Sample records for planning process called

  1. Resource Planning for Massive Number of Process Instances

    NASA Astrophysics Data System (ADS)

    Xu, Jiajie; Liu, Chengfei; Zhao, Xiaohui

    Resource allocation has been recognised as an important topic for business process execution. In this paper, we focus on planning resources for a massive number of process instances to meet the process requirements and cater for rational utilisation of resources before execution. After a motivating example, we present a model for planning resources for process instances. Then we design a set of heuristic rules that take both optimised planning at build time and instance dependencies at run time into account. Based on these rules we propose two strategies, one is called holistic and the other is called batched, for resource planning. Both strategies target a lower cost, however, the holistic strategy can achieve an earlier deadline while the batched strategy aims at rational use of resources. We discuss how to find balance between them in the paper with a comprehensive experimental study on these two approaches.

  2. Use of Web Technology to Access and Update College Plans

    ERIC Educational Resources Information Center

    Valeau, Edward J.; Luan, Jing

    2007-01-01

    In this study, the process and outcome of a web-based planning application, called Ports of Call, are discussed. The application allows college management to create, edit, and report out activities relating to college plans, all through a web browser. Its design was based on best practices in modern web technology and the application can be easily…

  3. Collaborative Planning in Process: An Ethnomethodological Perspective

    ERIC Educational Resources Information Center

    Lee, Josephine; Burch, Alfred Rue

    2017-01-01

    Following Ellis's (2005) call for more social and process-oriented planning research, this study explores how learners approach collaborative planning tasks in the classroom as a locally contingent activity in situ. Drawing on ethnomethodology and conversation analysis, the present study focuses on a group planning stage that precedes the final…

  4. Citizen Participation -- A Tool for Conflict Management on the Public Lands

    ERIC Educational Resources Information Center

    Irland, Lloyd C.

    1975-01-01

    The search for harmony in public land-use planning is a hopeless pursuit. A more realistic approach is a conflict management strategy that emphasizes concern for the planning process, rather than for the plan itself. The search for legitimate planning processes calls for the conscious building of citizen participation. (JG)

  5. Issues in knowledge representation to support maintainability: A case study in scientific data preparation

    NASA Technical Reports Server (NTRS)

    Chien, Steve; Kandt, R. Kirk; Roden, Joseph; Burleigh, Scott; King, Todd; Joy, Steve

    1992-01-01

    Scientific data preparation is the process of extracting usable scientific data from raw instrument data. This task involves noise detection (and subsequent noise classification and flagging or removal), extracting data from compressed forms, and construction of derivative or aggregate data (e.g. spectral densities or running averages). A software system called PIPE provides intelligent assistance to users developing scientific data preparation plans using a programming language called Master Plumber. PIPE provides this assistance capability by using a process description to create a dependency model of the scientific data preparation plan. This dependency model can then be used to verify syntactic and semantic constraints on processing steps to perform limited plan validation. PIPE also provides capabilities for using this model to assist in debugging faulty data preparation plans. In this case, the process model is used to focus the developer's attention upon those processing steps and data elements that were used in computing the faulty output values. Finally, the dependency model of a plan can be used to perform plan optimization and runtime estimation. These capabilities allow scientists to spend less time developing data preparation procedures and more time on scientific analysis tasks. Because the scientific data processing modules (called fittings) evolve to match scientists' needs, issues regarding maintainability are of prime importance in PIPE. This paper describes the PIPE system and describes how issues in maintainability affected the knowledge representation used in PIPE to capture knowledge about the behavior of fittings.

  6. Managing Dualities in Planned Change Initiatives

    ERIC Educational Resources Information Center

    Barge, J. Kevin; Lee, Michael; Maddux, Kristy; Nabring, Richard; Townsend, Bryan

    2008-01-01

    Dualities play an important role in creating the conditions for change and managing planned change initiatives. Building on Seo, Putnam, and Bartunek's (2003) work, this study focuses on the dualities associated with managing change processes. A case study of a planned change process called the Circle of Prosperity Initiative, a multi-stakeholder…

  7. The Intermountain West Region Waterbird Plan

    Treesearch

    Gary Ivey

    2005-01-01

    The planning process for the Intermountain West Region component of the North American Waterbird Conservation Plan began in November 2001. This is one of several region-specific plans being developed as part of the Waterbird Conservation for the Americas initiative (Kushlan et al. 2002), as called for in the North American Waterbird Conservation Plan. The plan...

  8. A qualitative study of sign-out processes between primary and on-call residents: relationships in information exchange, responsibility and accountability.

    PubMed

    Lee, Soo-Hoon; Fisher, Dale A; Mah, Heidi; Goh, Wei-Ping; Phan, Phillip H

    2017-10-01

    To review a quality improvement event on the process of sign-outs between the primary and on-call residents. A retrospective qualitative study using semi-structured interviews. A tertiary academic medical center in Singapore with 283 inpatient Medicine beds served by 28 consultants, 29 registrars, 45 residents and 30 interns during the day but 5 residents and 3 interns at night. Residents, registrars and consultants. Quality improvement event on sign-out. Effectiveness of sign-out comprises exchange of patient information, professional responsibility and task accountability. The following process of sign-outs was noted. Primary teams were accountable to the on-call resident by selecting at-risk patients and preparing contingency plans for sign-out. Structured information exchanged included patient history, active problems and plans of care. On-call residents took ownership of at-risk patients by actively asking questions during sign-out and reporting back the agreed care plan. On-call residents were accountable to the primary team by reporting back at-risk patients the next day. A structured information exchange at sign-out increased the on-call resident's ability to care for at-risk patients when it was supported by two-way transfers of responsibility and accountability. © The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  9. A Call for Strategic Planning: The Two-Year College Imperative.

    ERIC Educational Resources Information Center

    Masoner, David J.; Essex, Nathan, L.

    1987-01-01

    Addresses the imperative for strategic and tactical planning to support the viability of the two-year college. Describes a process for approaching strategic planning, comprising the following steps: self-identification, self-analysis, analysis of service area, informed decision making, and the development of a marketing plan. (CBC)

  10. Development of Computerized Monitoring of Education Plans.

    ERIC Educational Resources Information Center

    Greene, J. Weldon; And Others

    The District of Columbia Public Schools initiated a multiyear planning process in 1983. Among other activities, the process calls for the computerized monitoring of the critical tasks of each of the district's major offices. These tasks, defined by the offices, are designed to facilitate the achievement of specific objectives designated in the…

  11. Scenario Planning: A Phenomenological Examination of Influence on Organizational Learning and Decision-Making in a K-12 Public Education System

    ERIC Educational Resources Information Center

    Deklotz, Patricia F.

    2013-01-01

    Organizations commonly engage in long range planning to direct decisions. Scenario planning, one method of private sector planning, is recognized as useful when organizations are facing uncertainty. Scenario planning engages the organization in a process that produces plausible stories, called scenarios, describing the organization in several…

  12. Planning effectiveness may grow on fault trees.

    PubMed

    Chow, C W; Haddad, K; Mannino, B

    1991-10-01

    The first step of a strategic planning process--identifying and analyzing threats and opportunities--requires subjective judgments. By using an analytical tool known as a fault tree, healthcare administrators can reduce the unreliability of subjective decision making by creating a logical structure for problem solving and decision making. A case study of 11 healthcare administrators showed that an analysis technique called prospective hindsight can add to a fault tree's ability to improve a strategic planning process.

  13. Team table: a framework and tool for continuous factory planning

    NASA Astrophysics Data System (ADS)

    Sihn, Wilfried; Bischoff, Juergen; von Briel, Ralf; Josten, Marcus

    2000-10-01

    Growing market turbulences and shorter product life cycles require a continuous adaptation of factory structures resulting in a continuous factory planning process. Therefore a new framework is developed which focuses on configuration and data management process integration. This enable an online system performance evaluation based on continuous availability of current data. The use of this framework is especially helpful and will guarantee high cost and time savings, when used in the early stages of the planning, called the concept or rough planning phase. The new framework is supported by a planning round table as a tool for team-based configuration processes integrating the knowledge of all persons involved in planning processes. A case study conducted at a German company shows the advantages which can be achieved by implementing the new framework and methods.

  14. 42 CFR 423.128 - Dissemination of Part D plan information.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... plan sponsor's toll free customer service line or by accessing the plan sponsor's internet Web site. (8... redetermination processes via an Internet Web site; and (iii) A system that transmits codes to network pharmacies...— (1) A toll-free customer call center that— (i) Is open during usual business hours. (ii) Provides...

  15. Group Action Planning: An Innovative Manual for Building a Self-Determined Future.

    ERIC Educational Resources Information Center

    Anderson, Emma Longan; And Others

    This manual is designed to provide adolescents and young adults who have disabilities with a blueprint for setting and achieving goals, making decisions, acquiring needed supports, and achieving a self-determined and sustainable lifestyle. A planning process called Group Action Planning is used as a foundation for self-determination, with…

  16. 44 CFR 352.20 - Purpose and scope.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... providing Federal technical assistance to the licensee for developing its offsite emergency response plan... response functions which Federal agencies may be called upon to provide; (d) Describes the process for allocating responsibilities among Federal agencies for planning site-specific emergency response functions...

  17. 44 CFR 352.20 - Purpose and scope.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... providing Federal technical assistance to the licensee for developing its offsite emergency response plan... response functions which Federal agencies may be called upon to provide; (d) Describes the process for allocating responsibilities among Federal agencies for planning site-specific emergency response functions...

  18. 44 CFR 352.20 - Purpose and scope.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... providing Federal technical assistance to the licensee for developing its offsite emergency response plan... response functions which Federal agencies may be called upon to provide; (d) Describes the process for allocating responsibilities among Federal agencies for planning site-specific emergency response functions...

  19. 44 CFR 352.20 - Purpose and scope.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... providing Federal technical assistance to the licensee for developing its offsite emergency response plan... response functions which Federal agencies may be called upon to provide; (d) Describes the process for allocating responsibilities among Federal agencies for planning site-specific emergency response functions...

  20. A preliminary model of work during initial examination and treatment planning appointments.

    PubMed

    Irwin, J Y; Torres-Urquidy, M H; Schleyer, T; Monaco, V

    2009-01-10

    Objective This study's objective was to formally describe the work process for charting and treatment planning in general dental practice to inform the design of a new clinical computing environment.Methods Using a process called contextual inquiry, researchers observed 23 comprehensive examination and treatment planning sessions during 14 visits to 12 general US dental offices. For each visit, field notes were analysed and reformulated as formalised models. Subsequently, each model type was consolidated across all offices and visits. Interruptions to the workflow, called breakdowns, were identified.Results Clinical work during dental examination and treatment planning appointments is a highly collaborative activity involving dentists, hygienists and assistants. Personnel with multiple overlapping roles complete complex multi-step tasks supported by a large and varied collection of equipment, artifacts and technology. Most of the breakdowns were related to technology which interrupted the workflow, caused rework and increased the number of steps in work processes.Conclusion Current dental software could be significantly improved with regard to its support for communication and collaboration, workflow, information design and presentation, information content, and data entry.

  1. Reengineering the picture archiving and communication system (PACS) process for digital imaging networks PACS.

    PubMed

    Horton, M C; Lewis, T E; Kinsey, T V

    1999-05-01

    Prior to June 1997, military picture archiving and communications systems (PACS) were planned, procured, and installed with key decisions on the system, equipment, and even funding sources made through a research and development office called Medical Diagnostic Imaging Systems (MDIS). Beginning in June 1997, the Joint Imaging Technology Project Office (JITPO) initiated a collaborative and consultative process for planning and implementing PACS into military treatment facilities through a new Department of Defense (DoD) contract vehicle called digital imaging networks (DIN)-PACS. The JITPO reengineered this process incorporating multiple organizations and politics. The reengineered PACS process administered through the JITPO transformed the decision process and accountability from a single office to a consultative method that increased end-user knowledge, responsibility, and ownership in PACS. The JITPO continues to provide information and services that assist multiple groups and users in rendering PACS planning and implementation decisions. Local site project managers are involved from the outset and this end-user collaboration has made the sometimes difficult transition to PACS an easier and more acceptable process for all involved. Corporately, this process saved DoD sites millions by having PACS plans developed within the government and proposed to vendors second, and then having vendors respond specifically to those plans. The integrity and efficiency of the process have reduced the opportunity for implementing nonstandard systems while sharing resources and reducing wasted government dollars. This presentation will describe the chronology of changes, encountered obstacles, and lessons learned within the reengineering of the PACS process for DIN-PACS.

  2. VPipe: Virtual Pipelining for Scheduling of DAG Stream Query Plans

    NASA Astrophysics Data System (ADS)

    Wang, Song; Gupta, Chetan; Mehta, Abhay

    There are data streams all around us that can be harnessed for tremendous business and personal advantage. For an enterprise-level stream processing system such as CHAOS [1] (Continuous, Heterogeneous Analytic Over Streams), handling of complex query plans with resource constraints is challenging. While several scheduling strategies exist for stream processing, efficient scheduling of complex DAG query plans is still largely unsolved. In this paper, we propose a novel execution scheme for scheduling complex directed acyclic graph (DAG) query plans with meta-data enriched stream tuples. Our solution, called Virtual Pipelined Chain (or VPipe Chain for short), effectively extends the "Chain" pipelining scheduling approach to complex DAG query plans.

  3. 77 FR 30315 - Notice of Intent To Amend the 1985 Michigan Resource Management Plan and Associated Environmental...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-22

    ... may submit comments on issues and planning criteria related to the 1985 Michigan RMP Amendment by any... the deaf (TDD) may call the Federal Information Relay Service (FIRS) at 1- 800-877-8339 to contact the... Michigan RMP, announces the beginning of the scoping process, and seeks public input on issues and planning...

  4. Career Development Strivings: Assessing Goals and Motivation in Career Decision-Making and Planning

    ERIC Educational Resources Information Center

    Dik, Bryan J.; Sargent, Adam M.; Steger, Michael F.

    2008-01-01

    This article describes and demonstrates a novel approach to assessing goals and motives among individuals engaged in the career decision-making and planning process. Participants generated five career development strivings, rated each striving along several dimensions (self-efficacy, outcome expectations, sense of calling, spiritual significance,…

  5. How Can Educational Planning Be Rational? A Consideration of the Process of Educational Planning in Terms of the Problem of Rationality in the Social World.

    ERIC Educational Resources Information Center

    McGrath, Helen Marie

    This paper takes up an issue that is currently being debated in the educational planning literature--the adequacy of the central assumption of rationality in the formulation of public policy planning. It identifies the nature of the rationality that is being called into question and rephrases the debate in terms of the tenability of an assumption…

  6. Best Manufacturing Practices Survey Conducted at Litton Data Systems Division, Van Nuys, California

    DTIC Science & Technology

    1988-10-01

    Hardware and Software ................................ 10 DESIGN RELEASE Engineering Change Order Processing and Analysis...structured using bridges to isolate local traffic. Long term plans call for a wide-band network. ENGINEERING CHANGE ORDER PROCESSING AND ANALYSIS

  7. 78 FR 28621 - Notice of Dominguez-Escalante National Conservation Area Advisory Council Meeting Cancellation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-15

    ...: [email protected] . Persons who use a telecommunications device for the deaf (TDD) may call the Federal... 10-member council advises the Secretary of the Interior, through the BLM, on a variety of planning and management issues associated with the resource management planning process for the Dominguez...

  8. 78 FR 72699 - Notice of Resource Advisory Council Meeting for the Dominguez-Escalante National Conservation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-03

    ... telecommunications device for the deaf (TDD) may call the Federal Information Relay Service (FIRS) at 1-800-877-8339... Secretary of the Interior, through the BLM, on a variety of planning and management issues associated with...: recreation, fire management, land-use planning process, invasive species management, travel management...

  9. Occupational Orientation: A Necessary Step in Educational and Vocational Planning

    ERIC Educational Resources Information Center

    Hemp, Paul E.; Walker, Robert W.

    1973-01-01

    Students who have participated in career exploration programs have often been undecided at the end of the program. The phase of the process where they must make an occupational choice is called occupational orientation. After this step plans can be developed for educational preparation for entry into the chosen field. (KP)

  10. A Metadata Action Language

    NASA Technical Reports Server (NTRS)

    Golden, Keith; Clancy, Dan (Technical Monitor)

    2001-01-01

    The data management problem comprises data processing and data tracking. Data processing is the creation of new data based on existing data sources. Data tracking consists of storing metadata descriptions of available data. This paper addresses the data management problem by casting it as an AI planning problem. Actions are data-processing commands, plans are dataflow programs and goals are metadata descriptions of desired data products. Data manipulation is simply plan generation and execution, and a key component of data tracking is inferring the effects of an observed plan. We introduce a new action language for data management domains, called ADILM. We discuss the connection between data processing and information integration and show how a language for the latter must be modified to support the former. The paper also discusses information gathering within a data-processing framework, and show how ADILM metadata expressions are a generalization of Local Completeness.

  11. Connecting Neighborhood Councils and City Agencies--Evaluation of the Learning and Design Forums and Role of the University as a Mediating Institution

    ERIC Educational Resources Information Center

    Kathi, Pradeep Chandra

    2012-01-01

    The School of Planning Policy and Development at the University of Southern California brought together representatives of neighborhood councils and city agencies of the city of Los Angeles together in an action research program. This action research program called the Collaborative Learning Project developed a collaboration process called the…

  12. Space Technology for Book Preservation

    NASA Technical Reports Server (NTRS)

    1983-01-01

    The Library of Congress has patented a process to extend book life. It is called vapor phased deacidification, and involves the use of DEZ (diethyl zinc), a chemical vapor which neutralizes acid and deposits an alkaline reserve on book pages. As the process must be done in an airless environment, the library utilized Goddard Space Flight Center's vacuum chamber for deacidification. The chamber can treat 5,000 books at once, and a new facility is planned. The Library plans to license the technology to private companies; several universities are interested in the process.

  13. Designing a Strategic Plan through an Emerging Knowledge Generation Process: The ATM Experience

    ERIC Educational Resources Information Center

    Zanotti, Francesco

    2012-01-01

    Purpose: The aim of this contribution is to describe a new methodology for designing strategic plans and how it was implemented by ATM, a public transportation agency based in Milan, Italy. Design/methodology/approach: This methodology is founded on a new system theory, called "quantum systemics". It is based on models and metaphors both…

  14. Would You Follow Your Own Route Description? Cognitive Strategies in Urban Route Planning

    ERIC Educational Resources Information Center

    Holscher, Christoph; Tenbrink, Thora; Wiener, Jan M.

    2011-01-01

    This paper disentangles cognitive and communicative factors influencing planning strategies in the everyday task of choosing a route to a familiar location. Describing the way for a stranger in town calls for fundamentally different cognitive processes and strategies than actually walking to a destination. In a series of experiments, this paper…

  15. Operational Planning for Multiple Heterogeneous Unmanned Aerial Vehicles in Three Dimensions

    DTIC Science & Technology

    2009-06-01

    human input in the planning process. Two solution methods are presented: (1) a mixed-integer program, and (2) an algorithm that utilizes a metaheuristic ...and (2) an algorithm that utilizes a metaheuristic to generate composite variables for a linear program, called the Composite Operations Planning...that represent a path and an associated type of UAV. The reformulation is incorporated into an algorithm that uses a metaheuristic to generate the

  16. Strategic planning for the International Space Station

    NASA Technical Reports Server (NTRS)

    Griner, Carolyn S.

    1990-01-01

    The concept for utilization and operations planning for the International Space Station Freedom was developed in a NASA Space Station Operations Task Force in 1986. Since that time the concept has been further refined to definitize the process and products required to integrate the needs of the international user community with the operational capabilities of the Station in its evolving configuration. The keystone to the process is the development of individual plans by the partners, with the parameters and formats common to the degree that electronic communications techniques can be effectively utilized, while maintaining the proper level and location of configuration control. The integration, evaluation, and verification of the integrated plan, called the Consolidated Operations and Utilization Plan (COUP), is being tested in a multilateral environment to prove out the parameters, interfaces, and process details necessary to produce the first COUP for Space Station in 1991. This paper will describe the concept, process, and the status of the multilateral test case.

  17. Convergence Properties of a Class of Probabilistic Adaptive Schemes Called Sequential Reproductive Plans. Psychology and Education Series, Technical Report No. 210.

    ERIC Educational Resources Information Center

    Martin, Nancy

    Presented is a technical report concerning the use of a mathematical model describing certain aspects of the duplication and selection processes in natural genetic adaptation. This reproductive plan/model occurs in artificial genetics (the use of ideas from genetics to develop general problem solving techniques for computers). The reproductive…

  18. Building successful coalitions for promoting advance care planning.

    PubMed

    Marchand, Lucille; Fowler, Kathryn J; Kokanovic, Obrad

    2006-01-01

    Advance care planning (ACP) has had few successful initiatives. This qualitative study explores the challenges and successes of an advance care planning coalition in Wisconsin called Life Planning 2000 using key informant interviews (n = 24) and grounded theory. Major themes included: commitment (the need for leadership, recruitment of key members, and funding); cohesiveness (disparate groups collaborating toward a common purpose), and outcomes (shift in paradigm from signing documents to process of advanced care planning, new-found collaborative relationships, and educational tool development). Coalitions need to define short-, intermediate-, and long-term goals that result in measurable outcomes and an evaluation process. Resources must be commensurate with goals. Strong leadership, paid staff adequate funding, and the collaboration of diverse groups working toward common goals are the basic requirements of a successful coalition.

  19. The arrival of economic evidence in managed care formulary decisions: the unsolicited request process.

    PubMed

    Neumann, Peter J

    2005-07-01

    Managed care plans have traditionally resisted using economic evidence explicitly in drug formulary decisions, even as they used ever more aggressive and sophisticated processes for managing care. In recent years, this has changed as health plans have begun to adopt evidence-based and value-based formulary submission guidelines. The guidelines have the potential to serve as a national unifying template for pharmacy and therapeutics committees to consider clinical and economic information in a systematic and rigorous fashion. However, many questions remain about their use and about the nature of communications (called "unsolicited requests") from plans to drug companies for information. This article describes the unsolicited request process and its potential impact on the use of economic evidence in formulary decisions.

  20. An Analytic Hierarchy Process for School Quality and Inspection: Model Development and Application

    ERIC Educational Resources Information Center

    Al Qubaisi, Amal; Badri, Masood; Mohaidat, Jihad; Al Dhaheri, Hamad; Yang, Guang; Al Rashedi, Asma; Greer, Kenneth

    2016-01-01

    Purpose: The purpose of this paper is to develop an analytic hierarchy planning-based framework to establish criteria weights and to develop a school performance system commonly called school inspections. Design/methodology/approach: The analytic hierarchy process (AHP) model uses pairwise comparisons and a measurement scale to generate the…

  1. A Teacher Activist's Response to Schools Closing

    ERIC Educational Resources Information Center

    Reed, Sam, III

    2013-01-01

    In this article, the author presents his thoughts, as a teacher activist, on the school closing process in Philadelphia, particularly the effect of the closing process on Beeber Middle School and its response to the closing. The District's Facilities Master Plan originally called for closing 37 schools, Some schools were removed from the closing…

  2. Data Products on Cloud

    NASA Technical Reports Server (NTRS)

    Ly, Vuong T.; Mandl, Daniel J.

    2014-01-01

    This presentation lays out the data processing products that exist and are planned for the Matsu cloud for Earth Observing 1. The presentation focuses on a new feature called co-registration of Earth Observing 1 with Landsat Global Land Survey chips.

  3. The application of Markov decision process with penalty function in restaurant delivery robot

    NASA Astrophysics Data System (ADS)

    Wang, Yong; Hu, Zhen; Wang, Ying

    2017-05-01

    As the restaurant delivery robot is often in a dynamic and complex environment, including the chairs inadvertently moved to the channel and customers coming and going. The traditional Markov decision process path planning algorithm is not save, the robot is very close to the table and chairs. To solve this problem, this paper proposes the Markov Decision Process with a penalty term called MDPPT path planning algorithm according to the traditional Markov decision process (MDP). For MDP, if the restaurant delivery robot bumps into an obstacle, the reward it receives is part of the current status reward. For the MDPPT, the reward it receives not only the part of the current status but also a negative constant term. Simulation results show that the MDPPT algorithm can plan a more secure path.

  4. SUSTAIN - A BMP Process and Placement Tool for Urban Watersheds (Poster)

    EPA Science Inventory

    To assist stormwater management professionals in planning for best management practices (BMPs) and low-impact developments (LIDs) implementation, USEPA is developing a decision support system, called the System for Urban Stormwater Treatment and Analysis INtegration (SUSTAIN). ...

  5. International Summit Consensus Statement: Intellectual Disability Inclusion in National Dementia Plans.

    PubMed

    Watchman, Karen; Janicki, Matthew P; Splaine, Michael; Larsen, Frode K; Gomiero, Tiziano; Lucchino, Ronald

    2017-06-01

    The World Health Organization (WHO) has called for the development and adoption of national plans or strategies to guide public policy and set goals for services, supports, and research related to dementia. It called for distinct populations to be included within national plans, including adults with intellectual disability (ID). Inclusion of this group is important as having Down's syndrome is a significant risk factor for early-onset dementia. Adults with other ID may have specific needs for dementia-related care that, if unmet, can lead to diminished quality of old age. An International Summit on Intellectual Disability and Dementia, held in Scotland, reviewed the inclusion of ID in national plans and recommended that inclusion goes beyond just description and relevance of ID. Reviews of national plans and reports on dementia show minimal consideration of ID and the challenges that carers face. The Summit recommended that persons with ID, as well as family carers, should be included in consultation processes, and greater advocacy is required from national organizations on behalf of families, with need for an infrastructure in health and social care that supports quality care for dementia.

  6. Integration Framework of Process Planning based on Resource Independent Operation Summary to Support Collaborative Manufacturing

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

    Kulvatunyou, Boonserm; Wysk, Richard A.; Cho, Hyunbo

    2004-06-01

    In today's global manufacturing environment, manufacturing functions are distributed as never before. Design, engineering, fabrication, and assembly of new products are done routinely in many different enterprises scattered around the world. Successful business transactions require the sharing of design and engineering data on an unprecedented scale. This paper describes a framework that facilitates the collaboration of engineering tasks, particularly process planning and analysis, to support such globalized manufacturing activities. The information models of data and the software components that integrate those information models are described. The integration framework uses an Integrated Product and Process Data (IPPD) representation called a Resourcemore » Independent Operation Summary (RIOS) to facilitate the communication of business and manufacturing requirements. Hierarchical process modeling, process planning decomposition and an augmented AND/OR directed graph are used in this representation. The Resource Specific Process Planning (RSPP) module assigns required equipment and tools, selects process parameters, and determines manufacturing costs based on two-level hierarchical RIOS data. The shop floor knowledge (resource and process knowledge) and a hybrid approach (heuristic and linear programming) to linearize the AND/OR graph provide the basis for the planning. Finally, a prototype system is developed and demonstrated with an exemplary part. Java and XML (Extensible Markup Language) are used to ensure software and information portability.« less

  7. [Quality planning of Family Health Units using Quality Function Deployment (QFD)].

    PubMed

    Volpato, Luciana Fernandes; Meneghim, Marcelo de Castro; Pereira, Antonio Carlos; Ambrosano, Gláucia Maria Bovi

    2010-08-01

    Quality is an indispensible requirement in the health field, and its pursuit is necessary in order to meet demands by a population that is aware of its rights, as part of the essence of good work relations, and to decrease technological costs. Quality thus involves all parties to the process (users and professionals), and is no longer merely an attribute of the health service. This study aimed to verify the possibility of quality planning in the Family Health Units, using Quality Function Deployment (QFD). QFD plans quality according to user satisfaction, involving staff professionals and identifying new approaches to improve work processes. Development of the array, called the House of Quality, is this method's most important characteristics. The results show a similarity between the quality demanded by users and the quality planned by professionals. The current study showed that QFD is an efficient tool for quality planning in public health services.

  8. An approach to knowledge engineering to support knowledge-based simulation of payload ground processing at the Kennedy Space Center

    NASA Technical Reports Server (NTRS)

    Mcmanus, Shawn; Mcdaniel, Michael

    1989-01-01

    Planning for processing payloads was always difficult and time-consuming. With the advent of Space Station Freedom and its capability to support a myriad of complex payloads, the planning to support this ground processing maze involves thousands of man-hours of often tedious data manipulation. To provide the capability to analyze various processing schedules, an object oriented knowledge-based simulation environment called the Advanced Generic Accomodations Planning Environment (AGAPE) is being developed. Having nearly completed the baseline system, the emphasis in this paper is directed toward rule definition and its relation to model development and simulation. The focus is specifically on the methodologies implemented during knowledge acquisition, analysis, and representation within the AGAPE rule structure. A model is provided to illustrate the concepts presented. The approach demonstrates a framework for AGAPE rule development to assist expert system development.

  9. DPADL: An Action Language for Data Processing Domains

    NASA Technical Reports Server (NTRS)

    Golden, Keith; Clancy, Daniel (Technical Monitor)

    2002-01-01

    This paper presents DPADL (Data Processing Action Description Language), a language for describing planning domains that involve data processing. DPADL is a declarative object-oriented language that supports constraints and embedded Java code, object creation and copying, explicit inputs and outputs for actions, and metadata descriptions of existing and desired data. DPADL is supported by the IMAGEbot system, which will provide automation for an ecosystem forecasting system called TOPS.

  10. NASA Institute for Advanced Concepts

    NASA Technical Reports Server (NTRS)

    Cassanova, Robert A.

    1999-01-01

    The purpose of NASA Institute for Advanced Concepts (NIAC) is to provide an independent, open forum for the external analysis and definition of space and aeronautics advanced concepts to complement the advanced concepts activities conducted within the NASA Enterprises. The NIAC will issue Calls for Proposals during each year of operation and will select revolutionary advanced concepts for grant or contract awards through a peer review process. Final selection of awards will be with the concurrence of NASA's Chief Technologist. The operation of the NIAC is reviewed biannually by the NIAC Science, Exploration and Technology Council (NSETC) whose members are drawn from the senior levels of industry and universities. The process of defining the technical scope of the initial Call for Proposals was begun with the NIAC "Grand Challenges" workshop conducted on May 21-22, 1998 in Columbia, Maryland. These "Grand Challenges" resulting from this workshop became the essence of the technical scope for the first Phase I Call for Proposals which was released on June 19, 1998 with a due date of July 31, 1998. The first Phase I Call for Proposals attracted 119 proposals. After a thorough peer review, prioritization by NIAC and technical concurrence by NASA, sixteen subgrants were awarded. The second Phase I Call for Proposals was released on November 23, 1998 with a due date of January 31, 1999. Sixty-three (63) proposals were received in response to this Call. On December 2-3, 1998, the NSETC met to review the progress and future plans of the NIAC. The next NSETC meeting is scheduled for August 5-6, 1999. The first Phase II Call for Proposals was released to the current Phase I grantees on February 3,1999 with a due date of May 31, 1999. Plans for the second year of the contract include a continuation of the sequence of Phase I and Phase II Calls for Proposals and hosting the first NIAC Annual Meeting and USRA/NIAC Technical Symposium in NASA HQ.

  11. Alternative to Nitric Acid for Passivation of Stainless Steel Alloys

    NASA Technical Reports Server (NTRS)

    Lewis, Pattie L.; Kolody, Mark; Curran, Jerry

    2013-01-01

    Corrosion is an extensive problem that affects the Department of Defense (DoD) and National Aeronautics and Space Administration (NASA). The deleterious effects of corrosion result in steep costs, asset downtime affecting mission readiness, and safety risks to personnel. Consequently, it is vital to reduce corrosion costs and risks in a sustainable manner. The DoD and NASA have numerous structures and equipment that are fabricated from stainless steel. The standard practice for protection of stainless steel is a process called passivation. Typical passivation procedures call for the use of nitric acid; however, there are a number of environmental, worker safety, and operational issues associated with its use. Citric acid offers a variety of benefits including increased safety for personnel, reduced environmental impact, and reduced operational cost. DoD and NASA agreed to collaborate to validate citric acid as an acceptable passivating agent for stainless steel. This paper details our investigation of prior work developing the citric acid passivation process, development of the test plan, optimization of the process for specific stainless steel alloys, ongoing and planned testing to elucidate the process' resistance to corrosion in comparison to nitric acid, and preliminary results.

  12. PLAN-IT-2: The next generation planning and scheduling tool

    NASA Technical Reports Server (NTRS)

    Eggemeyer, William C.; Cruz, Jennifer W.

    1990-01-01

    PLAN-IT is a scheduling program which has been demonstrated and evaluated in a variety of scheduling domains. The capability enhancements being made for the next generation of PLAN-IT, called PLAN-IT-2 is discussed. PLAN-IT-2 represents a complete rewrite of the original PLAN-IT incorporating major changes as suggested by the application experiences with the original PLAN-IT. A few of the enhancements described are additional types of constraints, such as states and resettable-depletables (batteries), dependencies between constraints, multiple levels of activity planning during the scheduling process, pattern constraint searching for opportunities as opposed to just minimizing the amount of conflicts, additional customization construction features for display and handling of diverse multiple time systems, and reduction in both the size and the complexity for creating the knowledge-base to address the different problem domains.

  13. Catching errors with patient-specific pretreatment machine log file analysis.

    PubMed

    Rangaraj, Dharanipathy; Zhu, Mingyao; Yang, Deshan; Palaniswaamy, Geethpriya; Yaddanapudi, Sridhar; Wooten, Omar H; Brame, Scott; Mutic, Sasa

    2013-01-01

    A robust, efficient, and reliable quality assurance (QA) process is highly desired for modern external beam radiation therapy treatments. Here, we report the results of a semiautomatic, pretreatment, patient-specific QA process based on dynamic machine log file analysis clinically implemented for intensity modulated radiation therapy (IMRT) treatments delivered by high energy linear accelerators (Varian 2100/2300 EX, Trilogy, iX-D, Varian Medical Systems Inc, Palo Alto, CA). The multileaf collimator machine (MLC) log files are called Dynalog by Varian. Using an in-house developed computer program called "Dynalog QA," we automatically compare the beam delivery parameters in the log files that are generated during pretreatment point dose verification measurements, with the treatment plan to determine any discrepancies in IMRT deliveries. Fluence maps are constructed and compared between the delivered and planned beams. Since clinical introduction in June 2009, 912 machine log file analyses QA were performed by the end of 2010. Among these, 14 errors causing dosimetric deviation were detected and required further investigation and intervention. These errors were the result of human operating mistakes, flawed treatment planning, and data modification during plan file transfer. Minor errors were also reported in 174 other log file analyses, some of which stemmed from false positives and unreliable results; the origins of these are discussed herein. It has been demonstrated that the machine log file analysis is a robust, efficient, and reliable QA process capable of detecting errors originating from human mistakes, flawed planning, and data transfer problems. The possibility of detecting these errors is low using point and planar dosimetric measurements. Copyright © 2013 American Society for Radiation Oncology. Published by Elsevier Inc. All rights reserved.

  14. The National Educational Technology Plan Doesn't Live up to Its Call for Revolutionary Transformation

    ERIC Educational Resources Information Center

    Rose, Raymond M.

    2011-01-01

    The National Educational Technology Plan (NETP) calls for the revolutionary transformation of the American educational system. The plan correctly points to the decisions of the late 1800s that still direct educational policy today, and correctly calls the school change efforts evolutionary tinkering. The author, a pioneer in online education…

  15. ABA Southern Region Burn disaster plan: the process of creating and experience with the ABA southern region burn disaster plan.

    PubMed

    Kearns, Randy D; Cairns, Bruce A; Hickerson, William L; Holmes, James H

    2014-01-01

    The Southern Region of the American Burn Association began to craft a regional plan to address a surge of burn-injured patients after a mass casualty event in 2004. Published in 2006, this plan has been tested through modeling, exercise, and actual events. This article focuses on the process of how the plan was created, how it was tested, and how it interfaces with other ongoing efforts on preparedness. One key to success regarding how people respond to a disaster can be traced to preexisting relationships and collaborations. These activities would include training or working together and building trust long before the crisis. Knowing who you can call and rely on when you need help, within the context of your plan, can be pivotal in successfully managing a disaster. This article describes how a coalition of burn center leaders came together. Their ongoing personal association has facilitated the development of planning activities and has kept the process dynamic. This article also includes several of the building blocks for developing a plan from creation to composition, implementation, and testing. The plan discussed here is an example of linking leadership, relationships, process, and documentation together. On the basis of these experiences, the authors believe these elements are present in other regions. The intent of this work is to share an experience and to offer it as a guide to aid others in their regional burn disaster planning efforts.

  16. OGC Dashboard

    EPA Pesticide Factsheets

    The Office of General Counsel (OGC) has an ongoing business process engineering and business process automation initiative which has helped the office reduce administrative labor costs while increasing employee effectiveness. Supporting this effort is a system of automated routines accessible through a portal' interface called OGC Dashboard. The dashboard helps OGC track work progress, legal case load, written work products such as legal briefs and advice, and scheduling processes such as employee leave plans (via calendar) and travel compensatory time off.

  17. Implementation of the EU Noise Directive in Process of Urban Planning in Poland

    NASA Astrophysics Data System (ADS)

    Kwiecień, J.; Szopińska, K.

    2013-05-01

    In Poland spatial planning policies are described by a system of planning documents controlled by act of Spatial Planning and Land Development of 27 March 2003. Sustainable development principle and spatial order form is the basis of spatial planning efforts. In the territory of Poland the manner of urban space management is defined by a planning document called Local Land Use Plan (LLUP). In a LLUP some issues are arranged, such as the purpose of a given area, location of public purpose investments, land development conditions. When analysing the development process of Polish cities, an obvious conclusion emerges about the lack of complex studies and researches of the environment concerning the issue of acoustic climate. The procedures of development of an LLUP involve merely a general diagnosis of an environment excluding measured values of pollution, including noise levels. The main aim of this article is to introduce the influence of acoustic climate on the urban space planning in Poland through the implementation of the provisions of Directive 2002/49/WE of the European Parliament and the Council of Europe from 25 June 2002. Moreover, in the stages of an LLUP implementations have been suggested the use of a Strategic Noise Map, being a tool for assisting the process of environmental noise level assessment in Poland.

  18. Succession planning: a call to action for nurse executives.

    PubMed

    Trepanier, Sylvain; Crenshaw, Jeannette T

    2013-10-01

    To discuss the organisational benefits of strategic succession planning in acute care hospital settings as a responsibility of chief nurse executives. A formal succession planning process is crucial to the financial and operational viability and sustainability of acute care hospitals. A succession plan is an essential business strategy that promotes effective leadership transition and continuity while maintaining productivity. Nursing and business literature were reviewed; reports contrasting institutions with and without succession plans were examined; and, operational implications were considered. It is imperative that chief nurse executives respond to the business benefits of an effective succession planning programme, identify common barriers and solutions, and implement best practices for a successful strategic succession planning programme. A strategic succession planning programme may offer many benefits to an acute care hospital, including improved retention rates, increased staff engagement and enhanced financial performance. Considering the ageing nursing workforce and the potential increase in demand for nursing services in the near future, nurse executives and other nurse leaders must actively engage in a formal succession planning process. A formal succession planning programme will help to provide strategic leadership continuity, operational effectiveness and improved quality of care. © 2013 John Wiley & Sons Ltd.

  19. The generic task toolset: High level languages for the construction of planning and problem solving systems

    NASA Technical Reports Server (NTRS)

    Chandrasekaran, B.; Josephson, J.; Herman, D.

