Science.gov

Sample records for operational readiness reviews

  1. Operational readiness and operational readiness review program plan

    SciTech Connect

    Depew, E.G.

    1992-10-01

    The purpose of this program and set of procedures is to describe Mound`s plan to conduct and document Operational Readiness (OR) and Operational Readiness Reviews (ORR). The OR process provides a formal, auditable methodology for obtaining operational readiness of Category 1, Category 2, and Category 3 hazard facilities, systems, processes, or operations. This effort and subsequent review must, at a minimum, consider environmental, safety, health, technical, operational, programmatic and administrative activities. The ORR is used as a contractor line management tool for making initial start and restart decisions. It is the intent of this policy to establish the requirements for Mound OR and ORR projects.

  2. Operational readiness review phase-1 final report for WRAP-1

    SciTech Connect

    Bowen, W., Westinghouse Hanford

    1996-12-27

    This report documents the Operational Readiness Review for WRAP-1 Phase-1 operations. The report includes all criteria, lines of inquiry with resulting Findings and Observations. The review included assessing operational capability of the organization and the computer controlled process and facility systems.

  3. Planning and conduct of Operational Readiness Reviews (ORR)

    SciTech Connect

    1995-11-01

    The purpose of this standard is to describe acceptable methods and approaches to meet the readiness review requirements of DOE 425.1. Specifically, this standard describes methods and approaches to: (1) Determine the type of readiness review which is appropriate to the specific facility startup; (2) Develop the breadth and depth (scope) of the ORR or RA so as to be consistent with the history, hazards, and complexity of the facility being started up; (3) Develop the procedures and conduct an ORR or RA for startup of a specific activity; (4) Verify that the facility is physically ready to startup; (5) Verify that the managers and operators are prepared to manage and operate the facility in the phase in which it is about to startup; (6) Verify that the necessary infrastructure (procedures, staffing, compliance with DOE Orders, rules, and other requirements, etc.) is in place; and (7) Prepare requests for exemptions from the requirements of DOE 425.1

  4. Implementation plan for WRAP Module 1 operational readiness review

    SciTech Connect

    Irons, L.G.

    1994-11-04

    The Waste Receiving and Processing Module 1 (WRAP 1) will be used to receive, sample, treat, and ship contact-handled (CH) transuranic (TRU), low-level waste (LLW), and low-level mixed waste (LLMW) to storage and disposal sites both on the Hanford site and off-site. The primary mission of WRAP 1 is to characterize and certify CH waste in 55-gallon and 85-gallon drums; and its secondary function is to certify CH waste standard waste boxes (SWB) and boxes of similar size for disposal. The WRAP 1 will provide the capability for examination (including x-ray, visual, and contents sampling), limited treatment, repackaging, and certification of CH suspect-TRU waste in 55-gallon drums retrieved from storage, as well as newly generated CH LLW and CH TRU waste drums. The WRAP 1 will also provide examination (X-ray and visual only) and certification of CH LLW and CH TRU waste in small boxes. The decision to perform an Operational Readiness Review (ORR) was made in accordance with WHC-CM-5-34, Solid Waste Disposal Operations Administration, Section 1.4, Operational Readiness Activities. The ORR will ensure plant and equipment readiness, management and personnel readiness, and management programs readiness for the initial startup of the facility. This implementation plan is provided for defining the conduct of the WHC ORR.

  5. Operational Readiness Review: Savannah River Replacement Tritium Facility

    SciTech Connect

    Not Available

    1993-02-01

    The Operational Readiness Review (ORR) is one of several activities to be completed prior to introducing tritium into the Replacement Tritium Facility (RTF) at the Savannah River Site (SRS). The Secretary of Energy will rely in part on the results of this ORR in deciding whether the startup criteria for RTF have been met. The RTF is a new underground facility built to safely service the remaining nuclear weapons stockpile. At RTF, tritium will be unloaded from old components, purified and enriched, and loaded into new or reclaimed reservoirs. The RTF will replace an aging facility at SRS that has processed tritium for more than 35 years. RTF has completed construction and is undergoing facility startup testing. The final stages of this testing will require the introduction of limited amounts of tritium. The US Department of Energy (DOE) ORR was conducted January 19 to February 4, 1993, in accordance with an ORR review plan which was developed considering previous readiness reviews. The plan also considered the Defense Nuclear Facilities Safety Board (DNFSB) Recommendations 90-4 and 92-6, and the judgements of experienced senior experts. The review covered three major areas: (1) Plant and Equipment Readiness, (2) Personnel Readiness, and (3) Management Systems. The ORR Team was comprised of approximately 30 members consisting of a Team Leader, Senior Safety Experts, and Technical Experts. The ORR objectives and criteria were based on DOE Orders, industry standards, Institute of Nuclear Power Operations guidelines, recommendations of external oversight groups, and experience of the team members.

  6. Planning and conduct of operational readiness reviews (ORR)

    SciTech Connect

    Not Available

    1993-11-01

    The purpose of this Standard is to establish a uniform process for when an ORR (1) of a new nuclear facility is to be started, (2) a previously operated facility is to be restarted, or (3) any new operating phase that results in a significant increase in existing hazards, or could introduce significant hazards not previously encountered is planned. This Standard describes a method to verify that the facility is physically ready to startup, that the managers and operators are prepared to manage and operate the facility in the proposed phase, and that the necessary infrastructure are in place. It also provides a methodology for determining the breadth and depth of the ORR so as to be consistent with the hazards and complexity of the proposed facility transition. This Standard provides procedures for the conduct of an ORR when required by the circumstances of the startup as specified in DOE 5480.31. The Standard also discusses principles and criteria for Readiness Assessments incident to the facility startup process when an ORR in not required.

  7. Operational readiness review for the Waste Experimental Reduction Facility. Final report

    SciTech Connect

    Not Available

    1993-11-01

    An Operational Readiness Review (ORR) at the Idaho National Engineering Laboratory`s (INEL`s) Waste Experimental Reduction Facility (WERF) was conducted by EG&G Idaho, Inc., to verify the readiness of WERF to resume operations following a shutdown and modification period of more than two years. It is the conclusion of the ORR Team that, pending satisfactory resolution of all pre-startup findings, WERF has achieved readiness to resume unrestricted operations within the approved safety basis. ORR appraisal forms are included in this report.

  8. Team leader`s preparation guide for Operational Readiness Reviews (ORR)

    SciTech Connect

    Not Available

    1994-09-01

    This document provides instructions, explanations, and examples for the performance of all phases of an Operational Readiness Review (ORR). Details pertinent to the team leader, team members, and review coordinator are outlined. Sample forms and correspondence are included in appendices. Although this document is for use by DOE ORR team leaders, it can be used by contractor ORR team leaders also.

  9. Lessons Learned from Sandia National Laboratories' Operational Readiness Review of the Annular Core Research Reactor (ACRR)

    SciTech Connect

    Bendure, Albert O.; Bryson, James W.

    1999-05-17

    The Sandia ACRR (a Hazard Category 2 Nuclear Reactor Facility) was defueled in June 1997 to modify the reactor core and control system to produce medical radioisotopes for the Department of Energy (DOE) Isotope Production Program. The DOE determined that an Operational Readiness Review (ORR) was required to confirm readiness to begin operations within the revised safety basis. This paper addresses the ORR Process, lessons learned from the Sandia and DOE ORRS of the ACRR, and the use of the ORR to confirm authorization basis implementation.

  10. Phase 5 storage (Project W-112) Central Waste Complex operational readiness review, final report

    SciTech Connect

    Wight, R.H.

    1997-05-30

    This document is the final report for the RFSH conducted, Contractor Operational Readiness Review (ORR) for the Central Waste Complex (CWC) Project W-112 and Interim Safety Basis implementation. As appendices, all findings, observations, lines of inquiry and the implementation plan are included.

  11. Operational Readiness Review Plan for the Radioisotope Thermoelectric Generator Materials Production Tasks

    DOE R&D Accomplishments Database

    Cooper, R. H.; Martin, M. M.; Riggs, C. R.; Beatty, R. L.; Ohriner, E. K.; Escher, R. N.

    1990-04-19

    In October 1989, a US shuttle lifted off from Cape Kennedy carrying the spacecraft Galileo on its mission to Jupiter. In November 1990, a second spacecraft, Ulysses, will be launched from Cape Kennedy with a mission to study the polar regions of the sun. The prime source of power for both spacecraft is a series of radioisotope thermoelectric generators (RTGs), which use plutonium oxide (plutonia) as a heat source. Several of the key components in this power system are required to ensure the safety of both the public and the environment and were manufactured at Oak Ridge National Laboratory (ORNL) in the 1980 to 1983 period. For these two missions, Martin Marietta Energy Systems, Inc. (Energy Systems), will provide an iridium alloy component used to contain the plutonia heat source and a carbon composite material that serves as a thermal insulator. ORNL alone will continue to fabricate the carbon composite material. Because of the importance to DOE that Energy Systems deliver these high quality components on time, performance of an Operational Readiness Review (ORR) of these manufacturing activities is necessary. Energy Systems Policy GP 24 entitled "Operational Readiness Process" describes the formal and comprehensive process by which appropriate Energy Systems activities are to be reviewed to ensure their readiness. This Energy System policy is aimed at reducing the risks associated with mission success and requires a management approved "readiness plan" to be issued. This document is the readiness plan for the RTG materials production tasks.

  12. Operational readiness review plan for the radioisotope thermoelectric generator materials production tasks

    SciTech Connect

    Cooper, R.H.; Martin, M.M.; Riggs, C.R.; Beatty, R.L.; Ohriner, E.K.; Escher, R.N.

    1990-04-19

    In October 1989, a US shuttle lifted off from Cape Kennedy carrying the spacecraft Galileo on its mission to Jupiter. In November 1990, a second spacecraft, Ulysses, will be launched from Cape Kennedy with a mission to study the polar regions of the sun. The prime source of power for both spacecraft is a series of radioisotope thermoelectric generators (RTGs), which use plutonium oxide (plutonia) as a heat source. Several of the key components in this power system are required to ensure the safety of both the public and the environment and were manufactured at Oak Ridge National Laboratory (ORNL) in the 1980 to 1983 period. For these two missions, Martin Marietta Energy Systems, Inc. (Energy Systems), will provide an iridium-alloy component used to contain the plutonia heat source and a carbon-composite material that serves as a thermal insulator. ORNL alone will continue to fabricate the carbon-composite material. Because of the importance to DOE that Energy Systems deliver these high-quality components on time, performance of an Operational Readiness Review (ORR) of these manufacturing activities is necessary. Energy Systems Policy GP-24 entitled Operational Readiness Process'' describes the formal and comprehensive process by which appropriate Energy Systems activities are to be reviewed to ensure their readiness. This Energy System policy is aimed at reducing the risks associated with mission success and requires a management-approved readiness plan'' to be issued. This document is the readiness plan for the RTG materials production tasks. 6 refs., 11 figs., 1 tab.

  13. Operational Readiness Review Final Report For F-Canyon Restart. Phase 1

    SciTech Connect

    McFarlane, A.F.; Spangler, J.B.

    1995-04-05

    An independent WSRC Operational Readiness Review was performed for the restart of Phase 1 processing in F-Canyon, Building 221-F. Readiness to restart the Second Plutonium Cycle process and solvent recovery was assessed. The ORR was conducted by an ORR board of ten members with the support of a subject matter expert. The chairman and four members were drawn from the Operational Safety Evaluation Department, ESH& QA Division; additional members were drawn from other WSRC divisions, independent of the F-Canyon operating division (NMPD). Based on the results of the readiness verification assessments performed according to the ORR plan and the validation of pre-restart corrective actions, the WSRC independent ORR Board has concluded that the facility has achieved the state of readiness committed to in the Restart Plan. Also, based on the scope of the ORR, it is the opinion of the board that F-Canyon Phase 1 processes can be restarted without undue risk to the safety of the public and onsite workers and without undue risk to the environment.

  14. Operational readiness review plan for the radioisotope thermoelectric generator materials production tasks

    NASA Astrophysics Data System (ADS)

    Cooper, R. H.; Martin, M. M.; Riggs, C. R.; Beatty, R. L.; Ohriner, E. K.; Escher, R. N.

    1990-04-01

    In October 1989, a Space Shuttle lifted off from Cape Kennedy carrying the spacecraft Galileo on its mission to Jupiter. In November 1990, a second spacecraft, Ulysses, will be launched from Cape Kennedy with a mission to study the polar regions of the sun. The prime source of power for both spacecraft is a series of radioisotope thermoelectric generators (RTG's), which use plutonium oxide (plutonia) as a heat source. Several of the key components in this power system are required to ensure the safety of both the public and the environment and were manufactured at Oak Ridge National Laboratory (ORNL) in the 1980 to 1983 period. For these two missions, Martin Marietta Energy Systems, Inc. (Energy Systems), will provide an iridium-alloy component used to contain the plutonia heat source and a carbon-composite material that serves as a thermal insulator. ORNL alone will continue to fabricate the carbon-composite material. Because of the importance to DOE that Energy Systems deliver these high-quality components on time, performance of an Operational Readiness Review (ORR) of these manufacturing activities is necessary. Energy Systems Policy GP-24 describes the formal and comprehensive process by which appropriate energy systems' activities are to be reviewed to ensure their readiness. This energy system policy is aimed at reducing the risks associated with mission success and requires a management-approved readiness plan to be issued. This document is the readiness plan for the RTG materials production tasks.

  15. DOE handbook: Guide to good practices for operational readiness reviews (ORR) team leader`s guide

    SciTech Connect

    1994-09-01

    This guidance section provides instructions, explanations and examples for the performance of all phases of an Operational Readiness Review (ORR). Details pertinent to the Team Leader (TL), Team Members (TM) and Review Coordinator (RC) are outlined. An appendix contains sample forms and correspondence which are typically used to initiate and perform the ORR. Although this document was written specifically for use by DOE ORR Team Leaders, its use may also be beneficial to contractor ORR Team Leaders. The handbook is also useful for Team Leaders of Readiness Assessments conducted in accordance with requirements of DOE O 425.1. Lessons learned, which are promulgated with this handbook, will benefit any line manager, particularly those preparing a facility or process for startup or restart.

  16. Achieving TASAR Operational Readiness

    NASA Technical Reports Server (NTRS)

    Wing, David J.

    2015-01-01

    NASA has been developing and testing the Traffic Aware Strategic Aircrew Requests (TASAR) concept for aircraft operations featuring a NASA-developed cockpit automation tool, the Traffic Aware Planner (TAP), which computes traffic/hazard-compatible route changes to improve flight efficiency. The TAP technology is anticipated to save fuel and flight time and thereby provide immediate and pervasive benefits to the aircraft operator, as well as improving flight schedule compliance, passenger comfort, and pilot and controller workload. Previous work has indicated the potential for significant benefits for TASAR-equipped aircraft, and a flight trial of the TAP software application in the National Airspace System has demonstrated its technical viability. This paper reviews previous and ongoing activities to prepare TASAR for operational use.

  17. Report on the oversight assessment of the operational readiness review of the Replacement Tritium Facility at Savannah River Site

    SciTech Connect

    Lee, B.T.

    1993-03-01

    This report presents the results of an oversight assessment (OA) conducted by the US Department of Energy's (DOE) Office of Environment, Safety and Health (EH) of operational readiness review (ORR) activities for the Replacement Tritium Facility (RTF) located at Savannah River Site (SRS). The EH OA of this facility took place concurrently with an ORR conducted by the DOE Office of Defense Programs (DP). The DP ORR was conducted from January 19 through February 5, 1993. The EH OA was performed in accordance with the protocol and procedures specified in EH Program for Oversight Assessment of Operational Readiness Evaluations for Startups and Restarts,'' dated September 15, 1992. The EH OA Team evaluated the DP ORR to determine whether it was thorough and demonstrated sufficient inquisitiveness to verify that the implementation of programs and procedures adequately ensures the protection of worker safety and health. The EH OA Team performed its evaluation of the DP ORR in the following technical areas: occupational safety, industrial hygiene, and respiratory protection; fire protection; and chemical safety. In the areas of fire protection and chemical safety, the EH OA Team conducted independent vertical-slice reviews to confirm DP ORR results. Within each technical area, the EH OA Team reviewed the DP ORR Plan, including the Criteria Review and Approach Documents (CRADs); the qualifications of individual DP ORR team members; the performance of planned DP ORR activities; and the results of the DP ORR.

  18. Report on the oversight assessment of the operational readiness review of the Replacement Tritium Facility at Savannah River Site

    SciTech Connect

    Lee, B.T.

    1993-03-01

    This report presents the results of an oversight assessment (OA) conducted by the US Department of Energy`s (DOE) Office of Environment, Safety and Health (EH) of operational readiness review (ORR) activities for the Replacement Tritium Facility (RTF) located at Savannah River Site (SRS). The EH OA of this facility took place concurrently with an ORR conducted by the DOE Office of Defense Programs (DP). The DP ORR was conducted from January 19 through February 5, 1993. The EH OA was performed in accordance with the protocol and procedures specified in ``EH Program for Oversight Assessment of Operational Readiness Evaluations for Startups and Restarts,`` dated September 15, 1992. The EH OA Team evaluated the DP ORR to determine whether it was thorough and demonstrated sufficient inquisitiveness to verify that the implementation of programs and procedures adequately ensures the protection of worker safety and health. The EH OA Team performed its evaluation of the DP ORR in the following technical areas: occupational safety, industrial hygiene, and respiratory protection; fire protection; and chemical safety. In the areas of fire protection and chemical safety, the EH OA Team conducted independent vertical-slice reviews to confirm DP ORR results. Within each technical area, the EH OA Team reviewed the DP ORR Plan, including the Criteria Review and Approach Documents (CRADs); the qualifications of individual DP ORR team members; the performance of planned DP ORR activities; and the results of the DP ORR.

  19. Report of the oversight assessment of the operational readiness review of the Rocky Flats Plant, Building 707

    SciTech Connect

    Krupar, J.J. Jr.

    1992-12-18

    This report presents the results of an oversight assessment (OA) conducted by the US Department of Energy`s (DOE) office of Environment, Safety and Health (EH) of the Operational Readiness Review (ORR) activities for the resumption of Building 707 operations at the Rocky Flats Plant (RFP). The EH OA was simultaneously conducted with the Office of Defense Programs (DP) line management ORR, which was conducted from September 21 to October 2, 1992, and November 2 to 13, 1992. The EH OA evaluated the comprehensiveness and effectiveness of the DP ORR. Based on its oversight assessment, the EH OA believes that Building 707 operations may be safely resumed contingent upon satisfactory resolution of all DP ORR findings. The EH OA determined that the DP ORR was conducted in a comprehensive and effective manner and represents an adequate basis for recommending resumption of Building 707 operations. The EH OA was based primarily on an evaluation of the comprehensiveness and effectiveness of the DP ORR and addressed the following areas: Management and Organization, Industrial Safety, Fire Protection, Industrial Hygiene, Conduct of Operations, Maintenance, Quality Assurance, and Training. In a limited number of these areas, the EH OA conducted independent vertical-slice reviews DP ORR results.

  20. Report of the oversight assessment of the operational readiness review of the Rocky Flats Plant, Building 707

    SciTech Connect

    Krupar, J.J. Jr.

    1992-12-18

    This report presents the results of an oversight assessment (OA) conducted by the US Department of Energy's (DOE) office of Environment, Safety and Health (EH) of the Operational Readiness Review (ORR) activities for the resumption of Building 707 operations at the Rocky Flats Plant (RFP). The EH OA was simultaneously conducted with the Office of Defense Programs (DP) line management ORR, which was conducted from September 21 to October 2, 1992, and November 2 to 13, 1992. The EH OA evaluated the comprehensiveness and effectiveness of the DP ORR. Based on its oversight assessment, the EH OA believes that Building 707 operations may be safely resumed contingent upon satisfactory resolution of all DP ORR findings. The EH OA determined that the DP ORR was conducted in a comprehensive and effective manner and represents an adequate basis for recommending resumption of Building 707 operations. The EH OA was based primarily on an evaluation of the comprehensiveness and effectiveness of the DP ORR and addressed the following areas: Management and Organization, Industrial Safety, Fire Protection, Industrial Hygiene, Conduct of Operations, Maintenance, Quality Assurance, and Training. In a limited number of these areas, the EH OA conducted independent vertical-slice reviews DP ORR results.

  1. Acoustics Critical Readiness Review

    NASA Technical Reports Server (NTRS)

    Ballard, Kenny

    2010-01-01

    This presentation reviews the status of the acoustic equipment from the medical operations perspective. Included is information about the acoustic dosimeters, sound level meter, and headphones that are planned for use while on orbit. Finally there is information about on-orbit hearing assessments.

  2. Assuring operational readiness of the National Ignition Facility.

    PubMed

    Brereton, Sandra J; Papp, Frank

    2013-06-01

    National Ignition Facility experiments involve the use of a variety of materials that generate a number of radiological issues. Along with the use of tritium and depleted uranium, shots generating neutrons create prompt radiation fields as well as fission and activation products. In order to assure readiness for these hazards, a series of readiness reviews was conducted as the hazards were introduced. Each step was built upon the previous steps, as well as the basic infrastructure and operating capability of the laser facility. A detailed preparation plan for the introduction of these hazards was developed. This included ensuring required equipment was in place and ready, all plans and procedures were developed, and personnel were trained and qualified to perform work in the environment. The approach for preparing the facility for operations under the new set of conditions, the preparations for the readiness reviews, the review process, as well as the approach to initial operations are discussed.

  3. Disease prediction models and operational readiness.

    PubMed

    Corley, Courtney D; Pullum, Laura L; Hartley, David M; Benedum, Corey; Noonan, Christine; Rabinowitz, Peter M; Lancaster, Mary J

    2014-01-01

    The objective of this manuscript is to present a systematic review of biosurveillance models that operate on select agents and can forecast the occurrence of a disease event. We define a disease event to be a biological event with focus on the One Health paradigm. These events are characterized by evidence of infection and or disease condition. We reviewed models that attempted to predict a disease event, not merely its transmission dynamics and we considered models involving pathogens of concern as determined by the US National Select Agent Registry (as of June 2011). We searched commercial and government databases and harvested Google search results for eligible models, using terms and phrases provided by public health analysts relating to biosurveillance, remote sensing, risk assessments, spatial epidemiology, and ecological niche modeling. After removal of duplications and extraneous material, a core collection of 6,524 items was established, and these publications along with their abstracts are presented in a semantic wiki at http://BioCat.pnnl.gov. As a result, we systematically reviewed 44 papers, and the results are presented in this analysis. We identified 44 models, classified as one or more of the following: event prediction (4), spatial (26), ecological niche (28), diagnostic or clinical (6), spread or response (9), and reviews (3). The model parameters (e.g., etiology, climatic, spatial, cultural) and data sources (e.g., remote sensing, non-governmental organizations, expert opinion, epidemiological) were recorded and reviewed. A component of this review is the identification of verification and validation (V&V) methods applied to each model, if any V&V method was reported. All models were classified as either having undergone Some Verification or Validation method, or No Verification or Validation. We close by outlining an initial set of operational readiness level guidelines for disease prediction models based upon established Technology Readiness

  4. Disease Prediction Models and Operational Readiness

    PubMed Central

    Corley, Courtney D.; Pullum, Laura L.; Hartley, David M.; Benedum, Corey; Noonan, Christine; Rabinowitz, Peter M.; Lancaster, Mary J.

    2014-01-01

    The objective of this manuscript is to present a systematic review of biosurveillance models that operate on select agents and can forecast the occurrence of a disease event. We define a disease event to be a biological event with focus on the One Health paradigm. These events are characterized by evidence of infection and or disease condition. We reviewed models that attempted to predict a disease event, not merely its transmission dynamics and we considered models involving pathogens of concern as determined by the US National Select Agent Registry (as of June 2011). We searched commercial and government databases and harvested Google search results for eligible models, using terms and phrases provided by public health analysts relating to biosurveillance, remote sensing, risk assessments, spatial epidemiology, and ecological niche modeling. After removal of duplications and extraneous material, a core collection of 6,524 items was established, and these publications along with their abstracts are presented in a semantic wiki at http://BioCat.pnnl.gov. As a result, we systematically reviewed 44 papers, and the results are presented in this analysis. We identified 44 models, classified as one or more of the following: event prediction (4), spatial (26), ecological niche (28), diagnostic or clinical (6), spread or response (9), and reviews (3). The model parameters (e.g., etiology, climatic, spatial, cultural) and data sources (e.g., remote sensing, non-governmental organizations, expert opinion, epidemiological) were recorded and reviewed. A component of this review is the identification of verification and validation (V&V) methods applied to each model, if any V&V method was reported. All models were classified as either having undergone Some Verification or Validation method, or No Verification or Validation. We close by outlining an initial set of operational readiness level guidelines for disease prediction models based upon established Technology Readiness

  5. Improving Operational Readiness through Total Quality Management

    DTIC Science & Technology

    1991-06-21

    DTIC AD-A236 611 EL CT F NAVAL WAR COLL GE C Newport, R. I. IMPROVING OPERATIONAL READINESS THROUGH TOTAL QUALITY MANAGEMENT by Herb Westphal Defense...IMPROVING OPERATIONAL READINESS THROUGH TOTAL QUALITY MANAGEMENT (TQM) A Case Study: The Defense Mapping Agency Combat Support Center (DMACSC) initiated a...of the Defense Mapping Agency Combat Support Center’s (DMACSC) Total Quality Management (TQM) improvement methodology. This allows the reader to

  6. Flight Rules Critical Readiness Review

    NASA Technical Reports Server (NTRS)

    Kim, E.; Knudsen, F.; Rice, S.

    2010-01-01

    The increment 23/24 Critical Readiness Review (CRR) flight rules are presented. The topics include: 1) B13-152 Acoustic Constraints; 2) B13-113 IFM/Corrective Action Prioritization Due to Loss of Exercise Capability; 3) B13-116 Constraints on Treadmill VIS Failure; 4) B13-201 Medical Management of ISS Fire/Smoke Response; 5) ARED and T2 Exercise constraints Flight rules (flight and stage specific); 6) FYI: B14 FR to be updated with requirement to sample crew sleep locations prior to receiving a "recommendation" from SRAG on where to sleep.

  7. Report of the oversight assessment of the operational readiness review of the Savannah River Site Defense Waste Processing Facility Cold Chemical Runs

    SciTech Connect

    Lee, B.

    1993-03-01

    This report presents the results of an oversight assessment (OA) conducted by the US Department of Energy's (DOE) Office of Environment, Safety and Health (EH) of the operational readiness review (ORR) activities for the Cold Chemical Runs (CCRs) at the Defense Waste Processing Facility (DWPF) located at Savannah River Site (SRS). The EH OA of this facility took place concurrently with an ORR performed by the DOE Office of Environmental Restoration and Waste Management (EM). The EM ORR was conducted from September 28, 1992, through October 9, 1992, although portions of the EM ORR were extended beyond this period. The EH OA evaluated the comprehensiveness and effectiveness of the EM ORR. The EH OA was designed to ascertain whether the EM ORR was thorough and demonstrated sufficient inquisitiveness to verify that the implementation of programs and procedures is adequate to assure the protection of worker safety and health. The EH OA was carried out in accordance with the protocol and procedures of the EH Program for Oversight Assessment of Operational Readiness Evaluations for Startups and Restarts,'' dated September 15, 1992. Based on its OA and verification of the resolution of EH OA findings, the EH OA Team believes that the startup of the CCRs may be safely begun, pending satisfactory completion and verification of the prestart findings identified by the EM ORR. The EH OA was based primarily on an evaluation of the comprehensiveness and effectiveness of the EM ORR and addressed the following areas: industrial safety, industrial hygiene, and respiratory protection; fire protection; and chemical safety. The EH OA conducted independent vertical-slice'' reviews to confirm EM ORR results in the areas of confined-space entry, respiratory protection, fire protection, and chemical safety.

  8. Report of the oversight assessment of the operational readiness review of the Savannah River Site Defense Waste Processing Facility Cold Chemical Runs

    SciTech Connect

    Lee, B.

    1993-03-01

    This report presents the results of an oversight assessment (OA) conducted by the US Department of Energy`s (DOE) Office of Environment, Safety and Health (EH) of the operational readiness review (ORR) activities for the Cold Chemical Runs (CCRs) at the Defense Waste Processing Facility (DWPF) located at Savannah River Site (SRS). The EH OA of this facility took place concurrently with an ORR performed by the DOE Office of Environmental Restoration and Waste Management (EM). The EM ORR was conducted from September 28, 1992, through October 9, 1992, although portions of the EM ORR were extended beyond this period. The EH OA evaluated the comprehensiveness and effectiveness of the EM ORR. The EH OA was designed to ascertain whether the EM ORR was thorough and demonstrated sufficient inquisitiveness to verify that the implementation of programs and procedures is adequate to assure the protection of worker safety and health. The EH OA was carried out in accordance with the protocol and procedures of the ``EH Program for Oversight Assessment of Operational Readiness Evaluations for Startups and Restarts,`` dated September 15, 1992. Based on its OA and verification of the resolution of EH OA findings, the EH OA Team believes that the startup of the CCRs may be safely begun, pending satisfactory completion and verification of the prestart findings identified by the EM ORR. The EH OA was based primarily on an evaluation of the comprehensiveness and effectiveness of the EM ORR and addressed the following areas: industrial safety, industrial hygiene, and respiratory protection; fire protection; and chemical safety. The EH OA conducted independent ``vertical-slice`` reviews to confirm EM ORR results in the areas of confined-space entry, respiratory protection, fire protection, and chemical safety.

  9. AGR-5/6/7 LEUCO Kernel Fabrication Readiness Review

    SciTech Connect

    Marshall, Douglas W.; Bailey, Kirk W.

    2015-02-01

    In preparation for forming low-enriched uranium carbide/oxide (LEUCO) fuel kernels for the Advanced Gas Reactor (AGR) fuel development and qualification program, Idaho National Laboratory conducted an operational readiness review of the Babcock & Wilcox Nuclear Operations Group – Lynchburg (B&W NOG-L) procedures, processes, and equipment from January 14 – January 16, 2015. The readiness review focused on requirements taken from the American Society Mechanical Engineers (ASME) Nuclear Quality Assurance Standard (NQA-1-2008, 1a-2009), a recent occurrence at the B&W NOG-L facility related to preparation of acid-deficient uranyl nitrate solution (ADUN), and a relook at concerns noted in a previous review. Topic areas open for the review were communicated to B&W NOG-L in advance of the on-site visit to facilitate the collection of objective evidences attesting to the state of readiness.

  10. Review of Roundup Ready Alfalfa

    USDA-ARS?s Scientific Manuscript database

    Roundup Ready (RR) alfalfa is the first forage species commercially released with a genetically modified trait. While not needed by all farmers who grow alfalfa, RR alfalfa may allow some farmers to more effectively establish alfalfa and control certain weed problems. Gene flow potential in alfalf...

  11. 46 CFR 185.700 - Operational readiness.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... working order and ready for immediate use before the vessel leaves port and at all times when the vessel... clear of obstructions that would interfere with the boarding and launching of the survival craft...

  12. UAS NAS IHITL Test Readiness Review (TRR)

    NASA Technical Reports Server (NTRS)

    Murphy, Jim; Brignola, Michael P.; Rorie, Conrad; Santiago, Confesor; Guminsky, Mike; Cross, Ken

    2014-01-01

    Requesting release of IHITL test readiness review (TRR) charts to ensure UAS-NAS project primary stakeholders, the Federal Aviation Administration through the RTCA special committee -228 and the Office of the Secretary of Defense Sense and Avoid Science and Research Panel, are well informed on the IHITL test plan and expected outcomes as they relate to their needs to safely fly UAS in the NAS.

  13. STS-114/Discovery Flight Readiness Review Press Briefing

    NASA Technical Reports Server (NTRS)

    2005-01-01

    This press briefing on Flight Readiness Review (FRR) for the STS-114 Discovery flight is shown. Dean Acosta, Deputy Associate Administrator for Public Affairs, introduces the panel. The panel consist of: Michael Griffin, NASA Administrator, William Readdy, Associate Administrator of Space Operations, Bill Parsons, Space Shuttle Program Manager, and Mike Leinbach, NASA Launch Director. Questions from the media includes the following topics: certification, countdown, ice on the external tank, debris, and safety of the Space Shuttle Discovery.

  14. Operational readiness: an integral part of the facility planning process.

    PubMed

    Kidd, LeeAnne; Howe, Rob

    2014-01-01

    Large capital building projects benefit from an operational readiness strategy prior to new facility occupancy. St. Joseph's Healthcare used a structured approach for their readiness planning that included individual work plan meetings, tools for ensuring integration across programs and services and process improvement support to ensure a smooth transition. Over 1100 staff were oriented using a Train-the-Trainer model. Significant effort was required to co-ordinate the customized training, which involved "staffing up" to ensure sufficient resources for backfill. Operational readiness planning places additional demands on managers, requiring support and assistance from dedicated resources both prior to occupancy and several months post-move.

  15. Disease Prediction Models and Operational Readiness

    SciTech Connect

    Corley, Courtney D.; Pullum, Laura L.; Hartley, David M.; Benedum, Corey M.; Noonan, Christine F.; Rabinowitz, Peter M.; Lancaster, Mary J.

    2014-03-19

    INTRODUCTION: The objective of this manuscript is to present a systematic review of biosurveillance models that operate on select agents and can forecast the occurrence of a disease event. One of the primary goals of this research was to characterize the viability of biosurveillance models to provide operationally relevant information for decision makers to identify areas for future research. Two critical characteristics differentiate this work from other infectious disease modeling reviews. First, we reviewed models that attempted to predict the disease event, not merely its transmission dynamics. Second, we considered models involving pathogens of concern as determined by the US National Select Agent Registry (as of June 2011). Methods: We searched dozens of commercial and government databases and harvested Google search results for eligible models utilizing terms and phrases provided by public health analysts relating to biosurveillance, remote sensing, risk assessments, spatial epidemiology, and ecological niche-modeling, The publication date of search results returned are bound by the dates of coverage of each database and the date in which the search was performed, however all searching was completed by December 31, 2010. This returned 13,767 webpages and 12,152 citations. After de-duplication and removal of extraneous material, a core collection of 6,503 items was established and these publications along with their abstracts are presented in a semantic wiki at http://BioCat.pnnl.gov. Next, PNNL’s IN-SPIRE visual analytics software was used to cross-correlate these publications with the definition for a biosurveillance model resulting in the selection of 54 documents that matched the criteria resulting Ten of these documents, However, dealt purely with disease spread models, inactivation of bacteria, or the modeling of human immune system responses to pathogens rather than predicting disease events. As a result, we systematically reviewed 44 papers and the

  16. Peacekeeper - Guidance system flight readiness review

    NASA Astrophysics Data System (ADS)

    Knight, D. S.; Harrington, E. V.

    The Ballistic Missile Office (BMO) has developed and employed a procedure to insure the flight readiness of a Peacekeeper guidance system. The goals of this additional review procedure (over and above acceptance testing) are to minimize the risk of the guidance system failure and/or achieving substantially less than the designed accuracy. The roles, mission and interaction of teams of personnel from seven associate contractors are discussed using flow diagrams. The paper also includes methods used to identify and resolve areas of concern as well as examples of actual concerns discovered. The scope is discused, including both the various technical disciplines involved and the lowest level of build and test areas reviewed. Resulting build and test improvements are shown.

  17. Portable tritium recovery system (TRS) operational readiness check

    SciTech Connect

    Not Available

    1996-04-01

    The Portable Tritium Recovery System (PTRS) will be used as a standby system to assist in the ongoing tritium decontamination effort. The purpose of the Operational Readiness Check (ORC) is to ensure that the PTRS is consistent with current environmental, safety and health requirements. Basic operation of the system is described. Hazards associated with the PTRS are defined and necessary training is listed. The project manager will verify the evidence of readiness and generate the closure report. A preventive change analysis (PCA) is discussed and a checklist of required activities and organizational responsibility is given.

  18. Generation of Simulated Tracking Data for LADEE Operational Readiness Testing

    NASA Technical Reports Server (NTRS)

    Woodburn, James; Policastri, Lisa; Owens, Brandon

    2015-01-01

    Operational Readiness Tests were an important part of the pre-launch preparation for the LADEE mission. The generation of simulated tracking data to stress the Flight Dynamics System and the Flight Dynamics Team was important for satisfying the testing goal of demonstrating that the software and the team were ready to fly the operational mission. The simulated tracking was generated in a manner to incorporate the effects of errors in the baseline dynamical model, errors in maneuver execution and phenomenology associated with various tracking system based components. The ability of the mission team to overcome these challenges in a realistic flight dynamics scenario indicated that the team and flight dynamics system were ready to fly the LADEE mission. Lunar Atmosphere and Dust Environment.

  19. Readiness and Retention: Effects of Downsizing and Increased Operations Tempo

    DTIC Science & Technology

    1999-04-01

    AU/ACSC/120/1999-04 AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY READINESS AND RETENTION: EFFECTS OF DOWNSIZING AND INCREASED OPERATIONS TEMPO by...1999 2. REPORT TYPE Thesis 3. DATES COVERED (FROM - TO) xx-xx-1999 to xx-xx-1999 4. TITLE AND SUBTITLE Readiness and Retention: Effects of Downsizing ...to reduce defense spending created a period of downsizing . Since 1989 the U.S. Air Force has reduced its force by one-third and experienced 12 years of

  20. Student Online Readiness Assessment Tools: A Systematic Review Approach

    ERIC Educational Resources Information Center

    Farid, Alem

    2014-01-01

    Although there are tools to assess student's readiness in an "online learning context," little is known about the "psychometric" properties of the tools used or not. A systematic review of 5107 published and unpublished papers identified in a literature search on student online readiness assessment tools between 1990 and…

  1. Operational readiness for conducting global health research abroad.

    PubMed

    McDonald, Judy M; Gyorkos, Theresa W

    2016-12-27

    Research excellence is the goal of all researchers. Conducting quality research with the ultimate aim of improving health is a shared goal among researchers in the global health domain. The competencies required for conducting and producing quality research in global health go far beyond the academic or scientific spheres. They incorporate aspects of research partnership, which places humility, empathy, and mutual respect at its core. Conducting quality respectful global health research requires an appropriate balance of operational readiness (i.e., technical, physical, and mental readiness). This paper reports on the pertinence and potential shaping of conceptual work and exploratory research focusing on aspects of mental readiness. These aspects may be perceived to be significant enough to influence success and warrant further investigation in the context of conducting global health research abroad.

  2. SpaceX Readies Operational Flight

    NASA Image and Video Library

    SpaceX is set to launch the first of a dozen operational missions for NASA to deliver more than 1,000 pounds of supplies to the International Space Station on Oct. 7. Launch time is 8:35 p.m. from ...

  3. STS-121: Discovery Post Flight Readiness Review Briefing

    NASA Technical Reports Server (NTRS)

    2006-01-01

    This post Flight Readiness Review (FRR) briefing begins with NASA Press Secretary Dean Acosta, introducing the panel who consist of: NASA Administrator, Dr. Michael Griffin; Associate Administrator for Space Operations, Bill Gerstenmaier; Space Shuttle Program Manager, Wayne Hale; and NASA Launch director, Mike Leinbach. The discussion begins with Dr. Michael Griffin, who expresses his gladness to be a part of the FRR. Bill Gerstenmaier talks about how they were very thorough about the subjects reviewed and that they wanted to make sure that they were ready to fly. He discusses and presents two slides. The first slide is a description of the LO2 intertank and LH2 ice/frost ramps staging location and the second are the top ten LH2 Ice/Frost Ramp Foam Loss events. Wayne Hale gives his thoughts on the human element that came into play during the FRRs. He talks about the willingness of everyone to speak their mind, instead of giving short comments. He expressed that this element is a huge step forward for NASA. Mike Leinbach reports on the processing of the vehicle and expresses that everything is going well and there is nothing to prohibit the launch. He also gives a good report on Atlantis, in case there is a need to use the vehicle. This FRR briefing ends with a short question and answer period from the press on topics such as debris, foam loss, ice/frost ramp redesign, crew risks, and launch date.

  4. CSAF Logistics Review Focused Improvement for EAF Readiness

    DTIC Science & Technology

    2002-04-01

    Logistics Review Focused Improvement For EAF Readiness 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR( S ) 5d. PROJECT NUMBER...AU/ACSC/071/2002-04 AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY CSAF LOGISTICS REVIEW FOCUSED IMPROVEMENT FOR EAF READINESS by Ray A...5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME( S ) AND ADDRESS(ES) Air University Maxwell Air Force Base, Alabama 8

  5. Training Device Operational Readiness Assessment Capability (DORAC): feasibility and Utility

    DTIC Science & Technology

    1981-04-01

    status and skill deficiencies requiring training. Requirements in developing this solution include an examination of the operational unit environments...Behavioral and Social Sciences. The evailability of knowledge regarding current combat readiness of the troops and the existing skill deficiencies is...alternative training devices and other evaluation methods for MI6Al rifle skills is described and the results are presented. With regard to the three

  6. Readiness factors for lean implementation in healthcare settings--a literature review.

    PubMed

    Al-Balushi, S; Sohal, A S; Singh, P J; Al Hajri, A; Al Farsi, Y M; Al Abri, R

    2014-01-01

    The purpose of this paper is to determine the readiness factors that are critical to the application and success of lean operating principles in healthcare organizations through a review of relevant literature. A comprehensive review of literature focussing on lean and lean healthcare was conducted. Leadership, organizational culture, communication, training, measurement, and reward systems are all commonly attributed readiness factors throughout general change management and lean literature. However, directly related to the successful implementation of lean in healthcare is that a setting is able to authorize a decentralized management style and undertake an end-to-end process view. These can be particularly difficult initiatives for complex organizations such as healthcare settings. The readiness factors identified are based on a review of the published literature. The external validity of the findings could be enhanced if tested using an empirical study. The readiness factors identified will enable healthcare practitioners to be better prepared as they begin their lean journeys. Sustainability of the lean initiative will be at stake if these readiness factors are not addressed. To the best of the knowledge, this is the first paper that provides a consolidated list of key lean readiness factors that can guide practice, as well as future theory and empirical research.

  7. Readiness Review of BWXT for Fabrication of AGR-5/6/7 TRISO Particles

    SciTech Connect

    Marshall, Douglas William; Sharp, Michelle Tracy

    2016-02-01

    INL readiness review assessment of BWXT readiness to commence fabrication of low-enriched TRISO coated fuel particles for the AGR-5/6/7 irradiation experiments. BWXT self-identified equipment issues preventing operation. INL identified two findings. The first was that disposition codes had not been assigned and documented on BWXT forms to ensure that off-specification materials could not be used in the fabrication of TRISO particles. The second was that chemical purity specifications were not reliably passed on to chemical suppliers, which resulted in the receipt of one acetylene cylinder with suspect impurity levels.

  8. Readiness Assessment Plan, Hanford 200 areas treated effluent disposal facilities

    SciTech Connect

    Ulmer, F.J.

    1995-02-06

    This Readiness Assessment Plan documents Liquid Effluent Facilities review process used to establish the scope of review, documentation requirements, performance assessment, and plant readiness to begin operation of the Treated Effluent Disposal system in accordance with DOE-RLID-5480.31, Startup and Restart of Facilities Operational Readiness Review and Readiness Assessments.

  9. Evaluation of the Operational Stress Control and Readiness (OSCAR) Program

    PubMed Central

    Vaughan, Christine Anne; Farmer, Carrie M.; Breslau, Joshua; Burnette, Crystal

    2015-01-01

    Abstract The Marine Corps Operational Stress Control and Readiness (OSCAR) program embeds mental health personnel within Marine Corps units and extends their reach by training officers and noncommissioned officers to recognize Marines showing signs of stress and intervene early. RAND Corporation researchers conducted an outcome evaluation of the OSCAR program that included four components: (1) a quasi-experimental study that compared Marines in OSCAR-trained and non–OSCAR-trained battalions on a wide array of stress-related outcomes before and after deployment, (2) a longitudinal pre- and postdeployment survey of perceptions of OSCAR among Marines who attended OSCAR training, (3) focus groups with Marines, and (4) semistructured interviews with commanding officers of battalions that had received OSCAR training. Results indicated that, after the authors adjust for a wide array of baseline characteristics and deployment experiences, Marines in OSCAR-trained battalions were more likely than those in non–OSCAR-trained battalions to report having sought help with stress problems from a peer, leader, or corpsman—behavior that is consistent with OSCAR goals. In addition, Marines considered OSCAR a valuable tool for enhancing combat and operational stress response and recovery efforts in the Marine Corps. However, this evaluation did not find evidence that OSCAR affected the key mental health outcomes it was designed to address. Thus, the results of this evaluation do not support the continuation of OSCAR in its current form. Based on lessons learned about OSCAR from this evaluation, other research, and best practices for program improvement and implementation, recommendations for improving combat and operational stress training in the Marine Corps are offered. PMID:28083390

  10. Evaluation of the Operational Stress Control and Readiness (OSCAR) Program.

    PubMed

    Vaughan, Christine Anne; Farmer, Carrie M; Breslau, Joshua; Burnette, Crystal

    2015-11-30

    The Marine Corps Operational Stress Control and Readiness (OSCAR) program embeds mental health personnel within Marine Corps units and extends their reach by training officers and noncommissioned officers to recognize Marines showing signs of stress and intervene early. RAND Corporation researchers conducted an outcome evaluation of the OSCAR program that included four components: (1) a quasi-experimental study that compared Marines in OSCAR-trained and non-OSCAR-trained battalions on a wide array of stress-related outcomes before and after deployment, (2) a longitudinal pre- and postdeployment survey of perceptions of OSCAR among Marines who attended OSCAR training, (3) focus groups with Marines, and (4) semistructured interviews with commanding officers of battalions that had received OSCAR training. Results indicated that, after the authors adjust for a wide array of baseline characteristics and deployment experiences, Marines in OSCAR-trained battalions were more likely than those in non-OSCAR-trained battalions to report having sought help with stress problems from a peer, leader, or corpsman-behavior that is consistent with OSCAR goals. In addition, Marines considered OSCAR a valuable tool for enhancing combat and operational stress response and recovery efforts in the Marine Corps. However, this evaluation did not find evidence that OSCAR affected the key mental health outcomes it was designed to address. Thus, the results of this evaluation do not support the continuation of OSCAR in its current form. Based on lessons learned about OSCAR from this evaluation, other research, and best practices for program improvement and implementation, recommendations for improving combat and operational stress training in the Marine Corps are offered.

  11. EG&G Florida, Inc., KSC base operations contractor Launch Readiness Assessment System

    NASA Technical Reports Server (NTRS)

    Geaslen, W. D.

    1988-01-01

    A computerized Launch Readiness Assessment System (LRAS) which compares 'current status' of readiness against the 'required status' of readiness for the Space Shuttle. The five subsystems of the LRAS are examined in detail. The LRAS Plan specifies the overall system requirements, procedures, and reports. The LRAS Manager drives the operation of the LRAS system. The Responding Units (RU) maintain support plans and procedures which specify the detail requirements for each mission or milestone. The Master Data Tables contain the milestone, responsible RU relationships, and requirements assessment categories. The LRAS Status System serves as the launch readiness assessment reporting system. The relationships between these subsystems are displayed in diagrams.

  12. Integrative Literature Review: Ascertaining Discharge Readiness for Pediatrics After Anesthesia.

    PubMed

    Whitley, Deborah R

    2016-02-01

    Unplanned hospital readmissions after the administration of general anesthesia for ambulatory procedures may contribute to loss of reimbursement and assessment of financial penalties. Pediatric patients represent a unique anesthetic risk. The purpose of this integrative literature review was to ascertain specific criteria used to evaluate discharge readiness for pediatric patients after anesthesia. This study is an integrative review of literature. An integrative literature search was conducted and included literature sources dated January 2008 to November 2013. Key words included pediatric, anesthesia, discharge, criteria, standards, assessment, recovery, postoperative, postanesthesia, scale, score, outpatient, and ambulatory. Eleven literature sources that contributed significantly to the research question were identified. Levels of evidence included three systematic reviews, one randomized controlled trial, three cohort studies, two case series, and two expert opinions. This integrative literature review revealed evidence-based discharge criteria endorsing home readiness for postanesthesia pediatric patients should incorporate consideration for physiological baselines, professional judgment with regard to infant consciousness, and professional practice standards/guidelines. Additionally, identifying and ensuring discharge to a competent adult was considered imperative. Nurses should be aware that frequently used anesthesia scoring systems originated in the 1970s, and this review was unable to locate current literature examining the reliability and validity of their use in conjunction with modern anesthesia-related health care practices. Copyright © 2016 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

  13. Cluster ready to begin the scientific commissioning and operation phase

    NASA Astrophysics Data System (ADS)

    2000-08-01

    The final activity ushering in the new phase of the existence of Cluster was performed last week, with the successful deployment of the antenna and experiment booms, three altogether on each spacecraft. This was done through careful manoeuvring, under the control of the ESOC operations team in Darmstadt. Over the next few months all scientific instruments onboard the spacecraft will be gradually brought to life. The same instrument on each spacecraft will be switched on, one after another. Over a period of three months the instruments will undergo a series of health and calibration checks. By early December all 44 instruments on the four spacecraft will be operational and ready to start the scientific mission. The four Cluster spacecraft were launched in two pairs from the Baikonur cosmodrome in Kazakhstan - Salsa and Samba on 16 July and Rumba and Tango on 9 August. Their current highly elliptical orbits vary from 17.200 km at perigee to 120.600 km at apogee. By making simultaneous measurements in a tetrahedral formation, the Cluster quartet will be able to make the most detailed three-dimensional study yet of the Sun-Earth connection and of the changes and processes taking place in near-Earth space. For the first time ever in space history, four identical spacecraft are operated simultaneously in orbit, opening new horizons for future multi-spacecraft missions. The Cluster project involves more than 70 laboratories and over 250 scientists from many countries, including Europe, the United States, Russia, China, Japan, India, Israel, Hungary, Poland and the Czech Republic. Cluster II is part of an international programme to investigate how the Sun and Earth interact. The four satellites will join an armada of spacecraft from many countries (including ESA's SOHO satellite) which are already studying the Sun and the high-speed wind of charged particles - mainly electrons and protons - which it continually blasts into space. For regular updates on the Cluster mission

  14. Review of Terahertz Technology Readiness Assessment and Applications

    NASA Astrophysics Data System (ADS)

    Redo-Sanchez, Albert; Laman, Norman; Schulkin, Brian; Tongue, Thomas

    2013-09-01

    Technological progress in Terahertz (THz) instrumentation in recent years has produced commercial THz systems with excellent performance, smaller footprint, easier to use operation and more reliable than their homemade laboratory predecessors. Form factor, weight, and data rate are, perhaps, the parameters that have shown the highest improvements in recent years. These parameters also have a major impact on practical application outside the laboratory environment. However, gaps still exists between proof of concepts demonstrated in the laboratory and application requirements in a real environment. The readiness of a technology can be assessed using the Technology Readiness Level (TRL) criterion, which considers nine readiness levels starting from basic concepts at TRL=1 up to full deployment at TRL=9. Applications of THz technology in spectroscopic characterization score high in TRL (7-9) because most of the progress of THz technology has been mainly focused in developing THz instrumentation for spectroscopy. Applications of THz for non-destructive evaluation applications score lower (TRL 5-6) due to higher requirements in terms of performance, especially data rate and form factor in imaging applications. Applications in the medical field have been studied with promising results but they are still in early stages of development, thus, TRL is low (1-4). The progress in THz technology is generating systems with better performance (faster acquisition rates, higher signal-to-noise ratio, bandwidth), broader availability of form factors and configurations, and tighter integration with particular applications. This progress will reduce the gap between the capabilities of the technology and the high-demanding requirements of applications in environments such as quality control and in-line production control in the manufacturing industry.

