California for the DOE. It is a concise policy document, prepared in compliance with DOE Order 4320.1B and based on revisions to the 1991 Technical Site Information (TSI). It also serves as the current DOE framework for the implementation of the 1987 Long Range Development Plan (LRDP) approved by the Regents of the University of California. The SDP is updated annually, with periodic major revisions consistent with DOE policy and approved plans of the Regents. The specific purposed of the SDP are to: Summarize the mission and community setting of the Laboratory; describe program trends and projections and future resource requirements; describe site planning goals and future facilities and land uses; and describe site planning issues and potential solutions. The SDP concisely expresses the policies for future development based on planning concepts, the anticipated needs of research programs, and site potential and constraints. The 1992 TSI document and other planning data provide detailed support for the plans identified in this document. Preparation of the SDP was coordinated by the Office for Planning and Development with technical support and data preparation by the Plant Engineering Department. Programmatic data and information are from program divisions and technical resource divisions, including the Environment, Health & Safety Division. The 1992 SDP is consistent with approved university guidelines and future building area, land use, and population projections identified in the 1987 LRDP and the 1987 Site Development Plan Environmental Impact Report prepared under the California Environment Quality Act.

  12. Guidelines for Analysis of Pharmaceutical Supply System Planning in Developing Countries. Volume 7: Pharmaceutical Supply System Planning. International Health Planning Methods Series.

    ERIC Educational Resources Information Center

    Schaumann, Leif; And Others

    Intended to assist Agency for International Development (AID) officers, advisors, and health officials in incorporating health planning into national plans for economic development, this seventh of ten manuals in the Interational Health Planning Methods Series deals with pharmaceutical supply systems planning in developing countries. Following an…

  13. Guidelines for Analysis of Pharmaceutical Supply System Planning in Developing Countries. Volume 7: Pharmaceutical Supply System Planning. International Health Planning Methods Series.

    ERIC Educational Resources Information Center

    Schaumann, Leif; And Others

    Intended to assist Agency for International Development (AID) officers, advisors, and health officials in incorporating health planning into national plans for economic development, this seventh of ten manuals in the Interational Health Planning Methods Series deals with pharmaceutical supply systems planning in developing countries. Following an…

  14. Planning Considerations for Afterschool Professional Development

    ERIC Educational Resources Information Center

    Bradshaw, L. Daniele

    2015-01-01

    Professional development is vital to the success of afterschool programs. Effective professional development enhances afterschool program quality by facilitating staff performance and knowledge; in addition, professional development is vital for improving student learning outcomes (Bouffard & Little, 2004; Hall & Surr, 2005; Joyce &…

  15. Developing The Organized Village of Kasaan's Strategic Energy Plan

    SciTech Connect

    Hamar, Glenn P.

    2013-02-01

    The overall goal of this project is to create a Tribal Energy Action Plan that will serve as the Tribe's blueprint for creating long term energy self sufficiency. The Plan will be developed with input from a committed group of key stakeholders and landowners in the area, will be based on sound data and research, and will address both supply side options of the development of sustainable energy sources, as well as demand-side options for reducing energy consumption. The resulting plan will include defined comprehensive energy strategies and built upon a baseline assessment of where the Tribe currently is in terms of alternative and renewable energy activities; a vision of where the Tribe wants to go; and an action plan of how the Tribe will reach its vision including the identification of viable energy options based on the long-term strategic plan of the Tribe.

  16. Medium-term post-Katrina health sequelae among New Orleans residents: predictors of poor mental and physical health.

    PubMed

    Kim, Son Chae; Plumb, Ruth; Gredig, Quynh-Nga; Rankin, Larry; Taylor, Barbara

    2008-09-01

    To assess the medium-term post-Katrina mental and physical health of New Orleans residents and to determine demographic, social and environmental factors that predict poor mental and physical health. Major disasters can have a negative impact on the health of survivors for prolonged periods. Although the initial and short-term impacts of Hurricane Katrina have been well described, the medium-term impacts have not been studied as thoroughly. Cross-sectional survey. A convenience sample (n = 222) of residents in Gentilly area of New Orleans completed questionnaires between 16 and 18 December 2006. Multivariate logistic regression and multiple regression models were employed to determine predictors of poor mental and physical health. Poor mental health was reported by 52% of the respondents. Pre-Katrina depression [odds ratio (OR) = 19.1], post-Katrina depression (OR = 7.2), poor physical health (OR = 5.6), feeling unsafe from crime (OR = 4.3) and female gender (OR = 2.6) were significant predictor variables of poor mental health. Twenty-four percent of the variance in number of days of poor mental health was explained by the independent variables (R(2) = 0.24; p < 0.001). Poor physical health was reported by 48% of the respondents. Poor mental health (OR = 3.9), lack of money to buy food (OR = 2.7) and pre-Katrina arthritis (OR = 2.6) were significant predictor variables of poor physical health. Twenty-three percent of the variance in number of days of poor physical health was explained by the independent variables (R(2) = 0.23; p < 0.001). Approximately half of the New Orleans residents continue to experience poor mental and physical health 15 months after Katrina. The results support focusing post-Katrina efforts to protect residents from crime, improve mental health services to the depressed and improve food supply to the poor. Identifying predictors of poor mental and physical health may help clinicians and policy makers to focus their efforts in ameliorating the

  17. Impact of Parkinson's disease on the acute care treatment and medium-term functional outcome in geriatric hip fracture patients.

    PubMed

    Bliemel, Christopher; Oberkircher, Ludwig; Eschbach, Daphne-Asimenia; Lechler, Philipp; Balzer-Geldsetzer, Monika; Ruchholtz, Steffen; Buecking, Benjamin

    2015-11-01

    Patients with Parkinson's disease (PD) have a heightened risk of sustaining hip fractures due to disturbed balance and gait insecurity. This study aims to determine the impact of PD on the perioperative course and medium-term functional outcome of patients with hip fractures. A total of 402 hip fracture patients, aged ≥60 years, were prospectively enrolled. On admission, the American Society of Anesthesiologists score, Mini-Mental Status Examination, and Barthel Index (BI), among other scales, were documented. The Hoehn and Yahr scale was used to assess the severity of PD. The functional outcome was assessed by performance on the BI, Tinetti test (TT), and Timed Up and Go test (TUG) at discharge and at the 6-month follow-up. Additionally, the length of hospitalization, perioperative complications, and discharge management were documented. A multivariate regression analysis was performed to control for influencing factors. A total of 19 patients (4.7%) had a concomitant diagnosis of PD. The functional outcome (BI, TT, and TUG) was comparable between groups (all p > 0.05). Grade II (52.6 vs. 26.1%; OR = 4.304, p = 0.008) and IV complications (15.8 vs. 4.4%; OR = 7.785, p = 0.012) occurred significantly more often among PD patients. While the diagnosis of PD was associated with a significantly longer mean length of hospital stay (β = 0.119, p = 0.024), the transfer from acute hospital care showed no significant difference (p = 0.246). Patients with an additional diagnosis of PD had inferior results in BI at the 6-month follow-up (p = 0.038). PD on hospital admission is not an independent risk factor for in-hospital mortality or an inferior functional outcome at hospital discharge. However, patients with PD are at risk for specific complications and longer hospitalization at the time of transfer from acute care so as for reduced abilities in activities of daily living in the medium term.

  18. Peyton's 4-Steps-Approach in comparison: Medium-term effects on learning external chest compression – a pilot study

    PubMed Central

    Münster, Tobias; Stosch, Christoph; Hindrichs, Nina; Franklin, Jeremy; Matthes, Jan

    2016-01-01

    Introduction: The external chest compression is a very important skill required to maintain a minimum of circulation during cardiac arrest until further medical procedures can be taken. Peyton’s 4-Steps-Approach is one method of skill training, the four steps being: Demonstration, Deconstruction, Comprehension and Execution. Based on CPR skill training, this method is widely, allegedly predominantly used, although there are insufficient studies on Peyton’s 4-Steps-Approach for skill training in CPR in comparison with other methods of skill training. In our study, we compared the medium- term effects on learning external chest compression with a CPR training device in three different groups: PEY (Peyton’s 4-Steps-Approach), PMOD (Peyton’s 4-Steps-Approach without Step 3) and STDM, the standard model, according to the widely spread method “see one, do one” (this is equal to Peyton’s step 1 and 3). Material and Methods: This prospective and randomised pilot study took place during the summer semester of 2009 at the SkillsLab and Simulation Centre of the University of Cologne (Kölner interprofessionelles Skills Lab und Simulationszentrum - KISS). The subjects were medical students (2nd and 3rd semester). They volunteered for the study and were randomised in three parallel groups, each receiving one of the teaching methods mentioned above. One week and 5/6 months after the intervention, an objective, structured single assessment was taken. Compression rate, compression depth, correct compressions, and the sum of correct checklist items were recorded. Additionally, we compared cumulative percentages between the groups based on the correct implementation of the resuscitation guidelines during that time. Results: The examined sample consisted of 134 subjects (68% female; age 22±4; PEY: n=62; PMOD: n=31; STDM: n=41). There was no difference between the groups concerning age, gender, pre-existing experience in CPR or time of last CPR course. The only

  19. Action Plan for the Development of Civic Morality

    ERIC Educational Resources Information Center

    Chinese Education and Society, 2006

    2006-01-01

    This paper discusses the action plan for the development of civic morality. Here, the importance, substance, ideology and policy principles guiding the development of civic morality is elaborated. In order to strengthen the development of civic morality, it is a must to adapt to the requirements of the developing situation; seize good…

  20. A Plan for Developing a Need Responsive Five Year Program Plan and a Handbook for Systematic Program Development and Monitoring.

    ERIC Educational Resources Information Center

    Goddu, Roland

    This document outlines the steps necessary for the development and implementation of a five-year plan for an educational system. It first presents a framework for a five year program plan which includes a yearly statement of the goals of the organization, review or evaluation of the program, a yearly statement of priorities, determination of…

  1. Integrated High Payoff Rocket Propulsion Technologies Program Material Development Plan

    NASA Technical Reports Server (NTRS)

    Clinton, R. G., Jr.; Stropki, M.; Cleyrat, D.; Stucke, B.; Phillips, S.; Reed, B.

    2001-01-01

    In this viewgraph presentation, IMWG (IHPRPT Materials Working Group) government and industry members, together with the IHPRPT (Integrated High Payoff Rocket Propulsion Technologies Program Material Development Plan) National Component Leads, have developed a materials plan to address the critical needs of the IHPRPT community: (1) liquids boost and orbit transfer; (2) solids boost and orbit transfer; (3) tactical propulsion; and (4) spacecraft propulsion. Criticality of materials' role in achieving IHPRPT goals is evidenced by the significant investment over the next five years.

  2. Epidemiological monitoring plan for geothermal developments.

    PubMed

    Deane, M

    1984-01-27

    In order to assure that geothermal developments in the Imperial Valley of California proceeded on an environmentally sound basis, The U.S. Energy Research and Development Administration contracted with the Lawrence Livermore Laboratory to conduct a comprehensive study of six aspects of the region and its potential problems: Air Quality Water Quality, Ecosystem Quality (Soil, Plants, Animals, etc.) Subsidence and Induced Seismicity, Health Effects, and Socio-Economic Effects which may result from the proposed development. This report of the possible health effects is designed to be repeated as geothermal developments progress. It includes both general health attributes and attributes which may be likely to be adversely affected by such developments and is focussed on two different populations, one likely to be affected and a second which is less likely to be affected. Such a design permits the easier identification of possible effects against a background of time-dependent processes in later phases of the study. This baseline study documents that before such developments, there were differences in health status of the two areas, which were chosen to maximize demographic comparability. It further identifies that odor, a possible problem associated with geothermal development, is currently present, and at times intense. Without such baseline monitoring, the likelihood is great that such effects in the future might be falsely ascribed to the geothermal development.

  3. Curriculum Planning for the Development of Graphicacy

    ERIC Educational Resources Information Center

    Danos, X.; Norman, E.

    2012-01-01

    The ability to imagine a better future and work towards materialising this is "key" to economic development and technological change. Recent research has highlighted the importance graphicacy has in these developments as well as in people's everyday lives; professionally, socially and culturally (Considine, 1987; Stokes, 2002).…

  4. Planning Management Training Programs for Organizational Development

    ERIC Educational Resources Information Center

    Alpander, Guvenc G.

    1974-01-01

    To investigate means of converting management development programs into a successful organizational development process, managers' attitudes toward centralization and decentralization of functions and decisions, the importance of performed functions, their personal effectiveness, their managerial style, and what they prefer for executive…

  5. Developing a Remedial Keller-Plan Course.

    ERIC Educational Resources Information Center

    Allen, Peter S.

    1978-01-01

    A remedial self-study course in physics has been successfully developed at Nottingham University through repeated evaluations and modifications in such areas as testing and course organization. The development of a self-instructional center, and the use of film and videotape packages, have also been successful. (JMD)

  6. A Proposed Human Resources Development Plan.

    ERIC Educational Resources Information Center

    Lake Tahoe Community Coll. District, South Lake Tahoe, CA.

    Lake Tahoe Community College's (LTCC's) Human Resources Development Program is designed to foster professional development through in-service activities for instructional, administrative, classified employees, and the governing board. The comprehensive program is intended to support the instructional process, improve student success, enhance…

  7. Curriculum Planning for the Development of Graphicacy

    ERIC Educational Resources Information Center

    Danos, Xenia

    2013-01-01

    The paper describes the importance of graphicacy as a key communication tool in our everyday lives. The need to better understand the development of graphicacy and its use in the school curriculum is emphasised. The need for a new research tool is explained and the development of a new taxonomy of graphicacy is described. The use of this tool…

  8. Developing interprofessional care plans in chronic care: a scoping review.

    PubMed

    van Dongen, Jerôme Jean Jacques; van Bokhoven, Marloes Amantia; Daniëls, Ramon; van der Weijden, Trudy; Emonts, Wencke Wilhelmina Gerarda Petronella; Beurskens, Anna

    2016-09-21

    The number of people suffering from one or more chronic conditions is rising, resulting in an increase in patients with complex health care demands. Interprofessional collaboration and the use of shared care plans support the management of complex health care demands of patients with chronic illnesses. This study aims to get an overview of the scientific literature on developing interprofessional shared care plans. We conducted a scoping review of the scientific literature regarding the development of interprofessional shared care plans. A systematic database search resulted in 45 articles being included, 5 of which were empirical studies concentrating purely on the care plan. Findings were synthesised using directed content analysis. This review revealed three themes. The first theme was the format of the shared care plan, with the following elements: patient's current state; goals and concerns; actions and interventions; and evaluation. The second theme concerned the development of shared care plans, and can be categorised as interpersonal, organisational and patient-related factors. The third theme covered tools, whose main function is to support professionals in sharing patient information without personal contact. Such tools relate to documentation of and communication about patient information. Care plan development is not a free-standing concept, but should be seen as the result of an underlying process of interprofessional collaboration between team members, including the patient. To integrate the patients' perspectives into the care plans, their needs and values need careful consideration. This review indicates a need for new empirical studies examining the development and use of shared care plans and evaluating their effects.

  9. Medium-term results of Mini-arc for urinary stress incontinence in ambulatory patients under local anesthesia

    PubMed Central

    Levi, Almog; Nasra, Rasha; Shachar, Inbar Ben; Braun, Naama Marcus

    2016-01-01

    Abstract Objective To evaluate the medium-term outcome and patient's satisfaction after Single-incision mini-sling (SIMS) procedure done under local anesthesia in ambulatory set up for patients with stress urinary incontinence (SUI). Materials and Methods This is a retrospective cohort study, including all patients submitted to SIMS procedure for SUI with MiniArc (AMS, U.S.A) without concomitant surgery between January 2011 and March 2013. Patients were followed up during 12 months after surgery and once a year subsequently. Telephone interviews were conducted to evaluate patient satisfaction. Outcome masseurs included: SUI cure rate, urinary urge incontinence (UUI) cure rate in patients with mixed urinary incontinence (MUI), intra and post-operative complications and patient satisfaction. Results Ninety-three patients were included with mean follow-up of 23 months. Fifty percent had MUI with predominant SUI. The cure rates of SUI (objective and subjective) were 89%. UUI was cured in 40% of patients. No major complications occur, neither voiding obstruction or groin pain. Telephone interviews conducted after 26 months on average revealed high satisfaction rate from the procedure (8.8 out of 10) and from the local anesthesia. Visual analog scale (VAS) rating was low during and after the procedure (2.38 and 2.69 respectively). Conclusions The SIMS procedure is safe and highly effective for SUI and it can be performed successfully under local anesthesia in an ambulatory setup. PMID:27813384

  10. Medium-term comparison of uterus preservation versus hysterectomy in pelvic organ prolapse treatment with Prolift™ mesh.

    PubMed

    Huang, Li-Yi; Chu, Li-Ching; Chiang, Hsin-Ju; Chuang, Fei-Chi; Kung, Fu-Tsai; Huang, Kuan-Hui

    2015-07-01

    We conducted a medium-term assessment of clinical outcomes and complications after surgical repair of pelvic organ prolapse (POP) using Prolift™ mesh, and sought to determine whether concomitant hysterectomy clinically influenced the outcome of pelvic reconstruction in patients without a prior history of urogenital surgery. Patients diagnosed with POP-Q stage 3/4 uterine prolapse at a tertiary referral urogynecology unit in South Taiwan who had undergone POP repair with Prolift mesh from May 2007 to July 2010 were identified by chart review. Concomitant hysterectomy was performed in 24 patients (hysterectomy group), and uterus-sparing surgery in 78 (uterus-sparing group) Preoperative and postoperative subjective assessments of urinary and prolapse symptoms, objective POP-Q score, urodynamic examination, and postoperative adverse events were compared between the groups. The mean follow-up periods were 25.7 months (range 6.2 - 73.1 months) and 31.7 months (range 6.0 - 78.4 months) in the concomitant hysterectomy and uterus-sparing groups, respectively. There were no between-group differences in functional and anatomic outcomes after surgery. No statistically significant differences were found in postoperative adverse events between the groups. Pelvic reconstruction using Prolift with concomitant hysterectomy and uterus-sparing surgery have similar anatomic and functional results at 2.5 years. Therefore, we consider uterus-sparing surgery to be an alternative to hysterectomy in uterine prolapse repair.

