Sample records for models complete documentation

  1. Testing a Nursing-Specific Model of Electronic Patient Record documentation with regard to information completeness, comprehensiveness and consistency.

    PubMed

    von Krogh, Gunn; Nåden, Dagfinn; Aasland, Olaf Gjerløw

    2012-10-01

    To present the results from the test site application of the documentation model KPO (quality assurance, problem solving and caring) designed to impact the quality of nursing information in electronic patient record (EPR). The KPO model was developed by means of consensus group and clinical testing. Four documentation arenas and eight content categories, nursing terminologies and a decision-support system were designed to impact the completeness, comprehensiveness and consistency of nursing information. The testing was performed in a pre-test/post-test time series design, three times at a one-year interval. Content analysis of nursing documentation was accomplished through the identification, interpretation and coding of information units. Data from the pre-test and post-test 2 were subjected to statistical analyses. To estimate the differences, paired t-tests were used. At post-test 2, the information is found to be more complete, comprehensive and consistent than at pre-test. The findings indicate that documentation arenas combining work flow and content categories deduced from theories on nursing practice can influence the quality of nursing information. The KPO model can be used as guide when shifting from paper-based to electronic-based nursing documentation with the aim of obtaining complete, comprehensive and consistent nursing information. © 2012 Blackwell Publishing Ltd.

  2. A nursing-specific model of EPR documentation: organizational and professional requirements.

    PubMed

    von Krogh, Gunn; Nåden, Dagfinn

    2008-01-01

    To present the Norwegian documentation KPO model (quality assurance, problem solving, and caring). To present the requirements and multiple electronic patient record (EPR) functions the model is designed to address. The model's professional substance, a conceptual framework for nursing practice is developed by examining, reorganizing, and completing existing frameworks. The model's methodology, an information management system, is developed using an expert group. Both model elements were clinically tested over a period of 1 year. The model is designed for nursing documentation in step with statutory, organizational, and professional requirements. Complete documentation is arranged for by incorporating the Nursing Minimum Data Set. A systematic and comprehensive documentation is arranged for by establishing categories as provided in the model's framework domains. Consistent documentation is arranged for by incorporating NANDA-I Nursing Diagnoses, Nursing Intervention Classification, and Nursing Outcome Classification. The model can be used as a tool in cooperation with vendors to ensure the interests of the nursing profession is met when developing EPR solutions in healthcare. The model can provide clinicians with a framework for documentation in step with legal and organizational requirements and at the same time retain the ability to record all aspects of clinical nursing.

  3. Technical report series on global modeling and data assimilation. Volume 1: Documentation of the Goddard Earth Observing System (GEOS) General Circulation Model, version 1

    NASA Technical Reports Server (NTRS)

    Suarez, Max J. (Editor); Takacs, Lawrence L.; Molod, Andrea; Wang, Tina

    1994-01-01

    This technical report documents Version 1 of the Goddard Earth Observing System (GEOS) General Circulation Model (GCM). The GEOS-1 GCM is being used by NASA's Data Assimilation Office (DAO) to produce multiyear data sets for climate research. This report provides a documentation of the model components used in the GEOS-1 GCM, a complete description of model diagnostics available, and a User's Guide to facilitate GEOS-1 GCM experiments.

  4. Combined aerial and terrestrial images for complete 3D documentation of Singosari Temple based on Structure from Motion algorithm

    NASA Astrophysics Data System (ADS)

    Hidayat, Husnul; Cahyono, A. B.

    2016-11-01

    Singosaritemple is one of cultural heritage building in East Java, Indonesia which was built in 1300s and restorated in 1934-1937. Because of its history and importance, complete documentation of this temple is required. Nowadays with the advent of low cost UAVs combining aerial photography with terrestrial photogrammetry gives more complete data for 3D documentation. This research aims to make complete 3D model of this landmark from aerial and terrestrial photographs with Structure from Motion algorithm. To establish correct scale, position, and orientation, the final 3D model was georeferenced with Ground Control Points in UTM 49S coordinate system. The result shows that all facades, floor, and upper structures can be modeled completely in 3D. In terms of 3D coordinate accuracy, the Root Mean Square Errors (RMSEs) are RMSEx=0,041 m; RMSEy=0,031 m; RMSEz=0,049 m which represent 0.071 m displacement in 3D space. In addition the mean difference of lenght measurements of the object is 0,057 m. With this accuracy, this method can be used to map the site up to 1:237 scale. Although the accuracy level is still in centimeters, the combined aerial and terrestrial photographs with Structure from Motion algorithm can provide complete and visually interesting 3D model.

  5. Farm-Level Effects of Soil Conservation and Commodity Policy Alternatives: Model and Data Documentation.

    ERIC Educational Resources Information Center

    Sutton, John D.

    This report documents a profit-maximizing linear programming (LP) model of a farm typical of a major corn-soybean producing area in the Southern Michigan-Northern Indiana Drift Plain. Following an introduction, a complete description of the farm is provided. The next section presents the LP model, which is structured to help analyze after-tax…

  6. Evapotranspiration information reporting: II. Recommended documentation

    USDA-ARS?s Scientific Manuscript database

    Researchers and journal authors, reviewers, and readers can benefit from more complete documentation of published evapotranspiration (ET) information, including a description of field procedures, instrumentation, data filtering, model parameterization, and site review. This information is important ...

  7. The AE-8 trapped electron model environment

    NASA Technical Reports Server (NTRS)

    Vette, James I.

    1991-01-01

    The machine sensible version of the AE-8 electron model environment was completed in December 1983. It has been sent to users on the model environment distribution list and is made available to new users by the National Space Science Data Center (NSSDC). AE-8 is the last in a series of terrestrial trapped radiation models that includes eight proton and eight electron versions. With the exception of AE-8, all these models were documented in formal reports as well as being available in a machine sensible form. The purpose of this report is to complete the documentation, finally, for AE-8 so that users can understand its construction and see the comparison of the model with the new data used, as well as with the AE-4 model.

  8. Space Station Freedom (SSF) Data Management System (DMS) performance model data base

    NASA Technical Reports Server (NTRS)

    Stovall, John R.

    1993-01-01

    The purpose of this document was originally to be a working document summarizing Space Station Freedom (SSF) Data Management System (DMS) hardware and software design, configuration, performance and estimated loading data from a myriad of source documents such that the parameters provided could be used to build a dynamic performance model of the DMS. The document is published at this time as a close-out of the DMS performance modeling effort resulting from the Clinton Administration mandated Space Station Redesign. The DMS as documented in this report is no longer a part of the redesigned Space Station. The performance modeling effort was a joint undertaking between the National Aeronautics and Space Administration (NASA) Johnson Space Center (JSC) Flight Data Systems Division (FDSD) and the NASA Ames Research Center (ARC) Spacecraft Data Systems Research Branch. The scope of this document is limited to the DMS core network through the Man Tended Configuration (MTC) as it existed prior to the 1993 Clinton Administration mandated Space Station Redesign. Data is provided for the Standard Data Processors (SDP's), Multiplexer/Demultiplexers (MDM's) and Mass Storage Units (MSU's). Planned future releases would have added the additional hardware and software descriptions needed to describe the complete DMS. Performance and loading data through the Permanent Manned Configuration (PMC) was to have been included as it became available. No future releases of this document are presently planned pending completion of the present Space Station Redesign activities and task reassessment.

  9. Semantic Document Model to Enhance Data and Knowledge Interoperability

    NASA Astrophysics Data System (ADS)

    Nešić, Saša

    To enable document data and knowledge to be efficiently shared and reused across application, enterprise, and community boundaries, desktop documents should be completely open and queryable resources, whose data and knowledge are represented in a form understandable to both humans and machines. At the same time, these are the requirements that desktop documents need to satisfy in order to contribute to the visions of the Semantic Web. With the aim of achieving this goal, we have developed the Semantic Document Model (SDM), which turns desktop documents into Semantic Documents as uniquely identified and semantically annotated composite resources, that can be instantiated into human-readable (HR) and machine-processable (MP) forms. In this paper, we present the SDM along with an RDF and ontology-based solution for the MP document instance. Moreover, on top of the proposed model, we have built the Semantic Document Management System (SDMS), which provides a set of services that exploit the model. As an application example that takes advantage of SDMS services, we have extended MS Office with a set of tools that enables users to transform MS Office documents (e.g., MS Word and MS PowerPoint) into Semantic Documents, and to search local and distant semantic document repositories for document content units (CUs) over Semantic Web protocols.

  10. Temperature and solute-transport simulation in streamflow using a Lagrangian reference frame

    USGS Publications Warehouse

    Jobson, Harvey E.

    1980-01-01

    A computer program for simulating one-dimensional, unsteady temperature and solute transport in a river has been developed and documented for general use. The solution approach to the convective-diffusion equation uses a moving reference frame (Lagrangian) which greatly simplifies the mathematics of the solution procedure and dramatically reduces errors caused by numerical dispersion. The model documentation is presented as a series of four programs of increasing complexity. The conservative transport model can be used to route a single conservative substance. The simplified temperature model is used to predict water temperature in rivers when only temperature and windspeed data are available. The complete temperature model is highly accurate but requires rather complete meteorological data. Finally, the 10-parameter model can be used to route as many as 10 interacting constituents through a river reach. (USGS)

  11. User's guide to the MESOI diffusion model and to the utility programs UPDATE and LOGRVU

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

    Athey, G.F.; Allwine, K.J.; Ramsdell, J.V.

    MESOI is an interactive, Lagrangian puff trajectory diffusion model. The model is documented separately (Ramsdell and Athey, 1981); this report is intended to provide MESOI users with the information needed to successfully conduct model simulations. The user is also provided with guidance in the use of the data file maintenance and review programs; UPDATE and LOGRVU. Complete examples are given for the operaton of all three programs and an appendix documents UPDATE and LOGRVU.

  12. HIS-based Kaplan-Meier plots--a single source approach for documenting and reusing routine survival information.

    PubMed

    Breil, Bernhard; Semjonow, Axel; Müller-Tidow, Carsten; Fritz, Fleur; Dugas, Martin

    2011-02-16

    Survival or outcome information is important for clinical routine as well as for clinical research and should be collected completely, timely and precisely. This information is relevant for multiple usages including quality control, clinical trials, observational studies and epidemiological registries. However, the local hospital information system (HIS) does not support this documentation and therefore this data has to generated by paper based or spreadsheet methods which can result in redundantly documented data. Therefore we investigated, whether integrating the follow-up documentation of different departments in the HIS and reusing it for survival analysis can enable the physician to obtain survival curves in a timely manner and to avoid redundant documentation. We analysed the current follow-up process of oncological patients in two departments (urology, haematology) with respect to different documentation forms. We developed a concept for comprehensive survival documentation based on a generic data model and implemented a follow-up form within the HIS of the University Hospital Muenster which is suitable for a secondary use of these data. We designed a query to extract the relevant data from the HIS and implemented Kaplan-Meier plots based on these data. To re-use this data sufficient data quality is needed. We measured completeness of forms with respect to all tumour cases in the clinic and completeness of documented items per form as incomplete information can bias results of the survival analysis. Based on the form analysis we discovered differences and concordances between both departments. We identified 52 attributes from which 13 were common (e.g. procedures and diagnosis dates) and were used for the generic data model. The electronic follow-up form was integrated in the clinical workflow. Survival data was also retrospectively entered in order to perform survival and quality analyses on a comprehensive data set. Physicians are now able to generate timely Kaplan-Meier plots on current data. We analysed 1029 follow-up forms of 965 patients with survival information between 1992 and 2010. Completeness of forms was 60.2%, completeness of items ranges between 94.3% and 98.5%. Median overall survival time was 16.4 years; median event-free survival time was 7.7 years. It is feasible to integrate survival information into routine HIS documentation such that Kaplan-Meier plots can be generated directly and in a timely manner.

  13. [Multimodal document management in radiotherapy].

    PubMed

    Fahrner, H; Kirrmann, S; Röhner, F; Schmucker, M; Hall, M; Heinemann, F

    2013-12-01

    After incorporating treatment planning and the organisational model of treatment planning in the operating schedule system (BAS, "Betriebsablaufsystem"), complete document qualities were embedded in the digital environment. The aim of this project was to integrate all documents independent of their source (paper-bound or digital) and to make content from the BAS available in a structured manner. As many workflow steps as possible should be automated, e.g. assigning a document to a patient in the BAS. Additionally it must be guaranteed that at all times it could be traced who, when, how and from which source documents were imported into the departmental system. Furthermore work procedures should be changed that the documentation conducted either directly in the departmental system or from external systems can be incorporated digitally and paper document can be completely avoided (e.g. documents such as treatment certificate, treatment plans or documentation). It was a further aim, if possible, to automate the removal of paper documents from the departmental work flow, or even to make such paper documents superfluous. In this way patient letters for follow-up appointments should automatically generated from the BAS. Similarly patient record extracts in the form of PDF files should be enabled, e.g. for controlling purposes. The available document qualities were analysed in detail by a multidisciplinary working group (BAS-AG) and after this examination and assessment of the possibility of modelling in our departmental workflow (BAS) they were transcribed into a flow diagram. The gathered specifications were implemented in a test environment by the clinical and administrative IT group of the department of radiation oncology and subsequent to a detailed analysis introduced into clinical routine. The department has succeeded under the conditions of the aforementioned criteria to embed all relevant documents in the departmental workflow via continuous processes. Since the completion of the concepts and the implementation in our test environment 15,000 documents were introduced into the departmental workflow following routine approval. Furthermore approximately 5000 appointment letters for patient aftercare per year were automatically generated by the BAS. In addition patient record extracts in the form of PDF files for the medical services of the healthcare insurer can be generated.

  14. Birth/death process model

    NASA Technical Reports Server (NTRS)

    Solloway, C. B.; Wakeland, W.

    1976-01-01

    First-order Markov model developed on digital computer for population with specific characteristics. System is user interactive, self-documenting, and does not require user to have complete understanding of underlying model details. Contains thorough error-checking algorithms on input and default capabilities.

  15. Documenting Climate Models and Simulations: the ES-DOC Ecosystem in Support of CMIP

    NASA Astrophysics Data System (ADS)

    Pascoe, C. L.; Guilyardi, E.

    2017-12-01

    The results of climate models are of increasing and widespread importance. No longer is climate model output of sole interest to climate scientists and researchers in the climate change impacts and adaptation fields. Now non-specialists such as government officials, policy-makers, and the general public, all have an increasing need to access climate model output and understand its implications. For this host of users, accurate and complete metadata (i.e., information about how and why the data were produced) is required to document the climate modeling results. Here we describe the ES-DOC community-govern project to collect and make available documentation of climate models and their simulations for the internationally coordinated modeling activity CMIP6 (Coupled Model Intercomparison Project, Phase 6). An overview of the underlying standards, key properties and features, the evolution from CMIP5, the underlying tools and workflows as well as what modelling groups should expect and how they should engage with the documentation of their contribution to CMIP6 is also presented.

  16. In-Drift Microbial Communities

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

    D. Jolley

    2000-11-09

    As directed by written work direction (CRWMS M and O 1999f), Performance Assessment (PA) developed a model for microbial communities in the engineered barrier system (EBS) as documented here. The purpose of this model is to assist Performance Assessment and its Engineered Barrier Performance Section in modeling the geochemical environment within a potential repository drift for TSPA-SR/LA, thus allowing PA to provide a more detailed and complete near-field geochemical model and to answer the key technical issues (KTI) raised in the NRC Issue Resolution Status Report (IRSR) for the Evolution of the Near Field Environment (NFE) Revision 2 (NRC 1999).more » This model and its predecessor (the in-drift microbial communities model as documented in Chapter 4 of the TSPA-VA Technical Basis Document, CRWMS M and O 1998a) was developed to respond to the applicable KTIs. Additionally, because of the previous development of the in-drift microbial communities model as documented in Chapter 4 of the TSPA-VA Technical Basis Document (CRWMS M and O 1998a), the M and O was effectively able to resolve a previous KTI concern regarding the effects of microbial processes on seepage and flow (NRC 1998). This document supercedes the in-drift microbial communities model as documented in Chapter 4 of the TSPA-VA Technical Basis Document (CRWMS M and O 1998a). This document provides the conceptual framework of the revised in-drift microbial communities model to be used in subsequent performance assessment (PA) analyses.« less

  17. The dynamic development of the muzzle imprint by contact gunshot: high-speed documentation utilizing the "skin-skull-brain model".

    PubMed

    Thali, M J; Kneubuehl, B P; Dirnhofer, R; Zollinger, U

    2002-07-17

    Many contact gunshots produce a muzzle imprint in the skin of the victim. Different mechanisms have been discussed in literature as being responsible for the creation of the muzzle imprint. Experimenting upon the synthetic non biological skin-skull-brain model, our goal was to document and study the creation of the muzzle imprint with the aid of high-speed photography. In our experiments, we could document with our high-speed photography (at exposure rates in the range of nanoseconds) the bulging, the pressing against the muzzle, and the splitting of the artificial skin. Furthermore, it was possible to photographically record the back pattern of synthetic tissue particles. And, the soot and gunpowder cavity could be reproduced experimentally. In conclusion the experiments completed with the skin-skull-brain model, using high-speed photography for documentation, show the promising possibilities of experimental ballistics with body models.

  18. Integrating Module - NEMS Documentation

    EIA Publications

    2014-01-01

    Provides an overview of the complete National Energy Modeling System (NEMS) model, and includes brief descriptions of the modules with which the Integrating Module interacts. The emphasis and focus, however, is on the structure and function of the Integrating Module of NEMS.

  19. Information system life-cycle and documentation standards, volume 1

    NASA Technical Reports Server (NTRS)

    Callender, E. David; Steinbacher, Jody

    1989-01-01

    The Software Management and Assurance Program (SMAP) Information System Life-Cycle and Documentation Standards Document describes the Version 4 standard information system life-cycle in terms of processes, products, and reviews. The description of the products includes detailed documentation standards. The standards in this document set can be applied to the life-cycle, i.e., to each phase in the system's development, and to the documentation of all NASA information systems. This provides consistency across the agency as well as visibility into the completeness of the information recorded. An information system is software-intensive, but consists of any combination of software, hardware, and operational procedures required to process, store, or transmit data. This document defines a standard life-cycle model and content for associated documentation.

  20. Earth System Documentation (ES-DOC) Preparation for CMIP6

    NASA Astrophysics Data System (ADS)

    Denvil, S.; Murphy, S.; Greenslade, M. A.; Lawrence, B.; Guilyardi, E.; Pascoe, C.; Treshanksy, A.; Elkington, M.; Hibling, E.; Hassell, D.

    2015-12-01

    During the course of 2015 the Earth System Documentation (ES-DOC) project began its preparations for CMIP6 (Coupled Model Inter-comparison Project 6) by further extending the ES-DOC tooling ecosystem in support of Earth System Model (ESM) documentation creation, search, viewing & comparison. The ES-DOC online questionnaire, the ES-DOC desktop notebook, and the ES-DOC python toolkit will serve as multiple complementary pathways to generating CMIP6 documentation. It is envisaged that institutes will leverage these tools at different points of the CMIP6 lifecycle. Institutes will be particularly interested to know that the documentation burden will be either streamlined or completely automated.As all the tools are tightly integrated with the ES-DOC web-service, institutes can be confident that the latency between documentation creation & publishing will be reduced to a minimum. Published documents will be viewable with the online ES-DOC Viewer (accessible via citable URL's). Model inter-comparison scenarios will be supported using the ES-DOC online Comparator tool. The Comparator is being extended to:• Support comparison of both Model descriptions & Simulation runs;• Greatly streamline the effort involved in compiling official tables.The entire ES-DOC ecosystem is open source and built upon open standards such as the Common Information Model (CIM) (versions 1 and 2).

  1. High-Quality 3d Models and Their Use in a Cultural Heritage Conservation Project

    NASA Astrophysics Data System (ADS)

    Tucci, G.; Bonora, V.; Conti, A.; Fiorini, L.

    2017-08-01

    Cultural heritage digitization and 3D modelling processes are mainly based on laser scanning and digital photogrammetry techniques to produce complete, detailed and photorealistic three-dimensional surveys: geometric as well as chromatic aspects, in turn testimony of materials, work techniques, state of preservation, etc., are documented using digitization processes. The paper explores the topic of 3D documentation for conservation purposes; it analyses how geomatics contributes in different steps of a restoration process and it presents an overview of different uses of 3D models for the conservation and enhancement of the cultural heritage. The paper reports on the project to digitize the earthenware frieze of the Ospedale del Ceppo in Pistoia (Italy) for 3D documentation, restoration work support, and digital and physical reconstruction and integration purposes. The intent to design an exhibition area suggests new ways to take advantage of 3D data originally acquired for documentation and scientific purposes.

  2. Automation for System Safety Analysis

    NASA Technical Reports Server (NTRS)

    Malin, Jane T.; Fleming, Land; Throop, David; Thronesbery, Carroll; Flores, Joshua; Bennett, Ted; Wennberg, Paul

    2009-01-01

    This presentation describes work to integrate a set of tools to support early model-based analysis of failures and hazards due to system-software interactions. The tools perform and assist analysts in the following tasks: 1) extract model parts from text for architecture and safety/hazard models; 2) combine the parts with library information to develop the models for visualization and analysis; 3) perform graph analysis and simulation to identify and evaluate possible paths from hazard sources to vulnerable entities and functions, in nominal and anomalous system-software configurations and scenarios; and 4) identify resulting candidate scenarios for software integration testing. There has been significant technical progress in model extraction from Orion program text sources, architecture model derivation (components and connections) and documentation of extraction sources. Models have been derived from Internal Interface Requirements Documents (IIRDs) and FMEA documents. Linguistic text processing is used to extract model parts and relationships, and the Aerospace Ontology also aids automated model development from the extracted information. Visualizations of these models assist analysts in requirements overview and in checking consistency and completeness.

  3. Some guidance on preparing validation plans for the DART Full System Models.

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

    Gray, Genetha Anne; Hough, Patricia Diane; Hills, Richard Guy

    2009-03-01

    Planning is an important part of computational model verification and validation (V&V) and the requisite planning document is vital for effectively executing the plan. The document provides a means of communicating intent to the typically large group of people, from program management to analysts to test engineers, who must work together to complete the validation activities. This report provides guidelines for writing a validation plan. It describes the components of such a plan and includes important references and resources. While the initial target audience is the DART Full System Model teams in the nuclear weapons program, the guidelines are generallymore » applicable to other modeling efforts. Our goal in writing this document is to provide a framework for consistency in validation plans across weapon systems, different types of models, and different scenarios. Specific details contained in any given validation plan will vary according to application requirements and available resources.« less

  4. Model-Based Systems

    NASA Technical Reports Server (NTRS)

    Frisch, Harold P.

    2007-01-01

    Engineers, who design systems using text specification documents, focus their work upon the completed system to meet Performance, time and budget goals. Consistency and integrity is difficult to maintain within text documents for a single complex system and more difficult to maintain as several systems are combined into higher-level systems, are maintained over decades, and evolve technically and in performance through updates. This system design approach frequently results in major changes during the system integration and test phase, and in time and budget overruns. Engineers who build system specification documents within a model-based systems environment go a step further and aggregate all of the data. They interrelate all of the data to insure consistency and integrity. After the model is constructed, the various system specification documents are prepared, all from the same database. The consistency and integrity of the model is assured, therefore the consistency and integrity of the various specification documents is insured. This article attempts to define model-based systems relative to such an environment. The intent is to expose the complexity of the enabling problem by outlining what is needed, why it is needed and how needs are being addressed by international standards writing teams.

  5. Documenting Climate Models and Their Simulations

    DOE PAGES

    Guilyardi, Eric; Balaji, V.; Lawrence, Bryan; ...

    2013-05-01

    The results of climate models are of increasing and widespread importance. No longer is climate model output of sole interest to climate scientists and researchers in the climate change impacts and adaptation fields. Now nonspecialists such as government officials, policy makers, and the general public all have an increasing need to access climate model output and understand its implications. For this host of users, accurate and complete metadata (i.e., information about how and why the data were produced) is required to document the climate modeling results. We describe a pilot community initiative to collect and make available documentation of climatemore » models and their simulations. In an initial application, a metadata repository is being established to provide information of this kind for a major internationally coordinated modeling activity known as CMIP5 (Coupled Model Intercomparison Project, Phase 5). We expected that for a wide range of stakeholders, this and similar community-managed metadata repositories will spur development of analysis tools that facilitate discovery and exploitation of Earth system simulations.« less

  6. Probabilistic topic modeling for the analysis and classification of genomic sequences

    PubMed Central

    2015-01-01

    Background Studies on genomic sequences for classification and taxonomic identification have a leading role in the biomedical field and in the analysis of biodiversity. These studies are focusing on the so-called barcode genes, representing a well defined region of the whole genome. Recently, alignment-free techniques are gaining more importance because they are able to overcome the drawbacks of sequence alignment techniques. In this paper a new alignment-free method for DNA sequences clustering and classification is proposed. The method is based on k-mers representation and text mining techniques. Methods The presented method is based on Probabilistic Topic Modeling, a statistical technique originally proposed for text documents. Probabilistic topic models are able to find in a document corpus the topics (recurrent themes) characterizing classes of documents. This technique, applied on DNA sequences representing the documents, exploits the frequency of fixed-length k-mers and builds a generative model for a training group of sequences. This generative model, obtained through the Latent Dirichlet Allocation (LDA) algorithm, is then used to classify a large set of genomic sequences. Results and conclusions We performed classification of over 7000 16S DNA barcode sequences taken from Ribosomal Database Project (RDP) repository, training probabilistic topic models. The proposed method is compared to the RDP tool and Support Vector Machine (SVM) classification algorithm in a extensive set of trials using both complete sequences and short sequence snippets (from 400 bp to 25 bp). Our method reaches very similar results to RDP classifier and SVM for complete sequences. The most interesting results are obtained when short sequence snippets are considered. In these conditions the proposed method outperforms RDP and SVM with ultra short sequences and it exhibits a smooth decrease of performance, at every taxonomic level, when the sequence length is decreased. PMID:25916734

  7. Simple Spectral Lines Data Model Version 1.0

    NASA Astrophysics Data System (ADS)

    Osuna, Pedro; Salgado, Jesus; Guainazzi, Matteo; Dubernet, Marie-Lise; Roueff, Evelyne; Osuna, Pedro; Salgado, Jesus

    2010-12-01

    This document presents a Data Model to describe Spectral Line Transitions in the context of the Simple Line Access Protocol defined by the IVOA (c.f. Ref[13] IVOA Simple Line Access protocol) The main objective of the model is to integrate with and support the Simple Line Access Protocol, with which it forms a compact unit. This integration allows seamless access to Spectral Line Transitions available worldwide in the VO context. This model does not provide a complete description of Atomic and Molecular Physics, which scope is outside of this document. In the astrophysical sense, a line is considered as the result of a transition between two energy levels. Under the basis of this assumption, a whole set of objects and attributes have been derived to define properly the necessary information to describe lines appearing in astrophysical contexts. The document has been written taking into account available information from many different Line data providers (see acknowledgments section).

  8. Analysis and calculation of macrosegregation in a casting ingot. MPS solidification model. Volume 2: Software documentation

    NASA Technical Reports Server (NTRS)

    Maples, A. L.

    1980-01-01

    The software developed for the solidification model is presented. A link between the calculations and the FORTRAN code is provided, primarily in the form of global flow diagrams and data structures. A complete listing of the solidification code is given.

  9. Application of process improvement principles to increase the frequency of complete airway management documentation.

    PubMed

    McCarty, L Kelsey; Saddawi-Konefka, Daniel; Gargan, Lauren M; Driscoll, William D; Walsh, John L; Peterfreund, Robert A

    2014-12-01

    Process improvement in healthcare delivery settings can be difficult, even when there is consensus among clinicians about a clinical practice or desired outcome. Airway management is a medical intervention fundamental to the delivery of anesthesia care. Like other medical interventions, a detailed description of the management methods should be documented. Despite this expectation, airway documentation is often insufficient. The authors hypothesized that formal adoption of process improvement methods could be used to increase the rate of "complete" airway management documentation. The authors defined a set of criteria as a local practice standard of "complete" airway management documentation. The authors then employed selected process improvement methodologies over 13 months in three iterative and escalating phases to increase the percentage of records with complete documentation. The criteria were applied retrospectively to determine the baseline frequency of complete records, and prospectively to measure the impact of process improvements efforts over the three phases of implementation. Immediately before the initial intervention, a retrospective review of 23,011 general anesthesia cases over 6 months showed that 13.2% of patient records included complete documentation. At the conclusion of the 13-month improvement effort, documentation improved to a completion rate of 91.6% (P<0.0001). During the subsequent 21 months, the completion rate was sustained at an average of 90.7% (SD, 0.9%) across 82,571 general anesthetic records. Systematic application of process improvement methodologies can improve airway documentation and may be similarly effective in improving other areas of anesthesia clinical practice.

  10. a Semi-Automated Point Cloud Processing Methodology for 3d Cultural Heritage Documentation

    NASA Astrophysics Data System (ADS)

    Kıvılcım, C. Ö.; Duran, Z.

    2016-06-01

    The preliminary phase in any architectural heritage project is to obtain metric measurements and documentation of the building and its individual elements. On the other hand, conventional measurement techniques require tremendous resources and lengthy project completion times for architectural surveys and 3D model production. Over the past two decades, the widespread use of laser scanning and digital photogrammetry have significantly altered the heritage documentation process. Furthermore, advances in these technologies have enabled robust data collection and reduced user workload for generating various levels of products, from single buildings to expansive cityscapes. More recently, the use of procedural modelling methods and BIM relevant applications for historic building documentation purposes has become an active area of research, however fully automated systems in cultural heritage documentation still remains open. In this paper, we present a semi-automated methodology, for 3D façade modelling of cultural heritage assets based on parametric and procedural modelling techniques and using airborne and terrestrial laser scanning data. We present the contribution of our methodology, which we implemented in an open source software environment using the example project of a 16th century early classical era Ottoman structure, Sinan the Architect's Şehzade Mosque in Istanbul, Turkey.

  11. Key Planning Factors for Recovery from a Biological Terrorism Incident

    DTIC Science & Technology

    2012-08-30

    Goals, this document identifies key technical planning areas that may be used to inform subsequent FEMA response and recovery guidance documents. The...expressed herein do not necessarily state or reflect those of their respective organizations or the US Government. The modeling and analysis provided by...responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, or process disclosed, or represents that its use would

  12. Evaluating Nextgen Closely Spaced Parallel Operations Concepts with Validated Human Performance Models: Flight Deck Guidelines

    NASA Technical Reports Server (NTRS)

    Hooey, Becky Lee; Gore, Brian Francis; Mahlstedt, Eric; Foyle, David C.

    2013-01-01

    The objectives of the current research were to develop valid human performance models (HPMs) of approach and land operations; use these models to evaluate the impact of NextGen Closely Spaced Parallel Operations (CSPO) on pilot performance; and draw conclusions regarding flight deck display design and pilot-ATC roles and responsibilities for NextGen CSPO concepts. This document presents guidelines and implications for flight deck display designs and candidate roles and responsibilities. A companion document (Gore, Hooey, Mahlstedt, & Foyle, 2013) provides complete scenario descriptions and results including predictions of pilot workload, visual attention and time to detect off-nominal events.

  13. Information Extraction for System-Software Safety Analysis: Calendar Year 2008 Year-End Report

    NASA Technical Reports Server (NTRS)

    Malin, Jane T.

    2009-01-01

    This annual report describes work to integrate a set of tools to support early model-based analysis of failures and hazards due to system-software interactions. The tools perform and assist analysts in the following tasks: 1) extract model parts from text for architecture and safety/hazard models; 2) combine the parts with library information to develop the models for visualization and analysis; 3) perform graph analysis and simulation to identify and evaluate possible paths from hazard sources to vulnerable entities and functions, in nominal and anomalous system-software configurations and scenarios; and 4) identify resulting candidate scenarios for software integration testing. There has been significant technical progress in model extraction from Orion program text sources, architecture model derivation (components and connections) and documentation of extraction sources. Models have been derived from Internal Interface Requirements Documents (IIRDs) and FMEA documents. Linguistic text processing is used to extract model parts and relationships, and the Aerospace Ontology also aids automated model development from the extracted information. Visualizations of these models assist analysts in requirements overview and in checking consistency and completeness.

  14. Phase I Hydrologic Data for the Groundwater Flow and Contaminant Transport Model of Corrective Action Unit 97: Yucca Flat/Climax Mine, Nevada Test Site, Nye County, Nevada, Rev. No.: 0

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

    John McCord

    2006-06-01

    The U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office (NNSA/NSO) initiated the Underground Test Area (UGTA) Project to assess and evaluate the effects of the underground nuclear weapons tests on groundwater beneath the Nevada Test Site (NTS) and vicinity. The framework for this evaluation is provided in Appendix VI, Revision No. 1 (December 7, 2000) of the Federal Facility Agreement and Consent Order (FFACO, 1996). Section 3.0 of Appendix VI ''Corrective Action Strategy'' of the FFACO describes the process that will be used to complete corrective actions specifically for the UGTA Project. The objective of themore » UGTA corrective action strategy is to define contaminant boundaries for each UGTA corrective action unit (CAU) where groundwater may have become contaminated from the underground nuclear weapons tests. The contaminant boundaries are determined based on modeling of groundwater flow and contaminant transport. A summary of the FFACO corrective action process and the UGTA corrective action strategy is provided in Section 1.5. The FFACO (1996) corrective action process for the Yucca Flat/Climax Mine CAU 97 was initiated with the Corrective Action Investigation Plan (CAIP) (DOE/NV, 2000a). The CAIP included a review of existing data on the CAU and proposed a set of data collection activities to collect additional characterization data. These recommendations were based on a value of information analysis (VOIA) (IT, 1999), which evaluated the value of different possible data collection activities, with respect to reduction in uncertainty of the contaminant boundary, through simplified transport modeling. The Yucca Flat/Climax Mine CAIP identifies a three-step model development process to evaluate the impact of underground nuclear testing on groundwater to determine a contaminant boundary (DOE/NV, 2000a). The three steps are as follows: (1) Data compilation and analysis that provides the necessary modeling data that is completed in two parts: the first addressing the groundwater flow model, and the second the transport model. (2) Development of a groundwater flow model. (3) Development of a groundwater transport model. This report presents the results of the first part of the first step, documenting the data compilation, evaluation, and analysis for the groundwater flow model. The second part, documentation of transport model data will be the subject of a separate report. The purpose of this document is to present the compilation and evaluation of the available hydrologic data and information relevant to the development of the Yucca Flat/Climax Mine CAU groundwater flow model, which is a fundamental tool in the prediction of the extent of contaminant migration. Where appropriate, data and information documented elsewhere are summarized with reference to the complete documentation. The specific task objectives for hydrologic data documentation are as follows: (1) Identify and compile available hydrologic data and supporting information required to develop and validate the groundwater flow model for the Yucca Flat/Climax Mine CAU. (2) Assess the quality of the data and associated documentation, and assign qualifiers to denote levels of quality. (3) Analyze the data to derive expected values or spatial distributions and estimates of the associated uncertainty and variability.« less

  15. A python framework for environmental model uncertainty analysis

    USGS Publications Warehouse

    White, Jeremy; Fienen, Michael N.; Doherty, John E.

    2016-01-01

    We have developed pyEMU, a python framework for Environmental Modeling Uncertainty analyses, open-source tool that is non-intrusive, easy-to-use, computationally efficient, and scalable to highly-parameterized inverse problems. The framework implements several types of linear (first-order, second-moment (FOSM)) and non-linear uncertainty analyses. The FOSM-based analyses can also be completed prior to parameter estimation to help inform important modeling decisions, such as parameterization and objective function formulation. Complete workflows for several types of FOSM-based and non-linear analyses are documented in example notebooks implemented using Jupyter that are available in the online pyEMU repository. Example workflows include basic parameter and forecast analyses, data worth analyses, and error-variance analyses, as well as usage of parameter ensemble generation and management capabilities. These workflows document the necessary steps and provides insights into the results, with the goal of educating users not only in how to apply pyEMU, but also in the underlying theory of applied uncertainty quantification.

  16. Development of the Quality of Australian Nursing Documentation in Aged Care (QANDAC) instrument to assess paper-based and electronic resident records.

    PubMed

    Wang, Ning; Björvell, Catrin; Hailey, David; Yu, Ping

    2014-12-01

    To develop an Australian nursing documentation in aged care (Quality of Australian Nursing Documentation in Aged Care (QANDAC)) instrument to measure the quality of paper-based and electronic resident records. The instrument was based on the nursing process model and on three attributes of documentation quality identified in a systematic review. The development process involved five phases following approaches to designing criterion-referenced measures. The face and content validities and the inter-rater reliability of the instrument were estimated using a focus group approach and consensus model. The instrument contains 34 questions in three sections: completion of nursing history and assessment, description of care process and meeting the requirements of data entry. Estimates of the validity and inter-rater reliability of the instrument gave satisfactory results. The QANDAC instrument may be a useful audit tool for quality improvement and research in aged care documentation. © 2013 ACOTA.

  17. An Empirical Model-based MOE for Friction Reduction by Slot-Ejected Polymer Solutions in an Aqueous Environment

    DTIC Science & Technology

    2007-12-21

    of hydrodynamics and the physical characteristics of the polymers. The physics models include both analytical models and numerical simulations ...the experimental observations. The numerical simulations also succeed in replicating some experimental measurements. However, there is still no...become quite significant. 4.5 Documentation The complete model is coded in MatLab . In the model, all units are cgs, so distances are in

  18. Texas flexible pavements and overlays : year 5 report - complete data documentation.

    DOT National Transportation Integrated Search

    2017-05-01

    Proper calibration and validation of pavement design and performance models to Texas conditions is : essential for cost-effective flexible pavement design, performance predictions, and maintenance/rehab : strategies. The veracity of the calibration o...

  19. Occupational Injury and Illness Surveillance: Conceptual Filters Explain Underreporting

    PubMed Central

    Azaroff, Lenore S.; Levenstein, Charles; Wegman, David H.

    2002-01-01

    Occupational health surveillance data are key to effective intervention. However, the US Bureau of Labor Statistics survey significantly underestimates the incidence of work-related injuries and illnesses. Researchers supplement these statistics with data from other systems not designed for surveillance. The authors apply the filter model of Webb et al. to underreporting by the Bureau of Labor Statistics, workers’ compensation wage-replacement documents, physician reporting systems, and medical records of treatment charged to workers’ compensation. Mechanisms are described for the loss of cases at successive steps of documentation. Empirical findings indicate that workers repeatedly risk adverse consequences for attempting to complete these steps, while systems for ensuring their completion are weak or absent. PMID:12197968

  20. 75 FR 79370 - Official Release of the MOVES2010a and EMFAC2007 Motor Vehicle Emissions Models for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-20

    ...: This Notice announces the availability of two new EPA guidance documents for: completing quantitative... of the MOVES model (MOVES2010a) for official use for quantitative CO, PM 2.5, and PM 10 hot-spot... emissions model is required to be used in quantitative CO and PM hot-spot analyses for project-level...

  1. Initial Teacher Education in Russia: Connecting Theory, Practice and Research

    ERIC Educational Resources Information Center

    Valeeva, Roza A.; Gafurov, Ilshat R.

    2017-01-01

    This paper explores initial teacher education (ITE) in Russia, its organisation and content in the light of international literature. Changes in the political, socio-economic and cultural life of Russia in recent decades have defined a completely different model of teacher education. This model has evolved through key policy documents including…

  2. Integrated Baseline System (IBS), Version 1. 03. [Chemical Stockpile Emergency Preparedness Program

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

    Bailey, B.M.; Burford, M.J.; Downing, T.R.

    The Integrated Baseline System (IBS), operated by the Federal Emergency Management Agency (FEMA), is a system of computerized tools for emergency planing and analysis. This document is the user guide for the IBS and explains how to operate the IBS system. The fundamental function of the IBS is to provide tools that civilian emergency management personnel can use in developing emergency plans and in supporting emergency management activities to cope with a chemical-releasing event at a military chemical stockpile. Emergency management planners can evaluate concepts and ideas using the IBS system. The results of that experience can then be factoredmore » into refining requirements and plans. This document provides information for the general system user, and is the primary reference for the system features of the IBS. It is designed for persons who are familiar with general emergency management concepts, operations, and vocabulary. Although the IBS manual set covers basic and advanced operations, it is not a complete reference document set. Emergency situation modeling software in the IBS is supported by additional technical documents. Some of the other LBS software is commercial software for which more complete documentation is available. The IBS manuals reference such documentation where necessary. IBS is a dynamic system. Its capabilities are in a state of continuing expansion and enhancement.« less

  3. A Documentation System to Save Time and Ensure Proper Application of the Fiberoptic Endoscopic Evaluation of Swallowing (FEES®)

    PubMed Central

    Hey, Christiane; Pluschinski, Petra; Stanschus, Soenke; Euler, Harald A.; Sader, Robert A.; Langmore, Susan; Neumann, Katrin

    2011-01-01

    A properly performed fiberoptic endoscopic evaluation of swallowing (FEES®) is comprehensive and time-consuming. Editing times of FEES protocols and attempts for efficiency maximization are unknown. Here, the protocol editing times of completed FEES examinations were determined. The present study reports the time savings and quality gains of a newly developed documentation system tailored to the FEES standard of Langmore. Four independent examiners analyzed twelve videos of FEES procedures, six without and six with the documentation system. Effectiveness of the documentation system was evaluated according to the times for total evaluation, interpretation, documentation, report writing, and for report completeness. The documentation system reduced editing times and increased report completeness with large effect sizes. Averaged total evaluation time decreased from 42 to 27 min, report completeness increased from 55 to 80%. The use of the documentation system facilitates and improves the assessment of the swallowing process. PMID:20938202

  4. Exploring Vital Sign Data Quality in Electronic Health Records with Focus on Emergency Care Warning Scores.

    PubMed

    Skyttberg, Niclas; Chen, Rong; Blomqvist, Hans; Koch, Sabine

    2017-08-30

    Computerized clinical decision support and automation of warnings have been advocated to assist clinicians in detecting patients at risk of physiological instability. To provide reliable support such systems are dependent on high-quality vital sign data. Data quality depends on how, when and why the data is captured and/or documented. This study aims to describe the effects on data quality of vital signs by three different types of documentation practices in five Swedish emergency hospitals, and to assess data fitness for calculating warning and triage scores. The study also provides reference data on triage vital signs in Swedish emergency care. We extracted a dataset including vital signs, demographic and administrative data from emergency care visits (n=335027) at five Swedish emergency hospitals during 2013 using either completely paper-based, completely electronic or mixed documentation practices. Descriptive statistics were used to assess fitness for use in emergency care decision support systems aiming to calculate warning and triage scores, and data quality was described in three categories: currency, completeness and correctness. To estimate correctness, two further categories - plausibility and concordance - were used. The study showed an acceptable correctness of the registered vital signs irrespectively of the type of documentation practice. Completeness was high in sites where registrations were routinely entered into the Electronic Health Record (EHR). The currency was only acceptable in sites with a completely electronic documentation practice. Although vital signs that were recorded in completely electronic documentation practices showed plausible results regarding correctness, completeness and currency, the study concludes that vital signs documented in Swedish emergency care EHRs cannot generally be considered fit for use for calculation of triage and warning scores. Low completeness and currency were found if the documentation was not completely electronic.

  5. Approximation of Quantum Stochastic Differential Equations for Input-Output Model Reduction

    DTIC Science & Technology

    2016-02-25

    Approximation of Quantum Stochastic Differential Equations for Input-Output Model Reduction We have completed a short program of theoretical research...on dimensional reduction and approximation of models based on quantum stochastic differential equations. Our primary results lie in the area of...2211 quantum probability, quantum stochastic differential equations REPORT DOCUMENTATION PAGE 11. SPONSOR/MONITOR’S REPORT NUMBER(S) 10. SPONSOR

  6. 26 CFR 48.4081-5 - Taxable fuel; notification certificate of taxable fuel registrant.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... authority to bind the registrant, is in substantially the same form as the model provided in paragraph (b)(2) of this section, and contains all information necessary to complete such model. A new certificate... be included as part of any business records normally used to document a sale. The certificate expires...

  7. First Draft of the act Programming Language

    DTIC Science & Technology

    2014-01-22

    International Conference on, pages 1–15, 2013. [4] Yang Zhao, Jie Liu, and Edward A. Lee. A programming model for time - synchronized distributed real- time ...including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing...report is to document the first complete attempt at the design of a high-level programming language for timed systems called act. We define the lexical

  8. Constitutive relations in TRAC-P1A

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

    Rohatgi, U.S.; Saha, P.

    1980-08-01

    The purpose of this document is to describe the basic thermal-hydraulic models and correlations that are in the TRAC-P1A code, as released in March 1979. It is divided into two parts, A and B. Part A describes the models in the three-dimensional vessel module of TRAC, whereas Part B focuses on the loop components that are treated by one-dimensional formulations. The report follows the format of the questions prepared by the Analysis Development Branch of USNRC and the questionnaire has been attached to this document for completeness. Concerted efforts have been made in understanding the present models in TRAC-P1A bymore » going through the FORTRAN listing of the code. Some discrepancies between the code and the TRAC-P1A manual have been found. These are pointed out in this document. Efforts have also been made to check the TRAC references for the range of applicability of the models and correlations used in the code. 26 refs., 5 figs., 1 tab.« less

  9. Learning portfolio models in health regulatory colleges of Ontario, Canada.

    PubMed

    Tompkins, Marianne; Paquette-Frenette, Denise

    2010-01-01

    Health regulatory colleges promote continued competence by requiring members to submit yearly portfolios that document learning. Previous studies conclude that portfolios can be valuable tools to promote continuous learning in health college members, but portfolios are time-consuming to complete and difficult to evaluate. This exploratory study compares the features of portfolio models in regulatory colleges, as a basis for future studies. Data were collected through a document review of the portfolio models described on the Web sites of 14 Canadian health regulatory colleges. All models contain 3 common components of self-directed learning: (1) self-diagnosis, (2) learning plan and activities, and (3) self-evaluation. Several include member profiles and peer feedback. A broad range of formal, nonformal, and informal activities are accepted as evidence of learning; a few colleges restrict learners' freedom in selecting these activities. There is a dual philosophy of learning in portfolio models that includes both humanist and technical paradigms. Low numbers of members are selected for audit of completed portfolios. The possibility of last-minute preparation and the lack of support to members who struggle with self-directed learning methods are issues to be resolved. Although portfolios are designed to enhance learning and reflection, quality cannot be ensured unless compliance is enforced, and learning outcomes are measured. Professionals should be guided regarding how to complete portfolios. More health regulatory colleges should announce the number of portfolios they audit. In general, the number of portfolios audited by each profession may need to be increased.

  10. Integrated Baseline System (IBS), Version 1.03. User guide: Chemical Stockpile Emergency Preparedness Program

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

    Bailey, B.M.; Burford, M.J.; Downing, T.R.

    The Integrated Baseline System (IBS), operated by the Federal Emergency Management Agency (FEMA), is a system of computerized tools for emergency planing and analysis. This document is the user guide for the IBS and explains how to operate the IBS system. The fundamental function of the IBS is to provide tools that civilian emergency management personnel can use in developing emergency plans and in supporting emergency management activities to cope with a chemical-releasing event at a military chemical stockpile. Emergency management planners can evaluate concepts and ideas using the IBS system. The results of that experience can then be factoredmore » into refining requirements and plans. This document provides information for the general system user, and is the primary reference for the system features of the IBS. It is designed for persons who are familiar with general emergency management concepts, operations, and vocabulary. Although the IBS manual set covers basic and advanced operations, it is not a complete reference document set. Emergency situation modeling software in the IBS is supported by additional technical documents. Some of the other LBS software is commercial software for which more complete documentation is available. The IBS manuals reference such documentation where necessary. IBS is a dynamic system. Its capabilities are in a state of continuing expansion and enhancement.« less

  11. Space-Time Coordinate Metadata for the Virtual Observatory Version 1.33

    NASA Astrophysics Data System (ADS)

    Rots, A. H.; Rots, A. H.

    2007-10-01

    This document provides a complete design description of the Space-Time Coordinate (STC) metadata for the Virtual Observatory. It explains the various components, highlights some implementation considerations, presents a complete set of UML diagrams, and discusses the relation between STC and certain other parts of the Data Model. Two serializations are discussed: XML Schema (STC-X) and String (STC-S); the former is an integral part of this Recommendation.

  12. Human Problem Solving: The Complete Model of the Traveling Salesman Problem

    DTIC Science & Technology

    2009-08-31

    REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Pubic reporting burden for this collection of information is estimated to average 1 nour...per response, indudrnj the time for reviewing instructions, searcnmg exsting data sources , gathering and mamtaning the data needed, and completing...provision of law. no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid

  13. 42 CFR 486.346 - Condition: Organ preparation and transport.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... with the identification number, specific contents, and donor's blood type. ... complete documentation of donor information to the transplant center with the organ, including donor evaluation, the complete record of the donor's management, documentation of consent, documentation of the...

  14. Watch This! A Guide to Implementing Video Modeling in the Classroom

    ERIC Educational Resources Information Center

    Wynkoop, Kaylee Stahr

    2016-01-01

    The video modeling (VM) teaching strategy is one in which a student watches a video of someone performing a specific behavior, skill, or task and is then expected to complete the behavior, skill, or task. This column discusses the variety of ways in which VM has been documented within the literature and supports teacher interest in the strategy by…

  15. MOVES2014 and MOVES2010b: Versions in Limited Current Use

    EPA Pesticide Factsheets

    This is for users who are completing work already started with MOVES2014 or MOVES2010b, who are using MOVES2010b for transportation conformity determinations during the conformity grace period, or who need to review documentation for these models.

  16. Development of Innovative Design Processor

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

    Park, Y.S.; Park, C.O.

    2004-07-01

    The nuclear design analysis requires time-consuming and erroneous model-input preparation, code run, output analysis and quality assurance process. To reduce human effort and improve design quality and productivity, Innovative Design Processor (IDP) is being developed. Two basic principles of IDP are the document-oriented design and the web-based design. The document-oriented design is that, if the designer writes a design document called active document and feeds it to a special program, the final document with complete analysis, table and plots is made automatically. The active documents can be written with ordinary HTML editors or created automatically on the web, which ismore » another framework of IDP. Using the proper mix-up of server side and client side programming under the LAMP (Linux/Apache/MySQL/PHP) environment, the design process on the web is modeled as a design wizard style so that even a novice designer makes the design document easily. This automation using the IDP is now being implemented for all the reload design of Korea Standard Nuclear Power Plant (KSNP) type PWRs. The introduction of this process will allow large reduction in all reload design efforts of KSNP and provide a platform for design and R and D tasks of KNFC. (authors)« less

  17. A Microsoft Project-Based Planning, Tracking, and Management Tool for the National Transonic Facility's Model Changeover Process

    NASA Technical Reports Server (NTRS)

    Vairo, Daniel M.

    1998-01-01

    The removal and installation of sting-mounted wind tunnel models in the National Transonic Facility (NTF) is a multi-task process having a large impact on the annual throughput of the facility. Approximately ten model removal and installation cycles occur annually at the NTF with each cycle requiring slightly over five days to complete. The various tasks of the model changeover process were modeled in Microsoft Project as a template to provide a planning, tracking, and management tool. The template can also be used as a tool to evaluate improvements to this process. This document describes the development of the template and provides step-by-step instructions on its use and as a planning and tracking tool. A secondary role of this document is to provide an overview of the model changeover process and briefly describe the tasks associated with it.

  18. Validation of the Activities of Community Transportation model for individuals with cognitive impairments.

    PubMed

    Sohlberg, McKay Moore; Fickas, Stephen; Lemoncello, Rik; Hung, Pei-Fang

    2009-01-01

    To develop a theoretical, functional model of community navigation for individuals with cognitive impairments: the Activities of Community Transportation (ACTs). Iterative design using qualitative methods (i.e. document review, focus groups and observations). Four agencies providing travel training to adults with cognitive impairments in the USA participated in the validation study. A thorough document review and series of focus groups led to the development of a comprehensive model (ACTs Wheels) delineating the requisite steps and skills for community navigation. The model was validated and updated based on observations of 395 actual trips by travellers with navigational challenges from the four participating agencies. Results revealed that the 'ACTs Wheel' models were complete and comprehensive. The 'ACTs Wheels' represent a comprehensive model of the steps needed to navigate to destinations using paratransit and fixed-route public transportation systems for travellers with cognitive impairments. Suggestions are made for future investigations of community transportation for this population.

  19. 50 CFR 300.186 - Completed and approved documents.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 50 Wildlife and Fisheries 7 2010-10-01 2010-10-01 false Completed and approved documents. 300.186 Section 300.186 Wildlife and Fisheries INTERNATIONAL FISHING AND RELATED ACTIVITIES INTERNATIONAL FISHERIES REGULATIONS International Trade Documentation and Tracking Programs for Highly Migratory Species...

  20. 50 CFR 300.186 - Completed and approved documents.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 50 Wildlife and Fisheries 9 2011-10-01 2011-10-01 false Completed and approved documents. 300.186 Section 300.186 Wildlife and Fisheries INTERNATIONAL FISHING AND RELATED ACTIVITIES INTERNATIONAL FISHERIES REGULATIONS International Trade Documentation and Tracking Programs for Highly Migratory Species...

  1. A pilot study on the evaluation of medical student documentation: assessment of SOAP notes.

    PubMed

    Seo, Ji-Hyun; Kong, Hyun-Hee; Im, Sun-Ju; Roh, HyeRin; Kim, Do-Kyong; Bae, Hwa-Ok; Oh, Young-Rim

    2016-06-01

    The purpose of this study was evaluation of the current status of medical students' documentation of patient medical records. We checked the completeness, appropriateness, and accuracy of 95 Subjective-Objective-Assessment-Plan (SOAP) notes documented by third-year medical students who participated in clinical skill tests on December 1, 2014. Students were required to complete the SOAP note within 15 minutes of an standard patient (SP)-encounter with a SP complaining rhinorrhea and warring about meningitis. Of the 95 SOAP notes reviewed, 36.8% were not signed. Only 27.4% documented the patient's symptoms under the Objective component, although all students completed the Subjective notes appropriately. A possible diagnosis was assessed by 94.7% students. Plans were described in 94.7% of the SOAP notes. Over half the students planned workups (56.7%) for diagnosis and treatment (52.6%). Accurate documentation of the symptoms, physical findings, diagnoses, and plans were provided in 78.9%, 9.5%, 62.1%, and 38.0% notes, respectively. Our results showed that third-year medical students' SOAP notes were not complete, appropriate, or accurate. The most significant problems with completeness were the omission of students' signatures, and inappropriate documentation of the physical examinations conducted. An education and assessment program for complete and accurate medical recording has to be developed.