  15. View of signing of ASTP joint flight readiness review

    NASA Technical Reports Server (NTRS)

    1975-01-01

    An overall view of the signing of the Apollo Soyuz Test Project (ASTP) joint flight readiness review in ceremonies on May 22, 1975 in Moscow. Academician Vladimir A. Kotelnikov (on left) and NASA Deputy Administrator George M. Low (in center) are seen affixing their signatures to the ASTP document. Kotelnikov is the Acting President of the USSR Academy of Sciences. Seated at far left is Professor Konstantin D. Bushuyev, the Soviet Technical Director of ASTP. Dr. Glynn S. Lunney, the U.S. Technical Director of ASTP, is seated on Dr. Low's left. Arnold W. Frutkin (in light jacket), NASA Administrator for International Affairs, is standing behind Dr. Low. Academician Boris N. Petrov (in dark suit), Chairman of the USSR Council for International Cooperation in the Exploration and Use of Outer Space, is standing behind Kotelnikov. The signing of the agreement took place at the Presidium of the Academy of Sciences in Moscow.

  16. View of signing of ASTP joint flight readiness review

    NASA Image and Video Library

    1975-05-22

    S75-27346 (22 May 1975) --- An overall view of the signing of the Apollo-Soyuz Test Project joint flight readiness review in ceremonies on May 22, 1975 in Moscow. Academician Vladimir A. Kotelnikov (on left) and NASA Deputy Administrator George M. Low (in center) are seen affixing their signatures to the ASTP document. Kotelnikov is the Acting President of the USSR Academy of Sciences. Seated at far left is Professor Konstantin D. Bushuyev, the Soviet Technical Director of ASTP. Dr. Glynn S. Lunney, the U.S. Technical Director of ASTP, is seated on Dr. Low?s left. Arnold W. Frutkin (in light jacket), NASA Assistant Administrator for International Affairs, is standing behind Dr. Low. Academician Boris N. Petrov (in dark suit), Chairman of the USSR Council for International Cooperation in the Exploration and Use of Outer Space, is standing behind Kotelnikov. The signing of the agreement took place at the Presidium of the Academy of Sciences in Moscow.

  17. Getting ready for user involvement in a systematic review.

    PubMed

    Smith, Elizabeth; Donovan, Sheila; Beresford, Peter; Manthorpe, Jill; Brearley, Sally; Sitzia, John; Ross, Fiona

    2009-06-01

    This paper aims to support the critical development of user involvement in systematic reviews by explaining some of the theoretical, ethical and practical issues entailed in 'getting ready' for user involvement. Relatively few health or social care systematic reviews have actively involved service users. Evidence from other research contexts shows that user involvement can have benefits in terms of improved quality and outcomes, hence there is a need to test out different approaches in order to realize the benefits of user involvement and gain a greater understanding of any negative outcomes. Setting up a service-user reference group for a review of user involvement in nursing, midwifery and health visiting research involved conceptualizing user involvement, developing a representation framework, identifying and targeting service users and creating a sense of mutuality and reciprocity. Recruitment was undertaken across England by two researchers. Members from 24 national consumer organizations were selected to participate in the review. Learning was gained about finding ways of navigating consumer networks and organizations, how best to communicate our goals and intentions and how to manage selection and 'rejection' in circumstances where we had stimulated enthusiasm. Involving service users helped us to access information, locate the findings in issues that are important to service users and to disseminate findings. User involvement is about relationships in social contexts: decisions made at the early conceptual level of research design affect service users and researchers in complex and personal ways.

  18. 46 CFR 199.190 - Operational readiness, maintenance, and inspection of lifesaving equipment.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... integrated test circuit and output indicator to determine that it is operative. (f) Annual inspections... 46 Shipping 7 2013-10-01 2013-10-01 false Operational readiness, maintenance, and inspection of lifesaving equipment. 199.190 Section 199.190 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY...

  19. 46 CFR 199.190 - Operational readiness, maintenance, and inspection of lifesaving equipment.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... integrated test circuit and output indicator to determine that it is operative. (f) Annual inspections... 46 Shipping 7 2014-10-01 2014-10-01 false Operational readiness, maintenance, and inspection of lifesaving equipment. 199.190 Section 199.190 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY...

  20. 46 CFR 199.190 - Operational readiness, maintenance, and inspection of lifesaving equipment.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... integrated test circuit and output indicator to determine that it is operative. (f) Annual inspections... 46 Shipping 7 2012-10-01 2012-10-01 false Operational readiness, maintenance, and inspection of lifesaving equipment. 199.190 Section 199.190 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY...

  1. Operational readiness for the Atmospheric Infrared Sounder (AIRS) on the earth observing system aqua spacecraft

    NASA Technical Reports Server (NTRS)

    Pagano, T.; Aumann, H.; Chahine, M.; Karnik, A.; Goodson, G.; Schindler, R.; Elliot, D. A.; Hofstadter, M.

    2001-01-01

    This paper describes the AIRS science objectives, the instrument design and operation, the in-flight operational scenario, and the calibration plan. All aspects of the program are addressed here to demonstrate that the AIRS program is ready to transition to the flight segment of the program.

  2. What would research-oriented ionosphere models require to get ready for transition to operation?

    NASA Astrophysics Data System (ADS)

    Maruyama, N.; Richards, P. G.; Sun, Y.; Mayer, L.; Fang, T.; Fuller-Rowell, T. J.; Fedrizzi, M.; Codrescu, M.; Richmond, A. D.; Maute, A. I.

    2013-05-01

    First principle models of the terrestrial ionosphere and thermosphere have been used for basic research for about four decades, but are they ready for forecast and transition to operation? The current capabilities and limitations of the research oriented models of the ionosphere and thermosphere are briefly reviewed with a special focus on how to improve space weather forecasts. A new Ionosphere-Plasmasphere-Electrodynamics (IPE) model has been developed at NOAA SWPC, in an effort to bridge the gap between research-oriented models and operational models. It consists of a physics based model of the ionosphere and plasmasphere based on the Field Line Interhemispheric Plasma (FLIP) model [Richards et al] that has been used for basic research for many years. The International Geomagnetic Reference Field (IGRF) has been implemented, in order to improve the prediction accuracy. Furthermore, the global ionospheric potential is solved self-consistently on the same grid as the Ionosphere-Plasmasphere model. In this presentation, the forecasting capability of the IPE model is addressed regarding the ionospheric responses to forcing from terrestrial weather and solar-wind-magnetosphere interaction.

  3. Operation Occupation: A College and Career Readiness Intervention for Elementary Students

    ERIC Educational Resources Information Center

    Mariani, Melissa; Berger, Carolyn; Koerner, Kathleen; Sandlin, Cassie

    2017-01-01

    This article describes efforts undertaken to design, deliver, and evaluate a college and career readiness (CCR) unit for fifth-grade students. Preliminary findings from the school counselor-developed and -delivered intervention, Operation Occupation, supported interdisciplinary efforts between counselors and classroom teachers. Pre- and…

  4. 46 CFR 28.140 - Operational readiness, maintenance, and inspection of lifesaving equipment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Operational readiness, maintenance, and inspection of lifesaving equipment. 28.140 Section 28.140 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY UNINSPECTED VESSELS REQUIREMENTS FOR COMMERCIAL FISHING INDUSTRY VESSELS Requirements for All Vessels § 28.140...

  5. 46 CFR 109.301 - Operational readiness, maintenance, and inspection of lifesaving equipment.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... inflatable liferaft, must be tested monthly. The EPIRB must be tested using the integrated test circuit and... 46 Shipping 4 2012-10-01 2012-10-01 false Operational readiness, maintenance, and inspection of lifesaving equipment. 109.301 Section 109.301 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY...

  6. 46 CFR 109.301 - Operational readiness, maintenance, and inspection of lifesaving equipment.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... inflatable liferaft, must be tested monthly. The EPIRB must be tested using the integrated test circuit and... 46 Shipping 4 2014-10-01 2014-10-01 false Operational readiness, maintenance, and inspection of lifesaving equipment. 109.301 Section 109.301 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY...

  7. 46 CFR 109.301 - Operational readiness, maintenance, and inspection of lifesaving equipment.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... inflatable liferaft, must be tested monthly. The EPIRB must be tested using the integrated test circuit and... 46 Shipping 4 2013-10-01 2013-10-01 false Operational readiness, maintenance, and inspection of lifesaving equipment. 109.301 Section 109.301 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY...

  8. 46 CFR 28.140 - Operational readiness, maintenance, and inspection of lifesaving equipment.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 1 2011-10-01 2011-10-01 false Operational readiness, maintenance, and inspection of... maintained and inspected in accordance with: (1) Table 28.140 in this section; (2) The servicing procedure... Maintenance and Inspection of Lifesaving Equipment Item Interval Monthly Annually Regulation (1) Inflatable...

  9. 46 CFR 28.140 - Operational readiness, maintenance, and inspection of lifesaving equipment.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 1 2012-10-01 2012-10-01 false Operational readiness, maintenance, and inspection of... maintained and inspected in accordance with: (1) Table 28.140 in this section; (2) The servicing procedure... Maintenance and Inspection of Lifesaving Equipment Item Interval Monthly Annually Regulation (1) Inflatable...

  10. Special Operations Forces--Responsive, Capable, and Ready

    DTIC Science & Technology

    1990-05-01

    Operations Command (JSoC) was organized in 1991. Comprised Of Delta Force, SEAL Team 6, and air elements from the 160th Aviation Group and 23rd Air Force...general officers with expertise and experience in the special operations field. (4:23) To provide the organization with th.e required command and...as well as the National Security Council staff. The responsibilities of and interrelationships between these levels of organization are critical to

  11. Operational Reserve: National Guard Readiness when Current Conflicts End

    DTIC Science & Technology

    2010-03-01

    Education of the Middle State Association of Colleges and Schools, 3624 Market Street, Philadelphia, PA 19104, (215) 662-5606. The Commission on...U.S. Army War College is accredited by the Commission on Higher Education of the Middle States Association of Colleges and Schools, 3624 Market ...have sufficient forces to handle demand , thus requiring less operational capability from the National Guard. With the expected “peace dividend

  12. Evaluating Operational Readiness For Fixed-Wing Tactical Aviation Units

    DTIC Science & Technology

    2007-11-02

    3LtCol R. Scott Pomarico, MCAS, Cherry Point, NC, numerous interviews by author, telephone conversations...FDP&E in Support of MAGTF Operations (Coordinating Draft). Quantico, VA: MSTP, January 2002. Philips, Gary, E. Damm, T. Bowditch , A Jareb, and R...to April 2003. Pomarico, R. Scott , Lieutenant Colonel, MAG-14 Executive Officer, former AV-8B squadron commander, and former Air Force exchange pilot

  13. Neutron tube disassembly glovebox operational readiness check. Revision A

    SciTech Connect

    Not Available

    1994-04-01

    The neutron tube disassembly glove box was designed and constructed at Martin Marietta Specialty Components, Inc. It is intended to replace the non-enclosed tube disassembly operation. A primary concern is the containment of tritium-laden particulate matter generated during the disassembly of neutron tubes and preparation of other tritium loaded samples. The goal of this project is to minimize the spread of tritium-laden contamination to the tube disassembly worker and the environment.

  14. Optical turbulence forecast: ready for an operational application

    NASA Astrophysics Data System (ADS)

    Masciadri, E.; Lascaux, F.; Turchi, A.; Fini, L.

    2017-04-01

    One of the main goals of the feasibility study MOSE (MOdelling ESO Sites) is to evaluate the performances of a method conceived to forecast the optical turbulence (OT) above the European Southern Observatory (ESO) sites of the Very Large Telescope (VLT) and the European Extremely Large Telescope (E-ELT) in Chile. The method implied the use of a dedicated code conceived for the OT called ASTRO-MESO-NH. In this paper, we present results we obtained at conclusion of this project concerning the performances of this method in forecasting the most relevant parameters related to the OT (CN^2, seeing ε, isoplanatic angle θ0 and wavefront coherence time τ0). Numerical predictions related to a very rich statistical sample of nights uniformly distributed along a solar year and belonging to different years have been compared to observations, and different statistical operators have been analysed such as the classical bias, root-mean-squared error, σ and more sophisticated statistical operators derived by the contingency tables that are able to quantify the score of success of a predictive method such as the percentage of correct detection (PC) and the probability to detect a parameter within a specific range of values (POD). The main conclusions of the study tell us that the ASTRO-MESO-NH model provides performances that are already very good to definitely guarantee a not negligible positive impact on the service mode of top-class telescopes and ELTs. A demonstrator for an automatic and operational version of the ASTRO-MESO-NH model will be soon implemented on the sites of VLT and E-ELT.

  15. Measures of readiness for cognitive behavioural therapy in people with intellectual disability: A systematic review.

    PubMed

    Stott, Joshua; Charlesworth, Georgina; Scior, Katrina

    2017-01-01

    Cognitive behavioural therapy (CBT) is a promising treatment for mental health problems in people with intellectual disabilities but some may not be suited or ready. This review critically evaluates the quality and utility of measures of CBT readiness in people with intellectual disabilities. Twelve studies of six measures based on three aspects of CBT readiness were identified through systematic review. Across measures, measurement quality was largely poor or un-assessed. Only one study evaluated measurement change over the course of CBT. Not all participants with intellectual disabilities could 'pass' readiness measures and performance may be affected by levels of language and cognitive functioning. There was some evidence that CBT readiness is trainable with brief interventions. Before using readiness measures in a clinical context, further work is needed to extend initial evidence on recognising cognitive mediation as a CBT readiness ability. Given the lack of consensus as to the definition of CBT readiness and the heterogeneity of CBT interventions, future research could also focus on developing readiness measures using a bottom up approach, developing measures within the context of CBT interventions themselves, before further refining and establishing their psychometric properties. This paper is the first to systematically review measures of skills thought necessary to be ready for cognitive behavioural therapy in intellectual disabilities. The findings suggest that while readiness skills may be trainable with brief interventions, the available measures of these skills have not been fully evaluated for quality. Levels of functioning on these measures have yet to be established relative to those without intellectual disabilities and critically, there is very little evidence as to whether these skills are important in cognitive behavioural therapy process and outcome. We suggest that future research could focus on those constructs where there is preliminary

  16. Simulation for Operational Readiness in a New Freestanding Emergency Department

    PubMed Central

    Kerner, Robert L.; Gallo, Kathleen; Cassara, Michael; D'Angelo, John; Egan, Anthony; Simmons, John Galbraith

    2016-01-01

    Summary Statement Simulation in multiple contexts over the course of a 10-week period served as a core learning strategy to orient experienced clinicians before opening a large new urban freestanding emergency department. To ensure technical and procedural skills of all team members, who would provide care without on-site recourse to specialty backup, we designed a comprehensive interprofessional curriculum to verify and regularize a wide range of competencies and best practices for all clinicians. Formulated under the rubric of systems integration, simulation activities aimed to instill a shared culture of patient safety among the entire cohort of 43 experienced emergency physicians, physician assistants, nurses, and patient technicians, most newly hired to the health system, who had never before worked together. Methods throughout the preoperational term included predominantly hands-on skills review, high-fidelity simulation, and simulation with standardized patients. We also used simulation during instruction in disaster preparedness, sexual assault forensics, and community outreach. Our program culminated with 2 days of in-situ simulation deployed in simultaneous and overlapping timeframes to challenge system response capabilities, resilience, and flexibility; this work revealed latent safety threats, lapses in communication, issues of intake procedure and patient flow, and the persistence of inapt or inapplicable mental models in responding to clinical emergencies. PMID:27607095

  17. EMSL 2008 Operational Review

    SciTech Connect

    Campbell, Allison A.

    2008-08-12

    The William R. Wiley Environmental Molecular Sciences Laboratory (EMSL) is a national user facility that contains state-of-the-art instrumentation and expert resources available for use by researchers from academia, industry, and the national laboratory system. The facility is supported by the U.S. Department of Energy’s (DOE) Biological and Environmental Research Program, but the research conducted within the facility benefits many funding agencies, including other branches of DOE, the National Institutes of Health, the National Science Foundation, and the Department of Defense. EMSL requires the continued funding and support of its stakeholders and clients to continue to grow its mission, build its reputation as a sought-after national user facility with cutting-edge capabilities, and attract high-profile users who will work to solve the most critical scientific challenges that affect DOE and the nation. In this vein, this document has been compiled to provide these stakeholders and clients with a review document that provides an abundance of information on EMSL’s history, current research activities, and proposed future direction.

  18. 43 CFR 404.48 - What process will Reclamation follow to determine if a feasibility study is ready for review?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... determine if a feasibility study is ready for review? 404.48 Section 404.48 Public Lands: Interior... SUPPLY PROGRAM Feasibility Studies § 404.48 What process will Reclamation follow to determine if a feasibility study is ready for review? (a) Reclamation will evaluate whether the feasibility study...

  19. Assessing Grant Capacity and Readiness: A Systematic Review of the Periodical Literature of Research Administration

    ERIC Educational Resources Information Center

    Preuss, Michael

    2015-01-01

    The author knew of no formalized system for appraising grant capacity and readiness so, in an effort to understand the current state of knowledge regarding assessment of these institutional factors, conducted a systematic review of the research administration literature. Every article published from 1982 through 2013 by five major journals in the…

  20. Results of readiness review for start of Title II Design of ESF in salt

    SciTech Connect

    Not Available

    1986-04-15

    The Readiness Review Board recommends that the ESF Title II Design be initiated after approval of revised Functional Design Criteria for Title II design. This review was conducted assuming a Deaf Smith location for ESF. Seventy-four open items and eight technical holds were identified during the Readiness Review that must be addressed and resolved to ensure successful completion of the ESF Title II Design. These items include definition and approval of surface based, EDH, and subsurface testing requirements; development of an approved OCRWM/SRPO licensing position for the ESF; and acquisition and availability of site-specific confirmatory data. A Risk Assessment should be conducted to define corrective action data and technical, cost and schedule impacts and associated program risks of continuation of Title II design activities beyond those dates.

  1. Increment 23/24 Critical Readiness Review Health Maintenance System

    NASA Technical Reports Server (NTRS)

    Nieschwitz, Linda

    2010-01-01

    This slide presentation reviews the Health Maintenance System. It includes information on the carbon dioxide (CO2) and moisture removal system (CMRS), the variable oxygen system,rendevous station panels, and the crew contamination protection kit (CCPK).

  2. Application of signature analysis for determining the operational readiness of motor-operated valves under blowdown test conditions

    SciTech Connect

    Haynes, H.D.

    1988-01-01

    In support of the NRC-funded Nuclear Plant Aging Research (NPAR) program, Oak Ridge National Laboratory (ORNL) has carried out a comprehensive aging assessment of Motor-Operated Valves (MOVs). As part of this work, ORNL participated in the Gate Valve Flow Interruption Blowdown (GVFIB) tests carried out in Huntsville, Alabama. The GVFIB tests were intended primarily to determine the behavior of motor-operated gate valves under the temperature, pressure, and flow conditions expected to be experienced by isolation valves in Boiling Water Reactors (BWRs) during a high energy line break (blowdown) outside of containment. In addition, the tests provided an excellent opportunity to evaluate signature analysis methods for determining the operational readiness of the MOVs under those accident conditions. ORNL acquired motor current and torque switch shaft angular position data on two test MOVs during various times of the GVFIB tests. The reduction in operating ''margin'' of both MOVs due to the presence of additional valve running loads imposed by high flow was clearly observed in motor current and torque switch angular position signatures. In addition, the effects of differential pressure, fluid temperature, and line voltage on MOV operations were observed and more clearly understood as a result of utilizing signature analysis techniques. 1 ref.; 16 figs.

  3. Critical Readiness Review EHS Water Quality and Microbiology

    NASA Technical Reports Server (NTRS)

    Woo, Cindy

    2010-01-01

    Presentation reviews the status in reference to the Environmental, Health and Safety (EHS) of the water quality and microbiology for the International Space Station. It includes information about crew training, hardware delivery, and those items that will be returned for study.

  4. Getting ready for user involvement in a systematic review

    PubMed Central

    Smith, Elizabeth; Donovan, Sheila; Beresford, Peter; Manthorpe, Jill; Brearley, Sally; Sitzia, John; Ross, Fiona

    2009-01-01

    Abstract Objective  This paper aims to support the critical development of user involvement in systematic reviews by explaining some of the theoretical, ethical and practical issues entailed in ‘getting ready’ for user involvement. Background  Relatively few health or social care systematic reviews have actively involved service users. Evidence from other research contexts shows that user involvement can have benefits in terms of improved quality and outcomes, hence there is a need to test out different approaches in order to realize the benefits of user involvement and gain a greater understanding of any negative outcomes. Design  Setting up a service‐user reference group for a review of user involvement in nursing, midwifery and health visiting research involved conceptualizing user involvement, developing a representation framework, identifying and targeting service users and creating a sense of mutuality and reciprocity. Setting and participants  Recruitment was undertaken across England by two researchers. Members from 24 national consumer organizations were selected to participate in the review. Main variables studied  Learning was gained about finding ways of navigating consumer networks and organizations, how best to communicate our goals and intentions and how to manage selection and ‘rejection’ in circumstances where we had stimulated enthusiasm. Results and conclusions  Involving service users helped us to access information, locate the findings in issues that are important to service users and to disseminate findings. User involvement is about relationships in social contexts: decisions made at the early conceptual level of research design affect service users and researchers in complex and personal ways. PMID:19236632

  5. Organizational readiness for knowledge translation in chronic care: a review of theoretical components.

    PubMed

    Attieh, Randa; Gagnon, Marie-Pierre; Estabrooks, Carole A; Légaré, France; Ouimet, Mathieu; Roch, Geneviève; Ghandour, El Kebir; Grimshaw, Jeremy

    2013-11-28

    With the persistent gaps between research and practice in healthcare systems, knowledge translation (KT) has gained significance and importance. Also, in most industrialized countries, there is an increasing emphasis on managing chronic health conditions with the best available evidence. Yet, organizations aiming to improve chronic care (CC) require an adequate level of organizational readiness (OR) for KT. The purpose of this study is to review and synthesize the existing evidence on conceptual models/frameworks of Organizational Readiness for Change (ORC) in healthcare as the basis for the development of a comprehensive framework of OR for KT in the context of CC. We conducted a systematic review of the literature on OR for KT in CC using Pubmed, Embase, CINAHL, PsychINFO, Web of Sciences (SCI and SSCI), and others. Search terms included readiness; commitment and change; preparedness; willing to change; organization and administration; and health and social services. The search was limited to studies that had been published between the starting date of each bibliographic database (e.g., 1964 for PubMed) and November 1, 2012. Only papers that refer to a theory, a theoretical component from any framework or model on OR that were applicable to the healthcare domain were considered. We analyzed data using conceptual mapping. Pairs of authors independently screened the published literature by reviewing their titles and abstracts. Then, the two same reviewers appraised the full text of each study independently. Overall, we found and synthesized 10 theories, theoretical models and conceptual frameworks relevant to ORC in healthcare described in 38 publications. We identified five core concepts, namely organizational dynamics, change process, innovation readiness, institutional readiness, and personal readiness. We extracted 17 dimensions and 59 sub-dimensions related to these 5 concepts. Our findings provide a useful overview for researchers interested in ORC and aims

  6. Organizational readiness for knowledge translation in chronic care: a review of theoretical components

    PubMed Central

    2013-01-01

    Background With the persistent gaps between research and practice in healthcare systems, knowledge translation (KT) has gained significance and importance. Also, in most industrialized countries, there is an increasing emphasis on managing chronic health conditions with the best available evidence. Yet, organizations aiming to improve chronic care (CC) require an adequate level of organizational readiness (OR) for KT. Objectives: The purpose of this study is to review and synthesize the existing evidence on conceptual models/frameworks of Organizational Readiness for Change (ORC) in healthcare as the basis for the development of a comprehensive framework of OR for KT in the context of CC. Data sources We conducted a systematic review of the literature on OR for KT in CC using Pubmed, Embase, CINAHL, PsychINFO, Web of Sciences (SCI and SSCI), and others. Search terms included readiness; commitment and change; preparedness; willing to change; organization and administration; and health and social services. Study selection: The search was limited to studies that had been published between the starting date of each bibliographic database (e.g., 1964 for PubMed) and November 1, 2012. Only papers that refer to a theory, a theoretical component from any framework or model on OR that were applicable to the healthcare domain were considered. We analyzed data using conceptual mapping. Data extraction: Pairs of authors independently screened the published literature by reviewing their titles and abstracts. Then, the two same reviewers appraised the full text of each study independently. Results Overall, we found and synthesized 10 theories, theoretical models and conceptual frameworks relevant to ORC in healthcare described in 38 publications. We identified five core concepts, namely organizational dynamics, change process, innovation readiness, institutional readiness, and personal readiness. We extracted 17 dimensions and 59 sub-dimensions related to these 5 concepts

  7. Motor current signature analysis for determining operational readiness of Motor-Operated Valves (MOVs)

    NASA Astrophysics Data System (ADS)

    Kryter, R. C.; Haynes, H. D.

    Motor current signature analysis (MCSA) is a novel diagnostic process for condition monitoring of electric-motor-driven mechanical equipment (e.g., pumps, motor-operated valves, compressors, and processing machinery). The MCSA process identifies, characterizes, and trends over time the instantaneous load variations of mechanical equipment in order to diagnose changes in the condition of the equipment (e.g., due to degradation or service wear), which, if allowed to continue, may lead to failure. It monitors the instantaneous variations (noise content) in the electric current flowing through the power leads to the electric motor that drives the equipment. The motor itself thereby acts as a transducer, sensing both large and small, long-term and rapid, mechanical load variations and converting them to variations in the induced current generated in the motor windings. This motor current noise signature is detected, amplified, and further processed as needed to examine its time domain and frequency domain (spectral) characteristics. The operational principles of MCSA and the nonintrusive data collection apparatus and procedure used with MOVs will be described. Data collected from MOVs in both laboratory and in-plant environments will also be shown to illustrate the ability of MCSA to see the detailed inner workings of the valve and operator and thus to detect degraded performance at an incipient stage.

  8. Motor current signature analysis for determining operational readiness of motor-operated valves (MOVs)

    SciTech Connect

    Kryter, R.C.; Haynes, H.D.

    1987-01-01

    Motor current signature analysis (MCSA) is a novel diagnostic process for condition monitoring of electric-motor-driven mechanical equipment (e.g., pumps, motor-operated valves, compressors, and processing machinery). The MCSA process identifies, characterizes, and trends over time the instantaneous load variations of mechanical equipment in order to diagnose changes in the condition of the equipment (e.g., due to degradation or service wear), which, if allowed to continue, may lead to failure. It monitors the instantaneous variations (noise content) in the electric current flowing through the power leads to the electric motor that drives the equipment. The motor itself thereby acts as a transducer, sensing both large and small, long-term and rapid, mechanical load variations and converting them to variations in the induced current generated in the motor windings. This motor current noise signature is detected, amplified, and further processed as needed to examine its time domain and frequency domain (spectral) characteristics. The operational principles of MCSA and the nonintrusive data collection apparatus and procedure used with MOVs will be described. Data collected from MOVs in both laboratory and in-plant environments will also be shown to illustrate the ability of MCSA to ''see'' the detailed inner workings of the valve and operator and thus to detect degraded performance at an incipient stage. (Set of 18 vugraphs)

  9. A systematic review and qualitative synthesis of adolescents' views of sexual readiness.

    PubMed

    Templeton, Michelle; Lohan, Maria; Kelly, Carmel; Lundy, Laura

    2017-06-01

    The aim of this study was to synthesize the qualitative evidence investigating adolescents' views on heterosexual readiness. Adolescents' understandings of sexual readiness are often missing in research and debates on sexual health and related concepts like sexual consent. Research to date has predominantly focussed on age and socio-cultural predictors of sexual debut, thus failing to explain how adolescents themselves conceptualize their readiness for heterosexual relations. A systematic review and thematic synthesis of qualitative evidence. CINAHL, Psychinfo, PubMed, Web of science were searched, 1985-Feb 2016. Critical Appraisal Skills Programme checklist was used to assess methodological quality. A thematic synthesis focused on commonalities and variations in the data from included studies on adolescents' perspectives of their readiness for sex. Sixteen studies were included. Themes identified were: social learning, relationships and implications for sexual health promotion and practice. Adolescents may not view initiating sex as problematic, focusing instead on the rewards sex brings and less on health concerns. Adolescents tend to reproduce dominant gender norms of masculinity and femininity in communication about sexual decision-making, which are sometimes influenced by social scripts of career aspirations and ethnic identity. Age was also significant in adolescents' accounts. Early adolescence is a critical period when understandings of gender equality become embedded, thus an opportunity to engage adolescents in critiquing ideas about gender equality and sexual rights. Further research exploring adolescents' understandings of sexual readiness is required. We recommend a participatory approach to support the inclusion of adolescent voices to inform contextually relevant sexual health promotion strategies. © 2016 John Wiley & Sons Ltd.

  10. Cognitive Readiness Assessment and Reporting: An Open Source Mobile Framework for Operational Decision Support and Performance Improvement

    ERIC Educational Resources Information Center

    Heric, Matthew; Carter, Jenn

    2011-01-01

    Cognitive readiness (CR) and performance for operational time-critical environments are continuing points of focus for military and academic communities. In response to this need, we designed an open source interactive CR assessment application as a highly adaptive and efficient open source testing administration and analysis tool. It is capable…

  11. Cognitive Readiness Assessment and Reporting: An Open Source Mobile Framework for Operational Decision Support and Performance Improvement

    ERIC Educational Resources Information Center

    Heric, Matthew; Carter, Jenn

    2011-01-01

    Cognitive readiness (CR) and performance for operational time-critical environments are continuing points of focus for military and academic communities. In response to this need, we designed an open source interactive CR assessment application as a highly adaptive and efficient open source testing administration and analysis tool. It is capable…

  12. Review of recent Tevatron operations

    SciTech Connect

    Moore, R.S.; /Fermilab

    2007-06-01

    Fermilab's Tevatron proton-antiproton collider continues to improve its luminosity performance at the energy frontier {radical}s = 1.96 TeV. The recent Tevatron operation will be reviewed and notable tasks leading to advancements will be highlighted. The topics to be covered include: work performed during the 14-week shutdown in 2006, improved helical orbits, automatic orbit stabilization during high-energy physics (HEP) stores, optics corrections, improvements in the quench protection system, and avenues to maximizing the integrated luminosity delivered to the CDF and D0 experiments.

  13. Application of diagnostics to determine operational readiness of aged motor-operated valves

    SciTech Connect

    Eissenberg, D.M.

    1987-06-29

    Oak Ridge National Laboratory (ORNL) has been carrying out an aging assessment of motor-operated valves (MOVs) with the primary objective of recommending diagnostic methods for detecting and trending aging. As a result of experimental investigations at ORNL, it was discovered that the motor current during a valve stroke was a very useful diagnostic parameter for detecting and trending many MOV drive train load variations. The motor current signatures were analyzed at four levels: mean value for a stroke, gross trends during a stroke, transients, and noise frequency spectra. Examples illustrating the use of this technique are presented. The use of motor current signature analysis was also shown to apply to other electric motor driven equipment. Future work includes developing a data base of MOV diagnostics, including criteria for determining the extent of degradation and application of the technique to other LWR motor driven safety equipment.

  14. Application of diagnostics to determine motor-operated valve operational readiness

    SciTech Connect

    Eissenberg, D.M.

    1986-01-01

    ORNL has been carrying out an aging assessment of motor-operated valves (MOVs) with the primary objective of recommending diagnostic methods for detecting and trending aging. As a result of experimental investigations at ORNL, it was discovered that the motor current during a valve stroke was a very useful diagnostic parameter for detecting and trending many MOV drive train load variations. The motor curent signatures were analyzed at four levels: mean value for a stroke, gross trends during a stroke, transients, and noise frequency spectra. Examples illustrating the use of this technique are presented. The use of motor current signature analysis was also shown to apply to other electric motor driven equipment. Future work includes developing a data base of MOV diagnostics, including criteria for determining the extent of degradation and application of the technique to other LWR motor driven safety equipment.

  15. State of the science: a contemporary review of feeding readiness in the preterm infant.

    PubMed

    Briere, Carrie-Ellen; McGrath, Jacqueline; Cong, Xiaomei; Cusson, Regina

    2014-01-01

    Oral feeding readiness has been described by researchers in the neonatal intensive care unit, and research has continued on this topic for many years. The purpose of this narrative review is to identify research and practice guidelines related to oral feeding readiness in preterm infants that have occurred during the last decade. The introduction and mastery of oral feeding is a major developmental task for the preterm infant that is often a prerequisite for discharge from the neonatal intensive care unit. Having a better understanding of the evidence supporting the development of this skill will help the practicing nurse choose appropriate interventions and the researcher to develop trajectories of research that continue to increase our knowledge in this important practice area.

  16. Stack Monitor Operating Experience Review

    SciTech Connect

    L. C. Cadwallader; S. A. Bruyere

    2009-05-01

    Stack monitors are used to sense radioactive particulates and gases in effluent air being vented from rooms of nuclear facilities. These monitors record the levels and types of effluents to the environment. This paper presents the results of a stack monitor operating experience review of the U.S. Department of Energy (DOE) Occurrence Reporting and Processing System (ORPS) database records from the past 18 years. Regulations regarding these monitors are briefly described. Operating experiences reported by the U.S. DOE and in engineering literature sources were reviewed to determine the strengths and weaknesses of these monitors. Electrical faults, radiation instrumentation faults, and human errors are the three leading causes of failures. A representative “all modes” failure rate is 1E-04/hr. Repair time estimates vary from an average repair time of 17.5 hours (with spare parts on hand) to 160 hours (without spare parts on hand). These data should support the use of stack monitors in any nuclear facility, including the National Ignition Facility and the international ITER project.

  17. Supporting MMT and Magellan Infrared Spectrograph: From Operations to a Science Ready Data Archive

    NASA Astrophysics Data System (ADS)

    Chilingarian, I.; Moran, S.; Brown, W.; Conroy, M.; Fabricant, D.; Kurtz, M.; Matthews, A.; McLeod, B.; Roll, J.; Tokarz, S.

    2014-05-01

    The Telescope Data Center at Smithsonian Astrophysical Observatory supports observations and data flow from the optical telescopes of the Harvard-Smithsonian Center for Astrophysics. With a limited amount of manpower, we handle the entire process from instrument operations to the data archiving and scientific reduction, which allows us to avoid many of the difficulties other data centers encounter arising from the incompatibility of on the instrument and data processing sides. We use telescope control software and data reduction pipelines developed inside our unit which also helps us to ensure the consistency of data products at different stages of processing. Presently we are working on a data archive solution using PostgreSQL and GAVO DaCHS which will allow us to: (1) distribute the raw data to PIs on a timescale of days from observations; (2) feed the data reduction pipelines automatically; (3) distribute reduced science ready data to the PIs; (4) provide access to raw and processed data products using Virtual Observatory interfaces such as ObsTAP, SIAP, SSAP after the proprietary period of the data has expired; (5) maintain a searchable record of all astronomical sources observed by the instruments, along with a catalog of basic observing conditions and telescope/instrument status associated with each exposure. I will present the data archive prototypes for the MMIRS multi-object spectrograph. Our operations model can be scaled up and adopted by large optical observatories.

  18. A systematic review of community readiness tool applications: implications for reporting.

    PubMed

    Kostadinov, Iordan; Daniel, Mark; Stanley, Linda; Gancia, Agustina; Cargo, Margaret

    2015-03-24

    A systematic review characterised and synthesised applications of the Community Readiness Tool (CRT) and synthesised quantitative results for readiness applications at multiple time points. Eleven databases in OvidSP and EBSCHOhost were searched to retrieve CRT applications. Information from primary studies was extracted independently by two researchers. Forty applications of the CRT met inclusion criteria focussing on 14 different health and social issues. The community of interest was most often defined solely on the basis of its geographical location (52.5%). Most studies used the CRT to plan (85%) and/or evaluate programs (40%). The CRT protocol was modified in 40% of studies. Six applications evaluated readiness at multiple time points, however limited reporting in primary studies precluded any synthesis of results. Applications identified methodological rigour, contextual information and community engagement as strengths, and time and resource costs as limitations. The CRT is well suited for planning and evaluating complex community health interventions given its flexibility to accommodate diverse definitions of community and issues. CRT applications would benefit from improved reporting; reporting recommendations for use of the CRT are outlined.

  19. First Commercial US Mixed Waste Vitrification Facility: Permits, Readiness Reviews, and Delisting of Final Wasteform

    SciTech Connect

    Pickett, J.B.; Norford, S.W.; Diener, G.A.

    1998-06-01

    Westinghouse Savannah River Co. (WSRC) contracted GTS Duratek (Duratek) to construct and operate the first commercial vitrification facility to treat an F-006 mixed (radioactive/hazardous) waste in the United States. The permits were prepared and submitted to the South Carolina state regulators by WSRC - based on a detailed design by Duratek. Readiness Assessments were conducted by WSRC and Duratek at each major phase of the operation (sludge transfer, construction, cold and radioactive operations, and a major restart) and approved by the Savannah River Department of Energy prior to proceeding. WSRC prepared the first `Upfront Delisting` petition for a vitrified mixed waste. Lessons learned with respect to the permit strategy, operational assessments, and delisting from this `privatization` project will be discussed.

  20. National Guard and Army Reserve Readiness and Operations Support: Information Brief

    DTIC Science & Technology

    2011-01-26

    ARNG* USAR* Dental Class 1 or 2 66% 70% (+1)** Immunizations 78% 87% (+2)** Medical Readiness Labs 91% (-1)** 93% (-1)** No Deployment Limiting...Human Performance Optimization Programs across the Army – Identify the Medically Not Ready ( MNR ) Soldier Population – Implement Medical Management...Programs to reduce the MNR Soldier Population – Develop objective performance measures to monitor the success of this campaign – Develop Army messages

  1. RISK REDUCTION THROUGH USE OF EXTERNAL TECHNICAL REVIEWS, TECHNOLOGY READINESS ASSESSMENTS AND TECHNICAL RISK RATINGS - 9174

    SciTech Connect

    Cercy, M; Steven P Schneider, S; Kurt D Gerdes, K

    2008-12-12

    The U.S. Department of Energy's Office of Environmental Management (DOE-EM) was established to achieve the safe and compliant disposition of legacy wastes and facilities from defense nuclear applications. A large majority of these wastes and facilities are 'one-of-a-kind' and unique to DOE. Many of the programs to treat these wastes have been 'first-of-a-kind' and unprecedented in scope and complexity. This has meant that many of the technologies needed to successfully disposition these wastes were not yet developed or required significant re-engineering to be adapted for DOE-EM's needs. The DOE-EM program believes strongly in reducing the technical risk of its projects and has initiated several efforts to reduce those risks: (1) Technology Readiness Assessments to reduce the risks of deployment of new technologies; (2) External Technical Reviews as one of several steps to ensure the timely resolution of engineering and technology issues; and (3) Technical Risk Ratings as a means to monitor and communicate information about technical risks. This paper will present examples of how Technology Readiness Assessments, External Technical Reviews, and Technical Risk Ratings are being used by DOE-EM to reduce technical risks.

  2. RISK REDUCTION THROUGH USE OF EXTERNAL TECHNICAL REVIEWS, TECHNOLOGY READINESS ASSESSMENTS AND TECHNICAL RISK RATINGS - 9174

    SciTech Connect

    Cercy, M; Steven P Schneider, S; Kurt D Gerdes, K

    2009-01-15

    The U.S. Department of Energy's Office of Environmental Management (DOE-EM) was established to achieve the safe and compliant disposition of legacy wastes and facilities from defense nuclear applications. A large majority of these wastes and facilities are 'one-of-a-kind' and unique to DOE. Many of the programs to treat these wastes have been 'first-of-a-kind' and unprecedented in scope and complexity. This has meant that many of the technologies needed to successfully disposition these wastes were not yet developed or required significant re-engineering to be adapted for DOE-EM's needs. The DOE-EM program believes strongly in reducing the technical risk of its projects and has initiated several efforts to reduce those risks: (1) Technology Readiness Assessments to reduce the risks of deployment of new technologies; (2) External Technical Reviews as one of several steps to ensure the timely resolution of engineering and technology issues; and (3) Technical Risk Ratings as a means to monitor and communicate information about technical risks. This paper will present examples of how Technology Readiness Assessments, External Technical Reviews, and Technical Risk Ratings are being used by DOE-EM to reduce technical risks.

  3. LANDSAT-D Mission Operations Review (MOR)

    NASA Technical Reports Server (NTRS)

    1982-01-01

    The integrated LANDSAT-D systems operation plan is presented and discussed with respect to functional elements, personnel, and procedures. Specifically, a review of the LANDSAT-D program, mission requirements and management, and flight operations is given.

  4. Assessment of the readiness of noble gas equipment for field operation in the IMS network

    NASA Astrophysics Data System (ADS)

    Wernsperger, Bernd; Auer, Matthias; Gohla, Herbert; Khrustalev, Kirill

    2010-05-01

    The radionuclide component of the International Monitoring System (IMS) consists of 80 radionuclide stations, of which 40 are equipped with noble-gas monitoring capability. Prior to the set-up of the IMS network, noble gas monitoring was only performed by a few institutions using manual, laboratory based systems. The deployment of noble gas systems in a world-wide network of monitoring stations required development of a new generation of equipment, which is reliable, suited for automated field operation at a detection sensitivity lower than previously achieved in laboratory based systems. New types of equipment have been developed and undergone extensive testing during the last 10 years under the framework of the ongoing International Noble Gas Experiment (INGE). During Phase III of INGE, three different types of noble gas systems are deployed into the IMS for testing. With altogether 17 systems in the field between 2004 to 2008 experience of more than 37 operational years has been accumulated. Operational parameters of the noble gas systems have improved during the entire Phase III from the first systems towards the latest state-of the art system generations. To ensure minimum down time any operational problems are addressed within the support system inside the PTS. Within this support system the operational performance is continuously monitored and particular problems are identified. The solution of operational problems is the joint objective of the PTS, the station operators and the system suppliers. Equipment reliability, operational procedures, maintenance and sparing plans are continuously reviewed and improved. The operational status of the IMS noble gas network during the Phase III exercise as well as the support strategy is presented.

  5. A systematic review of instruments to assess organizational readiness for knowledge translation in health care.

    PubMed

    Gagnon, Marie-Pierre; Attieh, Randa; Ghandour, El Kebir; Légaré, France; Ouimet, Mathieu; Estabrooks, Carole A; Grimshaw, Jeremy

    2014-01-01

    The translation of research into practices has been incomplete. Organizational readiness for change (ORC) is a potential facilitator of effective knowledge translation (KT). However we know little about the best way to assess ORC. Therefore, we sought to systematically review ORC measurement instruments. We searched for published studies in bibliographic databases (Pubmed, Embase, CINAHL, PsychINFO, Web of Science, etc.) up to November 1st, 2012. We included publications that developed ORC measures and/or empirically assessed ORC using an instrument at the organizational level in the health care context. We excluded articles if they did not refer specifically to ORC, did not concern the health care domain or were limited to individual-level change readiness. We focused on identifying the psychometric properties of instruments that were developed to assess readiness in an organization prior to implementing KT interventions in health care. We used the Standards for Educational and Psychological Testing to assess the psychometric properties of identified ORC measurement instruments. We found 26 eligible instruments described in 39 publications. According to the Standards for Educational and Psychological Testing, 18 (69%) of a total of 26 measurement instruments presented both validity and reliability criteria. The Texas Christian University -ORC (TCU-ORC) scale reported the highest instrument validity with a score of 4 out of 4. Only one instrument, namely the Modified Texas Christian University - Director version (TCU-ORC-D), reported a reliability score of 2 out of 3. No information was provided regarding the reliability and validity of five (19%) instruments. Our findings indicate that there are few valid and reliable ORC measurement instruments that could be applied to KT in the health care sector. The TCU-ORC instrument presents the best evidence in terms of validity testing. Future studies using this instrument could provide more knowledge on its relevance to

  6. A Systematic Review of Instruments to Assess Organizational Readiness for Knowledge Translation in Health Care

    PubMed Central

    Gagnon, Marie-Pierre; Attieh, Randa; Ghandour, El Kebir; Légaré, France; Ouimet, Mathieu; Estabrooks, Carole A.; Grimshaw, Jeremy

    2014-01-01

    Background The translation of research into practices has been incomplete. Organizational readiness for change (ORC) is a potential facilitator of effective knowledge translation (KT). However we know little about the best way to assess ORC. Therefore, we sought to systematically review ORC measurement instruments. Methods We searched for published studies in bibliographic databases (Pubmed, Embase, CINAHL, PsychINFO, Web of Science, etc.) up to November 1st, 2012. We included publications that developed ORC measures and/or empirically assessed ORC using an instrument at the organizational level in the health care context. We excluded articles if they did not refer specifically to ORC, did not concern the health care domain or were limited to individual-level change readiness. We focused on identifying the psychometric properties of instruments that were developed to assess readiness in an organization prior to implementing KT interventions in health care. We used the Standards for Educational and Psychological Testing to assess the psychometric properties of identified ORC measurement instruments. Findings We found 26 eligible instruments described in 39 publications. According to the Standards for Educational and Psychological Testing, 18 (69%) of a total of 26 measurement instruments presented both validity and reliability criteria. The Texas Christian University –ORC (TCU-ORC) scale reported the highest instrument validity with a score of 4 out of 4. Only one instrument, namely the Modified Texas Christian University – Director version (TCU-ORC-D), reported a reliability score of 2 out of 3. No information was provided regarding the reliability and validity of five (19%) instruments. Conclusion Our findings indicate that there are few valid and reliable ORC measurement instruments that could be applied to KT in the health care sector. The TCU-ORC instrument presents the best evidence in terms of validity testing. Future studies using this instrument could

  7. Operating Permits Program Review Process

    EPA Pesticide Factsheets

    This document may be of assistance in applying the Title V air operating permit regulations. This document is part of the Title V Policy and Guidance Database available at www2.epa.gov/title-v-operating-permits/title-v-operating-permit-policy-and-guidance-document-index. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  8. The Dundee Ready Education Environment Measure (DREEM): a review of its adoption and use.

    PubMed

    Miles, Susan; Swift, Louise; Leinster, Sam J

    2012-01-01

    The Dundee Ready Education Environment Measure (DREEM) was published in 1997 as a tool to evaluate educational environments of medical schools and other health training settings and a recent review concluded that it was the most suitable such instrument. This study aimed to review the settings and purposes to which the DREEM has been applied and the approaches used to analyse and report it, with a view to guiding future users towards appropriate methodology. A systematic literature review was conducted using the Web of Knowledge databases of all articles reporting DREEM data between 1997 and 4 January 2011. The review found 40 publications, using data from 20 countries. DREEM is used in evaluation for diagnostic purposes, comparison between different groups and comparison with ideal/expected scores. A variety of non-parametric and parametric statistical methods have been applied, but their use is inconsistent. DREEM has been used internationally for different purposes and is regarded as a useful tool by users. However, reporting and analysis differs between publications. This lack of uniformity makes comparison between institutions difficult. Most users of DREEM are not statisticians and there is a need for informed guidelines on its reporting and statistical analysis.

  9. 43 CFR 404.43 - What process will Reclamation follow to determine if an appraisal investigation is ready for review?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 1 2011-10-01 2011-10-01 false What process will Reclamation follow to determine if an appraisal investigation is ready for review? 404.43 Section 404.43 Public Lands: Interior Regulations Relating to Public Lands BUREAU OF RECLAMATION, DEPARTMENT OF THE INTERIOR RECLAMATION RURAL WATER SUPPLY PROGRAM Appraisal...

  10. A protocol for a systematic review of birth preparedness and complication readiness programs

    PubMed Central

    2013-01-01

    Background One of the effective strategies for reducing the number of maternal deaths is delivery by a skilled birth attendant. Low utilization of skilled birth attendants has been attributed to delay in seeking care, delay in reaching a health facility and delay in receiving adequate care. Health workers could play a role in helping women prepare for birth and anticipate complications, in order to reduce delays. There is little evidence to support these birth preparedness and complication readiness (BP/CR) programs; however, BP/CR programs are frequently implemented. The objective of this review is to assess the effect of BP/CR programs on increasing skilled birth attendance in low-resource settings. Methods Due to the complexity of BP/CR programs and the need to understand why certain programs are more effective than others, we will combine both quantitative and qualitative studies in this systematic review. Search terms were selected with the assistance of a health information specialist. Three reviewers will independently select and assess studies for quality. Data will be extracted by one reviewer and checked for accuracy and completeness by a second reviewer. Discussion between the reviewers will resolve disagreements. If disagreements remain, a third party will be consulted. Data analysis will be carried out in accordance with the BP/CR matrix, developed by the Johns Hopkins Program for International Education in Gynecology and Obstetrics (JHPIEGO). Study data will be grouped and analyzed by quality and study design and regrouped according to type of intervention strategy. Discussion This review will provide: 1) an insight into existing BP/CR programs, 2) recommendations on effective elements of the different approaches, 3) proposals for concrete action plans for health professionals in the field of reproductive health in resource-poor settings and 4) an overview of existing knowledge gaps requiring further research. Trial registration PROSPERO registration

  11. Experimental methods to validate measures of emotional state and readiness for duty in critical operations.

    SciTech Connect

    Weston, Louise Marie

    2007-09-01

    A recent report on criticality accidents in nuclear facilities indicates that human error played a major role in a significant number of incidents with serious consequences and that some of these human errors may be related to the emotional state of the individual. A pre-shift test to detect a deleterious emotional state could reduce the occurrence of such errors in critical operations. The effectiveness of pre-shift testing is a challenge because of the need to gather predictive data in a relatively short test period and the potential occurrence of learning effects due to a requirement for frequent testing. This report reviews the different types of reliability and validity methods and testing and statistical analysis procedures to validate measures of emotional state. The ultimate value of a validation study depends upon the percentage of human errors in critical operations that are due to the emotional state of the individual. A review of the literature to identify the most promising predictors of emotional state for this application is highly recommended.