    1987-01-01

    The current generation of languages for the construction of knowledge-based systems as being at too low a level of abstraction is criticized, and the need for higher level languages for building problem solving systems is advanced. A notion of generic information processing tasks in knowledge-based problem solving is introduced. A toolset which can be used to build expert systems in a way that enhances intelligibility and productivity in knowledge acquistion and system construction is described. The power of these ideas is illustrated by paying special attention to a high level language called DSPL. A description is given of how it was used in the construction of a system called MPA, which assists with planning in the domain of offensive counter air missions.

  20. Agile Learning: Sprinting through the Semester

    ERIC Educational Resources Information Center

    Lang, Guido

    2017-01-01

    This paper introduces agile learning, a novel pedagogical approach that applies the processes and principles of agile software development to the context of learning. Agile learning is characterized by short project cycles, called sprints, in which a usable deliverable is fully planned, designed, built, tested, reviewed, and launched. An…

  1. The Strategic Thinking Process: Efficient Mobilization of Human Resources for System Definition

    PubMed Central

    Covvey, H. D.

    1987-01-01

    This paper describes the application of several group management techniques to the creation of needs specifications and information systems strategic plans in health care institutions. The overall process is called the “Strategic Thinking Process”. It is a formal methodology that can reduce the time and cost of creating key documents essential for the successful implementation of health care information systems.

  2. Development of an autonomous treatment planning strategy for radiation therapy with effective use of population-based prior data.

    PubMed

    Wang, Huan; Dong, Peng; Liu, Hongcheng; Xing, Lei

    2017-02-01

    Current treatment planning remains a costly and labor intensive procedure and requires multiple trial-and-error adjustments of system parameters such as the weighting factors and prescriptions. The purpose of this work is to develop an autonomous treatment planning strategy with effective use of prior knowledge and in a clinically realistic treatment planning platform to facilitate radiation therapy workflow. Our technique consists of three major components: (i) a clinical treatment planning system (TPS); (ii) a formulation of decision-function constructed using an assemble of prior treatment plans; (iii) a plan evaluator or decision-function and an outer-loop optimization independent of the clinical TPS to assess the TPS-generated plan and to drive the search toward a solution optimizing the decision-function. Microsoft (MS) Visual Studio Coded UI is applied to record some common planner-TPS interactions as subroutines for querying and interacting with the TPS. These subroutines are called back in the outer-loop optimization program to navigate the plan selection process through the solution space iteratively. The utility of the approach is demonstrated by using clinical prostate and head-and-neck cases. An autonomous treatment planning technique with effective use of an assemble of prior treatment plans is developed to automatically maneuver the clinical treatment planning process in the platform of a commercial TPS. The process mimics the decision-making process of a human planner and provides a clinically sensible treatment plan automatically, thus reducing/eliminating the tedious manual trial-and-errors of treatment planning. It is found that the prostate and head-and-neck treatment plans generated using the approach compare favorably with that used for the patients' actual treatments. Clinical inverse treatment planning process can be automated effectively with the guidance of an assemble of prior treatment plans. The approach has the potential to significantly improve the radiation therapy workflow. © 2016 American Association of Physicists in Medicine.

  3. 77 FR 58072 - Finding of Substantial Inadequacy of Implementation Plan; Call for California State...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-19

    ... Substantial Inadequacy of Implementation Plan; Call for California State Implementation Plan Revision; South Coast AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY: In response to a... that the California State Implementation Plan (SIP) for the Los Angeles-South Coast Air Basin (South...

  4. Behavioral and Managerial Models That Can Help Improve AIDS Campaign Planning.

    ERIC Educational Resources Information Center

    Simmons, Robert E.; And Others

    This paper focuses on the challenge raised by the acquired immunodeficiency syndrome (AIDS) epidemic regarding the need to improve the effectiveness of health communication or education campaigns. The paper discusses the behaviors underlying health information processing and particularly what is called the "knowledge but not behavior-change…

  5. Ecosystem Services in the Real World: Using the U.S. EnviroAtlas Tool in Impact Assessments

    EPA Science Inventory

    There have been widespread calls to integrate ecosystem services (ES) into decision processes, including a recent U.S. mandate directing Federal agencies to incorporate ES into their planning, investments, and regulatory contexts. Using an ES framework is expected to lead to bet...

  6. The Infusion of Socio-Humanistic Concepts into Engineering Courses via Horizontal Integration of Subject Matter.

    ERIC Educational Resources Information Center

    Huckaba, Charles E.; Griffin, Ann

    1983-01-01

    Describes development of an interdisciplinary engineering course called "Social Aspects of the Technical Decision Process." Course content includes such interdisciplinary topics as alternative energy, ecology, and urban planning, which represent traditional engineering concepts. However, social and historical dimensions are built into topics.…

  7. Path Planning For A Class Of Cutting Operations

    NASA Astrophysics Data System (ADS)

    Tavora, Jose

    1989-03-01

    Optimizing processing time in some contour-cutting operations requires solving the so-called no-load path problem. This problem is formulated and an approximate resolution method (based on heuristic search techniques) is described. Results for real-life instances (clothing layouts in the apparel industry) are presented and evaluated.

  8. A CALL-Based Lesson Plan for Teaching Reading Comprehension to Iranian Intermediate EFL Learners

    ERIC Educational Resources Information Center

    Khoshsima, Hooshang; Khosravani, Mahboobeh

    2014-01-01

    The main purpose of this descriptive research is to provide a CALL (Computer-Assisted Language Learning)-based lesson plan for teaching reading comprehension to Iranian intermediate EFL learners. CALL is a new way of learning and teaching language. It is proved that CALL mainly has positive effects on educational contexts. Although teachers…

  9. Analysing the external supply chain risk driver competitiveness: a risk mitigation framework and business continuity plan.

    PubMed

    Blos, Mauricio F; Wee, Hui-Ming; Yang, Joshua

    2010-11-01

    Innovation challenges for handling supply chain risks have become one of the most important drivers in business competitiveness and differentiation. This study analyses competitiveness at the external supply chain level as a driver of risks and provides a framework for mitigating these risks. The mitigation framework, also called the supply chain continuity framework, provides insight into six stages of the business continuity planning (BCP) process life cycle (risk mitigation management, business impact analysis, supply continuity strategy development, supply continuity plan development, supply continuity plan testing and supply continuity plan maintenance), together with the operational constructs: customer service, inventory management, flexibility, time to market, ordering cycle time and quality. The purpose of the BCP process life cycle and operational constructs working together is to emphasise the way in which a supply chain can deal with disruption risks and, consequently, bring competitive advantage. Future research will consider the new risk scenarios and analyse the consequences to promote the improvement of supply chain resilience.

  10. Aligning everyday life priorities with people's self-management support networks: an exploration of the work and implementation of a needs-led telephone support system.

    PubMed

    Blickem, Christian; Kennedy, Anne; Jariwala, Praksha; Morris, Rebecca; Bowen, Robert; Vassilev, Ivaylo; Brooks, Helen; Blakeman, Tom; Rogers, Anne

    2014-06-17

    Recent initiatives to target the personal, social and clinical needs of people with long-term health conditions have had limited impact within primary care. Evidence of the importance of social networks to support people with long-term conditions points to the need for self-management approaches which align personal circumstances with valued activities. The Patient-Led Assessment for Network Support (PLANS) intervention is a needs-led assessment for patients to prioritise their health and social needs and provide access to local community services and activities. Exploring the work and practices of patients and telephone workers are important for understanding and evaluating the workability and implementation of new interventions. Qualitative methods (interviews, focus group, observations) were used to explore the experience of PLANS from the perspectives of participants and the telephone support workers who delivered it (as part of an RCT) and the reasons why the intervention worked or not. Normalisation Process Theory (NPT) was used as a sensitising tool to evaluate: the relevance of PLANS to patients (coherence); the processes of engagement (cognitive participation); the work done for PLANS to happen (collective action); the perceived benefits and costs of PLANS (reflexive monitoring). 20 patients in the intervention arm of a clinical trial were interviewed and their telephone support calls were recorded and a focus group with 3 telephone support workers was conducted. Analysis of the interviews, support calls and focus group identified three themes in relation to the delivery and experience of PLANS. These are: formulation of 'health' in the context of everyday life; trajectories and tipping points: disrupting everyday routines; precarious trust in networks. The relevance of these themes are considered using NPT constructs in terms of the work that is entailed in engaging with PLANS, taking action, and who is implicated this process. PLANS gives scope to align long-term condition management to everyday life priorities and valued aspects of life. This approach can improve engagement with health-relevant practices by situating them within everyday contexts. This has potential to increase utilisation of local resources with potential cost-saving benefits for the NHS. ISRCTN45433299.

  11. Family planning hotline.

    PubMed

    Dabbs, K

    1970-01-01

    Since last March, a family planning hotline has been putting the caller in touch with the Family Planning Information Service. This is possibly the 1st centralized referral and information service for family planning in any major city in the U.S. Each months this fall 1400 New Yorkers called the hotline number to obtain information about family planning, infertility, abortion, and voluntary sterilization. Several major parallel developments made the creation of the Family Planning Information Service possible and strengthened its changes of success. The service is headed by a registered nurse who is assisted by 2 specially trained nonprofessional staff members. The unit is housed in Planned Parenthood's Manhattan headquarters. The Service has a special telephone number which is listed in all telephone directories. A number of promotional devices have been used to build and maintain the volume of inquiries. The results of the intensive work to develop and maintain the service have been dramatic. From a monthly volume of 300 calls in March, the figure in May had reached 670. In July there were 962 inquiries and in October the figure rose to 1421. About 90% of these calls are from women. By far the largest number of requests for information have concerned contraception and where such services can be obtained. Over 200 calls have been inquires about infertility problems, and 361 calls have concerned abortion. More than 100 calls have been about sterilization, with men outnumbering women 2:1.

  12. Spatio-Temporal Process Variability in Watershed Scale Wetland Restoration Planning

    NASA Astrophysics Data System (ADS)

    Evenson, G. R.

    2012-12-01

    Watershed scale restoration decision making processes are increasingly informed by quantitative methodologies providing site-specific restoration recommendations - sometimes referred to as "systematic planning." The more advanced of these methodologies are characterized by a coupling of search algorithms and ecological models to discover restoration plans that optimize environmental outcomes. Yet while these methods have exhibited clear utility as decision support toolsets, they may be critiqued for flawed evaluations of spatio-temporally variable processes fundamental to watershed scale restoration. Hydrologic and non-hydrologic mediated process connectivity along with post-restoration habitat dynamics, for example, are commonly ignored yet known to appreciably affect restoration outcomes. This talk will present a methodology to evaluate such spatio-temporally complex processes in the production of watershed scale wetland restoration plans. Using the Tuscarawas Watershed in Eastern Ohio as a case study, a genetic algorithm will be coupled with the Soil and Water Assessment Tool (SWAT) to reveal optimal wetland restoration plans as measured by their capacity to maximize nutrient reductions. Then, a so-called "graphical" representation of the optimization problem will be implemented in-parallel to promote hydrologic and non-hydrologic mediated connectivity amongst existing wetlands and sites selected for restoration. Further, various search algorithm mechanisms will be discussed as a means of accounting for temporal complexities such as post-restoration habitat dynamics. Finally, generalized patterns of restoration plan optimality will be discussed as an alternative and possibly superior decision support toolset given the complexity and stochastic nature of spatio-temporal process variability.

  13. 77 FR 65151 - Finding of Substantial Inadequacy of Implementation Plan; Call for California State...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-25

    ... the Federal Register on September 19, 2012. In that action, in response to a remand by the Ninth... Substantial Inadequacy of Implementation Plan; Call for California State Implementation Plan Revision; South... State Implementation Plan (SIP) for the Los Angeles-South Coast Air Basin (South Coast) is substantially...

  14. 'Plans are useless'.

    PubMed

    Bland, Michael

    2013-01-01

    An essential element in crisis recovery is the protection and/or recovery of reputation. This calls for a crisis communications function that is of more than passing interest to the business continuity specialist and which presents two major challenges in this era of process-driven management: (1) it is an inexact science, more about common sense, psychology, empathy and 'playing it by ear' than about box ticking; (2) it does not lend itself to detailed, rigid plans, although some degree of planning is essential. This paper outlines a flexible approach that will help the crisis team to develop a workable communications plan that strikes a balance between being too detailed and too sketchy. It argues that the whole management team should be involved in developing the plan and sets a number of questions, which, on being answered, will help a realistic, achievable and effective plan to evolve.

  15. ActiveWV: a systematic approach to developing a physical activity plan for West Virginia.

    PubMed

    Elliott, Eloise; Jones, Emily; Bulger, Sean

    2014-03-01

    Modeled after the National Physical Activity Plan (NPAP), ActiveWV 2015: The West Virginia Physical Activity Plan was developed to provide strategic direction for physical activity promotion within the state. The purpose of this manuscript is to describe the systematic approach taken in developing ActiveWV. Plan development began with establishing capacity and leadership among key stakeholders representing all societal sectors. A multiphase, statewide decision-making process allowed for input across sectors and geographic regions. The process results identified five priority areas that served as the conceptual framework for ActiveWV. Sector teams, comprised of key organization stakeholders across the eight sectors, finalized the sector-specific strategies and tactics using the NPAP evidence-based recommendations, results from a formalized strategic process, and the teams' expertise and experience. ActiveWV was officially released on January 19, 2012 at the State Capitol in Charleston, West Virginia. Community events throughout the state surrounded the release and celebrated West Virginia Physical Activity Day. Ongoing implementation and dissemination efforts are underway at state and local levels. As the NPAP calls for states and communities to develop plans that meet the needs of their particular context, other states may find the lessons learned from West Virginia helpful in the development process.

  16. On the design of computer-based models for integrated environmental science.

    PubMed

    McIntosh, Brian S; Jeffrey, Paul; Lemon, Mark; Winder, Nick

    2005-06-01

    The current research agenda in environmental science is dominated by calls to integrate science and policy to better understand and manage links between social (human) and natural (nonhuman) processes. Freshwater resource management is one area where such calls can be heard. Designing computer-based models for integrated environmental science poses special challenges to the research community. At present it is not clear whether such tools, or their outputs, receive much practical policy or planning application. It is argued that this is a result of (1) a lack of appreciation within the research modeling community of the characteristics of different decision-making processes including policy, planning, and (2) participation, (3) a lack of appreciation of the characteristics of different decision-making contexts, (4) the technical difficulties in implementing the necessary support tool functionality, and (5) the socio-technical demands of designing tools to be of practical use. This article presents a critical synthesis of ideas from each of these areas and interprets them in terms of design requirements for computer-based models being developed to provide scientific information support for policy and planning. Illustrative examples are given from the field of freshwater resources management. Although computer-based diagramming and modeling tools can facilitate processes of dialogue, they lack adequate simulation capabilities. Component-based models and modeling frameworks provide such functionality and may be suited to supporting problematic or messy decision contexts. However, significant technical (implementation) and socio-technical (use) challenges need to be addressed before such ambition can be realized.

  17. An Environmental Scan Update, 1992-93. 2020: Perfect Vision for the Next Century.

    ERIC Educational Resources Information Center

    Friedel, J. N., Ed.

    1992-01-01

    A key component to Eastern Iowa Community College District's (EICCD) strategic planning process, called "2020 Vision: A Perfect Vision for the Future," was the publication of the report "An Environmental Scan" in 1989, which summarized major trends occurring in the external environment which may impact the community college,…

  18. "All Quiet on the Western Front."

    ERIC Educational Resources Information Center

    Soderquist, Alisa

    Based on Erich Maria Remarque's novel "All Quiet on the Western Front" and other war literature, this lesson plan presents activities designed to help students understand that works of art about war can call up strong emotions in readers; and that the writing process can be applied to writing poems. The main activity of the lesson involves…

  19. Skills for the Changing Workplace: A Business and Office Educator's Guide. Research and Development Series No. 254.

    ERIC Educational Resources Information Center

    Warmbrod, Catharine P.; And Others

    This three-part instructional guide was developed to assist vocational instructors in business and office occupations in presenting broadly applicable, nontechnical (often called quality of work life--QWL) skills, such as interpersonal and group process skills, problem solving and decision making, planning, communications, business economics,…

  20. The Wade Factor: Marketing? A Team Sport Worth Playing

    ERIC Educational Resources Information Center

    Perna, Mark C.

    2005-01-01

    Customer service people are the first line of marketing, sales and revenue growth. Give them the proper training and understanding to enthusiastically lead all potential students or customers through the information-gathering and sign-up process. It does not matter how many calls schools receives through a well-planned marketing campaign if the…

  1. Skills for the Changing Workplace: An Automotive Repair Instructor's Guide. Research and Development Series No. 256.

    ERIC Educational Resources Information Center

    Bhaerman, Robert D.; North, Ricke A.

    This guide was developed to assist vocational instructors in automotive repair programs in presenting broadly applicable nontechnical (often called quality of work life--QWL) skills, such as interpersonal and group process skills, problem solving and decision making, planning, communications, reasoning skills, and organizational management skills.…

  2. KENNEDY SPACE CENTER, FLA. - The Minus Eighty Lab Freezer for ISS (MELFI), provided as Laboratory Support Equipment by the European Space Agency for the International Space Station, is seen in the Space Station Processing Facility. The lab will provide cooling and storage for reagents, samples and perishable materials in four insulated containers called dewars with independently selectable temperatures of -80°C, -26°C, and +4°C. It also will be used to transport samples to and from the station. The MELFI is planned for launch on the ULF-1 mission.

    NASA Image and Video Library

    2003-09-08

    KENNEDY SPACE CENTER, FLA. - The Minus Eighty Lab Freezer for ISS (MELFI), provided as Laboratory Support Equipment by the European Space Agency for the International Space Station, is seen in the Space Station Processing Facility. The lab will provide cooling and storage for reagents, samples and perishable materials in four insulated containers called dewars with independently selectable temperatures of -80°C, -26°C, and +4°C. It also will be used to transport samples to and from the station. The MELFI is planned for launch on the ULF-1 mission.

  3. KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, technicians remove the cover from the Minus Eighty Lab Freezer for ISS(MELFI) provided as Laboratory Support Equipment by the European Space Agency for the International Space Station. The lab will provide cooling and storage for reagents, samples and perishable materials in four insulated containers called dewars with independently selectable temperatures of -80°C, -26°C, and +4°C. It also will be used to transport samples to and from the station. The MELFI is planned for launch on the ULF-1 mission.

    NASA Image and Video Library

    2003-09-08

    KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, technicians remove the cover from the Minus Eighty Lab Freezer for ISS(MELFI) provided as Laboratory Support Equipment by the European Space Agency for the International Space Station. The lab will provide cooling and storage for reagents, samples and perishable materials in four insulated containers called dewars with independently selectable temperatures of -80°C, -26°C, and +4°C. It also will be used to transport samples to and from the station. The MELFI is planned for launch on the ULF-1 mission.

  4. WE-G-BRA-01: Patient Safety and Treatment Quality Improvement Through Incident Learning: Experience of a Non-Academic Proton Therapy Center

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

    Zheng, Y; Johnson, R; Zhao, L

    2015-06-15

    Purpose: Incident learning has been proven to improve patient safety and treatment quality in conventional radiation therapy. However, its application in proton therapy has not been reported yet to our knowledge. In this study, we report our experience in developing and implementation of an in-house incident learning system. Methods: An incident learning system was developed based on published principles and tailored for our clinical practice and available resource about 18 months ago. The system includes four layers of error detection and report: 1) dosimetry peer review; 2) physicist plan quality assurance (QA); 3) treatment delivery issue on call and record;more » and 4) other incident report. The first two layers of QA and report were mandatory for each treatment plan through easy-to-use spreadsheets that are only accessible by the dosimetry and physicist departments. The treatment delivery issues were recorded case by case by the on call physicist. All other incidents were reported through an online incident report system, which can be anonymous. The incident report includes near misses on planning and delivery, process deviation, machine issues, work flow and documentation. Periodic incident reviews were performed. Results: In total, about 116 errors were reported through dosimetry review, 137 errors through plan QA, 83 treatment issues through physics on call record, and 30 through the online incident report. Only 8 incidents (2.2%) were considered to have a clinical impact to patients, and the rest of errors were either detected before reaching patients or had negligible dosimetric impact (<5% dose variance). Personnel training & process improvements were implemented upon periodic incident review. Conclusion: An incident learning system can be helpful in personnel training, error reduction, and patient safety and treatment quality improvement. The system needs to be catered for each clinic’s practice and available resources. Incident and knowledge sharing among proton centers are encouraged.« less

  5. Integrating Mission Type Orders into Operational Level Intelligence Collection

    DTIC Science & Technology

    2011-05-27

    the planning and direction step of the intelligence process and turning them into collection tasks. The companion effort to CRM is COM. COM is the...the differences between MTOs and standard collection processes observing that “an MTO is asking a chef for their best soup, whereas the standard...collection deck is handing the chef a recipe calling for specific ingredients.”17 Theater collection lacks synergy from the perspective that it is

  6. Analysis and Lessons Learned from an Online, Consultative Dialogue between Community Leaders and Climate Experts

    NASA Astrophysics Data System (ADS)

    Sylak-Glassman, E.; Clavin, C.

    2016-12-01

    Common approaches to climate resilience planning in the United States rely upon participatory planning approaches and dialogues between decision-makers, science translators, and subject matter experts. In an effort to explore alternative approaches support community climate resilience planning, a pilot of a public-private collaboration called the Resilience Dialogues was held in February and March of 2016. The Resilience Dialogues pilot was an online, asynchronous conversation between community leaders and climate experts, designed to help communities begin the process of climate resilience planning. In order to identify lessons learned from the pilot, we analyzed the discourse of the facilitated dialogues, administered surveys and conducted interviews with participants. Our analysis of the pilot suggests that participating community leaders found value in the consultative dialogue with climate experts, despite limited community-originated requests for climate information. Community leaders most often asked for advice regarding adaptation planning, including specific engineering guidance and advice on how to engage community members around the topic of resilience. Community leaders that had access to downscaled climate data asked experts about how to incorporate the data into their existing planning processes. The guidance sought by community leaders during the pilot shows a large range of hurdles that communities face in using climate information to inform their decision-making processes. Having a forum that connects community leaders with relevant experts and other community leaders who have familiarity with both climate impacts and municipal planning processes would likely help communities accelerate their resilience efforts.

  7. TH-CD-209-01: A Greedy Reassignment Algorithm for the PBS Minimum Monitor Unit Constraint

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

    Lin, Y; Kooy, H; Craft, D

    2016-06-15

    Purpose: To investigate a Greedy Reassignment algorithm in order to mitigate the effects of low weight spots in proton pencil beam scanning (PBS) treatment plans. Methods: To convert a plan from the treatment planning system’s (TPS) to a deliverable plan, post processing methods can be used to adjust the spot maps to meets the minimum MU constraint. Existing methods include: deleting low weight spots (Cut method), or rounding spots with weight above/below half the limit up/down to the limit/zero (Round method). An alternative method called Greedy Reassignment was developed in this work in which the lowest weight spot in themore » field was removed and its weight reassigned equally among its nearest neighbors. The process was repeated with the next lowest weight spot until all spots in the field were above the MU constraint. The algorithm performance was evaluated using plans collected from 190 patients (496 fields) treated at our facility. The evaluation criteria were the γ-index pass rate comparing the pre-processed and post-processed dose distributions. A planning metric was further developed to predict the impact of post-processing on treatment plans for various treatment planning, machine, and dose tolerance parameters. Results: For fields with a gamma pass rate of 90±1%, the metric has a standard deviation equal to 18% of the centroid value. This showed that the metric and γ-index pass rate are correlated for the Greedy Reassignment algorithm. Using a 3rd order polynomial fit to the data, the Greedy Reassignment method had 1.8 times better metric at 90% pass rate compared to other post-processing methods. Conclusion: We showed that the Greedy Reassignment method yields deliverable plans that are closest to the optimized-without-MU-constraint plan from the TPS. The metric developed in this work could help design the minimum MU threshold with the goal of keeping the γ-index pass rate above an acceptable value.« less

  8. An approach to contouring the dorsal vagal complex for radiotherapy planning

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

    O'Steen, Lillie; Amdur, Robert J., E-mail: amdurr@shands.ufl.edu

    Multiple studies suggest that radiation dose to the area of the brainstem called the “dorsal vagal complex (DVC)” influences the frequency of nausea and vomiting during radiotherapy. The purpose of this didactic article is to describe the step-by-step process that we use to contour the general area of the DVC on axial computed tomography (CT) images as would be done for radiotherapy planning. The contouring procedure that we describe for contouring the area of the DVC is useful to medical dosimetrists and radiation oncologists.

  9. Planning a multi-site, complex intervention for homeless people with mental illness: the relationships between the national team and local sites in Canada's At Home/Chez Soi project.

    PubMed

    Nelson, Geoffrey; Macnaughton, Eric; Goering, Paula; Dudley, Michael; O'Campo, Patricia; Patterson, Michelle; Piat, Myra; Prévost, Natasha; Strehlau, Verena; Vallée, Catherine

    2013-06-01

    This research focused on the relationships between a national team and five project sites across Canada in planning a complex, community intervention for homeless people with mental illness called At Home/Chez Soi, which is based on the Housing First model. The research addressed two questions: (a) what are the challenges in planning? and (b) what factors that helped or hindered moving project planning forward? Using qualitative methods, 149 national, provincial, and local stakeholders participated in key informant or focus group interviews. We found that planning entails not only intervention and research tasks, but also relational processes that occur within an ecology of time, local context, and values. More specifically, the relationships between the national team and the project sites can be conceptualized as a collaborative process in which national and local partners bring different agendas to the planning process and must therefore listen to, negotiate, discuss, and compromise with one another. A collaborative process that involves power-sharing and having project coordinators at each site helped to bridge the differences between these two stakeholder groups, to find common ground, and to accomplish planning tasks within a compressed time frame. While local context and culture pushed towards unique adaptations of Housing First, the principles of the Housing First model provided a foundation for a common approach across sites and interventions. The implications of the findings for future planning and research of multi-site, complex, community interventions are noted.

  10. Alternative to Nitric Acid Passivation Project Overview

    NASA Technical Reports Server (NTRS)

    Lewis, Pattie L.

    2013-01-01

    The standard practice for protection of stainless steel is a process called passivation. This procedure results in the formation of a metal oxide layer to prevent corrosion. Typical passivation procedures call for the use of nitric acid which exhibits excellent corrosion performance; however, there are a number of environmental, worker safety, and operational issues associated with its use. The longtime military specification for the passivation of stainless steel was cancelled in favor of newer specifications which allow for the use of citric acid in place of nitric acid. Citric acid offers a variety of benefits that include increased safety for personnel, reduced environmental impact, and reduced operational costs. There have been few studies, however, to determine whether citric acid is an acceptable alternative for NASA and DoD. This paper details activities to date including development of the joint test plan, on-going and planned testing, and preliminary results.

  11. Assessing the impact of the U.S. Endangered Species Act recovery planning guidelines on managing threats for listed species.

    PubMed

    Troyer, Caitlin M; Gerber, Leah R

    2015-10-01

    The Endangered Species Act (ESA) of the United States was enacted in 1973 to prevent the extinction of species. Recovery plans, required by 1988 amendments to the ESA, play an important role in organizing these efforts to protect and recover species. To improve the use of science in the recovery planning process, the Society for Conservation Biology (SCB) commissioned an independent review of endangered species recovery planning in 1999. From these findings, the SCB made key recommendations for how management agencies could improve the recovery planning process, after which the U.S. Fish and Wildlife Service and the National Marine Fisheries Service redrafted their recovery planning guidelines. One important recommendation called for recovery plans to make threats a primary focus, including organizing and prioritizing recovery tasks for threat abatement. We sought to determine the extent to which results from the SCB study were incorporated into these new guidelines and whether the SCB recommendations regarding threats manifested in recovery plans written under the new guidelines. Recovery planning guidelines generally incorporated the SCB recommendations, including those for managing threats. However, although recent recovery plans have improved in their treatment of threats, many fail to adequately incorporate threat monitoring. This failure suggests that developing clear guidelines for monitoring should be an important priority in improving ESA recovery planning. © 2015 Society for Conservation Biology.

  12. A Comparison of Preferred Treatment Outcomes between Children with ADHD and Their Parents

    ERIC Educational Resources Information Center

    Traywick, Tracey B.; Lamson, Angela L.; Diamond, John M.; Carawan, Sandra

    2006-01-01

    Objective: The newest guidelines for the treatment of ADHD call for the formation of an individualized treatment plan based on collaboration. Because the process of collaboration requires the communication of desired outcomes, the authors' goal is to examine the preferred outcomes of treatment for ADHD for children and parents. Method: A preferred…

  13. Claim audits: a relic of the indemnity age?

    PubMed

    Ellender, D E

    1997-09-01

    Traditional claim audits offering quick fixes to specific problems or to recover overpayments will not provide benefit managers with the data and action plan they need to make informed decisions about cost-effective benefit administration. Today's benefits environment calls for a comprehensive review of claim administration, incorporating traditional audit techniques into a quality improvement audit process.

  14. Using formative research to conceptualize and develop a marketing plan for student health services.

    PubMed

    Stephenson, M T

    1999-03-01

    Conceptualization and development of a health services awareness campaign at the University of Kentucky followed the steps in a communication process called formative research. Preproduction surveys and subsequent testing of possible initiatives led to creation of a popular video featuring the university mascot that is being used in new-student orientation.

  15. Developmental process and early phases of implementation for the United States Interagency Committee on Human Nutrition Research National Nutrition Research Roadmap

    USDA-ARS?s Scientific Manuscript database

    The United States Congress first called for improved coordination of human nutrition research within and among federal departments and agencies in the 1977 Farm Bill. Today, the Interagency Committee on Human Nutrition Research (ICHNR) is charged with improving the planning, coordination, and commu...

  16. Ohio at the Crossroads: School Funding--More of the Same or Changing the Model?

    ERIC Educational Resources Information Center

    Hill, Paul T.

    2009-01-01

    Ohio Governor Ted Strickland's education plan calls for modernizing Ohio's K-12 education system, including the state's school-funding system, but the plan's so-called "evidence-based" approach would actually scuttle any modernizing efforts, argues this study issued by the Thomas B. Fordham Institute. The governor's funding plan, says…

  17. Plans, providers experimenting with outbound call programs for Medicare risk seniors.

    PubMed

    1997-10-01

    Putting a new spin on health care call centers: They've been used for commercial and Medicaid populations, but now plans and providers are testing the call center concept among their Medicare seniors. And while it may hold great promise for controlling utilization, there are big start-up costs and serious liability concerns.

  18. Presolar Grains as Tracers of Nebular Processes

    NASA Technical Reports Server (NTRS)

    Huss, Gary R.

    2001-01-01

    This grant provided two years of funding to investigate the abundances of presolar diamond, SiC, and graphite in primitive chondritic meteorites. The original proposal was for a three-year study, but two years of funding were awarded. The proposed work plan for the first year included preparation of acid residues for two meteorites and noble-gas measurements on those residues and residues of two other meteorites that had been previously prepared. The meteorites to be measured were Acfer 003, Adrar 214, RC075, and Axtell. In the second year, the plan called for measuring Renazzo and Murchison, and beginning chemical processing on another set of meteorites, including Murray, which were to be measured in the third year. All of the meteorites listed above have been measured and the results were presented in three abstracts. The project is continuing under follow-on grants and one of two planned major papers is almost ready for submission.

  19. Planning and conducting a multi-institutional project on fatigue.

    PubMed

    Nail, L M; Barsevick, A M; Meek, P M; Beck, S L; Jones, L S; Walker, B L; Whitmer, K R; Schwartz, A L; Stephen, S; King, M E

    1998-09-01

    To describe the process used in proposal development and study implementation for a complex multisite project on cancer treatment-related fatigue (CRF), identify strategies used to manage the project, and provide recommendations for teams planning multisite research. Information derived from project team meeting records, correspondence, proposals, and personal recollection. The project was built on preexisting relationships among the three site investigators who then built a team including faculty, research coordinators, staff nurses, and students. Study sites had a range of organizational models, and the proposal was designed to capitalize on the organizational and resource strengths of each setting. Three team members drawn from outside oncology nursing provided expertise in measurement and experience with fatigue in other populations. Planning meetings were critical to the success of the project. Conference calls, fax technology, and electronic mail were used for communication. Flexibility was important in managing crises and shifting responsibility for specific components of the work. The team documented and evaluated the process used for multisite research, completed a major instrumentation study, and developed a cognitive-behavioral intervention for CRF. Accomplishments during the one-year planning grant exceeded initial expectations. The process of conducting multisite research is complex, especially when the starting point is a planning grant with specific research protocols to be developed and implemented over one year. Explicit planning for decision-making processes to be used throughout the project, acknowledging the differences among the study settings and planning the protocols to capitalize upon those differences, and recruiting a strong research team that included a member with planning grant and team-building expertise were essential elements for success. Specific recommendations for others planning multisite research are related to team-building, team membership, communication, behavioral norms, role flexibility, resources, feedback, problem management, and shared recognition.

  20. Aligning everyday life priorities with people’s self-management support networks: an exploration of the work and implementation of a needs-led telephone support system

    PubMed Central

    2014-01-01

    Background Recent initiatives to target the personal, social and clinical needs of people with long-term health conditions have had limited impact within primary care. Evidence of the importance of social networks to support people with long-term conditions points to the need for self-management approaches which align personal circumstances with valued activities. The Patient-Led Assessment for Network Support (PLANS) intervention is a needs-led assessment for patients to prioritise their health and social needs and provide access to local community services and activities. Exploring the work and practices of patients and telephone workers are important for understanding and evaluating the workability and implementation of new interventions. Methods Qualitative methods (interviews, focus group, observations) were used to explore the experience of PLANS from the perspectives of participants and the telephone support workers who delivered it (as part of an RCT) and the reasons why the intervention worked or not. Normalisation Process Theory (NPT) was used as a sensitising tool to evaluate: the relevance of PLANS to patients (coherence); the processes of engagement (cognitive participation); the work done for PLANS to happen (collective action); the perceived benefits and costs of PLANS (reflexive monitoring). 20 patients in the intervention arm of a clinical trial were interviewed and their telephone support calls were recorded and a focus group with 3 telephone support workers was conducted. Results Analysis of the interviews, support calls and focus group identified three themes in relation to the delivery and experience of PLANS. These are: formulation of ‘health’ in the context of everyday life; trajectories and tipping points: disrupting everyday routines; precarious trust in networks. The relevance of these themes are considered using NPT constructs in terms of the work that is entailed in engaging with PLANS, taking action, and who is implicated this process. Conclusions PLANS gives scope to align long-term condition management to everyday life priorities and valued aspects of life. This approach can improve engagement with health-relevant practices by situating them within everyday contexts. This has potential to increase utilisation of local resources with potential cost-saving benefits for the NHS. Trial registration ISRCTN45433299. PMID:24938492

  1. Shared vision, collective impact, and persistent challenges: the first decade of Georgia's oncology research network.

    PubMed

    Paris, Nancy M; Burke, James J; Schnell, Frederick M

    2013-11-01

    Ten years ago, Georgia was lauded for dedicating a portion of tobacco settlement funds to the Georgia Cancer Coalition (GCC). The plan championed by then-Governor Roy E. Barnes was designed to make Georgia a leader in prevention, treatment, and research. This plan called for the expansion of clinical trials to ensure Georgians had access to the highest quality care based on the most current treatments and discoveries. As a result, oncologists in the state were engaged in a planning process that resulted in a shared vision to improve the quality of cancer care through research and the formation of a new organization: the Georgia Center for Oncology Research and Education.

  2. A framework for planning of sustainable water and sanitation systems in peri-urban areas.

    PubMed

    Törnqvist, R; Norström, A; Kärrman, E; Malmqvist, P-A

    2008-01-01

    There are billions of people around the world that lack access to safe water supply and basic sanitation, a situation which puts the affected in severe health conditions as well as economical and social despair. Many of those lacking adequate water supply and sanitation systems can be found at the fringe of the cities in so called peri-urban areas, especially in the developing world. Planning in these areas is highly complex due to challenging environmental and physical conditions, high population density and unclear institutional boundaries. This article presents a framework aiming to support the planning process for sustainable water and sanitation systems in peri-urban areas. The suggested framework is based on different available planning approaches from a review of literature and websites of organisations and companies. It consists of a recommendation of important steps in the planning process as well as supporting tools. Further, it incorporates a set of sustainability criteria important for the peri-urban context and allows for the development of site specific systems. The framework has the aim to be flexible for different planning situations, and for suiting planners with different perspectives and amount of resources. (c) IWA Publishing 2008.

  3. Final Evaluation Report American Telephone and Telegraph Company, System V/MLS Release 1.2.0 Running on UNIX System V, Release 3.1.1 Rating Maintenance Plan

    DTIC Science & Technology

    1990-09-28

    message queues semaphores processes This report also discusses 630 MTG buffers which are system objects (as are the process table, u- area, etc ). 630...mechanism is associated with a corresponding set of " operation " system calls: mqgend, rmgrcv for messages, semop for semaphores , shmat, shmdt for... Semaphores Semaphores are objects that are used to implement a process synchronisation mechanism. System V semaphores are a generalization of the P and V

  4. [Digital health as a motor for change towards new healthcare models and the relationship between patients and healthcare professionals. Disruption of healthcare processes].

    PubMed

    Garcia-Cuyàs, Francesc; de San Pedro, Marc; Martínez Roldan, Jordi

    2015-11-01

    We find ourselves at the end of an era of asymmetry in the domain of health information where the majority of this data is in the hands of the healthcare system. Increasingly, the public are calling for a more central role in the new paradigm that enables them to duly exercise their right of access to their health data while availing of more reliable and safer technologies which contribute to the management of their condition and promote healthy lifestyles. So far, the TIC Salud strategic plan has been developed independently from the Generalitat de Catalunya Health Department's Healthcare Plan, which sets out health policy strategy in Catalonia. However, from its initial design stage the new Healthcare Plan (2016- 2020) envisages incorporating a new strategic Information and communications technology (ICT) line called "Digital Health". Incorporating ICT into the Health Plan will allow these technologies to become integral part of all strategic healthcare processes, acting as a driving force for a shift towards a new healthcare models and an innovative relationship between the public and healthcare professionals. The Digital Health implies a disruption in itself, by way of the convergence of several technologies and their positive impact on health and healthcare procedures, by way of the public's access to information concerning their health, and by creating new opportunities for promoting health and the salutogenic paradigm which empowers people to develop their health, welfare and quality of life. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  5. Behavioral networks as a model for intelligent agents

    NASA Technical Reports Server (NTRS)

    Sliwa, Nancy E.

    1990-01-01

    On-going work at NASA Langley Research Center in the development and demonstration of a paradigm called behavioral networks as an architecture for intelligent agents is described. This work focuses on the need to identify a methodology for smoothly integrating the characteristics of low-level robotic behavior, including actuation and sensing, with intelligent activities such as planning, scheduling, and learning. This work assumes that all these needs can be met within a single methodology, and attempts to formalize this methodology in a connectionist architecture called behavioral networks. Behavioral networks are networks of task processes arranged in a task decomposition hierarchy. These processes are connected by both command/feedback data flow, and by the forward and reverse propagation of weights which measure the dynamic utility of actions and beliefs.

  6. 76 FR 41424 - Finding of Substantial Inadequacy of Implementation Plan; Call for Iowa State Implementation Plan...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-14

    ... modeling requirement for this SIP call should allow for the use of the modeling protocol developed by Iowa... is making a finding that the Iowa State Implementation Plan (SIP) is substantially inadequate to... ) in Muscatine County, Iowa. The specific SIP deficiencies needing revision are described below. EPA is...

