Sample records for onsite reference service
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HIV/AIDS Services in Private Substance Abuse Treatment Programs
Abraham, Amanda J.; O’Brien, Lauren A.; Bride, Brian E.; Roman, Paul M.
2010-01-01
Background HIV infection among substance abusers is a growing concern in the United States. Little research, however, has examined the provision of HIV/AIDS services in substance abuse treatment programs. Methods This study examines the provision of onsite HIV/AIDS services in a nationally representative sample of 345 privately funded substance abuse treatment programs. Data were collected via face-to-face interviews with administrators and clinical directors of treatment programs in 2007–2008. Results Results show that larger programs and programs with a higher percentage of both African American and injection drug using (IDU) patients were more likely to offer onsite HIV/AIDS support groups and a dedicated HIV/AIDS treatment track. Multinomial logistic regression reveals that the odds of offering onsite HIV testing services were higher for hospital based programs, programs providing medical services onsite, and programs with higher percentages of African American patients, relative to the odds of offering no HIV testing or referring patients to an external provider for HIV testing services. The odds of providing onsite testing were lower for outpatient-only treatment programs, relative to the odds of offering no HIV testing or referring patients to an external provider for HIV testing services. Conclusions Our findings highlight critical barriers to the adoption of onsite HIV/AIDS services and suggest treatment programs are missing the opportunity to significantly impact HIV-related health outcomes. PMID:21145179
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Tao, Donghua; McCarthy, Patrick G; Krieger, Mary M; Webb, Annie B
2009-01-01
The School of Public Health at Saint Louis University is located at a greater distance from the library than other programs on the main medical center campus. Physical distance diminishes the ease of access to direct reference services for public health users. To bridge the gap, the library developed the Mobile Reference Service to deliver on-site information assistance with regular office hours each week. Between September 2006 and April 2007, a total of 57 in-depth reference transactions took place over 25 weeks, averaging 2 transactions per week in a 2-hour period. Overall reference transactions from public health users went up 28%, while liaison contacts with public health users doubled compared to the same period the year before. The Mobile Reference Service program has improved library support for research and scholarship, cultivated and strengthened liaison relationships, and enhanced marketing and delivery of library resources and services to the Saint Louis University School of Public Health.
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Tao, Donghua; McCarthy, Patrick G.; Krieger, Mary M.; Webb, Annie B.
2009-01-01
The School of Public Health at Saint Louis University is located at a greater distance from the library than other programs on the main medical center campus. Physical distance diminishes the ease of access to direct reference services for public health users. To bridge the gap, the library developed the Mobile Reference Service to deliver onsite information assistance with regular office hours each week. Between September 2006 and April 2007, a total of 57 in-depth reference transactions took place over 25 weeks, averaging 2 transactions per week in a 2-hour period. Overall reference transactions from public health users went up 28%, while liaison contacts with public health users doubled compared to the same period the year before. The Mobile Reference Service program has improved library support for research and scholarship, cultivated and strengthened liaison relationships, and enhanced marketing and delivery of library resources and services to the Saint Louis University School of Public Health. PMID:19159004
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Tabala, Martine; Batumbula, Marie Louise; Wenzi, Landry; Basaki, Emmanuel; Mungoyo, Eugenie; Mangala, Richard; Behets, Frieda
2016-01-01
Background. We assessed the impact of WHO's 2010 guidelines that removed the requirement of CD4 count before ART, on timely initiation of ART among HIV/TB patients in the Democratic Republic of Congo (DRC). Methods. Data collected to monitor implementation of provider initiated HIV testing and counseling (PITC) and linkage to HIV care from 65 and 13 TB clinics in Kinshasa and Kisangani, respectively, between November 2010 and June 2013. Results. Prior to the WHO's 2010 guidelines, in Kinshasa, 79.1% (401/507) of HIV/TB patients referred for HIV services were initiated on ART in clinics with onsite ART services compared to 50.0% (63/123) in clinics without. Following the implementation of the new guidelines, 89.8% (714/795) and 93.0% (345/371) of HIV/TB patients referred for HIV services were initiated on ART, respectively, in clinics with onsite and without onsite ART services. Similarly, in Kisangani, 69.7% (53/120) and 36.4% (16/44) in clinics with and without onsite ART service, respectively, were initiated on ART prior to the 2010 guidelines and 88.8% (135/152) and 72.6% (106/146), respectively, after the new guidelines. Conclusion. Though implementation of the 2010 guidelines increased the proportion of HIV/TB patients initiated on ART substantially, it remained below the 100% target, particularly in clinics without onsite ART services. PMID:27595020
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Librarians without Borders? Virtual Reference Service to Unaffiliated Users
ERIC Educational Resources Information Center
Kibbee, Jo
2006-01-01
The author investigates issues faced by academic research libraries in providing virtual reference services to unaffiliated users. These libraries generally welcome visitors who use on-site collections and reference services, but are these altruistic policies feasible in a virtual environment? This paper reviews the use of virtual reference…
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Ram, Eilon; Goldenberg, Ilan; Kassif, Yigal; Segev, Amit; Lavee, Jakob; Shlomo, Nir; Raanani, Ehud
2018-03-01
The regional needs and consolidation of cardiac surgery services (CSS) result in an increased number of stand-alone interventional cardiology units. We aimed to explore the impact of a heart team on the decision making and outcomes of patients with multivessel coronary artery disease referred for coronary revascularization in stand-alone interventional cardiology units. This prospective study included 1063 consecutive patients with multivessel disease enrolled between January and April 2013 from all 22 hospitals in Israel that perform coronary angiography and percutaneous coronary intervention (PCI), with or without on-site CSS. Of the 1063 patients, 487 (46%) underwent coronary artery bypass grafting (CABG) and 576 (54%) underwent PCI. A higher proportion of patients underwent PCI in hospitals without on-site CSS compared with those with on-site CSS (65% vs 46%; P < .001). Furthermore, patients referred to CABG from hospitals without on-site CSS had a significantly higher mean SYNTAX score compared with those who underwent CABG in centers with on-site CSS (29 vs 26; P = .018). Multivariate logistic regression analysis consistently showed that the absence of on-site cardiac surgery and a heart team was independently associated with a 2.5-fold increased likelihood for predicting the referral of PCI rather than CABG (odds ratio, 2.54; 95% confidence interval, 1.8-3.6). Patients with multivessel coronary artery disease treated in centers without on-site cardiac surgery services receive a lower rate of appropriate guideline-based intervention with CABG. These findings suggest that a heart team approach should be mandatory even in centers with stand-alone interventional cardiology units. Copyright © 2017 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.
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ERIC Educational Resources Information Center
Figa, Elizabeth; Bone, Tonda; Macpherson, Janet R.
2009-01-01
Student success is influenced by their ability to access, evaluate, and use resources. Traditionally, academic librarianship has provided students with these information literacy skills. The increase in distance learning options has created the need for libraries to provide both reference services equitable to those available onsite and access to…
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-10-29
... follows: ``All workers TTM Technologies, including on-site leased workers from Kelly Services and Aerotek... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-64,993] TTM Technologies, Including On-Site Leased Workers From Kelly Services, Aerotek, and an On-Site Leased Worker From Orbotech...
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Senter, Leigha; O'Malley, David M; Backes, Floor J; Copeland, Larry J; Fowler, Jeffery M; Salani, Ritu; Cohn, David E
2017-10-01
Analyze the impact of embedding genetic counseling services in gynecologic oncology on clinician referral and patient uptake of cancer genetics services. Data were reviewed for a total of 737 newly diagnosed epithelial ovarian cancer patients seen in gynecologic oncology at a large academic medical center including 401 from 11/2011-7/2014 (a time when cancer genetics services were provided as an off-site consultation). These data were compared to data from 8/2014-9/2016 (n=336), when the model changed to the genetics embedded model (GEM), incorporating a cancer genetic counselor on-site in the gynecologic oncology clinic. A statistically significant difference in proportion of patients referred pre- and post-GEM was observed (21% vs. 44%, p<0.0001). Pre-GEM, only 38% of referred patients were actually scheduled for genetics consultation and post-GEM 82% were scheduled (p<0.00001). The difference in the time from referral to scheduling in genetics was also statistically significant (3.92months pre-GEM vs. 0.79months post-GEM, p<0.00001) as was the time from referral to completion of genetics consultation (2.52months pre-GEM vs. 1.67months post-GEM, p<0.01). Twenty-five percent of patients referred post GEM were seen by the genetic counselor on the same day as the referral. Providing cancer genetics services on-site in gynecologic oncology and modifying the process by which patients are referred and scheduled significantly increases referral to cancer genetics and timely completion of genetics consultation, improving compliance with guideline-based care. Practice changes are critical given the impact of genetic test results on treatment and familial cancer risks. Copyright © 2017 Elsevier Inc. All rights reserved.
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-10-26
... Operations, Inc., Including On-Site Leased Workers From Reliable Temp Services, Inc., Johnson & Hill Staffing... Golf Ball Operations, Inc., including on-site leased workers from Reliable Temp Services, Inc., and... Reliable Temp Services, Inc., Johnson & Hill Staffing and Apollo Security, Chicopee, Massachusetts, who...
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Machan, Mac; Zitelli, John; Brodland, David
2016-01-01
On-site pathology services are an integral part of many dermatology and surgical dermatology practices in the United States. Assess the effectiveness and advantages of on-site pathology services. Biopsy data from 7 practices with on-site pathology services were reviewed to determine the diagnostic accuracy of malignancies from all lesional biopsies. Patient preference and convenience were queried and measured with satisfaction surveys. Of note, 1,052/1,379 (76.3%) of biopsies demonstrated a malignancy. Most patients underwent treatment of malignant lesions on a different day than the biopsy. Of the patients who scheduled a return visit for surgery on a later date, 42/246 (17.1%) reported incurring additional costs and 44/249 (17.7%) had a relative/friend who was inconvenienced. On-site pathology services provide efficient, effective, and convenient care for skin cancer patients. Fellowship-trained dermatologic surgeons use on-site pathology services to diagnose and treat clinically relevant nonmelanoma skin cancer.
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Impact of an Onsite Clinic on Utilization of Preventive Services.
Ostovari, Mina; Yu, Denny; Yih, Yuehwern; Steele-Morris, Charlotte Joy
2017-07-01
To assess impact of an onsite clinic on healthcare utilization of preventive services for employees of a public university and their dependents. Descriptive statistics, logistic regression and classification tree techniques were used to assess health claim data to identify changes in patterns of healthcare utilization and factors impacting usage of onsite clinic. Utilization of preventive services significantly increased for women and men employees by 9% and 14% one year after implementation of the onsite clinic. Hourly-paid employees, employees without diabetes, employees with spouse opt out or no coverage were more likely to go to the onsite clinic. Adapted framework for assessing performance of onsite clinics based on usage of health informatics would help to identify health utilization patterns and interaction between onsite clinic and offsite health providers.
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-02-22
..., Inc., Wealth Management Americas Operations, Including On-Site Leased Workers From Leafstone... Services, Inc., Wealth Management Americas Operations (UBS), Weehawken, New Jersey. The workers are engaged... to include all leased workers on-site at UBS Financial Services, Inc., Wealth Management Americas...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-03-12
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-72,924] Heritage Aviation, Ltd., Including On-Site Leased Workers From Global Technical Services and Global, Inc. (Global Employment... from Heritage Aviation, Ltd, including on-site leased workers from Global Technical Services, Grand...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-07-16
... technical support for the production of computer software. The company reports that workers leased from Affiliated Computer Services, Inc., (ACS) were employed on-site at the Provo, Utah location of Novell, Inc... On-Site Leased Workers From Affiliated Computer Services, Inc., (ACS), Provo, UT; Amended...
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Impact of chiropractic services at an on-site health center.
Kindermann, Sylvia L; Hou, Qingjiang; Miller, Ross M
2014-09-01
To compare the influence of employer-sponsored, on-site chiropractic care against community-obtained care on health care utilization. This was a retrospective claims analysis of members of a single employee health plan receiving chiropractic care on-site or off-site from 2010 to 2012. Utilization differences were evaluated by having 1 health care event or more, including radiology or clinical visits. There were 876 on-site and 759 off-site participants. The off-site group received more radiology services overall (55.5% vs 38.2%; P < 0.001) including magnetic resonance imaging, ultrasound, and radiograph (all P < 0.0001); had higher outpatient (P < 0.0001) and emergency department (P = 0.022) utilization; and demonstrated greater use of chiropractic care and physical therapy (both P < 0.0001). Compared with off-site care, on-site chiropractic services are associated with lower health care utilization. These results support the value of chiropractic services offered at on-site health centers.
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-08-02
... Citizens, N.A., Business Services, Including On-Site Leased Workers of Manpower and Randstad, 1 Citizens Drive, Riverside, RI RBS Citizens, N.A., Business Services, Including On-Site Leased Workers of Manpower... Worker Adjustment Assistance In accordance with Section 223 of the Trade Act of 1974, as amended (``Act...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-08-03
... Services, Working On-Site at Delphi Automotive Systems, LLC, Powertrain Division, El Paso, TX; Amended..., 2011, applicable to leased workers from Kelly Services working on-site at Delphi Automotive Systems... automotive components. The notice will be published soon in the Federal Register. At the request of the State...
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Horwitz, Sarah McCue; Storfer-Isser, Amy; Kerker, Bonnie D.; Szilagyi, Moira; Garner, Andrew S.; O’Connor, Karen G.; Hoagwood, Kimberly E.; Green, Cori M.; Foy, Jane M.; Stein, Ruth E.K.
2016-01-01
Objective The objectives were to: assess the availability of on-site mental health professionals (MHP) in primary care; examine practice/pediatrician characteristics associated with on-site MHPs; and determine whether presence of on-site MHPs is related to pediatricians’ co-managing or more frequently identifying, treat/managing or referring MH problems. Methods Analyses included AAP members who participated in an AAP Periodic Survey in 2013 and who practiced general pediatrics (N=321). Measures included socio-demographics, practice characteristics, questions on about on-site MHPs, co-management of MH problems and pediatricians’ behaviors in response to 5 prevalent MH problems. Weighted univariate, bivariate and multivariable analyses were performed. Results Thirty-five percent reported on-site MHPs. Practice characteristics (medical schools/universities/HMOs, <100 visits/week, <80% of patients privately insured), and interactions of practice location (urban) with visits and patient insurance, were associated with on-site MHPs. There was no overall association between co-location and co-management or whether pediatricians usually identified, treat/managed or referred 5 common child MH problems. Among the subset of pediatricians who reported co-managing there was an association with co-management when the on-site MHP was a child psychiatrist, SA counselor, or social worker. Conclusions On-site MHPs are more frequent in settings where low-income children are served and where pediatricians train. Pediatricians who co-manage MH problems are more likely to do so when the on-site MHP is a child psychiatrist, SA counselor, or social worker. Overall, on-site MHPs were not associated with co-management or increased likelihood of pediatricians identifying, treating/managing, or referring children with 5 common child MH problems. PMID:27064141
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McCue Horwitz, Sarah; Storfer-Isser, Amy; Kerker, Bonnie D; Szilagyi, Moira; Garner, Andrew S; O'Connor, Karen G; Hoagwood, Kimberly E; Green, Cori M; Foy, Jane M; Stein, Ruth E K
2016-01-01
To assess the availability of on-site mental health professionals (MHPs) in primary care; to examine practice/pediatrician characteristics associated with on-site MHPs; and to determine whether the presence of on-site MHPs is related to pediatricians' comanaging or more frequently identifying, treating/managing, or referring mental health (MH) problems. Analyses included American Academy of Pediatrics (AAP) members who participated in an AAP Periodic Survey in 2013 and who practiced general pediatrics (n = 321). Measures included sociodemographics, practice characteristics, questions about on-site MHPs, comanagement of MH problems, and pediatricians' behaviors in response to 5 prevalent MH problems. Weighted univariate, bivariate, and multivariable analyses were performed. Thirty-five percent reported on-site MHPs. Practice characteristics (medical schools, universities, health maintenance organizations, <100 visits per week, <80% of patients privately insured) and interactions of practice location (urban) with visits and patient insurance were associated with on-site MHPs. There was no overall association between colocation and comanagement, or whether pediatricians usually identified, treated/managed, or referred 5 common child MH problems. Among the subset of pediatricians who reported comanaging, there was an association with comanagement when the on-site MHP was a child psychiatrist, substance abuse counselor, or social worker. On-site MHPs are more frequent in settings where low-income children are served and where pediatricians train. Pediatricians who comanage MH problems are more likely to do so when the on-site MHP is a child psychiatrist, substance abuse counselor, or social worker. Overall, on-site MHPs were not associated with comanagement or increased likelihood of pediatricians identifying, treating/managing, or referring children with 5 common child MH problems. Copyright © 2016 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-02-02
..., Including On-Site Leased Workers From Westaff, Supply Technologies, Aerotek, and Securitas Security Services..., including on-site leased workers from Westaff, Supply Technologies, Aerotek and Securitas Security Services... was amended on December 6, 2010 to include on- site leased workers from Supply Technologies. The...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-17
... Solutions, American Cybersystems, Inc., Collabera, Hewlett-Packard, Kelly Services, Kforce, Inc., Lancesoft..., Business Services Center, including on-site leased workers from Abacus Service Corporation, American Cyber..., American CyberSystems, Inc., Collabera, Hewlett-Packard, Kelly Services, Kforce, Inc., Lancesoft...
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42 CFR 488.9 - Onsite observation of accreditation organization operations.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 42 Public Health 5 2010-10-01 2010-10-01 false Onsite observation of accreditation organization operations. 488.9 Section 488.9 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES General Provisions § 488.9 Onsite...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-03-12
... Elliott Tool and Die, Including On-Site Leased Workers From Modern Professional Services, TAC Automotive... on-site leased workers from Modern Professional Services, TAC Automotive, Syncreon, CSC, and Resource... subject firm. The workers are engaged in the production of automotive dies and tooling. New information...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-02-01
...,763B] Acushnet Company a Subsidiary of Fortune Brands Including On-Site Leased Workers From Olsten Staffing Services Fairhaven, MA; Acushnet Company a Subsidiary of Fortune Brands Including On-Site Leased Workers From Olsten Staffing Services New Bedford, MA; Acushnet Company a Subsidiary of Fortune Brands...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-22
..., Including On-Site Leased Workers From Westaff, Supply Technologies, Aerotek, Securitas Security Services..., 2011 to include on-site leased workers from Supply Technologies, Aerotek and Securitas Security Services. The notice was published in the Federal Register on December 13, 2010 (75 FR 77666) and February...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-20
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-72,773] Clark Engineering Co... of Clark Engineering Co., Inc., including on-site leased workers of Kelly Services, Owosso, Michigan... from Qualified Staffing were employed on-site at the Owosso, Michigan location of Clark Engineering Co...
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Hosokawa, Naoto
2011-10-01
In recent years, budget restrictions have prompted hospital managers to consider outsourcing microbiology service. But there are many advantages onsite microbiology services. Onsite microbiology services have some advantages. 1) High recovery rate of microorganism. 2) Shorter turn around time. 3) Easy to communicate between physician and laboratory technician. 4) Effective utilization of blood culture. 5) Getting early information about microorganism. 6) Making antibiogram (microbiological local factor). 7) Getting information for infection control. The disadvantages are operating costs and labor cost. The important point of maximal utilization of onsite microbiology service is close communication between physicians to microbiology laboratory. It will be able to provide prompt and efficient report to physicians through discussion about Gram stain findings, agar plate media findings and epidemiological information. The rapid and accurate identification of pathogen affords directed therapy, thereby decreasing the use of broad-spectrum antibiotics and shortening the length of hospital stay and unnecessary ancillary procedures. When the physician use outsourcing microbiology services, should discuss with offsite laboratories about provided services. Infection control person has to arrange data of susceptibility about every isolate and monitoring multi-drug resistant organism. Not only onsite microbiology services but also outsourcing microbiology services, to communicate bedside and laboratory is most important point of effective utilization.
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-10-26
... Management, Inc., Corporate Service Group, Information Technology (IT) Division, Including On-Site Leased... Information Management, Inc., Corporate Service Group, Information Technology (IT) Division, including on-site... location of Iron Mountain Information Management, Inc., Corporate Service Group, Information Technology (IT...
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Energy Use and Carbon Dioxide Emissions from Cropland Production in the United States, 1990-2004
Nelson, R. G.; Hellwinckel, C. H.; Brandt, C. C.; West, T. O.; De La Torre Ugarte, D. G.; Marland, G.
2008-01-01
These data represent energy use and fossil-fuel CO2 emissions associated with cropland production in the U.S. Energy use and emissions occurring on the farm are referred to as on-site energy and on-site emissions. Energy use and emissions associated with cropland production that occur off the farm (e.g., use of electricity, energy and emissions associated with fertilizer and pesticide production) are referred to as off-site energy and off-site emissions. The combination of on-site and off-site energy and carbon is referred to as total energy and total carbon, respectively.
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Cruz, Mario; Cruz, Patricia B; Weirich, Christine; McGorty, Ryan; McColgan, Maria D
2013-08-01
To describe the referral patterns and utilization of on-site intimate partner violence (IPV) services in both inpatient and outpatient settings at a large urban children's hospital. Retrospective review of case records from IPV victims referred to an on-site IPV counselor between September 2005 and February 2010. Descriptive statistics were used to examine IPV victim demographics, number of referrals per hospital department, referral source (type of staff member), time spent by IPV counselor for initial consultation, and services provided to IPV victims. A total of 453 unique referrals were made to the IPV counselor: 81% were identified by universal screening and 19% by risk-based screening. Thirty-six percent of IPV victims were referred from primary care clinics; 26% from inpatient units; 13% from outpatient subspecialty clinics; 12.5% from the emergency department; 5% from the Child Protection Program; and 4% were employee self-referrals. Social workers generated the most referrals (55%), followed by attending physicians (17%), residents (13%), nurses (7%), and other individuals (self-referrals) (4%). The median initial IPV intervention required 42 minutes. Supportive counseling and safety planning were the services most often utilized by IPV victims. IPV screening can be successfully integrated in both inpatient and outpatient settings by a multidisciplinary group of hospital staff. Most referrals were generated by universal screening outside of the primary care setting. IPV victims generally desired supportive counseling and safety planning over immediate housing relocation. Many IPV screening opportunities were missed by using verbal screening alone. Copyright © 2013 Elsevier Ltd. All rights reserved.
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-05-15
... Subsidiary of Educational Testing Service, Including On-Site Leased Workers From Office Team St. Paul... Office Team were employed on-site at the St. Paul, Minnesota location of the subject firm. The Department... workers leased from Office Team working on- site at the St. Paul, Minnesota location of Prometric, Inc., a...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-11-29
...., Including On-Site Leased Workers From Berks and Beyond Employment Services, Gage Personnel and Office Team... Employment Services, Gage Personnel, and Office Team/Robert Half International were employed on- site at the... Personnel, and Office Team/Robert Half International working on-site at the Reading, Pennsylvania location...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-01-05
... Division, Product Engineering, Including On-Site Leased Workers of Aerotek Contract Engineering, Allied Personnel Services, Eastern Engineering, Hobbie Professional Services, Mccallion Staffing Specialists, Peak Technical Services, Inc., Yoh Engineering, and Clarke Consulting, Inc., Bethlehem, PA; Amended Certification...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-12
.... Information Technology Help Desk Services Including On-Site Leased Workers From Modis, West Norriton, PA..., applicable to workers of Quest Diagnostics, Inc., Information Technology Help Desk Services, West Norriton... Quest Diagnostics, Inc., Information Technology Help Desk [[Page 2145
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Value of chiropractic services at an on-site health center.
Krause, Curt A; Kaspin, Lisa; Gorman, Kathleen M; Miller, Ross M
2012-08-01
Chiropractic care offered at an on-site health center could reduce the economic and clinical burden of musculoskeletal conditions. A retrospective claims analysis and clinical evaluation were performed to assess the influence of on-site chiropractic services on health care utilization and outcomes. Patients treated off-site were significantly more likely to have physical therapy (P < 0.0001) and outpatient visits (P < 0.0001). In addition, the average total number of health care visits, radiology procedures, and musculoskeletal medication use per patient with each event were significantly higher for the off-site group (all P < 0.0001). Last, headache, neck pain, and low back pain-functional status improved significantly (all P < 0.0001). These results suggest that chiropractic services offered at on-site health centers may promote lower utilization of certain health care services, while improving musculoskeletal function.
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Nonemergency PCI at hospitals with or without on-site cardiac surgery.
Jacobs, Alice K; Normand, Sharon-Lise T; Massaro, Joseph M; Cutlip, Donald E; Carrozza, Joseph P; Marks, Anthony D; Murphy, Nancy; Romm, Iyah K; Biondolillo, Madeleine; Mauri, Laura
2013-04-18
Emergency surgery has become a rare event after percutaneous coronary intervention (PCI). Whether having cardiac-surgery services available on-site is essential for ensuring the best possible outcomes during and after PCI remains uncertain. We enrolled patients with indications for nonemergency PCI who presented at hospitals in Massachusetts without on-site cardiac surgery and randomly assigned these patients, in a 3:1 ratio, to undergo PCI at that hospital or at a partner hospital that had cardiac surgery services available. A total of 10 hospitals without on-site cardiac surgery and 7 with on-site cardiac surgery participated. The coprimary end points were the rates of major adverse cardiac events--a composite of death, myocardial infarction, repeat revascularization, or stroke--at 30 days (safety end point) and at 12 months (effectiveness end point). The primary end points were analyzed according to the intention-to-treat principle and were tested with the use of multiplicative noninferiority margins of 1.5 (for safety) and 1.3 (for effectiveness). A total of 3691 patients were randomly assigned to undergo PCI at a hospital without on-site cardiac surgery (2774 patients) or at a hospital with on-site cardiac surgery (917 patients). The rates of major adverse cardiac events were 9.5% in hospitals without on-site cardiac surgery and 9.4% in hospitals with on-site cardiac surgery at 30 days (relative risk, 1.00; 95% one-sided upper confidence limit, 1.22; P<0.001 for noninferiority) and 17.3% and 17.8%, respectively, at 12 months (relative risk, 0.98; 95% one-sided upper confidence limit, 1.13; P<0.001 for noninferiority). The rates of death, myocardial infarction, repeat revascularization, and stroke (the components of the primary end point) did not differ significantly between the groups at either time point. Nonemergency PCI procedures performed at hospitals in Massachusetts without on-site surgical services were noninferior to procedures performed at hospitals with on-site surgical services with respect to the 30-day and 1-year rates of clinical events. (Funded by the participating hospitals without on-site cardiac surgery; MASS COM ClinicalTrials.gov number, NCT01116882.).
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-23
... that workers leased from Industrial Services, Incorporated and Summit Building Maintenance were... leased workers from Industrial Services, Incorporated and Summit Building Maintenance, Seattle..., Inc., a Subsidiary of Lafarge, Including On-Site Leased Workers From Industrial Services, Incorporated...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-11-12
... Organization and provided application support and information technology services supporting the subject firm..., including on-site leased workers from Kelly Services and Cognizant Technology Solutions, Shelton... Processing Group and Systems Configuration Organization, Including On-Site Leased Workers From Kelly Services...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-08-14
... Services, Post Production Feature Mastering Division Including On-Site Leased Workers From Ajilon... Services, Post Production Feature Mastering Division, Hollywood, California (subject firm). The worker... the workers meet the eligibility requirements of the Trade Act of 1974. Conclusion After careful...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-05-20
... Resources, Systems Pros, Total Tech Services, Triple Crown Consulting, and Ingenium Technology, Inc... Resources, PDS Technical Service, Superior Technical Resources, Systems Pros, Total Tech Services, and... subject firm. The company reports that workers leased from Ingenium Technology, Inc. were employed on-site...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-08-08
... amending this certification to include all workers of Delphi Automotive Systems, LLC, Product and Service..., LLC, Products and Service Solutions Division, Including On-Site Leased Workers From Bartech Workforce Management, Kokomo, Indiana; Amended Certification Regarding Eligibility To Apply for Worker Adjustment...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-09-19
...., including on-site leased workers from Computer Solutions and Software International, Inc., Dell Service... Insphere Insurance Solutions, Inc., Including On-Site Leased Workers From Computer Solutions and Software International, Inc., Dell Service Sales, Emdeon Business Services, KFORCE, Microsoft, Pariveda Solutions, Inc...
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Effectiveness of an on-site health clinic at a self-insured university: a cost-benefit analysis.
McCaskill, Sherrie P; Schwartz, Lisa A; Derouin, Anne L; Pegram, Angela H
2014-04-01
This study assessed the impact and cost-effectiveness of an on-site health clinic at a self-insured university. Health care costs and number of claims filed to primary care providers were trended before and after the clinic was established to determine savings. A retrospective chart review of all full-time, insured employees treated for upper respiratory tract infections (URIs) during a 1-year study period was conducted. On-site clinic costs for the treatment of URIs were compared to costs at outside community providers for similar care. Community cost norms for the treatment of URIs were provided by Primary Physicians Care, the administrator of insurance claims for the University. A cost-benefit analysis compared the cost of services on-site versus similar services at an outside community provider. Based on the results of this study, the University's on-site health care services were determined to be more cost-effective than similar off-site health care services for the treatment of URIs. [Workplace Health Saf 2014;62(4):162-169.]. Copyright 2014, SLACK Incorporated.
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RAPID ON-SITE METHODS OF CHEMICAL ANALYSIS
The analysis of potentially hazardous air, water and soil samples collected and shipped to service laboratories off-site is time consuming and expensive. This Chapter addresses the practical alternative of performing the requisite analytical services on-site. The most significant...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-19
.... Diversified Contract Service, Inc. 639, and Logistics Management Services, Inc. Fenton, MO; Amended..., 2008, applicable to workers of Chrysler LLC, St. Louis North Assembly Plant, Fenton, Missouri. The... Logistics Management Services, Inc. worked on-site at the Chrysler LLC, Fenton, Missouri plant (Logistics...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-19
...., Diversified Contract Service, Inc. 639, and Logistics Management Services, Inc., Fenton, MO; Amended..., 2008, applicable to workers of Chrysler LLC, St. Louis North Assembly Plant, Fenton, Missouri. The... Logistics Management Services, Inc. worked on-site at the Chrysler LLC, Fenton, Missouri plant (Logistics...
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76 FR 2709 - Amended Certification Regarding Eligibility To Apply for Worker Adjustment Assistance
Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-14
... for Worker Adjustment Assistance TA-W-72,873 RBS Citizens, N.A., Business Services, Including On-Site... Through NextGen Information Services, Inc., 1 Citizens Drive, Riverside, Rhode Island TA-W-72,873c RBS... Cabot Rd., Medford, Massachusetts TA-W-72,873G RBS Citizens, N.A., Business Services, Including On-Site...
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Aletraris, Lydia; Roman, Paul M
2015-10-01
The provision of HIV education and testing in substance use disorder (SUD) treatment programs is an important public health strategy for reducing HIV incidence. For many at-risk individuals, SUD treatment represents the primary point of access for testing and receiving HIV-related services. This study uses two waves of nationally representative data of 265 privately-funded SUD treatment programs in the U.S. to examine organizational and patient characteristics associated with offering a dedicated HIV/AIDS treatment track, onsite HIV/AIDS support groups, and onsite HIV testing. Our longitudinal analysis indicated that the majority of treatment programs reported providing education and prevention services, but there was a small, yet significant, decline in the number of programs providing these services. Programs placed more of an emphasis on providing information on the transmission of HIV rather than on acquiring risk-reduction skills. There was a notable and significant increase (from 26.0% to 31.7%) in programs that offered onsite HIV testing, including rapid HIV testing, and an increase in the percentage of patients who received testing in the programs. Larger programs were more likely to offer a dedicated HIV/AIDS treatment track and to offer onsite HIV/AIDS support groups, while accredited programs and programs with a medical infrastructure were more likely to provide HIV testing. The percentage of injection drug users was positively linked to the availability of specialized HIV/AIDS tracks and HIV/AIDS support groups, and the percentage of female clients was associated with the availability of onsite support groups. The odds of offering HIV/AIDS support groups were also greater in programs that had a dedicated LGBT track. The findings suggest that access to hospitals and medical care services is an effective way to facilitate adoption of HIV services and that programs are providing a needed service among a group of patients who have a heightened risk of HIV transmission. Nonetheless, the fact that fewer than one third of programs offered onsite testing, and, of the ones that did, fewer than one third of their patients received testing, raises concern in light of federal guidelines. Copyright © 2015 Elsevier Inc. All rights reserved.
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Integrating Parenting Support Within and Beyond the Pediatric Medical Home.
Linton, Julie M; Stockton, Maria Paz; Andrade, Berta; Daniel, Stephanie
2018-01-01
Positive parenting programs, developmental support services, and evidence-based home visiting programs can effectively provide parenting support and improve health and developmental outcomes for at-risk children. Few models, however, have integrated referrals for on-site support and home visiting programs into the provision of routine pediatric care within a medical home. This article describes an innovative approach, through partnership with a community-based organization, to deliver on-site and home visiting support services for children and families within and beyond the medical home. Our model offers a system of on-site services, including parenting, behavior, and/or development support, with optional intensive home visiting services. Assessment included description of the population served, delineation of services provided, and qualitative identification of key themes of the impact of services, illustrated by case examples. This replicable model describes untapped potential of the pediatric medical home as a springboard to mitigate risk and optimize children's health and development.
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Onsite Provision of Specialized Contraceptive Services: Does Title X Funding Enhance Access?
Riedel, Julie Cross; Menz, Mary; Darney, Philip D.; Brindis, Claire D.
2014-01-01
Abstract Background: This article presents the extent to which providers enrolled in California's Family Planning, Access, Care, and Treatment (Family PACT) program offer contraceptive methods onsite, thus eliminating one important access barrier. Family PACT has a diverse provider network, including public-sector providers receiving Title X funding, public-sector providers not receiving Title X funding, and private-sector providers. We explored whether Title X funding enhances providers' ability to offer contraceptive methods that require specialized skills onsite. Methods: Data were derived from 1,072 survey responses to a 2010 provider-capacity survey matched by unique identifier to administrative claims data. Results: A significantly greater proportion of Title X–funded providers compared to non–Title X public and private providers offered onsite services for the following studied methods: intrauterine contraceptives (90% Title X, 51% public non–Title X, 38% private); contraceptive implants (58% Title X, 19% public non–Title X, 7% private); vasectomy (8% Title X, 4% public non–Title X, 1% private); and fertility-awareness methods (69% Title X, 55% public non–Title X, 49% private) (all p<0.0001). The association between onsite provision and Title X funding remained after stratifying individually by clinic specialty, facility capacity to provide reproductive health services (based on staffing), and rural/urban location. Conclusions: Extra funding for publicly funded family-planning programs, through mechanisms such as Title X, appears to be associated with increased onsite access to a wide range of contraceptive services, including those that require special skills and training. PMID:24405313
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Onsite provision of specialized contraceptive services: does Title X funding enhance access?
Thiel de Bocanegra, Heike; Cross Riedel, Julie; Menz, Mary; Darney, Philip D; Brindis, Claire D
2014-05-01
This article presents the extent to which providers enrolled in California's Family Planning, Access, Care, and Treatment (Family PACT) program offer contraceptive methods onsite, thus eliminating one important access barrier. Family PACT has a diverse provider network, including public-sector providers receiving Title X funding, public-sector providers not receiving Title X funding, and private-sector providers. We explored whether Title X funding enhances providers' ability to offer contraceptive methods that require specialized skills onsite. Data were derived from 1,072 survey responses to a 2010 provider-capacity survey matched by unique identifier to administrative claims data. A significantly greater proportion of Title X-funded providers compared to non-Title X public and private providers offered onsite services for the following studied methods: intrauterine contraceptives (90% Title X, 51% public non-Title X, 38% private); contraceptive implants (58% Title X, 19% public non-Title X, 7% private); vasectomy (8% Title X, 4% public non-Title X, 1% private); and fertility-awareness methods (69% Title X, 55% public non-Title X, 49% private) (all p<0.0001). The association between onsite provision and Title X funding remained after stratifying individually by clinic specialty, facility capacity to provide reproductive health services (based on staffing), and rural/urban location. Extra funding for publicly funded family-planning programs, through mechanisms such as Title X, appears to be associated with increased onsite access to a wide range of contraceptive services, including those that require special skills and training.
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-29
... Human Capital Staffing (TA-W-64,715C); Cadence Innovation, LLC, Hillsdale Plant, Hillsdale, Michigan... Innovation, LLC, Groesbeck Plant, Including On-Site Leased Workers from Michigan Staffing, LLC, Modern Professional Services, LLC, TAC Transportation, Time Services, Inc., and Human Capital Staffing Clinton...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-08-27
... these workers were sufficiently under the control of the subject firm to be considered leased workers...; Springfield, Missouri Division Including On-site Leased Workers From Penmac Personnel Services and GCA Services Group Springfield, Missouri; Amended Certification Regarding Eligibility to Apply for Worker...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-02-10
... on-site leased workers from Adroit Software & Consulting, Inc., Aerotek Professional Services, Inc... Corporation Milford Proving Grounds Including On- Site Leased Workers From Adroit Software & Consulting, Inc., Aerotek Professional Services, Inc., Aerotek, Inc., Ajilon Consulting (IS&S), Altair Engineering, Inc...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-03
... Plastics Including On-Site Leased Workers From Kelly Services and Time Staffing; North Baltimore, OH... Adjustment Assistance on December 31, 2008, applicable to workers of Continental Structural Plastics, North... Baltimore, Ohio location of Continental Structural Plastics. The Department has determined that these...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-09-07
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-73,762] Rain Bird Corporation, Arizona Molding Division Including On-Site Leased Workers From Lumea Staffing Services, Tri-State Staffing Services and Remedy Staffing (AKA Select Staffing) Tucson, AZ; Amended Certification Regarding Eligibility...
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Ratz, Joan M.; Schuster, Rudy M.; Marcy, Ann H.
2011-01-01
The objective of this study was to explore the effect that providing distance education courses would have on enrollment in courses offered on the campus of the National Conservation Training Center. This is an exploratory study and the results should be interpreted as preliminary rather than conclusive. The study included two components: analysis of existing training-enrollment data for the time period from October 1, 2007 to June 24, 2009, and a survey of U.S. Fish and Wildlife Service (Service) employees regarding their preferences for onsite training and distance education. The analysis of training-enrollment data included training records for 2,823 Service employees. Using this dataset, we created a database that included region, supervisory status, number of enrollments in online training, instructor-led web-based classes, correspondence courses, courses at the campus of the National Conservation Training Center, and instructor-led courses off campus. Our analyses focused on differences between enrollment in distance education and onsite courses and the effects of regional affiliation, supervisory status, and course format. Generally, the regions closest to the campus had higher enrollment in onsite training and regions farther away had higher enrollment in distance education. Nonsupervisors were more likely to enroll in training on campus and supervisors were more likely to enroll in instructor-led training off site. Enrollment in instructor-led courses was higher than in self-paced courses, although this may result from fewer offerings of self-paced courses. The second component of the study involved a survey of Service employees regarding their preferences for distance education and onsite training. The survey was administered online and 911 Service employees responded. Overall, survey respondents indicated a small preference for onsite training and were more likely to enroll in onsite courses than distance education. When asked to indicate reasons that would lead them to choose one type of training over the other, practical reasons were more frequently indicated as influential in the decision to enroll in distance education and interactions with others were more frequently cited as reasons to enroll in onsite training.We conclude that the information we assembled and analyzed indicates that distance education currently functions as a supplemental approach to training when participation in training onsite at the National Conservation Training Center campus is impractical.
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7 CFR 3560.353 - Scheduling of on-site monitoring reviews.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 7 Agriculture 15 2012-01-01 2012-01-01 false Scheduling of on-site monitoring reviews. 3560.353... SERVICE, DEPARTMENT OF AGRICULTURE DIRECT MULTI-FAMILY HOUSING LOANS AND GRANTS Agency Monitoring § 3560.353 Scheduling of on-site monitoring reviews. Generally, the Agency will provide the borrower prior...
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7 CFR 3560.353 - Scheduling of on-site monitoring reviews.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 7 Agriculture 15 2011-01-01 2011-01-01 false Scheduling of on-site monitoring reviews. 3560.353... SERVICE, DEPARTMENT OF AGRICULTURE DIRECT MULTI-FAMILY HOUSING LOANS AND GRANTS Agency Monitoring § 3560.353 Scheduling of on-site monitoring reviews. Generally, the Agency will provide the borrower prior...
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7 CFR 3560.353 - Scheduling of on-site monitoring reviews.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 7 Agriculture 15 2014-01-01 2014-01-01 false Scheduling of on-site monitoring reviews. 3560.353... SERVICE, DEPARTMENT OF AGRICULTURE DIRECT MULTI-FAMILY HOUSING LOANS AND GRANTS Agency Monitoring § 3560.353 Scheduling of on-site monitoring reviews. Generally, the Agency will provide the borrower prior...
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7 CFR 3560.353 - Scheduling of on-site monitoring reviews.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 7 Agriculture 15 2013-01-01 2013-01-01 false Scheduling of on-site monitoring reviews. 3560.353... SERVICE, DEPARTMENT OF AGRICULTURE DIRECT MULTI-FAMILY HOUSING LOANS AND GRANTS Agency Monitoring § 3560.353 Scheduling of on-site monitoring reviews. Generally, the Agency will provide the borrower prior...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-03
... Technologies Including On-Site Leased Workers From Adecco Employment Servcies and Emcon Technologies, Troy, MI..., applicable to workers of Faurecia Emissions Control Technologies, Troy, Michigan, including on-site leased workers from Adecco Employment Services, Troy, Michigan. The Department's notice of determination was...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-17
... Health Care and Advantage Technical Resourcing, Saginaw, MI; Amended Certification Regarding Eligibility... on-site leased workers from Advantage Technical Resourcing were employed on-site at the Saginaw... Department is amending this certification to include workers leased from Advantage Technical Resourcing...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-19
... Ingersoll Rand Including On-Site Leased Workers From Aerotek, Express Personnel Services, Select Staffing... Ingersoll Rand, including on-site leased workers from Aerotek, Express Personnel Staffing, and Select... from Aerotek, Express Personnel Staffing, Select Staffing, and Mechanical Contractors, Inc., Pueblo...
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Review of pathogen treatment reductions for onsite non ...
Communities face a challenge when implementing onsite reuse of collected waters for non-potable purposes given the lack of national microbial standards. Quantitative Microbial Risk Assessment (QMRA) can be used to predict the pathogen risks associated with the non-potable reuse of onsite-collected waters; the present work reviewed the relevant QMRA literature to prioritize knowledge gaps and identify health-protective pathogen treatment reduction targets. The review indicated that ingestion of untreated, onsite-collected graywater, rainwater, seepage water and stormwater from a variety of exposure routes resulted in gastrointestinal infection risks greater than the traditional acceptable level of risk. We found no QMRAs that estimated the pathogen risks associated with onsite, non-potable reuse of blackwater. Pathogen treatment reduction targets for non-potable, onsite reuse that included a suite of reference pathogens (i.e., including relevant bacterial, protozoan, and viral hazards) were limited to graywater (for a limited set of domestic uses) and stormwater (for domestic and municipal uses). These treatment reductions corresponded with the health benchmark of a probability of infection or illness of 10−3 per person per year or less. The pathogen treatment reduction targets varied depending on the target health benchmark, reference pathogen, source water, and water reuse application. Overall, there remains a need for pathogen reduction targets that are heal
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-03-13
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-80,485] RR Donnelley, Inc., Including On-Site Leased Workers From Manpower and Kelly Services, Bloomsburg, PA; Notice of Affirmative... the claim is of sufficient weight to justify reconsideration of the U.S. Department of Labor's prior...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-20
... workers were sufficiently under the control of the subject firm to be considered leased workers. Based on... On-Site Leased Workers From Kelly Services, Summerton, SC; Amended Certification Regarding Eligibility To Apply for Worker Adjustment Assistance In accordance with Section 223 of the Trade Act of 1974...