  11. Chemopreventive activity of apple extract following medium-term oral carcinogenesis assay induced by 4-nitroquinoline-1-oxide.

    PubMed

    Ribeiro, Flávia Andressa Pidone; de Moura, Carolina Foot Gomes; Gollucke, Andrea Pitelli Boiago; Ferreira, Mônica Siqueira; Catharino, Rodrigo Ramos; Aguiar, Odair; Spadari, Regina Celia; Barbisan, Luis Fernando; Ribeiro, Daniel Araki

    2014-08-01

    The aim of this study was to evaluate the chemopreventive activity of an apple extract following medium-term oral carcinogenesis assay induced by 4-nitroquinoline-1-oxide (4NQO). A total of 30 male Wistar rats were distributed into five groups as follows (n=6 per group): Group 1, negative control group (non-treated group); Group 2, received 4NQO during 8 weeks in drinking water and treated with apple extract at 1% by gavage between the first and fourth weeks daily (initiation phase); Group 3, received 4NQO for 8 weeks in drinking water and treated with apple extract by gavage at 1% between the fifth and eighth weeks daily (promotion phase); Group 4, received apple extract at 1% by gavage for 8 consecutive weeks only; and Group 5, received 4NQO for 8 weeks in drinking water daily. Histopathological analysis revealed decreased hyperplasic lesions in Group 2 when compared with Group 5. Likewise, decreased dysplastic lesions in Group 3 were observed when compared with Group 5. In Groups 2 and 3, decreased COX-2 and TNF-alpha gene expressions were observed when compared with Group 5. Cytochrome c and caspase 3 levels increased in Groups 2 and 3 when compared with Group 5. In conclusion, our results demonstrate that apple extract suppresses rat tongue carcinogenesis as a result of anti-inflammatory activity and apoptosis through the intrinsic mitochondrial pathway. Copyright © 2014 Elsevier Ltd. All rights reserved.

  12. Oxidative stress related to chlorpyrifos exposure in rainbow trout: Acute and medium term effects on genetic biomarkers.

    PubMed

    Benedetto, A; Brizio, P; Squadrone, S; Scanzio, T; Righetti, M; Gasco, L; Prearo, M; Abete, M C

    2016-05-01

    Organophosphates (OPs) are derivatives of phosphoric acid widely used in agriculture as pesticides. Chlorpyrifos (CPF) is an OP that is extremely toxic to aquatic organisms. Rainbow trout (Oncorhynchus mykiss) is considered as a sentinel model species for ecotoxicology assessment in freshwater ecosystems. An exposure study was carried out on rainbow trout to investigate genetic responses to CPF-induced oxidative stress by Real-Time PCR, and to determine the accumulation dynamics of CPF and toxic metabolite chlorpyrifos-oxon (CPF-ox) in edible parts, by HPLC-MS/MS. Among the genes considered to be related to oxidative stress, a significant increase in HSP70 mRNA levels was observed in liver samples up to 14 days after CPF exposure (0.05 mg/L). CPF concentrations in muscle samples reach mean values of 285.25 ng/g within 96 hours of exposure, while CPF-ox concentrations were always under the limit of quantification (LOQ) of the applied method. Our findings lead us to consider HSP70 as a suitable genetic marker in rainbow trout for acute and medium-term monitoring of CPF exposure, complementary to analytical determinations. Copyright © 2015 Elsevier B.V. All rights reserved.

  13. Medium-Term Variability of the Human Serum Metabolome in the Atherosclerosis Risk in Communities (ARIC) Study

    PubMed Central

    Zheng, Yan; Yu, Bing; Alexander, Danny; Couper, David J.

    2014-01-01

    Abstract Metabolomics is a systems biology tool providing small molecule signatures of disease etiology. In order to estimate the biologic variability of the human serum metabolome, this study calculated intraclass correlation coefficients (ICCs) for 178 stably-detected metabolites measured by untargeted chromatography/mass spectrometry. We studied a subsample of 60 participants (57% males, 70% Caucasians, aged 73.77±5.3 years) in the Atherosclerosis Risk in Communities (ARIC) Study who provided two fasting serum samples 4–6 weeks apart. The median ICC across all metabolites was 0.60, and 82% of metabolites had at least fair variability (i.e., ICC>= 0.40). There was variation in the medium-term variability among metabolites, with those in the pathways of amino acid and lipid metabolism showing relatively high ICCs, and those in the carbohydrate pathway showing relatively low ICCs. The results of this study provide a valuable resource for future study design and outcome interpretation of mass spectrometry-based metabolomic studies in epidemiology. PMID:24910946

  14. Medium-term outcomes after combined trachelectomy and uterosacral ligament suspension among young women with severe uterine prolapse.

    PubMed

    Sun, Zhixing; Zhu, Lan; Hu, Huiying; Lang, Jinghe; Shi, Honghui; Gong, Xiaoming

    2016-02-01

    To evaluate anatomic and sexual outcomes among young women with severe pelvic organ prolapse undergoing combined trachelectomy and laparoscopic high uterosacral ligament suspension (LHUS). In a prospective study in Beijing, China, patients (aged ≤50 years) with pelvic organ prolapse of stage III or higher according to the Pelvic Organ Prolapse Quantification (POP-Q) were enrolled between November 2007 and August 2011. After combined trachelectomy and LHUS, patients were followed up at 6 weeks, 6 months, 12 months, and yearly thereafter. Anatomic success was defined as POP-Q lower than stage II. Sexual outcomes were assessed at 6 months via the validated Short-Form Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12), and compared with a control group of 39 healthy age-matched women. Among 49 patients, surgical success and patient satisfaction rates were 100% after a median follow-up of 54 months. Among 48 patients who were sexually active at follow-up, 39 (81%) completed the PISQ-12 questionnaire. The 6-month PISQ-12 score was higher than the preoperative score overall (38.1 vs 26.4, P<0.001) and for all three subscale domains (P≤0.001). The PISQ-12 score of postoperative patients was similar to that of control women (36.8, P=0.52). Trachelectomy combined with LHUS produced satisfactory medium-term anatomic and functional outcomes for young women with severe uterine prolapse. Copyright © 2015. Published by Elsevier Ireland Ltd.

  15. A dual-fluorescence reporter in the Eomes locus for live imaging and medium-term lineage tracing.

    PubMed

    Probst, Simone; Daza, Ray A; Bader, Natalie; Hummel, Jonas F; Weiß, Matthias; Tanriver, Yakup; Hevner, Robert F; Arnold, Sebastian J

    2017-08-01

    The T-box transcription factor Eomes (also known as Tbr2) shows short-lived expression in various localized domains of the embryo, including epiblast cells during gastrulation and intermediate progenitor cells in the cerebral cortex. In these tissues Eomes fulfills crucial roles for lineage specification of progenitors. To directly observe Eomes-dependent cell lineages in the living embryo, we generated a novel dual-fluorescence reporter allele that expresses a membrane-bound tdTomato protein for investigation of cell morphology and a nuclear GFP for cell tracing. This allele recapitulates endogenous EOMES protein expression and is suitable for live imaging. We found that the allele can also be used as a short-to-medium-term lineage tracer, as GFP persists in cells longer than EOMES protein and marks Eomes-dependent lineages with a timeframe of days to weeks depending on the proliferation rate. In summary, we present a novel genetic tool for investigation of Eomes-dependent cell types by live imaging and lineage tracing. © 2017 Wiley Periodicals, Inc.

  16. Metaspace: Financial plan for development in space

    NASA Astrophysics Data System (ADS)

    Odonnell, Declan Joseph

    There are no sources for private development monies in space. There are no laws to regulate development in space and protect private investment. In order to cure these basic business problems, we may create a new nation in space, called the Metanation, to provide political focus and financial capacity. It will assume jurisdiction in outer space after a convention in the year 2000 A.D. It would offer to combine with space agencies of earth nations to form a relevant governance and policy entity for mankind and help develop our common heritage aloft.

  17. PLANNING THE WEDDING: DEVELOPMENT BASED UPON ECOSYSTEMS

    EPA Science Inventory

    Changing land uses to meet needs and expectations of the growing human population is largely responsible for habitat loss, species extinctions, deterioration of water quality and quantity, soil losses and depletion, and ecosystem goods and services. Although such development is...

  18. PLANNING THE WEDDING: DEVELOPMENT BASED UPON ECOSYSTEMS

    EPA Science Inventory

    Changing land uses to meet needs and expectations of the growing human population is largely responsible for habitat loss, species extinctions, deterioration of water quality and quantity, soil losses and depletion, and ecosystem goods and services. Although such development is...

  19. Yield model development project implementation plan

    NASA Technical Reports Server (NTRS)

    Ambroziak, R. A.

    1982-01-01

    Tasks remaining to be completed are summarized for the following major project elements: (1) evaluation of crop yield models; (2) crop yield model research and development; (3) data acquisition processing, and storage; (4) related yield research: defining spectral and/or remote sensing data requirements; developing input for driving and testing crop growth/yield models; real time testing of wheat plant process models) and (5) project management and support.

  20. Workshop for development of formal MC and A plans

    SciTech Connect

    Erkkila, B.H.; Hatcher, C.R.; Scott, S.C.; Thomas, K.E.

    1998-12-01

    Upgrades to both physical protection and material controls and accountability (MC and A) are progressing at many nuclear facilities in the Russian Federation. In general, Russian facilities are well prepared to address issues related to physical protection. The infrastructure to plan and implement physical protection upgrades is already in place in Russia. The infrastructure to integrate new and existing MC and A capabilities is not as well developed. The authors experience has shown that working with Russian facility management and technical personnel to draft an MC and A plan provides a way of moving MC and A upgrades forward. Los Alamos has developed a workshop for Russian nuclear facilities to facilitate the preparation of their facility MC and A plans. The workshops have been successful in bringing together facility management, safeguards specialists, and operations personnel to initiate the process of drafting these MC and A plans. The MC and A plans provide the technical basis for scheduling future MC and A upgrades at the facilities. Although facility MC and A plans are site specific, the workshop can be tailored to guide the development of an MC and A plan for any Russian nuclear site.

  1. Guidelines for Analysis of Communicable Disease Control Planning in Developing Countries. Volume 1: Communicable Diseases Control Planning. International Health Planning Methods Series.

    ERIC Educational Resources Information Center

    Chin, James

    Intended to assist Agency for International Development (AID) officers, advisors, and health officials in incorporating health planning into national plans for economic development, this first of ten manuals in the International Health Planning Methods Series deals with planning and evaluation of communicable disease control programs. The first…

  2. Guidelines for Analysis of Communicable Disease Control Planning in Developing Countries. Volume 1: Communicable Diseases Control Planning. International Health Planning Methods Series.

    ERIC Educational Resources Information Center

    Chin, James

    Intended to assist Agency for International Development (AID) officers, advisors, and health officials in incorporating health planning into national plans for economic development, this first of ten manuals in the International Health Planning Methods Series deals with planning and evaluation of communicable disease control programs. The first…

  3. Partnerships for Policy Development: A Case Study From Uganda's Costed Implementation Plan for Family Planning.

    PubMed

    Lipsky, Alyson B; Gribble, James N; Cahaelen, Linda; Sharma, Suneeta

    2016-06-20

    In global health, partnerships between practitioners and policy makers facilitate stakeholders in jointly addressing those issues that require multiple perspectives for developing, implementing, and evaluating plans, strategies, and programs. For family planning, costed implementation plans (CIPs) are developed through a strategic government-led consultative process that results in a detailed plan for program activities and an estimate of the funding required to achieve an established set of goals. Since 2009, many countries have developed CIPs. Conventionally, the CIP approach has not been defined with partnerships as a focal point; nevertheless, cooperation between key stakeholders is vital to CIP development and execution. Uganda launched a CIP in November 2014, thus providing an opportunity to examine the process through a partnership lens. This article describes Uganda's CIP development process in detail, grounded in a framework for assessing partnerships, and provides the findings from 22 key informant interviews. Findings reveal strengths in Uganda's CIP development process, such as willingness to adapt and strong senior management support. However, the evaluation also highlighted challenges, including district health officers (DHOs), who are a key group of implementers, feeling excluded from the development process. There was also a lack of planning around long-term partnership practices that could help address anticipated execution challenges. The authors recommend that future CIP development efforts use a long-term partnership strategy that fosters accountability by encompassing both the short-term goal of developing the CIP and the longer-term goal of achieving the CIP objectives. Although this study focused on Uganda's CIP for family planning, its lessons have implications for any policy or strategy development efforts that require multiple stakeholders to ensure successful execution. © Lipsky et al.

  4. Intelsat TDMA/DSI burst time plan development

    NASA Astrophysics Data System (ADS)

    King, C.; Trusty, P.; Jankowski, J.; Duesing, R.; Roach, P.

    1985-06-01

    The development of a burst time plan (BTP), which distributes the transponder capacity over time for the Intelsat TDMA/DSI system, is discussed. The software programs used in the Intelsat BTP are examined. The necessary inputs for the BTP software are: (1) a description of the transponders to be used; (2) identification of participating traffic terminals; (3) location and roles of reference stations; and (4) a matrix of traffic requirements. Once the inputs are generated a BTP plan that can be implemented in the TDMA system is produced. Before implementing the plan, system users must study master and condensed time plans and BTP program outputs in order to agree on processed traffic configurations and equipment requirements. When this is established baseband arrangements are agreed upon and the final plan is implemented. The order of the basic burst scheduling process and the technique used in BTP software are presented.

  5. Recent developments and best practice in brachytherapy treatment planning

    PubMed Central

    2014-01-01

    Brachytherapy has evolved over many decades, but more recently, there have been significant changes in the way that brachytherapy is used for different treatment sites. This has been due to the development of new, technologically advanced computer planning systems and treatment delivery techniques. Modern, three-dimensional (3D) imaging modalities have been incorporated into treatment planning methods, allowing full 3D dose distributions to be computed. Treatment techniques involving online planning have emerged, allowing dose distributions to be calculated and updated in real time based on the actual clinical situation. In the case of early stage breast cancer treatment, for example, electronic brachytherapy treatment techniques are being used in which the radiation dose is delivered during the same procedure as the surgery. There have also been significant advances in treatment applicator design, which allow the use of modern 3D imaging techniques for planning, and manufacturers have begun to implement new dose calculation algorithms that will correct for applicator shielding and tissue inhomogeneities. This article aims to review the recent developments and best practice in brachytherapy techniques and treatments. It will look at how imaging developments have been incorporated into current brachytherapy treatment and how these developments have played an integral role in the modern brachytherapy era. The planning requirements for different treatments sites are reviewed as well as the future developments of brachytherapy in radiobiology and treatment planning dose calculation. PMID:24734939

  6. Professional Development Planning and Design. Issues in Science Education.

    ERIC Educational Resources Information Center

    Rhoton, Jack; Bowers, Patricia

    This book focuses on the professional development of teachers and discusses issues related to the planning and design of professional development programs. The content of the book is divided into three parts. Part 1, Standards-Based Reform and Professional Development includes: (1) "National Science Education Standards as a Catalyst for…

  7. Professional Development Planning and Design. Issues in Science Education.

    ERIC Educational Resources Information Center

    Rhoton, Jack; Bowers, Patricia

    This book focuses on the professional development of teachers and discusses issues related to the planning and design of professional development programs. The content of the book is divided into three parts. Part 1, Standards-Based Reform and Professional Development includes: (1) "National Science Education Standards as a Catalyst for…

  8. Career Development Planning Workbook for OEO-CAP Project UPREACH.

    ERIC Educational Resources Information Center

    National Inst. for New Careers, Washington, DC.

    This planning workbook is the first of its kind, written in 1969 to explain the process of career development and to help agencies put the process into practice. This guide is divided into the following sections: (1) The Need for OEO/CAP Career Development; (2) The Career Development Process (Task Identification, Functional Job Analysis,…

  9. 75 FR 80850 - Development of Strategic Plan 2011-2015

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-23

    ... From the Federal Register Online via the Government Publishing Office LEGAL SERVICES CORPORATION Development of Strategic Plan 2011-2015 AGENCY: Legal Services Corporation. ACTION: Development of Strategic... development of appropriate performance measures by which the Corporation's progress in achieving its strategic...

  10. Site-specific development plan: Carlin, Nevada

    SciTech Connect

    Fiore, J.H.

    1980-01-01

    The conditions for developing the geothermal resource near Carlin appear favorable. The resource has a favorable temperature range for direct applications (174/sup 0/F or 79/sup 0/C), the geothermal fluid has low total dissolved solids, no objectionable constituents that would result in costly scaling or corrosion problems and the resource is conveniently located within two miles from town. Direct space heating is the most realistic application and is recommended. Several clusters of homes are located less than 2 miles away. The project could be developed on a larger scale than this study proposes. The engineering and economic models are proposed on a small scale here for simplicity in evaluating the feasibility of pursuing development. Conceivably the producing well will provide sufficient hot water to accommodate more homes than the models include. The town of Carlin seems receptive to development and there does not appear to be any major barriers to exploration or development. The regulatory climate in both the state and county is conducive to geothermal development at this level. No major regulatory or environmental obstacles are noted which would severely curtail utilization for space heating. The prospect of replacing natural gas heat with geothermal heat for 60 or more homes is economically attractive. Geothermal rates for hot water are not expected to increase as rapidly as the price of natural gas to the consumer over the next 10 years. The increases for hot water from geothermal are primarily a function of power costs for the pumps plus inflation affecting maintenance costs. Individual homeowners can expect payback on retrofitting costs within two to three years.