  7. 75 FR 6336 - Approval and Promulgation of Air Quality Implementation Plans; West Virginia; Removal of NOX

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-09

    ... Promulgation of Air Quality Implementation Plans; West Virginia; Removal of NOX SIP Call Rules AGENCY... Implementation Plan (SIP) revision submitted by the State of West Virginia that removes West Virginia's nitrogen oxides (NOx) SIP Call rules. In the Final Rules section of this Federal Register, EPA is approving the...

  8. Annual Report on Our Call to Action: Strategic Plan for the Montgomery County Public Schools

    ERIC Educational Resources Information Center

    Montgomery County Public Schools, 2004

    2004-01-01

    In June 2003 the Board of Education adopted "Our Call to Action, Pursuit of Excellence," the second edition of the school system's strategic plan. This update of the original November 1999 Our Call to Action, while remaining focused on the core mission of providing every student with a high-quality, world-class education, strengthened the…

  9. Sustainable aggregate production planning in the chemical process industry - A benchmark problem and dataset.

    PubMed

    Brandenburg, Marcus; Hahn, Gerd J

    2018-06-01

    Process industries typically involve complex manufacturing operations and thus require adequate decision support for aggregate production planning (APP). The need for powerful and efficient approaches to solve complex APP problems persists. Problem-specific solution approaches are advantageous compared to standardized approaches that are designed to provide basic decision support for a broad range of planning problems but inadequate to optimize under consideration of specific settings. This in turn calls for methods to compare different approaches regarding their computational performance and solution quality. In this paper, we present a benchmarking problem for APP in the chemical process industry. The presented problem focuses on (i) sustainable operations planning involving multiple alternative production modes/routings with specific production-related carbon emission and the social dimension of varying operating rates and (ii) integrated campaign planning with production mix/volume on the operational level. The mutual trade-offs between economic, environmental and social factors can be considered as externalized factors (production-related carbon emission and overtime working hours) as well as internalized ones (resulting costs). We provide data for all problem parameters in addition to a detailed verbal problem statement. We refer to Hahn and Brandenburg [1] for a first numerical analysis based on and for future research perspectives arising from this benchmarking problem.

  10. Value-focused framework for defining landscape-scale conservation targets

    USGS Publications Warehouse

    Romañach, Stephanie; Benscoter, Allison M.; Brandt, Laura A.

    2016-01-01

    Conservation of natural resources can be challenging in a rapidly changing world and require collaborative efforts for success. Conservation planning is the process of deciding how to protect, conserve, and enhance or minimize loss of natural and cultural resources. Establishing conservation targets (also called indicators or endpoints), the measurable expressions of desired resource conditions, can help with site-specific up to landscape-scale conservation planning. Using conservation targets and tracking them through time can deliver benefits such as insight into ecosystem health and providing early warnings about undesirable trends. We describe an approach using value-focused thinking to develop statewide conservation targets for Florida. Using such an approach allowed us to first identify stakeholder objectives and then define conservation targets to meet those objectives. Stakeholders were able to see how their shared efforts fit into the broader conservation context, and also anticipate the benefits of multi-agency and -organization collaboration. We developed an iterative process for large-scale conservation planning that included defining a shared framework for the process, defining the conservation targets themselves, as well as developing management and monitoring strategies for evaluation of their effectiveness. The process we describe is applicable to other geographies where multiple parties are seeking to implement collaborative, large-scale biological planning.

  11. Application of the Ecosystem Diagnosis and Treatment Method to the Grande Ronde Model Watershed project : Final Report.

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

    Mobrand, Lars Erik; Lestelle, Lawrence C.

    In the spring of 1994 a technical planning support project was initiated by the Grande Ronde Model Watershed Board of Directors (Board) with funding from the Bonneville Power Administration. The project was motivated by a need for a science based method for prioritizing restoration actions in the basin that would promote effectiveness and accountability. In this section the authors recall the premises for the project. The authors also present a set of recommendations for implementing a watershed planning process that incorporates a science-based framework to help guide decision making. This process is intended to assist the Grande Ronde Model Watershedmore » Board in its effort to plan and implement watershed improvement measures. The process would also assist the Board in coordinating its efforts with other entities in the region. The planning process is based on an approach for developing an ecosystem management strategy referred to as the Ecosystem Diagnosis and Treatment (EDT) method (Lichatowich et al. 1995, Lestelle et al. 1996). The process consists of an on-going planning cycle. Included in this cycle is an assessment of the ability of the watershed to support and sustain natural resources and other economic and societal values. This step in the process, which the authors refer to as the diagnosis, helps guide the development of actions (also referred to as treatments) aimed at improving the conditions of the watershed to achieve long-term objectives. The planning cycle calls for routinely reviewing and updating, as necessary, the basis for the diagnosis and other analyses used by the Board in adopting actions for implementation. The recommendations offered here address this critical need to habitually update the information used in setting priorities for action.« less

  12. Image Processing

    NASA Technical Reports Server (NTRS)

    1987-01-01

    A new spinoff product was derived from Geospectra Corporation's expertise in processing LANDSAT data in a software package. Called ATOM (for Automatic Topographic Mapping), it's capable of digitally extracting elevation information from stereo photos taken by spaceborne cameras. ATOM offers a new dimension of realism in applications involving terrain simulations, producing extremely precise maps of an area's elevations at a lower cost than traditional methods. ATOM has a number of applications involving defense training simulations and offers utility in architecture, urban planning, forestry, petroleum and mineral exploration.

  13. Identifying Educational Practices Supported by Rigorous Evidence: A Guide to the Selection of Evidence-Based Practices

    ERIC Educational Resources Information Center

    Regional Resource Center Program, 2014

    2014-01-01

    One component of the recently required State Systemic Improvement Plan (SSIP) for State Departments of Education calls for the selection and implementation of evidence-based practices (EBPs). This report provides six steps to guide the process of selecting evidence based practices (EBP): (1) Begin with the End in Mind--Determine Targeted Outcomes;…

  14. Public Participation and Natural Habitat Preservation Along Arcade Creek, Del Paso Regional Park, Sacramento, California

    Treesearch

    Timothy J. Vendlinski; Steven N. Talley

    1989-01-01

    Thirty-six hectares (90 acres) of riparian forest, high terrace oak woodland-savanna, and upland vernal pools were preserved along Arcade Creek in Sacramento, California as a result of citizen involvement in a city-sponsored master plan process for Del Paso Regional Park. Citizens formed an organization and called for a comprehensive Environmental Impact Report to...

  15. Teachers' Use of a Pedagogical Framework for Improvement in Mathematics Teaching: Case Studies from YuMi Deadly Maths

    ERIC Educational Resources Information Center

    Carter, Merilyn; Cooper, Tom; Anderson, Robyn

    2016-01-01

    This paper describes the pedagogical framework used by YuMi Deadly Maths, a school change process used to improve mathematics teaching and thus enhance employment and life chances for socially disadvantaged students. The framework, called the RAMR cycle, is capable of being used by mathematics teachers for planning and delivering lessons and units…

  16. Homeland Security and Capabilities-Based Planning: Improving National Preparedness

    DTIC Science & Technology

    2005-09-01

    Caudle 2004; NEMA 2004; ASTHO 2004). Their concerns emphasized proceeding with what one called a fatally flawed process following artificially... norm for a number of years, a systematic collection, evaluation, and dissemination of lessons learned and better practices has only recently picked...intergovernmental relations for homeland security. National Emergency Management Association ( NEMA ). (2004). Letter to Sue Mencer. Lexington, KY: October 29

  17. Evidence-based and value-based formulary guidelines.

    PubMed

    Neumann, Peter J

    2004-01-01

    Health plans and hospitals have long used drug formularies, but the processes by which formulary committees made decisions have typically lacked transparency and scientific rigor. A growing number of organizations have begun implementing formulary guidelines issued by the Academy of Managed Care Pharmacy (AMCP). These guidelines call for health plans to request formally that drug companies present a standardized "dossier" that contains detailed information not only on the drug's effectiveness and safety but also on its economic value relative to alternative therapies. This paper describes the guidelines, reviews progress to date, and analyzes several critical issues for the future.

  18. Kernel-based Linux emulation for Plan 9.

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

    Minnich, Ronald G.

    2010-09-01

    CNKemu is a kernel-based system for the 9k variant of the Plan 9 kernel. It is designed to provide transparent binary support for programs compiled for IBM's Compute Node Kernel (CNK) on the Blue Gene series of supercomputers. This support allows users to build applications with the standard Blue Gene toolchain, including C++ and Fortran compilers. While the CNK is not Linux, IBM designed the CNK so that the user interface has much in common with the Linux 2.0 system call interface. The Plan 9 CNK emulator hence provides the foundation of kernel-based Linux system call support on Plan 9.more » In this paper we discuss cnkemu's implementation and some of its more interesting features, such as the ability to easily intermix Plan 9 and Linux system calls.« less

  19. What weekday? How acute? An analysis of reported planned and unplanned GP visits by older multi-morbid patients in the Patient Journey Record System database.

    PubMed

    Surate Solaligue, David Emanuel; Hederman, Lucy; Martin, Carmel Mary

    2014-08-01

    Timely access to general practitioner (GP) care is a recognized strategy to address avoidable hospitalization. Little is known about patients seeking planned (decided ahead) and unplanned (decided on day) GP visits. The Patient Journey Record System (PaJR) provides a biopsychosocial real-time monitoring and support service to chronically ill and older people over 65 who may be at risk of an avoidable hospital admission. This study aims to describe reported profiles associated with planned and unplanned GP visits during the week in the PaJR database of regular outbound phone calls made by Care Guides to multi-morbid older patients. One hundred fifty consecutive patients with one or more chronic condition (including chronic obstructive pulmonary disease, heart/vascular disease, heart failure and/or diabetes), one or more hospital admission in previous year, and consecutively recruited from hospital discharge, out-of-hour care and GP practices comprised the study sample. Using a semistructured script, Care Guides telephoned the patients approximately every 3 week days, and entered call data into the PaJR database in 2011. The PaJR project identified and prompted unplanned visits according to its algorithms. Logistic regression modelling and descriptive statistics identified significant predictors of planned and unplanned visits and patterns of GP visits on weekdays reported in calls. In 5096 telephone calls, unplanned versus planned GP visits were predicted by change in health state, significant symptom concerns, poor self-rated health, bodily pain and concerns about caregiver or intimates. Calls not reporting visits had significantly fewer of these features. Planned visits were associated with general and medication concerns, reduced social participation and feeling down. Planned visits were highest on Monday and trended downwards to Fridays. Unplanned visits were reported at the same rate each weekday and more frequently when the interval between calls was ≥3 days. The PaJR project Care Guides advised patients to make unplanned visits in 6.3% of calls and advised planned GP visits in 2.5% of calls. Unplanned GP visits consistently indicated a significant change to worse health with planned visits presenting less acuity in this study of older multi-morbid patients in general practice, when monitored by regular calls at about every 3 days. The PaJR study actively prompted GP visits according to its algorithms. Assessing and predicting acuity in older multi-morbid patients appears to be a promising strategy to improve access to primary care, and thus to reducing avoidable hospital utilization. Further research is needed to investigate the topic on a wider scale. © 2014 John Wiley & Sons, Ltd.

  20. A criterion autoscheduler for long range planning

    NASA Technical Reports Server (NTRS)

    Sponsler, Jeffrey L.

    1994-01-01

    A constraint-based scheduling system called SPIKE is used to create long-term schedules for the Hubble Space Telescope. A meta-level scheduler called the Criterion Autoscheduler for Long range planning (CASL) was created to guide SPIKE's schedule generation according to the agenda of the planning scientists. It is proposed that sufficient flexibility exists in a schedule to allow high level planning heuristics to be applied without adversely affected crucial constraints such as spacecraft efficiency. This hypothesis is supported by test data which is described.

  1. Converting from DDOR SASF to APF

    NASA Technical Reports Server (NTRS)

    Gladden, Roy E.; Khanampompan, Teerapat; Fisher, Forest W.

    2008-01-01

    A computer program called ddor_sasf2apf converts delta-door (delta differential one-way range) request from an SASF (spacecraft activity sequence file) format to an APF (apgen plan file) format for use in the Mars Reconnaissance Orbiter (MRO) missionplanning- and-sequencing process. The APF is used as an input to APGEN/AUTOGEN in the MRO activity- planning and command-sequencegenerating process to sequence the delta-door (DDOR) activity. The DDOR activity is a spacecraft tracking technique for determining spacecraft location. The input to ddor_sasf2apf is an input request SASF provided by an observation team that utilizes DDOR. ddor_sasf2apf parses this DDOR SASF input, rearranging parameters and reformatting the request to produce an APF file for use in AUTOGEN and/or APGEN. The benefit afforded by ddor_sasf2apf is to enable the use of the DDOR SASF file earlier in the planning stage of the command-sequence-generating process and to produce sequences, optimized for DDOR operations, that are more accurate and more robust than would otherwise be possible.

  2. Cracking the egg: virtual embryogenesis of real robots.

    PubMed

    Cussat-Blanc, Sylvain; Pollack, Jordan

    2014-01-01

    All multicellular living beings are created from a single cell. A developmental process, called embryogenesis, takes this first fertilized cell down a complex path of reproduction, migration, and specialization into a complex organism adapted to its environment. In most cases, the first steps of the embryogenesis take place in a protected environment such as in an egg or in utero. Starting from this observation, we propose a new approach to the generation of real robots, strongly inspired by living systems. Our robots are composed of tens of specialized cells, grown from a single cell using a bio-inspired virtual developmental process. Virtual cells, controlled by gene regulatory networks, divide, migrate, and specialize to produce the robot's body plan (morphology), and then the robot is manually built from this plan. Because the robot is as easy to assemble as Lego, the building process could be easily automated.

  3. ANL site response for the DOE FY1994 information resources management long-range plan

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

    Boxberger, L.M.

    1992-03-01

    Argonne National Laboratory`s ANL Site Response for the DOE FY1994 Information Resources Management (IRM) Long-Range Plan (ANL/TM 500) is one of many contributions to the DOE information resources management long-range planning process and, as such, is an integral part of the DOE policy and program planning system. The Laboratory has constructed this response according to instructions in a Call issued in September 1991 by the DOE Office of IRM Policy, Plans and Oversight. As one of a continuing series, this Site Response is an update and extension of the Laboratory`s previous submissions. The response contains both narrative and tabular material.more » It covers an eight-year period consisting of the base year (FY1991), the current year (FY1992), the budget year (FY1993), the plan year (FY1994), and the out years (FY1995-FY1998). This Site Response was compiled by Argonne National Laboratory`s Computing and Telecommunications Division (CTD), which has the responsibility to provide leadership in optimizing computing and information services and disseminating computer-related technologies throughout the Laboratory. The Site Response consists of 5 parts: (1) a site overview, describes the ANL mission, overall organization structure, the strategic approach to meet information resource needs, the planning process, major issues and points of contact. (2) a software plan for DOE contractors, Part 2B, ``Software Plan FMS plan for DOE organizations, (3) computing resources telecommunications, (4) telecommunications, (5) printing and publishing.« less

  4. ANL site response for the DOE FY1994 information resources management long-range plan

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

    Boxberger, L.M.

    1992-03-01

    Argonne National Laboratory's ANL Site Response for the DOE FY1994 Information Resources Management (IRM) Long-Range Plan (ANL/TM 500) is one of many contributions to the DOE information resources management long-range planning process and, as such, is an integral part of the DOE policy and program planning system. The Laboratory has constructed this response according to instructions in a Call issued in September 1991 by the DOE Office of IRM Policy, Plans and Oversight. As one of a continuing series, this Site Response is an update and extension of the Laboratory's previous submissions. The response contains both narrative and tabular material.more » It covers an eight-year period consisting of the base year (FY1991), the current year (FY1992), the budget year (FY1993), the plan year (FY1994), and the out years (FY1995-FY1998). This Site Response was compiled by Argonne National Laboratory's Computing and Telecommunications Division (CTD), which has the responsibility to provide leadership in optimizing computing and information services and disseminating computer-related technologies throughout the Laboratory. The Site Response consists of 5 parts: (1) a site overview, describes the ANL mission, overall organization structure, the strategic approach to meet information resource needs, the planning process, major issues and points of contact. (2) a software plan for DOE contractors, Part 2B, Software Plan FMS plan for DOE organizations, (3) computing resources telecommunications, (4) telecommunications, (5) printing and publishing.« less

  5. Intelligent monitoring and control of semiconductor manufacturing equipment

    NASA Technical Reports Server (NTRS)

    Murdock, Janet L.; Hayes-Roth, Barbara

    1991-01-01

    The use of AI methods to monitor and control semiconductor fabrication in a state-of-the-art manufacturing environment called the Rapid Thermal Multiprocessor is described. Semiconductor fabrication involves many complex processing steps with limited opportunities to measure process and product properties. By applying additional process and product knowledge to that limited data, AI methods augment classical control methods by detecting abnormalities and trends, predicting failures, diagnosing, planning corrective action sequences, explaining diagnoses or predictions, and reacting to anomalous conditions that classical control systems typically would not correct. Research methodology and issues are discussed, and two diagnosis scenarios are examined.

  6. VirSSPA- a virtual reality tool for surgical planning workflow.

    PubMed

    Suárez, C; Acha, B; Serrano, C; Parra, C; Gómez, T

    2009-03-01

    A virtual reality tool, called VirSSPA, was developed to optimize the planning of surgical processes. Segmentation algorithms for Computed Tomography (CT) images: a region growing procedure was used for soft tissues and a thresholding algorithm was implemented to segment bones. The algorithms operate semiautomati- cally since they only need seed selection with the mouse on each tissue segmented by the user. The novelty of the paper is the adaptation of an enhancement method based on histogram thresholding applied to CT images for surgical planning, which simplifies subsequent segmentation. A substantial improvement of the virtual reality tool VirSSPA was obtained with these algorithms. VirSSPA was used to optimize surgical planning, to decrease the time spent on surgical planning and to improve operative results. The success rate increases due to surgeons being able to see the exact extent of the patient's ailment. This tool can decrease operating room time, thus resulting in reduced costs. Virtual simulation was effective for optimizing surgical planning, which could, consequently, result in improved outcomes with reduced costs.

  7. Surface infrastructure functions, requirements and subsystems for a manned Mars mission

    NASA Technical Reports Server (NTRS)

    Fairchild, Kyle

    1986-01-01

    Planning and development for a permanently manned scientific outpost on Mars requires an in-depth understanding and analysis of the functions the outpost is expected to perform. The optimum configuration that accomplishes these functions then arises during the trade studies process. In a project this complex, it becomes necessary to use a formal methodology to document the design and planning process. The method chosen for this study is called top-down functional decomposition. This method is used to determine the functions that are needed to accomplish the overall mission, then determine what requirements and systems are needed to do each of the functions. This method facilitates automation of the trades and options process. In the example, this was done with an off-the shelf software package called TK! olver. The basic functions that a permanently manned outpost on Mars must accomplish are: (1) Establish the Life Critical Systems; (2) Support Planetary Sciences and Exploration; and (3) Develop and Maintain Long-term Support Functions, including those systems needed towards self-sufficiency. The top-down functional decomposition methology, combined with standard spread sheet software, offers a powerful tool to quickly assess various design trades and analyze options. As the specific subsystems, and the relational rule algorithms are further refined, it will be possible to very accurately determine the implications of continually evolving mission requirements.

  8. Accredited Baccalaureate Nursing Programs Utilization of an Academic Plan Model and the Factors That Influence Curriculum Decision Making

    ERIC Educational Resources Information Center

    Holmquist, Traci McDonald

    2012-01-01

    Curriculum reform is a topic seen in research for decades, and nursing education has not been excluded in this call for reform (Benner, Sutphen, Leonard, & Day, 2009; Diekelmann, Ironside, & Gunn, 2005; Dracup, 2011). The issue in nursing education relates to the lack of guidance in how to proceed with this radical change process (Benner,…

  9. iTree-Hydro: Snow hydrology update for the urban forest hydrology model

    Treesearch

    Yang Yang; Theodore A. Endreny; David J. Nowak

    2011-01-01

    This article presents snow hydrology updates made to iTree-Hydro, previously called the Urban Forest Effects—Hydrology model. iTree-Hydro Version 1 was a warm climate model developed by the USDA Forest Service to provide a process-based planning tool with robust water quantity and quality predictions given data limitations common to most urban areas. Cold climate...

  10. Advance Care Planning for Serious Illness

    MedlinePlus

    ADVANCE CARE PLANNING FOR SERIOUS ILLNESS Making plans for the health care you want during a serious illness is called “advance care planning.” Planning involves learning about your illness, understanding choices ...

  11. Cell Phone Ownership and Service Plans Among Low-Income Smokers: The Hidden Cost of Quitlines.

    PubMed

    Bernstein, Steven L; Rosner, June-Marie; Toll, Benjamin

    2016-08-01

    Quitlines (QLs) are free, effective sources of treatment for tobacco dependence. Although the QL number is toll-free, the use of cell phones as the sole source of telephony may impose an unintended cost, in terms of cell minutes. To quantify the use of cell-only telephony among self-pay or Medicaid smokers, assess their calling plans, and estimate the impact of a typical course of QL counseling. A survey of smokers age at least 18 years visiting an American urban emergency department from April to July, 2013. Seven-hundred seventy-three smokers were surveyed, of whom 563 (72.8%) were low-income, defined as having Medicaid or no insurance. All low-income smokers had at least one phone: 48 (8.5%) reported land-lines only, 159 (28.2%) land-lines and cells, and 356 (63.2%) cells only. Of the cell phone owners, monthly calling plans provided unlimited minutes for 339/515 (65.8%), at most 250 minutes for 124 (24.1%), and more than 250 minutes for 52 (10.0%). Another recent trial found that QL users make a median of 1 call lasting 28 minutes, with the 75th and 90th percentiles of calls and minutes at 3 and 4 calls, and 48 and 73.6 minutes, respectively. Thus, robust use of QL services could consume 11%-29% of a low-income smoker's typical 250 monthly cell minutes. Among low-income smokers, cell phones are often the sole telephone. Robust use of the QL may impose a substantial burden on low-income smokers' calling plans, and therefore deter use of the QL. Exempting calls to QLs from counting against smokers' plans may help promote QL utilization. Low-income individuals have high rates of smoking, and are more likely to own only cell phones, not landlines, for telephone access. Because cell phone calling plans often have limited numbers of monthly minutes, cell-only individuals may have to spend a substantial proportion of their monthly minutes on QL services. This may act as a deterrent to using an otherwise free, effective means of treatment for tobacco dependence. Exempting QLs from monthly calling plans may improve access for low-income smokers. © The Author 2016. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  12. Embedding ecosystem services in coastal planning leads to better outcomes for people and nature

    PubMed Central

    Arkema, Katie K.; Verutes, Gregory M.; Wood, Spencer A.; Clarke-Samuels, Chantalle; Rosado, Samir; Canto, Maritza; Rosenthal, Amy; Ruckelshaus, Mary; Guannel, Gregory; Toft, Jodie; Faries, Joe; Silver, Jessica M.; Griffin, Robert; Guerry, Anne D.

    2015-01-01

    Recent calls for ocean planning envision informed management of social and ecological systems to sustain delivery of ecosystem services to people. However, until now, no coastal and marine planning process has applied an ecosystem-services framework to understand how human activities affect the flow of benefits, to create scenarios, and to design a management plan. We developed models that quantify services provided by corals, mangroves, and seagrasses. We used these models within an extensive engagement process to design a national spatial plan for Belize’s coastal zone. Through iteration of modeling and stakeholder engagement, we developed a preferred plan, currently under formal consideration by the Belizean government. Our results suggest that the preferred plan will lead to greater returns from coastal protection and tourism than outcomes from scenarios oriented toward achieving either conservation or development goals. The plan will also reduce impacts to coastal habitat and increase revenues from lobster fishing relative to current management. By accounting for spatial variation in the impacts of coastal and ocean activities on benefits that ecosystems provide to people, our models allowed stakeholders and policymakers to refine zones of human use. The final version of the preferred plan improved expected coastal protection by >25% and more than doubled the revenue from fishing, compared with earlier versions based on stakeholder preferences alone. Including outcomes in terms of ecosystem-service supply and value allowed for explicit consideration of multiple benefits from oceans and coasts that typically are evaluated separately in management decisions. PMID:26082545

  13. Embedding ecosystem services in coastal planning leads to better outcomes for people and nature.

    PubMed

    Arkema, Katie K; Verutes, Gregory M; Wood, Spencer A; Clarke-Samuels, Chantalle; Rosado, Samir; Canto, Maritza; Rosenthal, Amy; Ruckelshaus, Mary; Guannel, Gregory; Toft, Jodie; Faries, Joe; Silver, Jessica M; Griffin, Robert; Guerry, Anne D

    2015-06-16

    Recent calls for ocean planning envision informed management of social and ecological systems to sustain delivery of ecosystem services to people. However, until now, no coastal and marine planning process has applied an ecosystem-services framework to understand how human activities affect the flow of benefits, to create scenarios, and to design a management plan. We developed models that quantify services provided by corals, mangroves, and seagrasses. We used these models within an extensive engagement process to design a national spatial plan for Belize's coastal zone. Through iteration of modeling and stakeholder engagement, we developed a preferred plan, currently under formal consideration by the Belizean government. Our results suggest that the preferred plan will lead to greater returns from coastal protection and tourism than outcomes from scenarios oriented toward achieving either conservation or development goals. The plan will also reduce impacts to coastal habitat and increase revenues from lobster fishing relative to current management. By accounting for spatial variation in the impacts of coastal and ocean activities on benefits that ecosystems provide to people, our models allowed stakeholders and policymakers to refine zones of human use. The final version of the preferred plan improved expected coastal protection by >25% and more than doubled the revenue from fishing, compared with earlier versions based on stakeholder preferences alone. Including outcomes in terms of ecosystem-service supply and value allowed for explicit consideration of multiple benefits from oceans and coasts that typically are evaluated separately in management decisions.

  14. Operationalizing biodiversity for conservation planning.

    PubMed

    Sarkar, Sahotra; Margules, Chris

    2002-07-01

    Biodiversity has acquired such a general meaning that people now find it difficult to pin down a precise sense for planning and policy-making aimed at biodiversity conservation. Because biodiversity is rooted in place, the task of conserving biodiversity should target places for conservation action; and because all places contain biodiversity, but not all places can be targeted for action, places have to be prioritized. What is needed for this is a measure of the extent to which biodiversity varies from place to place. We do not need a precise measure of biodiversity to prioritize places. Relative estimates of similarity or difference can be derived using partial measures, or what have come to be called biodiversity surrogates. Biodiversity surrogates are supposed to stand in for general biodiversity in planning applications. We distinguish between true surrogates, those that might truly stand in for general biodiversity, and estimator surrogates, which have true surrogates as their target variable. For example, species richness has traditionally been the estimator surrogate for the true surrogate, species diversity. But species richness does not capture the differences in composition between places; the essence of biodiversity. Another measure, called complementarity, explicitly captures the differences between places as we iterate the process of place prioritization, starting with an initial place. The relative concept of biodiversity built into the definition of complementarity has the level of precision needed to undertake conservation planning.

  15. The Development and Implementation of Ground Safety Requirements for Project Orion Abort Flight Testing - A Case Study

    NASA Technical Reports Server (NTRS)

    Kirkpatrick, Paul D.; Williams, Jeffrey G.; Condzella, Bill R.

    2008-01-01

    A rigorous set of detailed ground safety requirements is required to make sure that ground support equipment (GSE) and associated planned ground operations are conducted safely. Detailed ground safety requirements supplement the GSE requirements already called out in NASA-STD-5005. This paper will describe the initial genesis of these ground safety requirements, the establishment and approval process and finally the implementation process for Project Orion. The future of the requirements will also be described. Problems and issues encountered and overcame will be discussed.

  16. Improving Therapeutic Relationships: Joint Crisis Planning for Individuals With Psychotic Disorders.

    PubMed

    Farrelly, Simone; Lester, Helen; Rose, Diana; Birchwood, Max; Marshall, Max; Waheed, Waquas; Henderson, R Claire; Szmukler, George; Thornicroft, Graham

    2015-12-01

    Outcomes for individuals with psychosis remain far from acceptable. Recently, prominent psychiatrists have called for an improved understanding of the impact of social contexts, and how social contexts might influence the development and maintenance of mental health problems. A key social context for individuals with psychosis is the therapeutic relationship. As part of a trial of joint crisis planning in England, this qualitative study aimed to determine the mechanism through which joint crisis planning might affect the therapeutic relationship. Results suggest that routine processes in mental health care are affected by policy and organizational requirements for risk mitigation-aspects that undermine person-centered approaches. In contrast, strong therapeutic relationships are characterized by individualized care and reliable and respectful treatment. The Joint Crisis Plan intervention partially succeeded in reducing contextual influences on routine role enactments, facilitating the demonstration of respect and improving the therapeutic relationship. © The Author(s) 2015.

  17. Drug Plan Coverage Rules

    MedlinePlus

    ... the first time Filling a prescription without your new plan card Costs for Medicare drug coverage Joining a health or drug plan How Part D works with other insurance Find health & drug plans Drug plan coverage rules Note Call your Medicare drug plan to find ...

  18. Design and analysis of advanced flight planning concepts

    NASA Technical Reports Server (NTRS)

    Sorensen, John A.

    1987-01-01

    The objectives of this continuing effort are to develop and evaluate new algorithms and advanced concepts for flight management and flight planning. This includes the minimization of fuel or direct operating costs, the integration of the airborne flight management and ground-based flight planning processes, and the enhancement of future traffic management systems design. Flight management (FMS) concepts are for on-board profile computation and steering of transport aircraft in the vertical plane between a city pair and along a given horizontal path. Flight planning (FPS) concepts are for the pre-flight ground based computation of the three-dimensional reference trajectory that connects the city pair and specifies the horizontal path, fuel load, and weather profiles for initializing the FMS. As part of these objectives, a new computer program called EFPLAN has been developed and utilized to study advanced flight planning concepts. EFPLAN represents an experimental version of an FPS. It has been developed to generate reference flight plans compatible as input to an FMS and to provide various options for flight planning research. This report describes EFPLAN and the associated research conducted in its development.

  19. Artificial Intelligence (Al) Center of Excellence at the University of Pennsylvania

    DTIC Science & Technology

    1995-07-01

    Approach and repel behaviors were implemented in order to study higher level behavioral simulation . Parallel algorithms for motion planning (as a...of decision-making accuracy can be specified for this graph-reduction process. We have also developed a mixed qualitative/quantitative simulation ...system, called QobiSIM. QobiSIM has been used to develop a cardiovascular simulation to be incorporated into the TraumAID system. This cardiovascular

  20. New Beginnings: A Report to the Faculty of Arts and Sciences on the State of the Library.

    ERIC Educational Resources Information Center

    De Gennaro, Richard

    This paper is a report to the Faculty of Arts and Sciences on the changing state of the Harvard College Library and the larger information environment of which it is a part. It is also a call for faculty participation in a strategic planning process designed to reposition the Library to serve an information age university in the twenty-first…

  1. Network Monitoring: A 360-Degree Plan--Learn How to Get the Vital Feedback You Need to Make Your System--And Its Users--More Secure

    ERIC Educational Resources Information Center

    Miller, Steven E.; Seiberling, Chris

    2004-01-01

    This article represents the second part of a series in this journal called "How to Perform a Security Audit." It continues the conversation on setting up a process for identifying security-related concerns and implementation safeguards. It continues the conversation from the perspective of system monitoring. This article discusses how to use a…

  2. Course-Taking Patterns, Policies, and Practices in Developmental Education in the California Community Colleges. A Report to the California Community Colleges Chancellor's Office

    ERIC Educational Resources Information Center

    Perry, Mary; Bahr, Peter Riley; Rosin, Matthew; Woodward, Kathryn Morgan

    2010-01-01

    The visibility of developmental education--or basic skills education as it is called most often in California--has increased in recent years. One major catalyst was a comprehensive community college strategic planning process completed in 2004 that listed basic skills as a critical area of focus. Another was an increase in the system's minimum…

  3. Methodology for identifying and representing knowledge in the scope of CMM inspection resource selection

    NASA Astrophysics Data System (ADS)

    Martínez, S.; Barreiro, J.; Cuesta, E.; Álvarez, B. J.; González, D.

    2012-04-01

    This paper is focused on the task of elicitation and structuring of knowledge related to selection of inspection resources. The final goal is to obtain an informal model of knowledge oriented to the inspection planning in coordinate measuring machines. In the first tasks, where knowledge is captured, it is necessary to use tools that make easier the analysis and structuring of knowledge, so that rules of selection can be easily stated to configure the inspection resources. In order to store the knowledge a so-called Onto-Process ontology has been developed. This ontology may be of application to diverse processes in manufacturing engineering. This paper describes the decomposition of the ontology in terms of general units of knowledge and others more specific for selection of sensor assemblies in inspection planning with touch sensors.

  4. 78 FR 50089 - Grand Staircase-Escalante National Monument Monument Advisory Committee; Meeting/Conference Call

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-16

    ... meeting/ conference call include review of the GSENM Campground and Day Use Business Plan, formulation of... hours a day, seven days a week. Replies will be received during normal business hours. SUPPLEMENTARY..., pursuant to the Monument Management Plan (MMP), FLPMA, and the Federal Advisory Committee Act of 1972. As...

  5. Planning for the semiconductor manufacturer of the future

    NASA Technical Reports Server (NTRS)

    Fargher, Hugh E.; Smith, Richard A.

    1992-01-01

    Texas Instruments (TI) is currently contracted by the Air Force Wright Laboratory and the Defense Advanced Research Projects Agency (DARPA) to develop the next generation flexible semiconductor wafer fabrication system called Microelectronics Manufacturing Science & Technology (MMST). Several revolutionary concepts are being pioneered on MMST, including the following: new single-wafer rapid thermal processes, in-situ sensors, cluster equipment, and advanced Computer Integrated Manufacturing (CIM) software. The objective of the project is to develop a manufacturing system capable of achieving an order of magnitude improvement in almost all aspects of wafer fabrication. TI was awarded the contract in Oct., 1988, and will complete development with a fabrication facility demonstration in April, 1993. An important part of MMST is development of the CIM environment responsible for coordinating all parts of the system. The CIM architecture being developed is based on a distributed object oriented framework made of several cooperating subsystems. The software subsystems include the following: process control for dynamic control of factory processes; modular processing system for controlling the processing equipment; generic equipment model which provides an interface between processing equipment and the rest of the factory; specification system which maintains factory documents and product specifications; simulator for modelling the factory for analysis purposes; scheduler for scheduling work on the factory floor; and the planner for planning and monitoring of orders within the factory. This paper first outlines the division of responsibility between the planner, scheduler, and simulator subsystems. It then describes the approach to incremental planning and the way in which uncertainty is modelled within the plan representation. Finally, current status and initial results are described.

  6. Revised ground-water monitoring compliance plan for the 300 area process trenches

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

    Schalla, R.; Aaberg, R.L.; Bates, D.J.

    1988-09-01

    This document contains ground-water monitoring plans for process-water disposal trenches located on the Hanford Site. These trenches, designated the 300 Area Process Trenches, have been used since 1973 for disposal of water that contains small quantities of both chemicals and radionuclides. The ground-water monitoring plans contained herein represent revision and expansion of an effort initiated in June 1985. At that time, a facility-specific monitoring program was implemented at the 300 Area Process Trenches as part of a regulatory compliance effort for hazardous chemicals being conducted on the Hanford Site. This monitoring program was based on the ground-water monitoring requirements formore » interim-status facilities, which are those facilities that do not yet have final permits, but are authorized to continue interim operations while engaged in the permitting process. The applicable monitoring requirements are described in the Resource Conservation and Recovery Act (RCRA), 40 CFR 265.90 of the federal regulations, and in WAC 173-303-400 of Washington State's regulations (Washington State Department of Ecology 1986). The program implemented for the process trenches was designed to be an alternate program, which is required instead of the standard detection program when a facility is known or suspected to have contaminated the ground water in the uppermost aquifer. The plans for the program, contained in a document prepared by the US Department of Energy (USDOE) in 1985, called for monthly sampling of 14 of the 37 existing monitoring wells at the 300 Area plus the installation and sampling of 2 new wells. 27 refs., 25 figs., 15 tabs.« less

  7. Approved Air Quality Implementation Plans in The Virgin Islands

    EPA Pesticide Factsheets

    This site contains information about air quality regulations called State Implementation Plans (SIPs), Federal Implementation Plans (FIPs), and Tribal Implementation Plans (TIPs) approved by EPA within the U.S. Virgin Islands.

  8. Mixed Integer Linear Programming model for Crude Palm Oil Supply Chain Planning

    NASA Astrophysics Data System (ADS)

    Sembiring, Pasukat; Mawengkang, Herman; Sadyadharma, Hendaru; Bu'ulolo, F.; Fajriana

    2018-01-01

    The production process of crude palm oil (CPO) can be defined as the milling process of raw materials, called fresh fruit bunch (FFB) into end products palm oil. The process usually through a series of steps producing and consuming intermediate products. The CPO milling industry considered in this paper does not have oil palm plantation, therefore the FFB are supplied by several public oil palm plantations. Due to the limited availability of FFB, then it is necessary to choose from which plantations would be appropriate. This paper proposes a mixed integer linear programming model the supply chain integrated problem, which include waste processing. The mathematical programming model is solved using neighborhood search approach.

  9. Quality initiatives: planning, setting up, and carrying out radiology process improvement projects.

    PubMed

    Tamm, Eric P; Szklaruk, Janio; Puthooran, Leejo; Stone, Danna; Stevens, Brian L; Modaro, Cathy

    2012-01-01

    In the coming decades, those who provide radiologic imaging services will be increasingly challenged by the economic, demographic, and political forces affecting healthcare to improve their efficiency, enhance the value of their services, and achieve greater customer satisfaction. It is essential that radiologists master and consistently apply basic process improvement skills that have allowed professionals in many other fields to thrive in a competitive environment. The authors provide a step-by-step overview of process improvement from the perspective of a radiologic imaging practice by describing their experience in conducting a process improvement project: to increase the daily volume of body magnetic resonance imaging examinations performed at their institution. The first step in any process improvement project is to identify and prioritize opportunities for improvement in the work process. Next, an effective project team must be formed that includes representatives of all participants in the process. An achievable aim must be formulated, appropriate measures selected, and baseline data collected to determine the effects of subsequent efforts to achieve the aim. Each aspect of the process in question is then analyzed by using appropriate tools (eg, flowcharts, fishbone diagrams, Pareto diagrams) to identify opportunities for beneficial change. Plans for change are then established and implemented with regular measurements and review followed by necessary adjustments in course. These so-called PDSA (planning, doing, studying, and acting) cycles are repeated until the aim is achieved or modified and the project closed.

  10. Mission planning for space based satellite surveillance experiments with the MSX

    NASA Technical Reports Server (NTRS)

    Sridharan, R.; Fishman, T.; Robinson, E.; Viggh, H.; Wiseman, A.