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The On-Site, Programmatic Approach to Staff Development.
ERIC Educational Resources Information Center
Collins, Charles C.; Case, Chester H.
At present, community college in-service professional development programs are not top quality. Little, if any, budgetary support is allocated for them, and responsibility for planning and carrying them out is allocated to no one in particular. The few on-site in-service professional development programs now in operation exhibit common elements…
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-03-08
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-82,113] SGL Carbon, LLC Including Leased On-Site Worker of Reflex Staffing Services and Manpower, St. Marys, Pennsylvania; Notice of... of graphite parts. The initial investigation resulted in a negative determination based on the...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-06-21
... supply of administrative support services (in support of production). The worker group includes on-site... components produced by the subject workers. Further, aggregate imports of articles like or directly... reconsideration, the worker supplied new information regarding a possible shift in the production of like or...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-10
... Plastics, Including On-Site Leased Workers From Kelly Services and Doepker Group, Inc., Formerly Known As... Continental Structural Plastics, North Baltimore, Ohio. The workers produce exterior body panels and under... to TA-W-64,458 is hereby issued as follows: All workers of Continental Structural Plastics, including...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-14
... Workers From Labor Ready Southwest, Inc. and Select Remedy Staffing Services, Simi Valley, CA; Amended..., include on-site leased workers from Labor Ready Southwest, Inc., and Select Remedy Staffing Services, Simi... Cinram International, including on-site leased workers from Labor Ready Southwest, Inc., and Select...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-01-20
... Dream Clean, Inc., Bristol, TN; Amended Certification Regarding Eligibility To Apply for Worker... animals. The company reports that on-site leased workers from Dream Clean, Inc. were employed on-site at... findings, the Department is amending this certification to include workers leased from Dream Clean, Inc...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-05
... relevant period and that the subject firm had sufficient control over the leased workers for the Department to determine that there was operational control of the leased workers by the subject firm. The... Managerial Services, Inc., Including On-Site Leased Workers of Entegee East Longmeadow, MA Amended...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-09-14
... Process Gear, a division of Magna Powertrain, including on-site leased workers from ABM Janitorial Service... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-74,940] New Process Gear, a Division of Magna Powertrain, Including On- Site Leased Workers From ABM Janitorial Service Northeast, Inc...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-07-16
... Service Northeast, Inc. were employed on-site at the East Syracuse, New York location of New Process Gear... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-74,940] New Gear Process, a Division of Magna Powertrain, Including On- Site Leased Workers From ABM Janitorial Service Northeast, Inc...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-12-07
... Logistics, North America a Subsidiary of HAVI Group, LP Including On-Site Leased Workers of Express Personnel Services and the La Salle Network, Bloomingdale, IL; Havi Logistics, North America, Lisle, IL..., applicable to workers of HAVI Logistics, North America, a subsidiary of HAVI Group, LP, including on-site...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-07-05
... Carlisle Interconnect Assemblies Including On-Site Leased Workers From Volt Services Group and Adecco..., applicable to workers of Tensolite, LLC, d/b/a Carlisle Interconnect Assemblies, including on-site leased... interconnect assemblies. The notice was published in the Federal Register on September 2, 2009 (74 FR 45476...
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Comparing Person-Centered Communication Education in Long-Term Care Using Onsite and Online Formats.
Coleman, Carissa K; Fanning, Kim; Williams, Kristine N
2015-11-01
Educating nursing home (NH) staff to provide person-centered care is complicated by scheduling, costs, and other feasibility issues. The current study compared outcomes for an in-service program focused on person-centered communication provided in onsite and online formats. The Changing Talk program was provided onsite in seven NHs (n = 327 staff). The online program included eight NHs (n = 211 staff). Analysis of variance revealed an interaction between format type and pre-/post-test scores with improved recognition of person-centered communication in the onsite group only. Group program evaluations based on the modified Diffusion of Innovation in Long-Term Care Battery indicated no significant differences between training formats. Staff perception of the program was similar. Although statistically significant gains were noted in posttest scores indicating awareness of person-centered communication for the onsite group, gains were of limited clinical significance. Feasibility and effectiveness are important considerations for in-service education supporting NH culture change. Copyright 2015, SLACK Incorporated.
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-05-15
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-82,113] SGL Carbon, LLC, Including Leased On-Site Worker of Reflex Staffing Services and Manpower, St. Marys, Pennsylvania; Notice of Negative Determination on Reconsideration The initial investigation began on October 31, 2012 when a representative of the International Union of...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-07-16
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-81,045; TA-W-81,045A] Dow Jones & Company, Inc., Dow Jones Content Services Division, Including On-Site Workers From Aerotek, Inc., Princeton, NJ; Generate, Inc., a Subsidiary of Dow Jones & Company, Inc., Boston, MA; Amended Certification Regarding Eligibility To Apply for Worker...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-04-02
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-81,045] Dow Jones & Company, Inc., Dow Jones Content Services Including On-Site Workers From Aerotek, Inc., Princeton, NJ; Amended Certification Regarding Eligibility To Apply for Worker Adjustment Assistance In accordance with Section 223 of the Trade Act of 1974, as amended (``Ac...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-02-06
....; Blanchester Plant, Including On-Site Leased Workers From Adecco and Sims Bros., Inc.; Blanchester, OH; Amended... workers from Sims Bros., Inc. were working on-site at the subject firm during the relevant period and that the services supplied by Sims Bros., Inc. were related to the production of gear boxes (and parts...
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Li, Hong-Jiao; He, Li-Yun; Liu, Zhi-Shun; Sun, Ya-Nan; Yan, Shi-Yan; Liu, Jia; Zhao, Ye; Liu, Bao-Yan
2014-02-01
To effectively guarantee quality of randomized controlld trial (RCT) of acupuncture and develop reasonable content and checklist of on-site quality control, influencing factors on quality of acupuncture RCT are analyzed and scientificity of quality control content and feasibility of on-site manipulation are put into overall consideration. Based on content and checklist of on-site quality control in National 11th Five-Year Plan Project Optimization of Comprehensive Treatment Plan for TCM in Prevention and Treatment of Serious Disease and Clinical Assessment on Generic Technology and Quality Control Research, it is proposed that on-site quality control of acupuncture RCT should be conducted with PICOST (patient, intervention, comparison, out come, site and time) as core, especially on quality control of interveners' skills and outcome assessment of blinding, and checklist of on-site quality control is developed to provide references for undertaking groups of the project.
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Availability of HIV-related health services in adolescent substance abuse treatment programs.
Knudsen, H K; Oser, C B
2009-10-01
Given that alcohol and drug abuse heightens the risk of adolescents acquiring HIV, substance abuse treatment programs for youths may represent an important site of HIV prevention. In this research, we explored the adoption of three HIV-related health services: risk assessment during intake, HIV prevention programing, and HIV testing. Data were collection through telephone interviews with 149 managers of adolescent-only substance abuse treatment programs in the USA. About half of these programs had adopted HIV risk assessment and HIV prevention. On-site HIV testing was less widely adopted, with only one in four programs offering this service. At the bivariate level, the availability of on-site primary medical care and the availability of an overnight level of care were positively associated with these three types of services. The association for the measure of an overnight level of care was no longer significant once medical services were controlled. However, in a separate analysis, it was found that programs offering an overnight level of care were much more likely to offer on-site medical care than outpatient-only facilities. There was also evidence that publicly funded treatment programs were more likely to offer HIV prevention and on-site HIV testing, after controlling for other organizational characteristics. Much more research about the adoption of HIV-related services in adolescent substance abuse treatment is needed, particularly to offer greater insight into why certain types of organizations are more likely to adopt these health services.
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Van Houtven, Courtney Harold; Oddone, Eugene Z; Weinberger, Morris
2010-03-01
To describe the informal care network of US veterans referred to home and community-based services (Homemaker Home Health services, H/HHA, or Home-Based Primary Care, HBPC) at the Durham Veterans Affairs Medical Center (VAMC), including: quantity and types of tasks provided and desired content for caregiver training programs. All primary care patients referred to H/HHA or HBPC during the preceding 3 months were sent questionnaires in May 2007. Additionally, caregivers were sent questionnaires if a patient gave permission. Descriptive statistics and chi-squared tests were performed. On average, patients received 5.6 hours of VA care and 47 hours of informal care per week. 26% of patients (38% of patients with caregiver proxy respondents) and 59% of caregivers indicated the caregiver would be interested in participating in a training program by phone or on-site. Significant barriers to participation existed. The most common barriers were: transportation; no time due to caregiving or work demands; caregiver's own health limitations; and no need. Caregiver training needs to be tailored to overcome barriers to participate. Overcoming these barriers may be possible through in-home phone or internet training outside traditional business hours, and by tailoring training to accommodate limiting health problems among caregivers.
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VIEW OF BUILDING 122 WHICH HOUSES THE ONSITE MEDICAL FACILITIES ...
VIEW OF BUILDING 122 WHICH HOUSES THE ON-SITE MEDICAL FACILITIES OF THE ROCKY FLATS PLANT AND THE OCCUPATIONAL HEALTH AND INTERNAL DOSIMETRY ORGANIZATIONS. EMERGENCY MEDICAL SERVICES, DIAGNOSIS, DECONTAMINATION, FIRST AID, X-RAY, MINOR SURGICAL TREATMENT, AND AMBULATORY ACTIVITIES ARE CARRIED OUT IN THIS BUILDING. (1/98) - Rocky Flats Plant, Emergency Medical Services Facility, Southwest corner of Central & Third Avenues, Golden, Jefferson County, CO
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Forsdike, Kirsty; Humphreys, Cathy; Diemer, Kristin; Ross, Stuart; Gyorki, Linda; Maher, Helena; Vye, Penelope; Llewelyn, Fleur; Hegarty, Kelsey
2018-06-01
An innovative health-justice partnership was established to deliver legal assistance to women experiencing family violence who attended an Australian hospital. This paper reports on a multifaceted response to build capacity and willingness of health professionals to identify signs of family violence and engage with referral pathways to on-site legal assistance. A Realistic Evaluation analysed health professionals' knowledge and attitudes towards identification, response and referral for family violence before and after training; and use of referral pathways. Of 123 health professionals participating in training, 67 completed baseline and follow-up surveys. Training improved health professionals' self-reported knowledge of, and confidence in, responding to family violence and understanding of lawyers' roles in hospitals. Belief that patients should be referred to on-site legal services increased. Training did not correspond to actual increased referrals to legal assistance. The program built capacity and willingness of health professionals to identify signs of, and respond to, family violence. Increase in referral rates to legal assistance was not shown. Potential improvements include better data capture and greater availability of legal services. Implications for public health: Strong hospital system supports and reliable recording of family violence referrals need to be in place before introducing such partnerships to other hospitals. © 2017 The Authors.
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-10-03
..., (BCA) Including On-Site Leased Workers From Adecco, USA, Inc., Cascade Engineering, CDI Corporation...., Cascade Engineering, CDI Corporation, Chipton Ross, Inc., Comforce Corporation, Computer Staffing Services...
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We estimate an individual travel cost model for Great Sand Dunes National Park and Preserve (GSD) in Colorado using on-site, secondary data. The purpose of the on-site survey was to help the National Park Service better understand the visitors of GSD; it was not intended for a t...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-09-21
.... The workers are engaged in activities related to information technology (IT) outsourcing services. New information shows that workers leased from Compuware Corporation were employed on-site at the Detroit...
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ERIC Educational Resources Information Center
Handford, Michael; Matous, Petr
2011-01-01
The purpose of this research is to identify and interpret statistically significant lexicogrammatical items that are used in on-site spoken communication in the international construction industry, initially through comparisons with reference corpora of everyday spoken and business language. Several data sources, including audio and video…
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Evaluation of the OnSite (Pf/Pan) rapid diagnostic test for diagnosis of clinical malaria.
Mohon, Abu Naser; Elahi, Rubayet; Podder, Milka Patracia; Mohiuddin, Khaja; Hossain, Mohammad Sharif; Khan, Wasif A; Haque, Rashidul; Alam, Mohammad Shafiul
2012-12-12
Accurate diagnosis of malaria is an essential prerequisite for proper treatment and drug resistance monitoring. Microscopy is considered the gold standard for malaria diagnosis but has limitations. ELISA, PCR, and Real Time PCR are also used to diagnose malaria in reference laboratories, although their application at the field level is currently not feasible. Rapid diagnostic tests (RDTs) however, have been brought into field operation and widely adopted in recent days. This study evaluates OnSite (Pf/Pan) antigen test, a new RDT introduced by CTK Biotech Inc, USA for malaria diagnosis in a reference setting. Blood samples were collected from febrile patients referred for malaria diagnosis by clinicians. Subjects were included in this study from two different Upazila Health Complexes (UHCs) situated in two malaria endemic districts of Bangladesh. Microscopy and nested PCR were considered the gold standard in this study. OnSite (Pf/Pan) RDT was performed on preserved whole blood samples. In total, 372 febrile subjects were included in this study. Of these subjects, 229 (61.6%) tested positive for Plasmodium infection detected by microscopy and nested PCR. OnSite (Pf/Pan) RDT was 94.2% sensitive (95% CI, 89.3-97.3) and 99.5% specific (95% CI, 97.4-00.0) for Plasmodium falciparum diagnosis and 97.3% sensitive (95% CI, 90.5-99.7) and 98.7% specific (95% CI, 96.6-99.6) for Plasmodium vivax diagnosis. Sensitivity varied with differential parasite count for both P. falciparum and P. vivax. The highest sensitivity was observed in febrile patients with parasitaemia that ranged from 501-1,000 parasites/μL regardless of the Plasmodium species. The new OnSite (Pf/Pan) RDT is both sensitive and specific for symptomatic malaria diagnosis in standard laboratory conditions.
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ERIC Educational Resources Information Center
Congress of the U. S., Washington, DC. House Committee on Government Operations.
A hearing was held to examine the Department of Defense's on-site child care policies for uniformed and civilian personnel. Testimony concerned: (1) origins of the need for on-site or near-site child care among military personnel and characteristics of care provided; (2) aspects of service provision to civilian personnel working for the military…
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Wilderness Recreation Demand: A Comparison of Travel Cost and On-Site Cost Models
J.M. Bowker; A. Askew; L. Seymour; J.P. Zhu; D. English; C.M. Starbuck
2009-01-01
This study used travel cost and on-site day cost models, coupled with the Forest Serviceâs National Visitor Use Monitoring data, to examine the demand for and value of recreation access to designated Wilderness.
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Oddone, Eugene Z.; Weinberger, Morris
2013-01-01
Objectives To describe the informal care network of U.S. veterans referred to home and community-based services (Homemaker Home Health services, H/HHA, or Home-Based Primary Care, HBPC) at the Durham Veterans Affairs Medical Center (VAMC), including: quantity and types of tasks provided and desired content for caregiver training programs. Methods All primary care patients referred to H/HHA or HBPC during the preceding 3 months were sent questionnaires in May 2007. Additionally, caregivers were sent questionnaires if a patient gave permission. Descriptive statistics and chi-squared tests were performed. Results On average, patients received 5.6 hours of VA care and 47 hours of informal care per week. 26% of patients (38% of patients with caregiver proxy respondents) and 59% of caregivers indicated the caregiver would be interested in participating in a training program by phone or on-site. Significant barriers to participation existed. The most common barriers were: transportation; no time due to caregiving or work demands; caregiver's own health limitations; and no need. Conclusions Caregiver training needs to be tailored to overcome barriers to participate. Overcoming these barriers may be possible through in-home phone or internet training outside traditional business hours, and by tailoring training to accommodate limiting health problems among caregivers. PMID:20308351
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Mlangeni, Angstone Thembachako; Vecchi, Valeria; Norton, Gareth J; Raab, Andrea; Krupp, Eva M; Feldmann, Joerg
2018-10-15
A commercial arsenic field kit designed to measure inorganic arsenic (iAs) in water was modified into a field deployable method (FDM) to measure iAs in rice. While the method has been validated to give precise and accurate results in the laboratory, its on-site field performance has not been evaluated. This study was designed to test the method on-site in Malawi in order to evaluate its accuracy and precision in determination of iAs on-site by comparing with a validated reference method and giving original data on inorganic arsenic in Malawian rice and rice-based products. The method was validated by using the established laboratory-based HPLC-ICPMS. Statistical tests indicated there were no significant differences between on-site and laboratory iAs measurements determined using the FDM (p = 0.263, ά = 0.05) and between on-site measurements and measurements determined using HPLC-ICP-MS (p = 0.299, ά = 0.05). This method allows quick (within 1 h) and efficient screening of rice containing iAs concentrations on-site. Copyright © 2018 Elsevier Ltd. All rights reserved.
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-07-19
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-72,585] Whirlpool Corporation, Evansville Division, Including On-Site Leased Workers From Andrews International, Inc., M.H. Equipment, and Kenco Logistics Services, LLC, Evansville, IN; Amended Certification Regarding Eligibility To Apply for...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-10-20
..., Currently Known as Henkel Electronic Materials, LLC, Electronic Adhesives Division, Including On-Site Leased..., Electronic Adhesives Division, including on-site leased workers from Aerotek Professional Services, Billerica..., Electronic Adhesives Division had their wages reported under a separate unemployment insurance (UI) tax...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-07
... employed on-site at the Federal Way, Washington location of Weyerhaeuser Company, Corporate Headquarters... Company, Corporate Headquarters to be considered leased workers. Based on these findings, the Department... Federal Way, Washington location of Weyerhaeuser Company, Corporate Headquarters. The amended notice...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-03-12
... software and related services including quality assurance and learning products, marketing, product development, marketing and administration. The company reports that on-site leased workers from Managed..., Santa Clara, California, and the Everett, Washington locations of Agilent Technologies, EEsof Division...
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Comparative human health risk analysis of coastal community water and waste service options.
Schoen, Mary E; Xue, Xiaobo; Hawkins, Troy R; Ashbolt, Nicholas J
2014-08-19
As a pilot approach to describe adverse human health effects from alternative decentralized community water systems compared to conventional centralized services (business-as-usual [BAU]), selected chemical and microbial hazards were assessed using disability adjusted life years (DALYs) as the common metric. The alternatives included: (1) composting toilets with septic system, (2) urine-diverting toilets with septic system, (3) low flush toilets with blackwater pressure sewer and on-site greywater collection and treatment for nonpotable reuse, and (4) alternative 3 with on-site rainwater treatment and use. Various pathogens (viral, bacterial, and protozoan) and chemicals (disinfection byproducts [DBPs]) were used as reference hazards. The exposure pathways for BAU included accidental ingestion of contaminated recreational water, ingestion of cross-connected sewage to drinking water, and shower exposures to DBPs. The alternative systems included ingestion of treated greywater from garden irrigation, toilet flushing, and crop consumption; and ingestion of treated rainwater while showering. The pathways with the highest health impact included the ingestion of cross-connected drinking water and ingestion of recreational water contaminated by septic seepage. These were also among the most uncertain when characterizing input parameters, particularly the scale of the cross-connection event, and the removal of pathogens during groundwater transport of septic seepage. A comparison of the health burdens indicated potential health benefits by switching from BAU to decentralized water and wastewater systems.
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-07-07
... former workers of Allstate Insurance Company, Altoona Express Market Claim Office, including on- site... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-73,536] Allstate Insurance Company, Altoona Express Market Claim Office, Including On-Site Leased Workers From Kelly Services...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-07-10
... Manufacturing Formerly Known as General Motors Corporation Shreveport Assembly Plant Including On-Site Leased..., Shreveport Assembly Plant, including on-site leased workers from Aerotek and Kelly Services, Shreveport..., Shreveport Assembly Plant. The Department has determined that these workers were sufficiently under the...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-05-17
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-81,299] Kohler Company, Malvern Division, Including On-Site Leased Workers From Manpower Staffing and Dow Cleaning Services, Malvern, AR; Amended Certification Regarding Eligibility To Apply for Worker Adjustment Assistance In accordance with...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-05-03
...) Wages Are Paid Through Journey Education Marketing (JEM), Including On-Site Lease Workers From Serenity... Serenity Staffing, Accountemps, Silicon Valley and Liaison Resources, Austin and Dallas, Texas. The notice... Journey Education Marketing (JEM), and including on-site leased workers from Serenity Staffing...
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Interest in internet lung cancer support among rural cardiothoracic patients.
Quin, Jacquelyn; Stams, Victor; Phelps, Beth; Boley, Theresa; Hazelrigg, Stephen
2010-05-01
The Internet may provide an alternative option for rural lung cancer patients who lack access to on-site cancer support; however, Internet access and use among rural patients is unknown. An anonymous waiting-room survey was administered to all outpatient cardiothoracic surgery patients over 3 mo. Survey questions included age, gender, and diagnosis, possession of a home computer and Internet service, estimated Internet use, and use of the Internet for health information. Patients with known or suspected lung cancer were asked to indicate their interest in on-site and Internet cancer support. There were 597 returned surveys (response rate 96%). The mean age was 64.6 y (SE 0.55), and 58% were men. Diagnoses included known or possible lung cancer (15.4%), lung disease (9.5%), heart disease (30.4%), other diagnoses (13.9%), and undetermined (30.6%). There were 343 patients (57.4%) with a home computer and 299 (50.1%) with home Internet service. Average Internet use was 8.5 h per wk (n = 298), and 225 patients used the Internet for health information. Of the 92 patients with lung cancer, 10 indicated interest in on-site support services while 37 expressed interest in Internet-based support. Based on survey results, a slight majority of rural patients have a home computer and Internet access. Internet use for health information appears relatively common. Overall interest for support services among lung cancer patients appears modest with a greater interest in Internet-based services compared with on-site support. Copyright 2010 Elsevier Inc. All rights reserved.
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On-site programmatic attendance to cardiac rehabilitation and the healthy-adherer effect.
Alter, David A; Zagorski, Brandon; Marzolini, Susan; Forhan, Mary; Oh, Paul I
2015-10-01
On-site attendance to prescheduled cardiac rehabilitation visits has been shown to be associated with improved outcomes following cardiac rehabilitation. The extent to which on-site programmatic attendance represents a healthy-adherer effect remains unknown. This retrospective cohort study consisted of 17,000 consecutively referred patients to a cardiac rehabilitation program in Ontario, Canada. On-site attendance at prescheduled visits was our primary exposure variable. The primary outcome was all-cause death or hospitalization at two years following the expected program completion date, irrespective of drop-out. Secondary outcomes included adherence to statins, health-seeking preventative health visits, and changes in clinical risk-profiles. Cox proportional hazards adjusted for baseline sociodemographic, clinical and comorbid characteristics. Among the 12,440 patients who attended at least one prescheduled on-site visit, on-site attendance was inversely correlated with baseline smoking rates and body mass index at program entry. After adjustment for baseline factors, the risk of death or hospitalization progressively fell with incremental increases in on-site attendance (adjusted hazard ratio for each 10% increase in on-site attendance: 0.96; 95% confidence interval: 0.93-0.99, p = 0.007). Such associations were driven predominantly by differences in non-cardiovascular hospitalizations. Incremental increases in on-site attendance were associated with improvements in cardiopulmonary fitness and body mass index (both p < 0.001), better attendance of preventative care physician visits (p < 0.001) and higher medication adherence to statins (p = 0.007). Associations between on-site attendance at cardiac rehabilitation and outcomes may represent a healthy-adherer effect. Future research must evaluate the clinical utility of on-site attendance as a behavioral health-adherence metric for cardiac rehabilitation monitoring and surveillance. © The European Society of Cardiology 2014.
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Short, Lynn M; Hadley, Susan M; Bates, Bonnie
2002-01-01
The WomanKind program, a non-profit health care based program for for victims of domestic/intimate partner violence (IPV), seeks to enable and motivate health care providers to identify victims of such violence and refer them to WomanKind's in-house services. An evaluation designed to assess client referral to WomanKind services and the impact of health care provider training was carried out. Data were collected at three intervals over a 2-year period at 3 intervention and 2 comparison hospitals located in Minneapolis, MN. The focus of data collection efforts was to assess the providers' knowledge, attitudes, beliefs, and behaviors (KABB) concerning identification and referral of victims of IPV. Hospital staff and volunteer advocate training programs also were evaluated. Chart reviews were conducted and client referrals assessed. Providers at WomanKind hospitals demonstrated significantly higher knowledge, attitudes, beliefs and behaviors than those at comparison hospitals throughout the study. During the data collection period, 1719 IPV victims were identified and referred to the WomanKind program, while only 27 IPV victims were referred to trained social workers at the comparison hospitals. Chart reviews indicated that emergency staff at the intervention sites provide documentation of IPV in patient records twice as frequently as emergency staff at the comparison sites. This research underscores the efficacy of a well-structured, multidisciplinary effort to deliver services to IPV victims. The results demonstrate that specialized training and on-site client services create a significant positive impact on the KABB of health care providers.
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-14
...; Formerly Known as Chrysler LLC; Kenosha Engine Plant; Including On-Site Leased Workers From Caravan Knight..., K+S Services, Inc., G4S Secure Solutions, Crassociates, Inc., CES, INC., Evans Distribution Systems... of Chrysler Group, LLC, formerly known as Chrysler, LLC, Kenosha Engine Plant, Kenosha, Wisconsin...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-01
... Engineering Division, Including B&C Distribution Center, Including On-Site Leased Workers From B&C Services, Inc., Barberton, OH; Amended Certification Regarding Eligibility To Apply for Worker Adjustment... Department of Labor issued a Certification of Eligibility to Apply for Worker Adjustment Assistance on...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-08-02
... account under the name Harrow Products, Inc. Accordingly, the Department is amending this certification to... Products, Inc., Formerly Known as Locknetics Including On-Site Leased Workers From Monroe Staffing Services, Adecco USA, Inc., and Infinistaff, LLC, Bristol, CT; Amended Certification Regarding Eligibility To Apply...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-08-13
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-70,232; TA-W-70,232A] Halliburton Company, Duncan Mfg., Including On-Site Leased Workers from Express Personnel, Clayton Personnel Service, and Manpower Planning, Duncan, OK; Halliburton Company, Technology and Engineering Division, Finance and Administration Division, Duncan, OK;...
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Evaluation of the OnSite (Pf/Pan) rapid diagnostic test for diagnosis of clinical malaria
2012-01-01
Background Accurate diagnosis of malaria is an essential prerequisite for proper treatment and drug resistance monitoring. Microscopy is considered the gold standard for malaria diagnosis but has limitations. ELISA, PCR, and Real Time PCR are also used to diagnose malaria in reference laboratories, although their application at the field level is currently not feasible. Rapid diagnostic tests (RDTs) however, have been brought into field operation and widely adopted in recent days. This study evaluates OnSite (Pf/Pan) antigen test, a new RDT introduced by CTK Biotech Inc, USA for malaria diagnosis in a reference setting. Methods Blood samples were collected from febrile patients referred for malaria diagnosis by clinicians. Subjects were included in this study from two different Upazila Health Complexes (UHCs) situated in two malaria endemic districts of Bangladesh. Microscopy and nested PCR were considered the gold standard in this study. OnSite (Pf/Pan) RDT was performed on preserved whole blood samples. Results In total, 372 febrile subjects were included in this study. Of these subjects, 229 (61.6%) tested positive for Plasmodium infection detected by microscopy and nested PCR. OnSite (Pf/Pan) RDT was 94.2% sensitive (95% CI, 89.3-97.3) and 99.5% specific (95% CI, 97.4-00.0) for Plasmodium falciparum diagnosis and 97.3% sensitive (95% CI, 90.5-99.7) and 98.7% specific (95% CI, 96.6-99.6) for Plasmodium vivax diagnosis. Sensitivity varied with differential parasite count for both P. falciparum and P. vivax. The highest sensitivity was observed in febrile patients with parasitaemia that ranged from 501–1,000 parasites/μL regardless of the Plasmodium species. Conclusion The new OnSite (Pf/Pan) RDT is both sensitive and specific for symptomatic malaria diagnosis in standard laboratory conditions. PMID:23234579
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Jump, Robin L. P.; Olds, Danielle M.; Jury, Lucy A.; Sitzlar, Brett; Saade, Elie; Watts, Brook; Bonomo, Robert A.; Donskey, Curtis J.
2013-01-01
Background Residents of long-term care facilities (LTCFs) are a population vulnerable to infections and to the adverse effects of inappropriate antimicrobial prescribing. To improve the care of residents with possible infections, we initiated a LTCF Infectious Disease (LID) service that provides on-site consultations to LTCF residents. Design Clinical demonstration project Setting A 160-bed LTCF affiliated with a tertiary care Veterans Affairs (VA) hospital. Participants Residents referred to the LID Team. Measurements The reason for and source of LTCF residents’ referral to the LID team as well as their demographics, infectious disease diagnoses, interventions and hospitalizations were determined. Results Between July 2009 and December 2010, the LID consult service provided 291 consults for 250 LTCF residents. Referrals came from either the LTCF staff (75%) or the VA hospital’s ID consult service (25%). The most common diagnoses were Clostridium difficile infection (14%), asymptomatic bacteriuria (10%), and urinary tract infection (10%). More than half of referred patients were on antibiotic therapy when first seen by the LID team; 46% of patients required an intervention. The most common interventions, stopping (32%) or starting (26%) antibiotics, were made in accordance with principles of antibiotic stewardship. Conclusion The LID team represents a novel and effective means to bring subspecialty care to LTCF residents. PMID:23590125
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Case report: teledermatology and epiluminescence microscopy for the diagnosis of scabies.
Weinstock, M A; Kempton, S A
2000-07-01
We wish to share images from a patient seen in our teledermatology program. Due to the absence of on-site dermatology services at the Togus, Maine, Department of Veterans Affairs, and associated community clinics for veterans in Aroostook, Bangor, Calais, and Rumford, we created a program to provide dermatologic expertise from Providence, Rhode Island. Patients referred for this service were evaluated by a nurse practitioner, who obtained a history, performed a physical examination, and captured digital images of the affected area of skin, including epiluminescence microscopic images where indicated. These data were then retrieved at the Providence (host) site and reviewed by a dermatologist, who formulated an impression and plan that was then implemented by the remote site in Maine. This approach, which involves image capture at the remote site and later review of images at the host site, is the "store-and-forward" method, which appears to be a relatively cost-effective means of providing this service from a distance.
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Improving queuing service at McDonald's
NASA Astrophysics Data System (ADS)
Koh, Hock Lye; Teh, Su Yean; Wong, Chin Keat; Lim, Hooi Kie; Migin, Melissa W.
2014-07-01
Fast food restaurants are popular among price-sensitive youths and working adults who value the conducive environment and convenient services. McDonald's chains of restaurants promote their sales during lunch hours by offering package meals which are perceived to be inexpensive. These promotional lunch meals attract good response, resulting in occasional long queues and inconvenient waiting times. A study is conducted to monitor the distribution of waiting time, queue length, customer arrival and departure patterns at a McDonald's restaurant located in Kuala Lumpur. A customer survey is conducted to gauge customers' satisfaction regarding waiting time and queue length. An android app named Que is developed to perform onsite queuing analysis and report key performance indices. The queuing theory in Que is based upon the concept of Poisson distribution. In this paper, Que is utilized to perform queuing analysis at this McDonald's restaurant with the aim of improving customer service, with particular reference to reducing queuing time and shortening queue length. Some results will be presented.
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Munn, Matthew Brendan; Lund, Adam; Golby, Riley; Turris, Sheila A
2016-04-01
With increasing attendance and media attention, large-scale electronic dance music events (EDMEs) are a subset of mass gatherings that have a unique risk profile for attendees and promoters. Shambhala Music Festival (Canada) is a multi-day event in a rural setting with a recognized history of providing harm reduction (HR) services alongside medical care. Study/Objective This manuscript describes the medical response at a multi-day electronic music festival where on-site HR interventions and dedicated medical care are delivered as parallel public health measures. This study was a descriptive case report. Medical encounters and event-related data were documented prospectively using an established event registry database. In 2014, Shambhala Music Festival had 67,120 cumulative attendees over a 7-day period, with a peak daily attendance of 15,380 people. There were 1,393 patient encounters and the patient presentation rate (PPR) was 20.8 per one thousand. The majority of these (90.9%) were for non-urgent complaints. The ambulance transfer rate (ATR) was 0.194 per one thousand and 0.93% of patient encounters were transferred by ambulance. No patients required intubation and there were no fatalities. Harm reduction services included mobile outreach teams, distribution of educational materials, pill checking facilities, a dedicated women's space, and a "Sanctuary" area that provided non-medical peer support for overwhelmed guests. More than 10,000 encounters were recorded by mobile and booth-based preventive and educational services, and 2,786 pills were checked on-site with a seven percent discard rate. Dedicated medical and HR services represent two complementary public health strategies to minimize risk at a multi-day electronic music festival. The specific extent to which HR strategies reduce the need for medical care is not well understood. Incorporation of HR practices when planning on-site medical care has the potential to inform patient management, reduce presentation rates and acuity, and decrease utilization and cost for local, community-based health services.
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Managing the risks of on-site health centers.
Gorman, Kathleen M; Miller, Ross M
2011-11-01
This review sought to assess compliance concerns, determine risk management strategies, and identify opportunities for future research to contribute to employers' understanding of the laws and regulations that apply to on-site care. A comprehensive review of databases, professional organizations' websites, and journals resulted in 22 publications reporting on the consequences of noncompliance among on-site health centers accepted for inclusion. None of those studies reported a study design or quantifiable outcome data. Two noncompliance themes were repeated among the publications. First, direct penalties included fines, civil actions, loss of licensure, and, potentially, criminal charges. Second, noncompliance also resulted in indirect costs such as employee mistrust and lowered standards of care, which jeopardize on-site health centers' ability to demonstrate a return on investment. Further research with rigorous methodology is needed to inform employer decisions about on-site health services and associated risk management. Copyright 2011, SLACK Incorporated.
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Gupta, Prabodh K
2010-01-01
Background Standard-of-care requires the availability of an efficient, economical and accurate on-site fine needle aspiration (FNA) service. Presence of a trained individual during the procedure ensures an improved patient care. Appropriate selection of the equipment, interaction with the clinicians and compliance with the various regulations during the procedure is essential. This is often done by an on-site FNA service. Organization and implementation of such a system in a large academic center is challenging. Method we reviewed the ambulatory care needs in the new Perelman Center for Advanced Medicine (PeCAM). Multiple (9) FNA sites have been established keeping in view the patient's convenience, clinic demands, various regulatory requirements and laboratory staff. Each location has dedicated FNA station with microscopes and supplies. In addition, state- ofthe -art technologies including a mobile FNA cart (Penn-A- Cart), remote specimen evaluation (TeleCyP) have been incorporated. Results The new set up is extremely efficient and much valued by the patients and the clinicians. It has improved patient care. Conclusion With necessary investments and resources a point-of-care FNA service has been created which has improved patient care. This, albeit with certain modifications may serve as a model for FNA service. PMID:20607093
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-15
..., Shreveport Ramp Services, Dana Holding Corporation, the Landing Of GM, Filtration Services Group, BASF, G4S... Services, Voith Industrial Services, Shreveport Ramp Services, Dana Holding Corporation, The Landing of GM... Corporation, The Landing of GM, Filtration Services Group, BASF, G4S Secure Services, Seibert Powder Coating...
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Freshwater, Eleanor S; Dickinson, Phillip; Crouch, Robert; Deakin, Charles D; Eynon, C Andy
2014-02-01
In November 2011, University Hospital Southampton (UHS), now a major trauma centre, opened its onsite helipad, allowing patients to be brought to the emergency department (ED) directly by air ambulance. Prior to this, helicopters were required to land at a local playing field and the patient had to be transferred by land ambulance. This study aims to investigate the impact this change in practice has had on the flow of patients to the ED. The authors completed a retrospective case analysis of the first 100 patients brought directly to UHS by helicopter. Data were obtained from ED notes and helicopter provider databases. Analysis was conducted on the type of incident and appropriateness of referral. Incident locations were plotted geographically. 100 patients arrived at UHS ED by helicopter between 17 November 2011 and 31 March 2012. Of these, 79 were primary helicopter emergency medical service (HEMS) missions and 21 were secondary transfers from other hospitals. Of the HEMS patients, 38 were likely to have been transported to another hospital, had there not been an onsite helipad at UHS. 29 passed another suitable receiving hospital en route and therefore may have come to UHS for speciality services. The provision of an onsite, 24 h helipad facility at UHS has resulted in a significant number of patients being transported to the hospital by helicopter who might otherwise have attended an alternative hospital.
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-04-10
... Subsidiary of Tomkins, PLC Including On- Site Leased Workers from Reliable, Masiello Employment Services..., applicable to workers of Hart and Cooley, Inc., a subsidiary of Tomkins, PLC, including on-site leased... issued as follows: ``All workers from Hart and Cooley, Inc., a subsidiary of Tomkins, PLC, including on...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-21
..., Inc. a Subsidiary of Rexam PLC Including On-Site Leased Workers From Addeco Employment Services..., applicable to the workers of Rexam Closure Systems, Inc., a subsidiary of Rexam PLC, Hamlet, North Carolina... Rexam Closure Systems, Inc., a subsidiary of Rexam PLC purchased Owens Illinois Manufacturing. Some...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-12-07
... Formerly Known as Chrysler LLC Kenosha Engine Plant Including On-Site Leased Workers From Caravan Knight..., K+S Services, Inc., G4S Secure Solutions, Crassociates, Inc., CES, Inc., Evans Distribution Systems..., LLC, formerly known as Chrysler, LLC, Kenosha Engine Plant, Kenosha, Wisconsin (subject firm). The...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-01-24
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-80,473] Reading Powder Coatings, Inc., Including On-Site Leased Workers From Berks and Beyond Employment Services and Gage Personnel Reading, PA; Amended Certification Regarding Eligibility To Apply for Worker Adjustment Assistance and Alternative Trade Adjustment Assistance In...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-02-21
... Johnson Controls, including on-site leased workers from Kelly Services, Sycamore, Illinois. The notice was... amended notice applicable to TA-W-73,074 is hereby issued as follows: ''All workers of Johnston Controls... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-73,074] Johnson Controls D/B/A...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-11-09
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-81,739; TA-W-81,739A] Hewlett-Packard Company, Design Delivery Organization (DDO), Including On-Site Leased Workers From Manpower, Synova Inc., and Pinnacle Technical Resources, Corvallis, OR; Hewlett-Packard Company, Ink Jet & Web Services, World Wide Design Group, Vancouver, WA;...
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Code of Federal Regulations, 2010 CFR
2010-10-01
... percent) of the total number of its Medicare inpatients discharged from that acute care hospital, all such... transferred to onsite providers and readmitted to a long-term care hospital. 412.532 Section 412.532 Public... PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Prospective Payment System for Long-Term Care...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-29
...., Robinson Solutions, Logistics Management Services, Inc., Corrigan Company and Murphy Company, Fenton, MO... Plant, Fenton, Missouri. The notice was published in the Federal Register on May 2, 2008 (73 FR 24317... leased from Corrigan Company and Murphy Company were employed on-site at the Fenton, Missouri location of...
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Emergency care provision at the 2009 Special Olympics Great Britain.
Williamson, Timothy; Wheeler, Patrick; Stephens, Catherine; Ferguson, Mike
2013-05-01
The Special Olympics Great Britain (SOLGB) summer games 2009 were held in Leicester between 25 and 31 July. They involved 2413 athletes that were engaged in 21 different sports across 19 different locations. The onsite healthcare was provided by a specialist medical team. The hospital services available were at the local emergency department (ED) and the co-located urgent care centre (UCC). To assess the on-site provision required to support a large multisport event for people with learning disabilities and to ascertain the impact on the local hospital services. On-site consultations were documented on SOLGB medical record forms. Referrals to the local ED and UCC were identified from the SOLGB medical notes or from the ED/UCC attendance codes, as a specific code was applied to all patients related to the games. 581 on-site consultations were documented at SOLGB 2009, of which 95% of these were for athletes. 477 treatments were completed in total, of which 444 were undertaken on-site (93%). 20 people attended the ED; there were no documented attendances at the UCC. 17 of the 20 attendances at the ED were athletes competing. Allocation of the healthcare team was appropriate, with the exception of one sport, where a doctor was moved from a nearby event to consult on 13 occasions. Attendances to the local ED and UCC were minimal. Therefore, the model of on-site medical care that was used, which led to minimal impact on NHS resources, will support the arrangements of medical requirements at future SOLGB games.
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-20
...., Worldwide Services Group, Global Support Services (GSS) Organization, Including On-Site Leased Workers From Kelly Services Inc., P/S Partner Solutions Ltd., Exceed Resources Inc., Real Soft, InfoQuest Consulting Group, Ccsi Inc., ICONMA LLC, MGD Consulting, Inc., Case Interactive LLC., Sapphire Technologies...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-19
... Expense Team, Working From Various States in the United States, Including On-Site Leased Workers From... Technology Services Business Unit, Integrated Technology Services, Cost and Expense Team working from various... Technology Services Business Unit, Integrated Technology Services, Cost and Expense Team. The Department has...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-20
...., Anchor Staffing, Capitol Software Systems, Donohue Computer Services, Historic Northside Family Practice, Scripture and Associates, Summit Software Services DD, Tacworldwide Companies, Talent Trax, Tek Systems...., Anchor Staffing, Capitol Software Systems, Donohue Computer Services, Historic Northside Family Practice...
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
1990-09-24
The 5,200-acre Martin Marietta, Denver Aerospace site is in Waterton, Jefferson County, Colorado. The site completely surrounds 464 acres of contaminated Air Force property, which is being addressed as a separate Superfund site. Since 1950, the Martin Marietta Aeronautics Group (MMAG) has been conducting high technology engineering, design, development, and manufacturing operations for the space industry onsite. Types of wastes generated during onsite activities include oils, metals, organic solvents, wastewater, chemical process sludges, and VOCs. From 1959 to 1980, untreated, highly concentrated waste from onsite activities was disposed of in five onsite ponds, referred to as the Inactive Site Pondsmore » Area. Previous site remediations by MMAG from 1969 to 1985 did not address contaminant sources or migration, but included backfilling and regarding of the Rifle Range Landfill. The Record of Decision (ROD) addresses remediation of onsite contaminated soil, waste/debris, and ground water. The primary contaminants of concern are VOCs including TCE; toluene, and xylenes; other organics including PCBs, pesticides, and phenols; and metals including chromium and lead.« less
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-06-16
..., Inc., a Subsidiary of Rexam PLC, Including On-Site Leased Workers From Addeco Employment Services and... PLC, Hamlet, North Carolina. The notice was published in the Federal Register on April 23, 2010 (75 FR... at the Hamlet, North Carolina location of Rexam Closure Systems, Inc., a subsidiary of Rexam PLC. The...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-08-12
..., Currently Known as Croscill Home, LLC, Plant No. 8, Including On-Site Leased Workers From Ex-Cell Home... Fashions, a subsidiary of Croscill, Inc., Plant No. 8, Oxford, North Carolina. The notice was published in... January 14, 2011 (76 FR 2713). The workers are engaged in warehousing and distribution services of...
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Hazardous Waste Minimization Assessment: Fort Campbell, Kentucky
1991-03-01
Used Oii - Better Operating Practices . Selective Segregation 97 Used Oil - Process Change - Fast Lube Oil Change System (FLOCS) 98 Caustic Wastes...Product Substitution 98 Caustic Wastes - Process Change - Hot Tank (Equipment) Modifications 98 Aqueous or Caustic Wastes - Process Change - Dry Ovens...Aqueous or Caustic Wastes - Equipment Leasiag 102 Dirty Rags/Uniforms • Onsite/Offsite Recycling - Laundry Service 103 Treatment 103 Used Oil - Onsite
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-26
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-72,483] Maysteel, LLC Including On-Site Leased Workers From Staff One, Badger Tech, Boyd Hunter, Seek, QPS, and Service First, Menomonee Falls, WI; Amended Certification Regarding Eligibility To Apply for Worker Adjustment Assistance In accordance with Section 223 of the Trade Act...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-06-03
...,216B, TA-W-75,216C] Russell Newman, Inc., a Subsdiary of RNA Holdings, LLC, Including On-Site Leased Workers From Hour Personnel Services, Pacesetter Ontract Staffing, and Staff Force, Inc., Denton, TX; RNA...., a Subsidiary of RNA Holdings, LLC, Great Barrington, MA; RNA Holdings, LLC, a Subsidiary of SE-RN...