  11. High-Speed Sealift Technology Development Plan

    DTIC Science & Technology

    2002-05-01

    E-Glass/Polyester) SmallBoat ResinImpregnator (E-Glass/Polyester) Intermarine/MHC-51 VA- RTM Seemann/TPI/Sunrez (E-Glass/VinylEster) LowTempPre...this issue, new fabrication processes (see Figure 4.3.2-1) such as vacuum-assisted resin transfer methods ( VARTM ) have been developed to provide more

  12. Ebeye 2023: Comprehensive Capacity Development Master Plan

    DTIC Science & Technology

    2012-07-01

    overfishing does not occur. Fishing not only provides an opportunity for local businesses, but also an opportunity to bring foreigners in for fishing...relatively cheap process that could avoid the drastic repercussions of overfishing . We recommend that the KALGOV and TLs seek to develop movable fish

  13. Fuel Fabrication Capability Research and Development Plan

    SciTech Connect

    Senor, David J.; Burkes, Douglas

    2013-06-28

    The purpose of this document is to provide a comprehensive review of the mission of the Fuel Fabrication Capability (FFC) within the Global Threat Reduction Initiative (GTRI) Convert Program, along with research and development (R&D) needs that have been identified as necessary to ensuring mission success. The design and fabrication of successful nuclear fuels must be closely linked endeavors.

  14. Plan to mitigate infrastructure development released

    NASA Astrophysics Data System (ADS)

    Wendel, JoAnna

    2014-04-01

    Secretary of the Interior Sally Jewell released a new strategy on 10 April 2014 to advance landscape-scale, science-based management of America's public lands and wildlife. The strategy will implement mitigation policies and practices at the Department of the Interior that can encourage infrastructure development while protecting natural and cultural resources.

  15. Payload software technology: Software technology development plan

    NASA Technical Reports Server (NTRS)

    1977-01-01

    Programmatic requirements for the advancement of software technology are identified for meeting the space flight requirements in the 1980 to 1990 time period. The development items are described, and software technology item derivation worksheets are presented along with the cost/time/priority assessments.

  16. Pyramid Project: An Exemplary Staff Development Plan.

    ERIC Educational Resources Information Center

    Ardmore City Schools, OK.

    The Ardmore, Oklahoma, School District developed the 3-year Pyramid Project to implement the following recommendations of the Sid W. Richardson Foundation Study of exemplary programs for high ability students: (1) broaden the process for assessing student abilities, (2) adopt continuous progress and appropriate pacing, (3) cultivate students'…

  17. Individual Professional Development Plans: Cultivating Professional Growth

    ERIC Educational Resources Information Center

    Hargens, Taryl M.

    2010-01-01

    Over the last five years schools and districts have been under enormous pressure to improve student achievement scores on state accountability assessments. Educators agree that professional development plays a key role in providing the knowledge and skills needed to increase teacher effectiveness in the classroom. There is no reliable measure for…

  18. The Student Planned Curriculum in Human Development.

    ERIC Educational Resources Information Center

    Fooden, Myra

    The kinds of content areas that mature students in psychological studies and human development select to pursue, given almost limitless free choice, were investigated at Empire State College, New York. One hundred and two programs of study were reviewed during a two-year period. Results indicated that adult students selected traditional course…

  19. Developing a Theory for Dynamic Campaign Planning,

    DTIC Science & Technology

    1988-04-26

    historical campaigns. THE PURSUIT OF WISDOM AND ART Hermann Hesse . in his novel Siddhartha . develops a situation analogous to the search for a...and that doctrine specifying both the process and product needs to be codified. 3. Hermann Hesse , Siddhartha , New York: Bantam Books Inc., 1974, p. 142...Naval Institute, 1985. Heisenberg, Werner. Philosophic Problems in Nuclear Science. New York: Pantheon Books, Inc, 1952. Hesse , Hermann. Siddhartha . New

  20. Fly-by-light technology development plan

    NASA Technical Reports Server (NTRS)

    Todd, J. R.; Williams, T.; Goldthorpe, S.; Hay, J.; Brennan, M.; Sherman, B.; Chen, J.; Yount, Larry J.; Hess, Richard F.; Kravetz, J.

    1990-01-01

    The driving factors and developments which make a fly-by-light (FBL) viable are discussed. Documentation, analyses, and recommendations are provided on the major issues pertinent to facilitating the U.S. implementation of commercial FBL aircraft before the turn of the century. Areas of particular concern include ultra-reliable computing (hardware/software); electromagnetic environment (EME); verification and validation; optical techniques; life-cycle maintenance; and basis and procedures for certification.

  1. Geothermal development plan: Graham-Greenlee counties

    SciTech Connect

    White, D.H.

    1981-01-01

    Geothermal potential in Graham and Greenlee counties both of which contain significant quantities of geothermal energy that could be used for industrial, agricultural or residential use, is described. Projections are made of geothermal heat on line under both private and city-owned utility development. Potential users of geothermal energy, however, are limited since this area is sparsely populated and lacks an industrial base. Only a couple of industries were identified which could use geothermal energy for their process heat needs.

  2. Population growth and development planning in Africa.

    PubMed

    1980-12-01

    Some of the consequences of rapid population growth and their implications for the economic development of the Africa region in the 1980s are outlined. The total population of Africa was estimated to be 412 million in 1976, or 10.2% of the total world population of 4044 million. Population density of the region is comparatively low, but the crude density measure of 14 persons per square kilometer in 1977 obscures the very high percentage of Africa's land which is desert or otherwise not arable. Continued high fertility rates in the region coupled with substantial decline in mortality rates especially for infants and children has resulted in Africa having a youthful population. The growth of cities due primarily to rural-urban migration is 1 of the most pressing problems of the region. Some countries in the region maintain pronatalist policies because they have a small population and regard population growth as a stimulus to the socioeconomic development effort. Few countries such as Kenya, Mauritius, Egypt, and Morocco consider rapid population growth a constraint on their development efforts and are now implementing national policies which aim at reducing the rate of growth of their populations. Population problems in Africa arise mainly from the fact that additions to the population needing education, housing, employment and to be fed adequately are increasing at a rate far more than most African countries can cope with. To illustrate the potential impact of population factors on development, the potential relationships between population and health, education, food supply, labor force supply and employment are analyzed.

  3. Development and implementation of an interdisciplinary plan of care.

    PubMed

    Lewis, Cynthia; Hoffmann, Mary Lou; Gard, Angela; Coons, Jacqueline; Bichinich, Pat; Euclid, Jeff

    2005-01-01

    In January 2002 Aurora Health Care Metro Region chartered an interdisciplinary team to develop a process and structure for patient-centered interdisciplinary care planning. This unique endeavor created a process that includes the patient, family, and all clinical disciplines involved in planning and providing care to patients from system point of entry throughout the entire acute care episode. The interdisciplinary plan of care (IPOC) demonstrates the integration of prioritized problems, outcomes, and measurement toward goal attainment. This article focuses on the journey of this team to the successful implementation of an IPOC.

  4. Development of Facilities Master Plan and Laboratory Renovation Project

    SciTech Connect

    Fox, Andrea D

    2011-10-03

    Funding from this grant has allowed Morehouse School of Medicine to complete its first professionally developed, comprehensive campus master plan that is in alignment with the recently completed strategic plan. In addition to master planning activities, funds were used for programming and designing research renovations, and also to supplement other research facility upgrades by providing lighting and equipment. The activities funded by this grant will provide the catalyst for substantial improvement in the School's overall facilities for biomedical education and research, and will also provide much of the information needed to conduct a successful campaign to raise funds for proposed buildings and renovations.

  5. Population, human resources and development planning: towards an integrated approach.

    PubMed

    Farooq, G M

    1981-01-01

    An attempt is made in this discussion to outline in broad terms an analytical and operational framework for integrating population and human resources related issues. 3 sections provide a rationale for comprehensive population, human resources, and development planning; contain a brief description of the kind of policy research needed as part of the analytical base for comprehensive planning; and describe proposed institutional arrangements under which the national effort could be organized and coordinated and the related programs implemented. For comprehensive development planning, it is essential to consider population problems in their broad perspective. Population problems are related to the prevailing levels of mortality, health and nutrition, population movements, levels of unemployment, underemployment and child labor, women's roles, income inequalities, incidence of poverty, and quality of environment and the like, as well as, population growth. A model for the integration of population variables into national socioeconomic planning would involve, in increasing order of complexity, the following types of analytical work: detailed demographic estimates and projections; translation of the consequences of population dynamics into estimates of social and economic needs for the purpose of sectoral planning; and research on the more important demographic, social, and economic linkages in order to contribute to the formulation of population policies and related measures for influencing population variables directly and the overall development plan, sectoral plans, and individual programs and projects. Some of the more basic studies that would help to establish an appropriate analytical base for a comprehensive planning approach are outlined. A suitable operational framework is required for an effective and integrated approach to population, human resources, and development planning. What is necessary is the establishment of a permanent high level institution

  6. Career Mapping for Professional Development and Succession Planning.

    PubMed

    Webb, Tammy; Diamond-Wells, Tammy; Jeffs, Debra

    Career mapping facilitates professional development of nurses by education specialists and nurse managers. On the basis of national Nursing Professional Development Scope and Standards, our education and professional development framework supports the organization's professional practice model and provides a foundation for the professional career map. This article describes development, implementation, and evaluation of the professional career map for nurses at a large children's hospital to support achievement of the nursing strategic goals for succession planning and professional development.

  7. Permanent isolation surface barrier development plan

    SciTech Connect

    Wing, N.R.

    1994-01-01

    The exhumation and treatment of wastes may not always be the preferred alternative in the remediation of a waste site. In-place disposal alternatives, under certain circumstances, may be the most desirable alternatives to use in the protection of human health and the environment. The implementation of an in-place disposal alternative will likely require some type of protective covering that will provide long-term isolation of the wastes from the accessible environment. Even if the wastes are exhumed and treated, a long-term barrier may still be needed to adequately dispose of the treated wastes or any remaining waste residuals. Currently, no {open_quotes}proven{close_quotes} long-term barrier is available. The Hanford Site Permanent Isolation Surface Barrier Development Program (BDP) was organized to develop the technology needed to provide a long-term surface barrier capability for the Hanford Site. The permanent isolation barrier technology also could be used at other sites. Permanent isolation barriers use engineered layers of natural materials to create an integrated structure with redundant protective features. Drawings of conceptual permanent isolation surface barriers are shown. The natural construction materials (e.g., fine soil, sand, gravel, riprap, asphalt) have been selected to optimize barrier performance and longevity. The objective of current designs is to use natural materials to develop a maintenance-free permanent isolation surface barrier that isolates wastes for a minimum of 1,000 years by limiting water drainage to near-zero amounts; reducing the likelihood of plant, animal, and human intrusion; controlling the exhalation of noxious gases; and minimizing erosion-related problems.

  8. Surgical mission planning in the developing world.

    PubMed

    McClenaghan, F; Fell, M; Martin, D; Smith, G; McGurk, M

    2013-12-01

    Surgical missions to the developing world have been criticized for their lack of outcome analysis. Reported studies indicate a high rate of postoperative complications. An integrated pathway developed for surgical missions and a report of its performance in action is presented herein. Patients were optimized for surgery by a medical team from the UK for a minimum of 14 days preoperatively. They were then transferred to hospital for surgery and returned when stable. At the completion of the mission a junior doctor remained behind for 3 weeks to chart the patients' progress. Thirty case patients were treated over a 2-week period. The complication rate at 3 weeks postoperatively was 7/30. Twenty-two operations were classified as complex (over 1h with more than one flap) and eight as simple (under 1h with minimal flaps). Of those undergoing the simple operations, 2/8 encountered complications at an average of 5 days postoperatively (range 3-7 days). Many medical teams depart in an elevated atmosphere of accomplishment, which without an outcome analysis gives a false impression of their positive impact. Outcome analysis is essential to honestly appraise the effect of surgical missions. Copyright © 2013 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  9. Development of an expert planning system for OSSA

    NASA Technical Reports Server (NTRS)

    Groundwater, B.; Lembeck, M. F.; Sarsfield, L.; Diaz, Alphonso

    1988-01-01

    This paper presents concepts related to preliminary work for the development of an expert planning system for NASA's Office for Space Science and Applications (OSSA). The expert system will function as a planner's decision aid in preparing mission plans encompassing sets of proposed OSSA space science initiatives. These plans in turn will be checked against budgetary and technical constraints and tested for constraint violations. Appropriate advice will be generated by the system for making modifications to the plans to bring them in line with the constraints. The OSSA Planning Expert System (OPES) has been designed to function as an integral part of the OSSA mission planning process. It will be able to suggest a best plan, be able to accept and check a user-suggested strawman plan, and should provide a quick response to user request and actions. OPES will be written in the C programming language and have a transparent user interface running under Windows 386 on a Compaq 386/20 machine. The system's sorted knowledge and inference procedures will model the expertise of human planners familiar with the OSSA planning domain. Given mission priorities and budget guidelines, the system first sets the launch dates for each mission. It will check to make sure that planetary launch windows and precursor mission relationships are not violated. Additional levels of constraints will then be considered, checking such things as the availability of a suitable launch vehicle, total mission launch mass required vs. the identified launch mass capability, and the total power required by the payload at its destination vs. the actual power available. System output will be in the form of Gantt charts, spreadsheet hardcopy, and other presentation quality materials detailing the resulting OSSA mission plan.

  10. Development of an expert planning system for OSSA

    NASA Technical Reports Server (NTRS)

    Groundwater, B.; Lembeck, M. F.; Sarsfield, L.; Diaz, Alphonso

    1988-01-01

    This paper presents concepts related to preliminary work for the development of an expert planning system for NASA's Office for Space Science and Applications (OSSA). The expert system will function as a planner's decision aid in preparing mission plans encompassing sets of proposed OSSA space science initiatives. These plans in turn will be checked against budgetary and technical constraints and tested for constraint violations. Appropriate advice will be generated by the system for making modifications to the plans to bring them in line with the constraints. The OSSA Planning Expert System (OPES) has been designed to function as an integral part of the OSSA mission planning process. It will be able to suggest a best plan, be able to accept and check a user-suggested strawman plan, and should provide a quick response to user request and actions. OPES will be written in the C programming language and have a transparent user interface running under Windows 386 on a Compaq 386/20 machine. The system's sorted knowledge and inference procedures will model the expertise of human planners familiar with the OSSA planning domain. Given mission priorities and budget guidelines, the system first sets the launch dates for each mission. It will check to make sure that planetary launch windows and precursor mission relationships are not violated. Additional levels of constraints will then be considered, checking such things as the availability of a suitable launch vehicle, total mission launch mass required vs. the identified launch mass capability, and the total power required by the payload at its destination vs. the actual power available. System output will be in the form of Gantt charts, spreadsheet hardcopy, and other presentation quality materials detailing the resulting OSSA mission plan.

  11. Strategic Plan for Light Water Reactor Research and Development

    SciTech Connect

    2004-02-01

    The purpose of this strategic plan is to establish a framework that will allow the Department of Energy (DOE) and the nuclear power industry to jointly plan the nuclear energy research and development (R&D) agenda important to achieving the Nation's energy goals. This strategic plan has been developed to focus on only those R&D areas that will benefit from a coordinated government/industry effort. Specifically, this plan focuses on safely sustaining and expanding the electricity output from currently operating nuclear power plants and expanding nuclear capacity through the deployment of new plants. By focusing on R&D that addresses the needs of both current and future nuclear plants, DOE and industry will be able to take advantage of the synergism between these two technology areas, thus improving coordination, enhancing efficiency, and further leveraging public and private sector resources. By working together under the framework of this strategic plan, DOE and the nuclear industry reinforce their joint commitment to the future use of nuclear power and the National Energy Policy's goal of expanding its use in the United States. The undersigned believe that a public-private partnership approach is the most efficient and effective way to develop and transfer new technologies to the marketplace to achieve this goal. This Strategic Plan is intended to be a living document that will be updated annually.

  12. Psychological predictors of short- and medium term outcome in individuals with idiopathic environmental intolerance (IEI) and individuals with somatoform disorders.

    PubMed

    Bailer, Josef; Witthöft, Michael; Rist, Fred

    2008-01-01

    Idiopathic environmental intolerance (IEI), also known as multiple chemical sensitivity (MCS), is defined as a chronic polysymptomatic condition that cannot be explained by an organic disease. Previous studies suggest that IEI may be a variant of somatoform disorders (SFD), because both disorders overlap with respect to symptoms and psychological features of somatization. However, little is known about the short- and medium-term outcome of IEI and psychological outcome predictors. Two clinical groups (IEI and SFD) and a comparison group (CG) were followed through 32 mo to assess both the outcome, and the extent to which trait anxiety and somatic symptom attribution (assessed at first examination) predict outcome presented 12 and 32 mo later. Outcome measures were the number of self-reported IEI symptoms, IEI triggers, IEI-associated functional impairments, and the number of somatoform symptoms. In addition, the course of the 2 syndromes over the 32-mo follow-up period was investigated with standardized screening scales. The 3 diagnostic groups consisted of 46 subjects with IEI, 38 subjects with SFD but without IEI, and 46 subjects (CG) with neither IEI nor SFD. Syndrome stability was high over the 32-mo follow-up period, and at both follow-ups IEI and non-IEI subjects differed on all IEI outcome measures (symptoms, triggers, functional impairments). Both trait anxiety and somatic attribution (the tendency to attribute common somatic complaints to an illness) predicted outcome. In addition, somatic attribution was found to partially mediate the effect of trait anxiety on outcome in the IEI group. In conclusion, these results suggest that IEI is a chronic and disabling condition and that trait anxiety contributes to the maintenance of the disorder via somatic attributions.