    1994-01-01

    The Midcourse Space Experiment is a BMDO-sponsored scientific satellite set for launch within the year. The satellite will collect phenomenology data on missile targets, plumes, earth limb backgrounds and deep space backgrounds in the LWIR, visible and ultra-violet spectral bands. It will also conduct functional demonstrations for space-based space surveillance. The Space-Based Visible sensor, built by Lincoln Laboratory, Massachusetts Institute of Technology, is the primary sensor on board the MSX for demonstration of space surveillance. The SBV Processing, Operations and Control Center (SPOCC) is the mission planning and commanding center for all space surveillance experiments using the SBV and other MSX instruments. The guiding principle in the SPOCC Mission Planning System was that all routine functions be automated. Manual analyst input should be minimal. Major concepts are: (I) A high level language, called SLED, for user interface to the system; (2) A group of independent software processes which would generally be run in a pipe-line mode for experiment commanding but can be run independently for analyst assessment; (3) An integrated experiment cost computation function that permits assessment of the feasibility of the experiment. This paper will report on the design, implementation and testing of the Mission Planning System.

  11. Proposal of Constraints Analysis Method Based on Network Model for Task Planning

    NASA Astrophysics Data System (ADS)

    Tomiyama, Tomoe; Sato, Tatsuhiro; Morita, Toyohisa; Sasaki, Toshiro

    Deregulation has been accelerating several activities toward reengineering business processes, such as railway through service and modal shift in logistics. Making those activities successful, business entities have to regulate new business rules or know-how (we call them ‘constraints’). According to the new constraints, they need to manage business resources such as instruments, materials, workers and so on. In this paper, we propose a constraint analysis method to define constraints for task planning of the new business processes. To visualize each constraint's influence on planning, we propose a network model which represents allocation relations between tasks and resources. The network can also represent task ordering relations and resource grouping relations. The proposed method formalizes the way of defining constraints manually as repeatedly checking the network structure and finding conflicts between constraints. Being applied to crew scheduling problems shows that the method can adequately represent and define constraints of some task planning problems with the following fundamental features, (1) specifying work pattern to some resources, (2) restricting the number of resources for some works, (3) requiring multiple resources for some works, (4) prior allocation of some resources to some works and (5) considering the workload balance between resources.

  12. Groundwater regulation and integrated planning

    USGS Publications Warehouse

    Quevauviller, Philippe; Batelaan, Okke; Hunt, Randall J.

    2016-01-01

    The complex nature of groundwater and the diversity of uses and environmental interactions call for emerging groundwater problems to be addressed through integrated management and planning approaches. Planning requires different levels of integration dealing with: the hydrologic cycle (the physical process) including the temporal dimension; river basins and aquifers (spatial integration); socioeconomic considerations at regional, national and international levels; and scientific knowledge. The great natural variation in groundwater conditions obviously affects planning needs and options as well as perceptions from highly localised to regionally-based approaches. The scale at which planning is done therefore needs to be carefully evaluated against available policy choices and options in each particular setting. A solid planning approach is based on River Basin Management Planning (RBMP), which covers: (1) objectives that management planning are designed to address; (2) the way various types of measures fit into the overall management planning; and (3) the criteria against which the success or failure of specific strategies or interventions can be evaluated (e.g. compliance with environmental quality standards). A management planning framework is to be conceived as a “living” or iterated document that can be updated, refined and if necessary changed as information and experience are gained. This chapter discusses these aspects, providing an insight into European Union (EU), United States and Australia groundwater planning practices.

  13. Oregon aviation plan

    DOT National Transportation Integrated Search

    2000-02-01

    The 1992 Oregon Transportation Plan created policies and investment strategies for Oregon's multimodal transportation system. The statewide plan called for a transportation system marked by modal balance, efficiency, accessibility, environmental resp...

  14. 78 FR 68367 - Approval and Promulgation of Air Quality Implementation Plans; Ohio; Ohio NOX

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-14

    ... Clean Air Act, which allows for Ohio's Clean Air Interstate Rule (CAIR) NO X Ozone Season Trading Program rules to supersede Ohio's nitrogen oxides (NO X ) State Implementation Plan (SIP) Call Budget Trading Program rules, but leave other requirements of the NO X SIP Call in place for units not covered by...

  15. Embedding Agile Practices within a Plan-Driven Hierarchical Project Life Cycle

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

    Millard, W. David; Johnson, Daniel M.; Henderson, John M.

    2014-07-28

    Organizations use structured, plan-driven approaches to provide continuity, direction, and control to large, multi-year programs. Projects within these programs vary greatly in size, complexity, level of maturity, technical risk, and clarity of the development objectives. Organizations that perform exploratory research, evolutionary development, and other R&D activities can obtain the benefits of Agile practices without losing the benefits of their program’s overarching plan-driven structure. This paper describes application of Agile development methods on a large plan-driven sensor integration program. While the client employed plan-driven, requirements flow-down methodologies, tight project schedules and complex interfaces called for frequent end-to-end demonstrations to provide feedbackmore » during system development. The development process maintained the many benefits of plan-driven project execution with the rapid prototyping, integration, demonstration, and client feedback possible through Agile development methods. This paper also describes some of the tools and implementing mechanisms used to transition between and take advantage of each methodology, and presents lessons learned from the project management, system engineering, and developer’s perspectives.« less

  16. [Cognitive Functions in the Prefrontal Association Cortex; Transitive Inference and the Lateral Prefrontal Cortex].

    PubMed

    Tanaka, Shingo; Oguchi, Mineki; Sakagami, Masamichi

    2016-11-01

    To behave appropriately in a complex and uncertain world, the brain makes use of several distinct learning systems. One such system is called the "model-free process", via which conditioning allows the association between a stimulus or response and a given reward to be learned. Another system is called the "model-based process". Via this process, the state transition between a stimulus and a response is learned so that the brain is able to plan actions prior to their execution. Several studies have tried to relate the difference between model-based and model-free processes to the difference in functions of the lateral prefrontal cortex (LPFC) and the striatum. Here, we describe a series of studies that demonstrate the ability of LPFC neurons to categorize visual stimuli by their associated behavioral responses and to generate abstract information. If LPFC neurons utilize abstract code to associate a stimulus with a reward, they should be able to infer similar relationships between other stimuli of the same category and their rewards without direct experience of these stimulus-reward contingencies. We propose that this ability of LPFC neurons to utilize abstract information can contribute to the model-based learning process.

  17. Increasing advance personal planning: the need for action at the community level.

    PubMed

    Waller, Amy; Sanson-Fisher, Rob; Ries, Nola; Bryant, Jamie

    2018-05-09

    Advance personal planning is the process by which people consider, document and communicate their preferences for personal, financial and health matters in case they lose the ability to make decisions or express their wishes in the future. Advance personal planning is most often undertaken by individuals who are seriously ill, often in the context of a medical crisis and/or at the time of admission to hospital. However, the clinical utility and legal validity of the planning process may be compromised in these circumstances. Patients may lack sufficient capacity to meaningfully engage in advance personal planning; there may be insufficient time to adequately reflect on and discuss wishes with key others; and there may also be limited opportunity for inter-professional input and collaboration in the process. Here, we propose an agenda for research to advance the science of advance personal planning by promoting a 'whole community' approach. Adoption of advance personal planning at a community level may be achieved using a variety of strategies including public media campaigns, intervening with professionals across a range of health care and legal settings, and mobilising support from influential groups and local government. One potentially promising method for encouraging earlier adoption of advance personal planning among a broader population involves a community action approach, whereby multiple evidence-based strategies are integrated across multiple access points. Community action involves calling on community members, professionals, community and/or government organisations to work collaboratively to design and systematically implement intervention strategies with the aim of bringing about desired behaviour change. An example of a community action trial to improving uptake and quality of advance personal planning is described. While promising, there is a need for rigorous evidence to demonstrate whether a community action approach is effective in establishing whole community adoption of advance personal planning.

  18. Decision Support in a Changing and Contentious World--Successfully Supporting the Development of a 50-year Comprehensive Coastal Master Plan in Louisiana

    NASA Astrophysics Data System (ADS)

    Groves, D.

    2014-12-01

    After the devastating 2005 hurricane season, Louisiana embarked on an ambitious and daunting effort to develop and implement a comprehensive Coastal Master Plan. The Master Plan sought to achieve two key goals simultaneously: reduce hurricane flood risk and halt the net conversion of its coastal landscape to open ocean. Numerous prior efforts to achieve these goals had been tried without significant success. In 2012, however, the Louisiana Coastal Protection and Restoration Authority (CPRA) produced a 50-year, $50 billion Master Plan. It had broad support from a diverse and often adversarial set of stakeholders, and it was unanimously passed by the Louisiana legislature. In contrast to other efforts, CPRA took an approach to planning called by the U.S. National Research Council as "deliberation with analysis". Specifically, CPRA used data, models, and decision support tools not to define an optimal or best strategy, but instead to support stakeholder dialogue and deliberations over alterative coastal management strategies. RAND researchers, with the support of CPRA and other collaborators, developed the planning tool at the center of this process. The CPRA planning tool synthesized large amounts of information about how the coast might evolve over time with and without different combinations of hundreds of different projects and programs. The tool helped CPRA propose alternative strategies that could achieve the State's goals while also highlighting to stakeholders the key tradeoffs among them. Importantly, this process helped bring diverse communities together to support a single vision and specific set of projects and programs to meet many of Louisiana's coastal water resources challenges. This presentation will describe the planning approach and decision support tools developed to support the Master Plan's participatory stakeholder process. The presentation will also highlight several important key takeaway messages that have broad applicability to other water resources planning efforts. Lastly, it will describe several on-going efforts in other parts of the U.S. that are employing this same approach.

  19. A Multi-touch Tool for Co-creation

    NASA Astrophysics Data System (ADS)

    Ludden, Geke D. S.; Broens, Tom

    Multi-touch technology provides an attractive way for knowledge workers to collaborate. Co-creation is an important collaboration process in which collecting resources, creating results and distributing these results is essential. We propose a wall-based multi-touch system (called CoCreate) in which these steps are made easy due to the notion of connected private spaces and a shared co-create space. We present our ongoing work, expert evaluation of interaction scenarios and future plans.

  20. Enhanced Vehicle Beddown Approximations for the Improved Theater Distribution Model

    DTIC Science & Technology

    2014-03-27

    processed utilizing a heuristic routing and scheduling procedure the authors called the Airlift Planning Algorithm ( APA ). The linear programming model...LINGO 13 environment. The model is then solved by LINGO 13 and solution data is passed back to the Excel environment in a readable format . All original...DSS is relatively unchanged when solutions to the ITDM are referenced for comparison testing. Readers are encouraged to see Appendix I for ITDM VBA

  1. NASA Accountability Report

    NASA Technical Reports Server (NTRS)

    1997-01-01

    NASA is piloting fiscal year (FY) 1997 Accountability Reports, which streamline and upgrade reporting to Congress and the public. The document presents statements by the NASA administrator, and the Chief Financial Officer, followed by an overview of NASA's organizational structure and the planning and budgeting process. The performance of NASA in four strategic enterprises is reviewed: (1) Space Science, (2) Mission to Planet Earth, (3) Human Exploration and Development of Space, and (4) Aeronautics and Space Transportation Technology. Those areas which support the strategic enterprises are also reviewed in a section called Crosscutting Processes. For each of the four enterprises, there is discussion about the long term goals, the short term objectives and the accomplishments during FY 1997. The Crosscutting Processes section reviews issues and accomplishments relating to human resources, procurement, information technology, physical resources, financial management, small and disadvantaged businesses, and policy and plans. Following the discussion about the individual areas is Management's Discussion and Analysis, about NASA's financial statements. This is followed by a report by an independent commercial auditor and the financial statements.

  2. Consumer satisfaction with telehealth advice-nursing.

    PubMed

    Chang, B L; Mayo, A; Omery, A

    2001-01-01

    An increase in interest in the establishment of telephone advice services has resulted in the proliferation of call centers. Despite their wide usage, research for the most part has not addressed the quality of care in relation to consumer satisfaction. This paper examines consumer outcomes of satisfaction, and follow-up with recommendations, within a framework of the nursing process and its associated components of assessment (including problem identification), care planning, intervention, and evaluation. The data for the study were obtained from seven after-hours call centers operating under the auspices of health maintenance organizations, preferred provider organizations, and private insurance companies. A sample of 157 non-redundant telephone calls from adults with medical-surgical problems were audiotaped with providers' and callers' consent. Sociodemographic information of the advice nurses, and chief complaints of the callers were obtained. The quality of nursing of the audiotaped calls was rated through an implicit review method by registered nurse raters using an advice nurse structured implicit review (AN-SIR) form developed for the study. Follow-up information was obtained through telephone calls to ascertain the consumers' perceptions of satisfaction, helpfulness, and follow-through with recommendations. Results indicated that consumers calling with a variety of general complaints contacted 32 nurses in advice nurse call centers. The quality of nursing process was found to be the best in the area of intervention. Evaluation was also well above the midpoint on a transformed scale of zero to 100. Assessment, although slightly above midpoint, was the lowest of the three components of the nursing process examined. Consumer satisfaction was high with 95.4 percent of the consumers rating the calls as completely or at least somewhat satisfied, and 93.2 percent, stating the advice was very or somewhat helpful. Exploratory regression analysis showed that the component of intervention was significantly related to consumer satisfaction. The present study pioneers the way to rate the quality of the advice nurses' interactions with consumers, and lays the groundwork for further investigations of health care provider behavior and consumer outcomes. Further studies are recommended to investigate predictors of consumer satisfaction, and cost-benefit in terms of consumer expenditures of time, funds, and energy.

  3. 40 CFR 264.53 - Copies of contingency plan.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 25 2010-07-01 2010-07-01 false Copies of contingency plan. 264.53... Contingency Plan and Emergency Procedures § 264.53 Copies of contingency plan. A copy of the contingency plan... called upon to provide emergency services. [Comment: The contingency plan must be submitted to the...

  4. Improving the Quality and Scope of EIA Data

    EIA Publications

    2011-01-01

    Section 805(a) of the Energy Independence and Security Act of 2007 (EISA), Public Law 110-1401 requires the U.S. Energy Information Administration (EIA) to establish a five-year plan to enhance the quality and scope of its data collection necessary to ensure that the scope, accuracy, and timeliness of the information needed for efficient functioning of energy markets and related financial operations. This report is in response to section 805(b) of EISA which calls on EIA to submit to Congress the plan established under subsection (a), including a description of any improvements needed to enhance the ability of the Administrator to collect and process energy information in a manner consistent with the needs of energy markets.

  5. Engaging blind and partially sighted stakeholders in transformational change.

    PubMed

    Pearson, Victoria

    2016-09-01

    For non-profit organizations in the disability sector, engaging stakeholders with disabilities on matters of strategic planning is both a responsibility and an expectation. As part of our current strategic plan, which calls for organizational and systemic transformation, the Canadian National Institute for the Blind (CNIB) has engaged blind and partially sighted stakeholders alongside other interest groups to build and advocate for a more holistic model of vision healthcare and rehabilitation. This article describes the CNIB's multi-year process, including early-stage consultations, collaborative strategy development, and political advocacy and shares our organization's key success factors and learnings in creating meaningful, mutually beneficial engagement. © 2016 The Canadian College of Health Leaders.

  6. Action Intentions Modulate Allocation of Visual Attention: Electrophysiological Evidence

    PubMed Central

    Wykowska, Agnieszka; Schubö, Anna

    2012-01-01

    In line with the Theory of Event Coding (Hommel et al., 2001), action planning has been shown to affect perceptual processing – an effect that has been attributed to a so-called intentional weighting mechanism (Wykowska et al., 2009; Hommel, 2010). This paper investigates the electrophysiological correlates of action-related modulations of selection mechanisms in visual perception. A paradigm combining a visual search task for size and luminance targets with a movement task (grasping or pointing) was introduced, and the EEG was recorded while participants were performing the tasks. The results showed that the behavioral congruency effects, i.e., better performance in congruent (relative to incongruent) action-perception trials have been reflected by a modulation of the P1 component as well as the N2pc (an ERP marker of spatial attention). These results support the argumentation that action planning modulates already early perceptual processing and attention mechanisms. PMID:23060841

  7. [Priority research agendas: a strategic resource for health in Latin America].

    PubMed

    Becerra-Posada, Francisco; de Snyder, Nelly Salgado; Cuervo, Luis Gabriel; Montorzi, Gabriela

    2014-12-01

    Understand and analyze procedures used to create national integrated research agendas from 2007 to 2011 in Argentina, Guatemala, Mexico, Panama, and Paraguay. Descriptive, cross-sectional study using an online survey of agenda preparation processes; specifically, development, integration, implementation, and use and dissemination of the agenda. The 45 respondents reported following specific methodologies for agenda construction and had a good opinion of organizational aspects with regard to prior information provided and balance among disciplines and stakeholders. Some 60% considered the coordinators impartial, although 25% mentioned biases favoring some subject; 42% received technical support from consultants, reading matter, and methodological guidelines; 40% engaged in subject-matter priority-setting; and 55% confirmed dissemination and communication of the agenda. However, only 22% reported inclusion of agenda topics in national calls for research proposals. In the countries studied, development of the health research agenda was characterized by prior planning and appropriate organization to achieve - consensus-based outcomes. Nevertheless, the agendas were not used in national calls for research proposals, reflecting lack of coordination in national health research systems and lack of connection between funders and researchers. It is recommended that stakeholders strengthen integration and advocacy efforts to modify processes and structures of agenda-based calls for research proposals.

  8. China’s Defense Industry on the Path of Reform

    DTIC Science & Technology

    2009-10-01

    Strategy” (三三三转型升级 战 略). The strategy calls for a proactive approach to the development of three markets simultaneously: military, civilian, and foreign. 46...Plan to Leap Ahead in Core Competitive Power” (核心竞 争 力跃升计划). According to the plan, CETC called for strengthening the competitive power of products in

  9. The Nigeria Education System and Vision 20: 2020--A Critical Development Planning Perspective

    ERIC Educational Resources Information Center

    Sanubi, Franklins A.; Akpotu, Nelson E.

    2015-01-01

    The study examines the call for Nigeria becoming one of the twenty most developed economies by the year 2020, as it relates to development planning in Nigeria using the educational system as a unit of analysis. It aims at examining the relevance of this call within the context of existing facilities in the Nigeria educational system--both material…

  10. 76 FR 21639 - Finding of Substantial Inadequacy of Implementation Plan; Call for Utah State Implementation Plan...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-18

    ..., but stated that they believed the comment period was too short. Some commenters complained that the... and protection is ensured as long as the limits are met. Consistent with this premise, the CAA and our...--did not serve to change the terms of an approved SIP. (d) Comment: EPA's proposed SIP call is...

  11. Model-based quality assessment and base-calling for second-generation sequencing data.

    PubMed

    Bravo, Héctor Corrada; Irizarry, Rafael A

    2010-09-01

    Second-generation sequencing (sec-gen) technology can sequence millions of short fragments of DNA in parallel, making it capable of assembling complex genomes for a small fraction of the price and time of previous technologies. In fact, a recently formed international consortium, the 1000 Genomes Project, plans to fully sequence the genomes of approximately 1200 people. The prospect of comparative analysis at the sequence level of a large number of samples across multiple populations may be achieved within the next five years. These data present unprecedented challenges in statistical analysis. For instance, analysis operates on millions of short nucleotide sequences, or reads-strings of A,C,G, or T's, between 30 and 100 characters long-which are the result of complex processing of noisy continuous fluorescence intensity measurements known as base-calling. The complexity of the base-calling discretization process results in reads of widely varying quality within and across sequence samples. This variation in processing quality results in infrequent but systematic errors that we have found to mislead downstream analysis of the discretized sequence read data. For instance, a central goal of the 1000 Genomes Project is to quantify across-sample variation at the single nucleotide level. At this resolution, small error rates in sequencing prove significant, especially for rare variants. Sec-gen sequencing is a relatively new technology for which potential biases and sources of obscuring variation are not yet fully understood. Therefore, modeling and quantifying the uncertainty inherent in the generation of sequence reads is of utmost importance. In this article, we present a simple model to capture uncertainty arising in the base-calling procedure of the Illumina/Solexa GA platform. Model parameters have a straightforward interpretation in terms of the chemistry of base-calling allowing for informative and easily interpretable metrics that capture the variability in sequencing quality. Our model provides these informative estimates readily usable in quality assessment tools while significantly improving base-calling performance. © 2009, The International Biometric Society.

  12. From resilience thinking to Resilience Planning: Lessons from practice.

    PubMed

    Sellberg, M M; Ryan, P; Borgström, S T; Norström, A V; Peterson, G D

    2018-07-01

    Resilience thinking has frequently been proposed as an alternative to conventional natural resource management, but there are few studies of its applications in real-world settings. To address this gap, we synthesized experiences from practitioners that have applied a resilience thinking approach to strategic planning, called Resilience Planning, in regional natural resource management organizations in Australia. This case represents one of the most extensive and long-term applications of resilience thinking in the world today. We conducted semi-structured interviews with Resilience Planning practitioners from nine organizations and reviewed strategic planning documents to investigate: 1) the key contributions of the approach to their existing strategic planning, and 2) what enabled and hindered the practitioners in applying and embedding the new approach in their organizations. Our results reveal that Resilience Planning contributed to developing a social-ecological systems perspective, more adaptive and collaborative approaches to planning, and that it clarified management goals of desirable resource conditions. Applying Resilience Planning required translating resilience thinking to practice in each unique circumstance, while simultaneously creating support among staff, and engaging external actors. Embedding Resilience Planning within organizations implied starting and maintaining longer-term change processes that required sustained multi-level organizational support. We conclude by identifying four lessons for successfully applying and embedding resilience practice in an organization: 1) to connect internal "entrepreneurs" to "interpreters" and "networkers" who work across organizations, 2) to assess the opportunity context for resilience practice, 3) to ensure that resilience practice is a learning process that engages internal and external actors, and 4) to develop reflective strategies for managing complexity and uncertainty. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

  13. 40 CFR Appendix F to Part 112 - Facility-Specific Response Plan

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... of Contents 1.0Model Facility-Specific Response Plan 1.1Emergency Response Action Plan 1.2Facility.... EC01MR92.015 1.1Emergency Response Action Plan Several sections of the response plan shall be co-located... sections shall be called the Emergency Response Action Plan. The Agency intends that the Action Plan...

  14. SU-E-T-595: Design of a Graphical User Interface for An In-House Monte Carlo Based Treatment Planning System: Planning and Contouring Tools

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

    EMAM, M; Eldib, A; Lin, M

    2014-06-01

    Purpose: An in-house Monte Carlo based treatment planning system (MC TPS) has been developed for modulated electron radiation therapy (MERT). Our preliminary MERT planning experience called for a more user friendly graphical user interface. The current work aimed to design graphical windows and tools to facilitate the contouring and planning process. Methods: Our In-house GUI MC TPS is built on a set of EGS4 user codes namely MCPLAN and MCBEAM in addition to an in-house optimization code, which was named as MCOPTIM. Patient virtual phantom is constructed using the tomographic images in DICOM format exported from clinical treatment planning systemsmore » (TPS). Treatment target volumes and critical structures were usually contoured on clinical TPS and then sent as a structure set file. In our GUI program we developed a visualization tool to allow the planner to visualize the DICOM images and delineate the various structures. We implemented an option in our code for automatic contouring of the patient body and lungs. We also created an interface window displaying a three dimensional representation of the target and also showing a graphical representation of the treatment beams. Results: The new GUI features helped streamline the planning process. The implemented contouring option eliminated the need for performing this step on clinical TPS. The auto detection option for contouring the outer patient body and lungs was tested on patient CTs and it was shown to be accurate as compared to that of clinical TPS. The three dimensional representation of the target and the beams allows better selection of the gantry, collimator and couch angles. Conclusion: An in-house GUI program has been developed for more efficient MERT planning. The application of aiding tools implemented in the program is time saving and gives better control of the planning process.« less

  15. Navy-Marine Corps Amphibious and Maritime Prepositioning Ship Programs: Background and Oversight Issues for Congress

    DTIC Science & Technology

    2005-08-02

    called LHD-8 and is also procuring new LPD-17 class amphibious ships. A total of 12 LPD-17s were originally planned , but the FY2006-FY2011 Future Years...Defense Plan (FYDP) proposes reducing that figure to nine, with the final two to be procured in FY2006 and FY2007. The FY2006-FY2011 FYDP also calls...developments have caused the Navy to reconsider its plans for procuring amphibious ships and maritime prepositioning ships. One is a new concept of operations

  16. A Call for Research on Planned vs. Unplanned Suicidal Behavior

    ERIC Educational Resources Information Center

    Conner, Kenneth R.

    2004-01-01

    Unplanned acts of suicidal behavior involve little preparation or forethought whereas planned acts may be carefully conceived and implemented. Planned acts are associated with greater depression, hopelessness, and lethality, but there are meager data on other factors associated with planning. The prevention of planned and unplanned acts may…

  17. Healthy Eating and Activity Across the Lifespan (HEAL): A call to action to integrate research, clinical practice, policy, and community resources to address weight-related health disparities.

    PubMed

    Berge, Jerica M; Adamek, Margaret; Caspi, Caitlin; Loth, Katie A; Shanafelt, Amy; Stovitz, Steven D; Trofholz, Amanda; Grannon, Katherine Y; Nanney, Marilyn S

    2017-08-01

    Despite intense nationwide efforts to improve healthy eating and physical activity across the lifespan, progress has plateaued. Moreover, health inequities remain. Frameworks that integrate research, clinical practice, policy, and community resources to address weight-related behaviors are needed. Implementation and evaluation of integration efforts also remain a challenge. The purpose of this paper is to: (1) Describe the planning and development process of an integrator entity, HEAL (Healthy Eating and Activity across the Lifespan); (2) present outcomes of the HEAL development process including the HEAL vision, mission, and values statements; (3) define the planned integrator functions of HEAL; and (4) describe the ongoing evaluation of the integration process. HEAL team members used a theoretically-driven, evidence-based, systemic, twelve-month planning process to guide the development of HEAL and to lay the foundation for short- and long-term integration initiatives. Key development activities included a review of the literature and case studies, identifying guiding principles and infrastructure needs, conducting stakeholder/key informant interviews, and continuous capacity building among team members. Outcomes/deliverables of the first year of HEAL included a mission, vision, and values statements; definitions of integration and integrator functions and roles; a set of long-range plans; and an integration evaluation plan. Application of the HEAL integration model is currently underway through community solicited initiatives. Overall, HEAL aims to lead real world integrative work that coalesce across research, clinical practice, and policy with community resources to inspire a culture of health equity aimed at improving healthy eating and physical activity across the lifespan. Copyright © 2017 Elsevier Inc. All rights reserved.

  18. Mobile physician reporting of clinically significant events-a novel way to improve handoff communication and supervision of resident on call activities.

    PubMed

    Nabors, Christopher; Peterson, Stephen J; Aronow, Wilbert S; Sule, Sachin; Mumtaz, Arif; Shah, Tushar; Eskridge, Etta; Wold, Eric; Stallings, Gary W; Burak, Kathleen Kelly; Goldberg, Randy; Guo, Gary; Sekhri, Arunabh; Mathew, George; Khera, Sahil; Montoya, Jessica; Sharma, Mala; Paudel, Rajiv; Frishman, William H

    2014-12-01

    Reporting of clinically significant events represents an important mechanism by which patient safety problems may be identified and corrected. However, time pressure and cumbersome report entry procedures have discouraged the full participation of physicians. To improve the process, our internal medicine training program developed an easy-to-use mobile platform that combines the reporting process with patient sign-out. Between August 25, 2011, and January 25, 2012, our trainees entered clinically significant events into i-touch/i-phone/i-pad based devices functioning in wireless-synchrony with our desktop application. Events were collected into daily reports that were sent from the handoff system to program leaders and attending physicians to plan for rounds and to correct safety problems. Using the mobile module, residents entered 31 reportable events per month versus the 12 events per month that were reported via desktop during a previous 6-month study period. Advances in information technology now permit clinically significant events that take place during "off hours" to be identified and reported (via handoff) to next providers and to supervisors via collated reports. This information permits hospital leaders to correct safety issues quickly and effectively, while attending physicians are able to use information gleaned from the reports to optimize rounding plans and to provide additional oversight of trainee on call patient management decisions.

  19. A Toolkit to assess health needs for congenital disorders in low- and middle-income countries: an instrument for public health action.

    PubMed

    Nacul, L C; Stewart, A; Alberg, C; Chowdhury, S; Darlison, M W; Grollman, C; Hall, A; Modell, B; Moorthie, S; Sagoo, G S; Burton, H

    2014-06-01

    In 2010 the World Health Assembly called for action to improve the care and prevention of congenital disorders, noting that technical guidance would be required for this task, especially in low- and middle-income countries. Responding to this call, we have developed a freely available web-accessible Toolkit for assessing health needs for congenital disorders. Materials for the Toolkit website (http://toolkit.phgfoundation.org) were prepared by an iterative process of writing, discussion and modification by the project team, with advice from external experts. A customized database was developed using epidemiological, demographic, socio-economic and health-services data from a range of validated sources. Document-processing and data integration software combines data from the database with a template to generate topic- and country-specific Calculator documents for quantitative analysis. The Toolkit guides users through selection of topics (including both clinical conditions and relevant health services), assembly and evaluation of qualitative and quantitative information, assessment of the potential effects of selected interventions, and planning and prioritization of actions to reduce the risk or prevalence of congenital disorders. The Toolkit enables users without epidemiological or public health expertise to undertake health needs assessment as a prerequisite for strategic planning in relation to congenital disorders in their country or region. © The Author 2013. Published by Oxford University Press on behalf of Faculty of Public Health.

  20. Leaving the hospital - your discharge plan

    MedlinePlus

    ... patientinstructions/000867.htm Leaving the hospital - your discharge plan To use the sharing features on this page, ... once you leave. This is called a discharge plan. Your health care providers at the hospital will ...

  1. Let the pigeon drive the bus: pigeons can plan future routes in a room.

    PubMed

    Gibson, Brett; Wilkinson, Matthew; Kelly, Debbie

    2012-05-01

    The task of determining an optimal route to several locations is called the traveling salesperson problem (TSP). The TSP has been used recently to examine spatial cognition in humans and non-human animals. It remains unclear whether or not the decision process of animals other than non-human primates utilizes rigid rule-based heuristics, or whether non-human animals are able to flexibly 'plan' future routes/behavior based on their knowledge of multiple locations. We presented pigeons in a One-way and Round-Trip group with TSPs that included two or three destinations (feeders) in a laboratory environment. The pigeons departed a start location, traveled to each feeder once before returning to a final destination. Pigeons weighed the proximity of the next location heavily, but appeared to plan ahead multiple steps when the travel costs for inefficient behavior appeared to increase. The results provide clear and strong evidence that animals other than primates are capable of planning sophisticated travel routes.

  2. Policy Implementation Study on Spatial Planning for Environmental Conflict (Study Location: Rembang Regency)

    NASA Astrophysics Data System (ADS)

    Kusyuniadi, Indraya

    2018-02-01

    This study aims to see the impact and benefits as an outcome of a policy, where this policy is in the form of spatial planning (Regional Planning). As known RTRW is a product that can be regarded as "the book of development" in every region both in the provincial and regional levels. One of them is as a decision tool for investors (investors) in increasing local development investment, spatial planning (RTRW) is also expected to maintain the environment, in order to support the sustainability of regional development. In reality, there are still many conflicts of interest in the implementation process of regional development, especially between economic and environmental interests. Often the interests of regional sustainability are placed at a lower level (less priority) than investment / economy. Land conversion that is inconsistent with district / city spatial planning RTRW is relatively still occurring, especially for economic purposes. Lack of policy called spatial plan in this case RTRW Province and Regency in responding to existing condition in field. How can a product that is said to be "Scripture" a regional planning is powerless in fulfilling the space for investment in the form of industry, commercial, housing and so forth. There are several results that can be concluded in this study. Basically, the importance of the environment at least can be used as the basis or priority of the main decision makers above economic interests and other politic interests. The current Spatial Plan / RTRW document still holds a big question whether at the time of compilation it follows the norms and rules in a plan (data accuracy, through input process from the community).

  3. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol.

    PubMed

    Ratanawongsa, Neda; Handley, Margaret A; Quan, Judy; Sarkar, Urmimala; Pfeifer, Kelly; Soria, Catalina; Schillinger, Dean

    2012-01-26

    Health information technology can enhance self-management and quality of life for patients with chronic disease and overcome healthcare barriers for patients with limited English proficiency. After a randomized controlled trial of a multilingual automated telephone self-management support program (ATSM) improved patient-centered dimensions of diabetes care in safety net clinics, we collaborated with a nonprofit Medicaid managed care plan to translate research into practice, offering ATSM as a covered benefit and augmenting ATSM to promote medication activation. This paper describes the protocol of the Self-Management Automated and Real-Time Telephonic Support Project (SMARTSteps). This controlled quasi-experimental trial used a wait-list variant of a stepped wedge design to enroll 362 adult health plan members with diabetes who speak English, Cantonese, or Spanish and receive care at 4 publicly-funded clinics. Through language-stratified randomization, participants were assigned to four intervention statuses: SMARTSteps-ONLY, SMARTSteps-PLUS, or wait-list for either intervention. In addition to usual primary care, intervention participants received 27 weekly calls in their preferred language with rotating queries and response-triggered education about self-care, medication adherence, safety concerns, psychological issues, and preventive services. Health coaches from the health plan called patients with out-of-range responses for collaborative goal setting and action planning. SMARTSteps-PLUS also included health coach calls to promote medication activation, adherence and intensification, if triggered by ATSM-reported non-adherence, refill non-adherence from pharmacy claims, or suboptimal cardiometabolic indicators. Wait-list patients crossed-over to SMARTSteps-ONLY or -PLUS at 6 months. For participants who agreed to structured telephone interviews at baseline and 6 months (n = 252), primary outcomes will be changes in quality of life and functional status with secondary outcomes of 6-month changes in self-management behaviors/efficacy and patient-centered processes of care. We will also evaluate 6-month changes in cardiometabolic (HbA1c, blood pressure, and LDL) and utilization indicators for all participants. Outcomes will provide evidence regarding real-world implementation of ATSM within a Medicaid managed care plan serving safety net settings. The evaluation trial will provide insight into translating and scaling up health information technology interventions for linguistically and culturally diverse vulnerable populations with chronic disease. ClinicalTrials.gov: NCT00683020.

  4. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol

    PubMed Central

    2012-01-01

    Background Health information technology can enhance self-management and quality of life for patients with chronic disease and overcome healthcare barriers for patients with limited English proficiency. After a randomized controlled trial of a multilingual automated telephone self-management support program (ATSM) improved patient-centered dimensions of diabetes care in safety net clinics, we collaborated with a nonprofit Medicaid managed care plan to translate research into practice, offering ATSM as a covered benefit and augmenting ATSM to promote medication activation. This paper describes the protocol of the Self-Management Automated and Real-Time Telephonic Support Project (SMARTSteps). Methods/Design This controlled quasi-experimental trial used a wait-list variant of a stepped wedge design to enroll 362 adult health plan members with diabetes who speak English, Cantonese, or Spanish and receive care at 4 publicly-funded clinics. Through language-stratified randomization, participants were assigned to four intervention statuses: SMARTSteps-ONLY, SMARTSteps-PLUS, or wait-list for either intervention. In addition to usual primary care, intervention participants received 27 weekly calls in their preferred language with rotating queries and response-triggered education about self-care, medication adherence, safety concerns, psychological issues, and preventive services. Health coaches from the health plan called patients with out-of-range responses for collaborative goal setting and action planning. SMARTSteps-PLUS also included health coach calls to promote medication activation, adherence and intensification, if triggered by ATSM-reported non-adherence, refill non-adherence from pharmacy claims, or suboptimal cardiometabolic indicators. Wait-list patients crossed-over to SMARTSteps-ONLY or -PLUS at 6 months. For participants who agreed to structured telephone interviews at baseline and 6 months (n = 252), primary outcomes will be changes in quality of life and functional status with secondary outcomes of 6-month changes in self-management behaviors/efficacy and patient-centered processes of care. We will also evaluate 6-month changes in cardiometabolic (HbA1c, blood pressure, and LDL) and utilization indicators for all participants. Discussion Outcomes will provide evidence regarding real-world implementation of ATSM within a Medicaid managed care plan serving safety net settings. The evaluation trial will provide insight into translating and scaling up health information technology interventions for linguistically and culturally diverse vulnerable populations with chronic disease. Trial Registration ClinicalTrials.gov: NCT00683020 PMID:22280514

  5. PyDBS: an automated image processing workflow for deep brain stimulation surgery.

    PubMed

    D'Albis, Tiziano; Haegelen, Claire; Essert, Caroline; Fernández-Vidal, Sara; Lalys, Florent; Jannin, Pierre

    2015-02-01

    Deep brain stimulation (DBS) is a surgical procedure for treating motor-related neurological disorders. DBS clinical efficacy hinges on precise surgical planning and accurate electrode placement, which in turn call upon several image processing and visualization tasks, such as image registration, image segmentation, image fusion, and 3D visualization. These tasks are often performed by a heterogeneous set of software tools, which adopt differing formats and geometrical conventions and require patient-specific parameterization or interactive tuning. To overcome these issues, we introduce in this article PyDBS, a fully integrated and automated image processing workflow for DBS surgery. PyDBS consists of three image processing pipelines and three visualization modules assisting clinicians through the entire DBS surgical workflow, from the preoperative planning of electrode trajectories to the postoperative assessment of electrode placement. The system's robustness, speed, and accuracy were assessed by means of a retrospective validation, based on 92 clinical cases. The complete PyDBS workflow achieved satisfactory results in 92 % of tested cases, with a median processing time of 28 min per patient. The results obtained are compatible with the adoption of PyDBS in clinical practice.

  6. MuLoG, or How to Apply Gaussian Denoisers to Multi-Channel SAR Speckle Reduction?

    PubMed

    Deledalle, Charles-Alban; Denis, Loic; Tabti, Sonia; Tupin, Florence

    2017-09-01

    Speckle reduction is a longstanding topic in synthetic aperture radar (SAR) imaging. Since most current and planned SAR imaging satellites operate in polarimetric, interferometric, or tomographic modes, SAR images are multi-channel and speckle reduction techniques must jointly process all channels to recover polarimetric and interferometric information. The distinctive nature of SAR signal (complex-valued, corrupted by multiplicative fluctuations) calls for the development of specialized methods for speckle reduction. Image denoising is a very active topic in image processing with a wide variety of approaches and many denoising algorithms available, almost always designed for additive Gaussian noise suppression. This paper proposes a general scheme, called MuLoG (MUlti-channel LOgarithm with Gaussian denoising), to include such Gaussian denoisers within a multi-channel SAR speckle reduction technique. A new family of speckle reduction algorithms can thus be obtained, benefiting from the ongoing progress in Gaussian denoising, and offering several speckle reduction results often displaying method-specific artifacts that can be dismissed by comparison between results.

  7. Climate-Smart Design for Ecosystem Management: A Test Application for Coral Reefs.

    PubMed

    West, Jordan M; Courtney, Catherine A; Hamilton, Anna T; Parker, Britt A; Julius, Susan H; Hoffman, Jennie; Koltes, Karen H; MacGowan, Petra

    2017-01-01

    The interactive and cumulative impacts of climate change on natural resources such as coral reefs present numerous challenges for conservation planning and management. Climate change adaptation is complex due to climate-stressor interactions across multiple spatial and temporal scales. This leaves decision makers worldwide faced with local, regional, and global-scale threats to ecosystem processes and services, occurring over time frames that require both near-term and long-term planning. Thus there is a need for structured approaches to adaptation planning that integrate existing methods for vulnerability assessment with design and evaluation of effective adaptation responses. The Corals and Climate Adaptation Planning project of the U.S. Coral Reef Task Force seeks to develop guidance for improving coral reef management through tailored application of a climate-smart approach. This approach is based on principles from a recently-published guide which provides a framework for adopting forward-looking goals, based on assessing vulnerabilities to climate change and applying a structured process to design effective adaptation strategies. Work presented in this paper includes: (1) examination of the climate-smart management cycle as it relates to coral reefs; (2) a compilation of adaptation strategies for coral reefs drawn from a comprehensive review of the literature; (3) in-depth demonstration of climate-smart design for place-based crafting of robust adaptation actions; and (4) feedback from stakeholders on the perceived usefulness of the approach. We conclude with a discussion of lessons-learned on integrating climate-smart design into real-world management planning processes and a call from stakeholders for an "adaptation design tool" that is now under development.