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ERIC Educational Resources Information Center
Protheroe, Nancy
2010-01-01
Full-service community schools do more than educate; they partner with the community to provide the supports and services that students and families need through one comprehensive, coordinated effort. By offering services on-site, full-service schools can help eliminate some barriers that families face such as problems with transportation, lack of…
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A new apparatus for on-site calibration of gamma dose rate monitors
NASA Astrophysics Data System (ADS)
Zhang, Yu; Chen, Bo; Zhao, Chao; Zhuo, Weihai
2018-01-01
In order to carry out on-site calibrations of environmental gamma dose rate monitors, a new irradiation apparatus was developed in this study. The apparatus mainly consists of a piece of 137Cs source, a set of beam attenuators, and 3 built-in laser rangefinders, and it can be remotely controlled by using a laptop through WiFi network. With an activity of 4.6 × 108 Bq of 137Cs source, the reference air kerma rate could be adjusted from 0.26 μGy h-1 to 140 μGy h-1 by changing the calibration distance from 0.5 m to 5 m and using different beam attenuators (or none), and both the reproducibility and the homogeneity of reference radiation were better than 97%. The overall uncertainty of the calibration was estimated to be 6.5% (k = 2). Both the laboratory and field experiments confirmed that the calibration method met the requirements of ISO 4037-1. As the advantages of portability and simplicity, it is considered that the new irradiation apparatus is applicable to stationary gamma radiation monitors for on-site calibration.
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On-Site Pedagogical Content Knowledge Development
NASA Astrophysics Data System (ADS)
Chan, Kennedy Kam Ho; Yung, Benny Hin Wai
2015-05-01
Experiences and reflection have long been regarded as a foundation for pedagogical content knowledge (PCK) development. However, little is known about how experienced teachers develop their PCK via reflection-in-action during their moment-to-moment classroom instruction. Drawing upon data sources including classroom observations, semi-structured interviews and stimulated recall interviews based on lesson videos, this study examined instances when four experienced teachers were found to invent new instructional strategies/representations on the spot during the lesson (referred to as on-site PCK development) in their first attempts at teaching a new topic. The study documented the moment-to-moment experiences of the teachers, including their reconstructed thought processes associated with these instances of on-site PCK development. An explanatory model of a three-step process comprising a stimulus, an integration process and a response was advanced to account for the on-site PCK development observed among the teachers. Three categories of stimulus that triggered on-site PCK development were identified. Factors influencing the integration process and, hence, the resulting response, included teachers' subject matter knowledge of the new topic, their general pedagogical knowledge and their knowledge of student learning difficulties/prior knowledge related to the new topic. Implications for teacher professional development in terms of how to enhance teachers' on-site PCK development are discussed.
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Kidorf, Michael; Brooner, Robert K; Gandotra, Neeraj; Antoine, Denis; King, Van L; Peirce, Jessica; Ghazarian, Sharon
2013-11-01
The benefits of integrating substance abuse and psychiatric care may be limited by poor service utilization. This randomized clinical trial evaluated the efficacy of using contingency management to improve utilization of psychiatric services co-located and integrated within a community-based methadone maintenance treatment program. Opioid-dependent outpatients (n=125) with any current psychiatric disorder were randomly assigned to: (1) reinforced on-site integrated care (ROIC), with vouchers (worth $25.00) contingent on full adherence to each week of scheduled psychiatric services; or (2) standard on-site integrated care (SOIC). All participants received access to the same schedule of psychiatrist and mental health counseling sessions for 12-weeks. ROIC participants attended more overall psychiatric sessions at month 1 (M=7.53 vs. 3.97, p<.001), month 2 (M=6.31 vs. 2.81, p<.001), and month 3 (M=5.71 vs. 2.44, p<.001). Both conditions evidenced reductions in psychiatric distress (p<.001) and similar rates of drug-positive urine samples. No differences in study retention were observed. These findings suggest that contingency management can improve utilization of psychiatric services scheduled within an on-site and integrated treatment model. Delivering evidenced-based mental health counseling, or modifying the contingency plan to include illicit drug use, may be required to facilitate greater changes in psychiatric and substance abuse outcomes. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.
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USE OF FAST GC/TOFMS AS REFERENCE STANDARD FOR FIELD COMPARISON STUDIES WITH ON-SITE INSTRUMENTS
A faster reference standard for field comparison studies of portable gas chromatographs (PGC) is needed. A performance evaluation of a high-speed GCMS (FGC/MS) system conducted during 1998 demonstrated generally satisfactory performance, but it was evident that performance of b...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-01
..., Shreveport Ramp Services, Dana Holding Corporation, The Landing of GM, Filtration Services Group, BASF, G4s..., Shreveport Ramp Services, Dana Holding Corporation, The Landing of GM, Filtration Services Group, BASF, G4S... Corporation, The Landing of GM, Filtration Services Group, BASF, G4S Secure Services, Seibert Powder Coating...
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Pourat, Nadereh; Martinez, Ana E; Crall, James J
2015-09-01
Community Health Centers (CHCs) are one of the principal safety-net providers of health care for low-income and uninsured populations. Co-locating dental services in primary care settings provides an opportunity to improve access to dental care. Yet this study of California CHCs that provide primary care services shows that only about one-third of them co-located primary and dental care services on-site. An additional one-third were members of multisite organizations in which at least one other site provided dental care. The remaining one-third of CHC sites had no dental care capacity. Policy options to promote co-location include requiring on-site availability of dental services, providing infrastructure funding to build and equip dental facilities, and offering financial incentives to provide dental care and recruit dental providers.
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Schoen, Mary E; Xue, Xiaobo; Wood, Alison; Hawkins, Troy R; Garland, Jay; Ashbolt, Nicholas J
2017-02-01
We compared water and sanitation system options for a coastal community across selected sustainability metrics, including environmental impact (i.e., life cycle eutrophication potential, energy consumption, and global warming potential), equivalent annual cost, and local human health impact. We computed normalized metric scores, which we used to discuss the options' strengths and weaknesses, and conducted sensitivity analysis of the scores to changes in variable and uncertain input parameters. The alternative systems, which combined centralized drinking water with sanitation services based on the concepts of energy and nutrient recovery as well as on-site water reuse, had reduced environmental and local human health impacts and costs than the conventional, centralized option. Of the selected sustainability metrics, the greatest advantages of the alternative community water systems (compared to the conventional system) were in terms of local human health impact and eutrophication potential, despite large, outstanding uncertainties. Of the alternative options, the systems with on-site water reuse and energy recovery technologies had the least local human health impact; however, the cost of these options was highly variable and the energy consumption was comparable to on-site alternatives without water reuse or energy recovery, due to on-site reuse treatment. Future work should aim to reduce the uncertainty in the energy recovery process and explore the health risks associated with less costly, on-site water treatment options. Copyright © 2016 Elsevier Ltd. All rights reserved.
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David N. Cole; Troy E. Hall
2008-01-01
We explore the extent to which visitor experiences and management preferences vary between the most heavily used places in wilderness and places that are less popular. We also contrast day and overnight users. The study was conducted in Forest Service administered wildernesses in Oregon and Washington using both on-site and mailback questionnaires. The on-site...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-09-13
...., Acro Service Corporation, Aerotek, Inc., Ajilon Consulting, Altair Engineering, Inc., Aquent LLC, Global Technology Associates, Ltd, JDM Systems Consultants, Inc., Kelly Service, Inc., Populus Group... Technology Associates, Ltd., JDM Systems Consultants, Inc., Kelly Service, Inc., Populus Group, TEKsystems...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-03-12
..., Cer-Cad Engineering Resources, Computer Consultants of America, Computer Engrg Services, Compuware..., Automated Analysis Corp/Belcan, Bartech Group, CAE Tech, CDI Information Services, CER-CAD Engineering...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-11-21
... Tapfin, Staffworks, Aerotek Professional Services, Randstad, Insight Global, LLC and RemX Specialty..., Staffworks, Aerotek Professional Services, Randstad, Insight Global, LLC, and RemX Specialty Staffing, St...
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A Comparison of Learning Outcomes for Adult Students in On-Site and Online Service-Learning
ERIC Educational Resources Information Center
Schwehm, Jeremy S.; Lasker-Scott, Tennille; Elufiede, Oluwakemi
2017-01-01
As noted by Kolb's (1984) experiential learning theory, adults learn best through experiences. Typically delivered in a traditional, face-to-face classroom setting, service-learning integrates the knowledge learned in the classroom with real-world experience and community service. E-service-learning, service-learning delivered in part or entirely…
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Hecht, Ethan S.; Pratt, Joseph William
To meet the needs of public and private stakeholders involved in the development, construction, and operation of hydrogen fueling stations needed to support the widespread roll-out of hydrogen fuel cell electric vehicles, this work presents publicly available station templates and analyses. These ‘Reference Stations’ help reduce the cost and speed the deployment of hydrogen stations by providing a common baseline with which to start a design, enable quick assessment of potential sites for a hydrogen station, identify contributors to poor economics, and suggest areas of research. This work presents layouts, bills of materials, piping and instrumentation diagrams, and detailed analysesmore » of five new station designs. In the near term, delivered hydrogen results in a lower cost of hydrogen compared to on-site production via steam methane reforming or electrolysis, although the on-site production methods have other advantages. Modular station concepts including on-site production can reduce lot sizes from conventional assemble-on-site stations.« less
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-07-26
... Technology Services, a Subsidiary of Experian, Including a Leased Employee From Tapfin Working Off-Site in... Experian, Global Technology Services, a subsidiary of Experian, including on-site leased workers from... control of the Schaumburg, Illinois location of Experian, Global Technology Services, a subsidiary of...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-29
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-72,778] Kenco Logistic Services... January 8, 2010, applicable to workers of Kenco Logistic Services, LLC, Electrolux Webster City, including... logistic services for the Electrolux, Webster City, Iowa. The company reports that workers leased from...
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NASA Astrophysics Data System (ADS)
Heberling, Matthew T.; Templeton, Joshua J.
2009-04-01
We estimate an individual travel cost model for Great Sand Dunes National Park and Preserve (GSD) in Colorado using on-site, secondary data. The purpose of the on-site survey was to help the National Park Service better understand the visitors of GSD; it was not intended for a travel cost model. Variables such as travel cost and income were estimated based on respondents’ Zip Codes. Following approaches found in the literature, a negative binomial model corrected for truncation and endogenous stratification fit the data the best. We estimate a recreational benefit of U.S. 89/visitor/year or U.S. 54/visitor/24-h recreational day (in 2002 U.S. ). Based on the approach presented here, there are other data sets for national parks, preserves, and battlefields where travel cost models could be estimated and used to support National Park Service management decisions.
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-09-21
... Airlines, a Subsidiary of Skywest, Inc., Airport Customer Service Division, Including On-Site Leased... Airlines, a Subsidiary of Skywest, Inc., Airport Customer Service Division v. United States Secretary of... former workers of Atlantic Southeast Airlines, a Subsidiary of Skywest, Inc., Airport Customer Division...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-07-24
..., a Subsidiary of Reed Elsevier Customer Service Department and Fulfillment Department, Including On... Including Remote Workers in New York Reporting to Miamisburg, OH; Lexisnexis, a Subsidiary of Reed Elsevier... subsidiary of Reed Elsevier, Inc., Customer Service Department and Fulfillment Department, including on-site...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-01-20
..., Multax, Inconen, CTS, Hi-Tec, Woods, Ciber, Kelly Services, Analysts International Corp, Comsys, Filter..., Comsys, Filter LLC, Excell, Entegee, Chipton-Ross, Ian Martin, Can-Tech, It Services, IDEX Solutions (NW..., Kelly Services, Analysts International Corp, Comsys, Filter LLC, Excell, Entegee, Chipton-Ross, Ian...
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Fleischhacker, Sheila E; Rodriguez, Daniel A; Evenson, Kelly R; Henley, Amanda; Gizlice, Ziya; Soto, Dolly; Ramachandran, Gowri
2012-11-22
Most studies on the local food environment have used secondary sources to describe the food environment, such as government food registries or commercial listings (e.g., Reference USA). Most of the studies exploring evidence for validity of secondary retail food data have used on-site verification and have not conducted analysis by data source (e.g., sensitivity of Reference USA) or by food outlet type (e.g., sensitivity of Reference USA for convenience stores). Few studies have explored the food environment in American Indian communities. To advance the science on measuring the food environment, we conducted direct, on-site observations of a wide range of food outlets in multiple American Indian communities, without a list guiding the field observations, and then compared our findings to several types of secondary data. Food outlets located within seven State Designated Tribal Statistical Areas in North Carolina (NC) were gathered from online Yellow Pages, Reference USA, Dun & Bradstreet, local health departments, and the NC Department of Agriculture and Consumer Services. All TIGER/Line 2009 roads (>1,500 miles) were driven in six of the more rural tribal areas and, for the largest tribe, all roads in two of its cities were driven. Sensitivity, positive predictive value, concordance, and kappa statistics were calculated to compare secondary data sources to primary data. 699 food outlets were identified during primary data collection. Match rate for primary data and secondary data differed by type of food outlet observed, with the highest match rates found for grocery stores (97%), general merchandise stores (96%), and restaurants (91%). Reference USA exhibited almost perfect sensitivity (0.89). Local health department data had substantial sensitivity (0.66) and was almost perfect when focusing only on restaurants (0.91). Positive predictive value was substantial for Reference USA (0.67) and moderate for local health department data (0.49). Evidence for validity was comparatively lower for Dun & Bradstreet, online Yellow Pages, and the NC Department of Agriculture. Secondary data sources both over- and under-represented the food environment; they were particularly problematic for identifying convenience stores and specialty markets. More attention is needed to improve the validity of existing data sources, especially for rural local food environments.
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2012-01-01
Background Most studies on the local food environment have used secondary sources to describe the food environment, such as government food registries or commercial listings (e.g., Reference USA). Most of the studies exploring evidence for validity of secondary retail food data have used on-site verification and have not conducted analysis by data source (e.g., sensitivity of Reference USA) or by food outlet type (e.g., sensitivity of Reference USA for convenience stores). Few studies have explored the food environment in American Indian communities. To advance the science on measuring the food environment, we conducted direct, on-site observations of a wide range of food outlets in multiple American Indian communities, without a list guiding the field observations, and then compared our findings to several types of secondary data. Methods Food outlets located within seven State Designated Tribal Statistical Areas in North Carolina (NC) were gathered from online Yellow Pages, Reference USA, Dun & Bradstreet, local health departments, and the NC Department of Agriculture and Consumer Services. All TIGER/Line 2009 roads (>1,500 miles) were driven in six of the more rural tribal areas and, for the largest tribe, all roads in two of its cities were driven. Sensitivity, positive predictive value, concordance, and kappa statistics were calculated to compare secondary data sources to primary data. Results 699 food outlets were identified during primary data collection. Match rate for primary data and secondary data differed by type of food outlet observed, with the highest match rates found for grocery stores (97%), general merchandise stores (96%), and restaurants (91%). Reference USA exhibited almost perfect sensitivity (0.89). Local health department data had substantial sensitivity (0.66) and was almost perfect when focusing only on restaurants (0.91). Positive predictive value was substantial for Reference USA (0.67) and moderate for local health department data (0.49). Evidence for validity was comparatively lower for Dun & Bradstreet, online Yellow Pages, and the NC Department of Agriculture. Conclusions Secondary data sources both over- and under-represented the food environment; they were particularly problematic for identifying convenience stores and specialty markets. More attention is needed to improve the validity of existing data sources, especially for rural local food environments. PMID:23173781
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-17
... Corporation Professional Services and Fusion Storm, Webster, New York; Amended Certification Regarding... Corporation Professional Services, and Fusion Storm, Webster, New York (TA-W-81,776) and all workers of HCL...
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Verification testing of ExcelTec's on-site hypochlorite generation system ClorTec T-12 system was conducted for 30 days between 3/6-5/4/2000. The system is capable of producing at least one pound of chlorine in the form of sodium hypochlorite solution containing 0.8% +/- 0.1%) ch...
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PORTSMOUTH ON-SITE DISPOSAL CELL HIGH DENSITY POLYETHYLENE GEOMEMBRANE LONGEVITY
DOE Office of Scientific and Technical Information (OSTI.GOV)
Phifer, M.
It is anticipated that high density polyethylene (HDPE) geomembranes will be utilized within the liner and closure cap of the proposed On-Site Disposal Cell (OSDC) at the Portsmouth Gaseous Diffusion Plant. The likely longevity (i.e. service life) of HDPE geomembranes in OSDC service is evaluated within the following sections of this report: (1) Section 2.0 provides an overview of HDPE geomembranes, (2) Section 3.0 outlines potential HDPE geomembranes degradation mechanisms, (3) Section 4.0 evaluates the applicability of HDPE geomembrane degradation mechanisms to the Portsmouth OSDC, (4) Section 5.0 provides a discussion of the current state of knowledge relative to themore » longevity (service life) of HDPE geomembranes, including the relation of this knowledge to the Portsmouth OSDC, and (5) Section 6.0 provides summary and conclusions relative to the anticipated service life of HDPE geomembranes in OSDC service. Based upon this evaluation it is anticipated that the service life of HDPE geomembranes in OSDC service would be significantly greater than the 200 year service life assumed for the OSDC closure cap and liner HDPE geomembranes. That is, a 200 year OSDC HDPE geomembrane service life is considered a conservative assumption.« less
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Wang, Sheng
2014-04-01
In this work, the values of decentralized (onsite) systems that avoid investments in idle capacity within wastewater plans are quantitatively justified using the specific net present value (SNPV) approach. SNPV is a currently proposed criterion in environmental engineering economics that is defined as the net present value of the cost per unit of service or per population equivalent (PE). The SNPV approach was reintroduced with bugs fixed and then applied to the economic analysis of the capital and operating costs of one-stage completed central plants, stage-expanded central plants, and decentralized treatment facilities. The results show that under a demand growth scenario, the central plant will inevitably reach idle capacity, which can be reduced by a staged expansion. However, the staged expansion plan will lose the economies of scale and, hence, is only viable under projections of a low or moderate price inflation rate or high demand growth rate. Onsite treatment systems can theoretically achieve 100% utilization. Assuming that the capital costs per PE of the onsite and central systems are equal, the former is economically favorable in most cases of price inflation as a result of its cost saving on idle capacity. Onsite treatment systems can be viable even though their capital expenditures per PE are higher than that of a comparable centralized option as to a capital investment. This finding suggests wide opening of onsite technology choices. Use of the SNPV showed that average operating expenses of centralized plants decrease as demand growth rates increase as a benefit of economies of scale, whereas those of onsite treatment systems depend only on price inflation. Semi-decentralized systems feature both the financial advantage of the onsite system (capital investment) and the superiority of centralized systems (operation and maintenance); thus, it is worth consideration. The results of this study illustrate not only the value of decentralized systems but also the value of the SNPV approach in the planning of wastewater services, especially in areas undergoing high demand growth. Copyright © 2014 Elsevier Ltd. All rights reserved.
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DESCRIPTION OF RISK REDUCTION ENGINEERING LABORATORY TEST AND EVALUATION FACILITIES
An onsite team of multidisciplined engineers and scientists conduct research and provide technical services in the areas of testing, design, and field implementation for both solid and hazardous waste management. Engineering services focus on the design and implementation of...
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Peters, J A; Heunis, C; Kigozi, G; Osoba, T; van der Walt, M
2015-03-21
Integrated tuberculosis-human immunodeficiency virus (TB-HIV) service delivery as part of maternal health services, including antenatal care (ANC), is widely recommended. This study assessed the implementation of collaborative TB-HIV service delivery at a hospital-based ANC service unit. A record review of a random sample of 308 pregnant women attending the ANC service between April 2011 and February 2012 was conducted. Data were extracted from registers and patient case notes. Outcomes included the proportion of women who underwent HIV counselling and testing (HCT), CD4 count testing, antiretroviral treatment (ART), cotrimoxazole preventive treatment (CPT), TB screening and isoniazid preventive treatment (IPT). Analysis measured variations in patient characteristics associated with service delivery. All women underwent HCT; 80% of those who tested HIV-positive were screened for TB. Most (85.9%) of the HIV-positive women received a CD4 count. However, only 12.9% of eligible women received ART prophylaxis onsite, only 35.7% were referred for initiation of ART, only 42.3% commenced IPT and none received CPT or further investigations for TB. HIV-negative women had 2.6 higher odds (95%CI 1.3-5.3) of receiving TB screening than their HIV-positive counterparts. Although the identification of HIV-positive women and TB suspects was adequate, implementation of other TB-HIV collaborative activities was sub-optimal.
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-11-26
... distribution of electric motors, as well as engineering, customer service and information technology (IT... portion of the supply of engineering services (or like or directly competitive services) to a foreign..., Missouri, who were engaged in employment related to the supply of warehousing, distribution, engineering...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-12
..., for integrated circuit test engineers and test equipment engineers for a Product and Test Engineering... engineering services. In the request for reconsideration, workers alleged that the subject firm has shifted abroad the supply of services like and directly competitive with the internal-use engineering services...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-10-25
..., for integrated circuit test engineers and test equipment engineers for a Product and Test Engineering... engineering services. In the request for reconsideration, workers alleged that the subject firm has shifted abroad the supply of services like and directly competitive with the internal-use engineering services...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-08-08
... outreach and case management, the program has expanded offering to include on-site dental service and... Care: Customer service is the key to quality care. Treating patients well is the first step to improving quality and access. This area also incorporates Best Practices in customer service. Identify...
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Family Planning in Substance Use Disorder Treatment Centers: Opportunities and Challenges.
Robinowitz, Natanya; Muqueeth, Sadiya; Scheibler, Jill; Salisbury-Afshar, Elizabeth; Terplan, Mishka
2016-09-18
Alcohol, tobacco, and drug use during pregnancy can cause a range of adverse birth outcomes. Promoting family planning among women with substance use disorders (SUD) can help reduce substance exposed pregnancies. We conducted qualitative research to determine the acceptability and feasibility of offering family planning education and services SUD treatment centers. Focus groups and in-depth interviews were conducted with clients, staff and medical providers at three treatment centers. Interviews were transcribed and data was analyzed using a flexible coding scheme. Clients reported being interested in family planning services while they were in treatment. Most preferred to receive these services onsite. Providers also felt that services should be received onsite, though cited several barriers to implementation, including time constraints and staff levels of comfort with the subject. Women in SUD treatment are open to the integration of family planning services into treatment. Treatment centers have the opportunity to serve as models of client-centered health homes that offer a variety of educational, preventive, and medical services for women in both treatment and recovery.
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Choi, Anna Wai-Man; Wong, Janet Yuen-Ha; Lo, Ruby Tsz-Fung; Chan, Pik-Ying; Wong, John Kit-Shing; Lau, Chu-Leung; Kam, Chak-Wah
2018-03-01
Healthcare services constitute the first formal support that many intimate partner violence (IPV) victims receive and a link to formal welfare and psychological support. The help-seeking behavior for psychosocial support, e.g., Accident and Emergency Departments (AED) onsite counseling, is key to developing effective support for IPV victims. This study aimed to strengthen the health-welfare support link to aid IPV prevention in AEDs by investigating the acceptance and refusal of on-site counseling by IPV victims. A retrospective cohort study retrieved and reviewed all records of IPV victims presenting at the AEDs of two Hong Kong hospitals between 2010 and 2014. A total of 157 male and 823 female IPV victims were identified, 295 of whom refused on-site counseling. Bivariate and multivariate analyses were performed to examine the association between help-seeking and demographic and violent injury-related factors. The odds of help-seeking via on-site counseling were significantly lower for victims with mental illness (aOR=0.49; 95% CI=0.27, 0.88). After controlling for all demographic characteristics, mental illness, and drug abuse information, sex remained an independent predictor of help-seeking (aOR=2.62; 95% CI=1.45, 4.74); victims who had experienced >2 abuse incidents were more likely to seek help than those who had experienced ≤2 abuse incidents (aOR=1.90; 95% CI=1.11, 3.26). The factors associated with help-seeking from on-site services by IPV victims reflect the need for multidisciplinary collaborative work aimed at IPV prevention. Healthcare professionals require training on how to promote help-seeking behavior targeted specifically for male and female IPV victims according to their needs and preferences. Copyright © 2018 Elsevier Inc. All rights reserved.
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On-Site Chiropractic Care as an Employee Benefit: A Single-Location Case Study.
Minicozzi, Salvatore J; Russell, Brent S
2017-09-01
The purpose of this report is to describe the role of on-site chiropractic care in one corporate environment. A part-time chiropractic practice that provides services to a single company on site, 1 day per week, is described. Most care is oriented toward "wellness," is paid for by the employer, and is limited only by the chiropractor's few weekly hours of on-site availability. With approval from the company, the authors conducted an absenteeism analysis after obtaining ethics approval and consent from employee-patients who received care between 2012 and 2014. Comparisons of absenteeism rates of the sample were compared with lost worktime rates from the US Bureau of Labor Statistics' Labor Force Statistics. Of 40 current employees, 35 used chiropractic services; 17 employee-patients met the inclusion criteria. The lost worktime rates of those using chiropractic services (0.72%, 0.55%, and 0.67%, for 2012, 2013, and 2014, respectively) were lower than corresponding rates from Labor Force Statistics (1.5%, 1.2%, and 1.1%). Absenteeism for the employee-patients was lower than equivalent national figures in this sample of workers. Though these results may or may not be related to the chiropractic care, these findings prompt further investigation into this relationship.
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Code of Federal Regulations, 2010 CFR
2010-01-01
... ASSESS ORGANIC CERTIFYING AGENCIES § 37.2 Services. Organic certifying agencies requesting assessment...—General Requirements for Bodies Operating Product Certification Systems, Ref. No. ISO/IEC Guide 65:1996... manual against the requirements of ISO Guide 65; and (2) Onsite auditing of an applicant's organic...
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DEMONSTRATION BULLETIN: CIRCULATING BED COMBUSTOR - OGDEN ENVIRONMENTAL SERVICES, INC.
An evaluation of the Ogden Environmental Services (OES) circulating bed combustor (CBC) technology was carried out under the superfund Innovative Technology Evaluation (SITE) Program to determine its applicabilitY as an on-site treatment method for waste site cleanups, and more s...
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Portable gas chromatograph mass spectrometer for on-site chemical analyses
Haas, Jeffrey S.; Bushman, John F.; Howard, Douglas E.; Wong, James L.; Eckels, Joel D.
2002-01-01
A portable, lightweight (approximately 25 kg) gas chromatograph mass spectrometer, including the entire vacuum system, can perform qualitative and quantitative analyses of all sample types in the field. The GC/MS has a conveniently configured layout of components for ease of serviceability and maintenance. The GC/MS system can be transported under operating or near-operating conditions (i.e., under vacuum and at elevated temperature) to reduce the downtime before samples can be analyzed on-site.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Sabot, A.; Petit, A.; Taillebois, J.P.
1996-07-01
This paper summarizes the Electricite de France experience with insulation co-ordination of GIS. After a review of the insulation co-ordination practice mainly dealing with fast front overvoltage and the one minute AC test, some results of the on-site test procedure applied since 30 years are presented and related to the insulation co-ordination practice. The in-service return of experience dealing with dielectric failures is analyzed then the dielectric diagnostic techniques now available are briefly presented with their possibilities and limitations. According to this survey, the expectations of EDF from these diagnostic techniques as well as the new on-site test and on-linemore » monitoring tendencies at EDF are presented.« less
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Cope, Jacqueline R; Yano, Elizabeth M; Lee, Martin L; Washington, Donna L
2006-01-01
OBJECTIVE To describe the variation in provision of hormonal and intrauterine contraception among Veterans Affairs (VA) facilities. DESIGN Key informant, cross-sectional survey of 166 VA medical facilities. Data from public use data sets and VA administrative databases were linked to facility data to further characterize their contextual environments. PARTICIPANTS All VA hospital-based and affiliated community-based outpatient clinics delivering services to at least 400 unique women during fiscal year 2000. MEASUREMENTS Onsite availability of hormonal contraceptive prescription and intrauterine device (IUD) placement. RESULTS Ninety-seven percent of facilities offered onsite prescription and management of hormonal contraception whereas 63% offered placement of IUDs. After adjusting for facility caseload of reproductive-aged women, 3 organizational factors were independently associated with onsite IUD placement: (1) onsite gynecologist (adjusted odds ratio [OR], 20.35; 95% confidence interval [CI], 7.02 to 58.74; P<.001); (2) hospital-based in contrast to community-based practice (adjusted OR, 5.49; 95% CI, 1.16 to 26.10; P=.03); and (3) availability of a clinician providing women's health training to other clinicians (adjusted OR, 3.40; 95% CI 1.19 to 9.76; P=.02). CONCLUSIONS VA's provision of hormonal and intrauterine contraception is in accordance with community standards, although onsite availability is not universal. Although contraception is a crucial component of a woman's health maintenance, her ability to obtain certain contraceptives from the facility where she obtains her primary care is largely influenced by the availability of a gynecologist. Further research is needed to determine how fragmentation of women's care into reproductive and nonreproductive services impacts access to contraception and the incidence of unintended pregnancy. PMID:16637943
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Code of Federal Regulations, 2011 CFR
2011-10-01
... HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS CERTIFICATION OF OPIOID... body that has been approved by SAMHSA under § 8.3 to accredit opioid treatment programs using opioid... SAMHSA. Accreditation survey means an onsite review and evaluation of an opioid treatment program by an...
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Code of Federal Regulations, 2013 CFR
2013-10-01
... HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS CERTIFICATION OF OPIOID... body that has been approved by SAMHSA under § 8.3 to accredit opioid treatment programs using opioid... SAMHSA. Accreditation survey means an onsite review and evaluation of an opioid treatment program by an...
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Code of Federal Regulations, 2014 CFR
2014-10-01
... HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS CERTIFICATION OF OPIOID... body that has been approved by SAMHSA under § 8.3 to accredit opioid treatment programs using opioid... SAMHSA. Accreditation survey means an onsite review and evaluation of an opioid treatment program by an...
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Code of Federal Regulations, 2012 CFR
2012-10-01
... HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS CERTIFICATION OF OPIOID... body that has been approved by SAMHSA under § 8.3 to accredit opioid treatment programs using opioid... SAMHSA. Accreditation survey means an onsite review and evaluation of an opioid treatment program by an...
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ERIC Educational Resources Information Center
Congress of the U.S., Washington, DC. House Committee on Education and Labor.
The hearings consider a bill, H.R. 8618, to amend the Occupational Safety and Health Act of 1970 (OSHA) which would provide on-site consultative services to employers desiring to comply with OSHA standards. H.R. 8616 was introduced to strengthen OSHA by providing an additional program that would encourage employers to voluntarily comply with…
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Cinelli, Giorgia; Tositti, Laura; Mostacci, Domiziano; Baré, Jonathan
2016-05-01
In view of assessing natural radioactivity with on-site quantitative gamma spectrometry, efficiency calibration of NaI(Tl) detectors is investigated. A calibration based on Monte Carlo simulation of detector response is proposed, to render reliable quantitative analysis practicable in field campaigns. The method is developed with reference to contact geometry, in which measurements are taken placing the NaI(Tl) probe directly against the solid source to be analyzed. The Monte Carlo code used for the simulations was MCNP. Experimental verification of the calibration goodness is obtained by comparison with appropriate standards, as reported. On-site measurements yield a quick quantitative assessment of natural radioactivity levels present ((40)K, (238)U and (232)Th). On-site gamma spectrometry can prove particularly useful insofar as it provides information on materials from which samples cannot be taken. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-07-20
..., Global Technology Associates, LTD, JDM Systems Consultants, Inc., Kelly Service, Inc., Populus Group, TEK Systems, Compuware Corporation, and Nexus Business Solutions, Detroit, MI; Amended Certification Regarding..., Global Technology Associates, Ltd., JDM Systems Consultants, Inc., Kelly Service, Inc., Populus Group...
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Program structure and counselor-client contact in outpatient substance abuse treatment.
Knight, Danica K; Broome, Kirk M; Simpson, D Dwayne; Flynn, Patrick M
2008-04-01
To examine organizational structural attributes associated with counselor-client contact. Data were collected in 2004 and 2005 for a federally funded project, which simultaneously examines organizational structure, functioning, and resources among outpatient substance abuse treatment programs. The study uses a naturalistic design to investigate organizational structure measures-ownership, accreditation, and supplemental services-as predictors of time in counseling and case management, and caseload size, controlling for geographic differences. Directors at 116 outpatient drug-free treatment programs located in four regions across the U.S. (Great Lakes, Gulf Coast, Northwest, and Southeast) voluntarily completed a survey about program structure. Clients received more counseling hours in programs that were "intensive," publicly owned, accredited, and had a lower proportion of recently hired counselors. More case management hours were offered in "intensive," private-for-profit or publicly owned (versus private-nonprofit) programs, serving a lower proportion of dual-diagnosis clients, and providing more on-site supplemental services. Smaller caseloads were found in programs that were accredited and had a smaller average client census and a lower proportion of criminal justice referred clients. Organizational attributes are related to counselor-client contact and may have implications for staff turnover and service quality.
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Tailoring Green Infrastructure Implementation Scenarios based on Stormwater Management Objectives
Green infrastructure (GI) refers to stormwater management practices that mimic nature by soaking up, storing, and controlling onsite. GI practices can contribute reckonable benefits towards meeting stormwater management objectives, such as runoff peak shaving, volume reduction, f...
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ERIC Educational Resources Information Center
Dawson, Ann Gilman; And Others
This executive summary describes a study conducted to determine whether different kinds of employer-supported child care services had differing effects on service users. Turnover and attendance data on 891 randomly selected female employees were gathered from 39 companies and hospitals offering on-site or off-site child care, information and…
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Onsite clinical services in the era of managed health care.
Larkin, G N
1997-01-01
Both the employer and employee sustain an array of costs related to illness and injury. Dr. Larkin discusses evolving U.S. health care delivery models and cost designs and presents a case study demonstrating that the provision of workplace health care services can substantially reduce these costs.
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-11-23
... negative determination regarding the eligibility of workers and former workers of MetLife, Technology, Operations, and Information Technology Groups, Moosic, Pennsylvania (TA-W-73,210) and MetLife, Technology... software testing and quality assurance services, and are not separately identifiable by service supplied...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-05-29
... Secure Solutions USA, SBM Management Services, LP, ALSCO Portland Industrial, VWR International, Inc... G4S Secure Solutions USA, SBM Management Services, LP, Alsco Portland Industrial, VWR International... workers from Express Temporaries, Aerotek Commercial Staffing, G4S Secure Solutions USA, SBM Management...
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Logistics hardware and services control system
NASA Technical Reports Server (NTRS)
Koromilas, A.; Miller, K.; Lamb, T.
1973-01-01
Software system permits onsite direct control of logistics operations, which include spare parts, initial installation, tool control, and repairable parts status and control, through all facets of operations. System integrates logistics actions and controls receipts, issues, loans, repairs, fabrications, and modifications and assets in predicting and allocating logistics parts and services effectively.
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Physicians can boost shrinking revenues with in-house ancillary services.
2004-04-01
Physicians are examining a variety of mechanisms to capture new sources of revenue while improving efficiency and continuity of care. Adding on-site diagnostic and therapeutic services is one of the most effective ways to accomplish both of these goals, but physician groups must be wary of potential pitfalls.
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Kansas Rural Schools and Education Service Centers : A 21st Century Solution.
ERIC Educational Resources Information Center
Cook, Rita C.
2003-01-01
Rural Kansas schools facing financial problems and demands for more accountability must cooperate to survive. Smoky Hill Education Service Center, representing 45 school districts, provides on-site staff development and online classes for students and staff, maintains a multimedia library, has a cooperative purchasing program, provides…
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-07-16
... Leased Workers From Echelon Service Company, Sun Associated Industries, INC., MPI Consultants LLC... International, including on-site leased workers from Echelon Service Company, Sun Associated Industries, Inc... Company, Sun Associated Industries, Inc., MPI Consultants LLC, Alliance Engineering, Inc., Washington...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-07-17
... Contract Services, Encore, International Business Machines (IBM), Akzo Nobel, US Security, ASF Logistics... Services, Encore, International Business Machines (IBM), Akzo Nobel, US Security, ASF Logistics, LLC... class 4-8 trucks. The company reports that workers leased from Encore, International Business Machines...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-06-27
... with regard to the risk of contamination that could spread from an on-site laboratory to manufacturing... DEPARTMENT OF AGRICULTURE Food Safety and Inspection Service [Docket No. FSIS-2011-0033... Testing Laboratory AGENCY: Food Safety and Inspection Service, USDA. ACTION: Notice of availability...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-11-26
..., Hufnagle Forest Resources, LLC, Johnson Timber Harvesting, Inc., Kimball Logging, Inc., Koski Wood Services..., Inc., and Wood Forest Products, Inc. and Including Bryce Kowalzek and Ted Kromy, Sartell, Minnesota...., Kimball Logging, Inc., Koski Wood Services, Larson Lumber Company, Lovdahl & Sons, LLC, Lundberg Forest...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-07-05
... Workers From Staffmark Staffing, Including Workers Whose Unemployment Insurance (UI) Wages Are Reported... Whose Unemployment Insurance (UI) Wages Are Reported Through American Mortgage Servicing, Inc., Addison... Workers From Staffmark Staffing, Including Workers Whose Unemployment Insurance (UI) Wages Are Reported...
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Kessler, Rodger
2012-01-01
Most primary care patients with mental health issues are identified or treated in primary care rather than the specialty mental health system. Primary care physicians report that their patients do not have access to needed mental health care. When referrals are made to the specialty behavioral or mental health care system, rates of patients who initiate treatment are low. Collaborative care models, with mental health clinicians as part of the primary care medical staff, have been suggested as an alternative. The aim of this study is to examine rates of treatment startup in 2 collaborative care settings: a rural family medicine office and a suburban internal medicine office. In both practices referrals for mental health services are made within the practice. Referral data were drawn from 2 convenience samples of patients referred by primary care physicians for collaborative mental health treatment at Fletcher Allen Health Care in Vermont. The first sample consisted of 93 consecutively scheduled referrals in a family medicine office (sample A) between January 2006 and December 2007. The second sample consisted of 215 consecutive scheduled referrals at an internal medicine office (sample B) between January 2009 and December 2009. Referral data identified age, sex, and presenting mental health/medical problem. In sample A, 95.5% of those patients scheduling appointments began behavioral health treatment; in sample B this percentage was 82%. In sample B, 69% of all patients initially referred for mental health care both scheduled and initiated treatment. When referred to a mental health clinician who provides on-site access as part of a primary care mental health collaborative care model, a high percentage of patients referred scheduled care. Furthermore, of those who scheduled care, a high percentage of patients attend the scheduled appointment. Findings persist despite differences in practice type, populations, locations, and time frames of data collection. That the findings persist across the different offices suggests that this model of care may contain elements that improve the longstanding problem of poor treatment initiation rates when primary care physicians refer patients for outpatient behavioral health services.
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Cytotechnologists and On-Site Evaluation of Adequacy
Collins, Jennifer A.; Novak, Anna; Ali, Syed Z.
2013-01-01
While fine needle aspiration (FNA) is certainly not a new biopsy technique, recent developments in advanced imaging techniques, molecular testing, and targeted therapies have coincided with a rapid increase in the number of FNA procedures being performed. Concurrently, the demand for on-site evaluation of adequacy (OSEA) has also increased, outstripping the capacity of available cytopathologists at some institutions. Among the several alternatives to cytopathologist-performed OSEA, cytotechnologist-attended OSEA stands out because it preserves the representation of the pathology service at the time of the procedure. Herein, we review the current literature about OSEA and the necessity of cytotechnologists to expand access of this useful pathology service to a broader patient population. We also examine how cytotechnologists are likely to fit into the emerging practice of telecytology. PMID:24255627
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Survey of animal shelter managers regarding shelter veterinary medical services.
Laderman-Jones, B E; Hurley, K F; Kass, P H
2016-04-01
Veterinary services are increasingly used in animal shelters, and shelter medicine is an emerging veterinary specialty. However, little is known about working relationships between animal shelters and veterinarians. The aims of this survey were to characterize working relationships that shelter personnel have and want with veterinarians, identify opinions that shelter managers have regarding the veterinarians they work with, and determine areas for relationship growth between veterinarians and shelter managers. An electronic survey was distributed to 1373 managers of North American animal shelters; 536 (39.0%) responded. Almost all shelters had some veterinary relationship, and most had regular relationships with veterinarians. The proportion of shelters that used local clinics (73.9%) was significantly higher than the proportion that retained on-site paid veterinarians (48.5%). The proportion of respondents who did not have but wanted a paid on-site veterinarian (42%) was significantly higher than the proportion of respondents who did not use local clinics but wanted to (7.9%). These data suggest shelter managers valued veterinary relationships, and wished to expand on-site veterinary services. Almost all shelters in this study provided some veterinary care, and all respondents identified at least one common infectious disease, which, for most, had a substantial negative impact on shelter successes. Respondents indicated that the most important roles and greatest expertise of veterinarians were related to surgery, diagnosis and treatment of individual animals. Education of both veterinarians and shelter managers may help ensure that shelters benefit from the full range of services veterinarians can provide, including expertise in disease prevention and animal behavior. Copyright © 2016 Elsevier Ltd. All rights reserved.
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Keeys, Christopher; Kalejaiye, Bamidele; Skinner, Michelle; Eimen, Mandana; Neufer, Joann; Sidbury, Gisele; Buster, Norman; Vincent, Joan
2014-12-15
The development, implementation, and pilot testing of a discharge medication reconciliation service managed by pharmacists with offsite telepharmacy support are described. Hospitals' efforts to prepare legible, complete, and accurate medication lists to patients prior to discharge continue to be complicated by staffing and time constraints and suboptimal information technology. To address these challenges, the pharmacy department at a 324-bed community hospital initiated a quality-improvement project to optimize patients' discharge medication lists while addressing problems that often resulted in confusing, incomplete, or inaccurate lists. A subcommittee of the hospital's pharmacy and therapeutics committee led the development of a revised medication reconciliation process designed to streamline and improve the accuracy and utility of discharge medication documents, with subsequent implementation of a new service model encompassing both onsite and remote pharmacists. The new process and service were evaluated on selected patient care units in a 19-month pilot project requiring collaboration by physicians, nurses, case managers, pharmacists, and an outpatient prescription drug database vendor. During the pilot testing period, 6402 comprehensive reconciled discharge medication lists were prepared; 634 documented discrepancies or medication errors were detected. The majority of identified problems were in three categories: unreconciled medication orders (31%), order clarification (25%), and duplicate orders (12%). The most problematic medications were the opioids, cardiovascular agents, and anticoagulants. A pharmacist-managed medication reconciliation service including onsite pharmacists and telepharmacy support was successful in improving the final discharge lists and documentation received by patients. Copyright © 2014 by the American Society of Health-System Pharmacists, Inc. All rights reserved.
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Integrating primary care with occupational health services: a success story.