  13. Temporal evolution in PPCP removal from urban wastewater by constructed wetlands of different configuration: a medium-term study.

    PubMed

    Reyes-Contreras, Carolina; Hijosa-Valsero, María; Sidrach-Cardona, Ricardo; Bayona, Josep M; Bécares, Eloy

    2012-06-01

    Pharmaceuticals and personal care products (PPCPs) are widely distributed in urban wastewaters and can be removed to some extent by constructed wetlands (CWs). The medium-term (3-5 years) behaviour of these systems regarding PPCP removal is still unknown. Seven mesocosm-scale (1 m(2)) CWs of different configurations were operated outdoors for 39 months under the same conditions to assess their PPCP removal ability and temporal evolution. CWs differed in some design parameters, namely plant presence, species chosen (Typha angustifolia vs Phragmites australis), flow configuration and presence/absence of gravel bed (floating macrophytes surface flow, FM-SF; free-water surface flow, FW-SF; free-water subsurface flow, FW-SSF; or conventional horizontal subsurface flow, SSF). PPCP efficiencies decreased throughout time and performance differences among CWs disappeared with the systems aging. This could be due to a homogenization process in the systems caused by detrimental factors like saturation, clogging and shading. Winter efficiencies were lower than summer ones for salicylic acid, caffeine, methyl dihydrojasmonate, galaxolide and tonalide, and seasonal biological activities seem key factors to explain this fact. Maximal removal efficiencies were achieved in an unplanted-FW-SSF for ketoprofen (47-81%), naproxen (58-81%) and salicylic acid (76-98%); in an unplanted-SSF for caffeine (65-99%); in a Phragmites-FM-SF for ibuprofen (49-96%) and diclofenac (16-68%); in a Typha-FM-SF for carbamazepine (35-71%); and in a Typha-FW-SSF for methyl dihydrojasmonate (71-96%), galaxolide (67-82%) and tonalide (55-74%). Photodegradation could be involved in ketoprofen, naproxen, ibuprofen and diclofenac removal. Carbamazepine and diclofenac were moderately removed by the most efficient CWs studied. Carbamazepine might be eliminated by vegetal uptake.

  14. Variations of solar UV irradiance related to short-term and medium-term changes of solar activity

    NASA Astrophysics Data System (ADS)

    Troshichev, O. A.; Gabis, I. P.

    1998-09-01

    Index of variability of the solar ultraviolet (UV) radiation, the composite Mg II core-to-wing ratio, has been used to study relationship between the short-term (τ<27days) changes of solar activity and solar UV irradiance. Such manifestations of the solar activity have been examined, as the solar central meridian passage of active regions, the solar proton events, and the central meridian passage of hypothetical regions responsible for the Forbush decrease in the galactic cosmic rays. Our results show that all these short-term changes of the solar activity are accompanied by an increase of the solar UV irradiance. The interplanetary magnetic field sector structure is also related to changes in the UV irradiance. After a proper adjustment of the dates of the sector boundary occurrence for the solar disk, the irradiance was found to be maximal on the toward/away boundary and minimal on the away/toward boundary. It has been found that the UV irradiance undergoes quasi-biennial periodicity (QBP), reaching maximum in years of the east QBP phase and decreasing in years of the west QBP phase. Superposition of the quasi-biennial periodicity and effects connected with short-term variations in the solar activity account for the change of the Mg II index up to 2% of the mean level. Thus a new very important agent was found to be responsible for a short-term and medium-term influence of the solar activity upon atmospheric processes and hence on the weather and climate.

  15. [Medium-term outcome, follow-up, and quality of life in children treated for type III esophageal atresia].

    PubMed

    Lepeytre, C; De Lagausie, P; Merrot, T; Baumstarck, K; Oudyi, M; Dubus, J-C

    2013-10-01

    The aim of this study was to evaluate the medium-term outcome (health status, medical and surgical French National Health Authority-recommended follow-up, and quality of life) of children born with type III esophageal atresia (EA). Previous events (during the perinatal period, associated abnormalities, respiratory and digestive complications) of children treated for type III EA at the Marseille university hospitals between 1999 and 2009 were noted. Parents completed a standardized questionnaire concerning the health of their children during the previous year, and a quality-of-life questionnaire (PedsQL 4.0) was also completed by children aged more than 8 years. Among the 68 children treated, 44 responded to our solicitation (mean age, 7.6 years; range, 3-12.8 years). Previous important events were : pneumonia(s) (65%), asthma before the age of 3 years (66%), hospitalization for a respiratory event (45%), fundoplication (20%), and esophageal dilatation (45%). We noted current chronic cough (16%), asthma (30%), dysphagia (39%), and symptomatic gastroesophageal reflux (9%). National guidelines were not respected, except for the surgical indications in children aged less than 6 years. The quality-of-life scores (n=43 children) were similar to healthy controls but were negatively influenced by a gastrostomy procedure (P=0.020), pneumonia (P=0.013), and hospitalization due to a respiratory event (P=0.006) or a digestive event (P=0.010), and also by current asthma (P=0.004). In conclusion, despite recurrent respiratory or digestive symptoms and inadequate recommended follow-up, the quality of life of children treated for type III of EA is good. Copyright © 2013. Published by Elsevier SAS.

  16. Medium term outcome of bipolar plasma vaporization in prostate cancer patients – A palliative modality of preserving spontaneous voiding

    PubMed Central

    Geavlete, B; Moldoveanu, C; Niţă, G; Stănescu, F; Jecu, M; Geavlete, P

    2012-01-01

    Objectives:This retrospective analysis evaluated the efficiency, safety, and medium term postoperative results of bipolar plasma vaporization (BPV) in prostate cancer (PCa) cases associating complete urinary retention. Materials and Methods: A series of 40 patients diagnosed with locally advanced or metastatic PCa and complete urinary retention requiring a Foley catheter indwelling underwent BPV aiming to restore spontaneous voiding. A total of 35 patients completed the one year evaluation protocol consisting of International Prostate Symptom Score (IPSS), quality of life score (QoL), maximum flow rate (Qmax) and post-voiding residual urinary volume (PVR), measured at 1, 3, 6 and 12 months after surgery. Results: BPV was successfully performed in all cases with satisfactory efficiency, as confirmed by the mean operation time (42.8 minutes) and hemoglobin drop (0.7 g/dl). A fast and safe postoperative recovery period was described in this series (hematuria rate – 7.5%; mean catheterization period – 36 hours; mean hospital stay – 2.5 days; early-irritative symptoms’ rate – 15%). At 1, 3, 6 and 12 months, satisfactory values were determined in terms of IPSS, Qmax, QoL and PVR. These parameters emphasized a stable evolution throughout the entire follow-up, as 88.6% of the patients maintained spontaneous voiding. Conclusions: The present trial confirmed the plasma-button vaporization as a promising therapeutic approach in PCa cases associating complete urinary retention. The technique displayed good efficacy, low perioperative morbidity, short convalescence, and satisfactory urodynamics and symptom score parameters during the one-year follow-up period. Abbreviations: BPV – bipolar plasma vaporization; PCa – prostate cancer; TURP – transurethral resection of the prostate; BPH – benign prostatic hyperplasia; BOO – bladder outlet obstruction; LUTS – lower urinary tract symptoms; IPSS – International Prostate Symptom Score; QoL – quality of life

  17. Medium-term results of the Bernese periacetabular osteotomy in the treatment of symptomatic developmental dysplasia of the hip.

    PubMed

    Garras, D N; Crowder, T T; Olson, S A

    2007-06-01

    We studied the medium-term outcome of the Bernese periacetabular osteotomy in 52 patients (58 hips) with symptomatic developmental dysplasia of the hip and a mean age of 37.6 years (13 to 48). The operations were performed between 1993 and 2005 by the senior author with a mean follow-up of 66.7 months (13 to 153). There were 42 women (47 hips) and ten men (11 hips). Of these patients, 24 (30 hips) had an osteotomy on the right side and 22 (28 hips) on the left. Six patients had bilateral operations. The clinical outcome was assessed using the modified Merle d'Aubigne scale, and pre- and post-operative radiological evaluation using the modified Tonnis osteoarthritis score, the centre-edge angle, the acetabular index, the status of Shenton's line, and the cross-over sign. The mean centre-edge angle and the acetabular index were 14 degrees (2 degrees to 34 degrees ) and 23.6 degrees (0 degrees to 40 degrees ) before operation, and 36.6 degrees (16 degrees to 72 degrees ) and 7.9 degrees (0 degrees to 28 degrees ) after, respectively (p < 0.001, analysis of variance (ANOVA)). Shenton's line was intact in 23 hips (39.6%) before operation and in 48 hips (82.8%) after. The cross-over sign was present in 31 hips (53.4%) before and in three hips (5.2%) after operation (p < 0.001, ANOVA). The total Merle d'Aubigne clinical score improved from a mean of 12.6 (9 to 15) to 16.0 (12 to 18) points (p < 0.001, ANOVA). Only four hips required subsequent total hip replacement. Our results indicate that the Bernese periacetabular osteotomy provides good symptomatic relief for patients with little to no arthritis (Tonnis type 0 or 1) with an underlying deformity that can be corrected to a position of a stable, congruent hip joint.

  18. Prosthesis-patient mismatch in bovine pericardial aortic valves: evaluation using 3 different modalities and associated medium-term outcomes.

    PubMed

    Chacko, Satish Jacob; Ansari, Asimul H; McCarthy, Patrick M; Malaisrie, S Chris; Andrei, Adin-Cristian; Li, Zhi; Lee, Richard; McGee, Edwin; Bonow, Robert O; Puthumana, Jyothy J

    2013-09-01

    The prevalence of prosthesis-patient mismatch (PPM) and its impact on survival after aortic valve replacement have not been clearly defined. Historically, the presence of PPM was identified from postoperative echocardiograms or preoperative manufacturer-provided charts, resulting in wide discrepancies. The 2009 American Society of Echocardiography (ASE) guidelines proposed an algorithmic approach to calculate PPM. This study compared PPM prevalence and its impact on survival using 3 modalities: (1) the ASE guidelines-suggested algorithm (ASE PPM); (2) the manufacturer-provided charts (M PPM); and (3) the echocardiographically measured, body surface area-indexed, effective orifice area (EOAi PPM) measurement. A total of 614 patients underwent aortic valve replacement with bovine pericardial valves from 2004 to 2009 and had normal preoperative systolic function. EOAi PPM was severe if EOAi was ≤ 0.60 cm(2)/m(2), moderate if EOAi was 0.60 to 0.85 cm(2)/m(2), and absent (none) if EOAi was ≥ 0.85 cm(2)/m(2). ASE PPM was severe in 22 (3.6%), moderate in 6 (1%), and absent (none) in 586 (95.4%). ASE PPM was similar to manufacturer-provided PPM (P=1.00). ASE PPM differed significantly from EOAi PPM (P<0.001), which identified severe mismatch in 170 (29.7%), moderate in 191 (33.4%), and absent (none) in 211 patients (36.9%). Irrespective of the PPM classification method, PPM did not adversely affect midterm survival (average follow-up, 4.1 ± 1.8 years; median, 3.9 years; range, 0.01-8 years). There were no reoperations for PPM. In patients with normal systolic function undergoing bovine pericardial aortic valve replacement, the prevalence of PPM using the algorithmic-ASE approach was low and correlated well with manufacturer-provided PPM. Independent of the method of PPM assessment, PPM was not associated with medium-term mortality.

  19. An accelerated fusion power development plan

    NASA Astrophysics Data System (ADS)

    Dean, Stephen O.; Baker, Charles C.; Cohn, Daniel R.; Kinkead, Susan D.

    1991-06-01

    Energy for electricity and transportation is a national issue with worldwide environmental and political implications. The world must have energy options for the next century that are not vulnerable to possible disruption for technical, environmental, public confidence, or other reasons. Growing concerns about the greenhouse effect and the safety of transporting oil may lead to reduced burning of coal and other fossil fuels, and the incidents at Three Mile Island and Chernobyl, as well as nuclear waste storage problems, have eroded public acceptance of nuclear fission. Meeting future world energy needs will require improvements in energy efficiency and conservation. However, the world will soon need new central station power plants and increasing amounts of fuel for the transportation sector. The use of fossil fuels, and possibly even fission power, will very likely be restricted because of environmental, safety, and, eventually, supply considerations. Time is running out for policymakers. New energy technologies cannot be brought to the marketplace overnight. Decades are required to bring a new energy production technology from conception to full market penetration. With the added urgency to mitigate deleterious environmental effects of energy use, policymakers must act decisively now to establish and support vigorous energy technology development programs. The U.S. has invested 8 billion over the past 40 years in fusion research and development. If the U.S. fusion program proceeds according to its present strategy, an additional 40 years, and more money, will be expended before fusion will provide commercial electricity. Such an extended schedule is neither cost-effective nor technically necessary. It is time to launch a national venture to construct and operate a fusion power pilot plant. Such a plant could be operational within 15 years of a national commitment to proceed.

  20. Draft Plan for Development of the Integrated Science ...

    EPA Pesticide Factsheets

    EPA has announced a draft development plan for the next Integrated Science Assessment (ISA) for the health effects of nitrogen oxides (NOX) which will serve as the scientific basis for review of the primary (health-based) National Ambient Air Quality Standard for nitrogen dioxide. The ISA is intended to provide a comprehensive assessment of the current scientific literature pertaining to known and anticipated effects on public health associated with the NOX in the ambient air. The Preamble that has been included in previous ISAs is provided here as a resource for review of the ISA development plan, since it describes the general processes for ISA development. The purpose of this draft document is to communicate the plan for the development of the Integrated Science Assessment (ISA) for the health effects of nitrogen oxides (NOX), which will provide a comprehensive assessment of the current scientific literature pertaining to known and anticipated effects on public health associated with the NOX in the ambient air.

  1. Demographic, employment and development trends: the need for integrated planning.

    PubMed

    Farooq, G M; Mackellar, F L

    1990-01-01

    "The authors contend that problems associated with rapid demographic growth in developing countries have to be tackled through comprehensive population and human resource planning. Linkages between population and development are especially close in the area of labour markets. Following a discussion of the impacts of demographic factors on labour supply, labour demand and migration, the article proposes a practical framework in which population and human resource development plans may be operationalised. The concluding section briefly discusses the emerging area of population policy formulation and implementation."

  2. Detection of initiation activity of 1,2-dimethylhydrazine in in vivo medium-term liver initiation assay system using 4-week-old rats without hepatocellular proliferative stimuli during the test chemical treatment period.

    PubMed

    Asaoka, Yoshiji; Sakai, Hiroki; Hirata, Akihiro; Sasaki, Jun; Goryo, Masanobu; Miyamoto, Yohei; Yanai, Tokuma; Masegi, Toshiaki; Okada, Kosuke

    2010-01-01

    We have developed an in vivo medium-term liver initiation assay system to detect initiation activities of chemicals on multi-organ carcinogenesis. However, cell proliferation stimuli during the test chemical treatment period, required in the previously used assay models using adult rats, are laborious; moreover, those cause decrease of hepatic metabolic enzymes and psychological and physical discomfort to animals resulting in inaccurate interpretation. Therefore, we investigated the utility of another in vivo medium-term liver initiation assay model using 4-week-old rats without the cell proliferation stimuli. In this study, we confirmed that 4-week-old and 4.5-week-old male rats have high hepatocyte proliferation activity and similar enzyme activities of hepatic Cytochrome P450 subtypes as compared with 8-week-old male rats. Next, the in vivo medium-term liver initiation assay model using 4-week-old rats without cell proliferation stimuli was evaluated for the detection of the initiation activity of 1,2-dimethylhydrazine (DMH), which is a well-known genotoxic carcinogen. Four-week-old rats were orally administered DMH (single dose, 4 or 16 mg/kg; or 4-day repeat, 1 or 4 mg/kg); subsequently, these rats were treated promotion treatment consisted of administration of 2-acetylaminofluorene and carbon tetrachloride. Four weeks after the first DMH administration, the glutathione S-transferase placental form (GST-P)-positive foci induced by DMH in the liver was measured immunohistochemically. The inductions of GST-P-positive foci in all DMH-treated groups were dose-dependent, duration-dependent and significantly higher than that in non-DMH-treated group. From these results, our assay model was detected the initiation activity of DMH simply, and would be useful to evaluate the carcinogenicity of chemicals.

  3. Final Report - Development of a Strategic Energy Plan

    SciTech Connect

    Maracas, Kate; Hooks, Todd

    2006-11-30

    The Agua Caliente Band of Cahuilla Indians was awarded a grant under the U.S. Department of Energy’s (“DOE”) Tribal Energy Program to develop a comprehensive Tribal energy plan. The grant, awarded under DOE’s First Steps program, supported the development of a strategic energy plan that integrates with the Tribe’s overall planning and economic development goals, and aligns with Tribal cultural, social, political, and spiritual values. The Tribe set out to incorporate its energy plan into (i) a broader economic development strategy developed by investigators at the University of California at Riverside, and (ii) the overarching goals for job-creation and wealth-creation that are held by both the Tribe and the surrounding Coachella Valley. With these wide-ranging objectives in mind, the Tribe and its consultant, Red Mountain Energy Partners, engaged in a phased approach to creating the strategic energy plan. As illustrated in Figure 1 below, the proposed approach involved both “serial” and “parallel” activities. The capacity-building component of this approach occurred throughout the duration of the project period.