  8. Capacity Building for collecting primary data through Crowdsourcing - An Example of Disaster affected Uttarakhand State (India)

    NASA Astrophysics Data System (ADS)

    Krishna Murthy, Y. V. N.; Raju, P. L. N.; Srivastav, S. K.; Kumar, P.; Mitra, D.; Karnatak, H.; Saran, S.; Pandey, K.; Oberai, K.; Shiva Reddy, K.; Gupta, K.; Swamy, M.; Deshmukh, A.; Dadhwal, V. K.; Bothale, V.; Diwakar, P. G.; Ravikumar, M. V.; Leisely, A.; Arulraj, M.; Kumar, S.; Rao, S. S.; Singh Rawat, R.; Pathak, D. M.; Dutt, V.; Negi, D.; Singh, J.; Shukla, K. K.; Tomar, A.; Ahmed, N.; Singh, B.; Singh, A. K.; Shiva Kumar, R.

    2014-11-01

    Uttarakhand State of India suffered a widespread devastation in June 2013 due to floods caused by excessive rain in the upper reaches of the Himalaya, glacial lake outburst flood (GLOF) and landslides. Restoration process in this mountainous State calls for scientifically sound planning so that the vulnerabilities and risks to such natural hazards are minimised and developmental processes are sustainable in long run. Towards this, an understanding of the patterns and major controls of damage of the recent disaster is a key requirement which can be achieved only if the primary data on locations and types of damage along with other local site conditions are available. Considering widespread damage, tough nature of terrain and the need for collecting the primary data on damage in shortest possible time, crowdsourcing approach was considered to be the most viable solution. Accordingly, a multiinstitutional initiative called "Map the Neighbourhood in Uttarakhand" (MANU) was conceptualised with the main objective of collecting primary data on damage through participation of local people (mainly students) using state-of-art tools and technologies of data collection and a mechanism to integrate the same with Bhuvan geo-portal (www.bhuvan.nrsc.gov.in) in near real-time. Geospatial analysis of crowd-sourced points with different themes has been carried out subsequently for providing inputs to restoration planning and for future developmental activities. The present paper highlights the capacity building aspect in enabling the data collection process using crowdsourcing technology.

  9. Scientifically defensible fish conservation and recovery plans: Addressing diffuse threats and developing rigorous adaptive management plans

    USGS Publications Warehouse

    Maas-Hebner, Kathleen G.; Schreck, Carl B.; Hughes, Robert M.; Yeakley, Alan; Molina, Nancy

    2016-01-01

    We discuss the importance of addressing diffuse threats to long-term species and habitat viability in fish conservation and recovery planning. In the Pacific Northwest, USA, salmonid management plans have typically focused on degraded freshwater habitat, dams, fish passage, harvest rates, and hatchery releases. However, such plans inadequately address threats related to human population and economic growth, intra- and interspecific competition, and changes in climate, ocean, and estuarine conditions. Based on reviews conducted on eight conservation and/or recovery plans, we found that though threats resulting from such changes are difficult to model and/or predict, they are especially important for wide-ranging diadromous species. Adaptive management is also a critical but often inadequately constructed component of those plans. Adaptive management should be designed to respond to evolving knowledge about the fish and their supporting ecosystems; if done properly, it should help improve conservation efforts by decreasing uncertainty regarding known and diffuse threats. We conclude with a general call for environmental managers and planners to reinvigorate the adaptive management process in future management plans, including more explicitly identifying critical uncertainties, implementing monitoring programs to reduce those uncertainties, and explicitly stating what management actions will occur when pre-identified trigger points are reached.

  10. Balancing Science Objectives and Operational Constraints: A Mission Planner's Challenge

    NASA Technical Reports Server (NTRS)

    Weldy, Michelle

    1996-01-01

    The Air Force minute sensor technology integration (MSTI-3) satellite's primary mission is to characterize Earth's atmospheric background clutter. MSTI-3 will use three cameras for data collection, a mid-wave infrared imager, a short wave infrared imager, and a visible imaging spectrometer. Mission science objectives call for the collection of over 2 million images within the one year mission life. In addition, operational constraints limit camera usage to four operations of twenty minutes per day, with no more than 10,000 data and calibrating images collected per day. To balance the operational constraints and science objectives, the mission planning team has designed a planning process to e event schedules and sensor operation timelines. Each set of constraints, including spacecraft performance capabilities, the camera filters, the geographical regions, and the spacecraft-Sun-Earth geometries of interest, and remote tracking station deconflictions has been accounted for in this methodology. To aid in this process, the mission planning team is building a series of tools from commercial off-the-shelf software. These include the mission manifest which builds a daily schedule of events, and the MSTI Scene Simulator which helps build geometrically correct scans. These tools provide an efficient, responsive, and highly flexible architecture that maximizes data collection while minimizing mission planning time.

  11. Adaptation Strategies to Climate Change and the Role of Planning Instruments - The Example of the Dresden Region (Saxony/Germany)

    NASA Astrophysics Data System (ADS)

    Albrecht, J.; Juta, K.; Nobis, A.

    2009-04-01

    In the past, identifying anthropogenic influences on climate change, scenario analyses and issues of climate change mitigation were predominant approaches in climate change research (IPCC 2007). Currently, for instance in Germany, climate impact research on regional level comes to the forefront of research and policy making. Climate change has become an important topic on the agenda of politicians, administration and planning. In order to counteract the (unavoidable) climate change and its impacts it is necessary to develop adaptation strategies. At present, such strategies and guidelines are formulated on international, supranational and national level. The initial point was the United Nations Framework Convention on Climate Change in 1992 where the contracting states obligated themselves to develop national (and regional) programmes for adaptation. In 2007 the European Commission published its Green Paper called Adaptation to Climate Change in Europe. The paper states that adaptation efforts have to be intensified at different (spatial) levels (local, regional, national, and so forth). Furthermore, coordinating these efforts is of high importance. With the recent agreement on the German Adaptation Strategy to Climate Change (DAS 2008) in December 2008, federal government tries to accomplish this task. The German strategy mainly focuses on two elements: decreasing vulnerability and increasing adaptability. While the above mentioned strategies have presented information and policies concerning climate change and adaptation on international, supranational and national level, such documents dońt yet exist on regional level. However, because of their close link to the local level the regions are of high importance for adaptation strategies. Therefore, the Leibniz-Institute of Ecological and Regional Development developed a transdisciplinary project to formulate and implement the so-called Integrated Regional Climate Adaptation Programme (IRCAP) for the Model Region of Dresden (project REGKLAM). The REGKLAM-project is based on regionalised scenarios of climate change and includes measures of climate change adaptation to change for instance, urban form, infrastructure assets (e.g., reservoirs) and land use. Various institutions from politics, administration, economy, and research as well as civil society are involved in the project (the city of Dresden, several ministries and authorities of Saxony, the Dresden Chamber of Industry and Commerce and the University of Dresden). The IRCAP is planned to be an informal, cross-sectoral instrument of adaptation to climate change. As a regional programme, the IRCAP is addressed to decision-makers of the region of Dresden (defined, for instance, as planning region). Its function is to complement and coordinate existing instruments and measures. These instruments also include instruments of environmental and spatial planning on the regional level. Spatial and environmental planning can rely on a wide range of formal and informal instruments on different spatial, administrative, and sectoral levels, e.g. land use and landscape plans. Our contribution to the EGU conference aims to clear the role and relevance of the existing formal and informal planning instruments in the region of Dresden for the process of developing the IRCAP. Firstly, a survey is conducted for the purpose of identifying all relevant planning instruments. The identification process is based on specific criteria, for example: reference to the region, contents relating to the topic of climate change respectively climate adaptation. Secondly, the presentation argues for a selection of those planning instruments which seem to be most relevant for the process of developing an IRCAP. This selection process is based on specific criteria which include, for instance, complexity of expected effects, reference to regional and sectoral vulnerability, opportunity for future change of the existing planning instruments (e.g., current process of updating), interests of project partners and stakeholders. Thirdly, as a result, an overview of relevant planning instruments in the region of Dresden is shown, including their current status and statements about their relevance for the topic of climate adaptation strategies. Finally it is derived that this procedure provides a basis for the following possibilities: Adapting existing planning instruments, integrate contents of existing planning instruments in the IRCAP process, or develop and define new strategies or measures on the way to an IRCAP.

  12. The technology management process at the European space agency

    NASA Astrophysics Data System (ADS)

    Guglielmi, M.; Williams, E.; Groepper, P.; Lascar, S.

    2010-03-01

    Technology is developed at the European Space Agency (ESA) under several programmes: corporate and domain specific, mandatory and optional, with different time horizons and covering different levels of the TRL scale. To improve the transparency and efficiency of the complete process, it was felt necessary to establish an agreed end to end process for the management of all technology R&D activity that could: Include all ESA programmes and consider the requirements of European users Lead to coordinated multi-year work plan and yearly procurement plans Prepare and enable future European space programmes Be harmonized with national initiatives in Europe Thereby establishing the basis for a product policy to reduce risks to technology users, reduce costs and delays, and enhance industrial competitiveness and non-dependence. In response to the above needs, ESA has developed a technology management process called the ESA End-to-End process (E2E), from establishment of the strategy to the monitoring and evaluation of R&D results. In this paper, the complete process will be described in detail including a discussion on its strengths and limitations, and its links to the wider European Harmonization process. The paper will be concluded with the introduction of the ESA Technology Tree: a basic tool to structure and facilitate communication about technology issues.

  13. Study to design and develop remote manipulator systems

    NASA Technical Reports Server (NTRS)

    Hill, J. W.; Salisbury, J. K., Jr.

    1977-01-01

    A description is given of part of a continuing effort both to develop models for and to augment the performance of humans controlling remote manipulators. The project plan calls for the performance of several standard tasks with a number of different manipulators, controls, and viewing conditions, using an automated performance measuring system; in addition, the project plan calls for the development of a force-reflecting joystick and supervisory display system.

  14. Evaluations and Future Plans After Casual Sexual Experiences: Differences Across Partner Type.

    PubMed

    Wesche, Rose; Claxton, Shannon E; Lefkowitz, Eva S; van Dulmen, Manfred H M

    2017-03-24

    Casual sexual relationships and experiences (CSREs) are common among emerging adults, and their diversity may contribute to variability in their associations with mental health and future romantic relationship development. The present research used multiple regression analyses to examine how CSRE type (casual dating, friends with benefits [FWB], or booty call/one-night stand) is associated with short-term outcomes of these experiences, including positive and negative evaluations, plans to start a romantic relationship with a CSRE partner, and general plans for future CSREs. College students and non-college-attending emerging adults (N = 192, 80% female, mean age = 22.09 years) reported on recent sexual encounters through daily diaries collected around an alcohol consumption holiday. Individuals with casual dating partners evaluated their experiences more positively and/or less negatively than individuals with booty calls/one-night stands; these associations were moderated by gender and sexual behavior type. Individuals with casual dating partners were more oriented toward pursuing a romantic relationship with their partners than individuals with FWB or booty calls/one-night stands. However, no association was found between CSRE type and plans for future CSREs in general. Results highlight the diversity of CSREs and suggest that casual dating may be more rewarding than FWB and booty calls/one-night stands, particularly for women.

  15. 76 FR 9706 - Finding of Substantial Inadequacy of Implementation Plan; Call for Iowa State Implementation Plan...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... advance and available for prompt implementation once triggered. Section 110(k)(5) of the CAA provides that... Environmental protection, Air pollution control, Iowa, Particulate matter, State Implementation Plan. Dated...

  16. United States Department of Energy Environmental Restoration and Waste Management: Comment Response Document. Five-Year Plan, Fiscal Years 1993--1997

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

    Not Available

    IN 1989, Secretary of Energy James Watkins called for a fundamental change in the way US Department of Energy (DOE) meets its environmental responsibilities. Whereas DOE had long subordinated environmental concerns to the higher priority of weapons production, the Department`s mission was restructured to place less emphasis on defense-related production and much greater emphasis on sound environmental management and restoration of its weapons complex. To carry out this new mission, the Office of Environmental Restoration and Waste Management (EM) was created. Secretary Watkins further stressed that DOE`s new commitment to environmental values will be carried out under a new DOEmore » culture-one of openness, responsiveness, and accountability. The Environmental Restoration and Waste Management Five-Year Plan is the key planning document that embodies both the new DOE emphasis on environmental management and the Department`s commitment to involving the public in its planning process. Updated annually, the Five-Year Plan guides EM`s efforts to clean up DOE facilities and manage its waste -- its accomplishments, goals, and planned activities -- and reinforces DOE`s commitment to the culture change by involving the general public in its development.« less

  17. Collaborative Research for Water Resource Management under Climate Change Conditions

    NASA Astrophysics Data System (ADS)

    Brundiers, K.; Garfin, G. M.; Gober, P.; Basile, G.; Bark, R. H.

    2010-12-01

    We present an ongoing project to co-produce science and policy called Collaborative Planning for Climate Change: An Integrated Approach to Water-Planning, Climate Downscaling, and Robust Decision-Making. The project responds to motivations related to dealing with sustainability challenges in research and practice: (a) state and municipal water managers seek research that addresses their planning needs; (b) the scientific literature and funding agencies call for more meaningful engagement between science and policy communities, in ways that address user needs, while advancing basic research; and (c) empirical research contributes to methods for the design and implementation of collaborative projects. To understand how climate change might impact water resources and management in the Southwest US, our project convenes local, state, and federal water management practitioners with climate-, hydrology-, policy-, and decision scientists. Three areas of research inform this collaboration: (a) the role of paleo-hydrology in water resources scenario construction; (b) the types of uncertainties that impact decision-making beyond climate and modeling uncertainty; and (c) basin-scale statistical and dynamical downscaling of climate models to generate hydrologic projections for regional water resources planning. The project engages all participants in the research process, from research design to workshops that build capacity for understanding data generation and sources of uncertainty to the discussion of water management decision contexts. A team of “science-practice translators” facilitates the collaboration between academic and professional communities. In this presentation we contextualize the challenges and opportunities of use-inspired science-policy research collaborations by contrasting the initial project design with the process of implementation. We draw from two sources to derive lessons learned: literature on collaborative research, and evaluations provided by participating scientists and water managers throughout the process. Lessons learned include: RESULTS: The research process needs to generate academic (peer-reviewed publications, grant proposals) and applied (usable dataset, communication support) products. Additionally, the project also strives for intangible products, e.g., the research currently continues to support efforts to predict future regional hydroclimatology, whereas management requires a paradigm shift toward anticipation of needs for adapting to multiple possible futures. APPROACH: Collaborative research is not a one-off event or consultation, but a process of mutual engagement that needs to allow for adaptive evolution of the project and its organization. TOPICS: With the acceptance of hydroclimatic non-stationarity, the focus of water managers shifts from reducing scientific uncertainty to enhancing their ability to present academically and politically defensible scenarios to their constituencies. This requires addressing the related need for exploring how to deal with political and institutional uncertainties in decision-making.

  18. Qualitative and quantitative reasoning about thermodynamics

    NASA Technical Reports Server (NTRS)

    Skorstad, Gordon; Forbus, Ken

    1989-01-01

    One goal of qualitative physics is to capture the tacit knowledge of engineers and scientists. It is shown how Qualitative Process theory can be used to express concepts of engineering thermodynamics. In particular, it is shown how to integrate qualitative and quantitative knowledge to solve textbook problems involving thermodynamic cycles, such as gas turbine plants and steam power plants. These ideas were implemented in a program called SCHISM. Its analysis of a sample textbook problem is described and plans for future work are discussed.

  19. Energy Systems Integration: Data Call -- Become a Data Partner

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

    2017-01-01

    This project aims to advance the understanding of costs associated with integrating PV onto the electric power distribution system while maintaining reliable grid operations. We have developed a bottom-up framework for calculating these costs as a function of PV penetration levels on specific feeders. This framework will used to inform and improve utility planning decisions, increase the transparency and speed associated with the interconnection process, and provide policymakers with more information on the total cost of energy from PV.

  20. Recruitment of new physicians, part II: the interview.

    PubMed

    Harolds, Jay A

    2013-06-01

    A careful, expertly done recruitment process is very important in having a successful group. Selecting a search committee, deciding what characteristics the group wants in a new person, evaluating the candidate's curriculum vitae, speaking to the individual on the phone or during a meeting, and calling references are important steps in selecting the top candidates for a group. The interview at the practice site is the next step, and it is critical. Many tips for planning and conducting a successful interview are given in this article.

  1. Vane Pump Casing Machining of Dumpling Machine Based on CAD/CAM

    NASA Astrophysics Data System (ADS)

    Huang, Yusen; Li, Shilong; Li, Chengcheng; Yang, Zhen

    Automatic dumpling forming machine is also called dumpling machine, which makes dumplings through mechanical motions. This paper adopts the stuffing delivery mechanism featuring the improved and specially-designed vane pump casing, which can contribute to the formation of dumplings. Its 3D modeling in Pro/E software, machining process planning, milling path optimization, simulation based on UG and compiling post program were introduced and verified. The results indicated that adoption of CAD/CAM offers firms the potential to pursue new innovative strategies.

  2. Using GIS to monitor emergency room use in a large urban hospital in Chicago.

    PubMed

    Rafalski, Edward; Zun, Leslie

    2004-06-01

    Geographic Information System (GIS) technology is being used at Mount Sinai Hospital in Chicago to better understand utilization patterns by the city's fire department and the subsequent effects on the rates of trauma cases who leave without being treated (LWOT) and throughput times. In this process, opportunities for process improvement in data capture, categorization, and analysis are being realized. Further, to more intelligently apply resources, a surge protocol has been developed calling for deploying physician assistants, which is having a positive effect on throughput times and LWOT rates. Finally, opportunities for GIS application in urban mass casualty planning are offered for consideration.

  3. What Is Medicare?

    MedlinePlus

    ... Savings Account Plans These plans are offered by insurance companies and other private companies approved by Medicare. Medicare Advantage Plans may also offer prescription drug coverage that follows the same rules ... card . Check all other insurance cards that you use. Call the phone number ...

  4. Whakaora nga moemoea o nga tupuna--living the dreams of the ancestors. Future planning in a Kaupapa Māori CAMHS team.

    PubMed

    Elder, Hinemoa; Milne, Moe; Witehira, Heemi; Mendes, Patrick; Heslin, Anneliese; Cribb-Su'a, Ainsleigh; Wilson, Riwai; Goldsmith, Arona; Kainamu, Reena; Barrett, Moana; Love, Shar; Cargo, Tania; Kalra, Vanitha

    2009-08-01

    The aim of this study was to identify and operationalize aspects of a future planning process for sustainable delivery of Kaupapa Māori (Specialist Māori) mental health from a team called He Kakano, within Child and Adolescent Mental Health Services in South Auckland, New Zealand. A 2-day hui (meeting) was held with members of the team and a facilitator, Whaea Moe Milne. Review of background national epidemiological data, local data, information from community, carer and tangata whaiora (consumer) stakeholders and the existing He Kakano Model of Care was undertaken. Use of tikanga (Māori protocol and practices) was evident throughout the hui. A number of aspects of tikanga were identified as essential to the positive outcomes of the future plan. This paper reports one in particular, that of whakatauakī (proverbs where the originator is known). "Whakaora nga moemoea o nga tupuna--living the dreams of the ancestors" is a whakatauakī articulated by Whaea Moe Milne, which was identified as helpful in influencing the strategic planning thinking and decision-making process for He Kakano. This whakatauakī enabled the identification of shared goals, values, beliefs, behaviours and an action plan. The existing and ongoing relationship with Whaea Moe Milne was identified as an important element in the way in which the whakatauakī was received and reflected on. Use of tikanga Māori, in this case, whakatauakī, was helpful in developing future planning for He Kakano. This suggests that use of tikanga may be beneficial in other settings where planning for sustainable Māori responsive services is undertaken. Further work in this area is likely to benefit service development, strategic planning, workforce development and have an impact on improving health outcomes for Māori.

  5. Alternative Fuels Data Center

    Science.gov Websites

    Colorado Electric Vehicle (EV) Plan The Colorado Energy Office, Regional Air Quality Council Colorado EV Plan (Plan). The Plan calls for Colorado to be a leader in the EV market and accelerate the requirements to include EV fast-charging, and ensuring economic and tourism benefits of EV charging. The Plan

  6. Enhancing stakeholder involvement in environmental decision making: Active Response Geographic Information System

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

    Faber, B.G.; Thomas, V.L.; Thomas, M.R.

    This paper describes a spatial decision support system that facilitates land-related negotiations and resolving conflicts. This system, called Active Response Geographic Information System (AR/GIS), uses a geographic information system to examine land resource management issues which involve multiple stakeholder groups. In this process, participants are given the opportunity and tools needed to share ideas in a facilitated land resource allocation negotiation session. Participants are able to assess current land status, develop objectives, propose alternative planning scenarios, and evaluate the effects or impacts of each alternative. AR/GIS is a unique tool that puts geographic information directly at the fingertips of non-technicalmore » policy analysts, decision makers, and representatives of stakeholder groups during the negotiation process. AR/GIS enhances individual comprehension and ownership of the decision making process and increasing the efficiency and effectiveness of group debate. It is most beneficial to planning tasks which are inherently geographic in nature, which require consideration of a large number of physical constraints and economic implications, and which involve publicly sensitive tradeoffs.« less

  7. Primidone

    MedlinePlus

    ... your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking primidone, call your doctor. If you are breast-feeding, call your doctor if your child becomes unusually ...

  8. Spill Prevention, Control, and Countermeasure (SPCC) for the Upstream (Oil Exploration and Production) Sector

    EPA Pesticide Factsheets

    The SPCC rule requires facilities to develop, maintain, and implement an oil spill prevention plan, called an SPCC Plan. These plans help facilities prevent oil spill, as well as control a spill should one occur.

  9. Writing a Condolence Note

    MedlinePlus

    ... into the scheme of things. “It’s part of God’s plan.” What plan? God planned to have a little girl fall down ... is already feeling some anger and disappointment toward God. “Call if you need anything.” It becomes obvious ...

  10. 43 CFR 3420.1-2 - Call for coal resource and other resource information.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Call for coal resource and other resource... Competitive Leasing § 3420.1-2 Call for coal resource and other resource information. (a) Prior to or as part of the initiation or update of a land use plan or land use analysis, a Call for Coal and Other...

  11. 43 CFR 3420.1-2 - Call for coal resource and other resource information.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Call for coal resource and other resource... Competitive Leasing § 3420.1-2 Call for coal resource and other resource information. (a) Prior to or as part of the initiation or update of a land use plan or land use analysis, a Call for Coal and Other...

  12. Use of business planning methods to monitor global health budgets in Turkmenistan.

    PubMed Central

    Ensor, T.; Amannyazova, B.

    2000-01-01

    After undergoing many changes, the financing of health care in countries of the former Soviet Union is now showing signs of maturing. Soon after the political transition in these countries, the development of insurance systems and fee-for-service payment systems dominated the discussions on health reform. At present there is increasing emphasis on case mix adjusted payments in larger hospitals and on global budgets in smaller district hospitals. The problem is that such systems are often mistrusted for not providing sufficient financial control. At the same time, unless further planned restructuring is introduced, payment systems cannot on their own induce the fundamental change required in the health care system. As described in this article, in Tejen etrap (district), Turkmenistan, prospective business plans, which link planned objectives and activities with financial allocations, provide a framework for setting and monitoring budget expenditure. Plans can be linked to the overall objectives of the restructuring system and can be used to ensure sound financial management. The process of business planning, which calls for a major change in the way health facilities examine their activities, can be used as a vehicle to increase awareness of management issues. It also provides a way of satisfying the requirement for a rigorous, bottom-up planning of financial resources. PMID:10994288

  13. Transformation of topic-specific professional knowledge into personal pedagogical content knowledge through lesson planning

    NASA Astrophysics Data System (ADS)

    Stender, Anita; Brückmann, Maja; Neumann, Knut

    2017-08-01

    This study investigates the relationship between two different types of pedagogical content knowledge (PCK): the topic-specific professional knowledge (TSPK) and practical routines, so-called teaching scripts. Based on the Transformation Model of Lesson Planning, we assume that teaching scripts originate from a transformation of TSPK during lesson planning: When planning lessons, teachers use their TSPK to create lesson plans. The implementation of these lesson plans and teachers' reflection upon them lead to their improvement. Gradually, successful lesson plans are mentally stored as teaching scripts and can easily be retrieved during instruction. This process is affected by teacher's beliefs, motivation and self-regulation. In order to examine the influence of TSPK on teaching scripts as well as the moderating effects of beliefs, motivation and self-regulation, we conducted a cross-sectional study with n = 49 in-service teachers in physics. The TSPK, beliefs, motivation, self-regulation and the quality of teaching scripts of in-service teachers were assessed by using an online questionnaire adapted to teaching the force concept and Newton's law for 9th grade instruction. Based on the measurement of the quality of teaching scripts, the results provide evidence that TSPK influences the quality of teaching scripts. Motivation and self-regulation moderate this influence.

  14. Coal hydrogenation and environmental health.

    PubMed Central

    Wadden, R A

    1976-01-01

    Planning of coal hydrogenation processes, such as liquifaction and gasification, requires consideration of public health implications. Commercial plants will require coal quantities greater than or equal to 20,000 tons/day and the large size of these plants calls for careful consideration of the potential health hazards from the wastes and products of such processes. Analysis of pollution potential can roughly be divided into three categories: raw material structure and constituents, process design, and mode of plant operation. Identifiable pollutants include hydrogen cyanide, phenols, cresols, carbonyl and hydrogen sulfides, ammonia, mercaptans, thiocyanides, aniline, arsenic, trace metals and various polycyclic hydrocarbons. One study of workers in a hydrogenation process has revealed an incidence of skin cancer 16-37 times that expected in the chemical industry. In addition, a number of high boiling point liquid products were identified as being carcinogenic, and air concentrations of benzo[a]pyrene up to 18,000 mug/1000 m3 were reported. Health statistics on occupational groups in other coal conversion industries have shown significantly higher lung cancer rates, relative to groups without such occupational exposures. These data suggest that coal hydrogenation plants must be carefully planned and controlled to avoid harm to environmentally and occupationally exposed populations. PMID:789066

  15. Traveling Exhibitions: translating current science into effective science exhibitions

    NASA Astrophysics Data System (ADS)

    Dusenbery, P.; Morrow, C.; Harold, J.

    The Space Science Institute (SSI) of Boulder, Colorado has recently developed two museum exhibits called the Space Weather Center and MarsQuest. It is currently planning to develop two other exhibitions called Cosmic Origins and InterActive Earth. Museum exhibitions provide research scientists the opportunity to engage in a number of activities that are vital to the success of earth and space outreach programs. The Space Weather Center was developed in partnership with various research missions at NASA's Goddard Space Flight Center. The focus of the presentation will be on the Institute's MarsQuest exhibition. This project is a 5000 square-foot, 2.5M, traveling exhibition that is now touring the country. The exhibit's 3-year tour is enabling millions of Americans to share in the excitement of the scientific exploration of Mars and learn more about their own planet in the process. The associated planetarium show and education program will also be described, with particular emphasis on workshops to orient host museum staff (e.g. museum educators and docents). The workshops make innovative connections between the exhibitions interactive experiences and lesson plans aligned with the National Science Education Standards. SSI is also developing an interactive web site called MarsQuest On-line. The linkage between the web site, education program and exhibit will be discussed. MarsQuest and SSI's other exhibitions are good models for actively involving scientists and their discoveries to help improve informal science education in the museum community and for forging a stronger connection between formal and informal education.

  16. Integrated planning and scheduling for Earth science data processing

    NASA Technical Reports Server (NTRS)

    Boddy, Mark; White, Jim; Goldman, Robert; Short, Nick, Jr.

    1995-01-01

    Several current NASA programs such as the EOSDIS Core System (ECS) have data processing and data management requirements that call for an integrated planning and scheduling capability. In this paper, we describe the experience of applying advanced scheduling technology operationally, in terms of what was accomplished, lessons learned, and what remains to be done in order to achieve similar successes in ECS and other programs. We discuss the importance and benefits of advanced scheduling tools, and our progress toward realizing them, through examples and illustrations based on ECS requirements. The first part of the paper focuses on the Data Archive and Distribution (DADS) V0 Scheduler. We then discuss system integration issues ranging from communication with the scheduler to the monitoring of system events and re-scheduling in response to them. The challenge of adapting the scheduler to domain-specific features and scheduling policies is also considered. Extrapolation to the ECS domain raises issues of integrating scheduling with a product-generation planner (such as PlaSTiC), and implementing conditional planning in an operational system. We conclude by briefly noting ongoing technology development and deployment projects being undertaken by HTC and the ISTB.

  17. Principles and Best Practices Emerging from Data Basin: A Data Platform Supporting Scientific Research and Landscape Conservation Planning

    NASA Astrophysics Data System (ADS)

    Comendant, T.; Strittholt, J. R.; Ward, B. C.; Bachelet, D. M.; Grossman, D.; Stevenson-Molnar, N.; Henifin, K.; Lundin, M.; Marvin, T. S.; Peterman, W. L.; Corrigan, G. N.; O'Connor, K.

    2013-12-01

    A multi-disciplinary team of scientists, software engineers, and outreach staff at the Conservation Biology Institute launched an open-access, web-based spatial data platform called Data Basin (www.databasin.org) in 2010. Primarily built to support research and environmental resource planning, Data Basin provides the capability for individuals and organizations to explore, create, interpret, and collaborate around their priority topics and geographies. We used a stakeholder analysis to assess the needs of data consumers/produces and help prioritize primary and secondary audiences. Data Basin's simple and user-friendly interface makes mapping and geo-processing tools more accessible to less technical audiences. Input from users is considered in system planning, testing, and implementation. The team continually develops using an agile software development approach, which allows new features, improvements, and bug fixes to be deployed to the live system on a frequent basis. The data import process is handled through administrative approval and Data Basin requires spatial data (biological, physical, and socio-economic) to be well-documented. Outreach and training is used to convey the scope and appropriate use of the scientific information and available resources.

  18. A GIS-based tool for an integrated assessment of spatial planning trade-offs with aquaculture.

    PubMed

    Gimpel, Antje; Stelzenmüller, Vanessa; Töpsch, Sandra; Galparsoro, Ibon; Gubbins, Matthew; Miller, David; Murillas, Arantza; Murray, Alexander G; Pınarbaşı, Kemal; Roca, Guillem; Watret, Robert

    2018-06-15

    The increasing demand for protein from aquaculture will trigger a global expansion of the sector in coastal and offshore waters. While contributing to food security, potential conflicts with other traditional activities such as fisheries or tourism are inevitable, thus calling for decision-support tools to assess aquaculture planning scenarios in a multi-use context. Here we introduce the AquaSpace tool, one of the first Geographic Information System (GIS)-based planning tools empowering an integrated assessment and mapping of 30 indicators reflecting economic, environmental, inter-sectorial and socio-cultural risks and opportunities for proposed aquaculture systems in a marine environment. A bottom-up process consulting more than 350 stakeholders from 10 countries across southern and northern Europe enabled the direct consideration of stakeholder needs when developing the GIS AddIn. The AquaSpace tool is an open source product and builds in the prospective use of open source datasets at a European scale, hence aiming to improve reproducibility and collaboration in aquaculture science and research. Tool outputs comprise detailed reports and graphics allowing key stakeholders such as planners or licensing authorities to evaluate and communicate alternative planning scenarios and to take more informed decisions. With the help of the German North Sea case study we demonstrate here the tool application at multiple spatial scales with different aquaculture systems and under a range of space-related development constraints. The computation of these aquaculture planning scenarios and the assessment of their trade-offs showed that it is entirely possible to identify aquaculture sites, that correspondent to multifarious potential challenges, for instance by a low conflict potential, a low risk of disease spread, a comparable high economic profit and a low impact on touristic attractions. We believe that a transparent visualisation of risks and opportunities of aquaculture planning scenarios helps an effective Marine Spatial Planning (MSP) process, supports the licensing process and simplifies investments. Copyright © 2018 The Authors. Published by Elsevier B.V. All rights reserved.

  19. Advancing the integration of hospital IT. Pitfalls and perspectives when replacing specialized software for high-risk environments with enterprise system extensions.

    PubMed

    Engelmann, Carsten; Ametowobla, Dzifa

    2017-05-17

    Planning and controlling surgical operations hugely impacts upon productivity, patient safety, and surgeons' careers. Established, specialized software for this task is being increasingly replaced by "Operating Room (OR)-modules" appended to enterprise-wide resource planning (ERP) systems. As a result, usability problems are re-emerging and require developers' attention. Systematic evaluation of the functionality and social repercussions of a global, market-leading IT business control system (SAP R3, Germany), adapted for real-time OR process steering. Field study involving document analyses, interviews, and a 73-item survey addressed to 77 qualified (> 1-year system experience) senior planning executives (end users; "planners") working in surgical departments of university hospitals. Planners reported that 57% of electronic operation requests contained contradictory information. Key screens contained clinically irrelevant areas (36 +/- 29%). Compared to the legacy system, users reported either no improvements or worse performance, in regard to co-ordination of OR stakeholders, intra-day program changes, and safety. Planners concluded that the ERP-planning module was "non-intuitive" (66%), increased planning work (56%, p=0.002), and did not impact upon either organizational mishap spectrum or frequency. Interviews evidenced intra-institutional power shifts due to increased system complexity. Planners resented e.g. a trend towards increased personal culpability for mishap. Highly complex enterprise system extensions may not be directly suited to specific process steering tasks in a high risk/low error-environment like the OR. In view of surgeons' high primary task load, the repeated call for simpler IT is an imperative for ERP extensions. System design should consider a) that current OR IT suffers from an input limitation regarding planning-relevant real-time data, and b) that there are social processes that strongly affect planning and particularly ERP use beyond algorithms. Real improvement of clinical IT tools requires their independent evaluation according to standards developed for pharmaceutical subjects.

  20. 44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Federal response in the licensee offsite emergency response plan. Federal agencies may be called upon to assist the licensee in developing a licensee offsite emergency response plan in areas such as: (a... response in the licensee offsite emergency response plan. 352.26 Section 352.26 Emergency Management and...

  1. 44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Federal response in the licensee offsite emergency response plan. Federal agencies may be called upon to assist the licensee in developing a licensee offsite emergency response plan in areas such as: (a... response in the licensee offsite emergency response plan. 352.26 Section 352.26 Emergency Management and...

  2. 44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Federal response in the licensee offsite emergency response plan. Federal agencies may be called upon to assist the licensee in developing a licensee offsite emergency response plan in areas such as: (a... response in the licensee offsite emergency response plan. 352.26 Section 352.26 Emergency Management and...

  3. 44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Federal response in the licensee offsite emergency response plan. Federal agencies may be called upon to assist the licensee in developing a licensee offsite emergency response plan in areas such as: (a... response in the licensee offsite emergency response plan. 352.26 Section 352.26 Emergency Management and...

  4. Strategic Planning for Institutions of Higher Education: A Content Analysis for the Universidad Tecnica del Estado Planning System.

    ERIC Educational Resources Information Center

    Karadima, Oscar

    Ten-year development plans of each of the eight campuses of the Universidad de Santiago de Chile, formerly called Universidad Tecnica del Estado, are evaluated, using content analysis. In addition to narrative descriptions, diagrams illustrate the features of each plan, which covers the period 1983-1993. Topics covered by the plans were grouped…

  5. Plan curvature and landslide probability in regions dominated by earth flows and earth slides

    USGS Publications Warehouse

    Ohlmacher, G.C.

    2007-01-01

    Damaging landslides in the Appalachian Plateau and scattered regions within the Midcontinent of North America highlight the need for landslide-hazard mapping and a better understanding of the geomorphic development of landslide terrains. The Plateau and Midcontinent have the necessary ingredients for landslides including sufficient relief, steep slope gradients, Pennsylvanian and Permian cyclothems that weather into fine-grained soils containing considerable clay, and adequate precipitation. One commonly used parameter in landslide-hazard analysis that is in need of further investigation is plan curvature. Plan curvature is the curvature of the hillside in a horizontal plane or the curvature of the contours on a topographic map. Hillsides can be subdivided into regions of concave outward plan curvature called hollows, convex outward plan curvature called noses, and straight contours called planar regions. Statistical analysis of plan-curvature and landslide datasets indicate that hillsides with planar plan curvature have the highest probability for landslides in regions dominated by earth flows and earth slides in clayey soils (CH and CL). The probability of landslides decreases as the hillsides become more concave or convex. Hollows have a slightly higher probability for landslides than noses. In hollows landslide material converges into the narrow region at the base of the slope. The convergence combined with the cohesive nature of fine-grained soils creates a buttressing effect that slows soil movement and increases the stability of the hillside within the hollow. Statistical approaches that attempt to determine landslide hazard need to account for the complex relationship between plan curvature, type of landslide, and landslide susceptibility. ?? 2007 Elsevier B.V. All rights reserved.

  6. Spill Prevention, Control, and Countermeasure (SPCC) for Agriculture

    EPA Pesticide Factsheets

    A key element of the SPCC rule requires farms and other facilities to develop, maintain and implement an oil spill prevention plan, called an SPCC Plan. These plans help farms prevent oil spill, as well as control a spill should one occur.

  7. 77 FR 24843 - Approval and Promulgation of Air Quality Implementation Plans; Virginia; Removal of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-26

    ... requirements for large stationary internal combustion engines under the NO X SIP Call. Transco Station 175 has...), large stationary internal combustion engines, and large cement kilns. The NO X SIP Call was challenged... internal combustion engines and large cement kilns. EPA approved Virginia's Phase I NO X SIP Call...

  8. An Intelligent Agent-Controlled and Robot-Based Disassembly Assistant

    NASA Astrophysics Data System (ADS)

    Jungbluth, Jan; Gerke, Wolfgang; Plapper, Peter

    2017-09-01

    One key for successful and fluent human-robot-collaboration in disassembly processes is equipping the robot system with higher autonomy and intelligence. In this paper, we present an informed software agent that controls the robot behavior to form an intelligent robot assistant for disassembly purposes. While the disassembly process first depends on the product structure, we inform the agent using a generic approach through product models. The product model is then transformed to a directed graph and used to build, share and define a coarse disassembly plan. To refine the workflow, we formulate “the problem of loosening a connection and the distribution of the work” as a search problem. The created detailed plan consists of a sequence of actions that are used to call, parametrize and execute robot programs for the fulfillment of the assistance. The aim of this research is to equip robot systems with knowledge and skills to allow them to be autonomous in the performance of their assistance to finally improve the ergonomics of disassembly workstations.

  9. 1990 censuses to increase use of automation.