  2. REVIEW OF "CONCEPTUAL MODELS IN TEACHER EDUCATION," BY JOHN R. VERDUIN, WASHINGTON, D.C., AMERICAN ASSOCIATION FOR COLLEGES OF TEACHER EDUCATION, 1967, PP. 140.

    ERIC Educational Resources Information Center

    TRAVERS, ROBERT M.W.

    THE REVIEWER FAULTS THE AUTHOR FOR "SIMPLE AND UNCRITICAL PRESENTATIONS OF IDEAS" THAT FAIL TO RESULT IN THE PROMISED "WORKABLE DOCUMENT FOR PRACTICING TEACHER EDUCATORS TO USE." THE MATERIAL "SHOWS SO COMPLETE A LACK OF CONCERN FOR SUCH MATTERS AS WHETHER A MODEL HAS OR HAS NOT BEEN DERIVED FROM EMPIRICAL RESEARCH, WHETHER THE MODEL HAS OR HAS…

  3. Using formal methods for content validation of medical procedure documents.

    PubMed

    Cota, Érika; Ribeiro, Leila; Bezerra, Jonas Santos; Costa, Andrei; da Silva, Rosiana Estefane; Cota, Gláucia

    2017-08-01

    We propose the use of a formal approach to support content validation of a standard operating procedure (SOP) for a therapeutic intervention. Such an approach provides a useful tool to identify ambiguities, omissions and inconsistencies, and improves the applicability and efficacy of documents in the health settings. We apply and evaluate a methodology originally proposed for the verification of software specification documents to a specific SOP. The verification methodology uses the graph formalism to model the document. Semi-automatic analysis identifies possible problems in the model and in the original document. The verification is an iterative process that identifies possible faults in the original text that should be revised by its authors and/or specialists. The proposed method was able to identify 23 possible issues in the original document (ambiguities, omissions, redundant information, and inaccuracies, among others). The formal verification process aided the specialists to consider a wider range of usage scenarios and to identify which instructions form the kernel of the proposed SOP and which ones represent additional or required knowledge that are mandatory for the correct application of the medical document. By using the proposed verification process, a simpler and yet more complete SOP could be produced. As consequence, during the validation process the experts received a more mature document and could focus on the technical aspects of the procedure itself. Copyright © 2017 Elsevier B.V. All rights reserved.

  4. The effects of the application of SIMPRO on the completeness and time efficiency of nursing documentation in the outpatient instalation at Dompet Dhuafa Hospital Parung

    NASA Astrophysics Data System (ADS)

    Dwisatyadini, M.; Hariyati, R. T. S.; Afifah, E.

    2018-03-01

    Nursing documentation is clinical information that has a vital role in nursing services. The nursing process includes assessment, diagnosis, intervention, implementation, and evaluation. The purpose of this study was to determine the effects of the application of SIMPRO on the completeness and the efficiency of nursing documentation in the outpatient installation at Dompet Dhuafa Hospital Parung. This study used quantitative method with pre experimental (pre and posttest without control group) design. The mean of the documentation completeness marks before the application of SIMPRO was 1.87 (SD 0.922), and after SIMPRO was applied increased to 3.61 (0.588). This increase indicated an improvement of the nursing documentation completeness after the implementation of SIMPRO. The mean of time needed by nurses in documenting the nursing care before the application of SIMPRO was 476.13 seconds (SD 78.896). The mean of documenting time decreased more than a half after the application of SIMPRO which was 202.52 seconds (SD 196.723). SIMPRO made a nurse easier to take a decision analysis and decision support system to nursing care plan and documentation.

  5. "Flipped classroom" for academic and career advising: an innovative technique for medical student advising.

    PubMed

    Amini, Richard; Laughlin, Brady S; Smith, Kathy W; Siwik, Violet P; Adamas-Rappaport, William J; Fantry, George T

    2018-01-01

    Career advising for medical students can be challenging for both the student and the adviser. Our objective was to design, implement, and evaluate a "flipped classroom" style advising session. We performed a single-center cross-sectional study at an academic medical center, where a novel flipped classroom style student advising model was implemented and evaluated. In this model, students were provided a document to review and fill out prior to their one-on-one advising session. Ninety-four percent (95% CI, 88%-100%) of the medical students surveyed felt that the advising session was more effective as a result of the outline provided and completed before the session and that the pre-advising document helped them gain a better understanding of the content to be discussed at the session. Utilization of the flipped classroom style advising document was an engaging advising technique that was well received by students at our institution.

  6. Components of life model in practice.

    PubMed

    Mitchell, D; Hicks, M

    1995-10-01

    This paper attempts to cover the stages recognised as being part of the research process in order to investigate the problem related to the lack of individualised patient care documentation and supporting theoretical framework, which is both understood and accepted by the staff within Accident and Emergency (A & E). With the advent of the United Kingdom Central Council's (UKCC) document Standards of Record Keeping (1993), there is now greater need for a model to be implemented and accepted by those working in the department. The Components of Life model was introduced following a literature search, as this seemed to be a potential solution to the problem, since it emphasises the individual practising self-care activities in order to maintain independence. To initiate staff to the Components of Life model, a half study day was organised on the subject of models of care within A & E. Jones was invited to discuss his approach to A & E nursing care. Subsequently, a draft document relating to nursing care was created using the Components of Life model as a framework. The initial draft was followed with a printed document which was put into use for a trial period of 4 weeks, followed by a review. The review collected both positive and negative comments from the staff, the negative proved to be the most constructive as they served to make improvements within the care plan. Perhaps the most important success as a result of completing this project is that of increased staff enthusiasm and motivation--especially in wanting to make the documentation work.

  7. Web document ranking via active learning and kernel principal component analysis

    NASA Astrophysics Data System (ADS)

    Cai, Fei; Chen, Honghui; Shu, Zhen

    2015-09-01

    Web document ranking arises in many information retrieval (IR) applications, such as the search engine, recommendation system and online advertising. A challenging issue is how to select the representative query-document pairs and informative features as well for better learning and exploring new ranking models to produce an acceptable ranking list of candidate documents of each query. In this study, we propose an active sampling (AS) plus kernel principal component analysis (KPCA) based ranking model, viz. AS-KPCA Regression, to study the document ranking for a retrieval system, i.e. how to choose the representative query-document pairs and features for learning. More precisely, we fill those documents gradually into the training set by AS such that each of which will incur the highest expected DCG loss if unselected. Then, the KPCA is performed via projecting the selected query-document pairs onto p-principal components in the feature space to complete the regression. Hence, we can cut down the computational overhead and depress the impact incurred by noise simultaneously. To the best of our knowledge, we are the first to perform the document ranking via dimension reductions in two dimensions, namely, the number of documents and features simultaneously. Our experiments demonstrate that the performance of our approach is better than that of the baseline methods on the public LETOR 4.0 datasets. Our approach brings an improvement against RankBoost as well as other baselines near 20% in terms of MAP metric and less improvements using P@K and NDCG@K, respectively. Moreover, our approach is particularly suitable for document ranking on the noisy dataset in practice.

  8. Online Course Effectiveness: A Model for Innovative Research in Counselor Education

    ERIC Educational Resources Information Center

    Cicco, Gina

    2013-01-01

    This article will discuss the need for experimental research to document the effectiveness of online counseling skills courses. There are relatively few published studies that have investigated faculty and student performance outcomes when counseling skills and techniques courses are taught through a completely online modality. Various studies…

  9. Structuring Legacy Pathology Reports by openEHR Archetypes to Enable Semantic Querying.

    PubMed

    Kropf, Stefan; Krücken, Peter; Mueller, Wolf; Denecke, Kerstin

    2017-05-18

    Clinical information is often stored as free text, e.g. in discharge summaries or pathology reports. These documents are semi-structured using section headers, numbered lists, items and classification strings. However, it is still challenging to retrieve relevant documents since keyword searches applied on complete unstructured documents result in many false positive retrieval results. We are concentrating on the processing of pathology reports as an example for unstructured clinical documents. The objective is to transform reports semi-automatically into an information structure that enables an improved access and retrieval of relevant data. The data is expected to be stored in a standardized, structured way to make it accessible for queries that are applied to specific sections of a document (section-sensitive queries) and for information reuse. Our processing pipeline comprises information modelling, section boundary detection and section-sensitive queries. For enabling a focused search in unstructured data, documents are automatically structured and transformed into a patient information model specified through openEHR archetypes. The resulting XML-based pathology electronic health records (PEHRs) are queried by XQuery and visualized by XSLT in HTML. Pathology reports (PRs) can be reliably structured into sections by a keyword-based approach. The information modelling using openEHR allows saving time in the modelling process since many archetypes can be reused. The resulting standardized, structured PEHRs allow accessing relevant data by retrieving data matching user queries. Mapping unstructured reports into a standardized information model is a practical solution for a better access to data. Archetype-based XML enables section-sensitive retrieval and visualisation by well-established XML techniques. Focussing the retrieval to particular sections has the potential of saving retrieval time and improving the accuracy of the retrieval.

  10. Computer-generated vs. physician-documented history of present illness (HPI): results of a blinded comparison.

    PubMed

    Almario, Christopher V; Chey, William; Kaung, Aung; Whitman, Cynthia; Fuller, Garth; Reid, Mark; Nguyen, Ken; Bolus, Roger; Dennis, Buddy; Encarnacion, Rey; Martinez, Bibiana; Talley, Jennifer; Modi, Rushaba; Agarwal, Nikhil; Lee, Aaron; Kubomoto, Scott; Sharma, Gobind; Bolus, Sally; Chang, Lin; Spiegel, Brennan M R

    2015-01-01

    Healthcare delivery now mandates shorter visits with higher documentation requirements, undermining the patient-provider interaction. To improve clinic visit efficiency, we developed a patient-provider portal that systematically collects patient symptoms using a computer algorithm called Automated Evaluation of Gastrointestinal Symptoms (AEGIS). AEGIS also automatically "translates" the patient report into a full narrative history of present illness (HPI). We aimed to compare the quality of computer-generated vs. physician-documented HPIs. We performed a cross-sectional study with a paired sample design among individuals visiting outpatient adult gastrointestinal (GI) clinics for evaluation of active GI symptoms. Participants first underwent usual care and then subsequently completed AEGIS. Each individual thereby had both a physician-documented and a computer-generated HPI. Forty-eight blinded physicians assessed HPI quality across six domains using 5-point scales: (i) overall impression, (ii) thoroughness, (iii) usefulness, (iv) organization, (v) succinctness, and (vi) comprehensibility. We compared HPI scores within patient using a repeated measures model. Seventy-five patients had both computer-generated and physician-documented HPIs. The mean overall impression score for computer-generated HPIs was higher than physician HPIs (3.68 vs. 2.80; P<0.001), even after adjusting for physician and visit type, location, mode of transcription, and demographics. Computer-generated HPIs were also judged more complete (3.70 vs. 2.73; P<0.001), more useful (3.82 vs. 3.04; P<0.001), better organized (3.66 vs. 2.80; P<0.001), more succinct (3.55 vs. 3.17; P<0.001), and more comprehensible (3.66 vs. 2.97; P<0.001). Computer-generated HPIs were of higher overall quality, better organized, and more succinct, comprehensible, complete, and useful compared with HPIs written by physicians during usual care in GI clinics.

  11. Radar Unix: a complete package for GPR data processing

    NASA Astrophysics Data System (ADS)

    Grandjean, Gilles; Durand, Herve

    1999-03-01

    A complete package for ground penetrating radar data interpretation including data processing, forward modeling and a case history database consultation is presented. Running on an Unix operating system, its architecture consists of a graphical user interface generating batch files transmitted to a library of processing routines. This design allows a better software maintenance and the possibility for the user to run processing or modeling batch files by itself and differed in time. A case history data base is available and consists of an hypertext document which can be consulted by using a standard HTML browser. All the software specifications are presented through a realistic example.

  12. Status of Hydrodynamic Technology as Related to Model Tests of High- Speed Marine Vehicles

    DTIC Science & Technology

    1981-07-01

    Pennsylvania State University, State College, Pennsylvania, U.S.A. *Bulgarian Ship Hydrodynamics Centre, Varna, Bulgaria Canal de Experiencias Hidrodinamicas...DAVID W. TAYLOR NAVAL SHIP RESEARCH AND DEVELOPMENT CENTER ’h "Bethesda, Maryland 20084 STATUS OF HYDRODYNAMIC TECHNOLOGY AS RELATED TO MODEL TESTS...34Status of Hydrodynamic Technology as related to Model Tests of High Speed Marine Vehicles" documenting the complete findings of the 16th ITTC’s

  13. A compliance assessment of midpoint formative assessments completed by APPE preceptors.

    PubMed

    Lea Bonner, C; Staton, April G; Naro, Patricia B; McCullough, Elizabeth; Lynn Stevenson, T; Williamson, Margaret; Sheffield, Melody C; Miller, Mindi; Fetterman, James W; Fan, Shirley; Momary, Kathryn M

    Experiential pharmacy preceptors should provide formative and summative feedback during a learning experience. Preceptors are required to provide colleges and schools of pharmacy with assessments or evaluations of students' performance. Students and experiential programs value on-time completion of midpoint evaluations by preceptors. The objective of this study was to determine the number of on-time electronically documented formative midpoint evaluations completed by preceptors during advanced pharmacy practice experiences (APPEs). Compliance rates of on-time electronically documented formative midpoint evaluations were reviewed by the Office of Experiential Education of a five-member consortium during the two-year study period prior to the adoption of Standards 2016. Pearson chi-square test and generalized linear models were used to determine if statistically significant differences were present. Average midpoint compliance rates for the two-year research period were 40.7% and 41% respectively. No statistical significance was noted comparing compliance rates for year one versus year two. However, statistical significance was present when comparing compliance rates between schools during year two. Feedback from students and preceptors pointed to the need for brief formal midpoint evaluations that require minimal time to complete, user friendly experiential management software, and methods for documenting verbal feedback through student self-reflection. Additional education and training to both affiliate and faculty preceptors on the importance of written formative feedback at midpoint is critical to remaining in compliance with Standards 2016. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Using 3D range cameras for crime scene documentation and legal medicine

    NASA Astrophysics Data System (ADS)

    Cavagnini, Gianluca; Sansoni, Giovanna; Trebeschi, Marco

    2009-01-01

    Crime scene documentation and legal medicine analysis are part of a very complex process which is aimed at identifying the offender starting from the collection of the evidences on the scene. This part of the investigation is very critical, since the crime scene is extremely volatile, and once it is removed, it can not be precisely created again. For this reason, the documentation process should be as complete as possible, with minimum invasiveness. The use of optical 3D imaging sensors has been considered as a possible aid to perform the documentation step, since (i) the measurement is contactless and (ii) the process required to editing and modeling the 3D data is quite similar to the reverse engineering procedures originally developed for the manufacturing field. In this paper we show the most important results obtained in the experimentation.

  15. A Model of Distance Analysis. Epistemic Field Notes for Education Ethnographers

    ERIC Educational Resources Information Center

    Marty, O.

    2015-01-01

    This document aims to help education ethnographers to think about, describe and complete their scientific research: based on a personal research curricula and ongoing scientific discussions in social sciences and psychology, I develop an anthropology synthesis of three epistemic distances. (1) Cultural distance from fieldwork: How far is the…

  16. Peer-Learning Networks in Social Work Doctoral Education: An Interdisciplinary Model

    ERIC Educational Resources Information Center

    Miller, J. Jay; Duron, Jacquelynn F.; Bosk, Emily Adlin; Finno-Velasquez, Megan; Abner, Kristin S.

    2016-01-01

    Peer-learning networks (PLN) can be valuable tools for doctoral students. Participation in these networks can aid in the completion of the dissertation, lead to increased scholarship productivity, and assist in student retention. Yet, despite the promise of PLNs, few studies have documented their effect on social work doctoral education. This…

  17. Wisconsin's Model Academic Standards for Business. Activities Guide. Bulletin No. 00190.

    ERIC Educational Resources Information Center

    Loock, Joan W.; Schmitt, Bette

    This document, which is intended for teachers of high school-level business education courses, contains both the academic standards for business education in Wisconsin secondary schools that were disseminated in 1998 and learning activities to enable students to meet the standards. The activities were developed for students completing grade 12 and…

  18. Documentation and Validation of the Goddard Earth Observing System (GEOS) Data Assimilation System, Version 4

    NASA Technical Reports Server (NTRS)

    Suarez, Max J. (Editor); daSilva, Arlindo; Dee, Dick; Bloom, Stephen; Bosilovich, Michael; Pawson, Steven; Schubert, Siegfried; Wu, Man-Li; Sienkiewicz, Meta; Stajner, Ivanka

    2005-01-01

    This document describes the structure and validation of a frozen version of the Goddard Earth Observing System Data Assimilation System (GEOS DAS): GEOS-4.0.3. Significant features of GEOS-4 include: version 3 of the Community Climate Model (CCM3) with the addition of a finite volume dynamical core; version two of the Community Land Model (CLM2); the Physical-space Statistical Analysis System (PSAS); and an interactive retrieval system (iRET) for assimilating TOVS radiance data. Upon completion of the GEOS-4 validation in December 2003, GEOS-4 became operational on 15 January 2004. Products from GEOS-4 have been used in supporting field campaigns and for reprocessing several years of data for CERES.

  19. A model for partnering first-year student pharmacists with community-based older adults.

    PubMed

    Martin, Beth A; Porter, Andrea L; Shawl, Lauren; Motl Moroney, Susannah E

    2012-06-18

    To design, integrate, and assess the effectiveness of an introductory pharmacy practice experience intended to redefine first-year student pharmacists' views on aging and medication use through their work with a healthy, community-based older-adult population. All students (N = 273) completed live skills training in an 8-hour boot camp provided during orientation week. Teams were assigned an independently living senior partner, completed 10 visits and reflections, and documented health-related information using an electronic portfolio (e-portfolio). As determined by pre- and post-experience survey instruments, students gained significant confidence in 7 skill areas related to communication, medication interviews, involving the partner in health care, and applying patient-care skills. Student reflections, in-class presentations, and e-portfolios documented that personal attitudes toward seniors changed over time. Senior partners enjoyed mentoring and interacting with students and many experienced health improvements as a result of the interaction. The model for partnering first-year student pharmacists with community-based older adults improved students' skills and fostered their connections to pharmacist roles and growth as person-centered providers.

  20. MELCOR/CONTAIN LMR Implementation Report. FY14 Progress

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

    Humphries, Larry L; Louie, David L.Y.

    2014-10-01

    This report describes the preliminary implementation of the sodium thermophysical properties and the design documentation for the sodium models of CONTAIN-LMR to be implemented into MELCOR 2.1. In the past year, the implementation included two separate sodium properties from two different sources. The first source is based on the previous work done by Idaho National Laboratory by modifying MELCOR to include liquid lithium equation of state as a working fluid to model the nuclear fusion safety research. To minimize the impact to MELCOR, the implementation of the fusion safety database (FSD) was done by utilizing the detection of the datamore » input file as a way to invoking the FSD. The FSD methodology has been adapted currently for this work, but it may subject modification as the project continues. The second source uses properties generated for the SIMMER code. Preliminary testing and results from this implementation of sodium properties are given. In this year, the design document for the CONTAIN-LMR sodium models, such as the two condensable option, sodium spray fire, and sodium pool fire is being developed. This design document is intended to serve as a guide for the MELCOR implementation. In addition, CONTAIN-LMR code used was based on the earlier version of CONTAIN code. Many physical models that were developed since this early version of CONTAIN may not be captured by the code. Although CONTAIN 2, which represents the latest development of CONTAIN, contains some sodium specific models, which are not complete, the utilizing CONTAIN 2 with all sodium models implemented from CONTAIN-LMR as a comparison code for MELCOR should be done. This implementation should be completed in early next year, while sodium models from CONTAIN-LMR are being integrated into MELCOR. For testing, CONTAIN decks have been developed for verification and validation use.« less

  1. A Synthetic Vision Preliminary Integrated Safety Analysis

    NASA Technical Reports Server (NTRS)

    Hemm, Robert; Houser, Scott

    2001-01-01

    This report documents efforts to analyze a sample of aviation safety programs, using the LMI-developed integrated safety analysis tool to determine the change in system risk resulting from Aviation Safety Program (AvSP) technology implementation. Specifically, we have worked to modify existing system safety tools to address the safety impact of synthetic vision (SV) technology. Safety metrics include reliability, availability, and resultant hazard. This analysis of SV technology is intended to be part of a larger effort to develop a model that is capable of "providing further support to the product design and development team as additional information becomes available". The reliability analysis portion of the effort is complete and is fully documented in this report. The simulation analysis is still underway; it will be documented in a subsequent report. The specific goal of this effort is to apply the integrated safety analysis to SV technology. This report also contains a brief discussion of data necessary to expand the human performance capability of the model, as well as a discussion of human behavior and its implications for system risk assessment in this modeling environment.

  2. Maintenance Training Equipment: Design Specification Based on Instructional System Development. Revision

    DTIC Science & Technology

    1984-12-01

    model pr, vides a method for communicating a specific training equipment design to the procurement office after A"~- ISD ana lysis has est~blished a...maintenance trainer has been identified. The model provides a method by which a training equipment design can be communicated to the System Project Office...ensure * ase of development of procurement specifications and consistency between different documented designs. A completed application of this maodel

  3. Adopting software quality measures for healthcare processes.

    PubMed

    Yildiz, Ozkan; Demirörs, Onur

    2009-01-01

    In this study, we investigated the adoptability of software quality measures for healthcare process measurement. Quality measures of ISO/IEC 9126 are redefined from a process perspective to build a generic healthcare process quality measurement model. Case study research method is used, and the model is applied to a public hospital's Entry to Care process. After the application, weak and strong aspects of the process can be easily observed. Access audibility, fault removal, completeness of documentation, and machine utilization are weak aspects and these aspects are the candidates for process improvement. On the other hand, functional completeness, fault ratio, input validity checking, response time, and throughput time are the strong aspects of the process.

  4. 26 CFR 1.6050W-2 - Electronic furnishing of information statements for payments made in settlement of payment card...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... statements required by section 6050W(f) electronically on a website instead of in a paper format. The letter... website, downloading the consent document, completing the consent document, and e-mailing the completed consent back to F. The consent document posted on the website uses the same electronic format that F uses...

  5. 26 CFR 1.6050W-2 - Electronic furnishing of information statements for payments made in settlement of payment card...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... statements required by section 6050W(f) electronically on a website instead of in a paper format. The letter... website, downloading the consent document, completing the consent document, and e-mailing the completed consent back to F. The consent document posted on the website uses the same electronic format that F uses...

  6. 26 CFR 1.6050W-2 - Electronic furnishing of information statements for payments made in settlement of payment card...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... statements required by section 6050W(f) electronically on a website instead of in a paper format. The letter... website, downloading the consent document, completing the consent document, and e-mailing the completed consent back to F. The consent document posted on the website uses the same electronic format that F uses...

  7. JPL Energy Consumption Program (ECP) documentation: A computer model simulating heating, cooling and energy loads in buildings. [low cost solar array efficiency

    NASA Technical Reports Server (NTRS)

    Lansing, F. L.; Chai, V. W.; Lascu, D.; Urbenajo, R.; Wong, P.

    1978-01-01

    The engineering manual provides a complete companion documentation about the structure of the main program and subroutines, the preparation of input data, the interpretation of output results, access and use of the program, and the detailed description of all the analytic, logical expressions and flow charts used in computations and program structure. A numerical example is provided and solved completely to show the sequence of computations followed. The program is carefully structured to reduce both user's time and costs without sacrificing accuracy. The user would expect a cost of CPU time of approximately $5.00 per building zone excluding printing costs. The accuracy, on the other hand, measured by deviation of simulated consumption from watt-hour meter readings, was found by many simulation tests not to exceed + or - 10 percent margin.

  8. Documentation of pain care processes does not accurately reflect pain management delivered in primary care.

    PubMed

    Krebs, Erin E; Bair, Matthew J; Carey, Timothy S; Weinberger, Morris

    2010-03-01

    Researchers and quality improvement advocates sometimes use review of chart-documented pain care processes to assess the quality of pain management. Studies have found that primary care providers frequently fail to document pain assessment and management. To assess documentation of pain care processes in an academic primary care clinic and evaluate the validity of this documentation as a measure of pain care delivered. Prospective observational study. 237 adult patients at a university-affiliated internal medicine clinic who reported any pain in the last week. Immediately after a visit, we asked patients to report the pain treatment they received. Patients completed the Brief Pain Inventory (BPI) to assess pain severity at baseline and 1 month later. We extracted documentation of pain care processes from the medical record and used kappa statistics to assess agreement between documentation and patient report of pain treatment. Using multivariable linear regression, we modeled whether documented or patient-reported pain care predicted change in pain at 1 month. Participants' mean age was 53.7 years, 66% were female, and 74% had chronic pain. Physicians documented pain assessment for 83% of visits. Patients reported receiving pain treatment more often (67%) than was documented by physicians (54%). Agreement between documentation and patient report was moderate for receiving a new pain medication (k = 0.50) and slight for receiving pain management advice (k = 0.13). In multivariable models, documentation of new pain treatment was not associated with change in pain (p = 0.134). In contrast, patient-reported receipt of new pain treatment predicted pain improvement (p = 0.005). Chart documentation underestimated pain care delivered, compared with patient report. Documented pain care processes had no relationship with pain outcomes at 1 month, but patient report of receiving care predicted clinically significant improvement. Chart review measures may not accurately reflect the pain management patients receive in primary care.

  9. Minimal camera networks for 3D image based modeling of cultural heritage objects.

    PubMed

    Alsadik, Bashar; Gerke, Markus; Vosselman, George; Daham, Afrah; Jasim, Luma

    2014-03-25

    3D modeling of cultural heritage objects like artifacts, statues and buildings is nowadays an important tool for virtual museums, preservation and restoration. In this paper, we introduce a method to automatically design a minimal imaging network for the 3D modeling of cultural heritage objects. This becomes important for reducing the image capture time and processing when documenting large and complex sites. Moreover, such a minimal camera network design is desirable for imaging non-digitally documented artifacts in museums and other archeological sites to avoid disturbing the visitors for a long time and/or moving delicate precious objects to complete the documentation task. The developed method is tested on the Iraqi famous statue "Lamassu". Lamassu is a human-headed winged bull of over 4.25 m in height from the era of Ashurnasirpal II (883-859 BC). Close-range photogrammetry is used for the 3D modeling task where a dense ordered imaging network of 45 high resolution images were captured around Lamassu with an object sample distance of 1 mm. These images constitute a dense network and the aim of our study was to apply our method to reduce the number of images for the 3D modeling and at the same time preserve pre-defined point accuracy. Temporary control points were fixed evenly on the body of Lamassu and measured by using a total station for the external validation and scaling purpose. Two network filtering methods are implemented and three different software packages are used to investigate the efficiency of the image orientation and modeling of the statue in the filtered (reduced) image networks. Internal and external validation results prove that minimal image networks can provide highly accurate records and efficiency in terms of visualization, completeness, processing time (>60% reduction) and the final accuracy of 1 mm.

  10. Minimal Camera Networks for 3D Image Based Modeling of Cultural Heritage Objects

    PubMed Central

    Alsadik, Bashar; Gerke, Markus; Vosselman, George; Daham, Afrah; Jasim, Luma

    2014-01-01

    3D modeling of cultural heritage objects like artifacts, statues and buildings is nowadays an important tool for virtual museums, preservation and restoration. In this paper, we introduce a method to automatically design a minimal imaging network for the 3D modeling of cultural heritage objects. This becomes important for reducing the image capture time and processing when documenting large and complex sites. Moreover, such a minimal camera network design is desirable for imaging non-digitally documented artifacts in museums and other archeological sites to avoid disturbing the visitors for a long time and/or moving delicate precious objects to complete the documentation task. The developed method is tested on the Iraqi famous statue “Lamassu”. Lamassu is a human-headed winged bull of over 4.25 m in height from the era of Ashurnasirpal II (883–859 BC). Close-range photogrammetry is used for the 3D modeling task where a dense ordered imaging network of 45 high resolution images were captured around Lamassu with an object sample distance of 1 mm. These images constitute a dense network and the aim of our study was to apply our method to reduce the number of images for the 3D modeling and at the same time preserve pre-defined point accuracy. Temporary control points were fixed evenly on the body of Lamassu and measured by using a total station for the external validation and scaling purpose. Two network filtering methods are implemented and three different software packages are used to investigate the efficiency of the image orientation and modeling of the statue in the filtered (reduced) image networks. Internal and external validation results prove that minimal image networks can provide highly accurate records and efficiency in terms of visualization, completeness, processing time (>60% reduction) and the final accuracy of 1 mm. PMID:24670718

  11. “Flipped classroom” for academic and career advising: an innovative technique for medical student advising

    PubMed Central

    Amini, Richard; Laughlin, Brady S; Smith, Kathy W; Siwik, Violet P; Adamas-Rappaport, William J; Fantry, George T

    2018-01-01

    Introduction Career advising for medical students can be challenging for both the student and the adviser. Our objective was to design, implement, and evaluate a “flipped classroom” style advising session. Methods We performed a single-center cross-sectional study at an academic medical center, where a novel flipped classroom style student advising model was implemented and evaluated. In this model, students were provided a document to review and fill out prior to their one-on-one advising session. Results Ninety-four percent (95% CI, 88%–100%) of the medical students surveyed felt that the advising session was more effective as a result of the outline provided and completed before the session and that the pre-advising document helped them gain a better understanding of the content to be discussed at the session. Conclusion Utilization of the flipped classroom style advising document was an engaging advising technique that was well received by students at our institution. PMID:29785150

  12. Development of a rotorcraft. Propulsion dynamics interface analysis, volume 2

    NASA Technical Reports Server (NTRS)

    Hull, R.

    1982-01-01

    A study was conducted to establish a coupled rotor/propulsion analysis that would be applicable to a wide range of rotorcraft systems. The effort included the following tasks: (1) development of a model structure suitable for simulating a wide range of rotorcraft configurations; (2) defined a methodology for parameterizing the model structure to represent a particular rotorcraft; (3) constructing a nonlinear coupled rotor/propulsion model as a test case to use in analyzing coupled system dynamics; and (4) an attempt to develop a mostly linear coupled model derived from the complete nonlinear simulations. Documentation of the computer models developed is presented.

  13. Completeness of patient records in community pharmacies post-discharge after in-patient medication reconciliation: a before-after study.

    PubMed

    Karapinar-Çarkıt, Fatma; van Breukelen, Ben R L; Borgsteede, Sander D; Janssen, Marjo J A; Egberts, Antoine C G; van den Bemt, Patricia M L A

    2014-08-01

    Transfer of discharge medication related information to community pharmacies could improve continuity of care. This requires for community pharmacies to accurately update their patient records when new information is transferred. An instruction manual that specifies how to document information regarding medication changes and clinical information (i.e. allergies/contraindications) could support community pharmacies. To explore the effect of instruction manuals sent to community pharmacies on completeness of their patient records. A before-after study was performed (July 2009-August 2010) in the St Lucas Andreas Hospital, a general teaching hospital in Amsterdam, The Netherlands. Patients discharged from the cardiology and respiratory ward were included consecutively. The intervention consisted of a training session for community pharmacies regarding documentation problems and faxing an instruction manual to community pharmacies specifying how to document discharge information in their information system. Usual care consisted of faxing a discharge medication overview to community pharmacies without additional instructions. Two weeks after discharge the medication records of community pharmacies were collected by fax. These were compared with the initial discharge overviews regarding completeness of medication changes (i.e. explicit explanation that medication had been changed) and clinical information documentation. MAIN OUTCOME MEASURE OUTCOMES: were the number and percentage of completely documented medication changes (either needing to be dispensed or not) and clinical information items. The sample size was calculated at 107 patients per measurement period. Multivariable logistic regression was used for analysis. Two hundred and eighteen patients (112 before-106 after) were included. Completeness of medication changes documentation increased marginally after the intervention (46.6 vs 56.3 %, adjusted Odds Ratio 1.4 [95 % confidence interval 1.07-1.83]). Documentation increased when medication was actually dispensed by the community pharmacy. No significant improvements were seen for allergy and contraindication documentation. The intervention is insufficient to increase the completeness of documentation by community pharmacies as marginal improvements were achieved. Future studies should evaluate whether electronic infrastructures may help in achieving updated medication records to improve continuity of pharmaceutical care.

  14. Completion of risk assessment and monitoring within forensic psychiatry.

    PubMed

    Galappathie, Nuwan; Heeramun, Ragini; Jethwa, Krishma

    2009-04-01

    There is a clear need for high standards of risk assessment and monitoring within forensic psychiatry. This has been highlighted by a number of high profile homicide enquires which have called for better standards of multidisciplinary risk assessment and monitoring. There are no national standards for risk assessment. We conducted a study to audit electronically the completion rate of a service-designed risk assessment document within Fromside, a medium secure unit in the UK. The completion rates for key sections of 64 risk assessment documents were assessed. Only 48 of the 64 (75%) documents were electronically available. The completion rates ranged from 59/64 (92%) for the retrospective risk review to 46/64 (72%) for relapse indicators. Only 35/64 (55%) risk documents were updated within the last three months. We found that the use of risk profile documents has helped achieve good standards of risk assessment, however greater priority needs to be given to ongoing monitoring. We recommend that consideration is given to the development of national guidelines for multidisciplinary risk assessment and monitoring.

  15. Improved compliance by BPM-driven workflow automation.

    PubMed

    Holzmüller-Laue, Silke; Göde, Bernd; Fleischer, Heidi; Thurow, Kerstin

    2014-12-01

    Using methods and technologies of business process management (BPM) for the laboratory automation has important benefits (i.e., the agility of high-level automation processes, rapid interdisciplinary prototyping and implementation of laboratory tasks and procedures, and efficient real-time process documentation). A principal goal of the model-driven development is the improved transparency of processes and the alignment of process diagrams and technical code. First experiences of using the business process model and notation (BPMN) show that easy-to-read graphical process models can achieve and provide standardization of laboratory workflows. The model-based development allows one to change processes quickly and an easy adaption to changing requirements. The process models are able to host work procedures and their scheduling in compliance with predefined guidelines and policies. Finally, the process-controlled documentation of complex workflow results addresses modern laboratory needs of quality assurance. BPMN 2.0 as an automation language to control every kind of activity or subprocess is directed to complete workflows in end-to-end relationships. BPMN is applicable as a system-independent and cross-disciplinary graphical language to document all methods in laboratories (i.e., screening procedures or analytical processes). That means, with the BPM standard, a communication method of sharing process knowledge of laboratories is also available. © 2014 Society for Laboratory Automation and Screening.

  16. NASA Software Documentation Standard

    NASA Technical Reports Server (NTRS)

    1991-01-01

    The NASA Software Documentation Standard (hereinafter referred to as "Standard") is designed to support the documentation of all software developed for NASA; its goal is to provide a framework and model for recording the essential information needed throughout the development life cycle and maintenance of a software system. The NASA Software Documentation Standard can be applied to the documentation of all NASA software. The Standard is limited to documentation format and content requirements. It does not mandate specific management, engineering, or assurance standards or techniques. This Standard defines the format and content of documentation for software acquisition, development, and sustaining engineering. Format requirements address where information shall be recorded and content requirements address what information shall be recorded. This Standard provides a framework to allow consistency of documentation across NASA and visibility into the completeness of project documentation. The basic framework consists of four major sections (or volumes). The Management Plan contains all planning and business aspects of a software project, including engineering and assurance planning. The Product Specification contains all technical engineering information, including software requirements and design. The Assurance and Test Procedures contains all technical assurance information, including Test, Quality Assurance (QA), and Verification and Validation (V&V). The Management, Engineering, and Assurance Reports is the library and/or listing of all project reports.

  17. MELCOR Peer Review

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

    Boyack, B.E.; Dhir, V.K.; Gieseke, J.A.

    1992-03-01

    MELCOR is a fully integrated, engineering-level computer code that models the progression of severe accidents in light water reactor nuclear power plants. The newest version of MELCOR is Version 1.8.1, July 1991. MELCOR development has reached the point that the United States Nuclear Regulatory Commission sponsored a broad technical review by recognized experts to determine or confirm the technical adequacy of the code for the serious and complex analyses it is expected to perform. For this purpose, an eight-member MELCOR Peer Review Committee was organized. The Committee has completed its review of the MELCOR code: the review process and findingsmore » of the MELCOR Peer Review Committee are documented in this report. The Committee has determined that recommendations in five areas are appropriate: (1) MELCOR numerics, (2) models missing from MELCOR Version 1.8.1, (3) existing MELCOR models needing revision, (4) the need for expanded MELCOR assessment, and (5) documentation.« less

  18. Impact of an educational intervention on medical records documentation.

    PubMed

    Vahedi, Hojat Sheikhmotahar; Mirfakhrai, Minasadat; Vahidi, Elnaz; Saeedi, Morteza

    2018-01-01

    Inaccurate and incomplete documentation can lead to poor treatment and medico-legal consequences. Studies indicate that teaching programs in this field can improve the documentation of medical records. The study aimed to evaluate the effect of an educational workshop on medical record documentation by emergency medicine residents in the emergency department. An interventional study was performed on 30 residents in their first year of training emergency medicine (PGY1), in three tertiary referral hospitals of Tehran University of Medical Sciences. The essential information that should be documented in a medical record was taught in a 3-day-workshop. The medical records completed by these residents before the training workshop were randomly selected and scored (300 records), as was a random selection of the records they completed one (300 records) and six months (300 records) after the workshop. Documentation of the majority of the essential items of information was improved significantly after the workshop. In particular documentation of the patients' date and time of admission, past medical and social history. Documentation of patient identity, requests for consultations by other specialties, first and final diagnoses were 100% complete and accurate up to 6 months of the workshop. This study confirms that an educational workshop improves medical record documentation by physicians in training.

  19. Format( )MEDIC( )Input

    NASA Astrophysics Data System (ADS)

    Foster, K.

    1994-09-01

    This document is a description of a computer program called Format( )MEDIC( )Input. The purpose of this program is to allow the user to quickly reformat wind velocity data in the Model Evaluation Database (MEDb) into a reasonable 'first cut' set of MEDIC input files (MEDIC.nml, StnLoc.Met, and Observ.Met). The user is cautioned that these resulting input files must be reviewed for correctness and completeness. This program will not format MEDb data into a Problem Station Library or Problem Metdata File. A description of how the program reformats the data is provided, along with a description of the required and optional user input and a description of the resulting output files. A description of the MEDb is not provided here but can be found in the RAS Division Model Evaluation Database Description document.

  20. Oak Ridge Environmental Information System (OREIS) functional system design document

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

    Birchfield, T.E.; Brown, M.O.; Coleman, P.R.

    1994-03-01

    The OREIS Functional System Design document provides a detailed functional description of the Oak Ridge Environmental Information System (OREIS). It expands the system requirements defined in the OREIS Phase 1-System Definition Document (ES/ER/TM-34). Documentation of OREIS development is based on the Automated Data Processing System Development Methodology, a Martin Marietta Energy Systems, Inc., procedure written to assist in developing scientific and technical computer systems. This document focuses on the development of the functional design of the user interface, which includes the integration of commercial applications software. The data model and data dictionary are summarized briefly; however, the Data Management Planmore » for OREIS (ES/ER/TM-39), a companion document to the Functional System Design document, provides the complete data dictionary and detailed descriptions of the requirements for the data base structure. The OREIS system will provide the following functions, which are executed from a Menu Manager: (1) preferences, (2) view manager, (3) macro manager, (4) data analysis (assisted analysis and unassisted analysis), and (5) spatial analysis/map generation (assisted ARC/INFO and unassisted ARC/INFO). Additional functionality includes interprocess communications, which handle background operations of OREIS.« less

  1. Information Management Platform for Data Analytics and Aggregation (IMPALA) System Design Document

    NASA Technical Reports Server (NTRS)

    Carnell, Andrew; Akinyelu, Akinyele

    2016-01-01

    The System Design document tracks the design activities that are performed to guide the integration, installation, verification, and acceptance testing of the IMPALA Platform. The inputs to the design document are derived from the activities recorded in Tasks 1 through 6 of the Statement of Work (SOW), with the proposed technical solution being the completion of Phase 1-A. With the documentation of the architecture of the IMPALA Platform and the installation steps taken, the SDD will be a living document, capturing the details about capability enhancements and system improvements to the IMPALA Platform to provide users in development of accurate and precise analytical models. The IMPALA Platform infrastructure team, data architecture team, system integration team, security management team, project manager, NASA data scientists and users are the intended audience of this document. The IMPALA Platform is an assembly of commercial-off-the-shelf (COTS) products installed on an Apache-Hadoop platform. User interface details for the COTS products will be sourced from the COTS tools vendor documentation. The SDD is a focused explanation of the inputs, design steps, and projected outcomes of every design activity for the IMPALA Platform through installation and validation.

  2. 46 CFR 11.301 - Requirements for STCW officer endorsements.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... specialist. (vii) Workshop skills training: Documentation of successful completion of assessments or... engineering—as appropriate. (ii) Training ship experience: Documentation of successful completion of an approved training program involving formal training and assessment onboard a training ship. (iii) Simulator...

  3. FEMFLOW3D; a finite-element program for the simulation of three-dimensional aquifers; version 1.0

    USGS Publications Warehouse

    Durbin, Timothy J.; Bond, Linda D.

    1998-01-01

    This document also includes model validation, source code, and example input and output files. Model validation was performed using four test problems. For each test problem, the results of a model simulation with FEMFLOW3D were compared with either an analytic solution or the results of an independent numerical approach. The source code, written in the ANSI x3.9-1978 FORTRAN standard, and the complete input and output of an example problem are listed in the appendixes.

  4. Electronic health record systems in ophthalmology: impact on clinical documentation.

    PubMed

    Sanders, David S; Lattin, Daniel J; Read-Brown, Sarah; Tu, Daniel C; Wilson, David J; Hwang, Thomas S; Morrison, John C; Yackel, Thomas R; Chiang, Michael F

    2013-09-01

    To evaluate quantitative and qualitative differences in documentation of the ophthalmic examination between paper and electronic health record (EHR) systems. Comparative case series. One hundred fifty consecutive pairs of matched paper and EHR notes, documented by 3 attending ophthalmologist providers. An academic ophthalmology department implemented an EHR system in 2006. Database queries were performed to identify cases in which the same problems were documented by the same provider on different dates, using paper versus EHR methods. This was done for 50 consecutive pairs of examinations in 3 different diseases: age-related macular degeneration (AMD), glaucoma, and pigmented choroidal lesions (PCLs). Quantitative measures were used to compare completeness of documenting the complete ophthalmologic examination, as well as disease-specific critical findings using paper versus an EHR system. Qualitative differences in paper versus EHR documentation were illustrated by selecting representative paired examples. (1) Documentation score, defined as the number of examination elements recorded for the slit-lamp examination, fundus examination, and complete ophthalmologic examination and for critical clinical findings for each disease. (2) Paired comparison of qualitative differences in paper versus EHR documentation. For all 3 diseases (AMD, glaucoma, PCL), the number of complete examination findings recorded was significantly lower with paper than the EHR system (P ≤ 0.004). Among the 3 individual examination sections (general, slit lamp, fundus) for the 3 diseases, 5 of the 9 possible combinations had significantly lower mean documentation scores with paper than EHR notes. For 2 of the 3 diseases, the number of critical clinical findings recorded was significantly lower using paper versus EHR notes (P ≤ 0.022). All (150/150) paper notes relied on graphical representations using annotated hand-drawn sketches, whereas no (0/150) EHR notes contained drawings. Instead, the EHR systems documented clinical findings using textual descriptions and interpretations. There were quantitative and qualitative differences in the nature of paper versus EHR documentation of ophthalmic findings in this study. The EHR notes included more complete documentation of examination elements using structured textual descriptions and interpretations, whereas paper notes used graphical representations of findings. The author(s) have no proprietary or commercial interest in any materials discussed in this article. Copyright © 2013 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

  5. Caliver: An R package for CALIbration and VERification of forest fire gridded model outputs.

    PubMed

    Vitolo, Claudia; Di Giuseppe, Francesca; D'Andrea, Mirko

    2018-01-01

    The name caliver stands for CALIbration and VERification of forest fire gridded model outputs. This is a package developed for the R programming language and available under an APACHE-2 license from a public repository. In this paper we describe the functionalities of the package and give examples using publicly available datasets. Fire danger model outputs are taken from the modeling components of the European Forest Fire Information System (EFFIS) and observed burned areas from the Global Fire Emission Database (GFED). Complete documentation, including a vignette, is also available within the package.

  6. Caliver: An R package for CALIbration and VERification of forest fire gridded model outputs

    PubMed Central

    Di Giuseppe, Francesca; D’Andrea, Mirko

    2018-01-01

    The name caliver stands for CALIbration and VERification of forest fire gridded model outputs. This is a package developed for the R programming language and available under an APACHE-2 license from a public repository. In this paper we describe the functionalities of the package and give examples using publicly available datasets. Fire danger model outputs are taken from the modeling components of the European Forest Fire Information System (EFFIS) and observed burned areas from the Global Fire Emission Database (GFED). Complete documentation, including a vignette, is also available within the package. PMID:29293536

  7. Development and evaluation of an aged care specific Advance Care Plan.

    PubMed

    Silvester, William; Parslow, Ruth A; Lewis, Virginia J; Fullam, Rachael S; Sjanta, Rebekah; Jackson, Lynne; White, Vanessa; Hudson, Rosalie

    2013-06-01

    To report on the quality of advance care planning (ACP) documents in use in residential aged care facilities (RACF) in areas of Victoria Australia prior to a systematic intervention; to report on the development and performance of an aged care specific Advance Care Plan template used during the intervention. An audit of the quality of pre-existing documentation used to record resident treatment preferences and end-of-life wishes at participating RACFs; development and pilot of an aged care specific Advance Care Plan template; an audit of the completeness and quality of Advance Care Plans completed on the new template during a systematic ACP intervention. 19 selected RACFs (managed by 12 aged care organisations) in metropolitan and regional areas of Victoria. Documentation in use at facilities prior to the ACP intervention most commonly recorded preferences regarding hospital transfer, life prolonging treatment and personal/cultural/religious wishes. However, 7 of 12 document sets failed to adequately and clearly specify the resident's preferences as regards life prolonging medical treatment. The newly developed aged care specific Advance Care Plan template was met with approval by participating RACFs. Of 203 Advance Care Plans completed on the template throughout the project period, 49% included the appointment of a Medical Enduring Power of Attorney. Requests concerning medical treatment were specified in almost all completed documents (97%), with 73% nominating the option of refusal of life-prolonging treatment. Over 90% of plans included information concerning residents' values and beliefs, and future health situations that the resident would find to be unacceptable were specified in 78% of completed plans. Standardised procedures and documentation are needed to improve the quality of processes, documents and outcomes of ACP in the residential aged care sector.

  8. Three Dimensional Reconstruction Workflows for Lost Cultural Heritage Monuments Exploiting Public Domain and Professional Photogrammetric Imagery

    NASA Astrophysics Data System (ADS)

    Wahbeh, W.; Nebiker, S.

    2017-08-01

    In our paper, we document experiments and results of image-based 3d reconstructions of famous heritage monuments which were recently damaged or completely destroyed by the so-called Islamic state in Syria and Iraq. The specific focus of our research is on the combined use of professional photogrammetric imagery and of publicly available imagery from the web for optimally 3d reconstructing those monuments. The investigated photogrammetric reconstruction techniques include automated bundle adjustment and dense multi-view 3d reconstruction using public domain and professional imagery on the one hand and an interactive polygonal modelling based on projected panoramas on the other. Our investigations show that the combination of these two image-based modelling techniques delivers better results in terms of model completeness, level of detail and appearance.

  9. Spontaneous Reperfusion after In Situ Thromboembolic Stroke in Mice

    PubMed Central

    Cho, Tae-Hee; Bolbos, Radu; Langlois, Jean-Baptiste; Hermitte, Laure; Wiart, Marlène; Berthezène, Yves; Nighoghossian, Norbert

    2012-01-01

    Injection of thrombin into the middle cerebral artery (MCA) of mice has been proposed as a new model of thromboembolic stroke. The present study used sequential multiparametric Magnetic Resonance Imaging (MRI), including Magnetic Resonance Angiography (MRA), Diffusion-Weighted Imaging (DWI) and Perfusion-Weighted Imaging (PWI), to document MCA occlusion, PWI-DWI mismatch, and lesion development. In the first experiment, complete MCA occlusion and reproducible hypoperfusion were obtained in 85% of animals during the first hour after stroke onset. In the second experiment, 80% of animals showed partial to complete reperfusion during a three-hour follow-up. Spontaneous reperfusion thus contributed to the variability in ischemic volume in this model. The study confirmed the value of the model for evaluating new thrombolytic treatments, but calls for extended MRI follow-up at the acute stage in therapeutic studies. PMID:23166825

  10. Modeling Human Behavior with Fuzzy and Soft Computing Methods

    DTIC Science & Technology

    2017-12-13

    REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 1...completing and reviewing the collection of information . Send comments regarding this burden estimate or any other aspect of this collection of... information , including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information

  11. Logistics Composite Model (LCOM) Workbook

    DTIC Science & Technology

    1976-06-01

    nc;-J to e UNCLASSIFIED SECURITY CLASSIFICATION OF THIS PAGE (When Dots Ew.ervol. REPORT DOCUMENTATION PAGE READ INSTRUCTIONS BEFORE COMPLETING FORM I...Controlling Office) 15. SECURITY CLASS. (of this report) Unclassified 158. DECLASSIFICATIONDOWNGRADING SCHEDULE 16. DISTRIBUTION STATEMENT (of this Report...ID SECURITY CLASSIFICATION OF THIS PAGE (When Des Entered) K7 UNCLASSIFIED SECURITY CLASSIFICATION OF THIS PAGE(Whon Dal Entore o l Logic networks

  12. Is documentation of TOLAC counseling a good measure of quality of care?

    PubMed

    Friedman, Alexander Michael; Srinivas, Sindhu K

    2016-01-01

    The objective of this study is to determine whether chart documentation of patient counseling on trial of labor after cesarean (TOLAC) during prenatal care is associated with patient knowledge of risks and benefits of TOLAC and repeat cesarean delivery (RCD). Prenatal patients eligible for TOLAC completed a questionnaire that assessed their knowledge of basic maternal and neonatal risks and benefits of TOLAC versus planned repeat cesarean delivery. Patient electronic medical records were reviewed for documentation of TOLAC counseling. Women were included at both early and late time points in pregnancy to include those who both had and had not undergone counseling. Patients with documented completed TOLAC counseling did not perform better on the knowledge survey. Patients who had documentation of counseling on specific subjects such as TOLAC success rates, risk of uterine rupture, and downstream health risks of cesarean section were no more likely to answer questions on these topics correctly than patients without counseling. However, patients with documented completed counseling generally felt that they were well informed. Chart documentation of TOLAC counseling was not correlated with patient knowledge. Patients may not be gaining the knowledge from counseling that providers believe is important for informed decision making.

  13. Extended atmospheres of outer planet satellites and comets

    NASA Technical Reports Server (NTRS)

    Smyth, William H.; Combi, Michael R.

    1987-01-01

    A major model documentation paper for cometary gas coronae and a second paper successfully applied the model to simulate the hydrogen Lyman-alpha coma of comet Kohoutek were completed and are discussed. New and very exciting data for the hydrogen distribution in the Saturn system obtained form earlier unreduced Voyager 1 and Voyager 2 data are preliminarily reviewed. This new data opens up a whole new series of investigations and indicate that Saturn's corona plays a major role in supplying hydrogen to the circumplanetary volume.

  14. Community mental health nurses' perspectives of recovery-oriented practice.

    PubMed

    Gale, J; Marshall-Lucette, S

    2012-05-01

    Recovery-oriented practice, an approach aligned towards the service user perspective, has dominated the mental health care arena. Numerous studies have explored service users' accounts of the purpose, meaning and importance of 'recovery'; however, far less is known about healthcare staff confidence in its application to care delivery. A self-efficacy questionnaire and content analysis of nursing course documents were used to investigate a cohort of community mental health nurses' recovery-oriented practice and to determine the extent to which the current continuing professional development curriculum met their educational needs in this regard. Twenty-three community mental health nurses completed a self-efficacy questionnaire and 28 course documents were analysed. The findings revealed high levels of nurses' confidence in their understanding and ability to apply the recovery model and low levels of confidence were found in areas of social inclusion. The content analysis found only one course document that used the whole term 'recovery model'. The findings suggest a gap in the nurses' perceived ability and confidence in recovery-oriented practice with what is taught academically. Hence, nursing education needs to be more explicitly focused on the recovery model and its application to care delivery. © 2011 Blackwell Publishing.

  15. The effect of informed consent on stress levels associated with extraction of impacted mandibular third molars.

    PubMed

    Casap, Nardy; Alterman, Michael; Sharon, Guy; Samuni, Yuval

    2008-05-01

    To evaluate the effect of informed consent on stress levels associated with removal of impacted mandibular third molars. A total of 60 patients scheduled for extraction of impacted mandibular third molars participated in this study. The patients were unaware of the study's objectives. Data from 20 patients established the baseline levels of electrodermal activity (EDA). The remaining 40 patients were randomly assigned into 2 equal groups receiving either a detailed document of informed consent, disclosing the possible risks involved with the surgery, or a simplified version. Pulse, blood pressure, and EDA were monitored before, during, and after completion of the consent document. Changes in EDA, but not in blood pressure, were measured on completion of either version of the consent document. A greater increase in EDA was associated with the detailed version of the consent document (P = .004). A similar concomitant increase (although nonsignificant) in pulse values was monitored on completion of both versions. Completion of overdisclosed document of informed consent is associated with changes in physiological parameters. The results suggest that overdetailed listing and disclosure before extraction of impacted mandibular third molars can increase patient stress.

  16. Does incorporation of a clinical support template in the electronic medical record improve capture of wound care data in a cohort of veterans with diabetic foot ulcers?

    PubMed

    Lowe, Jeanne R; Raugi, Gregory J; Reiber, Gayle E; Whitney, Joanne D

    2013-01-01

    The purpose of this cohort study was to evaluate the effect of a 1-year intervention of an electronic medical record wound care template on the completeness of wound care documentation and medical coding compared to a similar time interval for the fiscal year preceding the intervention. From October 1, 2006, to September 30, 2007, a "good wound care" intervention was implemented at a rural Veterans Affairs facility to prevent amputations in veterans with diabetes and foot ulcers. The study protocol included a template with foot ulcer variables embedded in the electronic medical record to facilitate data collection, support clinical decision making, and improve ordering and medical coding. The intervention group showed significant differences in complete documentation of good wound care compared to the historic control group (χ = 15.99, P < .001), complete documentation of coding for diagnoses and procedures (χ = 30.23, P < .001), and complete documentation of both good wound care and coding for diagnoses and procedures (χ = 14.96, P < .001). An electronic wound care template improved documentation of evidence-based interventions and facilitated coding for wound complexity and procedures.