  4. Formins in Development: Orchestrating Body Plan Origami

    PubMed Central

    Liu, Raymond; Linardopoulou, Elena V.; Osborn, Gregory E.; Parkhurst, Susan M.

    2009-01-01

    Formins, proteins defined by the presence of an FH2 domain and their ability to nucleate linear F-actin de novo, play a key role in the regulation of the cytoskeleton. Initially thought to primarily regulate actin, recent studies have highlighted a role for formins in the regulation of microtubule dynamics, and most recently have uncovered the ability of some formins to coordinate the organization of both the microtubule and actin cytoskeletons. While biochemical analyses of this family of proteins have yielded many insights into how formins regulate diverse cytoskeletal reorganizations, we are only beginning to appreciate how and when these functional properties are relevant to biological processes in a developmental or organismal context. Developmental genetic studies in fungi, Dictyostelium, vertebrates, plants and other model organisms have revealed conserved roles for formins in cell polarity, actin cable assembly and cytokinesis. However, roles have also been discovered for formins that are specific to particular organisms. Thus, formins perform both global and specific functions, with some of these roles concurring with previous biochemical data and others exposing new properties of formins. While not all family members have been examined across all organisms, the analyses to date highlight the significance of the flexibility within the formin family to regulate a broad spectrum of diverse cytoskeletal processes during development. PMID:18996154

  5. Planning and Development of Lab Training Activities for Powerline Communications

    ERIC Educational Resources Information Center

    Drosopoulos, A.; Hatziprokopiou, M.

    2010-01-01

    This paper discusses the planning and development of student training and activities for the Powerline Communications Laboratory at the Technical Education Institute (TEI), Patras, Greece. Powerline communications is currently an active area of research and development that combines three separate specializations from the standard training of…

  6. Planning and Development of Lab Training Activities for Powerline Communications

    ERIC Educational Resources Information Center

    Drosopoulos, A.; Hatziprokopiou, M.

    2010-01-01

    This paper discusses the planning and development of student training and activities for the Powerline Communications Laboratory at the Technical Education Institute (TEI), Patras, Greece. Powerline communications is currently an active area of research and development that combines three separate specializations from the standard training of…

  7. Teachers' Beliefs about Using a Professional Development Plan

    ERIC Educational Resources Information Center

    Janssen, Sandra; Kreijns, Karel; Bastiaens, Theo J.; Stijnen, Sjef; Vermeulen, Marjan

    2013-01-01

    Professional development plans (PDPs) have recently been introduced in Dutch schools to support teachers' professional development. However, teachers' beliefs regarding the use of PDPs have not been systematically researched, whereas research on the use of PDPs indicates that the implementation is not always successful and depends on how use is…

  8. Student Success and Development at Hutchinson Community College: Future Plans.

    ERIC Educational Resources Information Center

    Coplen, Mary; And Others

    Chickering's model of student development is based on two assumptions: (1) the primary function of higher education is to encourage student development; and (2) the most effective programs provide opportunities for close and sustained relationships between students and faculty in which students are actively involved in planning and carrying out…

  9. Personal Development Plans: Insights from a Case Based Approach

    ERIC Educational Resources Information Center

    Greenan, Peter

    2016-01-01

    Purpose: In light of contemporary shifts away from annual appraisals, this study aims to explore the implications of using a personal development plan (PDP) as a means of focussing on continuous feedback and development to improve individual performance and ultimately organisational performance. Design/methodology/approach: Data were collected…

  10. Development Planning in Southeast Asia: Role of the University.

    ERIC Educational Resources Information Center

    Hoong, Yip Yat, Ed.

    The first volume in a series of three, this report relates the in-depth studies of development planning in four Southeast Asian countries: Singapore, Malaysia, South Vietnam, and the Philippines. The studies examined the ways in which universities are assisting and can assist more in the formulation and implementation of national development plans…

  11. Development Planning in Southeast Asia: Role of the University.

    ERIC Educational Resources Information Center

    Hoong, Yip Yat, Ed.

    The first volume in a series of three, this report relates the in-depth studies of development planning in four Southeast Asian countries: Singapore, Malaysia, South Vietnam, and the Philippines. The studies examined the ways in which universities are assisting and can assist more in the formulation and implementation of national development plans…

  12. National negative-ion-based neutral-beam development plan

    SciTech Connect

    Cooper, W.S.; Pyle, R.V.

    1983-08-01

    The plan covers facilities required, program milestones, and decision points. It includes identification of applications, experiments, theoretical research areas, development of specific technologies and reactor development and demonstration facilities required to bring about the successful application of negative-ion-based neutral beams. Particular emphasis is placed on those activities leading to use on existing plasma confinement experiments or their upgrades.

  13. Personal Development Plans: Insights from a Case Based Approach

    ERIC Educational Resources Information Center

    Greenan, Peter

    2016-01-01

    Purpose: In light of contemporary shifts away from annual appraisals, this study aims to explore the implications of using a personal development plan (PDP) as a means of focussing on continuous feedback and development to improve individual performance and ultimately organisational performance. Design/methodology/approach: Data were collected…

  14. Teachers' Beliefs about Using a Professional Development Plan

    ERIC Educational Resources Information Center

    Janssen, Sandra; Kreijns, Karel; Bastiaens, Theo J.; Stijnen, Sjef; Vermeulen, Marjan

    2013-01-01

    Professional development plans (PDPs) have recently been introduced in Dutch schools to support teachers' professional development. However, teachers' beliefs regarding the use of PDPs have not been systematically researched, whereas research on the use of PDPs indicates that the implementation is not always successful and depends on how use is…

  15. Developing & Innovating Education in Egypt: Policy & Plans. Implementation Programs.

    ERIC Educational Resources Information Center

    National Centre for Educational Research, Cairo (Egypt).

    Policies, plans, and programs for development and innovation in Egyptian education are discussed. Chapter 1 focuses on the fundamentals of general education in Egypt, examining fundamental traits of Egyptian society, local and international variables, general trends of educational development and innovation, traits and goals of future education,…

  16. 45 CFR 400.79 - Development of an employability plan.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 2 2013-10-01 2012-10-01 true Development of an employability plan. 400.79 Section 400.79 Public Welfare Regulations Relating to Public Welfare OFFICE OF REFUGEE RESETTLEMENT... Requirements for Employability Services and Employment General Requirements § 400.79 Development of an...

  17. Professional Development Planning: A Self-Directed Approach.

    ERIC Educational Resources Information Center

    Lamble, Wayne

    1983-01-01

    Presents an overview of a self-directed approach to professional development. Describes the major components as self-assessment of professional strengths and learning needs, planning, and organizing activities and records for professional development. Gives reasons for, benefits from, and requirements of a self-directed approach. (Availability:…

  18. External-to-Internal Iliac Stent-Graft: Medium-Term Patency Following Exclusion of a Retrogradely Perfused Common Iliac Aneurysm

    SciTech Connect

    Nicholls, Marcus John; McPherson, Simon

    2010-08-15

    Following complicated aortic aneurysm surgery a complete left iliac occlusion resulted in buttock claudication. A retrogradely perfused right common iliac aneurysm expanded. Exclusion was by external-to-internal iliac stent-graft. No deterioration in claudication occurred with medium-term stent-graft patency.

  19. Tracking the Short Term Planning (STP) Development Process

    NASA Technical Reports Server (NTRS)

    Price, Melanie; Moore, Alexander

    2010-01-01

    Part of the National Aeronautics and Space Administration?s mission is to pioneer the future in space exploration, scientific discovery and aeronautics research is enhanced by discovering new scientific tools to improve life on earth. Sequentially, to successfully explore the unknown, there has to be a planning process that organizes certain events in the right priority. Therefore, the planning support team has to continually improve their processes so the ISS Mission Operations can operate smoothly and effectively. The planning support team consists of people in the Long Range Planning area that develop timelines that includes International Partner?s Preliminary STP inputs all the way through to publishing of the Final STP. Planning is a crucial part of the NASA community when it comes to planning the astronaut?s daily schedule in great detail. The STP Process is in need of improvement, because of the various tasks that are required to be broken down in order to get the overall objective of developing a Final STP done correctly. Then a new project came along in order to store various data in a more efficient database. "The SharePoint site is a Web site that provides a central storage and collaboration space for documents, information, and ideas."

  20. Thinking around the corner: the development of planning abilities.

    PubMed

    Kaller, Christoph P; Rahm, Benjamin; Spreer, Joachim; Mader, Irina; Unterrainer, Josef M

    2008-08-01

    The ability to plan and search ahead is essential for problem solving in most situations in everyday life. To investigate the development of planning and related processes, a sample of four- and five-year-old children was examined in a variant of the Tower of London, a frequently used neuropsychological assessment tool of planning abilities. The applied problems either required searching ahead for optimal solution or were solvable by pure step-by-step forward processing. Furthermore, the ambiguity of subgoal ordering was varied. Results revealed an age-related effect of search depth: the four-year olds' planning accuracy was particularly decreased in problems demanding search ahead, while five-year olds mastered both problem types equally well. Interestingly, this interaction between age and search depth could not be accounted for by measures of working memory and inhibition. Differential effects of age were also found for subgoal ordering with respect to initial planning and movement execution times. In sum, planning abilities showed considerable development during late kindergarten age that appeared to be specifically associated with the integration and back-validation of the anticipated consequences of internally modeled actions. The present study demonstrates that a careful consideration of problem structure may greatly enhance the insights gained from the application of a routinely used assessment tool, the Tower of London. This may be especially advantageous when addressing specific subpopulations such as children or clinical samples.

  1. DEVELOPMENT OF INTEGRATED RAILWAY LINEAR PLAN SUPPORT SYSTEM

    NASA Astrophysics Data System (ADS)

    Kobayashi, Mitsuaki; Horii, Hironobu

    A rail alignment has a great effect on travelling performance, speed, and time. We have developed a total system of rail alignment planning powered by a coordinate calculation program of line shapes, CAD, 3D simulation technology, which makes it possible to plan rail tracks by a graphical user interface for the people who posess a certain level of knowledge about a rail alignment. This system has functions of 2D design (plane line shape calculation, layout of turnouts), longitudinal section profile design (vertical line shape calculation), and cross section profile design of rail tracks. It also enables to check the rail track construction gauge and plan a rail track structure in a 3D view. These functions facilitated a simulation with accurate coordinate calculation results and made high-quality rail alignment planning effective.

  2. Geothermal resource area 9: Nye County. Area development plan

    SciTech Connect

    Pugsley, M.

    1981-01-01

    Geothermal Resource area 9 encompasses all of Nye County, Nevada. Within this area there are many different known geothermal sites ranging in temperature from 70/sup 0/ to over 265/sup 0/ F. Fifteen of the more major sites have been selected for evaluation in this Area Development Plan. Various potential uses of the energy found at each of the resource sites discussed in this Area Development Plan were determined after evaluating the area's physical characteristics, land ownership and land use patterns, existing population and projected growth rates, and transportation facilities, and comparing those with the site specific resource characteristics. The uses considered were divided into five main categories: electrical generation, space heating, recreation, industrial process heat, and agriculture. Within two of these categories certain subdivisions were considered separately. The findings about each of the 15 geothermal sites considered in this Area Development Plan are summarized.

  3. The Elmira Plan. Planning, Implementing and Sustaining a Comprehensive Professional Staff Development Program.

    ERIC Educational Resources Information Center

    Arikian, John A.

    The staff development program of the Elmira City School District, New York, is designed to assist teachers in teaching to the specific objectives of the curriculum, and to ensure that teachers have the requisite knowledge and skills to accomplish this. The plan provides an opportunity for every teacher, building administrator, and the…

  4. Planning Education in Relation to Rural Development. Fundamentals of Educational Planning -- 21.

    ERIC Educational Resources Information Center

    Coverdale, G. M.

    Assuming that schools, colleges, and adult education programs cannot alone produce significant rural improvement in developing nations, this booklet presents argument for educational policy that is part of a total planned rural policy and that incorporates an indirect rural bias. It is argued that if education with a rural bias is to be acceptable…

  5. Graduate Curriculum Development for Social Planning Specialization in Urban and Regional Planning. Final Report.

    ERIC Educational Resources Information Center

    McClure, Edward E.; Graetz, Robert E.

    A model curriculum in social planning at the graduate level has been developed and tested as an area of study at Florida State University (FSU). The project, which lasted from early 1967 through the summer of 1968, involved (1) a workshop to review the educational needs that should be met by the proposed curriculum, (2) a second workshop that…

  6. A comparison of medium-term survival between peritoneal dialysis and haemodialysis in accordance with the initial vascular access.

    PubMed

    García-Cantón, César; Rufino-Hernández, Juana M; Vega-Díaz, Nicanor; Pérez-Borges, Patricia; Bosch-Benítez-Parodi, Elvira; Saavedra, Pedro; García-Gómez, Carolina; Marrero-Robayna, Silvia; Maceira-Cruz, Benito; Rodríguez-Pérez, José C; Checa-Andrés, M Dolores

    2013-01-01

    A study published in 2011 showed that patients in the Canary Islands, who were incident in peritoneal dialysis (PD) had better survival than those who were incident in hemodialysis (HD). Since initiating hemodialysis with central venous catheter is associated with worse prognosis, it would be possible that the initial vascular access influences the results of survival comparison between both groups. To conduct a comparative medium-term survival study of patients incident in renal replacement therapy with different modalities in our community, classifying those incident in hemodialysis according to the initial vascular access: established arteriovenous vascular access or central venous catheter. Retrospective longitudinal cohort study including all patients who were incident in renal replacement therapy between January 2005 and December 2010, with follow-up until December 2011, in three large hospitals of the Canary Islands. Patients were classified according to the initial modality: PD, HD with established vascular access (HD-FAV) or HD with central venous catheter (HD-Cat). Kaplan-Meier survival curves were estimated for each group and a Cox proportional hazards survival model was used to estimate relative mortality risk for DP as compared to HD-FAV and HD-Cat, adjusting for age and Charlson comorbidity index. An equivalent analysis was then conducted on subgroups defined by age or by the presence of diabetes. 1110 patients were included, with a median age of 63 years, 56% of them were diabetic. A Kaplan-Meier analysis showed better survival for PD (66 months) as compared to HD-Cat (41 months), Log Rank p<.001, with no difference between DP and HD-FAV (67 months). Cox regression RR of mortality for HD-Cat versus PD was 2.270 (1.573-3.276); p<.001; no differences were found between HD-FAV and PD patients 0.993 (0.646-1.525) n.s. Subgroup analysis showed equivalent results for diabetic and non-diabetic patients as well as for younger or older ones. better survival

  7. Goal Planning and Pursuit: Mobile Application Development and Evaluation

    DTIC Science & Technology

    2016-08-01

    to maintain the balance between mission accomplishment and their career - and self- development needs. To address the need for continuous learning...Research Report 2000 Goal Planning and Pursuit: Mobile Application Development and Evaluation Jeff Horey ICF...Pursuit: Mobile Application Development and Evaluation 5a. CONTRACT NUMBER W5J9CQ-11-D-0002-0009 5b. GRANT NUMBER 5c. PROGRAM ELEMENT

  8. A medium-term gpt delta rat model as an in vivo system for analysis of renal carcinogenesis and the underlying mode of action.

    PubMed

    Matsushita, Kohei; Ishii, Yuji; Takasu, Shinji; Kuroda, Ken; Kijima, Aki; Tsuchiya, Takuma; Kawaguchi, Hiroaki; Miyoshi, Noriaki; Nohmi, Takehiko; Ogawa, Kumiko; Nishikawa, Akiyoshi; Umemura, Takashi

    2015-01-01

    The kidney is a major target site of chemical carcinogenesis. However, a reliable in vivo assay for rapid identification of renal carcinogens has not been established. The purpose of this study was to develop a new medium-term gpt delta rat model (the GNP model) to facilitate identification of renal carcinogens. In this model, we carried out an in vivo mutation assay using unilaterally nephrectomized kidney tissue and a tumor-promoting assay using residual kidney tissue, with diethylnitrosamine (DEN) as the renal tumor initiator. To clarify the optimal time of DEN injection after nephrectomy, time-dependent changes in bromodeoxyuridine-labeling indices in the tubular epithelium of nephrectomized rats were examined. The optimal dose of DEN injection and sufficient duration of subsequent nitrilotriacetic acid treatment were determined for detection of renal preneoplastic lesions. The standard protocol for the GNP model was determined as follows. Six-week-old female gpt delta rats were treated with test chemicals for 4 weeks, followed by a 2-week washout period, and 40 mg/kg DEN was administered intraperitoneally to initiate renal carcinogenesis. Unilateral nephrectomy was performed 48 h before DEN injection, followed by gpt assays using excised kidney tissues. One week after DEN injection, rats were further exposed to test chemicals for 12 weeks, and histopathological analysis of renal preneoplastic lesions was performed as an indicator of tumor-promoting activity in residual kidney tissue. Validation studies using aristolochic acid, potassium dibasic phosphate, phenylbutazone, and d-limonene indicated the reliability of the GNP model for predicting renal carcinogens and the underlying mode of action.

  9. Improvement and validation of a medium-term gpt delta rat model for predicting chemical carcinogenicity and underlying mode of action.