    PubMed

    Ward, S E

    1988-12-01

    This article summarizes information from selected reports presented at the 12th Population Census Conference. Ward reports that plans for the 1990 census in many countries of Asia and the Pacific call for increased use of automation, with applications ranging from the use of computer-generated maps of enumeration areas and optical mark readers for data processing to desktop publishing and electronic mail for disseminating the results. Recent advances in automation offer opportunities for improved accuracy and speed of census operations while reducing the need for clerical personnel. Most of the technologies discussed at the 12th Population Census are designed to make the planning, editing, processing, analysis, and publication of census data more reliable and efficient. However, technology alone cannot overcome high rates of illiteracy that preclude having respondents complete the census forms themselves. But it enables even China, India, Indonesia and Pakistan - the countries with huge population and limited financial resources - to make significant improvements in their forthcoming censuses.

  10. Sci-Thur PM – Colourful Interactions: Highlights 01: Design to delivery of spatially fractionated mini-beam canine radiotherapy

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

    Alexander, Andrew; Crewson, Cody; Davis, William

    Spatial fractionation of radiation using arrays of narrow parallel micro-planar beams (less than 1 mm), is a relatively new concept with many unknowns specifically within the underlying biology of cell death. A tungsten collimator has been designed to produce mini-beams with a Varian linear accelerator for translational animal research into the effectiveness of spatial fractionation mini-beam radiotherapy (MBRT). This work presents the treatment planning process and workflow for the application of MBRT treatments within a clinical study. For patient dose calculations, the MBRT collimator was incorporated into a Monte Carlo based treatment planning system called MMCTP. Treatment planning was splitmore » between Eclipse and MMCTP, as the field apertures were determined within Eclipse prior to being sent to MMCTP for dose calculations. The calculated plan was transferred back into Aria with updated MUs per field for patient treatment. Patients were positioned within a vac-lock bag lying prone with a bite block and a thermoplastic mask to immobilize the head. Prior to treatment, a delivery verification plan was created within MMCTP. DQA output measurements of the treatment fields agreed with the calculated dose to within 1.5%. We have presented a workflow for MBRT treatments that include the planning technique, dose calculation method, DQA process and data integration into a record and verify system. The clinical study following this workflow represent the first series of linac based MBRT patients and depending on the clinical outcome of the study, our technique could be applied to human MBRT treatments.« less

  11. Iridium-Knife: Another knife in radiation oncology.

    PubMed

    Milickovic, Natasa; Tselis, Nikolaos; Karagiannis, Efstratios; Ferentinos, Konstantinos; Zamboglou, Nikolaos

    Intratarget dose escalation with superior conformity is a defining feature of three-dimensional (3D) iridium-192 ( 192 Ir) high-dose-rate (HDR) brachytherapy (BRT). In this study, we analyzed the dosimetric characteristics of interstitial 192 Ir HDR BRT for intrathoracic and cerebral malignancies. We examined the dose gradient sharpness of HDR BRT compared with that of linear accelerator-based stereotactic radiosurgery and stereotactic body radiation therapy, usually called X-Knife, to demonstrate that it may as well be called a Knife. Treatment plans for 10 patients with recurrent glioblastoma multiforme or intrathoracic malignancies, five of each entity, treated with X-Knife (stereotactic radiosurgery for glioblastoma multiforme and stereotactic body radiation therapy for intrathoracic malignancies) were replanned for simulated HDR BRT. For 3D BRT planning, we used identical structure sets and dose prescription as for the X-Knife planning. The indices for qualitative treatment plan analysis encompassed planning target volume coverage, conformity, dose falloff gradient, and the maximum dose-volume limits to different organs at risk. Volume coverage in HDR plans was comparable to that calculated for X-Knife plans with no statistically significant difference in terms of conformity. The dose falloff gradient-sharpness-of the HDR plans was considerably steeper compared with the X-Knife plans. Both 3D 192 Ir HDR BRT and X-Knife are effective means for intratarget dose escalation with HDR BRT achieving at least equal conformity and a steeper dose falloff at the target volume margin. In this sense, it can reasonably be argued that 3D 192 Ir HDR BRT deserves also to be called a Knife, namely Iridium-Knife. Copyright © 2017 American Brachytherapy Society. Published by Elsevier Inc. All rights reserved.

  12. State Dementia Plans and the Alzheimer's Disease Movement: Framing Diagnosis, Prognosis, and Motivation.

    PubMed

    Arbogast, Charlotte E; Welleford, E Ayn; Netting, F Ellen

    2017-07-01

    An interpretive analysis of 38 state dementia plans compares similarities and differences in diagnostic framing (problem identification/trends/issues), prognosis framing (addressing the problem), and motivational framing (calls for action) across plans. In framing diagnosis, only 6 plans used dementia alone in their titles. In framing prognosis and the subsequent call to action, state plans were consistent in their dire prognostications about the progressive and fatal consequences of the disease with a primary focus on the cost. Motivational language mirrored that of the Alzheimer's Disease (AD) Movement, from raising awareness to using inflammatory words to incite action. The language used set up the frame for clinical interventions that may not distinguish between types of dementia and could undercut the provision of person-centered care, shifts the victimization focus from persons with AD to caregivers and ultimately the state, and may subintentionally reflect cultural biases.

  13. A model of evaluation planning, implementation and management: Toward a ?culture of information? within organizations

    NASA Astrophysics Data System (ADS)

    Bhola, H. S.

    1992-03-01

    The argument underlying the ongoing "paradigm shift" from logical positivism to constructionism is briefly laid out. A model of evaluation planning, implementation and management (called the P-I-M Model, for short) is then presented that assumes a complementarity between the two paradigms. The model further implies that for effective decision-making within human organizations, both "evaluative data" and "descriptive data" are needed. "Evaluative data" generated by evaluation studies must, therefore, be undergirded by an appropriate management information system (MIS) that can generate "descriptive data", concurrently with the process of program implementation. The P-I-M Model, if fully actualized, will enable human organizations to become vibrant "cultures of information" where "informed" decision-making becomes a shared norm among all stakeholders.

  14. Spitzer Space Telescope proposal process

    NASA Astrophysics Data System (ADS)

    Laine, S.; Silbermann, N. A.; Rebull, L. M.; Storrie-Lombardi, L. J.

    2006-06-01

    This paper discusses the Spitzer Space Telescope General Observer proposal process. Proposals, consisting of the scientific justification, basic contact information for the observer, and observation requests, are submitted electronically using a client-server Java package called Spot. The Spitzer Science Center (SSC) uses a one-phase proposal submission process, meaning that fully-planned observations are submitted for most proposals at the time of submission, not months after acceptance. Ample documentation and tools are available to the observers on SSC web pages to support the preparation of proposals, including an email-based Helpdesk. Upon submission proposals are immediately ingested into a database which can be queried at the SSC for program information, statistics, etc. at any time. Large proposals are checked for technical feasibility and all proposals are checked against duplicates of already approved observations. Output from these tasks is made available to the Time Allocation Committee (TAC) members. At the review meeting, web-based software is used to record reviewer comments and keep track of the voted scores. After the meeting, another Java-based web tool, Griffin, is used to track the approved programs as they go through technical reviews, duplication checks and minor modifications before the observations are released for scheduling. In addition to detailing the proposal process, lessons learned from the first two General Observer proposal calls are discussed.

  15. Managing change in dental education: is there a method to the madness?

    PubMed

    Crain, Geralyn

    2008-10-01

    The literature surrounding dental education in the United States is replete with calls for change in the way that dental students are being educated. These calls are being echoed with curriculum models and examples of best practices, but what is missing is specific information about how to implement a desired change-that is, discussion of the change process itself. Knowledge of the organizational change process in other settings, particularly in higher education and professional education, may be of interest to academic program managers in dental schools who are planning or are engaged in change. Historical and theoretical perspectives on organizations and change are presented in this article as groundwork for more detailed discussion about management of change. Seventeen research-based principles of change in higher education and factors in dental education that influence change processes and outcomes are presented and synthesized into guidelines for a hypothetical model for change in a dental school environment. Issues pertinent to the practical management of change are presented, including reframing organizational complexity, change leadership, values/competence/commitment, and organizational learning. An appreciation for change as an ongoing and manageable process will enhance a dental school's viability in a rapidly changing world and ultimately benefit dental graduates and the communities they serve.

  16. Systematic Planning for Educational Facilities.

    ERIC Educational Resources Information Center

    McGuffey, Carroll W.

    This monograph provides a systematic approach to the problem of planning educational facilities. It first presents a conceptual framework for a general facilities planning and management system called Facilities Resource Allocation Management Evaluation System (FRAMES). The main components of FRAMES are identified as: (1) needs assessment, (2)…

  17. Taking Care of Myself: A Guide for When I Leave the Hospital

    MedlinePlus

    ... I have questions or problems, I should call: ________________________________________________________ Phone number: __________________________________________ If I have a serious health problem, I should call: ________________________________________________________ Phone number: __________________________________________ Bring this plan to all your medical appointments. ...

  18. Primary care renewal: regional faculty development and organizational change.

    PubMed

    Quirk, Mark E; Haley, Heather-Lyn; Hatem, David; Starr, Susan; Philbin, Mary

    2005-03-01

    Many reports, including the Future of Family Medicine, have called for change in primary care, but few have defined, implemented, and evaluated mechanisms to address such change. The regional, interdisciplinary Primary Care Renewal Project was designed to address problems in primary care practice and teaching related to practice management, compensation, increasing responsibility for teaching, and faculty development. Twelve northeastern US medical schools assembled a conference attended by teams of key stakeholders representing both clinical and educational missions. Teams developed and implemented an institutional plan to address identified needs. Outcome data was collected during, and for 1 year after, the conference. Findings demonstrate novel ways of improving learning experiences, coordinating and centralizing planning efforts, and addressing faculty needs. The magnitude of organizational change ranged from establishing new administrative units with significant institutional authority (eg, restructuring dean's office) to enhancing the strategic planning process and refining mission statements to reflect emphasis on primary care. A well-planned, regional interdisciplinary effort that fosters the development of concrete plans can be associated with significant change in medical education. A central theme emerged--that primary care medicine will survive only if institutions align their educational and clinical missions and foster system-wide change.

  19. United States Department of Energy Environmental Restoration and Waste Management: Comment Response Document

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

    Not Available

    IN 1989, Secretary of Energy James Watkins called for a fundamental change in the way US Department of Energy (DOE) meets its environmental responsibilities. Whereas DOE had long subordinated environmental concerns to the higher priority of weapons production, the Department's mission was restructured to place less emphasis on defense-related production and much greater emphasis on sound environmental management and restoration of its weapons complex. To carry out this new mission, the Office of Environmental Restoration and Waste Management (EM) was created. Secretary Watkins further stressed that DOE's new commitment to environmental values will be carried out under a new DOEmore » culture-one of openness, responsiveness, and accountability. The Environmental Restoration and Waste Management Five-Year Plan is the key planning document that embodies both the new DOE emphasis on environmental management and the Department's commitment to involving the public in its planning process. Updated annually, the Five-Year Plan guides EM's efforts to clean up DOE facilities and manage its waste -- its accomplishments, goals, and planned activities -- and reinforces DOE's commitment to the culture change by involving the general public in its development.« less

  20. A Pension Primer

    ERIC Educational Resources Information Center

    Simon, Barry

    1973-01-01

    Intended for employees as well as library administrators, this background article describes pension plan provisions, Social Security and so-called tax-sheltered annuities. Comments on the future of pension plans are included. (Author/KE)

  1. ACHP | Native American Traditional Cultural Landscapes

    Science.gov Websites

    action plan in November 2011. The plan calls for the ACHP and the Department of the Interior (DOI) to Summit Implementation of the action plan is a long-term commitment of the ACHP. This Web page will serve Landscapes Action Plan Information on Cultural Landscapes Fact Sheet on the ACHP's Native American

  2. Safety Planning for Military (SAFE MIL): rationale, design, and safety considerations of a randomized controlled trial to reduce suicide risk among psychiatric inpatients.

    PubMed

    Ghahramanlou-Holloway, Marjan; Brown, Gregory K; Currier, Glenn W; Brenner, Lisa; Knox, Kerry L; Grammer, Geoffrey; Carreno-Ponce, Jaime T; Stanley, Barbara

    2014-09-01

    Mental health related hospitalizations and suicide are both significant public health problems within the United States Department of Defense (DoD). To date, few evidence-based suicide prevention programs have been developed for delivery to military personnel and family members admitted for psychiatric inpatient care due to suicidal self-directed violence. This paper describes the rationale and detailed methodology for a study called Safety Planning for Military (SAFE MIL) which involves a randomized controlled trial (RCT) at the largest military treatment facility in the United States. The purpose of this study is to test the efficacy of a brief, readily accessible, and personalized treatment called the Safety Planning Intervention (Stanley and Brown, 2012). Primary outcomes, measured by blinded assessors at one and six months following psychiatric discharge, include suicide ideation, suicide-related coping, and attitudes toward help seeking. Additionally, given the study's focus on a highly vulnerable patient population, a description of safety considerations for human subjects' participation is provided. Based on this research team's experience, the implementation of an infrastructure in support of RCT research within DoD settings and the processing of regulatory approvals for a clinical trial with high risk suicidal patients are expected to take up to 18-24 months. Recommendations for expediting the advancement of clinical trials research within the DoD are provided in order to maximize cost efficacy and minimize the research to practice gap. Published by Elsevier Inc.

  3. 78 FR 68377 - Approval and Promulgation of Air Quality Implementation Plans; Ohio; Ohio NOX

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-14

    ...On November 15, 2010, Ohio EPA submitted to EPA revisions to Ohio OAC 3745-14. EPA is proposing to approve these revisions under the Clean Air Act, which allows for Ohio's Clean Air Interstate Rule (CAIR) NOX Ozone Season Trading Program rules to supersede Ohio's nitrogen oxides (NOX) State Implementation Plan (SIP) Call Budget Trading Program rules, but leave other requirements of the NOX SIP Call in place for units not covered by CAIR.

  4. GPS-based precision orbit determination - A Topex flight experiment

    NASA Technical Reports Server (NTRS)

    Melbourne, William G.; Davis, Edgar S.

    1988-01-01

    Plans for a Topex/Poseiden flight experiment to test the accuracy of using GPS data for precision orbit determination of earth satellites are presented. It is expected that the GPS-based precision orbit determination will provide subdecimeter accuracies in the radial component of the Topex orbit when the extant gravity model is tuned for wavelengths longer than about 1000 kms. The concept, design, flight receiver, antenna system, ground processing, and data processing of GPS are examined. Also, an accurate quasi-geometric orbit determination approach called nondynamic or reduced dynamic tracking which relies on the use of the pseudorange and the carrier phase measurements to reduce orbit errors arising from mismodeled dynamics is discussed.

  5. Tricuspid Atresia

    MedlinePlus

    ... help the delivery team plan treatment. A screening pulse oximeter test usually is done on all newborns right ... and help plan treatment. The tests may include: pulse oximeter monitoring a chest X-ray electrocardiogram (also called ...

  6. Towards Reconciliation through Language Planning for Indigenous Languages in Canadian Universities

    ERIC Educational Resources Information Center

    Sterzuk, Andrea; Fayant, Russell

    2016-01-01

    The Truth and Reconciliation Commission of Canada (TRC) began in June, 2008 as a response to the Indian Residential School legacy. The commission concluded with a 2015 report which includes 94 calls to action. Some of these calls pertain to higher education including the following example "We call upon post-secondary institutions to create…

  7. Between Casual Commitment and Cross-Media Articulation: The Faith of the Napkin

    NASA Astrophysics Data System (ADS)

    Bødker, Susanne; Petersen, Anja Bechmann

    Since the mid-1990s, newspaper companies have faced dramatic challenges due to stagnation or decline in the consumption of traditional media (12), new types of production technology, and new types of products. At present, media companies worldwide struggle with a new challenge called cross-media production: the integrated production of news stories to multiple media platforms (paper, TV, radio, etc.) (13). Digital materials make it possible to produce content for several different media platforms, and the different strengths of the media further support new forms of news coverage that cross these platforms. The very recent explosion of blogs and video podcasting are new examples adding to the family of products and ideally, the reporters become storytellers who choose the most suitable media for their story. The reality, however, is far more complicated: The Danish media company Nordjyske Medier was a local newspaper that has now diversified and produces daily news for radio, TV, web, a daily newspaper, and several additional products. All production is gathered in one location, where reporters produce news stories to be distributed in the various media. The editorial staff of all media is placed literally in the middle of this location. We carried out an empirical study of cooperation and planning at the media company (1; 5). The company used a production planning system in place, called the Napkin. The Napkin was not used very much, it was heavily criticized by reporters and it was at the point of being replaced by a different planning system, which was better integrated with the production system (11). This system, too, was later abandoned. This has motivated us to understand better the processes of planning and articulating the cross-media production and how information technology supported such cross-media production.

  8. Robot Sequencing and Visualization Program (RSVP)

    NASA Technical Reports Server (NTRS)

    Cooper, Brian K.; Maxwell,Scott A.; Hartman, Frank R.; Wright, John R.; Yen, Jeng; Toole, Nicholas T.; Gorjian, Zareh; Morrison, Jack C

    2013-01-01

    The Robot Sequencing and Visualization Program (RSVP) is being used in the Mars Science Laboratory (MSL) mission for downlink data visualization and command sequence generation. RSVP reads and writes downlink data products from the operations data server (ODS) and writes uplink data products to the ODS. The primary users of RSVP are members of the Rover Planner team (part of the Integrated Planning and Execution Team (IPE)), who use it to perform traversability/articulation analyses, take activity plan input from the Science and Mission Planning teams, and create a set of rover sequences to be sent to the rover every sol. The primary inputs to RSVP are downlink data products and activity plans in the ODS database. The primary outputs are command sequences to be placed in the ODS for further processing prior to uplink to each rover. RSVP is composed of two main subsystems. The first, called the Robot Sequence Editor (RoSE), understands the MSL activity and command dictionaries and takes care of converting incoming activity level inputs into command sequences. The Rover Planners use the RoSE component of RSVP to put together command sequences and to view and manage command level resources like time, power, temperature, etc. (via a transparent realtime connection to SEQGEN). The second component of RSVP is called HyperDrive, a set of high-fidelity computer graphics displays of the Martian surface in 3D and in stereo. The Rover Planners can explore the environment around the rover, create commands related to motion of all kinds, and see the simulated result of those commands via its underlying tight coupling with flight navigation, motor, and arm software. This software is the evolutionary replacement for the Rover Sequencing and Visualization software used to create command sequences (and visualize the Martian surface) for the Mars Exploration Rover mission.

  9. Living the Plan: Strategic Planning Aligned with Practice and Assessment

    ERIC Educational Resources Information Center

    Sullivan, Timothy M.; Richardson, Emily C.

    2011-01-01

    The purpose of this article is to provide leaders of continuing education enterprises with an integrated model for sustaining strategic planning initiatives. Global economic conditions, shifting competitive forces, continuing calls for accountability, and dramatic changes in institutional funding streams contribute to an environment characterized…

  10. ACHP | News

    Science.gov Websites

    of a comprehensive plan to accelerate and expand permitting reform government-wide. The Advisory Council on Historic Preservation (ACHP) contributed to the development of this plan as a member of the Administration's plan adopts the best practices learned from the initial focus infrastructure projects and calls on

  11. 7 CFR 1737.21 - The completed loan application.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... application consists of four parts: (1) A completed RUS Form 490. (2) A market survey called the Area Coverage Survey (ACS). (3) The plan and associated costs for the proposed construction, called the Loan Design (LD...

  12. 7 CFR 1737.21 - The completed loan application.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... application consists of four parts: (1) A completed RUS Form 490. (2) A market survey called the Area Coverage Survey (ACS). (3) The plan and associated costs for the proposed construction, called the Loan Design (LD...

  13. 7 CFR 1737.21 - The completed loan application.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... application consists of four parts: (1) A completed RUS Form 490. (2) A market survey called the Area Coverage Survey (ACS). (3) The plan and associated costs for the proposed construction, called the Loan Design (LD...

  14. Dreaming and offline memory processing.

    PubMed

    Wamsley, Erin J; Stickgold, Robert

    2010-12-07

    The activities of the mind and brain never cease. Although many of our waking hours are spent processing sensory input and executing behavioral responses, moments of unoccupied rest free us to wander through thoughts of the past and future, create daydreams, and imagine fictitious scenarios. During sleep, when attention to sensory input is at a minimum, the mind continues to process information, using memory fragments to create the images, thoughts, and narratives that we commonly call 'dreaming'. Far from being a random or meaningless distraction, spontaneous cognition during states of sleep and resting wakefulness appears to serve important functions related to processing past memories and planning for the future. From single-cell recordings in rodents to behavioral studies in humans, recent studies in the neurosciences suggest a new conception of dreaming as part of a continuum of adaptive cognitive processing occurring across the full range of mind/brain states. Copyright © 2010 Elsevier Ltd. All rights reserved.

  15. Drinking Water Action Plan

    EPA Pesticide Factsheets

    EPA's Drinking Water Action Plan serves as a national call to action, urging all levels of government, utilities, community organizations, and other stakeholders to work together to increase the safety and reliability of drinking water.

  16. Self-mapping in treating suicide ideation: a case study.

    PubMed

    Robertson, Lloyd Hawkeye

    2011-03-01

    This case study traces the development and use of a self-mapping exercise in the treatment of a youth who had been at risk for re-attempting suicide. A life skills exercise was modified to identify units of culture called memes from which a map of the youth's self was prepared. A successful treatment plan followed the mapping exercise. The process of self-map construction is presented along with an interpretive analysis. It is suggested that therapists from a range of perspectives could use this technique in assessment and treatment.

  17. Software engineering and data management for automated payload experiment tool

    NASA Technical Reports Server (NTRS)

    Maddux, Gary A.; Provancha, Anna; Chattam, David

    1994-01-01

    The Microgravity Projects Office identified a need to develop a software package that will lead experiment developers through the development planning process, obtain necessary information, establish an electronic data exchange avenue, and allow easier manipulation/reformatting of the collected information. An MS-DOS compatible software package called the Automated Payload Experiment Tool (APET) has been developed and delivered. The objective of this task is to expand on the results of the APET work previously performed by UAH and provide versions of the software in a Macintosh and Windows compatible format.

  18. NDT standards from the perspective of the Department of Defense

    NASA Astrophysics Data System (ADS)

    Strauss, Bernard

    1992-09-01

    The interaction of the DoD non-Government Society (NGS) bodies in the area of nondestructive testing (NDT) are illustrated. The adoption process for NGS is outlined including the criteria for adoption, what adoption means, and the advantages of DoD/NGS interaction. The tasks of the DoD's Standardization Program Plan for NDT are described along with DoD's efforts on a Joint Army, Navy, Air Force (JANNAF) NDE Subcommittee and on an international standardization group (America, Britain, Canada, and Australia) called the Quadripartite Working Group on Proofing, Inspection, and Quality Assurance.

  19. Using C to build a satellite scheduling expert system: Examples from the Explorer Platform planning system

    NASA Technical Reports Server (NTRS)

    Mclean, David R.; Tuchman, Alan; Potter, William J.

    1991-01-01

    A C-based artificial intelligence (AI) development effort which is based on a software tools approach is discussed with emphasis on reusability and maintainability of code. The discussion starts with simple examples of how list processing can easily be implemented in C and then proceeds to the implementations of frames and objects which use dynamic memory allocation. The implementation of procedures which use depth first search, constraint propagation, context switching, and blackboard-like simulation environment are described. Techniques for managing the complexity of C-based AI software are noted, especially the object-oriented techniques of data encapsulation and incremental development. Finally, all these concepts are put together by describing the components of planning software called the Planning And Resource Reasoning (PARR) Shell. This shell was successfully utilized for scheduling services of the Tracking and Data Relay Satellite System for the Earth Radiation Budget Satellite since May of 1987 and will be used for operations scheduling of the Explorer Platform in Nov. of 1991.

  20. Wind Lidar Edge Technique Shuttle Demonstration Mission: Anemos

    NASA Technical Reports Server (NTRS)

    Leete, Stephen J.; Bundas, David J.; Martino, Anthony J.; Carnahan, Timothy M.; Zukowski, Barbara J.

    1998-01-01

    A NASA mission is planned to demonstrate the technology for a wind lidar. This will implement the direct detection edge technique. The Anemos instrument will fly on the Space Transportation System (STS), or shuttle, aboard a Hitchhiker bridge. The instrument is being managed by the Goddard Space Flight Center as an in-house build, with science leadership from the GSFC Laboratory for Atmospheres, Mesoscale Atmospheric Processes Branch. During a roughly ten-day mission, the instrument will self calibrate and adjust for launch induced mis-alignments, and perform a campaign of measurements of tropospheric winds. The mission is planned for early 2001. The instrument is being developed under the auspices of NASA's New Millennium Program, in parallel with a comparable mission being managed by the Marshall Space Flight Center. That mission, called SPARCLE, will implement the coherent technique. NASA plans to fly the two missions together on the same shuttle flight, to allow synergy of wind measurements and a direct comparison of performance.

  1. EIA models and capacity building in Viet Nam: an analysis of development aid programs

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

    Doberstein, Brent

    2004-04-01

    There has been a decided lack of empirical research examining development aid agencies as 'agents of change' in environmental impact assessment (EIA) systems in developing countries, particularly research examining the model of environmental planning practice promoted by aid agencies as part of capacity building. This paper briefly traces a conceptual framework of EIA, then introduces the concept of 'EIA capacity building'. Using Viet Nam as a case study, the paper then outlines the empirical results of the research, focusing on the extent to which aid agency capacity-building programs promoted a Technical vs. Planning Model of EIA and on the coherencemore » of capacity-building efforts across all aid programs. A discussion follows, where research results are interpreted within the Vietnamese context, and implications of research results are identified for three main groups of actors. The paper concludes by calling for development aid agencies to reconceptualise EIA capacity building as an opportunity to transform developing countries' development planning processes.« less

  2. Shuffling the Operational Deck: Future Requirements for the Plans, Operations, Medical Intelligence (POMI) Community

    DTIC Science & Technology

    2011-04-11

    countries. PepsiCo, IBM and Nike are current examples of the so-called "game planning" approach to succession and talent ~anagement.21 Annual...Rothwell and associates, inc .; a full-service consulting Succession Planning finn provides other partner industries with the value of strategic

  3. 78 FR 60309 - Notice of Public Meeting, BLM-Alaska Resource Advisory Council

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-01

    [email protected] . Persons who use a telecommunications device for the deaf (TDD) may call the Federal... variety of planning and management issues associated with public land management in Alaska. At this meeting, topics planned for discussion include: Land Use Planning. Integrated Arctic Management and...

  4. The Copernican Plan: Restructuring the American High School.

    ERIC Educational Resources Information Center

    Carroll, Joseph M.

    A new perspective on the practical problems of changing secondary schools to enhance learning is called "the Copernican Plan" because its implementation would change the schools as completely as Copernicus's ideas changed the perception of our solar system. The plan proposes major restructuring of virtually all the basic systems within a…

  5. Activities of the Bureau of Alcohol, Tobacco and Firearms: Testimony

    DTIC Science & Technology

    1993-03-20

    distillerics, wineries , and breweries; to produce or export tobacco products; to import, manufacture, or sell firearms; and to manufacture, sell. or use...work plans for two winery tax compliance inspections. Both plans called for verifying that the correct tax was paid for wine leaving a winery . One plan

  6. Designing Great Hinge Questions

    ERIC Educational Resources Information Center

    Wiliam, Dylan

    2015-01-01

    According to author Dylan Wiliam, because lessons never go exactly as planned, teachers should build plan B into plan A. This involves designing a lesson with a "hinge" somewhere in the middle and using specific kinds of questions--what he calls hinge questions--to quickly assess students' understanding of a concept before moving on.…

  7. Practice in Planning and Planning in Practice: Re-Assessing and Clarifying Action Research in a Multi-National Context

    ERIC Educational Resources Information Center

    Kusch, Jim; Rebolledo, Geisha; Ryan, Charly

    2005-01-01

    This paper responds to a call seeking presenters for an action-research event for elementary-school science teachers in Venezuela. The authors planned on the assumption that the participants would wish to leave with plans for introducing action-research approaches into their practice. In previous writing on action research, the various protocols…

  8. When You're Sick

    MedlinePlus

    ... will be ready. When to Call Your Diabetes Team You do not need to call your team every time you have a sniffle. But you ... time. In either case, work with your diabetes team to develop your sick-day plan. Food Eating ...

  9. Unaddressed participants’ gaze in multi-person interaction: optimizing recipiency

    PubMed Central

    Holler, Judith; Kendrick, Kobin H.

    2015-01-01

    One of the most intriguing aspects of human communication is its turn-taking system. It requires the ability to process on-going turns at talk while planning the next, and to launch this next turn without considerable overlap or delay. Recent research has investigated the eye movements of observers of dialogs to gain insight into how we process turns at talk. More specifically, this research has focused on the extent to which we are able to anticipate the end of current and the beginning of next turns. At the same time, there has been a call for shifting experimental paradigms exploring social-cognitive processes away from passive observation toward on-line processing. Here, we present research that responds to this call by situating state-of-the-art technology for tracking interlocutors’ eye movements within spontaneous, face-to-face conversation. Each conversation involved three native speakers of English. The analysis focused on question–response sequences involving just two of those participants, thus rendering the third momentarily unaddressed. Temporal analyses of the unaddressed participants’ gaze shifts from current to next speaker revealed that unaddressed participants are able to anticipate next turns, and moreover, that they often shift their gaze toward the next speaker before the current turn ends. However, an analysis of the complex structure of turns at talk revealed that the planning of these gaze shifts virtually coincides with the points at which the turns first become recognizable as possibly complete. We argue that the timing of these eye movements is governed by an organizational principle whereby unaddressed participants shift their gaze at a point that appears interactionally most optimal: It provides unaddressed participants with access to much of the visual, bodily behavior that accompanies both the current speaker’s and the next speaker’s turn, and it allows them to display recipiency with regard to both speakers’ turns. PMID:25709592

  10. Maximizing Meetings: Plan to Be Productive

    ERIC Educational Resources Information Center

    Hughes, Michelle

    2008-01-01

    Responsible for calling meetings? Dread the thought of attending another meeting that misses the mark and wastes everyone's time? This article offers tips to improve the effectiveness of meetings by planning their structure. (Contains 2 tables.)

  11. Developing a Web-Based Ppgis, as AN Environmental Reporting Service

    NASA Astrophysics Data System (ADS)

    Ranjbar Nooshery, N.; Taleai, M.; Kazemi, R.; Ebadi, K.

    2017-09-01

    Today municipalities are searching for new tools to empower locals for changing the future of their own areas by increasing their participation in different levels of urban planning. These tools should involve the community in planning process using participatory approaches instead of long traditional top-down planning models and help municipalities to obtain proper insight about major problems of urban neighborhoods from the residents' point of view. In this matter, public participation GIS (PPGIS) which enables citizens to record and following up their feeling and spatial knowledge regarding problems of the city in the form of maps have been introduced. In this research, a tool entitled CAER (Collecting & Analyzing of Environmental Reports) is developed. In the first step, a software framework based on Web-GIS tool, called EPGIS (Environmental Participatory GIS) has been designed to support public participation in reporting urban environmental problems and to facilitate data flow between citizens and municipality. A web-based cartography tool was employed for geo-visualization and dissemination of map-based reports. In the second step of CAER, a subsystem is developed based on SOLAP (Spatial On-Line Analytical Processing), as a data mining tools to elicit the local knowledge facilitating bottom-up urban planning practices and to help urban managers to find hidden relations among the recorded reports. This system is implemented in a case study area in Boston, Massachusetts and its usability was evaluated. The CAER should be considered as bottom-up planning tools to collect people's problems and views about their neighborhood and transmits them to the city officials. It also helps urban planners to find solutions for better management from citizen's viewpoint and gives them this chance to develop good plans to the neighborhoods that should be satisfied the citizens.

  12. Space Applications in Support of Future Urban Development in Armenia

    NASA Astrophysics Data System (ADS)

    Alhaddad, Bahaaeddin; Reppucci, Antonio; Moreno, Laura

    2016-08-01

    The fast growing of some cities has produced important changes in the urban sectors not always following sustainability criteria. As results, most urban growth falls outside formal planning controls and many cities suffer poor urban services management, traffic, and congestion, loss of green areas, poor air quality, and noise. The main advantages of satellite-based EO products are to support the decision-making process, and the development and operation of smart services. Satellite-based urban morphology analysis can help to identify the transformation of the urban development and evolution. The pilot presented here is a demonstration in the framework of the collaboration between ESA and ADB, called EOTAP "Earth Observation for a Transforming Asia Pacific". Aim of the pilot is to exploit satellite Earth observation data for sustainable growth and help preparing a series of city development and investment plans.

  13. Execution of Educational Mechanical Production Programs for School Children

    NASA Astrophysics Data System (ADS)

    Itoh, Nobuhide; Itoh, Goroh; Shibata, Takayuki

    The authors are conducting experience-based engineering educational programs for elementary and junior high school students with the aim to provide a chance for them to experience mechanical production. As part of this endeavor, we planned and conducted a program called “Fabrication of Original Magnet Plates by Casting” for elementary school students. This program included a course for leading nature laws and logical thinking method. Prior to the program, a preliminary program was applied to school teachers to get comments and to modify for the program accordingly. The children responded excellently to the production process which realizes their ideas, but it was found that the course on natural laws and logical methods need to be improved to draw their interest and attention. We will continue to plan more effective programs, deepening ties with the local community.

  14. The Daily Mail has been trying to raise public anxiety over teenagers, sex and the contraceptive pill to reckless levels.

    PubMed

    Corcoran, C

    The Daily Mail is opposed to the provision of family planning counseling and argues that all family planning advice is a conspiracy of the Left. The publication recently devoted its front page to a story claiming that 10% of girls take oral contraception by reaching age 15 years. This study was based upon 13 words in a 13-page Department of Health document published weeks earlier which stated that an estimated 10% of resident women aged 14-15 years attended family planning clinics. Only like-minded conservatives were called upon to comment in the publication. The Family Planning Association's press office fielded many calls the morning the story broke, explaining to callers that the organization was pleased to see that so many young people were using family planning clinics' services and that it hoped the figures would increase in the future in the interest of checking the incidence of unplanned pregnancy, abortion, and sexually transmitted diseases. Related radio news coverage ensued.

  15. Video-calls to reduce loneliness and social isolation within care environments for older people: an implementation study using collaborative action research.

    PubMed

    Zamir, Sonam; Hennessy, Catherine Hagan; Taylor, Adrian H; Jones, Ray B

    2018-03-02

    Older people in care may be lonely with insufficient contact if families are unable to visit. Face-to-face contact through video-calls may help reduce loneliness, but little is known about the processes of engaging people in care environments in using video-calls. We aimed to identify the barriers to and facilitators of implementing video-calls for older people in care environments. A collaborative action research (CAR) approach was taken to implement a video-call intervention in care environments. We undertook five steps of recruitment, planning, implementation, reflection and re-evaluation, in seven care homes and one hospital in the UK. The video-call intervention 'Skype on Wheels' (SoW) comprised a wheeled device that could hold an iPad and handset, and used Skype to provide a free video-call service. Care staff were collaborators who implemented the intervention within the care-setting by agreeing the intervention, recruiting older people and their family, and setting up video-calls. Field notes and reflective diaries on observations and conversations with staff, older people and family were maintained over 15 months, and analysed using thematic analysis. Four care homes implemented the intervention. Eight older people with their respective social contacts made use of video-calls. Older people were able to use SoW with assistance from staff, and enjoyed the use of video-calls to stay better connected with family. However five barriers towards implementation included staff turnover, risk averseness, the SoW design, lack of family commitment and staff attitudes regarding technology. The SoW intervention, or something similar, could aid older people to stay better connected with their families in care environments, but if implemented as part of a rigorous evaluation, then co-production of the intervention at each recruitment site may be needed to overcome barriers and maximise engagement.

  16. A software tool for advanced MRgFUS prostate therapy planning and follow up

    NASA Astrophysics Data System (ADS)

    van Straaten, Dörte; Hoogenboom, Martijn; van Amerongen, Martinus J.; Weiler, Florian; Issawi, Jumana Al; Günther, Matthias; Fütterer, Jurgen; Jenne, Jürgen W.

    2017-03-01

    US guided HIFU/FUS ablation for the therapy of prostate cancer is a clinical established method, while MR guided HIFU/FUS applications for prostate recently started clinical evaluation. Even if MRI examination is an excellent diagnostic tool for prostate cancer, it is a time consuming procedure and not practicable within an MRgFUS therapy session. The aim of our ongoing work is to develop software to support therapy planning and post-therapy follow-up for MRgFUS on localized prostate cancer, based on multi-parametric MR protocols. The clinical workflow of diagnosis, therapy and follow-up of MR guided FUS on prostate cancer was deeply analyzed. Based on this, the image processing workflow was designed and all necessary components, e.g. GUI, viewer, registration tools etc. were defined and implemented. The software bases on MeVisLab with several implemented C++ modules for the image processing tasks. The developed software, called LTC (Local Therapy Control) will register and visualize automatically all images (T1w, T2w, DWI etc.) and ADC or perfusion maps gained from the diagnostic MRI session. This maximum of diagnostic information helps to segment all necessary ROIs, e.g. the tumor, for therapy planning. Final therapy planning will be performed based on these segmentation data in the following MRgFUS therapy session. In addition, the developed software should help to evaluate the therapy success, by synchronization and display of pre-therapeutic, therapy and follow-up image data including the therapy plan and thermal dose information. In this ongoing project, the first stand-alone prototype was completed and will be clinically evaluated.

  17. 76 FR 16285 - Amendments to the Water Quality Regulations, Water Code and Comprehensive Plan To Update Water...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ... Plan to update the Commission's human health and aquatic life stream quality objectives (also called... DELAWARE RIVER BASIN COMMISSION 18 CFR Part 410 Amendments to the Water Quality Regulations, Water Code and Comprehensive Plan To Update Water Quality Criteria for Toxic Pollutants in the Delaware...

  18. Papers on the National Health Guidelines: The Priorities of Section 1502.

    ERIC Educational Resources Information Center

    Health Resources Administration (DHEW/PHS), Bethesda, MD.

    This monograph brings together staff papers relating to the national guidelines for health planning called for by Section 1501 of the National Health Planning and Resources Development Act of 1974 (Public Law 93-641). The papers consider relationships between local plans and programs and ten health policies designated for priority consideration:…

  19. 1. Photocopy of landscape plan of Hornet Ranger Station, approved ...

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

    1. Photocopy of landscape plan of Hornet Ranger Station, approved 8-11-1936. Original on file with the Payette National Forest, Supervisor's Office, McCall, Idaho. Photograph is 8'x 10', enlarged from a 4'x 5' negative. LANDSCAPE PLANTING PLAN. - Hornet Ranger Station, Forest Service Road No. 50002, Council, Adams County, ID

  20. 75 FR 35816 - Establishment of the Consumer Operated and Oriented Plan (CO-OP) Advisory Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-23

    ... (CO-OP) Advisory Board AGENCY: Department of Health and Human Services, Office of Consumer Information & Insurance Oversight. ACTION: Federal Register Notice. Authority: The Consumer Operated and Oriented Plan (CO... (PPACA) that calls for the establishment of the Consumer Operated and Oriented Plans (CO-OP) Program...

  1. 3. Photocopy of improvement plan of Hornet Ranger Station, approved ...

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

    3. Photocopy of improvement plan of Hornet Ranger Station, approved January 1941. Original on file with the Payette National Forest, Supervisor's Office, McCall, Idaho. Photograph is 8'x 10', enlarged from a 4'x 5' negative. IMPROVEMENT PLAN. - Hornet Ranger Station, Forest Service Road No. 50002, Council, Adams County, ID

  2. How Colleges Can Plan for Bird Flu

    ERIC Educational Resources Information Center

    Turner, James C.