  17. 47 CFR 61.16 - Base documents.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... for Electronic Filing § 61.16 Base documents. (a) The Base Document is a complete tariff which incorporates all effective revisions, as of the last day of the preceding month. The Base Document should be... 47 Telecommunication 3 2011-10-01 2011-10-01 false Base documents. 61.16 Section 61.16...

  18. 47 CFR 61.16 - Base documents.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 3 2012-10-01 2012-10-01 false Base documents. 61.16 Section 61.16... for Electronic Filing § 61.16 Base documents. (a) The Base Document is a complete tariff which incorporates all effective revisions, as of the last day of the preceding month. The Base Document should be...

  19. 47 CFR 61.16 - Base documents.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 3 2013-10-01 2013-10-01 false Base documents. 61.16 Section 61.16... for Electronic Filing § 61.16 Base documents. (a) The Base Document is a complete tariff which incorporates all effective revisions, as of the last day of the preceding month. The Base Document should be...

  20. 47 CFR 61.16 - Base documents.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Base documents. 61.16 Section 61.16... for Electronic Filing § 61.16 Base documents. (a) The Base Document is a complete tariff which incorporates all effective revisions, as of the last day of the preceding month. The Base Document should be...

  1. 42 CFR 416.52 - Conditions for coverage-Patient admission, assessment and discharge.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... completion of the most recently documented medical history and physical assessment, including documentation of any allergies to drugs and biologicals. (3) The patient's medical history and physical assessment... have a comprehensive medical history and physical assessment completed by a physician (as defined in...

  2. 42 CFR 416.52 - Conditions for coverage-Patient admission, assessment and discharge.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... completion of the most recently documented medical history and physical assessment, including documentation of any allergies to drugs and biologicals. (3) The patient's medical history and physical assessment... have a comprehensive medical history and physical assessment completed by a physician (as defined in...

  3. 42 CFR 416.52 - Conditions for coverage-Patient admission, assessment and discharge.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... completion of the most recently documented medical history and physical assessment, including documentation of any allergies to drugs and biologicals. (3) The patient's medical history and physical assessment... have a comprehensive medical history and physical assessment completed by a physician (as defined in...

  4. Summary Report for ASC L2 Milestone #4782: Assess Newly Emerging Programming and Memory Models for Advanced Architectures on Integrated Codes

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

    Neely, J. R.; Hornung, R.; Black, A.

    This document serves as a detailed companion to the powerpoint slides presented as part of the ASC L2 milestone review for Integrated Codes milestone #4782 titled “Assess Newly Emerging Programming and Memory Models for Advanced Architectures on Integrated Codes”, due on 9/30/2014, and presented for formal program review on 9/12/2014. The program review committee is represented by Mike Zika (A Program Project Lead for Kull), Brian Pudliner (B Program Project Lead for Ares), Scott Futral (DEG Group Lead in LC), and Mike Glass (Sierra Project Lead at Sandia). This document, along with the presentation materials, and a letter of completionmore » signed by the review committee will act as proof of completion for this milestone.« less

  5. Predictive Engineering Tools for Injection-Molded Long-Carbon-Fiber Thermoplastic Composites

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

    Nguyen, Ba Nghiep; Simmons, Kevin L.

    This quarterly report summarizes the status for the project planning to complete all the legal and contract documents required for establishing the subcontracts needed and a Cooperative Research and Development Agreement (CRADA) with Autodesk, Inc., Toyota Motor Engineering and Manufacturing North America (Toyota), and Magna Exterior and Interiors Corporation (Magna). During the second quarter (1/1/2013 to 3/31/2013), all the technical and legal documents for the subcontracts to Purdue University, University of Illinois, and PlastiComp, Inc. were completed. The revised CRADA documents were sent to DOE, Autodesk, Toyota, and Magna for technical and legal reviews. PNNL Legal Services contacted project partners’more » Legal counterparts for completing legal documents for the project. A non-disclosure agreement was revised and sent to all the parties for reviews.« less

  6. What "best practice" could be in Palliative Care: an analysis of statements on practice and ethics expressed by the main Health Organizations

    PubMed Central

    2010-01-01

    Background In palliative care it would be necessary to refer to a model. Nevertheless it seems that there are no official statements which state and describe that model. We carried out an analysis of the statements on practice and ethics of palliative care expressed by the main health organizations to show which dimensions of end-of-life care are taken into consideration. Methods The official documents by the most representative health organisations committed to the definition of policies and guidelines for palliative and end-of-life care had been considered. The documents were analysed through a framework of the components of end-of-life care derived from literature, which was composed of 4 main "areas" and of 12 "sub-areas". Results Overall, 34 organizations were identified, 7 international organisations, and 27 organisations operating on the national level in four different countries (Australia, Canada, UK and United States). Up to 56 documents were selected and analysed. Most of them (38) are position statements. Relevant quotations from the documents were presented by "areas" and "sub-areas". In general, the "sub-areas" of symptoms control as well as those referring to relational and social issues are more widely covered by the documents than the "sub-areas" related to "preparation" and to "existential condition". Indeed, the consistency of end-of-life choices with the patient's wishes, as well as completion and meaningfulness at the end of life is given only a minor relevance. Conclusions An integrated model of the best palliative care practice is generally lacking in the documents. It might be argued that the lack of a fixed and coherent model is due to the relevance of unavoidable context issues in palliative care, such as specific cultural settings, patient-centred variables, and family specificity. The implication is that palliative care staff have continuously to adapt their model of caring to the specific needs and values of each patient, more than applying a fixed, although maybe comprehensive, care model. PMID:20205778

  7. Audit of pressure area care and documentation.

    PubMed

    Cockbill-Black, S; Bond, J; Bersée-Mills, A; Warren, K; Hammerton, S; Found, D; Daley, L

    1999-12-01

    Intensive care patients are at particular risk of pressure damage. Documentation does not always fully reflect practice. Pressure sore identification remains a subjective issue. Nurses do not always complete patient documentation.

  8. Evaluation of Electronic Health Record Implementation in Ophthalmology at an Academic Medical Center (An American Ophthalmological Society Thesis)

    PubMed Central

    Chiang, Michael F.; Read-Brown, Sarah; Tu, Daniel C.; Choi, Dongseok; Sanders, David S.; Hwang, Thomas S.; Bailey, Steven; Karr, Daniel J.; Cottle, Elizabeth; Morrison, John C.; Wilson, David J.; Yackel, Thomas R.

    2013-01-01

    Purpose: To evaluate three measures related to electronic health record (EHR) implementation: clinical volume, time requirements, and nature of clinical documentation. Comparison is made to baseline paper documentation. Methods: An academic ophthalmology department implemented an EHR in 2006. A study population was defined of faculty providers who worked the 5 months before and after implementation. Clinical volumes, as well as time length for each patient encounter, were collected from the EHR reporting system. To directly compare time requirements, two faculty providers who utilized both paper and EHR systems completed time-motion logs to record the number of patients, clinic time, and nonclinic time to complete documentation. Faculty providers and databases were queried to identify patient records containing both paper and EHR notes, from which three cases were identified to illustrate representative documentation differences. Results: Twenty-three faculty providers completed 120,490 clinical encounters during a 3-year study period. Compared to baseline clinical volume from 3 months pre-implementation, the post-implementation volume was 88% in quarter 1, 93% in year 1, 97% in year 2, and 97% in year 3. Among all encounters, 75% were completed within 1.7 days after beginning documentation. The mean total time per patient was 6.8 minutes longer with EHR than paper (P<.01). EHR documentation involved greater reliance on textual interpretation of clinical findings, whereas paper notes used more graphical representations, and EHR notes were longer and included automatically generated text. Conclusion: This EHR implementation was associated with increased documentation time, little or no increase in clinical volume, and changes in the nature of ophthalmic documentation. PMID:24167326

  9. Use and satisfaction with key functions of a common commercial electronic health record: a survey of primary care providers.

    PubMed

    Makam, Anil N; Lanham, Holly J; Batchelor, Kim; Samal, Lipika; Moran, Brett; Howell-Stampley, Temple; Kirk, Lynne; Cherukuri, Manjula; Santini, Noel; Leykum, Luci K; Halm, Ethan A

    2013-08-09

    Despite considerable financial incentives for adoption, there is little evidence available about providers' use and satisfaction with key functions of electronic health records (EHRs) that meet "meaningful use" criteria. We surveyed primary care providers (PCPs) in 11 general internal medicine and family medicine practices affiliated with 3 health systems in Texas about their use and satisfaction with performing common tasks (documentation, medication prescribing, preventive services, problem list) in the Epic EHR, a common commercial system. Most practices had greater than 5 years of experience with the Epic EHR. We used multivariate logistic regression to model predictors of being a structured documenter, defined as using electronic templates or prepopulated dot phrases to document at least two of the three note sections (history, physical, assessment and plan). 146 PCPs responded (70%). The majority used free text to document the history (51%) and assessment and plan (54%) and electronic templates to document the physical exam (57%). Half of PCPs were structured documenters (55%) with family medicine specialty (adjusted OR 3.3, 95% CI, 1.4-7.8) and years since graduation (nonlinear relationship with youngest and oldest having lowest probabilities) being significant predictors. Nearly half (43%) reported spending at least one extra hour beyond each scheduled half-day clinic completing EHR documentation. Three-quarters were satisfied with documenting completion of pneumococcal vaccinations and half were satisfied with documenting cancer screening (57% for breast, 45% for colorectal, and 46% for cervical). Fewer were satisfied with reminders for overdue pneumococcal vaccination (48%) and cancer screening (38% for breast, 37% for colorectal, and 31% for cervical). While most believed the problem list was helpful (70%) and kept an up-to-date list for their patients (68%), half thought they were unreliable and inaccurate (51%). Dissatisfaction with and suboptimal use of key functions of the EHR may mitigate the potential for EHR use to improve preventive health and chronic disease management. Future work should optimize use of key functions and improve providers' time efficiency.

  10. Large angle magnetic suspension test fixture

    NASA Technical Reports Server (NTRS)

    Britcher, Colin P.

    1993-01-01

    Progress made under the subject grant in the period from 1 Nov. 1992 to 31 May 1993 is presented. The research involves the continued development of the Large Angle Magnetic Suspension Test Fixture (LAMSTF) and also the recommissioning of an additional piece of exisiting hardware. During the period in question, the initial configuration of LAMSTF was completed and made routinely and reliably operational. A digital phase advance controller was completed and documented. The goal of a controlled 360 deg rotation was achieved. Work started on the recommissioning of the Annular Suspension and Pointing System (ASPS). Work completed during the report period included: modeling; position sensing; controller; support of the Second International Symposium on Magnetic Suspension Technology; and recommissioning of the Annular Suspension and Pointing System.

  11. Auditory and Acoustic Research & Development at Air Force Research Laboratory (AFRL)

    DTIC Science & Technology

    2010-09-01

    aircraft noise measurement and modeling, speech communication in noise, and national and international standards for over 60 years. This article ...substantial technical document and a complete review is beyond the scope of this article . The purpose of this section is to give some examples of...acoustics facilities and instrumentation. The multi-disciplinary researchers included experts in audiology , biomedical engineering, human factors

  12. Modeling and Characterization of Microbarom Signals in the Pacific

    DTIC Science & Technology

    2006-09-01

    MS 6201 Fort Belvoir, VA 22060-6201 Form Approved REPORT DOCUMENTATION PAGE OMB No. 0704-0188 Public reporting burden for this collection of...maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of...this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services

  13. Review of Microbial Responses to Abiotic Environmental Factors in the Context of the Proposed Yucca Mountain Repository

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

    Meike, A.; Stroes-Gascoyne, S.

    2000-08-01

    A workshop on Microbial Activities at Yucca Mountain (May 1995, Lafayette, CA) was held with the intention to compile information on all pertinent aspects of microbial activity for application to a potential repository at Yucca Mountain. The findings of this workshop set off a number of efforts intended to eventually incorporate the impacts of microbial behavior into performance assessment models. One effort was to expand an existing modeling approach to include the distinctive characteristics of a repository at Yucca Mountain (e.g., unsaturated conditions and a significant thermal load). At the same time, a number of experimental studies were initiated asmore » well as a compilation of relevant literature to more thoroughly study the physical, chemical and biological parameters that would affect microbial activity under Yucca Mountain-like conditions. This literature search (completed in 1996) is the subject of the present document. The collected literature can be divided into four categories: (1) abiotic factors, (2) community dynamics and in-situ considerations, (3) nutrient considerations and (4) transport of radionuclides. The complete bibliography represents a considerable resource, but is too large to be discussed in one document. Therefore, the present report focuses on the first category, abiotic factors, and a discussion of these factors in order to facilitate the development of a model for Yucca Mountain.« less

  14. SSME structural dynamic model development, phase 2

    NASA Technical Reports Server (NTRS)

    Foley, M. J.; Wilson, V. L.

    1985-01-01

    A set of test correlated mathematical models of the SSME High Pressure Oxygen Turbopump (HPOTP) housing and rotor assembly was produced. New analysis methods within the EISI/EAL and SPAR systems were investigated and runstreams for future use were developed. The LOX pump models have undergone extensive modification since the first phase of this effort was completed. The rotor assembly from the original model was abandoned and a new, more detailed model constructed. A description of the new rotor math model is presented. Also, the pump housing model was continually modified as additional test data have become available. This model is documented along with measured test results. Many of the more advanced features of the EAL/SPAR finite element analysis system were exercised. These included the cyclic symmetry option, the macro-element procedures, and the fluid analysis capability. In addition, a new tool was developed that allows an automated analysis of a disjoint structure in terms of its component modes. A complete description of the implementation of the Craig-Bampton method is given along with two worked examples.

  15. 7 CFR 1753.58 - Closeout documents.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... followed in the preparation of closeout documents for the FAP. (2) The period between the completion of... documents required to close the FAP are listed in the following table. The following is a brief description...

  16. 7 CFR 1753.58 - Closeout documents.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... followed in the preparation of closeout documents for the FAP. (2) The period between the completion of... documents required to close the FAP are listed in the following table. The following is a brief description...

  17. 7 CFR 1753.58 - Closeout documents.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... followed in the preparation of closeout documents for the FAP. (2) The period between the completion of... documents required to close the FAP are listed in the following table. The following is a brief description...

  18. 7 CFR 1753.58 - Closeout documents.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... followed in the preparation of closeout documents for the FAP. (2) The period between the completion of... documents required to close the FAP are listed in the following table. The following is a brief description...

  19. 7 CFR 1753.58 - Closeout documents.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... followed in the preparation of closeout documents for the FAP. (2) The period between the completion of... documents required to close the FAP are listed in the following table. The following is a brief description...

  20. Three-Dimensional Model for Preservation and Restoration of Architectural Heritage

    NASA Technical Reports Server (NTRS)

    Marchis, Elena

    2011-01-01

    Thc aim of the research will be to create a model, three-dimensional mathematical. implementation. consultation and assistance to "large" restoration projects that will assist the structural analysis, allowing easier display of dynamic strain. analysis and lighting noise. It could also be a valuable tool for decision support. therefore. may simulate several possible scenarios for intervention, This model appears therefore an excellent support for recovering. ordering and monitoring information about materials and data (stage of restoration. photographs. sampling points. results of diagnostic tests, etc.) collected dynamically during the "life" of the cultural heritage. allowing to document its complete history

  1. A quantitative quantum chemical model of the Dewar-Knott color rule for cationic diarylmethanes

    NASA Astrophysics Data System (ADS)

    Olsen, Seth

    2012-04-01

    We document the quantitative manifestation of the Dewar-Knott color rule in a four-electron, three-orbital state-averaged complete active space self-consistent field (SA-CASSCF) model of a series of bridge-substituted cationic diarylmethanes. We show that the lowest excitation energies calculated using multireference perturbation theory based on the model are linearly correlated with the development of hole density in an orbital localized on the bridge, and the depletion of pair density in the same orbital. We quantitatively express the correlation in the form of a generalized Hammett equation.

  2. Improved Multi-Axial, Temperature and Time Dependent (MATT) Failure Model

    NASA Technical Reports Server (NTRS)

    Richardson, D. E.; Anderson, G. L.; Macon, D. J.

    2002-01-01

    An extensive effort has recently been completed by the Space Shuttle's Reusable Solid Rocket Motor (RSRM) nozzle program to completely characterize the effects of multi-axial loading, temperature and time on the failure characteristics of three filled epoxy adhesives (TIGA 321, EA913NA, EA946). As part of this effort, a single general failure criterion was developed that accounted for these effects simultaneously. This model was named the Multi- Axial, Temperature, and Time Dependent or MATT failure criterion. Due to the intricate nature of the failure criterion, some parameters were required to be calculated using complex equations or numerical methods. This paper documents some simple but accurate modifications to the failure criterion to allow for calculations of failure conditions without complex equations or numerical techniques.

  3. Pathological documentation of complete elimination of Barrett's metaplasia following endoscopic multipolar electrocoagulation therapy

    PubMed Central

    Fennerty, M; Corless, C; Sheppard, B; Faigel, D; Lieberman, D; Sampliner, R

    2001-01-01

    The previous paradigm that Barrett's is an irreversible premalignant lesion has recently been challenged by a proliferation of reports documenting elimination of Barrett's by a variety of endoscopic techniques. Whether Barrett's is entirely eliminated is unknown as endoscopic biopsy samples the surface of the epithelium only. Numerous reports document underlying specialised columnar epithelium in many of these trials. Until now there have been no reports of pathological examination of the entire oesophagus as a specimen. This case documents complete elimination of intestinal metaplasia from the oesophagus and supports the biological plausibility of these research techniques.


Keywords: Barrett's oesophagus; endoscopy; multipolar electrocoagulation PMID:11413122

  4. Sustaining Software-Intensive Systems

    DTIC Science & Technology

    2006-05-01

    2.2 Multi- Service Operational Test and Evaluation .......................................4 2.3 Stable Software Baseline...or equivalent document • completed Multi- Service Operational Test and Evaluation (MOT&E) for the potential production software package (or OT&E if...not multi- service ) • stable software production baseline • complete and current software documentation • Authority to Operate (ATO) for an

  5. Enhanced analysis and users manual for radial-inflow turbine conceptual design code RTD

    NASA Technical Reports Server (NTRS)

    Glassman, Arthur J.

    1995-01-01

    Modeling enhancements made to a radial-inflow turbine conceptual design code are documented in this report. A stator-endwall clearance-flow model was added for use with pivoting vanes. The rotor calculations were modified to account for swept blades and splitter blades. Stator and rotor trailing-edge losses and a vaneless-space loss were added to the loss model. Changes were made to the disk-friction and rotor-clearance loss calculations. The loss model was then calibrated based on experimental turbine performance. A complete description of code input and output along with sample cases are included in the report.

  6. Models Extracted from Text for System-Software Safety Analyses

    NASA Technical Reports Server (NTRS)

    Malin, Jane T.

    2010-01-01

    This presentation describes extraction and integration of requirements information and safety information in visualizations to support early review of completeness, correctness, and consistency of lengthy and diverse system safety analyses. Software tools have been developed and extended to perform the following tasks: 1) extract model parts and safety information from text in interface requirements documents, failure modes and effects analyses and hazard reports; 2) map and integrate the information to develop system architecture models and visualizations for safety analysts; and 3) provide model output to support virtual system integration testing. This presentation illustrates the methods and products with a rocket motor initiation case.

  7. Improving the Quality of Electronic Documentation in Critical Care Nursing

    ERIC Educational Resources Information Center

    Stevens, Brent

    2017-01-01

    Electronic nursing documentation systems can facilitate complete, accurate, timely documentation practices, but without effective policies and procedures in place, a gap in practice exists and quality of care may be impacted. This systematic review of literature examined current evidence regarding electronic nursing documentation quality. General…

  8. An automatically updateable web publishing solution: taking document sharing and conversion to enterprise level

    NASA Astrophysics Data System (ADS)

    Rahman, Fuad; Tarnikova, Yuliya; Hartono, Rachmat; Alam, Hassan

    2006-01-01

    This paper presents a novel automatic web publishing solution, Pageview (R). PageView (R) is a complete working solution for document processing and management. The principal aim of this tool is to allow workgroups to share, access and publish documents on-line on a regular basis. For example, assuming that a person is working on some documents. The user will, in some fashion, organize his work either in his own local directory or in a shared network drive. Now extend that concept to a workgroup. Within a workgroup, some users are working together on some documents, and they are saving them in a directory structure somewhere on a document repository. The next stage of this reasoning is that a workgroup is working on some documents, and they want to publish them routinely on-line. Now it may happen that they are using different editing tools, different software, and different graphics tools. The resultant documents may be in PDF, Microsoft Office (R), HTML, or Word Perfect format, just to name a few. In general, this process needs the documents to be processed in a fashion so that they are in the HTML format, and then a web designer needs to work on that collection to make them available on-line. PageView (R) takes care of this whole process automatically, making the document workflow clean and easy to follow. PageView (R) Server publishes documents, complete with the directory structure, for online use. The documents are automatically converted to HTML and PDF so that users can view the content without downloading the original files, or having to download browser plug-ins. Once published, other users can access the documents as if they are accessing them from their local folders. The paper will describe the complete working system and will discuss possible applications within the document management research.

  9. Do Community Recommendations Improve Metadata?

    NASA Astrophysics Data System (ADS)

    Gordon, S.; Habermann, T.; Jones, M. B.; Leinfelder, B.; Mecum, B.; Powers, L. A.; Slaughter, P.

    2016-12-01

    Complete documentation of scientific data is the surest way to facilitate discovery and reuse. What is complete metadata? There are many metadata recommendations from communities like the OGC, FGDC, NASA, and LTER, that can provide data documentation guidance for discovery, access, use and understanding. Often, the recommendations that communities develop are for a particular metadata dialect. Two examples of this are the LTER Completeness recommendation for EML and the FGDC Data Discovery recommendation for CSDGM. Can community adoption of a recommendation ensure that what is included in the metadata is understandable to the scientific community and beyond? By applying quantitative analysis to different LTER and USGS metadata collections in DataOne and ScienceBase, we show that community recommendations can improve the completeness of collections over time. Additionally, by comparing communities in DataOne that use the EML and CSDGM dialects, but have not adopted the recommendations to the communities that have, the positive effects of recommendation adoption on documentation completeness can be measured.

  10. Examination to assess the clinical examination and documentation of spine pathology among orthopedic residents.

    PubMed

    Haglin, Jack M; Zeller, John L; Egol, Kenneth A; Phillips, Donna P

    2017-12-01

    The Accreditation Council for Graduate Medical Education (ACGME) guidelines requires residency programs to teach and evaluate residents in six overarching "core competencies" and document progress through educational milestones. To assess the progress of orthopedic interns' skills in performing a history, physical examination, and documentation of the encounter for a standardized patient with spinal stenosis, an objective structured clinical examination (OSCE) was conducted for 13 orthopedic intern residents, following a 1-month boot camp that included communications skills and curriculum in history and physical examination. Interns were objectively scored based on their performance of the physical examination, communication skills, completeness and accuracy of their electronic medical record (EMR), and their diagnostic conclusions gleaned from the patient encounter. The purpose of this study was to meaningfully assess the clinical skills of orthopedic post-graduate year (PGY)-1 interns. The findings can be used to develop a standardized curriculum for documenting patient encounters and highlight common areas of weakness among orthopedic interns with regard to the spine history and physical examination and conducting complete and accurate clinical documentation. A major orthopedic specialty hospital and academic medical center. Thirteen PGY-1 orthopedic residents participated in the OSCE with the same standardized patient presenting with symptoms and radiographs consistent with spinal stenosis. Videos of the encounters were independently viewed and objectively evaluated by one investigator in the study. This evaluation focused on the completeness of the history and the performance and completion of the physical examination. The standardized patient evaluated the communication skills of each intern with a separate objective evaluation. Interns completed these same scoring guides to evaluate their own performance in history, physical examination, and communications skills. The interns' documentation in the EMR was then scored for completeness, internal consistency, and inaccuracies. The independent review revealed objective deficits in both the orthopedic interns' history and the physical examination, as well as highlighted trends of inaccurate and incomplete documentation in the corresponding medical record. Communication skills with the patient did not meet expectations. Further, interns tended to overscore themselves, especially with regard to their performance on the physical examination (p<.0005). Inconsistencies, omissions, and inaccuracies were common in the corresponding medical notes when compared with the events of the patient encounter. Nine of the 13 interns (69.2%) documented at least one finding that was not assessed or tested in the clinical encounter, and four of the 13 interns (30.8%) included inaccuracies in the medical record, which contradicted the information collected at the time of the encounter. The results of this study highlighted significant shortcomings in the completeness of the interns' spine history and physical examination, and the accuracy and completeness oftheir EMR note. The study provides a valuable exercise for evaluating residents in a multifaceted, multi-milestone manner that more accurately documents residents' clinical strengths and weaknesses. The study demonstrates that orthopedic residents require further instruction on the complexities of the spinal examination. It validates a need for increased systemic support for improving resident documentation through comprehensive education and evaluation modules. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. Model-based Systems Engineering: Creation and Implementation of Model Validation Rules for MOS 2.0

    NASA Technical Reports Server (NTRS)

    Schmidt, Conrad K.

    2013-01-01

    Model-based Systems Engineering (MBSE) is an emerging modeling application that is used to enhance the system development process. MBSE allows for the centralization of project and system information that would otherwise be stored in extraneous locations, yielding better communication, expedited document generation and increased knowledge capture. Based on MBSE concepts and the employment of the Systems Modeling Language (SysML), extremely large and complex systems can be modeled from conceptual design through all system lifecycles. The Operations Revitalization Initiative (OpsRev) seeks to leverage MBSE to modernize the aging Advanced Multi-Mission Operations Systems (AMMOS) into the Mission Operations System 2.0 (MOS 2.0). The MOS 2.0 will be delivered in a series of conceptual and design models and documents built using the modeling tool MagicDraw. To ensure model completeness and cohesiveness, it is imperative that the MOS 2.0 models adhere to the specifications, patterns and profiles of the Mission Service Architecture Framework, thus leading to the use of validation rules. This paper outlines the process by which validation rules are identified, designed, implemented and tested. Ultimately, these rules provide the ability to maintain model correctness and synchronization in a simple, quick and effective manner, thus allowing the continuation of project and system progress.

  12. Revisions to US EPA Superfund Risk and Dose Assessment Models and Guidance - 13403

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

    Walker, Stuart A.

    2013-07-01

    The U.S. Environmental Protection Agency (EPA) Superfund program's six Preliminary Remediation Goal (PRG) and Dose Compliance Concentration (DCC) internet based calculators for risk and dose assessment at Superfund sites are being revised to reflect better science, revisions to existing exposure scenarios and new scenarios, and changes to match up more closely with the EPA chemical regional screening level calculator. A revised version of the 1999 guidance document that provides an overview for the Superfund risk assessment process at radioactively contaminated sites, 'Radiation Risk Assessment At CERCLA Sites: Q and A', is being completed that will reflect Superfund recommended guidance andmore » other technical documents issued over the past 13 years. EPA is also issuing a series of fact sheets in the document 'Superfund Radiation Risk Assessment: A Community Tool-kit'. This presentation would go over those changes that are expected to be finished by this spring. (authors)« less

  13. Completing below-ground carbon budgets for pastures, recovering forests, and mature forests of Amazonia

    NASA Technical Reports Server (NTRS)

    Davidson, Eric A.; Nepstad, Daniel C.; Trumbore, Susan E.

    1995-01-01

    This progress report covers the following efforts initiated for the year: year-round monthly soil CO2 flux measurements were started in both primary and secondary forests and in managed and degraded pastures; root sorting and weighing has begun and all four ecosystems at Paragominas have been analyzed through samples; regional modeling of soil water dynamics and minimum rooting depth has been done and the RADAMBRASIL soils database has been digitized and a 20 year record of the precipitation for the region has been produced, along with a hydrological ('bucket-tipping') model that will run within a GIS framework; prototype tension lysimeters have been designed and installed in soil pits to begin assessing the importance of DOC as a source of organic matter in deep soils; and many publications, listed in this document, have resulted from this year's research. Two of the papers published are included with this annual report document.

  14. Geneva-on-the-Lake, Ohio. Small-Boat Harbor. Final Reformulation. Phase I. General Design Memorandum and Final Environmental Impact Statement.

    DTIC Science & Technology

    1981-08-01

    This item of local $1,901,000______ on Ocoe 90prc ees .J$190,000 on October 1980 price levels. ..$9,00 on October 1980 price levels. 6 cooperation...physical model in October 1980 . Initial testing of the recommended alternative was then started in November 1980 . However, because the model study could not...Appendix C of the Plan of Study for this project. Both the completed Plan of Study and the Stage 2 Document, July 1979 (revised April 1980 ) for this

  15. Study for the optimization of a transport aircraft wing for maximum fuel efficiency. Volume 1: Methodology, criteria, aeroelastic model definition and results

    NASA Technical Reports Server (NTRS)

    Radovcich, N. A.; Dreim, D.; Okeefe, D. A.; Linner, L.; Pathak, S. K.; Reaser, J. S.; Richardson, D.; Sweers, J.; Conner, F.

    1985-01-01

    Work performed in the design of a transport aircraft wing for maximum fuel efficiency is documented with emphasis on design criteria, design methodology, and three design configurations. The design database includes complete finite element model description, sizing data, geometry data, loads data, and inertial data. A design process which satisfies the economics and practical aspects of a real design is illustrated. The cooperative study relationship between the contractor and NASA during the course of the contract is also discussed.

  16. The impact of a simplified documentation method for the Edmonton classification system for cancer pain (ECS-CP) on clinician utilization.

    PubMed

    Tanco, Kimberson; Arthur, Joseph; Haider, Ali; Stephen, Saneese; Yennu, Sriram; Liu, Diane; Bruera, Eduardo

    2017-02-01

    The use of standardized pain classification systems such as the ECS-CP can assist in the assessment and management of cancer pain. However, its completion has been limited due to its perceived complexity of decoding each feature. The objectives of this study were to determine the rate of clinician documentation and completion of the ECS-CP features after revision and simplification of the response for each feature. Electronic records of consecutive patient visits at the outpatient supportive care center seen by 12 palliative medicine specialists were collected at 6 months before (pre-interventional period), 6 and 24 months after (post-interventional period) the implementation of the simplified ECS-CP tool. Rate of ECS-CP documentation, completion, and analysis of patient and physician predictors were completed. One thousand and twelve patients' documentation was analyzed: 343 patients, before; 341 patients, 6 months after, and 328 patients, 24 months after the intervention. ≥2/5 items were completed before the intervention, 6 months after the intervention and 24 months after intervention in 0/343 (0 %), 136/341 (40 %), and 238/328 (73 %), respectively (p < 0.001). 5/5 items were completed before the intervention, 6 months after the intervention and 24 months after intervention in 0/343 (0 %), 131/341 (38 %), and 222/328 (68 %), respectively, (p < 0.001). There were no patient or physician predictors found significant for successful documentation of ECS-CP. Our findings suggest that significant simplification and intensive education is necessary for successful adoption of a scoring system. More research is needed in order to identify how to adopt tools for daily clinical practice in palliative care.

  17. Project Turnover Deliverables for the SY Farm Enraf Annulus Leak Detectors

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

    SCAIEF, C.C.

    2000-09-19

    This document identifies the deliverables that ensure the end user of the SY Farm Enraf Annulus Leak Detectors (ALD) has all the documentation and training required for operating and maintaining the new system. All deliverable items checked on the Acceptance For Beneficial Use (ABU) form have been completed and are available to the end user. This document was written as required by HNF-IP-0842, Volume IV section 3.12 Acceptance of Structures, Systems, and Components for Beneficial Use. This document applies to the deliverable documentation required to operate and maintain the SY Farm Enraf ALD System. Appendix A provides a copy ofmore » the ABU form as listed in the appendix of TWR-4092, Engineering Task Plan for the New SY Farm Annulus Leak Detectors. This document attests that all required deliverable items checked on the ABU have been completed and are available to the end user.« less

  18. Lake Representations in Global Climate Models: An End-User Perspective

    NASA Astrophysics Data System (ADS)

    Rood, R. B.; Briley, L.; Steiner, A.; Wells, K.

    2017-12-01

    The weather and climate in the Great Lakes region of the United States and Canada are strongly influenced by the lakes. Within global climate models, lakes are incorporated in many ways. If one is interested in quantitative climate information for the Great Lakes, then it is a first principle requirement that end-users of climate model simulation data, whether scientists or practitioners, need to know if and how lakes are incorporated into models. We pose the basic question, how are lakes represented in CMIP models? Despite significant efforts by the climate community to document and publish basic information about climate models, it is unclear how to answer the question about lake representations? With significant knowledge of the practice of the field, then a reasonable starting point is to use the ES-DOC Comparator (https://compare.es-doc.org/ ). Once at this interface to model information, the end-user is faced with the need for more knowledge about the practice and culture of the discipline. For example, lakes are often categorized as a type of land, a counterintuitive concept. In some models, though, lakes are specified in ocean models. There is little evidence and little confidence that the information obtained through this process is complete or accurate. In fact, it is verifiably not accurate. This experience, then, motivates identifying and finding either human experts or technical documentation for each model. The conclusion from this exercise is that it can take months or longer to provide a defensible answer to if and how lakes are represented in climate models. Our experience with lake finding is that this is not a unique experience. This talk documents our experience and explores barriers we have identified and strategies for reducing those barriers.

  19. MSC/NASTRAN Stress Analysis of Complete Models Subjected to Random and Quasi-Static Loads

    NASA Technical Reports Server (NTRS)

    Hampton, Roy W.

    2000-01-01

    Space payloads, such as those which fly on the Space Shuttle in Spacelab, are designed to withstand dynamic loads which consist of combined acoustic random loads and quasi-static acceleration loads. Methods for computing the payload stresses due to these loads are well known and appear in texts and NASA documents, but typically involve approximations such as the Miles' equation, as well as possible adjustments based on "modal participation factors." Alternatively, an existing capability in MSC/NASTRAN may be used to output exact root mean square [rms] stresses due to the random loads for any specified elements in the Finite Element Model. However, it is time consuming to use this methodology to obtain the rms stresses for the complete structural model and then combine them with the quasi-static loading induced stresses. Special processing was developed as described here to perform the stress analysis of all elements in the model using existing MSC/NASTRAN and MSC/PATRAN and UNIX utilities. Fail-safe and buckling analyses applications are also described.

  20. 43 CFR 11.90 - What documentation must the authorized official prepare after completing the assessment?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false What documentation must the authorized official prepare after completing the assessment? 11.90 Section 11.90 Public Lands: Interior Office of the Secretary of the Interior NATURAL RESOURCE DAMAGE ASSESSMENTS Post-Assessment Phase § 11.90 What...

  1. 43 CFR 11.90 - What documentation must the authorized official prepare after completing the assessment?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 1 2011-10-01 2011-10-01 false What documentation must the authorized official prepare after completing the assessment? 11.90 Section 11.90 Public Lands: Interior Office of the Secretary of the Interior NATURAL RESOURCE DAMAGE ASSESSMENTS Post-Assessment Phase § 11.90 What...

  2. NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR CLEANING: BASELINE QUESTIONNAIRES-INDIVIDUAL (UA-D-19.0)

    EPA Science Inventory

    This entry is included for completeness of documentation. The technique described in the SOP was anticipated in study planning documents. It was subsequently not used, and the SOP was not completed.

    The purpose of this SOP is to define the steps involved in cleaning the elect...

  3. VCCS Transfer Project: Transfer Rates, Transfer Performance, and Baccalaureate Completion.

    ERIC Educational Resources Information Center

    McHewitt, Earl R.; Taylor, Garry

    This document analyzes a study done by the Center for the Study of Community Colleges (CSCC), which examined transfer rates in the VCCS. The document provides definitions for transfer rate, academic performance, and completion rate as they are used in the study. The study answers the following questions: (1) which pool of students were used in the…

  4. Student Success Reports: College of Alameda, Laney College, Merritt College, and Vista College.

    ERIC Educational Resources Information Center

    Peralta Community Coll. System, Oakland, CA.

    This document analyzes the extent to which the four community colleges in the Peralta district (California) have been successful in terms of student outcomes. Student success is defined as the percentage of successful course completions as compared to unsuccessful course completions. This document looks at the period from the fall of 1993 through…

  5. Microcircuit Cost Factors.

    DTIC Science & Technology

    1981-12-01

    DOCUMENTATION PAGE JR INSTRUCTIONSREKT WUMETATON EBEFORE COMPLETING FORM -ACREPORT MUMMER 3 . GOVT ACCESSION NO 3 . RE1ACIPIENT’S CATALOO NUMmER RAC-TR-81-354...2-5 2.3 MC Factors Effecting Cost ............... .o.. .... 2-8 Section Three - DESCRIPTION OF MODEL COST FACTORS ........... 3 -1 3.1 MC Research...Design, Test & Evaluation (RDT&E) .......... 3 -1 3.1.1 Literature Search ....... 3 -1 3.1.2 RDT&E (RCER) . ... . . . ... .. ... .......... . 3 -1 3.2

  6. Social Learning Networks: From Data Analytics to Active Sensing

    DTIC Science & Technology

    2017-10-13

    time updating of user models that in turn dictate the learning path of each student . In particular, we have designed , implemented, and evaluated our...decision, unless so designated by other documentation. 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS (ES) U.S. Army Research Office P.O. Box...social network that exists between students , instructors, and modules of learning. Between 2015 and 2017, we completed a variety of data-driven

  7. In situ treatment of VOCs by recirculation technologies

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

    Siegrist, R.L.; Webb, O.F.; Ally, M.R.

    1993-06-01

    The project described herein was conducted by Oak Ridge National Laboratory (ORNL) to identify processes and technologies developed in Germany that appeared to have near-term potential for enhancing the cleanup of volatile organic compound (VOC) contaminated soil and groundwater at DOE sites. Members of the ORNL research team identified and evaluated selected German technologies developed at or in association with the University of Karlsruhe (UoK) for in situ treatment of VOC contaminated soils and groundwater. Project activities included contacts with researchers within three departments of the UoK (i.e., Applied Geology, Hydromechanics, and Soil and Foundation Engineering) during fall 1991 andmore » subsequent visits to UoK and private industry collaborators during February 1992. Subsequent analyses consisted of engineering computations, groundwater flow modeling, and treatment process modeling. As a result of these project efforts, two processes were identified as having near-term potential for DOE: (1) the vacuum vaporizer well/groundwater recirculation well and (2) the porous pipe/horizontal well. This document was prepared to summarize the methods and results of the assessment activities completed during the initial year of the project. The project is still ongoing, so not all facets of the effort are completely described in this document. Recommendations for laboratory and field experiments are provided.« less

  8. Informing Environmental Water Management Decisions: Using Conditional Probability Networks to Address the Information Needs of Planning and Implementation Cycles.

    PubMed

    Horne, Avril C; Szemis, Joanna M; Webb, J Angus; Kaur, Simranjit; Stewardson, Michael J; Bond, Nick; Nathan, Rory

    2018-03-01

    One important aspect of adaptive management is the clear and transparent documentation of hypotheses, together with the use of predictive models (complete with any assumptions) to test those hypotheses. Documentation of such models can improve the ability to learn from management decisions and supports dialog between stakeholders. A key challenge is how best to represent the existing scientific knowledge to support decision-making. Such challenges are currently emerging in the field of environmental water management in Australia, where managers are required to prioritize the delivery of environmental water on an annual basis, using a transparent and evidence-based decision framework. We argue that the development of models of ecological responses to environmental water use needs to support both the planning and implementation cycles of adaptive management. Here we demonstrate an approach based on the use of Conditional Probability Networks to translate existing ecological knowledge into quantitative models that include temporal dynamics to support adaptive environmental flow management. It equally extends to other applications where knowledge is incomplete, but decisions must still be made.

  9. Informing Environmental Water Management Decisions: Using Conditional Probability Networks to Address the Information Needs of Planning and Implementation Cycles

    NASA Astrophysics Data System (ADS)

    Horne, Avril C.; Szemis, Joanna M.; Webb, J. Angus; Kaur, Simranjit; Stewardson, Michael J.; Bond, Nick; Nathan, Rory

    2018-03-01

    One important aspect of adaptive management is the clear and transparent documentation of hypotheses, together with the use of predictive models (complete with any assumptions) to test those hypotheses. Documentation of such models can improve the ability to learn from management decisions and supports dialog between stakeholders. A key challenge is how best to represent the existing scientific knowledge to support decision-making. Such challenges are currently emerging in the field of environmental water management in Australia, where managers are required to prioritize the delivery of environmental water on an annual basis, using a transparent and evidence-based decision framework. We argue that the development of models of ecological responses to environmental water use needs to support both the planning and implementation cycles of adaptive management. Here we demonstrate an approach based on the use of Conditional Probability Networks to translate existing ecological knowledge into quantitative models that include temporal dynamics to support adaptive environmental flow management. It equally extends to other applications where knowledge is incomplete, but decisions must still be made.

  10. Implementation of Cognitive-Behavioral Substance Abuse Treatment in Sub-Saharan Africa: Treatment Engagement and Abstinence at Treatment Exit.

    PubMed

    Gouse, Hetta; Magidson, Jessica F; Burnhams, Warren; Remmert, Jocelyn E; Myers, Bronwyn; Joska, John A; Carrico, Adam W

    2016-01-01

    This study documented the treatment cascade for engagement in care and abstinence at treatment exit as well as examined correlates of these outcomes for the first certified Matrix Model® substance abuse treatment site in Sub-Saharan Africa. This retrospective chart review conducted at a resource-limited community clinic in Cape Town, South Africa, assessed treatment readiness and substance use severity at treatment entry as correlates of the number of sessions attended and biologically confirmed abstinence at treatment exit among 986 clients who initiated treatment from 2009-2014. Sociodemographic and clinical correlates of treatment outcomes were examined using logistic regression, modeling treatment completion and abstinence at treatment exit separately. Of the 2,233 clients who completed screening, approximately 44% (n = 986) initiated treatment. Among those who initiated treatment, 45% completed at least four group sessions, 30% completed early recovery skills training (i.e., at least eight group sessions), and 13% completed the full 16-week program. Approximately half (54%) of clients who provided a urine sample had negative urine toxicology results for any substance at treatment exit. Higher motivation at treatment entry was independently associated with greater odds of treatment completion and negative urine toxicology results at treatment exit. Findings provide initial support for the successful implementation the Matrix Model in a resource-limited setting. Motivational enhancement interventions could support treatment initiation, promote sustained engagement in treatment, and achieve better treatment outcomes.

  11. Guide to Documenting and Managing Cost and Performance Information for Remediation Projects - Revised Version

    EPA Pesticide Factsheets

    This Guide to Documenting and Managing Cost and Performance Information for Remediation Projects provides the recommended procedures for documenting the results of completed and on-going full-scale and demonstration-scale remediation projects.

  12. Cold Vacuum Drying (CVD) Facility Acceptance for Beneficial Use

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

    BRISBIN, S.A.

    2000-01-05

    This document provides a checklist of the items required for turnover of the Cold Vacuum Drying Facility from the Construction Projects organization to the Operations organization. This document will be updated periodically to document completion of additional deliverables.

  13. Applied Meteorology Unit (AMU) Quarterly Report - Fourth Quarter FY-10

    NASA Technical Reports Server (NTRS)

    Bauman, William; Crawford, Winifred; Barrett, Joe; Watson, Leela; Wheeler, Mark

    2010-01-01

    Three AMU tasks were completed in this Quarter, each resulting in a forecast tool now being used in operations and a final report documenting how the work was done. AMU personnel completed the following tasks (1) Phase II of the Peak Wind Tool for General Forecasting task by delivering an improved wind forecasting tool to operations and providing training on its use; (2) a graphical user interface (GUI) she updated with new scripts to complete the ADAS Update and Maintainability task, and delivered the scripts to the Spaceflight Meteorology Group on Johnson Space Center, Texas and National Weather Service in Melbourne, Fla.; and (3) the Verify MesoNAM Performance task after we created and delivered a GUI that forecasters will use to determine the performance of the operational MesoNAM weather model forecast.

  14. Is an advance care planning model feasible in community palliative care? A multi-site action research approach.

    PubMed

    Blackford, Jeanine; Street, Annette

    2012-09-01

    This article reports a study to determine the feasibility of an advance care planning model developed with Australian community palliative care services. An effective advance care planning programme involves an organizational wide commitment and preparedness for health service reform to embed advance care planning into routine practice. Internationally, such programmes have been implemented predominantly in aged and acute care with more recent work in primary care. A multi-site action research was conducted over a 16-month period in 2007-2009 with three Victorian community palliative care services. Using mixed method data collection strategies to assess feasibility, we conducted a baseline audit of staff and clients; analysed relevant documents (client records, policies, procedures and quality improvement strategies) pre-implementation and post-implementation and conducted key informant interviews (n = 9). Three community palliative care services: one regional and two metropolitan services in Victoria, Australia. The services demonstrated that it was feasible to embed the Model into their organizational structures. Advance care planning conversations and involvement of family was an important outcome measure rather than completion rate of advance care planning documents in community settings. Services adapted and applied their own concept of community, which widened the impact of the model. Changes to quality audit processes were essential to consolidate the model into routine palliative care practice. An advance care planning model is feasible for community palliative care services. Quality audit processes are an essential component of the Model with documentation of advance care planning discussion established as an important outcome measure. © 2011 Blackwell Publishing Ltd.

  15. An observational study of the accuracy and completeness of an anesthesia information management system: recommendations for documentation system changes.

    PubMed

    Wilbanks, Bryan A; Moss, Jacqueline A; Berner, Eta S

    2013-08-01

    Anesthesia information management systems must often be tailored to fit the environment in which they are implemented. Extensive customization necessitates that systems be analyzed for both accuracy and completeness of documentation design to ensure that the final record is a true representation of practice. The purpose of this study was to determine the accuracy of a recently installed system in the capture of key perianesthesia data. This study used an observational design and was conducted using a convenience sample of nurse anesthetists. Observational data of the nurse anesthetists'delivery of anesthesia care were collected using a touch-screen tablet computer utilizing an Access database customized observational data collection tool. A questionnaire was also administered to these nurse anesthetists to assess perceived accuracy, completeness, and satisfaction with the electronic documentation system. The major sources of data not documented in the system were anesthesiologist presence (20%) and placement of intravenous lines (20%). The major sources of inaccuracies in documentation were gas flow rates (45%), medication administration times (30%), and documentation of neuromuscular function testing (20%)-all of the sources of inaccuracies were related to the use of charting templates that were not altered to reflect the actual interventions performed.

  16. Outcomes of Computerized Physician Order Entry in an Electronic Health Record After Implementation in an Outpatient Oncology Setting

    PubMed Central

    Harshberger, Cara A.; Harper, Abigail J.; Carro, George W.; Spath, Wayne E.; Hui, Wendy C.; Lawton, Jessica M.; Brockstein, Bruce E.

    2011-01-01

    Purpose: Computerized physician order entry (CPOE) in electronic health records (EHR) has been recognized as an important tool in optimal health care provision that can reduce errors and improve safety. The objective of this study is to describe documentation completeness and user satisfaction of medical charts before and after implementation of an outpatient oncology EHR/ CPOE system in a hospital-based outpatient cancer center within three treatment sites. Methods: This study is a retrospective chart review of 90 patients who received one of the following regimens between 1999 and 2006: FOLFOX, AC, carboplatin + paclitaxel, ABVD, cisplatin + etoposide, R-CHOP, and clinical trials. Documentation completeness scores were assigned to each chart based on the number of documented data points found out of the total data points assessed. EHR/CPOE documentation completeness was compared with completeness of paper charts orders of the same regimens. A user satisfaction survey of the paper chart and EHR/CPOE system was conducted among the physicians, nurses, and pharmacists who worked with both systems. Results: The mean percentage of identified data points successfully found in the EHR/CPOE charts was 93% versus 67% in the paper charts (P < .001). Regimen complexity did not alter the number of data points found. The survey response rate was 64%, and the results showed that satisfaction was statistically significant in favor of the EHR/CPOE system. Conclusion: Using EHR/CPOE systems improves completeness of medical record and chemotherapy order documentation and improves user satisfaction with the medical record system. EHR/CPOE requires constant vigilance and maintenance to optimize patient safety. PMID:22043187

  17. The HIPPO Project Archive: Carbon Cycle and Greenhouse Gas Data

    NASA Astrophysics Data System (ADS)

    Christensen, S. W.; Aquino, J.; Hook, L.; Williams, S. F.

    2012-12-01

    The HIAPER (NSF/NCAR Gulfstream V Aircraft) Pole-to-Pole Observations (HIPPO) project measured a comprehensive suite of atmospheric trace gases and aerosols pertinent to understanding the global carbon cycle from the surface to the tropopause and approximately pole-to-pole over the Pacific Ocean. Flights took place over five missions during different seasons from 2009 to 2011. Data and documentation are available to the public from two archives: (1) NCAR's Earth Observing Laboratory (EOL) provides complete aircraft and flight operational data, and (2) the U.S. DOE's Carbon Dioxide Information Analysis Center (CDIAC) provides integrated measurement data products. The integrated products are more generally useful for secondary analyses. Data processing is nearing completion, although improvements to the data will continue to evolve and analyses will continue many years into the future. Periodic new releases of integrated measurement (merged) products will be generated by EOL when individual measurement data have been updated as directed by the Lead Principal Investigator. The EOL and CDIAC archives will share documentation and supplemental links and will ensure that the latest versions of data products are available to users of both archives. The EOL archive (http://www.eol.ucar.edu/projects/hippo/) provides the underlying investigator-provided data, including supporting data sets (e.g. operational satellite, model output, global observations, etc.), and ancillary flight operational information including field catalogs, data quality reports, software, documentation, publications, photos/imagery, and other detailed information about the HIPPO missions. The CDIAC archive provides integrated measurement data products, user documentation, and metadata through the HIPPO website (http://hippo.ornl.gov). These merged products were derived by consistently combining the aircraft state parameters for position, time, temperature, pressure, and wind speed with meteorological, atmospheric chemistry and aerosol measurements made by several teams of investigators. Files are in ASCII text format. Selected data products have been loaded into a relational database for customized data subsetting and export formatting. We anticipate adding model-generated products to the archive. Metadata records have been compiled into a searchable CDIAC index and have been submitted to climate change research metadata clearinghouses (e.g., GCMD). Each data product is given a complete bibliographic citation and a persistent identifier (DOI) to facilitate attribution and access. A data policy was adopted that balances the needs of the project investigators with the interests of the scientific user community.

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

    Chen, K.; Tsai, H.; Decision and Information Sciences

    The technical basis for extending the Model 9977 shipping package periodic maintenance beyond the one-year interval to a maximum of five years is based on the performance of the O-ring seals and the environmental conditions. The DOE Packaging Certification Program (PCP) has tasked Argonne National Laboratory to develop a Radio-Frequency Identification (RFID) temperature monitoring system for use by the facility personnel at DAF/NTS. The RFID temperature monitoring system, depicted in the figure below, consists of the Mk-1 RFId tags, a reader, and a control computer mounted on a mobile platform that can operate as a stand-alone system, or it canmore » be connected to the local IT network. As part of the Conditions of Approval of the CoC, the user must complete the prescribed training to become qualified and be certified for operation of the RFID temperature monitoring system. The training course will be administered by Argonne National Laboratory on behalf of the Headquarters Certifying Official. This is a complete documentation package for the RFID temperature monitoring system of the Model 9977 packagings at NTS. The documentation package will be used for training and certification. The table of contents are: Acceptance Testing Procedure of MK-1 RFID Tags for DOE/EM Nuclear Materials Management Applications; Acceptance Testing Result of MK-1 RFID Tags for DOE/EM Nuclear Materials Management Applications; Performance Test of the Single Bolt Seal Sensor for the Model 9977 Packaging; Calibration of Built-in Thermistors in RFID Tags for Nevada Test Site; Results of Calibration of Built-in Thermistors in RFID Tags; Results of Thermal Calibration of Second Batch of MK-I RFID Tags; Procedure for Installing and Removing MK-1 RFID Tag on Model 9977 Drum; User Guide for RFID Reader and Software for Temperature Monitoring of Model 9977 Drums at NTS; Software Quality Assurance Plan (SQAP) for the ARG-US System; Quality Category for the RFID Temperature Monitoring System; The Documentation Package for the RFID Temperature Monitoring System; Software Test Plan and Results for ARG-US OnSite; Configuration Management Plan (CMP) for the ARG-US System; Requirements Management Plan for the ARG-US System; and Design Management Plan for ARG-US.« less

  19. 50 CFR 300.185 - Documentation, reporting and recordkeeping requirements for consignment documents and re-export...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... issuing country must be written legibly and indelibly on the outside of the package. (ix) Customs forms... permit holder must email, fax, or mail a copy of the completed consignment document and re-export...

  20. NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR CLEANING: WEEKLY ACTIVITY FOLLOW UP--INDIVIDUAL (UA-D-23.0)

    EPA Science Inventory

    This entry is included for completeness of documentation. The technique described in the SOP was anticipated in study planning documents. It was subsequently not used, and the SOP was not completed. This SOP was replaced by SOP UA-D-22.0.

    The purpose of this SOP is to define t...

  1. Information on new drugs at market entry: retrospective analysis of health technology assessment reports versus regulatory reports, journal publications, and registry reports

    PubMed Central

    Köhler, Michael; Haag, Susanne; Biester, Katharina; Brockhaus, Anne Catharina; McGauran, Natalie; Grouven, Ulrich; Kölsch, Heike; Seay, Ulrike; Hörn, Helmut; Moritz, Gregor; Staeck, Kerstin

    2015-01-01

    Background When a new drug becomes available, patients and doctors require information on its benefits and harms. In 2011, Germany introduced the early benefit assessment of new drugs through the act on the reform of the market for medicinal products (AMNOG). At market entry, the pharmaceutical company responsible must submit a standardised dossier containing all available evidence of the drug’s added benefit over an appropriate comparator treatment. The added benefit is mainly determined using patient relevant outcomes. The “dossier assessment” is generally performed by the Institute for Quality and Efficiency in Health Care (IQWiG) and then published online. It contains all relevant study information, including data from unpublished clinical study reports contained in the dossiers. The dossier assessment refers to the patient population for which the new drug is approved according to the summary of product characteristics. This patient population may comprise either the total populations investigated in the studies submitted to regulatory authorities in the drug approval process, or the specific subpopulations defined in the summary of product characteristics (“approved subpopulations”). Objective To determine the information gain from AMNOG documents compared with non-AMNOG documents for methods and results of studies available at market entry of new drugs. AMNOG documents comprise dossier assessments done by IQWiG and publicly available modules of company dossiers; non-AMNOG documents comprise conventional, publicly available sources—that is, European public assessment reports, journal publications, and registry reports. The analysis focused on the approved patient populations. Design Retrospective analysis. Data sources All dossier assessments conducted by IQWiG between 1 January 2011 and 28 February 2013 in which the dossiers contained suitable studies allowing for a full early benefit assessment. We also considered all European public assessment reports, journal publications, and registry reports referring to these studies and included in the dossiers. Data analysis We assessed reporting quality for each study and each available document for eight methods and 11 results items (three baseline characteristics and eight patient relevant outcomes), and dichotomised them as “completely reported” or “incompletely reported (including items not reported at all).” For each document type we calculated the proportion of items with complete reporting for methods and results, for each item and overall, and compared the findings. Results 15 out of 27 dossiers were eligible for inclusion and contained 22 studies. The 15 dossier assessments contained 28 individual assessments of 15 total study populations and 13 approved subpopulations. European public assessment reports were available for all drugs. Journal publications were available for 14 out of 15 drugs and 21 out of 22 studies. A registry report in ClinicalTrials.gov was available for all drugs and studies; however, only 11 contained results. In the analysis of total study populations, the AMNOG documents reached the highest grade of completeness, with about 90% of methods and results items completely reported. In non-AMNOG documents, the rate was 75% for methods and 52% for results items; journal publications achieved the best rates, followed by European public assessment reports and registry reports. The analysis of approved subpopulations showed poorer complete reporting of results items, particularly in non-AMNOG documents (non-AMNOG versus AMNOG: 11% v 71% for overall results items and 5% v 70% for patient relevant outcomes). The main limitation of our analysis is the small sample size. Conclusion Conventional, publicly available sources provide insufficient information on new drugs, especially on patient relevant outcomes in approved subpopulations. This type of information is largely available in AMNOG documents, albeit only partly in English. The AMNOG approach could be used internationally to develop a comprehensive publication model for clinical studies and thus represents a key open access measure. PMID:25722024

  2. Information on new drugs at market entry: retrospective analysis of health technology assessment reports versus regulatory reports, journal publications, and registry reports.