Griffith, Karen; Strasser, Patricia B
2010-12-01
This article describes the process used by a large U.S. manufacturing company to successfully integrate full-service primary care centers at two locations. The company believed that by providing employees with health promotion and disease prevention services, including screening, early diagnosis, and uncomplicated illness treatment, its health care costs could be significantly reduced while saving employees money. To accurately demonstrate the cost-effectiveness of adding primary care to existing occupational health services, a thorough financial analysis projected the return on investment (ROI) of the program. Decisions were made about center size, the scope of services, and staffing. A critical part of the ROI analysis involved evaluating employee health claim data to identify the actual cost of health care services for each center and the projected costs if the services were provided on-site. The pilot initiative included constructing two on-site health center facilities staffed with primary care physicians, nurse practitioners, physical therapists, and other health care professionals. Key outcome metrics from the pilot clinics exceeded goals in three of four categories. In addition, clinic use after 12 months far exceeded benchmarks for similar clinics. Most importantly, the pilot clinics were operating with a positive cash flow within the first year and demonstrated an increasingly positive ROI. Copyright 2010, SLACK Incorporated.
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ERIC Educational Resources Information Center
Schafer, Tim; Amoateng, Geoffrey; Wrycraft, Nick
2009-01-01
This paper presents the results of research into GP perceptions of the impact of on-site counselling on general practice. The research is part of a larger evaluation of a local enhanced primary care mental service. The initial survey and in-depth interviews with GPs reported here focused on the pre-existing counselling service. The results suggest…
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Schackman, Bruce R; Metsch, Lisa R; Colfax, Grant N; Leff, Jared A; Wong, Angela; Scott, Callie A; Feaster, Daniel J; Gooden, Lauren; Matheson, Tim; Haynes, Louise F; Paltiel, A David; Walensky, Rochelle P
2013-02-01
The President's National HIV/AIDS Strategy calls for coupling HIV screening and prevention services with substance abuse treatment programs. Fewer than half of US community-based substance abuse treatment programs make HIV testing available on-site or through referral. We measured the cost-effectiveness of three HIV testing strategies evaluated in a randomized trial conducted in 12 community-based substance abuse treatment programs in 2009: off-site testing referral, on-site rapid testing with information only, on-site rapid testing with risk-reduction counseling. Data from the trial included patient demographics, prior testing history, test acceptance and receipt of results, undiagnosed HIV prevalence (0.4%) and program costs. The Cost-Effectiveness of Preventing AIDS Complications (CEPAC) computer simulation model was used to project life expectancy, lifetime costs, and quality-adjusted life years (QALYs) for HIV-infected individuals. Incremental cost-effectiveness ratios (2009 US $/QALY) were calculated after adding costs of testing HIV-uninfected individuals; costs and QALYs were discounted at 3% annually. Referral for off-site testing is less efficient (dominated) compared to offering on-site testing with information only. The cost-effectiveness ratio for on-site testing with information is $60,300/QALY in the base case, or $76,300/QALY with 0.1% undiagnosed HIV prevalence. HIV risk-reduction counseling costs $36 per person more without additional benefit. A strategy of on-site rapid HIV testing offer with information only in substance abuse treatment programs increases life expectancy at a cost-effectiveness ratio <$100,000/QALY. Policymakers and substance abuse treatment leaders should seek funding to implement on-site rapid HIV testing in substance abuse treatment programs for those not recently tested. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.
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Schackman, Bruce R.; Metsch, Lisa R.; Colfax, Grant N.; Leff, Jared A.; Wong, Angela; Scott, Callie A.; Feaster, Daniel J.; Gooden, Lauren; Matheson, Tim; Haynes, Louise F.; Paltiel, A. David; Walensky, Rochelle P.
2012-01-01
BACKGROUND The President’s National HIV/AIDS Strategy calls for coupling HIV screening and prevention services with substance abuse treatment programs. Fewer than half of US community-based substance abuse treatment programs make HIV testing available on-site or through referral. METHODS We measured the cost-effectiveness of three HIV testing strategies evaluated in a randomized trial conducted in 12 community-based substance abuse treatment programs in 2009: off-site testing referral, on-site rapid testing with information only, on-site rapid testing with risk reduction counseling. Data from the trial included patient demographics, prior testing history, test acceptance and receipt of results, undiagnosed HIV prevalence (0.4%) and program costs. The Cost Effectiveness of Preventing AIDS Complications (CEPAC) computer simulation model was used to project life expectancy, lifetime costs, and quality-adjusted life years (QALYs) for HIV-infected individuals. Incremental cost-effectiveness ratios (2009 US $/QALY) were calculated after adding costs of testing HIV-uninfected individuals; costs and QALYs were discounted at 3% annually. RESULTS Referral for off-site testing is less efficient (dominated) compared to offering on-site testing with information only. The cost-effectiveness ratio for on-site testing with information is $60,300/QALY in the base case, or $76,300/QALY with 0.1% undiagnosed HIV prevalence. HIV risk-reduction counseling costs $36 per person more without additional benefit. CONCLUSIONS A strategy of on-site rapid HIV testing offer with information only in substance abuse treatment programs increases life expectancy at a cost-effectiveness ratio <$100,000/QALY. Policymakers and substance abuse treatment leaders should seek funding to implement on-site rapid HIV testing in substance abuse treatment programs for those not recently tested. PMID:22971593
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Summary for 1996 LTPP traffic data collection : annual summary.
DOT National Transportation Integrated Search
1997-06-01
In 1996 the Research Unit continued to collect traffic data for the Long Term Pavement Performance Program, hereinafter referred to as the LTPP program. The LTPP program is essentially comprised of on-site computers that apply collected data to an al...
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Resource Sharing for Better Service: The Northland Pioneer College/Mogollon High School Experiment.
ERIC Educational Resources Information Center
Rothlisberg, Allen P.
Northland Pioneer College, a decentralized community college serving rurally populated Northeastern Arizona, has a cooperative agreement with Mogollon High School Library in Heber to serve both college and high school students and faculty. Under this experimental agreement, on-site learning resource center services are provided by the high school,…
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ERIC Educational Resources Information Center
Dellmann-Jenkins, Mary; And Others
1994-01-01
Initially designed in response to substance abuse, employee assistance programs are now recognizing needs of family caregivers of the elderly by providing such services as referral, education, information, flexible schedules/leaves, counseling, health promotion, financial assistance, and direct services--respite care and onsite adult day care. (SK)
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-02-22
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-82,253] Cardinal Health, Financial Shared Services West, Including On- Site Leased Workers From Aerotek, eXcel Staffing, Experis Finance (Manpower), Ricoh, USA, Dawson Creative, Mergis Group and Tailored Management, Albuquerque, NM; Amended Certification Regarding Eligibility To...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-10-05
... employees provided various activities related to software development services. Based on these findings, the... workers of the subject firm who were adversely affected by a shift in software development services to a... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-74,540] Bmc Software, Inc...
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75 FR 35901 - On-Site Completion of Construction of Manufactured Homes
Federal Register 2010, 2011, 2012, 2013, 2014
2010-06-23
... may access this number via TTY by calling the Federal Information Relay Service at 800-877-8339... the toll-free Federal Information Relay Service at 1-800-877-8339. SUPPLEMENTARY INFORMATION: I... report also must be submitted to the State Administrative Agencies (SAAs) of the states where the home is...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-06-16
... Mobile Fueling Operations, Nationwide AGENCY: Postal Service. ACTION: Notice of intent to prepare a...) for the use of mobile fueling contractors to fuel postal vehicles on-site at selected Postal Service... utilize mobile fueling contractors to fuel vehicles on site at selected postal facilities located...
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Hood, Kristina B; Robertson, Angela A; Baird-Thomas, Connie
2015-04-01
Due to the scarcity of resources for implementing rapid on-site HIV testing, many substance abuse treatment programs do not offer these services. This study sought to determine whether addressing previously identified implementation barriers to integrating on-site rapid HIV testing into the treatment admissions process would increase offer and acceptance rates. Results indicate that it is feasible to integrate rapid HIV testing into existing treatment programs for substance abusers when resources are provided. Addressing barriers such as providing start-up costs for HIV testing, staff training, addressing staffing needs to reduce competing job responsibilities, and helping treatment staff members overcome their concerns about clients' reactions to positive test results is paramount for the integration and maintenance of such programs. Copyright © 2014 Elsevier Ltd. All rights reserved.
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On-site remediation shakes out
DOE Office of Scientific and Technical Information (OSTI.GOV)
Morris, G.D.L.
1996-01-03
Consolidation in several segments of the environmental services industry is being driven by continued sluggishness. Process engineering and construction company Fluor Daniel (Irvine, CA) has reached a definitive agreement to acquire a controlling interest in environmental remediation firm Groundwater Technology Inc.. Fluor Daniel will combine its environmental services unit with GTI. Fluor Daniel/GTI will be headquartered in Norwood and remain a publicly traded entity. The transaction is subject to approval by GTI`s shareholders and other customer conditions and is expected to be completed in the next few months. Fluor Daniel/GTI will operate as a subsidiary of Fluor Daniel and willmore » become one of the world`s largest on-site remediation companies. David Myers, president of Fluor Daniel`s environmental services unit, will become chairman, while Walter C. Barber, chairman and CEO of GTI, will continue as the company`s president and CEO. Certain Fluor Daniel environmental business components, specifically the Department of Energy management and operations business, will not be included in the transaction and will operate separately.« less
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24 CFR 968.140 - On-site inspections.
Code of Federal Regulations, 2011 CFR
2011-04-01
... inspection personnel during modernization, whether work is performed by contract or force account labor and with or without the services of an architect/engineer, to ensure work quality and progress. [58 FR...
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Luther, Matt; Gardiner, Fergus; Lenson, Shane; Caldicott, David; Harris, Ryan; Sabet, Ryan; Malloy, Mark; Perkins, Jo
2018-04-01
Specific Event Identifiers a. Event type: Outdoor music festival. b. Event onset date: December 3, 2016. c. Location of event: Regatta Point, Commonwealth Park. d. Geographical coordinates: Canberra, Australian Capital Territory (ACT), Australia (-35.289002, 149.131957, 600m). e. Dates and times of observation in latitude, longitude, and elevation: December 3, 2016, 11:00-23:00. f. Response type: Event medical support. Abstract Introduction Young adult patrons are vulnerable to risk-taking behavior, including drug taking, at outdoor music festivals. Therefore, the aim of this field report is to discuss the on-site medical response during a music festival, and subsequently highlight observed strategies aimed at minimizing substance abuse harm. The observed outdoor music festival was held in Canberra (Australian Capital Territory [ACT], Australia) during the early summer of 2016, with an attendance of 23,008 patrons. First aid and on-site medical treatment data were gained from the relevant treatment area and service. The integrated first aid service provided support to 292 patients. Final analysis consisted of 286 patients' records, with 119 (41.6%) males and 167 (58.4%) females. Results from this report indicated that drug intoxication was an observed event issue, with 15 (5.1%) treated on site and 13 emergency department (ED) presentations, primarily related to trauma or medical conditions requiring further diagnostics. This report details an important public health need, which could be met by providing a coordinated approach, including a robust on-site medical service, accepting intrinsic risk-taking behavior. This may include on-site drug-checking, providing reliable information on drug content with associated education. Luther M , Gardiner F , Lenson S , Caldicott D , Harris R , Sabet R , Malloy M , Perkins J . An effective risk minimization strategy applied to an outdoor music festival: a multi-agency approach. Prehosp Disaster Med. 2018;33(2):220-224.
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NRC (Nuclear Regulatory Commission) editorial style guide
DOE Office of Scientific and Technical Information (OSTI.GOV)
Beeson, J.F.; Calure, B.A.; Gable, D.
1989-10-01
Editorial style refers to the choices that writers, editors, and secretaries make to eliminate inconsistencies in their documents. These choices apply to the recurrent features of a document such as abbreviations, capitalization, compound words, numbers, symbols, and punctuation, as well as to references and footnotes. Making these choices is sometimes difficult because usage changes as the language evolves. Consider the use of hyphens, for example. Do we write non-power reactor or nonpower reactor Is it on-site incident or onsite incident Although usage is moving away from the use of hyphens with prefixes, the authorities who compile style guides do notmore » always agree about which choice to use at a given time. Moreover, each discipline -- law, physics, mathematics -- has specific standards that apply to the publications for that discipline. Even in an area as seemingly certain as spelling, overlapping usage exists. Reputable dictionaries show both align'' and aline'' as correct spellings. Likewise, disc, disk, and diskette'' currently coexist as equally valid choices.« less
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Oxegen 2004: the impact of a major music festival on the workload of a local hospital.
Nix, C M; Khan, I J; Hoban, M; Little, G; Keye, G; O'Connor, H J
2006-06-01
This prospective observational study was undertaken to assess the impact of a major music festival on the workload of a local hospital. Data were collected on all attendances at Naas General Hospital from the nearby Oxegen 2004 music festival. Patient demographics, disposition and diagnoses were recorded. Emergency department activity levels were compared before, during and after the festival. Seventy-two attendees were referred to Naas emergency department over a 3-day period, representing a 45% increase in the hospital's emergency department attendance rate. Thirty-seven of these attendees (51%) required inpatient or tertiary centre services. Thirty-four attendees (47%) were noted as having consumed alcohol and/or used illicit substances. We conclude that despite the provision of on-site medical facilities, major music events are associated with a significant increase in local health care activity and expenditure.
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Clean Water State Revolving Fund (CWSRF): Decentralized Wastewater Treatment
Decentralized wastewater treatment is an onsite or clustered system used to collect, treat, and disperse or reclaim wastewater from a small community or service area (e.g., septic systems, cluster systems, lagoons).
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Bradshaw, S.P.
1994-12-31
In our tenth year of educational service and outreach, Oak Ridge National Laboratory`s Ecological and Physical Science Study Center (EPSSC) provides hands-on, inquiry-based science activities for area students and teachers. Established in 1984, the EPSSC now hosts over 20,000 student visits. Designed to foster a positive attitude towards science, each unit includes activities which reinforce the science concept being explored. Outdoor science units provide field experience at the Department of Energy`s Oak Ridge National Environmental Research Park and outreach programs are offered on-site in area schools. Other programs are offered as extensions of the EPSSC core programs, including on-site studentmore » science camps, all-girl programs, outreach science camps, student competitions, teacher in-service presentations and teacher workshops.« less
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Madkour, Aubrey Spriggs; Xie, Yiqiong; Harville, Emily Wheeler
2016-01-01
BACKGROUND Adverse birth outcomes are more common among adolescent versus adult mothers, but little is known about school-based services that may improve birth outcomes in this group. METHODS Data from Waves I and IV of the National Longitudinal Study of Adolescent Health were analyzed. Girls and women who gave birth to singleton live infants after Wave I and before age 20, were still in secondary school while pregnant, and had complete data (N=402) were included. Mothers reported infants’ birthweight and gestational age. School administrators reported whether family planning counseling, diagnostic screening (including sexually transmitted diseases [STDs]), STD treatment, and prenatal/postpartum healthcare were provided on-site at school at Wave I. Multilevel models adjusted for individual and school characteristics were conducted. RESULTS Few schools offered reproductive healthcare services on-site. In multilevel analyses, availability of family planning counseling (Est. β=0.21, 95% confidence interval [CI] 0.04, 0.38) and prenatal/postpartum healthcare (Est. β=0.21, 95% CI 0.02, 0.40) were significantly associated with increased infant birthweight. No services examined were significantly associated with increased gestational age. CONCLUSIONS Some school-based reproductive health services may improve subsequent birth outcomes among adolescent mothers. Future analyses should examine the mechanisms by which services impact birth outcomes. PMID:27246673
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ERIC Educational Resources Information Center
Niccols, Alison; Milligan, Karen; Smith, Ainsley; Sword, Wendy; Thabane, Lehana; Henderson, Joanna
2012-01-01
Background: Integrated treatment programs (those that include on-site pregnancy-, parenting-, or child-related services with addiction services) were developed to break the intergenerational cycle of addiction, potential child maltreatment, and poor outcomes for children. Objectives: To examine the impact and effects of integrated programs for…
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ERIC Educational Resources Information Center
Illinois Community College Board, 2009
2009-01-01
The Illinois Community College Board provided more than $3.3 million to community colleges during fiscal year 2009 to support local workforce and economic development services through their Business and Industry Centers. The workforce development activities conducted under this grant include customized job training on campus or on-site at a…
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ERIC Educational Resources Information Center
Illinois Community College Board, 2008
2008-01-01
The Illinois Community College Board provided more than $3.3 million to community colleges during fiscal year 2008 to provide workforce and economic development services through their Business and Industry Centers. The workforce development activities conducted under this grant include customized job training on campus or on-site at a business;…
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ERIC Educational Resources Information Center
Illinois Community College Board, 2007
2007-01-01
The Illinois Community College Board provided more than $3.3 million to community colleges during fiscal year 2007 to provide workforce and economic development services through their Business and Industry Centers. The workforce development activities conducted under this grant include customized job training on campus or on-site at a business;…
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-06-03
... Technologies, a wholly owned subsidiary of DSI Systems, Inc., Boston, Massachusetts operated in conjunction... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-74,649; TA-W-74,649a] DST Systems... Kelly Services Kansas City, MO; DST Technologies, a Wholly Owned Subsidiary of DST Systems, Inc., Boston...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-07-07
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-73,555] Hewlett-Packard Company Division of Corporate Administration and Shared Services Including On-Site Leased Workers From Manpower and Including Workers Off-Site From Various States in the United States Reporting to Omaha, NE; Including Employees of Hewlett-Packard Company...
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Hinkle, Stephen J.; Weick, Rodney J.; Johnson, Jill M.; Cahill, Jeffery D.; Smith, Steven G.; Rich, Barbara J.
2005-01-01
The occurrence of organic wastewater compounds (components of 'personal care products' and other common household chemicals), pharmaceuticals (human prescription and nonprescription medical drugs), and coliphage (viruses that infect coliform bacteria, and found in high concentrations in municipal wastewater) in onsite wastewater (septic tank effluent) and in a shallow, unconfined, sandy aquifer that serves as the primary source of drinking water for most residents near La Pine, Oregon, was documented. Samples from two types of observation networks provided basic occurrence data for onsite wastewater and downgradient ground water. One observation network was a group of 28 traditional and innovative (advanced treatment) onsite wastewater treatment systems and associated downgradient drainfield monitoring wells, referred to as the 'innovative systems network'. The drainfield monitoring wells were located adjacent to or under onsite wastewater treatment system drainfield lines. Another observation network, termed the 'transect network', consisted of 31 wells distributed among three transects of temporary, stainless-steel-screened, direct-push monitoring wells installed along three plumes of onsite wastewater. The transect network, by virtue of its design, also provided a basis for increased understanding of the transport of analytes in natural systems. Coliphage were frequently detected in onsite wastewater. Coliphage concentrations in onsite wastewater were highly variable, ranging from less than 1 to 3,000,000 plaque forming units per 100 milliliters. Coliphage were occasionally detected (eight occurrences) at low concentrations in samples from wells located downgradient from onsite wastewater treatment system drainfield lines. However, coliphage concentrations were below method detection limits in replicate or repeat samples collected from the eight sites. The consistent absence of coliphage detections in the replicate or repeat samples is interpreted to indicate that the detections reported for ground-water samples represented low-level field or laboratory contamination, and it would appear that coliphage were effectively attenuated to less than 1 PFU/100 mL over distances of several feet of transport in the La Pine aquifer and (or) overlying unsaturated zone. Organic wastewater compounds were frequently detected in onsite wastewater. Of the 63 organic wastewater compounds in the analytical schedule, 45 were detected in the 21 samples of onsite wastewater. Concentrations of organic wastewater compounds reached a maximum of 1,300 ug/L (p-cresol). Caffeine was detected at concentrations as high as 320 ug/L. Fourteen of the 45 compounds were detected in more than 90 percent of onsite wastewater samples. Fewer (nine) organic wastewater compounds were detected in ground water, despite the presence of nitrate and chloride likely from onsite wastewater sources. The nine organic wastewater compounds that were detected in ground-water samples were acetyl-hexamethyl-tetrahydro-naphthalene (AHTN), caffeine, cholesterol, hexahydrohexamethyl-cyclopentabenzopyran, N,N-diethyl-meta-toluamide (DEET), tetrachloroethene, tris (2-chloroethyl) phosphate, tris (dichloroisopropyl) phosphate, and tributyl phosphate. Frequent detection of household-chemical type organic wastewater compounds in onsite wastewater provides evidence that some of these organic wastewater compounds may be useful indicators of human waste effluent dispersal in some hydrologic environments. The occurrence of organic wastewater compounds in ground water downgradient from onsite wastewater treatment systems demonstrates that a subgroup of organic wastewater compounds is transported in the La Pine aquifer. The consistently low concentrations (generally less than 1 ug/L) of organic wastewater compounds in water samples collected from wells located no more than 19 feet from drainfield lines indicates that the reactivity (sorption, degradation) of this suite of organic waste
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STORMWATER BEST MANAGEMENT PRACTICES DESIGN GUIDE VOLUME 2 - VEGETATIVE BIOFILTERS
This document is Volume 2 of a three volume document that provides guidance on the selection and design of stormwater management Best Management Practices (BMPs). This second volume provides specific design guidance for a group of onsite BMP control practices that are referred t...
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Winters, M.S.; McElheny, G.; Houston, L.M.
2013-07-01
A case study is presented on specific program elements that supported the transition of a temporary field radiological screening lab to an accredited operation capable of meeting client quality objectives for definitive results data. The temporary field lab is located at the Formerly Utilized Sites Remedial Action Program Linde Site in Tonawanda, NY. The site is undergoing remediation under the direction of the United States Army Corps of Engineers - Buffalo District, with Cabrera Services Inc. as the remediation contractor and operator of the on-site lab. Analysis methods employed in the on-site lab include gross counting of alpha and betamore » particle activity on swipes and air filters and gamma spectroscopy of soils and other solid samples. A discussion of key program elements and lessons learned may help other organizations considering pursuit of accreditation for on-site screening laboratories. (authors)« less
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Code of Federal Regulations, 2010 CFR
2010-07-01
... MANAGEMENT SERVICE, DEPARTMENT OF THE INTERIOR OFFSHORE RENEWABLE ENERGY ALTERNATE USES OF EXISTING FACILITIES ON THE OUTER CONTINENTAL SHELF Facility Design, Fabrication, and Installation Certified...
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Skype interviewing: The new generation of online synchronous interview in qualitative research
Roudsari, Robab Latifnejad; Taghipour, Ali
2014-01-01
The most commonly used method for data collection in qualitative research is interviewing. With technology changes over the last few decades, the online interview has overcome time and financial constraints, geographical dispersion, and physical mobility boundaries, which have adversely affected onsite interviews. Skype as a synchronous online service offers researchers the possibility of conducting individual interviews as well as small focus groups, comparable to onsite types. This commentary presents the characteristics of the Skype interview as an alternative or supplemental choice to investigators who want to change their conventional approach of interviewing. PMID:24746247
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Skype interviewing: the new generation of online synchronous interview in qualitative research.
Janghorban, Roksana; Latifnejad Roudsari, Robab; Taghipour, Ali
2014-01-01
The most commonly used method for data collection in qualitative research is interviewing. With technology changes over the last few decades, the online interview has overcome time and financial constraints, geographical dispersion, and physical mobility boundaries, which have adversely affected onsite interviews. Skype as a synchronous online service offers researchers the possibility of conducting individual interviews as well as small focus groups, comparable to onsite types. This commentary presents the characteristics of the Skype interview as an alternative or supplemental choice to investigators who want to change their conventional approach of interviewing.
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Parametric Criticality Safety Calculations for Arrays of TRU Waste Containers
DOE Office of Scientific and Technical Information (OSTI.GOV)
Gough, Sean T.
The Nuclear Criticality Safety Division (NCSD) has performed criticality safety calculations for finite and infinite arrays of transuranic (TRU) waste containers. The results of these analyses may be applied in any technical area onsite (e.g., TA-54, TA-55, etc.), as long as the assumptions herein are met. These calculations are designed to update the existing reference calculations for waste arrays documented in Reference 1, in order to meet current guidance on calculational methodology.
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An assessesment of telephone assistance systems for caregivers of patients with Alzheimer's disease.
Garzón-Maldonado, F J; Gutiérrez-Bedmar, M; Serrano-Castro, V; Requena-Toro, M V; Padilla-Romero, L; García-Casares, N
Telephone assistance is a common practice in neurology, although there are only a few studies about this type of healthcare. We have evaluated a Telephone Assistance System (TAS) for caregivers of patients with Alzheimer's disease (AD) from 2 points of view: financially and according to the level of satisfaction of the caregiver. 97 patients with a diagnosis of AD according to NINCDS-ADRDA criteria and their 97 informal caregivers were selected. We studied cost differences between on-site assistance and telephone assistance (TAS) for 12 months. We used a self-administered questionnaire to assess the level of satisfaction of caregivers at the end of the study period. TAS savings amounted to 80.05 ± 27.07 euros per user. 73.6% of the caregivers consider TAS a better or much better system than on-site assistance, while only 2.6% of the caregivers considered TAS a worse or much worse system than on-site assistance. Telephone assistance systems are an efficient healthcare resource for monitoring patients with AD in neurology departments. Furthermore, the level of user satisfaction was high. We therefore consider that telephone assistance service should be offered by healthcare services. Copyright © 2016 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.
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DOT National Transportation Integrated Search
2000-07-01
In this study, 49 North Carolina Department of Transportation (NCDOT) wetland compensatory mitigation sites and 11 reference sites were evaluated on-site in 1999. Seventeen of the larger sites consisted of more than one type of mitigation (restoratio...
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Offshore and Onsite Placement Testing for English Pathway Programmes
ERIC Educational Resources Information Center
Roche, Thomas; Harrington, Michael
2018-01-01
English language programmes provide established pathways for international students seeking university admission in countries such as Australia and the United Kingdom. In order to refer international applicants to appropriate levels and durations of English language support prior to matriculation into their main course of study, pathway providers…
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ERIC Educational Resources Information Center
Sch Lunch J, 1970
1970-01-01
The National School Food Service and Nutrition Education Finance Project (SFSP) is now in its second phase, whichinvolves on-site visits and a questionnaire survey of systems. A form for reporting pupil food practices and needs is provided. (JW)
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Compressed Natural Gas Safety in Transit Operations
DOT National Transportation Integrated Search
1995-09-14
This report examines the safety issues relating to the use of Compressed Natural Gas (CNG) in transit service. The safety issues were determined by on-site surveys performed by Battelle of Columbus, Ohio and Science Applications International Corpora...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-12
..., Adecco Employment Services, Winchester, KY; Niles America Wintech, Inc., Assembly and Testing Division, a... former workers of Niles America Wintech, Inc., Warehousing Division and Assembly and Testing Division...
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Onsite Peer Tutoring in Mathematics Content Courses for Pre-Service Teachers
ERIC Educational Resources Information Center
Young, Elaine
2011-01-01
Pre-service elementary teachers often need help in mathematics courses. Tutoring is an effective practice (Boylan, 2002) and peer tutoring is one of the most successful forms of tutoring, due to the personal connections that are made (Tinto, 1993). A peer is defined as one at the same level, at the same institution, and having equal status…
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-03-12
... for Worker Adjustment Assistance on January 21, 2010, applicable to the workers of RBS Citizens, N.A.... Accordingly, the Department is amending this certification to include workers of the RBS Citizens, N.A...-72,873 is hereby issued as follows: All workers of RBS Citizens, N.A., Business Services Division...
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ERIC Educational Resources Information Center
Parmley, John D.; Hutchinson, Art; Parmley, Scott C.
During the early 1990s, Art Hutchinson, in his role as Park Ranger and Coordinator of Education/School Services at Mesa Verde (Colorado), was exploring possible applications of the early digital information and multimedia technologies. The goal was to provide new experiences for Park visitors on-site as well as for students across the Four Corners…
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ERIC Educational Resources Information Center
Morphis, Elizabeth A
2018-01-01
This article focuses on a shift in the author's approach to teaching a literacy course to a coaching-based model after observing pre-service teachers "struggle" to implement the teaching practices during on-site fieldwork with a kindergarten, first-, or second-grade child partner. The author discusses how she provided more timely…
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-14
... firm acquiring from a foreign country services like or directly competitive with the services supplied..., Including On-Site Leased Workers of Advantage XPO, Fort Myers, Maitland, and Ocala, FL TA-W-75,172A Dex One... Advantage XPO, Arlington Heights, Chicago, Lombard, Springfield, and Tinley Park, IL TA-W-75,172B Dex One...
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How good are we at managing acute kidney injury in hospital?
Meran, Soma; Wonnacott, Alexa; Amphlett, Bethan; Phillips, Aled
2014-04-01
Acute kidney injury (AKI) is a common clinical problem associated with adverse outcomes. This study identifies the incidence of AKI in two UK district general hospitals' without on-site renal services and assesses AKI management and level of nephrologist input. The AKIN classification was used to identify 1020 AKI patients over 6 months. Data were collated on patient demographics, AKI management and referral to nephrology and intensive care services. Short/long-term renal outcomes were investigated. Patients were followed up for 14 months post-discharge. Incidence of hospital-based AKI was 6.4%. Mean patient age was 73 years. There was 28.1% acute in-hospital mortality with a further 21.6% 14-month mortality. Only 8.3% of patients were referred to nephrology services for in-hospital review, and only 8.1% had outpatient nephrology follow-up. Compliance with the AKI National Confidential Enquiry into Patient Outcomes and Deaths (NCEPOD) recommendations was poor with 32.8% of patients having renal imaging and 15% of patients having acid-base status assessed. NCEPOD compliance improved with nephrology input. Patients referred to nephrology were likely to be younger with pre-existing CKD and severe AKI. 10.5% of AKI episodes were unrecognized. Forty percent of those with unrecognized AKI, (compared with 15% of recognized AKI) developed de novo or progression of pre-existing CKD. AKI in DGHs is mostly managed without nephrology input. There are significant shortcomings in AKI recognition and management in this setting. This is associated with poor mortality and long-term CKD. This study supports a need to improve the teaching and training of front-line medical staff in identifying AKI. Additionally, implementation of AKI e-alert systems may encourage early recognition and provide a prompt for renal referral.
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Thomas, Elizabeth Anne
2011-06-01
The occupational health services department for a manufacturing division of a high-technology firm was redesigned from an outsourced model, in which most services were provided by an outside clinic vendor, to an in-house service model, in which services were provided by an on-site nurse practitioner. The redesign and implementation, accomplished by a cross-functional team using Total Quality Management processes, resulted in a comprehensive occupational health services department that realized significant cost reduction, increased compliance with regulatory and company requirements, and improved employee satisfaction. Implications of this project for occupational health nurses are discussed.
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Druss, Benjamin G.; Bornemann, Thomas; Fry-Johnson, Yvonne W.; McCombs, Harriet G.; Politzer, Robert M.; Rust, George
2008-01-01
Objective. We examined trends in delivery of mental health and substance abuse services at the nation’s community health centers. Methods. Analyses used data from the Health Resources and Services Administration (HRSA), Bureau of Primary Care’s (BPHC) 1998 and 2003 Uniform Data System, merged with county-level data. Results. Between 1998 and 2003, the number of patients diagnosed with a mental health/substance abuse disorder in community health centers increased from 210 000 to 800 000. There was an increase in the number of patients per specialty mental health/substance abuse treatment provider and a decline in the mean number of patient visits, from 7.3 visits per patient to 3.5 by 2003. Although most community health centers had some on-site mental health/substance abuse services, centers without on-site services were more likely to be located in counties with fewer mental health/substance abuse clinicians, psychiatric emergency rooms, and inpatient hospitals. Conclusions. Community health centers are playing an increasingly central role in providing mental health/substance abuse treatment services in the United States. It is critical both to ensure that these centers have adequate resources for providing mental health/substance abuse care and that they develop effective linkages with mental health/substance abuse clinicians in the communities they serve. PMID:18687596
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Druss, Benjamin G.; Bornemann, Thomas; Fry-Johnson, Yvonne W.; McCombs, Harriet G.; Politzer, Robert M.; Rust, George
2006-01-01
Objective. We examined trends in delivery of mental health and substance abuse services at the nation’s community health centers. Methods. Analyses used data from the Health Resources and Services Administration (HRSA), Bureau of Primary Care’s (BPHC) 1998 and 2003 Uniform Data System, merged with county-level data. Results. Between 1998 and 2003, the number of patients diagnosed with a mental health/substance abuse disorder in community health centers increased from 210 000 to 800 000. There was an increase in the number of patients per specialty mental health/substance abuse treatment provider and a decline in the mean number of patient visits, from 7.3 visits per patient to 3.5 by 2003. Although most community health centers had some on-site mental health/substance abuse services, centers without on-site services were more likely to be located in counties with fewer mental health/substance abuse clinicians, psychiatric emergency rooms, and inpatient hospitals. Conclusions. Community health centers are playing an increasingly central role in providing mental health/substance abuse treatment services in the United States. It is critical both to ensure that these centers have adequate resources for providing mental health/substance abuse care and that they develop effective linkages with mental health/substance abuse clinicians in the communities they serve. PMID:17008573
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7 CFR 249.17 - Management evaluations and reviews.
Code of Federal Regulations, 2010 CFR
2010-01-01
....17 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS SENIOR FARMERS' MARKET NUTRITION PROGRAM (SFMNP..., and on-site reviews of selected farmers, farmers' markets, roadside stands, and community supported...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-05-18
... domestic industry in an investigation resulting in-- (A) an affirmative determination of serious injury or... Workers of Manpower, Inc.. 75,302 Udelhoven Oilfield Nikiski, AK System Services, Working On-Site at Kenai...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-01
... on August 23, 2012 (77 FR 51066). Fasco is a warehouse and distribution center for electric motors... and distribution of electric motors, as well as engineering, customer service and information...
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The Hospital Satellite Network. A National/International Perspective.
ERIC Educational Resources Information Center
Linder, Ronald L.
1985-01-01
Describes how continuing distance education through satellite transmitted-television can help health service professionals, and how such networks operate. The development of such a program is described, including audience, title, learning objectives, program text, and onsite instructional materials. (CT)
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-01-05
... unemployment insurance (UI) tax account for its parent firm, CDI Corporation. Accordingly, the Department is... separation from employment on date of certification through two years from the date of certification, are...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-01-20
... insurance (UI) tax account for its parent firm, CDI Corporation. Accordingly, the Department is amending... all workers in the group threatened with total or partial separation from employment on date of...
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Soman, Ambalathumpara Raman; Sundararaj, Gopalswamy
2015-01-01
In the current industrial scenario there is a serious need for formulating strategies to handle hazardous substances in the safest way. Manufacture, storage, and use of hazardous substances pose a serious risk to industry, people, and the environment. Accidental release of toxic chemicals can lead to emergencies. An emergency response plan (ERP) is inevitable to minimize the adverse effects of such releases. The on-site emergency plan is an integral component of any process safety and risk management system. This paper deals with an on-site emergency response plan for a chlorine manufacturing industry. It was developed on the basis of a previous study on chlorine release and a full scale mock drill has been conducted for testing the plan. Results indicated that properly trained personnel can effectively handle each level of incidents occurring in the process plant. As an extensive guideline to the district level government authorities for off-site emergency planning, risk zone has also been estimated with reference to a chlorine exposure threshold of 3 ppm. PMID:26171416
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Yu, Charley; Kamboj, Sunita; Wang, Cheng
2015-09-01
This handbook is an update of the 1993 version of the Data Collection Handbook and the Radionuclide Transfer Factors Report to support modeling the impact of radioactive material in soil. Many new parameters have been added to the RESRAD Family of Codes, and new measurement methodologies are available. A detailed review of available parameter databases was conducted in preparation of this new handbook. This handbook is a companion document to the user manuals when using the RESRAD (onsite) and RESRAD-OFFSITE code. It can also be used for RESRAD-BUILD code because some of the building-related parameters are included in this handbook.more » The RESRAD (onsite) has been developed for implementing U.S. Department of Energy Residual Radioactive Material Guidelines. Hydrogeological, meteorological, geochemical, geometrical (size, area, depth), crops and livestock, human intake, source characteristic, and building characteristic parameters are used in the RESRAD (onsite) code. The RESRAD-OFFSITE code is an extension of the RESRAD (onsite) code and can also model the transport of radionuclides to locations outside the footprint of the primary contamination. This handbook discusses parameter definitions, typical ranges, variations, and measurement methodologies. It also provides references for sources of additional information. Although this handbook was developed primarily to support the application of RESRAD Family of Codes, the discussions and values are valid for use of other pathway analysis models and codes.« less
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Sexual behaviour and HIV prevention needs of men attending a suburban Sex on Premises Venue.
Santella, Anthony J; Schlub, Timothy E; Ooi, Catriona; Varma, Rick; Holt, Martin; Prestage, Garrett; Hillman, Richard J
2015-10-01
Background Sexual behaviour and HIV prevention needs of men who have sex with men (MSM) attending suburban Sex on Premises Venues (SOPVs) are understudied. A cross-sectional survey examining sexual activity, health services utilisation, sexual health services needs and STI knowledge was conducted among MSM over 18 years old attending a SOPV in Western Sydney between June and July 2013. A total of 213 MSM were sampled; approximately half of the respondents (51%) reported that they only had sex with other men, and 46% had sex with both men and women. Condom use varied considerably, with ~50% of responders not using condoms consistently during anal sex. Consistent condom usage was not associated with having regular, casual or a mix of regular and casual partners during anal sex (P=0.09). The majority (59.5%) obtained sexual health screening services from general practitioners; only 15.0% sought services from a local sexual health clinic. Over half of respondents (57.7%) believed that SOPVs should offer on-site and free testing services. Those with the highest level of previous STI diagnoses were gay men (41%), those who only had casual partners (38%) and those who did not complete high school (65%). Sexual health services and non-government organisations should consider targeting bisexual men with rapid HIV testing and condom usage campaigns. Low cost or free on-site HIV and STI testing at SOPVs and stronger partnerships between general practitioners and sexual health services are needed.
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Clean air program : liquefied natural gas safety in transit operations
DOT National Transportation Integrated Search
1996-03-31
The report examines the safety issues relating to the use of Liquefied Natural Gas (LNG) in transit service. The safety issues were determined by on-site surveys performed by Battelle of Columbus, Ohio, and Science Applications International Corp. (S...
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A "Floating Faculty"--An Intensive In-Service Technique
ERIC Educational Resources Information Center
Daniels, Paul R.; O'Connell, Maurice J.
1976-01-01
Describes the "floating faculty" program developed by the Prince George's County (Maryland) Public Schools to provide onsite inservice training for school faculties in the district through the use of specially trained personnel that make up a "faculty-without-a-school." (JG)
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-28
... separation has occurred involving an employee in support of the San Diego, California location of Autosplice, Inc., working out of Farmingdale, New York. Ms. Pamela J. Sokol provided sales and marketing functions...
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Sadi, Jackie; MacDermid, Joy C; Chesworth, Bert; Birmingham, Trevor
2007-12-01
The purpose of this study was to describe the rate and distribution of treatment visits provided in an on-site, automotive plant, physiotherapy clinic over a 13-year period. A retrospective cohort study was conducted using data collected at an on-site physiotherapy clinic (1990-2002, 65,977 visits; n = 2,636 workers). The average age of workers was 43 +/- 9 years; most remained at work (85%) when treated. Disorders most commonly affected the shoulder, lumbar, and cervical regions; the median number of visits for these was 7, 6, and 5, respectively. Elbow disorders occurred commonly only for work-related complaints and required a median of eight visits. Rate of utilization was higher for women, with 47% of the plant's female workers attending physiotherapy in 1 year. Women had higher rates of cervical spine (12 vs. 22%) and wrist (5 vs. 10%) disorders. The two most common causes of injury reported by workers with an industrial injury were "frank injury arising out of normal employment" (51%) and "gradual onset/no frank injury" (37%). The diagnosis most often reported by the physiotherapist after initial assessment was "strain" which was similar for both industrial (43%) and non-industrial (49%) injuries. The six main departments in this automotive plant account for 93% of all industrial injuries reported. Final Assembly accounted for the largest number and highest rate of injury, although shift variability was noted in utilization rates (13 vs. 26%), despite the same tasks, shift schedules, and demographics. Although there was no control group, the number of visits to discharge was lower than reported in the literature for off-site physical therapy; there was a large reduction in claims (441-275) following introduction of the clinic and reduced duration/costs of lost time were identified by the employer as a rationale to continue and enhance the service over time. On-site physiotherapy services can provide early, cost-effective management of WRMSD in the automotive sector. Service utilization reflects the influence of gender, job task, and shift-dynamics on rates and location of WRMSD.
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Meyding-Lamadé, U; Bassa, B; Craemer, E; Jacobi, C; Chan, C; Hacke, W; Kress, B
2017-02-01
Due to the world-wide aging population, there is a need for specialist neurological knowledge, treatment and care. Stroke treatment is effective in reducing mortality and disability, but it is still not available in many areas of the world. We describe the set-up process of a specialized Neuroscience, Stroke and Rehabilitation Centre in Brunei Darussalam (BNSRC) in cooperation with a German hospital. This study details the setup of a stroke-, neurological intensive care- and neurorehabilitation unit, laboratories and a telemedical network to perform all evidence-based stroke treatments. All neurological on-site services and the telemedical network were successfully established within a short time. After setup, 1386 inpatients and 1803 outpatients with stroke and stroke mimics were treated. All evidence-based stroke treatments including thrombolysis and hemicraniectomy could be performed. It is possible to establish evidence-based modern stroke treatment within a short time period by a transcontinental on-site and telemedical cooperation.
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Sawan, Mouna; Jeon, Yun-Hee; Fois, Romano A; Chen, Timothy F
Research concerning the overprescribing of psychotropic medicines in nursing homes suggests that organizational climate plays a significant role in the use of psychotropic medicines. Organizational climate refers to how members of the organization perceive their work environment as well as interactions with each other or outsiders. This study aimed to explore the key dimensions of organizational climate and their subsequent influence on the use of psychotropic medicines. Semi-structured interviews were conducted with 40 on-site and visiting staff from eight nursing homes in Sydney, Australia. Purposive sampling was used to recruit participants representing a broad range of health disciplines and roles. Transcripts were content coded for participants' perceptions related to the work environment and descriptions of psychotropic medicines use. Thematic analysis was used to derive key concepts. Three salient dimensions of organizational climate were linked to the use of psychotropic medicines in nursing homes: staffing, managerial expectations and teamwork among visiting and on-site staff. Inadequate staffing levels were perceived to influence on-site staff requests for initiation of psychotropic medicines to cope with high workload. Participants reported managers that prioritized the non-pharmacological management of behavioral disturbances led other on-site staff to have a reduced preference for psychotropic medicines. In addition, trust and open communication among on-site and visiting staff facilitated the cessation of psychotropic medicines. This study illustrates that organizational climate is an important factor influencing the use of psychotropic medicines. Furthermore, the study highlights what aspects of organizational climate need to be addressed to reduce the inappropriate prescribing of psychotropic medicines. Copyright © 2016 Elsevier Inc. All rights reserved.
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29 CFR 1952.371 - Developmental schedule.
Code of Federal Regulations, 2010 CFR
2010-07-01
... both safety and health personnel will be reviewed and revised to accurately reflect job functions... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... (including on-site consultation services) will be initiated within 6 months of plan approval. (e) Both safety...
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Psychiatric Consultation to a Continuing Care Retirement Community.