  12. Soldier Quality of Life (Operational) and Readiness at Contingency Base Camps: Insights From Qualitative Interviews

    DTIC Science & Technology

    2017-03-13

    Caelli Craig 5d. PROJECT NUMBER VT5 5e. TASK NUMBER RK09 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING...During the interviews, Soldiers first provided detailed descriptions of the camp capabilities and conditions they experienced while deployed. They...were then asked to identify instances in which camp conditions led to impacts on their CPSE readiness domains. Soldiers rated each impact as mild

  13. HSI in the USN Frigate Community: Operational Readiness and Safety as a Function of Manning Levels

    DTIC Science & Technology

    2008-12-01

    Readiness and Safety as a Function of Manning Levels 6. AUTHOR(S) Patrick C. Lazzaretti 5. FUNDING NUMBERS 7. PERFORMING ORGANIZATION NAME(S) AND...ADDRESS(ES) Naval Postgraduate School Monterey, CA 93943-5000 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING /MONITORING AGENCY NAME(S...Integration (HSI) is a process designed to reduce life-cycle costs and improve system performance by considering human-related domains. Acquisition

  14. Report of independent consultants reviewing Integrated Test Stands (ITS) performance and readiness of DARHT for construction start

    SciTech Connect

    Not Available

    1993-08-01

    Independent consultants met at Los Alamos, June 15 and 16, 1993, to review progress on the commissioning of the Integrated Test Stand (ITS) for DARHT and to provide DOE with technical input on readiness for construction of the first radiographic arm of DARHT. The consultants concluded that all milestones necessary for demonstrating the performance of the DARHT accelerator have been met and that the project is ready for construction to resume. The experimental program using ITS should be continued to quantify the comparison of experiment and theory, to test improvements on the injector insulator, and to better evaluate the interaction of the beam and the target.

  15. Determining when a set of compute nodes participating in a barrier operation on a parallel computer are ready to exit the barrier operation

    SciTech Connect

    Blocksome, Michael A

    2011-12-20

    Methods, apparatus, and products are disclosed for determining when a set of compute nodes participating in a barrier operation on a parallel computer are ready to exit the barrier operation that includes, for each compute node in the set: initializing a barrier counter with no counter underflow interrupt; configuring, upon entering the barrier operation, the barrier counter with a value in dependence upon a number of compute nodes in the set; broadcasting, by a DMA engine on the compute node to each of the other compute nodes upon entering the barrier operation, a barrier control packet; receiving, by the DMA engine from each of the other compute nodes, a barrier control packet; modifying, by the DMA engine, the value for the barrier counter in dependence upon each of the received barrier control packets; exiting the barrier operation if the value for the barrier counter matches the exit value.

  16. Impact of Birth Preparedness and Complication Readiness Interventions on Birth with a Skilled Attendant: A Systematic Review

    PubMed Central

    Solnes Miltenburg, Andrea; Roggeveen, Yadira; Shields, Laura; van Elteren, Marianne; van Roosmalen, Jos; Stekelenburg, Jelle; Portela, Anayda

    2015-01-01

    Background Increased preparedness for birth and complications is an essential part of antenatal care and has the potential to increase birth with a skilled attendant. We conducted a systematic review of studies to assess the effect of birth preparedness and complication readiness interventions on increasing birth with a skilled attendant. Methods PubMed, Embase, CINAHL and grey literature were searched for studies from 2000 to 2012 using a broad range of search terms. Studies were included with diverse designs and intervention strategies that contained an element of birth preparedness and complication readiness. Data extracted included population, setting, study design, outcomes, intervention description, type of intervention strategy and funding sources. Quality of the studies was assessed. The studies varied in BP/CR interventions, design, use of control groups, data collection methods, and outcome measures. We therefore deemed meta-analysis was not appropriate and conducted a narrative synthesis of the findings. Results Thirty-three references encompassing 20 different intervention programmes were included, of which one programmatic element was birth preparedness and complication readiness. Implementation strategies were diverse and included facility-, community-, or home-based services. Thirteen studies resulted in an increase in birth with a skilled attendant or facility birth. The majority of authors reported an increase in knowledge on birth preparedness and complication readiness. Conclusions Birth Preparedness and Complication Readiness interventions can increase knowledge of preparations for birth and complications; however this does not always correspond to an increase in the use of a skilled attendant at birth. PMID:26599677

  17. Impact of Birth Preparedness and Complication Readiness Interventions on Birth with a Skilled Attendant: A Systematic Review.

    PubMed

    Solnes Miltenburg, Andrea; Roggeveen, Yadira; Shields, Laura; van Elteren, Marianne; van Roosmalen, Jos; Stekelenburg, Jelle; Portela, Anayda

    2015-01-01

    Increased preparedness for birth and complications is an essential part of antenatal care and has the potential to increase birth with a skilled attendant. We conducted a systematic review of studies to assess the effect of birth preparedness and complication readiness interventions on increasing birth with a skilled attendant. PubMed, Embase, CINAHL and grey literature were searched for studies from 2000 to 2012 using a broad range of search terms. Studies were included with diverse designs and intervention strategies that contained an element of birth preparedness and complication readiness. Data extracted included population, setting, study design, outcomes, intervention description, type of intervention strategy and funding sources. Quality of the studies was assessed. The studies varied in BP/CR interventions, design, use of control groups, data collection methods, and outcome measures. We therefore deemed meta-analysis was not appropriate and conducted a narrative synthesis of the findings. Thirty-three references encompassing 20 different intervention programmes were included, of which one programmatic element was birth preparedness and complication readiness. Implementation strategies were diverse and included facility-, community-, or home-based services. Thirteen studies resulted in an increase in birth with a skilled attendant or facility birth. The majority of authors reported an increase in knowledge on birth preparedness and complication readiness. Birth Preparedness and Complication Readiness interventions can increase knowledge of preparations for birth and complications; however this does not always correspond to an increase in the use of a skilled attendant at birth.

  18. Demonstration of AIRS Total Ozone Products to Operations to Enhance User Readiness

    NASA Technical Reports Server (NTRS)

    Berndt, Emily; Zavodsky, Bradley; Jedlovec, Gary

    2014-01-01

    Cyclogenesis is a key forecast challenge at operational forecasting centers such as WPC and OPC, so these centers have a particular interest in unique products that can identify key storm features. In some cases, explosively developing extratropical cyclones can produce hurricane force, non-convective winds along the East Coast and north Atlantic as well as the Pacific Ocean, with the potential to cause significant damage to life and property. Therefore, anticipating cyclogenesis for these types of storms is crucial for furthering the NOAA goal of a "Weather Ready Nation". Over the last few years, multispectral imagery (i.e. RGB) products have gained popularity among forecasters. The GOES-R satellite champion at WPC/OPC has regularly evaluated the Air Mass RGB products from GOES Sounder, MODIS, and SEVIRI to aid in forecasting cyclogenesis as part of ongoing collaborations with SPoRT within the framework of the GOES-R Proving Ground. WPC/OPC has used these products to identify regions of stratospheric air associated with tropopause folds that can lead to cyclogenesis and hurricane force winds. RGB products combine multiple channels or channel differences into multi-color imagery in which different colors represent a particular cloud or air mass type. Initial interaction and feedback from forecasters evaluating the legacy Air Mass RGBs revealed some uncertainty regarding what physical processes the qualitative RGB products represent and color interpretation. To enhance forecaster confidence and interpretation of the Air Mass RGB, NASA SPoRT has transitioned a total column ozone product from AIRS retrievals to the WPC/OPC. The use of legacy AIRS demonstrates future JPSS capabilities possible with CrIS or OMPS. Since stratospheric air can be identified by anomalous potential vorticity and warm, dry, ozone-rich air, hyperspectral infrared sounder ozone products can be used in conjunction with the Air Mass RGB for identifying the role of stratospheric air in explosive

  19. Report: Review of Region 5 Laboratory Operations

    EPA Pesticide Factsheets

    Report #2000-P-3, Jan 1, 2000. In September 1998, the Region 5 Quality Assurance Core initiated a Management Systems Review of the CRL to determine whether the lab’s quality management system was operating as designed.

  20. Peer Review: Promoting Efficient School District Operations

    ERIC Educational Resources Information Center

    Hale, Jason S.

    2010-01-01

    Many professions recognize the benefits of peer reviews to assess processes and operations because peers can more easily identify one another's inefficiencies and provide some kind of intervention. Generally, the goal of the peer review process is to verify whether the work satisfies the standards set by the industry. A number of states have begun…

  1. Magnet operating experience review for fusion applications

    SciTech Connect

    Cadwallader, L.C.

    1991-11-01

    This report presents a review of magnet operating experiences for normal-conducting and superconducting magnets from fusion, particle accelerator, medical technology, and magnetohydrodynamics research areas. Safety relevant magnet operating experiences are presented to provide feedback on field performance of existing designs and to point out the operational safety concerns. Quantitative estimates of magnet component failure rates and accident event frequencies are also presented, based on field experience and on performance of similar components in other industries.

  2. Magnet operating experience review for fusion applications

    SciTech Connect

    Cadwallader, L.C.

    1991-11-01

    This report presents a review of magnet operating experiences for normal-conducting and superconducting magnets from fusion, particle accelerator, medical technology, and magnetohydrodynamics research areas. Safety relevant magnet operating experiences are presented to provide feedback on field performance of existing designs and to point out the operational safety concerns. Quantitative estimates of magnet component failure rates and accident event frequencies are also presented, based on field experience and on performance of similar components in other industries.

  3. A review of the incidence and transmission of Listeria monocytogenes in ready-to-eat products in retail and food service environments.

    PubMed

    Lianou, Alexandra; Sofos, John N

    2007-09-01

    Contamination of ready-to-eat products with Listeria monocytogenes may occur at several stages before consumption. Accessibility to the public and relatively limited control interventions at retail and food service establishments (compared with the processing sector of the food industry) and the lack of a specific regulatory framework increase the likelihood of introduction of this pathogen into some foods in these establishments. This review is a compilation of available information on the incidence and transmission of L. monocytogenes through ready-to-eat products at the retail and food service level. The potential transmission of L. monocytogenes within retail and food service operations has been indicated in epidemiological investigations and by survey data. Potential sources of the organism in these operations include the environment, food handlers, and incoming raw ingredients or processed products that have become contaminated after the lethality treatment at the manufacturing facility. L. monocytogenes may be present at retail and food service establishments in various ready-to-eat products, both prepackaged and those packaged in the store, and occasionally at high concentrations. This issue dictates the need for development and application of effective control measures, and potential control approaches are discussed here. Good manufacturing practices, appropriate cleaning, sanitation and hygiene programs, and temperature control required for prevention or inhibition of growth of the pathogen to high levels are critical for control of L. monocytogenes in the retail and food service sector. A comprehensive food safety system designed to be functional in retail and food service operations and based on the philosophy of hazard analysis and critical control point systems and a series of sound prerequisite programs can provide effective control of L. monocytogenes in these environments. However, competent delivery of food safety education and training to retail

  4. Technologies and mechanisms for safety control of ready-to-eat muscle foods: an updated review.

    PubMed

    Jiang, Jiang; Xiong, Youling L

    2015-01-01

    Ready-to-eat (RTE) muscle foods refer to a general category of meat and poultry products that are fully cooked and consumable without reheating. These products, including whole and sliced pork, beef, turkey, chicken, and variety of meats, in the forms of ham, roast, rolls, sausage, and frankfurter, are widely available in the delicatessen section of retail stores or various food service outlets. However, difficulties in avoidance of contamination by foodborne pathogens, notably Listeria monocytogenes, during product postlethality repackaging render RTE meats labile to outbreaks. Accordingly, the USDA-FSIS has established processing guidelines and regulations, which are constantly updated, to minimize foodborne pathogens in RTE products. Technologies that complement good manufacturing practice have been developed to control RTE meat safety. Among them, various antimicrobial product formulations, postpackaging pasteurization (thermal and nonthermal), and antimicrobial packaging are being used. Through these efforts, outbreaks linked to RTE meat consumption have substantially reduced in recent years. However, the pervasive and virulent nature of L. monocytogenes and the possible presence of other cold-tolerant pathogens entail continuing developments of new intervention technologies. This review updates existing and emerging physical and chemical methods and their mode of action to inactivate or inhibit threatening microorganisms in RTE muscle foods.

  5. Readiness of ethics review systems for a changing public health landscape in the WHO African Region.

    PubMed

    Motari, Marion; Ota, Martin Okechukwu; Kirigia, Joses Muthuri

    2015-12-02

    The increasing emphasis on research, development and innovation for health in providing solutions to the high burden of diseases in the African Region has warranted a proliferation of studies including clinical trials. This changing public health landscape requires that countries develop adequate ethics review capacities to protect and minimize risks to study participants. Therefore, this study assessed the readiness of national ethics committees to respond to challenges posed by a globalized biomedical research system which is constantly challenged by new public health threats, rapid scientific and technological advancements affecting biomedical research and development, delivery and manufacture of vaccines and therapies, and health technology transfer. This is a descriptive study, which used a questionnaire structured to elicit information on the existence of relevant national legal frameworks, mechanisms for ethical review; as well as capacity requirements for national ethics committees. The questionnaire was available in English and French and was sent to 41 of the then 46 Member States of the WHO African Region, excluding the five Lusophone Member States. Information was gathered from senior officials in ministries of health, who by virtue of their offices were considered to have expert knowledge of research ethics review systems in their respective countries. Thirty three of the 41 countries (80.5 %) responded. Thirty (90.9 %) of respondent countries had a national ethics review committee (NEC); 79 % of which were established by law. Twenty-five (83.3 %) NECs had secretarial and administrative support. Over 50 % of countries with NECs indicated a need for capacity strengthening through periodic training on international guidelines for health research (including clinical trials) ethics; and allocation of funds for administrative and secretariat support. Despite the existing training initiatives, the Region still experiences a shortage of professionals

  6. 1987 DOE review: First collider run operation

    SciTech Connect

    Childress, S.; Crawford, J.; Dugan, G.; Edwards, H.; Finley, D.A.; Fowler, W.B.; Harrison, M.; Holmes, S.; Makara, J.N.; Malamud, E.

    1987-05-01

    This review covers the operations of the first run of the 1.8 TeV superconducting super collider. The papers enclosed cover: PBAR source status, fixed target operation, Tevatron cryogenic reliability and capacity upgrade, Tevatron Energy upgrade progress and plans, status of the D0 low beta insertion, 1.8 K and 4.7 K refrigeration for low-..beta.. quadrupoles, progress and plans for the LINAC and booster, near term and long term and long term performance improvements.

  7. Report of the Oversight Assessment of the Operational Readiness Evaluation of the Cassini Project at the Los Alamos National Laboratory

    SciTech Connect

    Krasopoulos, A.

    1992-11-01

    [sup 238]Pu oxide pellets are to be fabricated and encapsulated for radioisotope thermoelectric generators for the NASA Cassini mission to Saturn. The oversight assessment concluded that the Defense Programs' Operational Readiness Evaluation was technically adequate and thorough in worker safety areas and that the overall conclusions reached by the DP ORE team, insofar as worker safety is concerned, are valid. It is believed that the Cassini Project production run can begin safely, when the findings identified by the DP ORE Team are properly closed out. However, several existing safety deficiencies were identified that resulted in one overall DP ORE worker safety observation. The observation indicated that hazard recognition inspections and abatement of occupational safety deficiencies were not adequately conducted to ensure a workplace free from recognizable hazards.

  8. A large-scale operational study of home-based therapy with ready-to-use therapeutic food in childhood malnutriton in Malawi

    USDA-ARS?s Scientific Manuscript database

    Home-based therapy with ready-to-use therapeutic food (RUTF) for the treatment of malnutrition has better outcomes in the research setting than standard therapy. This study examined outcomes of malnourished children aged 6-60 months enrolled in operational home-based therapy with RUTF. Children enro...

  9. Combat Readiness for the Modern Military Surgeon: Data from a Decade of Combat Operations

    DTIC Science & Technology

    2012-01-01

    Pusateri AE, Holcomb JB. A special report on the chitosan -based hemostatic dressing : experience in current combat operations. J Trauma. 2006;60:655...scientific advances have occurred, such as advancement in tourniquet use, he- mostatic dressings , renal replacement therapy, and endovas- cular...prepare capable military surgeons, predeployment training must involve an analysis of wounds and patterns seen in current operations and must be revised to

  10. Examining Acquisition Leaders Readiness to Support Future LandCyber Operations

    DTIC Science & Technology

    2014-04-15

    cyberspace-educated and trained Armed Forces to use advanced technology such as fiber optic, electromagnetic, and laser to pass information. The LandCyber...then vulnerabilities in the cyberspace will overcome the advantage and become a double-edged sword that is self-defeating. Rafferty referred to...support the LandCyber operations. LandCyber operations and advanced technology can be a dream team or a double-edged sword depending on how well the

  11. Occurrence of Campylobacter spp. in raw and ready-to-eat foods and in a Canadian food service operation.

    PubMed

    Medeiros, Diane T; Sattar, Syed A; Farber, Jeffrey M; Carrillo, Catherine D

    2008-10-01

    The occurrence of Campylobacter spp. in a variety of foods from Ottawa, Ontario, Canada, and raw milk samples from across Canada was determined over a 2-year period. The samples consisted of 55 raw foods (chicken, pork, and beef), 126 raw milk samples from raw milk cheese manufacturers, and 135 ready-to-eat foods (meat products, salads, and raw milk cheeses). Campylobacter jejuni was detected in 4 of the 316 samples analyzed: 1 raw beef liver sample and 3 raw chicken samples. An isolation rate of 9.7% was observed among the raw chicken samples tested. This study also investigated the role of cross-contamination in disseminating Campylobacter from raw poultry within a food service operation specializing in poultry dishes. Accordingly, kitchen surfaces within a restaurant in Ottawa, Ontario, were sampled between March and August 2001. Tests of the sampling method indicated that as few as 100 Campylobacter cells could be detected if sampling was done within 45 min of inoculation; however, Campylobacter spp. were not detected in 125 swabs of surfaces within the kitchens of this food service operation. Despite the reported high prevalence of Campylobacter spp. in raw poultry, this organism was not detected on surfaces within a kitchen of a restaurant specializing in poultry dishes.

  12. Ready, set, go . . . well maybe

    SciTech Connect

    Alexandre, Melanie M; Bartolome, Terri-Lynn C

    2011-02-28

    The agenda for this presentation is: (1) understand organizational readiness for changes; (2) review benefits and challenges of change; (3) share case studies of ergonomic programs that were 'not ready' and some that were 'ready'; and (4) provide some ideas for facilitating change.

  13. Integrating Balloon and Satellite Operation Data Centers for Technology Readiness Assessment

    NASA Astrophysics Data System (ADS)

    Mattiello-Francisco, Fátima; Fernandes, Jose Oscar

    2016-07-01

    Stratospheric balloon-borne experiments have been one of the most effective ways to validate innovative space technology, taking the advantage of reduced development cycles and low cost in launching and operation. In Brazil, the National Institute for Space Research (INPE) has balloon and satellite ground infrastructures since the 1970´s and the 1990´s, respectively. In the recent past, a strategic approach was adopted on the modernization of balloon ground operation facilities for supporting the protoMIRAX experiment, an X-ray imaging telescope under development at INPE as a pathfinder for the MIRAX (Monitor e Imageador de Raios X) satellite mission. The strategic target was to reuse the SATellite Control System (SATCS), a software framework developed to control and monitor INPÉs satellites, for balloon operation. This paper presents the results of that effort and the new ongoing project, a computer-based framework named I2Bso, which strategic target is to Integrate INPÉs Balloon and Satellite Operation data centers. The I2Bso major purpose is to support the continuous assessment of an innovative technology after different qualification flights either on board balloons or satellites in order to acquire growing evidence for the technology maturity.

  14. Improving USAF Special Tactics Readiness to Meet the Operational Demands of the USAF and US Special Operations Command (SOCOM)

    DTIC Science & Technology

    2002-06-01

    argued that due to the physical nature of the ST operator job, the instance of injury , and therefore, the amount of convalescence leave or non-available...TTR tracking system could be implemented to track progress. The TTR tracking could be used to 53 avoid overtraining specific events. The TTR

  15. Effects of Ready-to-Eat-Cereals on Key Nutritional and Health Outcomes: A Systematic Review

    PubMed Central

    Priebe, Marion G.; McMonagle, Jolene R.

    2016-01-01

    Background In many countries breakfast cereals are an important component of breakfast. This systematic review assesses the contribution of consumption of ready-to eat cereal (RTEC) to the recommended nutrient intake. Furthermore, the effects of RTEC consumption on key health parameters are investigated as well as health promoting properties of RTEC. Method The Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE and CINAHL have been searched up till 16th of June 2015. Randomized controlled trials were excluded if RTEC were used during hypocaloric diets, if RTEC were eaten at other times than breakfast and if breakfasts included other products than RTEC, milk and fruit. Observational studies were excluded when “breakfast cereals” were not defined or their definition included cooked cereals. From cross-sectional studies only data concerning energy and nutrient intake as well as micronutrient status were used. Results From 4727 identified citations 64 publications met the inclusion criteria of which 32 were cross-sectional studies, eight prospective studies and 24 randomized controlled trials. Consumption of RTEC is associated with a healthier dietary pattern, concerning intake of carbohydrates, dietary fiber, fat and micronutrients, however total sugar intake is higher. Persons consuming RTEC frequently (≥ 5 times/week) have a lower risk of inadequate micronutrient intake especially for vitamin A, calcium, folate, vitamin B 6, magnesium and zinc. Evidence from prospective studies suggests that whole grain RTEC may have beneficial effects on hypertension and type 2 diabetes. Consumption of RTEC with soluble fiber helps to reduce LDL cholesterol in hypercholesterolemic men and RTEC fortified with folate can reduce plasma homocysteine. Discussion One of the review’s strengths is its thorough ex/inclusion of studies. Limitations are that results of observational studies were based on self-reported data and that many studies were funded by food

  16. Application-ready expedited MODIS data for operational land surface monitoring of vegetation condition

    USGS Publications Warehouse

    Brown, Jesslyn; Howard, Daniel M.; Wylie, Bruce K.; Frieze, Aaron; Ji, Lei; Gacke, Carolyn

    2015-01-01

    Monitoring systems benefit from high temporal frequency image data collected from the Moderate Resolution Imaging Spectroradiometer (MODIS) system. Because of near-daily global coverage, MODIS data are beneficial to applications that require timely information about vegetation condition related to drought, flooding, or fire danger. Rapid satellite data streams in operational applications have clear benefits for monitoring vegetation, especially when information can be delivered as fast as changing surface conditions. An “expedited” processing system called “eMODIS” operated by the U.S. Geological Survey provides rapid MODIS surface reflectance data to operational applications in less than 24 h offering tailored, consistently-processed information products that complement standard MODIS products. We assessed eMODIS quality and consistency by comparing to standard MODIS data. Only land data with known high quality were analyzed in a central U.S. study area. When compared to standard MODIS (MOD/MYD09Q1), the eMODIS Normalized Difference Vegetation Index (NDVI) maintained a strong, significant relationship to standard MODIS NDVI, whether from morning (Terra) or afternoon (Aqua) orbits. The Aqua eMODIS data were more prone to noise than the Terra data, likely due to differences in the internal cloud mask used in MOD/MYD09Q1 or compositing rules. Post-processing temporal smoothing decreased noise in eMODIS data.

  17. Models Used by the Military Services to Develop Budgets for Activities Associated with Operational Readiness

    DTIC Science & Technology

    2012-02-01

    Request 27.6 23.9 12.0 15.3 78.8 Percentage Modeled 69 76 94 26 67 All Services The facilit operations that the se to that fun Corps do the Army...FunctionsMiscellaneousMaintenanceand Training Facilities Depending o roughly 45 pe requests for o models by fun nance, faciliti functions, op dollar amoun eled, and the...the length of the line at the dining hall). The Navy and the Army determine the amount and quality of services they will provide and multiply that

  18. The Provence 250 MWe unit: The largest CFB boiler ready for operation

    SciTech Connect

    Jaud, P.; Jacquet, L.; Piedfer, O.; Jestin, L.

    1995-12-31

    Today, the largest Circulating Fluidized Bed (CFB) project approaching operation is the 250 MWe Provence CFB boiler, located in the south of France. At such a size, the CFB technique has now reached a capacity corresponding to thermal power plants operated by utilities. This new unit, with a pant leg design, is also a very important step towards larger size i.e. 400 MWe and greater. The purpose of the Provence project was to replace the existing pulverized coal boiler unit 4, commissioned in 1967, of the Provence/Gardanne power plant, with a new CFB boiler while reusing most of the existing equipment. The 250 MWe boiler is of the superheat-reheat type, 1,050 F--1,050 F, firing local high-sulfur subbituminous coal with the possibility of co-firing high viscosity fuel oil (with a high sulfur content) up to a 50%--50% energy ratio. The first firing of the boiler is due in May 1995. This paper describes the progress in the construction of the plant and provides technical details of the new boiler and auxiliaries. Also presented is the associated R and D program designed to give a thorough evaluation of this boiler with a view to the design of larger CFBs in the future.

  19. Factors related to self-directed learning readiness of students in health professional programs: A scoping review.

    PubMed

    Slater, Craig E; Cusick, Anne

    2017-05-01

    Academic and professional drivers have stimulated interest in self-directed learning of students in pre-certification health professional programs. Particular attention has focussed on factors which may influence a students' readiness for self-directed learning. A five stage structured scoping review of published literature was conducted to identify measures of self-directed learning readiness used with students in pre-certification health professional programs and those factors that have been investigated as potential determinants. Relevant articles were identified in six databases using key search terms and a search strategy. Two independent reviewers used criteria to cull irrelevant sources. Articles which met eligibility criteria were charted. The final analysis included 49 articles conducted in nursing, medicine, physiotherapy, pharmacy, occupational therapy and dentistry cohorts. Twenty-one potential determinants had been investigated with gender, year level, age program delivery and previous education level the most common. Self-directed learning readiness has been of interest globally, mostly in medicine and nursing, and studies have nearly exclusively used one of two instruments. There is nascent evidence that age, year level and previous education level may have positive influence. These factors have in common the passing of time and may in fact be proxy for more encompassing developmental or social constructs. Further research is needed particularly in the allied health professions where there is limited research in very few disciplines. Studies in interprofessional contexts may be an efficient approach to increasing the knowledge base. Further work is also warranted to determine appropriate use of the two instruments across the range of health disciplines. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. Independent Review of DoD’s Readiness Reporting System

    DTIC Science & Technology

    2000-11-01

    12 Smaller-scale contingencies (SSCs) include many different kinds and sizes of contingencies. The list includes: • Humanitarian assistance...unit to be able to accomplish a set of tasks determined by the gaining/owning CINC. The ROC may require a unit to perform tasks that differ ...The first joint readiness reporting system was little more than an amalgamation of the earlier Service reporting systems, which were quite different

  1. Simulation for Operational Readiness in a New Freestanding Emergency Department: Strategy and Tactics.

    PubMed

    Kerner, Robert L; Gallo, Kathleen; Cassara, Michael; DʼAngelo, John; Egan, Anthony; Simmons, John Galbraith

    2016-10-01

    Simulation in multiple contexts over the course of a 10-week period served as a core learning strategy to orient experienced clinicians before opening a large new urban freestanding emergency department. To ensure technical and procedural skills of all team members, who would provide care without on-site recourse to specialty backup, we designed a comprehensive interprofessional curriculum to verify and regularize a wide range of competencies and best practices for all clinicians. Formulated under the rubric of systems integration, simulation activities aimed to instill a shared culture of patient safety among the entire cohort of 43 experienced emergency physicians, physician assistants, nurses, and patient technicians, most newly hired to the health system, who had never before worked together. Methods throughout the preoperational term included predominantly hands-on skills review, high-fidelity simulation, and simulation with standardized patients. We also used simulation during instruction in disaster preparedness, sexual assault forensics, and community outreach. Our program culminated with 2 days of in-situ simulation deployed in simultaneous and overlapping timeframes to challenge system response capabilities, resilience, and flexibility; this work revealed latent safety threats, lapses in communication, issues of intake procedure and patient flow, and the persistence of inapt or inapplicable mental models in responding to clinical emergencies.

  2. Review on lunar surface operation robots

    NASA Astrophysics Data System (ADS)

    Mizuochi, Michiaki

    1991-07-01

    A review is given of robots to conduct construction of lunar surface sites, to layout each subsystem, and to support lunar surface experiments performed as the first step to set up a concept of lunar bases. The robots' mission requirements and the system review baselines were studied based on the following premises for their missions: (1) to support manned lunar surface sites construction; (2) to transport, install, and connect piping and wiring heavy goods being laid out in inhabited module or drive self-propelled items; (3) to be used only during day time; and (4) to be used from the initial stage of construction of manned lunar surface sites. The results of the review were presented, and the requirements, the baselines for their review, system structure and composition, main features, electric system chart, and development plans of lunar surface robots are shown. Technical problems to be solved such as stereoscopic image processing and seven degree of freedom control technology for manipulators are presented. Observation equipment to be operated by the robots on the lunar surface are: (1) radio, visible and infrared, and x-ray telescopes; (2) environment monitoring equipment; (3) lunar seismometer; and (4) thermal flow meter.

  3. Tritium Room Air Monitor Operating Experience Review

    SciTech Connect

    L. C. Cadwallader; B. J. Denny

    2008-09-01

    Monitoring the breathing air in tritium facility rooms for airborne tritium is a radiological safety requirement and a best practice for personnel safety. Besides audible alarms for room evacuation, these monitors often send signals for process shutdown, ventilation isolation, and cleanup system actuation to mitigate releases and prevent tritium spread to the environment. Therefore, these monitors are important not only to personnel safety but also to public safety and environmental protection. This paper presents an operating experience review of tritium monitor performance on demand during small (1 mCi to 1 Ci) operational releases, and intentional airborne inroom tritium release tests. The tritium tests provide monitor operation data to allow calculation of a statistical estimate for the reliability of monitors annunciating in actual tritium gas airborne release situations. The data show a failure to operate rate of 3.5E-06/monitor-hr with an upper bound of 4.7E-06, a failure to alarm on demand rate of 1.4E-02/demand with an upper bound of 4.4E-02, and a spurious alarm rate of 0.1 to 0.2/monitor-yr.

  4. Retrospective review of Surgical Availability and Readiness in 8 African countries

    PubMed Central

    Spiegel, D A; Droti, B; Relan, P; Hobson, S; Cherian, M N; O'Neill, K

    2017-01-01

    Objectives The purpose of this study was to assess surgical availability and readiness in 8 African countries using the WHO's Service Availability and Readiness Assessment (SARA) tool. Setting We analysed data for surgical services, including basic and comprehensive surgery, comprehensive obstetric care, blood transfusion, and infection prevention, obtained from the WHO's SARA surveys in Sierra Leone, Uganda, Mauritania, Benin, Zambia, Burkina Faso, Democratic Republic of Congo and Togo. Primary and secondary outcome measures Among the facilities that were expected to offer surgical services (N=3492), there were wide disparities between the countries in the number of facilities per 100 000 population that reported offering basic surgery (1.0–12.1), comprehensive surgery (0.1–0.8), comprehensive obstetric care (0.1–0.8) and blood transfusion (0.1–0.8). Only 0.1–0.3 facilities per 100 000 population had all three bellwether procedures available, namely laparotomy, open fracture management and caesarean section. In all the countries, the facilities that reported offering surgical services generally had a shortage of the necessary items for offering the services and this varied greatly between the countries, with the facilities having on average 27–53% of the items necessary for offering basic surgery, 56–83% for comprehensive surgery, 49–72% for comprehensive obstetric care and 54–80% for blood transfusion. Furthermore, few facilities had all the necessary items present. However, facilities that reported offering surgical services had on average most of the necessary items for the prevention of infection. Conclusions There are important gaps in the surgical services in the 8 African countries surveyed. Efforts are therefore urgently needed to address deficiencies in the availability and readiness to deliver surgical services in these nations, and this will require commitment from multiple stakeholders. SARA may be used to monitor availability and

  5. Managing Military Readiness

    DTIC Science & Technology

    2017-02-01

    employment and even strategy development. To manage readiness, the De- partment of Defense (DOD) must balance the supply and demand of deployable forces...interval that balances the expense of new oil and the expense of major engine damage. Readiness managers do not have complete information about unit...solution that, once again, attempts to balance the operational needs of the CCDRs with the force generation realities of the Services, but this time

  6. Modeling Surface Cross-contamination of Salmonella spp. on Ready-to-Eat Meat via Slicing Operation

    USDA-ARS?s Scientific Manuscript database

    Food pathogen cross-contamination occurring at home, retail food service or production site is one of the major factors causing foodborne illness. Studies on Salmonella Typhimurium surface transfer on ready-to-eat (RTE) deli meat and the slicer used for slicing RTE products are needed to ensure RTE...

  7. Modeling the surface cross-contamination of Salmonella spp. on ready-to-eat meat via a slicing operation

    USDA-ARS?s Scientific Manuscript database

    Food pathogen cross-contamination occurring in the home or at retail food service or the production site is a major factor contributing to food-borne illness. Studies on Salmonella spp. surface transfer on ready-to-eat (RTE) deli meat and the slicer used for slicing RTE products are needed to ensur...

  8. Technology requirements and readiness for very large aircraft

    NASA Technical Reports Server (NTRS)

    Conner, D. W.; Vaughan, J. C., III

    1980-01-01

    Common concerns of very large aircraft in the areas of economics, transportation system interfaces and operational problems were reviewed regarding their influence on vehicle configurations and technology. Fifty-four technology requirements were identified which are judged to be unigue, or particularly critical, to very large aircraft. The requirements were about equally divided among the four general areas of aerodynamics, propulsion and acoustics, structures, and vehicle systems and operations. The state of technology readiness was judged to be poor to fair for slightly more than one-half of the requirements. In the classic disciplinary areas, the state of technology readiness appears to be more advanced than for vehicle systems and operations.

  9. Technology requirements and readiness for very large vehicles

    NASA Technical Reports Server (NTRS)

    Conner, D. W.

    1979-01-01

    Common concerns of very large vehicles in the areas of economics, transportation system interfaces and operational problems were reviewed regarding their influence on vehicle configurations and technology. Fifty-four technology requirements were identified which are judged to be unique, or particularly critical, to very large vehicles. The requirements were about equally divided among the four general areas of aero/hydrodynamics, propulsion and acoustics, structures, and vehicle systems and operations. The state of technology readiness was judged to be poor to fair for slightly more than one half of the requirements. In the classic disciplinary areas, the state of technology readiness appears to be more advanced than for vehicle systems and operations.

  10. LANDSAT-D Mission Operations Review (MOR)

    NASA Technical Reports Server (NTRS)

    1982-01-01

    Portions of the LANDSAT-D systems operation plan are presented. An overview of the data processing operations, logistics and other operations support, prelaunch and post-launch activities, thematic mapper operations during the scrounge period, and LANDSAT-D performance evaluation is given.

  11. School readiness.

    PubMed

    High, Pamela C

    2008-04-01

    School readiness includes the readiness of the individual child, the school's readiness for children, and the ability of the family and community to support optimal early child development. It is the responsibility of schools to be ready for all children at all levels of readiness. Children's readiness for kindergarten should become an outcome measure for community-based programs, rather than an exclusion criterion at the beginning of the formal educational experience. Our new knowledge of early brain and child development has revealed that modifiable factors in a child's early experience can greatly affect that child's learning trajectory. Many US children enter kindergarten with limitations in their social, emotional, cognitive, and physical development that might have been significantly diminished or eliminated through early identification of and attention to child and family needs. Pediatricians have a role in promoting school readiness for all children, beginning at birth, through their practices and advocacy. The American Academy of Pediatrics affords pediatricians many opportunities to promote the physical, social-emotional, and educational health of young children, with other advocacy groups. This technical report supports American Academy of Pediatrics policy statements "Quality Early Education and Child Care From Birth to Kindergarten" and "The Inappropriate Use of School 'Readiness' Tests."

  12. Readiness Certification Assurance Process Tracking System

    SciTech Connect

    Cook, G. A.

    2011-06-08

    Without the use of an electronic system for managing Readiness activities, the effort to complete large Readiness reviews would be overwhelming. This system is intended to replace or supplement paper-based administrative tasks performed by Readiness personnel and other involved organizations. RCAPTS helps manage issues and affirmations pertaining to Readiness projects and reviews. This is accomplished through a series of web scripts and a Microsoft Access database.

  13. Review of Psychological Operations Lessons Learned from Recent Operational Experience

    DTIC Science & Technology

    2005-09-01

    media and messages while keeping the corporate brand and key corporate messages consistent and integrated. Good marketers develop an appropriate level... marketing strategy with the tactical considerations of effective product design in a format that is easy to use, and could serve as both a pre...specific shortfalls that are particularly egregious. Arguments reviewed suggest that PSYOP cannot currently meet the requirements of the defense strategy

  14. ASTP [Apollo-Soyuz Test Project] Flight Readiness Review Preboard Report, JSC

    NASA Technical Reports Server (NTRS)

    1975-01-01

    Spacecraft systems (fuel, electrical) are analyzed for performance prior to launch. Systems failures are examined, and safety precautions and safety devices are reviewed. Spacecraft configurations of the command module and docking system are shown.

  15. Assessing Online Readiness of Students

    ERIC Educational Resources Information Center

    Doe, Raymond; Castillo, Matthew S.; Musyoka, Millicent M.

    2017-01-01

    The rise of distance education has created a need to understand students' readiness for online learning and to predict their success. Several survey instruments have been developed to assess this construct of online readiness. However, a review of the extant literature shows that these instruments have varying limitations in capturing all of the…

  16. Ready Reference.

    ERIC Educational Resources Information Center

    Koltay, Emery

    1999-01-01

    Includes the following ready reference information: "Publishers' Toll-Free Telephone Numbers"; "How to Obtain an ISBN (International Standard Book Number)"; "How to Obtain an ISSN (International Standard Serial Number)"; and "How to Obtain an SAN (Standard Address Number)". (AEF)

  17. Ready, set,...quit! A review of the controlled-air incinerator

    SciTech Connect

    Reader, G.E.

    1996-05-01

    The Los Alamos National Laboratory (LANL) Controlled-Air Incinerator (CAI) has had a long and productive past as a research and development tool. It now appears that use of the CAI to treat LANL legacy and other wastes under the Federal Facilities Compliance Act is no longer viable due to numerous programmatic problems. This paper will review the history of the CAI. Various aspects associated with the CAI and how those aspects resulted in the loss of this Department of Energy asset as a viable waste treatment option will also be discussed. Included are past missions and tests-CAI capabilities, emissions, and permits; Federal Facility Compliance Act and associated Agreement; National Environmental Policy Act coverage; cost; budget impacts; public perception; the U.S. Environmental Protection Agency Combustion Strategy; Independent Technical Review {open_quotes}Red{close_quotes} Team review; waste treatment alternative technologies; the New Mexico Environment Department; and future options and issues.

  18. 28 CFR 301.313 - Chief Operating Officer review.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Chief Operating Officer review. 301.313 Section 301.313 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE INMATE ACCIDENT COMPENSATION Compensation for Work-Related Physical Impairment or Death § 301.313 Chief Operating Officer review. Any claimant not satisfie...

  19. [Physical and chemical stability of fortified ophtalmic ready-to-use solutions: review of literature].

    PubMed

    Sourdeau, P; Evrard, J-M; Remy, G; Hecq, J-D

    2012-03-01

    Ophtalmic infections and inflammations are often encountered during hospitalization. They require the preparation of "fortified" ophtalmic solutions, i.e. pharmaceutical ophtalmic solutions which are hyperconcentrated in active substance. The data of physicochemical stabilities are modified and it is therefore essential to gather the results of the various publications devoted to this subject. In 2006, an initial literature review was undertaken to identify the molecules mostly used in the preparation of fortified ophtalmic solutions in hospital. A second review of the literature in 2010 has enriched the knowledge about it. Two new drugs have entered the summary table: amikacin and ticarcillin disodium. Date on 12 molecules already known in 2006 were updated to improve clinical practices. A review of the literature was undertaken in order to collect the results of the molecules mostly used for the preparation of the fortified ophtalmic solutions in hospitals. A summary table, indicating the active substance, its concentration, the assay method, the storage temperature and physicochemical modifications, presents all the results. This review of literature makes it possible to match stability and validity period to these preparations. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

  20. A Model of Family Factors and Individual and Unit Readiness: Literature Review

    DTIC Science & Technology

    1991-02-01

    Paul , & Wall, 1981). Orcanizational/Environmental Factors. Cooper (1985) outlines six major sources of occupational stress: factors intrinsic to the...Military Review, 61(6), 2-12. Jackson, P. R., Paul , L. J., & Wall, T. D. (1981). Individual differences as moderators of reactions to job characteristics...M. (1983). One thousand Army families. St. Paul , MN: University of Minnesota. McCubbin, H. I., Patterson, J. M., & Lavee, Y. (1983). One thousand

  1. Getting a Technology-based Diabetes Intervention Ready for Primetime: A Review of Usability Testing Studies

    PubMed Central

    Lyles, Courtney R.; Sarkar, Urmimala; Osborn, Chandra Y.

    2014-01-01

    Consumer health technologies can educate patients about diabetes and support their self-management, yet usability evidence is rarely published even though it determines patient engagement, optimal benefit of any intervention, and an understanding of generalizability. Therefore, we conducted a narrative review of peer-reviewed articles published from 2009–2013 that tested the usability of a web- or mobile-delivered system/application designed to educate and support patients with diabetes. Overall, the 23 papers included in our review used mixed (n=11), descriptive quantitative (n=9), and qualitative methods (n=3) to assess usability, such as documenting which features performed as intended and how patients rated their experiences. More sophisticated usability evaluations combined several complementary approaches to elucidate more aspects of functionality. Future work pertaining to the design and evaluation of technology-delivered diabetes education/support interventions should aim to standardize the usability testing processes, and publish usability findings to inform interpretation of why an intervention succeeded or failed, and for whom. PMID:25173689

  2. Army Strong: Equipped, Trained and Ready. Final Report of the 2010 Army Acquisition Review

    DTIC Science & Technology

    2011-01-01

    degrading C3 networks, particularly in these environments. This deficiency is caused in part by social scientists historically not being involved in...paramilitary forces and nonmilitary combatants who can influence military operations or to analyze the impact of degrading C3 networks – TRAC has...new build • Deliver 6 Lots of 250 a/c • IOTE using five AB3 aircraft in Mar 2012 • FRP decision planned for Jul 2012 • Development will continue

  3. Productive Skills for Process Operatives. Skills Review.

    ERIC Educational Resources Information Center

    Giles, L.; Kodz, J.; Evans, C.

    A study of process operatives examined the developments in processing work in 20 organizations within the chemical and food and drink processing industries. Seven exploratory interviews were followed by 20 employer interviews. Technological innovations caused job losses and layoffs. Organizational responses adopted to meet increasing competitive…

  4. Review on space weather in Latin America. 2. The research networks ready for space weather

    NASA Astrophysics Data System (ADS)

    Denardini, Clezio Marcos; Dasso, Sergio; Gonzalez-Esparza, J. Americo

    2016-11-01

    The present work is the second of a three-part review of space weather in Latin America, specifically observing its evolution in three countries (Argentina, Brazil and Mexico). This work comprises a summary of scientific challenges in space weather research that are considered to be open scientific questions and how they are being addressed in terms of instrumentation by the international community, including the Latin American groups. We also provide an inventory of the networks and collaborations being constructed in Latin America, including details on the data processing, capabilities and a basic description of the resulting variables. These instrumental networks currently used for space science research are gradually being incorporated into the space weather monitoring data pipelines as their data provides key variables for monitoring and forecasting space weather, which allow these centers to monitor space weather and issue watches, warnings and alerts.

  5. Are we ready to predict late effects? A systematic review of clinically useful prediction models

    PubMed Central

    Salz, Talya; Baxi, Shrujal S.; Raghunathan, Nirupa; Onstad, Erin E.; Freedman, Andrew N.; Moskowitz, Chaya S.; Dalton, Susanne O.; Goodman, Karyn A.; Johansen, Christoffer; Matasar, Matthew J.; Brown, Peter de Nully; Oeffinger, Kevin C.; Vickers, Andrew J.

    2015-01-01

    Background After completing treatment for cancer, survivors may experience late effects: consequences of treatment that persist or arise after a latent period. Purpose To identify and describe all models that predict the risk of late effects and could be used in clinical practice. Data sources We searched Medline through April 2014. Study selection Studies describing models that 1) predicted the absolute risk of a late effect present at least one year post-treatment, and 2) could be used in a clinical setting. Data extraction Three authors independently extracted data pertaining to patient characteristics, late effects, the prediction model, and model evaluation. Data synthesis Across fourteen studies identified for review, nine late effects were predicted: erectile dysfunction and urinary incontinence after prostate cancer; arm lymphedema, psychological morbidity, cardiomyopathy or heart failure, and cardiac event after breast cancer; swallowing dysfunction after head and neck cancer; breast cancer after Hodgkin lymphoma; and thyroid cancer after childhood cancer. Of these, four late effects are persistent effects of treatment and five appear after a latent period. Two studies were externally validated. Six studies were designed to inform decisions about treatment rather than survivorship care. Nomograms were the most common clinical output. Conclusion Despite the call among survivorship experts for risk stratification, few published models are useful for risk-stratifying prevention, early detection, or management of late effects. Few models address serious, modifiable late effects, limiting their utility. Cancer survivors would benefit from models focused on long-term, modifiable, serious late effects to inform the management of survivorship care. PMID:25736818

  6. Ready Reference.

    ERIC Educational Resources Information Center

    Koltay, Emery

    2001-01-01

    Includes four articles that relate to ready reference, including a list of publishers' toll-free telephone numbers and Web sites; how to obtain an ISBN (International Standard Book Number) and an ISSN (International Standard Serial Number); and how to obtain an SAN (Standard Address Number), for organizations that are involved in the book…

  7. Job Ready.

    ERIC Educational Resources Information Center

    Easter Seal Society for Crippled Children and Adults of Washington, Seattle.

    Intended for use by employers for assessing how "job-ready" their particular business environment may be, the booklet provides information illustrating what physical changes could be made to allow persons with mobility limitations to enter and conduct business independently in a particular building. Illustrations along with brief explanations are…

  8. College Readiness

    ERIC Educational Resources Information Center

    Chapa, Marisa; Galvan-De Leon, Vanessa; Solis, Judith; Mundy, Marie-Anne

    2014-01-01

    During the 79th Texas Legislature, the bill "Advancement of College Readiness in Curriculum" was passed (THECB). As a response to this, high schools and colleges have combined forming an early college high school. The result of this union was a program that condensed the time it took to complete both the high school diploma and up to two…

  9. Review & Peer Review of “Parameters for Properly Designed and Operated Flares” Documents

    EPA Pesticide Factsheets

    This page contains two 2012 memoranda on the review of EPA's parameters for properly designed and operated flares. One details the process of peer review, and the other provides background information and specific charge questions to the panel.

  10. Report on School Food Services. MORE: Management Operations Review & Evaluation.

    ERIC Educational Resources Information Center

    Richardson, William M.; And Others

    Because of the size of its budget and the importance and complexity of its operation, the Division of Food Services in the Montgomery County (Maryland) Public Schools was one of the first selected for a series of Management Operations Review and Evaluation (MORE) studies. The Division directs the delivery of food services to all 178 schools in the…

  11. Cost and Information Effectiveness Analysis (CIEA): A Methodology for Evaluating a Training Device Operational Readiness Assessment Capability (DORAC).

    DTIC Science & Technology

    1981-02-01

    define IW in exact terms. Carnap (1950) has referred to this process as expZication, or operational definition. Along with the operational definition...Bulletin, 1959, 56, 81-105. Carnap , R. Logical foundations of probability. Chicago: University of Chicago Press, 1950. Caro, P. Aircraft simulators

  12. Constellation Mission Operation Working Group: ESMO Maneuver Planning Process Review

    NASA Technical Reports Server (NTRS)

    Moyer, Eric

    2015-01-01

    The Earth Science Mission Operation (ESMO) Project created an Independent Review Board to review our Conjunction Risk evaluation process and Maneuver Planning Process to identify improvements that safely manages mission conjunction risks, maintains ground track science requirements, and minimizes overall hours expended on High Interest Events (HIE). The Review Board is evaluating the current maneuver process which requires support by multiple groups. In the past year, there have been several changes to the processes although many prior and new concerns exist. This presentation will discuss maneuver process reviews and Board comments, ESMO assessment and path foward, ESMO future plans, recent changes and concerns.

  13. Fuel Price Effects on Readiness

    DTIC Science & Technology

    2014-05-01

    Data on Navy ships are from the US Navy’s VAMOSC program. The system includes activity (e.g., steaming hours), fuel consumption, and maintenance ...2012, the year following the period we studied, fuel accounted for almost 16 percent of Air Force Operations and Maintenance (O&M) expenditures but...readiness. We estimated readiness using activity levels such as hours flown, miles driven, or days steamed for aircraft, vehicles, and ships

  14. A Comparison and Validation of Two Surface Ship Readiness Models

    DTIC Science & Technology

    1994-09-01

    Mawnum 200 *wmds Two models are used by the U.S. Navy to predict surface ship readiness: the Surface Ship Resources to Material Readiness Model (SRM...and the Surface Ship Inventory to Material Readiness Model (SIM). This thesis examines both models. in order to validate the model fit and to...Operations Research ’ii iv ABSTRACT Two models are used by the U.S. Navy to predict surface ship readiness: the Surface Ship Resources to Material Readiness

  15. An Analysis of the Tail to Tooth Ratio as a Measure of Operational Readiness and Military Expenditure Efficiency

    DTIC Science & Technology

    2002-12-01

    than “tail.” However, from an anatomical perspective using the Tyrannosaurus , one of the biggest meat eating dinosaurs, as an example; it is clear...to see that both “tooth” and “tail” play a major role in operating efficiency. “The Tyrannosaurus … had powerful jaws, with sharp 7 inch teeth

  16. Review of hydrogen accidents and incidents in NASA operations

    NASA Technical Reports Server (NTRS)

    Ordin, P. M.