    PubMed

    Köhler, Michael; Haag, Susanne; Biester, Katharina; Brockhaus, Anne Catharina; McGauran, Natalie; Grouven, Ulrich; Kölsch, Heike; Seay, Ulrike; Hörn, Helmut; Moritz, Gregor; Staeck, Kerstin; Wieseler, Beate

    2015-02-26

    When a new drug becomes available, patients and doctors require information on its benefits and harms. In 2011, Germany introduced the early benefit assessment of new drugs through the act on the reform of the market for medicinal products (AMNOG). At market entry, the pharmaceutical company responsible must submit a standardised dossier containing all available evidence of the drug's added benefit over an appropriate comparator treatment. The added benefit is mainly determined using patient relevant outcomes. The "dossier assessment" is generally performed by the Institute for Quality and Efficiency in Health Care (IQWiG) and then published online. It contains all relevant study information, including data from unpublished clinical study reports contained in the dossiers. The dossier assessment refers to the patient population for which the new drug is approved according to the summary of product characteristics. This patient population may comprise either the total populations investigated in the studies submitted to regulatory authorities in the drug approval process, or the specific subpopulations defined in the summary of product characteristics ("approved subpopulations"). To determine the information gain from AMNOG documents compared with non-AMNOG documents for methods and results of studies available at market entry of new drugs. AMNOG documents comprise dossier assessments done by IQWiG and publicly available modules of company dossiers; non-AMNOG documents comprise conventional, publicly available sources-that is, European public assessment reports, journal publications, and registry reports. The analysis focused on the approved patient populations. Retrospective analysis. All dossier assessments conducted by IQWiG between 1 January 2011 and 28 February 2013 in which the dossiers contained suitable studies allowing for a full early benefit assessment. We also considered all European public assessment reports, journal publications, and registry reports referring to these studies and included in the dossiers. We assessed reporting quality for each study and each available document for eight methods and 11 results items (three baseline characteristics and eight patient relevant outcomes), and dichotomised them as "completely reported" or "incompletely reported (including items not reported at all)." For each document type we calculated the proportion of items with complete reporting for methods and results, for each item and overall, and compared the findings.Results 15 out of 27 dossiers were eligible for inclusion and contained 22 studies. The 15 dossier assessments contained 28 individual assessments of 15 total study populations and 13 approved subpopulations. European public assessment reports were available for all drugs. Journal publications were available for 14 out of 15 drugs and 21 out of 22 studies. A registry report in ClinicalTrials.gov was available for all drugs and studies; however, only 11 contained results. In the analysis of total study populations, the AMNOG documents reached the highest grade of completeness, with about 90% of methods and results items completely reported. In non-AMNOG documents, the rate was 75% for methods and 52% for results items; journal publications achieved the best rates, followed by European public assessment reports and registry reports. The analysis of approved subpopulations showed poorer complete reporting of results items, particularly in non-AMNOG documents (non-AMNOG versus AMNOG: 11% v 71% for overall results items and 5% v 70% for patient relevant outcomes). The main limitation of our analysis is the small sample size. Conventional, publicly available sources provide insufficient information on new drugs, especially on patient relevant outcomes in approved subpopulations. This type of information is largely available in AMNOG documents, albeit only partly in English. The AMNOG approach could be used internationally to develop a comprehensive publication model for clinical studies and thus represents a key open access measure. © Köhler et al 2015.

  3. US/UK Loan Account Project Status PMOD477

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

    Stevens, Patrice A.

    2012-07-12

    The viewgraphs describe the status of PMOD477 for LANL. The meeting will occur at DOE-HQ with NA-11 and Military Applications personnel in attendance. Serves to repatriate material with a balance to zero by December 2012. Phase 1 -- Establish formality of operations for War Reserve (WR): Complete surrogate taskings to A90 through a Materials Channel and perform US/UK lessons learned; Complete the US/UK agreed Quality Acceptance Plan, Materials Plan, Shipping procedure, and establish the formal UK/US point of contacts. Phase 2 -- Metal Manufacture (WR): Process material and store material as electrorefined metal (ER) rings, with initial assay and isotopicmore » analysis, prior to manufacturing. Material is cast into accepted configuration and appropriate acceptance document for each aliquot will be generated. Phase 3 -- Intermediate Material Manufacture, Packaging and Shipping (WR): Continue processing of the material in accepted configuration with appropriate acceptance documentation for each aliquot. Provide an initial tasking of the material owed to UK including appropriate quality acceptance documentation. Phase 4 -- Complete Tasking (WR). Phase 5 -- Residue Processing (Non-WR): Complete processing of residue material and waste into accepted configuration with appropriate acceptance document for disposal.« less

  4. The importance of KMR completion for dermatology income in secondary care in the UK.

    PubMed

    Hague, J; Nichols, H; Klimmeck, J; Lanigan, S

    2007-05-01

    In the UK, a Korner Medical Record (KMR) document is completed for each inpatient discharged from hospital. The number and type of medical conditions entered onto this record are used to determine the income the department will receive for that individual patient. We set out to audit the accuracy of the KMR documentation of our dermatology ward, and to assess what impact improving these records would have on the department's income. The audit standard was that KMRs should be completed accurately and contain all of the relevant information. KMRs from May 2005, which had been completed initially by the ward clerk, and later by the junior medical staff, were reviewed. They were then completed by the main auditor, who had received training in KMR completion from the coding department. All three sets of KMRs were reviewed by the coding officer, and their respective income calculated. In total, 20 patients were discharged from the dermatology ward during April 2005. The main diagnosis given for two patients was initially incorrect, and in another eight cases it could have been more accurate than was originally documented. The total number of comorbid or 'secondary' diagnoses (for all 20 patients) reported by the ward clerk was 5. Junior staff added a further 36 secondary diagnoses. The main auditor identified an additional 35 secondary diagnoses. In total, an extra pound 9211 would have been paid to the department if KMRs had been completed by the main auditor rather than the ward clerk. On an annual basis, a potential pound 110,532 would remain unclaimed if KMR completion continued to be performed by the ward clerk. This audit shows that KMR completion is inadequate when performed by a nonmedical practitioner. Training of medical staff in KMR completion by the coding department also significantly increases the accuracy and completeness of documentation. Dermatologists of all grades need to be aware of the importance and process of KMR completion, and routine training of medical staff by their coding department in KMR completion is recommended.

  5. Developing a medical emergency team running sheet to improve clinical handoff and documentation.

    PubMed

    Mardegan, Karen; Heland, Melodie; Whitelock, Tifany; Millar, Robert; Jones, Daryl

    2013-12-01

    During medical emergency team (MET) and cardiac arrest calls, a scribe usually records events on a running sheet. There is more agreement on what data should be recorded in cardiac arrest calls than for MET calls. In addition, handoff (handover) from ward staff to the arriving MET may be variable. In a quality improvement project, a novel MET running sheet was developed to document events and therapies administered during MET calls. Key characteristics of the form were improved form layout, increased space for event documentation, and prompts to assist handoff to the arriving MET using the Identity Situation, Background, Assessment, Request (ISBAR) format. Ward nurses commonly involved in MET activation were surveyed to assess their perceptions of the new MET running sheet. Files of 100 consecutive MET calls were reviewed to assess compliance. Of 109 nurses invited to complete the survey, 103 did so (94.5% response rate). Overall, 87 (84.5%) of the 103 respondents agreed or strongly agreed that the new MET running sheet was better than the previous form for documenting MET management, and 58 (57.4%) of 101 respondents agreed or strongly agreed that it assisted handoff. The form was completed in 91 of a sample of 100 consecutive MET calls. Areas of less complete documentation included aspects of the ISBAR handover to the arriving MET and notification of the next of kin and usual clinicians at the completion of the call. The MET running sheet, tailored to the clinical events that occur during episodes of MET review, may assist handoff from ward nurses to the arriving MET and event documentation.

  6. Bathymetric Terrain Model of the Puerto Rico Trench and the Northeastern Caribbean Region for Marine Geological Investigations

    USGS Publications Warehouse

    Andrews, Brian D.; ten Brink, Uri S.; Danforth, William W.; Chaytor, Jason D.; Granja-Bruna, J; Carbo-Gorosabel, A

    2014-01-01

    Multibeam bathymetry data collected in the Puerto Rico Trench and Northeast Caribbean region are compiled into a seamless bathymetric terrain model for broad-scale geological investigations of the trench system. These data, collected during eight separate surveys between 2002 and 2013, covering almost 180,000 square kilometers are published here in large format map sheet and digital spatial data. This report describes the common multibeam data collection, and processing methods used to produce the bathymetric terrain model and corresponding data source polygon. Details documenting the complete provenance of the data are also provided in the metadata in the Data Catalog section.

  7. Comprehensive Areal Model of Earthquake-Induced Landslides: Technical Specification and User Guide

    USGS Publications Warehouse

    Miles, Scott B.; Keefer, David K.

    2007-01-01

    This report describes the complete design of a comprehensive areal model of earthquakeinduced landslides (CAMEL). This report presents the design process, technical specification of CAMEL. It also provides a guide to using the CAMEL source code and template ESRI ArcGIS map document file for applying CAMEL, both of which can be obtained by contacting the authors. CAMEL is a regional-scale model of earthquake-induced landslide hazard developed using fuzzy logic systems. CAMEL currently estimates areal landslide concentration (number of landslides per square kilometer) of six aggregated types of earthquake-induced landslides - three types each for rock and soil.

  8. Completeness of breast cancer operative reports in a community care setting.

    PubMed

    Eng, Jordan Lang; Baliski, Christopher Ronald; McGahan, Colleen; Cai, Eric

    2017-10-01

    The narrative operative report represents the traditional means by which breast cancer surgery has been documented. Previous work has established that omissions occur in narrative operative reports produced in an academic setting. The goal of this study was to determine the completeness of breast cancer narrative operative reports produced in a community care setting and to explore the effect of a surgeon's case volume and years in practice on the completeness of these reports. A standardized retrospective review of operative reports produced over a consecutive 2 year period was performed using a set of procedure-specific elements identified through a review of the relevant literature and work done locally. 772 operative reports were reviewed. 45% of all elements were completely documented. A small positive trend was observed between case volume and completeness while a small negative trend was observed between years in practice and completeness. The dictated narrative report inadequately documents breast cancer surgery irrespective of the recording surgeon's volume or experience. An intervention, such as the implementation of synoptic reporting, should be considered in an effort to maximize the utility of the breast cancer operative report. Copyright © 2017. Published by Elsevier Ltd.

  9. Situation awareness and documentation of changes that affect patient outcomes in progress notes.

    PubMed

    Tower, Marion; Chaboyer, Wendy

    2014-05-01

    To report on registered nurses' situation awareness as a precursor to decision-making when recording changes in patients' conditions. Progress notes are important to communicate patients' progress and detail changes in patients' conditions. However, documentation is often poorly completed. There is little work that examines nurses' decision-making during documentation. This study focused on describing situation awareness as a precursor to decision-making during documentation. This study used Endsley's (Situation Awareness Analysis and Measurement, 2000, Lawrence Erlbaum Associates, NJ) work on situation awareness to guide and conceptualise information. The study was situated in a naturalistic paradigm to provide an interpretation of nurses' decision-making. Think-aloud research methods and semi-structured interviews were employed to illuminate decision-making processes. Audio recordings and interview texts were individually examined for evidence of cues, informed by Endsley's (Situation Awareness Analysis and Measurement, 2000, Lawrence Erlbaum Associates, NJ) descriptions of situation awareness. As patients' conditions changed, nurses used complex mental models and pattern-matching of information, drawing on all 3 levels of situation awareness during documentation. Level 1 situation awareness provided context, level 2 situation awareness signified a change in condition and its significance for the patient, and level 3 situation awareness was evident when nurses thought aloud about what this information indicated. Three themes associated with changes in patients' conditions emerged: deterioration in condition, not responding to prescribed treatments as expected and issues related to professional practice that impacted on patients' conditions. Nurses used a complex mental model for decision-making, drawing on 3 levels of situation awareness. Hamm's cognitive continuum theory, when related to situation awareness, is a useful decision-making theory to provide a platform on which to draw together components of situation awareness and provide a framework on which to base decision-making regarding documentation. Understanding how RNs employ situation awareness and providing a framework for decision-making during documentation may assist effective documentation about changes in patients' conditions. © 2013 John Wiley & Sons Ltd.

  10. Collaborative Workspaces within Distributed Virtual Environments.

    DTIC Science & Technology

    1996-12-01

    such as a text document, a 3D model, or a captured image using a collaborative workspace called the InPerson Whiteboard . The Whiteboard contains a...commands for editing objects drawn on the screen. Finally, when the call is completed, the Whiteboard can be saved to a file for future use . IRIS Annotator... use , and a shared whiteboard that includes a number of multimedia annotation tools. Both systems are also mindful of bandwidth limitations and can

  11. Bayesian Hierarchical Models to Augment the Mediterranean Forecast System

    DTIC Science & Technology

    2010-09-30

    In part 2 (Bonazzi et al., 2010), the impact of the ensemble forecast methodology based on MFS-Wind-BHM perturbations is documented. Forecast...absence of dt data stage inputs, the forecast impact of MFS-Error-BHM is neutral. Experiments are underway now to introduce dt back into the MFS-Error...BHM and quantify forecast impacts at MFS. MFS-SuperEnsemble-BHM We have assembled all needed datasets and completed algorithmic development

  12. M3MS-16OR0401086 – Report on NEAMS Workbench Support for MOOSE Applications

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

    Lefebvre, Robert A.; Langley, Brandon R.; Thompson, Adam B.

    This report summarizes the status of the Nuclear Energy Advanced Modeling and Simulation (NEAMS) Workbench from Oak Ridge National Laboratory (ORNL) and the integration of the MOOSE framework. This report marks the completion of NEAMS milestone M3MS-16OR0401086. This report documents the developed infrastructure to support the MOOSE framework applications, the applications’ results, visualization status, the collaboration that facilitated this progress, and future considerations.

  13. Evaluation of Nursing Documentation Completion of Stroke Patients in the Emergency Department: A Pre-Post Analysis Using Flowsheet Templates and Clinical Decision Support.

    PubMed

    Richardson, Karen J; Sengstack, Patricia; Doucette, Jeffrey N; Hammond, William E; Schertz, Matthew; Thompson, Julie; Johnson, Constance

    2016-02-01

    The primary aim of this performance improvement project was to determine whether the electronic health record implementation of stroke-specific nursing documentation flowsheet templates and clinical decision support alerts improved the nursing documentation of eligible stroke patients in seven stroke-certified emergency departments. Two system enhancements were introduced into the electronic record in an effort to improve nursing documentation: disease-specific documentation flowsheets and clinical decision support alerts. Using a pre-post design, project measures included six stroke management goals as defined by the National Institute of Neurological Disorders and Stroke and three clinical decision support measures based on entry of orders used to trigger documentation reminders for nursing: (1) the National Institutes of Health's Stroke Scale, (2) neurological checks, and (3) dysphagia screening. Data were reviewed 6 months prior (n = 2293) and 6 months following the intervention (n = 2588). Fisher exact test was used for statistical analysis. Statistical significance was found for documentation of five of the six stroke management goals, although effect sizes were small. Customizing flowsheets to meet the needs of nursing workflow showed improvement in the completion of documentation. The effects of the decision support alerts on the completeness of nursing documentation were not statistically significant (likely due to lack of order entry). For example, an order for the National Institutes of Health Stroke Scale was entered only 10.7% of the time, which meant no alert would fire for nursing in the postintervention group. Future work should focus on decision support alerts that trigger reminders for clinicians to place relevant orders for this population.

  14. Impact of implementing an EMR on physical exam documentation by ambulance personnel.

    PubMed

    Katzer, R; Barton, D J; Adelman, S; Clark, S; Seaman, E L; Hudson, K B

    2012-01-01

    Georgetown University has a student run Emergency Medical Services (EMS) organization with over 100 emergency medical technicians (EMTs). We set out to determine whether implementing an electronic patient care report (ePCR) system was associated with improved physical exam documentation. This study evaluated documentation of the physical exam on prehospital patient care reports (PCRs). An ePCR system was implemented. ePCR documentation was compared to that of the previously used paper PCRs. This study looked retrospectively at 154 PCRs. 77 were hand written PCRs from before the electronic system. The PCRs involved chief complaints that were primarily respiratory, neurologic, or both. 77 ePCRs of matching chief complaint categories were used for comparison. Each chart was reviewed for completion of certain physical exam findings. The mean percentage of documented components from the ePCRs was compared to that of the hand written PCRs. The null hypothesis was that the absolute increase in the mean was not more than 20 percent. The two exclusion criteria were PCRs completed by study investigators after the design of the project and partially or completely missing PCRs. The absolute increase in mean physical exam component documentation was 36% (95% CI = 29-43%). A weighted kappa of 0.894 showed very good agreement between chart reviewers. This study rejected the null hypothesis that the ePCR system was associated with a mean increase of no more than 20%. It observed increase in physical exam documentation. Limitations of this study included the inability to determine whether documentation of physical exam findings reflected performance of the physical exam, and what components of the ePCR system bundle were responsible for the increase in physical exam component documentation.

  15. Impact of implementing an EMR on physical exam documentation by ambulance personnel

    PubMed Central

    Katzer, R.; Barton, D.J.; Adelman, S.; Clark, S.; Seaman, E.L.; Hudson, K.B.

    2012-01-01

    Objectives Georgetown University has a student run Emergency Medical Services (EMS) organization with over 100 emergency medical technicians (EMTs). We set out to determine whether implementing an electronic patient care report (ePCR) system was associated with improved physical exam documentation. Methods This study evaluated documentation of the physical exam on prehospital patient care reports (PCRs). An ePCR system was implemented. ePCR documentation was compared to that of the previously used paper PCRs. This study looked retrospectively at 154 PCRs. 77 were hand written PCRs from before the electronic system. The PCRs involved chief complaints that were primarily respiratory, neurologic, or both. 77 ePCRs of matching chief complaint categories were used for comparison. Each chart was reviewed for completion of certain physical exam findings. The mean percentage of documented components from the ePCRs was compared to that of the hand written PCRs. The null hypothesis was that the absolute increase in the mean was not more than 20 percent. The two exclusion criteria were PCRs completed by study investigators after the design of the project and partially or completely missing PCRs. Results The absolute increase in mean physical exam component documentation was 36% (95% CI = 29–43%). A weighted kappa of 0.894 showed very good agreement between chart reviewers. Conclusions This study rejected the null hypothesis that the ePCR system was associated with a mean increase of no more than 20%. It observed increase in physical exam documentation. Limitations of this study included the inability to determine whether documentation of physical exam findings reflected performance of the physical exam, and what components of the ePCR system bundle were responsible for the increase in physical exam component documentation. PMID:23646077

  16. A collective case study of nursing students with learning disabilities.

    PubMed

    Kolanko, Kathrine M

    2003-01-01

    This collective case study described the meaning of being a nursing student with a learning disability and examined how baccalaureate nursing students with learning disabilities experienced various aspects of the nursing program. It also examined how their disabilities and previous educational and personal experiences influenced the meaning that they gave to their educational experiences. Seven nursing students were interviewed, completed a demographic data form, and submitted various artifacts (test scores, evaluation reports, and curriculum-based material) for document analysis. The researcher used Stake's model for collective case study research and analysis (1). Data analysis revealed five themes: 1) struggle, 2) learning how to learn with LD, 3) issues concerning time, 4) social support, and 5) personal stories. Theme clusters and individual variations were identified for each theme. Document analysis revealed that participants had average to above average intellectual functioning with an ability-achievement discrepancy among standardized test scores. Participants noted that direct instruction, structure, consistency, clear directions, organization, and a positive instructor attitude assisted learning. Anxiety, social isolation from peers, and limited time to process and complete work were problems faced by the participants.

  17. State Policy Climates for College Student Success: An Analysis of State Policy Documents Pertaining to College Persistence and Completion

    ERIC Educational Resources Information Center

    McLendon, Michael K.; Tuchmayer, Jeremy B.; Park, Toby J.

    2010-01-01

    This article reports the findings of an exploratory analysis of state policy climates for college student persistence and completion. We performed an analysis of more than 100 documents collected from 8 states chosen largely on the basis of their performance on past "Measuring Up" reports. Our analysis of governors' state-of-the-state…

  18. Thermal support for scale support

    NASA Technical Reports Server (NTRS)

    Dean, W. G.

    1976-01-01

    The thermal design work completed for the Thermal Protection System (TPS) of the Space Shuttle System (TPS) of the space shuttle vehicle was documented. This work was divided into three phases, the first two of which reported in previous documents. About 22 separate tasks were completed in phase III, such as: hot gas facility (HGF) support, guarded tank support, shuttle external tank (ET) thermal design handbook support, etc.

  19. 76 FR 50663 - Effective Date of Requirement for Premarket Approval for Three Class III Preamendments Devices

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-16

    ... completion of a PDP is not filed by the latter of the two dates, and no IDE is in effect, the device is... availability of a preamendments class III devices strategy document. The strategy document set forth FDA's... approved PMA or a declared completed PDP is required to be in effect for any such devices on or before 180...

  20. 7 CFR 1753.49 - Closeout documents.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Distribution Borrower Contractor 724 Final Inventory—Certificate of Completion 2 1 1 724a Final Inventory... representative of the borrower. (2) Final inventory documents. (i) The borrower shall obtain certifications from... prepare and distribute the final inventory documents in accordance with the tables contained in this...

  1. 33 CFR Appendix A to Part 230 - Processing Corps NEPA Documents

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Corps NEPA Documents NEFA documents for Civil Works activities other than permits will be processed in... Preconstruction Engineering, and Design, Construction, and Completed Projects in an Operations and Maintenance... reconnaissance phase, the district commander should undertake environmental studies along with engineering...

  2. Practice versus knowledge when it comes to pressure ulcer prevention.

    PubMed

    Provo, B; Piacentine, L; Dean-Baar, S

    1997-09-01

    This study was completed to determine the current knowledge and documentation patterns of nursing staff in the prevention of pressure ulcers and to identify the prevalence of pressure ulcers. This pre-post intervention study was carried out in three phases. In phase 1, 67 nursing staff members completed a modified version of Bostrom's Patient Skin Integrity Survey. A Braden Scale score, the presence of actual skin breakdown, and the presence of nursing documentation were collected for each patient (n = 43). Phase II consisted of a 20-minute educational session to all staff. In phase III, 51 nursing staff completed a second questionnaire similar to that completed in phase I. Patient data (n = 49) were again collected using the same procedure as phase I. Twenty-seven staff members completed questionnaires in both phase I and phase III of the study. No statistically significant differences were found in the knowledge of the staff before or after the educational session. The number of patients with a documented plan of care showed a statistically significant difference from phase I to phase III. The number of patients with pressure ulcers or at risk for pressure ulcer development (determined by a Braden Scale score of 16 or less) did not differ statistically from phase I to phase III. Knowledge about pressure ulcers in this sample of staff nurses was for the most part current and consistent with the recommendations in the Agency for Health Care Policy and Research guideline. Documentation of pressure ulcer prevention and treatment improved after the educational session. Although a significant change was noted in documentation, it is unclear whether it reflected an actual change in practice.

  3. Pilot-testing an adverse drug event reporting form prior to its implementation in an electronic health record.

    PubMed

    Chruscicki, Adam; Badke, Katherin; Peddie, David; Small, Serena; Balka, Ellen; Hohl, Corinne M

    2016-01-01

    Adverse drug events (ADEs), harmful unintended consequences of medication use, are a leading cause of hospital admissions, yet are rarely documented in a structured format between care providers. We describe pilot-testing structured ADE documentation fields prior to integration into an electronic medical record (EMR). We completed a qualitative study at two Canadian hospitals. Using data derived from a systematic review of the literature, we developed screen mock-ups for an ADE reporting platform, iteratively revised in participatory workshops with diverse end-user groups. We designed a paper-based form reflecting the data elements contained in the mock-ups. We distributed them to a convenience sample of clinical pharmacists, and completed ethnographic workplace observations while the forms were used. We reviewed completed forms, collected feedback from pharmacists using semi-structured interviews, and coded the data in NVivo for themes related to the ADE form. We completed 25 h of clinical observations, and 24 ADEs were documented. Pharmacists perceived the form as simple and clear, with sufficient detail to capture ADEs. They identified fields for omission, and others requiring more detail. Pharmacists encountered barriers to documenting ADEs including uncertainty about what constituted a reportable ADE, inability to complete patient follow-up, the need for inter-professional communication to rule out alternative diagnoses, and concern about creating a permanent record. Paper-based pilot-testing allowed planning for important modifications in an ADE documentation form prior to implementation in an EMR. While paper-based piloting is rarely reported prior to EMR implementations, it can inform design and enhance functionality. Piloting with other groups of care providers and in different healthcare settings will likely lead to further revisions prior to broader implementations.

  4. The Three-Dimensional EIT Wave

    NASA Technical Reports Server (NTRS)

    Thompson, B. J.; Biesecker, D. A.; Gilbert, H. R.; Lawrence, G. R.; Ofman, L.; Wu, S. T.; Warmuth, A.; Fisher, Richard R. (Technical Monitor)

    2002-01-01

    An EIT wave is an impulsive disturbance which has been observed in the EUV, Soft X-ray and white light corona, with corresponding observations in the chromosphere. The effects of these disturbances can be observed across the entire solar disk of the Sun, and throughout the inner heliosphere as well. However, the picture is not complete; observations alone do not establish a complete understanding of the nature of this three-dimensional phenomenon. A number of associated phenomena have been documented, though in most cases causality has not determined. Additionally, it is unclear which factors govern the impulse's ability to affect regions of the corona and heliosphere. We discuss the various observations and the models which provided links between the associated phenomena.

  5. Aerodynamic Interaction Effects of a Helicopter Rotor and Fuselage

    NASA Technical Reports Server (NTRS)

    Boyd, David D., Jr.

    1999-01-01

    A three year Cooperative Research Agreements made in each of the three years between the Subsonic Aerodynamics Branch of the NASA Langley Research Center and the Virginia Polytechnic Institute and State University (Va. Tech) has been completed. This document presents results from this three year endeavor. The goal of creating an efficient method to compute unsteady interactional effects between a helicopter rotor and fuselage has been accomplished. This paper also includes appendices to support these findings. The topics are: 1) Rotor-Fuselage Interactions Aerodynamics: An Unsteady Rotor Model; and 2) Rotor/Fuselage Unsteady Interactional Aerodynamics: A New Computational Model.

  6. Glass Property Models and Constraints for Estimating the Glass to be Produced at Hanford by Implementing Current Advanced Glass Formulation Efforts

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

    Vienna, John D.; Kim, Dong-Sang; Skorski, Daniel C.

    2013-07-01

    Recent glass formulation and melter testing data have suggested that significant increases in waste loading in HLW and LAW glasses are possible over current system planning estimates. The data (although limited in some cases) were evaluated to determine a set of constraints and models that could be used to estimate the maximum loading of specific waste compositions in glass. It is recommended that these models and constraints be used to estimate the likely HLW and LAW glass volumes that would result if the current glass formulation studies are successfully completed. It is recognized that some of the models are preliminarymore » in nature and will change in the coming years. Plus the models do not currently address the prediction uncertainties that would be needed before they could be used in plant operations. The models and constraints are only meant to give an indication of rough glass volumes and are not intended to be used in plant operation or waste form qualification activities. A current research program is in place to develop the data, models, and uncertainty descriptions for that purpose. A fundamental tenet underlying the research reported in this document is to try to be less conservative than previous studies when developing constraints for estimating the glass to be produced by implementing current advanced glass formulation efforts. The less conservative approach documented herein should allow for the estimate of glass masses that may be realized if the current efforts in advanced glass formulations are completed over the coming years and are as successful as early indications suggest they may be. Because of this approach there is an unquantifiable uncertainty in the ultimate glass volume projections due to model prediction uncertainties that has to be considered along with other system uncertainties such as waste compositions and amounts to be immobilized, split factors between LAW and HLW, etc.« less

  7. a Case Study in Documentation Production as Learning Tools Benefitting Multiple Stakeholders

    NASA Astrophysics Data System (ADS)

    Truesdale, T. J.; Hierlihy, B.; Jouan, P.

    2017-08-01

    The Fondation Strutt Foundation has taken on the conservation planning of the Strutt House as part of a P3 collaborative effort with the National Capital Commission (NCC). This paper will address three of the primary documents/data sets (documentary methodologies) being used on/for the Strutt House project. The Strutt House is a Recognized Federal Heritage Building and a significant example of Canadian modernist architecture. Stakeholder is a term often used in Architectural Projects reflecting an economic interest in success of the project. In conservation projects the stakeholder generally reflects social, cultural and/or economic interests in a given project. The Strutt House project has benefitted from stakeholders that have all been interested in the above, as well as the education of our future conservationists. The Strutt house was purchased from the architect's daughter in 2010, and as part of the acquisition, a Heritage Structure Report was commissioned and produced by PTAH Consultants Inc., Architects. The report forms the first of the primary referenced documents of this paper, including: a comprehensive photographic record of existing conditions; and, a building simulation model of the house `as designed/built'. This HSR and the accompanying data/documents have been adopted as the basis of an evolving document in the development of the Conservation Plan including: additional heritage surveys and technologies; traditional drawings, photographic and video records; and, a series of workshops on the structural stabilization efforts, thermography scans, and smoke/blow-door (air pressure) testing. In 2016, Pierre Jouan, a Master's thesis student from KU Leuvan, working with the Carleton University CIMS lab under the direction of Professor Mario Santana, and the FSF completed a 3-D scanning and photogrammetry workshop on the Strutt House and created a building information model (BIM model) from the collected data. The three primary documentation processes being addressed in this paper are really a series of directed research or focussed investigations resulting in a collection of data sets resolved -or combined- into a document. They will assist in the development of the long-term Programming and Conservation Management Plan of the Strutt House.

  8. Improvement of medication event interventions through use of an electronic database.

    PubMed

    Merandi, Jenna; Morvay, Shelly; Lewe, Dorcas; Stewart, Barb; Catt, Char; Chanthasene, Phillip P; McClead, Richard; Kappeler, Karl; Mirtallo, Jay M

    2013-10-01

    Patient safety enhancements achieved through the use of an electronic Web-based system for responding to adverse drug events (ADEs) are described. A two-phase initiative was carried out at an academic pediatric hospital to improve processes related to "medication event huddles" (interdisciplinary meetings focused on ADE interventions). Phase 1 of the initiative entailed a review of huddles and interventions over a 16-month baseline period during which multiple databases were used to manage the huddle process and staff interventions were assigned via manually generated e-mail reminders. Phase 1 data collection included ADE details (e.g., medications and staff involved, location and date of event) and the types and frequencies of interventions. Based on the phase 1 analysis, an electronic database was created to eliminate the use of multiple systems for huddle scheduling and documentation and to automatically generate e-mail reminders on assigned interventions. In phase 2 of the initiative, the impact of the database during a 5-month period was evaluated; the primary outcome was the percentage of interventions documented as completed after database implementation. During the postimplementation period, 44.7% of assigned interventions were completed, compared with a completion rate of 21% during the preimplementation period, and interventions documented as incomplete decreased from 77% to 43.7% (p < 0.0001). Process changes, education, and medication order improvements were the most frequently documented categories of interventions. Implementation of a user-friendly electronic database improved intervention completion and documentation after medication event huddles.

  9. Evaluating Flight Crew Operator Manual Documentation

    NASA Technical Reports Server (NTRS)

    Sherry, Lance; Feary, Michael

    1998-01-01

    Aviation and cognitive science researchers have identified situations in which the pilot s expectations for the behavior of the avionics are not matched by the actual behavior of the avionics. Researchers have attributed these "automation surprises" to the complexity of the avionics mode logic, the absence of complete training, limitations in cockpit displays, and ad-hoc conceptual models of the avionics. Complete canonical rule-based descriptions of the behavior of the autopilot provide the basis for understanding the perceived complexity of the autopilots, the differences between the pilot s and autopilot s conceptual models, and the limitations in training materials and cockpit displays. This paper compares the behavior of the autopilot Vertical Speed/Flight Path Angle (VS-FPA) mode as described in the Flight Crew Operators Manual (FCOM) and the actual behavior of the VS-FPA mode defined in the autopilot software. This example demonstrates the use of the Operational Procedure Model (OPM) as a method for using the requirements specification for the design of the software logic as information requirements for training.

  10. Gaia DR2 documentation Chapter 8: Astrophysical Parameters

    NASA Astrophysics Data System (ADS)

    Manteiga, M.; Andrae, R.; Fouesneau, M.; Creevey, O.; Ordenovic, C.; Mary, N.; Jean-Antoine-Piccolo, A.; Bailer-Jones, C. A. L.

    2018-04-01

    This chapter of the Gaia DR2 documentation describes Apsis, the Astrophysical Parameters Inference System used for processing Gaia DR2 data. Beyond this documentation, a complete description of the processing and the results, as well as additional validations, have been published in Andrae et al. (2018).

  11. 42 CFR 37.20 - Miner identification document.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Miner identification document. 37.20 Section 37.20 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICAL CARE AND... identification document which includes an occupational history questionnaire shall be completed for each miner at...

  12. Design and Documentation: The State of the Art.

    ERIC Educational Resources Information Center

    Gibbons, Andrew S.

    1998-01-01

    Although the trend is for less documentation, this article argues that more is needed to help in the analysis of design failure in instructional design. Presents arguments supporting documented design, including error recognition and correction, verification of completeness and soundness, sharing of new design principles, modifiability, error…

  13. 7 CFR 1.670 - How must documents be filed and served under §§ 1.670 through 1.673?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... complete copy of the document must be served on each license party and FERC, using: (i) One of the methods..., documents must be filed using one of the methods set forth in § 1.612(b). (2) A document is considered filed on the date it is received. However, any document received after 5 p.m. at the place where the filing...

  14. Proceedings of the international workshop on measurement and computation of turbulent nonpremixed flames

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

    Barlow, R.S.

    This report documents the proceedings of the International Workshop on Measurement and Computation of Turbulent Nonpremixed Flames, held in Naples, Italy on July 26--27, 1996. Contents include materials that were distributed to participants at the beginning of the workshop, as well as a Summary of Workshop Accomplishments that was generated at the close to this Naples meeting. The Naples workshop involved sixty-one people from eleven countries. The primary objectives were: (1) to select a set of well-documented and relatively simple flames that would be appropriate for collaborative comparisons of model predictions; and (2) to specify common submodels to be usedmore » in these predictions, such that models for the coupling of turbulence and chemistry might be isolated and better understood. Studies involve hydrogen and natural gas fuels. These proceedings are also published on the Web and those interested in the ongoing process of data selection and model comparison should consult the workshop page for the most recent and complete information on these collaborative research efforts. The URL is: http://www/ca.sandia/gov/tdf/Workshop.html.« less

  15. Modified Occupational Completion Points in Vocational Education for Students with Disabilities. Proceedings Document (Tampa, Florida, October 27-28, 1997, November 6-7, 1997).

    ERIC Educational Resources Information Center

    Florida State Dept. of Education, Tallahassee. Div. of Workforce Development.

    This document reports the outcomes of a series of meetings held in Florida to provide an overview of modified occupational completion points (MOCPs), to share examples of successful district practices, and to develop plans for implementing MOCPs in the state. Part 1 explains that MOCPs are student performance standards adapted for use with…

  16. Base Realignment and Closure (BRAC) Cleanup Plan

    DTIC Science & Technology

    1995-01-01

    remedial action (RA). A number of restoration-related compliance activities at Cameron Station have also been completed or are ongoing. These include...from the identification stage to completion of remedial actions and development of NFRAP documentation. Table 3-2 also lists the study area...5 4.1.3.2 Remediation Timelines and Documents ............. 4-6 4.1.4 Environmental Restoration Early Actions Strategy ........... 4-10 4.1.5 Remedy

  17. Information handoff and outcomes of critically ill patients transferred between hospitals

    PubMed Central

    Usher, Michael G.; Fanning, Christine; Wu, Di; Muglia, Christine; Balonze, Karen; Kim, Deborah; Parikh, Amay; Herrigel, Dana

    2016-01-01

    Purpose Patients transferred between hospitals are at high risk of adverse events and mortality. This study aims to identify which components of the transfer handoff process are important predictors of adverse events and mortality. Materials and Methods We conducted a retrospective, observational study of 335 consecutive patient transfers to three ICUs at an academic tertiary referral center. We assessed the relationship between handoff documentation completeness and patient outcomes. The primary outcome was in-hospital mortality. Secondary outcomes included adverse events, duplication of labor, disposition error, and length of stay. Results Transfer documentation was frequently absent with overall completeness of 58.3%. Adverse events occurred in 42% of patients within 24 hours of arrival, with an overall in-hospital mortality of 17.3%. Higher documentation completeness was associated with reduced in-hospital mortality (OR 0.07, 95% CI 0.02 to 0.38, p=0.002), reduced adverse events (coef −2.08, 95% CI −2.76 to −1.390, p<0.001), and reduced duplication of labor (OR 0.19, 95% CI 0.04 to 0.88, p=0.033) when controlling for severity of illness. Conclusions Documentation completeness is associated with improved outcomes and resource utilization in patients transferred between hospitals. PMID:27591388

  18. 24 CFR 905.510 - Submission requirements.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... submitted by this part: Capital fund financing budget, management assessment, fairness opinion, and physical needs assessment. (5) Financing documents. The PHA must submit a complete set of the legal documents...

  19. 24 CFR 905.510 - Submission requirements.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... submitted by this part: Capital fund financing budget, management assessment, fairness opinion, and physical needs assessment. (5) Financing documents. The PHA must submit a complete set of the legal documents...

  20. 24 CFR 905.510 - Submission requirements.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... submitted by this part: Capital fund financing budget, management assessment, fairness opinion, and physical needs assessment. (5) Financing documents. The PHA must submit a complete set of the legal documents...

  1. Student Outcomes 2009: Data Dictionary. Support Document

    ERIC Educational Resources Information Center

    National Centre for Vocational Education Research (NCVER), 2009

    2009-01-01

    This document was produced as an added resource for the report "Outcomes from the Productivity Places Program, 2009." The study reported the outcomes for students who completed their vocational education and training (VET) under the Productivity Places Program (PPP) during 2008. This document presents an alphabetical arrangement of the…

  2. 78 FR 16279 - HUD Healthcare Facility Documents: Notice Announcing Final Approved Documents and Assignment of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-14

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5623-N-03] HUD Healthcare Facility... notice announces that the healthcare facility documents have completed the notice and comment processes... of Healthcare Programs, Office of Housing, Department of Housing and Urban Development, 451 7th...

  3. 10 CFR 95.37 - Classification and preparation of documents.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Information must contain the identity of the source document or the classification guide, including the agency.../Exemption) Classifier: (Name/Title/Number) (2) For Restricted Data documents: (i) Identity of the classifier. The identity of the classifier must be shown by completion of the “Derivative Classifier” line. The...

  4. 10 CFR 95.37 - Classification and preparation of documents.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Information must contain the identity of the source document or the classification guide, including the agency.../Exemption) Classifier: (Name/Title/Number) (2) For Restricted Data documents: (i) Identity of the classifier. The identity of the classifier must be shown by completion of the “Derivative Classifier” line. The...

  5. 10 CFR 95.37 - Classification and preparation of documents.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Information must contain the identity of the source document or the classification guide, including the agency.../Exemption) Classifier: (Name/Title/Number) (2) For Restricted Data documents: (i) Identity of the classifier. The identity of the classifier must be shown by completion of the “Derivative Classifier” line. The...

  6. 17 CFR 3.2 - Registration processing by the National Futures Association; notification and duration of...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... any registration form, any schedule or supplement thereto, any fingerprint card or other document... complete photocopy of that form, schedule, supplement, fingerprint card, or other document is filed... original form, schedule, supplement, fingerprint card, or other document. (c) The National Futures...

  7. Robust and Quantized Wiener Filters for p-Point Spectral Classes.

    DTIC Science & Technology

    1980-01-01

    REPORT DOCUMENTATION, __BEFORE COMPLETING FORM A. REPORT NUMBER ’ 12. GOVT ACCESSION NO. 3 . RECIPIENT’S CATALOG NUMBER AFOSR-TR- 80-0425z__...re School of Electrical Engineerin . 3 - , Philadelphia, PA 19104 ABSTRACT In Section III, we show that a piecewise const- ant filter also possesses...determining the optimum piecewise ters using a band-model for the PSD’s. Poor [ 3 , 4] constant filter. Then, for a particular class of then considered

  8. Mental Models and Cooperative Problem Solving with Expert Systems,

    DTIC Science & Technology

    1984-09-01

    THIS PAGE ( "o Do le Entera) READINSTRUCTION- REPORT DOCUMENTATION PAGE BRE COMPLETING FORM I. REPORT NUMBER 2. GOVT ACCESSION NO- I. RECIPIENT’S CATALOG...the user’s con- ceptual understanding of the basic principle of the system s problem solving processes. An experimental study is described that strongly...design :A principles that lead to the optimal user engineering of future expert systems. The central theory discussed below is that the nature of the

  9. Enhanced capabilities and modified users manual for axial-flow compressor conceptual design code CSPAN

    NASA Technical Reports Server (NTRS)

    Glassman, Arthur J.; Lavelle, Thomas M.

    1995-01-01

    Modifications made to the axial-flow compressor conceptual design code CSPAN are documented in this report. Endwall blockage and stall margin predictions were added. The loss-coefficient model was upgraded. Default correlations for rotor and stator solidity and aspect-ratio inputs and for stator-exit tangential velocity inputs were included in the code along with defaults for aerodynamic design limits. A complete description of input and output along with sample cases are included.

  10. Development of the Environmental Technical Information System

    DTIC Science & Technology

    1975-04-01

    official Department oi the Army position, unless so designated by other authorized documents. «CC:,;!;I?N tw HIS . ■ " ftIM B c ii a UN, " □ j...regulations that may concern the Army. CHLUS is complete tor six states and lor areas ot federal jurisdiction, and datu tor another ten stales are...Theoretical Analysis 20 Isolating The Export Industries: Direct Methods Description of the Models 24 Economic Impact on Local Businesses Change in

  11. The Maritime Declaration of Health (MDH) as a tool to detect maritime traffic-related health risks: analysis of MDH forms submitted to Spanish ports, October 2014 to March 2015.

    PubMed

    López-Gigosos, Rosa M; Segura, Marina; Díez-Díaz, Rosa M; Ureña, Isabel; Urzay, David; Guillot, Patricia; Guerra-Neira, Ana; Rivera, Almudena; Pérez-Cobaleda, Ángeles; Martín, Ascensión; Nuñez-Torrón, María; Alvarez, Begoña; Faraco, Mar; Barrera, José M; Calvo, María J; Gallegos, José; Bermejo, Antonio; Aramburu, Carmen; Dávila, Miguel; Carreras, Fernando; Neipp, Rosemarie; Mariscal, Alberto

    2017-06-15

    The international maritime traffic of people and goods has often contributed to the spread of pathogens affecting public health. The Maritime Declaration of Health (MDH), according to the International Health Regulations (IHR) (2005), is a document containing data related to the state of health on board a ship during passage and on arrival at port. It is a useful tool for early detection of public health risks. The main objective of our study was to evaluate compliance with the model provided in the IHR, focusing on the format and degree of completion of MDH forms received at Spanish ports. We reviewed the content of 802 MDH forms submitted to nine Spanish ports between October 2014 and March 2015. Study results show that 22% of MDH forms presented did not comply with the recommended model and 39% were incomplete. The proportion of cargo ships with correct and complete MDH forms was lower than passenger ships; thus, the nine health questions were answered less frequently by cargo ships than passenger ships (63% vs 90%, p value < 0.001). The appropriate demand and usage of MDH forms by competent authorities should improve the quality of the document as a tool and improve risk assessment. This article is copyright of The Authors, 2017.

  12. FOX: A Fault-Oblivious Extreme-Scale Execution Environment Boston University Final Report Project Number: DE-SC0005365

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

    Appavoo, Jonathan

    Exascale computing systems will provide a thousand-fold increase in parallelism and a proportional increase in failure rate relative to today's machines. Systems software for exascale machines must provide the infrastructure to support existing applications while simultaneously enabling efficient execution of new programming models that naturally express dynamic, adaptive, irregular computation; coupled simulations; and massive data analysis in a highly unreliable hardware environment with billions of threads of execution. The FOX project explored systems software and runtime support for a new approach to the data and work distribution for fault oblivious application execution. Our major OS work at Boston University focusedmore » on developing a new light-weight operating systems model that provides an appropriate context for both multi-core and multi-node application development. This work is discussed in section 1. Early on in the FOX project BU developed infrastructure for prototyping dynamic HPC environments in which the sets of nodes that an application is run on can be dynamically grown or shrunk. This work was an extension of the Kittyhawk project and is discussed in section 2. Section 3 documents the publications and software repositories that we have produced. To put our work in context of the complete FOX project contribution we include in section 4 an extended version of a paper that documents the complete work of the FOX team.« less

  13. The Maritime Declaration of Health (MDH) as a tool to detect maritime traffic-related health risks: analysis of MDH forms submitted to Spanish ports, October 2014 to March 2015

    PubMed Central

    López-Gigosos, Rosa M; Segura, Marina; Díez-Díaz, Rosa M; Ureña, Isabel; Urzay, David; Guillot, Patricia; Guerra-Neira, Ana; Rivera, Almudena; Pérez-Cobaleda, Ángeles; Martín, Ascensión; Nuñez-Torrón, María; Alvarez, Begoña; Faraco, Mar; Barrera, José M; Calvo, María J; Gallegos, José; Bermejo, Antonio; Aramburu, Carmen; Dávila, Miguel; Carreras, Fernando; Neipp, Rosemarie; Mariscal, Alberto

    2017-01-01

    The international maritime traffic of people and goods has often contributed to the spread of pathogens affecting public health. The Maritime Declaration of Health (MDH), according to the International Health Regulations (IHR) (2005), is a document containing data related to the state of health on board a ship during passage and on arrival at port. It is a useful tool for early detection of public health risks. The main objective of our study was to evaluate compliance with the model provided in the IHR, focusing on the format and degree of completion of MDH forms received at Spanish ports. We reviewed the content of 802 MDH forms submitted to nine Spanish ports between October 2014 and March 2015. Study results show that 22% of MDH forms presented did not comply with the recommended model and 39% were incomplete. The proportion of cargo ships with correct and complete MDH forms was lower than passenger ships; thus, the nine health questions were answered less frequently by cargo ships than passenger ships (63% vs 90%, p value < 0.001). The appropriate demand and usage of MDH forms by competent authorities should improve the quality of the document as a tool and improve risk assessment. PMID:28661394

  14. Grid Stiffened Structure Analysis Tool

    NASA Technical Reports Server (NTRS)

    1999-01-01

    The Grid Stiffened Analysis Tool contract is contract performed by Boeing under NASA purchase order H30249D. The contract calls for a "best effort" study comprised of two tasks: (1) Create documentation for a composite grid-stiffened structure analysis tool, in the form of a Microsoft EXCEL spread sheet, that was developed by originally at Stanford University and later further developed by the Air Force, and (2) Write a program that functions as a NASTRAN pre-processor to generate an FEM code for grid-stiffened structure. In performing this contract, Task 1 was given higher priority because it enables NASA to make efficient use of a unique tool they already have; Task 2 was proposed by Boeing because it also would be beneficial to the analysis of composite grid-stiffened structures, specifically in generating models for preliminary design studies. The contract is now complete, this package includes copies of the user's documentation for Task 1 and a CD ROM & diskette with an electronic copy of the user's documentation and an updated version of the "GRID 99" spreadsheet.

  15. Combination of Virtual Tours, 3d Model and Digital Data in a 3d Archaeological Knowledge and Information System

    NASA Astrophysics Data System (ADS)

    Koehl, M.; Brigand, N.

    2012-08-01

    The site of the Engelbourg ruined castle in Thann, Alsace, France, has been for some years the object of all the attention of the city, which is the owner, and also of partners like historians and archaeologists who are in charge of its study. The valuation of the site is one of the main objective, as well as its conservation and its knowledge. The aim of this project is to use the environment of the virtual tour viewer as new base for an Archaeological Knowledge and Information System (AKIS). With available development tools we add functionalities in particular through diverse scripts that convert the viewer into a real 3D interface. By beginning with a first virtual tour that contains about fifteen panoramic images, the site of about 150 times 150 meters can be completely documented by offering the user a real interactivity and that makes visualization very concrete, almost lively. After the choice of pertinent points of view, panoramic images were realized. For the documentation, other sets of images were acquired at various seasons and climate conditions, which allow documenting the site in different environments and states of vegetation. The final virtual tour was deducted from them. The initial 3D model of the castle, which is virtual too, was also joined in the form of panoramic images for completing the understanding of the site. A variety of types of hotspots were used to connect the whole digital documentation to the site, including videos (as reports during the acquisition phases, during the restoration works, during the excavations, etc.), digital georeferenced documents (archaeological reports on the various constituent elements of the castle, interpretation of the excavations and the searches, description of the sets of collected objects, etc.). The completely personalized interface of the system allows either to switch from a panoramic image to another one, which is the classic case of the virtual tours, or to go from a panoramic photographic image to a panoramic virtual image. It also allows visualizing, in inlay, digital data, like ancient or recent plans, cross sections, descriptions, explanatory videos, sound comments, etc. This project has lead to very convincing results, that were validated by the historians and the archaeologists who have now an interactive tool, disseminated through internet, allowing at the same time to visit virtually the castle, but also to query the system which sends back localized information. The various levels of understanding and set up details, allow an approach of first level for broad Internet users, but also a deeper approach for a group of scientists who are associated to the development of the ruins of the castle and its environment.

  16. Nevada National Security Site Industrial Sites Project Closeout - 12498

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

    Cabble, Kevin; Krauss, Mark; Matthews, Pat

    The U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office is responsible for environmental restoration (ER) at the Nevada National Security Site (NNSS). This includes remediation at Industrial Sites where past nuclear testing activities and activities that supported nuclear testing may have or are known to have resulted in the release of contaminants into the environment. Industrial Sites at the NNSS have included nuclear facilities that supported the nuclear rocket/missile development programs, gas stations, landfills, spill sites, ordnance sites, and numerous other waste disposal and release sites. The NNSS Industrial Sites activities neared completion at the endmore » of fiscal year 2011 while other activities required under the Federal Facility Agreement and Consent Order (FFACO) and part of the same NNSS ER Project are forecasted to extend to 2027 or beyond. With the majority of Industrial Sites corrective action units (CAUs) completed (more than 250 CAUs and over 1,800 corrective action sites), it was determined that an activity closeout process should be implemented to ensure that the work completed over the past 15 years is well documented in a comprehensive and concise summary. While the process used to close each individual CAU is described in approved documents, no single document describes in summary fashion the work completed to close the many individual Industrial Sites. The activity closeout process will be used to develop an Industrial Sites closeout document that describes these years of work. This document will summarize the number of Industrial Sites closed under the FFACO and provide general descriptions of projects, contaminants removed, and sites closed in place with corresponding Use Restrictions. Other pertinent information related to Industrial Sites work such as the project history, closure decisions, historical declarations, remediation strategies, and final CAU status will be included in the closeout document, along with a table listing each CAU and corresponding corrective action sites within each CAU. Using this process of conducting the activity closeout and developing a closeout document may prove useful for other ER projects within the DOE complex in describing how a long period of ER can be summarized in a single document. The NNSS Industrial Sites activities were completed over the span of 15 years and involved the investigation, cleanup or Use Restriction, and closure of more than 260 CAUs and over 1,800 sites. These activities will conclude in FY 2012 (with the exception of one CAU). In order to capture the work completed over this length of time and document decisions made during the activities, a closeout effort was initiated. The closeout will review the work conducted during the Industrial Sites activities and produce a single document that summarizes Industrial Sites activities. This closeout is being conducted at an interim stage in the overall NNSA/NSO ER Project since the Soils and UGTA activities will continue for a number of years, but the completion of the Industrial Sites project warrants conducting a closeout now while personnel are available and information is still current. The process followed by NNSA/NSO in conducing project closeout for the Industrial Sites portion of the ER program may prove useful within the DOE complex in demonstrating how a large ER project can be summarized. (authors)« less

  17. 50 CFR 23.32 - How do I apply for a U.S. CITES document?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 50 Wildlife and Fisheries 6 2010-10-01 2010-10-01 false How do I apply for a U.S. CITES document... FAUNA AND FLORA (CITES) Application Procedures, Criteria, and Conditions § 23.32 How do I apply for a U.S. CITES document? (a) To apply for a U.S. CITES document, you must complete a standard application...

  18. Near Earth Object (NEO) Mitigation Options Using Exploration Technologies

    NASA Technical Reports Server (NTRS)

    Arnold William; Baysinger, Mike; Crane, Tracie; Capizzo, Pete; Sutherlin, Steven; Dankanich, John; Woodcock, Gordon; Edlin, George; Rushing, Johnny; Fabisinski, Leo; hide

    2007-01-01

    This work documents the advancements in MSFC threat modeling and mitigation technology research completed since our last major publication in this field. Most of the work enclosed here are refinements of our work documented in NASA TP-2004-213089. Very long development times from start of funding (10-20 years) can be expected for any mitigation system which suggests that delaying consideration of mitigation technologies could leave the Earth in an unprotected state for a significant period of time. Fortunately there is the potential for strong synergy between architecture requirements for some threat mitigators and crewed deep space exploration. Thus planetary defense has the potential to be integrated into the current U.S. space exploration effort. The number of possible options available for protection against the NEO threat was too numerous for them to all be addressed within the study; instead, a representative selection were modeled and evaluated. A summary of the major lessons learned during this study is presented, as are recommendations for future work.