    PubMed

    Matsushita, Kohei; Kuroda, Ken; Ishii, Yuji; Takasu, Shinji; Kijima, Aki; Kawaguchi, Hiroaki; Miyoshi, Noriaki; Nohmi, Takehiko; Ogawa, Kumiko; Nishikawa, Akiyoshi; Umemura, Takashi

    2014-09-01

    We have developed a new medium-term animal model, "GPG", in which an in vivo mutation assay in partially hepatectomized tissue and a tumor-promoting assay were performed. The tumor-promoting assay measures glutathione S-transferase placental form positive foci induced by diethylnitrosamine (DEN) in the residual tissue. Given that a limitation of the original protocol is the potential interaction between the test chemical and DEN, the present study establishes a modified protocol that includes a test chemical washout period. Using CYP2E1 inhibitor and CYP1A or CYP2B inducers, a period of 2 weeks after cessation of exposure to the chemicals was confirmed to be sufficient to return their enzymatic activities to normal levels. Additionally, to avoid the effects of DEN on the pharmacokinetics of the test chemical, re-exposure to the test chemical started 1 week after DEN injection, in which tumor-promoting activities were clearly detected. Consequently, a modified protocol has been established with 2- and 1-week washout periods before and after DEN injection, respectively. The applicability of the modified protocol was demonstrated using the genotoxic hepatocarcinogen, estragole (ES), the genotoxic renal carcinogen, aristolochic acid (AA), and the non-genotoxic hepatocarcinogens, β-naphthoflavone and barbital. Furthermore, the increase of cell cycle-related parameters in ES-treated livers, but not in AA-treated livers, may indicate that the liver is not the carcinogenic target site of AA despite its genotoxic role. Thus, since various parameters related to carcinogenesis can be evaluated concurrently, the GPG model could be a rapid and reliable assay for the assessment of human cancer hazards.

  10. Plutonium Focus Area research and development plan. Revision 1

    SciTech Connect

    1996-11-01

    The Department of Energy (DOE) committed to a research and development program to support the technology needs for converting and stabilizing its nuclear materials for safe storage. The R and D Plan addresses five of the six material categories from the 94-1 Implementation Plan: plutonium (Pu) solutions, plutonium metals and oxides, plutonium residues, highly enriched uranium, and special isotopes. R and D efforts related to spent nuclear fuel (SNF) stabilization were specifically excluded from this plan. This updated plan has narrowed the focus to more effectively target specific problem areas by incorporating results form trade studies. Specifically, the trade studies involved salt; ash; sand, slag, and crucible (SS and C); combustibles; and scrub alloy. The plan anticipates possible disposition paths for nuclear materials and identifies resulting research requirements. These requirements may change as disposition paths become more certain. Thus, this plan represents a snapshot of the current progress and will continue to be updated on a regular basis. The paper discusses progress in safeguards and security, plutonium stabilization, special isotopes stabilization, highly-enriched uranium stabilization--MSRE remediation project, storage technologies, engineered systems, core technology, and proposed DOE/Russian technology exchange projects.

  11. Metacognitive planning: development and validation of an online measure.

    PubMed

    Li, Jian; Zhang, Bo; Du, Han; Zhu, Ze; Li, Yi Ming

    2015-03-01

    Planning is the critical first stage of metacognition. Although it has long been emphasized theoretically, it has not been the subject of much empirical study due to the lack of a valid assessment tool. Because planning is a metacognitive process, online methods that collect data during task performance would much better capture it. The present study was conducted to develop an online measure of metacognitive planning. Researchers designed a puzzle task that took the form of the popular game Sokoban, and the ratio between planning time and total time of each item was chosen as the metacognitive planning index. The task was administered to a heterogeneous sample of 440 participants composed of college students as well as 5th-, 7th-, and 10th-grade students. The results showed that valid inference could be made from the time ratio score. Cronbach's alpha and test-retest correlation provided robust evidence of reliability of the time ratio score. Confirmatory factor analysis further confirmed its unidimensionality. Validity evidence also supported the use of the time ratio score. After controlling for demographic variables, intelligence, and motivation, the time ratio score still accounted for a significant proportion of variance of Sokoban performance, the Tower of London performance, and academic achievement. The time ratio score was also found to increase with age. Taken together, the results of the study revealed that the time ratio is a psychometrically sound online measure of metacognitive planning. 2015 APA, all rights reserved

  12. Developing an emergency medical disaster plan for an airport.

    PubMed

    Pixley, J I

    1980-11-01

    The development of the Emergency Medical Disaster Plan for Minneapolis-St. Paul International Airport as a model for other major hub airports is discussed. Conformance with federal regulations and the need to closely coordinate activities with both on-airport personnel and off-airport facilities are considered and incorporated into the plan. Manpower sources are reviewed and methods are developed for the efficient handling and treatment of disaster victims. Essential services for an emergency are categorized and their responsibilities designated. Centers of control for support personnel and vehicles are established. Consideration is also given to the special requirements of friends and relatives of the victims and of the news media. Conducting disaster drills as a means to evaluate and improve the basis plan is also examined.

  13. Long life Regenerative Fuel Cell technology development plan

    NASA Technical Reports Server (NTRS)

    Littman, Franklin D.; Cataldo, Robert L.; Mcelroy, James F.; Stedman, Jay K.

    1992-01-01

    This paper summarizes a technology roadmap for completing advanced development of a Proton Exchange Membrane (PEM) Regenerative Fuel Cell (RFC) to meet long life (20,000 hrs at 50 percent duty cycle) mobile or portable power system applications on the surface of the moon and Mars. Development of two different sized RFC power system modules is included in this plan (3 and 7.5 kWe). A conservative approach was taken which includes the development of a Ground Engineering System, Qualification Unit, and Flight Unit. This paper includes a concept description, technology assessment, development issues, development tasks, and development schedule.

  14. Long life Regenerative Fuel Cell technology development plan

    NASA Technical Reports Server (NTRS)

    Littman, Franklin D.; Cataldo, Robert L.; Mcelroy, James F.; Stedman, Jay K.

    1992-01-01

    This paper summarizes a technology roadmap for completing advanced development of a Proton Exchange Membrane (PEM) Regenerative Fuel Cell (RFC) to meet long life (20,000 hrs at 50 percent duty cycle) mobile or portable power system applications on the surface of the moon and Mars. Development of two different sized RFC power system modules is included in this plan (3 and 7.5 kWe). A conservative approach was taken which includes the development of a Ground Engineering System, Qualification Unit, and Flight Unit. This paper includes a concept description, technology assessment, development issues, development tasks, and development schedule.

  15. Phase C/D program development plan. Volume 1: Program plan

    NASA Technical Reports Server (NTRS)

    1971-01-01

    The Phase C/D definition of the Modular Space Station has been developed. The modular approach selected during the option period was evaluated, requirements were defined, and program definition and preliminary design were accomplished. The Space Station Project is covered in depth, the research applications module is limited to a project-level definition, and the shuttle operations are included for interface requirements identification, scheduling, and costing. Discussed in detail are: (1) baseline program and project descriptions; (2) phase project planning; (3) modular space station program schedule; (4) program management plan; (5) operations; (6) facilities; (7) logistics; and (8) manpower.

  16. The development and comprehensibility of a pictorial asthma action plan.

    PubMed

    Roberts, Nicola J; Mohamed, Zeinab; Wong, Pei-Se; Johnson, Marianne; Loh, Li-Cher; Partridge, Martyn R

    2009-01-01

    Written action plans are regarded as an important part of asthma self-management education and yet they may not be understood by those with limited literacy skills. This study was designed to produce an understandable pictorial asthma action plan. With advice from a group of doctors and nurses a "standard" written action plan was translated by a medical artist into a series of pictorial images. These were assessed using the techniques of guessability and translucency by a series of adults attending a specialist asthma clinic in London and the same process was subsequently used to assess comprehensibility of the images and plans amongst a group of Somalis living in Manchester, UK and Malaysians in Seremban, Malaysia. Guessability testing showed that the majority of pictograms were well understood by each of the study groups. Translucency testing revealed close agreement with intended meaning for the majority of the images. One image, depicting extra use of reliever medication scored less well in all populations; two other images scored less well in the Somali and Malaysian groups and reflect less use of certain inhaler devices in other countries. The overall plan was well understood by all patients who were able to adequately recount the appropriate actions to take in different clinical scenarios. We have developed a pictorial asthma action plan understandable by 3 different populations of patients with asthma. Pictorial representations have been shown by other studies in other situations to be an effective method of reinforcing the spoken word. The pictorial asthma action plan developed for this study has been shown to be comprehensible, personalised to the individual in the usual fashion. It is now suitable for further evaluation in clinical practice.

  17. National rf technology research and development program plan

    SciTech Connect

    Not Available

    1983-05-01

    This plan was prepared by the Oak Ridge National Laboratory at the request of the Office of Fusion Energy, Division of Development and Technology, to define the technology development needs and priorities. The US rf research and development community, with a wide representation from universities, laboratories and industries, participated in many discussions, meetings and in a three-day workshop in developing the needs and priorities definition. This very active and effective involvement of the rf leaders from all of these groups was an essential feature of the activity and results in the plan representing a broad consensus from the magnetic fusion energy development community. In addition, a number of scientists from Japan and Europe participated by providing data.

  18. Fly-by-light flight control system technology development plan

    NASA Technical Reports Server (NTRS)

    Chakravarty, A.; Berwick, J. W.; Griffith, D. M.; Marston, S. E.; Norton, R. L.

    1990-01-01

    The results of a four-month, phased effort to develop a Fly-by-Light Technology Development Plan are documented. The technical shortfalls for each phase were identified and a development plan to bridge the technical gap was developed. The production configuration was defined for a 757-type airplane, but it is suggested that the demonstration flight be conducted on the NASA Transport Systems Research Vehicle. The modifications required and verification and validation issues are delineated in this report. A detailed schedule for the phased introduction of fly-by-light system components has been generated. It is concluded that a fiber-optics program would contribute significantly toward developing the required state of readiness that will make a fly-by-light control system not only cost effective but reliable without mitigating the weight and high-energy radio frequency related benefits.

  19. Education and Modernization of Micronesia: A Case Study in Development and Development Planning.

    ERIC Educational Resources Information Center

    Pearse, Richard; Bezanson, Keith A.

    The case study examined the development of an overall education plan for the Trust Territory of the Pacific Islands. The methodology of multidisciplinary education planning through the use of general comparative analysis models of political, economic, and social development is explained: Almond and Powell's framework for the analysis of political…

  20. 7 CFR 1924.5 - Planning development work.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 12 2012-01-01 2012-01-01 false Planning development work. 1924.5 Section 1924.5 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE, RURAL BUSINESS-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM SERVICE AGENCY, DEPARTMENT OF AGRICULTURE...

  1. Metis Hub: The Development of an Intuitive Project Planning System

    SciTech Connect

    McConnell, Rachael M.

    2015-08-26

    The goal is to develop an intuitive, dynamic, and consistent interface for the Metis Planning System by combining user requirements and human engineering concepts. The system is largely based upon existing systems so some tools already have working models that we can follow. However, the web-based interface is completely new.

  2. Embedding Personal Development Planning into the Social Sciences

    ERIC Educational Resources Information Center

    Slight, Audrey; Bloxham, Sue

    2005-01-01

    This article addresses a number of the theoretical and practical issues raised by using personal development planning (PDP) to enhance employability. It briefly discusses the background, rationale and evidence for PDP. It also considers the problems associated with policy implementation: the practicalities of embedding personal development…

  3. Student Support through Personal Development Planning: Retrospection and Time

    ERIC Educational Resources Information Center

    Clegg, Sue; Bufton, Serena

    2008-01-01

    This article presents an analysis of higher education students' retrospective meaning making of their experiences of personal development planning (PDP). An earlier study of first year students had indicated that students rarely reflected on their own meta-cognitive processes and were preoccupied with practical study skill matters, particularly…

  4. Towards an Intelligent Planning Knowledge Base Development Environment

    NASA Technical Reports Server (NTRS)

    Chien, S.

    1994-01-01

    ract describes work in developing knowledge base editing and debugging tools for the Multimission VICAR Planner (MVP) system. MVP uses artificial intelligence planning techniques to automatically construct executable complex image processing procedures (using models of the smaller constituent image processing requests made to the JPL Multimission Image Processing Laboratory.

  5. International Students and Their Experiences of Personal Development Planning

    ERIC Educational Resources Information Center

    Baker, Kate L.; Perkins, Joy; Comber, Darren P. M.

    2014-01-01

    Taught postgraduate students are a unique group, undergoing a short, intensive period of study. Many taught postgraduate students are international, engaging for the first time with new learning approaches, including Personal Development Planning (PDP). This article provides analysis of the views of international taught postgraduates about the…

  6. Pitfalls of Personal Development Plans--The User Perspective

    ERIC Educational Resources Information Center

    Grohnert, Therese; Beausaert, Simon; Segers, Mien

    2014-01-01

    This study was conducted to investigate which pitfalls users of personal development plans (PDPs) perceive in business and governmental organisations with mandatory PDP use. Hundred and thirty-one written statements of PDP users across three Dutch organisations were analysed and categorised into nine pitfalls. Next to an overall lack of use and…

  7. Personal Development Planning: Pedagogy and the Politicisation of the Personal

    ERIC Educational Resources Information Center

    Tymms, Mark; Peters, John; Scott, Ian

    2013-01-01

    This article reflects the findings of an initial investigation of the origins of Personal Development Planning (PDP) and is part of a wider study of the impacts and influences of the implementation. Through an analysis of the socio-political contexts within which PDP as a set of educational processes took form, together with the many theories and…

  8. Development of Articulation Models for Allied Health Statewide Planning.

    ERIC Educational Resources Information Center

    Lang, Joanne; And Others

    Under the auspices of the Kentucky Council on Higher Education and with the aim of delineating issues in allied health education and making recommendations for alleviating the issues, an in-depth, two-year study was completed in 1975. The primary recommendations pertained to the development of a statewide plan for allied health education that…

  9. Organization Development Strategies in Educational Policy Planning and Management.

    ERIC Educational Resources Information Center

    Jones, B. Kathryn; Biles, Stephen

    1990-01-01

    This synthesis reviews organizational development (OD) and its decision tools, describes OD applications in educational organizations, explores OD's limitations, and predicts how OD will influence future educational decision making. Findings identify eight specific management and planning areas where OD can be used to improve organizational…

  10. Development of Articulation Models for Allied Health Statewide Planning.

    ERIC Educational Resources Information Center

    Lang, Joanne; And Others

    Under the auspices of the Kentucky Council on Higher Education and with the aim of delineating issues in allied health education and making recommendations for alleviating the issues, an in-depth, two-year study was completed in 1975. The primary recommendations pertained to the development of a statewide plan for allied health education that…

  11. The Development of Action Planning in a Joint Action Context

    ERIC Educational Resources Information Center

    Paulus, Markus

    2016-01-01

    The ability to act jointly with another person is a fundamental requirement for participation in social life. The current study examines the development of action planning in a joint action context. In 4 experiments, 3-, 5-, and 7-year-old children as well as a group of adults (n = 196) interacted with another person to operate a novel apparatus.…

  12. Pragmatic Development of L2 Spanish Proposals in Planning Talk

    ERIC Educational Resources Information Center

    Rose, Marda C.

    2013-01-01

    This study examines proposals made during planning talk--a speech act that has received little attention in previous literature--to determine the applicability of the stages of second language (L2) pragmatic development posited by Kasper and Rose (2002). Although Kasper and Rose suggest that formulas play a prominent role in L2 pragmatic…

  13. Developing a Theoretical Framework for Faculty Planning and Collaboration.

    ERIC Educational Resources Information Center

    Soled, Suzanne Wegener; Yinger, Robert J.

    The College of Education at the University of Cincinnati agreed to examine its teacher education programs and initiate program changes within the broad framework provided by the Holmes initiatives. Those involved began by developing a conceptual framework for pursuing planning and implementation efforts in the college. Rather than proposing a…

  14. Curriculum Planning and Development in Mathematics from the Formative Stages

    ERIC Educational Resources Information Center

    Festus, Azuka Benard; Kurumeh, Mary Seraphina

    2015-01-01

    Curriculum of a school consists of all the experiences that a learner encounters under the direction of the school. The curriculum of any educational system is planned and developed according to the needs of the society. Just as the society is dynamic, the curriculum is also dynamic. Hence, curriculum is usually changed from time to time. This…

  15. Develop Plan for Analysis of the Effluent from GCM Production.

    SciTech Connect

    Nenoff, Tina M.; Mowry, Curtis D.

    2015-08-24

    This milestone is focused on developing a plan for the analysis of the effluent from the Sandia low temperature sintering Bi-Si-Zn oxide glass composite material (GCM) waste form for the long term storage of iodine and its capture materials.

  16. Personal Development Planning: Pedagogy and the Politicisation of the Personal

    ERIC Educational Resources Information Center

    Tymms, Mark; Peters, John; Scott, Ian

    2013-01-01

    This article reflects the findings of an initial investigation of the origins of Personal Development Planning (PDP) and is part of a wider study of the impacts and influences of the implementation. Through an analysis of the socio-political contexts within which PDP as a set of educational processes took form, together with the many theories and…

  17. Peru 2021: A Business Plan for National Development.

    ERIC Educational Resources Information Center

    Caravedo, Baltazar

    1998-01-01

    Describes Peru 2021, an organization of business-related individuals with a vision for Peruvian society. Outlines aspects of their vision in the areas of leadership, education, economy, environment, government, business, technology, and society. Discusses Peru 2021's efforts to develop a strategic plan for implementing the vision, to involve…

  18. International Students and Their Experiences of Personal Development Planning

    ERIC Educational Resources Information Center

    Baker, Kate L.; Perkins, Joy; Comber, Darren P. M.