    1974-01-01

    A number of the accidents/incidents with hydrogen in NASA operations are reviewed. The cause factors for the mishaps are reviewed and show that although few accidents occurred, the number could have been further reduced if the established NASA rules and regulations had been followed. Requirements for effective safety codes and areas of study for hydrogen safety information are included. The report concludes with a compilation of 96 hydrogen mishaps; a description of the accidents and their causes.

  17. The adequacy of hepatopancreatobiliary training: How does operative exposure and perceived readiness in fellowship translate into subsequent practice?

    PubMed Central

    Aubin, Jean-Michel; Bressan, Alexsander K.; Edwards, Janet P.; Grondin, Sean C.; Dixon, Elijah; Minter, Rebecca M.; Jeyarajah, D. Rohan; Hansen, Paul; Cooper, Amanda B.; Ball, Chad G.

    2017-01-01

    Summary Over the last 3 decades, expansion in the scope and complexity of hepatopancreatobiliary (HPB) surgery has resulted in significant improvements in postoperative outcomes. As a result, the importance of dedicated fellowship training for HPB surgery is now well established, and the definition of formal program requirements has been actively pursued by a collaboration of the 3 distinct accrediting bodies within North America. Although major advances have been made in defining minimum case volume requirements, qualitative assessment of the operative experience remains challenging. Our research collaborative (HPB Manpower and Education Study Group) has previously explored the perceived case volume adequacy of core HPB procedures within fellowship programs. We conducted a 1-year follow-up survey targeting the same cohort to investigate the association between operative case volumes and comfort performing HPB procedures within initial independent practice. PMID:28234214

  18. Report of the Defense Science Board 1981 Summer Study Panel on Operational Readiness with High Performance Systems

    DTIC Science & Technology

    1982-04-01

    deci- sion to employ automated fault detection and isolation may permit more effective system operation with less skilled personnel. However, if poorly...personnel or building the fault detection and isolation system over again. There are many other choices which must be made early in a program and...what trainin&, required to support the concept? If sophisticated fault detection and isolation techniques are to be used, what demands will be placed

  19. Proceedings of the DOD/Joint Services Production Readiness Reviews Conference, Dayton, Ohio, 19-20 November 1980

    DTIC Science & Technology

    1980-01-01

    Office of Deputy Under Secretary of Defense (Acquisition Policy ) Directorate of Major Systems Acquisition ii TABLE OF CONTENTS Page Keynote...Secretary of Defense (Acquisition Policy ) Directorate of Major Systems Acquisition Good morning. This is the DoD Joint Services Production Readiness...to manage the production phase. We in the production community have our own Defense Directive 5000.3* wWchsete forth the policy , assigns

  20. Fire protection system operating experience review for fusion applications

    SciTech Connect

    Cadwallader, L.C.

    1995-12-01

    This report presents a review of fire protection system operating experiences from particle accelerator, fusion experiment, and other applications. Safety relevant operating experiences and accident information are discussed. Quantitative order-of-magnitude estimates of fire protection system component failure rates and fire accident initiating event frequencies are presented for use in risk assessment, reliability, and availability studies. Safety concerns with these systems are discussed, including spurious operation. This information should be useful to fusion system designers and safety analysts, such as the team working on the Engineering Design Activities for the International Thermonuclear Experimental Reactor.

  1. Meteorological support for space operations: Review and recommendations

    NASA Technical Reports Server (NTRS)

    1988-01-01

    The current meteorological support provided to NASA by NOAA, Air Weather Service, and other contractors is reviewed and suggestions are offered for its improvement. These recommendations include improvement in NASA's internal management organizational structure that would accommodate continued improvement in operational weather support, installation of new observing systems, improvement in analysis and forecasting procedures, and the establishment of an Applied Research and Forecasting Facility.

  2. Receiver Operating Characteristics (ROCs) in Recognition Memory: A Review

    ERIC Educational Resources Information Center

    Yonelinas, Andrew P.; Parks, Colleen M.

    2007-01-01

    Receiver operating characteristic (ROC) analysis is being used increasingly to examine the memory processes underlying recognition memory. The authors discuss the methodological issues involved in conducting and analyzing ROC results, describe the various models that have been developed to account for these results, review the behavioral empirical…

  3. Turning around a financially distressed practice: the operational review.

    PubMed

    Wolper, L F

    1999-01-01

    Given substantial changes in the marketplace, many physician practices have responded by growing rapidly, merging with or acquiring other practices, or selling the practice to physician practice management companies (PPMCs) or hospital systems. The hoped-for economies of scale, increased market share and profit, or other goals often have not come to fruition. Many practices now find themselves in difficult operational and financial circumstances. This article describes how group practices can solve such operational and financial problems while retaining independence and strategic control of the practice. The strategy involves retaining a professional turnaround company with expertise in reestablishing the financial security of group practices. The article provides characteristics of how turnaround companies operate and the key elements of operational reviews, the tool used by turnaround companies to detect and analyze existing practice problems. Operational reviews include organization analysis, management review, and financial analysis, each of which is described in detail. Finally, the article provides an in-depth case study of how one turnaround company reestablished the financial security of a nine-physician internal medicine group within a 2-year period.

  4. Change readiness for SAP in the Canadian healthcare system.

    PubMed

    O'Neill, Mary Lou; Downer, Pauline

    2004-01-01

    The study described in this article was designed to assess the change readiness for e-business cost management systems (particularly SAP) within the Canadian healthcare system. Previous studies and experts suggest that change readiness is an important variable in the application of e-business cost management system implementation. One hundred and fifty-four chief executive officers within the Canadian healthcare system were surveyed. The response rate was 25.9 percent. The survey included a demographic sheet, which supported a better understanding of the profile of Canadian healthcare CEOs, their operational budget responsibilities, and their feelings toward e-business cost management systems. A change readiness instrument reviewed CEOs' change readiness scores in relation to four independent variables (implementation of an e-business cost management system, healthcare restructuring, budget size and tenure of the CEO). There was a significant difference between change readiness scores and the implementation of an e-business cost management system. Given the small sample size (n = 40), findings are limited. However the study offers more information on this issue than is found in the Canadian healthcare literature to date.

  5. A Primer on Receiver Operating Characteristic Analysis and Diagnostic Efficiency Statistics for Pediatric Psychology: We Are Ready to ROC

    PubMed Central

    2014-01-01

    Objective To offer a practical demonstration of receiver operating characteristic (ROC) analyses, diagnostic efficiency statistics, and their application to clinical decision making using a popular parent checklist to assess for potential mood disorder. Method Secondary analyses of data from 589 families seeking outpatient mental health services, completing the Child Behavior Checklist and semi-structured diagnostic interviews. Results Internalizing Problems raw scores discriminated mood disorders significantly better than did age- and gender-normed T scores, or an Affective Problems score. Internalizing scores <8 had a diagnostic likelihood ratio <0.3, and scores >30 had a diagnostic likelihood ratio of 7.4. Conclusions This study illustrates a series of steps in defining a clinical problem, operationalizing it, selecting a valid study design, and using ROC analyses to generate statistics that support clinical decisions. The ROC framework offers important advantages for clinical interpretation. Appendices include sample scripts using SPSS and R to check assumptions and conduct ROC analyses. PMID:23965298

  6. Autonomous onboard crew operations: A review and developmental approach

    NASA Technical Reports Server (NTRS)

    Rogers, J. G.

    1982-01-01

    A review of the literature generated by an intercenter mission approach and consolidation team and their contractors was performed to obtain background information on the development of autonomous operations concepts for future space shuttle and space platform missions. The Boeing 757/767 flight management system was examined to determine the relevance for transfer of the developmental approach and technology to the performance of the crew operations function. In specific, the engine indications and crew alerting system was studied to determine the relevance of this display for the performance of crew operations onboard the vehicle. It was concluded that the developmental approach and technology utilized in the aeronautics industry would be appropriate for development of an autonomous operations concept for the space platform.

  7. Autonomous onboard crew operations: A review and developmental approach

    NASA Technical Reports Server (NTRS)

    Rogers, J. G.

    1982-01-01

    A review of the literature generated by an intercenter mission approach and consolidation team and their contractors was performed to obtain background information on the development of autonomous operations concepts for future space shuttle and space platform missions. The Boeing 757/767 flight management system was examined to determine the relevance for transfer of the developmental approach and technology to the performance of the crew operations function. In specific, the engine indications and crew alerting system was studied to determine the relevance of this display for the performance of crew operations onboard the vehicle. It was concluded that the developmental approach and technology utilized in the aeronautics industry would be appropriate for development of an autonomous operations concept for the space platform.

  8. Comprehensive Review of Non-Operative Management of Hallux Rigidus

    PubMed Central

    Loh SY, James; Zheng, Qishi; Mehta, Kinjal V

    2017-01-01

    This article aims to provide an evidence-based literature review for the non-operative management of hallux rigidus. Currently, there is very little article on the evidence for the non-operative management of hallux rigidus. A comprehensive evidence-based literature review of the PubMed database conducted in November 2016, identified 11 relevant articles out of 560 articles assessing the efficacy of non-operative modalities for hallux rigidus. The 11 studies were then assigned to a level of evidence (I-IV). Individual studies were reviewed to provide a grade of recommendation (A-C, I) according to the Wright classification in support of or against the non-operative modality. Based on the results of this evidence-based review, there is poor evidence (grade C) to support use of intra-articular injections for pain relief for a period of three months and fair evidence (grade B) against the use of intra-articular injections for long term efficacy. There is poor evidence (grade C) to support manipulation and physical therapy and poor evidence (grade C) to support modifications in footwear, insoles and orthotics. There were no good evidence (grade A) recommending any interventions. In general, most of the interventions showed improvement. However, the evidence is poor in recommending orthosis, manipulation and intra-articular injections. There is a need for high-quality Level I randomized controlled trials with validated outcome measures to allow for stronger recommendations to be made. There is no study that looked solely at the use of pharmaceutical oral agents for the treatment of hallux rigidus. Non-operative management should still be offered, prior to surgical management. PMID:28229034

  9. Cryogenic system operating experience review for fusion applications

    SciTech Connect

    Cadwallader, L.C.

    1992-01-01

    This report presents a review of cryogenic system operating experiences, from particle accelerator, fusion experiment, space research, and other applications. Safety relevant operating experiences and accident information are discussed. Quantitative order-of-magnitude estimates of cryogenic component failure rates and accident initiating event frequencies are presented for use in risk assessment, reliability, and availability studies. Safety concerns with cryogenic systems are discussed, including ozone formation, effects of spills, and modeling spill behavior. This information should be useful to fusion system designers and safety analysts, such as the team working on the International Thermonuclear Experimental Reactor design.

  10. National Transonic Facility: A review of the operational plan

    NASA Technical Reports Server (NTRS)

    Liepmann, H. W.; Black, R. E.; Dietz, R. O.; Kirchner, M. E.; Sears, W. R.

    1980-01-01

    The proposed National Transonic Facility (NTF) operational plan is reviewed. The NTF will provide an aerodynamic test capability significantly exceeding that of other transonic regime wind tunnels now available. A limited number of academic research program that might use the NTF are suggested. It is concluded that the NTF operational plan is useful for management, technical, instrumentation, and model building techniques available in the specialized field of aerodynamic analysis and simulation. It is also suggested that NASA hold an annual conference to discuss wind tunnel research results and to report on developments that will further improve the utilization and cost effectiveness of the NTF and other wind tunnels.

  11. Cryogenic system operating experience review for fusion applications

    SciTech Connect

    Cadwallader, L.C.

    1992-01-01

    This report presents a review of cryogenic system operating experiences, from particle accelerator, fusion experiment, space research, and other applications. Safety relevant operating experiences and accident information are discussed. Quantitative order-of-magnitude estimates of cryogenic component failure rates and accident initiating event frequencies are presented for use in risk assessment, reliability, and availability studies. Safety concerns with cryogenic systems are discussed, including ozone formation, effects of spills, and modeling spill behavior. This information should be useful to fusion system designers and safety analysts, such as the team working on the International Thermonuclear Experimental Reactor design.

  12. C-Division annual review and operating plan, August 1990

    SciTech Connect

    Morse, N.R.

    1990-11-01

    The Computing and Communications Division is responsible for the Laboratory's Integrated Computing Network as well as Laboratory-wide communications. Our computing network, used by 8000 people distributed throughout the nation, constitutes one of the most powerful scientific computing facilities in the world. The purpose of this publication is to inform our clients of our strategic and operating plans. We review major accomplishments since early 1989 and describe our strategic planning goals and specific projects that will guide our operations over the next couple of years. Our mission statement, planning considerations, and management policies and practices are also included.

  13. Review of hydrogen accidents and incidents in NASA operations

    NASA Technical Reports Server (NTRS)

    Ordin, P. M.

    1974-01-01

    Safety, as a major factor in the development of a power economy based on hydrogen produced by nuclear- or solar-energy operated water electrolysis, is considered in terms of the safety problems involved in the production, handling, transportation, and use of liquid and gaseous hydrogen. These problems are reviewed through the records of accidents and incidents that have occurred in the development and operation of NASA's propulsion and power systems. Areas of research and development are suggested for increased safety and for the development of techniques to reduce the consequences of any mishaps.

  14. Background for Community-Level Work on School Readiness: A Review of Definitions, Assessments, and Investment Strategies. Final Report to the Knight Foundation.

    ERIC Educational Resources Information Center

    Zaslow, Martha; Calkins, Julia; Halle, Tamara; Zaff, Jonathan; Margie, Nancy Geyelin

    Noting that many communities in the United States have set the ambitious goal of enhancing school readiness, this report is intended to help communities invest wisely in school readiness initiatives. Part 1 of the report summarizes recommendations from the National Education Goals Panel (NEGP) for defining and assessing school readiness. The core…

  15. Visibility science operations with the Keck Interferometer

    NASA Technical Reports Server (NTRS)

    Wizinowich, P.; Akeson, R.; Colavita, M.; Gathright, J.; Appleby, E.; Bell, J.; Booth, A.; Dahl, W.; Hrynevych, M; Lynn, I.; Millan-Gabet, R.; Neyman, C.; Rudeen, A.; Saloga, T.; Summers, K.; Tsubota, K.

    2004-01-01

    The visibility science mode of the Keck Interferometer fully transitioned into operations with the successful completion of its operational readiness review in April, 2004. The goal of this paper is to describe this science mode and the operations structure that supports it.

  16. Ready, set...go!

    SciTech Connect

    Alexandre, Melanie

    2010-06-16

    The objectives of this paper are: (1) Discuss organizational readiness for changes in an ergonomics program or intervention; (2) Assessing organizational readiness; (3) Benefits and challenges of change; and (4) Case studies of ergonomic programs that were 'not ready' and 'ready'.

  17. Mortuary operations following mass fatality natural disasters: a review.

    PubMed

    Anderson, Madelyn; Leditschke, Jodie; Bassed, Richard; Cordner, Stephen M; Drummer, Olaf H

    2017-03-01

    This is a critical review to discuss the best practice approaches to mortuary operations in preparation for and the response to natural, mass fatality, disaster events, as identified by a review of published articles. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) Statement guided the identification of potential articles to use in this critical review. Subsequent searches were also conducted to identify articles relating to heat wave, and flood mortality. All identified peer-reviewed studies published in English which discussed the preparation and response of mortuaries to mass fatality natural disasters occurring in developed countries were included. Using the PRISMA-P method of identifying articles, 18 articles were selected for inclusion in this review. Although there are numerous articles which describe the mortuary response to mass fatality incidents, few articles analyzed the response, or discussed the roles which supported and enabled the organization to undertake the task of identifying disaster victims. It is thus difficult to determine objectively if the actions and activities outlined in the articles represent best-practice.

  18. Review of the operational definition for first-episode psychosiseip

    PubMed Central

    Breitborde, Nicholas J. K.; Srihari, Vinod H.; Woods, Scott W.

    2015-01-01

    Aim Given the growing interest in the study of first-episode psychosis, clinical and research programmes would benefit from a conceptual clarification of how to operationalize ‘first-episode psychosis’. We review the variety of definitions in use and discuss their relative merits with respect to both clinical (e.g. early treatment) and research (e.g. obtaining meaningfully homogeneous populations) agendas. Methods We completed a selective review of the literature to investigate how first-episode psychosis was operationally defined. Results Operational definitions for ‘first-episode psychosis’ fall largely into three categories: (i) first treatment contact; (ii) duration of antipsychotic medication use; and (iii) duration of psychosis. Each definitional category contains a number of underlying assumptions that contribute to the strengths and weaknesses of the definition. Conclusions The term ‘first-episode psychosis’ as used within clinical and research settings is misleading regardless of which operational definition is used. This term is typically used to refer to individuals early in the course of a psychotic illness or treatment rather than individuals who are truly in the midst of a first ‘episode’ of illness. The alternative of ‘recent-onset psychosis’ with related definitions based on ‘duration of psychosis’ is proposed. Based on this review, we provide suggestions with regard to the overarching pragmatic consideration of setting up a clinical service that can attract and assemble a population of early psychosis patients for the related purposes of treatment and research. PMID:22642728

  19. A review of aircraft turnaround operations and simulations

    NASA Astrophysics Data System (ADS)

    Schmidt, Michael

    2017-07-01

    The ground operational processes are the connecting element between aircraft en-route operations and airport infrastructure. An efficient aircraft turnaround is an essential component of airline success, especially for regional and short-haul operations. It is imperative that advancements in ground operations, specifically process reliability and passenger comfort, are developed while dealing with increasing passenger traffic in the next years. This paper provides an introduction to aircraft ground operations focusing on the aircraft turnaround and passenger processes. Furthermore, key challenges for current aircraft operators, such as airport capacity constraints, schedule disruptions and the increasing cost pressure, are highlighted. A review of the conducted studies and conceptual work in this field shows pathways for potential process improvements. Promising approaches attempt to reduce apron traffic and parallelize passenger processes and taxiing. The application of boarding strategies and novel cabin layouts focusing on aisle, door and seat, are options to shorten the boarding process inside the cabin. A summary of existing modeling and simulation frameworks give an insight into state-of-the-art assessment capabilities as it concerns advanced concepts. They are the prerequisite to allow a holistic assessment during the early stages of the preliminary aircraft design process and to identify benefits and drawbacks for all involved stakeholders.

  20. In Situ Operating Room-Based Simulation: A Review.

    PubMed

    Owei, Lily; Neylan, Christopher J; Rao, Raghavendra; Caskey, Robert C; Morris, Jon B; Sensenig, Richard; Brooks, Ari D; Dempsey, Daniel T; Williams, Noel N; Atkins, Joshua H; Baranov, Dimitry Y; Dumon, Kristoffel R

    To systematically review the literature surrounding operating room-based in situ training in surgery. A systematic review was conducted of MEDLINE. The review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology, and employed the Population, Intervention, Comparator, Outcome (PICO) structure to define inclusion/exclusion criteria. The Kirkpatrick model was used to further classify the outcome of in situ training when possible. The search returned 308 database hits, and ultimately 19 articles were identified that met the stated PICO inclusion criteria. Operating room-based in situ simulation is used for a variety of purposes and in a variety of settings, and it has the potential to offer unique advantages over other types of simulation. Only one randomized controlled trial was conducted comparing in situ simulation to off-site simulation, which found few significant differences. One large-scale outcome study showed improved perinatal outcomes in obstetrics. Although in situ simulation theoretically offers certain advantages over other types of simulation, especially in addressing system-wide or environmental threats, its efficacy has yet to be clearly demonstrated. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  1. Ventilation Systems Operating Experience Review for Fusion Applications

    SciTech Connect

    L. C. Cadwallader

    1999-12-01

    This report is a collection and review of system operation and failure experiences for air ventilation systems in nuclear facilities. These experiences are applicable for magnetic and inertial fusion facilities since air ventilation systems are support systems that can be considered generic to nuclear facilities. The report contains descriptions of ventilation system components, operating experiences with these systems, component failure rates, and component repair times. Since ventilation systems have a role in mitigating accident releases in nuclear facilities, these data are useful in safety analysis and risk assessment of public safety. An effort has also been given to identifying any safety issues with personnel operating or maintaining ventilation systems. Finally, the recommended failure data were compared to an independent data set to determine the accuracy of individual values. This comparison is useful for the International Energy Agency task on fusion component failure rate data collection.

  2. Review of the IEEE Standard for Computerized Operating Procedure Systems

    SciTech Connect

    O'Hara, J.; Higgins, J.

    2010-02-26

    Increasingly nuclear power plant procedures, such as emergency operating procedures, are being presented in computer form with functionality to support operator use and management of the procedures. The U.S. Nuclear Regulatory Commission (NRC) currently has guidance for the review of computer-based procedures (CBPs); however, there remain CBP functions and human performance issues for which up-to-date guidance is lacking. The Institute of Electrical and Electronics Engineers (IEEE) has initiated a standard development effort to address the human factors engineering (HFE) aspects of CBP systems. When completed, it may provide guidance to supplement the NRC staff's review criteria. The purpose of our study was to evaluate the suitability of the IEEE Standard for use in the NRC's HFE safety reviews of CBP systems and to ensure that the guidance meets the NRC's standard for scientific and engineering rigor used in its own guidance development efforts. We established the following criteria with which to evaluate the Standard: (1) it should meet an existing need of NRC reviewers, (2) it should be based in sound HFE principles, (3) it should be thoroughly peer-reviewed, and (4) it should address CBP-related human performance issues identified in the literature. This report describes the methodology we used to evaluate each criterion. Our evaluation concluded that the Standard generally does meet these criteria, however several areas were identified for which additional clarifications are needed. Thus consideration of the Standard's use by the NRC is supported. The standard evaluation methodology developed in this study can be generally applied to the review of other HFE standards being considered for possible use or endorsement by the NRC.

  3. Assessing the quality of operation notes: a review of 1092 operation notes in 9 UK hospitals.

    PubMed

    Blackburn, Julia

    2016-01-01

    The General Medical Council states that effective note keeping is essential and records should be clear, accurate and legible. However previous studies of operation notes have shown they can be variable in quality and affect patient safety. This study compares the quality of operation notes against the National Standards set by the Royal College of Surgeons of England and the British Orthopaedic Association (BOA) for improving patient safety. Information from Orthopaedic operation notes was collected prospectively over a 2-week period. All elective and trauma operations performed were included and trainees from the region coordinated data collection in 9 hospitals. Data from 1092 operation notes was reviewed. A number of important standards were nearly met including legibility (98.4 %), the name of the operating surgeon (99.3 %) and the operation title (99.1 %). However a number of standards were not met and those with potential patient safety implications include availability on the ward (88.8 %), documentation of type of anaesthetic used (78.6 %), diagnosis (73.4 %) and findings (80.1 %). In addition, the postoperative instructions recorded the need for and type of postoperative antibiotics or venous thromboembolism prophylaxis in only 49.7 % and 48.8 % of cases respectively. The quality and content of operation notes studied across the region in this period was variable. Use of software programmes in some hospitals for creating operation notes meant that some centres had better results for elements such as date, time and patient identification details. Following this study, greater awareness of the standards combined with additional local measures may improve the quality of operation notes.

  4. Getting Ready for Arctic Operations

    DTIC Science & Technology

    2008-09-01

    sailing in the Arctic having been the sole US government representatives in the early years, providing security and medical care and rescuing whaling ships...species also have an important role for indigenous people. The hunting of Bowhead whales is allowed; the International Whaling Commission (IWC) has...permitted up to 280 to be taken by between 2008 and 1012 [6]. But there are four types of seals, 7 types of whales , a porpoise and two eiders that are on

  5. Developmental Readiness of Normal Full Term Infants To Progress from Exclusive Breastfeeding to the Introduction of Complementary Foods: Reviews of the Relevant Literature Concerning Infant Immunologic, Gastrointestinal, Oral Motor and Maternal Reproductive and Lactational Development.

    ERIC Educational Resources Information Center

    Naylor, Audrey J., Ed.; Morrow, Ardythe L., Ed.

    This review of the developmental readiness of normal, full-term infants to progress from exclusive breastfeeding to the introduction of complementary foods is the result of the international debate regarding the best age to introduce complementary foods into the diet of the breastfed human infant. After a list of definitions, four papers focus on:…

  6. 40 CFR 26.1603 - Operation of the Human Studies Review Board.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 1 2011-07-01 2011-07-01 false Operation of the Human Studies Review... PROTECTION OF HUMAN SUBJECTS Review of Proposed and Completed Human Research § 26.1603 Operation of the Human Studies Review Board. EPA shall establish and operate a Human Studies Review Board as follows:...

  7. 40 CFR 26.1603 - Operation of the Human Studies Review Board.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Operation of the Human Studies Review... PROTECTION OF HUMAN SUBJECTS Review of Proposed and Completed Human Research § 26.1603 Operation of the Human Studies Review Board. EPA shall establish and operate a Human Studies Review Board as follows:...

  8. 40 CFR 26.1605 - Operation of the Human Studies Review Board.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 1 2013-07-01 2013-07-01 false Operation of the Human Studies Review... PROTECTION OF HUMAN SUBJECTS Review of Proposed and Completed Human Research § 26.1605 Operation of the Human Studies Review Board. EPA shall establish and operate a Human Studies Review Board as follows: (a...

  9. 40 CFR 26.1603 - Operation of the Human Studies Review Board.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 1 2012-07-01 2012-07-01 false Operation of the Human Studies Review... PROTECTION OF HUMAN SUBJECTS Review of Proposed and Completed Human Research § 26.1603 Operation of the Human Studies Review Board. EPA shall establish and operate a Human Studies Review Board as follows: (a...

  10. 40 CFR 26.1605 - Operation of the Human Studies Review Board.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Operation of the Human Studies Review... PROTECTION OF HUMAN SUBJECTS Review of Proposed and Completed Human Research § 26.1605 Operation of the Human Studies Review Board. EPA shall establish and operate a Human Studies Review Board as follows: (a...

  11. Building the Readiness Data Warehouse

    DTIC Science & Technology

    2000-06-01

    is the role of the data warehouse. The data warehouse will deliver business intelligence based on operational data, decision support data and...need consistent and reconciled business intelligence to manage the level of readiness of active and reserve forces. As a component command and force

  12. Smoking cessation readiness: are your patients ready to quit?

    PubMed

    Woody, Delinda; DeCristofaro, Claire; Carlton, Betty G

    2008-08-01

    To explore the assessment of patient readiness to receive smoking cessation interventions using the transtheoretical model (TTM) and the five stages of change; and to give the primary care provider an evidence-based toolkit to assist in evaluating for readiness and supporting the smoking cessation process. Evidence-based literature, theoretical framework, and peer-reviewed articles. Utilizing the TTM along with proper training and education of the provider and patient increases the probability that smoking cessation will occur. Combinations of pharmaceutical and nonpharmaceutical interventions are the most effective in smoking cessation. Providers can be prepared at every patient visit to address the smoking cessation needs of all patients. The toolkit provided in this article will help facilitate evaluation of readiness and support of effective, long-term smoking cessation and reduce eventual smoking-related morbidities.

  13. Vacuum system operating experience review for fusion applications

    SciTech Connect

    Cadwallader, L.C.

    1994-03-01

    This report presents a review of vacuum system operating experiences from particle accelerator, fusion experiment, space simulation chamber, and other applications. Safety relevant operating experiences and accident information are discussed. Quantitative order-of-magnitude estimates of vacuum system component failure rates and accident initiating event frequencies are presented for use in risk assessment, reliability, and availability studies. Safety concerns with vacuum systems are discussed, including personnel safety, foreign material intrusion, and factors relevant to vacuum systems being the primary confinement boundary for tritium and activated dusts. This information should be useful to fusion system designers and safety analysts, such as the team working on the Engineering Design Activities for the International Thermonuclear Experimental Reactor.

  14. A review of recent American military space operations

    NASA Astrophysics Data System (ADS)

    Day, Dwayne A.

    1993-12-01

    The United States (US) Department of Defense (DOD) has launched a large number of satellites into Earth orbit during the past five and a half years. These range from highly classified signals intelligence and imaging satellites to more mundane scientific and experimental microsats. This period saw a dramatic overhaul in operations due to the Challenger and other launch disasters. Many of these resources were used during the war in the Persian Gulf, which highlighted some of the limitations of current systems. A significant amount of new information has emerged in recent years due to the changing political situation, leading to this general overview of American military satellite programs during this period using unclassified and declassified sources as well as informed specculation. It is primarily a review of space operations and technical developments rather than the policy and doctrine that drives them.

  15. Ankle arthritis: review of diagnosis and operative management.

    PubMed

    Grunfeld, Robert; Aydogan, Umur; Juliano, Paul

    2014-03-01

    The diagnostic and therapeutic options for ankle arthritis are reviewed. The current standard of care for nonoperative options include the use of nonsteroidal antiinflammatory drugs, corticosteroid injections, orthotics, and ankle braces. Other modalities lack high-quality research studies to delineate their appropriateness and effectiveness. The gold standard for operative intervention in end-stage degenerative arthritis remains arthrodesis, but evidence for the superiority in functional outcomes of total ankle arthroplasty is increasing. The next few years will enable more informed decisions and, with more prospective high-quality studies, the most appropriate patient population for total ankle arthroplasty can be identified.

  16. The Effect of Utilization Review on Emergency Department Operations.

    PubMed

    Desai, Shoma; Gruber, Phillip F; Eiting, Erick; Seabury, Seth A; Mack, Wendy J; Voyageur, Christian; Vasquez, Veronica; Kim, Hyung T; Terp, Sophie

    2017-05-27

    Increasingly, hospitals are using utilization review software to reduce hospital admissions in an effort to contain costs. Such practices have the potential to increase the number of unsafe discharges, particularly in public safety-net hospitals. Utilization review software tools are not well studied with regard to their effect on emergency department (ED) operations. We study the effect of prospectively used admission decision support on ED operations. In 2012, Los Angeles County + University of Southern California Medical Center implemented prospective use of computerized admission criteria. After implementation, only ED patients meeting primary review (diagnosis-based criteria) or secondary review (medical necessity as determined by an on-site emergency physician) were assigned inpatient beds. Data were extracted from electronic medical records from September 2011 through December 2013. Outcomes included operational metrics, 30-day ED revisits, and 30-day admission rates. Excluding a 6-month implementation period, monthly summary metrics were compared pre- and postimplementation with nonparametric and negative binomial regression methods. All adult ED visits, excluding incarcerated and purely behavioral health visits, were analyzed. The primary outcomes were disposition rates. Secondary outcomes were 30-day ED revisits, 30-day admission rate among return visitors to the ED, and estimated cost. Analysis of 245,662 ED encounters was performed. The inpatient admission rate decreased from 14.2% to 12.8%. Increases in discharge rate (82.4% to 83.4%) and ED observation unit utilization (2.5% to 3.4%) were found. Thirty-day revisits increased (20.4% to 24.4%), although the 30-day admission rate decreased (3.2% to 2.8%). Estimated cost savings totaled $193.17 per ED visit. The prospective application of utilization review software in the ED led to a decrease in the admission rate. This was tempered by a concomitant increase in ED observation unit utilization and 30-day

  17. Electric propulsion flight experience and technology readiness

    NASA Astrophysics Data System (ADS)

    Pollard, J. E.; Jackson, D. E.; Marvin, D. C.; Jenkin, A. B.; Janson, S. W.

    1993-06-01

    Spacecraft electric propulsion technology is reviewed here to provide mission planners and potential users with a better appreciation of its capabilities and limitations. Flight experience provides the best measure of EP technology readiness. We describe and document the flight history and development status of EP in domestic, foreign, and commercial programs. Low-power resistojets, arcjets, ion engines, and plasma thrusters are applicable today for stationkeeping and drag compensation. Future high-power systems would enable large velocity-change maneuvers. The trade-space of EP encompasses significant performance benefits (reduced propellant mass, enhanced payload, system-level synergism), along with challenges (hardware development, system operations, non-technical issues). The choice of design parameters (thrust, specific impulse, input power) depends on how much of a change from traditional spacecraft operations is acceptable for a given mission - greater change will yield a greater payoff.

  18. Stennis certified as Project Ready

    NASA Technical Reports Server (NTRS)

    2009-01-01

    Mississippi Power Co. Director of Economic Development Arnie Williams presents NASA's John C. Stennis Space Center Deputy Director Patrick Scheuermann with a commemorative plate designating the facility as a Project Ready technology park during a Nov. 6 ceremony. The designation certifies Stennis as a 'project ready' site for high-tech firms seeking a new location. Mississippi Power launched the Project Ready Certified Site Program to identify locations that are ready to go and relatively risk-free in an effort to attract companies into the region. Stennis is the first site to gain the technology park certification. Participants in the Nov. 6 ceremony included (l to r): Sue Wright, economic development director for the Hancock County Development Commission; Griff Salmon, director of the Global Business Division of the Mississippi Development Authority; Williams; Scheuermann; Mark Sweeney, senior principal of the McCallum Sweeney Consulting firm in Greenville, S.C., which is helping implement the Project Ready initiative; and Ron Magee, assistant to the director of Stennis' Center Operations Directorate.

  19. Stennis certified as Project Ready

    NASA Technical Reports Server (NTRS)

    2009-01-01

    Mississippi Power Co. Director of Economic Development Arnie Williams presents NASA's John C. Stennis Space Center Deputy Director Patrick Scheuermann with a commemorative plate designating the facility as a Project Ready technology park during a Nov. 6 ceremony. The designation certifies Stennis as a 'project ready' site for high-tech firms seeking a new location. Mississippi Power launched the Project Ready Certified Site Program to identify locations that are ready to go and relatively risk-free in an effort to attract companies into the region. Stennis is the first site to gain the technology park certification. Participants in the Nov. 6 ceremony included (l to r): Sue Wright, economic development director for the Hancock County Development Commission; Griff Salmon, director of the Global Business Division of the Mississippi Development Authority; Williams; Scheuermann; Mark Sweeney, senior principal of the McCallum Sweeney Consulting firm in Greenville, S.C., which is helping implement the Project Ready initiative; and Ron Magee, assistant to the director of Stennis' Center Operations Directorate.

  20. Improving Students' College Math Readiness: A Review of the Evidence on Postsecondary Interventions and Reforms. A CAPSEE Working Paper

    ERIC Educational Resources Information Center

    Hodara, Michelle

    2013-01-01

    This paper reviews current research on the effectiveness of interventions and reforms that seek to improve the math preparedness and success of high school students entering college. Based on gaps in the research knowledge, it also provides recommendations for further inquiry in particular areas. The studies reviewed here are selected from…

  1. Readiness for Kindergarten: What Does It Mean? A Review of Literature in Response to a Request by Assemblymember Kerry Mazzoni.

    ERIC Educational Resources Information Center

    de Cos, Patricia L.

    In response to California Legislation that would change the cut-off for the minimum 5-year entrance age from December 2 to September 1, this paper reviews the literature discussing the appropriate age for beginning school. The review includes a brief history of kindergarten and its place in California law; discusses the possible impact of the…

  2. Conservation and Reading Readiness

    ERIC Educational Resources Information Center

    Brekke, Beverly W.; And Others

    1973-01-01

    Conservation is positively correlated with reading readiness and intelligence. Suggests that conservation is worthy of attention by primary teachers as a predictor of the child's readiness for learning to read. (ST)

  3. Transfer Readiness Pilot Study.

    ERIC Educational Resources Information Center

    Scott-Skillman, Thelma; And Others

    The California Community Colleges (CCC) has implemented a prototype model for determining student transfer readiness as a primary means of assessing community college transfer effectiveness. This report provides definitions of transfer readiness and guidelines for colleges participating in the CCC transfer readiness study. First, a memorandum from…

  4. What Is "Career Ready"?

    ERIC Educational Resources Information Center

    Association for Career and Technical Education, 2010

    2010-01-01

    All too often, the terms "career ready" and "college ready" are used interchangeably, and discussions around career readiness are limited to traditional academic skills that allow students to successfully enroll in postsecondary education. While there is no debate that a rigorous level of academic proficiency, especially in math and literacy, is…

  5. Eligible & Ready for College

    ERIC Educational Resources Information Center

    Conley, David T.

    2010-01-01

    Many students who are "eligible" for college are not "ready" for college. Readiness is much more complex and multidimensional than eligibility. Most high schools are organized to make students eligible for college admission, not make them ready to succeed in entry-level college courses. Over the past 15 years, the author has conducted research on…

  6. Design/Operations review of core sampling trucks and associated equipment

    SciTech Connect

    Shrivastava, H.P.

    1996-03-11

    A systematic review of the design and operations of the core sampling trucks was commissioned by Characterization Equipment Engineering of the Westinghouse Hanford Company in October 1995. The review team reviewed the design documents, specifications, operating procedure, training manuals and safety analysis reports. The review process, findings and corrective actions are summarized in this supporting document.

  7. 7 CFR 3411.10 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 15 2011-01-01 2011-01-01 false Establishment and operation of peer review groups... Review of Research Grant Applications § 3411.10 Establishment and operation of peer review groups. Subject to § 3411.5, the Administrator shall adopt procedures for the conduct of peer reviews and the...

  8. Operations research in intensive care unit management: a literature review.

    PubMed

    Bai, Jie; Fügener, Andreas; Schoenfelder, Jan; Brunner, Jens O

    2016-08-12

    The intensive care unit (ICU) is a crucial and expensive resource largely affected by uncertainty and variability. Insufficient ICU capacity causes many negative effects not only in the ICU itself, but also in other connected departments along the patient care path. Operations research/management science (OR/MS) plays an important role in identifying ways to manage ICU capacities efficiently and in ensuring desired levels of service quality. As a consequence, numerous papers on the topic exist. The goal of this paper is to provide the first structured literature review on how OR/MS may support ICU management. We start our review by illustrating the important role the ICU plays in the hospital patient flow. Then we focus on the ICU management problem (single department management problem) and classify the literature from multiple angles, including decision horizons, problem settings, and modeling and solution techniques. Based on the classification logic, research gaps and opportunities are highlighted, e.g., combining bed capacity planning and personnel scheduling, modeling uncertainty with non-homogenous distribution functions, and exploring more efficient solution approaches.

  9. Hypospadias. A review of 299 cases operated 1957-69.

    PubMed

    Johanson, B; Avellán, L

    1980-01-01

    A review of 299 unselected primary cases of hypospadias of all types treated during the period 1957 to 1969 is presented. The same indications for operation and the same surgical principles were applied in all cases. The surgical treatment was performed in two stages: meatotomy or meatotomy combined with straightening in the first stage and urethral construction according to Denis Browne's method in the second stage. Complications occurred after the urethral construction in 11/289 cases (separation of the skin flaps in 5/289 and fistulas in 6/289). All 11 patients were reoperated with fully satisfactory results. The long-term results were followed up in a series of 220/299 cases. This series was used to study different problems affecting hypospadias. The mean age at the first operation was 8.5 years and the median age 4.4. The mean age at the latest control was 15.1 years and the median age 18.4. At the latest control no relapses with regard to curvature were observed during erection in the 151/220 cases in which straightening was performed. The meatus was adequate in all cases and the urinary flow, measured with a uroflowmeter, was normal.

  10. Evaluation and Testing of Junctional Tourniquets by Special Operation Forces Personnel: A Comparison of the Combat Ready Clamp and the Junctional Emergency Treatment Tool.

    PubMed

    Theodoridis, Charalampos A; Kafka, Kelly E; Perez, Alejandro M; Curlee, Jeremy B; Yperman, Paul C J; Oppermann, Nico; Holmstroem, Eirik; Niegsch, Derek D; Mannino, Antonio; Ramundo, Nicola

    2016-01-01

    Previous research has shown that external hemorrhage from proximal leg amputations and junctional sites represents 19.2% of potentially survivable lethal hemorrhage. A recent effort to address this problem has resulted in the development of various junctional tourniquets. This study assessed and compared two Tactical Combat Casualty Care Committee-approved junctional tourniquets, the Combat Ready Clamp (CRoC) and the Junctional Emergency Treatment Tool (JETT), to contribute to their future development and to better inform on the decisions for device selection by military units. Aims of the study also were to provide concrete feedback and suggestions on how to effectively apply the devices. Via a specific questionnaire, 75 international attendees of the International Special Training Centre Medical Branch Special Operations Forces Advanced Medical First Responder course evaluated the CRoC and the JETT on different parameters. Both devices were tested objectively through timed applications aimed at stopping unilateral lower-extremity distal pulse on 33 of these 75 students, verified by palpation by Medical Branch instructors. Subjective and objective data were examined for mutual correlation. Users ranked the JETT higher than the CRoC on all parameters, including effectiveness on the battlefield (ρ < .001), ease of use (ρ < .039), speed of application (ρ < .001), and not slipping in use (ρ < .001), although the difference on other parameters such as effectiveness in hemorrhage control was not statistically significant. Considering all parameters together, the JETT was evaluated as a better device than the CRoC (ρ < .001). The application time measurement suggested that the JETT was applied faster (by approximately 15 seconds on average; ρ < .001). The fastest CRoC and JETT applications were 37 and 29 seconds, respectively. The JETT was not easier to use or more effective than the CRoC; there was a 9% failure rate of the JETT occluding a unilateral common

  11. Building Foundations for Student Readiness: A Review of Rigorous Research and Promising Trends in Developmental Education. An NCPR Working Paper

    ERIC Educational Resources Information Center

    Zachry, Elizabeth M.; Schneider, Emily

    2010-01-01

    One of the greatest challenges that community colleges face in their efforts to increase graduation rates is improving the success of students in their developmental, or remedial, education programs. This literature review seeks to examine research on developmental education strategies and reforms and identify the most promising approaches for…

  12. Getting a technology-based diabetes intervention ready for prime time: a review of usability testing studies.

    PubMed

    Lyles, Courtney R; Sarkar, Urmimala; Osborn, Chandra Y

    2014-10-01

    Consumer health technologies can educate patients about diabetes and support their self-management, yet usability evidence is rarely published even though it determines patient engagement, optimal benefit of any intervention, and an understanding of generalizability. Therefore, we conducted a narrative review of peer-reviewed articles published from 2009 to 2013 that tested the usability of a web- or mobile-delivered system/application designed to educate and support patients with diabetes. Overall, the 23 papers included in our review used mixed (n = 11), descriptive quantitative (n = 9), and qualitative methods (n = 3) to assess usability, such as documenting which features performed as intended and how patients rated their experiences. More sophisticated usability evaluations combined several complementary approaches to elucidate more aspects of functionality. Future work pertaining to the design and evaluation of technology-delivered diabetes education/support interventions should aim to standardize the usability testing processes and publish usability findings to inform interpretation of why an intervention succeeded or failed and for whom.

  13. Making Technology Ready: Integrated Systems Health Management

    NASA Technical Reports Server (NTRS)

    Malin, Jane T.; Oliver, Patrick J.

    2007-01-01

    This paper identifies work needed by developers to make integrated system health management (ISHM) technology ready and by programs to make mission infrastructure ready for this technology. This paper examines perceptions of ISHM technologies and experience in legacy programs. Study methods included literature review and interviews with representatives of stakeholder groups. Recommendations address 1) development of ISHM technology, 2) development of ISHM engineering processes and methods, and 3) program organization and infrastructure for ISHM technology evolution, infusion and migration.

  14. Maglev ready for prime time.

    SciTech Connect

    Rote, D. M.; Johnson, L. R.; Energy Systems

    2003-01-01

    Putting Maglev on Track' (Issues, Spring 1990) observed that growing airline traffic and associated delays were already significant and predicted that they would worsen. The article argued that a 300-mile-per-hour (mph) magnetic levitation (maglev) system integrated into airport and airline operations could be a part of the solution. Maglev was not ready for prime time in 1990, but it is now.

  15. Skylab rescue space vehicle flight readiness test

    NASA Technical Reports Server (NTRS)

    Jevitt, S. J.

    1973-01-01

    A Skylab Rescue Space Vehicle flight readiness test is described which ensures that space vehicle systems are in a state of flight readiness and are compatible with associated ground support equipment. The functions of propellant loading, umbilical ejection, ignition, holddown arm release, liftoff, and service arm and tail service mast retraction are simulated. The test outline is presented along with a list of references, intercommunications information, operations interface control chart, and flight test.

  16. 7 CFR 3400.10 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 15 2014-01-01 2014-01-01 false Establishment and operation of peer review groups... INSTITUTE OF FOOD AND AGRICULTURE SPECIAL RESEARCH GRANTS PROGRAM Scientific Peer Review of Research Grant Applications § 3400.10 Establishment and operation of peer review groups. Subject to § 3400.5, the Director...

  17. 42 CFR 52h.3 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Establishment and operation of peer review groups... GRANTS SCIENTIFIC PEER REVIEW OF RESEARCH GRANT APPLICATIONS AND RESEARCH AND DEVELOPMENT CONTRACT PROJECTS § 52h.3 Establishment and operation of peer review groups. (a) To the extent applicable, the...

  18. 7 CFR 3401.12 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 15 2011-01-01 2011-01-01 false Establishment and operation of peer review groups... INSTITUTE OF FOOD AND AGRICULTURE RANGELAND RESEARCH GRANTS PROGRAM Scientific Peer Review of Research Applications for Funding § 3401.12 Establishment and operation of peer review groups. Subject to § 3401.7, the...

  19. 42 CFR 52h.3 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Establishment and operation of peer review groups... GRANTS SCIENTIFIC PEER REVIEW OF RESEARCH GRANT APPLICATIONS AND RESEARCH AND DEVELOPMENT CONTRACT PROJECTS § 52h.3 Establishment and operation of peer review groups. (a) To the extent applicable, the...

  20. 7 CFR 3400.10 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 15 2012-01-01 2012-01-01 false Establishment and operation of peer review groups... INSTITUTE OF FOOD AND AGRICULTURE SPECIAL RESEARCH GRANTS PROGRAM Scientific Peer Review of Research Grant Applications § 3400.10 Establishment and operation of peer review groups. Subject to § 3400.5, the Director...

  1. 7 CFR 3411.10 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Establishment and operation of peer review groups... INITIATIVE COMPETITIVE GRANTS PROGRAM Scientific Peer Review of Research Grant Applications § 3411.10 Establishment and operation of peer review groups. Subject to § 3411.5, the Administrator shall adopt procedures...

  2. 7 CFR 3401.12 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Establishment and operation of peer review groups... GRANTS PROGRAM Scientific Peer Review of Research Applications for Funding § 3401.12 Establishment and operation of peer review groups. Subject to § 3401.7, the Administrator will adopt procedures for the...

  3. 7 CFR 3401.12 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 15 2012-01-01 2012-01-01 false Establishment and operation of peer review groups... INSTITUTE OF FOOD AND AGRICULTURE RANGELAND RESEARCH GRANTS PROGRAM Scientific Peer Review of Research Applications for Funding § 3401.12 Establishment and operation of peer review groups. Subject to § 3401.7, the...

  4. 7 CFR 3400.10 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Establishment and operation of peer review groups... GRANTS PROGRAM Scientific Peer Review of Research Grant Applications § 3400.10 Establishment and operation of peer review groups. Subject to § 3400.5, the Administrator will adopt procedures for the...

  5. 42 CFR 52h.3 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Establishment and operation of peer review groups... GRANTS SCIENTIFIC PEER REVIEW OF RESEARCH GRANT APPLICATIONS AND RESEARCH AND DEVELOPMENT CONTRACT PROJECTS § 52h.3 Establishment and operation of peer review groups. (a) To the extent applicable, the...

  6. 7 CFR 3401.12 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 15 2013-01-01 2013-01-01 false Establishment and operation of peer review groups... INSTITUTE OF FOOD AND AGRICULTURE RANGELAND RESEARCH GRANTS PROGRAM Scientific Peer Review of Research Applications for Funding § 3401.12 Establishment and operation of peer review groups. Subject to § 3401.7, the...

  7. 7 CFR 3400.10 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 15 2013-01-01 2013-01-01 false Establishment and operation of peer review groups... INSTITUTE OF FOOD AND AGRICULTURE SPECIAL RESEARCH GRANTS PROGRAM Scientific Peer Review of Research Grant Applications § 3400.10 Establishment and operation of peer review groups. Subject to § 3400.5, the Director...

  8. 7 CFR 3401.12 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 15 2014-01-01 2014-01-01 false Establishment and operation of peer review groups... INSTITUTE OF FOOD AND AGRICULTURE RANGELAND RESEARCH GRANTS PROGRAM Scientific Peer Review of Research Applications for Funding § 3401.12 Establishment and operation of peer review groups. Subject to § 3401.7, the...

  9. 42 CFR 52h.3 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Establishment and operation of peer review groups... GRANTS SCIENTIFIC PEER REVIEW OF RESEARCH GRANT APPLICATIONS AND RESEARCH AND DEVELOPMENT CONTRACT PROJECTS § 52h.3 Establishment and operation of peer review groups. (a) To the extent applicable, the...

  10. 42 CFR 52h.3 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Establishment and operation of peer review groups... GRANTS SCIENTIFIC PEER REVIEW OF RESEARCH GRANT APPLICATIONS AND RESEARCH AND DEVELOPMENT CONTRACT PROJECTS § 52h.3 Establishment and operation of peer review groups. (a) To the extent applicable, the...

  11. 7 CFR 3400.10 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 15 2011-01-01 2011-01-01 false Establishment and operation of peer review groups... INSTITUTE OF FOOD AND AGRICULTURE SPECIAL RESEARCH GRANTS PROGRAM Scientific Peer Review of Research Grant Applications § 3400.10 Establishment and operation of peer review groups. Subject to § 3400.5, the...

  12. Occipitocervical Fusion Surgery: Review of Operative Techniques and Results

    PubMed Central

    Kukreja, Sunil; Ambekar, Sudheer; Sin, Anthony H.; Nanda, Anil

    2015-01-01

    Objective Varying types of clinicoradiologic presentations at the craniovertebral junction (CVJ) influence the decision process for occipitocervical fusion (OCF) surgery. We discuss the operative techniques and decision-making process in OCF surgery based on our clinical experience and a literature review. Material and Methods A total of 49 consecutive patients who underwent OCF participated in the study. Sagittal computed tomography images were used to illustrate and measure radiologic parameters. We measured Wackenheim clivus baseline (WCB), clivus-canal angle (CCA), atlantodental distance (ADD), and Powers ratio (PR) in all the patients. Results Clinical improvement on Nurick grading was recorded in 36 patients. Patients with better preoperative status (Nurick grades 1–3) had better functional outcomes after the surgery (p = 0.077). Restoration of WCB, CCA, ADD, and PR parameters following the surgery was noted in 39.2%, 34.6%, 77.4%, and 63.3% of the patients, respectively. Complications included deep wound infections (n = 2), pseudoarthrosis (n = 2), and deaths (n = 4). Conclusion Conventional wire-based constructs are superseded by more rigid screw-based designs. Odontoidectomy is associated with a high incidence of perioperative complications. The advent of newer implants and reduction techniques around the CVJ has obviated the need for this procedure in most patients. PMID:26401473

  13. Operating experience review - Ventilation systems at Department of Energy Facilities

    SciTech Connect

    Not Available

    1994-05-01

    The Office of Special Projects (DP-35), formerly Office of Self-Assessment (DP-9), analyzed occurrences caused by problems with equipment and material and recommended the following systems for an in-depth study: (1) Selective Alpha Air Monitor (SAAM), (2) Emergency Diesel Generator, (3) Ventilation System, (4) Fire Alarm System. Further, DP-35 conducted an in-depth review of the problems associated with SAAM and with diesel generators, and made several recommendations. This study focusses on ventilation system. The intent was to determine the causes for the events related to these system that were reported in the Occurrence Reporting and Processing System (ORPS), to identify components that failed, and to provide technical information from the commercial and nuclear industries on the design, operation, maintenance, and surveillance related to the system and its components. From these data, sites can develop a comprehensive program of maintenance management, including surveillance, to avoid similar occurrences, and to be in compliance with the following DOE orders.