  19. Implementation of the Hammersmith Infant Neurological Exam in a High-Risk Infant Follow-Up Program

    PubMed Central

    Maitre, Nathalie L; Chorna, Olena; Romeo, Domenico M; Guzzetta, Andrea

    2017-01-01

    Background High-Risk Infant Follow-Up (HRIF) programs provide early identification and referral for treatment of neurodevelopmental delays and impairments. In these programs, a standardized neurological exam is a critical component of evaluation for clinical and research purposes. Implementation To address primary challenges of provider educational diversity and standardized documentation, we designed an approach to training and implementation of the Hammersmith Infant Neurological Exam (HINE) with pre-course materials, a workshop model and adaptation of the electronic medical record. Conclusions Provider completion and documentation of a neurologic exam were evaluated before and after HINE training. Standardized training and implementation of the HINE in a large HRIF is feasible and effective and allows for quantitative evaluation of neurological findings and developmental trajectories. PMID:27765470

  20. An Online Knowledge Resource and Questionnaires as a Continuing Pharmacy Education Tool to Document Reflective Learning

    PubMed Central

    Budzinski, Jason W.; Pluye, Pierre; Grad, Roland M.; Repchinsky, Carol; Jovaisas, Barbara; Johnson-Lafleur, Janique

    2012-01-01

    Objective. To assess the use of an electronic knowledge resource to document continuing education activities and reveal educational needs of practicing pharmacists. Methods. Over a 38-week period, 67 e-mails were sent to 6,500 Canadian Pharmacists Association (CPhA) members. Each e-mail contained a link to an e-Therapeutics+ Highlight, a factual excerpt of selected content from an online drug and therapeutic knowledge resource. Participants were then prompted to complete a pop-up questionnaire. Results. Members completed 4,140 questionnaires. Participants attributed the information they learned in the Highlights to practice improvements (50.4%), learning (57.0%), and motivation to learn more (57.4%). Conclusions. Reading Highlight excerpts and completing Web-based questionnaires is an effective method of continuing education that could be easily documented and tracked, making it an effective tool for use with e-portfolios. PMID:22761523

  1. An online knowledge resource and questionnaires as a continuing pharmacy education tool to document reflective learning.

    PubMed

    Budzinski, Jason W; Farrell, Barbara; Pluye, Pierre; Grad, Roland M; Repchinsky, Carol; Jovaisas, Barbara; Johnson-Lafleur, Janique

    2012-06-18

    To assess the use of an electronic knowledge resource to document continuing education activities and reveal educational needs of practicing pharmacists. Over a 38-week period, 67 e-mails were sent to 6,500 Canadian Pharmacists Association (CPhA) members. Each e-mail contained a link to an e-Therapeutics+ Highlight, a factual excerpt of selected content from an online drug and therapeutic knowledge resource. Participants were then prompted to complete a pop-up questionnaire. Members completed 4,140 questionnaires. Participants attributed the information they learned in the Highlights to practice improvements (50.4%), learning (57.0%), and motivation to learn more (57.4%). Reading Highlight excerpts and completing Web-based questionnaires is an effective method of continuing education that could be easily documented and tracked, making it an effective tool for use with e-portfolios.

  2. Tire pressure special study : data documentation

    DOT National Transportation Integrated Search

    2002-01-01

    In 2000, Congress passed the Transportation Recall Enhancement, Accountability, and : Documentation (TREAD) Act. Section 12 of this act directed the Department of Transportation : to complete a rulemaking requiring implementation of a warning system ...

  3. A geographic data model for representing ground water systems.

    PubMed

    Strassberg, Gil; Maidment, David R; Jones, Norm L

    2007-01-01

    The Arc Hydro ground water data model is a geographic data model for representing spatial and temporal ground water information within a geographic information system (GIS). The data model is a standardized representation of ground water systems within a spatial database that provides a public domain template for GIS users to store, document, and analyze commonly used spatial and temporal ground water data sets. This paper describes the data model framework, a simplified version of the complete ground water data model that includes two-dimensional and three-dimensional (3D) object classes for representing aquifers, wells, and borehole data, and the 3D geospatial context in which these data exist. The framework data model also includes tabular objects for representing temporal information such as water levels and water quality samples that are related with spatial features.

  4. Personal information documents for people with dementia: Healthcare staff 's perceptions and experiences.

    PubMed

    Baillie, Lesley; Thomas, Nicola

    2018-01-01

    Person-centred care is internationally recognised as best practice for the care of people with dementia. Personal information documents for people with dementia are proposed as a way to support person-centred care in healthcare settings. However, there is little research about how they are used in practice. The aim of this study was to analyse healthcare staff 's perceptions and experiences of using personal information documents, mainly Alzheimer's Society's 'This is me', for people with dementia in healthcare settings. The method comprised a secondary thematic analysis of data from a qualitative study, of how a dementia awareness initiative affected care for people with dementia in one healthcare organisation. The data were collected through 12 focus groups (n = 58 participants) and 1 individual interview, conducted with a range of healthcare staff, both clinical and non-clinical. There are four themes presented: understanding the rationale for personal information documents; completing personal information documents; location for personal information documents and transfer between settings; impact of personal information documents in practice. The findings illuminated how healthcare staff use personal information documents in practice in ways that support person-centred care. Practical issues about the use of personal information documents were revealed and these may affect the optimal use of the documents in practice. The study indicated the need to complete personal information documents at an early stage following diagnosis of dementia, and the importance of embedding their use across care settings, to support communication and integrated care.

  5. Information Management Systems for Monitoring and Documenting World Heritage - the Silk Roads Chris

    NASA Astrophysics Data System (ADS)

    Vileikis, O.; Serruys, E.; Dumont, B.; van Balen, K.; Santana Quinterod, M.; de Maeyer, P.; Tigny, V.

    2012-07-01

    This paper discusses the application of Information Management Systems (IMS) for documenting and monitoring World Heritage (WH) properties. The application of IMS in WH can support all stakeholders involved in conservation, and management of cultural heritage by more easily inventorying, mining and exchanging information from multiple sources based on international standards. Moreover, IMS could assist in detecting damages and preparing management strategies to mitigate risks, and slowing down the deterioration of the integrity of WH properties. The case study of the Silk Roads Cultural Heritage Resource Information System (CHRIS), a Belgian Federal Science Policy Office funded project, illustrates the capabilities of IMS in the context of the nomination of the Central Asian Silk Roads on the WH List. This multi-lingual, web-based IMS will act as a collaborative platform allowing for the completion of improved transnational nomination dossiers and subsequent monitoring activities with all necessary baseline information to easily verify consistency and quality of the proposal. The Silk Roads CHRIS Geospatial Content Management System uses open source technologies and allows to georeference data from different scales and sources including data from field recording methods and combine it with historical and heritage features documented through various means such as textual descriptions, documents, photographs, 3D models or videos. Moreover, tailored maps can also be generated by overlaying a selection of available layers and then be exported to support the nomination dossier. Finally, by using this innovative information and decision support system, the State Parties and other interested stakeholders will have access to a complete nomination dossier and could therefore respond more effectively to hazards and disaster phenomena.

  6. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation.

    PubMed

    Shamseer, Larissa; Moher, David; Clarke, Mike; Ghersi, Davina; Liberati, Alessandro; Petticrew, Mark; Shekelle, Paul; Stewart, Lesley A

    2015-01-02

    Protocols of systematic reviews and meta-analyses allow for planning and documentation of review methods, act as a guard against arbitrary decision making during review conduct, enable readers to assess for the presence of selective reporting against completed reviews, and, when made publicly available, reduce duplication of efforts and potentially prompt collaboration. Evidence documenting the existence of selective reporting and excessive duplication of reviews on the same or similar topics is accumulating and many calls have been made in support of the documentation and public availability of review protocols. Several efforts have emerged in recent years to rectify these problems, including development of an international register for prospective reviews (PROSPERO) and launch of the first open access journal dedicated to the exclusive publication of systematic review products, including protocols (BioMed Central's Systematic Reviews). Furthering these efforts and building on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines, an international group of experts has created a guideline to improve the transparency, accuracy, completeness, and frequency of documented systematic review and meta-analysis protocols--PRISMA-P (for protocols) 2015. The PRISMA-P checklist contains 17 items considered to be essential and minimum components of a systematic review or meta-analysis protocol.This PRISMA-P 2015 Explanation and Elaboration paper provides readers with a full understanding of and evidence about the necessity of each item as well as a model example from an existing published protocol. This paper should be read together with the PRISMA-P 2015 statement. Systematic review authors and assessors are strongly encouraged to make use of PRISMA-P when drafting and appraising review protocols. © BMJ Publishing Group Ltd 2014.

  7. Immunization Documentation Practices and Vaccine-Preventable Disease Surveillance Capacity among Institutions of Higher Education in Indiana

    ERIC Educational Resources Information Center

    Stevens, Taryn; Golwalkar, Mugdha

    2018-01-01

    ABSTRACTObjective: Complete and accurate documentation of immunization records and surveillance of disease transmission are critical to the public health response to outbreaks of communicable disease in institutions of higher education (IHEs). This study aims to describe immunization documentation practices and disease surveillance capacity among…

  8. 46 CFR 67.99 - Evidence of build.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Evidence of build. 67.99 Section 67.99 Shipping COAST... DOCUMENTATION OF VESSELS Build Requirements for Vessel Documentation § 67.99 Evidence of build. (a) Evidence of the facts of build may be either a completed original form CG-1261, or other original document...

  9. Documentation Panels Enhance Teacher Education Programs

    ERIC Educational Resources Information Center

    Warash, Bobbie Gibson

    2005-01-01

    Documentation of children's projects is advantageous to their learning process and is also a good method for student teachers to observe the process of learning. Documentation panels are a unique way to help student teachers understand how children learn. Completing a panel requires a student teacher to think through a process. Teachers must learn…

  10. Teaching Integrity in Empirical Research: A Protocol for Documenting Data Management and Analysis

    ERIC Educational Resources Information Center

    Ball, Richard; Medeiros, Norm

    2012-01-01

    This article describes a protocol the authors developed for teaching undergraduates to document their statistical analyses for empirical research projects so that their results are completely reproducible and verifiable. The protocol is guided by the principle that the documentation prepared to accompany an empirical research project should be…

  11. Documentation of pharmaceutical care: Validation of an intervention oriented classification system.

    PubMed

    Maes, Karen A; Studer, Helene; Berger, Jérôme; Hersberger, Kurt E; Lampert, Markus L

    2017-12-01

    During the dispensing process, pharmacists may come across technical and clinical issues requiring a pharmaceutical intervention (PI). An intervention-oriented classification system is a helpful tool to document these PIs in a structured manner. Therefore, we developed the PharmDISC classification system (Pharmacists' Documentation of Interventions in Seamless Care). The aim of this study was to evaluate the PharmDISC system in the daily practice environment (in terms of interrater reliability, appropriateness, interpretability, acceptability, feasibility, and validity); to assess its user satisfaction, the descriptive manual, and the online training; and to explore first implementation aspects. Twenty-one pharmacists from different community pharmacies each classified 30 prescriptions requiring a PI with the PharmDISC system on 5 selected days within 5 weeks. Interrater reliability was determined using model PIs and Fleiss's kappa coefficients (κ) were calculated. User satisfaction was assessed by questionnaire with a 4-point Likert scale. The main outcome measures were interrater reliability (κ); appropriateness, interpretability, validity (ratio of completely classified PIs/all PIs); feasibility, and acceptability (user satisfaction and suggestions). The PharmDISC system reached an average substantial agreement (κ = 0.66). Of documented 519 PIs, 430 (82.9%) were completely classified. Most users found the system comprehensive (median user agreement 3 [2/3.25 quartiles]) and practical (3[2.75/3]). The PharmDISC system raised the awareness regarding drug-related problems for most users (n = 16). To facilitate its implementation, an electronic version that automatically connects to the prescription together with a task manager for PIs needing follow-up was suggested. Barriers could be time expenditure and lack of understanding the benefits. Substantial interrater reliability and acceptable user satisfaction indicate that the PharmDISC system is a valid system to document PIs in daily community pharmacy practice. © 2017 John Wiley & Sons, Ltd.

  12. Completeness of PSD Applications

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  13. USDA Forest Service, Rocky Mountain Region PSD Permit Completeness Determination

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  14. Traffic signal timing manual.

    DOT National Transportation Integrated Search

    2008-06-01

    This report serves as a comprehensive guide to traffic signal timing and documents the tasks completed in association with its : development. The focus of this document is on traffic signal control principles, practices, and procedures. It describes ...

  15. 36 CFR 1254.72 - What procedures do I follow to copy documents?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... RECORDS ADMINISTRATION PUBLIC AVAILABILITY AND USE USING RECORDS AND DONATED HISTORICAL MATERIALS Copying... determination of suitability if you ask. After copying is completed, you must return documents removed from...

  16. Y-12 Groundwater Protection Program CY2012 Triennial Report Of The Monitoring Well Inspection And Maintenance Program Y-12 National Security Complex, Oak Ridge, Tennessee

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

    None

    2013-09-01

    This document is the triennial report for the Well Inspection and Maintenance Program of the Y- 12 Groundwater Protection Program (GWPP), at the U.S. Department of Energy (DOE) Y-12 National Security Complex (Y-12). This report formally documents well inspections completed by the GWPP on active and inactive wells at Y-12 during calendar years (CY) 2010 through 2012. In addition, this report also documents well inspections performed under the Y-12 Water Resources Restoration Program, which is administered by URS|CH2M Oak Ridge (UCOR). This report documents well maintenance activities completed since the last triennial inspection event (CY 2009); and provides summary tablesmore » of well inspections and well maintenance activities during the reference time period.« less

  17. Computerized clinical documentation system in the pediatric intensive care unit

    PubMed Central

    2001-01-01

    Background To determine whether a computerized clinical documentation system (CDS): 1) decreased time spent charting and increased time spent in patient care; 2) decreased medication errors; 3) improved clinical decision making; 4) improved quality of documentation; and/or 5) improved shift to shift nursing continuity. Methods Before and after implementation of CDS, a time study involving nursing care, medication delivery, and normalization of serum calcium and potassium values was performed. In addition, an evaluation of completeness of documentation and a clinician survey of shift to shift reporting were also completed. This was a modified one group, pretest-posttest design. Results With the CDS there was: improved legibility and completeness of documentation, data with better accessibility and accuracy, no change in time spent in direct patient care or charting by nursing staff. Incidental observations from the study included improved management functions of our nurse manager; improved JCAHO documentation compliance; timely access to clinical data (labs, vitals, etc); a decrease in time and resource use for audits; improved reimbursement because of the ability to reconstruct lost charts; limited human data entry by automatic data logging; eliminated costs of printing forms. CDS cost was reasonable. Conclusions When compared to a paper chart, the CDS provided a more legible, compete, and accessible patient record without affecting time spent in direct patient care. The availability of the CDS improved shift to shift reporting. Other observations showed that the CDS improved management capabilities; helped physicians deliver care; improved reimbursement; limited data entry errors; and reduced costs. PMID:11604105

  18. The potential of 3D techniques for cultural heritage object documentation

    NASA Astrophysics Data System (ADS)

    Bitelli, Gabriele; Girelli, Valentina A.; Remondino, Fabio; Vittuari, Luca

    2007-01-01

    The generation of 3D models of objects has become an important research point in many fields of application like industrial inspection, robotics, navigation and body scanning. Recently the techniques for generating photo-textured 3D digital models have interested also the field of Cultural Heritage, due to their capability to combine high precision metrical information with a qualitative and photographic description of the objects. In fact this kind of product is a fundamental support for documentation, studying and restoration of works of art, until a production of replicas by fast prototyping techniques. Close-range photogrammetric techniques are nowadays more and more frequently used for the generation of precise 3D models. With the advent of automated procedures and fully digital products in the 1990s, it has become easier to use and cheaper, and nowadays a wide range of commercial software is available to calibrate, orient and reconstruct objects from images. This paper presents the complete process for the derivation of a photorealistic 3D model of an important basalt stela (about 70 x 60 x 25 cm) discovered in the archaeological site of Tilmen Höyük, in Turkey, dating back to 2nd mill. BC. We will report the modeling performed using passive and active sensors and the comparison of the achieved results.

  19. Ground-based grasslands data to support remote sensing and ecosystem modeling of terrestrial primary production

    NASA Technical Reports Server (NTRS)

    Olson, R. J.; Scurlock, J. M. O.; Turner, R. S.; Jennings, S. V.

    1995-01-01

    Estimating terrestrial net primary production (NPP) using remote-sensing tools and ecosystem models requires adequate ground-based measurements for calibration, parameterization, and validation. These data needs were strongly endorsed at a recent meeting of ecosystem modelers organized by the International Geosphere-Biosphere Program's (IGBP's) Data and Information System (DIS) and its Global Analysis, Interpretation, and Modelling (GAIM) Task Force. To meet these needs, a multinational, multiagency project is being coordinated by the IGBP DIS to compile existing NPP data from field sites and to regionalize NPP point estimates to various-sized grid cells. Progress at Oak Ridge National Laboratory (ORNL) on compiling NPP data for grasslands as part of the IGBP DIS data initiative is described. Site data and associated documentation from diverse field studies are being acquired for selected grasslands and are being reviewed for completeness, consistency, and adequacy of documentation, including a description of sampling methods. Data are being compiled in a database with spatial, temporal, and thematic characteristics relevant to remote sensing and global modeling. NPP data are available from the ORNL Distributed Active Archive Center (DAAC) for biogeochemical dynamics. The ORNL DAAC is part of the Earth Observing System Data and Information System, of the US National Aeronautics and Space Administration.

  20. Recording signs of deterioration in acute patients: The documentation of vital signs within electronic health records in patients who suffered in-hospital cardiac arrest.

    PubMed

    Stevenson, Jean E; Israelsson, Johan; Nilsson, Gunilla C; Petersson, Göran I; Bath, Peter A

    2016-03-01

    Vital sign documentation is crucial to detecting patient deterioration. Little is known about the documentation of vital signs in electronic health records. This study aimed to examine documentation of vital signs in electronic health records. We examined the vital signs documented in the electronic health records of patients who had suffered an in-hospital cardiac arrest and on whom cardiopulmonary resuscitation was attempted between 2007 and 2011 (n = 228), in a 372-bed district general hospital. We assessed the completeness of vital sign data compared to VitalPAC™ Early Warning Score and the location of vital signs within the electronic health records. There was a noticeable lack of completeness of vital signs. Vital signs were fragmented through various sections of the electronic health records. The study identified serious shortfalls in the representation of vital signs in the electronic health records, with consequential threats to patient safety. © The Author(s) 2014.

  1. Dark Zones of Solid Propellant Flames: Critical Assessment and Quantitative Modeling of Experimental Datasets With Analysis of Chemical Pathways and Sensitivities

    DTIC Science & Technology

    2011-01-01

    with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1...Research Associate at ARL with WRA, and largely completed more recently while at Dept. of Chem., SUNY, Cortland, NY. Currently unaffiliated. †Former...promised to provide an extensive, definitive review critically assessing our current understanding of DZ structure and chemistry, and providing a documented

  2. Radiological performance assessment for the E-Area Vaults Disposal Facility. Appendices A through M

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

    Cook, J.R.

    1994-04-15

    These document contains appendices A-M for the performance assessment. They are A: details of models and assumptions, B: computer codes, C: data tabulation, D: geochemical interactions, E: hydrogeology of the Savannah River Site, F: software QA plans, G: completeness review guide, H: performance assessment peer review panel recommendations, I: suspect soil performance analysis, J: sensitivity/uncertainty analysis, K: vault degradation study, L: description of naval reactor waste disposal, M: porflow input file. (GHH)

  3. Computer model of one-dimensional equilibrium controlled sorption processes

    USGS Publications Warehouse

    Grove, D.B.; Stollenwerk, K.G.

    1984-01-01

    A numerical solution to the one-dimensional solute-transport equation with equilibrium-controlled sorption and a first-order irreversible-rate reaction is presented. The computer code is written in FORTRAN language, with a variety of options for input and output for user ease. Sorption reactions include Langmuir, Freundlich, and ion-exchange, with or without equal valance. General equations describing transport and reaction processes are solved by finite-difference methods, with nonlinearities accounted for by iteration. Complete documentation of the code, with examples, is included. (USGS)

  4. Digital computer programs for generating oblique orthographic projections and contour plots

    NASA Technical Reports Server (NTRS)

    Giles, G. L.

    1975-01-01

    User and programer documentation is presented for two programs for automatic plotting of digital data. One of the programs generates oblique orthographic projections of three-dimensional numerical models and the other program generates contour plots of data distributed in an arbitrary planar region. A general description of the computational algorithms, user instructions, and complete listings of the programs is given. Several plots are included to illustrate various program options, and a single example is described to facilitate learning the use of the programs.

  5. Lost in translation: Focused documentation improvement benefits trauma surgeons.

    PubMed

    Fox, Nicole; Swierczynski, Patricia; Willcutt, Rebecca; Elberfeld, Adrienne; Mazzarelli, Anthony J

    2016-09-01

    There is a translational gap between physicians who document in the medical record and coders, who ultimately determine which codes are submitted. This gap exists because physicians are never formally educated about documentation strategies despite the fact that the quality of physician documentation directly affects revenue, outcomes and public profiling. We evaluated the effect of a formal model of focused documentation improvement (FDI) on the trauma/critical care division. We hypothesized that FDI would improve physician documentation, resulting in revenue recovery and a shift in the case mix index (CMI) to more accurately reflect the clinical complexity of trauma patients. FDI is defined as targeted physician education followed by concurrent inpatient chart review for documentation improvement opportunities by a clinical documentation specialist (CDS). All trauma surgeons (n=9) at our Level 1 trauma center first completed three hours of mandatory training on documentation improvement. A CDS was subsequently assigned to the trauma service. They reviewed the charts of Medicare patients (n=776) from January-December 2014 to identify opportunities for documentation improvement, participated in ICU rounds and provided ongoing education. Requests to clarify documentation (queries) were posted in the electronic medical record (EMR) and physicians were required to respond within 48h. Data was collected on physician response rate, CMI and revenue recovery. 411 of 776 (57%) charts were reviewed. Opportunities for FDI were identified in 177 (43%) cases. The physician response rate to queries was 100%. The CMI for reviewed cases increased (1.80 (SD 0.15) vs. 2.11 (SD 0.19); p<0.001) after FDI. Overall revenue recovery was $1,132,581 with an average of $154,092 in revenue recovery/clinical full time equivalent. The total cost for administration of FDI was $353,265 resulting in a 220% return on investment (ROI). FDI is an effective strategy to engage physicians in documentation improvement. It provides an infrastructure to assist physicians and yields a significant ROI. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. SLS-SPEC-159 Cross-Program Design Specification for Natural Environments (DSNE) Revision E

    NASA Technical Reports Server (NTRS)

    Roberts, Barry C.

    2017-01-01

    The DSNE completes environment-related specifications for architecture, system-level, and lower-tier documents by specifying the ranges of environmental conditions that must be accounted for by NASA ESD Programs. To assure clarity and consistency, and to prevent requirements documents from becoming cluttered with extensive amounts of technical material, natural environment specifications have been compiled into this document. The intent is to keep a unified specification for natural environments that each Program calls out for appropriate application. This document defines the natural environments parameter limits (maximum and minimum values, energy spectra, or precise model inputs, assumptions, model options, etc.), for all ESD Programs. These environments are developed by the NASA Marshall Space Flight Center (MSFC) Natural Environments Branch (MSFC organization code: EV44). Many of the parameter limits are based on experience with previous programs, such as the Space Shuttle Program. The parameter limits contain no margin and are meant to be evaluated individually to ensure they are reasonable (i.e., do not apply unrealistic extreme-on-extreme conditions). The natural environments specifications in this document should be accounted for by robust design of the flight vehicle and support systems. However, it is understood that in some cases the Programs will find it more effective to account for portions of the environment ranges by operational mitigation or acceptance of risk in accordance with an appropriate program risk management plan and/or hazard analysis process. The DSNE is not intended as a definition of operational models or operational constraints, nor is it adequate, alone, for ground facilities which may have additional requirements (for example, building codes and local environmental constraints). "Natural environments," as the term is used here, refers to the environments that are not the result of intended human activity or intervention. It consists of a variety of external environmental factors (most of natural origin and a few of human origin) which impose restrictions or otherwise impact the development or operation of flight vehicles and destination surface systems.

  7. A catalog of automated analysis methods for enterprise models.

    PubMed

    Florez, Hector; Sánchez, Mario; Villalobos, Jorge

    2016-01-01

    Enterprise models are created for documenting and communicating the structure and state of Business and Information Technologies elements of an enterprise. After models are completed, they are mainly used to support analysis. Model analysis is an activity typically based on human skills and due to the size and complexity of the models, this process can be complicated and omissions or miscalculations are very likely. This situation has fostered the research of automated analysis methods, for supporting analysts in enterprise analysis processes. By reviewing the literature, we found several analysis methods; nevertheless, they are based on specific situations and different metamodels; then, some analysis methods might not be applicable to all enterprise models. This paper presents the work of compilation (literature review), classification, structuring, and characterization of automated analysis methods for enterprise models, expressing them in a standardized modeling language. In addition, we have implemented the analysis methods in our modeling tool.

  8. SIGMA: A Knowledge-Based Simulation Tool Applied to Ecosystem Modeling

    NASA Technical Reports Server (NTRS)

    Dungan, Jennifer L.; Keller, Richard; Lawless, James G. (Technical Monitor)

    1994-01-01

    The need for better technology to facilitate building, sharing and reusing models is generally recognized within the ecosystem modeling community. The Scientists' Intelligent Graphical Modelling Assistant (SIGMA) creates an environment for model building, sharing and reuse which provides an alternative to more conventional approaches which too often yield poorly documented, awkwardly structured model code. The SIGMA interface presents the user a list of model quantities which can be selected for computation. Equations to calculate the model quantities may be chosen from an existing library of ecosystem modeling equations, or built using a specialized equation editor. Inputs for dim equations may be supplied by data or by calculation from other equations. Each variable and equation is expressed using ecological terminology and scientific units, and is documented with explanatory descriptions and optional literature citations. Automatic scientific unit conversion is supported and only physically-consistent equations are accepted by the system. The system uses knowledge-based semantic conditions to decide which equations in its library make sense to apply in a given situation, and supplies these to the user for selection. "Me equations and variables are graphically represented as a flow diagram which provides a complete summary of the model. Forest-BGC, a stand-level model that simulates photosynthesis and evapo-transpiration for conifer canopies, was originally implemented in Fortran and subsequenty re-implemented using SIGMA. The SIGMA version reproduces daily results and also provides a knowledge base which greatly facilitates inspection, modification and extension of Forest-BGC.

  9. Reference H Cycle 3 Stability, Control, and Flying Qualities Batch Assessments

    NASA Technical Reports Server (NTRS)

    Henderson, Dennis K.

    1999-01-01

    This work is an update of the assessment completed in February of 1996, when a preliminary assessment report was issued for the Cycle 2B simulation model. The primary purpose of the final assessment was to re-evaluate each assessment against the flight control system (FCS) requirements document using the updated model. Only a limited number of final assessments were completed due to the close proximity of the release of the Langley model and the assessment deliverable date. The assessment used the nonlinear Cycle 3 simulation model because it combines nonlinear aeroelastic (quasi-static) aerodynamic with hinge moment and rate limited control surface deflections. Both Configuration Aerodynamics (Task 32) and Flight Controls (Task 36) were funded in 1996 to conduct the final stability and control assessments of the unaugmented Reference H configuration in FY96. Because the two tasks had similar output requirements, the work was divided such that Flight Controls would be responsible for the implementation and checkout of the simulation model and Configuration Aerodynamics for writing Madab "script' files, conducting the batch assessments and writing the assessment report. Additionally, Flight Controls was to investigate control surface allocations schemes different from the baseline Reference H in an effort to fulfill flying qualities criteria.

  10. Medial collateral ligament injuries and subsequent load on the anterior cruciate ligament: a biomechanical evaluation in a cadaveric model.

    PubMed

    Battaglia, Michael J; Lenhoff, Mark W; Ehteshami, John R; Lyman, Stephen; Provencher, Matthew T; Wickiewicz, Thomas L; Warren, Russell F

    2009-02-01

    Numerous studies have documented the effect of complete medial collateral ligament injury on anterior cruciate ligament loads; few have addressed how partial medial collateral ligament disruption affects knee kinematics. To determine knee kinematics and subsequent change in anterior cruciate ligament load in a partial and complete medial collateral ligament injury model. Controlled laboratory study. Ten human cadaveric knees were sequentially tested by a robot with the medial collateral ligament intact, in a partial injury model, and in a complete injury model with a universal force-moment sensor measuring system. Tibial translation, rotation, and anterior cruciate ligament load were measured under 3 conditions: anterior load (125 N), valgus load (10 N x m), and internal-external rotation torque (4 N x m; all at 0 degrees and 30 degrees of flexion). Anterior and posterior translation did not statistically increase with a partial or complete medial collateral ligament injury at 0 degrees and 30 degrees of flexion. In response to a 125 N anterior load, at 0 degrees , the anterior cruciate ligament load increased 8.7% (from 99.5 to 108.2 N; P = .006) in the partial injury and 18.3% (117.7 N; P < .001) in the complete injury; at 30 degrees , anterior cruciate ligament load was increased 12.3% (from 101.7 to 114.2 N; P = .001) in the partial injury and 20.6% (122.7 N; P < .001) in the complete injury. In response to valgus torque (10 N x m) at 30 degrees , anterior cruciate ligament load was increased 55.3% (30.4 to 47.2 N; P = .044) in the partial injury model and 185% (86.8 N; P = .001) in the complete injury model. In response to internal rotation torque (4 N.m) at 30 degrees , anterior cruciate ligament load was increased 29.3% (27.6 to 35.7 N; P = .001) in the partial injury model and 65.2% (45.6 N; P < .001) in the complete injury model. The amount of internal rotation at 30 degrees of flexion was significantly increased in the complete injury model (22.8 degrees ) versus the intact state (19.5 degrees ; P < .001). Partial and complete medial collateral ligament tears significantly increased the load on the anterior cruciate ligament. In a partial tear, the resultant load on the anterior cruciate ligament was increased at 30 degrees of flexion and with valgus load and internal rotation torque. Patients may need to be protected from valgus and internal rotation forces after anterior cruciate ligament reconstruction in the setting of a concomitant partial medial collateral ligament tear. This information may help clinicians understand the importance of partial injuries of the medial collateral ligament with a combined anterior cruciate ligament injury complex.

  11. Traffic signal timing manual

    DOT National Transportation Integrated Search

    2008-06-01

    This report serves as a comprehensive guide to traffic signal timing and documents the tasks completed in association with its development. The focus of this document is on traffic signal control principles, practices, and procedures. It describes th...

  12. Modifications to the modular three-dimensional finite-difference ground-water flow model used for the Columbia Plateau Regional Aquifer-System Analysis, Washington, Oregon, and Idaho

    USGS Publications Warehouse

    Hansen, A.J.

    1993-01-01

    The report documents modifications to the U.S. Geological Survey's modular three-dimensional finite-difference ground-water flow model used for a regional aquifer-system analysis of the Columbia Plateau. The report, which describes the concepts and mathematical basis for the modifications, is intended for potential users who are familiar with the original modular model. The modifications permit flow from a layer to any adjacent layer, allow the model to retain a cell of a layer that has been cut completely through by a canyon, and allow placing ground-water flow barriers on only specified branch conductances; a special version of the modified model uses a convergent grid. The report describes the data-input items that this modified model must read.

  13. Health technology reassessment of non-drug technologies: current practices.

    PubMed

    Leggett, Laura; Noseworthy, Tom W; Zarrabi, Mahmood; Lorenzetti, Diane; Sutherland, Lloyd R; Clement, Fiona M

    2012-07-01

    Obsolescence is a natural phase of the lifecycle of health technologies. Given increasing cost of health expenditures worldwide, health organizations have little choice but to engage in health technology reassessment (HTR); a structured, evidence-based assessment of the medical, social, ethical, and economic effects of a technology, currently used within the healthcare system, to inform optimal use of that technology in comparison to its alternatives. This research was completed to identify and summarize international HTR initiatives for non-drug technologies. A systematic review was performed using the terms disinvestment, obsolescence, obsolete technology, ineffective, reassessment, reinvestment, reallocation, program budgeting, and marginal analysis to search PubMED, MEDLINE, EMBASE, and CINAHL until November 2011. Websites of organizations listed as members of INAHTA and HTAi were hand-searched for gray literature. Documents were excluded if they were unavailable in English, if the title/abstract was irrelevant to HTR, and/or if the document made no mention of current practices. All citations were screened in duplicate with disagreements resolved by consensus. Sixty full-text documents were reviewed and forty were included. One model for reassessment was identified; however, it has never been put into practice. Eight countries have some evidence of past or current work related to reassessment; seven have shown evidence of continued work in HTR. There is negligible focus on monitoring and implementation. HTR is in its infancy. Although health technology reassessments are being conducted, there is no standardized approach. Future work should focus on developing and piloting a comprehensive methodology for completing HTR.

  14. Nearfield Summary and Statistical Analysis of the Second AIAA Sonic Boom Prediction Workshop

    NASA Technical Reports Server (NTRS)

    Park, Michael A.; Nemec, Marian

    2017-01-01

    A summary is provided for the Second AIAA Sonic Boom Workshop held 8-9 January 2017 in conjunction with AIAA SciTech 2017. The workshop used three required models of increasing complexity: an axisymmetric body, a wing body, and a complete configuration with flow-through nacelle. An optional complete configuration with propulsion boundary conditions is also provided. These models are designed with similar nearfield signatures to isolate geometry and shock/expansion interaction effects. Eleven international participant groups submitted nearfield signatures with forces, pitching moment, and iterative convergence norms. Statistics and grid convergence of these nearfield signatures are presented. These submissions are propagated to the ground, and noise levels are computed. This allows the grid convergence and the statistical distribution of a noise level to be computed. While progress is documented since the first workshop, improvement to the analysis methods for a possible subsequent workshop are provided. The complete configuration with flow-through nacelle showed the most dramatic improvement between the two workshops. The current workshop cases are more relevant to vehicles with lower loudness and have the potential for lower annoyance than the first workshop cases. The models for this workshop with quieter ground noise levels than the first workshop exposed weaknesses in analysis, particularly in convective discretization.

  15. Approximately One In Three US Adults Completes Any Type Of Advance Directive For End-Of-Life Care.

    PubMed

    Yadav, Kuldeep N; Gabler, Nicole B; Cooney, Elizabeth; Kent, Saida; Kim, Jennifer; Herbst, Nicole; Mante, Adjoa; Halpern, Scott D; Courtright, Katherine R

    2017-07-01

    Efforts to promote the completion of advance directives implicitly assume that completion rates of these documents, which help ensure care consistent with people's preferences in the event of incapacity, are undesirably low. However, data regarding completion of advance directives in the United States are inconsistent and of variable quality. We systematically reviewed studies published in the period 2011-16 to determine the proportion of US adults with a completed living will, health care power of attorney, or both. Among the 795,909 people in the 150 studies we analyzed, 36.7 percent had completed an advance directive, including 29.3 percent with living wills. These proportions were similar across the years reviewed. Similar proportions of patients with chronic illnesses (38.2 percent) and healthy adults (32.7 percent) had completed advance directives. The findings provide benchmarks for gauging future policies and practices designed to motivate completion of advance directives, particularly among those people most likely to benefit from having these documents on record. Project HOPE—The People-to-People Health Foundation, Inc.

  16. Closing the Referral Loop: an Analysis of Primary Care Referrals to Specialists in a Large Health System.

    PubMed

    Patel, Malhar P; Schettini, Priscille; O'Leary, Colin P; Bosworth, Hayden B; Anderson, John B; Shah, Kevin P

    2018-05-01

    Ideally, a referral from a primary care physician (PCP) to a specialist results in a completed specialty appointment with results available to the PCP. This is defined as "closing the referral loop." As health systems grow more complex, regulatory bodies increase vigilance, and reimbursement shifts towards value, closing the referral loop becomes a patient safety, regulatory, and financial imperative. To assess the ability of a large health system to close the referral loop, we used electronic medical record (EMR)-generated data to analyze referrals from a large primary care network to 20 high-volume specialties between July 1, 2015 and June 30, 2016. The primary metric was documented specialist appointment completion rate. Explanatory analyses included documented appointment scheduling rate, individual clinic differences, appointment wait times, and geographic distance to appointments. Of the 103,737 analyzed referral scheduling attempts, only 36,072 (34.8%) resulted in documented complete appointments. Low documented appointment scheduling rates (38.9% of scheduling attempts lacked appointment dates), individual clinic differences in closing the referral loop, and significant differences in wait times and distances to specialists between complete and incomplete appointments drove this gap. Other notable findings include high variation in wait times among specialties and correlation between high wait times and low documented appointment completion rates. The rate of closing the referral loop in this health system is low. Low appointment scheduling rates, individual clinic differences, and patient access issues of wait times and geographic proximity explain much of the gap. This problem is likely common among large health systems with complex provider networks and referral scheduling. Strategies that improve scheduling, decrease variation among clinics, and improve patient access will likely improve rates of closing the referral loop. More research is necessary to determine the impact of these changes and other potential driving factors.

  17. One-click scanning of large-size documents using mobile phone camera

    NASA Astrophysics Data System (ADS)

    Liu, Sijiang; Jiang, Bo; Yang, Yuanjie

    2016-07-01

    Currently mobile apps for document scanning do not provide convenient operations to tackle large-size documents. In this paper, we present a one-click scanning approach for large-size documents using mobile phone camera. After capturing a continuous video of documents, our approach automatically extracts several key frames by optical flow analysis. Then based on key frames, a mobile GPU based image stitching method is adopted to generate a completed document image with high details. There are no extra manual intervention in the process and experimental results show that our app performs well, showing convenience and practicability for daily life.

  18. Quarantine document system indexing procedure

    NASA Technical Reports Server (NTRS)

    1972-01-01

    The Quarantine Document System (QDS) is described including the indexing procedures and thesaurus of indexing terms. The QDS consists of these functional elements: acquisition, cataloging, indexing, storage, and retrieval. A complete listing of the collection, and the thesaurus are included.

  19. A Complete OCR System for Tamil Magazine Documents

    NASA Astrophysics Data System (ADS)

    Kokku, Aparna; Chakravarthy, Srinivasa

    We present a complete optical character recognition (OCR) system for Tamil magazines/documents. All the standard elements of OCR process like de-skewing, preprocessing, segmentation, character recognition, and reconstruction are implemented. Experience with OCR problems teaches that for most subtasks of OCR, there is no single technique that gives perfect results for every type of document image. We exploit the ability of neural networks to learn from experience in solving the problems of segmentation and character recognition. Text segmentation of Tamil newsprint poses a new challenge owing to its italic-like font type; problems that arise in recognition of touching and close characters are discussed. Character recognition efficiency varied from 94 to 97% for this type of font. The grouping of blocks into logical units and the determination of reading order within each logical unit helped us in reconstructing automatically the document image in an editable format.

  20. Direct coal liquefaction baseline design and system analysis. Quarterly report, January--March 1991

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

    Not Available

    1991-04-01

    The primary objective of the study is to develop a computer model for a base line direct coal liquefaction design based on two stage direct coupled catalytic reactors. This primary objective is to be accomplished by completing the following: a base line design based on previous DOE/PETC results from Wilsonville pilot plant and other engineering evaluations; a cost estimate and economic analysis; a computer model incorporating the above two steps over a wide range of capacities and selected process alternatives; a comprehensive training program for DOE/PETC Staff to understand and use the computer model; a thorough documentation of all underlyingmore » assumptions for baseline economics; and a user manual and training material which will facilitate updating of the model in the future.« less

  1. Direct coal liquefaction baseline design and system analysis

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

    Not Available

    1991-04-01

    The primary objective of the study is to develop a computer model for a base line direct coal liquefaction design based on two stage direct coupled catalytic reactors. This primary objective is to be accomplished by completing the following: a base line design based on previous DOE/PETC results from Wilsonville pilot plant and other engineering evaluations; a cost estimate and economic analysis; a computer model incorporating the above two steps over a wide range of capacities and selected process alternatives; a comprehensive training program for DOE/PETC Staff to understand and use the computer model; a thorough documentation of all underlyingmore » assumptions for baseline economics; and a user manual and training material which will facilitate updating of the model in the future.« less

  2. Complying with current Joint Commission Statement of Conditions (SOC) requirements.

    PubMed

    Erickson, D; Berek, B; Mills, G

    1997-01-01

    This Technical Document has been developed to provide the reader with insight into the Joint Commission on Accreditation of Healthcare Organizations' (JCAHO) Statement of Conditions (SOC) process and recent changes for completing the SOC for Business Occupancies. The intent of this document is not to replace the instructions in Part 1 of the SOC or to give a complete review of the National Fire Protection Agency's (NFPA) Life Safety Code for health care or business occupancies, but rather to complement them.

  3. A Module for Graphical Display of Model Results with the CBP Toolbox

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

    Smith, F.

    2015-04-21

    This report describes work performed by the Savannah River National Laboratory (SRNL) in fiscal year 2014 to add enhanced graphical capabilities to display model results in the Cementitious Barriers Project (CBP) Toolbox. Because Version 2.0 of the CBP Toolbox has just been released, the graphing enhancements described in this report have not yet been integrated into a new version of the Toolbox. Instead they have been tested using a standalone GoldSim model and, while they are substantially complete, may undergo further refinement before full implementation. Nevertheless, this report is issued to document the FY14 development efforts which will provide amore » basis for further development of the CBP Toolbox.« less

  4. Analyzing and modeling gravity and magnetic anomalies using the SPHERE program and Magsat data

    NASA Technical Reports Server (NTRS)

    Braile, L. W.; Hinze, W. J.; Vonfrese, R. R. B. (Principal Investigator)

    1981-01-01

    Computer codes were completed, tested, and documented for analyzing magnetic anomaly vector components by equivalent point dipole inversion. The codes are intended for use in inverting the magnetic anomaly due to a spherical prism in a horizontal geomagnetic field and for recomputing the anomaly in a vertical geomagnetic field. Modeling of potential fields at satellite elevations that are derived from three dimensional sources by program SPHERE was made significantly more efficient by improving the input routines. A preliminary model of the Andean subduction zone was used to compute the anomaly at satellite elevations using both actual geomagnetic parameters and vertical polarization. Program SPHERE is also being used to calculate satellite level magnetic and gravity anomalies from the Amazon River Aulacogen.

  5. A substitution method to improve completeness of events documentation in anesthesia records.

    PubMed

    Lamer, Antoine; De Jonckheere, Julien; Marcilly, Romaric; Tavernier, Benoît; Vallet, Benoît; Jeanne, Mathieu; Logier, Régis

    2015-12-01

    AIMS are optimized to find and display data and curves about one specific intervention but is not retrospective analysis on a huge volume of interventions. Such a system present two main limitation; (1) the transactional database architecture, (2) the completeness of documentation. In order to solve the architectural problem, data warehouses were developed to propose architecture suitable for analysis. However, completeness of documentation stays unsolved. In this paper, we describe a method which allows determining of substitution rules in order to detect missing anesthesia events in an anesthesia record. Our method is based on the principle that missing event could be detected using a substitution one defined as the nearest documented event. As an example, we focused on the automatic detection of the start and the end of anesthesia procedure when these events were not documented by the clinicians. We applied our method on a set of records in order to evaluate; (1) the event detection accuracy, (2) the improvement of valid records. For the year 2010-2012, we obtained event detection with a precision of 0.00 (-2.22; 2.00) min for the start of anesthesia and 0.10 (0.00; 0.35) min for the end of anesthesia. On the other hand, we increased by 21.1% the data completeness (from 80.3 to 97.2% of the total database) for the start and the end of anesthesia events. This method seems to be efficient to replace missing "start and end of anesthesia" events. This method could also be used to replace other missing time events in this particular data warehouse as well as in other kind of data warehouses.

  6. TUNS/TCIS information model/process model

    NASA Technical Reports Server (NTRS)

    Wilson, James

    1992-01-01

    An Information Model is comprised of graphical and textual notation suitable for describing and defining the problem domain - in our case, TUNS or TCIS. The model focuses on the real world under study. It identifies what is in the problem and organizes the data into a formal structure for documentation and communication purposes. The Information Model is composed of an Entity Relationship Diagram (ERD) and a Data Dictionary component. The combination of these components provide an easy to understand methodology for expressing the entities in the problem space, the relationships between entities and the characteristics (attributes) of the entities. This approach is the first step in information system development. The Information Model identifies the complete set of data elements processed by TUNS. This representation provides a conceptual view of TUNS from the perspective of entities, data, and relationships. The Information Model reflects the business practices and real-world entities that users must deal with.

  7. TREC 2010 legal track: method and results of the ELK collaboration

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

    Spearing, Shelly; Roman, Jorge; Mc Kay, Bain

    The ELK team ([E]WA-IIT, [L]os Alamos National laboratory (LANL), and [K]ayvium Corporation (ELK)) used the legal Track task 302 as an opportunity to compare and integrate advanced semantic-automation strategies. The team members believe that enabling parties to discover, consume, analyze, and make decisions in a noisy and information-overloaded environment requires new tools. Together, as well as independently, they are actively developing these tools and view the TREC exercise as an opportunity to test, compare, and complement tools and approaches. Our collaboration is new to TREC, brought together by a shared interest in document relevance, concept-in-context identification and annotation, and themore » recognition that words out-of-context do not a match make. The team's intent was to lay the foundation for automating the mining and analysis of large volumes of electronic information by litigants and their lawyers, not only in the context of document discovery, but also to support litigation strategy, motion practice, deposition, trial tactics, etc. The premise was that a Subject Matter Expert- (SME-) built model can be automatically mapped onto various search engines for document retrieval, organization, relevance scoring, analysis and decision support. In the end, we ran nearly a dozen models, mostly, but not exclusively, with Kayvium Corporation's knowledge automation technology. The Sal Database Search Engine we used had a bug in its proximity feature, requiring that we develop a workaround. While the work-around was successful, it left us with insufficient time to converge the models to achieve expected quality. However, with optimized proximity processing in place, we would be able to run the model many more times, and believe repeatable quality would be a matter of working through a few requests to get the approach right. We believe that with more time, the results we would achieve might point towards a new way of processing documents for litigation support, so litigators can be confident that results are complete but not overly inclusive.« less

  8. Spatio-Semantic Comparison of Large 3d City Models in Citygml Using a Graph Database

    NASA Astrophysics Data System (ADS)

    Nguyen, S. H.; Yao, Z.; Kolbe, T. H.

    2017-10-01

    A city may have multiple CityGML documents recorded at different times or surveyed by different users. To analyse the city's evolution over a given period of time, as well as to update or edit the city model without negating modifications made by other users, it is of utmost importance to first compare, detect and locate spatio-semantic changes between CityGML datasets. This is however difficult due to the fact that CityGML elements belong to a complex hierarchical structure containing multi-level deep associations, which can basically be considered as a graph. Moreover, CityGML allows multiple syntactic ways to define an object leading to syntactic ambiguities in the exchange format. Furthermore, CityGML is capable of including not only 3D urban objects' graphical appearances but also their semantic properties. Since to date, no known algorithm is capable of detecting spatio-semantic changes in CityGML documents, a frequent approach is to replace the older models completely with the newer ones, which not only costs computational resources, but also loses track of collaborative and chronological changes. Thus, this research proposes an approach capable of comparing two arbitrarily large-sized CityGML documents on both semantic and geometric level. Detected deviations are then attached to their respective sources and can easily be retrieved on demand. As a result, updating a 3D city model using this approach is much more efficient as only real changes are committed. To achieve this, the research employs a graph database as the main data structure for storing and processing CityGML datasets in three major steps: mapping, matching and updating. The mapping process transforms input CityGML documents into respective graph representations. The matching process compares these graphs and attaches edit operations on the fly. Found changes can then be executed using the Web Feature Service (WFS), the standard interface for updating geographical features across the web.

  9. Does implementation matter if comprehension is lacking? A qualitative investigation into perceptions of advance care planning in people with cancer.

    PubMed

    Ugalde, Anna; O'Callaghan, Clare; Byard, Clem; Brean, Samantha; MacKay, Jenelle; Boltong, Anna; Davoren, Sondra; Lawson, Deborah; Parente, Phillip; Michael, Natasha; Livingston, Patricia

    2018-05-11

    While advance care planning holds promise, uptake is variable and it is unclear how well people engage with or comprehend advance care planning. The objective of this study was to explore how people with cancer comprehended advance care plans and examine how accurately advance care planning documentation represented patient wishes. This study used a qualitative descriptive design. Data collection comprised interviews and an examination of participants' existing advance care planning documentation. Participants included those who had any diagnosis of cancer with an advance care plan recorded: Refusal of Treatment Certificate, Statement of Choices, and/or Enduring Power of Attorney (Medical Treatment) at one cancer treatment centre. Fourteen participants were involved in the study. Twelve participants were female (86%). The mean age was 77 (range: 61-91), and participants had completed their advance care planning documentation between 8 and 72 weeks prior to the interview (mean 33 weeks). Three themes were evident from the data: incomplete advance care planning understanding and confidence, limited congruence for attitude and documentation, advance care planning can enable peace of mind. Complete advance care planning understanding was unusual; most participants demonstrated partial comprehension of their own advance care plan, and some indicated very limited understanding. Participants' attitudes and their written document congruence were limited, but advance care planning was seen as helpful. This study highlighted advance care planning was not a completely accurate representation of patient wishes. There is opportunity to improve how patients comprehend their own advance care planning documentation.

  10. Documentation of medication changes in inpatient clinical notes: an audit to support quality improvement.

    PubMed

    Peusschers, Elsie; Twine, Jaryth; Wheeler, Amanda; Moudgil, Vikas; Patterson, Sue

    2015-04-01

    To describe completeness and accuracy of recording medication changes in progress notes during psychiatric inpatient admissions. A retrospective audit of records of 54 randomly selected psychiatric admissions at a metropolitan tertiary hospital. Medication changes recorded on National Inpatient Medication Chart (NIMC) were compared to documentation in the clinical progress records and assessed for completeness against seven quality criteria. With between one and 32 medication changes per admission, a total of 519 changes were recorded in NIMCs. Just over half were documented in progress notes. Psychotropic and regular medications were more frequently charted than 'other' and 'if required' medications. Documentation was seldom comprehensive. Medication name was most frequently documented; desired therapeutic effect or potential adverse effects were rarely documented. Evidence of patient involvement in, and an explicit rationale for, a change were infrequently recorded. Revealing substantial gaps in communication about medication changes during psychiatric admission, this audit sheds light on a previously undescribed source of medication error, warranting attention. Further research is needed to examine barriers to best practice, to support design and implementation of quality improvement activities but in the interim, attention should be addressed to development and articulation of content and procedures for documentation. © The Royal Australian and New Zealand College of Psychiatrists 2015.

  11. Orbital Maneuvering Engine Feed System Coupled Stability Investigation, Computer User's Manual

    NASA Technical Reports Server (NTRS)

    Schuman, M. D.; Fertig, K. W.; Hunting, J. K.; Kahn, D. R.

    1975-01-01

    An operating manual for the feed system coupled stability model was given, in partial fulfillment of a program designed to develop, verify, and document a digital computer model that can be used to analyze and predict engine/feed system coupled instabilities in pressure-fed storable propellant propulsion systems over a frequency range of 10 to 1,000 Hz. The first section describes the analytical approach to modelling the feed system hydrodynamics, combustion dynamics, chamber dynamics, and overall engineering model structure, and presents the governing equations in each of the technical areas. This is followed by the program user's guide, which is a complete description of the structure and operation of the computerized model. Last, appendices provide an alphabetized FORTRAN symbol table, detailed program logic diagrams, computer code listings, and sample case input and output data listings.

  12. Thoughtflow: Standards and Tools for Provenance Capture and Workflow Definition to Support Model-Informed Drug Discovery and Development.

    PubMed

    Wilkins, J J; Chan, Pls; Chard, J; Smith, G; Smith, M K; Beer, M; Dunn, A; Flandorfer, C; Franklin, C; Gomeni, R; Harnisch, L; Kaye, R; Moodie, S; Sardu, M L; Wang, E; Watson, E; Wolstencroft, K; Cheung, Sya

    2017-05-01

    Pharmacometric analyses are complex and multifactorial. It is essential to check, track, and document the vast amounts of data and metadata that are generated during these analyses (and the relationships between them) in order to comply with regulations, support quality control, auditing, and reporting. It is, however, challenging, tedious, error-prone, and time-consuming, and diverts pharmacometricians from the more useful business of doing science. Automating this process would save time, reduce transcriptional errors, support the retention and transfer of knowledge, encourage good practice, and help ensure that pharmacometric analyses appropriately impact decisions. The ability to document, communicate, and reconstruct a complete pharmacometric analysis using an open standard would have considerable benefits. In this article, the Innovative Medicines Initiative (IMI) Drug Disease Model Resources (DDMoRe) consortium proposes a set of standards to facilitate the capture, storage, and reporting of knowledge (including assumptions and decisions) in the context of model-informed drug discovery and development (MID3), as well as to support reproducibility: "Thoughtflow." A prototype software implementation is provided. © 2017 The Authors CPT: Pharmacometrics & Systems Pharmacology published by Wiley Periodicals, Inc. on behalf of American Society for Clinical Pharmacology and Therapeutics.

  13. Improve Biomedical Information Retrieval using Modified Learning to Rank Methods.

    PubMed

    Xu, Bo; Lin, Hongfei; Lin, Yuan; Ma, Yunlong; Yang, Liang; Wang, Jian; Yang, Zhihao

    2016-06-14

    In these years, the number of biomedical articles has increased exponentially, which becomes a problem for biologists to capture all the needed information manually. Information retrieval technologies, as the core of search engines, can deal with the problem automatically, providing users with the needed information. However, it is a great challenge to apply these technologies directly for biomedical retrieval, because of the abundance of domain specific terminologies. To enhance biomedical retrieval, we propose a novel framework based on learning to rank. Learning to rank is a series of state-of-the-art information retrieval techniques, and has been proved effective in many information retrieval tasks. In the proposed framework, we attempt to tackle the problem of the abundance of terminologies by constructing ranking models, which focus on not only retrieving the most relevant documents, but also diversifying the searching results to increase the completeness of the resulting list for a given query. In the model training, we propose two novel document labeling strategies, and combine several traditional retrieval models as learning features. Besides, we also investigate the usefulness of different learning to rank approaches in our framework. Experimental results on TREC Genomics datasets demonstrate the effectiveness of our framework for biomedical information retrieval.