ERIC Educational Resources Information Center
Rabins, Peter V.; And Others
1992-01-01
Notes that life care communities provide continuum of residential services to the elderly. Describes the provision of on-site psychiatric consultations to 82 individuals residing in one such community. Notes that dementia and major depression were most common diagnoses made. (Author/NB)
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Manalebh, Almaw; Demissie, Meaza; Mekonnen, Daniel; Abera, Bayeh
2015-01-01
Ethiopia adopted Public-Private Mix Directly Observed Treatment Short Course Chemotherapy (PPM-DOTS) strategy for tuberculosis (TB) control program. Quality of sputum smear microscopy has paramount importance for tuberculosis control program in resource-poor countries like Ethiopia. A cross-sectional study was conducted to assess the quality of sputum smear microscopy in 37 Public-Private Mix laboratories in West Amhara, Ethiopia. The three external quality assessment methods (onsite evaluation, panel testing and blind rechecking) were employed. Onsite assessment revealed that 67.6% of PPM-DOTS laboratories were below the standard physical space (5 X 6) m2. The average monthly workload per laboratory technician was 19.5 (SD±2.9) slides with 12.8% positivity rate. The quality of Acid Fast Bacilli (AFB) staining reagents was sub-standard. The overall agreement for blind rechecking of 1,123 AFB slides was 99.4% (Kappa = 0.97). Reading of 370 AFB panel slides showed 3.5% false reading (Kappa = 0.92). Moreover, the consistency of reading scanty bacilli slides was lower (93%) compared to 1+, 2+ and 3+ bacilli. Based on blind rechecking and panel testing results, PPM-DOTS site laboratories showed good agreement with the reference laboratory. Physical space and qualities of AFB reagents would be areas of intervention to sustain the quality of sputum smear microscopy. Therefore, regular external quality assessment and provision of basic laboratory supplies for TB diagnosis would be the way forward to improve the quality of sputum smear microscopy services in PPM-DOTS laboratories.
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Manalebh, Almaw; Demissie, Meaza; Mekonnen, Daniel; Abera, Bayeh
2015-01-01
Ethiopia adopted Public-Private Mix Directly Observed Treatment Short Course Chemotherapy (PPM-DOTS) strategy for tuberculosis (TB) control program. Quality of sputum smear microscopy has paramount importance for tuberculosis control program in resource-poor countries like Ethiopia. A cross-sectional study was conducted to assess the quality of sputum smear microscopy in 37 Public-Private Mix laboratories in West Amhara, Ethiopia. The three external quality assessment methods (onsite evaluation, panel testing and blind rechecking) were employed. Onsite assessment revealed that 67.6% of PPM-DOTS laboratories were below the standard physical space (5 X 6) m2. The average monthly workload per laboratory technician was 19.5 (SD±2.9) slides with 12.8% positivity rate. The quality of Acid Fast Bacilli (AFB) staining reagents was sub-standard. The overall agreement for blind rechecking of 1,123 AFB slides was 99.4% (Kappa = 0.97). Reading of 370 AFB panel slides showed 3.5% false reading (Kappa = 0.92). Moreover, the consistency of reading scanty bacilli slides was lower (93%) compared to 1+, 2+ and 3+ bacilli. Based on blind rechecking and panel testing results, PPM-DOTS site laboratories showed good agreement with the reference laboratory. Physical space and qualities of AFB reagents would be areas of intervention to sustain the quality of sputum smear microscopy. Therefore, regular external quality assessment and provision of basic laboratory supplies for TB diagnosis would be the way forward to improve the quality of sputum smear microscopy services in PPM-DOTS laboratories. PMID:25849516
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Availability of Advanced Breast Imaging at Screening Facilities Serving Vulnerable Populations.
Lee, Christoph I; Bogart, Andy; Germino, Jessica C; Goldman, L Elizabeth; Hubbard, Rebecca A; Haas, Jennifer S; Hill, Deirdre A; Tosteson, Anna Na; Alford-Teaster, Jennifer A; DeMartini, Wendy B; Lehman, Constance D; Onega, Tracy L
2016-03-01
Among vulnerable women, unequal access to advanced breast imaging modalities beyond screening mammography may lead to delays in cancer diagnosis and unfavourable outcomes. We aimed to compare on-site availability of advanced breast imaging services (ultrasound, magnetic resonance imaging [MRI], and image-guided biopsy) between imaging facilities serving vulnerable patient populations and those serving non-vulnerable populations. 73 imaging facilities across five Breast Cancer Surveillance Consortium regional registries in the United States during 2011 and 2012. We examined facility and patient characteristics across a large, national sample of imaging facilities and patients served. We characterized facilities as serving vulnerable populations based on the proportion of mammograms performed on women with lower educational attainment, lower median income, racial/ethnic minority status, and rural residence.We performed multivariable logistic regression to determine relative risks of on-site availability of advanced imaging at facilities serving vulnerable women versus facilities serving non-vulnerable women. Facilities serving vulnerable populations were as likely (Relative risk [RR] for MRI = 0.71, 95% Confidence Interval [CI] 0.42, 1.19; RR for MRI-guided biopsy = 1.07 [0.61, 1.90]; RR for stereotactic biopsy = 1.18 [0.75, 1.85]) or more likely (RR for ultrasound = 1.38 [95% CI 1.09, 1.74]; RR for ultrasound-guided biopsy = 1.67 [1.30, 2.14]) to offer advanced breast imaging services as those serving non-vulnerable populations. Advanced breast imaging services are physically available on-site for vulnerable women in the United States, but it is unknown whether factors such as insurance coverage or out-of-pocket costs might limit their use. © The Author(s) 2015.
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Availability of Advanced Breast Imaging at Screening Facilities Serving Vulnerable Populations
Lee, Christoph I.; Bogart, Andy; Germino, Jessica C.; Goldman, L. Elizabeth; Hubbard, Rebecca A.; Haas, Jennifer S.; Hill, Deirdre A.; Tosteson, Anna N.A.; Alford-Teaster, Jennifer A.; DeMartini, Wendy B.; Lehman, Constance D.; Onega, Tracy L.
2015-01-01
Objective Among vulnerable women, unequal access to advanced breast imaging modalities beyond screening mammography may lead to delays in cancer diagnosis and unfavorable outcomes. We aimed to compare on-site availability of advanced breast imaging services (ultrasound (US), magnetic resonance imaging (MRI), and image-guided biopsy) between imaging facilities serving vulnerable patient populations and those serving non-vulnerable populations. Setting 73 United States imaging facilities across five Breast Cancer Surveillance Consortium regional registries during calendar years 2011–2012. Methods We examined facility and patient characteristics across a large, national sample of imaging facilities and patients served. We characterized facilities as serving vulnerable populations based on the proportion of mammograms performed on women with lower educational attainment, lower median income, racial/ethnic minority status, and rural residence. We performed multivariable logistic regression to determine relative risks of on-site availability of advanced imaging at facilities serving vulnerable women versus facilities serving non-vulnerable women. Results Facilities serving vulnerable populations were as likely (RR for MRI = 0.71 [95% CI 0.42, 1.19]; RR for MRI-guided biopsy = 1.07 [0.61, 1.90]; RR for stereotactic biopsy = 1.18 [0.75, 1.85]) or more likely (RR for US = 1.38 [95% CI 1.09, 1.74]; RR for US-guided biopsy = 1.67 [1.30, 2.14]) to offer advanced breast imaging services as those serving non-vulnerable populations. Conclusions Advanced breast imaging services are physically available on-site for vulnerable women in the United States, but it is unknown whether factors such as insurance coverage or out-of-pocket costs might limit their use. PMID:26078275
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Hawley, Alana; Mercuri, Mathew; Hogg, Kerstin; Hanel, Erich
2017-03-01
The growing popularity of obstacle course runs (OCRs) has led to significant concerns regarding their safety. The influx of injuries and illnesses in rural areas where OCRs are often held can impose a large burden on emergency medical services (EMS) and local EDs. Literature concerning the safety of these events is minimal and mostly consists of media reports. We sought to characterise the injury and illness profile of OCRs and the level of medical care required. This study analysed OCR events occurring in eight locations across Canada from May to August 2015 (total 45 285 participants). Data were extracted from event medical charts of patients presenting to the onsite medical team, including injury or illness type, onsite treatment and disposition. There were 557 race participants treated at eight OCR events (1.2% of all participants). There were 609 medical complaints in total. Three quarters of injuries were musculoskeletal in nature. Eighty-nine per cent returned to the event with no need for further medical care. The majority of treatments were completed with first aid and basic medical equipment. Eleven patients (2% of patients) required transfer to hospital by EMS for presentations including fracture, dislocation, head injury, chest pain, fall from height, and abdominal pain. We found that 1.2% of race participants presented to onsite medical services. The majority of complaints were minor and musculoskeletal in nature. Only 2% of those treated were transferred to hospital through EMS. This is consistent with other types of mass gathering events. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
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O'Toole, Thomas P; Johnson, Erin E; Aiello, Riccardo; Kane, Vincent; Pape, Lisa
2016-03-31
Although the clinical consequences of homelessness are well described, less is known about the role for health care systems in improving clinical and social outcomes for the homeless. We described the national implementation of a "homeless medical home" initiative in the Veterans Health Administration (VHA) and correlated patient health outcomes with characteristics of high-performing sites. We conducted an observational study of 33 VHA facilities with homeless medical homes and patient- aligned care teams that served more than 14,000 patients. We correlated site-specific health care performance data for the 3,543 homeless veterans enrolled in the program from October 2013 through March 2014, including those receiving ambulatory or acute health care services during the 6 months prior to enrollment in our study and 6 months post-enrollment with corresponding survey data on the Homeless Patient Aligned Care Team (H-PACT) program implementation. We defined high performance as high rates of ambulatory care and reduced use of acute care services. More than 96% of VHA patients enrolled in these programs were concurrently receiving VHA homeless services. Of the 33 sites studied, 82% provided hygiene care (on-site showers, hygiene kits, and laundry), 76% provided transportation, and 55% had an on-site clothes pantry; 42% had a food pantry and provided on-site meals or other food assistance. Six-month patterns of acute-care use pre-enrollment and post-enrollment for 3,543 consecutively enrolled patients showed a 19.0% reduction in emergency department use and a 34.7% reduction in hospitalizations. Three features were significantly associated with high performance: 1) higher staffing ratios than other sites, 1) integration of social supports and social services into clinical care, and 3) outreach to and integration with community agencies. Integrating social determinants of health into clinical care can be effective for high-risk homeless veterans.
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Johnson, Erin E.; Aiello, Riccardo; Kane, Vincent; Pape, Lisa
2016-01-01
Introduction Although the clinical consequences of homelessness are well described, less is known about the role for health care systems in improving clinical and social outcomes for the homeless. We described the national implementation of a “homeless medical home” initiative in the Veterans Health Administration (VHA) and correlated patient health outcomes with characteristics of high-performing sites. Methods We conducted an observational study of 33 VHA facilities with homeless medical homes and patient- aligned care teams that served more than 14,000 patients. We correlated site-specific health care performance data for the 3,543 homeless veterans enrolled in the program from October 2013 through March 2014, including those receiving ambulatory or acute health care services during the 6 months prior to enrollment in our study and 6 months post-enrollment with corresponding survey data on the Homeless Patient Aligned Care Team (H-PACT) program implementation. We defined high performance as high rates of ambulatory care and reduced use of acute care services. Results More than 96% of VHA patients enrolled in these programs were concurrently receiving VHA homeless services. Of the 33 sites studied, 82% provided hygiene care (on-site showers, hygiene kits, and laundry), 76% provided transportation, and 55% had an on-site clothes pantry; 42% had a food pantry and provided on-site meals or other food assistance. Six-month patterns of acute-care use pre-enrollment and post-enrollment for 3,543 consecutively enrolled patients showed a 19.0% reduction in emergency department use and a 34.7% reduction in hospitalizations. Three features were significantly associated with high performance: 1) higher staffing ratios than other sites, 1) integration of social supports and social services into clinical care, and 3) outreach to and integration with community agencies. Conclusion Integrating social determinants of health into clinical care can be effective for high-risk homeless veterans. PMID:27032987
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ERIC Educational Resources Information Center
Henderson, Harold L.; And Others
Surveys of 188 transit properties and on-site visits were conducted to determine training needs of operators and mechanics in the urban mass transportation industry. Volume I presents findings and conclusions of the study with reference to survey methodology, site visit interviews and observations, questionnaire results, and specific…
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Evaluating sediment production by activities related to forest uses--a northwest perspective
Robert R. Ziemer; Thomas E. Lisle
1993-01-01
To deal with nonpoint sources of pollution, such as stream sediment produced by erosion from forest management operations, regulations require land managers to reduce onsite erosion to keep the amount of sediment discharged from each project area within acceptable limits. Activities developed to meet these regulations are sometimes referred to as best management...
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The Role of Therapeutic Alliance in Therapy Outcomes for Youth in Residential Care
ERIC Educational Resources Information Center
Handwerk, Michael L.; Huefner, Jonathan C.; Ringle, Jay L.; Howard, Brigid K.; Soper, Stephen H.; Almquist, Julie K.; Chmelka, M. Beth
2008-01-01
This study examined the impact of therapeutic alliance (TA) on therapy outcomes for youth with behavioral and emotional problems residing in residential care. Study participants were 71 youth in an out-of-home family-style residential treatment facility who were referred to an onsite psychotherapy clinic. A therapeutic alliance scale was completed…
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A Goniometry Paradigm Shift to Measure Burn Scar Contracture in Burn Patients
2016-10-01
burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson...spending will increase in parallel with on-site study training and remuneration for submitted data. Significant changes in use or care of human
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-11-15
... engaged in activities related to the production of battery packs, printed circuit boards and wire harnesses. The notice was published in the Federal Register on July 8, 2011 (76 FR 40401). At the request of...
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Del Solar, J; Hudson, S; Stephenson, T
2005-01-01
A sequencing batch reactor (SBR) treating the effluent of a motorway service station in the south of England situated on a major tourist route was investigated. Wastewater from the kitchens, toilets and washrooms facilities was collected from the areas on each side of the motorway for treatment on-site. The SBR was designed for a population equivalent (p.e.) of 500, assuming an average flow of 100 m3/d, influent biochemical oxygen demand (BOD) of 300 mg/l, and influent suspended solids (SS) of 300 mg/l. Influent monitoring over 8 weeks revealed that the average flow was only 65 m3/d and the average influent BOD and SS were 480 mg/l and 473 mg/l respectively. This corresponded to a high sludge loading rate (F:M) of 0.42 d(-1) which accounted for poor performance. Therefore the cycle times were extended from 6 h to 7 h and effluent BOD improved from 79 to 27 mg/l.
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Bean-Mayberry, Bevanne; Yano, Elizabeth M; Bayliss, Nichole; Navratil, Judith; Weisman, Carol S; Scholle, Sarah Hudson
2007-11-01
Women's healthcare has historically been fragmented, given the artificial separation of reproductive care from general medical care. Aiming to advance new care models for delivery of comprehensive, integrated clinical care for women, two federal agencies-the U.S. Department of Health and Human Services (DHHS) and Department of Veterans Affairs (VA)-launched specialized women's health centers (WHCs). Exemplars of comprehensive service delivery, these originally federally funded centers have served as foundations for innovations in delivering comprehensive care to women in diverse practice settings. Little is known, however, about details of their organization, staffing, practice arrangements, and service availability that might inform adoption of similar models in the community. Using comparable key informant surveys, we collected organizational data from the DHHS National Centers of Excellence (CoE) (n = 13) and the original VA comprehensive WHC's (n = 8). We abstracted supplemental data (e.g., academic affiliation) from the 2001 American Hospital Association (AHA) survey. All DHHS and VA women's health programs served urban areas, and nearly all had academic partnerships. DHHS centers had three times the average caseload as did VA centers. Preventive cancer screening and general reproductive services were uniformly available at all centers, although DHHS centers offered extensive reproductive services on-site more frequently, and VA centers more often had on-site mental healthcare. The DHHS and VA comprehensive WHCs share similar missions and comparable organization, education, and clinical services, demonstrating their commitment to reducing fragmented service delivery. Their common structural components present opportunities for further advancing women's quality of care across other systems of care.
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2018 National Resources Inventory (NRI) Rangeland Resource Assessment
USDA-ARS?s Scientific Manuscript database
This report presents summary results from National Resources Inventory (NRI) on-site data collected on non-Federal rangelands. The survey is conducted by the U.S. Department of Agriculture’s Natural Resources Conservation Service (NRCS) as a part of the NRI survey program. The findings reported here...
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77 FR 47669 - Employment and Training Administration
Federal Register 2010, 2011, 2012, 2013, 2014
2012-08-09
... DEPARTMENT OF LABOR Employment and Training Administration TA-W-81,446, Wellpoint, Inc., NE Enrollment and Billing Division, Including On-Site Leased Workers From Aerotek, Kelly Services and Populus Group, North Haven, CT; TA-W-81,446A, Wellpoint, Inc., NE Enrollment and Billing Division, Including On...
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Fermilab Science Education Office - Educators/Teachers
, university faculty, pre-service students, home school educators, the Teacher Resource Center is a one-stop Pre-K-12 STEM instructional materials and professional development resources you may utilize onsite Standards for Professional Learning to design and guide customized professional development. Through our
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-12-07
... Assistance on June 2, 2010, applicable to workers of Weyerhaeuser Company, Corporate Headquarters, including... Weyerhaeuser Company, Corporate Headquarters to be considered leased workers. Based on these findings, the... the Federal Way, Washington location of Weyerhaeuser Company, Corporate Headquarters. The amended...
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Carter, Marion W; Gavin, Loretta; Zapata, Lauren B; Bornstein, Marta; Mautone-Smith, Nancy; Moskosky, Susan B
2016-10-01
This study aims to describe aspects of the scope and quality of family planning services provided by US publicly funded health centers before the release of relevant federal recommendations. Using nationally representative survey data (N=1615), we describe four aspects of service delivery: family planning services provided, contraceptive methods provided onsite, written contraceptive counseling protocols and youth-friendly services. We created a count index for each issue and used multivariable ordered logistic regression to identify health center characteristics associated with scoring higher on each. Half of the sample received Title X funding and about a third each were a community health center or health department clinic. The vast majority reported frequently providing contraceptive services (89%) and STD services (87%) for women in the past 3 months. Service provision to males was substantially lower except for STD screening. A total of 63% and 48% of health centers provided hormonal IUDs and implants onsite in the past 3 months, respectively. Forty percent of health centers included all five recommended contraceptive counseling practices in written protocols. Of youth-friendly services, active promotion of confidential services was among the most commonly reported (83%); offering weekend/evening hours was among the least (42%). In multivariable analyses, receiving Title X funding, having larger volumes of family planning clients and being a Planned Parenthood clinic were associated with higher scores on most indices. Many services were consistent with the recommendations for providing quality family planning services, but there was room for improvement across domains and health centers types. As assessed in this paper, the scope and quality of these family planning services was relatively high, particularly among Planned Parenthood clinics and Title X-funded centers. However, results point to important areas for improvement. Future studies should assess change as implementation of recent family planning service recommendations continues. Published by Elsevier Inc.
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Operational support and service concepts for observatories
NASA Astrophysics Data System (ADS)
Emde, Peter; Chapus, Pierre
2014-08-01
The operational support and service for observatories aim at the provision, the preservation and the increase of the availability and performance of the entire structural, mechanical, drive and control systems of telescopes and the related infrastructure. The operational support and service levels range from the basic service with inspections, preventive maintenance, remote diagnostics and spare parts supply over the availability service with telephone hotline, online and on-site support, condition monitoring and spare parts logistics to the extended service with operations and site and facility management. For the level of improvements and lifecycle management support they consist of expert assessments and studies, refurbishments and upgrades including the related engineering and project management activities.
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43 CFR 2.4 - How do I obtain information routinely available to the public?
Code of Federal Regulations, 2011 CFR
2011-10-01
... 20240 (see appendix A to this part). The Library is open to the public for on-site reference use from 7...) Another source of information is DOI's Library, which contains over one million holdings dealing with a broad range of matters pertaining to the Department's mission. You may wish to visit the Library, which...
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43 CFR 2.4 - How do I obtain information routinely available to the public?
Code of Federal Regulations, 2010 CFR
2010-10-01
... 20240 (see appendix A to this part). The Library is open to the public for on-site reference use from 7...) Another source of information is DOI's Library, which contains over one million holdings dealing with a broad range of matters pertaining to the Department's mission. You may wish to visit the Library, which...
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Growth responses of mature loblolly pine to dead wood manipulations
Michael D. Ulyshen; Scott Horn; James L. Hanula
2012-01-01
Large-scale manipulations of dead wood in mature Pinus taeda L. stands in the southeastern United States included a major one-time input of logs (fivefold increase in log volume) created by felling trees onsite, annual removals of all dead wood above ≥10 cm in diameter and ≥60 cm in length, and a reference in which no...
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Reddy, Michael M.; Gunther, Charmaine D.
2012-01-01
Samples were collected from groundwater wells in and about the city of Las Vegas, Nevada, and were analyzed for selected major, minor and trace constituents. Analyses of blank and reference samples are summarized as mean and standard deviation values for all positive results.
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Syed, Zeeshan; Moscucci, Mauro; Share, David; Gurm, Hitinder S
2015-01-01
Background Clinical tools to stratify patients for emergency coronary artery bypass graft (ECABG) after percutaneous coronary intervention (PCI) create the opportunity to selectively assign patients undergoing procedures to hospitals with and without onsite surgical facilities for dealing with potential complications while balancing load across providers. The goal of our study was to investigate the feasibility of a computational model directly optimised for cohort-level performance to predict ECABG in PCI patients for this application. Methods Blue Cross Blue Shield of Michigan Cardiovascular Consortium registry data with 69 pre-procedural and angiographic risk variables from 68 022 PCI procedures in 2004–2007 were used to develop a support vector machine (SVM) model for ECABG. The SVM model was optimised for the area under the receiver operating characteristic curve (AUROC) at the level of the training cohort and validated on 42 310 PCI procedures performed in 2008–2009. Results There were 87 cases of ECABG (0.21%) in the validation cohort. The SVM model achieved an AUROC of 0.81 (95% CI 0.76 to 0.86). Patients in the predicted top decile were at a significantly increased risk relative to the remaining patients (OR 9.74, 95% CI 6.39 to 14.85, p<0.001) for ECABG. The SVM model optimised for the AUROC on the training cohort significantly improved discrimination, net reclassification and calibration over logistic regression and traditional SVM classification optimised for univariate performance. Conclusions Computational risk stratification directly optimising cohort-level performance holds the potential of high levels of discrimination for ECABG following PCI. This approach has value in selectively referring PCI patients to hospitals with and without onsite surgery. PMID:26688738
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Depression Screening at a Community Health Fair: Descriptives and Treatment Linkage.
Opperman, Kiel J; Hanson, Devin M; Toro, Paul A
2017-08-01
Health fairs are a cost-efficient platform for dissemination of preventive services to vulnerable populations. Effectiveness of depression screenings and associated treatment linkage via community health fairs warrants investigation. This study offers the first examination of a depression screening at a community health fair in 261 adult men (18-87years). The PHQ-9 was administered via interview by graduate students and on-site psychiatric nurses were available for a brief consultation for those interested. Over a quarter of participants screened positive for at least moderate depressive symptomatology. Of those who screened positive, 35.8% met with an on-site psychiatric nurse for a consultation. At six-month follow-up, none of the participants given a referral made an appointment at the community mental health agency. This suggests the importance of providing on-site clinician consultations at health fairs and the need for a more coordinated system to schedule future appointments while at the event. Community health fairs reach vulnerable populations, such as those who are uninsured and who have not spoken with a professional about mental health concerns. By conducting depression screening and providing onsite access to a mental health consultation at community health fairs, participants are better able to identify their depressive symptoms and are introduced to ways to treat depression. Copyright © 2017 Elsevier Inc. All rights reserved.
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-07-24
..., Alpha Personnel, Inc., and PPP Careers, Inc., Fort Wayne, Indiana; Amended Certification Regarding... workers were engaged in engineering and technical consulting services. The company reports that workers leased from PPP Careers, Inc. were employed on-site at the 2911 Meyer Road, Fort Wayne, Indiana location...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-09-19
... Leased Workers From Adecco Employment Services, Aerotek, Inc., CDI IT Solutions, Inc. (CDI Corporation..., Aerotek, Inc., CDI IT Solutions, D&Z Microelectronics, Pentagon Technology, Proactive Business Solution... include the Unemployment Insurance (UI) wages for on-site leased workers from CDI IT Solutions is reported...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-11-06
..., KB Consultants, Henry, Meisenheimer, & Grende, SR Martin Group And CDI Corporation, Paducah, Kentucky.... Petter Supply, KB Consultants, Henry, Meisenheimer & Grende, SR Martin Group and CDI Corporation were... Services, Henry A. Petter Supply, KB Consultants, Henry, Meisenheimer & Grende, SR Martin Group and CDI...
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Chapter 7: Developing collaboration and cooperation
G. Bartlett
2012-01-01
Good forestry practices require onsite flexibility. A core concept in U.S. Forest Service General Technical Report PSW-GTR-220 "An Ecosystem Management Strategy for Sierran Mixed-Conifer Forests" (North et al. 2009) is that management treatments and thinning intensity should differ depending on local forest conditions and topographic location. In the...
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Claretian Medical Center Task Analysis. Worker Education Program.
ERIC Educational Resources Information Center
Union of Needletrades, Industrial and Textile Employees.
This task analysis for positions at the Claretian Medical Center in southeast Chicago was developed to improve communication and customer service in the workplace. The task analysis was prepared through clinic tours, employee interviews, and supervisor questionnaires. It is used for the purpose of curriculum development for onsite instruction in…
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-07-10
... were engaged in the supply of telecommunication services. The company reports that workers leased from... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-81,298] Syniverse Technologies... as Sapphire Technologies, Watertown, MA; Amended Certification Regarding Eligibility To Apply for...
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Electronic Document Delivery: New Options for Libraries.
ERIC Educational Resources Information Center
Leach, Ronald G.; Tribble, Judith E.
1993-01-01
Examines commercial electronic document delivery services that are available to academic libraries. Highlights include collection development issues; criteria for selection and evaluation; remote access systems, including CARL UnCover 2, Faxon Finder and Faxon Xpress, ContentsFirst and ArticleFirst, and CitaDel; and on-site access systems,…
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Theorising On-Site Teacher Education: Philosophical Project Knowledge (PPK)
ERIC Educational Resources Information Center
Arnold, Julie; Edwards, Tony; Hooley, Neil; Williams, Jo
2012-01-01
Working within the general framework of Habermas and Shulman, the research reported here probes new directions of teacher education and school-university partnerships. The paper presents preliminary evidence of the theorising of teaching practice by pre-service teachers and university staff as they work together with the praxis inquiry protocol…
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30 CFR 250.466 - What records must I keep?
Code of Federal Regulations, 2010 CFR
2010-07-01
....466 Mineral Resources MINERALS MANAGEMENT SERVICE, DEPARTMENT OF THE INTERIOR OFFSHORE OIL AND GAS AND SULPHUR OPERATIONS IN THE OUTER CONTINENTAL SHELF Oil and Gas Drilling Operations Applying for A Permit to... records for each well. You must keep drilling records onsite while drilling activities continue. After...
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Code of Federal Regulations, 2010 CFR
2010-07-01
... SERVICE, DEPARTMENT OF THE INTERIOR OFFSHORE RENEWABLE ENERGY ALTERNATE USES OF EXISTING FACILITIES ON THE OUTER CONTINENTAL SHELF Facility Design, Fabrication, and Installation Certified Verification Agent... Facility Design Report and the Fabrication and Installation Report. (b) For a fixed or floating facility...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-04-10
...., Digital Management Group, Mercury Air Group, Inc., Greenwood, and Professional Maintenance of Charleston... Solutions, Becht Engineering, Engineering Support Systems, Manufacturing Management Services, US Securities, WB Wells, Belcan, American Engineers, CH2M Hill Engineers, Inc., Digital Management Group, Mercury...
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48 CFR 1837.110-70 - NASA solicitation provision and contract clauses.
Code of Federal Regulations, 2014 CFR
2014-10-01
... 48 Federal Acquisition Regulations System 6 2014-10-01 2014-10-01 false NASA solicitation... Contracts-General 1837.110-70 NASA solicitation provision and contract clauses. (a) The contracting officer... for on-site support services where emergency evacuations of the NASA installation may occur, e.g...
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48 CFR 1837.110-70 - NASA solicitation provision and contract clauses.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 48 Federal Acquisition Regulations System 6 2012-10-01 2012-10-01 false NASA solicitation... Contracts-General 1837.110-70 NASA solicitation provision and contract clauses. (a) The contracting officer... for on-site support services where emergency evacuations of the NASA installation may occur, e.g...
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48 CFR 1837.110-70 - NASA solicitation provision and contract clauses.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 48 Federal Acquisition Regulations System 6 2011-10-01 2011-10-01 false NASA solicitation... Contracts-General 1837.110-70 NASA solicitation provision and contract clauses. (a) The contracting officer... for on-site support services where emergency evacuations of the NASA installation may occur, e.g...
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48 CFR 1837.110-70 - NASA solicitation provision and contract clauses.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 48 Federal Acquisition Regulations System 6 2013-10-01 2013-10-01 false NASA solicitation... Contracts-General 1837.110-70 NASA solicitation provision and contract clauses. (a) The contracting officer... for on-site support services where emergency evacuations of the NASA installation may occur, e.g...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-07-17
... Staffing, Kelly Services, Manpower, Canteen, Bulldog Maintenance Company, Inc., Action Lift, and Krayer.... The state reports that workers leased from Canteen, Bulldog Maintenance Company, Inc., Action Lift..., Bulldog Maintenance Company, Inc., Action Lift, Krayer Detective Agency, D's Packaging and Rennobs. The...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-11-06
... domestic industry in an investigation resulting in-- (A) an affirmative determination of serious injury or..., Kelly Services. 83,036 Manpower Group, Working On-Site at Camp Hill, PA....... August 28, 2012. IBM...,927 Honeywell, Aeronautics Division, Strongsville, OH.... July 16, 2012. Aerotek, Manpower, Nesco and...
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John Rusty Dramm; Gerry L. Jackson; Jenny Wong
2002-01-01
This report provides a general overview of current log sort yard operations in the United States, including an extensive literature review and information collected during on-site visits to several operations throughout the nation. Log sort yards provide many services in marketing wood and fiber by concentrating, merchandising, processing, sorting, and adding value to...
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Health Services Management Education On-Site at a Military Medical Center
ERIC Educational Resources Information Center
Williams, Stephen J.; Poss, W. Bradley; Cupp, Craig L.
2014-01-01
A cooperative educational program with the U.S. military is described to illustrate a unique opportunity that confronted a graduate healthcare management program. The resulting degree program supported the military's operational medical mission but also presented interesting and unexpected challenges resulting from the wars in Iraq and…
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An Evaluation of Videoconferencing as a Supportive Technology for Practicum Supervision
ERIC Educational Resources Information Center
Dymond, Stacy K.; Renzaglia, Adelle; Halle, James W.; Chadsey, Janis; Bentz, Johnell L.
2008-01-01
In this study, the authors determine the efficacy of videoconferencing to supervise pre-service special education teachers. Efficacy is determined by (a) assessing interobserver reliability between on-site and off-site observers and (b) evaluating the feasibility and practicality of the videoconferencing technology. Data are collected in two…
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What To Do When the Micro Fails.
ERIC Educational Resources Information Center
Corwin, John K.; Sandiford, Janice R.
This brief description of the microcomputer service and maintenance system at Miami Dade Community College/North includes a series of hints, tips, and lists of information sources, suppliers, and regulatory codes that could prove helpful to school districts that wish to conduct on-site repair of computers. These include: (1) cleaning materials…
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A climatological description of the Savannah River Site
DOE Office of Scientific and Technical Information (OSTI.GOV)
Hunter, C.H.
1990-05-22
This report provides a general climatological description of the Savannah River Site. The description provides both regional and local scale climatology. The regional climatology includes a general regional climatic description and presents information on occurrence frequencies of the severe meteorological phenomena that are important considerations in the design and siting of a facility. These phenomena include tornadoes, thunderstorms, hurricanes, and ice/snow storms. Occurrence probabilities given for extreme tornado and non-tornado winds are based on previous site specific studies. Local climatological conditions that are significant with respect to the impact of facility operations on the environment are described using on-site ormore » near-site meteorological data. Summaries of wind speed, wind direction, and atmospheric stability are primarily based on the most recently generated five-year set of data collected from the onsite meteorological tower network (1982--86). Temperature, humidity, and precipitation summaries include data from SRL's standard meteorological instrument shelter and the Augusta National Weather Service office at Bush Field through 1986. A brief description of the onsite meteorological monitoring program is also provided. 24 refs., 15 figs., 22 tabs.« less
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Costs of cloud computing for a biometry department. A case study.
Knaus, J; Hieke, S; Binder, H; Schwarzer, G
2013-01-01
"Cloud" computing providers, such as the Amazon Web Services (AWS), offer stable and scalable computational resources based on hardware virtualization, with short, usually hourly, billing periods. The idea of pay-as-you-use seems appealing for biometry research units which have only limited access to university or corporate data center resources or grids. This case study compares the costs of an existing heterogeneous on-site hardware pool in a Medical Biometry and Statistics department to a comparable AWS offer. The "total cost of ownership", including all direct costs, is determined for the on-site hardware, and hourly prices are derived, based on actual system utilization during the year 2011. Indirect costs, which are difficult to quantify are not included in this comparison, but nevertheless some rough guidance from our experience is given. To indicate the scale of costs for a methodological research project, a simulation study of a permutation-based statistical approach is performed using AWS and on-site hardware. In the presented case, with a system utilization of 25-30 percent and 3-5-year amortization, on-site hardware can result in smaller costs, compared to hourly rental in the cloud dependent on the instance chosen. Renting cloud instances with sufficient main memory is a deciding factor in this comparison. Costs for on-site hardware may vary, depending on the specific infrastructure at a research unit, but have only moderate impact on the overall comparison and subsequent decision for obtaining affordable scientific computing resources. Overall utilization has a much stronger impact as it determines the actual computing hours needed per year. Taking this into ac count, cloud computing might still be a viable option for projects with limited maturity, or as a supplement for short peaks in demand.
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ERIC Educational Resources Information Center
Halsall, R.
The history, advantages, and disadvantages of component building systems are discussed. Application of the scientific method to the building industry forecasts the use of prefabrication and on-site erection of factory-made subsystems of buildings. Educational facilities in the United States, Canada, and England have made use of many different…
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Helping dentists manage accounts receivable.
Scott, J
2001-01-01
First Pacific Corporation (FPC) has worked with dental practices since 1961, providing personal services that optimize practice performance. In addition to being the premier service provider for administrative tasks in dental offices, they supply state-of-the-art hardware and accounts receivable management software. FPC designs and teaches practice development strategies, deliver on-site training, and much more. FPC is dedicated to the long-term professional success of dental clients, their staff, and their practices through a unique, integrated package of services. As a family-owned business, with headquarters in Salem, Oregon, FPC employs approximately two hundred staff who serve practices in twenty-two states.
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Development of integrated radioactive waste packaging and conditioning solutions in the UK
DOE Office of Scientific and Technical Information (OSTI.GOV)
Sibley, Peter; Butter, Kevin; Zimmerman, Ian
2013-07-01
In order to offer a more cost effective, safer and efficient Intermediate Level Waste (ILW) management service, EnergySolutions EU Ltd. and Gesellschaft fur Nuklear-Service mbH (GNS) have been engaged in the development of integrated radioactive waste retrieval, packaging and conditioning solutions in the UK. Recognising the challenges surrounding regulatory endorsement and on-site implementation in particular, this has resulted in an alternative approach to meeting customer, safety regulator and disposability requirements. By working closely with waste producers and the organisation(s) responsible for endorsing radioactive waste management operations in the UK, our proposed solutions are now being implemented. By combining GNS' off-the-shelf,more » proven Ductile Cast Iron Containers (DCICs) and water removal technologies, with EnergySolutions EU Ltd.'s experience and expertise in waste retrieval, safety case development and disposability submissions, a fully integrated service offering has been developed. This has involved significant effort to overcome technical challenges such as onsite equipment deployment, active commissioning, conditioning success criteria and disposability acceptance. Our experience in developing such integrated solutions has highlighted the importance of working in collaboration with all parties to achieve a successful and viable outcome. Ultimately, the goal is to ensure reliable, safe and effective delivery of waste management solutions. (authors)« less
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-19
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-73,251] AMTEX Incorporated, a..., Conerstone Staffing Solutions, Priority Business Services and Volt, Inc. Manteca, CA; Amended Certification... Act of 1974, as amended (``Act''), 19 U.S.C. 2273, the Department of Labor issued a Certification of...
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Code of Federal Regulations, 2013 CFR
2013-07-01
... are met and the promotion is specifically permitted by the VISN Pharmacist Executive, or Chief of... promotion is specifically permitted by the VISN Pharmacist Executive, or Chief of Pharmacy Services, or...-related supplies must be forwarded to the VISN Pharmacist Executive or VISN Formulary Committee. All...
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Code of Federal Regulations, 2014 CFR
2014-07-01
... are met and the promotion is specifically permitted by the VISN Pharmacist Executive, or Chief of... promotion is specifically permitted by the VISN Pharmacist Executive, or Chief of Pharmacy Services, or...-related supplies must be forwarded to the VISN Pharmacist Executive or VISN Formulary Committee. All...
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Code of Federal Regulations, 2012 CFR
2012-07-01
... are met and the promotion is specifically permitted by the VISN Pharmacist Executive, or Chief of... promotion is specifically permitted by the VISN Pharmacist Executive, or Chief of Pharmacy Services, or...-related supplies must be forwarded to the VISN Pharmacist Executive or VISN Formulary Committee. All...
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42 CFR 431.610 - Relations with standard-setting and survey agencies.
Code of Federal Regulations, 2012 CFR
2012-10-01
... and suppliers of services to participate in Medicare (see 42 CFR 405.1902). The requirement for... 42 Public Health 4 2012-10-01 2012-10-01 false Relations with standard-setting and survey agencies... specified in § 488.308 of this chapter. (3) Have qualified personnel perform on-site inspections— (i) At...
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42 CFR 431.610 - Relations with standard-setting and survey agencies.
Code of Federal Regulations, 2013 CFR
2013-10-01
... and suppliers of services to participate in Medicare (see 42 CFR 405.1902). The requirement for... 42 Public Health 4 2013-10-01 2013-10-01 false Relations with standard-setting and survey agencies... specified in § 488.308 of this chapter. (3) Have qualified personnel perform on-site inspections— (i) At...
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42 CFR 431.610 - Relations with standard-setting and survey agencies.
Code of Federal Regulations, 2014 CFR
2014-10-01
... and suppliers of services to participate in Medicare (see 42 CFR 405.1902). The requirement for... 42 Public Health 4 2014-10-01 2014-10-01 false Relations with standard-setting and survey agencies... specified in § 488.308 of this chapter. (3) Have qualified personnel perform on-site inspections— (i) At...
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ERIC Educational Resources Information Center
Satterlee, Brian
The Florida Association of Voluntary Agencies for Caribbean Action was formed by the state's Governor to increase cooperation with Caribbean nations and provide on-site technical assistance and training in health, agriculture, social services, and education. In 1996, the Association conducted a project with Muffles College, a junior college in…
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-09-29
..., Granite City, IL; Amended Certification Regarding Eligibility To Apply for Worker Adjustment Assistance In... from Kelly Services and Account Temps, Granite City, Illinois. The Department's Notice was published in... Amsted, Granite City, Illinois, separated from employment on or after September 20, 2006 through January...
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45 CFR 1355.33 - Procedures for the review.
Code of Federal Regulations, 2013 CFR
2013-10-01
..., DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER CARE... includes a statewide assessment and an on-site review; and (2) Be conducted by a team of Federal, and State... upon by the title IV-E agency and ACF. (b) Statewide or Tribal Assessment. The first phase of the full...
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76 FR 176 - Amended Certification Regarding Eligibility To Apply for Worker Adjustment Assistance
Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-03
... Across Texas and Workers On-Site in: Austin, Houston, and Richardson, TX TA-W-73,102C Hewlett Packard..., solutions, engineering, supply chain, research, and product development services for personal computing...); Colorado Springs and Fort Collins, Colorado, and teleworkers across Colorado (TA-W-73,102A); Austin...
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Cuba: U.S. Restrictions on Travel and Remittances
2009-03-31
office. In January 2006, OFAC suspended a South Florida travel agency, La Estrella de Cuba, from booking travel to Cuba. The agency reportedly was one...plans to conduct 25 on-site audits in 2006 at agencies that do business with Cuba.22 In addition to La Estrella de Cuba, OFAC suspended the service
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-02-08
... related to the production of digital photography, printed proofs and digital files. The initial... digital photography, printed proofs and digital files (or like or directly competitive articles) in 2009... imports of digital photography, printed proofs and digital files (or like or directly competitive articles...
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ERIC Educational Resources Information Center
McCollough, Cherie; Jeffery, Tonya; Moore, Kim; Champion, Joe
2016-01-01
This paper outlines a University-School District partnership with the intent to increase the number of middle grades mathematics and science teachers. This externally funded initiative includes onsite, authentically situated professional development for pre- and in-service teachers at three different urban, low-socioeconomic schools with a…
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Customized On-site Resource Training Services (CORTS): A Partnership Program.
ERIC Educational Resources Information Center
Macquarie Univ., North Ryde (Australia). Special Education Centre.
In 1983, New Brunswick Community College-Moncton (NBCCM) was awarded funding to establish a Computer Aided Drafting/Manufacturing (CAD/CAM) resource center to train students and assist industry in researching and adopting CAD/CAM technology. However, inherent constraints in industry and the absorption of college resources by in-house training…
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ERIC Educational Resources Information Center
Wisniewski, Lech A.; And Others
1991-01-01
This article proposes a continuum of employment training options for students with special needs and identifies program quality indicators in the areas of assessment and the Individual Education Plan; the employment training program; community-based settings; provisions for on-site training and evaluation; and interagency cooperation. (DB)
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-02-06
..., Alliance Engineering, Inc., Washington Group International, Javan & Walter, Inc., Kinetic Technical... Consulting, Crown Security, Eastern Automation, EDS(HP), Teksystems, URS Corporation, and B More Industrial... from B More Industrial Services LLC were employed on-site at the Sparrows Point, Maryland location of...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-08-03
... supplied by the workers and confirmed by JLG Industries, Inc. revealed that the Hagerstown, Maryland facility operated in conjunction with JLG-McConnellsburg in the production of access equipment and supplied design engineering, global procurement supply chain, safety, and reliability services used in the...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-07-20
... supplied by the workers and confirmed by JLG Industries, Inc. revealed that the Hagerstown, Maryland facility operated in conjunction with JLG-McConnellsburg in the production of access equipment and supplied design engineering, global procurement supply chain, safety, and reliability services used in the...
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NASA Astrophysics Data System (ADS)
Carlowicz, Michael
At AGU's 1996 Fall Meeting, a record number of jobs were advertised through the AGU Job Center. Approximately 150 employers advertised 164 jobs at the meeting in San Francisco, while 302 applicants used the center's services and about 50 sat for on-site interviews. At the 1995 Fall Meeting, the Job Center attracted 87 employers and 230 applicants.
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Project COMPUOCC.LEP, 1988-89. Evaluation Section Report [and] Executive Summary. OREA Report.
ERIC Educational Resources Information Center
Berney, Tomi D.; Velasquez, Clara
Project COMPUOCC.LEP, a Title VII-funded program of instructional and support services, served 400 Hispanic students of limited English proficiency with special handicapping conditions. It also served 36 special education teachers at 14 Bronx (New York) intermediate and junior high schools, offering on-site technical assistance in curriculum…
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40 CFR 63.7700 - What work practice standards must I meet?
Code of Federal Regulations, 2010 CFR
2010-07-01
... obtain and maintain onsite a copy of the procedures used by the scrap supplier for either removing... applicable, or document your attempts to obtain a copy of these procedures from the scrap suppliers servicing..., you must use a binder chemical formulation that does not contain methanol as a specific ingredient of...
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40 CFR 63.7700 - What work practice standards must I meet?