    2005-01-01

    Media coverage of the worldwide outbreak of avian flu and the potential for a pandemic has resulted in anxiety and consternation among members of the US public. The US President George W. Bush has released the federal pandemic-preparedness plan that calls on communities to coordinate plans with local and state health departments and other…

  3. Transforming American Education: Learning Powered by Technology. National Education Technology Plan, 2010

    ERIC Educational Resources Information Center

    US Department of Education, 2010

    2010-01-01

    This report presents the Administration's National Education Technology Plan. This plan calls for applying the advanced technologies used in everyone's daily personal and professional lives to the entire education system to improve student learning, accelerate and scale up the adoption of effective practices, and use data and information for…

  4. The Need to Update Space Planning Policies for the California Community Colleges. Fact Sheet 05-07

    ERIC Educational Resources Information Center

    California Postsecondary Education Commission, 2005

    2005-01-01

    California plans its development of public higher education facilities using policies called "space and utilization" guidelines and standards. These are budgetary planning tools that can measure existing and future need for academic spaces such as classrooms, laboratories, research space, and faculty offices. California's current space…

  5. Project Report: Automatic Sequence Processor Software Analysis

    NASA Technical Reports Server (NTRS)

    Benjamin, Brandon

    2011-01-01

    The Mission Planning and Sequencing (MPS) element of Multi-Mission Ground System and Services (MGSS) provides space missions with multi-purpose software to plan spacecraft activities, sequence spacecraft commands, and then integrate these products and execute them on spacecraft. Jet Propulsion Laboratory (JPL) is currently is flying many missions. The processes for building, integrating, and testing the multi-mission uplink software need to be improved to meet the needs of the missions and the operations teams that command the spacecraft. The Multi-Mission Sequencing Team is responsible for collecting and processing the observations, experiments and engineering activities that are to be performed on a selected spacecraft. The collection of these activities is called a sequence and ultimately a sequence becomes a sequence of spacecraft commands. The operations teams check the sequence to make sure that no constraints are violated. The workflow process involves sending a program start command, which activates the Automatic Sequence Processor (ASP). The ASP is currently a file-based system that is comprised of scripts written in perl, c-shell and awk. Once this start process is complete, the system checks for errors and aborts if there are any; otherwise the system converts the commands to binary, and then sends the resultant information to be radiated to the spacecraft.

  6. Institutional computing (IC) information session

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

    Koch, Kenneth R; Lally, Bryan R

    2011-01-19

    The LANL Institutional Computing Program (IC) will host an information session about the current state of unclassified Institutional Computing at Los Alamos, exciting plans for the future, and the current call for proposals for science and engineering projects requiring computing. Program representatives will give short presentations and field questions about the call for proposals and future planned machines, and discuss technical support available to existing and future projects. Los Alamos has started making a serious institutional investment in open computing available to our science projects, and that investment is expected to increase even more.

  7. Multidisciplinary and multisectoral coalitions as catalysts for action against antimicrobial resistance: Implementation experiences at national and regional levels.

    PubMed

    Joshi, Mohan P; Chintu, Chifumbe; Mpundu, Mirfin; Kibuule, Dan; Hazemba, Oliver; Andualem, Tenaw; Embrey, Martha; Phulu, Bayobuya; Gerba, Heran

    2018-03-20

    The multi-faceted complexities of antimicrobial resistance (AMR) require consistent action, a multidisciplinary approach, and long-term political commitment. Building coalitions can amplify stakeholder efforts to carry out effective AMR prevention and control strategies. We have developed and implemented an approach to help local stakeholders kick-start the coalition-building process. The five-step process is to (1) mobilise support, (2) understand the local situation, (3) develop an action plan, (4) implement the plan, and (5) monitor and evaluate. We first piloted the approach in Zambia in 2004, then used the lessons learned to expand it for use in Ethiopia and Namibia and to the regional level through the Ecumenical Pharmaceutical Network [EPN]. Call-to-action declarations and workshops helped promote a shared vision, resulting in the development of national AMR action plans, revision of university curricula to incorporate relevant topics, infection control activities, engagement with journalists from various mass media outlets, and strengthening of drug quality assurance systems. Our experience with the coalition-building approach in Ethiopia, Namibia, Zambia, and with the EPN shows that coalitions can form in a variety of ways with many different stakeholders, including government, academia, and faith-based organisations, to organise actions to preserve the effectiveness of existing antimicrobials and contain AMR.

  8. Intelligent Vehicle Initiative: Business Plan

    DOT National Transportation Integrated Search

    1997-11-01

    The U.S. Department of Transportation (USDOT) is embarking on a new program called the Intelligent Vehicle Initiative (IVI). The USDOT intends to jointly define the program plan and conduct the IVI in cooperation with the motor vehicle, trucking, and...

  9. 77 FR 7134 - Endangered and Threatened Species; Recovery Plans

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-10

    ... copy (i.e., CD ROM) from Cynthia Anderson by calling (707) 825-5162 or by emailing a request to [email protected] with the subject line ``CD ROM Request for SONCC Coho Salmon Draft Recovery Plan...

  10. 47 CFR 22.921 - 911 call processing procedures; 911-only calling mode.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 2 2014-10-01 2014-10-01 false 911 call processing procedures; 911-only calling mode. 22.921 Section 22.921 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES PUBLIC MOBILE SERVICES Cellular Radiotelephone Service § 22.921 911 call processing...

  11. 47 CFR 22.921 - 911 call processing procedures; 911-only calling mode.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 2 2013-10-01 2013-10-01 false 911 call processing procedures; 911-only calling mode. 22.921 Section 22.921 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES PUBLIC MOBILE SERVICES Cellular Radiotelephone Service § 22.921 911 call processing...

  12. Review of the Draft 2014 Science Mission Directorate Science Plan

    NASA Technical Reports Server (NTRS)

    2013-01-01

    At the request of NASA's Science Mission Directorate (SMD), the National Research Council's (NRC's) Space Studies Board (SSB) initiated a study to review a draft of the SMD's 2014 Science Plan. The request for this review was made at a time when NASA is engaged in the final stages of a comprehensive, agency-wide effort to develop a new strategic plan and at a time when NASA's budget is under considerable stress. SMD's Science Plan serves to provide more detail on its four traditional science disciplines-astronomy and astrophysics, solar and space physics (also called heliophysics), planetary science, and Earth remote sensing and related activities-than is possible in the agency-wide Strategic Plan. In conducting its review of the draft Science Plan, the Committee on the Assessment of the NASA Science Mission Directorate 2014 Science Plan was charged to comment on the following specific areas: (1) Responsiveness to the NRC's guidance on key science issues and opportunities in recent NRC reports; (2) Attention to interdisciplinary aspects and overall scientific balance; (3) Identification and exposition of important opportunities for partnerships as well as education and public outreach; (4) Integration of technology development with the science program; (5) Clarity on how the plan aligns with SMD's strategic planning process; (6) General readability and clarity of presentation; and (7) Other relevant issues as determined by the committee. The main body of the report provides detailed findings and recommendations relating to the draft Science Plan. The highest-level, crosscutting issues are summarized here, and more detail is available in the main body of the report.

  13. 78 FR 31977 - NASA Asteroid Initiative Call for Ideas

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-28

    ... NATIONAL AERONAUTICS AND SPACE ADMINISTRATION [Notice: 13-060] NASA Asteroid Initiative Call for... agency's asteroid initiative planning and to encourage feedback and ideas from the global community and... Perspective--Tom Kalil 9:55-10:15 Asteroid Initiative--Associate Administrator Lightfoot [[Page 31978

  14. National Cycle Program (NCP) Common Analysis Tool for Aeropropulsion

    NASA Technical Reports Server (NTRS)

    Follen, G.; Naiman, C.; Evans, A.

    1999-01-01

    Through the NASA/Industry Cooperative Effort (NICE) agreement, NASA Lewis and industry partners are developing a new engine simulation, called the National Cycle Program (NCP), which is the initial framework of NPSS. NCP is the first phase toward achieving the goal of NPSS. This new software supports the aerothermodynamic system simulation process for the full life cycle of an engine. The National Cycle Program (NCP) was written following the Object Oriented Paradigm (C++, CORBA). The software development process used was also based on the Object Oriented paradigm. Software reviews, configuration management, test plans, requirements, design were all apart of the process used in developing NCP. Due to the many contributors to NCP, the stated software process was mandatory for building a common tool intended for use by so many organizations. The U.S. aircraft and airframe companies recognize NCP as the future industry standard for propulsion system modeling.

  15. Evaluation of hybrid inverse planning and optimization (HIPO) algorithm for optimization in real-time, high-dose-rate (HDR) brachytherapy for prostate.

    PubMed

    Pokharel, Shyam; Rana, Suresh; Blikenstaff, Joseph; Sadeghi, Amir; Prestidge, Bradley

    2013-07-08

    The purpose of this study is to investigate the effectiveness of the HIPO planning and optimization algorithm for real-time prostate HDR brachytherapy. This study consists of 20 patients who underwent ultrasound-based real-time HDR brachytherapy of the prostate using the treatment planning system called Oncentra Prostate (SWIFT version 3.0). The treatment plans for all patients were optimized using inverse dose-volume histogram-based optimization followed by graphical optimization (GRO) in real time. The GRO is manual manipulation of isodose lines slice by slice. The quality of the plan heavily depends on planner expertise and experience. The data for all patients were retrieved later, and treatment plans were created and optimized using HIPO algorithm with the same set of dose constraints, number of catheters, and set of contours as in the real-time optimization algorithm. The HIPO algorithm is a hybrid because it combines both stochastic and deterministic algorithms. The stochastic algorithm, called simulated annealing, searches the optimal catheter distributions for a given set of dose objectives. The deterministic algorithm, called dose-volume histogram-based optimization (DVHO), optimizes three-dimensional dose distribution quickly by moving straight downhill once it is in the advantageous region of the search space given by the stochastic algorithm. The PTV receiving 100% of the prescription dose (V100) was 97.56% and 95.38% with GRO and HIPO, respectively. The mean dose (D(mean)) and minimum dose to 10% volume (D10) for the urethra, rectum, and bladder were all statistically lower with HIPO compared to GRO using the student pair t-test at 5% significance level. HIPO can provide treatment plans with comparable target coverage to that of GRO with a reduction in dose to the critical structures.

  16. Management of unmanned moving sensors through human decision layers: a bi-level optimization process with calls to costly sub-processes

    NASA Astrophysics Data System (ADS)

    Dambreville, Frédéric

    2013-10-01

    While there is a variety of approaches and algorithms for optimizing the mission of an unmanned moving sensor, there are much less works which deal with the implementation of several sensors within a human organization. In this case, the management of the sensors is done through at least one human decision layer, and the sensors management as a whole arises as a bi-level optimization process. In this work, the following hypotheses are considered as realistic: Sensor handlers of first level plans their sensors by means of elaborated algorithmic tools based on accurate modelling of the environment; Higher level plans the handled sensors according to a global observation mission and on the basis of an approximated model of the environment and of the first level sub-processes. This problem is formalized very generally as the maximization of an unknown function, defined a priori by sampling a known random function (law of model error). In such case, each actual evaluation of the function increases the knowledge about the function, and subsequently the efficiency of the maximization. The issue is to optimize the sequence of value to be evaluated, in regards to the evaluation costs. There is here a fundamental link with the domain of experiment design. Jones, Schonlau and Welch proposed a general method, the Efficient Global Optimization (EGO), for solving this problem in the case of additive functional Gaussian law. In our work, a generalization of the EGO is proposed, based on a rare event simulation approach. It is applied to the aforementioned bi-level sensor planning.

  17. 47 CFR 22.921 - 911 call processing procedures; 911-only calling mode.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 2 2011-10-01 2011-10-01 false 911 call processing procedures; 911-only... CARRIER SERVICES PUBLIC MOBILE SERVICES Cellular Radiotelephone Service § 22.921 911 call processing procedures; 911-only calling mode. Mobile telephones manufactured after February 13, 2000 that are capable of...

  18. 47 CFR 22.921 - 911 call processing procedures; 911-only calling mode.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 2 2012-10-01 2012-10-01 false 911 call processing procedures; 911-only... CARRIER SERVICES PUBLIC MOBILE SERVICES Cellular Radiotelephone Service § 22.921 911 call processing procedures; 911-only calling mode. Mobile telephones manufactured after February 13, 2000 that are capable of...

  19. Mutual Contextualization in Tripartite Graphs of Folksonomies

    NASA Astrophysics Data System (ADS)

    Yeung, Ching-Man Au; Gibbins, Nicholas; Shadbolt, Nigel

    The use of tags to describe Web resources in a collaborative manner has experienced rising popularity among Web users in recent years. The product of such activity is given the name folksonomy, which can be considered as a scheme of organizing information in the users' own way. This research work attempts to analyze tripartite graphs - graphs involving users, tags and resources - of folksonomies and discuss how these elements acquire their semantics through their associations with other elements, a process we call mutual contextualization. By studying such process, we try to identify solutions to problems such as tag disambiguation, retrieving documents of similar topics and discovering communities of users. This paper describes the basis of the research work, mentions work done so far and outlines future plans.

  20. Gas-to-gasoline plant half complete

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

    Williams, B.

    New Zealand has reached the midpoint in construction of the world's first commercial natural gas-to-gasoline (GTG) plant. Plans call for mid-1985 mechanical completion of the $1.475 billion GTG project in Motunui; limited production would begin by year-end 1985 with the plant fully on-stream by 1986, yielding about 628,000 tons (570,000 metric tons)/yr or about 14,450 bbl/stream-day of high-octane, low-sulfur gasoline. The process configuration combines for the first time on a commercial scale the ICI low-pressure gas-to-methanol scheme with Mobil's fixed bed zeolite catalyst process for converting methanol to gasoline. The GTG plant will be the world's biggest methanol plant andmore » New Zealand's largest grassroots industrial facility.« less

  1. Optimal Planning and Problem-Solving

    NASA Technical Reports Server (NTRS)

    Clemet, Bradley; Schaffer, Steven; Rabideau, Gregg

    2008-01-01

    CTAEMS MDP Optimal Planner is a problem-solving software designed to command a single spacecraft/rover, or a team of spacecraft/rovers, to perform the best action possible at all times according to an abstract model of the spacecraft/rover and its environment. It also may be useful in solving logistical problems encountered in commercial applications such as shipping and manufacturing. The planner reasons around uncertainty according to specified probabilities of outcomes using a plan hierarchy to avoid exploring certain kinds of suboptimal actions. Also, planned actions are calculated as the state-action space is expanded, rather than afterward, to reduce by an order of magnitude the processing time and memory used. The software solves planning problems with actions that can execute concurrently, that have uncertain duration and quality, and that have functional dependencies on others that affect quality. These problems are modeled in a hierarchical planning language called C_TAEMS, a derivative of the TAEMS language for specifying domains for the DARPA Coordinators program. In realistic environments, actions often have uncertain outcomes and can have complex relationships with other tasks. The planner approaches problems by considering all possible actions that may be taken from any state reachable from a given, initial state, and from within the constraints of a given task hierarchy that specifies what tasks may be performed by which team member.

  2. Natura 2000 appropriate assessment: Shortcomings and improvements in Finnish practice

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

    Soederman, Tara

    2009-02-15

    The EU Habitats Directive 92/43/EEC requires impact assessments called Appropriate Assessments (AA) for plans and projects probably having adverse effects on the sites of European ecological importance, Natura 2000 sites. Seventy-three Appropriate Assessment reports and seventy official opinions given on them by regional environmental authorities from 1997 to 2005 were reviewed. The findings of the study demonstrate typical shortcomings of ecological impact assessment: a weak information basis for assessment outcomes and lack of proper cumulative impact assessment with respect to ecological structures and processes. The quality of reporting has improved over time with respect to direct impacts on individual habitatmore » types and species and detailed mitigation measures. Regional environment centres considered one fifth of the AA reports to be inadequate because of lacking data. In most cases the regional environment centres demanded a change of plan or project, added mitigation measures, choice of only one alternative for further planning or a new completed assessment with additional information in order to be able to evaluate the significance of the effects. The study underlines the need for iterative planning practices in which the preparation of a plan or project with alternative options goes hand in hand with the impact assessment equipped with sufficient data.« less

  3. Smart signal processing for an evolving electric grid

    NASA Astrophysics Data System (ADS)

    Silva, Leandro Rodrigues Manso; Duque, Calos Augusto; Ribeiro, Paulo F.

    2015-12-01

    Electric grids are interconnected complex systems consisting of generation, transmission, distribution, and active loads, recently called prosumers as they produce and consume electric energy. Additionally, these encompass a vast array of equipment such as machines, power transformers, capacitor banks, power electronic devices, motors, etc. that are continuously evolving in their demand characteristics. Given these conditions, signal processing is becoming an essential assessment tool to enable the engineer and researcher to understand, plan, design, and operate the complex and smart electronic grid of the future. This paper focuses on recent developments associated with signal processing applied to power system analysis in terms of characterization and diagnostics. The following techniques are reviewed and their characteristics and applications discussed: active power system monitoring, sparse representation of power system signal, real-time resampling, and time-frequency (i.e., wavelets) applied to power fluctuations.

  4. Reservoir rehabilitations: Seeking the Fountain of Youth

    USGS Publications Warehouse

    Pegg, Mark A.; Pope, Kevin L.; Powell, L.A.; Turek, Kelly C.; Spurgeon, Jonathan J.; Stewart, Nathaniel T.; Hogberg, Nick P.; Porath, Mark T.

    2017-01-01

    Aging of reservoirs alters the functions, and associated services, of these systems through time. The goal of habitat rehabilitation is often to alter the trajectory of the aging process such that the duration of the desired state is prolonged. There are two important characteristics in alteration of the trajectory—the amplitude relative to current state and the subsequent rate of change, or aging—that ultimately determine the duration of extension for the desired state. Rehabilitation processes largely fall into three main categories: fish community manipulation, water quality manipulation, and physical habitat manipulation. We can slow aging of reservoirs through carefully implemented management actions, perhaps even turning back the hands of time, but we cannot stop aging. We call for new, innovative perspectives that incorporate an understanding of aging processes in all steps of rehabilitation of reservoirs, especially in planning and assessing.

  5. Integrating research tools to support the management of social-ecological systems under climate change

    USGS Publications Warehouse

    Miller, Brian W.; Morisette, Jeffrey T.

    2014-01-01

    Developing resource management strategies in the face of climate change is complicated by the considerable uncertainty associated with projections of climate and its impacts and by the complex interactions between social and ecological variables. The broad, interconnected nature of this challenge has resulted in calls for analytical frameworks that integrate research tools and can support natural resource management decision making in the face of uncertainty and complex interactions. We respond to this call by first reviewing three methods that have proven useful for climate change research, but whose application and development have been largely isolated: species distribution modeling, scenario planning, and simulation modeling. Species distribution models provide data-driven estimates of the future distributions of species of interest, but they face several limitations and their output alone is not sufficient to guide complex decisions for how best to manage resources given social and economic considerations along with dynamic and uncertain future conditions. Researchers and managers are increasingly exploring potential futures of social-ecological systems through scenario planning, but this process often lacks quantitative response modeling and validation procedures. Simulation models are well placed to provide added rigor to scenario planning because of their ability to reproduce complex system dynamics, but the scenarios and management options explored in simulations are often not developed by stakeholders, and there is not a clear consensus on how to include climate model outputs. We see these strengths and weaknesses as complementarities and offer an analytical framework for integrating these three tools. We then describe the ways in which this framework can help shift climate change research from useful to usable.

  6. 77 FR 32666 - Notice of Public Meeting, Pecos District Resource Advisory Council Meeting, New Mexico

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-01

    ..., 575-627-0242. Persons who use a telecommunications device for the deaf (TDD) may call the Federal... of planning and management issues associated with public land management in New Mexico. Planned...

  7. Electric Vehicle Charging Station Expansion Plans Under Uncertainty

    DOT National Transportation Integrated Search

    2016-12-01

    With the advancement of battery technologies, more electric vehicles are expected to get introduced in the market. The energy needed to run those batteries is enormous. This calls for developing optimization models that help governments plan for ener...

  8. Dapsone

    MedlinePlus

    ... are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking dapsone, call your doctor.plan to avoid unnecessary or prolonged exposure to sunlight and to wear protective clothing, sunglasses, and sunscreen. Dapsone may make your skin sensitive to sunlight.

  9. Integrative Life Planning: A Holistic Approach

    ERIC Educational Resources Information Center

    Hansen, Sunny Sundal

    2011-01-01

    This article presents a brief description of integrative life planning (ILP), the career theory/concept created in the 1990s by the author. It describes what she calls "the heart of ILP," the 6 critical life tasks and their applications.

  10. Pediatric access to dermatologists: Medicaid versus private insurance.

    PubMed

    Chaudhry, Sofia B; Armbrecht, Eric S; Shin, Yoon; Matula, Sarah; Caffrey, Charles; Varade, Reena; Jones, Lisa; Siegfried, Elaine

    2013-05-01

    There is disparity in access to outpatient care for Medicaid beneficiaries. This inequity disproportionately impacts children. Access for children with skin disease may be especially limited. We sought to compare access to dermatologists for new pediatric patients insured by Medicaid versus a private plan. We surveyed 13 metropolitan markets by conducting secret-shopper scripted telephone calls to dermatology providers listed by Medicaid health plans. Paired calls, differing by insurance type, were made to each office on the same day, portraying a parent requesting a new appointment for a child with eczema. We called the offices of 723 Medicaid-listed providers. Final analysis included 471 dermatologists practicing general dermatology. Of these, an average of 44% refused a new Medicaid-insured pediatric patient. The average wait time for an appointment did not significantly vary between insurance types. Assuming that dermatologists not listed as Medicaid providers do not see Medicaid-insured children, our data indicate that pediatric Medicaid acceptance rates ranged from 6% to 64% by market, with an overall market size-weighted average acceptance rate of 19%. Relative reimbursement levels for Medicaid-insured patients did not correlate with acceptance rates. Although the most current health plan directories were used to create calling lists, these are dynamic. The sample sizes of confirmed appointments were in part limited by a lack of referral letters and/or health plan identification numbers. Only confirmed appointments were used to calculate average wait times. Access to dermatologists is limited for Medicaid-insured children with eczema. Copyright © 2012 American Academy of Dermatology, Inc. Published by Mosby, Inc. All rights reserved.

  11. 75 FR 45124 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-02

    ... to obtain a copy of the information collection plans, call the SAMHSA Reports Clearance Officer on... clinicians and supervisors, implementation calls and monthly progress reports, and topical workgroups that... evaluate the implementation, expansion, and sustainability of adolescent substance use services developed...

  12. Effective dialogue: enhanced public engagement as a legitimising tool for municipal waste management decision-making.

    PubMed

    Garnett, Kenisha; Cooper, Tim

    2014-12-01

    The complexity of municipal waste management decision-making has increased in recent years, accompanied by growing scrutiny from stakeholders, including local communities. This complexity reflects a socio-technical framing of the risks and social impacts associated with selecting technologies and sites for waste treatment and disposal facilities. Consequently there is growing pressure on local authorities for stakeholders (including communities) to be given an early opportunity to shape local waste policy in order to encourage swift planning, development and acceptance of the technologies needed to meet statutory targets to divert waste from landfill. This paper presents findings from a research project that explored the use of analytical-deliberative processes as a legitimising tool for waste management decision-making. Adopting a mixed methods approach, the study revealed that communicating the practical benefits of more inclusive forms of engagement is proving difficult even though planning and policy delays are hindering development and implementation of waste management infrastructure. Adopting analytical-deliberative processes at a more strategic level will require local authorities and practitioners to demonstrate how expert-citizen deliberations may foster progress in resolving controversial issues, through change in individuals, communities and institutions. The findings suggest that a significant shift in culture will be necessary for local authorities to realise the potential of more inclusive decision processes. This calls for political actors and civic society to collaborate in institutionalising public involvement in both strategic and local planning structures. Copyright © 2014 Elsevier Ltd. All rights reserved.

  13. Further Automate Planned Cluster Maintenance to Minimize System Downtime during Maintenance Windows

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

    Springmeyer, R.

    This report documents the integration and testing of the automated update process of compute clusters in LC to minimize impact to user productivity. Description: A set of scripts will be written and deployed to further standardize cluster maintenance activities and minimize downtime during planned maintenance windows. Completion Criteria: When the scripts have been deployed and used during planned maintenance windows and a timing comparison is completed between the existing process and the new more automated process, this milestone is complete. This milestone was completed on Aug 23, 2016 on the new CTS1 cluster called Jade when a request to upgrademore » the version of TOSS 3 was initiated while SWL jobs and normal user jobs were running. Jobs that were running when the update to the system began continued to run to completion. New jobs on the cluster started on the new release of TOSS 3. No system administrator action was required. Current update procedures in TOSS 2 begin by killing all users jobs. Then all diskfull nodes are updated, which can take a few hours. Only after the updates are applied are all nodes are rebooted, and then finally put back into service. A system administrator is required for all steps. In terms of human time spent during a cluster OS update, the TOSS 3 automated procedure on Jade took 0 FTE hours. Doing the same update without the Toss Update Tool would have required 4 FTE hours.« less

  14. One Bioregion/One Health: An Integrative Narrative for Transboundary Planning along the US–Mexico Border

    PubMed Central

    PEZZOLI, KEITH; KOZO, JUSTINE; FERRAN, KAREN; WOOTEN, WILMA; GOMEZ, GUDELIA RANGEL; AL-DELAIMY, WAEL K.

    2015-01-01

    Global megatrends—including climate change, food and water insecurity, economic crisis, large-scale disasters and widespread increases in preventable diseases—are motivating a bioregionalisation of planning in city-regions around the world. Bioregionalisation is an emergent process. It is visible where societies have begun grappling with complex socio-ecological problems by establishing place-based (territorial) approaches to securing health and well-being. This article examines a bioregional effort to merge place-based health planning and ecological restoration along the US–Mexico border. The theoretical construct underpinning this effort is called One Bioregion/One Health (OBROH). OBROH frames health as a transborder phenomenon that involves human-animal-environment interactions. The OBROH approach aims to improve transborder knowledge networking, ecosystem resilience, community participation in science–society relations, leadership development and cross-disciplinary training. It is a theoretically informed narrative to guide action. OBROH is part of a paradigm shift evident worldwide; it is redefining human-ecological relationships in the quest for healthy place making. The article concludes on a forward-looking note about the promise of environmental epidemiology, telecoupling, ecological restoration, the engaged university and bioregional justice as concepts pertinent to reinventing place-based planning. PMID:26097402

  15. Current Literature in Family Planning, November 1972, No. 51.

    ERIC Educational Resources Information Center

    Planned Parenthood--World Population, New York, NY. Katherine Dexter McCormick Library.

    Abstracts of current publications in the fields of population and family planning are contained in this monthly acquisitions list of the Katherine Dexter McCormick Library, Planned Parenthood, New York. Organized in two parts, Part 1 contains an annotated list of the books most recently acquired by the Library, marked with its Library call number,…

  16. Making Schools Safe for Students: Creating a Proactive School Safety Plan.

    ERIC Educational Resources Information Center

    Blauvelt, Peter D.

    This guide offers strategies for creating a proactive school safety plan that encourages parents, teachers, principals, and students to take the initiative and identify threats to school safety. It emphasizes that schools must have an active plan that addresses fights, name calling, bullying, changes in kid's behaviors, and staff who have run out…

  17. Benefits of advanced software techniques for mission planning systems

    NASA Technical Reports Server (NTRS)

    Gasquet, A.; Parrod, Y.; Desaintvincent, A.

    1994-01-01

    The increasing complexity of modern spacecraft, and the stringent requirement for maximizing their mission return, call for a new generation of Mission Planning Systems (MPS). In this paper, we discuss the requirements for the Space Mission Planning and the benefits which can be expected from Artificial Intelligence techniques through examples of applications developed by Matra Marconi Space.

  18. Benefits of advanced software techniques for mission planning systems

    NASA Astrophysics Data System (ADS)

    Gasquet, A.; Parrod, Y.; Desaintvincent, A.

    1994-10-01

    The increasing complexity of modern spacecraft, and the stringent requirement for maximizing their mission return, call for a new generation of Mission Planning Systems (MPS). In this paper, we discuss the requirements for the Space Mission Planning and the benefits which can be expected from Artificial Intelligence techniques through examples of applications developed by Matra Marconi Space.

  19. Plan Nacional de Desarrollo y Seguridad 1971-1975 (National Plan for Development and Security, 1971-1975).

    ERIC Educational Resources Information Center

    Boletin del Centro Nacional de Documentacion e Informacion Educativa, 1971

    1971-01-01

    This article discusses the education provisions established in the Argentine Plan for Development and Security (1971-1975). The statements on educational development call for a diagnostic study of the current cultural and educational situation, the establishment of objectives and strategies, goals for each level of education, steps for the…

  20. Forest Service Global Change Research Strategy, 2009-2019 Implementation Plan

    Treesearch

    Allen Solomon; Richard A. Birdsey; Linda A. Joyce

    2010-01-01

    In keeping with the research goals of the U.S. Global Change Research Program, the climate change strategy of the U.S. Department of Agriculture (USDA), and the climate change framework of the Forest Service, this Forest Service Global Change Research Strategy, 2009-2019 Implementation Plan (hereafter called the Research Plan), was written by Forest Service Research...

  1. Add to Your Book: Teach a Pattern Approach to Writing.

    ERIC Educational Resources Information Center

    Quattrini, Joe

    Using the "pattern approach" is a means of teaching students to be confident and competent writers. In this method, the writer uses a device called a planning blank to establish purpose, audience, topic, and role as a writer. Then the overall structure can be planned. A good writing plan should suggest not only a beginning, middle, and…

  2. [The palliative treatment plan as basis for informed decisions in palliative or emergency care].

    PubMed

    Lederer, Wolfgang; Feichtner, Angelika; Medicus, Elisabeth

    2011-11-01

    Acute vital crisis in end-of-life situations may result in a person being hospitalized and thus, expelled from his intimate environment, which aggravates the continuity of care. This entails a heavy burden for patients and necessitates an emergency medical services (EMS) call without recognizable benefit in many cases. Crisis episodes frequently mark the beginning of the dying process. Advance care planning or end-of-life care in elderly patients can help prevent such situations and ensure high contentment of patients, families and caregivers. Frequently, the question arises whether the burden arising from further hospitalization or from certain medical treatment options is reasonably balanced by the potential benefits of the steps taken. In such comprehensive care settings a custom-tailored palliative treatment plan may serve as an instrument for advance care planning. A palliative treatment plan set up by a physician together with a caregiver helps ensure that acute problems can be solved quickly and satisfactorily in the patient's customary surroundings. If EMS assistance is still needed, the emergency physician has written information on the patient's situation and can act quickly to meet the patient's immediate needs. This also means that EMS personnel must be properly trained in providing palliative care. In this way the palliative treatment plan can help caregivers continue to care for patients in their intimate surroundings.

  3. 78 FR 33144 - Notice of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-03

    ...'') will hold a conference call on Thursday, June 20th at 10:00 am-12:00 pm. The call will be operator assisted and is open to the public. The meeting will be hosted by the Office of the U.S. Global AIDS... to [email protected] . While the call is open to public attendance, the Board will determine...

  4. 78 FR 31626 - Notice of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-24

    ...'') will hold a conference call on Thursday, June 20th at 10:00 am-12:00 pm. The call will be operator assisted and is open to the public. The meeting will be hosted by the Office of the U.S. Global AIDS... to [email protected] . While the call is open to public attendance, the Board will determine...

  5. A Methodology to Define Flood Resilience

    NASA Astrophysics Data System (ADS)

    Tourbier, J.

    2012-04-01

    Flood resilience has become an internationally used term with an ever-increasing number of entries on the Internet. The SMARTeST Project is looking at approaches to flood resilience through case studies at cities in various countries, including Washington D.C. in the United States. In light of U.S. experiences a methodology is being proposed by the author that is intended to meet ecologic, spatial, structural, social, disaster relief and flood risk aspects. It concludes that: "Flood resilience combines (1) spatial, (2) structural, (3) social, and (4) risk management levels of flood preparedness." Flood resilience should incorporate all four levels, but not necessarily with equal emphasis. Stakeholders can assign priorities within different flood resilience levels and the considerations they contain, dividing 100% emphasis into four levels. This evaluation would be applied to planned and completed projects, considering existing conditions, goals and concepts. We have long known that the "road to market" for the implementation of flood resilience is linked to capacity building of stakeholders. It is a multidisciplinary enterprise, involving the integration of all the above aspects into the decision-making process. Traditional flood management has largely been influenced by what in the UK has been called "Silo Thinking", involving constituent organizations that are responsible for different elements, and are interested only in their defined part of the system. This barrier to innovation also has been called the "entrapment effect". Flood resilience is being defined as (1) SPATIAL FLOOD RESILIENCE implying the management of land by floodplain zoning, urban greening and management to reduce storm runoff through depression storage and by practicing Sustainable Urban Drainage (SUD's), Best Management Practices (BMP's, or Low Impact Development (LID). Ecologic processes and cultural elements are included. (2) STRUCTURAL FLOOD RESILIENCE referring to permanent flood defense structures such as levies, demountable structures that are partially installed, temporary structures that are removable, as well as dry- and` wet floodproofing of structures to meet construction standards to deflect or resist pressure without breaking. (3)SOCIAL FLOOD RESILIENCE referring to the building of robust institutions (including NGO's) and governance systems that underpin our capacity to prepare for and cope with uncertainty, change, and disasters when they occur. (4) FLOOD RISK RESILIENCE implies the ability to withstand and recover from crises through financial insurance assistance and through assistance by governmental institutions, including the communication of information on floodproofing steps that individuals can take on their own. Within these four levels considerations are outlined to form categories within a matrix as a way to set planning priorities by considering existing conditions, to formulate goals and to develop concepts. The matrix can function as indicators of success for a pre-and post-project assessment. A clear formulation of goals is an essential first step in the planning process, and a pre-requisite for the monitoring of performance. Policy makers would be involved in an active policy process, which has been called "a learning and action alliance to build capacity for flood resilience.

  6. Qualitative Constraint Reasoning For Image Understanding

    NASA Astrophysics Data System (ADS)

    Perry, John L.

    1987-05-01

    Military planners and analysts are exceedingly concerned with increasing the effectiveness of command and control (C2) processes for battlefield management (BM). A variety of technical approaches have been taken in this effort. These approaches are intended to support and assist commanders in situation assessment, course of action generation and evaluation, and other C2 decision-making tasks. A specific task within this technology support includes the ability to effectively gather information concerning opposing forces and plan/replan tactical maneuvers. Much of the information that is gathered is image-derived, along with collateral data supporting this visual imagery. In this paper, we intend to describe a process called qualitative constraint reasoning (QCR) which is being developed as a mechanism for reasoning in the mid to high level vision domain. The essential element of QCR is the abstraction process. One of the factors that is unique to QCR is the level at which the abstraction process occurs relative to the problem domain. The computational mechanisms used in QCR belong to a general class of problem called the consistent labeling problem. The success of QCR is its ability to abstract out from a visual domain a structure appropriate for applying the labeling procedure. An example will be given that will exemplify the abstraction process for a battlefield management application. Exploratory activities are underway for investigating the suitability of QCR approach for the battlefield scenario. Further research is required to investigate the utility of QCR in a more complex battlefield environment.

  7. ADHD performance reflects inefficient but not impulsive information processing: a diffusion model analysis.

    PubMed

    Metin, Baris; Roeyers, Herbert; Wiersema, Jan R; van der Meere, Jaap J; Thompson, Margaret; Sonuga-Barke, Edmund

    2013-03-01

    Attention-deficit/hyperactivity disorder (ADHD) is associated with performance deficits across a broad range of tasks. Although individual tasks are designed to tap specific cognitive functions (e.g., memory, inhibition, planning, etc.), these deficits could also reflect general effects related to either inefficient or impulsive information processing or both. These two components cannot be isolated from each other on the basis of classical analysis in which mean reaction time (RT) and mean accuracy are handled separately. Seventy children with a diagnosis of combined type ADHD and 50 healthy controls (between 6 and 17 years) performed two tasks: a simple two-choice RT (2-CRT) task and a conflict control task (CCT) that required higher levels of executive control. RT and errors were analyzed using the Ratcliff diffusion model, which divides decisional time into separate estimates of information processing efficiency (called "drift rate") and speed-accuracy tradeoff (SATO, called "boundary"). The model also provides an estimate of general nondecisional time. Results were the same for both tasks independent of executive load. ADHD was associated with lower drift rate and less nondecisional time. The groups did not differ in terms of boundary parameter estimates. RT and accuracy performance in ADHD appears to reflect inefficient rather than impulsive information processing, an effect independent of executive function load. The results are consistent with models in which basic information processing deficits make an important contribution to the ADHD cognitive phenotype. PsycINFO Database Record (c) 2013 APA, all rights reserved.

  8. Space Station Freedom - Optimized to support microgravity research and earth observations

    NASA Technical Reports Server (NTRS)

    Bilardo, Vincent J., Jr.; Herman, Daniel J.

    1990-01-01

    The Space Station Freedom Program is reviewed, with particular attention given to the Space Station configuration, program elements description, and utilization accommodation. Since plans call for the assembly of the initial SSF configuration over a 3-year time span, it is NASA's intention to perform useful research on it during the assembly process. The research will include microgravity experiments and observational sciences. The specific attributes supporting these attempts are described, such as maintainance of a very low microgravity level and continuous orientation of the vehicle to maintain a stable, accurate local-vertical/local-horizontal attitude.

  9. Folding 'health' back into healthcare.

    PubMed

    Green, David

    2015-03-01

    David Green, AlA, principal at the London offices of Perkins + Will, and Basak Alkan, AICP, LEED AP/healthcare district planner, at the architect, interior, and urban design company's Atlanta, US base, examine growing moves in the US to re-evaluate planning policies to ensure that local environments are built that promote healthy activities, with the creation of so-called 'Health Districts'. Equally, they explain, healthcare 'systems' are starting to see the value in using their campuses to promote this process. In the UK, they argue, 'the timing is perfect for the re-evaluation of the relationship between the medical campus and the city'.

  10. QA4, a language for artificial intelligence.

    NASA Technical Reports Server (NTRS)

    Derksen, J. A. C.

    1973-01-01

    Introduction of a language for problem solving and specifically robot planning, program verification, and synthesis and theorem proving. This language, called question-answerer 4 (QA4), embodies many features that have been found useful for constructing problem solvers but have to be programmed explicitly by the user of a conventional language. The most important features of QA4 are described, and examples are provided for most of the material introduced. Language features include backtracking, parallel processing, pattern matching, set manipulation, and pattern-triggered function activation. The language is most convenient for use in an interactive way and has extensive trace and edit facilities.

  11. 75 FR 6435 - Sunshine Act Meeting Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-09

    ... will answer questions from the news media following the Board meeting. Status: Open. Agenda Old... Efficiency Committee. For more information: Please call TVA Media Relations at (865) 632- 6000, Knoxville, Tennessee. People who plan to attend the meeting and have special needs should call (865) 632-6000. Anyone...

  12. 47 CFR 64.604 - Mandatory minimum standards.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... regarding nondisclosure of company-specific information. (J) The administrator's performance and this plan... may retain information from a particular call in order to facilitate the completion of consecutive calls, at the request of the user. The caller may request the STS CA to retain such information, or the...