  14. Vehicle-to-infrastructure rail crossing violation warning : concept of operations.

    DOT National Transportation Integrated Search

    2016-03-31

    This Concept of Operations (ConOps) document describes the operational characteristics of a Vehicle-to-Infrastructure (V2I) Rail Crossing Violation Warning (RCVW) safety application. The development of this document was completed with an advisory tea...

  15. Managing the life cycle of electronic clinical documents.

    PubMed

    Payne, Thomas H; Graham, Gail

    2006-01-01

    To develop a model of the life cycle of clinical documents from inception to use in a person's medical record, including workflow requirements from clinical practice, local policy, and regulation. We propose a model for the life cycle of clinical documents as a framework for research on documentation within electronic medical record (EMR) systems. Our proposed model includes three axes: the stages of the document, the roles of those involved with the document, and the actions those involved may take on the document at each stage. The model includes the rules to describe who (in what role) can perform what actions on the document, and at what stages they can perform them. Rules are derived from needs of clinicians, and requirements of hospital bylaws and regulators. Our model encompasses current practices for paper medical records and workflow in some EMR systems. Commercial EMR systems include methods for implementing document workflow rules. Workflow rules that are part of this model mirror functionality in the Department of Veterans Affairs (VA) EMR system where the Authorization/ Subscription Utility permits document life cycle rules to be written in English-like fashion. Creating a model of the life cycle of clinical documents serves as a framework for discussion of document workflow, how rules governing workflow can be implemented in EMR systems, and future research of electronic documentation.

  16. 25 CFR 700.815 - Issuance of permits.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... activity of the type and scope proposed; (iii) The demonstrated ability to carry research to completion, as evidenced by timely completion of theses, research reports, or similar documents; (iv) Completion of at..., laboratory, or library research, administration, or management, including at least 4 months experience and/or...

  17. 25 CFR 700.815 - Issuance of permits.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... activity of the type and scope proposed; (iii) The demonstrated ability to carry research to completion, as evidenced by timely completion of theses, research reports, or similar documents; (iv) Completion of at..., laboratory, or library research, administration, or management, including at least 4 months experience and/or...

  18. 25 CFR 700.815 - Issuance of permits.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... activity of the type and scope proposed; (iii) The demonstrated ability to carry research to completion, as evidenced by timely completion of theses, research reports, or similar documents; (iv) Completion of at..., laboratory, or library research, administration, or management, including at least 4 months experience and/or...

  19. Patients' understanding and use of advance directives.

    PubMed Central

    Jacobson, J A; White, B E; Battin, M P; Francis, L P; Green, D J; Kasworm, E S

    1994-01-01

    The Patient Self-Determination Act was implemented in December 1991. Before and after its implementation, we used a structured interview of 302 randomly selected patients to determine their awareness, understanding, and use of advance directives. Implementation of the Act did not have a major effect on these. Although more than 90% of patients were aware of the living will, only about a third selected the correct definition or the correct circumstances in which it applied, and less than 20% of patients had completed one. About a third of patients were aware of a Durable Power of Attorney for Health Care and chose the correct definition, and about half identified the correct circumstances in which it applies; less than 10% had completed such a document. Surprisingly, patients who said they had completed advance directives did not demonstrate better understanding of these documents. Our results indicate that many patients, including some who have completed advance directives, do not fully understand them. It may be unwise to regard these documents as carefully considered, compelling statements of patients' preferences. Appropriate responses to our findings include increased public education, revising state statutes to bring them into congruence with public perception, and expanding the dialogue between physicians and patients. PMID:8191755

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

    Buchholz, Stuart A.

    This memorandum documents laboratory thermomechanical triaxial strength testing of Waste Isolation Pilot Plant (WIPP) clean salt. The limited study completed independent, adjunct laboratory tests in the United States to assist in validating similar testing results being provided by the German facilities. The testing protocol consisted of completing confined triaxial, constant strain rate strength tests of intact WIPP clean salt at temperatures of 25°C and 100°C and at multiple confining pressures. The stratigraphy at WIPP also includes salt that has been labeled “argillaceous.” The much larger test matrix conducted in Germany included both the so-called clean and argillaceous salts. When combined,more » the total database of laboratory results will be used to develop input parameters for models, assess adequacy of existing models, and predict material behavior. These laboratory studies are also consistent with the goals of the international salt repository research program. The goal of this study was to complete a subset of a test matrix on clean salt from the WIPP undertaken by German research groups. The work was performed at RESPEC in Rapid City, South Dakota. A rigorous Quality Assurance protocol was applied, such that corroboration provides the potential of qualifying all of the test data gathered by German research groups.« less

  1. Model documentation report: Transportation sector model of the National Energy Modeling System

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

    Not Available

    1994-03-01

    This report documents the objectives, analytical approach and development of the National Energy Modeling System (NEMS) Transportation Model (TRAN). The report catalogues and describes the model assumptions, computational methodology, parameter estimation techniques, model source code, and forecast results generated by the model. This document serves three purposes. First, it is a reference document providing a detailed description of TRAN for model analysts, users, and the public. Second, this report meets the legal requirements of the Energy Information Administration (EIA) to provide adequate documentation in support of its statistical and forecast reports (Public Law 93-275, 57(b)(1)). Third, it permits continuity inmore » model development by providing documentation from which energy analysts can undertake model enhancements, data updates, and parameter refinements.« less

  2. 38 CFR 17.501 - Confidential and privileged documents.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... facility: (i) Medical records reviews, (ii) Drug usage evaluations, (iii) Blood usage reviews, (iv... quality assurance reviews. (e) Documents which are confidential and privileged may be in written, computer... of Boards of Investigations; (5) Completed patient satisfaction survey questionnaires and findings...

  3. 38 CFR 17.501 - Confidential and privileged documents.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... facility: (i) Medical records reviews, (ii) Drug usage evaluations, (iii) Blood usage reviews, (iv... quality assurance reviews. (e) Documents which are confidential and privileged may be in written, computer... of Boards of Investigations; (5) Completed patient satisfaction survey questionnaires and findings...

  4. 38 CFR 17.501 - Confidential and privileged documents.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... facility: (i) Medical records reviews, (ii) Drug usage evaluations, (iii) Blood usage reviews, (iv... quality assurance reviews. (e) Documents which are confidential and privileged may be in written, computer... of Boards of Investigations; (5) Completed patient satisfaction survey questionnaires and findings...

  5. 38 CFR 17.501 - Confidential and privileged documents.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... facility: (i) Medical records reviews, (ii) Drug usage evaluations, (iii) Blood usage reviews, (iv... quality assurance reviews. (e) Documents which are confidential and privileged may be in written, computer... of Boards of Investigations; (5) Completed patient satisfaction survey questionnaires and findings...

  6. 38 CFR 17.501 - Confidential and privileged documents.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... facility: (i) Medical records reviews, (ii) Drug usage evaluations, (iii) Blood usage reviews, (iv... quality assurance reviews. (e) Documents which are confidential and privileged may be in written, computer... of Boards of Investigations; (5) Completed patient satisfaction survey questionnaires and findings...

  7. 49 CFR 236.1035 - Field testing requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... uncertified PTC system, or a product of an uncertified PTC system, or any regression testing of a certified...: (1) A complete description of the PTC system; (2) An operational concepts document; (3) A complete...

  8. The ODD protocol: A review and first update

    USGS Publications Warehouse

    Grimm, Volker; Berger, Uta; DeAngelis, Donald L.; Polhill, J. Gary; Giske, Jarl; Railsback, Steve F.

    2010-01-01

    The 'ODD' (Overview, Design concepts, and Details) protocol was published in 2006 to standardize the published descriptions of individual-based and agent-based models (ABMs). The primary objectives of ODD are to make model descriptions more understandable and complete, thereby making ABMs less subject to criticism for being irreproducible. We have systematically evaluated existing uses of the ODD protocol and identified, as expected, parts of ODD needing improvement and clarification. Accordingly, we revise the definition of ODD to clarify aspects of the original version and thereby facilitate future standardization of ABM descriptions. We discuss frequently raised critiques in ODD but also two emerging, and unanticipated, benefits: ODD improves the rigorous formulation of models and helps make the theoretical foundations of large models more visible. Although the protocol was designed for ABMs, it can help with documenting any large, complex model, alleviating some general objections against such models.

  9. Climbing the ladder: capability maturity model integration level 3

    NASA Astrophysics Data System (ADS)

    Day, Bryce; Lutteroth, Christof

    2011-02-01

    This article details the attempt to form a complete workflow model for an information and communication technologies (ICT) company in order to achieve a capability maturity model integration (CMMI) maturity rating of 3. During this project, business processes across the company's core and auxiliary sectors were documented and extended using modern enterprise modelling tools and a The Open Group Architectural Framework (TOGAF) methodology. Different challenges were encountered with regard to process customisation and tool support for enterprise modelling. In particular, there were problems with the reuse of process models, the integration of different project management methodologies and the integration of the Rational Unified Process development process framework that had to be solved. We report on these challenges and the perceived effects of the project on the company. Finally, we point out research directions that could help to improve the situation in the future.

  10. 9x15 Low Speed Wind Tunnel Acoustic Improvements

    NASA Technical Reports Server (NTRS)

    Stark, David; Stephens, David

    2016-01-01

    The 9- by 15-Foot Low Speed Wind Tunnel (9x15 LSWT) at NASA Glenn Research Center was built in 1969 in the return leg of the 8- by 6-Foot Supersonic Wind Tunnel (8x6 SWT). The 8x6 SWT was completed in 1949 and acoustically treated to mitigate community noise issues in 1950. This treatment included the addition of a large muffler downstream of the 8x6 SWT test section and diffuser. The 9x15 LSWT was designed for performance testing of VSTOL aircraft models, but with the addition of the current acoustic treatment in 1986 the tunnel has been used principally for acoustic and performance testing of aircraft propulsions systems. The present document describes an anticipated acoustic upgrade to be completed in 2017.

  11. 9- by 15-Foot Low Speed Wind Tunnel Acoustic Improvements Expanded Overview

    NASA Technical Reports Server (NTRS)

    Stephens, David

    2016-01-01

    The 9- by 15-Foot Low Speed Wind Tunnel (9x15 LSWT) at NASA Glenn Research Center was built in 1969 in the return leg of the 8- by 6-Foot Supersonic Wind Tunnel (8x6 SWT). The 8x6 SWT was completed in 1949 and acoustically treated to mitigate community noise issues in 1950. This treatment included the addition of a large muffler downstream of the 8x6 SWT test section and diffuser. The 9x15 LSWT was designed for performance testing of V/STOL aircraft models, but with the addition of the current acoustic treatment in 1986 the tunnel been used principally for acoustic and performance testing of aircraft propulsion systems. The present document describes an anticipated acoustic upgrade to be completed in 2017.

  12. Developing an Interface to Order and Document Health Education Videos in the Electronic Health Record.

    PubMed

    Wojcik, Lauren

    2015-01-01

    Transitioning to electronic health records (EHRs) provides an opportunity for health care systems to integrate educational content available on interactive patient systems (IPS) with the medical documentation system. This column discusses how one hospital simplified providers' workflow by making it easier to order educational videos and ensure that completed education is documented within the medical record. Integrating the EHR and IPS streamlined the provision of patient education, improved documentation, and supported the organization in meeting core requirements for Meaningful Use.

  13. 76 FR 75553 - Completion of the Broker Self-Assessment Outreach Pilot

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-02

    ... DEPARTMENT OF HOMELAND SECURITY U.S. Customs and Border Protection Completion of the Broker Self...: General notice. SUMMARY: This document announces the completion of the Broker Self- Assessment (BSA... July 2009. CBP has decided to end the BSA pilot without a plan to proceed with another Importer Self...

  14. Let Documents Talk to Each Other: A Computer Model for Connection of Short Documents.

    ERIC Educational Resources Information Center

    Chen, Z.

    1993-01-01

    Discusses the integration of scientific texts through the connection of documents and describes a computer model that can connect short documents. Information retrieval and artificial intelligence are discussed; a prototype system of the model is explained; and the model is compared to other computer models. (17 references) (LRW)

  15. 46 CFR 153.909 - Completing the Cargo Record Book and record retention: Categories A, B, C, and D.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 5 2013-10-01 2013-10-01 false Completing the Cargo Record Book and record retention... HAZARDOUS MATERIALS Operations Documents and Cargo Information § 153.909 Completing the Cargo Record Book... the Cargo Record Book required under § 153.490 is completed immediately after any of the following...

  16. 46 CFR 153.909 - Completing the Cargo Record Book and record retention: Categories A, B, C, and D.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 5 2012-10-01 2012-10-01 false Completing the Cargo Record Book and record retention... HAZARDOUS MATERIALS Operations Documents and Cargo Information § 153.909 Completing the Cargo Record Book... the Cargo Record Book required under § 153.490 is completed immediately after any of the following...

  17. Using Fully Coupled Hydro-Geomechanical Numerical Test Bed to Study Reservoir Stimulation with Low Hydraulic Pressure

    DOE Data Explorer

    Fu, Pengcheng; Johnson, Scott M.; Carrigan, Charles R.

    2012-01-31

    This paper documents our effort to use a fully coupled hydro-geomechanical numerical test bed to study using low hydraulic pressure to stimulate geothermal reservoirs with existing fracture network. In this low pressure stimulation strategy, fluid pressure is lower than the minimum in situ compressive stress, so the fractures are not completely open but permeability improvement can be achieved through shear dilation. We found that in this low pressure regime, the coupling between the fluid phase and the rock solid phase becomes very simple, and the numerical model can achieve a low computational cost. Using this modified model, we study the behavior of a single fracture and a random fracture network.

  18. Direct modeling parameter signature analysis and failure mode prediction of physical systems using hybrid computer optimization

    NASA Technical Reports Server (NTRS)

    Drake, R. L.; Duvoisin, P. F.; Asthana, A.; Mather, T. W.

    1971-01-01

    High speed automated identification and design of dynamic systems, both linear and nonlinear, are discussed. Special emphasis is placed on developing hardware and techniques which are applicable to practical problems. The basic modeling experiment and new results are described. Using the improvements developed successful identification of several systems, including a physical example as well as simulated systems, was obtained. The advantages of parameter signature analysis over signal signature analysis in go-no go testing of operational systems were demonstrated. The feasibility of using these ideas in failure mode prediction in operating systems was also investigated. An improved digital controlled nonlinear function generator was developed, de-bugged, and completely documented.

  19. Large liquid rocket engine transient performance simulation system

    NASA Technical Reports Server (NTRS)

    Mason, J. R.; Southwick, R. D.

    1989-01-01

    Phase 1 of the Rocket Engine Transient Simulation (ROCETS) program consists of seven technical tasks: architecture; system requirements; component and submodel requirements; submodel implementation; component implementation; submodel testing and verification; and subsystem testing and verification. These tasks were completed. Phase 2 of ROCETS consists of two technical tasks: Technology Test Bed Engine (TTBE) model data generation; and system testing verification. During this period specific coding of the system processors was begun and the engineering representations of Phase 1 were expanded to produce a simple model of the TTBE. As the code was completed, some minor modifications to the system architecture centering on the global variable common, GLOBVAR, were necessary to increase processor efficiency. The engineering modules completed during Phase 2 are listed: INJTOO - main injector; MCHBOO - main chamber; NOZLOO - nozzle thrust calculations; PBRNOO - preburner; PIPE02 - compressible flow without inertia; PUMPOO - polytropic pump; ROTROO - rotor torque balance/speed derivative; and TURBOO - turbine. Detailed documentation of these modules is in the Appendix. In addition to the engineering modules, several submodules were also completed. These submodules include combustion properties, component performance characteristics (maps), and specific utilities. Specific coding was begun on the system configuration processor. All functions necessary for multiple module operation were completed but the SOLVER implementation is still under development. This system, the Verification Checkout Facility (VCF) allows interactive comparison of module results to store data as well as provides an intermediate checkout of the processor code. After validation using the VCF, the engineering modules and submodules were used to build a simple TTBE.

  20. Integration of Evidence into a Detailed Clinical Model-based Electronic Nursing Record System

    PubMed Central

    Park, Hyeoun-Ae; Jeon, Eunjoo; Chung, Eunja

    2012-01-01

    Objectives The purpose of this study was to test the feasibility of an electronic nursing record system for perinatal care that is based on detailed clinical models and clinical practice guidelines in perinatal care. Methods This study was carried out in five phases: 1) generating nursing statements using detailed clinical models; 2) identifying the relevant evidence; 3) linking nursing statements with the evidence; 4) developing a prototype electronic nursing record system based on detailed clinical models and clinical practice guidelines; and 5) evaluating the prototype system. Results We first generated 799 nursing statements describing nursing assessments, diagnoses, interventions, and outcomes using entities, attributes, and value sets of detailed clinical models for perinatal care which we developed in a previous study. We then extracted 506 recommendations from nine clinical practice guidelines and created sets of nursing statements to be used for nursing documentation by grouping nursing statements according to these recommendations. Finally, we developed and evaluated a prototype electronic nursing record system that can provide nurses with recommendations for nursing practice and sets of nursing statements based on the recommendations for guiding nursing documentation. Conclusions The prototype system was found to be sufficiently complete, relevant, useful, and applicable in terms of content, and easy to use and useful in terms of system user interface. This study has revealed the feasibility of developing such an ENR system. PMID:22844649

  1. Hierarchic Agglomerative Clustering Methods for Automatic Document Classification.

    ERIC Educational Resources Information Center

    Griffiths, Alan; And Others

    1984-01-01

    Considers classifications produced by application of single linkage, complete linkage, group average, and word clustering methods to Keen and Cranfield document test collections, and studies structure of hierarchies produced, extent to which methods distort input similarity matrices during classification generation, and retrieval effectiveness…

  2. IRIS Toxicological Review and Summary Documents for Polybrominated Diphenyl Ethers

    EPA Science Inventory

    EPA has announced the release of four completed toxicologal reviews and summary documents following an independent peer review on the scientific basis supporting the human health hazard and dose-response assessments of four congeners of polybrominated diphenyl ethers: tetraBDE (B...

  3. Collaborative Inquiry into a Partnership Community.

    ERIC Educational Resources Information Center

    Noel, Jana R.

    1996-01-01

    Describes a school/college partnership between the Bozeman (Montana) School District and the Montana State University, concentrating on the program documenter's role in critical analysis. The documenter helps a partnership community by summarizing activities, providing a contextual framework for activities, encouraging completion of the…

  4. Air Quality Criteria for Oxides of Nitrogen (Final Report, 1982)

    EPA Science Inventory

    This document is an evaluation and assessment of scientific information relative to determining the health and welfare effects associated with exposure to various concentrations of nitrogen oxides in ambient air. The document is not intended as a complete, detailed literature rev...

  5. AIR QUALITY CRITERIA CARBON MONOXIDE, EXTERNAL REVIEW DRAFT

    EPA Science Inventory

    The U.S. Environmental Protection Agency (EPA) promulgates the National Ambient Air Quality Standards (NAAQS) on the basis of scientific information contained in criteria documents. The last air quality criteria document for carbon monoxide (CO) was completed by EPA in 1991. This...

  6. Physiological spacecraft environment data documentation

    NASA Technical Reports Server (NTRS)

    1977-01-01

    The physiological limits of exposure to environmental parameters encountered during space flight was documented. The environmental limits which have been previously established were described in terms of acceptable physiological changes. The process of coordinating data and assembling the completed data book is described in this report.

  7. 9x15 Low Speed Wind Tunnel Improvements Update

    NASA Technical Reports Server (NTRS)

    Stephens, David

    2017-01-01

    The 9- by 15-Foot Low Speed Wind Tunnel (9x15 LSWT) at NASA Glenn Research Center was built in 1969 in the return leg of the 8- by 6-Foot Supersonic Wind Tunnel (8x6 SWT). The 9x15 LSWT was designed for performance testing of VSTOL aircraft models, but with the addition of the current acoustic treatment in 1986 the tunnel been used principally for acoustic and performance testing of aircraft propulsion systems. The present document describes an anticipated acoustic upgrade to be completed in 2018.

  8. Sub-Plate Overlap Code Documentation

    NASA Technical Reports Server (NTRS)

    Taff, L. G.; Bucciarelli, B.; Zarate, N.

    1997-01-01

    An expansion of the plate overlap method of astrometric data reduction to a single plate has been proposed and successfully tested. Each plate is (artificially) divided into sub-plates which can then be overlapped. This reduces the area of a 'plate' over which a plate model needs to accurately represent the relationship between measured coordinates and standard coordinates. Application is made to non-astrographic plates such as Schmidt plates and to wide-field astrographic plates. Indeed, the method is completely general and can be applied to any type of recording media.

  9. Technology Insertion (TI)/Industrial Process Improvement (IPI) Task Order Number 1. Data Base Documentation Book for WR-ALC/MANPSC (Bonded Honeycomb)

    DTIC Science & Technology

    1989-08-14

    for a long time In getting those required parts. 6-29-89 VR-ALC Model Validation Heeting Minutes Page Seven MANPSB • This Is a manufacturing RCC. • No...Manpower. 4. Training shop - mechanics get transferred to r-15 Shop. Ninutes of Brainstorming Session June 20. 1969 Horning Session Page Two 5. Two shifts...11. RCC KANPSB completes then ships to storage - delay 10 to 15 days to get the same part back In finlshing the repair. 12. Major repair coordination

  10. Users’ Manual and Validation of the Automated Grading System (AGS): Improving the Quality of Intelligence Summaries Using Feedback from an Unsupervised Model of Semantics

    DTIC Science & Technology

    2012-12-01

    trajectories in space, and are therefore very highly similar, and a cosine of 0 indicates that the two vectors are unrelated. The vector of a good summary...topic. The effectiveness of the AGS’s ability to automatically grade student assignment is completely dependent on a good match between this corpus...students to summarise “User Documents” that focused on fishing, then a good corpus would contain documents about the various types of fishing

  11. Documenting pharmacist interventions on an intranet.

    PubMed

    Simonian, Armen I

    2003-01-15

    The process of developing and implementing an intranet Web site for clinical intervention documentation is described. An inpatient pharmacy department initiated an organizationwide effort to improve documentation of interventions by pharmacists at its seven hospitals to achieve real-time capture of meaningful benchmarking data. Standardization of intervention types would allow the health system to contrast and compare medication use, process improvement, and patient care initiatives among its hospitals. After completing a needs assessment and reviewing current methodologies, a computerized tracking tool was developed in-house and integrated with the organization's intranet. Representatives from all hospitals agreed on content and functionality requirements for the Web site. The site was completed and activated in February 2002. Before this Web site was established, the most documented intervention types were Renal Adjustment and Clarify Dose, with a daily average of four and three, respectively. After site activation, daily averages for Renal Adjustment remained unchanged, but Clarify Dose is now documented nine times per day. Drug Information and i.v.-to-p.o. intervention types, which previously averaged less than one intervention per day, are now documented an average of four times daily. Approximately 91% of staff pharmacists are using this site. Future plans for this site include enhanced accessibility to the site with wireless personal digital assistants. The design and implementation of an intranet Web site to document pharmacists' interventions doubled the rate of intervention documentation and standardized the intervention types among hospitals in the health system.

  12. Automated Generation of Technical Documentation and Provenance for Reproducible Research

    NASA Astrophysics Data System (ADS)

    Jolly, B.; Medyckyj-Scott, D.; Spiekermann, R.; Ausseil, A. G.

    2017-12-01

    Data provenance and detailed technical documentation are essential components of high-quality reproducible research, however are often only partially addressed during a research project. Recording and maintaining this information during the course of a project can be a difficult task to get right as it is a time consuming and often boring process for the researchers involved. As a result, provenance records and technical documentation provided alongside research results can be incomplete or may not be completely consistent with the actual processes followed. While providing access to the data and code used by the original researchers goes some way toward enabling reproducibility, this does not count as, or replace, data provenance. Additionally, this can be a poor substitute for good technical documentation and is often more difficult for a third-party to understand - particularly if they do not understand the programming language(s) used. We present and discuss a tool built from the ground up for the production of well-documented and reproducible spatial datasets that are created by applying a series of classification rules to a number of input layers. The internal model of the classification rules required by the tool to process the input data is exploited to also produce technical documentation and provenance records with minimal additional user input. Available provenance records that accompany input datasets are incorporated into those that describe the current process. As a result, each time a new iteration of the analysis is performed the documentation and provenance records are re-generated to provide an accurate description of the exact process followed. The generic nature of this tool, and the lessons learned during its creation, have wider application to other fields where the production of derivative datasets must be done in an open, defensible, and reproducible way.

  13. A review of some problems in global-local stress analysis

    NASA Technical Reports Server (NTRS)

    Nelson, Richard B.

    1989-01-01

    The various types of local-global finite-element problems point out the need to develop a new generation of software. First, this new software needs to have a complete analysis capability, encompassing linear and nonlinear analysis of 1-, 2-, and 3-dimensional finite-element models, as well as mixed dimensional models. The software must be capable of treating static and dynamic (vibration and transient response) problems, including the stability effects of initial stress, and the software should be able to treat both elastic and elasto-plastic materials. The software should carry a set of optional diagnostics to assist the program user during model generation in order to help avoid obvious structural modeling errors. In addition, the program software should be well documented so the user has a complete technical reference for each type of element contained in the program library, including information on such topics as the type of numerical integration, use of underintegration, and inclusion of incompatible modes, etc. Some packaged information should also be available to assist the user in building mixed-dimensional models. An important advancement in finite-element software should be in the development of program modularity, so that the user can select from a menu various basic operations in matrix structural analysis.

  14. Dynamic reduction of dimensions of a document vector in a document search and retrieval system

    DOEpatents

    Jiao, Yu; Potok, Thomas E.

    2011-05-03

    The method and system of the invention involves processing each new document (20) coming into the system into a document vector (16), and creating a document vector with reduced dimensionality (17) for comparison with the data model (15) without recomputing the data model (15). These operations are carried out by a first computer (11) while a second computer (12) updates the data model (18), which can be comprised of an initial large group of documents (19) and is premised on the computing an initial data model (13, 14, 15) to provide a reference point for determining document vectors from documents processed from the data stream (20).

  15. A multi-agent system for monitoring patient flow.

    PubMed

    Rosati, Samanta; Tralli, Augusta; Balestra, Gabriella

    2013-01-01

    Patient flow within a healthcare facility may follow different and, sometimes, complicated paths. Each path phase is associated with the documentation of the activities carried out during it and may require the consultation of clinical guidelines, medical literature and the use of specific software and decision aid systems. In this study we present the design of a Patient Flow Management System (PFMS) based on Multi Agent Systems (MAS) methodology. System requirements were identified by means of process modeling tools and a MAS consisting of six agents was designed and is under construction. Its main goal is to support both the medical staff during the health care process and the hospital managers in assuring that all the required documentation is completed and available. Moreover, such a tool can be used for the assessment and comparison of different clinical pathways, in order to identify possible improvementsand the optimum patient flow.

  16. Best practices for the 3D documentation of the Grotta dei Cervi of Porto Badisco, Italy

    NASA Astrophysics Data System (ADS)

    Beraldin, J. A.; Picard, M.; Bandiera, A.; Valzano, V.; Negro, F.

    2011-03-01

    The Grotta dei Cervi is a Neolithic cave where human presence has left many unique pictographs on the walls of many of its chambers. It was closed for conservation reasons soon after its discovery in 1970. It is for these reasons that a 3D documentation was started. Two sets of high resolution and detailed three-dimensional (3D) acquisitions were captured in 2005 and 2009 respectively, along with two-dimensional (2D) images. From this information a textured 3D model was produced for most of the 300-m long central corridor. Carbon dating of the guano used for the pictographs and environmental monitoring (Temperature, Relative humidity, and Radon) completed the project. This paper presents this project, some results obtained up to now, the best practice that has emerged from this work and a description of the processing pipeline that deals with more than 27 billion 3D coordinates.

  17. Implementation of the Hammersmith Infant Neurological Examination in a High-Risk Infant Follow-Up Program.

    PubMed

    Maitre, Nathalie L; Chorna, Olena; Romeo, Domenico M; Guzzetta, Andrea

    2016-12-01

    High-risk infant follow-up programs provide early identification and referral for treatment of neurodevelopmental delays and impairments. In these programs, a standardized neurological examination is a critical component of evaluation for clinical and research purposes. To address primary challenges of provider educational diversity and standardized documentation, we designed an approach to training and implementation of the Hammersmith Infant Neurological Examination with precourse materials, a workshop model, and adaptation of the electronic medical record. Provider completion and documentation of a neurological examination were evaluated before and after Hammersmith Infant Neurological Examination training. Standardized training and implementation of the Hammersmith Infant Neurological Examination in a large high-risk infant follow-up is feasible and effective and allows for quantitative evaluation of neurological findings and developmental trajectories. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  18. 40 CFR Appendix V to Part 51 - Criteria for Determining the Completeness of Plan Submissions

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... an exact duplicate of the hard copy with changes indicated, signed documents need to be in portable document format, rules need to be in text format and files need to be submitted in manageable amounts (e.g...

  19. Computer Disaster Recovery Planning.

    ERIC Educational Resources Information Center

    Clark, Orvin R.

    Arguing that complete, reliable, up-to-date system documentation is critical for every data processing environment, this paper on computer disaster recovery planning begins by discussing the importance of such documentation both for recovering from a systems crash, and for system maintenance and enhancement. The various components of system…

  20. Arizona TeleMedicine Network: System Procurement Specifications.

    ERIC Educational Resources Information Center

    Atlantic Research Corp., Alexandria, VA.

    Providing general specifications and system descriptions for segments within the Arizona TeleMedicine Project (a telecommunication system designed to deliver health services to rurally isolated American Indians in Arizona), this document, when used with the appropriate route segment document, will completely describe the project's required…

  1. RAM simulation model for SPH/RSV systems

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

    Schryver, J.C.; Primm, A.H.; Nelson, S.C.

    1995-12-31

    The US Army`s Project Manager, Crusader is sponsoring the development of technologies that apply to the Self-Propelled Howitzer (SPH), formerly the Advanced Field Artillery System (AFAS), and Resupply Vehicle (RSV), formerly the Future Armored Resupply Vehicle (FARV), weapon system. Oak Ridge National Laboratory (ORNL) is currently performing developmental work in support of the SPH/PSV Crusader system. Supportive analyses of reliability, availability, and maintainability (RAM) aspects were also performed for the SPH/RSV effort. During FY 1994 and FY 1995 OPNL conducted a feasibility study to demonstrate the application of simulation modeling for RAM analysis of the Crusader system. Following completion ofmore » the feasibility study, a full-scale RAM simulation model of the Crusader system was developed for both the SPH and PSV. This report provides documentation for the simulation model as well as instructions in the proper execution and utilization of the model for the conduct of RAM analyses.« less

  2. Research on Generating Method of Embedded Software Test Document Based on Dynamic Model

    NASA Astrophysics Data System (ADS)

    Qu, MingCheng; Wu, XiangHu; Tao, YongChao; Liu, Ying

    2018-03-01

    This paper provides a dynamic model-based test document generation method for embedded software that provides automatic generation of two documents: test requirements specification documentation and configuration item test documentation. This method enables dynamic test requirements to be implemented in dynamic models, enabling dynamic test demand tracking to be easily generated; able to automatically generate standardized, standardized test requirements and test documentation, improved document-related content inconsistency and lack of integrity And other issues, improve the efficiency.

  3. The Completion Agenda, Community Colleges, and Civic Capacity

    ERIC Educational Resources Information Center

    Harbour, Clifford P.; Smith, Douglas A.

    2016-01-01

    In this article, we present a new critique of the Completion Agenda as inscribed in "Reclaiming the American dream," a policy document published in April 2012 by the American Association of Community Colleges. Our critique is grounded on the premise that community colleges should improve completion rates, but this should be motivated by…

  4. Cargo Movement Operations System (CMOS) Requirements Traceability Matrix, Version 3 Increment II

    DTIC Science & Technology

    1990-12-17

    above SCs should be documented. CMOS PMO ACCEPTS COMMENT: YES [ ] NO [ ] ERCI ACCEPTS COMMENT: YES [ ] NO [ ] COMMENT DISPOSITION: COMMENT STATUS: OPEN...These two documents should be in agreement with each other. CMOS PMO ACCEPTS COMMENT: YES [ ] NO [ ] ERCI ACCEPTS COMMENT: YES [ ] NO [ ] COMMENT DISPOSITION...completeness, they should be documented. CMOS PMO ACCEPTS COMMENT: YES [ ] NO [ ] ERCI ACCEPTS COMMENT: YES [ ] NO [ ] COMMENT DISPOSITION: COMMENT STATUS: OPEN

  5. Uav Surveying for a Complete Mapping and Documentation of Archaeological Findings. The Early Neolithic Site of Portonovo

    NASA Astrophysics Data System (ADS)

    Malinverni, E. S.; Conati Barbaro, C.; Pierdicca, R.; Bozzi, C. A.; Tassetti, A. N.

    2016-06-01

    The huge potential of 3D digital acquisition techniques for the documentation of archaeological sites, as well as the related findings, is almost well established. In spite of the variety of available techniques, a sole documentation pipeline cannot be defined a priori because of the diversity of archaeological settings. Stratigraphic archaeological excavations, for example, require a systematic, quick and low cost 3D single-surface documentation because the nature of stratigraphic archaeology compels providing documentary evidence of any excavation phase. Only within a destructive process each single excavation cannot be identified, documented and interpreted and this implies the necessity of a re- examination of the work on field. In this context, this paper describes the methodology, carried out during the last years, to 3D document the Early Neolithic site of Portonovo (Ancona, Italy) and, in particular, its latest step consisting in a photogrammetric aerial survey by means of UAV platform. It completes the previous research delivered in the same site by means of terrestrial laser scanning and close range techniques and sets out different options for further reflection in terms of site coverage, resolution and campaign cost. With the support of a topographic network and a unique reference system, the full documentation of the site is managed in order to detail each excavation phase; besides, the final output proves how the 3D digital methodology can be completely integrated with reasonable costs during the excavation and used to interpret the archaeological context. Further contribution of this work is the comparison between several acquisition techniques (i.e. terrestrial and aerial), which could be useful as decision support system for different archaeological scenarios. The main objectives of the comparison are: i) the evaluation of 3D mapping accuracy from different data sources, ii) the definition of a standard pipeline for different archaeological needs and iii) the provision of different level of detail according to the user needs.

  6. Level-2 Milestone 5213. CTS-1 Contract Award Completed

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

    Leininger, Matt

    2015-09-24

    This report documents the fact that the first commodity technology (CT) system contract award, CTS-1, has been completed. The description of the milestone is: Based on Tri-Lab CTS-1 process and review, LLNL successfully awards the procurement for the next-generation Tri-Lab Linux CTS-1. The milestone completion criterion is: Signed contract. The milestone was completed on September 24th. 2015.

  7. An interdisciplinary framework for participatory modeling design and evaluation—What makes models effective participatory decision tools?

    NASA Astrophysics Data System (ADS)

    Falconi, Stefanie M.; Palmer, Richard N.

    2017-02-01

    Increased requirements for public involvement in water resources management (WRM) over the past century have stimulated the development of more collaborative decision-making methods. Participatory modeling (PM) uses computer models to inform and engage stakeholders in the planning process in order to influence collaborative decisions in WRM. Past evaluations of participatory models focused on process and final outcomes, yet, were hindered by diversity of purpose and inconsistent documentation. This paper presents a two-stage framework for evaluating PM based on mechanisms for improving model effectiveness as participatory tools. The five dimensions characterize the "who, when, how, and why" of each participatory effort (stage 1). Models are evaluated as "boundary objects," a concept used to describe tools that bridge understanding and translate different bodies of knowledge to improve credibility, salience, and legitimacy (stage 2). This evaluation framework is applied to five existing case studies from the literature. Though the goals of participation can be diverse, the novel contribution of the two-stage proposed framework is the flexibility it has to evaluate a wide range of cases that differ in scope, modeling approach, and participatory context. Also, the evaluation criteria provide a structured vocabulary based on clear mechanisms that extend beyond previous process-based and outcome-based evaluations. Effective models are those that take advantage of mechanisms that facilitate dialogue and resolution and improve the accessibility and applicability of technical knowledge. Furthermore, the framework can help build more complete records and systematic documentation of evidence to help standardize the field of PM.

  8. Resurrecting Legacy Code Using Ontosoft Knowledge-Sharing and Digital Object Management to Revitalize and Reproduce Software for Groundwater Management Research

    NASA Astrophysics Data System (ADS)

    Kwon, N.; Gentle, J.; Pierce, S. A.

    2015-12-01

    Software code developed for research is often used for a relatively short period of time before it is abandoned, lost, or becomes outdated. This unintentional abandonment of code is a valid problem in the 21st century scientific process, hindering widespread reusability and increasing the effort needed to develop research software. Potentially important assets, these legacy codes may be resurrected and documented digitally for long-term reuse, often with modest effort. Furthermore, the revived code may be openly accessible in a public repository for researchers to reuse or improve. For this study, the research team has begun to revive the codebase for Groundwater Decision Support System (GWDSS), originally developed for participatory decision making to aid urban planning and groundwater management, though it may serve multiple use cases beyond those originally envisioned. GWDSS was designed as a java-based wrapper with loosely federated commercial and open source components. If successfully revitalized, GWDSS will be useful for both practical applications as a teaching tool and case study for groundwater management, as well as informing theoretical research. Using the knowledge-sharing approaches documented by the NSF-funded Ontosoft project, digital documentation of GWDSS is underway, from conception to development, deployment, characterization, integration, composition, and dissemination through open source communities and geosciences modeling frameworks. Information assets, documentation, and examples are shared using open platforms for data sharing and assigned digital object identifiers. Two instances of GWDSS version 3.0 are being created: 1) a virtual machine instance for the original case study to serve as a live demonstration of the decision support tool, assuring the original version is usable, and 2) an open version of the codebase, executable installation files, and developer guide available via an open repository, assuring the source for the application is accessible with version control and potential for new branch developments. Finally, metadata about the software has been completed within the OntoSoft portal to provide descriptive curation, make GWDSS searchable, and complete documentation of the scientific software lifecycle.

  9. Improving health care proxy documentation using a web-based interview through a patient portal

    PubMed Central

    Crotty, Bradley H; Kowaloff, Hollis B; Safran, Charles; Slack, Warner V

    2016-01-01

    Objective Health care proxy (HCP) documentation is suboptimal. To improve rates of proxy selection and documentation, we sought to develop and evaluate a web-based interview to guide patients in their selection, and to capture their choices in their electronic health record (EHR). Methods We developed and implemented a HCP interview within the patient portal of a large academic health system. We analyzed the experience, together with demographic and clinical factors, of the first 200 patients who used the portal to complete the interview. We invited users to comment about their experience and analyzed their comments using established qualitative methods. Results From January 20, 2015 to March 13, 2015, 139 of the 200 patients who completed the interview submitted their HCP information for their clinician to review in the EHR. These patients had a median age of 57 years (Inter Quartile Range (IQR) 45–67) and most were healthy. The 99 patients who did not previously have HCP information in their EHR were more likely to complete and then submit their information than the 101 patients who previously had a proxy in their health record (odds ratio 2.4, P = .005). Qualitative analysis identified several ways in which the portal-based interview reminded, encouraged, and facilitated patients to complete their HCP. Conclusions Patients found our online interview convenient and helpful in facilitating selection and documentation of an HCP. Our study demonstrates that a web-based interview to collect and share a patient’s HCP information is both feasible and useful. PMID:26568608

  10. Los Alamos National Laboratory Meteorology Monitoring Program: 2016 Data Completeness/ Quality Report

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

    Bruggeman, David Alan

    This report summarizes data completeness by tower and by instrument for 2016 and compares that data with the Los Alamos National Laboratory (LANL) and American National Standards Institute (ANSI) 2015 standards. This report is designed to make data users aware of data completeness and any data quality issues. LANL meteorology monitoring goals include 95% completeness for all measurements. The ANSI 2015 standard requires 90% completeness for all measurements. This report documents instrument/tower issues as they impact data completeness.

  11. D Cultural Heritage Documentation: a Comparison Between Different Photogrammetric Software and Their Products

    NASA Astrophysics Data System (ADS)

    Gagliolo, S.; Ausonio, E.; Federici, B.; Ferrando, I.; Passoni, D.; Sguerso, D.

    2018-05-01

    The conservation of Cultural Heritage depends on the availability of means and resources and, consequently, on the possibility to make effective operations of data acquisition. In facts, on the one hand the creation of data repositories allows the description of the present state-of-art, in order to preserve the testimonial value and to permit the fruition. On the other hand, data acquisition grants a metrical knowledge, which is particularly useful for a direct restoration of the surveyed objects, through the analysis of their 3D digital models. In the last decades, the continuous increase and improvement of 3D survey techniques and of tools for the geometric and digital data management have represented a great support to the development of documentary activities. In particular, Photogrammetry is a survey technique highly appropriate in the creation of data repositories in the field of Cultural Heritage, thanks to its advantages of cheapness, flexibility, speed, and the opportunity to ensure the operators' safety in hazardous areas too. In order to obtain a complete documentation, the high precision of the on-site operations must be coupled with an effective post-processing phase. Hence, a comparison among some of the photogrammetric software currently available was performed by the authors, with a particular attention to the workflow completeness and the final products quality.

  12. Promoting the Shared-Care Model for Adolescent and Young Adults With Cancer: Optimizing Referrals and Care Coordination With Primary Care Providers.

    PubMed

    Kinahan, Karen E; Kircher, Sheetal; Altman, Jessica; Rademaker, Alfred; Salsman, John M; Didwania, Aarati; O'Brien, Bridget; Patel, Alpa C; Sanford, Stacy D

    2017-01-01

    The "shared-care model" for patients with cancer involves care coordination between primary care providers (PCPs) and oncologists, with the goal of optimizing survivorship care. However, a high proportion of adolescent and young adult (AYA) cancer survivors do not have a PCP. Study objectives were to increase the percentage of AYAs with a PCP documented in the electronic medical record (EMR) via the use of a best practice advisory (BPA) or "stopgap" intervention; to increase communication between providers by the number of routed clinic notes; and to assess oncology providers' attitudes/beliefs about the model and intervention. Data were collected for the 6 months before implementation of the BPA to determine the percentage of AYAs with a PCP and the number of notes routed to providers (time point 1 [T1]). The same data were collected at time point 2 (T2) after the BPA had been implemented for 6 months. Oncology providers participated in an education video module and an online survey at T1 and a survey at T2. At T1, 47.1% of 756 AYAs had a documented PCP in the EMR. At T2, the percentage increased to 55.1% (P<.002). The number of routed notes did not change significantly from T1 to T2. Providers that completed the intervention survey agreed/strongly agreed that the shared-care model is a desirable model of care (T1 = 86%; T2 = 93%) and that a BPA is useful for facilitating PCP referrals (T1 = 76%; T2 = 39%). This BPA is feasible for increasing the percentage of AYAs with a PCP documented in the EMR and could potentially lead to increased PCP referral and communication among providers for the benefit of long-term survivorship care. Providers generally agree with the shared-care model; however, the BPA implementation requires modification. Copyright © 2017 by the National Comprehensive Cancer Network.

  13. 75 FR 82134 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-29

    ... Aviation Regulation. The pilot training requires a logbook endorsement and documentation of a training...) that established a standardized pilot training program. The collection of information is necessary to document participation, completion, and compliance with the pilot training program. Respondents...

  14. 7 CFR 37.1 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... applies for service under the regulations. Audit. A systematic review of the adequacy of program or system documentation, or the review of the completeness of implementation of a documented program or system. Auditor..., or any officer or employee of the Meat Grading and Certification Branch, Livestock and Seed Program...

  15. 48 CFR 1446.671 - Inspection, receiving and acceptance certification.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... INTERIOR CONTRACT MANAGEMENT QUALITY ASSURANCE Material Inspection and Receiving Reports § 1446.671... documentation shall be completed via manual or electronic means for each delivery of supplies or services in... except as noted below or on attached documents. ______ Signature and typed name of authorized Government...

  16. 48 CFR 1446.671 - Inspection, receiving and acceptance certification.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... INTERIOR CONTRACT MANAGEMENT QUALITY ASSURANCE Material Inspection and Receiving Reports § 1446.671... documentation shall be completed via manual or electronic means for each delivery of supplies or services in... except as noted below or on attached documents. ______ Signature and typed name of authorized Government...

  17. 48 CFR 1446.671 - Inspection, receiving and acceptance certification.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... INTERIOR CONTRACT MANAGEMENT QUALITY ASSURANCE Material Inspection and Receiving Reports § 1446.671... documentation shall be completed via manual or electronic means for each delivery of supplies or services in... except as noted below or on attached documents. ______ Signature and typed name of authorized Government...

  18. 48 CFR 1446.671 - Inspection, receiving and acceptance certification.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... INTERIOR CONTRACT MANAGEMENT QUALITY ASSURANCE Material Inspection and Receiving Reports § 1446.671... documentation shall be completed via manual or electronic means for each delivery of supplies or services in... except as noted below or on attached documents. ______ Signature and typed name of authorized Government...

  19. 48 CFR 1446.671 - Inspection, receiving and acceptance certification.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... INTERIOR CONTRACT MANAGEMENT QUALITY ASSURANCE Material Inspection and Receiving Reports § 1446.671... documentation shall be completed via manual or electronic means for each delivery of supplies or services in... except as noted below or on attached documents. ______ Signature and typed name of authorized Government...

  20. 10 CFR 434.520 - Speculative buildings.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... assumed lighting power allowance. 520.5 HVAC Systems and Equipment. If the HVAC system is not completely... construction of future HVAC systems and equipment. These assumptions shall be documented so that future HVAC... calculate the Design Energy Consumption must be documented so that the future installed lighting systems may...

  1. 10 CFR 434.520 - Speculative buildings.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... assumed lighting power allowance. 520.5HVAC Systems and Equipment. If the HVAC system is not completely... construction of future HVAC systems and equipment. These assumptions shall be documented so that future HVAC... calculate the Design Energy Consumption must be documented so that the future installed lighting systems may...

  2. 10 CFR 434.520 - Speculative buildings.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... assumed lighting power allowance. 520.5HVAC Systems and Equipment. If the HVAC system is not completely... construction of future HVAC systems and equipment. These assumptions shall be documented so that future HVAC... calculate the Design Energy Consumption must be documented so that the future installed lighting systems may...

  3. 10 CFR 434.520 - Speculative buildings.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... assumed lighting power allowance. 520.5HVAC Systems and Equipment. If the HVAC system is not completely... construction of future HVAC systems and equipment. These assumptions shall be documented so that future HVAC... calculate the Design Energy Consumption must be documented so that the future installed lighting systems may...

  4. 10 CFR 434.520 - Speculative buildings.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... assumed lighting power allowance. 520.5HVAC Systems and Equipment. If the HVAC system is not completely... construction of future HVAC systems and equipment. These assumptions shall be documented so that future HVAC... calculate the Design Energy Consumption must be documented so that the future installed lighting systems may...

  5. Connected Vehicle Pilot Deployment Program phase 1 : deployment readiness summary : New York City : final report.

    DOT National Transportation Integrated Search

    2016-09-09

    This document describes the Deployment Readiness Summary for the New York City (NYC) Connected Vehicle Pilot Deployment (CVPD) Project. It demonstrates the completion of Task 1-12 deliverables of Phase 1 by the NYC team. The document also addresses h...

  6. Capturing Reality at Centre Block

    NASA Astrophysics Data System (ADS)

    Boulanger, C.; Ouimet, C.; Yeomans, N.

    2017-08-01

    The Centre Block of Canada's Parliament buildings, National Historic Site of Canada is set to undergo a major rehabilitation project that will take approximately 10 years to complete. In preparation for this work, Heritage Conservation Services (HCS) of Public Services and Procurement Canada has been completing heritage documentation of the entire site which includes laser scanning of all interior rooms and accessible confined spaces such as attics and other similar areas. Other documentation completed includes detailed photogrammetric documentation of rooms and areas of high heritage value. Some of these high heritage value spaces present certain challenges such as accessibility due to the height and the size of the spaces. Another challenge is the poor lighting conditions, requiring the use of flash or strobe lighting to either compliment or completely eliminate the available ambient lighting. All the spaces captured at this higher level of detail were also captured with laser scanning. This allowed the team to validate the information and conduct a quality review of the photogrammetric data. As a result of this exercise, the team realized that in most, if not all cases, the photogrammetric data was more detailed and at a higher quality then the terrestrial laser scanning data. The purpose and motivation of this paper is to present these findings, as well provide the advantages and disadvantages of the two methods and data sets.

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

    Campbell, Philip LaRoche

    At the end of his life, Stephen Jay Kline, longtime professor of mechanical engineering at Stanford University, completed a book on how to address complex systems. The title of the book is 'Conceptual Foundations of Multi-Disciplinary Thinking' (1995), but the topic of the book is systems. Kline first establishes certain limits that are characteristic of our conscious minds. Kline then establishes a complexity measure for systems and uses that complexity measure to develop a hierarchy of systems. Kline then argues that our minds, due to their characteristic limitations, are unable to model the complex systems in that hierarchy. Computers aremore » of no help to us here. Our attempts at modeling these complex systems are based on the way we successfully model some simple systems, in particular, 'inert, naturally-occurring' objects and processes, such as what is the focus of physics. But complex systems overwhelm such attempts. As a result, the best we can do in working with these complex systems is to use a heuristic, what Kline calls the 'Guideline for Complex Systems.' Kline documents the problems that have developed due to 'oversimple' system models and from the inappropriate application of a system model from one domain to another. One prominent such problem is the Procrustean attempt to make the disciplines that deal with complex systems be 'physics-like.' Physics deals with simple systems, not complex ones, using Kline's complexity measure. The models that physics has developed are inappropriate for complex systems. Kline documents a number of the wasteful and dangerous fallacies of this type.« less

  8. SLS-SPEC-159 Cross-Program Design Specification for Natural Environments (DSNE) Revision D

    NASA Technical Reports Server (NTRS)

    Roberts, Barry C.

    2015-01-01

    This document is derived from the former National Aeronautics and Space Administration (NASA) Constellation Program (CxP) document CxP 70023, titled "The Design Specification for Natural Environments (DSNE), Revision C." The original document has been modified to represent updated Design Reference Missions (DRMs) for the NASA Exploration Systems Development (ESD) Programs. The DSNE completes environment-related specifications for architecture, system-level, and lower-tier documents by specifying the ranges of environmental conditions that must be accounted for by NASA ESD Programs. To assure clarity and consistency, and to prevent requirements documents from becoming cluttered with extensive amounts of technical material, natural environment specifications have been compiled into this document. The intent is to keep a unified specification for natural environments that each Program calls out for appropriate application. This document defines the natural environments parameter limits (maximum and minimum values, energy spectra, or precise model inputs, assumptions, model options, etc.), for all ESD Programs. These environments are developed by the NASA Marshall Space Flight Center (MSFC) Natural Environments Branch (MSFC organization code: EV44). Many of the parameter limits are based on experience with previous programs, such as the Space Shuttle Program. The parameter limits contain no margin and are meant to be evaluated individually to ensure they are reasonable (i.e., do not apply unrealistic extreme-on-extreme conditions). The natural environments specifications in this document should be accounted for by robust design of the flight vehicle and support systems. However, it is understood that in some cases the Programs will find it more effective to account for portions of the environment ranges by operational mitigation or acceptance of risk in accordance with an appropriate program risk management plan and/or hazard analysis process. The DSNE is not intended as a definition of operational models or operational constraints, nor is it adequate, alone, for ground facilities which may have additional requirements (for example, building codes and local environmental constraints). "Natural environments," as the term is used here, refers to the environments that are not the result of intended human activity or intervention. It consists of a variety of external environmental factors (most of natural origin and a few of human origin) which impose restrictions or otherwise impact the development or operation of flight vehicles and destination surface systems. These natural environments include the following types of environments: Terrestrial environments at launch, abort, and normal landing sites (winds, temperatures, pressures, surface roughness, sea conditions, etc.); Space environments (ionizing radiation, orbital debris, meteoroids, thermosphere density, plasma, solar, Earth, and lunar-emitted thermal radiation, etc.); Destination environments (Lunar surface and orbital, Mars atmosphere and surface, near Earth asteroids, etc.). Many of the environmental specifications in this document are based on models, data, and environment descriptions contained in the CxP 70044, Constellation Program Natural Environment Definition for Design (NEDD). The NEDD provides additional detailed environment data and model descriptions to support analytical studies for ESD Programs. For background information on specific environments and their effects on spacecraft design and operations, the environment models, and the data used to generate the specifications contained in the DSNE, the reader is referred to the NEDD paragraphs listed in each section of the DSNE. Also, most of the environmental specifications in this document are tied specifically to the ESD DRMs in ESD-10012, Revision B, Exploration Systems Development Concept of Operations (ConOps). Coordination between these environment specifications and the DRMs must be maintained. This document should be compatible with the current ESD DRMs, but updates to the mission definitions and variations in interpretation may require adjustments to the environment specifications.

  9. OpenMI: the essential concepts and their implications for legacy software

    NASA Astrophysics Data System (ADS)

    Gregersen, J. B.; Gijsbers, P. J. A.; Westen, S. J. P.; Blind, M.

    2005-08-01

    Information & Communication Technology (ICT) tools such as computational models are very helpful in designing river basin management plans (rbmp-s). However, in the scientific world there is consensus that a single integrated modelling system to support e.g. the implementation of the Water Framework Directive cannot be developed and that integrated systems need to be very much tailored to the local situation. As a consequence there is an urgent need to increase the flexibility of modelling systems, such that dedicated model systems can be developed from available building blocks. The HarmonIT project aims at precisely that. Its objective is to develop and implement a standard interface for modelling components and other relevant tools: The Open Modelling Interface (OpenMI) standard. The OpenMI standard has been completed and documented. It relies entirely on the "pull" principle, where data are pulled by one model from the previous model in the chain. This paper gives an overview of the OpenMI standard, explains the foremost concepts and the rational behind it.

  10. 40 CFR 52.1490 - Original identification of plan.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... measures. (ii) A modeling analysis indicating 1982 attainment. (iii) Documentation of the modeling analysis... agencies, (ii) Additional supporting documentation for the 1982 attainment modeling analysis which included... factors for the model. (iii) A revised 1982 attainment modeling analysis and supporting documentation...

  11. 40 CFR 52.1490 - Original identification of plan.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... measures. (ii) A modeling analysis indicating 1982 attainment. (iii) Documentation of the modeling analysis... agencies, (ii) Additional supporting documentation for the 1982 attainment modeling analysis which included... factors for the model. (iii) A revised 1982 attainment modeling analysis and supporting documentation...

  12. 40 CFR 52.1490 - Original identification of plan.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... measures. (ii) A modeling analysis indicating 1982 attainment. (iii) Documentation of the modeling analysis... agencies, (ii) Additional supporting documentation for the 1982 attainment modeling analysis which included... factors for the model. (iii) A revised 1982 attainment modeling analysis and supporting documentation...