Code of Federal Regulations, 2011 CFR
2011-07-01
... obtain and maintain onsite a copy of the procedures used by the scrap supplier for either removing... applicable, or document your attempts to obtain a copy of these procedures from the scrap suppliers servicing..., you must use a binder chemical formulation that does not contain methanol as a specific ingredient of...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-10-08
... Floyd and Company, Trinity Government SYS a Private Co, Verizon Network Integration Corp, Vision... Provider Inc., Teksystems, The Experts Inc., TM Floyd and Company, Trinity Government SYS a Private Co... Compuware Corp Comsys Information Technology SVC, Diversified Systems Inc., E- Corn LLC, Farrington...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-19
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-70,242] Findlay Industries, Inc., Findlay Ohio Plant One; Including On- Site Leased Workers From Alternative Management Resource, Inc. (AMRI of Findlay) Also Known as Alternative Management Temporary Services Findlay, OH; Amended Certification Regarding Eligibility To Apply for...
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
The 11.5-acre Summit National Liquid Disposal Service site is a former liquid waste disposal facility in rural Deerfield Township, Ohio. The site contains two ponds, an inactive incinerator, and several vacant buildings. Surrounding the site are several residences, two landfills, light industries, and farmland. From 1973 to 1978, Summit National operated a solvent recycling and waste disposal facility onsite. The Record of Decision (ROD) amends a 1988 ROD that provided for remediation of contaminated soil, sediment, debris, ground water, and surface water. In both the 1990 proposed remedy for the ROD amendment and the 1988 ROD, the remedy for themore » most highly contaminated soil and sediment is excavation and treatment. The amended remedial action for the site includes expanding site boundaries to include contaminated areas along the site perimeters; excavating and incinerating onsite 24,000 cubic yards of soil excavated to a depth of 2 feet, 4,000 cubic yards of sediment from the site perimeter, drainage ditches and offsite ponds, and 900 to 1,600 buried drums.« less
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On-site availability of selected antidotes: results of a survey of Massachusetts hospitals.
Woolf, A D; Chrisanthus, K
1997-01-01
Hospital pharmacies in Massachusetts were surveyed to determine their patterns of stocking antidotes. Mailed questionnaires were completed by hospital pharmacy directors at 82 of 93 acute care institutions (87% response rate). Results confirmed great variability in on-site accessibility of antidotes. Only 8 of the 82 hospitals (9.8%) stocked all of 14 common antidotes inventoried by the survey. Even fewer hospital pharmacies stocked specific antidotes (eg, Crotalid anti-venin, digoxin-specific Fab antibodies, pyridoxine) in an adequate quantity to treat one poisoned adult. Larger hospitals and those with a 24-hour pharmacy were more likely to have certain antidotes than smaller institutions. We conclude that Massachusetts hospitals do not carry complete inventories of 14 common antidotes. It is important that poisoned patients be referred to medical centers with adequate toxicological care. Improved guidelines for the accessibility of antidotes need to be developed and made available to hospital pharmacies and emergency departments.
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Reddy, Michael M.; Gunther, Charmaine D.
2012-01-01
This report presents results of chemical analysis for samples collected during March, 1995, as part of a study to quantify the interaction of aquatic organic material (referred to here as dissolved organic carbon with dissolved metal ions). The work was done in conjunction with the South Florida Water Management District, the U.S. Environmental Protection Agency, the U.S. Geological Survey South Florida Ecosystems Initiative, and the South Florida National Water Quality Assessment Study Unit. Samples were collected from surface canals and from marsh sites. Results are based on onsite and laboratory measurements for 27 samples collected at 10 locations. The data file contains sample description, dissolved organic carbon concentration and specific ultraviolet absorbance, and additional analytical data for samples collected at several sites in the Water Conservation Areas, the Everglades, south Florida.
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Firestone, Rebecca; Moorsmith, Reid; James, Simon; Urey, Marilyn; Greifinger, Rena; Lloyd, Danielle; Hartenberger-Toby, Lisa; Gausman, Jewel; Sanoe, Musa
2016-09-28
Young Liberians, particularly undereducated young adults, face substantial sexual and reproductive health (SRH) challenges, with low uptake of contraceptive methods, high rates of unintended pregnancy, and low levels of knowledge about HIV status. The purpose of this study was to assess the impact of a 6-day intensive group learning intervention combined with on-site SRH services (called HealthyActions) among out-of-school young adults, implemented through an existing alternative education program, on uptake of contraception and HIV testing and counseling (HTC). The intervention was implemented among young women and men ages 15-35 who were enrolled in alternative basic education learning sites in 5 counties of Liberia. We conducted a randomized evaluation to assess program impact. Baseline data were collected in January-March 2014, and endline data in June-July 2014. Key outcomes of condom use, contraceptive use, and HTC were estimated with difference-in-difference models using fixed effects. All analyses were conducted in Stata 13. We assessed outcomes for 1,157 learners at baseline and 1,052 learners at endline, across 29 treatment and 26 control sites. After adjusting for potential confounders, learners in the HealthyActions intervention group were 12% less likely to report never using a condom with a regular partner over the last month compared with the control group (P = .02). Female learners who received HealthyActions were 13% more likely to use any form of modern contraception compared with learners in control sites (P<.001), with the greatest increase in the use of contraceptive implants. Learners in HealthyActions sites were 45% more likely to have received HTC (P<.001). Providing intensive group learning in a supportive environment coupled with on-site health services improved SRH outcomes among participating learners. The focus of HealthyActions on participatory learning for low-literacy populations presents an adaptable solution for health programming across Liberia and the region. © Firestone et al.
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Geraldo, Ana Paula Gines; Bandoni, Daniel Henrique; Jaime, Patrícia Constante
2008-01-01
To compare the nutritional value of meals provided by companies participating in the Workers' Meal Program in the city of São Paulo, Brazil, to the nutritional recommendations and guidelines established by the Ministry of Health for the Brazilian population. The 72 companies studied were grouped according to economic sector (industrial, services, or commerce), size (micro, small, medium, or large), meal preparation modality (prepared on-site by the company itself, on-site by a hired caterer, or off-site by a hired caterer), and supervision by a dietitian (yes or no). The per capita amount of food was determined based on the lunch, dinner, and supper menus for three days. The nutritional value of the meals was defined by the amount of calories, carbohydrates, protein, total fat, polyunsaturated fat, saturated fat, trans fat, sugars, cholesterol, and fruits and vegetables. Most of the menus were deficient in the number of fruits and vegetables (63.9%) and amount of polyunsaturated fat (83.3%), but high in total fat (47.2%) and cholesterol (62.5%). Group 2, composed of mostly medium and large companies, supervised by a dietician, belonging to the industrial and/or service sectors, and using a hired caterer, on averaged served meals with higher calorie content (P<0.001), higher percentage of polyunsaturated fat (P<0.001), more cholesterol (P=0.015), and more fruits and vegetables (P<0.001) than Group 1, which was composed of micro and small companies from the commercial sector, that prepare the meals themselves on-site, and are not supervised by a dietitian. Regarding the nutrition guidelines set for the Brazilian population, Group 2 meals were better in terms of fruit and vegetable servings (P<0.001). Group 1 meals were better in terms of cholesterol content (P=0.05). More specific action is required targeting company officers and managers in charge of food and nutrition services, especially in companies without dietitian supervision.
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Aström, Johan; Pettersson, Thomas J R; Reischer, Georg H; Hermansson, Malte
2013-09-01
The protection of drinking water from pathogens such as Cryptosporidium and Giardia requires an understanding of the short-term microbial release from faecal contamination sources in the catchment. Flow-weighted samples were collected during two rainfall events in a stream draining an area with on-site sewers and during two rainfall events in surface runoff from a bovine cattle pasture. Samples were analysed for human (BacH) and ruminant (BacR) Bacteroidales genetic markers through quantitative polymerase chain reaction (qPCR) and for sorbitol-fermenting bifidobacteria through culturing as a complement to traditional faecal indicator bacteria, somatic coliphages and the parasitic protozoa Cryptosporidium spp. and Giardia spp. analysed by standard methods. Significant positive correlations were observed between BacH, Escherichia coli, intestinal enterococci, sulphite-reducing Clostridia, turbidity, conductivity and UV254 in the stream contaminated by on-site sewers. For the cattle pasture, no correlation was found between any of the genetic markers and the other parameters. Although parasitic protozoa were not detected, the analysis for genetic markers provided baseline data on the short-term faecal contamination due to these potential sources of parasites. Background levels of BacH and BacR makers in soil emphasise the need to including soil reference samples in qPCR-based analyses for Bacteroidales genetic markers.
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Integrated risk framework for onsite wastewater treatment systems.
Carroll, Steven; Goonetilleke, Ashantha; Thomas, Evan; Hargreaves, Megan; Frost, Ray; Dawes, Les
2006-08-01
Onsite wastewater treatment systems (OWTS) are becoming increasingly important for the treatment and dispersal of effluent in new urbanised developments that are not serviced by centralised wastewater collection and treatment systems. However, the current standards and guidelines adopted by many local authorities for assessing suitable site and soil conditions for OWTS are increasingly coming under scrutiny due to the public health and environmental impacts caused by poorly performing systems, in particular septic tank-soil adsorption systems. In order to achieve sustainable onsite wastewater treatment with minimal impacts on the environment and public health, more appropriate means of assessment are required. This paper highlights an integrated risk based approach for assessing the inherent hazards associated with OWTS in order to manage and mitigate the environmental and public health risks inherent with onsite wastewater treatment. In developing a sound and cohesive integrated risk framework for OWTS, several key issues must be recognised. These include the inclusion of relevant stakeholders throughout framework development, the integration of scientific knowledge, data and analysis with risk assessment and management ideals, and identification of the appropriate performance goals for successful management and mitigation of associated risks. These issues were addressed in the development of the risk framework to provide a generic approach to assessing risk from OWTS. The utilisation of the developed risk framework for achieving more appropriate assessment and management techniques for OWTS is presented in a case study for the Gold Coast region, Queensland State, Australia.
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Integrated Risk Framework for Onsite Wastewater Treatment Systems
NASA Astrophysics Data System (ADS)
Carroll, Steven; Goonetilleke, Ashantha; Thomas, Evan; Hargreaves, Megan; Frost, Ray; Dawes, Les
2006-08-01
Onsite wastewater treatment systems (OWTS) are becoming increasingly important for the treatment and dispersal of effluent in new urbanised developments that are not serviced by centralised wastewater collection and treatment systems. However, the current standards and guidelines adopted by many local authorities for assessing suitable site and soil conditions for OWTS are increasingly coming under scrutiny due to the public health and environmental impacts caused by poorly performing systems, in particular septic tank-soil adsorption systems. In order to achieve sustainable onsite wastewater treatment with minimal impacts on the environment and public health, more appropriate means of assessment are required. This paper highlights an integrated risk based approach for assessing the inherent hazards associated with OWTS in order to manage and mitigate the environmental and public health risks inherent with onsite wastewater treatment. In developing a sound and cohesive integrated risk framework for OWTS, several key issues must be recognised. These include the inclusion of relevant stakeholders throughout framework development, the integration of scientific knowledge, data and analysis with risk assessment and management ideals, and identification of the appropriate performance goals for successful management and mitigation of associated risks. These issues were addressed in the development of the risk framework to provide a generic approach to assessing risk from OWTS. The utilisation of the developed risk framework for achieving more appropriate assessment and management techniques for OWTS is presented in a case study for the Gold Coast region, Queensland State, Australia.
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Characteristics of palliative care consultation services in California hospitals.
Pantilat, Steven Z; Kerr, Kathleen M; Billings, J Andrew; Bruno, Kelly A; O'Riordan, David L
2012-05-01
Although hospital palliative care consultation services (PCCS) can improve a variety of clinical and nonclinical outcomes, little is known about how these services are structured. We surveyed all 351 acute care hospitals in California to examine the structure and characteristics of those hospitals with PCCS. We achieved a 92% response rate. Thirty-one percent (n=107) of hospitals reported having a PCCS. Teams commonly included physicians (87%), social workers (80%), spiritual care professionals (77%), and registered nurses (71%). Nearly all PCCS were available on-site during weekday business hours; 50% were available on-site or by phone in the weekday evenings and 54% were available during weekend daytime hours. The PCCS saw an average of 347 patients annually (median=310, standard deviation [SD]=217), or 258 patients per clinical full-time equivalent (FTE; median=250, SD=150.3). Overall, 60% of consultation services reported they are struggling to cope with the workload. On average, patients were in the hospital 5.9 days (median=5.5, SD=3.3) prior to referral to PCCS, and remained in the hospital for 6 days (median=4, SD=7.9) following the initial consultation. Patient and family meetings were an aspect of the consultation in 74% of cases. Overall, 21% of consultation patients were discharged home with hospice services and 25% died in the hospital. There is variation in how PCCS in California hospitals are structured and in the ways they engage with patients. Ultimately, linking PCCS characteristics and practices to patient and family outcomes will identify best practices that PCCS can use to maximize quality.
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Reducing barriers to breast cancer care through Avon patient navigation programs.
Stanley, Sandte; Arriola, Kimberly Jacob; Smith, Shakiyla; Hurlbert, Marc; Ricci, Carolyn; Escoffery, Cam
2013-01-01
Avon Foundation for Women grantees provide breast cancer services through patient navigation (PN) in an effort to alleviate barriers to care among underserved women. To gain a better understanding of how PN programs function, this study explores variations in the use of navigators, types of services offered, description of clients they serve, tracking of treatment completion, and evaluation mechanisms. Fifty-six Avon PN programs funded since 2008 throughout the United States were contacted. An online survey was distributed to the grantees of which 44 (81%) complete responses were collected and analyzed. Clients were racially and ethnically diverse, mostly in the 40- to 64-year old age range (64%) and 91.6% with an average income of less than $30 000. Women were either uninsured (50.7%) or receiving Medicaid (32.4%). PN programs were both community and hospital-based (22.5%); many hospitals (35.2%) were described as safety nets (eg, provide a significant level of care to low-income, uninsured, vulnerable populations). On-site services included breast screening (eg, mammography and breast ultrasound) and treatment (eg, breast surgery and radiation therapy). Some barriers to care identified by the programs included transportation, access to appointments, language, and financial issues (eg, cost of screening and treatment specifically for those uninsured). More than 39% of programs provided care across the cancer continuum. Many Avon PN programs incorporated navigation services that span the cancer care continuum. They addressed disparities by offering navigation and on-site medical services to reduce multiple systems barriers and social issues related to breast care.
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Working with sports organizations and teams.
McDuff, David R; Garvin, Michelle
2016-12-01
Athletes and coaches at all competitive levels will utilize sports performance and psychiatric services at very high rates if the services are offered on-site and free of charge and are broad in scope and culturally sensitive. Services should be available throughout the team year and cover areas such as team building, mental preparation, stress control, substance prevention, sleep and energy regulation, injury recovery, crisis intervention, and mental disorder treatment. The staff offering these services should be diverse by gender, profession, and culture, and the fees should be paid by the organization. When these services are endorsed by the team's leaders and integrated with the athletic training/medical/player development staff, their utilization will grow quickly and lead to positive outcomes individually and collectively.
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On-site fuel cell field test support program
NASA Astrophysics Data System (ADS)
Staniunas, J. W.; Merten, G. P.
1982-01-01
In order to assess the impact of grid connection on the potential market for fuel cell service, applications studies were conducted to identify the fuel cell operating modes and corresponding fuel cell sizing criteria which offer the most potential for initial commercial service. The market for grid-connected fuel cell service was quantified using United's market analysis program and computerized building data base. Electric and gas consumption data for 268 buildings was added to our surveyed building data file, bringing the total to 407 buildings. These buildings were analyzed for grid-isolated and grid-connected fuel cell service. The results of the analyses indicated that the nursing home, restaurant and health club building sectors offer significant potential for fuel cell service.
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Teleneurology in stroke management: costs of service in different organizational models.
Handschu, René; Scibor, Mateusz; Nückel, Martin; Asshoff, Dirk; Willaczek, Barbara; Erbguth, Frank; Schwab, Stefan; Daumann, Frank
2014-10-01
Telemedicine is in increasing use in clinical neuroscience such as acute stroke care, especially by applying remote audiovisual communication for patient evaluation. However, telephone consultation was also used linking stroke centres to smaller hospitals. We compared costs of telestroke services using audiovisual and telephone communication in different organizational models. Within a small network in Northern Bavaria video-based teleconsultation (VTC) and telephone advice (TA) was provided for evaluation of acute stroke patients on a weekly rotation. The costs of the admissions process with or without one of both methods of telemedicine were calculated and compared from the perspective of the spoke hospital. Different levels of service and network size were modelled and costs of transfers as well as loss of revenues were calculated. Yearly total labour costs were 415,000 € for an on-site service VTC-service compared to 61,000 € in an on-call service. Additional costs for one teleconsultation were 109.55 € in VTC and 49.82 € in TA (VTC/TA ratio 2.2). The ratio decreased to 0.8 when accounting for costs of transfer and loss of reimbursement for all patients transferred as transfer of patients to the stroke centre was more frequent after TA (9.1 vs. 14.9%full-time on-site ser). Costs of one QALY gained by using VTC instead of TA ranged from 115.00 € to 515.86 € depending on the different models. In the first view TA looks like the less expensive method as it is easy to access and works without additional costs. When accounting for all disadvantages TA becomes slightly more expensive. In telestroke care VTC should be recommended as the method of choice also from an economic perspective.
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Chen, Yu-Tsung; Chang, Chang-Cheng; Shen, Jen-Hsiang; Lin, Wei-Nung; Chen, Mei-Yen
2015-11-01
Although the benefits of wound care services and multidisciplinary team care have been well elaborated on in the literature, there is a gap in the actual practice of wound care and the establishment of an efficient referral system. The conceptual framework for establishing efficient wound management services requires elucidation.A wound care center was established in a tertiary hospital in 2010, staffed by an integrated multidisciplinary team including plastic surgeons, a full-time coordinator, a physical therapist, occupational therapists, and other physician specialists. Referral patients were efficiently managed following a conceptual framework for wound care. This efficient wound management service consists of 3 steps: patient entry and onsite immediate wound debridement, wound re-evaluation, and individual wound bed preparation plan. Wound conditions were documented annually over 4 consecutive years.From January 2011 to December 2014, 1103 patients were recruited from outpatient clinics or inpatient consultations for the 3-step wound management service. Of these, 62% of patients achieved healing or improvement in wounds, 13% of patients experienced no change, and 25% of patients failed to follow-up. The outcome of wound treatment varied by wound type. Sixty-nine percent of diabetic foot ulcer patients were significantly healed or improved. In contrast, pressure ulcers were the most poorly healed wound type, with only 55% of patients achieving significantly healed or improved wounds.The 3-step wound management service in the wound care center efficiently provided onsite screening, timely debridement, and multidisciplinary team care. Patients could schedule appointments instead of waiting indefinitely for care. Further wound condition follow-up, education, and prevention were also continually provided.
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Virtual Facility at Fermilab: Infrastructure and Services Expand to Public Clouds
Timm, Steve; Garzoglio, Gabriele; Cooper, Glenn; ...
2016-02-18
In preparation for its new Virtual Facility Project, Fermilab has launched a program of work to determine the requirements for running a computation facility on-site, in public clouds, or a combination of both. This program builds on the work we have done to successfully run experimental workflows of 1000-VM scale both on an on-site private cloud and on Amazon AWS. To do this at scale we deployed dynamically launched and discovered caching services on the cloud. We are now testing the deployment of more complicated services on Amazon AWS using native load balancing and auto scaling features they provide. Themore » Virtual Facility Project will design and develop a facility including infrastructure and services that can live on the site of Fermilab, off-site, or a combination of both. We expect to need this capacity to meet the peak computing requirements in the future. The Virtual Facility is intended to provision resources on the public cloud on behalf of the facility as a whole instead of having each experiment or Virtual Organization do it on their own. We will describe the policy aspects of a distributed Virtual Facility, the requirements, and plans to make a detailed comparison of the relative cost of the public and private clouds. Furthermore, this talk will present the details of the technical mechanisms we have developed to date, and the plans currently taking shape for a Virtual Facility at Fermilab.« less
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Virtual Facility at Fermilab: Infrastructure and Services Expand to Public Clouds
DOE Office of Scientific and Technical Information (OSTI.GOV)
Timm, Steve; Garzoglio, Gabriele; Cooper, Glenn
In preparation for its new Virtual Facility Project, Fermilab has launched a program of work to determine the requirements for running a computation facility on-site, in public clouds, or a combination of both. This program builds on the work we have done to successfully run experimental workflows of 1000-VM scale both on an on-site private cloud and on Amazon AWS. To do this at scale we deployed dynamically launched and discovered caching services on the cloud. We are now testing the deployment of more complicated services on Amazon AWS using native load balancing and auto scaling features they provide. Themore » Virtual Facility Project will design and develop a facility including infrastructure and services that can live on the site of Fermilab, off-site, or a combination of both. We expect to need this capacity to meet the peak computing requirements in the future. The Virtual Facility is intended to provision resources on the public cloud on behalf of the facility as a whole instead of having each experiment or Virtual Organization do it on their own. We will describe the policy aspects of a distributed Virtual Facility, the requirements, and plans to make a detailed comparison of the relative cost of the public and private clouds. Furthermore, this talk will present the details of the technical mechanisms we have developed to date, and the plans currently taking shape for a Virtual Facility at Fermilab.« less
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Power Lander for Support of Long-Term Lunar Presence
NASA Technical Reports Server (NTRS)
Joyner, Russ; Rodriguez, Gary
2004-01-01
Emerging industrial base and the consequent sustained manned Lunar presence will require consistent high power capacities. This paper proposes a first iteration design of a flyable electric power platform which could serve as an enabler of Lunar Development and Exploration. It is intended to support a small facility solo or an emerging industrial base as part of a grid. Lunar Missions, Habitats and Facilities stand to benefit from an expected decade of non-stop operation, the economics of scale, Commercial Off-The-Shelf (COTS) availability, standardization of design, and logistical support for Lunar encampments provided by this architecture. The unattended and unmanned vehicle design is to be man- and robotics-serviceable after delivery by current and proposed heavy-lift boosters. Design continuity within a family of systems will improve reliability through "lessons learned'' in the field. Further, various configurations of the proposed scalable architecture will provide reference platforms for the indigenous construction of similar power plant facilities from in-situ Lunar resources (ISRU). The baseline design should be directed towards those materials available on the Moon and expected to be manufacturable on-site within the first decade of operation.
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Transforming an EPA QA/R-2 quality management plan into an ISO 9002 quality management system.
Kell, R A; Hedin, C M; Kassakhian, G H; Reynolds, E S
2001-01-01
The Environmental Protection Agency's (EPA) Office of Emergency and Remedial Response (OERR) requires environmental data of known quality to support Superfund hazardous waste site projects. The Quality Assurance Technical Support (QATS) Program is operated by Shaw Environmental and Infrastructure, Inc. to provide EPA's Analytical Operations Center (AOC) with performance evaluation samples, reference materials, on-site laboratory auditing capabilities, data audits (including electronic media data audits), methods development, and other support services. The new QATS contract awarded in November 2000 required that the QATS Program become ISO 9000 certified. In a first for an EPA contractor, the QATS staff and management successfully transformed EPA's QA/R-2 type Quality Management Plan into a Quality Management System (QMS) that complies with the requirements of the internationally recognized ISO 9002 standard and achieved certification in the United States, Canada, and throughout Europe. The presentation describes how quality system elements of ISO 9002 were implemented on an already existing quality system. The psychological and organizational challenges of the culture change in QATS' day-to-day operations will be discussed for the benefit of other ISO 9000 aspirants.
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Selling Internet Gambling: Advertising, New Media and the Content of Poker Promotion
ERIC Educational Resources Information Center
McMullan, John L.; Kervin, Melissa
2012-01-01
This study examines the web design and engineering, advertising and marketing, and pedagogical features present at a random sample of 71 international poker sites obtained from the Casino City directory in the summer of 2009. We coded for 22 variables related to access, appeal, player protection, customer services, on-site security, use of images,…
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Native Language Reading Approach Program, 1982-1983. O.E.E. Final Evaluation Report.
ERIC Educational Resources Information Center
Keyes, Jose Luis; And Others
The Native Language Reading Approach Program in New York City was designed as an exemplary approach to on-site training of classroom teachers and their assistants in how to help students transfer reading skills from their native language to English. Program components included support services, teacher training, material/curriculum development,…
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Workplace Education Efforts in Small Business: Learning from the Field. Final Report.
ERIC Educational Resources Information Center
Vencill, Mary P.; And Others
A study identified and conducted onsite case studies of 18 different education programs conducted by small companies. Two-thirds of them were conducted by manufacturing companies; the remainder were in health services, construction, or transportation companies. Most of the programs served fewer than 25 workers and had been in operation for less…
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-08-27
... Power Blades (ND) Inc., Matrix Service Industrial Contract, Mistras Group, Onion ICS LLC, Power Climber Wind, Rope Partner, Inc., Run Energy LP, SERENA USA, Inc., Spherion ``The Mergis Group,'' System One Up... facility on Spain and ``increased blade outsourcing of 65%.'' The attachment to the request included a...
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ERIC Educational Resources Information Center
Harrison, Yvonne D.; Kostic, Kevin; Toton, Suzanne C.; Zurek, Jerome
2010-01-01
This paper documents the development, implementation, and evaluation of "The Global Solidarity Network Study e-Broad Program (GSNSeBP)", an online social justice educational program that is blended into an onsite academic course. This global electronic program, which was developed through a partnership between Catholic Relief Services (CRS) and…
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-10-05
... to the production of solar cells for their application in solar panels. The worker group includes on..., during the period of investigation, imports of articles like or directly competitive with solar cells produced by the subject firm have increased, and that the increased imports of solar cells (or like or...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-03-12
... domestic industry in an investigation resulting in-- (A) An affirmative determination of serious injury or... Workers from Manpower, South Portland, ME. May 20, 2008. TA-W-70,671; Daramic, LLC, Including on-site.... June 15, 2008. TA-W-71,536; Symmetry Medical Cases, D/B/A Riley Medical, Kelly Services, Manpower...
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An Outreach Program: Addressing the Needs of the Physically Impaired in Rural Communities.
ERIC Educational Resources Information Center
Moore, Elizabeth; Allen, Deborah
The paper describes a joint effort by the Easter Seal Society and the Arkansas State Department of Education to help rural districts provide appropriate services to orthopedically impaired students. The resulting outreach program provided on-site (school or home) evaluation of students' needs and practical guidelines in non-technical terms to meet…
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-09-13
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-72,150A] Dell Products LP--Parmer...., Integrated Human Capital, Magrabbit, Manpower, and Spherion Corporation Austin, TX; Amended Certification... Act of 1974, as amended (``Act''), 19 U.S.C. 2273, the Department of Labor issued a Certification of...
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Impact Cratering: Bridging the Gap Between Modeling and Observations
NASA Technical Reports Server (NTRS)
2003-01-01
This volume contains abstracts that have been accepted for presentation at the workshop on Impact Cratering: Bridging the Gap Between Modeling and Observations, February 7-9, 2003, in Houston, Texas. Logistics, onsite administration, and publications for this workshop were provided by the staff of the Publications and Program Services Department at the Lunar and Planetary Institute.
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USDA-ARS?s Scientific Manuscript database
The United States Department of Agriculture Food Safety and Inspection Service (FSIS) recently adapted the use of the Charm Kidney Inhibition Swab (KIS) test for screening antibiotics on-site, along with a LC-MS/MS method for confirmation of KIS-positive samples. A study with 126 heavy sows (227.0 ...
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Hardy, Richard; Ahmed, Rizwan; Habib, Ahasan; Asad, N. S. M.; Rahman, Mominur; Hasan, M.; Dey, Digbijoy; Fletcher, Louise; Camargo-Valero, Miller Alonso; Chaitanya Rao, Krishna; Fernando, Sudarshana
2017-01-01
Motivation Proper management of fecal sludge has significant positive health and environmental externalities. Most research on managing onsite sanitation so far either simulates the costs of, or the welfare effects from, managing sludge in situ in pit latrines. Thus, designing management strategies for onsite rural sanitation is challenging, because the actual costs of transporting sludge for treatment, and sources for financing these transport costs, are not well understood. Methods In this paper we calculate the actual cost of sludge management from onsite latrines, and identify the contributions that latrine owners are willing to make to finance the costs. A spreadsheet-based model is used to identify a cost-effective transport option, and to calculate the cost per household. Then a double-bound contingent valuation method is used to elicit from pit-latrine owners their willingness-to-pay to have sludge transported away. This methodology is employed for the case of a rural subdistrict in Bangladesh called Bhaluka, a unit of administration at which sludge management services are being piloted by the Government of Bangladesh. Results The typical sludge accumulation rate in Bhaluka is calculated at 0.11 liters/person/day and a typical latrine will need to be emptied approximately once every 3 to 4 years. The costs of emptying and transport are high; approximately USD 13 per emptying event (circa 14% of average monthly income); household contributions could cover around 47% of this cost. However, if costs were spread over time, the service would cost USD 4 per year per household, or USD 0.31 per month per household—comparable to current expenditures of rural households on telecommunications. Conclusion This is one of few research papers that brings the costs of waste management together with financing of that cost, to provide evidence for an implementable solution. This framework can be used to identify cost effective sludge management options and private contributions towards that cost in other (context-specific) administrative areas where onsite sanitation is widespread. PMID:28323885
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Balasubramanya, Soumya; Evans, Barbara; Hardy, Richard; Ahmed, Rizwan; Habib, Ahasan; Asad, N S M; Rahman, Mominur; Hasan, M; Dey, Digbijoy; Fletcher, Louise; Camargo-Valero, Miller Alonso; Chaitanya Rao, Krishna; Fernando, Sudarshana
2017-01-01
Proper management of fecal sludge has significant positive health and environmental externalities. Most research on managing onsite sanitation so far either simulates the costs of, or the welfare effects from, managing sludge in situ in pit latrines. Thus, designing management strategies for onsite rural sanitation is challenging, because the actual costs of transporting sludge for treatment, and sources for financing these transport costs, are not well understood. In this paper we calculate the actual cost of sludge management from onsite latrines, and identify the contributions that latrine owners are willing to make to finance the costs. A spreadsheet-based model is used to identify a cost-effective transport option, and to calculate the cost per household. Then a double-bound contingent valuation method is used to elicit from pit-latrine owners their willingness-to-pay to have sludge transported away. This methodology is employed for the case of a rural subdistrict in Bangladesh called Bhaluka, a unit of administration at which sludge management services are being piloted by the Government of Bangladesh. The typical sludge accumulation rate in Bhaluka is calculated at 0.11 liters/person/day and a typical latrine will need to be emptied approximately once every 3 to 4 years. The costs of emptying and transport are high; approximately USD 13 per emptying event (circa 14% of average monthly income); household contributions could cover around 47% of this cost. However, if costs were spread over time, the service would cost USD 4 per year per household, or USD 0.31 per month per household-comparable to current expenditures of rural households on telecommunications. This is one of few research papers that brings the costs of waste management together with financing of that cost, to provide evidence for an implementable solution. This framework can be used to identify cost effective sludge management options and private contributions towards that cost in other (context-specific) administrative areas where onsite sanitation is widespread.
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Collaboration of hospital case managers and home care liaisons when transitioning patients.
Kelly, Margaret M; Penney, Erika D
2011-01-01
Hospital case managers frequently collaborate with home care liaisons when coordinating special discharge plans. This article focuses on the collaborative relationship between the hospital case manager and on-site liaison whose primary role centers around care coordination and patient teaching. Ineffective collaboration between hospital case managers and these clinical on-site liaisons can lead to serious lapses in care and services for patients, families, and the health care team when transitioning from hospital to home care. In a review of literature, little detail was found about the collaborative practice between hospital case managers and home care liaisons. This article discusses how collegiality, collaboration, and role clarification between hospital case managers and on-site home care liaisons can improve coordination of care and services for patients and their families in the transition from hospital to home care. Included is a set of guidelines developed by case managers at a major metropolitan acute care hospital to inform and improve their practice with home care liaisons. The authors are nursing case managers who practice in a major metropolitan teaching hospital. They met by telephone and in person with case managers from 3 metropolitan medical centers as well as on-site liaisons from 2 skilled nursing facilities and 5 home care agencies to develop practice recommendations for their department regarding work with home care liaisons. Conversations between hospital case managers and on-site home care liaisons revealed that all had experiences in which suboptimal collaboration negatively impacted home care coordination for patients and their families. Furthermore, outcomes in similar patient scenarios varied widely based on the individual practices of the case managers and liaisons involved in discharge coordination. Multiple issues were discussed, including blurred role and responsibility delineations, variations in communication styles and practices, and different levels of experience and training. Consensus regarding the implementation of the hospital's guidelines was achieved through a series of discussions within the workgroup in developing practice guidelines. Multiple revisions and secondary reviews by colleagues and directors took place before the guidelines were accepted and implemented. Recommendations for improving collaboration with liaisons included (1) taking time to become familiar with one another's practices and backgrounds; (2) ensuring clear discussions of roles, responsibilities, and expectations with liaisons related to individual cases and organizational requirements and limitations; (3) providing time and forums for ongoing communication and follow-up; and (4) recognizing that responsibility for certain aspects of the discharge planning process may be shared but that the case manager, in partnership with the multidisciplinary team, is ultimately accountable for the effectiveness and outcomes of the discharge plan.
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Singh, Monika; Bhoge, Rajesh K; Randhawa, Gurinderjit
2018-04-20
Background : Confirming the integrity of seed samples in powdered form is important priorto conducting a genetically modified organism (GMO) test. Rapid onsite methods may provide a technological solution to check for genetically modified (GM) events at ports of entry. In India, Bt cotton is the commercialized GM crop with four approved GM events; however, 59 GM events have been approved globally. GMO screening is required to test for authorized GM events. The identity and amplifiability of test samples could be ensured first by employing endogenous genes as an internal control. Objective : A rapid onsite detection method was developed for an endogenous reference gene, stearoyl acyl carrier protein desaturase ( Sad1 ) of cotton, employing visual and real-time loop-mediated isothermal amplification (LAMP). Methods : The assays were performed at a constant temperature of 63°C for 30 min for visual LAMP and 62ºC for 40 min for real-time LAMP. Positive amplification was visualized as a change in color from orange to green on addition of SYBR ® Green or detected as real-time amplification curves. Results : Specificity of LAMP assays was confirmed using a set of 10 samples. LOD for visual LAMP was up to 0.1%, detecting 40 target copies, and for real-time LAMP up to 0.05%, detecting 20 target copies. Conclusions : The developed methods could be utilized to confirm the integrity of seed powder prior to conducting a GMO test for specific GM events of cotton. Highlights : LAMP assays for the endogenous Sad1 gene of cotton have been developed to be used as an internal control for onsite GMO testing in cotton.
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Group purchasing of workplace health promotion services for small employers.
Harris, Jeffrey R; Hammerback, Kristen R; Hannon, Peggy A; McDowell, Julie; Katzman, Avi; Clegg-Thorp, Catherine; Gallagher, John
2014-07-01
Small employers are underserved with workplace health promotion services, so we explored the potential for group purchasing of these services. We conducted semistructured telephone interviews of member organizations serving small employers, as well as workplace health promotion vendors, in Washington State. We interviewed 22 employer organizations (chambers of commerce, trade associations, and an insurance trust) and vendors (of fitness facilities, healthy vending machines, fresh produce delivery, weight management services, and tobacco cessation quitlines). Both cautiously supported the idea of group purchasing but felt that small employers' workplace health promotion demand must increase first. Vendors providing off-site services, for example, quitline, found group purchasing more feasible than vendors providing on-site services, for example, produce delivery. Employer member organizations are well-positioned to group purchase workplace health promotion services; vendors are receptive if there is potential profit.
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Flys, Tamara; González, Rosalba; Sued, Omar; Suarez Conejero, Juana; Kestler, Edgar; Sosa, Nestor; McKenzie-White, Jane; Monzón, Irma Irene; Torres, Carmen-Rosa; Page, Kathleen
2012-01-01
Current educational strategies to integrate HIV care into primary medical care in Central America have traditionally targeted managers or higher-level officials, rather than local health care workers (HCWs). We developed a complementary online and on-site interactive training program to reach local HCWs at the primary care level in underserved communities. The training program targeted physicians, nurses, and community HCWs with limited access to traditional onsite training in Panama, Nicaragua, Dominican Republic, and Guatemala. The curriculum focused on principles of HIV care and health systems using a tutor-supported blended educational approach of an 8-week online component, a weeklong on-site problem-solving workshop, and individualized project-based interventions. Of 258 initially active participants, 225 (225/258=87.2%) successfully completed the online component and the top 200 were invited to the on-site workshop. Of those, 170 (170/200=85%) attended the on-site workshop. In total, 142 completed all three components, including the project phase. Quantitative and qualitative evaluation instruments included knowledge assessments, reflexive essays, and acceptability surveys. The mean pre and post-essay scores demonstrating understanding of social determinants, health system organization, and integration of HIV services were 70% and 87.5%, respectively, with an increase in knowledge of 17.2% (p<0.001). The mean pre- and post-test scores evaluating clinical knowledge were 70.9% and 90.3%, respectively, with an increase in knowledge of 19.4% (p<0.001). A survey of Likert scale and open-ended questions demonstrated overwhelming participant satisfaction with course content, structure, and effectiveness in improving their HIV-related knowledge and skills. This innovative curriculum utilized technology to target HCWs with limited access to educational resources. Participants benefited from technical skills acquired through the process, and could continue working within their underserved communities while participating in the online component and then implement interventions that successfully converted theoretical knowledge to action to improve integration of HIV care into primary care.
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Mancini, Roberto; Murray, Leigh; Chapman, Benjamin J; Powell, Douglas A
2012-10-01
Folklorama in Winnipeg, Manitoba, Canada, is a 14-day temporary food service event that explores the many different cultural realms of food, food preparation, and entertainment. In 2010, the Russian pavilion at Folklorama was implicated in a foodborne outbreak of Escherichia coli O157 that caused 37 illnesses and 18 hospitalizations. The ethnic nature and diversity of foods prepared within each pavilion presents a unique problem for food inspectors, as each culture prepares food in their own very unique way. The Manitoba Department of Health and Folklorama Board of Directors realized a need to implement a food safety information delivery program that would be more effective than a 2-h food safety course delivered via PowerPoint slides. The food operators and event coordinators of five randomly chosen pavilions selling potentially hazardous food were trained on-site, in their work environment, focusing on critical control points specific to their menu. A control group (five pavilions) did not receive on-site food safety training and were assessed concurrently. Public health inspections for all 10 pavilions were performed by Certified Public Health Inspectors employed with Manitoba Health. Critical infractions were assessed by means of standardized food protection inspection reports. The results suggest no statistically significant difference in food inspection scores between the trained and control groups. However, it was found that inspection report results increased for both the control and trained groups from the first inspection to the second, implying that public health inspections are necessary in correcting unsafe food safety practices. The results further show that in this case, the 2-h food safety course delivered via slides was sufficient to pass public health inspections. Further evaluations of alternative food safety training approaches are warranted.
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Aftyka, Anna; Rybojad, Beata; Rudnicka-Drozak, Ewa
2014-10-01
To compare interventions of medical emergency teams in urban and rural areas with particular emphasis on response time and on-site medical rescue activities. A retrospective analysis of ambulance call reports from two emergency medical service substations: one in the city and the other in a rural area. Two emergency medical service substations: one in the city and the other in a rural area. Medical emergency teams. Interventions in the city were associated with a substantially shorter response time in comparison to rural areas. In the city, the distances were generally less than 10 km. In the rural area, however, such short distances accounted for only 7.2% of events, while 33.8% were over 30 km. Medical emergency teams more often acted exclusively on-site or ceased any interventions in rural areas. Compared with the city, actions in the rural setting were associated with significantly increased use of cervical collars and decreased use of intravenous access. The presence of a physician in the team raised the probability of pharmacotherapy. The relationship between medical emergency teams activities and the location of intervention shows the real diversity of the functioning of emergency medical service within a city and rural areas. Further research should aim to improve the generalisability of these findings. © 2014 National Rural Health Alliance Inc.
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Hamann, Darla J
2014-08-01
This research examines how the empowerment of residents' family members and nursing home employees in managerial decision making is related to service quality. The study was conducted using data from 33 nursing homes in the United States. Surveys were administered to more than 1,000 employees on-site and mailed to the primary-contact family member of each resident. The resulting multilevel data were analyzed using hierarchical linear modeling. The empowerment of families in decision making was positively associated with their perceptions of service quality. The empowerment of nursing staff in decision making was more strongly related to service quality than the empowerment of nonnursing staff. Among nursing staff, the empowerment of nursing assistants improved service quality more than the empowerment of nurses. © The Author(s) 2013.
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James P. Wacker; Xiping Wang; Douglas R. Rammer; Bessie M. Woodward
2011-01-01
The U.S. National Park Service acquired the National Historic Copper Mine at Kennecott, Alaska, in 1998. There was uncertainty about the condition of the timber-cribbing foundation supporting the concentration mill, the largest building in the mine complex. A comprehensive on-site evaluation of the timber cribbing foundation was performed in summer 2009. The inspection...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-05-30
... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-81,313] Wyatt Virgin Islands (V.I..., Christiansted, St. Croix, U.S. Virgin Islands; Notice of Negative Determination on Reconsideration The initial investigation, instituted on February 8, 2012, on behalf of workers and former workers of Wyatt Virgin Islands...
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ERIC Educational Resources Information Center
Stone, James L., Jr.
This model proposes the TAP Team approach as an on-site delivery system for local school staff development in large, urban school systems. TAP emphasizes in-service training for both upgrading skills of staff and for helping staff acquire new skills in the areas of coping strategies, classroom management, communication skills, instructional…
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A Holistic Approach towards the Use of an Integrated Online Delivery and Management System.
ERIC Educational Resources Information Center
Lim, Cher Ping
2001-01-01
Provides a descriptive an interpretive account of how an integrated online delivery and management system, Blackboard[TM], was used in a pre-service teacher training module. Traces the development of the module over a five year period, from a conventional mass lecture and tutorial approach to its current hybrid of online and onsite learning…
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Impact of Child Care on the Bottom-Line. Background Paper No. 27.
ERIC Educational Resources Information Center
Friedman, Dana E.
Working parents may miss work to look for child care, to cover for a breakdown in care, or to care for a sick child. Employers can reduce family-related absences by providing on-site child care and referral services, improving the quality and reliability of community child care centers, or increasing parents' ability to afford better care.…
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Affects of road sign wording on visitor survey - non-response bias
Susan M. Kocis; Stanley J. Zarnoch; Donald B.K. English
2004-01-01
On-site visitor interviewer data collection is a key component of the USDA Forest Service National Visitor Use Monitoring (NVUM) program. In many areas, especially higher speed roads and roads with non-recreation traffic, many vehicles may not stop for an interview. Wording on the sign may condition non-recreation visitors to self-select as to whether or not they...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-12-20
... Adjustment Assistance In accordance with Section 223 of the Trade Act of 1974, as amended (``Act''), 19 U.S.C... services to Malaysia. Information from the company also shows that leased workers from Tatum LLC were... payable. The intent of the Department's certification is to include all workers of the subject firm who...
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Professional and collegiate team assistance programs: services and utilization patterns.
McDuff, David R; Morse, Eric D; White, Robert K
2005-10-01
Elite professional and collegiate athletes underuse stress control, mental health, and substance abuse treatment services. Behavioral health services use can be increased by establishing on-site, sports-specific services. Like Employee Assistance Programs of industry and government, Team Assistance Programs (TAPs) address critical issues such as substance abuse prevention, tobacco cessation, stress recognition, mental illness management, injury rehabilitation, performance enhancement, and cultural support. Strong links with the team's medical and conditioning staff can ensure a steady stream of TAP referrals and build trust with players and team staff. This article describes nine years of operation for two professional TAPs and three years for one college TAP. Use patterns and linkage strategies with team physicians, trainers, strength staff, chiropractors, and nutritionists are discussed.