  14. A systematic review of the relationship between staff perceptions of organizational readiness to change and the process of innovation adoption in substance misuse treatment programs.

    PubMed

    Kelly, Peter; Hegarty, Josephine; Barry, Joe; Dyer, Kyle R; Horgan, Aine

    2017-09-01

    Translating innovation, such as contemporary research evidence, into policy and practice is a challenge, not just in substance misuse treatment programs, but across all spheres of healthcare. Organizational readiness to change (ORC) has been described as a fundamental concept, and an important determinant of the process of innovation adoption. The aim of this review was to describe the relationship between staff perceptions of ORC and the process of innovation adoption: exposure, adoption, implementation and integration into practice, in substance misuse treatment programs. This systematic review was conducted in accordance with PRISMA guidelines and fourteen papers were identified as being eligible for inclusion. This review was designed to include all constructs of ORC, but only one tool was used in all of the included papers. Despite this, the heterogeneity of studies in this review made a direct comparison of ORC related variables challenging. None of the included papers clearly related to one stage of the process of innovation adoption, and all of the included papers related to the early stages of the process. Only one paper attempted to measure the sustained integration of an innovation into practice. Overall, the papers were assessed as being low in terms of evidential hierarchy and the quality of the papers was assessed as being on average fair. ORC measurements provide us with a measure of organizational functioning which can be important in terms of predicting how successfully new innovations are adopted. Motivation for change was high in programs where staff identified more program deficits and these staff could also identify more specific needs, but were less likely to have exposure to new innovations. Better program resources and specific staff attributes, increase the likely hood of successful innovation adoption. A good organizational climate is potentially the strongest predictor for the adoption of new practices. It may be beneficial to measure ORC

  15. Compliance review for the UNH Storage Tank

    SciTech Connect

    Low, J.M.

    1992-05-19

    The purpose of Project S-4257, USF-UNH 150,000 Gallon Storage Tank, is to provide interim storage for the liquid uranyl nitrate (UNH) product from H-Canyon until the UNH can be processed in the new Uranium Solidification Facility (Project S-2052). NPSR was requested by Project Management and DOE-SR to perform a design compliance review for the UNH Storage Tank to support the Operational Readiness Review (ORR) and the Operational Readiness Evaluation (ORE), respectively. The project was reviewed against the design criteria contained in the DOE Order 6430.1A, General Design Criteria. This report documents the results of the compliance review.

  16. An Expert Review of Pharmacogenomics of Sickle Cell Disease Therapeutics: Not Yet Ready for Global Precision Medicine.

    PubMed

    Mnika, Khuthala; Pule, Gift D; Dandara, Collet; Wonkam, Ambroise

    2016-10-01

    Sickle cell disease (SCD) is a blood disease caused by a single nucleotide substitution (T > A) in the beta globin gene on chromosome 11. The single point mutation (Glu6Val) promotes polymerization of hemoglobin S (HbS) and causes sickling of erythrocytes. Vaso-occlusive painful crises are associated with recurrent and long-term use of analgesics/opioids and hydroxyurea (HU) by people living with SCD. The present analysis offers a state-of-the-art expert review of the effectiveness of pharmacogenomics/genetics of pain management in SCD, with specific focus on HU and opioids. The literature search used the following keywords: SCD, pharmacogenomics, pharmacogenetics, pain, antalgics, opioids, morphine, and HU. The literature was scanned until March 2016, with specific inclusion of targeted landmark and background articles on SCD. Surprisingly, our review identified only a limited number of studies that addressed the genetic/genomic basis of variable responses to pain (e.g., variants in OPRM1, HMOX-1, GCH1, VEGFA COMT genes), and pharmacogenomics of antalgics and opioids (e.g., variants in OPRM1, STAT6, ABCB1, and COMT genes) in SCD. There has been greater progress made toward identifying the key genomic variants, mainly in BCL11A, HBS1L-MYB, or SAR1, which contribute to response to HU treatment. However, the complete picture on pharmacogenomic determinants of the above therapeutic phenotypes remains elusive. Strikingly, no study has been conducted in sub-Saharan Africa where majority of the patients with SCD live. This alerts the broader global life sciences community toward the existing disparities in optimal and ethical targeting of research and innovation investments for SCD specifically and precision medicine and pharmacology research broadly.

  17. Development and evaluation of a toolkit to assess partnership readiness for community-based participatory research.

    PubMed

    Andrews, Jeannette O; Cox, Melissa J; Newman, Susan D; Meadows, Otha

    2011-01-01

    An earlier investigation by academic and community co-investigators led to the development of the Partnership Readiness for Community-Based Participatory Research (CBPR) Model, which defined major dimensions and key indicators of partnership readiness. As a next step in this process, we used qualitative methods, cognitive pretesting, and expert reviews to develop a working guide, or toolkit, based on the model for academic and community partners to assess and leverage their readiness for CBPR. The 75-page toolkit is designed as a qualitative assessment promoting equal voice and transparent, bi-directional discussions among all the partners. The toolkit is formatted to direct individual partner assessments, followed by team assessments, discussions, and action plans to optimize their goodness of fit, capacity, and operations to conduct CBPR. The toolkit has been piloted with two cohorts in the Medical University of South Carolina's (MUSC) Community Engaged Scholars (CES) Program with promising results from process and outcome evaluation data.

  18. Technology readiness assessments: A retrospective

    NASA Astrophysics Data System (ADS)

    Mankins, John C.

    2009-11-01

    The development of new system capabilities typically depends upon the prior success of advanced technology research and development efforts. These systems developments inevitably face the three major challenges of any project: performance, schedule and budget. Done well, advanced technology programs can substantially reduce the uncertainty in all three of these dimensions of project management. Done poorly, or not at all, and new system developments suffer from cost overruns, schedule delays and the steady erosion of initial performance objectives. It is often critical for senior management to be able to determine which of these two paths is more likely—and to respond accordingly. The challenge for system and technology managers is to be able to make clear, well-documented assessments of technology readiness and risks, and to do so at key points in the life cycle of the program. In the mid 1970s, the National Aeronautics and Space Administration (NASA) introduced the concept of "technology readiness levels" (TRLs) as a discipline-independent, programmatic figure of merit (FOM) to allow more effective assessment of, and communication regarding the maturity of new technologies. In 1995, the TRL scale was further strengthened by the articulation of the first definitions of each level, along with examples (J. Mankins, Technology readiness levels, A White Paper, NASA, Washington, DC, 1995. [1]). Since then, TRLs have been embraced by the U.S. Congress' General Accountability Office (GAO), adopted by the U.S. Department of Defense (DOD), and are being considered for use by numerous other organizations. Overall, the TRLs have proved to be highly effective in communicating the status of new technologies among sometimes diverse organizations. This paper will review the concept of "technology readiness assessments", and provide a retrospective on the history of "TRLs" during the past 30 years. The paper will conclude with observations concerning prospective future

  19. Readiness Assessment of Electronic Health Records Implementation

    PubMed Central

    Ajami, Sima; Ketabi, Saeedeh; Isfahani, Sakineh Saghaeiannejad; Heidari, Asieh

    2011-01-01

    Introduction: During the past 20 years, with huge advances in information technology and particularly, in the areas of health, various forms of electronic records have been discussed, designed or implemented. Although making health records automatically has many advantages but unfortunately in some cases, creation of an Electronic Health Record (EHR) system seems to be complicated. E-health (Electronic health) readiness assessment, as a part of the assessment before implementation is considered essential and prior to implementation. Readiness assessment aims to evaluate preparedness of each organizational component. This process can lead to the correct decision making. Therefore, identifying areas and requirements for such an assessment is so essential. Using the results of this assessment can identify deficiencies in the existing electronic health records to plan their strategies. The aim of this study was first; to show the situation of readiness assessment in EHR implementation roadmap, second, to recognize requirements associated with electronic readiness assessment and main areas of EHR readiness assessment. Results and discussion: This study reviewed the literature on EHR readiness assessment with the help of library and also searches engines available at Google. For our searches, we employed the following keywords and their combinations: readiness, assessment, implementation, Electronic Health Record (EHR), Information Technology, road map in the searching areas of title, keywords, abstract, and full text. In this study, more than 100 articles and reports were collected and 45 of them were selected based on their relevancy. PMID:23407861

  20. Which BRCA genetic testing programs are ready for implementation in health care? A systematic review of economic evaluations

    PubMed Central

    D'Andrea, Elvira; Marzuillo, Carolina; De Vito, Corrado; Di Marco, Marco; Pitini, Erica; Vacchio, Maria Rosaria; Villari, Paolo

    2016-01-01

    Purpose: There is considerable evidence regarding the efficacy and effectiveness of BRCA genetic testing programs, but whether they represent good use of financial resources is not clear. Therefore, we aimed to identify the main health-care programs for BRCA testing and to evaluate their cost-effectiveness. Methods: We performed a systematic review of full economic evaluations of health-care programs involving BRCA testing. Results: Nine economic evaluations were included, and four main categories of BRCA testing programs were identified: (i) population-based genetic screening of individuals without cancer, either comprehensive or targeted based on ancestry; (ii) family history (FH)-based genetic screening, i.e., testing individuals without cancer but with FH suggestive of BRCA mutation; (iii) familial mutation (FM)-based genetic screening, i.e., testing individuals without cancer but with known familial BRCA mutation; and (iv) cancer-based genetic screening, i.e., testing individuals with BRCA-related cancers. Conclusions: Currently BRCA1/2 population-based screening represents good value for the money among Ashkenazi Jews only. FH-based screening is potentially very cost-effective, although further studies that include costs of identifying high-risk women are needed. There is no evidence of cost-effectiveness for BRCA screening of all newly diagnosed cases of breast/ovarian cancers followed by cascade testing of relatives, but programs that include tools for identifying affected women at higher risk for inherited forms are promising. Cost-effectiveness is highly sensitive to the cost of BRCA1/2 testing. Genet Med 18 12, 1171–1180. PMID:27906166

  1. Protective lung ventilation in operating room: a systematic review.

    PubMed

    Futier, E; Constantin, J M; Jaber, S

    2014-06-01

    Postoperative pulmonary and extrapulmonary complications adversely affect clinical outcomes and healthcare utilization, so that prevention has become a measure of the quality of perioperative care. Mechanical ventilation is an essential support therapy to maintain adequate gas exchange during general anesthesia for surgery. Mechanical ventilation using high tidal volume (VT) (between 10 and 15 mL/kg) has been historically encouraged to prevent hypoxemia and atelectasis formation in anesthetized patients undergoing abdominal and thoracic surgery. However, there is accumulating evidence from both experimental and clinical studies that mechanical ventilation, especially the use of high VT and plateau pressure, may potentially aggravate or even initiate lung injury. Ventilator-associated lung injury can result from cyclic alveolar overdistension of non-dependent lung tissue, and repetitive opening and closing of dependent lung tissue resulting in ultrastructural damage at the junction of closed and open alveoli. Lung-protective ventilation, which refers to the use of lower VT and limited plateau pressure to minimize overdistension, and positive end-expiratory pressure to prevent alveolar collapse at end-expiration, was shown to improve outcome in critically ill patients with acute respiratory distress syndrome (ARDS). It has been recently suggested that this approach might also be beneficial in a broader population, especially in critically ill patients without ARDS at the onset of mechanical ventilation. There is, however, little evidence regarding a potential beneficial effect of lung protective ventilation during surgery, especially in patients with healthy lungs. Although surgical patients are frequently exposed to much shorter periods of mechanical ventilation, this is an important gap in knowledge given the number of patients receiving mechanical ventilation in the operating room. This review developed the benefits of lung protective ventilation during surgery

  2. DETECTING AND MITIGATING THE ENVIRONMENTAL IMPACT OF FECAL PATHOGENS ORIGINATING FROM CONFINED ANIMAL FEEDING OPERATIONS: REVIEW

    EPA Science Inventory

    This report presents a review of literature regarding the potential impact of fecal pathogens originating from animal agriculture in the United States. Livestock production and dairy operations continue their trend toward larger and more concentrated facilities. These operations ...

  3. DETECTING AND MITIGATING THE ENVIRONMENTAL IMPACT OF FECAL PATHOGENS ORIGINATING FROM CONFINED ANIMAL FEEDING OPERATIONS: REVIEW

    EPA Science Inventory

    This report presents a review of literature regarding the potential impact of fecal pathogens originating from animal agriculture in the United States. Livestock production and dairy operations continue their trend toward larger and more concentrated facilities. These operations ...

  4. 76 FR 39152 - Agency Information Collection; Activity Under OMB Review; Report of Financial and Operating...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-05

    ... Research & Innovative Technology Administration Agency Information Collection; Activity Under OMB Review; Report of Financial and Operating Statistics for Small Aircraft Operators AGENCY: Research & Innovative Technology Administration (RITA), Bureau of Transportation Statistics (BTS), DOT. ACTION: Notice. SUMMARY:...

  5. Challenges to the programmatic implementation of ready to use infant formula in the post-earthquake response, Haiti, 2010: a program review.

    PubMed

    Talley, Leisel E; Boyd, Erin

    2013-01-01

    Following the 2010 earthquake in Haiti, infant and young child feeding was identified as a priority nutrition intervention. A new approach to support breastfeeding mothers and distribute ready-to-use infant formula (RUIF) to infants unable to breastfeed was established. The objective of the evaluation was to assess the implementation of infant feeding programs using RUIF in displaced persons camps in Port-au-Prince, Haiti during the humanitarian response. A retrospective record review was conducted from April-July, 2010 to obtain data on infants receiving RUIF in 30 baby tents. A standardized data collection form was created based on data collected across baby tents and included: basic demographics, admission criteria, primary caretaker, feeding practices, and admission and follow-up anthropometrics. Orphans and abandoned infants were the most frequent enrollees (41%) in the program. While the program targeted these groups, it is unlikely that this is a true reflection of population demographics. Despite programmatic guidance, admission criteria were not consistently applied across programs. Thirty-four percent of infants were undernourished (weight for age Z score <-2) at the time of admission. Defaulting accounted for 50% of all program exits and there was no follow-up of these children. Low data quality was a significant barrier. The design, implementation and magnitude of the 'baby tents' using RUIF was novel in response to infant and young child feeding (IYCF) in emergencies and presented multiple challenges that should not be overlooked, including adherence to protocols and the adaption of emergency programs to existing programs. The implementation of IYCF programs should be closely monitored to ensure that they achieve the objectives set by the humanitarian community and national government. IYCF is an often overlooked component of emergency preparedness; however to improve response, generic protocols and pre-emergency training and preparedness should be

  6. Preschool Children's School Readiness

    ERIC Educational Resources Information Center

    Pekdogan, Serpil; Akgül, Esra

    2017-01-01

    The purpose of this study is to examine preschool teachers' perspectives about children's school readiness. Qualitative and quantitative research methods were used in the study as a mixed method research. Data, in the quantitative aspects of the research, were collected through the use of "School Readiness Form" developed by Boz (2004)…

  7. Making Career Readiness Count

    ERIC Educational Resources Information Center

    Kreamer, Kate Blosveren; O'Hara, Marie; Curl, Cory

    2014-01-01

    There is growing consensus in states across the nation that the goal of the K-12 education system is to "prepare all students to graduate from high school ready for college and careers". Yet, in all but a handful of states, the priority goals set to drive student performance toward and beyond college and career readiness sputter out…

  8. College Readiness for All?

    ERIC Educational Resources Information Center

    Hess, Frederick M.

    2016-01-01

    In recent years, American education has enthusiastically adopted the mantra of "college readiness for all." What's not to like about that? Frederick Hess says that although he considers college readiness an admirable goal, he has serious reservations about advocates, funders, and policymakers imposing this norm across all schools. His…

  9. College Readiness for All?

    ERIC Educational Resources Information Center

    Hess, Frederick M.

    2016-01-01

    In recent years, American education has enthusiastically adopted the mantra of "college readiness for all." What's not to like about that? Frederick Hess says that although he considers college readiness an admirable goal, he has serious reservations about advocates, funders, and policymakers imposing this norm across all schools. His…

  10. Ready for All Destinations

    ERIC Educational Resources Information Center

    Boykin, Wesley; Dougherty, Chrys; Lummus-Robinson, Mary

    2010-01-01

    The intensifying attention to college and career readiness of late poses many challenges for public education, but it also presents opportunities for innovative changes in the quality and type of education provided to students. To take full advantage, educators must have a clear answer to this question: What does college and career readiness mean…

  11. Ready for All Destinations

    ERIC Educational Resources Information Center

    Boykin, Wesley; Dougherty, Chrys; Lummus-Robinson, Mary

    2010-01-01

    The intensifying attention to college and career readiness of late poses many challenges for public education, but it also presents opportunities for innovative changes in the quality and type of education provided to students. To take full advantage, educators must have a clear answer to this question: What does college and career readiness mean…

  12. Improving Medical and Dental Readiness in the Reserve Components

    DTIC Science & Technology

    2012-01-01

    Improving Medical and Dental Readiness in the Reserve Components A s an integral part of the U.S. military, the reserve components (RCs) are...limit their ability to carry out their duties, whether in garrison or deployed. Medically ready reservists require less medical and dental support...IMR for this new operating environment. The study sought to quantify the current status of RC medical and dental readiness, identify obstacles to

  13. Operating Experience Review of the INL HTE Gas Monitoring System

    SciTech Connect

    L. C. Cadwallader; K. G. DeWall

    2010-06-01

    This paper describes the operations of several types of gas monitors in use at the Idaho National Laboratory (INL) High Temperature Electrolysis Experiment (HTE) laboratory. The gases monitored at hydrogen, carbon monoxide, carbon dioxide, and oxygen. The operating time, calibration, and unwanted alarms are described. The calibration session time durations are described. Some simple statistics are given for the reliability of these monitors and the results are compared to operating experiences of other types of monitors.

  14. Review of Federal Library Operations in Metropolitan Washington.

    ERIC Educational Resources Information Center

    Comptroller General of the U.S., Washington, DC.

    The General Accounting Office reviewed Federal libraries, i.e., executive agency libraries, in Metropolitan Washington to identify problems common to the libraries and to determine how they are being handled. The review revealed that: a central depository could provide numerous benefits; microforms are not used substantially; central direction is…

  15. Review of the Human Resources, Finance, and Information Technology Operations of the Seattle Public Schools

    ERIC Educational Resources Information Center

    Council of the Great City Schools, 2008

    2008-01-01

    In late 2007, the Council of the Great City Schools conducted a high-level management review of the school district's human resources, financial, and technology operations to: (1) Review and evaluate the leadership, management, organization, and operations of the respective departments; and (2) Develop recommendations and proposals that would…

  16. Operating experience review of an INL gas monitoring system

    SciTech Connect

    Cadwallader, Lee C.; DeWall, K. G.; Herring, J. S.

    2015-03-12

    This article describes the operations of several types of gas monitors in use at the Idaho National Laboratory (INL) High Temperature Electrolysis Experiment (HTE) laboratory. The gases monitored in the lab room are hydrogen, carbon monoxide, carbon dioxide, and oxygen. The operating time, calibration, and both actual and unwanted alarms are described. The calibration session time durations are described. In addition, some simple calculations are given to estimate the reliability of these monitors and the results are compared to operating experiences of other types of monitors.

  17. Independent Quality Control Review of EPA OIG Operations

    EPA Pesticide Factsheets

    The review considers selected audit work performed by EPA OIG, Office of Audit, Congressional and Public Liaison, Mission Systems, and Program Evaluation, during the period for 1 October 2006 through 30 September 2007 .

  18. Vulnerability Assessments in Support of the Climate Ready Estuaries Program: A Novel Approach Using Expert Judgement, Volume II: Results for the Massachusetts Bays Program (External Review Draft)

    EPA Science Inventory

    As part of the Climate Ready Estuaries (CRE) program, the Global Change Research Program (GCRP) in the National Center for Environmental Assessment, Office of Research and Development at the U.S. Environmental Protection Agency has prepared a report exploring a new methodology fo...

  19. Vulnerability Assessments in Support of the Climate Ready Estuaries Program: A Novel Approach Using Expert Judgment, Volume I: Results for the San Francisco Estuary Partnership (External Review Draft)

    EPA Science Inventory

    As part of the Climate Ready Estuaries (CRE) program, the Global Change Research Program (GCRP) in the National Center for Environmental Assessment, Office of Research and Development at the U.S. Environmental Protection Agency has prepared this draft report exploring a new metho...

  20. Vulnerability Assessments in Support of the Climate Ready Estuaries Program: A Novel Approach Using Expert Judgement, Volume II: Results for the Massachusetts Bays Program (External Review Draft)

    EPA Science Inventory

    As part of the Climate Ready Estuaries (CRE) program, the Global Change Research Program (GCRP) in the National Center for Environmental Assessment, Office of Research and Development at the U.S. Environmental Protection Agency has prepared a report exploring a new methodology fo...

  1. Vulnerability Assessments in Support of the Climate Ready Estuaries Program: A Novel Approach Using Expert Judgment, Volume I: Results for the San Francisco Estuary Partnership (External Review Draft)

    EPA Science Inventory

    As part of the Climate Ready Estuaries (CRE) program, the Global Change Research Program (GCRP) in the National Center for Environmental Assessment, Office of Research and Development at the U.S. Environmental Protection Agency has prepared this draft report exploring a new metho...

  2. School Readiness Research in Latin America: Findings and Challenges

    ERIC Educational Resources Information Center

    Strasser, Katherine; Rolla, Andrea; Romero-Contreras, Silvia

    2016-01-01

    Educational results in Latin America (LA) are well below those of developed countries. One factor that influences how well children do at school is school readiness. In this article, we review studies conducted in LA on the readiness skills of preschool children. We begin by discussing contextual factors that affect what is expected of children…

  3. School Readiness Research in Latin America: Findings and Challenges

    ERIC Educational Resources Information Center

    Strasser, Katherine; Rolla, Andrea; Romero-Contreras, Silvia

    2016-01-01

    Educational results in Latin America (LA) are well below those of developed countries. One factor that influences how well children do at school is school readiness. In this article, we review studies conducted in LA on the readiness skills of preschool children. We begin by discussing contextual factors that affect what is expected of children…

  4. 77 FR 76005 - Submission for OMB Review; Comment Request-Requirements for Electrically Operated Toys and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-26

    ... COMMISSION Submission for OMB Review; Comment Request--Requirements for Electrically Operated Toys and... electrically operated toys and children's articles. DATES: Written comments on this request for extension of... approval of the collection of information required in the Requirements for Electrically Operated Toys or...

  5. Measuring Military Readiness and Sustainability

    DTIC Science & Technology

    1991-01-01

    x S 3 Major steps in integrated readiness and sustainabilty assessment ... .... .. ................. xi 1. Estimated unit availabilities vs...elements in achievmg and maintaining readiness. Readiness and sustainabilty are achieved through a wide variety of means, including "* Training and practice...congressional decisionmakers understand and recog- nize readiness and sustainabilty shortfalls. We caution that assessments of the type we recommend need

  6. Logic system aids in evaluation of project readiness

    NASA Technical Reports Server (NTRS)

    Maris, S. J.; Obrien, T. J.

    1966-01-01

    Measurement Operational Readiness Requirements /MORR/ assignments logic is used for determining the readiness of a complex project to go forward as planned. The system used logic network which assigns qualities to all important criteria in a project and establishes a logical sequence of measurements to determine what the conditions are.

  7. Patient Readiness to Exercise After Cardiac Surgery: Development of the Readiness to Change Exercise Questionnaire.

    PubMed

    Kheawwan, Pataraporn; Chaiyawat, Waraporn; Aungsuroch, Yupin; Wu, Yow-Wu Bill

    2016-01-01

    Readiness to change plays a significant role in patient adherence to an exercise regimen; thus, accurate assessment of readiness to change is necessary to direct interventions. To date, an accurate scale for measuring readiness to exercise after cardiac surgery is not available. The purpose of this study was to develop the Readiness to Change Exercise Questionnaire for use among Thai cardiac surgery patients and to evaluate its psychometric properties. The Readiness to Change Exercise Questionnaire was developed based on the Transtheoretical Model, a comprehensive literature review, and input from experts and cardiac surgery patients. Participants were 533 patients who had undergone cardiac surgery within the previous 3 months. The study was conducted in 7 hospitals in 4 geographical regions of Thailand. Confirmatory factor analysis showed satisfactory goodness of fit for the 13-item scale. The analysis supported a 4-factor structure corresponding to 4 readiness stages: precontemplation, contemplation, preparation, and action. Cronbach's α coefficients were .68 for precontemplation, .75 for contemplation, .72 for preparation, and .75 for action. The scale was found to be a valid and reliable instrument for the determination of patient readiness to exercise after cardiac surgery. However, further testing of the scale is needed to confirm its concurrent and predictive validity.

  8. Safety review of the design, operation, and radiation sections of the General Electric Morris Operation Consolidated Safety Analysis Report

    SciTech Connect

    McBride, J.P.

    1981-01-30

    A safety review was made of Sections 4 through 9 of the Consolidated Safety Analysis Report (CSAR) for the GE Morris Operation spent-fuel storage facility. The sections reviewed include Design Criteria and Compliance, Facility Design and Description, Radiation Protection, Accident Analysis, and Conduct of Operations. The safety review was performed in accordance with the Code of Federal Regulations, Title 10, Part 72, ''Licensing Requirements for the Storage of Spent Fuel in an Independent Spent Fuel Storage Installation'' and contains independent estimations of source terms and dose-commitments from postulated accidents in the storage facility and a structural analysis of the Morris Operation cranes as an appendix. The review confirms that the features of the facility as described in Sections 4 through 9 of the CSAR fulfilled the safety requirements of 10 CFR 72, and it is concluded that spent-fuel handling and storage at the Morris Operation do not present significant risks to public health and safety. 15 refs., 3 tabs.

  9. A review of proposed Glen Canyon Dam interim operating criteria

    SciTech Connect

    LaGory, K.; Hlohowskyj, I.; Tomasko, D.; Hayse, J.; Durham, L.

    1992-04-01

    Three sets of interim operating criteria for Glen Canyon Dam on the Colorado River have been proposed for the period of November 1991, to the completion of the record of decision for the Glen Canyon Dam environmental impact statement (about 1993). These criteria set specific limits on dam releases, including maximum and minimum flows, up-ramp and down-ramp rates, and maximum daily fluctuation. Under the proposed interim criteria, all of these parameters would be reduced relative to historical operating criteria to protect downstream natural resources, including sediment deposits, threatened and endangered fishes, trout, the aquatic food base, and riparian plant communities. The scientific bases of the three sets of proposed operating criteria are evaluated in the present report:(1) criteria proposed by the Research/Scientific Group, associated with the Glen Canyon Environmental Studies (GCES); (2) criteria proposed state and federal officials charged with managing downstream resources; and (3) test criteria imposed from July 1991, to November 1991. Data from Phase 1 of the GCES and other sources established that the targeted natural resources are affected by dam operations, but the specific interim criteria chosen were not supported by any existing studies. It is unlikely that irreversible changes to any of the resources would occur over the interim period if historical operating criteria remained in place. It is likely that adoption of any of the sets of proposed interim operating criteria would reduce the levels of sediment transport and erosion below Glen Canyon Dam; however, these interim criteria could result in some adverse effects, including the accumulation of debris at tributary mouths, a shift of new high-water-zone vegetation into more flood-prone areas, and further declines in vegetation in the old high water zone.

  10. Operating Experience Review of Tritium-in-Water Monitors

    SciTech Connect

    S. A. Bruyere; L. C. Cadwallader

    2011-09-01

    Monitoring tritium facility and fusion experiment effluent streams is an environmental safety requirement. This paper presents data on the operating experience of a solid scintillant monitor for tritium in effluent water. Operating experiences were used to calculate an average monitor failure rate of 4E-05/hour for failure to function. Maintenance experiences were examined to find the active repair time for this type of monitor, which varied from 22 minutes for filter replacement to 11 days of downtime while waiting for spare parts to arrive on site. These data support planning for monitor use; the number of monitors needed, allocating technician time for maintenance, inventories of spare parts, and other issues.

  11. Keeping Naval Guns Ready

    DTIC Science & Technology

    2016-03-01

    maritime routes and the global economy . This protection depends on keeping these forward naval ships ready, par- ticularly their guns and ammunition...April 2016 22 Between 1990 and 2014, the world economy doubled, rising from $35 trillion to $75 trillion, lifting billions of people out of poverty...lanes, which is very vital to the global economy . The readiness of these guns is tied to naval regional mainte- nance centers and NSWC IHEODTD’s in

  12. Review of Well Operator Files for Hydraulically Fractured Oil and Gas Production Wells: Hydraulic Fracturing Operations

    EPA Pesticide Factsheets

    EPA conducted a survey of oil and gas production wells hydraulically fractured by nine oil and gas service companies in the United States during 2009 and 2010. This is the second well file review report.

  13. Gemini North Laser Guide Star System: operations and maintenance review

    NASA Astrophysics Data System (ADS)

    Oram, Richard J.; Fesquet, Vincent; Wyman, Robert; d'Orgeville, Celine

    2010-07-01

    The Gemini North telescope has been providing Laser Guide Star Adaptive Optics (LGS AO) regular science queue observations for worldwide astronomers since February 2007. In this paper we comment on the reliability of the Laser Guide Star Facility high-power solid-state laser during normal operations, and discuss progress made on various issues that will enable a "turn-key" operation mode for the laser system. In this effort to produce consistent, stable and controlled laser parameters (power, wavelength and beam quality) we completed a failure mode effect analysis of the laser system and sub systems that initiated a campaign of hardware upgrades and procedural improvements to the routine maintenance operations. These upgrades are discussed, including pump laser diode replacements, as well as sum frequency generation (SFG) crystal degradation along with our detailed plans to improve overall laser reliability, and availability. Finally, we provide an overview of normal operation procedures during LGS runs and present a snapshot of data accumulated over several years that describes the overall LGS AO observing efficiency at the Gemini North telescope.

  14. Report on the Payroll System. MORE: Management Operations Review & Evaluation.

    ERIC Educational Resources Information Center

    Doody, Robert J.; And Others

    Designed to improve the long-term operational efficiency of the Montgomery County, Maryland, Public Schools (MCPS) payroll system, this study begins with an executive summary, including a set of recommendations and a chapter-by-chapter synopsis. Following an introduction to the study and a general description of the payroll system in chapters 1…

  15. Segmentation of range images using morphological operations: review and examples

    NASA Astrophysics Data System (ADS)

    Gee, Linda A.; Abidi, Mongi A.

    1995-10-01

    Image segmentation involves calculating the position of object boundaries. For scene analysis, the intent is to differentiate objects from clutter by means of preprocessing. The object of this paper is to examine and discuss two morphological techniques for preprocessing and segmenting range images. A Morphological Watershed Algorithm has been studied in detail for segmenting range images. This algorithm uses a unique approach for defining the boundaries of objects from a morphological gradient. Several sets of range images are used as input to the algorithm to demonstrate the flexibility of the watershed technique and the experimental results support this approach as an effective method for segmenting range images. Morphological image operators present another means for segmenting range images. In particular, the results from implementing gray-scale morphological techniques indicate that these operators are useful for segmentation. This is made possible by converting a range image of a scene to a gray-scale image representation. The result represents the umbra of the surface of the objects within the scene. By applying morphological operations to the gray values of the image, the operations are applied to the umbra. Each pixel represents a point of the object's umbra, thereby yielding scene segmentation. The techniques that are discussed are found to be useful for preprocessing and segmenting range images which are direct extensions to object recognition, scene analysis, and image understanding.

  16. Social-Emotional School Readiness: How Do We Ensure Children Are Ready to Learn?

    ERIC Educational Resources Information Center

    Gray, Sarah A. O.; Herberle, Amy E.; Carter, Alice S.

    2012-01-01

    This article begins with a review of research providing evidence that social-emotional competence is a key component of school readiness and that the foundations for social-emotional competence are laid down in the earliest years. We go on to review effective practices and specific interventions that have been found to strengthen children's…

  17. Military Influence Operations: Review of the Consumer Psychology Literature

    DTIC Science & Technology

    2008-11-01

    Repetition can also be an effective strategy when presenting persuasive messages, but varying both the content as well as the cosmetics of the message...more effective , and this approach can even offset the impact of including negative information in a message. The research reviewed also suggests...behaviours. Other research has explored the impact of the repetition of persuasive messages on attitudes toward products. In the literature

  18. Reading Readiness. A UKRA (United Kingdom Reading Assn.) Teaching of Reading Monograph.

    ERIC Educational Resources Information Center

    Downing, John; Thackray, Derek

    The research being published in Britain regarding reading readiness is reviewed in this monograph. The factors teachers should take into account when planning prereading programs and determining when a child is ready to read are presented. The various aspects of reading readiness that are discussed include: (1) physiological factors, such as…

  19. A Human Factors Review of the Operational Error Literature

    DTIC Science & Technology

    2006-08-01

    group of Subject Matter Ex- perts ( SMEs ). Cardosi et al. (2005) conducted an initial validation study that compared the ratings generated by the model...with ratings provided by SMEs from the Office of Runway Safety and Operational Services. The ratings of the model matched the group’s ratings in 67...of the cases. However, when the C & D categories were combined, there was only a 5% disagreement between the model and the SMEs . The model has

  20. Post-operative thrombotic thrombocytopenic purpura: a review.

    PubMed

    Naqvi, T A; Baumann, M A; Chang, J C

    2004-02-01

    Post-operative thrombotic thrombocytopenic purpura (TTP) is a recently recognised life-threatening clinical syndrome with considerable similarity to classic TTP in presentation and response to early treatment with plasma exchange. To date, 29 cases of TTP associated with surgery have been reported. The majority of cases have complicated vascular surgeries, with a few cases seen following gastrointestinal or orthopaedic procedures. Characteristically, patients develop microangiopathic haemolytic anaemia and consumptive thrombocytopenia 5 to 9 days following surgery with variable presence of fever, impaired renal function and altered mental status. The pathogenesis of post-operative TTP is speculative but may involve the release of large amounts of high-molecular-weight von Willebrand factor (vWF) multimers due to endothelial damage resulting from surgery in the setting of marginal levels of vWF-cleaving enzyme. The myriad of common post-surgical complications that may present with clinical manifestations similar to TTP may result in confusion with the potential for delay in the initiation of life-saving plasma-exchange therapy. It is important that physicians be alert to the phenomenon of post-operative TTP so that prompt recognition and treatment will prevent serious morbidity or mortality.

  1. 14 CFR 431.37 - Mission readiness.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 4 2011-01-01 2011-01-01 false Mission readiness. 431.37 Section 431.37 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION LICENSING LAUNCH AND REENTRY OF A REUSABLE LAUNCH VEHICLE (RLV) Safety Review and Approval for...

  2. Special Operations Forces: DOD’s Report to Congress Generally Addressed the Statutory Requirements but Lacks Detail

    DTIC Science & Technology

    2014-09-08

    commands were responsible for the manpower and readiness of the Theater Special Operations Commands. 4Pub. L. No. 113-66, section 1086 (2013...determined appropriate to ensure a comprehensive review and assessment. Section 1086 also mandated that GAO submit to the congressional defense...GAO-14-820R Special Operations Forces Review Introduction • Section 1086 of the National Defense

  3. [Protocol for peripheral parenteral nutrition management ready to use in surgical patients].

    PubMed

    Pinzón Espitia, Olga Lucia; Varón Vega, Martha Liliana

    2014-10-03

    Patients undergoing elective surgery, require a comprehensive clinical treatment that tends to maintain or prevent deterioration of nutritional status and promote clinical outcomes, and in turn improve the safety of parenteral nutrition therapy through optimization of technology, as a option aimed at minimizing risk and lower operating costs in institutions providing health services. To review the literature in order to study the requirements and recommendations of peripheral parenteral nutritional support and / or complementary ready to use in people undergoing surgery. Data synthesis after reviewing the relevant literature, to allow the protocol design. The search was conducted in the following databases: PubMed, Medline, Embase and ScienceDirect. Peripheral parenteral nutrition is a ready to use alternative nutritional support that improves the contribution Protein-Energy and demonstrate improvements in patient safety, decrease costs and increase patient satisfaction. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  4. Military Review: Operation Desert Shield/Desert Storm

    DTIC Science & Technology

    1991-09-01

    personnel and equipment in enormous quanti- BRIGHT STAR, QUICK FORCE, BLUE ties, flying all hours of the day and night to help FLAG and RED FLAG paved the...play of US determination and flexibility. Noth- 18 September 1991 * MILITARY REVIEW ""- - , ". A B-62 flying low over the PyramIkds dl . .~-. BRIGHT STAR...multisource al flying . communications capability had to be built from The challenges associated with the bed-down the ground up to tie the coalition

  5. A review of droplet resonators: Operation method and application

    NASA Astrophysics Data System (ADS)

    Wang, Yan; Li, Hanyang; Zhao, Liyuan; Wu, Bing; Liu, Shuangqiang; Liu, Yongjun; Yang, Jun

    2016-12-01

    Droplet resonators hold promise as a special class of optical cavities for numerous applications in micro-optical. Owing to liquid surface tension, droplet resonators possess nearly perfect spherical geometry and exceptionally smooth surfaces that prompt more and more meritorious applications to be exploit. Herein, we survey two typical operation methods of the droplet resonators, passive and active droplet resonator. Besides, droplet applications as high-performance lasers and sensors have been discussed. Although these applications have brought us tremendous value, the research for droplet resonators are still in its infancy, added potential application and intrinsic investigation of the droplet resonators should be developed in the future work.

  6. Review on open source operating systems for internet of things

    NASA Astrophysics Data System (ADS)

    Wang, Zhengmin; Li, Wei; Dong, Huiliang

    2017-08-01

    Internet of Things (IoT) is an environment in which everywhere and every device became smart in a smart world. Internet of Things is growing vastly; it is an integrated system of uniquely identifiable communicating devices which exchange information in a connected network to provide extensive services. IoT devices have very limited memory, computational power, and power supply. Traditional operating systems (OS) have no way to meet the needs of IoT systems. In this paper, we thus analyze the challenges of IoT OS and survey applicable open source OSs.

  7. 77 FR 18304 - Agency Information Collection; Activity Under OMB Review; Report of Financial and Operating...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-27

    ... Research & Innovative Technology Administration Agency Information Collection; Activity Under OMB Review; Report of Financial and Operating Statistics for Large Certificated Air Carriers AGENCY: Research... Transportation Statistics, Research and Innovative Technology Administration. BILLING CODE 4910-HY-P...

  8. Report of the aviation safety review of Department of Energy helicopter operations

    SciTech Connect

    Not Available

    1992-02-01

    In a memorandum dated November 27, 1991, the Secretary of Energy directed the Office of Environment, Safety and Health (EH) to lead, with Program Secretarial Office participation, an aviation safety review of the safe operation of the Department`s helicopter program. The Aviation Safety Review Team comprised of aviation experts from the US Army, the Federal Aviation Administration, private consulting organizations, and Department of Energy (DOE) staff was assembled. The scope of the Aviation Safety Review Team`s appraisals included the following as applicable: policy; operations; maintenance; crew training; previous appraisals; contract requirements; aviation safety analysis reports; refueling facilities and management; night vision goggle (NVG) operations; helicopter limited standdown initiative; Secretary of Energy Notice (SEN) -6D-91 Compliance; and, DOE/contractor organizational structures and responsibilities. The appraisals at each site included a review of aviation policy, manuals, procedures, facilities, and documentation pertaining to management, safety, operations, maintenance, and quality control.

  9. Report of the aviation safety review of Department of Energy helicopter operations

    SciTech Connect

    Not Available

    1992-02-01

    In a memorandum dated November 27, 1991, the Secretary of Energy directed the Office of Environment, Safety and Health (EH) to lead, with Program Secretarial Office participation, an aviation safety review of the safe operation of the Department's helicopter program. The Aviation Safety Review Team comprised of aviation experts from the US Army, the Federal Aviation Administration, private consulting organizations, and Department of Energy (DOE) staff was assembled. The scope of the Aviation Safety Review Team's appraisals included the following as applicable: policy; operations; maintenance; crew training; previous appraisals; contract requirements; aviation safety analysis reports; refueling facilities and management; night vision goggle (NVG) operations; helicopter limited standdown initiative; Secretary of Energy Notice (SEN) -6D-91 Compliance; and, DOE/contractor organizational structures and responsibilities. The appraisals at each site included a review of aviation policy, manuals, procedures, facilities, and documentation pertaining to management, safety, operations, maintenance, and quality control.

  10. E-Health Readiness Assessment Framework in Iran

    PubMed Central

    Rezai-Rad, M; Vaezi, R; Nattagh, F

    2012-01-01

    Background: Concept of e-readiness is used in many areas such as e-business, e-commerce, e-government, and e-banking. In terms of healthcare, e-readiness is a rather new concept, and is propounded under the title of E-healthcare. E-health readiness refers to the readiness of communities and healthcare institutions for the expected changes brought by programs related to Information and Communications Technology (lCT). The present research is conducted aiming at designing E-health Readiness Assessment Framework (EHRAF) in Iran. Methods: The e-health readiness assessment framework was designed based on reviewing literature on e-readiness assessment models and opinions of ICT and health experts. In the next step, Delphi method was used to develop and test the designed framework. Three questionnaires developed to test and modify the model while determining weights of the indices; afterward they were either sent to experts through email or delivered to them in face. Results: The designed framework approved with 4 dimensions, 11 constituents and 58 indices. Technical readiness had the highest importance coefficient (0.256099), and the other dimensions were of the next levels of coefficient importance: core readiness (0.25520), social communication readiness (0.244658), and engagement readiness (0.244039). Conclusion: The framework presents the movement route and investment priorities in e-health in Iran. The proposed framework is a good instrument for measuring the e-readiness in health centers in Iran, and for identifying strengths and weaknesses of these centers to access ICT and its implementation for more effectiveness and for analyzing digital divide between them, as well. PMID:23304661

  11. E-health readiness assessment framework in iran.

    PubMed

    Rezai-Rad, M; Vaezi, R; Nattagh, F

    2012-01-01

    Concept of e-readiness is used in many areas such as e-business, e-commerce, e-government, and e-banking. In terms of healthcare, e-readiness is a rather new concept, and is propounded under the title of E-healthcare. E-health readiness refers to the readiness of communities and healthcare institutions for the expected changes brought by programs related to Information and Communications Technology (lCT). The present research is conducted aiming at designing E-health Readiness Assessment Framework (EHRAF) in Iran. The e-health readiness assessment framework was designed based on reviewing literature on e-readiness assessment models and opinions of ICT and health experts. In the next step, Delphi method was used to develop and test the designed framework. Three questionnaires developed to test and modify the model while determining weights of the indices; afterward they were either sent to experts through email or delivered to them in face. The designed framework approved with 4 dimensions, 11 constituents and 58 indices. Technical readiness had the highest importance coefficient (0.256099), and the other dimensions were of the next levels of coefficient importance: core readiness (0.25520), social communication readiness (0.244658), and engagement readiness (0.244039). The framework presents the movement route and investment priorities in e-health in Iran. The proposed framework is a good instrument for measuring the e-readiness in health centers in Iran, and for identifying strengths and weaknesses of these centers to access ICT and its implementation for more effectiveness and for analyzing digital divide between them, as well.

  12. Irondale DBCP Control System, Rocky Mountain Arsenal, Review of 1987- 1988 Operations

    DTIC Science & Technology

    1989-09-01

    indicate detectable levels of DBCP, demonstrating that the system is effective in preventing the migration of DBCP off the Rocky Mountain Arsenal ...IRONDALE DBCP CONTROL SYSTEM ROCKY MOUNTAIN ARSENAL REVIEW OF 1987/1988 OPERATIONS PREPARED BY o n For W. E. Adcock . ,d Pi J. A. Obel C. Y. Chiang...MMINTAIN ARSENAL , REVIEW OF 198711982 ,. HJNOING NUMS.:2 OPERATIONS I ADOC, W. t., OBEL, J. A., CHIANG, C. Y. i. PERFOR,;ING ORGANIZATION NAME(S

  13. Field Sterilization in the Austere and Operational Environment A Literature Review of Recommendations.

    PubMed

    Will, Joshua S; Alderman, Shawn M; Sawyer, Robert C

    2016-01-01

    Special Operations Forces medical providers are often deployed far beyond traditional military supply chains, forcing them to rely on alternative methods for field sterilization of medical equipment. This literature review proposes several alternative methods for both sterilization and disinfection of medical instruments after use and cleaning of skin and wounds before procedures. This article reviews recommendations from sources like the United Nations, the World Health Organization, the Special Operations Forces Medical Handbook, and the Centers for Disease Control and Prevention.

  14. Re-operations after Secondary Bariatric Surgery: a Systematic Review.

    PubMed

    Kuzminov, Alexandr; Palmer, Andrew J; Wilkinson, Stephen; Khatsiev, Bekkhan; Venn, Alison J

    2016-09-01

    This paper reviews reoperations rates for short- and long-term complications following secondary bariatric procedures and need for further bariatric surgery. The search revealed 28 papers (1317 secondary cases) following at least 75 % of patients for 12 months or more. For adjustable gastric banding (AGB), rebanding had higher re-revisional rates than conversions into other procedures. Conversion of AGB to Roux-en-Y gastric bypass had the highest number of short- (10.7 %) and long-term (22.0 %) complications. We estimated 194 additional reoperations per 1000 patients having a secondary procedure, 8.8 % needing tertiary surgery. Despite being poorly reported, risks of reoperations for long-term complications and tertiary bariatric surgery are higher than usually reported risks of short-term complications and should be taken into account when choosing a secondary bariatric procedure and for economic evaluations.

  15. 15. VIEW OF SHINGLES BUNDLED, PLACED ON PALLET, AND READIED ...

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

    15. VIEW OF SHINGLES BUNDLED, PLACED ON PALLET, AND READIED FOR FORKLIFT OPERATOR TO MOVE PALLET OF SHINGLES TO LOADING DOCK - Lester Shingle Mill, 1602 North Eighteenth Street, Sweet Home, Linn County, OR

  16. 78 FR 58350 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Operations...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-23

    ... of the Secretary Agency Information Collection Activities; Submission for OMB Review; Comment Request; Operations Under Water ACTION: Notice. SUMMARY: The Department of Labor (DOL) is submitting the Mine Safety... Under Water,'' to the Office of Management and Budget (OMB) for review and approval for continued use...

  17. 33 CFR 154.2022 - Certification, recertification, or operational review-certifying entity responsibilities, generally.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... VCS design meets the requirements of this subpart. (b) Conduct an initial onsite inspection to ensure... onsite reviews and observe tests to ensure the VCS's proper operation in accordance with its design and... CFR 154.2180 and 33 CFR 154.2181. (i) Review the facility's VCS training program for compliance with...

  18. 36 CFR 228.107 - Review of surface use plan of operations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 2 2010-07-01 2010-07-01 false Review of surface use plan of operations. 228.107 Section 228.107 Parks, Forests, and Public Property FOREST SERVICE, DEPARTMENT OF AGRICULTURE MINERALS Oil and Gas Resources Authorization of Occupancy within A Leasehold § 228.107 Review...

  19. 33 CFR 154.2024 - Operational review-certifying entity responsibilities, generally.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... CFR 154.2150(b) or 33 CFR 154.2250(b), the pre-transfer conference, and initial system startup... BULK Marine Vapor Control Systems Certification, Recertification, and Operational Review § 154.2024... certifying entity must ensure that the vapor control system (VCS) is properly operating and maintained...

  20. Systematic review of nonoperative versus operative treatment of uncomplicated appendicitis.

    PubMed

    Gorter, Ramon R; The, Sarah-May M L; Gorter-Stam, Marguerite A W; Eker, Hasan H; Bakx, Roel; van der Lee, Johanna H; Heij, Hugo A

    2017-08-01

    To compare the risk of complications between initial nonoperative treatment and appendectomy of uncomplicated (simple) appendicitis in children. Systematic literature search. Eligible for inclusion were both and randomized controlled trials and cohort studies including children in which the outcome of nonoperative treatment of uncomplicated appendicitis was reported with a minimum follow-up period of one year. Two authors extracted data independently and assessed quality. Primary outcome parameter was the percentage of children experiencing complications. Secondary outcomes were early failures, recurrent appendicitis and appendectomies, for all indications and on request. Five of the 2051 articles screened were eligible for inclusion, including 147 children (nonoperative treatment) and 173 children (appendectomy) with one year follow-up. Percentage of children experiencing complications ranged from 0 to 13% versus 0-17% for nonoperative and appendectomy, respectively. Nonoperative treatment avoided an appendectomy in 62-81% of the children after one year follow-up. The evidence base for initial nonoperative treatment of acute uncomplicated appendicitis in children is by far insufficient. It suggests that the percentage of patients experiencing complications in the initial nonoperative treatment group is comparable to the appendectomy group, and it may avoid an appendectomy in the large majority of children after one year follow-up. Systematic review. 1. Copyright © 2017 Elsevier Inc. All rights reserved.

  1. Review of Ground Systems Development and Operations (GSDO) Tools for Verifying Command and Control Software

    NASA Technical Reports Server (NTRS)

    Aguilar, Michael L.; Bonanne, Kevin H.; Favretto, Jeffrey A.; Jackson, Maddalena M.; Jones, Stephanie L.; Mackey, Ryan M.; Sarrel, Marc A.; Simpson, Kimberly A.

    2014-01-01

    The Exploration Systems Development (ESD) Standing Review Board (SRB) requested the NASA Engineering and Safety Center (NESC) conduct an independent review of the plan developed by Ground Systems Development and Operations (GSDO) for identifying models and emulators to create a tool(s) to verify their command and control software. The NESC was requested to identify any issues or weaknesses in the GSDO plan. This document contains the outcome of the NESC review.

  2. Electric fuses operation, a review: 1. Pre-arcing period

    NASA Astrophysics Data System (ADS)

    Bussière, W.