    2014-01-01

    Taught postgraduate students are a unique group, undergoing a short, intensive period of study. Many taught postgraduate students are international, engaging for the first time with new learning approaches, including Personal Development Planning (PDP). This article provides analysis of the views of international taught postgraduates about the…

  19. Clinical staff development: planning and teaching for desired outcomes.

    PubMed

    Harton, Brenda B

    2007-01-01

    Nursing staff development educators facilitate learning activities to promote learner retention of knowledge: factual, conceptual, procedural, and meta-cognitive. The Revised Bloom's Taxonomy provides a modern framework for the cognitive process dimension of knowledge and guides the nursing educator in planning activities that will assure learner progress along the learning continuum.

  20. Pitfalls of Personal Development Plans--The User Perspective

    ERIC Educational Resources Information Center

    Grohnert, Therese; Beausaert, Simon; Segers, Mien

    2014-01-01

    This study was conducted to investigate which pitfalls users of personal development plans (PDPs) perceive in business and governmental organisations with mandatory PDP use. Hundred and thirty-one written statements of PDP users across three Dutch organisations were analysed and categorised into nine pitfalls. Next to an overall lack of use and…

  1. Phased project planning and development in anticipation of operational programs

    NASA Technical Reports Server (NTRS)

    Stroud, W. G.

    1973-01-01

    The impact of future operational status on the planning and execution of the research and development activities for major space flight projects is assessed. These projects, within NASA, are part of the Applications Program involving communications and meteorology. The NASA management approach to these projects is determined by national policies governing the responsibilities and relationships among the various government agencies and private industries.

  2. Lincoln Head Start Career Development Plan. Revised Edition.

    ERIC Educational Resources Information Center

    Lincoln Public Schools, NE.

    The revised career development plan for Head Start staff of the Lincoln, Nebraska, public schools is documented in this report. Outlined are job descriptions indicating general responsibilities, specific duties, qualifications, and, where appropriate, other conditions of employment. The 22 positions described range from Head Start Director to…

  3. The Development of Action Planning in a Joint Action Context

    ERIC Educational Resources Information Center

    Paulus, Markus

    2016-01-01

    The ability to act jointly with another person is a fundamental requirement for participation in social life. The current study examines the development of action planning in a joint action context. In 4 experiments, 3-, 5-, and 7-year-old children as well as a group of adults (n = 196) interacted with another person to operate a novel apparatus.…

  4. Developing an Academic Information Resources Master Plan: A Paradigm.

    ERIC Educational Resources Information Center

    Gentry, H. R.

    Since 1980, Johnson County Community College (JCCC) has rapidly expanded its use of personal computers in instruction and administration. Many computers were being acquired, however, before appropriate policies, plans, and procedures were developed for their effective management. In response to this problem, the following actions were identified…

  5. Comprehensive Development Plan in Office Skills. Final Performance Report.

    ERIC Educational Resources Information Center

    Waubonsee Community Coll., Sugar Grove, IL.

    The Waubonsee Community College Comprehensive Development Plan in Office Skills served 208 students by assessment of basic skills and referral to appropriate programs or help with job skills and referral to employment during the 18-month grant period from December 1988 through June 30, 1990. The target population was minority women or economically…

  6. Strategic business planning and development for competitive health care systems.

    PubMed

    Nauert, Roger C

    2005-01-01

    The health care industry has undergone enormous evolutionary changes in recent years. Competitive transitions have accelerated the compelling need for aggressive strategic business planning and dynamic system development. Success is driven by organizational commitments to farsighted market analyses, timely action, and effective management.

  7. 43 CFR 3931.11 - Content of plan of development.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Content of plan of development. 3931.11 Section 3931.11 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF LAND... fire, soil erosion, subsidence, pollution of surface and ground water, pollution of air, damage to fish...

  8. Audio Development Laboratory (ADL) User Test Planning Guide

    NASA Technical Reports Server (NTRS)

    Romero, Andy

    2012-01-01

    Test process, milestones and inputs are unknowns to first-time users of the ADL. The User Test Planning Guide aids in establishing expectations for both NASA and non-NASA facility customers. The potential audience for this guide includes both internal and commercial spaceflight hardware/software developers. It is intended to assist their test engineering personnel in test planning and execution. Material covered includes a roadmap of the test process, roles and responsibilities of facility and user, major milestones, facility capabilities, and inputs required by the facility. Samples of deliverables, test article interfaces, and inputs necessary to define test scope, cost, and schedule are included as an appendix to the guide.

  9. Development of Consensus Treatment Plans for Juvenile Localized Scleroderma

    PubMed Central

    Li, Suzanne C.; Torok, Kathryn S.; Pope, Elena; Dedeoglu, Fatma; Hong, Sandy; Jacobe, Heidi T.; Rabinovich, C. Egla; Laxer, Ronald M.; Higgins, Gloria C.; Ferguson, Polly J.; Lasky, Andrew; Baszis, Kevin; Becker, Mara; Campillo, Sarah; Cartwright, Victoria; Cidon, Michael; Inman, Christi J; Jerath, Rita; O'Neil, Kathleen M.; Vora, Sheetal; Zeft, Andrew; Wallace, Carol A.; Ilowite, Norman T.; Fuhlbrigge, Robert C

    2013-01-01

    Objective To develop standardized treatment plans, clinical assessments, and response criteria for active, moderate to high severity juvenile localized scleroderma (jLS). Background jLS is a chronic inflammatory skin disorder associated with substantial morbidity and disability. Although a wide range of therapeutic strategies have been reported in the literature, a lack of agreement on treatment specifics and accepted methods for clinical assessment of have made it difficult to compare approaches and identify optimal therapy. Methods A core group of pediatric rheumatologists, dermatologists and a lay advisor was engaged by the Childhood Arthritis and Rheumatology Research Alliance (CARRA) to develop standardized treatment plans and assessment parameters for jLS using consensus methods/nominal group techniques. Recommendations were validated in two face-to-face conferences with a larger group of practitioners with expertise in jLS and with the full membership of CARRA, which encompasses the majority of pediatric rheumatologists in the U.S and Canada. Results Consensus was achieved on standardized treatment plans that reflect the prevailing treatment practices of CARRA members. Standardized clinical assessment methods and provisional treatment response criteria were also developed. Greater than 90% of pediatric rheumatologists responding to a survey (67% of CARRA membership) affirmed the final recommendations and agreed to utilize these consensus plans to treat patients with jLS. Conclusions Using consensus methodology, we have developed standardized treatment plans and assessment methods for jLS. The high level of support among pediatric rheumatologists will support future comparative effectiveness studies and enable the development of evidence-based guidelines for the treatment of jLS. PMID:22505322

  10. GEOCHEMICAL TESTING AND MODEL DEVELOPMENT - RESIDUAL TANK WASTE TEST PLAN

    SciTech Connect

    CANTRELL KJ; CONNELLY MP

    2010-03-09

    This Test Plan describes the testing and chemical analyses release rate studies on tank residual samples collected following the retrieval of waste from the tank. This work will provide the data required to develop a contaminant release model for the tank residuals from both sludge and salt cake single-shell tanks. The data are intended for use in the long-term performance assessment and conceptual model development.

  11. Developing a strategic plan for a neonatal nurse practitioner service.

    PubMed

    Lee, Laurie A; Jones, Luann R

    2004-10-01

    Neonatal nurse practitioners (NNPs) have been in practice for over 3 decades. More recently, NNPs have begun to take ownership for building their group practice models. The purpose of this article is to present a detailed case study demonstrating how one NNP group used a 4-phase strategic planning process to turn a crisis into an opportunity. The article describes data obtained during the strategic planning process from an informal national survey of NNP managers that focused on key benchmarks, such as role definition, responsibilities, protected nonclinical time, NNP salary and benefits, and educational and professional development support. Using the strategic planning process, the group defined mutually agreed upon minimum safe staffing levels for NNPs, interns, residents and neonatologists in their setting. Based on the data generated, the group successfully justified additional NNP positions and organizational support for 10% protected nonclinical time. A sample operational budget, comparison of 3 staffing scenarios, and a timeline are also provided.

  12. Lawrence Berkeley Laboratory FY 1994 site development plan

    SciTech Connect

    Not Available

    1994-04-15

    This plan describes the mission, workload, site population, site and regional information, program projections and requirements, master plan, five-year construction plan, and management considerations.

  13. Vitrification development plan for US Department of Energy mixed wastes

    SciTech Connect

    Peters, R.; Lucerna, J.; Plodinec, M.J.

    1993-10-01

    This document is a general plan for conducting vitrification development for application to mixed wastes owned by the US Department of Energy. The emphasis is a description and discussion of the data needs to proceed through various stages of development. These stages are (1) screening at a waste site to determine which streams should be vitrified, (2) waste characterization and analysis, (3) waste form development and treatability studies, (4) process engineering development, (5) flowsheet and technical specifications for treatment processes, and (6) integrated pilot-scale demonstration. Appendices provide sample test plans for various stages of the vitrification development process. This plan is directed at thermal treatments which produce waste glass. However, the study is still applicable to the broader realm of thermal treatment since it deals with issues such as off-gas characterization and waste characterization that are not necessarily specific to vitrification. The purpose is to provide those exploring or considering vitrification with information concerning the kinds of data that are needed, the way the data are obtained, and the way the data are used. This will provide guidance to those who need to prioritize data needs to fit schedules and budgets. Knowledge of data needs also permits managers and planners to estimate resource requirements for vitrification development.

  14. Short- and medium-term effects of three fire fighting chemicals on the properties of a burnt soil.

    PubMed

    Couto-Vázquez, A; González-Prieto, S J

    2006-12-01

    The impact of three fire fighting chemicals (FFC) on 11 chemical soil properties and on soil recovery (0-2 cm depth) was evaluated 1, 30, 90 and 365 days after a prescribed fire. Five treatments were considered: unburnt soil (US) and burnt soil with 2 l m(-2) of water alone (BS) or mixed with the foaming agent Auxquímica RFC-88 at 1% (BS+Fo), Firesorb at 1.5% (BS+Fi) and FR Cross ammonium polyphosphate at 20% (BS+Ap). At t=1 day, soil pH increases in the order USmedium-term fire-triggered increment of N outputs ((15)N depleted). As is habitually the case, there was a transient post-fire increase of NH(4)(+)-N levels (significative for BS+FFC plots) that lasted for 30 (BS, BS+Fo and BS+Fi) to 90 days (BS+Ap). The high initial NH(4)(+)-N levels in BS+Ap (200x that of US; 9-18x those of BS, BS+Fo and BS+Fi), and its persistence can delay the post-fire vegetation recovery due to the toxicity of NH(4)(+) to seeds and seedlings. NO(3)-N levels changed significantly only in BS+Ap between t=30 and t=90 days due to the nitrification of its large NH(4)(+)-N pool. Except in BS+Ap, whose soil P levels were 70-140x (t=1 days) and 10-20x (t=365 days) higher than in the other treatments, available P content in BS and BS+FFC was not

  15. Local Participation in Development Planning; A Preliminary Study of the Relationship of Community Development to National Planning.

    ERIC Educational Resources Information Center

    United Nations, New York, NY. Dept. of Economic and Social Affairs.

    The central issue of this document is the question of how the nation's human resources can be helped to play their most effective role in development and of the extent to which this role includes some share in decision making, both in the preparation of plans and in their implementation. Emphasis is placed on the use of national planning…

  16. A Model for Physician Leadership Development and Succession Planning.

    PubMed

    Dubinsky, Isser; Feerasta, Nadia; Lash, Rick

    2015-01-01

    Although the presence of physicians in formal leadership positions has often been limited to roles of department chiefs, MAC chairs, etc., a growing number of organizations are recruiting physicians to other leadership positions (e.g., VP, CEO) where their involvement is being genuinely sought and valued. While physicians have traditionally risen to leadership positions based on clinical excellence or on a rotational basis, truly effective physician leadership that includes competencies such as strategic planning, budgeting, mentoring, network development, etc., is essential to support organizational goals, improve performance and overall efficiency as well as ensuring the quality of care. In this context, the authors have developed a physician leader development and succession planning matrix and supporting toolkit to assist hospitals in identifying and nurturing the next generation of physician leaders.

  17. Development of a residual acceleration data reduction and dissemination plan

    NASA Technical Reports Server (NTRS)

    Rogers, Melissa J. B.

    1992-01-01

    A major obstacle in evaluating the residual acceleration environment in an orbiting space laboratory is the amount of data collected during a given mission: gigabytes of data will be available as SAMS units begin to fly regularly. Investigators taking advantage of the reduced gravity conditions of space should not be overwhelmed by the accelerometer data which describe these conditions. We are therefore developing a data reduction and analysis plan that will allow principal investigators of low-g experiments to create experiment-specific residual acceleration data bases for post-flight analysis. The basic aspects of the plan can also be used to characterize the acceleration environment of earth orbiting laboratories. Our development of the reduction plan is based on the following program of research: the identification of experiment sensitivities by order of magnitude estimates and numerical modelling; evaluation of various signal processing techniques appropriate for the reduction, supplementation, and dissemination of residual acceleration data; and testing and implementation of the plan on existing acceleration data bases. The orientation of the residual acceleration vector with respect to some set of coordinate axes is important for experiments with known directional sensitivity. Orientation information can be obtained from the evaluation of direction cosines. Fourier analysis is commonly used to transform time history data into the frequency domain. Common spectral representations are the amplitude spectrum which gives the average of the components of the time series at each frequency and the power spectral density which indicates the power or energy present in the series per unit frequency interval. The data reduction and analysis scheme developed involves a two tiered structure to: (1) identify experiment characteristics and mission events that can be used to limit the amount of accelerator data an investigator should be interested in; and (2) process the

  18. Developments in immunization planning in Cambodia--rethinking the culture and organization of national program planning.

    PubMed

    Soeung, S; Grundy, J; Kamara, L; McArthur, A; Samnang, C

    2007-01-01

    As part of its health system reconstruction following decades of civil war, Cambodia undertook a program of health sector reform in 1996 to expand coverage of essential health services to the population of 14 million, 80% of whom are resident in over 13 000 rural villages. During this reform period, one of the major national health programs, the National Immunization Program (NIP), adapted its planning system to accommodate changes in social and health sector structure. The aims of this article are to review changes made in the approach to national immunization planning and to illustrate how these adaptations can help identify future challenges and opportunities for further improving immunization coverage in Cambodia. Sources of information for the study include immunization plans and data from international and national sources, as well as data from the national health information system. Findings of review: Management and service delivery reforms undertaken by the NIP include (1) strengthening links between immunization, health sector and international health planning; (2) development of immunization program multiyear and financial sustainability plans; (3) strengthening of national program decision making structures and processes; (4) widening of decentralized stakeholder participation in health planning; and (5) implementation of service level micro-planning. These management reforms have been associated with significant improvement in public health program performance and outcomes during this period (2003-2006). There has been an increase in vaccination coverage for children under the age of one year, over a five-year period (increase of 29% for fully immunized child at one year of age), with no significant differences in vaccination rates between urban and rural areas, and a sharp decrease in the incidence of vaccine preventable diseases. The NIP is now well positioned to take on additional challenges in coming years associated with expanding international

  19. Geospatial Based Information System Development in Public Administration for Sustainable Development and Planning in Urban Environment

    NASA Astrophysics Data System (ADS)

    Kouziokas, Georgios N.

    2016-09-01

    It is generally agreed that the governmental authorities should actively encourage the development of an efficient framework of information and communication technology initiatives so as to advance and promote sustainable development and planning strategies. This paper presents a prototype Information System for public administration which was designed to facilitate public management and decision making for sustainable development and planning. The system was developed by using several programming languages and programming tools and also a Database Management System (DBMS) for storing and managing urban data of many kinds. Furthermore, geographic information systems were incorporated into the system in order to make possible to the authorities to deal with issues of spatial nature such as spatial planning. The developed system provides a technology based management of geospatial information, environmental and crime data of urban environment aiming at improving public decision making and also at contributing to a more efficient sustainable development and planning.

  20. SEDAC data and applications development plan V(1)

    NASA Technical Reports Server (NTRS)

    Chen, Robert S. (Compiler)

    1995-01-01

    This Data and Applications Development Plan describes how the Socioeconomic Data and Applications Center (SEDAC) at the Consortium for International Earth Science Information Network (CIESIN) is responding to SEDAC's mission to develop new applications and information products that synthesize earth science and socioeconomic data in ways that support decision making. The SEDAC data and applications development effort is a primary means by which the Earth Observing System Data and Information System (EOSDIS) program can help to ensure that the scientific investment embodied in NASA's Mission to Planet Earth (MTPE) program leads to tangible benefits to the American people. The Plan describes the major issues concerned with global climate change, identifies important decision makers and other users who would benefit from improved data and information, and assesses key opportunities for responding to the needs of these users and the scientists who work with them. It then details specific plans for developing selected integrated data products and services and for making them available to the target users on an operational basis. This report provides a summary of the activities performed in connection with NASA/GSFC Letter Contract NAS5-3263 for the period shown.

  1. Commercial Development Plan for the International Space Station

    NASA Technical Reports Server (NTRS)

    1998-01-01

    The long term objective of the development plan for the International Space Station (ISS) is to establish the foundation for a marketplace and stimulate a national economy for space products and services in low-Earth orbit, where both demand and supply are dominated by the private sector. The short term objective is to begin the transition to private investment and offset a share of the public cost for operating the space shuttle fleet and space station through commercial enterprise in open markets.