  13. Impact of Homecare Electronic Health Record on Timeliness of Clinical Documentation, Reimbursement, and Patient Outcomes

    PubMed Central

    Bowles, K. H.; Adelsberger, M. C.; Chittams, J. L.; Liao, C.

    2014-01-01

    Summary Background Homecare is an important and effective way of managing chronic illnesses using skilled nursing care in the home. Unlike hospitals and ambulatory settings, clinicians visit patients at home at different times, independent of each other. Twenty-nine percent of 10,000 homecare agencies in the United States have adopted point-of-care EHRs. Yet, relatively little is known about the growing use of homecare EHRs. Objective Researchers compared workflow, financial billing, and patient outcomes before and after implementation to evaluate the impact of a homecare point-of-care EHR. Methods The design was a pre/post observational study embedded in a mixed methods study. The setting was a Philadelphia-based homecare agency with 137 clinicians. Data sources included: (1) clinician EHR documentation completion; (2) EHR usage data; (3) Medicare billing data; (4) an EHR Nurse Satisfaction survey; (5) clinician observations; (6) clinician interviews; and (7) patient outcomes. Results Clinicians were satisfied with documentation timeliness and team communication. Following EHR implementation, 90% of notes were completed within the 1-day compliance interval (n = 56,702) compared with 30% of notes completed within the 7-day compliance interval in the pre-implementation period (n = 14,563; OR 19, p <. 001). Productivity in the number of clinical notes documented post-implementation increased almost 10-fold compared to pre-implementation. Days to Medicare claims fell from 100 days pre-implementation to 30 days post-implementation, while the census rose. EHR implementation impact on patient outcomes was limited to some behavioral outcomes. Discussion Findings from this homecare EHR study indicated clinician EHR use enabled a sustained increase in productivity of note completion, as well as timeliness of documentation and billing for reimbursement with limited impact on improving patient outcomes. As EHR adoption increases to better meet the needs of the growing population of older people with chronic health conditions, these results can inform homecare EHR development and implementation. PMID:25024760

  14. Proposal of a “Checklist” for endodontic treatment

    PubMed Central

    Díaz-Flores–García, Víctor; Perea-Pérez, Bernardo; Santiago-Sáez, Andrés; Cisneros-Cabello, Rafael

    2014-01-01

    Objectives: On the basis of the “Surgical Checklist” proposed by the WHO, we propose a new Checklist model adapted to the procedures of endodontic treatment. Study Design: The proposed document contains 21 items which are broken down into two groups: those which must be verified before beginning the treatment, and those which must be verified after completing it, but before the patient leaves the dentist’s office. Results: The Checklist is an easy-to-use tool that requires little time but provides, order, logic and systematization by taking into account certain basic concepts to increase patient safety. Discussion: We believe that the result is a Checklist that is easy to complete and which ensure the fulfillment of the key points on patient safety in the field of endodontics. Key words:Checklist, endodontics, patient safety, adverse event. PMID:24790707

  15. Improving Army Basic Research: Report of an Expert Panel on the Future of Army Laboratories

    DTIC Science & Technology

    2012-01-01

    commercial use only. Unauthorized posting of RAND electronic documents to a non-RAND website is prohibited. RAND electronic documents are protected under...complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND documents to a non-RAND website is prohibited. RAND...Inspired senior scientists and technologists with vision will be essential in research as well as in the design , development, evaluation, and

  16. TRAC Searchable Research Library

    DTIC Science & Technology

    2016-05-01

    network accessible document repository for technical documents and similar document artifacts. We used a model-based approach using the Vector...demonstration and model refinement. 14. SUBJECT TERMS Knowledge Management, Document Repository , Digital Library, Vector Directional Data Model...27 Figure D1. Administrator Repository Upload Page. ................................................................... D-2 Figure D2

  17. Videofile for Law Enforcement

    NASA Technical Reports Server (NTRS)

    1977-01-01

    Components of a videotape storage and retrieval system originally developed for NASA have been adapted as a tool for law enforcement agencies. Ampex Corp., Redwood City, Cal., built a unique system for NASA-Marshall. The first application of professional broadcast technology to computerized record-keeping, it incorporates new equipment for transporting tapes within the system. After completing the NASA system, Ampex continued development, primarily to improve image resolution. The resulting advanced system, known as the Ampex Videofile, offers advantages over microfilm for filing, storing, retrieving, and distributing large volumes of information. The system's computer stores information in digital code rather than in pictorial form. While microfilm allows visual storage of whole documents, it requires a step before usage--developing the film. With Videofile, the actual document is recorded, complete with photos and graphic material, and a picture of the document is available instantly.

  18. 42 CFR 416.52 - Conditions for coverage-Patient admission, assessment and discharge.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... recently documented medical history and physical assessment, including documentation of any allergies to drugs and biologicals. (3) The patient's medical history and physical assessment must be placed in the... comprehensive medical history and physical assessment completed by a physician (as defined in section 1861(r) of...

  19. 48 CFR 13.501 - Special documentation requirements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 1 2011-10-01 2011-10-01 false Special documentation... and complete to the best of the contracting officer's knowledge and belief will serve as approval...; 69 FR 76352, Dec. 20, 2004; 70 FR 57457, Sept. 30, 2005; 71 FR 57360, 57366, Sept. 28, 2006; 75 FR...

  20. 48 CFR 13.501 - Special documentation requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Special documentation... and complete to the best of the contracting officer's knowledge and belief will serve as approval...; 69 FR 76352, Dec. 20, 2004; 70 FR 57457, Sept. 30, 2005; 71 FR 57360, 57366, Sept. 28, 2006; 75 FR...

  1. AIR QUALITY CRITERIA FOR PARTICULATE MATTER DOCUMENT

    EPA Science Inventory

    A Planning Document was produced by NCEA/RTP and reviewed by the Clean Air Scientific Advisory Committee (CASAC) (62 FR 55201, October 23, 1997). In FY99, a workshop draft of the PM AQCD was completed, a peer input workshop held, and an External Review Draft released for public ...

  2. Bidding Documents for Asbestos Abatement in Oklahoma Public Buildings.

    ERIC Educational Resources Information Center

    Oklahoma State Dept. of Education, Oklahoma City.

    All relevant specifications and forms for the removal of asbestos from Oklahoma public buildings are consolidated in this document. The specifications cover the entire procedure for asbestos removal beginning with solicitation for bids; contractor's responsibilities concerning date of completion, general cleanup, laying out work, wage scale, and…

  3. 42 CFR 416.52 - Conditions for coverage-Patient admission, assessment and discharge.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... recently documented medical history and physical assessment, including documentation of any allergies to drugs and biologicals. (3) The patient's medical history and physical assessment must be placed in the... comprehensive medical history and physical assessment completed by a physician (as defined in section 1861(r) of...

  4. 25 CFR 39.404 - What is the certification and verification process?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... (2) Compile a student roster that includes a complete list of all students by grade, days of... best of their knowledge or belief and is supported by appropriate documentation. (c) OIEP's education... accurate and is supported by program documentation: (1) The eligibility of every student; (2) The school's...

  5. Minimal Competency Exam Program.

    ERIC Educational Resources Information Center

    Griffith, E. H.

    The high school minimal competency examination described in this document is part one of a three-part program that requires that all students satisfactorily complete tests in reading, language arts, and mathematics prior to receiving a high school diploma. The document outlines the test development and assessment program and describes the plan for…

  6. What Works Clearinghouse[TM] Reporting Guide for Study Authors

    ERIC Educational Resources Information Center

    What Works Clearinghouse, 2012

    2012-01-01

    This document provides guidance about how to describe studies and report their findings in a way that is clear, complete, and transparent. This document does not include information about how studies are judged against What Works Clearinghouse evidence standards. For information about What Works Clearinghouse evidence standards, please refer to…

  7. Information Retrieval: A Sequential Learning Process.

    ERIC Educational Resources Information Center

    Bookstein, Abraham

    1983-01-01

    Presents decision-theoretic models which intrinsically include retrieval of multiple documents whereby system responds to request by presenting documents to patron in sequence, gathering feedback, and using information to modify future retrievals. Document independence model, set retrieval model, sequential retrieval model, learning model,…

  8. eVITAL: A Preliminary Taxonomy and Electronic Toolkit of Health-Related Habits and Lifestyle

    PubMed Central

    Salvador-Carulla, Luis; Olson Walsh, Carolyn; Alonso, Federico; Gómez, Rafael; de Teresa, Carlos; Cabo-Soler, José Ricardo; Cano, Antonio; Ruiz, Mencía

    2012-01-01

    Objectives. To create a preliminary taxonomy and related toolkit of health-related habits (HrH) following a person-centered approach with a focus on primary care. Methods. From 2003–2009, a working group (n = 6 physicians) defined the knowledge base, created a framing document, and selected evaluation tools using an iterative process. Multidisciplinary focus groups (n = 29 health professionals) revised the document and evaluation protocol and participated in a feasibility study and review of the model based on a demonstration study with 11 adult volunteers in Antequera, Spain. Results. The preliminary taxonomy contains 6 domains of HrH and 1 domain of additional health descriptors, 3 subdomains, 43 dimensions, and 141 subdimensions. The evaluation tool was completed by the 11 volunteers. The eVITAL toolkit contains history and examination items for 4 levels of engagement: self-assessment, basic primary care, extended primary care, and specialty care. There was positive feedback from the volunteers and experts, but concern about the length of the evaluation. Conclusions. We present the first taxonomy of HrH, which may aid the development of the new models of care such as the personal contextual factors of the International Classification of Functioning (ICF) and the positive and negative components of the multilevel person-centered integrative diagnosis model. PMID:22545016

  9. The development and evaluation of a nursing information system for caring clinical in-patient.

    PubMed

    Fang, Yu-Wen; Li, Chih-Ping; Wang, Mei-Hua

    2015-01-01

    The research aimed to develop a nursing information system in order to simplify the admission procedure for caring clinical in-patient, enhance the efficiency of medical information documentation. Therefore, by correctly delivering patients’ health records, and providing continues care, patient safety and care quality would be effectively improved. The study method was to apply Spiral Model development system to compose a nursing information team. By using strategies of data collection, working environment observation, applying use-case modeling, and conferences of Joint Application Design (JAD) to complete the system requirement analysis and design. The Admission Care Management Information System (ACMIS) mainly included: (1) Admission nursing management information system. (2) Inter-shift meeting information management system. (3) The linkage of drug management system and physical examination record system. The framework contained qualitative and quantitative components that provided both formative and summative elements of the evaluation. System evaluation was to apply information success model, and developed questionnaire of consisting nurses’ acceptance and satisfaction. The results of questionnaires were users’ satisfaction, the perceived self-involvement, age and information quality were positively to personal and organizational effectiveness. According to the results of this study, the Admission Care Management Information System was practical to simplifying clinic working procedure and effective in communicating and documenting admission medical information.

  10. Comparison of Spacecraft Contamination Models with Well-Defined Flight Experiment

    NASA Technical Reports Server (NTRS)

    Pippin, G. H.

    1998-01-01

    The report presents analyzed surface areas on particular experiment trays from the Long Duration Exposure Facility (LDEF) for silicone-based molecular contamination. The trays for examination were part of the Ultra-Heavy Cosmic Ray Experiment (UHCRE). These particular trays were chosen because each tray was identical to the others in construction, and the materials on each tray were well known, documented, and characterized. In particular, a known specific source of silicone contamination was present on each tray. Only the exposure conditions varied from tray to tray. The results of post-flight analyses of surfaces of three trays were compared with the predictions of the three different spacecraft molecular contamination models. Phase one tasks included: 1) documenting the detailed geometry of the hardware; 2) determining essential properties of the anodized aluminum, Velcro(Tm), silverized Teflon(Tm), silicone gaskets, and DC6-1104(Tm) silicone adhesive materials used to make the trays, tray covers, and thermal control blankets; 3) selecting and removing areas from each tray; and 4) beginning surface analysis of the selected tray walls. Phase two tasks included: 1) completion of surface analysis measurements of the selected tray surface, 2) obtaining auger depth profiles at selected locations, and 3) running versions of the ISEM, MOFLUX, and PLIMP (Plume Impingement) contamination prediction models and making comparisons with experimental results.

  11. Dissonance-Based Eating Disorder Prevention Program Reduces Reward Region Response to Thin Models; How Actions Shape Valuation

    PubMed Central

    Stice, Eric; Yokum, Sonja; Waters, Allison

    2015-01-01

    Research supports the effectiveness of a dissonance-based eating disorder prevention program wherein high-risk young women with body dissatisfaction critique the thin ideal, which reduces pursuit of this ideal, and the theory that dissonance induction contributes to these effects. Based on evidence that dissonance produces attitudinal change by altering neural representation of valuation, we tested whether completing the Body Project would reduce response of brain regions implicated in reward valuation to thin models. Young women with body dissatisfaction were randomized to this intervention or an educational control condition, completing assessments and fMRI scans while viewing images of thin versus average-weight female models at pre and post. Whole brain analyses indicated that, compared to controls, Body Project participants showed greater reductions in caudate response to images of thin versus average-weight models, though participants in the two conditions showed pretest differences in responsivity of other brain regions that might have contributed to this effect. Greater pre-post reductions in caudate and putamen response to thin models correlated with greater reductions in body dissatisfaction. The finding that the Body Project reduces caudate response to thin models provides novel preliminary evidence that this intervention reduces valuation of media images thought to contribute to body dissatisfaction and eating disorders, providing support for the intervention theory by documenting that this intervention alters an objective biological outcome. PMID:26641854

  12. Dissonance-Based Eating Disorder Prevention Program Reduces Reward Region Response to Thin Models; How Actions Shape Valuation.

    PubMed

    Stice, Eric; Yokum, Sonja; Waters, Allison

    2015-01-01

    Research supports the effectiveness of a dissonance-based eating disorder prevention program wherein high-risk young women with body dissatisfaction critique the thin ideal, which reduces pursuit of this ideal, and the theory that dissonance induction contributes to these effects. Based on evidence that dissonance produces attitudinal change by altering neural representation of valuation, we tested whether completing the Body Project would reduce response of brain regions implicated in reward valuation to thin models. Young women with body dissatisfaction were randomized to this intervention or an educational control condition, completing assessments and fMRI scans while viewing images of thin versus average-weight female models at pre and post. Whole brain analyses indicated that, compared to controls, Body Project participants showed greater reductions in caudate response to images of thin versus average-weight models, though participants in the two conditions showed pretest differences in responsivity of other brain regions that might have contributed to this effect. Greater pre-post reductions in caudate and putamen response to thin models correlated with greater reductions in body dissatisfaction. The finding that the Body Project reduces caudate response to thin models provides novel preliminary evidence that this intervention reduces valuation of media images thought to contribute to body dissatisfaction and eating disorders, providing support for the intervention theory by documenting that this intervention alters an objective biological outcome.

  13. Advanced imaging system

    NASA Technical Reports Server (NTRS)

    1992-01-01

    This document describes the Advanced Imaging System CCD based camera. The AIS1 camera system was developed at Photometric Ltd. in Tucson, Arizona as part of a Phase 2 SBIR contract No. NAS5-30171 from the NASA/Goddard Space Flight Center in Greenbelt, Maryland. The camera project was undertaken as a part of the Space Telescope Imaging Spectrograph (STIS) project. This document is intended to serve as a complete manual for the use and maintenance of the camera system. All the different parts of the camera hardware and software are discussed and complete schematics and source code listings are provided.

  14. The application of implementation science for pressure ulcer prevention best practices in an inpatient spinal cord injury rehabilitation program.

    PubMed

    Scovil, Carol Y; Flett, Heather M; McMillan, Lan T; Delparte, Jude J; Leber, Diane J; Brown, Jacquie; Burns, Anthony S

    2014-09-01

    To implement pressure ulcer (PU) prevention best practices in spinal cord injury (SCI) rehabilitation using implementation science frameworks. Quality improvement. SCI Rehabilitation Center. Inpatients admitted January 2012 to July 2013. Implementation of two PU best practices were targeted: (1) completing a comprehensive PU risk assessment and individualized interprofessional PU prevention plan (PUPP); and (2) providing patient education for PU prevention; as part of the pan-Canadian SCI Knowledge Mobilization Network. At our center, the SCI Pressure Ulcer Scale replaced the Braden risk assessment scale and an interprofessional PUPP form was implemented. Comprehensive educational programing existed, so efforts focused on improving documentation. Implementation science frameworks provided structure for a systematic approach to best practice implementation (BPI): (1) site implementation team, (2) implementation drivers, (3) stages of implementation, and (4) improvement cycles. Strategies were developed to address key implementation drivers (staff competency, organizational supports, and leadership) through the four stages of implementation: exploration, installation, initial implementation, and full implementation. Improvement cycles were used to address BPI challenges. Implementation processes (e.g. staff training) and BPI outcomes (completion rates). Following BPI, risk assessment completion rates improved from 29 to 82%. The PUPP completion rate was 89%. PU education was documented for 45% of patients (vs. 21% pre-implementation). Implementation science provided a framework and effective tools for successful pressure ulcer BPI in SCI rehabilitation. Ongoing improvement cycles will target timeliness of tool completion and documentation of patient education.

  15. Quality of cancer family history and referral for genetic counseling and testing among oncology practices: a pilot test of quality measures as part of the American Society of Clinical Oncology Quality Oncology Practice Initiative.

    PubMed

    Wood, Marie E; Kadlubek, Pamela; Pham, Trang H; Wollins, Dana S; Lu, Karen H; Weitzel, Jeffrey N; Neuss, Michael N; Hughes, Kevin S

    2014-03-10

    Family history of cancer (CFH) is important for identifying individuals to receive genetic counseling/testing (GC/GT). Prior studies have demonstrated low rates of family history documentation and referral for GC/GT. CFH quality and GC/GT practices for patients with breast (BC) or colon cancer (CRC) were assessed in 271 practices participating in the American Society of Clinical Oncology Quality Oncology Practice Initiative in fall 2011. A total of 212 practices completed measures regarding CFH and GC/GT practices for 10,466 patients; 77.4% of all medical records reviewed documented presence or absence of CFH in first-degree relatives, and 61.5% of medical records documented presence or absence of CFH in second-degree relatives, with significantly higher documentation for patients with BC compared with CRC. Age at diagnosis was documented for all relatives with cancer in 30.7% of medical records (BC, 45.2%; CRC, 35.4%; P ≤ .001). Referall for GC/GT occurred in 22.1% of all patients with BC or CRC. Of patients with increased risk for hereditary cancer, 52.2% of patients with BC and 26.4% of those with CRC were referred for GC/GT. When genetic testing was performed, consent was documented 77.7% of the time, and discussion of results was documented 78.8% of the time. We identified low rates of complete CFH documentation and low rates of referral for those with BC or CRC meeting guidelines for referral among US oncologists. Documentation and referral were greater for patients with BC compared with CRC. Education and support regarding the importance of accurate CFH and the benefits of proactive high-risk patient management are clearly needed.

  16. Strategy to Ensure Institutional Control Implementation at Superfund Sites

    EPA Pesticide Factsheets

    This document sets forth EPA’s strategy (Strategy) for ensuring that institutional controls (ICs) are successfully implemented at Superfund sites, with an emphasis on evaluating ICs at sites where all construction of all remedies is complete (construction complete sites).

  17. 7 CFR 1739.15 - Completed application.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... completed application must include the following documentation, studies, reports and information in form... sustainability. The applicant must provide a narrative description demonstrating the sustainability of the... sustainability of the Project. (h) A statement of experience. Information on the owners' and principal employees...

  18. Embedding Term Similarity and Inverse Document Frequency into a Logical Model of Information Retrieval.

    ERIC Educational Resources Information Center

    Losada, David E.; Barreiro, Alvaro

    2003-01-01

    Proposes an approach to incorporate term similarity and inverse document frequency into a logical model of information retrieval. Highlights include document representation and matching; incorporating term similarity into the measure of distance; new algorithms for implementation; inverse document frequency; and logical versus classical models of…

  19. Documentation of the GLAS fourth order general circulation model. Volume 1: Model documentation

    NASA Technical Reports Server (NTRS)

    Kalnay, E.; Balgovind, R.; Chao, W.; Edelmann, J.; Pfaendtner, J.; Takacs, L.; Takano, K.

    1983-01-01

    The volume 1, of a 3 volume technical memoranda which contains a documentation of the GLAS Fourth Order General Circulation Model is presented. Volume 1 contains the documentation, description of the stratospheric/tropospheric extension, user's guide, climatological boundary data, and some climate simulation studies.

  20. Digital Accessible Knowledge and well-inventoried sites for birds in Mexico: baseline sites for measuring faunistic change.

    PubMed

    Peterson, A Townsend; Navarro-Sigüenza, Adolfo G; Martínez-Meyer, Enrique

    2016-01-01

    Faunal change is a basic and fundamental element in ecology, biogeography, and conservation biology, yet vanishingly few detailed studies have documented such changes rigorously over decadal time scales. This study responds to that gap in knowledge, providing a detailed analysis of Digital Accessible Knowledge of the birds of Mexico, designed to marshal DAK to identify sites that were sampled and inventoried rigorously prior to the beginning of major global climate change (1980). We accumulated DAK records for Mexican birds from all relevant online biodiversity data portals. After extensive cleaning steps, we calculated completeness indices for each 0.05° pixel across the country; we also detected 'hotspots' of sampling, and calculated completeness indices for these broader areas as well. Sites were designated as well-sampled if they had completeness indices above 80% and >200 associated DAK records. We identified 100 individual pixels and 20 broader 'hotspots' of sampling that were demonstrably well-inventoried prior to 1980. These sites are catalogued and documented to promote and enable resurvey efforts that can document events of avifaunal change (and non-change) across the country on decadal time scales. Development of repeated surveys for many sites across Mexico, and particularly for sites for which historical surveys document their avifaunas prior to major climate change processes, would pay rich rewards in information about distributional dynamics of Mexican birds.

  1. Parents on the web: risks for quality management of cough in children.

    PubMed

    Pandolfini, C; Impicciatore, P; Bonati, M

    2000-01-01

    Health information on the Internet, with respect to common, self-limited childhood illnesses, has been found to be unreliable. Therefore, parents navigating on the Internet risk finding advice that is incomplete or, more importantly, not evidence-based. The importance that a resource such as the Internet as a source of quality health information for consumers should, however, be taken into consideration. For this reason, studies need to be performed regarding the quality of material provided. Various strategies have been proposed that would allow parents to distinguish trustworthy web documents from unreliable ones. One of these strategies is the use of a checklist for the appraisal of web pages based on their technical aspects. The purpose of this study was to assess the quality of information present on the Internet regarding the home management of cough in children and to examine the applicability of a checklist strategy that would allow consumers to select more trustworthy web pages. The Internet was searched for web pages regarding the home treatment of cough in children with the use of different search engines. Medline and the Cochrane database were searched for available evidence concerning the management of cough in children. Three checklists were created to assess different aspects of the web documents. The first checklist was designed to allow for a technical appraisal of the web pages and was based on components such as the name of the author and references used. The second was constructed to examine the completeness of the health information contained in the documents, such as causes and mechanism of cough, and pharmacological and nonpharmacological treatment. The third checklist assessed the quality of the information by measuring it against a gold standard document. This document was created by combining the policy statement issued by the American Academy of Pediatrics regarding the pharmacological treatment of cough in children with the guide of the World Health Organization on drugs for children. For each checklist, the web page contents were analyzed and quantitative measurements were assigned. Of the 19 web pages identified, 9 explained the purpose and/or mechanism of cough and 14 the causes. The most frequently mentioned pharmacological treatments were single-ingredient suppressant preparations, followed by single-ingredient expectorants. Dextromethorphan was the most commonly referred to suppressant and guaifenesin the most common expectorant. No documents discouraged the use of suppressants, although 4 of the 10 web documents that addressed expectorants discouraged their use. Sixteen web pages addressed nonpharmacological treatment, 14 of which suggested exposure to a humid environment and/or extra fluid. In most cases, the criteria in the technical appraisal checklist were not present in the web documents; moreover, 2 web pages did not provide any of the items. Regarding content completeness, 3 web pages satisfied all the requirements considered in the checklist and 2 documents did not meet any of the criteria. Of the 3 web pages that scored highest in technical aspect, 2 also supplied complete information. No relationship was found, however, between the technical aspect and the content completeness. Concerning the quality of the health information supplied, 10 pages received a negative score because they contained more incorrect than correct information, and 1 web page received a high score. This document was 1 of the 2 that also scored high in technical aspect and content completeness. No relationship was found, however, among quality of information, technical aspect, and content completeness. As the results of this study show, a parent navigating the Internet for information on the home management of cough in children will no doubt find incorrect advice among the search results. (ABSTRACT TRUNCATED)

  2. Hospital-Based Clinical Pharmacy Services to Improve Ambulatory Management of Chronic Obstructive Pulmonary Disease

    PubMed Central

    Smith, Amber Lanae; Palmer, Valerie; Farhat, Nada; Kalus, James S.; Thavarajah, Krishna; DiGiovine, Bruno; MacDonald, Nancy C.

    2016-01-01

    Background: No systematic evaluations of a comprehensive clinical pharmacy process measures currently exist to determine an optimal ambulatory care collaboration model for chronic obstructive pulmonary disease (COPD) patients. Objective: Describe the impact of a pharmacist-provided clinical COPD bundle on the management of COPD in a hospital-based ambulatory care clinic. Methods: This retrospective cohort analysis evaluated patients with COPD managed in an outpatient pulmonary clinic. The primary objective of this study was to assess the completion of 4 metrics known to improve the management of COPD: (1) medication therapy management, (2) quality measures including smoking cessation and vaccines, (3) patient adherence, and (4) patient education. The secondary objective was to evaluate the impact of the clinical COPD bundle on clinical and economic outcomes at 30 and 90 days post–initial visit. Results: A total of 138 patients were included in the study; 70 patients served as controls and 68 patients received the COPD bundle from the clinical pharmacist. No patients from the control group had all 4 metrics completed as documented, compared to 66 of the COPD bundle group (P < .0001). Additionally, a statistically significant difference was found in all 4 metrics when evaluated individually. Clinical pharmacy services reduced the number of phone call consults at 90 days (P = .04) but did not have a statistically significant impact on any additional pre-identified clinical outcomes. Conclusion: A pharmacist-driven clinical COPD bundle was associated with significant increases in the completion and documentation of 4 metrics known to improve the outpatient management of COPD.

  3. Simulator design for advanced ISDN satellite design and experiments

    NASA Technical Reports Server (NTRS)

    Pepin, Gerald R.

    1992-01-01

    This simulation design task completion report documents the simulation techniques associated with the network models of both the Interim Service ISDN (integrated services digital network) Satellite (ISIS) and the Full Service ISDN Satellite (FSIS) architectures. The ISIS network model design represents satellite systems like the Advanced Communication Technology Satellite (ACTS) orbiting switch. The FSIS architecture, the ultimate aim of this element of the Satellite Communications Applications Research (SCAR) program, moves all control and switching functions on-board the next generation ISDN communication satellite. The technical and operational parameters for the advanced ISDN communications satellite design will be obtained from the simulation of ISIS and FSIS engineering software models for their major subsystems. Discrete events simulation experiments will be performed with these models using various traffic scenarios, design parameters and operational procedures. The data from these simulations will be used to determine the engineering parameters for the advanced ISDN communications satellite.

  4. Models of volcanic eruption hazards

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

    Wohletz, K.H.

    1992-01-01

    Volcanic eruptions pose an ever present but poorly constrained hazard to life and property for geothermal installations in volcanic areas. Because eruptions occur sporadically and may limit field access, quantitative and systematic field studies of eruptions are difficult to complete. Circumventing this difficulty, laboratory models and numerical simulations are pivotal in building our understanding of eruptions. For example, the results of fuel-coolant interaction experiments show that magma-water interaction controls many eruption styles. Applying these results, increasing numbers of field studies now document and interpret the role of external water eruptions. Similarly, numerical simulations solve the fundamental physics of high-speed fluidmore » flow and give quantitative predictions that elucidate the complexities of pyroclastic flows and surges. A primary goal of these models is to guide geologists in searching for critical field relationships and making their interpretations. Coupled with field work, modeling is beginning to allow more quantitative and predictive volcanic hazard assessments.« less

  5. Influence of Shear Stiffness Degradation on Crack Paths in Uni-Directional Composite Laminates

    NASA Technical Reports Server (NTRS)

    Satyanarayana, Arunkumar; Bogert, Phil B.

    2017-01-01

    Influence of shear stiffness degradation in an element, due to damage, on crack paths in uni-directional laminates has been demonstrated. A new shear stiffness degradation approach to improve crack path prediction has been developed and implemented in an ABAQUS/Explicit frame work using VUMAT. Three progressive failure analysis models, built-in ABAQUS (TradeMark), original COmplete STress Reduction (COSTR) and the modified COSTR damage models have been utilized in this study to simulate crack paths in five unidirectional notched laminates, 15deg, 30deg, 45deg, 60deg and 75deg under uniaxial tension load. Results such as crack paths and load vs. edge displacement curves are documented in this report. Modified COSTR damage model shows better accuracy in predicting crack paths in all the uni-directional laminates compared to the ABAQUS (TradeMark) and the original COSTR damage models.

  6. Models of volcanic eruption hazards

    NASA Astrophysics Data System (ADS)

    Wohletz, K. H.

    Volcanic eruptions pose an ever present but poorly constrained hazard to life and property for geothermal installations in volcanic areas. Because eruptions occur sporadically and may limit field access, quantitative and systematic field studies of eruptions are difficult to complete. Circumventing this difficulty, laboratory models and numerical simulations are pivotal in building our understanding of eruptions. For example, the results of fuel-coolant interaction experiments show that magma-water interaction controls many eruption styles. Applying these results, increasing numbers of field studies now document and interpret the role of external water eruptions. Similarly, numerical simulations solve the fundamental physics of high-speed fluid flow and give quantitative predictions that elucidate the complexities of pyroclastic flows and surges. A primary goal of these models is to guide geologists in searching for critical field relationships and making their interpretations. Coupled with field work, modeling is beginning to allow more quantitative and predictive volcanic hazard assessments.

  7. Probabilistic Survivability Versus Time Modeling

    NASA Technical Reports Server (NTRS)

    Joyner, James J., Sr.

    2016-01-01

    This presentation documents Kennedy Space Center's Independent Assessment work completed on three assessments for the Ground Systems Development and Operations (GSDO) Program to assist the Chief Safety and Mission Assurance Officer during key programmatic reviews and provided the GSDO Program with analyses of how egress time affects the likelihood of astronaut and ground worker survival during an emergency. For each assessment, a team developed probability distributions for hazard scenarios to address statistical uncertainty, resulting in survivability plots over time. The first assessment developed a mathematical model of probabilistic survivability versus time to reach a safe location using an ideal Emergency Egress System at Launch Complex 39B (LC-39B); the second used the first model to evaluate and compare various egress systems under consideration at LC-39B. The third used a modified LC-39B model to determine if a specific hazard decreased survivability more rapidly than other events during flight hardware processing in Kennedy's Vehicle Assembly Building.

  8. Final report for Utah State's SciDAC CEMM contribution

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

    Dr. Eric Held

    2008-05-13

    This document represents a summary of work carried out at Utah State University in conjunction with the Center for Extended Magnetohyrodynamic Modeling (CEMM). The principal investigator, Dr. Eric Held, was aided in this work by two former graduate students, Drs. John James and Michael Addae-Kagyah, who completed their PhD's while being partially funded by CEMM monies. In addtion, Dr. Jeong-Young Ji, a postdoctoral researcher and Mukta Sharma, a graduate student were supported. The work associated with this grant focused on developing an efficient, hybrid fluid/kinetic model for fusion plasmas. Specifically, expressions for the parallel heat fluxes and stresses in magnetizedmore » plasmas were implemented and exercised in the NIMROD plasma fluid code.« less

  9. Selecting a Clinical Intervention Documentation System for an Academic Setting

    PubMed Central

    Andrus, Miranda; Hester, E. Kelly; Byrd, Debbie C.

    2011-01-01

    Pharmacists' clinical interventions have been the subject of a substantial body of literature that focuses on the process and outcomes of establishing an intervention documentation program within the acute care setting. Few reports describe intervention documentation as a component of doctor of pharmacy (PharmD) programs; none describe the process of selecting an intervention documentation application to support the complete array of pharmacy practice and experiential sites. The process that a school of pharmacy followed to select and implement a school-wide intervention system to document the clinical and financial impact of an experiential program is described. Goals included finding a tool that allowed documentation from all experiential sites and the ability to assign dollar savings (hard and soft) to all documented interventions. The paper provides guidance for other colleges and schools of pharmacy in selecting a clinical intervention documentation system for program-wide use. PMID:21519426

  10. Selecting a clinical intervention documentation system for an academic setting.

    PubMed

    Fox, Brent I; Andrus, Miranda; Hester, E Kelly; Byrd, Debbie C

    2011-03-10

    Pharmacists' clinical interventions have been the subject of a substantial body of literature that focuses on the process and outcomes of establishing an intervention documentation program within the acute care setting. Few reports describe intervention documentation as a component of doctor of pharmacy (PharmD) programs; none describe the process of selecting an intervention documentation application to support the complete array of pharmacy practice and experiential sites. The process that a school of pharmacy followed to select and implement a school-wide intervention system to document the clinical and financial impact of an experiential program is described. Goals included finding a tool that allowed documentation from all experiential sites and the ability to assign dollar savings (hard and soft) to all documented interventions. The paper provides guidance for other colleges and schools of pharmacy in selecting a clinical intervention documentation system for program-wide use.

  11. Driver alertness and fatigue : summary of completed research projects, 1995-98

    DOT National Transportation Integrated Search

    2000-01-01

    This document describes projects in the Federal Motor Carrier Safety Administration's (FMCSA) Driver Alertness and Fatigue Research and Technology (R&T) focus area that were completed during the years 1995 to 1998 under the former Office of Motor Car...

  12. Completion of development of robotics systems for inspecting unpiggable transmission pipelines.

    DOT National Transportation Integrated Search

    2013-02-01

    This document presents the final report for a program focusing on the completion of the : research, development and demonstration effort, which was initiated in 2001, for the : development of two robotic systems for the in-line, live inspection of un...

  13. Path generation algorithm for UML graphic modeling of aerospace test software

    NASA Astrophysics Data System (ADS)

    Qu, MingCheng; Wu, XiangHu; Tao, YongChao; Chen, Chao

    2018-03-01

    Aerospace traditional software testing engineers are based on their own work experience and communication with software development personnel to complete the description of the test software, manual writing test cases, time-consuming, inefficient, loopholes and more. Using the high reliability MBT tools developed by our company, the one-time modeling can automatically generate test case documents, which is efficient and accurate. UML model to describe the process accurately express the need to rely on the path is reached, the existing path generation algorithm are too simple, cannot be combined into a path and branch path with loop, or too cumbersome, too complicated arrangement generates a path is meaningless, for aerospace software testing is superfluous, I rely on our experience of ten load space, tailor developed a description of aerospace software UML graphics path generation algorithm.

  14. Modeling of outpatient prescribing process in iran: a gateway toward electronic prescribing system.

    PubMed

    Ahmadi, Maryam; Samadbeik, Mahnaz; Sadoughi, Farahnaz

    2014-01-01

    Implementation of electronic prescribing system can overcome many problems of the paper prescribing system, and provide numerous opportunities of more effective and advantageous prescribing. Successful implementation of such a system requires complete and deep understanding of work content, human force, and workflow of paper prescribing. The current study was designed in order to model the current business process of outpatient prescribing in Iran and clarify different actions during this process. In order to describe the prescribing process and the system features in Iran, the methodology of business process modeling and analysis was used in the present study. The results of the process documentation were analyzed using a conceptual model of workflow elements and the technique of modeling "As-Is" business processes. Analysis of the current (as-is) prescribing process demonstrated that Iran stood at the first levels of sophistication in graduated levels of electronic prescribing, namely electronic prescription reference, and that there were problematic areas including bottlenecks, redundant and duplicated work, concentration of decision nodes, and communicative weaknesses among stakeholders of the process. Using information technology in some activities of medication prescription in Iran has not eliminated the dependence of the stakeholders on paper-based documents and prescriptions. Therefore, it is necessary to implement proper system programming in order to support change management and solve the problems in the existing prescribing process. To this end, a suitable basis should be provided for reorganization and improvement of the prescribing process for the future electronic systems.

  15. Improving health care proxy documentation using a web-based interview through a patient portal.

    PubMed

    Bajracharya, Adarsha S; Crotty, Bradley H; Kowaloff, Hollis B; Safran, Charles; Slack, Warner V

    2016-05-01

    Health care proxy (HCP) documentation is suboptimal. To improve rates of proxy selection and documentation, we sought to develop and evaluate a web-based interview to guide patients in their selection, and to capture their choices in their electronic health record (EHR). We developed and implemented a HCP interview within the patient portal of a large academic health system. We analyzed the experience, together with demographic and clinical factors, of the first 200 patients who used the portal to complete the interview. We invited users to comment about their experience and analyzed their comments using established qualitative methods. From January 20, 2015 to March 13, 2015, 139 of the 200 patients who completed the interview submitted their HCP information for their clinician to review in the EHR. These patients had a median age of 57 years (Inter Quartile Range (IQR) 45-67) and most were healthy. The 99 patients who did not previously have HCP information in their EHR were more likely to complete and then submit their information than the 101 patients who previously had a proxy in their health record (odds ratio 2.4, P = .005). Qualitative analysis identified several ways in which the portal-based interview reminded, encouraged, and facilitated patients to complete their HCP. Patients found our online interview convenient and helpful in facilitating selection and documentation of an HCP. Our study demonstrates that a web-based interview to collect and share a patient's HCP information is both feasible and useful. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  16. Initial Results from the Bloomsburg University Goniometer Laboratory

    NASA Technical Reports Server (NTRS)

    Shepard, M. K.

    2002-01-01

    The Bloomsburg University Goniometer Laboratory (B.U.G. Lab) consists of three systems for studying the photometric properties of samples. The primary system is an automated goniometer capable of measuring the entire bi-directional reflectance distribution function (BRDF) of samples. Secondary systems include a reflectance spectrometer and digital video camera with macro zoom lens for characterizing and documenting other physical properties of measured samples. Works completed or in progress include the characterization of the BRDF of calibration surfaces for the 2003 Mars Exploration Rovers (MER03), Martian analog soils including JSC-Mars-1, and tests of photometric models.

  17. A simulation of the instrument pointing system for the Astro-1 mission

    NASA Technical Reports Server (NTRS)

    Whorton, M.; West, M.; Rakoczy, J.

    1991-01-01

    NASA has recently completed a shuttle-borne stellar ultraviolet astronomy mission known as Astro-1. A three axis instrument pointing system (IPS) was employed to accurately point the science instruments. In order to analyze the pointing control system and verify pointing performance, a simulation of the IPS was developed using the multibody dynamics software TREETOPS. The TREETOPS IPS simulation is capable of accurately modeling the multibody IPS system undergoing large angle, nonlinear motion. The simulation is documented and example cases are presented demonstrating disturbance rejection, fine pointing operations, and multiple target pointing and slewing of the IPS.

  18. A general solution for the registration of optical multispectral scanners

    NASA Technical Reports Server (NTRS)

    Rader, M. L.

    1974-01-01

    The paper documents a general theory for registration (mapping) of data sets gathered by optical scanners such as the ERTS satellite MSS and the Skylab S-192 MSS. This solution is generally applicable to scanners which have rotating optics. Navigation data and ground control points are used in a statistically weighted adjustment based on a mathematical model of the dynamics of the spacecraft and the scanner system. This adjustment is very similar to the well known photogrammetric adjustments used in aerial mapping. Actual tests have been completed on NASA aircraft 24 channel MSS data, and the results are very encouraging.

  19. Medical record keeping and system performance in orthopaedic trauma patients.

    PubMed

    Cosic, Filip; Kimmel, Lara; Edwards, Elton

    2016-01-01

    Objective The medical record is critical for documentation and communication between healthcare professionals. The aim of the present study was to evaluate important aspects of the orthopaedic medical record and system performance to determine whether any deficiencies exist in these areas. Methods Review of 200 medical records of surgically treated traumatic lower limb injury patients was undertaken. The operative report, discharge summary and first and second outpatient reviews were evaluated. Results In all cases, an operative report was completed by a senior surgeon. Weight-bearing status was adequately documented in 91% of reports. Discharge summaries were completed for 82.5% of admissions, with 87.3% of these having instructions reflective of those in the operative report. Of first and second outpatient reviews, 69% and 73%, respectively, occurred within 1 week of the requested time. Previously documented management plans were changed in 30% of reviews. At 6-months post-operatively, 42% of patients had been reviewed by a member of their operating team. Discussion Orthopaedic medical record documentation remains an area for improvement. In addition, hospital out-patient systems perform suboptimally and may affect patient outcomes. What is known about the topic? Medical records are an essential tool in modern medical practice. Despite the importance of comprehensive documentation in the medical record, numerous examples of poor documentation have been demonstrated, including substandard documentation during consultant ward rounds by junior doctors leading to a breakdown in healthcare professional communication and potential patient mismanagement. Further inadequacies of medical record documentation have been demonstrated in surgical discharge notes, with complete and correct documentation reported to be as low as 65%. What does this paper add? Standards of patient care should be constantly monitored and deficiencies identified in order to implement a remedy and close the quality loop. The present study has highlighted that the standard of orthopaedic trauma medical record keeping at an Australian Level 1 trauma centre is below what is expected and several key areas of documentation require improvement. This paper further evaluates the system performance of the out-patient system, an area where, to the authors knowledge, there is no previous work published. The findings show that the performance was below what is expected for surgical review, with many patients failing to be reviewed by their operating surgeon. What are the implications for practitioners? The present study shows that there is a poor level of documentation and a standard of out-patient review below what is expected. The implications of these findings will be to highlight current deficiencies to practitioners and promote change in current practice to improve the quality of medical record documentation among medical staff. Further, the findings of poor system performance will promote change in the current system of delivering out-patient care to patients.

  20. Efforts to integrate CMIP metadata and standards into NOAA-GFDL's climate model workflow

    NASA Astrophysics Data System (ADS)

    Blanton, C.; Lee, M.; Mason, E. E.; Radhakrishnan, A.

    2017-12-01

    Modeling centers participating in CMIP6 run model simulations, publish requested model output (conforming to community data standards), and document models and simulations using ES-DOC. GFDL developed workflow software implementing some best practices to meet these metadata and documentation requirements. The CMIP6 Data Request defines the variables that should be archived for each experiment and specifies their spatial and temporal structure. We used the Data Request's dreqPy python library to write GFDL model configuration files as an alternative to hand-crafted tables. There was also a largely successful effort to standardize variable names within the model to reduce the additional overhead of translating "GFDL to CMOR" variables at a later stage in the pipeline. The ES-DOC ecosystem provides tools and standards to create, publish, and view various types of community-defined CIM documents, most notably model and simulation documents. Although ES-DOC will automatically create simulation documents during publishing by harvesting NetCDF global attributes, the information must be collected, stored, and placed in the NetCDF files by the workflow. We propose to develop a GUI to collect the simulation document precursors. In addition, a new MIP for CMIP6-CPMIP, a comparison of computational performance of climate models-is documented using machine and performance CIM documents. We used ES-DOC's pyesdoc python library to automatically create these machine and performance documents. We hope that these and similar efforts will become permanent features of the GFDL workflow to facilitate future participation in CMIP-like activities.

  1. What Works Clearinghouse Study Review Guide Instructions for Reviewing Single-Case Designs Studies

    ERIC Educational Resources Information Center

    What Works Clearinghouse, 2016

    2016-01-01

    This document provides step-by-step instructions on how to complete the Study Review Guide (SRG, Version S3, V2) for single-case designs (SCDs). Reviewers will complete an SRG for every What Works Clearinghouse (WWC) review. A completed SRG should be a reviewer's independent assessment of the study, relative to the criteria specified in the review…

  2. Labor Market Experiences after Postsecondary Education: Earnings and Other Outcomes of Florida's Postsecondary Graduates and Completers

    ERIC Educational Resources Information Center

    Schneider, Mark

    2015-01-01

    This report results from a partnership between the State of Florida and College Measures. It focuses on the median first-year earnings of recent graduates and completers from Florida's public postsecondary educational institutions: SUS, FCS, and DTCs. The report documents the variation in first-year earnings for completers who earned degrees or…

  3. Research ethics board approval for an international thromboprophylaxis trial.

    PubMed

    Lutz, Kristina; Wilton, Kelly; Zytaruk, Nicole; Julien, Lisa; Hall, Richard; Harvey, Johanne; Skrobik, Yoanna; Vlahakis, Nicholas; Meade, Laurie; Matte, Andrea; Meade, Maureen; Burns, Karen; Albert, Martin; Cash, Bronwyn Barlow; Vallance, Shirley; Klinger, James; Heels-Ansdell, Diane; Cook, Deborah

    2012-06-01

    Research ethics board (REB) review of scientific protocols is essential, ensuring participants' dignity, safety, and rights. The objectives of this study were to examine the time from submission to approval, to analyze predictors of approval time, and to describe the scope of conditions from REBs evaluating an international thromboprophylaxis trial. We generated survey items through literature review and investigators' discussions, creating 4 domains: respondent and institutional demographics, the REB application process, and alternate consent models. We conducted a document analysis that involved duplicate assessment of themes from REB critique of the protocol and informed consent forms (ICF). Approval was granted from 65 REB institutions, requiring 58 unique applications. We analyzed 44 (75.9%) of 58 documents and surveys. Survey respondents completing the applications had 8 (5-12) years of experience; 77% completed 4 or more REB applications in previous 5 years. Critical care personnel were represented on 54% of REBs. The time to approval was a median (interquartile range) of 75 (42, 150) days, taking longer for sites with national research consortium membership (89.1 vs 31.0 days, P = .03). Document analysis of the application process and ICF yielded 5 themes: methodology, data management, consent procedures, cataloguing, and miscellaneous. Protocol-specific themes focused on trial implementation, external critiques, and budget. The only theme specific to the ICF was risks and benefits. The most frequent comments on the protocol and ICF were about methodology and miscellaneous issues; ICF comments also addressed study risks and benefits. More studies on methods to enhance efficiency and consistency of the REB approval processes for clinical trials are needed while still maintaining high ethical standards. Copyright © 2012 Elsevier Inc. All rights reserved.

  4. Correlates of human papillomavirus vaccination rates in low-income, minority adolescents: a multicenter study.

    PubMed

    Perkins, Rebecca B; Brogly, Susan B; Adams, William G; Freund, Karen M

    2012-08-01

    Low rates of human papillomavirus (HPV) vaccination in low-income, minority adolescents may exacerbate racial disparities in cervical cancer incidence. Using electronic medical record data and chart abstraction, we examined correlates of HPV vaccine series initiation and completion among 7702 low-income and minority adolescents aged 11-21 receiving primary care at one of seven medical centers between May 1, 2007, and June 30, 2009. Our population included 61% African Americans, 13% Caucasians, 15% Latinas, and 11% other races; 90% receive public insurance (e.g., Medicaid). We used logistic regression to estimate the associations between vaccine initiation and completion and age, race/ethnicity, number of contacts with the healthcare system, provider documentation, and clinical site of care. Of the 41% of adolescent girls who initiated HPV vaccination, 20% completed the series. A higher proportion of girls aged 11-<13 (46%) and 13-<18 (47%) initiated vaccination than those aged 18-21 (28%). In adjusted analyses, receipt of other recommended adolescent vaccines was associated with vaccine initiation, and increased contact with the medical system was associated with both initiation and completion of the series. Conversely, provider failure to document risky health behaviors predicted nonvaccination. Manual review of a subset of unvaccinated patients' charts revealed no documentation of vaccine discussions in 67% of cases. Fewer than half of low-income and minority adolescents receiving health maintenance services initiated HPV vaccination, and only 20% completed the series. Provider failure to discuss vaccination with their patients appears to be an important contributor to nonvaccination. Future research should focus on improving both initiation and completion of HPV vaccination in high-risk adolescents.

  5. 15 CFR 971.802 - Public disclosure of documents received by NOAA.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... received by NOAA. 971.802 Section 971.802 Commerce and Foreign Trade Regulations Relating to Commerce and... Miscellaneous § 971.802 Public disclosure of documents received by NOAA. (a) Purpose. This section provides a... assure that NOAA has a complete and proper basis for determining the legality and appropriateness of...

  6. 15 CFR 971.802 - Public disclosure of documents received by NOAA.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... received by NOAA. 971.802 Section 971.802 Commerce and Foreign Trade Regulations Relating to Commerce and... Miscellaneous § 971.802 Public disclosure of documents received by NOAA. (a) Purpose. This section provides a... assure that NOAA has a complete and proper basis for determining the legality and appropriateness of...

  7. 15 CFR 971.802 - Public disclosure of documents received by NOAA.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... received by NOAA. 971.802 Section 971.802 Commerce and Foreign Trade Regulations Relating to Commerce and... Miscellaneous § 971.802 Public disclosure of documents received by NOAA. (a) Purpose. This section provides a... assure that NOAA has a complete and proper basis for determining the legality and appropriateness of...

  8. 75 FR 32860 - Regulatory Guidance Concerning the Preparation of Drivers' Record of Duty Status To Document...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-10

    ... motor carrier of a scanned image of the original record; the driver would retain the original while the carrier maintains the electronic scanned electronic image along with any supporting documents. [[Page... plans to implement a new approach for receiving and processing RODS. Its drivers would complete their...

  9. 48 CFR 13.501 - Special documentation requirements.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 1 2012-10-01 2012-10-01 false Special documentation... justification is accurate and complete to the best of the contracting officer's knowledge and belief will serve..., Jan. 27, 2003; 69 FR 8314, Feb. 23, 2004; 69 FR 76352, Dec. 20, 2004; 70 FR 57457, Sept. 30, 2005; 71...

  10. 48 CFR 13.501 - Special documentation requirements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 1 2013-10-01 2013-10-01 false Special documentation... justification is accurate and complete to the best of the contracting officer's knowledge and belief will serve..., Jan. 27, 2003; 69 FR 8314, Feb. 23, 2004; 69 FR 76352, Dec. 20, 2004; 70 FR 57457, Sept. 30, 2005; 71...

  11. 32 CFR 1900.44 - Action by appeals authority.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... complete record of the request consisting of the request, the document(s) (sanitized and full text) at... Panel. (c) Decision by the Historical Records Policy Board. In any cases of divided vote by the ARP, any member of that body is authorized to refer the request to the CIA Historical Records Policy Board which...

  12. Annotated Bibliography of Human Factors Laboratory Reports (1945-1968) Supplement #4, 1979-1983.

    ERIC Educational Resources Information Center

    Naval Training Equipment Center, Orlando, FL. Human Factors Lab.

    A complete bibliographic reference and an abstract are provided for each of 66 publications of the Human Factors Laboratory from 1979 through 1983, including in-house and contractor-developed documents. Documents are indexed by source, author, and subject matter. Publications address such topics as adaptive training, air combat maneuvering,…

  13. Integrating Vocational Competencies and Math Skills. Industrial Education.

    ERIC Educational Resources Information Center

    Missouri Univ., Columbia. Instructional Materials Lab.

    This document is designed to help teachers identify those math skills that students must master to complete the vocational competencies taught in industrial education classes. Included in the document are 10 program area/math skills matrices that were developed as a result of a research development project during which secondary-level Missouri…

  14. The Wildland Fire Decision Support System: Integrating science, technology, and fire management

    Treesearch

    Morgan Pence; Tom Zimmerman

    2011-01-01

    Federal agency policy requires documentation and analysis of all wildland fire response decisions. In the past, planning and decision documentation for fires were completed using multiple unconnected processes, yielding many limitations. In response, interagency fire management executives chartered the development of the Wildland Fire Decision Support System (WFDSS)....

  15. Cardiopulmonary data acquisition system. Version 2.0, volume 2: Detailed software/hardware documentation

    NASA Technical Reports Server (NTRS)

    1980-01-01

    Detailed software and hardware documentation for the Cardiopulmonary Data Acquisition System is presented. General wiring and timing diagrams are given including those for the LSI-11 computer control panel and interface cables. Flowcharts and complete listings of system programs are provided along with the format of the floppy disk file.

  16. 77 FR 8892 - Detailed Planning To Consider Additional Land Protection on the Missouri River From Fort Randall...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-15

    ... governments, and the public of our intentions and to obtain suggestions and information on the scope of issues to include in the environmental documents. Special mailings, newspaper articles, and other media... information necessary to complete detailed planning and prepare associated documents under the National...

  17. Investigating Learning through Work: Learning Environment Scale & User Guide to the Provider. Support Document

    ERIC Educational Resources Information Center

    Hawke, Geof; Chappell, Clive

    2008-01-01

    This Support Document was produced by the authors based on their research for the report, "Investigating Learning through Work: The Development of the 'Provider Learning Environment Scale'" (ED503392). It provides readers with a complete copy of the "Provider Learning Environment Scale" (version 2.0); and an accompanying user…

  18. Nurses' Perceptions of Nursing Care Documentation in the Electronic Health Record

    ERIC Educational Resources Information Center

    Jensen, Tracey A.

    2013-01-01

    Electronic health records (EHRs) will soon become the standard for documenting nursing care. The EHR holds the promise of rapid access to complete records of a patient's encounter with the healthcare system. It is the expectation that healthcare providers input essential data that communicates important patient information to support quality…

  19. 49 CFR 1104.6 - Timely filing required.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... offers next day delivery to Washington, DC. If the e-filing option is chosen (for those pleadings and documents that are appropriate for e-filing, as determined by reference to the information on the Board's Web site), then the e-filed pleading or document is timely filed if the e-filing process is completed...

  20. The Uncounted Poor: An Ethnological Excursion to an Institution.

    ERIC Educational Resources Information Center

    Roth, William

    The upcoming Bureau of the Census document titled, "The Survey of Institutionalized Persons" will provide complete information and data on long-term institutional care. Because this document provides data basically devoid of context, this discussion paper presents an ethnology of a total institution. In it, the author conveys his impressions and…

  1. 77 FR 64184 - Requested Administrative Waiver of the Coastwise Trade Laws: Vessel FINALLY ENOUGH; Invitation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-18

    ... will be available for inspection and copying at the above address between 10 a.m. and 5 p.m., E.T., Monday through Friday, except federal holidays. An electronic version of this document and all documents..., entertainment and sport fishing. Geographic Region: ``California, Oregon and Washington.'' The complete...

  2. 15 CFR 971.802 - Public disclosure of documents received by NOAA.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... received by NOAA. 971.802 Section 971.802 Commerce and Foreign Trade Regulations Relating to Commerce and... Miscellaneous § 971.802 Public disclosure of documents received by NOAA. (a) Purpose. This section provides a... assure that NOAA has a complete and proper basis for determining the legality and appropriateness of...