    2012-02-01

    Electrical needs are continously growing because of many various factors linked to increasing consumption and a green perception. This development - geographical, increasing production, growth of transport network, interconnection of continental networks, diversity of the transport technologies ... - can not be dissociated from electrical safety considerations whatever the voltage level. For the three main levels of electric network - High Voltage, Middle Voltage and Low Voltage - one has to provide efficient electrical safety techniques or schemas which integrate different electrical safety apparatus. Among well-known apparatus we can cite SF6 breakers, HV and MV switchgears (such as MV cells, MV and LV high current vacuum switchgears), and fuses. Electrical fuses are especially used in the MV and LV domains, sometimes as an additional safety device and sometimes as the main electrical safety component which is linked to the electrical current breaking function of electric fuse. In the paper, we will quickly depict the various kinds of electric fuses. We will especially focuss on the physical mechanisms - whatever the type of work, experimental, theoretical, modelling or empirical - prevailing during the pre-arcing period of the electric fuse operation.

  3. Hemostasis: a practical review of conservative and operative care.

    PubMed

    Shopnick, R I; Brettler, D B

    1996-07-01

    Progress in the treatment of persons with hemophilia has improved quality of life and made surgical intervention in these patients possible. Optimum management should include a facility equipped with a special coagulation laboratory, a hematologist proficient in the management of coagulation disorders, a surgeon with experience operating on persons with a clotting disorder, and a blood bank with experienced personnel. Persons with inhibitors should undergo elective procedures only after consultation between surgeon and hematologist. Replacement of deficient factor protein by the intravenous infusion of factor concentrates allows normal hemostasis. The manufacture of factor concentrates includes purification and viral attenuation procedures to limit exposure to other proteins and decrease the risk of transmission of viral infection. These concentrates may be delivered by bolus intravenous infusion or as a continuous intravenous infusion which allows for less total units of factor to be administered. In patients with mild hemophilia A, intravenous or intranasal desmopressin acetate may be used to increase the Factor VIII: coagulant level and eliminate exposure to blood products. With careful perioperative management, patients with hemophilia may undergo surgery safely without excessive bleeding. In the future because of prophylactic therapy, the need for orthopaedic procedures may be decreased substantially.

  4. 75 FR 18500 - Guidance on Improving EPA Review of Appalachian Surface Coal Mining Operations under the Clean...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-12

    ... AGENCY Guidance on Improving EPA Review of Appalachian Surface Coal Mining Operations under the Clean..., titled Improving EPA Review of Appalachian Surface Coal Mining Operations under the Clean Water Act... environmental review of Appalachian surface coal mining operations under the Clean Water Act,...

  5. Are you ready?

    PubMed

    Thrall, T H; Haugh, R; Santamour, B; Chabin, M; Glabman, M

    2001-11-01

    Like the public, health care leaders might feel overwhelmed by the prospect of preparing for a terrorist act, especially one involving biological agents. In our 10-page special report, we look at practical steps you can take today to get ready, drawing lessons from hospitals in New York City, Washington, D.C., and Israel, and from Salt Lake City's efforts to prepare for the possibility of terrorism at the Olympics in February. Please note that our report is based on the latest news about terrorism, reaction to it and readiness efforts as of H&HN's deadline.

  6. Dimensions of Community and Organizational Readiness for Change

    PubMed Central

    Castañeda, Sheila F.; Holscher, Jessica; Mumman, Manpreet K.; Salgado, Hugo; Keir, Katherine B.; Foster-Fishman, Pennie G.; Talavera, Gregory A.

    2014-01-01

    Background Readiness can influence whether health interventions are implemented in, and ultimately integrated into, communities. Although there is significant research interest in readiness and capacity for change, the measurement of these constructs is still in its infancy. Objective The purpose of this review was to integrate existing assessment models of community and organizational readiness. Data Sources The database PubMed was searched for articles; articles, book chapters, and practitioner guides identified as references cited in the list of core articles. Review Methods Studies were included if they met the following criteria: (1) Empirical research, (2) identified community or organizational readiness for innovative health programming in the study’s title, purpose, research questions, or hypotheses, and (3) identified methods to measure these constructs. Duplicate articles were deleted and measures published before 1995 were excluded. The search yielded 150 studies; 13 met all criteria. Results This article presents the results of a critical review of 13 community and organizational readiness assessment models, stemming from articles, chapters, and practitioner’s guides focusing on assessing, developing, and sustaining community and organizational readiness for innovative public health programs. Conclusions Readiness is multidimensional and different models place emphasis on different components of readiness, such as (1) community and organizational climate that facilitates change, (2) attitudes and current efforts toward prevention, (3) commitment to change, and (4) capacity to implement change. When initiating the program planning process, it is essential to assess these four domains of readiness to determine how they apply to the nuances across different communities. Thus, community-based participatory research (CBPR) partnerships, in efforts to focus on public health problems, may consider using readiness assessments as a tool for tailoring

  7. Ready or Not: Recognizing and Preparing College-Ready Students

    ERIC Educational Resources Information Center

    Springer, Sheree E.; Wilson, Tonia J.; Dole, Janice A.

    2015-01-01

    Research shows that many students entering postsecondary education are unprepared for college reading demands. This article highlights college reading readiness according to four essential reading skills. We illustrate these skills by featuring vignettes of high school seniors who are college-ready and not college-ready. Then we contextualize the…

  8. Ready or Not: Recognizing and Preparing College-Ready Students

    ERIC Educational Resources Information Center

    Springer, Sheree E.; Wilson, Tonia J.; Dole, Janice A.

    2015-01-01

    Research shows that many students entering postsecondary education are unprepared for college reading demands. This article highlights college reading readiness according to four essential reading skills. We illustrate these skills by featuring vignettes of high school seniors who are college-ready and not college-ready. Then we contextualize the…

  9. Readiness Matters! The 2015-2016 Kindergarten Readiness Assessment Report

    ERIC Educational Resources Information Center

    Maryland State Department of Education, 2016

    2016-01-01

    As part of Maryland's ongoing commitment to early learning and school readiness, a comprehensive new Kindergarten Readiness Assessment (KRA) was administered for the second time. This assessment is part of the new Ready for Kindergarten: Maryland's Early Childhood Comprehensive Assessment System (R4K) that was developed to align to the state's…

  10. A rapid application of GA-MODFLOW combined approach to optimization of well placement and operation for drought-ready groundwater reservoir design

    NASA Astrophysics Data System (ADS)

    Park, C.; Kim, Y.; Jang, H.

    2016-12-01

    Poor temporal distribution of precipitation increases winter drought risks in mountain valley areas in Korea. Since perennial streams or reservoirs for water use are rare in the areas, groundwater is usually a major water resource. Significant amount of the precipitation contributing groundwater recharge mostly occurs during the summer season. However, a volume of groundwater recharge is limited by rapid runoff because of the topographic characteristics such as steep hill and slope. A groundwater reservoir using artificial recharge method with rain water reuse can be a suitable solution to secure water resource for the mountain valley areas. Successful groundwater reservoir design depends on optimization of well placement and operation. This study introduces a combined approach using GA (Genetic Algorithm) and MODFLOW and its rapid application. The methodology is based on RAD (Rapid Application Development) concept in order to minimize the cost of implementation. DEAP (Distributed Evolutionary Algorithms in Python), a framework for prototyping and testing evolutionary algorithms, is applied for quick code development and CUDA (Compute Unified Device Architecture), a parallel computing platform using GPU (Graphics Processing Unit), is introduced to reduce runtime. The application was successfully applied to Samdeok-ri, Gosung, Korea. The site is located in a mountain valley area and unconfined aquifers are major source of water use. The results of the application produced the best location and optimized operation schedule of wells including pumping and injecting.

  11. Workflow in the operating room: review of Arrowhead 2004 seminar on imaging and informatics (Invited Paper)

    NASA Astrophysics Data System (ADS)

    Lemke, Heinz U.; Ratib, Osman M.; Horii, Steven C.

    2005-04-01

    This review paper is based on the 2004 UCLA Seminar on Imaging and Informatics (http://www.radnet.ucla.edu/Arrowhead2004/) which is a joint endeavour between the UCLA and the CARS organization, focussing on workflow analysis tools and the digital operating room. Eleven specific presentations of the Arrowhead Seminar have been summarized in this review referring to redesigning perioperative care for a high velocity OR, intraoperative ultrasound process and model, surgical workflow and surgical PACS, an integrated view , interactions in the surgical OR, workflow automation strategies and target applications, visualisation solutions for the operating room, navigating the fifth dimension, and design of digital operating rooms and interventional suites

  12. Operative versus non-operative management of adhesive small bowel obstruction: A systematic review and meta-analysis.

    PubMed

    Hajibandeh, Shahab; Hajibandeh, Shahin; Panda, Nilanjan; Khan, Rao Muhammad Asaf; Bandyopadhyay, Samik Kumar; Dalmia, Sanjay; Malik, Sohail; Huq, Zahirul; Mansour, Moustafa

    2017-09-01

    To investigate outcomes of operative and non-operative management of adhesive small bowel obstruction (SBO). We performed a systematic review in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement standards. We conducted a search of electronic information sources to identify all randomised controlled trials (RCTs) and observational studies investigating outcomes of operative versus non-operative management of patients with adhesive SBO. We used the Cochrane risk of bias tool and the Newcastle-Ottawa scale to assess the risk of bias of RCTs and observational studies, respectively. Fixed-effect or random-effects models were applied to calculate pooled outcome data. We found one RCT, two prospective and three retrospective observational studies, enrolling a total of 876 patients. The analyses showed that operative management of adhesive SBO was associated with a lower risk of future recurrence [odds ratio (OR) 0.54, 95% confidence interval (CI) 0.38-0.76, P = 0.0005] but a higher risk of mortality [risk difference (RD) 0.03, 95% CI 0.01-0.06, P = 0.01] and complications (OR 5.39, 95% CI 2.97-9.78, P < 0.00001). There was no difference in need for surgical re-intervention rate (OR 0.72, 95% CI 0.35-1.47, P = 0.36) and length of stay [mean difference (MD) 5.07, 95% CI -2.36-12.49, P = 1.0] between operative and non-operative managements. The baseline suspicion of strangulation was a major confounding factor. When the baseline suspicion of strangulation was higher in the operative group, the risk of mortality (RD 0.04, 95% CI 0.02-0.07, P = 0.0006) and complications (OR 8.14, 95% CI 4.16-15.94, P = 0.00001) were higher in the operative group but the risk of recurrence was lower (OR 0.62, 95% CI 0.43-0.90, P = 0.01). When the baseline suspicion of strangulation was low in both groups, there was no difference in any of the outcomes except recurrence (OR 0.09, 95% CI 0.02-0.37, P = 0.0009) which was lower in the

  13. A systematic review of occupational exposure to hydrogen sulfide in livestock operations.

    PubMed

    Guarrasi, Justene; Trask, Catherine; Kirychuk, Shelley

    2015-01-01

    This systematic review summarizes the current state of knowledge in hydrogen sulfide (H2S) concentrations within intensive livestock operations. The review was undertaken to better understand H2S concentrations in intensive livestock operations, in relation to the American Conference of Governmental Industrial Hygienists (ACGIH) limit reduction to a 1 ppm time-weighted average (TWA). Several online academic databases were searched using two conceptual groups of search terms: "livestock" and "hydrogen sulfide." Industry gray literature was additionally identified via targeted searches of online agriculture-specific Web sites. Title, abstract, and full-text screening were performed to select articles reporting H2S measurements made within livestock facilities. Forty-five articles were included in this review. The bulk (70%) of articles described swine operations, whereas the remaining represented poultry and dairy operations. Although 14% of the articles described task-based monitoring of H2S, the majority of articles (86%) involved only area monitoring. Weighted means from all three livestock types were below 1 ppm, although swine operations displayed a wider range of exposure (from 0 to 97 ppm). Despite most mean task-based exposures being close to 1 ppm, the peak concentrations measurements may be higher during power washing (97 ppm) and miscellaneous tasks (11.4 ppm). This review provides a novel overview of H2S levels in intensive livestock operations, including information on task-based measurements. The review highlights numerous influences that produce a wide variability of H2S levels in intensive livestock operations. The review also highlights the need for research focused on personal monitoring of daily worker exposures to hydrogen sulfide in intensive livestock operations.

  14. Social Relationships and School Readiness

    ERIC Educational Resources Information Center

    Mashburn, Andrew J.; Pianta, Robert C.

    2006-01-01

    Definitions of school readiness tend to focus on social and academic competencies that children are presumed to need to start school ready to learn. However, a child-focused definition of school readiness is limited because it neither identifies processes that lead children to acquire these competencies, nor does it recognize children's dependence…

  15. Wyoming Early Childhood Readiness Standards.

    ERIC Educational Resources Information Center

    Wyoming State Dept. of Education, Cheyenne.

    Because children entering kindergarten come with a variety of preschool and home experiences, and accordingly, with varying levels of school readiness, the Wyoming Early Childhood Readiness Standards have been developed to provide a more consistent definition of school readiness. The goal for the Standards is to provide early childhood educators…

  16. Understanding Readiness: An Occasional Paper.

    ERIC Educational Resources Information Center

    Jensen, Arthur R.

    Readiness to learn occurs when a child has achieved cumulative learning of component subskills and the developmental maturity necessary to integrate these subskills into the desired skill. Readiness is relative, however, not only to the skill, but also to the technique of instruction. Thus, readiness for learning a particular skill by different…

  17. Examining College Writing Readiness

    ERIC Educational Resources Information Center

    Duncheon, Julia C.; Tierney, William G.

    2014-01-01

    Increasing postsecondary access depends in large part on enhancing underrepresented students' writing ability, or college writing readiness. However, what exactly constitutes college-level writing is not clear-cut, complicating efforts to improve secondary preparation. This article examines recent efforts to define postsecondary writing,…

  18. School Readiness Factor Analyzed.

    ERIC Educational Resources Information Center

    Brenner, Anton; Scott, Leland H.

    This paper is an empirical statistical analysis and interpretation of data relating to school readiness previously examined and reported on a theoretical basis. A total of 118 white, middle class children from six consecutive kindergarten groups in Dearborn, Michigan were tested with seven instruments, evaluated in terms of achievement, ability,…

  19. Libraries at the Ready

    ERIC Educational Resources Information Center

    Celano, Donna C.; Neuman, Susan B.

    2016-01-01

    Because English language learners enter kindergarten at a distinct disadvantage, Celano and Neuman examine the role public libraries can play in rallying around these young children to better prepare them for school. The authors document a new program called Every Child Ready to Read, which recently launched in 4,000 public libraries across the…

  20. Examining College Writing Readiness

    ERIC Educational Resources Information Center

    Duncheon, Julia C.; Tierney, William G.

    2014-01-01

    Increasing postsecondary access depends in large part on enhancing underrepresented students' writing ability, or college writing readiness. However, what exactly constitutes college-level writing is not clear-cut, complicating efforts to improve secondary preparation. This article examines recent efforts to define postsecondary writing,…

  1. Rethinking School Readiness

    ERIC Educational Resources Information Center

    Farran, Dale C.

    2011-01-01

    In the United States, for typically developing children, age has historically been the most common factor determining when a child starts formal schooling. Recently, there has been increased emphasis on other indicators of being ready for school. Beginning with Head Start in 1965 and mushrooming into state-funded prekindergarten programs in most…

  2. School Readiness Indicator Items.

    ERIC Educational Resources Information Center

    Calkins, Julia; Ling, Thomson; Moore, Eric; Halle, Tamara; Hair, Beth; Moore, Kris; Zaslow, Marty

    This report provides a compilation of indicators of school readiness used in national, state, and local surveys in the United States, delineating the advantages and disadvantages for each indicator. The report begins with a legend to assist in interpreting the tables and includes contact information for national and state surveys. The remainder of…

  3. Libraries at the Ready

    ERIC Educational Resources Information Center

    Celano, Donna C.; Neuman, Susan B.

    2016-01-01

    Because English language learners enter kindergarten at a distinct disadvantage, Celano and Neuman examine the role public libraries can play in rallying around these young children to better prepare them for school. The authors document a new program called Every Child Ready to Read, which recently launched in 4,000 public libraries across the…

  4. Estolides - Ready for commercialization

    USDA-ARS?s Scientific Manuscript database

    Estolides have shown great promise as a bio-based lubricant and are ready for commercialization. Estolides are nontoxic and biodegradable. Testing has shown estolides have increased oxidative stability over vegetable oil based lubricants and have a relatively low pour point, allowing them to be use...

  5. College and Career Readiness

    ERIC Educational Resources Information Center

    ICF International (NJ1), 2012

    2012-01-01

    Graduating high school students must be adequately prepared to enter post-secondary training or employment, without the need for remediation, in order to take their places as independent adults and informed citizens. College and career readiness has taken the forefront of national and state education policy. ICF's information brief on college and…

  6. YWCA Vocational Readiness Package.

    ERIC Educational Resources Information Center

    Scott, Jeanne

    This document outlines, in detail, the Vocational Readiness Package for young girls, which is a week-long program utilizing simulation games and role-playing, while employing peer group counseling techniques to dramatize the realities concerning women in marriage and careers today. After three years of using this program, the authors have compiled…

  7. Tracking College Readiness

    ERIC Educational Resources Information Center

    Skelly, Kevin A.; Laurence, Scott T.

    2011-01-01

    Twice a year, leaders from seven school districts from around the nation meet to discuss college life. They address the common problem of college readiness in their collective work to better prepare students for a productive future. While consortium members oversee school districts that are leaders in their respective states in terms of test…

  8. Ready or Not?

    ERIC Educational Resources Information Center

    Foltz-Gray, Dorothy

    1997-01-01

    Advises parents to relax and learn to recognize the signs that a child is physically and emotionally ready for the next developmental step. Developmental milestones discussed include riding in a backpack, moving to a forward-facing car seat, using eating utensils, taking time-out, and moving from crib to a bed. (HTH)

  9. Are You Ready?

    ERIC Educational Resources Information Center

    Currents, 1995

    1995-01-01

    A brief questionnaire designed to help colleges and universities assess their crisis readiness is presented. Questions address such issues as written procedures, response team composition, campus information dissemination and media relations, and community relations. Ten items every college crisis plan should include are listed. (MSE)

  10. 324 Building B-Cell Pressurized Water Reactor Spent Fuel Packaging & Shipment RL Readiness Assessment Final Report [SEC 1 Thru 3

    SciTech Connect

    HUMPHREYS, D C

    2002-08-01

    A parallel readiness assessment (RA) was conducted by independent Fluor Hanford (FH) and U. S. Department of Energy, Richland Operations Office (RL) team to verify that an adequate state of readiness had been achieved for activities associated with the packaging and shipping of pressurized water reactor fuel assemblies from B-Cell in the 324 Building to the interim storage area at the Canister Storage Building in the 200 Area. The RL review was conducted in parallel with the FH review in accordance with the Joint RL/FH Implementation Plan (Appendix B). The RL RA Team members were assigned a FH RA Team counterpart for the review. With this one-on-one approach, the RL RA Team was able to assess the FH Team's performance, competence, and adherence to the implementation plan and evaluate the level of facility readiness. The RL RA Team agrees with the FH determination that startup of the 324 Building B-Cell pressurized water reactor spent nuclear fuel packaging and shipping operations can safely proceed, pending completion of the identified pre-start items in the FH final report (see Appendix A), completion of the manageable list of open items included in the facility's declaration of readiness, and execution of the startup plan to operations.

  11. Prolonged Operative Duration Increases Risk of Surgical Site Infections: A Systematic Review.

    PubMed

    Cheng, Hang; Chen, Brian Po-Han; Soleas, Ireena M; Ferko, Nicole C; Cameron, Chris G; Hinoul, Piet

    The incidence of surgical site infection (SSI) across surgical procedures, specialties, and conditions is reported to vary from 0.1% to 50%. Operative duration is often cited as an independent and potentially modifiable risk factor for SSI. The objective of this systematic review was to provide an in-depth understanding of the relation between operating time and SSI. This review included 81 prospective and retrospective studies. Along with study design, likelihood of SSI, mean operative times, time thresholds, effect measures, confidence intervals, and p values were extracted. Three meta-analyses were conducted, whereby odds ratios were pooled by hourly operative time thresholds, increments of increasing operative time, and surgical specialty. Pooled analyses demonstrated that the association between extended operative time and SSI typically remained statistically significant, with close to twice the likelihood of SSI observed across various time thresholds. The likelihood of SSI increased with increasing time increments; for example, a 13%, 17%, and 37% increased likelihood for every 15 min, 30 min, and 60 min of surgery, respectively. On average, across various procedures, the mean operative time was approximately 30 min longer in patients with SSIs compared with those patients without. Prolonged operative time can increase the risk of SSI. Given the importance of SSIs on patient outcomes and health care economics, hospitals should focus efforts to reduce operative time.

  12. The impact of interventions to promote healthier ready-to-eat meals (to eat in, to take away or to be delivered) sold by specific food outlets open to the general public: a systematic review.

    PubMed

    Hillier-Brown, F C; Summerbell, C D; Moore, H J; Routen, A; Lake, A A; Adams, J; White, M; Araujo-Soares, V; Abraham, C; Adamson, A J; Brown, T J

    2017-02-01

    Ready-to-eat meals sold by food outlets that are accessible to the general public are an important target for public health intervention. We conducted a systematic review to assess the impact of such interventions. Studies of any design and duration that included any consumer-level or food-outlet-level before-and-after data were included. Thirty studies describing 34 interventions were categorized by type and coded against the Nuffield intervention ladder: restrict choice = trans fat law (n = 1), changing pre-packed children's meal content (n = 1) and food outlet award schemes (n = 2); guide choice = price increases for unhealthier choices (n = 1), incentive (contingent reward) (n = 1) and price decreases for healthier choices (n = 2); enable choice = signposting (highlighting healthier/unhealthier options) (n = 10) and telemarketing (offering support for the provision of healthier options to businesses via telephone) (n = 2); and provide information = calorie labelling law (n = 12), voluntary nutrient labelling (n = 1) and personalized receipts (n = 1). Most interventions were aimed at adults in US fast food chains and assessed customer-level outcomes. More 'intrusive' interventions that restricted or guided choice generally showed a positive impact on food-outlet-level and customer-level outcomes. However, interventions that simply provided information or enabled choice had a negligible impact. Interventions to promote healthier ready-to-eat meals sold by food outlets should restrict choice or guide choice through incentives/disincentives. Public health policies and practice that simply involve providing information are unlikely to be effective. © 2016 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation.

  13. Surgical site infection after hand surgery outside the operating theatre: a systematic review.

    PubMed

    Jagodzinski, N A; Ibish, S; Furniss, D

    2017-03-01

    We carried out a systematic review to determine the incidence of infection for hand surgery done in settings other than the operating theatre. Databases were searched and a PRISMA chart created by three independent reviewers. From 1200 studies identified, 46 full text articles were reviewed and six were included (two Level 3 studies and four Level 4). In three studies there were no infections after surgery in an office, procedure room or emergency department. Two studies with a combined number of 1962 procedures reviewed carpal tunnel decompressions and reported identical infection rates of 0.4%. Although the current evidence is of poor quality, it suggests that some types of hand surgery may be done outside the operating theatre without increasing the risk of infection.

  14. Perioperative adjuvant corticosteroids for post-operative analgesia in elective knee surgery - A systematic review.

    PubMed

    Mohammad, Hasan Raza; Trivella, Marialena; Hamilton, Thomas W; Strickland, Louise; Murray, David; Pandit, Hemant

    2017-04-27

    Elective knee surgery is performed to reduce chronic pain and improve function in degenerate knees. Treatment of acute post-operative pain is suboptimal in 75% of patients despite multimodal analgesic approaches resulting in higher post-operative opiate consumption. The effect of corticosteroids as an adjunct for post-operative pain control remains undefined. The databases MEDLINE, EMBASE and CENTRAL (Cochrane library) will be searched from their inception to present using broad search criteria for eligible randomised/quasi-randomised controlled trials investigating perioperative corticosteroid adjunctive use in elective knee surgery. Meta-analyses will be conducted according to the recommendations from the Cochrane Handbook for Systematic Reviews of Interventions. This systematic review of the perioperative adjunctive use of corticosteroids will assess the analgesic effects, post-operative nausea and vomiting, opiate consumption, infection rates and time till discharge and assess whether adjunctive corticosteroids should be encouraged in elective knee surgery. PROPSERO CRD42016049336.

  15. Review of operational experience drilling wells through an underwater manifold centre

    SciTech Connect

    Hodgson, R.

    1985-01-01

    The Shell/Esso Central Cormorant Development is now over halfway through its drilling and completing phase. Drilling techniques required for such a development differ substantially from normal drilling practices. These differences are reviewed and the constraints and procedures required to ensure safe and parallel drilling/completion operations in conjunction with UMC production are explained. Other areas of experience that are discussed are the weather influence on operations, rig anchoring and underwater surveillance.

  16. K-Reactor readiness

    SciTech Connect

    Rice, P.D.

    1991-12-04

    This document describes some of the more significant accomplishments in the reactor restart program and details the magnitude and extent of the work completed to bring K-Reactor to a state of restart readiness. The discussion of restart achievements is organized into the three major categories of personnel, programs, and plant. Also presented is information on the scope and extent of internal and external oversight of the efforts, as well as some details on the startup plan.

  17. Readiness System Management

    DTIC Science & Technology

    1977-05-13

    on the CINCS assessments and problems. The third part of the formal input is the daily situation report(SITREP). Thl ^ is the means whereby each...the specific purpose of inclusion in future editions of the Army War College textbook Army Command and Management: Theory and Practice(3 volumes...forces in peacetime is to be prepared to fight in war. This military preparedness, or readiness, serves two objectives: 1. To reduce the likelihood

  18. K-Reactor readiness

    SciTech Connect

    Rice, P.D.

    1991-12-04

    This document describes some of the more significant accomplishments in the reactor restart program and details the magnitude and extent of the work completed to bring K-Reactor to a state of restart readiness. The discussion of restart achievements is organized into the three major categories of personnel, programs, and plant. Also presented is information on the scope and extent of internal and external oversight of the efforts, as well as some details on the startup plan.

  19. Review of Issues Associated with Safe Operation and Management of the Space Shuttle Program

    NASA Technical Reports Server (NTRS)

    Johnstone, Paul M.; Blomberg, Richard D.; Gleghorn, George J.; Krone, Norris J.; Voltz, Richard A.; Dunn, Robert F.; Donlan, Charles J.; Kauderer, Bernard M.; Brill, Yvonne C.; Englar, Kenneth G.; Himmel, Seymour C.; Fitch, Dennis E.; Parmet, Norman R.; McDonald, John F.McDonald; Stewart, John G.

    1996-01-01

    At the request of the President of the United States through the Office of Science and Technology Policy (OSTP), the NASA Administrator tasked the Aerospace Safety Advisory Panel with the responsibility to identify and review issues associated with the safe operation and management of the Space Shuttle program arising from ongoing efforts to improve and streamline operations. These efforts include the consolidation of operations under a single Space Flight Operations Contract (SFOC), downsizing the Space Shuttle workforce and reducing costs of operations and management. The Panel formed five teams to address the potentially significant safety impacts of the seven specific topic areas listed in the study Terms of Reference. These areas were (in the order in which they are presented in this report): Maintenance of independent safety oversight; implementation plan for the transition of Shuttle program management to the Lead Center; communications among NASA Centers and Headquarters; transition plan for downsizing to anticipated workforce levels; implementation of a phased transition to a prime contractor for operations; Shuttle flight rate for Space Station assembly; and planned safety and performance upgrades for Space Station assembly. The study teams collected information through briefings, interviews, telephone conversations and from reviewing applicable documentation. These inputs were distilled by each team into observations and recommendations which were then reviewed by the entire Panel.

  20. Systematic review of pre-operative exercise in colorectal cancer patients.

    PubMed

    Boereboom, C; Doleman, B; Lund, J N; Williams, J P

    2016-02-01

    The aim of this systematic review was to evaluate the evidence for exercise interventions prior to surgery for colorectal cancer resection. The evidence for use of exercise to improve physical fitness and surgical outcomes is as yet unknown. A systematic search was performed of MEDLINE, EMBASE, CINAHL, AMED and BNI databases for studies involving pre-operative exercise in colorectal cancer patients. Eight studies were included in the review. There is evidence that pre-operative exercise improves functional fitness, and to a lesser extent objectively measurable cardio-respiratory fitness prior to colorectal cancer resection. There is no clear evidence at present that this improvement in fitness translates into reduced peri-operative risk or improved post-operative outcomes. Current studies are limited by risk of bias. This review highlights the common difficulty in transferring promising results in a research setting, into significant improvements in the clinical arena. Future research should focus on which type of exercise is most likely to maximise patient adherence and improvements in cardio-respiratory fitness. Ultimately, adequately powered, randomised controlled trials are needed to investigate whether pre-operative exercise improves post-operative morbidity and mortality.

  1. FLIR, NVG and HMS/D systems for helicopter operation: Review

    NASA Astrophysics Data System (ADS)

    Boehm, H. D. V.

    1985-12-01

    In the last decade, electro-optical systems have been used successfully in military and civil applications. They extend the scope of operation of ground vehicles, helicopters and fixed wing aircraft from daytime into nighttime, with a 24 hour readiness covering even bad weather conditions. The visual aids fall into two physical categories: the image intensifiers, which amplify reflected residual light in the near infrared and the thermal imager, which detect the thermal radiation of all bodies mainly in the 8 to 12 micrometer atmospheric window for bodies with T approx. 20 C. During the last five years, the investigator has carried out helicopter flight trials at night using examples of all these visionic aids (FLIR, LLLTV, NVG, HMS/D and Direct View Optics) for piloting and observation tasks. The detection, recognition and identification range of nine different FLIR were tested in ground and laboratory tests. The evaluation of an optical sensor platform location in the helicopter nose-, roof- and mast-mounted versions, the comparison of thermal and intensifier images and the NVG compatible cockpit were topics of the tests. The optical sensors are described with their limitations and some results of the trials are given, with regard to the pilot's stress situation and eye safety.

  2. Columbus: ready for the International Space Station.

    PubMed

    Patti, Bernardo; Chesson, Robert; Zell, Martin; Thirkettle, Alan

    2005-02-01

    One of the key contributions to the development and operation of the International Space Station (ISS) is ESA's Columbus Laboratory Module. It will be transported to the ISS, together with its payload complement, on Space Shuttle Assembly Flight 1E in 2006. Columbus's readiness for launch requires the availability not only of the Module itself, but also three other major elements being provided by ESA, namely: the Ground Segment, consisting of the Columbus Control Centre and the User Support and Operations Centres (USOCs), the Operations products, and the Crew Training.

  3. Wet countdown demonstration and flight readiness firing

    NASA Technical Reports Server (NTRS)

    1981-01-01

    The prelaunch tests for the Space Transportation System 1 flight are briefly described. Testing is divided into two major sections: the wet countdown demonstration test/flight readiness firing, which includes a 20 second test firing of the orbiter's three main engines, and a mission verification test, which is centered on flight and landing operations. The functions of the countdown sequence are listed and end of mission and mission abort exercises are described.

  4. A systematic review of evaluation research in integrated behavioral health care: Operational and financial characteristics.

    PubMed

    Muse, Amelia R; Lamson, Angela L; Didericksen, Katharine W; Hodgson, Jennifer L

    2017-06-01

    Integrated behavioral health care (IBHC) is an emerging solution for the delivery of behavioral health in primary care contexts. Although IBHC has been implemented and studied for more than 2 decades, little seems to be known about how it is best evaluated. This article illustrates a framework for IBHC evaluation based on the Three World view (with a focus on the operational and financial worlds) and delivers results from a systematic review on the operational and financial characteristics of existing IBHC research. This study identified original reports of research that included an evaluation or assessment of the operational or financial success or sustainability of IBHC sites or programs. A total of 3,386 articles were found through the selected databases and 46 articles were found to meet the inclusion criteria. From the 46 articles that contained an IBHC evaluation including operational or financial variables, 9 operational and 11 financial characteristics were identified as barriers or strengths to sustainability or success. The characteristics of the evaluation participants, IBHC settings, and method of evaluation were also coded and analyzed. As a result of this systematic review of articles, evaluation of the success and sustainability of the operational and financial worlds can now be conceptualized at provider and practice levels. Collaboration and communication between medical and behavioral health providers was a significant operational characteristic related to success and sustainability. Financial characteristics indicated that continuous financial evaluation throughout implementation was important to success and sustainability. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  5. Improved Operational Readiness through Environmental Stress Screening

    DTIC Science & Technology

    1987-11-01

    7.3 28 4.4 2.9 34 5.7 4.4 23 NOTES_ _ _ TABL 5. TranUitiona grwt RAT effectA - NonESTESESTrop) RAE REAI W/PARTS FH99M INTA NTOTAL RW 2 EMOALS OF...BMH EXCEPT REFERS TO DEPOIT-LEVEL MAINTENANCE DMH 10.4 8.1 10.7 12.1 I. (C) (3-M DATA) I 9. WORD DESCRIPTION OR NAME OF THE FLU - UP TO 60 FLUNOUN

  6. Measuring Readiness in the Operational Reserve

    DTIC Science & Technology

    2014-06-13

    student author and do not necessarily represent the views of the U.S. Army Command and General Staff College or any other governmental agency. (References...TOE Table of Organization and Equipment TPU Troop Program Unit TTHS Trainee, Transient, Holdee, and Student UA Unit Administrator UMR Unit Manning...deployment except DMOSQ. Availability of DMOSQ institutional training, Soldier absentees as it relates to missed DMOSQ training, and employer

  7. Assessing infant and maternal readiness for newborn discharge.

    PubMed

    Jing, Ling; Bethancourt, Casidhe-Nicole; McDonagh, Thomas

    2017-10-01

    The review highlights the shift from prescribed length of stay (LOS) to mother-infant dyad readiness as the basis for making discharge decisions for healthy term newborns. We describe the components of readiness that should be considered in making the decision, focusing on infant clinical readiness, and maternal and familial readiness. Although the Newborns' and Mothers' Health Protection Act of 1996 aimed to protect infants and mothers by establishing a minimum LOS, the American Academy of Pediatrics 2015 policy on newborn discharge acknowledges the shift from LOS-based to readiness-based discharge decision-making. Healthcare providers must consider a variety of infant and maternal characteristics in determining the appropriate time to discharge a dyad, and mothers should be actively involved in the decision-making process. Criteria for infant clinical readiness include the following: establishment of effective feeding, evaluation of jaundice risk, review and discussion of infant and household vaccination status, obtainment of specimen for metabolic screening, tests of hearing ability, assessment of sepsis risk factors, screening for congenital heart disease, and evaluation of parental knowledge about infant safety measures. Important consideration should also be given to the mother's sociodemographic vulnerabilities, maternal confidence and perception of discharge readiness, and availability of postdischarge care continuity. The timing of newborn discharge should be a joint decision made by the mother and healthcare providers based on readiness. The decision should consider the infant's health status, the mother's health status, the mother's perception of readiness, and the availability of social and familial support for the mother and infant. Accessible and comprehensive support postdischarge is also important for helping infants achieve optimal health outcomes.

  8. Financial Aid as a Service. A Review of Operations. Summary Report.

    ERIC Educational Resources Information Center

    Adams, Judith

    This review presents a summary of five reports resulting from several studies of Financial Aid Office (FAO) operations at Macomb Community College (MCC) in Michigan designed to determine how services were rendered or perceived. The first report presents findings from the literature search evaluation. An extensive search revealed few published…

  9. Types of Motivating Operations in Interventions with Problem Behavior: A Systematic Review

    ERIC Educational Resources Information Center

    Simo-Pinatella, David; Font-Roura, Josep; Planella-Morato, Joaquima; McGill, Peter; Alomar-Kurz, Elisabeth; Gine, Climent

    2013-01-01

    A motivating operation (MO) alters both the effectiveness of a stimulus as a reinforcer and the current frequency of all behavior that has been reinforced by that particular stimulus. This article reviews studies that have manipulated a MO during interventions with school-age participants with intellectual disabilities and problem behavior. A…

  10. 7 CFR 3415.10 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 15 2014-01-01 2014-01-01 false Establishment and operation of peer review groups. 3415.10 Section 3415.10 Agriculture Regulations of the Department of Agriculture (Continued) NATIONAL INSTITUTE OF FOOD AND AGRICULTURE BIOTECHNOLOGY RISK ASSESSMENT RESEARCH GRANTS PROGRAM Scientific...

  11. 7 CFR 3415.10 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 15 2013-01-01 2013-01-01 false Establishment and operation of peer review groups. 3415.10 Section 3415.10 Agriculture Regulations of the Department of Agriculture (Continued) NATIONAL INSTITUTE OF FOOD AND AGRICULTURE BIOTECHNOLOGY RISK ASSESSMENT RESEARCH GRANTS PROGRAM Scientific...

  12. 7 CFR 3415.10 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 15 2012-01-01 2012-01-01 false Establishment and operation of peer review groups. 3415.10 Section 3415.10 Agriculture Regulations of the Department of Agriculture (Continued) NATIONAL INSTITUTE OF FOOD AND AGRICULTURE BIOTECHNOLOGY RISK ASSESSMENT RESEARCH GRANTS PROGRAM Scientific...

  13. 7 CFR 3415.10 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 15 2011-01-01 2011-01-01 false Establishment and operation of peer review groups. 3415.10 Section 3415.10 Agriculture Regulations of the Department of Agriculture (Continued) NATIONAL INSTITUTE OF FOOD AND AGRICULTURE BIOTECHNOLOGY RISK ASSESSMENT RESEARCH GRANTS PROGRAM Scientific...

  14. 78 FR 46255 - Revisions to Environmental Review for Renewal of Nuclear Power Plant Operating Licenses; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-31

    ... COMMISSION 10 CFR Part 51 RIN 3150-AI42 Revisions to Environmental Review for Renewal of Nuclear Power Plant... environmental effect of renewing the operating license of a nuclear power plant. Compliance with the provisions... nuclear power plant. This document is necessary to clarify and correct the revisions made to the...

  15. 7 CFR 3415.10 - Establishment and operation of peer review groups.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Establishment and operation of peer review groups. 3415.10 Section 3415.10 Agriculture Regulations of the Department of Agriculture (Continued) COOPERATIVE STATE RESEARCH, EDUCATION, AND EXTENSION SERVICE, DEPARTMENT OF AGRICULTURE BIOTECHNOLOGY RISK...

  16. 77 FR 19025 - Extension of Agency Information Collection Activity Under OMB Review: Aircraft Operator Security

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-29

    ... implement a security program. DATES: Send your comments by April 30, 2012. A comment to OMB is most...] [FR Doc No: 2012-7671] DEPARTMENT OF HOMELAND SECURITY Transportation Security Administration Extension of Agency Information Collection Activity Under OMB Review: Aircraft Operator Security AGENCY...

  17. Legal Issues inherent in space shuttle operations. [reviewed by NASA Deputy General Counsel

    NASA Technical Reports Server (NTRS)

    1977-01-01

    The legal issues inherent in NASA's proceeding into the day-to-day operations of the space shuttle and other elements of the Space Transportation System are considered in light of the National Aeronautics and Space Act of 1958. Based on this review, it was concluded that there is no immediate need for substantive amendments to that legislation.

  18. Legal Issues inherent in space shuttle operations. [reviewed by NASA Deputy General Counsel

    NASA Technical Reports Server (NTRS)

    1977-01-01

    The legal issues inherent in NASA's proceeding into the day-to-day operations of the space shuttle and other elements of the Space Transportation System are considered in light of the National Aeronautics and Space Act of 1958. Based on this review, it was concluded that there is no immediate need for substantive amendments to that legislation.

  19. Types of Motivating Operations in Interventions with Problem Behavior: A Systematic Review

    ERIC Educational Resources Information Center

    Simo-Pinatella, David; Font-Roura, Josep; Planella-Morato, Joaquima; McGill, Peter; Alomar-Kurz, Elisabeth; Gine, Climent

    2013-01-01

    A motivating operation (MO) alters both the effectiveness of a stimulus as a reinforcer and the current frequency of all behavior that has been reinforced by that particular stimulus. This article reviews studies that have manipulated a MO during interventions with school-age participants with intellectual disabilities and problem behavior. A…

  20. Mitigation of methane and nitrous oxide emissions from animal operations: A review of manure management options

    USDA-ARS?s Scientific Manuscript database

    This review analyzes published data on manure management practices used to mitigate methane (CH4) and nitrous oxide (N2O) emissions from animal operations. This is the second in a series of reports commissioned by the Food and Agriculture Organization of the United Nations to evaluate mitigation pra...

  1. Independent Review of Elemental Phosphorus Remediation at the Eastern Michaud Flats FMC Operable Unit near Pocatello, Idaho

    SciTech Connect

    Martino, L. E.; Jerden, J. J.; Kimmell, T. A.; Quinn, J.

    2016-01-01

    If, despite risks to workers and these potential impacts, stakeholders decide that P4 wastes need to be excavated and treated, the Review Team determined that a number of the ETTs examined warrant further consideration for the treatment of P4 waste that has been characterized (for example, P4 waste present in the historical ponds). Nevertheless, concerns about the health and safety of site investigation workers using then-available investigation approaches prevented the collection of subsurface samples containing P4 from large areas of the site (e.g., the railroad swale, the vadose zone beneath the Furnace Building, and the abandoned railcars), As a result, the contaminant CSM in those particular areas was not refined enough to allow the Review Team to draw conclusions about using some of the ETTs to treat P4 waste in those areas. The readiness of an ETT for implementation varies depending on many factors, including stakeholder input, permitting, and remedial action construction requirements. Technologies that could be ready for use in the near term (within 1 year) include the following: mechanical excavation, containment technologies, off-site incineration, and drying and mechanical mixing under a tent structure. Technologies that could be ready for use in the mid-term (1 to 2 years) include cutter suction dredging, thermal-hydraulic dredging, and underground pipeline cleaning technologies. Technologies requiring a longer lead time (2 to 5 years) include on-site incineration, a land disposal restriction waste treatment system, an Albright & Wilson batch mud still, post-treatment on-site disposal, and post-treatment off-site disposal.

  2. External Peer Review Report on the United States Special Operations Command Office of Inspector General Audit Division

    DTIC Science & Technology

    2016-08-15

    Review Report on the United States Special Operations Command Office of Inspector General Audit Division ( Report No. DODIG-2016-122) Attached is the...External Peer Review Report and the Letter of Comments on the United States Special Operations Command Office of Inspector General that we conducted in...2016 MEMORANDUM FOR UNITED STATES SPECIAL OPERATIONS COMMAND, INSPECTOR GENERAL SUBJECT: System Review Report ( Report No. DODIG-2016-122) We have

  3. Is Electronic Life-Cycle Tracking of Aircraft Parts Degrading Readiness?

    DTIC Science & Technology

    2013-12-04

    receipt process and measures its effects on cost (man-hours), aircraft availability, and operational readiness across the NAE. In our analysis, we use...Marine Corps incur significant costs , including decreased availability of air assets, degraded operational readiness, early retirement of aircraft...components, and inefficient utilization of aviation maintenance administrative personnel. This report applies the Six Sigma define, measure , analyze, improve

  4. 78 FR 51267 - Hours of Service of Drivers: National Ready Mixed Concrete Association; Application for Exemption

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-20

    ... Concrete Association; Application for Exemption AGENCY: Federal Motor Carrier Safety Administration (FMCSA... it has received an application from the National Ready Mixed Concrete Association (NRMCA) for an... carriers and CMV drivers operating ready-mixed concrete trucks. Due to the nature of their operation,...

  5. The correlation between peri-operative hyperglycemia and mortality in cardiac surgery patients: a systematic review.

    PubMed

    Giakoumidakis, Konstantinos; Nenekidis, Ioannis; Brokalaki, Hero

    2012-03-01

    Hyperglycemia occurs frequently in patients undergoing cardiac surgery. It has been identified as a risk factor for increased peri-operative morbidity and mortality. To review the evidence of the correlation of peri-operative hyperglycemia with mortality in cardiac surgery patients and to discuss the main results in order to provide evidence-based knowledge for the appropriate glycemic control. We searched the electronic databases MEDLINE, CINAHL and EMBASE in June 2010. The material of our study was articles published between 1 January 1990 and 31 May 2010, which investigated the correlation between peri-operative hyperglycemia and in-hospital and/or 30-day cardiac surgery mortality. Out of the 16 reviewed articles in our study, 12 (75%) significantly associated hyperglycemia and inadequate blood glucose control with increased mortality. In addition, four of the reviewed articles were controlled randomized trials and among them only one demonstrated strong correlation between poor glycemic control and mortality. No study was multi-centre and the reviewed articles were characterized by different definitions of peri-operative hyperglycemia, different intensity and duration of the applied therapy and heterogeneity of the population. It is clear that peri-operative hyperglycemia is harmful for cardiac surgery patients. The significant shortage of randomized controlled trials, the absence of multicentre studies, the different definitions of peri-operative hyperglycemia, the different intensity and duration of the applied insulin therapy protocol and the heterogeneity of the studied population (diabetics and non-diabetics) are significant limitations, which could explain the inconsistent findings of the literature. These limitations indicate the need for further research.

  6. WWC Review of the Report "Sustained Progress: New Findings about the Effectiveness and Operation of Small Public High Schools of Choice in New York City." What Works Clearinghouse Single Study Review

    ERIC Educational Resources Information Center

    What Works Clearinghouse, 2014

    2014-01-01

    The study reviewed in this paper examined whether winning an admissions lottery to attend a small school of choice (SSC) in New York City improved high school graduation rates, influenced the type of diploma students received, or increased the likelihood of college readiness. An SSC is a small, nonselective public high school emphasizing academic…

  7. Partnership readiness for community-based participatory research.

    PubMed

    Andrews, Jeannette O; Newman, Susan D; Meadows, Otha; Cox, Melissa J; Bunting, Shelia

    2012-08-01

    The use of a dyadic lens to assess and leverage academic and community partners' readiness to conduct community-based participatory research (CBPR) has not been systematically investigated. With a lack of readiness to conduct CBPR, the partnership and its products are vulnerable. The purpose of this qualitative study was to explore the dimensions and key indicators necessary for academic and community partnership readiness to conduct CBPR. Key informant interviews and focus groups (n = 36 participants) were conducted with academic and community participants who had experiences with CBPR partnerships. A 'framework analysis' approach was used to analyze the data and generate a new model, CBPR Partnership Readiness Model. Antecedents of CBPR partnership readiness are a catalyst and mutual interest. The major dimensions of the CBPR Partnership Readiness Model are (i) goodness of fit, (ii) capacity, and (iii) operations. Preferred outcomes are sustainable partnership and product, mutual growth, policy and social and health impact on the community. CBPR partnership readiness is an iterative and dynamic process, partnership and issue specific, influenced by a range of environmental and contextual factors, amenable to change and essential for sustainability and promotion of health and social change in the community.

  8. Partnership readiness for community-based participatory research

    PubMed Central

    Andrews, Jeannette O.; Newman, Susan D.; Meadows, Otha; Cox, Melissa J.; Bunting, Shelia

    2012-01-01

    The use of a dyadic lens to assess and leverage academic and community partners’ readiness to conduct community-based participatory research (CBPR) has not been systematically investigated. With a lack of readiness to conduct CBPR, the partnership and its products are vulnerable. The purpose of this qualitative study was to explore the dimensions and key indicators necessary for academic and community partnership readiness to conduct CBPR. Key informant interviews and focus groups (n = 36 participants) were conducted with academic and community participants who had experiences with CBPR partnerships. A ‘framework analysis' approach was used to analyze the data and generate a new model, CBPR Partnership Readiness Model. Antecedents of CBPR partnership readiness are a catalyst and mutual interest. The major dimensions of the CBPR Partnership Readiness Model are (i) goodness of fit, (ii) capacity, and (iii) operations. Preferred outcomes are sustainable partnership and product, mutual growth, policy and social and health impact on the community. CBPR partnership readiness is an iterative and dynamic process, partnership and issue specific, influenced by a range of environmental and contextual factors, amenable to change and essential for sustainability and promotion of health and social change in the community. PMID:20837654

  9. Stochastic Methods Applied to Power System Operations with Renewable Energy: A Review

    SciTech Connect

    Zhou, Z.; Liu, C.; Botterud, A.

    2016-08-01

    Renewable energy resources have been rapidly integrated into power systems in many parts of the world, contributing to a cleaner and more sustainable supply of electricity. Wind and solar resources also introduce new challenges for system operations and planning in terms of economics and reliability because of their variability and uncertainty. Operational strategies based on stochastic optimization have been developed recently to address these challenges. In general terms, these stochastic strategies either embed uncertainties into the scheduling formulations (e.g., the unit commitment [UC] problem) in probabilistic forms or develop more appropriate operating reserve strategies to take advantage of advanced forecasting techniques. Other approaches to address uncertainty are also proposed, where operational feasibility is ensured within an uncertainty set of forecasting intervals. In this report, a comprehensive review is conducted to present the state of the art through Spring 2015 in the area of stochastic methods applied to power system operations with high penetration of renewable energy. Chapters 1 and 2 give a brief introduction and overview of power system and electricity market operations, as well as the impact of renewable energy and how this impact is typically considered in modeling tools. Chapter 3 reviews relevant literature on operating reserves and specifically probabilistic methods to estimate the need for system reserve requirements. Chapter 4 looks at stochastic programming formulations of the UC and economic dispatch (ED) problems, highlighting benefits reported in the literature as well as recent industry developments. Chapter 5 briefly introduces alternative formulations of UC under uncertainty, such as robust, chance-constrained, and interval programming. Finally, in Chapter 6, we conclude with the main observations from our review and important directions for future work.

  10. Production readiness verification testing

    NASA Technical Reports Server (NTRS)

    James, A. M.; Bohon, H. L.

    1980-01-01

    A Production Readiness Verification Testing (PRVT) program has been established to determine if structures fabricated from advanced composites can be committed on a production basis to commercial airline service. The program utilizes subcomponents which reflect the variabilities in structure that can realistically be expected from current production and quality control technology to estimate the production qualities, variation in static strength, and durability of advanced composite structures. The results of the static tests and a durability assessment after one year of continuous load/environment testing of twenty two duplicates of each of two structural components (a segment of the front spar and cover of a vertical stabilizer box structure) are discussed.

  11. Columbia River System Operation Review : Final Environmental Impact Statement, Main Report.

    SciTech Connect

    Columbia River System Operation Review; United States. Bonneville Power Administration; United States. Army. Corps of Engineers. North Pacific Division; United States. Bureau of Reclamation. Pacific Northwest Region.