  2. C3I Analysis Tools for Development Planning. Volume 1

    DTIC Science & Technology

    1985-09-27

    modeling method was developed for use in Command, Control Communications and Intelligence (C ) systems planning and evaluation. Model is based on...algrebraic relationship for each node of a tree structure which describes decision process in command and control systems for strategic and ballistic...SECURITY CLASSIFICATION OF THIS PAGE Unclassified SECURITY CLASSIFICATION OF THIS PAGE Cont of Block 18: 3 C I Command, Control , Communications

  3. Ground Systems Development Environment (GSDE) interface requirements and prototyping plan

    NASA Technical Reports Server (NTRS)

    Church, Victor E.; Philips, John; Bassman, Mitchell; Williams, C.

    1990-01-01

    This report describes the data collection and requirements analysis effort of the Ground System Development Environment (GSDE) Interface Requirements study. It identifies potential problems in the interfaces among applications and processors in the heterogeneous systems that comprises the GSDE. It describes possible strategies for addressing those problems. It also identifies areas for further research and prototyping to demonstrate the capabilities and feasibility of those strategies and defines a plan for building the necessary software prototypes.

  4. Paraho oil shale module. Site development plan, Task 4

    SciTech Connect

    Not Available

    1981-10-01

    A management plan and schedule which covers all requirements for gaining access to the site and for conducting a Paraho Process demonstration program have been prepared. The oil shale available should represent a regional resource of suitable size and quality for commercial development. Discussed in this report are: proof of ownership; requirements for rights-of-way for access to the site; local zoning restrictions; water rights; site availability verification; and other legal requirements. (DMC)

  5. Environmental development plan for transportation programs: FY80 update

    SciTech Connect

    Saricks, C.L.; Singh, M.K.; Bernard, M.J. III; Bevilacqua, O.M.

    1980-09-01

    This is the second annual update of the environmental development plan (EDP) for transportation programs. It has been prepared as a cooperative effort of the Assistant Secretaries for Conservation and Solar Energy (ASCS) Office of Transportation Programs (CS/TP) and the Environment (ASEV) Office of Environmental Assessments. EDPs identify the ecosystem, resource, physical environment, health, safety, socioeconomic, and environmental control concerns associated with DOE programs. The programs include the research, development, demonstration, and assessment (RDD and A) of 14 transportation technologies and several strategy implementation projects. This EDP update presents a research and assessment plan for resolving any potentially adverse environmental concerns arising from these programs. The EDP process provides a framework for: incorporating environmental concerns into CS/TP planning and decision processes early to ensure they are assigned the same importance as technological, fiscal, and institutional concerns in decision making; resolving environmental concerns concurrently with energy technology and strategy development; and providing a research schedule that mitigates adverse environmental effects through sound technological design or policy analysis. This EDP also describes the status of each environmental concern and the plan for its resolution. Much of ongoing DOE reseirch and technology development is aimed at resolving concerns identified in this EDP. Each EDP is intended to be so comprehensive that no concerns escape notice. Care is taken to include any CS/TP action that may eventually require an Environmental Impact Statement. Because technology demonstration and commercialization tend to raise more environmental concerns than other portions of the transportation program, most of this EDP addresses these concerns.

  6. Planning and Second Language Development in Task-Based Synchronous Computer-Mediated Communication

    ERIC Educational Resources Information Center

    Hsu, Hsiu-Chen

    2012-01-01

    This dissertation explored the effect of two planning conditions (the multiple planning condition with rehearsal and online planning time, and the single planning condition with online planning time only) on L2 production complexity and accuracy and the subsequent development of these two linguistic areas in the context of written synchronous…

  7. Development of a statewide hospital plan for radiologic emergencies

    SciTech Connect

    Dainiak, Nicholas . E-mail: pndain@bpthosp.org; Delli Carpini, Domenico; Bohan, Michael; Werdmann, Michael; Wilds, Edward; Barlow, Agnus; Beck, Charles; Cheng, David; Daly, Nancy; Glazer, Peter; Mas, Peter; Nath, Ravinder; Piontek, Gregory; Price, Kenneth; Albanese, Joseph; Roberts, Kenneth; Salner, Andrew L.; Rockwell, Sara

    2006-05-01

    Although general guidelines have been developed for triage of victims in the field and for hospitals to plan for a radiologic event, specific information for clinicians and administrators is not available for guidance in efficient management of radiation victims during their early encounter in the hospital. A consensus document was developed by staff members of four Connecticut hospitals, two institutions of higher learning, and the State of Connecticut Department of Environmental Protection and Office of Emergency Preparedness, with assistance of the American Society for Therapeutic Radiology and Oncology. The objective was to write a practical manual for clinicians (including radiation oncologists, emergency room physicians, and nursing staff), hospital administrators, radiation safety officers, and other individuals knowledgeable in radiation monitoring that would be useful for evaluation and management of radiation injury. The rationale for and process by which the radiation response plan was developed and implemented in the State of Connecticut are reviewed. Hospital admission pathways are described, based on classification of victims as exposed, contaminated, and/or physically injured. This manual will be of value to those involved in planning the health care response to a radiologic event.

  8. A national action plan for workforce development in behavioral health.

    PubMed

    Hoge, Michael A; Morris, John A; Stuart, Gail W; Huey, Leighton Y; Bergeson, Sue; Flaherty, Michael T; Morgan, Oscar; Peterson, Janice; Daniels, Allen S; Paris, Manuel; Madenwald, Kappy

    2009-07-01

    Across all sectors of the behavioral health field there has been growing concern about a workforce crisis. Difficulties encompass the recruitment and retention of staff and the delivery of accessible and effective training in both initial, preservice training and continuing education settings. Concern about the crisis led to a multiphased, cross-sector collaboration known as the Annapolis Coalition on the Behavioral Health Workforce. With support from the Substance Abuse and Mental Health Services Administration, this public-private partnership crafted An Action Plan for Behavioral Health Workforce Development. Created with input from a dozen expert panels, the action plan outlines seven core strategic goals that are relevant to all sectors of the behavioral health field: expand the role of consumers and their families in the workforce, expand the role of communities in promoting behavioral health and wellness, use systematic recruitment and retention strategies, improve training and education, foster leadership development, enhance infrastructure to support workforce development, and implement a national research and evaluation agenda. Detailed implementation tables identify the action steps for diverse groups and organizations to take in order to achieve these goals. The action plan serves as a call to action and is being used to guide workforce initiatives across the nation.

  9. Chernobyl shelter implementation plan -- project development and planning: Setting the stage for progress

    SciTech Connect

    Johnson, W.; Kreid, D.; DeFranco, W.

    1998-09-01

    On April 26, 1986, the Chernobyl nuclear power plant (NPP) experienced a devastating accident. This accident left much of the plant and its safety systems destroyed with widespread radioactive waste contamination from the damaged nuclear fuel. In the 6 months following the accident, heroic measures were taken to stabilize the situation and erect a temporary confinement shelter over the damaged unit 4. Since that time the shelter and the contained radioactive materials and debris have begun to deteriorate. Lack of funding and staff has allowed only minor improvements to occur on-site, resulting in an existing shelter that is unstable and deteriorating. International aid has been provided to develop a comprehensive plan for the safe and environmentally sound conversion of the damaged Chernobyl reactor. These efforts are being performed in conjunction with US experts, European experts, and local Chernobyl NPP personnel. This plan is discussed here.

  10. Short- to Medium-Term Geomorphic Response of the Souhegan River to the 2008 Removal of the Merrimack Village Dam in Southern New Hampshire

    NASA Astrophysics Data System (ADS)

    Snyder, N. P.; Collins, M. J.; Armistead, C. C.; Conlon, M.; David, G. C.; Lisius, G.; Lucy, C. O.; Munz, K. T.; Pearson, A.; Santaniello, D. J.

    2014-12-01

    controlling the medium-term response of the former impoundment.

  11. Neuromodulation using percutaneous electrical nerve stimulation for the management of trigeminal-mediated headshaking: A safe procedure resulting in medium-term remission in five of seven horses.

    PubMed

    Roberts, V L H; Patel, N K; Tremaine, W H

    2016-03-01

    for trigeminal-mediated headshaking, with encouraging efficacy for amelioration of clinical signs in the short- to medium term. © 2015 EVJ Ltd.

  12. Workforce planning and development in times of delivery system transformation.

    PubMed

    Pittman, Patricia; Scully-Russ, Ellen

    2016-09-23

    As implementation of the US Affordable Care Act (ACA) advances, many domestic health systems are considering major changes in how the healthcare workforce is organized. The purpose of this study is to explore the dynamic processes and interactions by which workforce planning and development (WFPD) is evolving in this new environment. Informed by the theory of loosely coupled systems (LCS), we use a case study design to examine how workforce changes are being managed in Kaiser Permanente and Montefiore Health System. We conducted site visits with in-depth interviews with 8 to 10 stakeholders in each organization. Both systems demonstrate a concern for the impact of change on their workforce and have made commitments to avoid outsourcing and layoffs. Central workforce planning mechanisms have been replaced with strategies to integrate various stakeholders and units in alignment with strategic growth plans. Features of this new approach include early and continuous engagement of labor in innovation; the development of intermediary sense-making structures to garner resources, facilitate plans, and build consensus; and a whole system perspective, rather than a focus on single professions. We also identify seven principles underlying the WFPD processes in these two cases that can aid in development of a new and more adaptive workforce strategy in healthcare. Since passage of the ACA, healthcare systems are becoming larger and more complex. Insights from these case studies suggest that while organizational history and structure determined different areas of emphasis, our results indicate that large-scale system transformations in healthcare can be managed in ways that enhance the skills and capacities of the workforce. Our findings merit attention, not just by healthcare administrators and union leaders, but by policymakers and scholars interested in making WFPD policies at a state and national level more responsive.

  13. Development of a Mobile App for Family Planning Providers.

    PubMed

    Halsall, Viannella; Rogers, Jennifer; Witt, Jacki; Song, Sejun; Nguyen, Hoang Duc Huy; Kelly, Patricia

    To provide an overview of lessons learned during the development process of an app for iOS and Android based on national recommendations for providing quality family planning services. After a review of existing apps was conducted to determine whether an app of clinical recommendations for family planning existed, a team of clinicians, training specialists, and app developers created a resource app by first drafting a comprehensive content map. A prototype of the app was then pilot tested using smart tablets by a volunteer convenience sample of women's healthcare professionals. Outcomes measured included usability, acceptability, download analytics, and satisfaction by clinicians as reported through an investigator-developed tool. Sixty-nine professionals tested a prototype of the app, and completed a user satisfaction tool. Overall, user feedback was positive, and a zoom function was added to the final version as a result of the pilot test. Within 3 months of being publicly available, the app was downloaded 677 times, with 97% of downloads occurring on smart phones, 76% downloads occurring on iOS devices, and 24% on Android devices. This trend persisted throughout the following 3 months. Clinicians with an interest in developing an app should consider a team approach to development, pilot test the app prior to wider distribution, and develop a web-based version of the app to be used by clinicians who are unable to access smart devices in their practice setting.

  14. The development of action planning in a joint action context.

    PubMed

    Paulus, Markus

    2016-07-01

    The ability to act jointly with another person is a fundamental requirement for participation in social life. The current study examines the development of action planning in a joint action context. In 4 experiments, 3-, 5-, and 7-year-old children as well as a group of adults (n = 196) interacted with another person to operate a novel apparatus. Their task was to hand the experimenter a tool with which she could activate 1 of 2 different effects on the apparatus. The elicitation of each effect required participants to grasp and insert the tool in a particular orientation. We assessed whether participants planned their grasping and reaching action in such a way that it enabled the partner to efficiently handle the tool, that is, anticipating the final end state of the joint activity. We found that 3-year-old children did not adjust their behavior to accommodate the other's action and that they did not increase their performance over multiple trials. Five- and 7-year-old children initially showed a tendency to plan their action in an egocentric manner (i.e., showed a form of egocentrism), but improved their joint action performance over time. Adult participants demonstrated joint action planning from the beginning. Interestingly, 3- and 5-year-old children were able to plan their grasp efficiently when acting alone on the apparatus. Yet, having first-hand experience with the task before acting with a partner did not facilitate performance in the joint action task for younger children. Overall, the study informs current approaches on the psychological basis and ontogenetic origins of joint action in childhood. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  15. COMPASS: status update and long term development plan

    NASA Astrophysics Data System (ADS)

    Gratadour, D.; Ferreira, F.; Sevin, A.; Doucet, N.; Clénet, Y.; Gendron, E.; Lainé, M.; Vidal, F.; Brulé, J.; Puech, M.; Vérinaud, C.; Carlotti, A.

    2016-07-01

    The goal of the COMPASS project was to bring together the efforts of the actors from the French AO community (PHASE partnership), with the participation of the Maison de la Simulation, around the collaborative development of a numerical platform for AO, optimized and based on the use of graphics processing units (GPU). This platform allows today to lead the design studies of AO modules addressing all of the first generation instrumentation of the E-ELT. In this paper, we provide a status update of the platform and the long term maintenance and development plan.

  16. Paranal Instrumentation Programme: 2013-2020 Development Plan

    NASA Astrophysics Data System (ADS)

    Pasquini, L.; Casali, M.; Russell, A.

    2013-12-01

    The development plan for instrumentation at the Paranal Observatory was presented to the ESO Scientific Technical Committee (STC) in April 2013. Its overall goal is to keep Paranal at the forefront of ground-based astronomy. In addition to the completion of the current second generation instruments, the installation of the Adaptive Optics Facility with the imager and spectrometer ERIS, and execution of the Very Large Telescope Interferometer (VLT/I) mid-term implementation plan, it will allow one new instrument, or instrument upgrade, to be initiated per year (provided current projects are completed). The plan is divided into two phases. Over 2013-2017, instruments are selected and developed with the criteria of filling the VLT capabilities and maintaining the balance between dedicated and general purpose facilities. Beyond 2018, the instruments will be deployed in the era of maturity of the European Extremely Large Telescope (E-ELT). The strategy for the second phase derives from analysis of VLT science in the E-ELT era, to be fully shaped in the coming five years. One new instrument is also proposed for the New Technology Telescope at La Silla, fully funded by the community.

  17. Methodology development to support NPR strategic planning. Final report

    SciTech Connect

    1996-04-01

    This report covers the work performed in support of the Office of New Production Reactors during the 9 month period from January through September 1990. Because of the rapid pace of program activities during this time period, the emphasis on work performed shifted from the strategic planning emphasis toward supporting initiatives requiring a more immediate consideration and response. Consequently, the work performed has concentrated on researching and helping identify and resolve those issues considered to be of most immediate concern. Even though they are strongly interrelated, they can be separated into two broad categories as follows: The first category encompasses program internal concerns. Included are issues associated with the current demand for accelerating staff growth, satisfying the immediate need for appropriate skill and experience levels, team building efforts necessary to assure the development of an effective operating organization, ability of people and organizations to satisfactorily understand and execute their assigned roles and responsibilities, and the general facilitation of inter/intra organization communications and working relationships. The second category encompasses program execution concerns. These include those efforts required in development of realistic execution plans and implementation of appropriate control mechanisms which provide for effective forecasting, planning, managing, and controlling of on-going (or soon to be) program substantive activities according to the master integrated schedule and budget.

  18. Offshore aquaculture: Spatial planning principles for sustainable development.

    PubMed

    Gentry, Rebecca R; Lester, Sarah E; Kappel, Carrie V; White, Crow; Bell, Tom W; Stevens, Joel; Gaines, Steven D

    2017-01-01

    Marine aquaculture is expanding into deeper offshore environments in response to growing consumer demand for seafood, improved technology, and limited potential to increase wild fisheries catches. Sustainable development of aquaculture will require quantification and minimization of its impacts on other ocean-based activities and the environment through scientifically informed spatial planning. However, the scientific literature currently provides limited direct guidance for such planning. Here, we employ an ecological lens and synthesize a broad multidisciplinary literature to provide insight into the interactions between offshore aquaculture and the surrounding environment across a spectrum of spatial scales. While important information gaps remain, we find that there is sufficient research for informed decisions about the effects of aquaculture siting to achieve a sustainable offshore aquaculture industry that complements other uses of the marine environment.

  19. Development and Test Plans for the MSR EEV

    NASA Technical Reports Server (NTRS)

    Dillman, Robert; Laub, Bernard; Kellas, Sotiris; Schoenenberger, Mark

    2005-01-01

    The goal of the proposed Mars Sample Return mission is to bring samples from the surface of Mars back to Earth for thorough examination and analysis. The Earth Entry Vehicle is the passive entry body designed to protect the sample container from entry heating and deceleration loads during descent through the Earth s atmosphere to a recoverable location on the surface. This paper summarizes the entry vehicle design and outlines the subsystem development and testing currently planned in preparation for an entry vehicle flight test in 2010 and mission launch in 2013. Planned efforts are discussed for the areas of the thermal protection system, vehicle trajectory, aerodynamics and aerothermodynamics, impact energy absorption, structure and mechanisms, and the entry vehicle flight test.

  20. Developing a Business Plan for Critical Care Pharmacy Services.

    PubMed

    Erstad, Brian L; Mann, Henry J; Weber, Robert J

    2016-11-01

    Critical care medicine has grown from a small group of physicians participating in patient care rounds in surgical and medical intensive care units (ICUs) to a highly technical, interdisciplinary team. Pharmacy's growth in the area of critical care is as exponential. Today's ICU requires a comprehensive pharmaceutical service that includes both operational and clinical services to meet patient medication needs. This article provides the elements for a business plan to justify critical care pharmacy services by describing the pertinent background and benefit of ICU pharmacy services, detailing a current assessment of ICU pharmacy services, listing the essential ICU pharmacy services, describing service metrics, and delineating an appropriate timeline for implementing an ICU pharmacy service. The structure and approach of this business plan can be applied to a variety of pharmacy services. By following the format and information listed in this article, the pharmacy director can move closer to developing patient-centered pharmacy services for ICU patients.