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40 CFR 62.14356 - Compliance schedules and increments of progress.
Code of Federal Regulations, 2011 CFR
2011-07-01
... POLLUTANTS Federal Plan Requirements for Municipal Solid Waste Landfills That Commenced Construction Prior to...) to initiate on-site construction or initiate on-site installation of emission collection and/or control equipment. (3) Initiate on-site construction: Initiate on-site construction or initiate on-site...
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40 CFR 62.14356 - Compliance schedules and increments of progress.
Code of Federal Regulations, 2013 CFR
2013-07-01
... POLLUTANTS Federal Plan Requirements for Municipal Solid Waste Landfills That Commenced Construction Prior to...) to initiate on-site construction or initiate on-site installation of emission collection and/or control equipment. (3) Initiate on-site construction: Initiate on-site construction or initiate on-site...
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7 CFR 3560.353 - Scheduling of on-site monitoring reviews.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 7 Agriculture 15 2010-01-01 2010-01-01 false Scheduling of on-site monitoring reviews. 3560.353....353 Scheduling of on-site monitoring reviews. Generally, the Agency will provide the borrower prior notice of an on-site monitoring review and will conduct the on-site monitoring review in the presence of...
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Murante, Lori J.; Moffett, Lisa M.
2014-01-01
Abstract Objectives: This retrospective cross-sectional study evaluated a telepharmacy service model using a conceptual framework to compare documented remote pharmacist interventions by year, hospital, and remote pharmacist and across rural hospitals with or without an on-site rural hospital pharmacist. Materials and Methods: Documented remote pharmacist interventions for patients at eight rural hospitals in the Midwestern United States during prospective prescription order review/entry from 2008 to 2011 were extracted from RxFusion® database (a home-grown system, i.e., internally developed program at The Nebraska Medical Center (TNMC) for capturing remote pharmacist-documented intervention data). The study authors conceptualized an analytical framework, mapping the 37 classes of remote pharmacist interventions to three broader-level definitions: (a) intervention, eight categories (interaction/potential interaction, contraindication, adverse effects, anticoagulation monitoring, drug product selection, drug regimen, summary, and recommendation), (b) patient medication management, two categories (therapy review and action), and (c) health system-centered medication use process, four categories (prescribing, transcribing and documenting, administering, and monitoring). Frequencies of intervention levels were compared by year, hospital, remote pharmacist, and hospital pharmacy status (with a remote pharmacist and on-site pharmacist or with a remote pharmacist only) using chi-squared test and univariate logistic regression analyses, as appropriate. Results: For 450,000 prescription orders 19,222 remote pharmacist interventions were documented. Frequency of interventions significantly increased each year (36% in 2009, 55% in 2010, and 7% in 2011) versus the baseline year (2008, 3%) when service started. The frequency of interventions also differed significantly across the eight hospitals and 16 remote pharmacists for the three defined intervention levels and categories. Remote pharmacist interventions at hospitals with an on-site and remote pharmacist (n=12,141) versus those with a remote pharmacist alone (n=7,081) were significantly more likely to be (1) patient-centered, (2) related to “actionable” medication management recommendations (unadjusted odds ratio [OR]=1.12), and (3) related to the “transcribing” (OR=1.47) and “prescribing” (OR=1.40) steps of the health system-centered medication use process level (all p<0.01). Conclusions: This is one of the first studies to demonstrate the patient- and health system-centered nature of pharmaceutical care delivered via a telepharmacy service model by evaluating documented remote pharmacist interventions with an analytical framework. PMID:24611489
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2012-03-01
approaches. 39 LIST OF REFERENCES Acevedo, D. P. (n.d.). Video Teleconferencing: The Future Ahead. Retrieved January 28, 2011, from http://ac...blog.tandberg.com/publicsector/index.php/2009/05/videoconferencing- takes-telework-to-the-next-level/ The eLearning Guild. (2002). The e...Learning Development Time Ration Survey. Retrieved July 15, 2011, from THe Elearning Guild: http://www.elearningguild.com/pdf/1/time%20to%20develop
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Note: A portable automatic capillary viscometer for transparent and opaque liquids
NASA Astrophysics Data System (ADS)
Soltani Ghalehjooghi, A.; Minaei, S.; Gholipour Zanjani, N.; Beheshti, B.
2017-07-01
A portable automatic capillary viscometer, equipped with an AVR microcontroller, was designed and developed. The viscometer was calibrated with Certified Reference Material (CRM) s200 and utilized for measurement of kinematic viscosity. A quadratic equation was developed for calibration of the instrument at various temperatures. Also, a model was developed for viscosity determination in terms of the viscometer dimensions. Development of the portable viscometer provides for on-site monitoring of engine oil viscosity.
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NASA Astrophysics Data System (ADS)
Setiawan, B.; Prihastuti, S.; Moersidik, S. S.
2018-02-01
The operational of near surface disposal facility during waste packages loading activity into the facility, or in a monitoring activity around disposal facility at Karawang area is predicted to give a radiological risk to radiation workers. The thickness of disposal facility cover system affected the number of radiological risk of workers. Due to this reason, a radiological risk estimation needs to be considered. RESRAD onsite code is applied for this purpose by analyse the individual accepted dose and radiological risk data of radiation workers. The obtained results and then are compared with radiation protection reference in accordance with national regulation. In this case, the data from the experimental result of Karawang clay as host of disposal facility such as Kd value of 137Cs was used. Results showed that the thickness of the cover layer of disposal facility affected to the radiological risk which accepted by workers in a near surface disposal facility.
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Onsite 40-kilowatt fuel cell power plant manufacturing and field test program
NASA Technical Reports Server (NTRS)
1985-01-01
A joint Gas Research Institute and U.S. Department of Energy Program was initiated in 1982 to evaluate the use of fuel cell power systems for on-site energy service. Forty-six 40 kW fuel cell power plants were manufactured at the United Technologies Corporation facility in South Windsor, Connecticut, and are being delivered to host utilities and other program participants in the United States and Japan for field testing. The construction of the 46 fully-integrated power plants was completed in January 1985 within the constraints of the contract plan. The program has provided significant experience in the manufacture, acceptance testing, deployment, and support of on-site fuel cell systems. Initial field test results also show that these experimental power plants meet the performance and environmental requirements of a commercial specification. This Interim Report encompasses the design and manufacturing phases of the 40 kW Power Plant Manufacturing and Field Test program. The contract between UTC and NASA also provides UTC field engineering support to the host utilities, training programs and associated manuals for utility operating and maintenance personnel, spare parts support for a defined test period, and testing at UTC of a power plant made available from a preceding program phase. These activities are ongoing and will be reported subsequently.
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ERIC Educational Resources Information Center
Crowe, Trevor P.; Kelly, Peter; Pepper, James; McLennan, Ross; Deane, Frank P.; Buckingham, Mark
2013-01-01
A repeated measures design was used to evaluate a 12 month on-site counsellor internship programme aimed at training staff to support the recovery needs of people with co-occurring substance use and mental health disorders. Fifty-four interns completed measures of recovery knowledge, attitudes, confidence/competence, as well as identifying…
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Philip A. Araman; R.J. Bush; E.B. Hager; A.L. Hammett
1999-01-01
Are you having trouble finding enough used pallet cores? Do you have trouble finding more than one reliable source of used pallet parts? Have you ever considered your local landfill as a "source?" In 1995, more pallets ended up in landfills that at pallet recovery-repair companies. Virginia Tech and the U.S. Forest Service have developed a business plan...
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Reentry Vehicle On-Site Inspection Technology Study
1994-11-01
masking Image Additional required* generated information required/wquied Pasive radiation Neutron scanning Neutron dose rate PNS Yes No SRS/BMO Yes...considerations for RVOSI techbologles. Inspection methods Instrument Setup Data Host support proximity time collection (m) (hr) time (hir) Pasive radiation...The unwillingness of our own services to allow equipment in close proximity to missile front ends is a matter which will have to be considered if a
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Firestone, Rebecca; Moorsmith, Reid; James, Simon; Urey, Marilyn; Greifinger, Rena; Lloyd, Danielle; Hartenberger-Toby, Lisa; Gausman, Jewel; Sanoe, Musa
2016-01-01
ABSTRACT Introduction: Young Liberians, particularly undereducated young adults, face substantial sexual and reproductive health (SRH) challenges, with low uptake of contraceptive methods, high rates of unintended pregnancy, and low levels of knowledge about HIV status. The purpose of this study was to assess the impact of a 6-day intensive group learning intervention combined with on-site SRH services (called HealthyActions) among out-of-school young adults, implemented through an existing alternative education program, on uptake of contraception and HIV testing and counseling (HTC). Methods: The intervention was implemented among young women and men ages 15–35 who were enrolled in alternative basic education learning sites in 5 counties of Liberia. We conducted a randomized evaluation to assess program impact. Baseline data were collected in January–March 2014, and endline data in June–July 2014. Key outcomes of condom use, contraceptive use, and HTC were estimated with difference-in-difference models using fixed effects. All analyses were conducted in Stata 13. Results: We assessed outcomes for 1,157 learners at baseline and 1,052 learners at endline, across 29 treatment and 26 control sites. After adjusting for potential confounders, learners in the HealthyActions intervention group were 12% less likely to report never using a condom with a regular partner over the last month compared with the control group (P = .02). Female learners who received HealthyActions were 13% more likely to use any form of modern contraception compared with learners in control sites (P<.001), with the greatest increase in the use of contraceptive implants. Learners in HealthyActions sites were 45% more likely to have received HTC (P<.001). Conclusion: Providing intensive group learning in a supportive environment coupled with on-site health services improved SRH outcomes among participating learners. The focus of HealthyActions on participatory learning for low-literacy populations presents an adaptable solution for health programming across Liberia and the region. PMID:27688717
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Cochran, Gary L; Barrett, Ryan S; Horn, Susan D
2016-08-01
The role of pharmacist transcription, onsite pharmacist dispensing, use of automated dispensing cabinets (ADCs), nurse-nurse double checks, or barcode-assisted medication administration (BCMA) in reducing medication error rates in critical access hospitals (CAHs) was evaluated. Investigators used the practice-based evidence methodology to identify predictors of medication errors in 12 Nebraska CAHs. Detailed information about each medication administered was recorded through direct observation. Errors were identified by comparing the observed medication administered with the physician's order. Chi-square analysis and Fisher's exact test were used to measure differences between groups of medication-dispensing procedures. Nurses observed 6497 medications being administered to 1374 patients. The overall error rate was 1.2%. The transcription error rates for orders transcribed by an onsite pharmacist were slightly lower than for orders transcribed by a telepharmacy service (0.10% and 0.33%, respectively). Fewer dispensing errors occurred when medications were dispensed by an onsite pharmacist versus any other method of medication acquisition (0.10% versus 0.44%, p = 0.0085). The rates of dispensing errors for medications that were retrieved from a single-cell ADC (0.19%), a multicell ADC (0.45%), or a drug closet or general supply (0.77%) did not differ significantly. BCMA was associated with a higher proportion of dispensing and administration errors intercepted before reaching the patient (66.7%) compared with either manual double checks (10%) or no BCMA or double check (30.4%) of the medication before administration (p = 0.0167). Onsite pharmacist dispensing and BCMA were associated with fewer medication errors and are important components of a medication safety strategy in CAHs. Copyright © 2016 by the American Society of Health-System Pharmacists, Inc. All rights reserved.
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Impacts of a Large Decentralized Telepathology Network in Canada.
Pare, Guy; Meyer, Julien; Trudel, Marie-Claude; Tetu, Bernard
2016-03-01
Telepathology is a fast growing segment of the telemedicine field. As of yet, no prior research has investigated the impacts of large decentralized telepathology projects on patients, clinicians, and healthcare systems. This study aims to fill this gap. We report a benefits evaluation study of a large decentralized telepathology project deployed in Eastern Quebec, Canada whose main objective is to provide continuous coverage of intraoperative consultations in remote hospitals without pathologists on-site. The project involves 18 hospitals, making it one of the largest telepathology networks in the world. We conducted 43 semistructured interviews with several telepathology users and hospital managers. Archival data on the impacts of the telepathology project (e.g., number of service disruptions, average time between initial diagnosis and surgery) were also extracted and analyzed. Our findings show that no service disruptions were recorded in hospitals without pathologists following the deployment of telepathology. Surgeons noted that the use of intraoperative consultations enabled by telepathology helped avoid second surgeries and improved accessibility to care services. Telepathology was also perceived by our respondents as having positive impacts on the remote hospitals' ability to retain and recruit surgeons. The observed benefits should not leave the impression that implementing telepathology is a trivial matter. Indeed, many technical, human, and organizational challenges may be encountered. Telepathology can be highly useful in regional hospitals that do not have a pathologist on-site. More research is needed to investigate the challenges and benefits associated with large decentralized telepathology networks.
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Reference Service Policy Statement.
ERIC Educational Resources Information Center
Young, William F.
This reference service policy manual provides general guidelines to encourage reference service of the highest possible quality and to insure uniform practice. The policy refers only to reference service in the University Libraries and is intended for use in conjunction with other policies and procedures issued by the Reference Services Division.…
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A cloud computing based 12-lead ECG telemedicine service
2012-01-01
Background Due to the great variability of 12-lead ECG instruments and medical specialists’ interpretation skills, it remains a challenge to deliver rapid and accurate 12-lead ECG reports with senior cardiologists’ decision making support in emergency telecardiology. Methods We create a new cloud and pervasive computing based 12-lead Electrocardiography (ECG) service to realize ubiquitous 12-lead ECG tele-diagnosis. Results This developed service enables ECG to be transmitted and interpreted via mobile phones. That is, tele-consultation can take place while the patient is on the ambulance, between the onsite clinicians and the off-site senior cardiologists, or among hospitals. Most importantly, this developed service is convenient, efficient, and inexpensive. Conclusions This cloud computing based ECG tele-consultation service expands the traditional 12-lead ECG applications onto the collaboration of clinicians at different locations or among hospitals. In short, this service can greatly improve medical service quality and efficiency, especially for patients in rural areas. This service has been evaluated and proved to be useful by cardiologists in Taiwan. PMID:22838382
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A cloud computing based 12-lead ECG telemedicine service.
Hsieh, Jui-Chien; Hsu, Meng-Wei
2012-07-28
Due to the great variability of 12-lead ECG instruments and medical specialists' interpretation skills, it remains a challenge to deliver rapid and accurate 12-lead ECG reports with senior cardiologists' decision making support in emergency telecardiology. We create a new cloud and pervasive computing based 12-lead Electrocardiography (ECG) service to realize ubiquitous 12-lead ECG tele-diagnosis. This developed service enables ECG to be transmitted and interpreted via mobile phones. That is, tele-consultation can take place while the patient is on the ambulance, between the onsite clinicians and the off-site senior cardiologists, or among hospitals. Most importantly, this developed service is convenient, efficient, and inexpensive. This cloud computing based ECG tele-consultation service expands the traditional 12-lead ECG applications onto the collaboration of clinicians at different locations or among hospitals. In short, this service can greatly improve medical service quality and efficiency, especially for patients in rural areas. This service has been evaluated and proved to be useful by cardiologists in Taiwan.
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Quality assurance in the HIV/AIDS laboratory network of China.
Jiang, Yan; Qiu, Maofeng; Zhang, Guiyun; Xing, Wenge; Xiao, Yao; Pan, Pinliang; Yao, Jun; Ou, Chin-Yih; Su, Xueli
2010-12-01
In 2009, there were 8273 local screening laboratories, 254 confirmatory laboratories, 35 provincial confirmatory central laboratories and 1 National AIDS Reference Laboratory (NARL) in China. These laboratories were located in Center for Disease Control and Prevention (CDC) facilities, hospitals, blood donation clinics, maternal and child health (MCH) hospitals and border health quarantine health-care facilities. The NARL and provincial laboratories provide quality assurance through technical, bio-safety and managerial training; periodic proficiency testing; on-site supervisory inspections; and commercial serologic kit evaluations. From 2002 to 2009, more than 220 million HIV antibody tests were performed at screening laboratories, and all reactive and indeterminate samples were confirmed at confirmatory laboratories. The use of highly technically complex tests, including CD4 cell enumeration, viral load, dried blood spot (DBS)-based early infant diagnosis (EID), drug resistance (DR) genotyping, HIV-1 subtyping and incidence assays, have increased in recent years and their performance quality is closely monitored. China has made significant progress in establishing a well-coordinated HIV laboratory network and QA systems. However, the coverage and intensity of HIV testing and quality assurance programmes need to be strengthened so as to ensure that more infected persons are diagnosed and that they receive timely prevention and treatment services.
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Assessment of injuries sustained in mixed martial arts competition.
Scoggin, James F; Brusovanik, Georgiy; Pi, Michael; Izuka, Byron; Pang, Pierre; Tokumura, Seren; Scuderi, Gaetano
2010-05-01
Mixed martial arts (MMA) competitions have gained much popularity, and the sport is watched by many millions annually. Despite ongoing controversy, there have been no objective studies of the injuries sustained in MMA based on on-site evaluation. In the study reported in this article, we attempted to delineate injury patterns for MMA participants. We conducted an observational cohort study of MMA competitions held in Hawaii between 1999 and 2006. The study included 116 bouts, involving 232 "exposures" and 179 male participants between ages 18 and 40. All the fighters were examined by 1 of 4 physicians, both before and after each bout. Fighters were referred to an emergency department when necessary, and follow-up was recommended as needed. Among the 232 exposures were 55 injuries: 28 abrasions and lacerations (6 requiring on-site suturing or referral to an emergency department for suturing), 11 concussions (4 with retrograde amnesia), 5 facial injuries (2 nasal fractures, 1 tympanum rupture, 1 temporomandibular joint sprain, 1 Le Fort fracture), and 11 orthopedic injuries (3 metacarpal injuries, with 1 confirmed fracture; 1 acromioclavicular separation; 1 traumatic olecranon bursitis; 1 elbow subluxation; 1 midfoot sprain; 1 aggravation of elbow medial collateral ligament sprain; 1 elbow lateral collateral ligament strain; 1 trapezius strain; 1 Achilles tendon contusion). We describe the injuries sustained in MMA competition to make comparisons with other sports. We discuss distribution and mechanism of injuries as well as injury incidence based on on-site evaluation in MMA.
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Cassandra Y. Johnson; J. Michael Bowker; Gary Green; H. Kenneth Cordell
2007-01-01
Recent data from the US Forest Serviceâs onsite National Visitor Use Monitoring Survey (National Visitor Use Monitoring Survey, 2004. Unpublished demographic results for 2002â2003. Data on file with Donald English, Program Manager, Visitor Use Monitoring Project, Washington, DC) shows that visits made by African Americans account for very low percentages of visits to...
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Discovery Café Now Offers Online Ordering for Catering | Poster
If you need to have a breakfast or lunch event/meeting catered, look no further than the Discovery Café in Building 549. You can now place catering orders online for groups of five or more. The café will provide catering services for events or meetings held onsite, as well as those held at the Advanced Technology Research Facility. Orders are delivered to the site of the event
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Mobile radiography at a music festival.
Walker, A; Brenchley, J; Hughes, N
2009-08-01
Limb injuries are common at music festival sites and traditionally patients seen by on-site medical services require referral to hospital emergency departments for radiographic exclusion of bony injury. This takes clinical personnel off site, increases demand on local emergency departments and is inconvenient for revellers. This is an audit of the use of a portable digital radiography system at the Virgin music festival in Staffordshire over a 3-year period.
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A web-based tree crown condition training and evaluation tool for urban and community forestry
Matthew F. Winn; Neil A. Clark; Philip A. Araman; Sang-Mook Lee
2007-01-01
Training personnel for natural resource related field work can be a costly and time-consuming process. For that reason, web-based training is considered by many to be a more attractive alternative to on-site training. The U.S. Forest Service Southern Research Station unit with Virginia Tech cooperators in Blacksburg, Va., are in the process of constructing a web site...
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Is it time to use checklists in mental health care auditing?
Abramowitz, Moshe Z; Polackiewicz, Jacob; Grinshpoon, Alexander
2011-02-22
A key strategy for improving the quality of mental health care is the design and implementation of a mechanism for on-site inspection and clinical auditing. We discuss the use of checklists in auditing providing an objective, comprehensive system for recording and analyzing multi-disciplinary, clinical auditing in mental health services. We believe such an approach can identify potential risks and allow for better decision making.
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Is it time to use checklists in mental health care auditing?
Abramowitz, Moshe Z.; Polackiewicz, Jacob; Grinshpoon, Alexander
2011-01-01
A key strategy for improving the quality of mental health care is the design and implementation of a mechanism for on-site inspection and clinical auditing. We discuss the use of checklists in auditing providing an objective, comprehensive system for recording and analyzing multi-disciplinary, clinical auditing in mental health services. We believe such an approach can identify potential risks and allow for better decision making. PMID:25478101
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Defense Science Board Task Force Report: The Role of Autonomy in DoD Systems
2012-07-01
ASD(R&E) and the Military Services should schedule periodic, on-site collaborations that bring together academia, government and not-for-profit labs...expressing UxV activities, increased problem solving, planning and scheduling capabilities to enable dynamic tasking of distributed UxVs and tools for...industrial, governmental and military. Manufacturing has long exploited planning for logistics and matching product demand to production schedules
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ERIC Educational Resources Information Center
LeDonne, Marjorie
On-site visits were made to all federal and some state prisons in 10 selected states to provide current information on which decisions could be based for prison library and information services. The focus was on the broad issues of library goals and objectives, relationship of the library to the total institution and the outside community, the…
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Improvement of Soil and Water Conservation Outdoor Classrooms and Volunteers in Taiwan
NASA Astrophysics Data System (ADS)
Wu, Y. L.; Lin, Y. H.; Huang, K. F.; Chan, H. C.
2016-12-01
In order to improve the knowledge and understanding of soil and water conservation, the Soil and Water Conservation Bureau, Taiwan sets up soil and water conservation outdoor classrooms and assigns volunteers for on-site commentating. There are 19 soil and water conservation outdoor classrooms and 483 volunteers. In order to intergate education resource and improve quality, the examination of outdoor classrooms and training of the volunteers were conducted. The training programs aimed to improve the standard of living, promote a general mood of voluntary service, and encourage the public to cultivate the value of hometown-treasuring and the sentiment of people-helping. The service system of volunteers was also organized through the training programs. The assessments of soil and water conservation outdoor classrooms were conducted through the on-site investigations. The improvement suggestions were then put forward according to the characteristics of the classrooms. The improvement contents were compiled for each outdoor classroom and there are five common suggestions depicted as follows: 1. the expectations of internationalization; 2. the issues of land leases; 3. improvement of traffic flow; 4. the format and information of explanation boards should be unified; and 5. the issues of facility maintaining. Key words: Soil and water conserveation, Volunteer, Outdoor classroom.
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Autenrieth, Daniel A; Brazile, William J; Gilkey, David P; Reynolds, Stephen J; June, Cathy; Sandfort, Del
2015-01-01
The Occupational Safety and Health Administration (OSHA) On-Site Consultation Service provides assistance establishing occupational health and safety management systems (OHSMS) to small businesses. The Safety and Health Program Assessment Worksheet (Revised OSHA Form 33) is the instrument used by consultants to assess an organization's OHSMS and provide feedback on how to improve a system. A survey was developed to determine the usefulness of the Revised OSHA Form 33 from the perspective of Colorado OSHA consultation clients. One hundred and seven clients who had received consultation services within a six-year period responded to the survey. The vast majority of respondents indicated that the Revised OSHA Form 33 accurately reflected their OHSMS and that information provided on the Revised OSHA Form 33 was helpful for improving their systems. Specific outcomes reported by the respondents included increased safety awareness, reduced injuries, and improved morale. The results indicate that the OHSMS assistance provided by OSHA consultation is beneficial for clients and that the Revised OSHA Form 33 can be an effective tool for assessing and communicating OHSMS results to business management. Detailed comments and suggestions provided on the Revised OSHA Form 33 are helpful for clients to improve their OHSMS.
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Effect of tele-emergency services on recruitment and retention of US rural physicians.
Potter, Andrew J; Mueller, Keith J; Mackinney, A Clinton; Ward, Marcia M
2014-01-01
As competition for physicians intensifies in the USA, rural areas are at a disadvantage due to challenges unique to rural medical practice. Telemedicine improves access to care not otherwise available in rural settings. Previous studies have found that telemedicine also has positive effects on the work environment, suggesting that telemedicine may improve rural physician recruitment and retention, although few have specifically examined this. Using a mixed-method approach, clients of a single telemedicine service in the Upper Midwestern USA were surveyed and interviewed about their views of the impact of tele-emergency on physician recruitment and retention and the work environment. Surveys were completed by 292 clinical and administrative staff at 71 hospitals and semi-structured interviews were conducted with clinicians and administrators at 16 hospitals. Survey respondents agreed that tele-emergency had a positive effect on physician recruitment and retention and related workplace factors. Interviewees elucidated how the presence of tele-emergency played an important role in enhancing physician confidence, providing educational opportunities, easing burden, and supplementing care, workplace factors that interviewees believed would impact recruitment and retention. However, gains were limited by hospitals' interpretation of the Emergency Medical Treatment and Labor Act as requiring on-site physician coverage even if tele-emergency was used. Results indicate that, all other factors being equal, tele-emergency increases the likelihood of physicians entering and remaining in rural practice. New regulatory guidance by the Centers for Medicare and Medicaid Services related to on-site physician coverage will likely accelerate implementation of tele-emergency services in rural hospitals. Telemedicine may prove to be an increasingly valuable recruitment and retention tool for rural hospitals as competition for physicians intensifies.
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Rouault, Mederic; Vonesch, Marie-Audrey; Dussart, Claude
2017-01-01
French Army Health Service provides medical support for armed forces deployed on external missions.In order to ensure the same health care quality in the theatre and in the metropolis, the Military Health Service provides sterilization of reusable medical devices by its own means. Army pharmacists carrying out an on-site mission comes from different domains: medical biology laboratory, research, medical supplies, hospital pharmacy or yet pharmaceutical laboratory for some reservists. Training program for sterilization in isolated military operations areas is therefore necessary in order to ensure knowledge uniformity. Our study is organized in two parts: determination of the needs and of the adapted training modalities, then implementation of training itself. This training should be accessible to a geographically dispersed public whose levels of expertise in sterilization are disparate. The module «Préparation opérationnelle à la stérilisation en Opération Extérieure» carried out allows to update and standardize the knowledge of the deployed pharmacists. It is composed of 11 sub-modules covering the different aspects of sterilization during external missions. Assessment using multiple-choice questions (MCQ) is necessary to check the level of knowledge and to understanding at the end of the training. A 75% good response rate is requested to validate the training. Training content has been approved by the National referents for sterilization and it is already available on the e-learning platform of the École du Val de Grâce.
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The Experience of a District General Hospital with a Large Outdoor Music Festival in England.
Kamour, A; Yardley, R; Longshaw, M; Stuart, J
2017-01-01
To assess the impact of the Parklife annual music festival on the local hospital, North Manchester General. Data was obtained retrospectively by analysis of emergency department records during the weekend of Parklife 2015. 32 patients were identified, 56% reported taking drugs. 34% were admitted for overnight observation. 4 patients presented with methaemoglobinaemia following oral ingestion of amyl nitrate. One patient had a methaemoglobin fraction of 90.6%, which is amongst the most extreme recorded in literature. Music festivals can impose a burden on local health services. Organisers should operate an efficient surveillance system in order to prevent the sale and use of recreational drugs, providing adequate on-site health services and working in collaboration with local emergency services.
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The U.S. Environmental Protection Agency (USEPA) first issued detailed guidance on the design, construction, and operation of onsite wastewater treatment systems (OWTSs) in 1980. Design Manual: Onsite Wastewater Treatment and Disposal Systems (USEPA.1980) was the most comprehens...
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Laboratory and clinical evaluation of on-site urine drug testing.
Beck, Olof; Carlsson, Sten; Tusic, Marinela; Olsson, Robert; Franzen, Lisa; Hulten, Peter
2014-11-01
Products for on-site urine drug testing offer the possibility to perform screening for drugs of abuse directly at the point-of-care. This is a well-established routine in emergency and dependency clinics but further evaluation of performance is needed due to inherent limitations with the available products. Urine drug testing by an on-site product was compared with routine laboratory methods. First, on-site testing was performed at the laboratory in addition to the routine method. Second, the on-site testing was performed at a dependency clinic and urine samples were subsequently sent to the laboratory for additional analytical investigation. The on-site testing products did not perform with assigned cut-off levels. The subjective reading between the presence of a spot (i.e. negative test result) being present or no spot (positive result) was difficult in 3.2% of the cases, and occurred for all parameters. The tests performed more accurately in drug negative samples (specificity 96%) but less accurately for detecting positives (sensitivity 79%). Of all incorrect results by the on-site test the proportion of false negatives was 42%. The overall agreement between on-site and laboratory testing was 95% in the laboratory study and 98% in the clinical study. Although a high degree of agreement was observed between on-site and routine laboratory urine drug testing, the performance of on-site testing was not acceptable due to significant number of false negative results. The limited sensitivity of on-site testing compared to laboratory testing reduces the applicability of these tests.
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USEPA Waste Disposal Shareware: Purdue University and USEPA (1988-1989).
ERIC Educational Resources Information Center
Rubleske, Joseph B.; Lindsey, Greg
1997-01-01
Describes and evaluates two USEPA shareware programs called Principles of On-Site Wastewater Treatment (ONSITE) and Residential Waste Treatment Evaluation (RWASTE). ONSITE, a tutorial, provides an overview of septic systems and their relationship to soils. RWASTE builds on ONSITE. Both are effective tools for persons interested in acquiring…
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Energy manager design for microgrids
DOE Office of Scientific and Technical Information (OSTI.GOV)
Firestone, Ryan; Marnay, Chris
2005-01-01
On-site energy production, known as distributed energy resources (DER), offers consumers many benefits, such as bill savings and predictability, improved system efficiency, improved reliability, control over power quality, and in many cases, greener electricity. Additionally, DER systems can benefit electric utilities by reducing congestion on the grid, reducing the need for new generation and transmission capacity, and offering ancillary services such as voltage support and emergency demand response. Local aggregations of distributed energy resources (DER) that may include active control of on-site end-use energy devices can be called microgrids. Microgrids require control to ensure safe operation and to make dispatchmore » decisions that achieve system objectives such as cost minimization, reliability, efficiency and emissions requirements, while abiding by system constraints and regulatory rules. This control is performed by an energy manager (EM). Preferably, an EM will achieve operation reasonably close to the attainable optimum, it will do this by means robust to deviations from expected conditions, and it will not itself incur insupportable capital or operation and maintenance costs. Also, microgrids can include supervision over end-uses, such as curtailing or rescheduling certain loads. By viewing a unified microgrid as a system of supply and demand, rather than simply a system of on-site generation devices, the benefits of integrated supply and demand control can be exploited, such as economic savings and improved system energy efficiency.« less
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Improving the Traceability of Meteorological Measurements at Automatic Weather Stations in Thailand
NASA Astrophysics Data System (ADS)
Keawprasert, T.; Sinhaneti, T.; Phuuntharo, P.; Phanakulwijit, S.; Nimsamer, A.
2017-08-01
A joint project between the National Institute of Metrology Thailand (NIMT) and the Thai Meteorology Department (TMD) was established for improving the traceability of meteorology measurements at automatic weather stations (AWSs) in Thailand. The project aimed to improve traceability of air temperature, relative humidity and atmospheric pressure by implementing on-site calibration facilities and developing of new calibration procedures. First, new portable calibration facilities for air temperature, humidity and pressure were set up as working standard of the TMD. A portable humidity calibrator was applied as a uniform and stable source for calibration of thermo-hygrometers. A dew-point hygrometer was employed as reference hygrometer and a platinum resistance thermometer (PRT) traceable to NIMT was used as reference thermometer. The uniformity and stability in both temperature and relative humidity were characterized at NIMT. A transportable pressure calibrator was used for calibration of air pressure sensor. The estimate overall uncertainty of the calibration setup is 0.2 K for air temperature, 1.0 % for relative humidity and 0.2 hPa for atmospheric pressure, respectively. Second, on-site calibration procedures were developed and four AWSs in the central part and the northern of Thailand were chosen as pilot stations for on-site calibration using the new calibration setups and developed calibration procedures. At each station, the calibration was done at the minimum temperature, average temperature and maximum temperature of the year, for air temperature, 20 %, 55 % and 90 % for relative humidity at the average air temperature of that station and at a one-year statistics pressure range for atmospheric pressure at ambient temperature. Additional in-field uncertainty contributions such as the temperature dependence on relative humidity measurement were evaluated and included in the overall uncertainty budget. Preliminary calibration results showed that using a separate PRT probe at these AWSs would be recommended for improving the accuracy of air temperature measurement. In case of relative humidity measurement, the data logger software is needed to be upgraded for achieving higher accuracy of less than 3 %. For atmospheric pressure measurement, a higher accuracy barometer traceable to NIMT could be used to reduce the calibration uncertainty to below 0.2 hPa.
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Recreational use in dispersed public lands measured using social media data and on-site counts.
Fisher, David M; Wood, Spencer A; White, Eric M; Blahna, Dale J; Lange, Sarah; Weinberg, Alex; Tomco, Michael; Lia, Emilia
2018-09-15
Outdoor recreation is one of many important benefits provided by public lands. Data on recreational use are critical for informing management of recreation resources, however, managers often lack actionable information on visitor use for large protected areas that lack controlled access points. The purpose of this study is to explore the potential for social media data (e.g., geotagged images shared on Flickr and trip reports shared on a hiking forum) to provide land managers with useful measures of recreational use to dispersed areas, and to provide lessons learned from comparing several more traditional counting methods. First, we measure daily and monthly visitation rates to individual trails within the Mount Baker-Snoqualmie National Forest (MBSNF) in western Washington. At 15 trailheads, we compare counts of hikers from infrared sensors, timelapse cameras, and manual on-site counts, to counts based on the number of shared geotagged images and trip reports from those locations. Second, we measure visitation rates to each National Forest System (NFS) unit across the US and compare annual measurements derived from the number of geotagged images to estimates from the US Forest Service National Visitor Use Monitoring Program. At both the NFS unit and the individual-trail scales, we found strong correlations between traditional measures of recreational use and measures based on user-generated content shared on the internet. For national forests in every region of the country, correlations between official Forest Service statistics and geotagged images ranged between 55% and 95%. For individual trails within the MBSNF, monthly visitor counts from on-site measurements were strongly correlated with counts from geotagged images (79%) and trip reports (91%). The convenient, cost-efficient and timely nature of collecting and analyzing user-generated data could allow land managers to monitor use over different seasons of the year and at sites and scales never previously monitored, contributing to a more comprehensive understanding of recreational use patterns and values. Copyright © 2018 Elsevier Ltd. All rights reserved.
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Availability of school health services for young children.
Heneghan, A M; Malakoff, M E
1997-10-01
A survey to assess availability of school health services was distributed to 221 directors of Schools of the 21st Century, an educational model that provides integrated services to children and families. Of this distribution, 126 (57%) surveys were returned; 88% of respondents reported they provided some type of school health services for their students; 75% of schools had access to school nursing services, yet only 33% had a school nurse on-site; 50% had less than daily access to a school nurse. Despite a high reported prevalence of physical and mental health problems, other services such as acute care, nutrition counseling, dental screenings, or mental health services were provided less frequently. Barriers perceived as problematic for schools providing health services included inadequate funding, limited parental awareness, and opposition by school or community members. Respondents believed transportation, limited financial resources, and inadequate health insurance were barriers to care for children and families. Among this sample of schools, school health services varied in availability and comprehensiveness. Educators, health providers, and parents must work together to provide improved school health services for children.
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42 CFR 424.517 - Onsite review.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 42 Public Health 3 2010-10-01 2010-10-01 false Onsite review. 424.517 Section 424.517 Public... Billing Privileges § 424.517 Onsite review. (a) CMS reserves the right, when deemed necessary, to perform onsite review of a provider or supplier to verify that the enrollment information submitted to CMS or its...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-09-04
...., a Subsidiary of Overhead Door Corporation Including On-Site Leased Workers From Remedy Intelligent..., including on-site leased workers from Remedy Intelligent Staffing, Corpus Christi, Texas. The workers are... Automatics, Inc., a subsidiary of Overhead Door Corporation, including on-site leased workers from Remedy...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-14
..., Benton Harbor Division, Including On-Site Leased Workers of Aerotek and Penske Logistics, LLC, Benton... equipment. The company reports that workers leased from Penske Logistics, LLC, were employed on-site at the... from Penske Logistics, LLC working on-site at the Benton Harbor, Michigan location of Whirlpool...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-07
... Builder Cabinet Group Including On-Site Leased Workers From Reserves Network, Reliable Staffing, and Third Dimension Waverly, OH; Masco Builder Cabinet Group Including On-Site Leased Workers From Reserves Network... Group including on-site leased workers from Reserves Network, Jackson, Ohio. The workers produce...
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Code of Federal Regulations, 2010 CFR
2010-07-01
... participated onsite in the atmospheric detonation of a nuclear device. ... requisite period and proof of participation onsite during a period of atmospheric nuclear testing. 79.13... presence for the requisite period and proof of participation onsite during a period of atmospheric nuclear...
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Code of Federal Regulations, 2012 CFR
2012-07-01
... requisite period and proof of participation onsite during a period of atmospheric nuclear testing. 79.13... presence for the requisite period and proof of participation onsite during a period of atmospheric nuclear... participated onsite in the atmospheric detonation of a nuclear device. ...
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Code of Federal Regulations, 2014 CFR
2014-07-01
... requisite period and proof of participation onsite during a period of atmospheric nuclear testing. 79.13... presence for the requisite period and proof of participation onsite during a period of atmospheric nuclear... participated onsite in the atmospheric detonation of a nuclear device. ...
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Code of Federal Regulations, 2013 CFR
2013-07-01
... requisite period and proof of participation onsite during a period of atmospheric nuclear testing. 79.13... presence for the requisite period and proof of participation onsite during a period of atmospheric nuclear... participated onsite in the atmospheric detonation of a nuclear device. ...
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Code of Federal Regulations, 2011 CFR
2011-07-01
... requisite period and proof of participation onsite during a period of atmospheric nuclear testing. 79.13... presence for the requisite period and proof of participation onsite during a period of atmospheric nuclear... participated onsite in the atmospheric detonation of a nuclear device. ...
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Occupational and environmental health nursing in the era of consumer-directed health care.
Sherman, Bruce; Click, Elizabeth
2007-05-01
Consumer-directed health care plans (CDHPs) present an opportunity to control health care costs. Health savings accounts (HSAs) and health reimbursement arrangements (HRAs) are two different approaches to providing pre-tax funding for CDHP enrollees. Each has a significant impact on the nature and business aspects of worksite health care. Worksite clinics can provide support via on-site education, expanded acute care services, and referral to other health-related benefits and resources for all CDHP enrollees. With attention to the type of employee health benefits funding support (HSA or HRA), occupational health nurses can maximize the effectiveness and value of worksite clinic services for CDHP enrollees.
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Training Centers for Onsite Wastewater Treatment
Onsite wastewater training centers offer classes, demonstration projects and research facilities for onsite industry professionals. Classes include wastewater management, new technologies and pre-licensing.
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Valued Sustainable Services: Building Partnership Capacity Through Collaborating Approaches
2013-07-01
and national Security Policy, institute for national Strategic Studies , at the national defense university. he is also a distinguished research...for choosing a site for ValSServ initiation is the enthusiasm of the population—that is, the priority generally is to work with those who are...applied to domains to improve daily life in a ValSServ project area. Agriculture/Food. Power for cool or cold storage and on-site processing of
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Discovery Café Now Offers Online Ordering for Catering | Poster
If you need to have a breakfast or lunch event/meeting catered, look no further than the Discovery Café in Building 549. You can now place catering orders online for groups of five or more. The café will provide catering services for events or meetings held onsite, as well as those held at the Advanced Technology Research Facility. Orders are delivered to the site of the event or meeting.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Murphy, David J.; Horner, Robert M.; Clark, Corrie E.
Estimates of the amount of land used for a defined amount of utility-scale electricity generation in the solar power industry, referred to as solar land use energy intensity (LUEI), are important to decision makers for evaluating the environmental impact of energy technology choices. In general, solar energy tends to have a larger on-site LUEI than that of fossil fuels because the energy generated per square meter of power plant area is much lower. Unfortunately, there are few studies that quantify the off-site LUEI for utility-scale solar energy, and of those that do, they share common methodologies and data sets. Inmore » this study, we develop a new method for calculating the off-site LUEI for utility-scale solar energy for three different technologies: silicon photovoltaic (Si-PV), cadmium-telluride (CdTe) PV, and parabolic trough concentrated solar thermal. Our results indicate that the off-site LUEI is most likely 1% or less of the on-site LUEI for each technology. Although our results have some inherent uncertainties, they fall within an order of magnitude of other estimates in the literature.« less
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Kim, Eun-Ju; Cheong, Kwang-Myun; Joung, Ha-Kyung; Kim, Bo-Hye; Song, Jae-Young; Cho, In-Soo; Lee, Kyoung-Ki; Shin, Yeun-Kyung
2016-12-30
Infection of cattle with bovine leukemia virus (BLV) has been observed and reported worldwide, including in Korea. The onsite identification of infected cattle would help decreasing and eradicating BLV infections on farms. Here, we present a new immunochromatographic assay that employs monoclonal antibodies (MAbs) for the detection of antibodies against BLV in the field. BLV envelope glycoprotein (gp)51 was expressed in E. coli , and MAbs against recombinant BLV gp51 were generated for the development of an immunochromatographic assay to detect BLV antibodies in cattle. The sensitivity and specificity of the assay were determined by comparing these results with those obtained from a standard enzyme linked immunosorbent assay (ELISA). A total of 160 bovine sera were used to evaluate the new immunochromatographic assay. Using ELISA as a reference standard, the relative specificity and sensitivity of this assay were determined to be 94.7% and 98%, respectively. Because of its high sensitivity and specificity, this BLV antibody detection assay would be suitable for the onsite identification of BLV infection in the field.
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-12
... & Wine, Including On-Site Leased Workers from Adecco, St. Elizabeth Business Health, Guardsmark, and Lab... 26, 2010, applicable to workers of Beam Global Spirits & Wine, including on-site leased workers from... on-site at the Cincinnati, Ohio location of Beam Global Spirits & Wine. The Department has determined...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-02-06
...., Including On-Site Leased Workers from People Link Staffing, Forge Staffing, Career Transitions and Talent... Career Transitions and Talent Source were employed on-site at the South Bend, Indiana location of Heraeus... workers leased from Career Transitions and Talent Source working on-site at the South Bend, Indiana...
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Kruske, Sue; Schultz, Tracy; Eales, Sandra; Kildea, Sue
2015-03-01
A widely held view in maternity services in rural Australia is they require 24-h on-site surgical and anaesthetic capability to be considered safe. This study aimed to provide a detailed description of three years of activity (2009-2011) of a rural maternity unit approximately 1h from the nearest surgical service. We describe the reasons for transfer to and from the unit, transfer times and the clinical health outcomes of all women (all risk status) and their babies. This retrospective study utilised contemporaneously, purposefully collected audit data, routinely collected data and medical chart review. Data were analysed based on the model of care that women were allocated to at the time of booking. The PMU provided care to twice as many young women (13.3% MDH vs. 5.1% QLD) and almost five times as many Aboriginal and/or Torres Strait Islander women (27.5% MDH vs. 5.7% QLD). A total of 506 women booked to receive care through a midwifery group practice (MGP), and 377 (74.5%) gave birth at the local facility as planned. Clinical outcomes for women and babies birthing both at the PMU and those transferred were comparable or better than other published data. The results challenge the notion that birthing services can only be offered in rural areas with onsite surgical capability. More PMUs should be made available in rural areas, in line with national and state policy and international evidence. Copyright © 2014 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.