    1995-11-01

    The System Operation Review (SOR) Final EIS addresses four actions: (a) need to develop coordinated strategy for managing the multiple uses of the Federal Columbia River system (System Operating Strategy [SOS]); (b) need to provide interested parties other than management agencies with a long-term role in system planning (Forum); (c) need to renew or change current Canadian Entitlement Allocation Agreements (CEAA); and (d) need to renegotiate and renew the Pacific Northwest Coordination Agreement (PNCA). SOS alternatives analyzed are: (1) operation prior to Endangered Species Act listings of salmon stocks; (2) current operations (no action); (3) stable storage project operation; (4) natural river operation; (5) fixed drawdown; (6) operating strategies proposed by the U.S. Fish and Wildlife Service, National Marine Fisheries Service, State fisheries agencies, Native American tribes, and Federal operating agencies; and (7) Preferred Alternative. The seven Forum alternatives analyzed are: (1) decisionmaking by the SOR lead agencies (preferred alternative); (2) decisionmaking by SOR lead agencies and recommendations by an existing regional entity; (3) decisionmaking by SOR lead agencies and recommendations by a new regional entity; (4) decisionmaking by a Federal consultation forum; (5) decisionmaking by a new entity; (6) decisionmaking by one Federal operating agency; (7) decisionmaking by a Federal agency other than an operating agency. PNCA alternatives analyzed are: (1) no replacement contract; (2) contract to maximize regional power benefits; (3) roll over existing PNCA; (4) current PNCA with modified operating procedures (preferred alternative); (5) current PNCA with nonpower modifications. CEAA alternatives include: (1) no action (no replacement of current allocation agreements); (2) entitlement allocation: 55 percent Federal; 45 percent non-Federal; (3) entitlement allocation: 70 percent Federal, 30 percent non-Federal (preferred alternative); (4) no agreement.

  12. Ready or Not? Criteria for Marriage Readiness among Emerging Adults

    ERIC Educational Resources Information Center

    Carroll, Jason S.; Badger, Sarah; Willoughby, Brian J.; Nelson, Larry J.; Madsen, Stephanie D.; Barry, Carolyn McNamara

    2009-01-01

    This study examined emerging adults' criteria for marriage readiness and explored how these criteria are associated with their current attitudes and behaviors. This article establishes the psychometric value of the Criteria for Marriage Readiness Questionnaire and reports on a study of 788 emerging adults recruited from five college sites across…

  13. Ready or Not? Criteria for Marriage Readiness among Emerging Adults

    ERIC Educational Resources Information Center

    Carroll, Jason S.; Badger, Sarah; Willoughby, Brian J.; Nelson, Larry J.; Madsen, Stephanie D.; Barry, Carolyn McNamara

    2009-01-01

    This study examined emerging adults' criteria for marriage readiness and explored how these criteria are associated with their current attitudes and behaviors. This article establishes the psychometric value of the Criteria for Marriage Readiness Questionnaire and reports on a study of 788 emerging adults recruited from five college sites across…

  14. Ready for College and Ready for Work: Same or Different?

    ERIC Educational Resources Information Center

    American College Testing (ACT), Inc., 2006

    2006-01-01

    Results of a new ACT study provide empirical evidence that, whether planning to enter college or workforce training programs after graduation, high school students need to be educated to a comparable level of readiness in reading and mathematics. Graduates need this level of readiness if they are to succeed in college-level courses without…

  15. Readiness Matters! 2014-2015 Kindergarten Readiness Assessment

    ERIC Educational Resources Information Center

    Maryland State Department of Education, 2015

    2015-01-01

    Maryland's demanding new Kindergarten Readiness Assessment was administered statewide for the first time. Its results are revealing and sobering. Many states do not even check in any systematic way on their children's readiness for kindergarten, and in previous years, Maryland used metrics based on modest expectations, outdated standards, and…

  16. The motivating operation and negatively reinforced problem behavior: a systematic review.

    PubMed

    Langthorne, Paul; McGill, Peter; Oliver, Chris

    2014-01-01

    The concept of motivational operations exerts an increasing influence on the understanding and assessment of problem behavior in people with intellectual and developmental disability. In this systematic review of 59 methodologically robust studies of the influence of motivational operations in negative reinforcement paradigms in this population, we identify themes related to situational and biological variables that have implications for assessment, intervention, and further research. There is now good evidence that motivational operations of differing origins influence negatively reinforced problem behavior, and that these might be subject to manipulation to facilitate favorable outcomes. There is also good evidence that some biological variables warrant consideration in assessment procedures as they predispose the person's behavior to be influenced by specific motivational operations. The implications for assessment and intervention are made explicit with reference to variables that are open to manipulation or that require further research and conceptualization within causal models.

  17. Does pre-operative physiotherapy improve outcomes from lower limb joint replacement surgery? A systematic review.

    PubMed

    Ackerman, Ilana N; Bennell, Kim L

    2004-01-01

    A systematic review of randomised controlled trials was performed to evaluate the effectiveness of pre-operative physiotherapy programmes on outcome following lower limb joint replacement surgery. A search of relevant key terms was used to find suitable trials, with five papers meeting the inclusion criteria for the review. The methodological quality of the trials was rated using the PEDro scale. Estimates of the size of treatment effects were calculated for each outcome in each trial, with 95% confidence intervals calculated where sufficient data were provided. Of the three trials pertaining to total knee replacement, only very small mean differences were found between control and intervention groups for all of the outcome measures. Where confidence intervals could be calculated, these showed no clinically important differences between the groups. Two papers (one study) pertaining to total hip replacements found significant improvements in WOMAC scores, hip strength and range of movement, walking distance, cadence, and gait velocity for the intervention group, compared to a control group. Estimates of treatment effect sizes for these outcomes were larger than for the total knee replacement studies, with confidence intervals showing potentially clinically important differences between group means. However, as the intervention group also received an additional intensive post-operative physiotherapy program, these results cannot be attributed solely to the pre-operative program. This systematic review shows that pre-operative physiotherapy programmes are not effective in improving outcome after total knee replacement but their effect on outcome from total hip replacement cannot be adequately determined.

  18. Improving the review of standard operating procedures: a novel electronic system for compounding pharmacies.

    PubMed

    Brensel, Robert; Brensel, Scott; Ng, Amy

    2013-01-01

    Since the New England Compounding Center disaster in 2012, the importance of following correct procedures during every phase of customized pharmacy has been a focus of governmental interest and action as well as public scrutiny. Many pharmacies rely on the rote review of standard operating procedures to ensure that staff members understand and follow protocols that ensure the safety and potency of all compounds prepared, but that approach to continuing education can be cumbersome and needlessly time-consuming. In addition, documenting and retrieving evidence of employee competence can be difficult. In this article, we describe our use of online technology to improve our methods of educating staff about the full range of standard operating procedures that must be followed in our pharmacy. The system we devised and implemented has proven to be effective, easy to update and maintain, very inexpensive, and user friendly. Its use has reduced the time previously required for a read-over review of standard operating procedures from 30 or 40 minutes to 5 or 10 minutes in weekly staff meetings, and we can now easily document and access proof of employees' comprehension of that content. It is our hope that other small compounding pharmacies will also find this system of online standard operating procedure review helpful.

  19. Review of power operation and maintenance program. Mechanical features. Review report. Upper Colorado region

    SciTech Connect

    Cline, R.

    1997-02-01

    Fontenell Powerplant - The mechanical equipment here is generally in good condition and well maintained. During the review machine vibration signatures were taken at various loads. No significant problems were found during these tests, although a bearing rub was noted at the upper and lower generator guide bearings. Flaming Gorge - The mechanical equipment here is in good condition and well maintained. Machine vibration signatures were taken on units 1 and 2. Unit 3 was down for annual maintenace. The data from Unit 1 indicated no problems. The data from Unit 2 indicated a bearing rub on the upper and lower generator guide bearings. The bearing temperatures at both of these bearings are not excessive but they should be monitored for any unusal increases.

  20. Unintentional Complications After Uneventful Rhinoplasty Operations: Case Reports and a Review of the Literature.

    PubMed

    Keleş, Musa Kemal; Aksakal, İbrahim Alper; Park, Tae Hwan; Yağmur, Çağlayan; Küçüker, İsmail

    2016-02-01

    No surgical procedure is free of complications; however, some of these complications are unintentional. Plastic surgeons may be unfamiliar with certain complications after rhinoplasty operations. In this study, we aimed to present four unintentional complications that have occurred in our patients and review the literature related to these complications. In this study, we conducted a review of 1400 patients who were operated on from 2007 to 2015. The medical recordings of all patients were investigated. Four patients with unintentional complications after rhinoplasty operations are presented and the related literature was reviewed. Cases 1 and 2: These patients included a 26-year-old woman and a 30-year-old man who developed herpes simplex virus (HSV) infections after a primary septorhinoplasty. Case 3: This was a 25-year-old woman who developed periorbital emphysema after a primary rhinoplasty operation. Case 4: This was a 22-year-old woman who developed a second-degree burn on the nasal dorsum. All patients healed without sequel or scars. Many unexpected complications have been reported in the literature. Some of these complications include bleeding disorders, allergic reactions, dermatitis, visual loss, gastric bleeding, benign paroxysmal positional vertigo, false aneurysm after rhinoplasty, pneumocephalus, Tapia's syndrome, cavernous sinus syndrome, and skin reactions to prolene. Meticulous patient histories, consistent surgical routines, careful radiologic examinations, and frequent patient visits can help surgeons control these types of complications. This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online

  1. NGNP Infrastructure Readiness Assessment: Consolidation Report

    SciTech Connect

    Brian K Castle

    2011-02-01

    The Next Generation Nuclear Plant (NGNP) project supports the development, demonstration, and deployment of high temperature gas-cooled reactors (HTGRs). The NGNP project is being reviewed by the Nuclear Energy Advisory Council (NEAC) to provide input to the DOE, who will make a recommendation to the Secretary of Energy, whether or not to continue with Phase 2 of the NGNP project. The NEAC review will be based on, in part, the infrastructure readiness assessment, which is an assessment of industry's current ability to provide specified components for the FOAK NGNP, meet quality assurance requirements, transport components, have the necessary workforce in place, and have the necessary construction capabilities. AREVA and Westinghouse were contracted to perform independent assessments of industry's capabilities because of their experience with nuclear supply chains, which is a result of their experiences with the EPR and AP-1000 reactors. Both vendors produced infrastructure readiness assessment reports that identified key components and categorized these components into three groups based on their ability to be deployed in the FOAK plant. The NGNP project has several programs that are developing key components and capabilities. For these components, the NGNP project have provided input to properly assess the infrastructure readiness for these components.

  2. Readiness for Cognitive Therapy in People with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Willner, Paul

    2006-01-01

    Aims: Cognitive therapies are increasingly being offered by clinical psychologists to people with intellectual disabilities. This paper reviews some of the factors that influence people's readiness to engage in cognitive therapy. Literature review: Limited verbal ability, psychological-mindedness (particularly in relation to the understanding of…

  3. Readiness for Cognitive Therapy in People with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Willner, Paul

    2006-01-01

    Aims: Cognitive therapies are increasingly being offered by clinical psychologists to people with intellectual disabilities. This paper reviews some of the factors that influence people's readiness to engage in cognitive therapy. Literature review: Limited verbal ability, psychological-mindedness (particularly in relation to the understanding of…

  4. School Readiness and Self-Regulation: A Developmental Psychobiological Approach

    PubMed Central

    Blair, Clancy; Raver, C. Cybele

    2015-01-01

    Research on the development of self-regulation in young children provides a unifying framework for the study of school readiness. Self-regulation abilities allow for engagement in learning activities and provide the foundation for adjustment to school. A focus on readiness as self-regulation does not supplant interest in the development of acquired ability, such as early knowledge of letters and numbers; it sets the stage for it. In this article, we review research and theory indicating that self-regulation and consequently school readiness are the product of integrated developmental processes at the biological and behavioral levels that are shaped by the contexts in which development is occurring. In doing so, we illustrate the idea that research on self-regulation powerfully highlights ways in which gaps in school readiness and later achievement are linked to poverty and social and economic inequality and points the way to effective approaches to counteract these conditions. PMID:25148852

  5. Operations

    ERIC Educational Resources Information Center

    Wilkins, Jesse L. M.; Norton, Anderson; Boyce, Steven J.

    2013-01-01

    Previous research has documented schemes and operations that undergird students' understanding of fractions. This prior research was based, in large part, on small-group teaching experiments. However, written assessments are needed in order for teachers and researchers to assess students' ways of operating on a whole-class scale. In this study,…

  6. Whole-body vibration and postural stress among operators of construction equipment: a literature review.

    PubMed

    Kittusamy, N Kumar; Buchholz, Bryan

    2004-01-01

    Operators of construction equipment perform various duties at work that expose them to a variety of risk factors that may lead to health problems. A few of the health hazards among operators of construction equipment are: (a) whole-body vibration, (b) awkward postural requirements (including static sitting), (c) dust, (d) noise, (e) temperature extremes, and (f) shift work. It has been suggested that operating engineers (OEs) are exposed to two important risk factors for the development of musculoskeletal disorders: whole-body vibration and non-neutral body postures. This review evaluates selected papers that have studied exposure to whole-body vibration and awkward posture among operators of mobile equipment. There have been only few studies that have specifically examined exposure of these risk factors among operators of construction equipment. Thus other studies from related industry and equipment were reviewed as applicable. In order to better understand whole-body vibration and postural stress among OEs, it is recommended that future studies are needed in evaluating these risk factors among OEs.

  7. Readiness Issues for Emergency Response Instrumentation

    SciTech Connect

    C.A. Riland; D.R. Bowman; R.J. Tighe

    1999-03-01

    Issues in maintaining readiness of instruments for deployment and use in emergency response situation often differ from those in maintaining instruments for normal operations. Confunding circumstances include use of non-availability of check sources, ensuring instruments are always in calibration and operable, possible use of instruments in different climates, packaging of instrumentation for deployment, transport of instrumentation and check sources, and ensuring users are familiar with instruments. Methods and procedures for addressing these issues are presented. Instrumentation used for survey, in situ measurements, electronic dosimetry, and air conditioning are discussed.

  8. Multidisciplinary team simulation for the operating theatre: a review of the literature.

    PubMed

    Tan, Shaw Boon; Pena, Guilherme; Altree, Meryl; Maddern, Guy J

    2014-01-01

    Analyses of adverse events inside the operating theatre has demonstrated that many errors are caused by failure in non-technical skills and teamwork. While simulation has been used successfully for teaching and improving technical skills, more recently, multidisciplinary simulation has been used for training team skills. We hypothesized that this type of training is feasible and improves team skills in the operating theatre. A systematic search of the literature for studies describing true multidisciplinary operating theatre team simulation was conducted in November and December 2012. We looked at the characteristics and outcomes of the team simulation programmes. 1636 articles were initially retrieved. Utilizing a stepwise evaluation process, 26 articles were included in the review. The studies reveal that multidisciplinary operating theatre simulation has been used to provide training in technical and non-technical skills, to help implement new techniques and technologies, and to identify latent weaknesses within a health system. Most of the studies included are descriptions of training programmes with a low level of evidence. No randomized control trial was identified. Participants' reactions to the training programme were positive in all studies; however, none of them could objectively demonstrate that skills acquired from simulation are transferred to the operating theatre or show a demonstrable benefit in patient outcomes. Multidisciplinary operating room team simulation is feasible and widely accepted by participants. More studies are required to assess the impact of this type of training on operative performance and patient safety. © 2013 Royal Australasian College of Surgeons.

  9. Review of operational experience drilling wells through an underwater manifold center

    SciTech Connect

    Hodgson, R.K.

    1986-12-01

    Drilling techniques required for such developments as the Shell/Esso Central Cormorant development-which is now more than halfway through its drilling and completion phase-differ substantially from normal drilling practices. These differences are reviewed, and the constraints and procedures required to ensure safe and parallel drilling/completion operations in conjunction with the Underwater Manifold Center (UMC) production are explained. Other areas of experience discussed are the weather influence on operations, deviated drilling from a semisubmersible, rig anchoring, and underwater surveillance.

  10. Columbia River System Operation Review : Final Environmental Impact Statement, Main Report Exhibits.

    SciTech Connect

    Columbia River System Operation Review

    1995-11-01

    This Volume is a part of the Final Environmental Impact Statement (EIS) for the Columbia River System. This volume contains technical exhibits of cultural resources and commentary on the (System Operation Review) SOR process. The Confederated Tribes of the Umatilla Indian Reservation comment is the majority of the material in the volume, in the Consultation Plan, Identification of trust resources; Criteria for the selection of a System Operating Strategy; comment on rights protection and implementation of Federal Trust responsibility; analysis of the draft EIS. Comment by other Native American Tribes and groups is also included: Confederated Tribes of the Colville Reservation; Kootenai Tribe of Idaho; Spokane Tribe of Indians; Coeur d` Alene tribe.

  11. A review of anti-septic agents for pre-operative skin preparation.

    PubMed

    Digison, Mary Beth

    2007-01-01

    Pre-operative skin preparation of the surgical site using appropriate anti-septic product is recognized by the Centers for Disease Control and Prevention Guideline for Prevention of Surgical Site Infection, 1999, as a strongly recommended intervention to prevent surgical site infection. This article reviews anti-septic surgical skin preparation products according to the Food and Drug Administration classifications, efficacy, and safety. It also examines pertinent research regarding anti-septic products. This information provides the peri-operative registered nurse with information to make appropriate decisions when choosing anti-septic skin preparation products for surgical patients.

  12. The Problem of College Readiness

    ERIC Educational Resources Information Center

    Tierney, William G., Ed.; Duncheon, Julia C., Ed.

    2015-01-01

    Though more students are entering college, many drop out, especially those who are low income and/or of color. To address this problem, educational stakeholders have focused on the concept of "college readiness," or the preparation a student needs to succeed in college. However, what it means to be college ready and how to help more…

  13. Readiness for Change. White Paper

    ERIC Educational Resources Information Center

    Howley, Caitlin

    2012-01-01

    This white paper by ICF International's Caitlin Howley discusses commonalities and differences among various understandings of readiness and highlights conceptualizations of readiness for change in selected change models. How leaders can use such theories to best to prepare their organizations--and the people enlivening them--for new ways of…

  14. Iowa City Ready Mix, Inc.

    EPA Pesticide Factsheets

    The EPA is providing notice of a proposed Administrative Penalty Assessment against Iowa City Ready Mix, Inc., for alleged violations at a facility located at 1854 South Riverside, Iowa City, IA (“facility”). The facility produces and transports ready mixe

  15. Technology Readiness for the Smart Grid

    SciTech Connect

    Kirkham, Harold; Marinovici, Maria C.; Fitzpatrick, G.; Lindsey, K.; McBride, James; Clark, G. L.

    2013-06-30

    Reluctance to adopt new technology into a utility application is understandable, given the critical nature of the infrastructure and the less-than-ideal experiences of some power companies. The authors of this paper have considered adapting the NASA approach of classifying technology readiness, but find it not quite appropriate because NASA was both the developer and the eventual user of the new technology it was evaluating, whereas a utility is ordinarily in the mode of a customer, acquiring a new product from a manufacturer. Instead of a generic scale of technology readiness, a scale of readiness is proposed specifically for the smart grid, based on the many standards that exist for the relevant technologies. In this paper we present an overall structure for organization those standards. The acceptance of new technology is organized into five SGL (Smart Grid Level) steps, numbered five through 9 to correspond approximately to the last five numbers of the NASA TRL scale. SGL 5 is a certification that the hardware and software of the technology is safe for the system into which is intended to be placed. SGL 6 is documentation that the system is safe for itself, and will have adequate reliability. It is thus clear that the steps differ from NASA’s TRL in that technology development is not required, the transition is more one of documenting already existing system readiness. Since SGL 6 describes a system that is safe for the power system and for itself, it should not be restricted from being in a pilot-scale study, and achieving SGL 7. A larger-scale demonstration in a realistic environment will demonstrate interoperability and achieve SGL 8. Only when systems are installed and operating, and when disposal plans are in place will the designation of fully operable at SGL 9 be granted.

  16. Mitigation of methane and nitrous oxide emissions from animal operations: III. A review of animal management mitigation options

    USDA-ARS?s Scientific Manuscript database

    The goal of this review was to analyze published data on animal management practices that mitigate enteric methane and nitrous oxide emissions from animal operations. The review is part of a series of reports evaluating methane and nitrous oxide mitigation practices for livestock operations commissi...

  17. Optimization of Multiple-Purpose Reservoir Systems Operations: A Review of Modeling and Analysis Approaches

    DTIC Science & Technology

    1991-01-01

    The model determines on a weekly basis the supply of water available to each of the three jurisdictions resulting from previous decisions made in...Chow), Academic Press, New York, N.Y., 1981. Kuczera, G., and G. Diment, "General Water Supply System Simulation Model : WASP," Journal of Water Resources...Unlimited. ....----- 91 5 10 031 Optimization of Multiple-Purpose Reservoir System Operations: A Review of Modeling and Analysis Approaches Accession For

  18. Review of performance, medical, and operational data on pilot aging issues

    NASA Technical Reports Server (NTRS)

    Stoklosa, J. H.

    1992-01-01

    An extensive review of the literature and studies relating to performance, medical, operational, and legal data regarding pilot aging issues was performed in order to determine what evidence there is, if any, to support mandatory pilot retirement. Popular misconceptions about aging, including the failure to distinguish between the normal aging process and disease processes that occur more frequently in older individuals, continue to contribute to much of the misunderstanding and controversy that surround this issue. Results: Review of medical data related to the pilot aging issue indicate that recent improvement in medical diagnostics and treatment technology have made it possible to identify to a high degree individuals who are at risk for developing sudden incapacitating illness and for treating those with disqualifying medical conditions. Performance studies revealed that after controlling for the presence of disease states, older pilots are able to perform as well as younger pilots on many performance tasks. Review of accident data showed that older, healthy pilots do not have higher accident rates than younger pilots, and indeeed, evidence suggests that older pilots have an advantage in the cockpit due to higher experience levels. The Man-Machine-Mission-Environment interface of factors can be managed through structured, supervised, and enhanced operations, maintenance, flight reviews, and safety procedures in order to ensure safe and productive operations by reducing the margin of error and by increasing the margin of safety. Conclusions: There is no evidence indicating any specific age as an arbitrary cut-off point for pilots to perform their fight duties. A combination of regular medical screening, performance evaluation, enhanced operational maintenance, and safety procedures can most effectively ensure a safe pilot population than can a mandatory retirement policy based on arbitrary age restrictions.

  19. Single-reviewer electronic phenotyping validation in operational settings: Comparison of strategies and recommendations.

    PubMed

    Kukhareva, Polina; Staes, Catherine; Noonan, Kevin W; Mueller, Heather L; Warner, Phillip; Shields, David E; Weeks, Howard; Kawamoto, Kensaku

    2017-02-01

    Develop evidence-based recommendations for single-reviewer validation of electronic phenotyping results in operational settings. We conducted a randomized controlled study to evaluate whether electronic phenotyping results should be used to support manual chart review during single-reviewer electronic phenotyping validation (N=3104). We evaluated the accuracy, duration and cost of manual chart review with and without the availability of electronic phenotyping results, including relevant patient-specific details. The cost of identification of an erroneous electronic phenotyping result was calculated based on the personnel time required for the initial chart review and subsequent adjudication of discrepancies between manual chart review results and electronic phenotype determinations. Providing electronic phenotyping results (vs not providing those results) was associated with improved overall accuracy of manual chart review (98.90% vs 92.46%, p<0.001), decreased review duration per test case (62.43 vs 76.78s, p<0.001), and insignificantly reduced estimated marginal costs of identification of an erroneous electronic phenotyping result ($48.54 vs $63.56, p=0.16). The agreement between chart review and electronic phenotyping results was higher when the phenotyping results were provided (Cohen's kappa 0.98 vs 0.88, p<0.001). As a result, while accuracy improved when initial electronic phenotyping results were correct (99.74% vs 92.67%, N=3049, p<0.001), there was a trend towards decreased accuracy when initial electronic phenotyping results were erroneous (56.67% vs 80.00%, N=55, p=0.07). Electronic phenotyping results provided the greatest benefit for the accurate identification of rare exclusion criteria. Single-reviewer chart review of electronic phenotyping can be conducted more accurately, quickly, and at lower cost when supported by electronic phenotyping results. However, human reviewers tend to agree with electronic phenotyping results even when those results

  20. A review of the National pharmacovigilance system in Malta - implementing and operating a pharmacovigilance management system.

    PubMed

    Tanti, Amy; Micallef, Benjamin; Serracino-Inglott, Anthony; Borg, John-Joseph

    2017-01-01

    Regulatory authorities have a legal mandate to implement and maintain a Pharmacovigilance System designed to monitor the safety of authorised medicinal products and detect any change to their risk-benefit balance. Areas covered: This review maps the implementation of pharmacovigilance activities in Malta since accession in the EU in mid 2004 and discusses the challenges the Maltese Regulator encountered while setting up adequate and effective systems to fulfil its legal mandate. Areas reviewed are those around ADR reporting, promotion and safety communications including rapid alerts and recalls, direct healthcare professional communications, risk minimisation measures and safety circulars and quality systems. Expert opinion: Within a ten year period, 3 EU directives on pharmacovigilance were implemented by our agency. Despite limitations to resources, based on a prioritised implementation, the legislation provisions are now fully operational with a good level of sustainability. Lessons learnt from this process are discussed in this review. The coming years will involve strengthening and consolidation of existing processes.

  1. Energy and water quality management systems for water utility's operations: a review.

    PubMed

    Cherchi, Carla; Badruzzaman, Mohammad; Oppenheimer, Joan; Bros, Christopher M; Jacangelo, Joseph G

    2015-04-15

    Holistic management of water and energy resources is critical for water utilities facing increasing energy prices, water supply shortage and stringent regulatory requirements. In the early 1990s, the concept of an integrated Energy and Water Quality Management System (EWQMS) was developed as an operational optimization framework for solving water quality, water supply and energy management problems simultaneously. Approximately twenty water utilities have implemented an EWQMS by interfacing commercial or in-house software optimization programs with existing control systems. For utilities with an installed EWQMS, operating cost savings of 8-15% have been reported due to higher use of cheaper tariff periods and better operating efficiencies, resulting in the reduction in energy consumption of ∼6-9%. This review provides the current state-of-knowledge on EWQMS typical structural features and operational strategies and benefits and drawbacks are analyzed. The review also highlights the challenges encountered during installation and implementation of EWQMS and identifies the knowledge gaps that should motivate new research efforts.

  2. Systematic review of peri-operative nutritional support for patients undergoing hepatobiliary surgery

    PubMed Central

    Liu, Yin

    2015-01-01

    Background Malnutrition is prevalent among peri-operative patients undergoing hepatobiliary surgery and is an important prognostic factor. Both hepatobiliary disease and surgical trauma significantly affects body’s metabolism and environment. Therefore, it is very important for patients with liver diseases undergoing hepatobiliary surgery to receive essential nutritional support during peri-operative period. Methods We summarized our clinical experience and reviewed of related literature to find the way for implementing the appropriate nutritional strategy. Results We found after comprehensively evaluating nutrition status, function of liver and gastrointestinal tract, nutritional strategy would be selected correctly. In severe malnutrition, initiation of enteral nutrition (EN) and/or parenteral nutrition (PN) with essential or special formulae is often recommended. Especially nasojejunal feeding is indicated that early application can improve nutritional status and liver function, reduce complications and prolong survival. Conclusions The reasonable peri-operative nutritional support therapy can improve the effect of surgical treatment and promote the patients’ recovery. PMID:26605277

  3. The culture ready brain.

    PubMed

    Whitehead, Charles

    2010-06-01

    In this article, I examine two hypotheses of language origins: the extended mirror system hypothesis and the vocal grooming hypothesis. These conflict in several respects, partly because their authors were trained in different disciplines and influenced by different kinds of evidence. I note some ethnographic/linguistic and psychological issues which, in my view, have not been sufficiently considered by these authors, and present a 'play and display' hypothesis which aims to explain the evolution, not of language, but of the 'culture ready brain'-with apologies to Arbib for so extending his original concept. In the second half of the article, I will test all three hypotheses against the available fossil, archaeological and neuroimaging evidence.

  4. The culture ready brain

    PubMed Central

    2010-01-01

    In this article, I examine two hypotheses of language origins: the extended mirror system hypothesis and the vocal grooming hypothesis. These conflict in several respects, partly because their authors were trained in different disciplines and influenced by different kinds of evidence. I note some ethnographic/linguistic and psychological issues which, in my view, have not been sufficiently considered by these authors, and present a ‘play and display’ hypothesis which aims to explain the evolution, not of language, but of the ‘culture ready brain’—with apologies to Arbib for so extending his original concept. In the second half of the article, I will test all three hypotheses against the available fossil, archaeological and neuroimaging evidence. PMID:20558409

  5. Perceptions of D.M.D. student readiness for basic science courses in the United States: can online review modules help?

    PubMed

    Miller, C J; Aiken, S A; Metz, M J

    2015-02-01

    There can be a disconnect between the level of content covered in undergraduate coursework and the expectations of professional-level faculty of their incoming students. Some basic science faculty members may assume that students have a good knowledge base in the material and neglect to appropriately review, whilst others may spend too much class time reviewing basic material. It was hypothesised that the replacement of introductory didactic physiology lectures with interactive online modules could improve student preparedness prior to lectures. These modules would also allow faculty members to analyse incoming student abilities and save valuable face-to-face class time for alternative teaching strategies. Results indicated that the performance levels of incoming U.S. students were poor (57% average on a pre-test), and students often under-predicted their abilities (by 13% on average). Faculty expectations varied greatly between the different content areas and did not appear to correlate with the actual student performance. Three review modules were created which produced a statistically significant increase in post-test scores (46% increase, P < 0.0001, n = 114-115). The positive results of this study suggest a need to incorporate online review units in the basic science dental school courses and revise introductory material tailored to students' strengths and needs.

  6. Countermeasures (iRED, ARED CEVIS, MEC, TVIS, T2, Periodic Fitness Evaluation, BP-ECG, HRM). Critical Readiness Review Increment 23 and 24

    NASA Technical Reports Server (NTRS)

    Toder, Carly; Gipson, Iona; Conly, Danielle; Nieschwitz, Linda; Perk, Austin

    2010-01-01

    This slide presentation reviews attempts to counteract the effects of being in space. It includes information on the Resistive Exercise Device (RED), the Advanced Resistive Exercise Device (ARED), Cycle Ergometer with Vibration Isolation and Stabilization (CEVIS), Treadmill with Vibration Isolation and Stabilization (TVIS) and periodic fitness evaluation with specific information on BP/ECG, heart rate monitor 2 and data distribution.

  7. Wireless Technology via Satellite Communications for Peacekeeping Operations

    DTIC Science & Technology

    2001-09-01

    that depend exclusively on information exchange for rapid response and operational readiness. The use for wireless as a necessary communication...that depend exclusively on information exchange for rapid response and operational readiness. The use for wireless as a necessary communication...that depend exclusively on information exchange for rapid response and operational readiness. The use of a wireless system will support that effort

  8. TOPICAL REVIEW: The Bloch wave operator: generalizations and applications: II. The time-dependent case

    NASA Astrophysics Data System (ADS)

    Jolicard, Georges; Killingbeck, John P.

    2003-10-01

    Part II of the review shows how the stationary Bloch wave operator of part I can be suitably modified to give a time-dependent wave operator. This operator makes it possible to use a relatively small active space in order to describe the dynamical processes which occur in quantum mechanical systems which have a time-dependent Hamiltonian. A close study is made of the links between the time-dependent and time-independent wave operators at the adiabatic limit; the analysis clarifies the way in which the wave operator formalism allows the time evolution of a system or a wave packet to be described in terms of a fast evolution inside the active space together with weak transitions out of this space which can be treated by perturbation methods. Two alternative wave operator equations of motion are derived and analysed. The first one is a non-linear differential equation in the usual Hilbert space; the second one is a differential equation in an extended Hilbert space with an extra time variable added and becomes equivalent to the usual Bloch equation when the Floquet Hamiltonian is taken in place of the ordinary Hamiltonian. A study is made of the close relationships between the time-dependent wave operator formalism, the Floquet theory and the (t, t') theory. Some original methods of solution of the two forms of wave operator equation are proposed and lead to new techniques of integration for the time-dependent Schrödinger equation (e.g., the generalized Green equation procedure). Mixed procedures involving both the time-independent and time-dependent wave operators are shown to be applicable to the internal eigenstate problem for large complex matrices. A detailed account is given of the description of inelastic and photoreactive processes by means of the time-dependent wave operator formalism, with particular attention to laser-molecule interactions. The emphasis is on projection operator techniques, with special attention being given to the method of selection of

  9. Weaning and extubation readiness in pediatric patients.

    PubMed

    Newth, Christopher J L; Venkataraman, Shekhar; Willson, Douglas F; Meert, Kathleen L; Harrison, Rick; Dean, J Michael; Pollack, Murray; Zimmerman, Jerry; Anand, Kanwaljeet J S; Carcillo, Joseph A; Nicholson, Carol E

    2009-01-01

    A systematic review of weaning and extubation for pediatric patients on mechanical ventilation. Pediatric and adult literature, English language. Invited review. Literature review using National Library of Medicine PubMed from January 1972 until April 2008, earlier cross-referenced article citations, the Cochrane Database of Systematic Reviews, and the Internet. Despite the importance of minimizing time on mechanical ventilation, only limited guidance on weaning and extubation is available from the pediatric literature. A significant proportion of patients being evaluated for weaning are actually ready for extubation, suggesting that weaning is often not considered early enough in the course of ventilation. Indications for extubation are even less clear, although a trial of spontaneous breathing would seem a prerequisite. Several indices have been developed in an attempt to predict weaning and extubation success but the available literature would suggest they offer no improvement over clinical judgment. Extubation failure rates range from 2% to 20% and bear little relationship to the duration of mechanical ventilation. Upper airway obstruction is the single most common cause of extubation failure. A reliable method of assessing readiness for weaning and predicting extubation success is not evident from the pediatric literature.

  10. Non-technical skills of the operating theatre scrub nurse: literature review.

    PubMed

    Mitchell, Lucy; Flin, Rhona

    2008-07-01

    This paper is a report of a review to identify the non-technical (cognitive and social) skills used by scrub nurses. Recognition that failures in non-technical skills contributed to accidents in high-risk industries led to the development of research programmes to study the role of cognition and social interactions in operational safety. Recently, psychological research in operating theatres has revealed the importance of non-technical skills in safe and efficient performance. Most of the studies to date have focused on anaesthetists and surgeons. On-line sources and university library catalogues, publications of the Association for Perioperative Practice, National Association of Theatre Nurses and Association of Peri-Operative Registered Nurses were searched in 2007. Studies were included in the review if they presented data from scrub nurses on one or more of their non-technical skills. These findings were examined in relation to an existing medical non-technical skills framework with categories of communication, teamwork, leadership, situation awareness and decision-making. Of 424 publications retrieved, 13 were reviewed in detail. Ten concerned communication and eight of those also had data on teamwork. In 11 papers teamwork was examined, and one focused on nurses' situation awareness, teamwork and communication. None of the papers we reviewed examined leadership or decision-making by scrub nurses. Further work is needed to identify formally the non-technical skills which are important to the role of scrub nurse and then to design training in the identified non-technical skills during the education and development of scrub nurses.

  11. Scientific and Regulatory Policy Committee Review: Review of the Organisation for Economic Co-operation and Development (OECD) Guidance on the GLP Requirements for Peer Review of Histopathology.

    PubMed

    Fikes, James D; Patrick, Daniel J; Francke, Sabine; Frazier, Kendall S; Reindel, James F; Romeike, Annette; Spaet, Robert H; Tomlinson, Lindsay; Schafer, Kenneth A

    2015-10-01

    In 2014, the Organisation for Economic Co-operation and Development (OECD) issued guidance no. 16, Guidance on the GLP Requirements for Peer Review of Histopathology. The stated purpose of the guidance document is "to provide guidance to pathologists, test facility management, study directors and quality assurance personnel on how the peer review of histopathology should be planned, managed, documented, and reported in order to meet Good Laboratory Practice (GLP) expectations and requirements." On behalf of and in collaboration with the global societies of toxicologic pathology, the Society of Toxicologic Pathology initiated a review of OECD guidance no. 16. The objectives of this review are to provide a unified interpretation of the guidance, to recommend compliant processes for organizations to implement, and to avoid inconsistent process adaptations across the industry. This review of the guidance document is the product of a global collaboration with other societies of toxicologic pathology and provides a section-by-section international consensus view and interpretation of the OECD guidance on peer review. © 2015 by The Author(s).

  12. Physician Engagement in Improving Operative Supply Chain Efficiency Through Review of Surgeon Preference Cards.

    PubMed

    Harvey, Lara F B; Smith, Katherine A; Curlin, Howard

    2017-06-29

    To reduce operative costs involved in the purchase, packing, and transport of unnecessary supplies by improving the accuracy of surgeon preference cards. Quality improvement study (Canadian Task Force classification II-3). Gynecologic surgery suite of an academic medical center. Twenty-one specialized and generalist gynecologic surgeons. The preference cards of up to the 5 most frequently performed procedures per surgeon were selected. A total of 81 cards were distributed to 21 surgeons for review. Changes to the cards were communicated to the operating room charge nurse and finalized. Fourteen surgeons returned a total of 48 reviewed cards, 39 of which had changes. A total of 109 disposable supplies were removed from these cards, at a total cost savings of $767.67. The cost per card was reduced by $16 on average for disposables alone. Three reusable instrument trays were also eliminated from the cards, resulting in savings of approximately $925 in processing costs over a 3-month period. Twenty-two items were requested by surgeons to be available on request but were not routinely placed in the room at the start of each case, at a total cost of $6,293.54. The rate of return of unused instruments to storage decreased after our intervention, from 10.1 to 9.6 instruments per case. Surgeon preference cards serve as the basis for economic decision making regarding the purchase, storing, packing, and transport of operative instruments and supplies. A one-time surgeon review of cards resulted in a decrease in the number of disposable and reusable instruments that must be stocked, transported, counted in the operating room, or returned, potentially translating into cost savings. Surgeon involvement in preference card management may reduce waste and provide ongoing cost savings. Copyright © 2017 American Association of Gynecologic Laparoscopists. Published by Elsevier Inc. All rights reserved.

  13. A review on the sustainability of constructed wetlands for wastewater treatment: Design and operation.

    PubMed

    Wu, Haiming; Zhang, Jian; Ngo, Huu Hao; Guo, Wenshan; Hu, Zhen; Liang, Shuang; Fan, Jinlin; Liu, Hai

    2015-01-01

    Constructed wetlands (CWs) have been used as a green technology to treat various wastewaters for several decades. CWs offer a land-intensive, low-energy, and less-operational-requirements alternative to conventional treatment systems, especially for small communities and remote locations. However, the sustainable operation and successful application of these systems remains a challenge. Hence, this paper aims to provide and inspire sustainable solutions for the performance and application of CWs by giving a comprehensive review of CWs' application and the recent development on their sustainable design and operation for wastewater treatment. Firstly, a brief summary on the definition, classification and application of current CWs was presented. The design parameters and operational conditions of CWs including plant species, substrate types, water depth, hydraulic load, hydraulic retention time and feeding mode related to the sustainable operation for wastewater treatments were then discussed. Lastly, future research on improving the stability and sustainability of CWs were highlighted. Copyright © 2014 Elsevier Ltd. All rights reserved.

  14. Safety, effectiveness and economic evaluation of intra-operative radiation therapy: a systematic review.

    PubMed

    Najafipour, Farshad; Hamouzadeh, Pejman; Arabloo, Jalal; Mobinizadeh, Mohammadreza; Norouzi, Amir

    2015-01-01

    Intra-operative radiation therapy (IORT) is the transfer of a single large radiation dose to the tumor bed during surgery with the final goal of improving regional tumor control. This study aimed to investigate the safety, effectiveness and economic evaluation of intra-operative radiation therapy. The scientific literature was searched in the main biomedical databases (Centre for Reviews and Dissemination, Cochrane Library and PubMed) up to March 2014. Two independent reviewers selected the papers based on pre-established inclusion criteria, with any disagreements being resolved by consensus. Data were then extracted and summarized in a structured form. RESULTS from studies were analyzed and discussed within a descriptive synthesis. Sixteen studies met the inclusion criteria. It seems that outcomes from using intraoperative radiation therapy can be considered in various kinds of cancers like breast, pancreatic and colorectal cancers. The application of this method may provide significant survival increase only for colorectal cancer, but this increase was not significant for other types of cancer. This technology had low complications; and it is relatively safe. Using intra-operative radiation therapy could potentially be accounted as a cost-effective strategy for controlling and managing breast cancer. According to the existing evidences, that are the highest medical evidences for using intra-operative radiation therapy, one can generally conclude that intra-operative radiation therapy is considered as a relatively safe and cost-effective method for managing early-stage breast cancer and it can significantly increase the survival of patients with colorectal cancer. Also, the results of this study have policy implications with respect to the reimbursement of this technology.

  15. Columbia River System Operation Review : Final Environmental Impact Statement, Appendix D: Exhibits.

    SciTech Connect

    Columbia River System Operation Review

    1995-11-01

    The Columbia River and its tributaries are the primary water system in the Pacific Northwest, draining some 219,000 square miles in seven states and another 39,500 square miles in British Columbia. Beginning in the 1930`s, the Columbia River has been significantly modified by construction of 30 major dams on the river and its tributaries, along with dozens of non-Federal projects. Construction and subsequent operation of these water development projects have contributed to eight primary uses of the river system, including navigation, flood control, irrigation, electric power generation, fish migration, fish and wildlife habitat, recreation, and water supply and quality considerations. Increasing stress on the water development of the Columbia River and its tributaries has led primary Federal agencies to undertake intensive analysis and evaluation of the operation of these projects. These agencies are the U.S. Army Corps of Engineers and the Bureau of Reclamation, who operate the large Federal dams on the river, and the Bonneville Power Administration who sells the power generated at the dams. This review, termed the System Operation Review (SOR), has as its ultimate goal to define a strategy for future operation of the major Columbia River projects which effectively considers the needs of all river uses. This volume, Appendix D: Cultural resources appendix, Technical imput includes the following: Development of geomorphology based framework for cultural resources management, Dworshak Reservoir, Idaho; Impact profiles for SOR reservoirs; comments from the following Native American tribes: Burns Paiute Tribe; Coville Confederated Tribes; Confederated Tribes of the Warm Springs Indian Reservation; Confederated Tribes and bands of the Yakama Indian Nation (comments); Nez Perce Tribe; Coeur D`Alene Tribe; Spokane Tribe of Indians; The confederated Tribes of the Umatilla Indian Reservation.

  16. Safety, effectiveness and economic evaluation of intra-operative radiation therapy: a systematic review

    PubMed Central

    Najafipour, Farshad; Hamouzadeh, Pejman; Arabloo, Jalal; Mobinizadeh, Mohammadreza; Norouzi, Amir

    2015-01-01

    Background: Intra-operative radiation therapy (IORT) is the transfer of a single large radiation dose to the tumor bed during surgery with the final goal of improving regional tumor control. This study aimed to investigate the safety, effectiveness and economic evaluation of intra-operative radiation therapy. Methods: The scientific literature was searched in the main biomedical databases (Centre for Reviews and Dissemination, Cochrane Library and PubMed) up to March 2014. Two independent reviewers selected the papers based on pre-established inclusion criteria, with any disagreements being resolved by consensus. Data were then extracted and summarized in a structured form. Results from studies were analyzed and discussed within a descriptive synthesis. Results: Sixteen studies met the inclusion criteria. It seems that outcomes from using intraoperative radiation therapy can be considered in various kinds of cancers like breast, pancreatic and colorectal cancers. The application of this method may provide significant survival increase only for colorectal cancer, but this increase was not significant for other types of cancer. This technology had low complications; and it is relatively safe. Using intra-operative radiation therapy could potentially be accounted as a cost-effective strategy for controlling and managing breast cancer. Conclusion: According to the existing evidences, that are the highest medical evidences for using intra-operative radiation therapy, one can generally conclude that intra-operative radiation therapy is considered as a relatively safe and cost-effective method for managing early-stage breast cancer and it can significantly increase the survival of patients with colorectal cancer. Also, the results of this study have policy implications with respect to the reimbursement of this technology. PMID:26793649

  17. College-Readiness in Math: A Conceptual Analysis of the Literature

    ERIC Educational Resources Information Center

    Abraham, Reni A.; Slate, John R.; Saxon, D. Patrick; Barnes, Wally

    2014-01-01

    In this article, we examined the extant literature regarding college-readiness in math for students entering community colleges. Included in this review are the following topics: (a) the role of community colleges between secondary and postsecondary institutions; (b) national initiatives for college-readiness standards in math; (c) Texas…

  18. Developing an Instrument to Assess Student Readiness for Online Learning: A Validation Study

    ERIC Educational Resources Information Center

    Dray, Barbara J.; Lowenthal, Patrick R.; Miszkiewicz, Melissa J.; Ruiz-Primo, Maria Araceli; Marczynski, Kelly

    2011-01-01

    Given the continued growth in online learning as well as reports of high attrition rates in it, understanding student readiness for online learning is necessary. Over the years several surveys have been developed to assess student readiness as a predictor of success in online programs; however, a review of the literature yielded limited results of…

  19. 77 FR 46425 - Meeting of the Department of Defense Military Family Readiness Council; Cancellation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-03

    ... of the Secretary Meeting of the Department of Defense Military Family Readiness Council; Cancellation... Military Family Readiness Council (MFRC) announced a meeting to be held on Tuesday, August 15, 2012, from 2... meeting was to review the military family programs which will be the focus for the Council for this...

  20. 76 FR 29727 - Meeting of the Department of Defense Military Family Readiness Council (MFRC)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-23

    ... of the Secretary Meeting of the Department of Defense Military Family Readiness Council (MFRC) AGENCY... of the Department of Defense Military Family Readiness Council (MFRC). The purpose of the Council meeting is to review the military family programs which will be the focus for the Council for next...

  1. 78 FR 20299 - Meeting of the Department of Defense Military Family Readiness Council (MFRC)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-04

    ... of the Secretary Meeting of the Department of Defense Military Family Readiness Council (MFRC) AGENCY... forthcoming meeting of the Department of Defense Military Family Readiness Council (MFRC). The purpose of the Council meeting is to review the military family programs which will be the focus for the Council for...

  2. Memo of Readiness to Proceed with Phase 1 Privatization for the Tank Farm Contractor

    SciTech Connect

    HONEYMAN, J.O.

    2000-04-24

    This Readiness to Proceed Memorandum provides the CH2M HILL Hanford Group, Inc. formal certification of readiness to proceed with provision of the waste feed and infrastructure to handle the products from the privatization contractor's waste processing plant. Summary information is included from the integrated scope-cost-schedule baseline, the analyses of the baseline, management systems, and systems reviews.

  3. College-Readiness in Math: A Conceptual Analysis of the Literature

    ERIC Educational Resources Information Center

    Abraham, Reni A.; Slate, John R.; Saxon, D. Patrick; Barnes, Wally

    2014-01-01

    In this article, we examined the extant literature regarding college-readiness in math for students entering community colleges. Included in this review are the following topics: (a) the role of community colleges between secondary and postsecondary institutions; (b) national initiatives for college-readiness standards in math; (c) Texas…

  4. Developing an Instrument to Assess Student Readiness for Online Learning: A Validation Study

    ERIC Educational Resources Information Center

    Dray, Barbara J.; Lowenthal, Patrick R.; Miszkiewicz, Melissa J.; Ruiz-Primo, Maria Araceli; Marczynski, Kelly

    2011-01-01

    Given the continued growth in online learning as well as reports of high attrition rates in it, understanding student readiness for online learning is necessary. Over the years several surveys have been developed to assess student readiness as a predictor of success in online programs; however, a review of the literature yielded limited results of…

  5. 76 FR 31943 - Meeting of the Department of Defense Military Family Readiness Council (MFRC); Notice of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-02

    ... Meeting of the Department of Defense Military Family Readiness Council (MFRC); Notice of Cancellation... cancellation. SUMMARY: On May 23, 2011 (76 FR 29727), the Department of Defense Military Family Readiness... purpose of the Council meeting is to review the military family programs which will be the focus for the...

  6. 76 FR 46756 - Meeting of the Department of Defense Military Family Readiness Council (MFRC)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-03

    ... Meeting of the Department of Defense Military Family Readiness Council (MFRC) AGENCY: Office of the Under... the Department of Defense Military Family Readiness Council (MFRC). The purpose of the Council meeting is to review the military family programs which will be the focus for the Council for next year...

  7. 77 FR 51785 - Meeting of the Department of Defense Military Family Readiness Council (MFRC)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-27

    ... of the Secretary Meeting of the Department of Defense Military Family Readiness Council (MFRC) AGENCY... forthcoming meeting of the Department of Defense Military Family Readiness Council (MFRC). The purpose of the Council meeting is to review the military family programs which will be the focus for the Council for next...

  8. 76 FR 59388 - Meeting of the Department of Defense Military Family Readiness Council (MFRC)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-26

    ... of the Secretary Meeting of the Department of Defense Military Family Readiness Council (MFRC) AGENCY... forthcoming meeting of the Department of Defense Military Family Readiness Council (MFRC). The purpose of the Council meeting is to review the military family programs which will be the focus for the Council for next...

  9. School Readiness Research in Latin America: Findings and Challenges.

    PubMed

    Strasser, Katherine; Rolla, Andrea; Romero-Contreras, Silvia

    2016-06-01

    Educational results in Latin America (LA) are well below those of developed countries. One factor that influences how well children do at school is school readiness. In this article, we review studies conducted in LA on the readiness skills of preschool children. We begin by discussing contextual factors that affect what is expected of children upon school entry, and we examine critical aspects of children's developmental contexts in LA. We then review local research on the level and determinants of three readiness skills of preschoolers in LA. Few studies allow comparisons between LA and other regions, but some results suggest that the oral language of children in LA before school entry is lower than in developed countries. These entry-level differences do not seem large enough to explain the poor educational results obtained by children in LA. We conclude regarding research needed to explain educational results and to inform educational policies. © 2016 Wiley Periodicals, Inc.