  3. 17 CFR 3.2 - Registration processing by the National Futures Association; notification and duration of...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... fingerprint card or other document required by this part to be filed with both the Commission and the National... legible, accurate, and complete photocopy of that form, schedule, supplement, fingerprint card, or other... date is required on the original form, schedule, supplement, fingerprint card, or other document. (c...

  4. 17 CFR 3.2 - Registration processing by the National Futures Association; notification and duration of...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... fingerprint card or other document required by this part to be filed with both the Commission and the National... legible, accurate, and complete photocopy of that form, schedule, supplement, fingerprint card, or other... date is required on the original form, schedule, supplement, fingerprint card, or other document. (c...

  5. 17 CFR 3.2 - Registration processing by the National Futures Association; notification and duration of...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... fingerprint card or other document required by this part to be filed with both the Commission and the National... legible, accurate, and complete photocopy of that form, schedule, supplement, fingerprint card, or other... date is required on the original form, schedule, supplement, fingerprint card, or other document. (c...

  6. 17 CFR 3.2 - Registration processing by the National Futures Association; notification and duration of...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... fingerprint card or other document required by this part to be filed with both the Commission and the National... legible, accurate, and complete photocopy of that form, schedule, supplement, fingerprint card, or other... date is required on the original form, schedule, supplement, fingerprint card, or other document. (c...

  7. Alternative Compliance: Guidelines for Preparing and Submitting a Waiver Request Application and Other Documentation Requirements

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

    Not Available

    2013-03-01

    This document is designed to assist covered fleets interested in taking advantage of more flexible compliance options and to facilitate the transition from Standard Compliance to Alternative Compliance. It is designed to help fleets better understand the Alternative Compliance option and successfully complete the waiver application process.

  8. Alternative Compliance: Guidelines for Preparing and Submitting a Waiver Request Application and Other Documentation Requirements (Brochure)

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

    Not Available

    2014-06-01

    This document is designed to assist covered fleets interested in taking advantage of more flexible compliance options and to facilitate the transition from Standard Compliance to Alternative Compliance. It is designed to help fleets better understand the Alternative Compliance option and successfully complete the waiver application process.

  9. Alternative Compliance: Guidelines for Preparing and Submitting a Waiver Request Application and Other Documentation Requirements

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

    Sears, Ted

    2014-06-01

    This document is designed to assist covered fleets interested in taking advantage of more flexible compliance options and to facilitate the transition from Standard Compliance to Alternative Compliance. It is designed to help fleets better understand the Alternative Compliance option and successfully complete the waiver application process.

  10. Alternative Compliance: Guidelines for Preparing and Submitting a Waiver Request Application and Other Documentation Requirements (Book)

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

    Not Available

    2010-11-01

    This document is designed to assist covered fleets interested in taking advantage of more flexible compliance options and to facilitate the transition from Standard Compliance to Alternative Compliance. It is designed to help fleets better understand the Alternative Compliance option and successfully complete the waiver application process.

  11. Sandia National Laboratories Hazardous Waste (RCRA) Information Repository

    Science.gov Websites

    Albuquerque New Mexico. Hard copies of the documents are available for review at Zimmerman Library, located prefer to receive hard copy notices of updates, please download subscription form and mail this completed Select the 'print' button to get a hard copy of your document listings. Instructions for Zimmerman

  12. 2010-11 Research Portfolio: Research & Development Division

    ERIC Educational Resources Information Center

    Educational Testing Service, 2010

    2010-01-01

    This document describes the breadth of the research that the ETS (Educational Testing Service) Research & Development division is conducting in 2010. This portfolio will be updated in early 2011 to reflect changes to existing projects and new projects that were added after this document was completed. The research described in this portfolio falls…

  13. The MERMAID project

    NASA Technical Reports Server (NTRS)

    Cowderoy, A. J. C.; Jenkins, John O.; Poulymenakou, A

    1992-01-01

    The tendency for software development projects to be completed over schedule and over budget was documented extensively. Additionally many projects are completed within budgetary and schedule target only as a result of the customer agreeing to accept reduced functionality. In his classic book, The Mythical Man Month, Fred Brooks exposes the fallacy that effort and schedule are freely interchangeable. All current cost models are produced on the assumption that there is very limited scope for schedule compression unless there is a corresponding reduction in delivered functionality. The Metrication and Resources Modeling Aid (MERMAID) project, partially financed by the Commission of the European Communities (CEC) as Project 2046 began in Oct. 1988 and its goal were as follows: (1) improvement of understanding of the relationships between software development productivity and product and process metrics; (2) to facilitate the widespread technology transfer from the Consortium to the European Software Industry; and (3) to facilitate the widespread uptake of cost estimation techniques by the provision of prototype cost estimation tools. MERMAID developed a family of methods for cost estimation, many of which have had tools implemented in prototypes. These prototypes are best considered as toolkits or workbenches.

  14. The Case of Capogrossi in Rome: Collecting Data with Different Technologies on a Contemporary Mural Painting

    NASA Astrophysics Data System (ADS)

    Mezzadri, P.; Russo, J.

    2017-05-01

    This paper focuses on the presentation of a part of the main thematic data documenting the pathologies and the degradation problems of a contemporary mural painting, which was designed and carried out by the italian artist Giuseppe Capogrossi in 1954. This forgotten masterpiece is developed on the ceilings of the main double stairscase at the entrance of the Airone, an ex-cinema-theatre in Rome (Italy). In time, the original project was completely damaged and now the Airone cinema is abandoned since 1999; the decoration, strictly connected to the function of the original project, has been completely covered by synthetic coatings. The documentation of the observed pathologies and the original materials of the lower ceiling takes place during a restoration project in 2015-2016 and was accomplished by utilizing different technologies in order to facilitate the collecting of the main data within several graphic thematic tables. The challenge of this documentation was to create a contact point, and perhaps also a contamination, between the practices of CAD graphic documentation, restoration and GIS technology.

  15. Maternal education and child immunization: the mediating roles of maternal literacy and socioeconomic status.

    PubMed

    Balogun, Saliu Adejumobi; Yusuff, Hakeem Abiola; Yusuf, Kehinde Quasim; Al-Shenqiti, Abdulah Mohammed; Balogun, Mariam Temitope; Tettey, Prudence

    2017-01-01

    Previous studies in Nigeria have documented significant association between maternal education and child immunization. However, little is known about the pathway through which maternal education improves immunization uptake. This study aims to examine whether maternal literacy and socioeconomic status mediates the relationship between maternal education and complete immunization coverage in children. Nationally representative data from the first wave of the Nigeria General Household Survey-Panel were used, which includes 661 children aged one year and below. Regression analyses were used to model the association between maternal education and child's immunization uptake; we then examined whether maternal literacy and household economic status mediates this association. Of the 661 children, 40% had complete immunization. The prevalence ratio (PR) of complete immunization in children whose mothers were educated versus those whose mothers were not educated was 1.44 (95% CI: 1.16-1.77). Maternal literacy substantially reduced the estimated association between maternal education and complete immunization by 90%, whereas household economic status reduced the estimates by 27%. These findings suggest that complete immunization was higher in children whose mothers were educated, partly because maternal education leads to acquisition of literacy skills and better health-seeking behavior which then improves immunization uptake for their children. Socioeconomic status is an alternative pathway but with less substantial indirect effect.

  16. Lunar PMAD technology assessment

    NASA Technical Reports Server (NTRS)

    Metcalf, Kenneth J.

    1992-01-01

    This report documents an initial set of power conditioning models created to generate 'ballpark' power management and distribution (PMAD) component mass and size estimates. It contains converter, rectifier, inverter, transformer, remote bus isolator (RBI), and remote power controller (RPC) models. These models allow certain studies to be performed; however, additional models are required to assess a full range of PMAD alternatives. The intent is to eventually form a library of PMAD models that will allow system designers to evaluate various power system architectures and distribution techniques quickly and consistently. The models in this report are designed primarily for space exploration initiative (SEI) missions requiring continuous power and supporting manned operations. The mass estimates were developed by identifying the stages in a component and obtaining mass breakdowns for these stages from near term electronic hardware elements. Technology advances were then incorporated to generate hardware masses consistent with the 2000 to 2010 time period. The mass of a complete component is computed by algorithms that calculate the masses of the component stages, control and monitoring, enclosure, and thermal management subsystem.

  17. Determine Operating Reactor to Use for the 2016 PCI Level 1 Milestone

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

    Clarno, Kevin T.

    2016-01-30

    The Consortium for Advanced Simulation of Light Water Reactors (LWRs) (CASL) Level 1 milestone to “Assess the analysis capability for core-wide [pressurized water reactor] PWR Pellet- Clad Interaction (PCI) screening and demonstrate detailed 3-D analysis on selected sub-region” (L1:CASL.P13.03) requires a particular type of nuclear power plant for the assessment. This report documents the operating reactor and cycles chosen for this assessment in completion of the physics integration (PHI) milestone to “Determine Operating Reactor to use for PCI L1 Milestone” (L3:PHI.CMD.P12.02). Watts Bar Unit 1 experienced (at least) one fuel rod failure in each of cycles 6 and 7, andmore » at least one was deemed to be duty related rather than being primarily related to a manufacturing defect or grid effects. This brief report documents that the data required to model cycles 1–12 of Watts Bar Unit 1 using VERA-CS contains sufficient data to model the PHI portion of the PCI challenge problem. A list of additional data needs is also provided that will be important for verification and validation of the BISON results.« less

  18. Factors associated with positive adjustment in siblings of children with severe emotional disturbance: the role of family resources and community life.

    PubMed

    Kilmer, Ryan P; Cook, James R; Munsell, Eylin Palamaro; Salvador, Samantha Kane

    2010-10-01

    This study builds on the scant research involving siblings of children with severe emotional disturbances (SED) and examines: associations between adversity experiences and adjustment among 5- to 10-year-old siblings, and relations among family resources, community life, and sibling adjustment. Caregivers from 100 families completed standardized indicators of sibling adjustment and scales reflecting multiple contextual variables. Results document negative associations between stress exposure and sibling adjustment. Regression models also indicate positive associations between the caregiver-child relationship and broader family resources on sibling behavioral and emotional strengths, even after accounting for adversity experiences; adversity exposure was the prime correlate in regression models involving sibling oppositional behavior. Analyses also suggest that strain related to parenting a child with SED is associated with sibling adjustment. This work documents the needs of these siblings and their family systems and highlights the relevance of not only core proximal influences (e.g., child-caregiver relationship) but also elements of their broader contexts. Implications and recommendations are described, including the need to support plans of care that involve services, supports, or preventive strategies for these siblings. © 2010 American Orthopsychiatric Association.

  19. Automated 3D architecture reconstruction from photogrammetric structure-and-motion: A case study of the One Pilla pagoda, Hanoi, Vienam

    NASA Astrophysics Data System (ADS)

    To, T.; Nguyen, D.; Tran, G.

    2015-04-01

    Heritage system of Vietnam has decline because of poor-conventional condition. For sustainable development, it is required a firmly control, space planning organization, and reasonable investment. Moreover, in the field of Cultural Heritage, the use of automated photogrammetric systems, based on Structure from Motion techniques (SfM), is widely used. With the potential of high-resolution, low-cost, large field of view, easiness, rapidity and completeness, the derivation of 3D metric information from Structure-and- Motion images is receiving great attention. In addition, heritage objects in form of 3D physical models are recorded not only for documentation issues, but also for historical interpretation, restoration, cultural and educational purposes. The study suggests the archaeological documentation of the "One Pilla" pagoda placed in Hanoi capital, Vietnam. The data acquired through digital camera Cannon EOS 550D, CMOS APS-C sensor 22.3 x 14.9 mm. Camera calibration and orientation were carried out by VisualSFM, CMPMVS (Multi-View Reconstruction) and SURE (Photogrammetric Surface Reconstruction from Imagery) software. The final result represents a scaled 3D model of the One Pilla Pagoda and displayed different views in MeshLab software.

  20. What is clearance worth? Patients' stated risk tolerance for psoriasis treatments.

    PubMed

    Fairchild, Angelyn O; Reed, Shelby D; Johnson, F Reed; Anglin, Greg; Wolka, Anne M; Noel, Rebecca A

    2017-12-01

    The purpose of this study was to provide quantitative evidence of patients' tolerance for therapeutic risks associated with psoriasis treatments that could offer psoriasis improvements beyond the PASI 75 benchmark. We used a discrete-choice experiment in which respondents chose between competing psoriasis treatments characterized by benefits (i.e. reduced plaque severity, reduced plaque area), risks (i.e. 10-year risk of tuberculosis, 10-year risk of death from infection), and treatment regimen. We analyzed choice data using random-parameters logit models for psoriasis affecting the body, face, or hands. Of 927 eligible members of the National Psoriasis Foundation who completed the survey, 28% were unwilling to accept any greater risk of treatment-related infection mortality. Among the remaining 72%, respondents were willing to accept higher risks of infection-related mortality associated with treatment to completely remove plaques covering only 1% of the body, compared to reducing lesions from 10 to 1% of the affected area. This finding was more pronounced for lesions on the face. Most patients placed greater value on eliminating even very small plaques compared to avoiding treatment-related risks. The perceived importance of complete versus near-complete clearance was stronger than previously documented.

  1. Residential Demand Module - NEMS Documentation

    EIA Publications

    2017-01-01

    Model Documentation - Documents the objectives, analytical approach, and development of the National Energy Modeling System (NEMS) Residential Sector Demand Module. The report catalogues and describes the model assumptions, computational methodology, parameter estimation techniques, and FORTRAN source code.

  2. Milestone M3FT-15OR0203112. Build redesigned HFIR rabbit capsules and make ready for insertion for irradiation in HFIR

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

    Howard, Richard H; McDuffee, Joel Lee; Okuniewski, Maria A.

    2015-09-01

    This report details the fabrication and delivery of two Fuel Cycle Research and Development irradiation capsules (FCRP20 and FCRP03), with associated quality assurance documentation, to the High Flux Isotope Reactor. The capsules and documentation were delivered by September 30, 2015, thus meeting the deadline for milestone M3FT-15OR0203112. These irradiation experiments irradiate metal parallelepiped specimens that may consist of various compositions including uranium metal, steel, etc. This document contains a copy of the completed capsule fabrication request sheets, which detail all constituent components, pertinent drawings, etc., along with a detailed summary of the capsule assembly process performed by the Thermal Hydraulicsmore » and Irradiation Engineering Group (THIEG) in the Reactor and Nuclear Systems Division. A complete fabrication package record is maintained by THIEG and is available upon request.« less

  3. 19 CFR 122.75 - Complete manifest.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Complete manifest. 122.75 Section 122.75 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY AIR COMMERCE REGULATIONS Documents Required for Clearance and Permission To Depart; Electronic...

  4. ENHANCED PRACTICAL PHOTOSYNTHETIC CO2 MITIGATION

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

    Dr. Gregory Kremer; Dr. David J. Bayless; Dr. Morgan Vis

    2001-07-25

    This quarterly report documents significant achievements in the Enhanced Practical Photosynthetic CO{sub 2} Mitigation project during the period from 4/03/2001 through 7/02/2001. Most of the achievements are milestones in our efforts to complete the tasks and subtasks that constitute the project objectives. Note that this version of the quarterly technical report is a revision to add the reports from subcontractors Montana State and Oak Ridge National Laboratories The significant accomplishments for this quarter include: Development of an experimental plan and initiation of experiments to create a calibration curve that correlates algal chlorophyll levels with carbon levels (to simplify future experimentalmore » procedures); Completion of debugging of the slug flow reactor system, and development of a plan for testing the pressure drop of the slug flow reactor; Design and development of a new bioreactor screen design which integrates the nutrient delivery drip system and the harvesting system; Development of an experimental setup for testing the new integrated drip system/harvesting system; Completion of model-scale bioreactor tests examining the effects of CO{sub 2} concentration levels and lighting levels on Nostoc 86-3 growth rates; Completion of the construction of a larger model-scale bioreactor to improve and expand testing capabilities and initiation of tests; Substantial progress on construction of a pilot-scale bioreactor; and Preliminary economic analysis of photobioreactor deployment. Plans for next quarter's work are included in the conclusions. A preliminary economic analysis is included as an appendix.« less

  5. Improving the Quality of Oral and Maxillofacial Surgical Notes in an Indian Public Sector Hospital in Accordance with the Royal College of Surgeons Guidelines: A Completed Audit Loop Study.

    PubMed

    Krishnan, B; Prasad, G Arun; Madhan, B

    2016-09-01

    Proper and adequate documentation in operation notes is a basic tool of clinical practice with medical and legal implications. An audit was done to ascertain if oral and maxillofacial surgery operative notes in an Indian public sector hospital adhered to the guidelines published by the Royal College of Surgeons England. Fifty randomly selected operative notes were evaluated against the guidelines by RCS England with regards to the essential generic components of an operation note. Additional criteria relevant to oral and Maxillofacial Surgery were also evaluated. Changes were introduced in the form of Oral and Maxillofacial Surgery specific consent forms, diagram sheets and a computerized operation note proforma containing all essential and additional criteria along with prefilled template of operative findings. Re-audit of 50 randomly selected operation notes was performed after a 6 month period. In the 1st audit cycle, excellent documentation ranging from 94 to 100 % was seen in 9 essential criteria. Unsatisfactory documentation was observed in criteria like assistant name, date of surgery. Most consent forms contained abbreviations and some did not provide all details. Additional criteria specific to Oral and Maxillofacial Surgery scored poorly. In the 2nd Audit for loop completion, excellent documentation was seen in almost all essential and additional criteria. Mean percentage of data point inclusion improved from 84.6 to 98.4 % (0.001< P value <0.005). The use of abbreviations was seen in only 6 notes. Regular audits are now considered a mandatory quality improvement process that seeks to improve patient care and outcomes. To the best of our knowledge, this is the first completed audit on operation notes documentation in Oral and Maxillofacial Surgery from India. The introduction of a computerized operation note proforma showed excellent improvement in operation note documentation. Surgeons can follow the RCS guidelines to ensure standardization of operation notes.

  6. Sustaining new parents in home visitation services: key participant and program factors.

    PubMed

    Daro, Deborah; McCurdy, Karen; Falconnier, Lydia; Stojanovic, Daniela

    2003-10-01

    As prevention efforts have adopted more intensive service models, concerns over initial enrollment and retention rates have become more salient. This study examines the participant, provider and program factors that contribute to a longer length of stay and greater number of home visits for new parents enrolling in one national home visitation program. Retrospective data were collected on a random sample of 816 participants served by one of 17 Healthy Families America (HFA) program sites around the country. Using case record reviews, research staff documented each participant's characteristics and service experiences. To capture relevant staff and program information, research staff collected basic descriptive information from published documents and interviews with program managers. All home visitors who had contact with sample families also completed a self-assessment instrument regarding personal and professional characteristics. Hierarchical linear modeling allowed us to examine the unique role of participant, provider and program characteristics while recognizing the lack of independence among these three sets of variables. The combined provider and program levels in the HLM model accounted for one-third of the variance in service duration and one-quarter of the variance in the number of home visits. Older participants, those unemployed, and those who enrolled in the program early in their pregnancy were more likely to remain in services longer and to complete a greater number of home visits. Compared to White participants, African Americans and Hispanics were significantly more likely to remain in services longer and, in the case of African Americans, to receive a greater number of home visits. Participants who were enrolled in school were more likely to remain in services longer. Age was the only consistent provider characteristic associated with positive results in both models, with younger home visitors performing better. Prior experience showed a significant relationship only in the service dosage model and African American workers demonstrated greater success than White home visitors did in retaining families in service. At the program level, programs with lower caseloads and greater success in matching their participants and providers on parenting status and race/ethnicity were significantly more likely to demonstrate stronger enrollment patterns.

  7. A delay differential model of ENSO variability: parametric instability and the distribution of extremes

    NASA Astrophysics Data System (ADS)

    Zaliapin, I.; Ghil, M.; Thompson, S.

    2007-12-01

    We consider a Delay Differential Equation (DDE) model for El-Nino Southern Oscillation (ENSO) variability. The model combines two key mechanisms that participate in the ENSO dynamics: delayed negative feedback and seasonal forcing. Descriptive and metric stability analyses of the model are performed in a complete 3D space of its physically relevant parameters. Existence of two regimes --- stable and unstable --- is reported. The domains of the regimes are separated by a sharp neutral curve in the parameter space. The detailed structure of the neutral curve become very complicated (possibly fractal), and individual trajectories within the unstable region become highly complex (possibly chaotic) as the atmosphere-ocean coupling increases. In the unstable regime, spontaneous transitions in the mean "temperature" (i.e., thermocline depth), period, and extreme annual values occur, for purely periodic, seasonal forcing. This indicates (via the continuous dependence theorem) the existence of numerous unstable solutions responsible for the complex dynamics of the system. In the stable regime, only periodic solutions are found. Our results illustrate the role of the distinct parameters of ENSO variability, such as strength of seasonal forcing vs. atmosphere ocean coupling and propagation period of oceanic waves across the Tropical Pacific. The model reproduces, among other phenomena, the Devil's bleachers (caused by period locking) documented in other ENSO models, such as nonlinear PDEs and GCMs, as well as in certain observations. We expect such behavior in much more detailed and realistic models, where it is harder to describe its causes as completely.

  8. Ecological niche transferability using invasive species as a case study.

    PubMed

    Fernández, Miguel; Hamilton, Healy

    2015-01-01

    Species distribution modeling is widely applied to predict invasive species distributions and species range shifts under climate change. Accurate predictions depend upon meeting the assumption that ecological niches are conserved, i.e., spatially or temporally transferable. Here we present a multi-taxon comparative analysis of niche conservatism using biological invasion events well documented in natural history museum collections. Our goal is to assess spatial transferability of the climatic niche of a range of noxious terrestrial invasive species using two complementary approaches. First we compare species' native versus invasive ranges in environmental space using two distinct methods, Principal Components Analysis and Mahalanobis distance. Second we compare species' native versus invaded ranges in geographic space as estimated using the species distribution modeling technique Maxent and the comparative index Hellinger's I. We find that species exhibit a range of responses, from almost complete transferability, in which the invaded niches completely overlap with the native niches, to a complete dissociation between native and invaded ranges. Intermediate responses included expansion of dimension attributable to either temperature or precipitation derived variables, as well as niche expansion in multiple dimensions. We conclude that the ecological niche in the native range is generally a poor predictor of invaded range and, by analogy, the ecological niche may be a poor predictor of range shifts under climate change. We suggest that assessing dimensions of niche transferability prior to standard species distribution modeling may improve the understanding of species' dynamics in the invaded range.

  9. Documentation for the Waste Reduction Model (WARM)

    EPA Pesticide Factsheets

    This page describes the WARM documentation files and provides links to all documentation files associated with EPA’s Waste Reduction Model (WARM). The page includes a brief summary of the chapters documenting the greenhouse gas emission and energy factors.

  10. Diagnostic tools in Rhinology EAACI position paper

    PubMed Central

    2011-01-01

    This EAACI Task Force document aims at providing the readers with a comprehensive and complete overview of the currently available tools for diagnosis of nasal and sino-nasal disease. We have tried to logically order the different important issues related to history taking, clinical examination and additional investigative tools for evaluation of the severity of sinonasal disease into a consensus document. A panel of European experts in the field of Rhinology has contributed to this consensus document on Diagnostic Tools in Rhinology. PMID:22410181

  11. Uniform Federal Policy for Quality Assurance Project Plans: Evaluating, Assessing, and Documenting Environmental Data Collection and Use Programs. Part 1. UFP-QAPP Manual

    DTIC Science & Technology

    2004-07-01

    sampler, project manager, data reviewer, statistician , risk assessor, assessment personnel, and laboratory QC manager. In addition, a complete copy of...sample • Corrective actions to be taken if the QC sample fails these criteria • A description of how the QC data and results are to be documented and...Intergovernmental Data Quality Task Force Uniform Federal Policy for Quality Assurance Project Plans Evaluating, Assessing, and Documenting

  12. Quality expectations and tolerance limits of trial master files (TMF) – Developing a risk-based approach for quality assessments of TMFs

    PubMed Central

    Hecht, Arthur; Busch-Heidger, Barbara; Gertzen, Heiner; Pfister, Heike; Ruhfus, Birgit; Sanden, Per-Holger; Schmidt, Gabriele B.

    2015-01-01

    This article addresses the question of when a trial master file (TMF) can be considered sufficiently accurate and complete: What attributes does the TMF need to have so that a clinical trial can be adequately reconstructed from documented data and procedures? Clinical trial sponsors face significant challenges in assembling the TMF, especially when dealing with large, international, multicenter studies; despite all newly introduced archiving techniques it is becoming more and more difficult to ensure that the TMF is complete. This is directly reflected in the number of inspection findings reported and published by the EMA in 2014. Based on quality risk management principles in clinical trials the authors defined the quality expectations for the different document types in a TMF and furthermore defined tolerance limits for missing documents. This publication provides guidance on what type of documents and processes are most important, and in consequence, indicates on which documents and processes trial team staff should focus in order to achieve a high-quality TMF. The members of this working group belong to the CQAG Group (Clinical Quality Assurance Germany) and are QA (quality assurance) experts (auditors or compliance functions) with long-term experience in the practical handling of TMFs. PMID:26693218

  13. Quality expectations and tolerance limits of trial master files (TMF) - Developing a risk-based approach for quality assessments of TMFs.

    PubMed

    Hecht, Arthur; Busch-Heidger, Barbara; Gertzen, Heiner; Pfister, Heike; Ruhfus, Birgit; Sanden, Per-Holger; Schmidt, Gabriele B

    2015-01-01

    This article addresses the question of when a trial master file (TMF) can be considered sufficiently accurate and complete: What attributes does the TMF need to have so that a clinical trial can be adequately reconstructed from documented data and procedures? Clinical trial sponsors face significant challenges in assembling the TMF, especially when dealing with large, international, multicenter studies; despite all newly introduced archiving techniques it is becoming more and more difficult to ensure that the TMF is complete. This is directly reflected in the number of inspection findings reported and published by the EMA in 2014. Based on quality risk management principles in clinical trials the authors defined the quality expectations for the different document types in a TMF and furthermore defined tolerance limits for missing documents. This publication provides guidance on what type of documents and processes are most important, and in consequence, indicates on which documents and processes trial team staff should focus in order to achieve a high-quality TMF. The members of this working group belong to the CQAG Group (Clinical Quality Assurance Germany) and are QA (quality assurance) experts (auditors or compliance functions) with long-term experience in the practical handling of TMFs.

  14. Usability Assessment of Secure Messaging for Clinical Document Sharing between Health Care Providers and Patients.

    PubMed

    Jahn, Michelle A; Porter, Brian W; Patel, Himalaya; Zillich, Alan J; Simon, Steven R; Russ, Alissa L

    2018-04-01

     Web-based patient portals feature secure messaging systems that enable health care providers and patients to communicate information. However, little is known about the usability of these systems for clinical document sharing.  This article evaluates the usability of a secure messaging system for providers and patients in terms of its ability to support sharing of electronic clinical documents.  We conducted usability testing with providers and patients in a human-computer interaction laboratory at a Midwestern U.S. hospital. Providers sent a medication list document to a fictitious patient via secure messaging. Separately, patients retrieved the clinical document from a secure message and returned it to a fictitious provider. We collected use errors, task completion, task time, and satisfaction.  Twenty-nine individuals participated: 19 providers (6 physicians, 6 registered nurses, and 7 pharmacists) and 10 patients. Among providers, 11 (58%) attached and sent the clinical document via secure messaging without requiring assistance, in a median (range) of 4.5 (1.8-12.7) minutes. No patients completed tasks without moderator assistance. Patients accessed the secure messaging system within 3.6 (1.2-15.0) minutes; retrieved the clinical document within 0.8 (0.5-5.7) minutes; and sent the attached clinical document in 6.3 (1.5-18.1) minutes. Although median satisfaction ratings were high, with 5.8 for providers and 6.0 for patients (scale, 0-7), we identified 36 different use errors. Physicians and pharmacists requested additional features to support care coordination via health information technology, while nurses requested features to support efficiency for their tasks.  This study examined the usability of clinical document sharing, a key feature of many secure messaging systems. Our results highlight similarities and differences between provider and patient end-user groups, which can inform secure messaging design to improve learnability and efficiency. The observations suggest recommendations for improving the technical aspects of secure messaging for clinical document sharing. Schattauer GmbH Stuttgart.

  15. Predictors of successful use of a web-based healthcare document storage and sharing system for pediatric cancer survivors: Cancer SurvivorLink™.

    PubMed

    Williamson, Rebecca; Meacham, Lillian; Cherven, Brooke; Hassen-Schilling, Leann; Edwards, Paula; Palgon, Michael; Espinoza, Sofia; Mertens, Ann

    2014-09-01

    Cancer SurvivorLink™, www.cancersurvivorlink.org , is a patient-controlled communication tool where survivors can electronically store and share documents with healthcare providers. Functionally, SurvivorLink serves as an electronic personal health record-a record of health-related information managed and controlled by the survivor. Recruitment methods to increase registration and the characteristics of registrants who completed each step of using SurvivorLink are described. Pediatric cancer survivors were recruited via mailings, survivor clinic, and community events. Recruitment method and Aflac Survivor Clinic attendance was determined for each registrant. Registration date, registrant type (parent vs. survivor), zip code, creation of a personal health record in SurvivorLink, storage of documents, and document sharing were measured. Logistic regression was used to determine the characteristics that predicted creation of a health record and storage of documents. To date, 275 survivors/parents have completed registration: 63 were recruited via mailing, 99 from clinic, 56 from community events, and 57 via other methods. Overall, 66.9 % registrants created a personal health record and 45.7 % of those stored a health document. There were no significant predictors for creating a personal health record. Attending a survivor clinic was the strongest predictor of document storage (p < 0.01). Of those with a document stored, 21.4 % shared with a provider. Having attended survivor clinic is the biggest predictor of registering and using SurvivorLink. Many survivors must advocate for their survivorship care. Survivor Link provides educational material and supports the dissemination of survivor-specific follow-up recommendations to facilitate shared clinical care decision making.

  16. The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric Intensive Care Unit.

    PubMed

    Panesar, Rahul S; Albert, Ben; Messina, Catherine; Parker, Margaret

    2016-01-01

    The Situation, Background, Assessment, Recommendation (SBAR) handoff tool is designed to improve communication. The effects of integrating an electronic medical record (EMR) with a SBAR template are unclear. The research team hypothesizes that an electronic SBAR template improves documentation and communication between nurses and physicians. In all, 84 patient events were recorded from 542 admissions to the pediatric intensive care unit. Three time periods were studied: (a) paper documentation only, (b) electronic documentation, and (c) electronic documentation with an SBAR template. Documentation quality was assessed using a 4-point scoring system. The frequency of event notes increased progressively during the 3 study periods. Mean quality scores improved significantly from paper documentation to EMR free-text notes and to electronic SBAR-template notes, as did nurse and attending physician notification. The implementation of an electronic SBAR note is associated with more complete documentation and increased frequency of documentation of communication among nurses and physicians. © The Author(s) 2014.

  17. Creating, documenting and sharing network models.

    PubMed

    Crook, Sharon M; Bednar, James A; Berger, Sandra; Cannon, Robert; Davison, Andrew P; Djurfeldt, Mikael; Eppler, Jochen; Kriener, Birgit; Furber, Steve; Graham, Bruce; Plesser, Hans E; Schwabe, Lars; Smith, Leslie; Steuber, Volker; van Albada, Sacha

    2012-01-01

    As computational neuroscience matures, many simulation environments are available that are useful for neuronal network modeling. However, methods for successfully documenting models for publication and for exchanging models and model components among these projects are still under development. Here we briefly review existing software and applications for network model creation, documentation and exchange. Then we discuss a few of the larger issues facing the field of computational neuroscience regarding network modeling and suggest solutions to some of these problems, concentrating in particular on standardized network model terminology, notation, and descriptions and explicit documentation of model scaling. We hope this will enable and encourage computational neuroscientists to share their models more systematically in the future.

  18. The application of implementation science for pressure ulcer prevention best practices in an inpatient spinal cord injury rehabilitation program

    PubMed Central

    Scovil, Carol Y.; Flett, Heather M.; McMillan, Lan T.; Delparte, Jude J.; Leber, Diane J.; Brown, Jacquie; Burns, Anthony S.

    2014-01-01

    Objectives To implement pressure ulcer (PU) prevention best practices in spinal cord injury (SCI) rehabilitation using implementation science frameworks. Design Quality improvement. Setting SCI Rehabilitation Center. Participants Inpatients admitted January 2012 to July 2013. Interventions Implementation of two PU best practices were targeted: (1) completing a comprehensive PU risk assessment and individualized interprofessional PU prevention plan (PUPP); and (2) providing patient education for PU prevention; as part of the pan-Canadian SCI Knowledge Mobilization Network. At our center, the SCI Pressure Ulcer Scale replaced the Braden risk assessment scale and an interprofessional PUPP form was implemented. Comprehensive educational programing existed, so efforts focused on improving documentation. Implementation science frameworks provided structure for a systematic approach to best practice implementation (BPI): (1) site implementation team, (2) implementation drivers, (3) stages of implementation, and (4) improvement cycles. Strategies were developed to address key implementation drivers (staff competency, organizational supports, and leadership) through the four stages of implementation: exploration, installation, initial implementation, and full implementation. Improvement cycles were used to address BPI challenges. Outcome Measures Implementation processes (e.g. staff training) and BPI outcomes (completion rates). Results Following BPI, risk assessment completion rates improved from 29 to 82%. The PUPP completion rate was 89%. PU education was documented for 45% of patients (vs. 21% pre-implementation). Conclusion Implementation science provided a framework and effective tools for successful pressure ulcer BPI in SCI rehabilitation. Ongoing improvement cycles will target timeliness of tool completion and documentation of patient education. PMID:25029674

  19. Recommendations report for the platanares geothermal site, Department of Copan, Honduras. Reporte de recomendaciones para el sitio geotermico de platanares, Departamento de Copan, Honduras (in EN;SP)

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

    Not Available

    1988-11-01

    A geothermal assessment of six previously identified sites in Honduras has been conducted by a team comprised of staff from the Los Alamos National Laboratory, the US Geological Survey, and the Empresa Nacional de Energia Electrica. The application of both reconnaissance and detailed scale techniques lead to the selection of Platanares in the Department of Copan as the highest potential site. Additional work resulted in the completion of a prefeasibility study at Platanares. We present here a tabulation of the work completed and short summaries of the results from these technical studies. We also present a brief model of themore » geothermal system and recommendations for additional feasibility work. Both English and Spanish versions of this report are provided in the same document. 18 figs., 5 tabs.« less

  20. A complete public archive for the Einstein IPC

    NASA Technical Reports Server (NTRS)

    Helfand, David J.

    1995-01-01

    This report documents progress made in the period 24 Sept. 1993 - 23 Sept. 1995 on the project described in our proposal 'A Complete Public Archive for the Einstein IPC' which was approved under the Astrophysics Data Program in 1992. We have completed most of the principal objectives of the original proposal; a NFE was recently approved so that costs for publications in press can be covered and we can complete the public record for the Einstein IPC database.

  1. 78 FR 26572 - Rural Call Completion and List of Rural Operating Carrier Numbers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-07

    ... FEDERAL COMMUNICATIONS COMMISSION 47 CFR Part 64 [WC Docket No. 13-39; DA 13-780] Rural Call Completion and List of Rural Operating Carrier Numbers AGENCY: Federal Communications Commission. ACTION: Proposed rule. SUMMARY: In this document, the Federal Communications Commission's Wireline Competition...

  2. Document cards: a top trumps visualization for documents.

    PubMed

    Strobelt, Hendrik; Oelke, Daniela; Rohrdantz, Christian; Stoffel, Andreas; Keim, Daniel A; Deussen, Oliver

    2009-01-01

    Finding suitable, less space consuming views for a document's main content is crucial to provide convenient access to large document collections on display devices of different size. We present a novel compact visualization which represents the document's key semantic as a mixture of images and important key terms, similar to cards in a top trumps game. The key terms are extracted using an advanced text mining approach based on a fully automatic document structure extraction. The images and their captions are extracted using a graphical heuristic and the captions are used for a semi-semantic image weighting. Furthermore, we use the image color histogram for classification and show at least one representative from each non-empty image class. The approach is demonstrated for the IEEE InfoVis publications of a complete year. The method can easily be applied to other publication collections and sets of documents which contain images.

  3. Do published studies of educational outreach provide documentation of potentially important characteristics?

    PubMed

    Van Hoof, Thomas J; Miller, Nicole E; Meehan, Thomas P

    2013-01-01

    Educational outreach is a common intervention used to translate research findings into practice; however, the intervention has a mixed effect on changing clinician behavior and improving patient outcomes. Based on a published set of characteristics aimed at standardizing the approach to educational outreach, the authors undertook a careful review of the literature to determine the consistency and completeness of documentation. Using a 25-item abstraction tool, the authors reviewed 68 published studies of a recent Cochrane meta-analysis to determine the extent to which educational outreach studies provide recommended documentation of important characteristics. The results indicate that studies are generally inconsistent (documentation range of 0% to 100% across characteristics) and incomplete (documentation average of 43.1% across studies) in their descriptions. Documentation shortcomings of educational outreach studies make understanding the intervention and interpreting its findings particularly challenging. The authors recommend the creation of a guideline to help improve documentation of educational outreach efforts.

  4. Using phrases and document metadata to improve topic modeling of clinical reports.

    PubMed

    Speier, William; Ong, Michael K; Arnold, Corey W

    2016-06-01

    Probabilistic topic models provide an unsupervised method for analyzing unstructured text, which have the potential to be integrated into clinical automatic summarization systems. Clinical documents are accompanied by metadata in a patient's medical history and frequently contains multiword concepts that can be valuable for accurately interpreting the included text. While existing methods have attempted to address these problems individually, we present a unified model for free-text clinical documents that integrates contextual patient- and document-level data, and discovers multi-word concepts. In the proposed model, phrases are represented by chained n-grams and a Dirichlet hyper-parameter is weighted by both document-level and patient-level context. This method and three other Latent Dirichlet allocation models were fit to a large collection of clinical reports. Examples of resulting topics demonstrate the results of the new model and the quality of the representations are evaluated using empirical log likelihood. The proposed model was able to create informative prior probabilities based on patient and document information, and captured phrases that represented various clinical concepts. The representation using the proposed model had a significantly higher empirical log likelihood than the compared methods. Integrating document metadata and capturing phrases in clinical text greatly improves the topic representation of clinical documents. The resulting clinically informative topics may effectively serve as the basis for an automatic summarization system for clinical reports. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Digital Accessible Knowledge and well-inventoried sites for birds in Mexico: baseline sites for measuring faunistic change

    PubMed Central

    Navarro-Sigüenza, Adolfo G.; Martínez-Meyer, Enrique

    2016-01-01

    Background Faunal change is a basic and fundamental element in ecology, biogeography, and conservation biology, yet vanishingly few detailed studies have documented such changes rigorously over decadal time scales. This study responds to that gap in knowledge, providing a detailed analysis of Digital Accessible Knowledge of the birds of Mexico, designed to marshal DAK to identify sites that were sampled and inventoried rigorously prior to the beginning of major global climate change (1980). Methods We accumulated DAK records for Mexican birds from all relevant online biodiversity data portals. After extensive cleaning steps, we calculated completeness indices for each 0.05° pixel across the country; we also detected ‘hotspots’ of sampling, and calculated completeness indices for these broader areas as well. Sites were designated as well-sampled if they had completeness indices above 80% and >200 associated DAK records. Results We identified 100 individual pixels and 20 broader ‘hotspots’ of sampling that were demonstrably well-inventoried prior to 1980. These sites are catalogued and documented to promote and enable resurvey efforts that can document events of avifaunal change (and non-change) across the country on decadal time scales. Conclusions Development of repeated surveys for many sites across Mexico, and particularly for sites for which historical surveys document their avifaunas prior to major climate change processes, would pay rich rewards in information about distributional dynamics of Mexican birds. PMID:27651986

  6. Room for improvement: An examination of advance care planning documentation among gynecologic oncology patients.

    PubMed

    Brown, Alaina J; Shen, Megan Johnson; Urbauer, Diana; Taylor, Jolyn; Parker, Patricia A; Carmack, Cindy; Prescott, Lauren; Kolawole, Elizabeth; Rosemore, Carly; Sun, Charlotte; Ramondetta, Lois; Bodurka, Diane C

    2016-09-01

    The goals of this study were: (1) to evaluate patients' knowledge regarding advance directives and completion rates of advance directives among gynecologic oncology patients and (2) to examine the association between death anxiety, disease symptom burden, and patient initiation of advance directives. 110 gynecologic cancer patients were surveyed regarding their knowledge and completion of advance directives. Patients also completed the MD Anderson Symptom Inventory (MDASI) scale and Templer's Death Anxiety Scale (DAS). Descriptive statistics were utilized to examine characteristics of the sample. Fisher's exact tests and 2-sample t-tests were utilized to examine associations between key variables. Most patients were white (76.4%) and had ovarian (46.4%) or uterine cancer (34.6%). Nearly half (47.0%) had recurrent disease. The majority of patients had heard about advance directives (75%). Only 49% had completed a living will or medical power of attorney. Older patients and those with a higher level of education were more likely to have completed an advance directive (p<0.01). Higher MDASI Interference Score (higher symptom burden) was associated with patients being less likely to have a living will or medical power of attorney (p=0.003). Higher DAS score (increased death anxiety) was associated with patients being less likely to have completed a living will or medical power of attorney (p=0.03). Most patients were familiar with advance directives, but less than half had created these documents. Young age, lower level of education, disease-related interference with daily activities, and a higher level of death anxiety were associated with decreased rates of advance directive completion, indicating these may be barriers to advance care planning documentation. Young patients, less educated patients, patients with increased disease symptom burden, and patients with increased death anxiety should be targeted for advance care planning discussions as they may be less likely to engage in advance care planning. Copyright © 2016. Published by Elsevier Inc.

  7. Room for Improvement: An Examination of Advance Care Planning Documentation among Gynecologic Oncology Patients

    PubMed Central

    Brown, Alaina J.; Shen, Megan Johnson; Urbauer, Diana; Taylor, Jolyn; Parker, Patricia A.; Carmack, Cindy; Prescott, Lauren; Kowaloe, Elizabeth; Rosemore, Carly; Sun, Charlotte; Ramondetta, Lois; Bodurka, Diane C.

    2017-01-01

    Objectives The goals of this study were: (1) to evaluate patients’ knowledge regarding advance directives and completion rates of advance directives among gynecologic oncology patients and (2) to examine the association between death anxiety, disease symptom burden, and patient initiation of advance directives. Methods 110 gynecologic cancer patients were surveyed regarding their knowledge and completion of advance directives. Patients also completed the MD Anderson Symptom Inventory (MDASI) scale and Templer’s Death Anxiety Scale (DAS). Descriptive statistics were utilized to examine characteristics of the sample. Fisher’s exact tests and 2-sample t-tests were utilized to examine associations between key variables. Results Most patients were white (76.4%) and had ovarian (46.4%) or uterine cancer (34.6%). Nearly half (47.0%) had recurrent disease. The majority of patients had heard about advance directives (75%). Only 49% had completed a living will or medical power of attorney. Older patients and those with a higher level of education were more likely to have completed an advance directive (p<0.01). Higher MDASI Interference Score (higher symptom burden) was associated with patients being less likely to have a living will or medical power of attorney (p=0.003). Higher DAS score (increased death anxiety) was associated with patients being less likely to have completed a living will or medical power of attorney (p=0.03). Conclusion Most patients were familiar with advance directives, but less than half had created these documents. Young age, lower level of education, disease-related interference with daily activities, and a higher level of death anxiety were associated with decreased rates of advance directive completion, indicating these may be barriers to advance care planning documentation. Young patients, less educated patients, patients with increased disease symptom burden, and patients with increased death anxiety should be targeted for advance care planning discussions as they may be less likely to engage in advance care planning. PMID:27439968

  8. Interface for the documentation and compilation of a library of computer models in physiology.

    PubMed Central

    Summers, R. L.; Montani, J. P.

    1994-01-01

    A software interface for the documentation and compilation of a library of computer models in physiology was developed. The interface is an interactive program built within a word processing template in order to provide ease and flexibility of documentation. A model editor within the interface directs the model builder as to standardized requirements for incorporating models into the library and provides the user with an index to the levels of documentation. The interface and accompanying library are intended to facilitate model development, preservation and distribution and will be available for public use. PMID:7950046

  9. Census of Population and Housing, 1980: Summary Tape File 1F, School Districts. Technical Documentation.

    ERIC Educational Resources Information Center

    Bureau of the Census (DOC), Washington, DC. Data User Services Div.

    This report provides technical documentation associated with a 1980 Census of Population and Housing Summary Tape File 1F--the School Districts File. The file contains complete-count data of population and housing aggregated by school district. Population items tabulated include age, race (provisional data), sex, marital status, Spanish origin…

  10. "The Dog Ate It" and Other Reasons Why Students Delay Registration.

    ERIC Educational Resources Information Center

    Bryant, Debbie; And Others

    1996-01-01

    Data on the registration patterns of 203 applicants accepted to a regional comprehensive university but registering late found that 15 never made it to the fifth day of class, 22 withdrew officially, 7 were withdrawn administratively for failure to complete documentation, and 1 was suspended for falsifying an official document. Interviews with six…

  11. Addressing Needs of Rural Health Care Providers via Distance Learning. Draft.

    ERIC Educational Resources Information Center

    Adeyemi, Gloria; And Others

    This document describes a distance learning program designed to meet the needs of rural health care providers. The program allows students to complete an Associate of Applied Science (AS) in the Meramec Physical Therapist Assistant (PTA) program through St. Louis Community College (SLCC). The first section of the document provides a draft of the…

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

    David, S.A.; Goodwin, G.M.; Gardner, K.

    This document contains a listing of the written scientific information originating in the Materials Joining (formerly the Welding and Brazing Group), Metals and Ceramics Division, Oak Ridge National Laboratory during 1951 through June 1989. This registry of documents is as much as possible, in the order of issue date. A complete cross-referenced listing of the technical literature of the Metals and Ceramics Division is also available.

  13. Virtual Reality Transfer Protocol (VRTP): Implementing a Monitor Application for the Real-Time Transport Protocol (RTP) Using the JAVA Media Framework (JMF)

    DTIC Science & Technology

    1999-09-01

    application, a complete specification will require one or more companion documents, as follows. 1. Profile Specification Documents A Profile...Rio de Janeiro - RJ - Brazil 21. Diretoria de Sistemas de Armas da Marinha Rua Primeiro de Marco, 118 Rio de Janeiro - RJ - Brazil CEP 20010 22

  14. 12 CFR 1010.102 - General instructions for completing the Statement of Record.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... subdivision. If printed these subheadings shall be capitalized and shall begin at the left hand margin of the... protection of purchasers. (l) Required documentation. Where the documentation required by the Statement of... on the left side, both sides of the pages may be used for printed material. If it is typed or...

  15. 12 CFR 1010.102 - General instructions for completing the Statement of Record.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... subdivision. If printed these subheadings shall be capitalized and shall begin at the left hand margin of the... protection of purchasers. (l) Required documentation. Where the documentation required by the Statement of... on the left side, both sides of the pages may be used for printed material. If it is typed or...

  16. Progenitor cell dose determines the pace and completeness of engraftment in a xenograft model for cord blood transplantation

    PubMed Central

    Liu, Congxiao; Chen, Benny J.; DeOliveira, Divinomar; Sempowski, Gregory D.; Chao, Nelson J.

    2010-01-01

    Two critical concerns in clinical cord blood transplantation are the initial time to engraftment and the subsequent restoration of immune function. These studies measured the impact of progenitor cell dose on both the pace and strength of hematopoietic reconstitution by transplanting nonobese diabetic/severe combined immunodeficiency/interleukin-2 receptor-gamma–null (NSγ) mice with lineage-depleted aldehyde dehydrogenase-bright CD34+ human cord blood progenitors. The progress of each transplant was monitored over an extended time course by repeatedly analyzing the peripheral blood for human hematopoietic cells. In vivo human hematopoietic development was complete. After long-term transplantation assays (≥ 19 weeks), human T-cell development was documented within multiple tissues in 16 of 32 NSγ mice. Human T-cell differentiation was active within NSγ thymuses, as documented by the presence of CD4+ CD8+ T-cell progenitors as well as T-cell receptor excision circles. It is important to note that although myeloid and B-cell engraftment was detected as early as 4 weeks after transplantation, human T-cell development was exclusively late onset. High progenitor cell doses were associated with a robust human hematopoietic chimerism that accelerated both initial time to engraftment and subsequent T-cell development. At lower progenitor cell doses, the chimerism was weak and the human hematopoietic lineage development was frequently incomplete. PMID:20833978

  17. Corrective Action Decision Document/Corrective Action Plan for Corrective Action Unit 98: Frenchman Flat, Nevada National Security Site, Nevada, Revision 1

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

    Irene Farnham and Sam Marutzky

    2011-07-01

    This CADD/CAP follows the Corrective Action Investigation (CAI) stage, which results in development of a set of contaminant boundary forecasts produced from groundwater flow and contaminant transport modeling of the Frenchman Flat CAU. The Frenchman Flat CAU is located in the southeastern portion of the NNSS and comprises 10 underground nuclear tests. The tests were conducted between 1965 and 1971 and resulted in the release of radionuclides in the subsurface in the vicinity of the test cavities. Two important aspects of the corrective action process are presented within this CADD/CAP. The CADD portion describes the results of the Frenchman Flatmore » CAU data-collection and modeling activities completed during the CAI stage. The corrective action objectives and the actions recommended to meet the objectives are also described. The CAP portion describes the corrective action implementation plan. The CAP begins with the presentation of CAU regulatory boundary objectives and initial use restriction boundaries that are identified and negotiated by NNSA/NSO and the Nevada Division of Environmental Protection (NDEP). The CAP also presents the model evaluation process designed to build confidence that the flow and contaminant transport modeling results can be used for the regulatory decisions required for CAU closure. The first two stages of the strategy have been completed for the Frenchman Flat CAU. A value of information analysis and a CAIP were developed during the CAIP stage. During the CAI stage, a CAIP addendum was developed, and the activities proposed in the CAIP and addendum were completed. These activities included hydrogeologic investigation of the underground testing areas, aquifer testing, isotopic and geochemistry-based investigations, and integrated geophysical investigations. After these investigations, a groundwater flow and contaminant transport model was developed to forecast contaminant boundaries that enclose areas potentially exceeding the Safe Drinking Water Act radiological standards at any time within 1,000 years. An external peer review of the groundwater flow and contaminant transport model was completed, and the model was accepted by NDEP to allow advancement to the CADD/CAP stage. The CADD/CAP stage focuses on model evaluation to ensure that existing models provide adequate guidance for the regulatory decisions regarding monitoring and institutional controls. Data-collection activities are identified and implemented to address key uncertainties in the flow and contaminant transport models. During the CR stage, final use restriction boundaries and CAU regulatory boundaries are negotiated and established; a long-term closure monitoring program is developed and implemented; and the approaches and policies for institutional controls are initiated. The model evaluation process described in this plan consists of an iterative series of five steps designed to build confidence in the site conceptual model and model forecasts. These steps are designed to identify data-collection activities (Step 1), document the data-collection activities in the 0CADD/CAP (Step 2), and perform the activities (Step 3). The new data are then assessed; the model is refined, if necessary; the modeling results are evaluated; and a model evaluation report is prepared (Step 4). The assessments are made by the modeling team and presented to the pre-emptive review committee. The decision is made by the modeling team with the assistance of the pre-emptive review committee and concurrence of NNSA/NSO to continue data and model assessment/refinement, recommend additional data collection, or recommend advancing to the CR stage. A recommendation to advance to the CR stage is based on whether the model is considered to be sufficiently reliable for designing a monitoring system and developing effective institutional controls. The decision to advance to the CR stage or to return to step 1 of the process is then made by NDEP (Step 5).« less

  18. Making automated computer program documentation a feature of total system design

    NASA Technical Reports Server (NTRS)

    Wolf, A. W.

    1970-01-01

    It is pointed out that in large-scale computer software systems, program documents are too often fraught with errors, out of date, poorly written, and sometimes nonexistent in whole or in part. The means are described by which many of these typical system documentation problems were overcome in a large and dynamic software project. A systems approach was employed which encompassed such items as: (1) configuration management; (2) standards and conventions; (3) collection of program information into central data banks; (4) interaction among executive, compiler, central data banks, and configuration management; and (5) automatic documentation. A complete description of the overall system is given.

  19. Chemical decontamination technical resources at Los Alamos National Laboratory (2008)

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

    Moore, Murray E

    This document supplies information resources for a person seeking to create planning or pre-planning documents for chemical decontamination operations. A building decontamination plan can be separated into four different sections: Pre-planning, Characterization, Decontamination (Initial response and also complete cleanup), and Clearance. Of the identified Los Alamos resources, they can be matched with these four sections: Pre-planning -- Dave Seidel, EO-EPP, Emergency Planning and Preparedness; David DeCroix and Bruce Letellier, D-3, Computational fluids modeling of structures; Murray E. Moore, RP-2, Aerosol sampling and ventilation engineering. Characterization (this can include development projects) -- Beth Perry, IAT-3, Nuclear Counterterrorism Response (SNIPER database); Fernandomore » Garzon, MPA-11, Sensors and Electrochemical Devices (development); George Havrilla, C-CDE, Chemical Diagnostics and Engineering; Kristen McCabe, B-7, Biosecurity and Public Health. Decontamination -- Adam Stively, EO-ER, Emergency Response; Dina Matz, IHS-IP, Industrial hygiene; Don Hickmott, EES-6, Chemical cleanup. Clearance (validation) -- Larry Ticknor, CCS-6, Statistical Sciences.« less

  20. Stream habitat analysis using the instream flow incremental methodology

    USGS Publications Warehouse

    Bovee, Ken D.; Lamb, Berton L.; Bartholow, John M.; Stalnaker, Clair B.; Taylor, Jonathan; Henriksen, Jim

    1998-01-01

    This document describes the Instream Flow Methodology in its entirety. This also is to serve as a comprehensive introductory textbook on IFIM for training courses as it contains the most complete and comprehensive description of IFIM in existence today. This should also serve as an official guide to IFIM in publication to counteract the misconceptions about the methodology that have pervaded the professional literature since the mid-1980's as this describes IFIM as it is envisioned by its developers. The document is aimed at the decisionmakers of management and allocation of natural resources in providing them an overview; and to those who design and implement studies to inform the decisionmakers. There should be enough background on model concepts, data requirements, calibration techniques, and quality assurance to help the technical user design and implement a cost-effective application of IFIM that will provide policy-relevant information. Some of the chapters deal with basic organization of IFIM, procedural sequence of applying IFIM starting with problem identification, study planning and implementation, and problem resolution.

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