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Kidorf, Michael; King, Van L; Peirce, Jessica; Gandotra, Neeraj; Ghazarian, Sharon; Brooner, Robert K
2015-04-01
The psychiatric care of opioid users receiving agonist therapies is often complicated by high rates of illicit drug use (Brooner et al., 2013). The present study evaluates if illicit drug use (i.e., opioids, cocaine, sedatives) detected at the start of psychiatric care affects treatment response. Methadone maintenance patients (n = 125) with at least one current psychiatric disorder completed a 3-month randomized clinical trial evaluating the efficacy of financial incentives on attendance to on-site integrated substance abuse and psychiatric services (Kidorf et al., 2013). The present study re-analyzes the data set by grouping participants into one of two conditions based on the 4-week baseline observation: (1) no illicit drug use (baseline negative; n = 50), or (2) any illicit drug use (baseline positive; n = 75). All participants received a similar schedule of psychiatric services, and had good access to prescribed psychiatric medications. The Global Severity Index (GSI) of the Hopkins Symptom Checklist-Revised was administered monthly to evaluate changes in psychiatric distress. Results showed that while both conditions evidenced similar utilization of on-site psychiatric services, baseline negative participants remained in treatment somewhat longer (80.7 vs. 74.8 days, p = .04) and demonstrated greater reductions in GSI scores than baseline positive participants at month 3 (p = .004). These results have implications for interpreting previous studies that have shown inconsistent efficacy of pharmacotherapy and other psychiatric treatments, and for providing clinical care for patients with co-occurring substance use and psychiatric disorders. Copyright © 2015 Elsevier Inc. All rights reserved.
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Jilcott Pitts, Stephanie; Schwartz, Brittany; Graham, John; Warnock, Amy Lowry; Mojica, Angelo; Marziale, Erin; Harris, Diane
2018-05-17
In February and March 2017 we examined barriers and facilitators to financial sustainability of healthy food service guidelines and synthesized best practices for financial sustainability in retail operations. We conducted qualitative, in-depth interviews with 8 hospital food service directors to learn more about barriers and facilitators to financial sustainability of healthy food service guidelines in retail food service operations. Analysts organized themes around headers in the interview guide and also made note of emerging themes not in the original guide. They used the code occurrence and co-occurrence features in Dedoose version 7.0.23 (SocioCultural Research Consultants) independently to analyze patterns across the interviews and to pull illustrative quotes for analysis. Two overarching themes emerged, related to 1) the demand for and sales of healthy foods and beverages, and 2) the production and supply of healthy foods and beverages. Our study provides insights into how hospital food service directors can maximize revenue and remain financially viable while selling healthier options in on-site dining facilities.
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-12-07
... Subdivision of Zambon Company, SPA Including On-Site Leased Workers of Turner Industries and Go Johnson, La..., including on-site leased workers from Turner Industries and Go Johnson, La Porte, Texas. The Department's..., including on-site leased workers of Turner Industries and Go Johnson, La Porte, Texas, who became totally or...
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[Unseen Suffering - Therapy for Traumatized Refugee Children].
Mattenschlager, Andreas; Nahler, Stefanie; Reisinger, Regine
2016-12-01
Unseen Suffering - Therapy for Traumatized Refugee Children In March 2015 the psychological counselling service (Psychologische Familien- und Lebensberatung) of Caritas Ulm initiated a psychotherapy project for traumatized minor refugees. Besides individual and group therapy, networking and qualification of qualified personnel and volunteers, in autumn 2015 we started offering our services on-site in a large collective accommodation for asylum seekers in Ulm. This was mainly because - in contrast to unaccompanied, mostly adolescent, minor refugees - our services appeared to reach children only by chance. In our opinion this is mostly due to the fact that children's suffering is often far less noticed. This paper describes our first year's project work, followed by reports on the use of psychodrama groups with refugee children and on the therapeutic work in a collective accommodation for asylum seekers.
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Reference Materials and Services for a Small Hospital Library. 5th Revised Edition.
ERIC Educational Resources Information Center
Kesti, Julie, Comp.; Graham, Elaine, Comp.
This manual suggests and describes recommended reference services and sources for a small hospital library. Focusing on reference services, the first section includes information on ready-reference services; bibliographic search services, including taking and processing a request for a bibliography, National Library of Medicine literature…
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Loftin, B; Watkins, R; Loibl, M
2010-06-03
Shipment of radioactive materials (RAM) is discussed in the Code of Federal Regulations in parts of both 49 CFR and 10 CFR. The regulations provide the requirements and rules necessary for the safe shipment of RAM across public highways, railways, waterways, and through the air. These shipments are sometimes referred to as in-commerce shipments. Shipments of RAM entirely within the boundaries of Department of Energy sites, such as the Savannah River Site (SRS), can be made using methodology allowing provisions to maintain equivalent safety while deviating from the regulations for in-commerce shipments. These onsite shipments are known as transfers atmore » the SRS. These transfers must follow the requirements approved in a site-specific Transportation Safety Document (TSD). The TSD defines how the site will transfer materials so that they have equivalence to the regulations. These equivalences are documented in an Onsite Safety Assessment (OSA). The OSA can show how a particular packaging used onsite is equivalent to that which would be used for an in-commerce shipment. This is known as a deterministic approach. However, when a deterministic approach is not viable, the TSD allows for a risk-based OSA to be written. These risk-based assessments show that if a packaging does not provide the necessary safety to ensure that materials are not released (during normal or accident conditions) then the worst-case release of materials does not result in a dose consequence worse than that defined for the SRS. This paper will discuss recent challenges and successes using this methodology at the SRS.« less
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A test protocol for assessing the hearing status of students with special needs.
Chen, Hsiao-Chuan; Wang, Nan-Mai; Chiu, Wen-Chen; Liu, Shu-Yu; Chang, Yi-Ping; Lin, Pei-Yu; Chung, King
2014-10-01
Individuals with disabilities are often reported to have a high prevalence of undetected hearing disorders/loss, but there is no standardized hearing test protocol for this population. The purposes of this study were (1) to examine the hearing status of students with special needs in Taiwan, and (2) to investigate the use of an on-site hearing test protocol that would adequately detect hearing problems in this population and reduce unnecessary referrals for off-site follow-up services. A total of 238 students enrolled in two schools for special education and one habilitation center participated in the study. Most students had intellectual disabilities and some also had additional syndromes or disorders. A hearing screening protocol including otoscopy, tympanometry, and distortion product otoacoustic emissions was administered to examine students' outer, middle, and inner ear functions, respectively. Pure tone tests were then administered as an on-site follow-up for those who failed or could not be tested using the screening protocol. Only 32.4% of students passed. When administered alone, the referral rate of otoscopy, tympanometry, and otoacoustic emissions were 38.7%, 46.0%, and 48.5%, respectively. The integration of these subtests revealed 52.1% of students needed follow-up services, 11.8% could not be tested, 2.5% had documented hearing loss, and 1.3% needed to be monitored because of negative middle ear pressure. The inclusion of pure tone audiometry increased the passing rate by 9.9% and provided information on hearing sensitivity for an additional 8.6% of students. Hearing assessments and regular hearing screening should be provided as an integral part of health care services for individuals with special needs because of high occurrences of excessive cerumen, middle ear dysfunction, and sensorineural hearing loss. The training of care-givers and teachers of students with special needs is encouraged so that they can help identify hearing problems and reduce the negative impact of hearing disorders and hearing loss. The screening protocol needs to include subtests that examine the status of different parts of their auditory system. The addition of pure tone audiometry as an on-site follow-up tool reduced the rate of off-site referrals and provided more information on hearing sensitivity. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
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Chat reference service in medical libraries: part 2--Trends in medical school libraries.
Dee, Cheryl R
2003-01-01
An increasing number of medical school libraries offer chat service to provide immediate, high quality information at the time and point of need to students, faculty, staff, and health care professionals. Part 2 of Chat Reference Service in Medical Libraries presents a snapshot of the current trends in chat reference service in medical school libraries. In late 2002, 25 (21%) medical school libraries provided chat reference. Trends in chat reference services in medical school libraries were compiled from an exploration of medical school library Web sites and informal correspondence from medical school library personnel. Many medical libraries are actively investigating and planning new chat reference services, while others have decided not to pursue chat reference at this time. Anecdotal comments from medical school library staff provide insights into chat reference service.
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Outcomes of PCI at hospitals with or without on-site cardiac surgery.
Aversano, Thomas; Lemmon, Cynthia C; Liu, Li
2012-05-10
Performance of percutaneous coronary intervention (PCI) is usually restricted to hospitals with cardiac surgery on site. We conducted a noninferiority trial to compare the outcomes of PCI performed at hospitals without and those with on-site cardiac surgery. We randomly assigned participants to undergo PCI at a hospital with or without on-site cardiac surgery. Patients requiring primary PCI were excluded. The trial had two primary end points: 6-week mortality and 9-month incidence of major adverse cardiac events (the composite of death, Q-wave myocardial infarction, or target-vessel revascularization). Noninferiority margins for the risk difference were 0.4 percentage points for mortality at 6 weeks and 1.8 percentage points for major adverse cardiac events at 9 months. A total of 18,867 patients were randomly assigned in a 3:1 ratio to undergo PCI at a hospital without on-site cardiac surgery (14,149 patients) or with on-site cardiac surgery (4718 patients). The 6-week mortality rate was 0.9% at hospitals without on-site surgery versus 1.0% at those with on-site surgery (difference, -0.04 percentage points; 95% confidence interval [CI], -0.31 to 0.23; P=0.004 for noninferiority). The 9-month rates of major adverse cardiac events were 12.1% and 11.2% at hospitals without and those with on-site surgery, respectively (difference, 0.92 percentage points; 95% CI, 0.04 to 1.80; P=0.05 for noninferiority). The rate of target-vessel revascularization was higher in hospitals without on-site surgery (6.5% vs. 5.4%, P=0.01). We found that PCI performed at hospitals without on-site cardiac surgery was noninferior to PCI performed at hospitals with on-site cardiac surgery with respect to mortality at 6 weeks and major adverse cardiac events at 9 months. (Funded by the Cardiovascular Patient Outcomes Research Team [C-PORT] participating sites; ClinicalTrials.gov number, NCT00549796.).
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Effectiveness of onsite focused investigations : [analysis brief].
DOT National Transportation Integrated Search
2016-03-01
This analysis assesses the effectiveness of onsite : focused investigations of motor carriers, relative to : onsite comprehensive investigations, conducted during : calendar years 2011 and 2012. Effectiveness was : measured by examining trends in mot...
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2015-11-01
provided by a stand-alone desktop or hand held computing device. This introduces into the discussion a large number of mobile , tactical command...control, communications, and computer (C4) systems across the Services. A couple of examples are mobile command posts mounted on the back of an M1152... infrastructure (DCPI). This term encompasses on-site backup generators, switchgear, uninterruptible power supplies (UPS), power distribution units
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1980-11-01
2.317 Alternative #2R 91 2.319 Alternative #3 91 2.320 Alternative #4 92 2.321 Alternative #5 92 2.322 Gas /Electricity 92 2.323 Alternative #1 92...runoff fromt on-site Pollutants (litter, oil , fertilizer, pesticides, animal wastes). - Increased erosion and turbidity in runoff during construction...costs to the City of Novato. 1. Public Services/Utilities. - Increased consumption of gas , electricity and water. - Increased wastewater generation
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Hepel, Jaroslaw T; Heron, Dwight E; Mundt, Arno J; Yashar, Catheryn; Feigenberg, Steven; Koltis, Gordon; Regine, William F; Prasad, Dheerendra; Patel, Shilpen; Sharma, Navesh; Hebert, Mary; Wallis, Norman; Kuettel, Michael
2017-05-01
Accreditation based on peer review of professional standards of care is essential in ensuring quality and safety in administration of radiation therapy. Traditionally, medical chart reviews have been performed by a physical onsite visit. The American College of Radiation Oncology Accreditation Program has remodeled its process whereby electronic charts are reviewed remotely. Twenty-eight radiation oncology practices undergoing accreditation had three charts per practice undergo both onsite and online review. Onsite review was performed by a single reviewer for each practice. Online review consisted of one or more disease site-specific reviewers for each practice. Onsite and online reviews were blinded and scored on a 100-point scale on the basis of 20 categories. A score of less than 75 was failing, and a score of 75 to 79 was marginal. Any failed charts underwent rereview by a disease site team leader. Eighty-four charts underwent both onsite and online review. The mean scores were 86.0 and 86.9 points for charts reviewed onsite and online, respectively. Comparison of onsite and online reviews revealed no statistical difference in chart scores ( P = .43). Of charts reviewed, 21% had a marginal (n = 8) or failing (n = 10) score. There was no difference in failing charts ( P = .48) or combined marginal and failing charts ( P = .13) comparing onsite and online reviews. The American College of Radiation Oncology accreditation process of online chart review results in comparable review scores and rate of failing scores compared with traditional on-site review. However, the modern online process holds less potential for bias by using multiple reviewers per practice and allows for greater oversight via disease site team leader rereview.
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Evaluating a Chat Reference Service at the University of South Alabama's Baugh Biomedical Library
ERIC Educational Resources Information Center
Clanton, Clista C.; Staggs, Geneva B.; Williams, Thomas L.
2006-01-01
The University of South Alabama's Baugh Biomedical Library recently initiated a chat reference service targeted at distance education students in the biomedical sciences. After one year of service, the library conducted an evaluation of the chat reference to assess the success of this mode of reference service. Both traditional reference and…
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Equivalent Safety Basis for Evaluation of On-Site Packages for US DOE Facilities
DOE Office of Scientific and Technical Information (OSTI.GOV)
Smith, A.C.
Packages for transport of radioactive material within the boundaries of a Department of Energy facility (on-site) must conform to the requirements for packages shipped in normal commerce, or must provide equivalent safety. Equivalence is achieved if the frequency of severe on-site accidents, which could result in a release of radioactive material, is less than or equal to the frequency of Beyond-HAC accidents for packages in commerce. This is shown to be achieved it the rate of on-site accident is 22 per 100 MVM or lower. For equivalence to Normal Conditions of Transport, for on-site packages, appropriate, defensible Design Basis Conditionsmore » can be established and the ability of the package to meet the reduced requirements shown in the On-site Safety Assessment.« less
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The 1996 Survey of Threatened and Endangered Species on Army Lands: A Summary Report.
1997-12-01
D -1 Appendix E: Onsite T&E Species With Critical Habitat ............................ E-1 Appendix F: Installations With at Least One Onsite T&E...plants/animals and MACOM ................ 28 5-1 Number and percent of installations with onsite T&E species and those with critical habitat ...29 5-2 Number and percent of onsite T&E species occurrences for which critical habitat has been designated
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On-Site Detection as a Countermeasure to Chemical Warfare/Terrorism.
Seto, Y
2014-01-01
On-site monitoring and detection are necessary in the crisis and consequence management of wars and terrorism involving chemical warfare agents (CWAs) such as sarin. The analytical performance required for on-site detection is mainly determined by the fatal vapor concentration and volatility of the CWAs involved. The analytical performance for presently available on-site technologies and commercially available on-site equipment for detecting CWAs interpreted and compared in this review include: classical manual methods, photometric methods, ion mobile spectrometry, vibrational spectrometry, gas chromatography, mass spectrometry, sensors, and other methods. Some of the data evaluated were obtained from our experiments using authentic CWAs. We concluded that (a) no technologies perfectly fulfill all of the on-site detection requirements and (b) adequate on-site detection requires (i) a combination of the monitoring-tape method and ion-mobility spectrometry for point detection and (ii) a combination of the monitoring-tape method, atmospheric pressure chemical ionization mass spectrometry with counterflow introduction, and gas chromatography with a trap and special detectors for continuous monitoring. The basic properties of CWAs, the concept of on-site detection, and the sarin gas attacks in Japan as well as the forensic investigations thereof, are also explicated in this article. Copyright © 2014 Central Police University.
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ERIC Educational Resources Information Center
Casebier, Katherine D.
2006-01-01
The University of Texas at Arlington's Library began using an online chat reference in 2002. The service, called Collaborative Digital Reference Service, later became "Ask a Librarian." Slightly over one year later, the library joined the University of Texas System's "Ask a Librarian" service. Both services are powered by…
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Lund, Adam; Turris, Sheila
2017-08-01
Despite the best efforts of event producers and on-site medical teams, there are sometimes serious illnesses, life-threatening injuries, and fatalities related to music festival attendance. Producers, clinicians, and researchers are actively seeking ways to reduce the mortality and morbidity associated with these events. After analyzing the available literature on music festival health and safety, several major themes emerged. Principally, stakeholder groups planning in isolation from one another (ie, in silos) create fragmentation, gaps, and overlap in plans for major planned events (MPEs). The authors hypothesized that one approach to minimizing this fragmentation may be to create a framework to "connect the dots," or join together the many silos of professionals responsible for safety, security, health, and emergency planning at MPEs. Adapted from the well-established literature regarding the management of cardiac arrests, both in and out of hospital, the "chain of survival" concept is applied to the disparate groups providing services that support event safety in the context of music festivals. The authors propose this framework for describing, understanding, coordinating and planning around the integration of safety, security, health, and emergency service for events. The adapted Event Chain of Survival contains six interdependent links, including: (1) event producers; (2) police and security; (3) festival health; (4) on-site medical services; (5) ambulance services; and (6) off-site medical services. The authors argue that adapting and applying this framework in the context of MPEs in general, and music festivals specifically, has the potential to break down the current disconnected approach to event safety, security, health, and emergency planning. It offers a means of shifting the focus from a purely reactive stance to a more proactive, collaborative, and integrated approach. Improving health outcomes for music festival attendees, reducing gaps in planning, promoting consistency, and improving efficiency by reducing duplication of services will ultimately require coordination and collaboration from the beginning of event production to post-event reporting. Lund A , Turris SA . The Event Chain of Survival in the context of music festivals: a framework for improving outcomes at major planned events. Prehosp Disaster Med. 2017;32(4):437-443.
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Nagata, Tomohisa; Mori, Koji; Aratake, Yutaka; Ide, Hiroshi; Nobori, Junichiro; Kojima, Reiko; Odagami, Kiminori; Kato, Anna; Hiraoka, Mika; Shiota, Naoki; Kobayashi, Yuichi; Ito, Masato; Tsutsumi, Akizumi; Matsuda, Shinya
2016-07-22
We developed a standardized cost estimation method for occupational health (OH) services. The purpose of this study was to set reference OH services costs and to conduct OH services cost management assessments in two workplaces by comparing actual OH services costs with the reference costs. Data were obtained from retrospective analyses of OH services costs regarding 15 OH activities over a 1-year period in three manufacturing workplaces. We set the reference OH services costs in one of the three locations and compared OH services costs of each of the two other workplaces with the reference costs. The total reference OH services cost was 176,654 Japanese yen (JPY) per employee. The personnel cost for OH staff to conduct OH services was JPY 47,993, and the personnel cost for non-OH staff was JPY 38,699. The personnel cost for receipt of OH services-opportunity cost-was JPY 19,747, expense was JPY 25,512, depreciation expense was 34,849, and outsourcing cost was JPY 9,854. We compared actual OH services costs from two workplaces (the total OH services costs were JPY 182,151 and JPY 238,023) with the reference costs according to OH activity. The actual costs were different from the reference costs, especially in the case of personnel cost for non-OH staff, expense, and depreciation expense. Using our cost estimation tool, it is helpful to compare actual OH services cost data with reference cost data. The outcomes help employers make informed decisions regarding investment in OH services.
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Nagata, Tomohisa; Mori, Koji; Aratake, Yutaka; Ide, Hiroshi; Nobori, Junichiro; Kojima, Reiko; Odagami, Kiminori; Kato, Anna; Hiraoka, Mika; Shiota, Naoki; Kobayashi, Yuichi; Ito, Masato; Tsutsumi, Akizumi; Matsuda, Shinya
2016-01-01
Objectives: We developed a standardized cost estimation method for occupational health (OH) services. The purpose of this study was to set reference OH services costs and to conduct OH services cost management assessments in two workplaces by comparing actual OH services costs with the reference costs. Methods: Data were obtained from retrospective analyses of OH services costs regarding 15 OH activities over a 1-year period in three manufacturing workplaces. We set the reference OH services costs in one of the three locations and compared OH services costs of each of the two other workplaces with the reference costs. Results: The total reference OH services cost was 176,654 Japanese yen (JPY) per employee. The personnel cost for OH staff to conduct OH services was JPY 47,993, and the personnel cost for non-OH staff was JPY 38,699. The personnel cost for receipt of OH services-opportunity cost-was JPY 19,747, expense was JPY 25,512, depreciation expense was 34,849, and outsourcing cost was JPY 9,854. We compared actual OH services costs from two workplaces (the total OH services costs were JPY 182,151 and JPY 238,023) with the reference costs according to OH activity. The actual costs were different from the reference costs, especially in the case of personnel cost for non-OH staff, expense, and depreciation expense. Conclusions: Using our cost estimation tool, it is helpful to compare actual OH services cost data with reference cost data. The outcomes help employers make informed decisions regarding investment in OH services. PMID:27170449
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NASA Astrophysics Data System (ADS)
Jung, Timothy M.; Carter, Adriaan C.; Woods, Solomon I.; Kaplan, Simon G.
2011-06-01
The Low-Background Infrared (LBIR) facility at NIST has performed on-site calibration and initial off-site deployments of a new infrared transfer radiometer with an integrated cryogenic Fourier transform spectrometer (Cryo- FTS). This mobile radiometer can be deployed to customer sites for broadband and spectral calibrations of space chambers and low-background hardware-in-the-loop testbeds. The Missile Defense Transfer Radiometer (MDXR) has many of the capabilities of a complete IR calibration facility and replaces our existing filter-based transfer radiometer (BXR) as the NIST standard detector deployed to customer facilities. The MDXR features numerous improvements over the BXR, including: a cryogenic Fourier transform spectrometer, an on-board absolute cryogenic radiometer (ACR) and an internal blackbody reference source with an integrated collimator. The Cryo-FTS can be used to measure high resolution spectra from 3 to 28 micrometers, using a Si:As blocked-impurity-band (BIB) detector. The on-board ACR can be used for self-calibration of the MDXR BIB as well as for absolute measurements of external infrared sources. A set of filter wheels and a rotating polarizer within the MDXR allow for filter-based and polarization-sensitive measurements. The optical design of the MDXR makes both radiance and irradiance measurements possible and enables calibration of both divergent and collimated sources. Results of on-site calibration of the MDXR using its internal blackbody source and an external reference source will be discussed, as well as the performance of the new radiometer in its initial deployments to customer sites.
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Real-Time Food Authentication Using a Miniature Mass Spectrometer.
Gerbig, Stefanie; Neese, Stephan; Penner, Alexander; Spengler, Bernhard; Schulz, Sabine
2017-10-17
Food adulteration is a threat to public health and the economy. In order to determine food adulteration efficiently, rapid and easy-to-use on-site analytical methods are needed. In this study, a miniaturized mass spectrometer in combination with three ambient ionization methods was used for food authentication. The chemical fingerprints of three milk types, five fish species, and two coffee types were measured using electrospray ionization, desorption electrospray ionization, and low temperature plasma ionization. Minimum sample preparation was needed for the analysis of liquid and solid food samples. Mass spectrometric data was processed using the laboratory-built software MS food classifier, which allows for the definition of specific food profiles from reference data sets using multivariate statistical methods and the subsequent classification of unknown data. Applicability of the obtained mass spectrometric fingerprints for food authentication was evaluated using different data processing methods, leave-10%-out cross-validation, and real-time classification of new data. Classification accuracy of 100% was achieved for the differentiation of milk types and fish species, and a classification accuracy of 96.4% was achieved for coffee types in cross-validation experiments. Measurement of two milk mixtures yielded correct classification of >94%. For real-time classification, the accuracies were comparable. Functionality of the software program and its performance is described. Processing time for a reference data set and a newly acquired spectrum was found to be 12 s and 2 s, respectively. These proof-of-principle experiments show that the combination of a miniaturized mass spectrometer, ambient ionization, and statistical analysis is suitable for on-site real-time food authentication.
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Kim, Sun Kyu; Burris, David R; Bryant-Genevier, Jonathan; Gorder, Kyle A; Dettenmaier, Erik M; Zellers, Edward T
2012-06-05
We demonstrate the use of two prototype Si-microfabricated gas chromatographs (μGC) for continuous, short-term measurements of indoor trichloroethylene (TCE) vapor concentrations related to the investigation of TCE vapor intrusion (VI) in two houses. In the first house, with documented TCE VI, temporal variations in TCE air concentrations were monitored continuously for up to 48 h near the primary VI entry location under different levels of induced differential pressure (relative to the subslab). Concentrations ranged from 0.23 to 27 ppb by volume (1.2-150 μg/m(3)), and concentration trends agreed closely with those determined from concurrent reference samples. The sensitivity and temporal resolution of the measurements were sufficiently high to detect transient fluctuations in concentration resulting from short-term changes in variables affecting the extent of VI. Spatial monitoring showed a decreasing TCE concentration gradient with increasing distance from the primary VI entry location. In the second house, with no TCE VI, spatial profiles derived from the μGC prototype data revealed an intentionally hidden source of TCE within a closet, demonstrating the capability for locating non-VI sources. Concentrations measured in this house ranged from 0.51 to 56 ppb (2.7-300 μg/m(3)), in good agreement with reference method values. This first field demonstration of μGC technology for automated, near-real-time, selective VOC monitoring at low- or subppb levels augurs well for its use in short- and long-term on-site analysis of indoor air in support of VI assessments.
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Oncofertility resources at NCI-designated comprehensive cancer centers.
Clayman, Marla L; Harper, Maya M; Quinn, Gwendolyn P; Reinecke, Joyce; Shah, Shivani
2013-12-01
NCI-designated comprehensive cancer centers (CCCs) set the standard for providing exemplary patient care. Quality cancer care includes discussions about fertility and referrals to fertility specialists for patients at risk for sterility. This study sought to determine what fertility preservation (FP) resources are available in CCCs and how well those are integrated into patient care. Leaders at each CCC received a letter requesting a short telephone interview with individuals who could provide information about the institution's FP resources. A semi-structured interview guide was used and responses were audio-recorded. Data were analyzed using content and thematic analysis. Interviews were conducted with 30 of the 39 CCCs that see adult patients (77%). The remaining institutions included 4 nonresponders, 3 that referred the interviewers to childhood cancer survivorship clinics, 1 that refused, and 1 that could not identify any FP resources. Participants were primarily affiliated with reproductive endocrinology (n=15) or hematology/oncology divisions (n=10). Institutional policies regarding consistent provision of FP information were rare (n=4), although most sites (n=20) either had some services on-site or had referral programs (n=8). However, only 13 had some experimental services, such as ovarian tissue cryopreservation. Respondents reported barriers to provision of FP, including oncologists' identification of patients at risk, low referral rates, and perceptions of patient prognosis. Only 8 (27%) sites had staff with time dedicated to FP. CCCs vary widely in implementing FP-recommended practice to their patients. CCCs are positioned to provide exemplary oncofertility care, but most need to better integrate FP information and referral into practice.
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Wehman, Paul; Brooke, Valerie; Brooke, Alissa Molinelli; Ham, Whitney; Schall, Carol; McDonough, Jennifer; Lau, Stephanie; Seward, Hannah; Avellone, Lauren
2016-01-01
Over the past few decades, there has been an increase in prevalence of children with autism spectrum disorders (ASD), and those children are now becoming young adults in need of competitive integrated employment (CIE). Customized employment (CE) is one pathway to employment that has been successful for other individuals with developmental disabilities (DD), though research has been very limited on the effectiveness with individuals with ASD. This paper provides a retrospective review of 64 individuals with ASD who came to our program from 2009 to 2014 for supported employment services as referred by the state vocational rehabilitation services agency. Employment specialists engaged in situational assessment, discovery, job development, customized job descriptions, on-site training and support, positive behavioral supports, and job retention techniques. The employment specialists were responsible for tracking their actual time spent working directly with or for the jobseeker with autism spectrum disorders (ASD). All vocational rehabilitation clients with ASD served during this time successfully secured CIE, and maintained their employment with ongoing supports, with intensity of support time decreasing over time. The majority (63/64, 98.4%) of individuals successfully secured CIE through the use of supported employment, in 72 unique employment positions. Of the majority of the individuals who secured employment, 77% (50) individuals indicated that they had never worked before and additional 18% (12) reported having short intermittent histories of employment. Despite this lack of employment experience, in all cases the jobseeker directed the job search and ultimately the job selection. Copyright © 2016 Elsevier Ltd. All rights reserved.
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Sommer, A; Girnus, R; Wendt, B; Czwoydzinski, J; Wüstenbecker, C; Heindel, W; Lenzen, H
2009-05-01
German breast cancer screening is monitored by a large physical quality assurance program. This report refers to the first experiences of the Reference Center (RC) Muenster after three years of the technical quality control of digital and analog mammography units (MU). This paper also shows whether the presently used quality assurance (QA) method is able to ensure that the MUs in the screening program are functioning without any serious problems. RC Muenster supervises 95 units (May 2008). The daily, weekly and monthly quality assurance of these units is controlled by web-based QA software named "MammoConrol" and developed by RC Muenster. The annual QA for the units must be conducted in the form of an on-site inspection by medical physics experts of the RC and is scored by an objective ranking system. The results of these QA routines were evaluated and analyzed for this paper. During the period from 3/1/2006 to 5/31/2008, 8 % of the analog systems and 1 % of the digital systems exhibited problems in the daily QA. For 9 % of the analog MUs and 17 % of the digital MUs, failures appeared in the monthly QA. In the annual control, 86.7 % of the analog units exhibited slight problems and 13.3 % had serious problems. With respect to the digital units, 12 % were without any defects, 58 % had slight problems, 27 % had serious failures and 3 % had to be reported to the responsible authorities and were temporarily shut down. The special quality control requirements for German breast cancer screening, including annual on-site checks of the units, have shown in the last three years that QA with a high monitoring standard can be ensured for a large number of decentralized MUs. The currently used QA method sufficiently ensures that the screening program is technically safe. Further studies must show whether the density and focus of the QA measures must be reconfigured.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Black, S.C.; Glines, W.M.; Townsend, Y.E.
1994-09-01
This report is comprised of appendices which support monitoring and surveillance on and around the Nevada Test Site (NTS) during 1993. Appendix A contains onsite Pu-238, gross beta, and gamma-emitting radionuclides in air. Appendix B contains onsite tritium in air. Appendix C contains onsite Pu-238, Sr-90, gross alpha and beta, gamma-emitting radionuclides, Ra-226, Ra-228 and tritium in water. A summary of 1993 results of offsite radiological monitoring is included in Appendix D. Appendix E contains radioactive noble gases in air onsite. Appendix F contains onsite thermoluminescent dosimeter data. Historical trends in onsite thermoluminescent dosimeter data are contained in Appendix G.more » Appendix H summarizes 1993 compliance at the DOE/NV NTS and non-NTS facilities. Appendix I summarizes the 1993 results of non radiological monitoring.« less
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39 CFR 20.1 - International Mail Manual; incorporation by reference.
Code of Federal Regulations, 2010 CFR
2010-07-01
... reference. 20.1 Section 20.1 Postal Service UNITED STATES POSTAL SERVICE INTERNATIONAL MAIL INTERNATIONAL POSTAL SERVICE § 20.1 International Mail Manual; incorporation by reference. (a) Section 552(a) of Title... provided in this part, the U.S. Postal Service hereby incorporates by reference its International Mail...
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Nurse managed occupational health services: a primary care model in practice.
Childre, F
1997-10-01
1. Managed care focus on delivering health care which values prevention, early intervention, continuity of care, commitment to quality care, and outcomes, as well as client satisfaction. Occupational health nurses routinely integrate these values into their practice. 2. An on-site model of primary health care delivery, incorporating the fundamentals of occupational health nursing, can bring significant savings to the organization in health related costs. 3. Case management may provide the greatest potential for growth in occupational health nursing. It is a method that can be used together with managed care to maximize quality health care services. 4. Viewing health related costs as an investment as opposed to part of a benefit plan, influences employees to make positive choices. It also impacts the delivery of health care services on a systematic, global level, which affects total health care costs.
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A Goniometry Paradigm Shift to Measure Burn Scar Contracture in Burn Patients
2015-10-01
Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204...on-site study training and remuneration for submitted data. Significant changes in use or care of human subjects, vertebrate animals, biohazards...Iowa City, IA 52242 P: 319‐356‐3226 email: andrew‐ phillips@uiowa.edu Andrew Phillips (same) Regions Hospital Joshua Salzman Director
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Methodology to Assess No Touch Audit Software Using Field Data
DOE Office of Scientific and Technical Information (OSTI.GOV)
Cai, Jie; Braun, James E.; Langner, M. Rois
The research presented in this report builds upon these previous efforts and proposes a set of tests to assess no touch audit tools using real utility bill and on-site data. The proposed assessment methodology explicitly investigates the behaviors of the monthly energy end uses with respect to outdoor temperature, i.e., the building energy signature, to help understand the Tool's disaggregation accuracy. The project team collaborated with Field Diagnosis Services, Inc. (FDSI) to identify appropriate test sites for the evaluation.
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2011-03-24
John C. Stennis Space Center employees (l to r) Janet Kovac (NASA Shared Services Center), Lael Butler (Environmental Protection Agency Gulf of Mexico Program), Mary Carter (NSSC) and Maura Lohrenz (Naval Research Laboratory) celebrate a correct answer during the Women's History Month Quiz Bowl held onsite March 24. The contest between the women and a panel of four men tested each side's knowledge of women's history facts and events. This year's Women's History Month theme was 'Our History is Our Strength.' Befitting that sentiment, the panel of women won the contest.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
1985-12-05
Love's Container Service Landfill covers eight acres in a rural area near the town of Buckingham, Virginia. Sampling indicated that on-site groundwater and off-site residential well water are contaminated by chromium and beryllium. There does not appear to be any indication of contamination in the surface soil, the surface water, nor the private wells. The monitoring wells indicate only trace levels of contamination. The site does not appear to present any threat to human health.
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2014-12-18
carbon backbone). This may be analytically relevant where soil gas is sampled under anaerobic conditions. However, at the soil:air interface, methane is...of the ambient CO2 on-site coming from the fossil end-member (i.e. the contaminant). Sampling , processing and analysis of soil gas 14CO2 and 14CH4...gasoline service station having fuel-contaminated soil and groundwater. The SVE system ran for ~3 months prior to sampling . Soil gas and groundwater
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An Ideological Analysis of Digital Reference Service Models.
ERIC Educational Resources Information Center
Dilevko, Juris
2001-01-01
Looks at some of the new paradigms for reference service, in particular the ideological implications of the digital reference call-center model, demonstrates how they lead to a "deprofessionalization" of reference work, and provides examples of how extensive reading can help reference librarians provide better service and become an…
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-07-30
... workers leased from NESCO, TPI, and Robert Half working on-site at the Sugarland, Texas location of the... Suntron Corporation, including on-site leased workers from Manpower, NESCO, TPI, and Robert Half, Sugar...
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7 CFR 205.403 - On-site inspections.
Code of Federal Regulations, 2010 CFR
2010-01-01
..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) ORGANIC FOODS PRODUCTION ACT PROVISIONS NATIONAL ORGANIC PROGRAM Certification § 205.403 On-site inspections. (a) On-site inspections. (1... site that produces or handles organic products and that is included in an operation for which...
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7 CFR 205.403 - On-site inspections.
Code of Federal Regulations, 2012 CFR
2012-01-01
..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) ORGANIC FOODS PRODUCTION ACT PROVISIONS NATIONAL ORGANIC PROGRAM Certification § 205.403 On-site inspections. (a) On-site inspections. (1... site that produces or handles organic products and that is included in an operation for which...
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7 CFR 205.403 - On-site inspections.
Code of Federal Regulations, 2013 CFR
2013-01-01
..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) ORGANIC FOODS PRODUCTION ACT PROVISIONS NATIONAL ORGANIC PROGRAM Certification § 205.403 On-site inspections. (a) On-site inspections. (1... site that produces or handles organic products and that is included in an operation for which...
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7 CFR 205.403 - On-site inspections.
Code of Federal Regulations, 2014 CFR
2014-01-01
..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) ORGANIC FOODS PRODUCTION ACT PROVISIONS NATIONAL ORGANIC PROGRAM Certification § 205.403 On-site inspections. (a) On-site inspections. (1... site that produces or handles organic products and that is included in an operation for which...
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7 CFR 205.403 - On-site inspections.
Code of Federal Regulations, 2011 CFR
2011-01-01
..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) ORGANIC FOODS PRODUCTION ACT PROVISIONS NATIONAL ORGANIC PROGRAM Certification § 205.403 On-site inspections. (a) On-site inspections. (1... site that produces or handles organic products and that is included in an operation for which...
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Analysis of the Questions Asked through Digital and Face-to-Face Reference Services
ERIC Educational Resources Information Center
Tsuji, Keita; Arai, Shunsuke; Suga, Reina; Ikeuchi, Atsushi; Yoshikane, Fuyuki
2013-01-01
In Japan, only a few public libraries provide e-mail reference services. To help public libraries start e-mail reference services, the authors investigated reference questions received by libraries via e-mail and traditional face-to-face services. The authors found that research questions are more frequently observed among e-mail questions and…
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15 CFR 230.7 - Description of services and list of fees, incorporation by reference.
Code of Federal Regulations, 2010 CFR
2010-01-01
... STANDARD REFERENCE MATERIALS STANDARD REFERENCE MATERIALS Description of Services and List of Fees § 230.7 Description of services and list of fees, incorporation by reference. (a) The text of NIST Special Publication... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Description of services and list of...
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Identifying Core Reference Competencies from an Employers' Perspective: Implications for Instruction
ERIC Educational Resources Information Center
Saunders, Laura
2012-01-01
Reference services are in transition. Impacted by advances in technology, changing user expectations, and the migration to greater provision of online and distance service, reference in academic libraries today is not the same service it was even just a decade ago. Most literature looks at reference competencies either for a specific service model…
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NASA Astrophysics Data System (ADS)
Jieh Haur, Chen; Kuo, Lin Sheng; Fu, Chen Ping; Li Hsu, Yeh; Da Heng, Chen
2018-01-01
Construction surplus soil tracking management has been the key management issue in Taiwan since 1991. This is mainly due to the construction surplus soils were often regarded as disposable waste and were disposed openly without any supervision, leading to environmental pollution. Even though the surplus soils were gradually being viewed as reusable resources, some unscrupulous enterprises still dump them freely for their own convenience. In order to dispose these surplus soils, site offices are required to confirm with the soil treatment plant regarding the approximate soil volume for hauling vehicle dispatch. However, the excavated soil volume will transform from bank volume to loose volume upon excavation, which may differ by a certain speculative coefficient (1.3), depending on the excavation site and geological condition. For managing and tracking the construction surplus soils, local government authorities frequently performed on-site spot check, but the lack of rapid assessment tools for soil volume estimation increased the evaluation difficulty for on-site inspectors. This study adopted unmanned aerial vehicle (UAV) in construction surplus soil tracking and rapidly acquired site photography and point cloud data, the excavated soil volume can be determined promptly after post-processing and interpretation, providing references to future surplus soil tracking management.
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On-site or off-site treatment of medical waste: a challenge
2014-01-01
Treating hazardous-infectious medical waste can be carried out on-site or off-site of health-care establishments. Nevertheless, the selection between on-site and off-site locations for treating medical waste sometimes is a controversial subject. Currently in Iran, due to policies of Health Ministry, the hospitals have selected on-site-treating method as the preferred treatment. The objectives of this study were to assess the current condition of on-site medical waste treatment facilities, compare on-site medical waste treatment facilities with off-site systems and find the best location of medical waste treatment. To assess the current on-site facilities, four provinces (and 40 active hospitals) were selected to participate in the survey. For comparison of on-site and off-site facilities (due to non availability of an installed off-site facility) Analytical Hierarchy Process (AHP) was employed. The result indicated that most on-site medical waste treating systems have problems in financing, planning, determining capacity of installations, operation and maintenance. AHP synthesis (with inconsistency ratio of 0.01 < 0.1) revealed that, in total, the off-site treatment of medical waste was in much higher priority than the on-site treatment (64.1% versus 35.9%). According to the results of study it was concluded that the off-site central treatment can be considered as an alternative. An amendment could be made to Iran’s current medical waste regulations to have infectious-hazardous waste sent to a central off-site installation for treatment. To begin and test this plan and also receive the official approval, a central off-site can be put into practice, at least as a pilot in one province. Next, if it was practically successful, it could be expanded to other provinces and cities. PMID:24739145
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NASA Astrophysics Data System (ADS)
Voityuk, Alexander A.
2008-03-01
The electron hole transfer (HT) properties of DNA are substantially affected by thermal fluctuations of the π stack structure. Depending on the mutual position of neighboring nucleobases, electronic coupling V may change by several orders of magnitude. In the present paper, we report the results of systematic QM/molecular dynamic (MD) calculations of the electronic couplings and on-site energies for the hole transfer. Based on 15ns MD trajectories for several DNA oligomers, we calculate the average coupling squares ⟨V2⟩ and the energies of basepair triplets XG +Y and XA +Y, where X, Y =G, A, T, and C. For each of the 32 systems, 15 000 conformations separated by 1ps are considered. The three-state generalized Mulliken-Hush method is used to derive electronic couplings for HT between neighboring basepairs. The adiabatic energies and dipole moment matrix elements are computed within the INDO/S method. We compare the rms values of V with the couplings estimated for the idealized B-DNA structure and show that in several important cases the couplings calculated for the idealized B-DNA structure are considerably underestimated. The rms values for intrastrand couplings G-G, A-A, G-A, and A-G are found to be similar, ˜0.07eV, while the interstrand couplings are quite different. The energies of hole states G+ and A+ in the stack depend on the nature of the neighboring pairs. The XG +Y are by 0.5eV more stable than XA +Y. The thermal fluctuations of the DNA structure facilitate the HT process from guanine to adenine. The tabulated couplings and on-site energies can be used as reference parameters in theoretical and computational studies of HT processes in DNA.
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Monitoring of heavy metal particle emission in the exhaust duct of a foundry using LIBS.
Dutouquet, C; Gallou, G; Le Bihan, O; Sirven, J B; Dermigny, A; Torralba, B; Frejafon, E
2014-09-01
Heavy metals have long been known to be detrimental to human health and the environment. Their emission is mainly considered to occur via the atmospheric route. Most of airborne heavy metals are of anthropogenic origin and produced through combustion processes at industrial sites such as incinerators and foundries. Current regulations impose threshold limits on heavy metal emissions. The reference method currently implemented for quantitative measurements at exhaust stacks consists of on-site sampling of heavy metals on filters for the particulate phase (the most prominent and only fraction considered in this study) prior to subsequent laboratory analysis. Results are therefore known only a few days after sampling. Stiffer regulations require the development of adapted tools allowing automatic, on-site or even in-situ measurements with temporal resolutions. The Laser-Induced Breakdown Spectroscopy (LIBS) technique was deemed as a potential candidate to meet these requirements. On site experiments were run by melting copper bars and monitoring emission of this element in an exhaust duct at a pilot-scale furnace in a French research center dedicated to metal casting. Two approaches designated as indirect and direct analysis were broached in these experiments. The former corresponds to filter enrichment prior to subsequent LIBS interrogation whereas the latter entails laser focusing right through the aerosol for detection. On-site calibration curves were built and compared with those obtained at laboratory scale in order to investigate possible matrix and analyte effects. Eventually, the obtained results in terms of detection limits and quantitative temporal monitoring of copper emission clearly emphasize the potentialities of the direct LIBS measurements. Copyright © 2014 Elsevier B.V. All rights reserved.