  10. Brain readiness and the nature of language

    PubMed Central

    Bouchard, Denis

    2015-01-01

    To identify the neural components that make a brain ready for language, it is important to have well defined linguistic phenotypes, to know precisely what language is. There are two central features to language: the capacity to form signs (words), and the capacity to combine them into complex structures. We must determine how the human brain enables these capacities. A sign is a link between a perceptual form and a conceptual meaning. Acoustic elements and content elements, are already brain-internal in non-human animals, but as categorical systems linked with brain-external elements. Being indexically tied to objects of the world, they cannot freely link to form signs. A crucial property of a language-ready brain is the capacity to process perceptual forms and contents offline, detached from any brain-external phenomena, so their “representations” may be linked into signs. These brain systems appear to have pleiotropic effects on a variety of phenotypic traits and not to be specifically designed for language. Syntax combines signs, so the combination of two signs operates simultaneously on their meaning and form. The operation combining the meanings long antedates its function in language: the primitive mode of predication operative in representing some information about an object. The combination of the forms is enabled by the capacity of the brain to segment vocal and visual information into discrete elements. Discrete temporal units have order and juxtaposition, and vocal units have intonation, length, and stress. These are primitive combinatorial processes. So the prior properties of the physical and conceptual elements of the sign introduce combinatoriality into the linguistic system, and from these primitive combinatorial systems derive concatenation in phonology and combination in morphosyntax. Given the nature of language, a key feature to our understanding of the language-ready brain is to be found in the mechanisms in human brains that enable the

  11. Are women ready for the new cervical screening protocol in England? A systematic review and qualitative synthesis of views about human papillomavirus testing.

    PubMed

    Hendry, M; Pasterfield, D; Lewis, R; Clements, A; Damery, S; Neal, R D; Adke, R; Weller, D; Campbell, C; Patnick, J; Sasieni, P; Hurt, C; Wilson, S; Wilkinson, C

    2012-07-10

    A new protocol for human papillomavirus (HPV) testing within the UK cervical screening programme commenced in April 2011, creating new patient experiences. This is the first review to synthesise a substantial body of international evidence of women's information needs, views and preferences regarding HPV testing. We aimed to inform the development of educational materials to promote informed choice, reduce anxiety and improve disease control. We searched 12 bibliographic databases. Two reviewers independently screened papers and assessed study quality; disagreements were resolved by discussion. Results were extracted verbatim and authors' findings treated as primary data. Studies were synthesised collaboratively using framework methods. We synthesised findings from 17 studies. Women had overwhelmingly negative concerns; an HPV diagnosis was daunting, had associated problems of disclosure of a sexually transmitted infection (STI), impacted on relationships and provoked fear of stigmatisation. Nevertheless, many thought HPV testing could be a preferable alternative to repeat cytology. Knowledge was poor; women struggled to interpret limited information in the context of existing knowledge about STIs and cervical cancer. Women are likely to be poorly informed, have limited understanding and many unanswered questions. This could increase anxiety and reduce ability to make informed choices, presenting a substantial challenge for those who design and provide information.

  12. Are women ready for the new cervical screening protocol in England? A systematic review and qualitative synthesis of views about human papillomavirus testing

    PubMed Central

    Hendry, M; Pasterfield, D; Lewis, R; Clements, A; Damery, S; Neal, R D; Adke, R; Weller, D; Campbell, C; Patnick, J; Sasieni, P; Hurt, C; Wilson, S; Wilkinson, C

    2012-01-01

    Background: A new protocol for human papillomavirus (HPV) testing within the UK cervical screening programme commenced in April 2011, creating new patient experiences. This is the first review to synthesise a substantial body of international evidence of women's information needs, views and preferences regarding HPV testing. We aimed to inform the development of educational materials to promote informed choice, reduce anxiety and improve disease control. Methods: We searched 12 bibliographic databases. Two reviewers independently screened papers and assessed study quality; disagreements were resolved by discussion. Results were extracted verbatim and authors' findings treated as primary data. Studies were synthesised collaboratively using framework methods. Results: We synthesised findings from 17 studies. Women had overwhelmingly negative concerns; an HPV diagnosis was daunting, had associated problems of disclosure of a sexually transmitted infection (STI), impacted on relationships and provoked fear of stigmatisation. Nevertheless, many thought HPV testing could be a preferable alternative to repeat cytology. Knowledge was poor; women struggled to interpret limited information in the context of existing knowledge about STIs and cervical cancer. Conclusion: Women are likely to be poorly informed, have limited understanding and many unanswered questions. This could increase anxiety and reduce ability to make informed choices, presenting a substantial challenge for those who design and provide information. PMID:22699825

  13. Isokinetic muscle strength and readiness to return to sport following anterior cruciate ligament reconstruction: is there an association? A systematic review and a protocol recommendation.

    PubMed

    Undheim, Marit Baste; Cosgrave, Ciaran; King, Enda; Strike, Siobhán; Marshall, Brendan; Falvey, Éanna; Franklyn-Miller, Andrew

    2015-10-01

    Following anterior cruciate ligament reconstruction (ACLR), strength is a key variable in regaining full function of the knee. Isokinetic strength is commonly used as part of the return to sport (RTS) criteria. We systematically reviewed the isokinetic strength evaluation protocols that are currently being used following ACLR. A secondary aim was to suggest an isokinetic protocol that could meet RTS criteria. Articles were searched using ScienceDirect, PubMed and Sage Journals Online, combined with cross-checked reference lists of the publications. Protocol data and outcome measurements and RTS criteria were extracted from each article included in the review. 39 studies met the inclusion criteria and reported their isokinetic strength evaluation protocol following ACLR. The variables that were most commonly used were concentric/concentric mode of contraction (31 studies), angular velocity of 60°/s (29 studies), 3-5 repetitions (24 studies), range of motion of 0-90° (6 studies), and using gravity correction (9 studies). 8 studies reported strength limb symmetry index scores as part of their RTS criteria. There was no standardised isokinetic protocol following ACLR; isokinetic strength measures have not been validated as useful predictors of successful RTS. We propose a standard protocol to allow consistency of testing and accurate comparison of future research. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  14. Climate Ready Estuaries Progress Reports

    EPA Pesticide Factsheets

    Climate Ready Estuaries has supported adaptation activities in National Estuary Programs since 2008. In 2012, the program partnered with 23 NEPs, completed a pilot project with water utilities, and held workshops. Download annual reports from 2009-2012.

  15. Checklist for clinical readiness published

    Cancer.gov

    Scientists from NCI, together with collaborators from outside academic centers, have developed a checklist of criteria to evaluate the readiness of complex molecular tests that will guide decisions made during clinical trials. The checklist focuses on tes

  16. Review of Drying Methods for Spent Nuclear Fuel

    SciTech Connect

    Large, W.S.

    1999-10-21

    SRTC is developing technology for direct disposal of aluminum spent nuclear fuel (SNF). The development program includes analyses and tests to support design and safe operation of a facility for ''road ready'' dry storage of SNF-filled canisters. The current technology development plan includes review of available SNF drying methods and recommendation of a drying method for aluminum SNF.

  17. Operations research for resource planning and -use in radiotherapy: a literature review.

    PubMed

    Vieira, Bruno; Hans, Erwin W; van Vliet-Vroegindeweij, Corine; van de Kamer, Jeroen; van Harten, Wim

    2016-11-25

    The delivery of radiotherapy (RT) involves the use of rather expensive resources and multi-disciplinary staff. As the number of cancer patients receiving RT increases, timely delivery becomes increasingly difficult due to the complexities related to, among others, variable patient inflow, complex patient routing, and the joint planning of multiple resources. Operations research (OR) methods have been successfully applied to solve many logistics problems through the development of advanced analytical models for improved decision making. This paper presents the state of the art in the application of OR methods for logistics optimization in RT, at various managerial levels. A literature search was performed in six databases covering several disciplines, from the medical to the technical field. Papers included in the review were published in peer-reviewed journals from 2000 to 2015. Data extraction includes the subject of research, the OR methods used in the study, the extent of implementation according to a six-stage model and the (potential) impact of the results in practice. From the 33 papers included in the review, 18 addressed problems related to patient scheduling (of which 12 focus on scheduling patients on linear accelerators), 8 focus on strategic decision making, 5 on resource capacity planning, and 2 on patient prioritization. Although calculating promising results, none of the papers reported a full implementation of the model with at least a thorough pre-post performance evaluation, indicating that, apart from possible reporting bias, implementation rates of OR models in RT are probably low. The literature on OR applications in RT covers a wide range of approaches from strategic capacity management to operational scheduling levels, and shows that considerable benefits in terms of both waiting times and resource utilization are likely to be achieved. Various fields can be further developed, for instance optimizing the coordination between the available

  18. DOE High Performance Computing Operational Review (HPCOR): Enabling Data-Driven Scientific Discovery at HPC Facilities

    SciTech Connect

    Gerber, Richard; Allcock, William; Beggio, Chris; Campbell, Stuart; Cherry, Andrew; Cholia, Shreyas; Dart, Eli; England, Clay; Fahey, Tim; Foertter, Fernanda; Goldstone, Robin; Hick, Jason; Karelitz, David; Kelly, Kaki; Monroe, Laura; Prabhat,; Skinner, David; White, Julia

    2014-10-17

    U.S. Department of Energy (DOE) High Performance Computing (HPC) facilities are on the verge of a paradigm shift in the way they deliver systems and services to science and engineering teams. Research projects are producing a wide variety of data at unprecedented scale and level of complexity, with community-specific services that are part of the data collection and analysis workflow. On June 18-19, 2014 representatives from six DOE HPC centers met in Oakland, CA at the DOE High Performance Operational Review (HPCOR) to discuss how they can best provide facilities and services to enable large-scale data-driven scientific discovery at the DOE national laboratories. The report contains findings from that review.

  19. A Review & Assessment of Current Operating Conditions Allowable Stresses in ASME Section III Subsection NH

    SciTech Connect

    R. W. Swindeman

    2009-12-14

    The current operating condition allowable stresses provided in ASME Section III, Subsection NH were reviewed for consistency with the criteria used to establish the stress allowables and with the allowable stresses provided in ASME Section II, Part D. It was found that the S{sub o} values in ASME III-NH were consistent with the S values in ASME IID for the five materials of interest. However, it was found that 0.80 S{sub r} was less than S{sub o} for some temperatures for four of the materials. Only values for alloy 800H appeared to be consistent with the criteria on which S{sub o} values are established. With the intent of undertaking a more detailed evaluation of issues related to the allowable stresses in ASME III-NH, the availabilities of databases for the five materials were reviewed and augmented databases were assembled.

  20. Preparing GMAT for Operational Maneuver Planning of the Advanced Composition Explorer (ACE)

    NASA Technical Reports Server (NTRS)

    Qureshi, Rizwan Hamid; Hughes, Steven P.

    2014-01-01

    The General Mission Analysis Tool (GMAT) is an open-source space mission design, analysis and trajectory optimization tool. GMAT is developed by a team of NASA, private industry, public and private contributors. GMAT is designed to model, optimize and estimate spacecraft trajectories in flight regimes ranging from low Earth orbit to lunar applications, interplanetary trajectories and other deep space missions. GMAT has also been flight qualified to support operational maneuver planning for the Advanced Composition Explorer (ACE) mission. ACE was launched in August, 1997 and is orbiting the Sun-Earth L1 libration point. The primary science objective of ACE is to study the composition of both the solar wind and the galactic cosmic rays. Operational orbit determination, maneuver operations and product generation for ACE are conducted by NASA Goddard Space Flight Center (GSFC) Flight Dynamics Facility (FDF). This paper discusses the entire engineering lifecycle and major operational certification milestones that GMAT successfully completed to obtain operational certification for the ACE mission. Operational certification milestones such as gathering of the requirements for ACE operational maneuver planning, gap analysis, test plans and procedures development, system design, pre-shadow operations, training to FDF ACE maneuver planners, shadow operations, Test Readiness Review (TRR) and finally Operational Readiness Review (ORR) are discussed. These efforts have demonstrated that GMAT is flight quality software ready to support ACE mission operations in the FDF.

  1. The effects of operational and environmental variations on anaerobic wastewater treatment systems: a review.

    PubMed

    Leitão, Renato Carrhá; van Haandel, Adrianus Cornelius; Zeeman, Grietje; Lettinga, Gatze

    2006-06-01

    With the aim of improving knowledge about the stability and reliability of anaerobic wastewater treatment systems, several researchers have studied the effects of operational or environmental variations on the performance of such reactors. In general, anaerobic reactors are affected by changes in external factors, but the severity of the effect is dependent upon the type, magnitude, duration and frequency of the imposed changes. The typical responses include a decrease in performance, accumulation of volatile fatty acids, drop in pH and alkalinity, change in biogas production and composition, and sludge washout. This review summarises the causes, types and effects of operational and environmental variation on anaerobic wastewater treatment systems. However, there still remain some unclear technical and scientific aspects that are necessary for the improvement of the stability and reliability of anaerobic processes.

  2. A review of echocardiography in anaesthetic and peri-operative practice. Part 2: training and accreditation.

    PubMed

    Sharma, V; Fletcher, S N

    2014-08-01

    Echocardiography has been widely adopted as a diagnostic and monitoring tool in cardiac anaesthesia and critical care. There is considerable interest in how echocardiography could be used to benefit patients in other areas of anaesthesia and peri-operative practice. The first part of review examines the impact and utility of echocardiography, while this second part is concerned with the matter of training and accreditation. There are a number of existing clinical protocols for the use of transthoracic echocardiography with a focused approach. Some of these, such as Focused Intensive Care Echocardiography in the UK, have been developed into structured accreditation processes with embedded supervision. Learning opportunities are now emerging for anaesthetists who wish to acquire echocardiography skills--these encompass clinical, simulation and online resources. Whilst the roll-out of echocardiography for more widespread use in peri-operative management is a long-term project, it is now an appropriate time to consider how this may be achieved.

  3. Zebrafish housing systems: a review of basic operating principles and considerations for design and functionality.

    PubMed

    Lawrence, Christian; Mason, Timothy

    2012-01-01

    The strategies for housing zebrafish used in biomedical research have evolved considerably over the past three decades. To keep pace with the rapid expansion and development of the zebrafish model system, the field has generally moved from keeping fish at the level of aquarium hobbyist to that of industrialized, recirculating aquaculture. Numerous commercial system vendors now offer increasingly sophisticated housing systems based on design principles that maximize the number of animals that can be housed in a given space footprint, and they are thus able to support large and diverse research programs. This review is designed to provide managers, lab animal veterinarians, investigators, and other parties responsible for care and use of these animals with a comprehensive overview of the basic operating and design principles of zebrafish housing systems. This information can be used to help plan the construction of new facilities and/or the upgrade and maintenance of existing operations.

  4. Zebrafish Housing Systems: A Review of Basic Operating Principles and Considerations for Design and Functionality

    PubMed Central

    Lawrence, Christian; Mason, Timothy

    2015-01-01

    The strategies for housing zebrafish used in biomedical research have evolved considerably over the past three decades. To keep pace with the rapid expansion and development of the zebrafish model system, the field has generally moved from keeping fish at the level of aquarium hobbyist to that of industrialized, recirculating aquaculture. Numerous commercial system vendors now offer increasingly sophisticated housing systems based on design principles that maximize the number of animals that can be housed in a given space footprint, and they are thus able to support large and diverse research programs. This review is designed to provide managers, lab animal veterinarians, investigators, and other parties responsible for care and use of these animals with a comprehensive overview of the basic operating and design principles of zebrafish housing systems. This information can be used to help plan the construction of new facilities and/or the upgrade and maintenance of existing operations. PMID:23382349

  5. Assessment of Technical Skills Competence in the Operating Room: A Systematic and Scoping Review.

    PubMed

    Fahim, Christine; Wagner, Natalie; Nousiainen, Markuu T; Sonnadara, Ranil

    2017-09-26

    While academic accreditation bodies continue to promote competency-based medical education (CBME), the feasibility of conducting regular CBME assessments remains challenging. The purpose of this study was to identify evidence pertaining to the practical application of assessments that aim to measure technical competence for surgical trainees in a nonsimulated, operative setting. In August 2016, the authors systematically searched Medline, Embase, and the Cochrane Database of Systematic Reviews for English-language, peer-reviewed articles published in or after 1996. The title, abstract, and full text of identified articles were screened. Data regarding study characteristics, psychometric and measurement properties, implementation of assessment, competency definitions, and faculty training were extracted. The findings from the systematic review were supplemented by a scoping review to identify key strategies related to faculty uptake and implementation of CBME assessments. A total of 32 studies were included. The majority of studies reported reasonable scores of interrater reliability and internal consistency. Seven articles identified minimum scores required to establish competence. Twenty-five articles mentioned faculty training. Many of the faculty training interventions focused on timely completion of assessments or scale calibration. There are a number of diverse tools used to assess competence for intraoperative technical skills and a lack of consensus regarding the definition of technical competence within and across surgical specialties. Further work is required to identify when and how often trainees should be assessed and to identify strategies to train faculty to ensure timely and accurate assessment.

  6. The role of organizational structure in readiness for change: A conceptual integration.

    PubMed

    Benzer, Justin K; Charns, Martin P; Hamdan, Sami; Afable, Melissa

    2017-02-01

    The purpose of this review is to extend extant conceptualizations of readiness for change as an individual-level phenomenon. This review-of-reviews focuses on existing conceptual frameworks from the dissemination, implementation, quality improvement, and organizational transformation literatures in order to integrate theoretical rationales for how organization structure, a key dimension of the organizational context, may impact readiness for change. We propose that the organization structure dimensions of differentiation and integration impact readiness for change at the individual level of analysis by influencing four key concepts of relevance, legitimacy, perceived need for change, and resource allocation. We identify future research directions that focus on these four key concepts.

  7. Review on Malaysian Rail Transit Operation and Management System: Issues and Solution in Integration

    NASA Astrophysics Data System (ADS)

    Masirin, Mohd Idrus Mohd; Salin, Aminah Mohd; Zainorabidin, Adnan; Martin, David; Samsuddin, Norshakina

    2017-08-01

    In any context, operation and management of transportation systems are key issues which may affect both life quality and economic development. In large urban agglomerations, an efficient public transportation system may help abate the negative externalities of private car use such as congestion, air and noise pollution, accident and fuel consumption, without excessively penalizing user travel times or zone accessibility. Thus, this study is conducted to appraise the Malaysian rural rail transit operation and management system, which are considered important as there are many issues and solution in integration of the services that need to be tackled more conscientiously. The purpose of this paper is to describe some of the most important issues on integration of services and rail transit system in Malaysian and how to solve or reduce these problems and conflicts. In this paper, it consists of the historical development of rail transit construction in Malaysia. This paper also attempts to identify the important issues related to rail transit services and integration in Malaysian rural rail operation and management system. Comparison is also conducted with other countries such as UK, France, and Japan. Finally, a critical analysis is presented in this paper by looking at the possible application for future Malaysian rail transit operation system and management, especially focusing on enhancing the quality of Malaysian rural rail transit. In conclusion, this paper is expected to successfully review and appraise the existing Malaysian rural rail transit operation and management system pertaining to issues & solution in integration. It is also hoped that reformation or transformation of present service delivery quality of the rail transit operation and management will enable Malaysia to succeed in transforming Malaysian transportation system to greater heights.

  8. Operational Methods of HIV Testing in Emergency Departments: A Systematic Review

    PubMed Central

    Haukoos, Jason S.; White, Douglas A. E.; Lyons, Michael S.; Hopkins, Emily; Calderon, Yvette; Kalish, Brian; Rothman, Richard E.

    2013-01-01

    Objectives Casual review of existing literature reveals a multitude of individualized approaches to emergency department (ED) HIV testing. Cataloging the operational options of each approach could assist translation by disseminating existing knowledge, endorsing variability as a means to address testing barriers, and laying a foundation for future work in the area of operational models and outcomes investigation. The objective of this study is to provide a detailed account of the various models and operational constructs that have been described for performing HIV testing in EDs. Methods Systematic review of PUBMED, EMBASE, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and the Web of Science through February 6, 2009 was performed. Three investigators independently reviewed all potential abstracts and identified all studies that met the following criteria for inclusion: original research, performance of HIV testing in an ED in the United States, description of operational methods, and reporting of specific testing outcomes. Each study was independently assessed and data from each were abstracted with standardized instruments. Summary and pooled descriptive statistics were reported by using recently published nomenclature and definitions for ED HIV testing. Results The primary search yielded 947 potential studies, of which 25 (3%) were included in the final analysis. Of the 25 included studies, 13 (52%) reported results using nontargeted screening as the only patient selection method. Most programs reported using voluntary, opt-in consent and separate, signed consent forms. A variety of assays and communication methods were used, but relatively limited outcomes data were reported. Conclusion Currently, limited evidence exists to inform HIV testing practices in EDs. There appears to be recent progression toward the use of rapid assays and nontargeted patient selection methods, with the rate at which reports are published in the peer-reviewed

  9. Ready, Set, Change! Development and usability testing of an online readiness for change decision support tool for healthcare organizations.

    PubMed

    Timmings, Caitlyn; Khan, Sobia; Moore, Julia E; Marquez, Christine; Pyka, Kasha; Straus, Sharon E

    2016-02-24

    To address challenges related to selecting a valid, reliable, and appropriate readiness assessment measure in practice, we developed an online decision support tool to aid frontline implementers in healthcare settings in this process. The focus of this paper is to describe a multi-step, end-user driven approach to developing this tool for use during the planning stages of implementation. A multi-phase, end-user driven approach was used to develop and test the usability of a readiness decision support tool. First, readiness assessment measures that are valid, reliable, and appropriate for healthcare settings were identified from a systematic review. Second, a mapping exercise was performed to categorize individual items of included measures according to key readiness constructs from an existing framework. Third, a modified Delphi process was used to collect stakeholder ratings of the included measures on domains of feasibility, relevance, and likelihood to recommend. Fourth, two versions of a decision support tool prototype were developed and evaluated for usability. Nine valid and reliable readiness assessment measures were included in the decision support tool. The mapping exercise revealed that of the nine measures, most measures (78 %) focused on assessing readiness for change at the organizational versus the individual level, and that four measures (44 %) represented all constructs of organizational readiness. During the modified Delphi process, stakeholders rated most measures as feasible and relevant for use in practice, and reported that they would be likely to recommend use of most measures. Using data from the mapping exercise and stakeholder panel, an algorithm was developed to link users to a measure based on characteristics of their organizational setting and their readiness for change assessment priorities. Usability testing yielded recommendations that were used to refine the Ready, Set, Change! decision support tool . Ready, Set, Change! decision

  10. Systematic Review and Operative Technique of Recalcitrant Pressure Ulcers Using a Fillet Flap Technique

    PubMed Central

    Rao, Venkat K.

    2016-01-01

    Background: The purpose of this article is to describe the indications, operative technique, outcomes, and systematic review of the literature on the reconstruction of patients with end-stage pressure ulcers using a fillet flap technique. In this technique, the femur, tibia, and fibula are removed from the thigh and leg, and the soft tissue is used as a pedicled, or free, myocutaneous flap for reconstruction. Long-term outcomes, salient surgical technique of flap elevation, and design are detailed for patients who had a fillet of leg flap for reconstruction of extensive pressure ulcers. Methods: The indications, surgical technique, and postoperative outcomes of 5 patients who had pedicled fillet flaps are reviewed including patient age, sex, underlying comorbidities, duration of paraplegia, operative technique, and complications. A systematic review of the literature was performed searching PubMed, Cochrane Database, and Medline with the following MeSH terms: pressure ulcer, pressure sore, decubitus ulcer, fillet flap, and fillet flap. Inclusion criteria were use of a fillet technique, article data on the number of reconstructions before fillet flap, complications, and English language. Results: Most of our patients were male 75% (n = 3) with an average age of 47.5 years, had been paralyzed for an average of 16 years, and had few medical comorbidities. Two patients (3 flaps) required hip disarticulation, 1 patient had a bilateral fillet flaps, and 3 patients had resection of tibia/fibula. After following patients for an average of 1.4 years (4 mo to 2 yr), complications were limited to 1 patient who had partial-thickness flap loss at the distal skin flap that healed by secondary intention and 1 patient who had ulcer recurrence because of noncompliance. Four articles met inclusion criteria for systematic review and 3 were excluded. Conclusions: The fillet of leg flap remains a useful and reliable method of reconstructing end-stage pressure ulcers. PMID:27622082

  11. The arcuate line hernia: operative treatment and a review of the literature.

    PubMed

    Montgomery, A; Petersson, U; Austrums, E

    2013-06-01

    An arcuate line hernia (ALH) is a rare diagnosis with no consensus on how to deal with this condition either when symptomatic or when found accidentally. Suggestions for laparoscopic and open operative techniques are given together with a review of the literature and a presentation of three new cases. The PubMed database was searched for publications on ALH. Identified cases, including three from our department, are reported. Five males and two females, with a median age of 53 years were identified. Three patients were correctly diagnosed on a preoperative CT scan and the rest at surgery. Two patients had bilateral ALHs and four had other concomitant hernias repaired. Small bowel was present in the hernia in three cases and sigmoid colon in one. In one case, an emergency operation was performed due to bowel incarceration. Five patients had laparoscopic repairs, three with mesh and two without. Two patients, one converted from laparoscopic to open operation, had open mesh repairs. The postoperative course was uneventful in all cases, and no recurrences have been reported at a median follow-up of 6 months. A laparoscopic approach is recommended for diagnostic purposes, for pre-peritoneal mesh placement and for repair of concomitant hernias in both elective and emergency settings. Highlighting its existence might help general surgeons in interpreting an unusual finding on a CT scan or at operation.

  12. Strategic Defense System distributed operating system R D (research and development) review and recommendations. Final report

    SciTech Connect

    Gordon, K.D.; Linn, C.J.

    1989-04-01

    The Strategic Defense System (SDS) imposes a set of requirements on distributed operating systems that is not met by state-of-the-art systems. In this paper, the key requirements are identified as being real-time support, reliability/fault tolerance, and security. The extent to which these requirements are being addressed by current distributed operating system research is discussed. The three distributed operating system projects that are currently receiving SDIO funds - Alpha, Cronus, and Mach - are reviewed. A fourth project, the V-distributed system project of Stanford University, is also highlighted, because of its unique potential for meeting certain SDS needs. Recommendations on the directions in which the SDIO should pursue each of these projects are made. The Office of Naval Research (ONR) Real-Time Computing Initiative, which is addressing some issues critical to the development of the SDS, is described. It is recommended that the SDIO seek to coordinate with the ONR in this effort. The appendix to this paper provides detailed descriptions of the Alpha, Cronus, Mach, and V-distributed operating system projects, as well as three other projects noted in the body of the paper: Amoeba, Clouds, and the Heterogeneous Computer Systems (HCS) Project.

  13. Operational research on malaria control and elimination: a review of projects published between 2008 and 2013.

    PubMed

    Zhou, Shui-sen; Rietveld, Aafje E C; Velarde-Rodriguez, Mar; Ramsay, Andrew R; Zhang, Shao-sen; Zhou, Xiao-nong; Cibulskis, Richard E

    2014-12-04

    A literature review for operational research on malaria control and elimination was conducted using the term 'malaria' and the definition of operational research (OR). A total of 15 886 articles related to malaria were searched between January 2008 and June 2013. Of these, 582 (3.7%) met the definition of operational research. These OR projects had been carried out in 83 different countries. Most OR studies (77%) were implemented in Africa south of the Sahara. Only 5 (1%) of the OR studies were implemented in countries in the pre-elimination or elimination phase. The vast majority of OR projects (92%) were led by international or local research institutions, while projects led by National Malaria Control Programmes (NMCP) accounted for 7.8%. With regards to the topic under investigation, the largest percentage of papers was related to vector control (25%), followed by epidemiology/transmission (16.5%) and treatment (16.3%). Only 19 (3.8%) of the OR projects were related to malaria surveillance. Strengthening the capacity of NMCPs to conduct operational research and publish its findings, and improving linkages between NMCPs and research institutes may aid progress towards malaria elimination and eventual eradication world-wide.

  14. A survey on the measure of combat readiness

    NASA Astrophysics Data System (ADS)

    Wen, Kwong Fook; Nor, Norazman Mohamad; Soon, Lee Lai

    2014-09-01

    Measuring the combat readiness in military forces involves the measures of tangible and intangible elements of combat power. Though these measures are applicable, the mathematical models and formulae used focus mainly on either the tangible or the intangible elements. In this paper, a review is done to highlight the research gap in the formulation of a mathematical model that incorporates tangible elements with intangible elements to measure the combat readiness of a military force. It highlights the missing link between the tangible and intangible elements of combat power. To bridge the gap and missing link, a mathematical model could be formulated that measures both the tangible and intangible aspects of combat readiness by establishing the relationship between the causal (tangible and intangible) elements and its effects on the measure of combat readiness. The model uses multiple regression analysis as well as mathematical modeling and simulation which digest the capability component reflecting its assets and resources, the morale component reflecting human needs, and the quality of life component reflecting soldiers' state of satisfaction in life. The results of the review provide a mean to bridge the research gap through the formulation of a mathematical model that shows the total measure of a military force's combat readiness. The results also significantly identify parameters for each of the variables and factors in the model.

  15. Demining Dogs in Colombia - A Review of Operational Challenges, Chemical Perspectives, and Practical Implications.

    PubMed

    Prada, Paola A; Chávez Rodríguez, Mario

    2016-07-01

    Within the framework of an internal armed conflict in Colombia, the use of antipersonnel mines by revolutionary armed forces represents a strategic factor for these groups. Antipersonnel mines are used by these revolutionary forces as a mean to hinder the advancement of the national armed forces in the recovery of territory and to protect tactical natural resources and illegal economies within a given area. These antipersonnel mines and improvised explosive devices (IEDs) are not of industrial manufacturing, and have a variety of activating mechanisms as well as non-metal materials which make them difficult for successful detection. The Colombian experience strongly represents the current need for advanced research and development of effective field operations within its affected territory. Current efforts are focused on a more operational demining perspective in coca cultivation sites in charge of mobile squadrons of eradication (EMCAR) from the National Police of Colombia working towards a future humanitarian demining upon an eventual peace process. The objectives of this review are not only to highlight already existing mine detection methods, but present a special emphasis on the role of mine detection canine teams in the context of this humanitarian issue in Colombia. This review seeks to bring together a description of chemical interactions of the environment with respect to landmine odor signatures, as well as mine detection dog operational perspectives for this specific detection task. The aim is to highlight that given the limited knowledge on the subject, there is a research gap that needs to be attended in order to efficiently establish optimal operating conditions for the reliable performance of mine detection dogs in Colombian demining field applications.

  16. Frailty and post-operative outcomes in older surgical patients: a systematic review.

    PubMed

    Lin, Hui-Shan; Watts, J N; Peel, N M; Hubbard, R E

    2016-08-31

    As the population ages, increasing numbers of older adults are undergoing surgery. Frailty is prevalent in older adults and may be a better predictor of post-operative morbidity and mortality than chronological age. The aim of this review was to examine the impact of frailty on adverse outcomes in the 'older old' and 'oldest old' surgical patients. A systematic review was undertaken. Electronic databases from 2010 to 2015 were searched to identify articles which evaluated the relationship between frailty and post-operative outcomes in surgical populations with a mean age of 75 and older. Articles were excluded if they were in non-English languages or if frailty was measured using a single marker only. Demographic data, type of surgery performed, frailty measure and impact of frailty on adverse outcomes were extracted from the selected studies. Quality of the studies and risk of bias was assessed by the Epidemiological Appraisal Instrument. Twenty-three studies were selected for the review and they were assessed as medium to high quality. The mean age ranged from 75 to 87 years, and included patients undergoing cardiac, oncological, general, vascular and hip fracture surgeries. There were 21 different instruments used to measure frailty. Regardless of how frailty was measured, the strongest evidence in terms of numbers of studies, consistency of results and study quality was for associations between frailty and increased mortality at 30 days, 90 days and one year follow-up, post-operative complications and length of stay. A small number of studies reported on discharge to institutional care, functional decline and lower quality of life after surgery, and also found a significant association with frailty. There was strong evidence that frailty in older-old and oldest-old surgical patients predicts post-operative mortality, complications, and prolonged length of stay. Frailty assessment may be a valuable tool in peri-operative assessment. It is possible that

  17. Trace formulas for a class of non-Fredholm operators: A review

    NASA Astrophysics Data System (ADS)

    Carey, Alan; Gesztesy, Fritz; Grosse, Harald; Levitina, Galina; Potapov, Denis; Sukochev, Fedor; Zanin, Dmitriy

    2016-11-01

    Take a one-parameter family of self-adjoint Fredholm operators {A(t)}t∈ℝ on a Hilbert space ℋ, joining endpoints A±. There is a long history of work on the question of whether the spectral flow along this path is given by the index of the operator DA = (d/dt) + A acting in L2(ℝ; ℋ), where A denotes the multiplication operator (Af)(t) = A(t)f(t) for f ∈dom(A). Most results are about the case where the operators A(ṡ) have compact resolvent. In this article, we review what is known when these operators have some essential spectrum and describe some new results. Using the operators H1 = DA∗D A, H2 = DADA∗, an abstract trace formula for Fredholm operators with essential spectrum was proved in [23], extending a result of Pushnitski [35], although, still under strong hypotheses on A(ṡ): trL2(ℝ;ℋ)((H2 - zI)-1 - (H 1 - zI)-1) = 1 2ztrL2(ℋ)(gz(A+) - gz(A-)), where gz(x) = x(x2 - z)-1/2, x ∈ ℝ, z ∈ ℂ\\[0,∞). Associated to the pairs (H2,H1) and (A+,A-) are Krein spectral shift functions ξ(ṡ; H2,H1) and ξ(ṡ; A+,A-), respectively. From the trace formula, it was shown that there is a second, Pushnitski-type, formula: ξ(λ; H2,H1) = 1 π∫-λ1/2λ1/2 ξ(ν; A+,A-)dν (λ - ν2)1/2 for a.e. λ > 0. This can be employed to establish the desired equality, Fredholm index = ξ(0; A+,A-) = spectral flow. This equality was generalized to non-Fredholm operators in [14] in the form Witten index = [ξR(0; A+,A-) + ξL(0; A+,A-)]/2, replacing the Fredholm index on the left-hand side by the Witten index of DA and ξ(0; A+,A-) on the right-hand side by an appropriate arithmetic mean (assuming 0 is a right and left Lebesgue point for ξ(ṡ; A+,A-) denoted by ξR(0; A+,A-) and ξL(0; A+,A-), respectively). But this applies only under the restrictive assumption that the endpoint A+ is a relatively trace class perturbation of A- (ruling out general differential operators). In addition to reviewing this previous work, we describe in this article some

  18. Review of Developments in Electronic, Clinical Data Collection, and Documentation Systems over the Last Decade – Are We Ready for Big Data in Routine Health Care?

    PubMed Central

    Kessel, Kerstin A.; Combs, Stephanie E.

    2016-01-01

    Recently, information availability has become more elaborate and widespread, and treatment decisions are based on a multitude of factors, including imaging, molecular or pathological markers, surgical results, and patient’s preference. In this context, the term “Big Data” evolved also in health care. The “hype” is heavily discussed in literature. In interdisciplinary medical specialties, such as radiation oncology, not only heterogeneous and voluminous amount of data must be evaluated but also spread in different styles across various information systems. Exactly this problem is also referred to in many ongoing discussions about Big Data – the “three V’s”: volume, velocity, and variety. We reviewed 895 articles extracted from the NCBI databases about current developments in electronic clinical data management systems and their further analysis or postprocessing procedures. Few articles show first ideas and ways to immediately make use of collected data, particularly imaging data. Many developments can be noticed in the field of clinical trial or analysis documentation, mobile devices for documentation, and genomics research. Using Big Data to advance medical research is definitely on the rise. Health care is perhaps the most comprehensive, important, and economically viable field of application. PMID:27066456

  19. Review of Developments in Electronic, Clinical Data Collection, and Documentation Systems over the Last Decade - Are We Ready for Big Data in Routine Health Care?

    PubMed

    Kessel, Kerstin A; Combs, Stephanie E

    2016-01-01

    Recently, information availability has become more elaborate and widespread, and treatment decisions are based on a multitude of factors, including imaging, molecular or pathological markers, surgical results, and patient's preference. In this context, the term "Big Data" evolved also in health care. The "hype" is heavily discussed in literature. In interdisciplinary medical specialties, such as radiation oncology, not only heterogeneous and voluminous amount of data must be evaluated but also spread in different styles across various information systems. Exactly this problem is also referred to in many ongoing discussions about Big Data - the "three V's": volume, velocity, and variety. We reviewed 895 articles extracted from the NCBI databases about current developments in electronic clinical data management systems and their further analysis or postprocessing procedures. Few articles show first ideas and ways to immediately make use of collected data, particularly imaging data. Many developments can be noticed in the field of clinical trial or analysis documentation, mobile devices for documentation, and genomics research. Using Big Data to advance medical research is definitely on the rise. Health care is perhaps the most comprehensive, important, and economically viable field of application.

  20. EPA's Review of Concentrated Animal Feeding Operation (CAFO) Permits and Nutrient Management Plans in the Chesapeake Bay Watershed

    EPA Pesticide Factsheets

    Starting in 2013, EPA conducted reviews of Concentrated Animal Feeding Operations (CAFOs) permits and nutrient management plans (NMPs) in six of the Bay jurisdictions (Delaware, Maryland, New York, Pennsylvania, Virginia and West Virginia).

  1. Review of Operational Challenges and Changing Conditions associated with Offshore Submerged Vertical Pumping Station

    NASA Astrophysics Data System (ADS)

    Samsudin, M. L.; Munisamy, K. M.; Thangaraju, S. K.

    2015-09-01

    Cooling water system is one of the essential auxiliary systems for a power generating plant. The decision to have an offshore pumping station, instead of onshore station, may have been driven by the scarcity in land area or for direct water supply access. However, the design has several disadvantages such as tendency for sediment intakes, limited condition monitoring activities and inaccessible sump for maintenance and modification. The paper reviews and lists several potential operational challenges and difficulties experienced with the offshore station. The influences of changing conditions such as varying seawater tide level, clogged intake screen, intake sedimentation issues and marine fouling on the sump walls and structures, are discussed and mitigating solutions are identified. While it is impractical to conduct physical model test for studying flow pattern, the CFD method can be an attractive assessment tools. In addition to this, a review of plant operating parameters can assist in identifying flow anomalies to anticipate potential deterioration. Finally the difficulty in incorporating the solutions to vortex and sediment problems within the sump is highlighted with preference for those which can be managed by limited access or those which are moveable with the vertical pump.

  2. Defining and Measuring College and Career Readiness: A Validation Framework

    ERIC Educational Resources Information Center

    Camara, Wayne

    2014-01-01

    This article reviews the intended uses of these college- and career-readiness assessments with the goal of articulating an appropriate validity argument to support such uses. These assessments differ fundamentally from today's state assessments employed for state accountability. Current assessments are used to determine if students have…

  3. Distance Education Readiness Assessments: An Overview and Application

    ERIC Educational Resources Information Center

    Gascoigne, Carolyn; Parnell, Juliette

    2014-01-01

    With the rise in online and hybrid courses at the post-secondary level, many institutions are offering various online learning readiness assessments to students who are considering these instructional formats. Following a discussion of the characteristics often attributed to successful online learners, as well as a review of a sample of the…

  4. Using Data to Promote Collaboration in Local School Readiness Systems

    ERIC Educational Resources Information Center

    Kingsley, G. Thomas; Hendey, Leah

    2010-01-01

    This brief reviews results of an Annie E. Casey Foundation sponsored project that challenged local data intermediaries in eight cities (all partners in the National Neighborhood Indicators Partnership, NNIP) to use their data to promote strengthening of their local school readiness systems. The project showed it was possible to develop rich…

  5. Defining and Measuring College and Career Readiness: A Validation Framework

    ERIC Educational Resources Information Center

    Camara, Wayne

    2014-01-01

    This article reviews the intended uses of these college- and career-readiness assessments with the goal of articulating an appropriate validity argument to support such uses. These assessments differ fundamentally from today's state assessments employed for state accountability. Current assessments are used to determine if students have…

  6. Financial Improvement and Audit Readiness (FIAR) Plan Status Report

    DTIC Science & Technology

    2011-05-01

    Federal Information Systems Controls Audit Manual ( FISCAM ) and Federal Information Security Management Act (FISMA) requirements. The review addresses...Controls Audit Manual ( FISCAM ) audit of the Automated Funds Management system that supports Budget Authority and Funds Distribution audit readiness...System Controls Audit Manual ( FISCAM ) guidance, focusing on controls with impact on the financial statements; and  Performance of the annual OMB

  7. Distance Education Readiness Assessments: An Overview and Application

    ERIC Educational Resources Information Center

    Gascoigne, Carolyn; Parnell, Juliette

    2014-01-01

    With the rise in online and hybrid courses at the post-secondary level, many institutions are offering various online learning readiness assessments to students who are considering these instructional formats. Following a discussion of the characteristics often attributed to successful online learners, as well as a review of a sample of the…

  8. Avoiding a Hollow Force: An Examination of Navy Readiness

    DTIC Science & Technology

    1996-04-01

    reduction of 32 percent. These cuts have raised fears that the Navy may once again be on the verge of a hollow force. Our review of the readiness...literature suggests that hollowness is a condition that keeps ships from living up to their design potential. It is the general state that persists

  9. Systematic review of the effectiveness of nursing interventions in reducing or relieving post-operative pain.

    PubMed

    Crowe, Linda; Chang, Anne; Fraser, Jennifer A; Gaskill, Deanne; Nash, Robyn; Wallace, Karen

    2008-12-01

    Objectives  The primary objective of this systematic review was to assess the effectiveness of nursing interventions for the relief/reduction of post-operative pain when compared with either standard care or other nursing interventions. Inclusion criteria  Types of studies This review included randomised controlled trials (RCTs) and other quasi-randomised experimental research designs. Types of participants Adults treated for post-operative pain in an acute care hospital. Types of interventions Interventions included in the review were only those directly administered by nursing staff such as: (i) administration of analgesia: including oral, intramuscular injection, patient controlled analgesia, epidural; (ii) pre-operative patient education; (iii) assessment and documentation of intensity of pain at regular intervals; (iv) protocols, clinical pathways or flow-sheets used in the management of pain; and (v) non-pharmacological interventions such as massage and relaxation. Types of outcome measures The primary outcome was the relief or reduction of post-operative pain. Other measures included analgesia consumption, patient satisfaction and length of hospital stay. Search strategy  Search terms were chosen after reviewing text words and MeSH terms in relevant articles and databases. A search for published and unpublished research covering the period 1985-2004 (inclusive) was conducted, using 11 major electronic databases. Reference lists of retrieved articles were hand searched. The search was restricted to reports published in English. Assessment of quality  The methodological quality of eligible studies was appraised by two independent reviewers, using a standardised critical appraisal tool. Differences in opinion were decided by consensus after discussion with a third investigator. Data extraction and analysis  Data were extracted from the studies that met the criteria for methodological quality. Two reviewers independently extracted data for each

  10. When Disaster Strikes Is Logistics and Contracting Support Ready?

    DTIC Science & Technology

    2011-09-27

    When Disaster Strikes Is Logistics and Contracting Support Ready? 27 September 2011 by Dr. Aruna Apte, Assistant Professor, and CDR (Ret...the Authors Dr. Aruna Apte has successfully completed various research projects, involving application of mathematical models and optimization...She has recently published a monograph on Humanitarian Logistics. Aruna received her PhD in Operations Research from Southern Methodist University

  11. GOES-R satellite solar panels ready for space

    NASA Astrophysics Data System (ADS)

    Wendel, JoAnna

    2014-07-01

    An array of five photovoltaic panels has been approved and is ready to be incorporated into the National Oceanic and Atmospheric Administration's (NOAA) new Geostationary Operational Environmental Satellites-R (GOES-R). GOES-R, a collaborative effort between NOAA and NASA, aims to provide more timely and accurate weather forecasts once in orbit. The satellite is scheduled to launch in early 2016.

  12. Faculty Perceptions of Change Readiness in Liberal Arts Colleges

    ERIC Educational Resources Information Center

    Rupert, Lyle M.

    2015-01-01

    Due to the increasingly competitive environment in which liberal arts colleges operate and the constantly changing needs of students, colleges must continuously adapt and change in order to survive. Due to the high probability of failure when implementing change, it would serve an institution well to increase its readiness to change. This study…

  13. School Personnel and Improvement Projects: Indicators of Readiness.

    ERIC Educational Resources Information Center

    Roberts, Jo

    A study was conducted to examine the perspective of planned change as a conscious, deliberate effort to improve systematic operations and to explore assumptions implicit in theory and literature regarding readiness for change. Entry data were collected at orientation and planning workshops for 42 League of Professional Schools teams from Georgia…

  14. A systematic review of pre-operative predictors of post-operative depression and anxiety in individuals who have undergone coronary artery bypass graft surgery.

    PubMed

    McKenzie, Louise H; Simpson, Jane; Stewart, Marie

    2010-01-01

    In addition to the physical benefits, another important objective of coronary artery bypass graft (CABG) surgery is improvement of health-related quality of life. The aim of this systematic review is to provide an overview of the literature relating to the pre-operative prediction of post-operative depression and anxiety in individuals who have undergone CABG surgery. Forty-six studies were identified through a literature search of electronic databases conducted using explicit inclusion and exclusion criteria. The study characteristics, methodological features, and psychometric and clinical outcomes were summarised in a systematic manner. Collective appraisal of the studies indicated that symptoms of depression and anxiety exhibited after CABG surgery are best predicted by pre-operative measures of functioning in that area. Papers were inconclusive with respect to the predictive qualities of gender and age. Further research is required to clarify the predictive values of these and other factors, including pre-morbid ill health and socio-economic status. The findings of this review indicate a range of pre-operative predictors of post-operative depression and anxiety in patients with CABG. Chief among these are pre-operative depression and anxiety. These findings have clinical implications concerning the importance of pre and post-operative psychological assessment and intervention for individuals at risk of poor psychological recovery.

  15. What is a Bristow-Latarjet procedure? A review of the described operative techniques and outcomes.

    PubMed

    Cowling, P D; Akhtar, M A; Liow, R Y L

    2016-09-01

    A variety of operative techniques have been described as under the term 'Bristow-Latarjet' procedure. This review aims to define the original procedure, and compare the variation in techniques described in the literature, assessing any effect on clinical outcomes. A systematic review of 24 studies was performed to compare specific steps of the technique (coracoid osteotomy site, subscapularis approach, orientation and position of coracoid graft fixation and fixation method, additional labral and capsular repair) and detect any effect this variability had on outcomes. Overall recurrence rate was 5.36% (2.94% to 43%). Half of the studies performed the procedure for recurrent shoulder instability, with only five studies documenting glenoid bone loss as an indication: 12 studies used the procedure as the primary surgical intervention for recurrent instability. No change in outcome was noted when examining variation in the coracoid osteotomy site, the fixation site on the scapular neck, the fixation method or whether a capsular repair was also performed. Performing a horizontal split in subscapularis may preserve external rotation compared with performing a tenotomy. This is the first review to examine various operative techniques of the Bristow-Latarjet procedure, and their effect on outcome. We found that other than the approach through subscapularis, outcome was independent of the surgical technique, and depended more on patient selection. We would commend future publications on this procedure to provide a detailed description of the surgical technique, and as a minimum present rates of recurrence as an outcome measure. Cite this article: Bone Joint J 2016;98-B:1208-14. ©2016 The British Editorial Society of Bone & Joint Surgery.

  16. Enhancing Power System Operational Flexibility With Flexible Ramping Products: A Review

    DOE PAGES

    Wang, Qin; Hodge, Bri-Mathias

    2016-12-09

    With the increased variability and uncertainty of net load induced from high penetrations of renewable energy resources and more flexible interchange schedules, power systems are facing great operational challenges in maintaining balance. Among these, the scarcity of ramp capability is an important culprit of power balance violations and high scarcity prices. To address this issue, market-based flexible ramping products (FRPs) have been proposed in the industry to improve the availability of ramp capacity. This paper presents an in-depth review of the modeling and implementation of FRPs. The major motivation is that although FRPs are widely discussed in the literature, itmore » is still unclear to many how they can be incorporated into a co-optimization framework that includes energy and ancillary services. The concept and a definition of power system operational flexibility as well as the needs for FRPs are introduced. The industrial practices of implementing FRPs under different market structures are presented. Market operation issues and future research topics are also discussed. In conclusion, this paper can provide researchers and power engineers with further insights into the state of the art, technical barriers, and potential directions for FRPs.« less

  17. Enhancing Power System Operational Flexibility With Flexible Ramping Products: A Review

    SciTech Connect

    Wang, Qin; Hodge, Bri-Mathias

    2016-12-09

    With the increased variability and uncertainty of net load induced from high penetrations of renewable energy resources and more flexible interchange schedules, power systems are facing great operational challenges in maintaining balance. Among these, the scarcity of ramp capability is an important culprit of power balance violations and high scarcity prices. To address this issue, market-based flexible ramping products (FRPs) have been proposed in the industry to improve the availability of ramp capacity. This paper presents an in-depth review of the modeling and implementation of FRPs. The major motivation is that although FRPs are widely discussed in the literature, it is still unclear to many how they can be incorporated into a co-optimization framework that includes energy and ancillary services. The concept and a definition of power system operational flexibility as well as the needs for FRPs are introduced. The industrial practices of implementing FRPs under different market structures are presented. Market operation issues and future research topics are also discussed. In conclusion, this paper can provide researchers and power engineers with further insights into the state of the art, technical barriers, and potential directions for FRPs.

  18. Military Food Inspection: Its History and Its Effect on Readiness

    DTIC Science & Technology

    1991-03-15

    DTIC TAB rj 0 JDistrli 1 to-._ tva~ bIl~ ...: S USAWC MILITARY STUDIES PAPER --- MILITARY FOOD INSPECTION: ITS HISTORY AND ITS EFFECT ON READINESS AN...Military Food Inspection: Its History and Its Effect on Readiness. 12. PERSONAL AUTHOR(S) LTC Henry W. Derstine 13a. TYPE OF REPORT 13b. TIME COVERED ’ 14...number) This study reviews the history of military food inspection from the years prior to the establishment of the U.S. Army Veterinary Corps in 1916

  19. Idaho National Laboratory Emergency Readiness Assurance Plan - Fiscal Year 2015

    SciTech Connect

    Farmer, Carl J.

    2015-09-01

    Department of Energy Order 151.1C, Comprehensive Emergency Management System requires that each Department of Energy field element documents readiness assurance activities, addressing emergency response planning and preparedness. Battelle Energy Alliance, LLC, as prime contractor at the Idaho National Laboratory (INL), has compiled this Emergency Readiness Assurance Plan to provide this assurance to the Department of Energy Idaho Operations Office. Stated emergency capabilities at the INL are sufficient to implement emergency plans. Summary tables augment descriptive paragraphs to provide easy access to data. Additionally, the plan furnishes budgeting, personnel, and planning forecasts for the next 5 years.

  20. 76 FR 38618 - Proposed Information Collection; Comment Request; StormReadyTM

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-01

    ...Ready\\TM\\, TsunamiReady\\TM\\ and StormReady/TsunamiReady\\TM\\ Application Forms AGENCY: National Oceanic... TsunamiReady and StormReady/TsunamiReady programs also in this information collection, is a voluntary...