  13. 47 CFR 64.604 - Mandatory minimum standards.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... regarding nondisclosure of company-specific information. (J) The administrator's performance and this plan... may retain information from a particular call in order to facilitate the completion of consecutive calls, at the request of the user. The caller may request the STS CA to retain such information, or the...

  14. Islam and family planning: changing perceptions of health care providers and medical faculty in Pakistan

    PubMed Central

    Mir, Ali Mohammad; Shaikh, Gul Rashida

    2013-01-01

    ABSTRACT A USAID-sponsored family planning project called “FALAH” (Family Advancement for Life and Health), implemented in 20 districts of Pakistan, aimed to lower unmet need for family planning by improving access to services. To enhance the quality of care offered by the public health system, the FALAH project trained 10,534 facility-based health care providers, managers, and medical college faculty members to offer client-centered family planning services, which included a module to explain the Islamic viewpoint on family planning developed through an iterative process involving religious scholars and public health experts. At the end of the FALAH project, we conducted a situation analysis of health facilities including interviews with providers to measure family planning knowledge of trained and untrained providers; interviewed faculty to obtain their feedback about the training module; and measured changes in women's contraceptive use through baseline and endline surveys. Trained providers had a better understanding of family planning concepts than untrained providers. In addition, discussions with trained providers indicated that the training module on Islam and family planning helped them to become advocates for family planning. Faculty indicated that the module enhanced their confidence about the topic of family planning and Islam, making it easier to introduce and discuss the issue with their students. Over the 3.5-year project period, which included several components in addition to the training activity, we found an overall increase of 9 percentage points in contraceptive prevalence in the project implementation districts—from 29% to 38%. The Islam and family planning module has now been included in the teaching program of major public-sector medical universities and the Regional Training Institutes of the Population Welfare Department. Other countries with sizeable Muslim populations and low contraceptive prevalence could benefit from this module. PMID:25276535

  15. Crisis action planning and replanning using SIPE-2

    NASA Technical Reports Server (NTRS)

    Skidmore, Jennifer D.

    1993-01-01

    Rome Laboratory and DARPA are jointly sponsoring an initiative to develop the next generation of AI planning and scheduling technology focused on military operations planning, especially for crisis situations. SRI International has demonstrated their knowledge-based planning technology in this domain with a system called SOCAP, System for Operations Crisis Action Planning. SOCAP's underlying power comes from SIPE-2, a hierarchical, domain-independent, nonlinear AI planner also developed at SRI. This paper discusses the features of SIPE-2 that made it an ideal choice for military operations planning and which contributed greatly to SOCAP's success.

  16. Cuba's 100-year plan for climate change

    NASA Astrophysics Data System (ADS)

    Stone, Richard

    2018-01-01

    On its deadly run through the Caribbean last September, Hurricane Irma lashed northern Cuba, inundating coastal settlements and scouring away vegetation. Irma lent new urgency to a Cuban national plan, called Tarea Vida, or Project Life, that bans construction of new homes in threatened coastal areas, mandates relocating people from communities doomed by rising sea levels, calls for an overhaul of the country's agricultural system to shift crop production away from saltwater-contaminated areas, and spells out the need to shore up coastal defenses, including by restoring degraded habitat. Project Life stands out for taking a long view: It intends to prepare Cuba for climatological impacts over the next century. Much of the initial funding could come from a $100 million proposal that Cuba plans to submit soon to the Global Climate Fund.

  17. Navy LPD-17 Amphibious Ship Procurement: Background, Issues, and Options for Congress

    DTIC Science & Technology

    2008-10-01

    planned 313-ship fleet calls for a 31-ship amphibious force that includes 10 LPD-17s, and the Marine Corps states that a 33-ship amphibious force that...state, reflects responsibilities assigned to Marine Corps forces in U.S. regional war plans . The Navy’s FY2009 30-year (FY2009-FY2038) shipbuilding plan ...13 Service Life Extensions for Amphibious Ships . . . . . . . . . . . . . . . . . . 13 Planned MPF(F) Squadron

  18. The marketing of partial hospitalization.

    PubMed

    Millsap, P; Brown, E; Kiser, L; Pruitt, D

    1987-09-01

    Health-care professionals are currently operating in the context of a rapidly changing health-care delivery system, including the move away from inpatient services to outpatient services in order to control costs. Those who practice in partial-hospital settings are in a position to offer effective, cost-efficient services; however, there continue to be obstacles which hinder appropriate utilization of the modality. The development and use of a well-designed marketing plan is one strategy for removing these obstacles. This paper presents a brief overview of the marketing process, ideas for developing a marketing plan, and several examples of specific marketing strategies as well as ways to monitor their effectiveness. Partial-hospital providers must take an active role in answering the calls for alternative sources of psychiatric care. A comprehensive, education-oriented marketing approach will increase the public's awareness of such alternatives and enable programs to survive in a competitive environment.

  19. Overcoming information asymmetry in consumer-directed health plans.

    PubMed

    Retchin, Sheldon M

    2007-04-01

    Consumer-centric healthcare has been extolled as the centerpiece of a new model for managing both quality and price. However, information asymmetry in consumer-directed health plans (CDHPs) is a challenge that must be addressed. For CDHPs to work as intended and to gain acceptance, consumers need information regarding the quality and price of healthcare purchases. The federal government, particularly the Agency for Healthcare Research and Quality, could function as an official resource for information on performance and comparisons among facilities and providers. Because of workforce constraints among primary care physicians, a new group of healthcare professionals called "medical decision advisors" could be trained. Academic health centers would have to play a critical role in devising an appropriate curriculum, as well as designing a certification and credentialing process. However, with appropriate curricula and training, medical decision advisors could furnish information for consumers and aid in the complicated decisions they will face under CDHPs.

  20. Multiscale analysis of restoration priorities for marine shoreline planning.

    PubMed

    Diefenderfer, Heida L; Sobocinski, Kathryn L; Thom, Ronald M; May, Christopher W; Borde, Amy B; Southard, Susan L; Vavrinec, John; Sather, Nichole K

    2009-10-01

    Planners are being called on to prioritize marine shorelines for conservation status and restoration action. This study documents an approach to determining the management strategy most likely to succeed based on current conditions at local and landscape scales. The conceptual framework based in restoration ecology pairs appropriate restoration strategies with sites based on the likelihood of producing long-term resilience given the condition of ecosystem structures and processes at three scales: the shorezone unit (site), the drift cell reach (nearshore marine landscape), and the watershed (terrestrial landscape). The analysis is structured by a conceptual ecosystem model that identifies anthropogenic impacts on targeted ecosystem functions. A scoring system, weighted by geomorphic class, is applied to available spatial data for indicators of stress and function using geographic information systems. This planning tool augments other approaches to prioritizing restoration, including historical conditions and change analysis and ecosystem valuation.

  1. Radiation Hard Silicon Particle Detectors for Phase-II LHC Trackers

    NASA Astrophysics Data System (ADS)

    Oblakowska-Mucha, A.

    2017-02-01

    The major LHC upgrade is planned after ten years of accelerator operation. It is foreseen to significantly increase the luminosity of the current machine up to 1035 cm-2s-1 and operate as the upcoming High Luminosity LHC (HL-LHC) . The major detectors upgrade, called the Phase-II Upgrade, is also planned, a main reason being the aging processes caused by severe particle radiation. Within the RD50 Collaboration, a large Research and Development program has been underway to develop silicon sensors with sufficient radiation tolerance for HL-LHC trackers. In this summary, several results obtained during the testing of the devices after irradiation to HL-LHC levels are presented. Among the studied structures, one can find advanced sensors types like 3D silicon detectors, High-Voltage CMOS technologies, or sensors with intrinsic gain (LGAD). Based on these results, the RD50 Collaboration gives recommendation for the silicon detectors to be used in the detector upgrade.

  2. Policy implications of startup utilization by enrollees in prepaid group plans.

    PubMed

    Baloff, N; Griffith, M J

    1984-04-01

    This article discusses several policy implications of the so-called startup effect, in which high initial health services utilization by new enrollees in prepaid group plans ( PGPs ) becomes reduced with the increasing duration of membership. Results of research in a developing PGP are analyzed as they relate to a mathematical model of startups for two measures of enrollee use. After estimating the total costs of startups in this setting, the motivating effects of such costs on PGPs are examined in relation to several policy issues--including the rate of PGP development in the United States, the use of financial incentives to enroll the elderly and medically disadvantaged, potential inequities of premium determination, the large impact of startups on disenrollment , and the federally mandated process of annual announcement of benefits and open enrollment. Ideas and mechanisms for future study on the startup effect and its policy implications are discussed.

  3. Policy implications of startup utilization by enrollees in prepaid group plans.

    PubMed Central

    Baloff, N; Griffith, M J

    1984-01-01

    This article discusses several policy implications of the so-called startup effect, in which high initial health services utilization by new enrollees in prepaid group plans ( PGPs ) becomes reduced with the increasing duration of membership. Results of research in a developing PGP are analyzed as they relate to a mathematical model of startups for two measures of enrollee use. After estimating the total costs of startups in this setting, the motivating effects of such costs on PGPs are examined in relation to several policy issues--including the rate of PGP development in the United States, the use of financial incentives to enroll the elderly and medically disadvantaged, potential inequities of premium determination, the large impact of startups on disenrollment , and the federally mandated process of annual announcement of benefits and open enrollment. Ideas and mechanisms for future study on the startup effect and its policy implications are discussed. PMID:6724954

  4. Metallophytes in biotopes polluted by waste dumps rich in Zn-Pb, Cd (Olkusz region) - review of previous and planned research

    NASA Astrophysics Data System (ADS)

    Rożek, Dorota

    2013-09-01

    The aim of that publication was the presentation of previous and planned research concerning selected vascular plants and soils near Olkusz (Southern Poland). The extremely high concentration of heavy metals in soils from that region was caused by the natural geochemical aureoles of dispersed metals (due to weathering of Zn-Pb-Fe ore sulphides) and mining and processing of shallowly occurring metalliferous deposits (containing Ag-Pb and Zn-Pb ores) since XII century. The condition of stress in metals, shortage of water and some plant nutrition led to formation of some adaptable vegetation features by plants growing in that region. Some species called metallophytes have been already detailed investigated. Moreover some geochemical and pedological research of soil have been already done. However the conditions of habitat of pioneering species such as Koeleria glauca and Corynephorus canescens are not still recognized.

  5. 78 FR 36568 - Notice of Availability of the Record of Decision for the Approved Imperial Sand Dunes Recreation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-18

    ... for the deaf (TDD) may call the Federal Information Relay Service (FIRS) at 1-800-877-8339 to contact... lands included in the planning area encompass about 215,000 acres, of which approximately 12,000 acres are non- Federal lands for which these planning decisions do not apply. The planning area is located...

  6. We the People: Law Day USA 1987. 1987 Planning Guide.

    ERIC Educational Resources Information Center

    American Bar Association, Chicago, IL.

    "We the People" is the theme for the 1987 American Bar Association's 30th annual Law Day USA, observed May 1. This guide brings together information to help plan and execute programs which call attention to the principles and practices of United States law and justice. The guide contains facts about Law Day; tips for planning a Law Day…

  7. Non-Profit/Higher Education Project Management Series: The Project Plan

    ERIC Educational Resources Information Center

    Burgher, Karl E.; Snyder, Michael

    2012-01-01

    This is the second installment of the AACRAO management series focusing on project management in the academy. In this article, the authors focus on white papers (often called charters, briefs, or fact sheets) and their partner, the work plan. The work plan is a detailed document that defines each aspect of a project. It is often preceded by a…

  8. [Final Resolutions Adopted by the Conference on Planning of Rural Areas in Europe, 7 October 1978].

    ERIC Educational Resources Information Center

    Council of Europe, Strasbourg (France).

    Two final resolutions were adopted by the Council of Europe at the October 1978 European Conference of Ministers Responsible for Regional Planning. Resolution 1 focused on guidelines for the planning of rural areas in Europe. Strategies and policies called for: a more balanced development which makes the living conditions of different regions as…

  9. GIS as a Sketch-Plan Tool to Replace Traditional Transit Route Planning Practice for College and University Communities

    ERIC Educational Resources Information Center

    Chaudhari, Jaydeep; Ye, Zhirui

    2010-01-01

    Auburn University--a prominent land-grant and comprehensive research institute in Alabama--is no exception to the need to grapple with transportation planning. Auburn launched its transit system (called "Tiger Transit") in 1997 to address the needs of student commuters and a shrinking parking supply. However, by 2007 Tiger Transit faced…

  10. 7 CFR 1737.50 - Review of completed loan application.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 3017); (3) A market survey called the Area Coverage Survey (ACS); (4) The plan and associated costs for the proposed construction, called the Loan Design (LD); (5) Evidence that the borrower is... determine that the system design is acceptable to RUS, that the design is technically correct, that the cost...

  11. 7 CFR 1737.50 - Review of completed loan application.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 3017); (3) A market survey called the Area Coverage Survey (ACS); (4) The plan and associated costs for the proposed construction, called the Loan Design (LD); (5) Evidence that the borrower is... determine that the system design is acceptable to RUS, that the design is technically correct, that the cost...

  12. 7 CFR 1737.50 - Review of completed loan application.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 3017); (3) A market survey called the Area Coverage Survey (ACS); (4) The plan and associated costs for the proposed construction, called the Loan Design (LD); (5) Evidence that the borrower is... determine that the system design is acceptable to RUS, that the design is technically correct, that the cost...

  13. 7 CFR 1737.50 - Review of completed loan application.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 3017); (3) A market survey called the Area Coverage Survey (ACS); (4) The plan and associated costs for the proposed construction, called the Loan Design (LD); (5) Evidence that the borrower is... determine that the system design is acceptable to RUS, that the design is technically correct, that the cost...

  14. 7 CFR 1737.50 - Review of completed loan application.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 3017); (3) A market survey called the Area Coverage Survey (ACS); (4) The plan and associated costs for the proposed construction, called the Loan Design (LD); (5) Evidence that the borrower is... determine that the system design is acceptable to RUS, that the design is technically correct, that the cost...

  15. 40 CFR 52.1270 - Identification of plan.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30303, the Air and Radiation Docket and Information Center, EPA Headquarters Library, Infoterra Room... Headquarters Library, please call the Office of Air and Radiation (OAR) Docket/Telephone number: (202) 566-1742. For information on the availability of this material at NARA, call 202-741-6030, or go to: http://www...

  16. 78 FR 20855 - State Implementation Plans: Response to Petition for Rulemaking; Findings of Substantial...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-08

    ... SIP Calls To Amend Provisions Applying to Excess Emissions During Periods of Startup, Shutdown, and... SIP Calls to Amend Provisions Applying to Excess Emissions During Periods of Startup, Shutdown, and... Amend Provisions Applying to Excess Emissions During Periods of Startup, Shutdown, and Malfunction...

  17. 77 FR 32639 - HIT Standards Committee and HIT Policy Committee; Call for Nominations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-01

    ... with the implementation of the Federal Health IT Strategic Plan, and in accordance with policies... DEPARTMENT OF HEALTH AND HUMAN SERVICES HIT Standards Committee and HIT Policy Committee; Call for... Health Information Technology Policy Committee (HITPC). Name of Committees: HIT Standards Committee and...

  18. Improving the Operations of the Earth Observing One Mission via Automated Mission Planning

    NASA Technical Reports Server (NTRS)

    Chien, Steve A.; Tran, Daniel; Rabideau, Gregg; Schaffer, Steve; Mandl, Daniel; Frye, Stuart

    2010-01-01

    We describe the modeling and reasoning about operations constraints in an automated mission planning system for an earth observing satellite - EO-1. We first discuss the large number of elements that can be naturally represented in an expressive planning and scheduling framework. We then describe a number of constraints that challenge the current state of the art in automated planning systems and discuss how we modeled these constraints as well as discuss tradeoffs in representation versus efficiency. Finally we describe the challenges in efficiently generating operations plans for this mission. These discussions involve lessons learned from an operations model that has been in use since Fall 2004 (called R4) as well as a newer more accurate operations model operational since June 2009 (called R5). We present analysis of the R5 software documenting a significant (greater than 50%) increase in the number of weekly observations scheduled by the EO-1 mission. We also show that the R5 mission planning system produces schedules within 15% of an upper bound on optimal schedules. This operational enhancement has created value of millions of dollars US over the projected remaining lifetime of the EO-1 mission.

  19. 77 FR 18858 - Notice of Public Meeting, Las Cruces District Resource Advisory Council Meeting, New Mexico

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-28

    ... deaf (TDD) may call the Federal Information Relay Service (FIRS) at 1-800-877-8229 to contact the above... variety of planning and management issues associated with public land management in New Mexico. Planned...

  20. 77 FR 55225 - Notice of Public Meeting, Las Cruces District Resource Advisory Council Meeting, New Mexico

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-07

    ... deaf (TDD) may call the Federal Information Relay Service (FIRS) at 1-800-877-8229 to contact the above... variety of planning and management issues associated with public land management in New Mexico. Planned...

  1. Primary Care DirectConnect: How the Marriage of Call Center Technology and the EMR Brought Dramatic Results-A Service Quality Improvement Study.

    PubMed

    Bowman, Brent; Smith, Scott

    2010-01-01

    Of the key Health Plan patient satisfaction measures used in Kaiser Permanente Colorado, ease of contacting the physician's office with a medical question was consistently rated as the lowest quarterly patient satisfaction measure. Furthermore, medical office staff had become dissatisfied with their inability to contact patients who had previously left messages. In addition to the shear volume of messages, the return calls were often unanswered, leading to subsequent attempts to reach patients, creating additional work for medical office staff.DirectConnect-the project name for a system and set of processes focused on improving patient satisfaction with the ability to contact Primary Care delivery teams by telephone-focuses on isolating medical advice calls from the other types of calls handled by the centralized Call Center. The system identifies the patient using his/her unique electronic medical record number, then automatically routes medical advice calls directly to the appropriate Primary Care Physician (PCP) or staff. The clinician may then evaluate and respond to the patient's need quickly, thus managing more of their panel's requests in real time.How is DirectConnect different from simply having the patient contact their PCP's office directly? The primary difference is "one-number" convenience that allows all patients to dial one number to access their PCP's team. In addition, calls are routed to various staff as available to reduce long telephone queues and wait times.The DirectConnect system has resulted in statistically significant improvement in key service quality measures. Patient satisfaction improved from a pre-implementation nine quarter mean of 55.9% to a post-implementation 12 quarter mean of 70.2%. Fourteen percent to 17% of all Primary Care calls are now handled by the patient's home medical office team, creating a 54% improvement in the centralized Call Center's speed of answering calls in the first quarter post implementation-making no additions to medical office staffing levels. The efficiencies gained by directly connecting medical advice-seeking patients with their Primary Care team resulted in an estimated savings of 198 and 247 cumulative hours per week in unnecessary telephone work for Call Center and medical office staff regionwide.

  2. Enhancing the capacity of substance abuse prevention coalitions through training and technical assistance.

    PubMed

    Watson-Thompson, Jomella; Woods, Nikki Keene; Schober, Daniel J; Schultz, Jerry A

    2013-01-01

    Community capacity may be enhanced through intermediary supports that provide training and technical assistance (TA). This study used a randomized pre/posttest design to assess the impact of training and TA on coalition capacity. Seven community coalitions from the Midwest participated in the 2-year study, which included 36 hours of training, followed by monthly TA calls to support action planning implementation for prioritized processes. Collaborative processes most commonly identified as high-need areas for TA were Developing Organizational Structure, Documenting Progress, Making Outcomes Matter, and Sustaining the Work. Based on a coalition survey, the average change for processes prioritized through TA across all seven coalitions was .27 (SD = .29), while the average change for non-prioritized processes was .09 (SD = .20) (t(6) = 4.86, p = .003, d = 1.84). The findings from this study suggest that TA can increase coalition capacity for implementing collaborative processes using a participatory approach.

  3. Integrated Structural Analysis and Test Program

    NASA Technical Reports Server (NTRS)

    Kaufman, Daniel

    2005-01-01

    An integrated structural-analysis and structure-testing computer program is being developed in order to: Automate repetitive processes in testing and analysis; Accelerate pre-test analysis; Accelerate reporting of tests; Facilitate planning of tests; Improve execution of tests; Create a vibration, acoustics, and shock test database; and Integrate analysis and test data. The software package includes modules pertaining to sinusoidal and random vibration, shock and time replication, acoustics, base-driven modal survey, and mass properties and static/dynamic balance. The program is commanded by use of ActiveX controls. There is minimal need to generate command lines. Analysis or test files are selected by opening a Windows Explorer display. After selecting the desired input file, the program goes to a so-called analysis data process or test data process, depending on the type of input data. The status of the process is given by a Windows status bar, and when processing is complete, the data are reported in graphical, tubular, and matrix form.

  4. Trajectory Dispersed Vehicle Process for Space Launch System

    NASA Technical Reports Server (NTRS)

    Statham, Tamara; Thompson, Seth

    2017-01-01

    The Space Launch System (SLS) vehicle is part of NASA's deep space exploration plans that includes manned missions to Mars. Manufacturing uncertainties in design parameters are key considerations throughout SLS development as they have significant effects on focus parameters such as lift-off-thrust-to-weight, vehicle payload, maximum dynamic pressure, and compression loads. This presentation discusses how the SLS program captures these uncertainties by utilizing a 3 degree of freedom (DOF) process called Trajectory Dispersed (TD) analysis. This analysis biases nominal trajectories to identify extremes in the design parameters for various potential SLS configurations and missions. This process utilizes a Design of Experiments (DOE) and response surface methodologies (RSM) to statistically sample uncertainties, and develop resulting vehicles using a Maximum Likelihood Estimate (MLE) process for targeting uncertainties bias. These vehicles represent various missions and configurations which are used as key inputs into a variety of analyses in the SLS design process, including 6 DOF dispersions, separation clearances, and engine out failure studies.

  5. Geographic-time distribution of ambulance calls in Singapore: utility of geographic information system in ambulance deployment (CARE 3).

    PubMed

    Ong, Marcus E H; Ng, Faith S P; Overton, Jerry; Yap, Susan; Andresen, Derek; Yong, David K L; Lim, Swee Han; Anantharaman, V

    2009-03-01

    Pre-hospital ambulance calls are not random events, but occur in patterns and trends that are related to movement patterns of people, as well as the geographical epidemiology of the population. This study describes the geographic-time epidemiology of ambulance calls in a large urban city and conducts a time demand analysis. This will facilitate a Systems Status Plan for the deployment of ambulances based on the most cost effective deployment strategy. An observational prospective study looking at the geographic-time epidemiology of all ambulance calls in Singapore. Locations of ambulance calls were spot mapped using Geographic Information Systems (GIS) technology. Ambulance response times were mapped and a demand analysis conducted by postal districts. Between 1 January 2006 and 31 May 2006, 31,896 patients were enrolled into the study. Mean age of patients was 51.6 years (S.D. 23.0) with 60.0% male. Race distribution was 62.5% Chinese, 19.4% Malay, 12.9% Indian and 5.2% others. Trauma consisted 31.2% of calls and medical 68.8%. 9.7% of cases were priority 1 (most severe) and 70.1% priority 2 (moderate severity). Mean call receipt to arrival at scene was 8.0 min (S.D. 4.8). Call volumes in the day were almost twice those at night, with the most calls on Mondays. We found a definite geographical distribution pattern with heavier call volumes in the suburban town centres in the Eastern and Southern part of the country. We characterised the top 35 districts with the highest call volumes by time periods, which will form the basis for ambulance deployment plans. We found a definite geographical distribution pattern of ambulance calls. This study demonstrates the utility of GIS with despatch demand analysis and has implications for maximising the effectiveness of ambulance deployment.

  6. GPS net­work operations for the International GPS Geodynamics Service

    USGS Publications Warehouse

    Neilan, Ruth E.

    1993-01-01

    As GPS technology comes of age in the 1990’s, it is evident that an internationally sponsored GPS tracking system is called for to provide consistent, timely ground tracking data and data products to the geophysical community. The planning group for the International GPS Geodynamics Service (IGS), sponsored by the International Association of Geodesy (IAG), is addressing all elements of the end-to-end tracking system, ranging from data collection to data analysis and distribution of products (Mueller, 1992). Part of the planning process is to formulate how these various elements work together to create the common infrastructure needed to support a wide variety of GPS investigations. A key element for any permanent satellite tracking system is certainly the acquisition segment; the reliability and robustness of the ground network operations directly determine the fates and limitations of final products. The IGS planning group therefore included a committee tasked to develop and establish standards governing data acquisition and site-specific characteristics deemed necessary to ensure the collection of a high quality, continuous data set.

  7. Formal Methods Specification and Verification Guidebook for Software and Computer Systems. Volume 1; Planning and Technology Insertion

    NASA Technical Reports Server (NTRS)

    1995-01-01

    The Formal Methods Specification and Verification Guidebook for Software and Computer Systems describes a set of techniques called Formal Methods (FM), and outlines their use in the specification and verification of computer systems and software. Development of increasingly complex systems has created a need for improved specification and verification techniques. NASA's Safety and Mission Quality Office has supported the investigation of techniques such as FM, which are now an accepted method for enhancing the quality of aerospace applications. The guidebook provides information for managers and practitioners who are interested in integrating FM into an existing systems development process. Information includes technical and administrative considerations that must be addressed when establishing the use of FM on a specific project. The guidebook is intended to aid decision makers in the successful application of FM to the development of high-quality systems at reasonable cost. This is the first volume of a planned two-volume set. The current volume focuses on administrative and planning considerations for the successful application of FM.

  8. A Hierarchical Multiple-Level Approach to the Assessment of Interpersonal Relatedness and Self-Definition: Implications for Research, Clinical Practice, and DSM Planning.

    PubMed

    Luyten, Patrick; Blatt, Sidney J

    2016-01-01

    Extant research suggests there is considerable overlap between so-called 2-polarities models of personality development; that is, models that propose that personality development evolves through a dialectic synergistic interaction between 2 key developmental tasks across the life span-the development of self-definition on the one hand and of relatedness on the other. These models have attracted considerable research attention and play a central role in DSM planning. This article provides a researcher- and clinician-friendly guide to the assessment of these personality theories. We argue that current theoretical models focus on issues of relatedness and self-definition at different hierarchically organized levels of analysis; that is (a) at the level of broad personality features, (b) at the motivational level (i.e., the motivational processes underlying the development of these dimensions), and (c) at the level of underlying internal working models or cognitive affective schemas, and the specific interpersonal features and problems in which they are expressed. Implications for further research and DSM planning are outlined.

  9. Disaster preparedness of poison control centers in the USA: a 15-year follow-up study.

    PubMed

    Darracq, Michael A; Clark, Richard F; Jacoby, Irving; Vilke, Gary M; DeMers, Gerard; Cantrell, F Lee

    2014-03-01

    There is limited published literature on the extent to which United States (US) Poison Control Centers (PCCs) are prepared for responding to disasters. We describe PCCs' disaster preparedness activities and compare and contrast these results to those previously reported in the medical literature. We also describe the extent to which PCCs are engaged in disaster and terrorism preparedness planning and other public health roles such as surveillance. An electronic questionnaire was sent via email to the managing directors of the 57 member PCCs of the American Association of Poison Control Centers. Collected data included the population served and number of calls received, extent of disaster preparedness including the presence of a written disaster plan and elements included in that plan, the presence and nature of regular disaster drills, experience with disaster including periods of inability to operate, involvement in terrorism and disaster preparedness/response policy development, and public health surveillance of US PCCs. Descriptive statistics were performed on collected data. Comparisons with the results from a previously published survey were performed. A response was obtained from 40/57 (70 %) PCCs. Each PCC serves a larger population (p < 0.0001) and receives more calls per year (p = 0.0009) than the previous descriptions of PCC preparedness. More centers report the presence of a written disaster plan (p < 0.0001), backup by another center (p < 0.0001), regular disaster drills (p < 0.0001), and comfort with ability to operate in a disaster (p < 0.0001) than previously described. PCCs are involved in disaster (34/40, 85 %) and terrorism (29/40, 73 %) preparedness at the local, state, or federal levels. PCCs (36/40, 90 %) are also involved in public health functions (illness surveillance or answering "after hours" public health calls). Despite an increase in calls received and population served per center as compared to previous descriptions, more PCCs report the presence of a written disaster plan, backup by another center, regular disaster drills, and comfort in ability to operate in a disaster. PCCs are actively involved in terrorism and disaster preparedness and response planning and traditional public health responsibilities such as surveillance.

  10. Utilization of extended bayesian networks in decision making under uncertainty

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

    Van Eeckhout, Edward M; Leishman, Deborah A; Gibson, William L

    2009-01-01

    Bayesian network tool (called IKE for Integrated Knowledge Engine) has been developed to assess the probability of undesirable events. The tool allows indications and observables from sensors and/or intelligence to feed directly into hypotheses of interest, thus allowing one to quantify the probability and uncertainty of these events resulting from very disparate evidence. For example, the probability that a facility is processing nuclear fuel or assembling a weapon can be assessed by examining the processes required, establishing the observables that should be present, then assembling information from intelligence, sensors and other information sources related to the observables. IKE also hasmore » the capability to determine tasking plans, that is, prioritize which observable should be collected next to most quickly ascertain the 'true' state and drive the probability toward 'zero' or 'one.' This optimization capability is called 'evidence marshaling.' One example to be discussed is a denied facility monitoring situation; there is concern that certain process(es) are being executed at the site (due to some intelligence or other data). We will show how additional pieces of evidence will then ascertain with some degree of certainty the likelihood of this process(es) as each piece of evidence is obtained. This example shows how both intelligence and sensor data can be incorporated into the analysis. A second example involves real-time perimeter security. For this demonstration we used seismic, acoustic, and optical sensors linked back to IKE. We show how these sensors identified and assessed the likelihood of 'intruder' versus friendly vehicles.« less

  11. TPMG Northern California appointments and advice call center.

    PubMed

    Conolly, Patricia; Levine, Leslie; Amaral, Debra J; Fireman, Bruce H; Driscoll, Tom

    2005-08-01

    Kaiser Permanente (KP) has been developing its use of call centers as a way to provide an expansive set of healthcare services to KP members efficiently and cost effectively. Since 1995, when The Permanente Medical Group (TPMG) began to consolidate primary care phone services into three physical call centers, the TPMG Appointments and Advice Call Center (AACC) has become the "front office" for primary care services across approximately 89% of Northern California. The AACC provides primary care phone service for approximately 3 million Kaiser Foundation Health Plan members in Northern California and responds to approximately 1 million calls per month across the three AACC sites. A database records each caller's identity as well as the day, time, and duration of each call; reason for calling; services provided to callers as a result of calls; and clinical outcomes of calls. We here summarize this information for the period 2000 through 2003.

  12. A Method on Dynamic Path Planning for Robotic Manipulator Autonomous Obstacle Avoidance Based on an Improved RRT Algorithm.

    PubMed

    Wei, Kun; Ren, Bingyin

    2018-02-13

    In a future intelligent factory, a robotic manipulator must work efficiently and safely in a Human-Robot collaborative and dynamic unstructured environment. Autonomous path planning is the most important issue which must be resolved first in the process of improving robotic manipulator intelligence. Among the path-planning methods, the Rapidly Exploring Random Tree (RRT) algorithm based on random sampling has been widely applied in dynamic path planning for a high-dimensional robotic manipulator, especially in a complex environment because of its probability completeness, perfect expansion, and fast exploring speed over other planning methods. However, the existing RRT algorithm has a limitation in path planning for a robotic manipulator in a dynamic unstructured environment. Therefore, an autonomous obstacle avoidance dynamic path-planning method for a robotic manipulator based on an improved RRT algorithm, called Smoothly RRT (S-RRT), is proposed. This method that targets a directional node extends and can increase the sampling speed and efficiency of RRT dramatically. A path optimization strategy based on the maximum curvature constraint is presented to generate a smooth and curved continuous executable path for a robotic manipulator. Finally, the correctness, effectiveness, and practicability of the proposed method are demonstrated and validated via a MATLAB static simulation and a Robot Operating System (ROS) dynamic simulation environment as well as a real autonomous obstacle avoidance experiment in a dynamic unstructured environment for a robotic manipulator. The proposed method not only provides great practical engineering significance for a robotic manipulator's obstacle avoidance in an intelligent factory, but also theoretical reference value for other type of robots' path planning.

  13. Building an outpatient imaging center: A case study at genesis healthcare system, part 2.

    PubMed

    Yanci, Jim

    2006-01-01

    In the second of 2 parts, this article will focus on process improvement projects utilizing a case study at Genesis HealthCare System located in Zanesville, OH. Operational efficiency is a key step in developing a freestanding diagnostic imaging center. The process improvement projects began with an Expert Improvement Session (EIS) on the scheduling process. An EIS session is a facilitated meeting that can last anywhere from 3 hours to 2 days. Its intention is to take a group of people involved with the problem or operational process and work to understand current failures or breakdowns in the process. Recommendations are jointly developed to overcome any current deficiencies, and a work plan is structured to create ownership over the changes. A total of 11 EIS sessions occurred over the course of this project, covering 5 sections: Scheduling/telephone call process, Pre-registration, Verification/pre-certification, MRI throughput, CT throughput. Following is a single example of a project focused on the process improvement efforts. All of the process improvement projects utilized a quasi methodology of "DMAIC" (Define, Measure, Analyze, Improve, and Control).

  14. Defining Components of Team Leadership and Membership in Prehospital Emergency Medical Services.

    PubMed

    Crowe, Remle P; Wagoner, Robert L; Rodriguez, Severo A; Bentley, Melissa A; Page, David

    2017-01-01

    Teamwork is critical for patient and provider safety in high-stakes environments, including the setting of prehospital emergency medical services (EMS). We sought to describe the components of team leadership and team membership on a single patient call where multiple EMS providers are present. We conducted a two-day focus group with nine subject matter experts in crew resource management (CRM) and EMS using a structured nominal group technique (NGT). The specific question posed to the group was, "What are the specific components of team leadership and team membership on a single patient call where multiple EMS providers are present?" After round-robin submission of ideas and in-depth discussion of the meaning of each component, participants voted on the most important components of team leadership and team membership. Through the NGT process, we identified eight components of team leadership: a) creates an action plan; b) communicates; c) receives, processes, verifies, and prioritizes information; d) reconciles incongruent information; e) demonstrates confidence, compassion, maturity, command presence, and trustworthiness; f) takes charge; g) is accountable for team actions and outcomes; and h) assesses the situation and resources and modifies the plan. The eight essential components of team membership identified included: a) demonstrates followership, b) maintains situational awareness, c) demonstrates appreciative inquiry, d) does not freelance, e) is an active listener, f) accurately performs tasks in a timely manner, g) is safety conscious and advocates for safety at all times, and h) leaves ego and rank at the door. This study used a highly structured qualitative technique and subject matter experts to identify components of teamwork essential for prehospital EMS providers. These findings and may be used to help inform the development of future EMS training and assessment initiatives.

  15. 47 CFR 22.921 - 911 call processing procedures; 911-only calling mode.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... programming in the mobile unit that determines the handling of a non-911 call and permit the call to be... CARRIER SERVICES PUBLIC MOBILE SERVICES Cellular Radiotelephone Service § 22.921 911 call processing procedures; 911-only calling mode. Mobile telephones manufactured after February 13, 2000 that are capable of...

  16. Network planning under uncertainties

    NASA Astrophysics Data System (ADS)

    Ho, Kwok Shing; Cheung, Kwok Wai

    2008-11-01

    One of the main focuses for network planning is on the optimization of network resources required to build a network under certain traffic demand projection. Traditionally, the inputs to this type of network planning problems are treated as deterministic. In reality, the varying traffic requirements and fluctuations in network resources can cause uncertainties in the decision models. The failure to include the uncertainties in the network design process can severely affect the feasibility and economics of the network. Therefore, it is essential to find a solution that can be insensitive to the uncertain conditions during the network planning process. As early as in the 1960's, a network planning problem with varying traffic requirements over time had been studied. Up to now, this kind of network planning problems is still being active researched, especially for the VPN network design. Another kind of network planning problems under uncertainties that has been studied actively in the past decade addresses the fluctuations in network resources. One such hotly pursued research topic is survivable network planning. It considers the design of a network under uncertainties brought by the fluctuations in topology to meet the requirement that the network remains intact up to a certain number of faults occurring anywhere in the network. Recently, the authors proposed a new planning methodology called Generalized Survivable Network that tackles the network design problem under both varying traffic requirements and fluctuations of topology. Although all the above network planning problems handle various kinds of uncertainties, it is hard to find a generic framework under more general uncertainty conditions that allows a more systematic way to solve the problems. With a unified framework, the seemingly diverse models and algorithms can be intimately related and possibly more insights and improvements can be brought out for solving the problem. This motivates us to seek a generic framework for solving the network planning problem under uncertainties. In addition to reviewing the various network planning problems involving uncertainties, we also propose that a unified framework based on robust optimization can be used to solve a rather large segment of network planning problem under uncertainties. Robust optimization is first introduced in the operations research literature and is a framework that incorporates information about the uncertainty sets for the parameters in the optimization model. Even though robust optimization is originated from tackling the uncertainty in the optimization process, it can serve as a comprehensive and suitable framework for tackling generic network planning problems under uncertainties. In this paper, we begin by explaining the main ideas behind the robust optimization approach. Then we demonstrate the capabilities of the proposed framework by giving out some examples of how the robust optimization framework can be applied to the current common network planning problems under uncertain environments. Next, we list some practical considerations for solving the network planning problem under uncertainties with the proposed framework. Finally, we conclude this article with some thoughts on the future directions for applying this framework to solve other network planning problems.

  17. Place of modern imaging in brachytherapy planning.

    PubMed

    Hellebust, T P

    2018-06-01

    Imaging has probably been the most important driving force for the development of brachytherapy treatments the last 20 years. Due to implementation of three-dimensional imaging, brachytherapy is nowadays a highly accurate and reliable treatment option for many cancer patients. To be able to optimize the dose distribution in brachytherapy the anatomy and the applicator(s) or sources should be correctly localised in the images. For computed tomography (CT) the later criteria is easily fulfilled for most brachytherapy sites. However, for many sites, like cervix and prostate, CT is not optimal for delineation since soft tissue is not adequately visualized and the tumor is not well discriminated. For cervical cancer treatment planning based on magnetic resonance imaging (MRI) is recommended. Some centres also use MRI for postimplant dosimetry of permanent prostate seed implant and high dose rate prostate brachytherapy. Moreover, in so called focal brachytherapy where only a part of the prostate is treated, multiparametric MRI is an excellent tool that can assist in defining the target volume. Applicator or source localization is challenging using MRI, but tolls exist to assist this process. Also, geometrical distortions should be corrected or accounted for. Transrectal ultrasound is considered to be the gold standard for high dose rate prostate brachytherapy and transrectal ultrasound -based brachytherapy procedure offers a method for interactive treatment planning. Reconstruction of the needles is sometimes challenging, especially to identify the needle tip. The accuracy of the reconstruction could be improved by measuring the residuals needle length and by using a bi-planar transducer. The last decade several groups worldwide have explored the use of transrectal and transabdominal ultrasound for cervical cancer brachytherapy. Since ultrasonography is widely available, offers fast image acquisition and is a rather inexpensive modality such development is interesting. However, more work is needed to establish this as an adequate alternative for all phases of the treatment planning process. Studies using positron emission tomography imaging in combination with brachytherapy treatment planning are limited. However, development of new tracers may offer new treatment approaches for brachytherapy in the future. Combination of several image modalities will be the optimal solution in many situations, either during the same session or for different fractions. When several image modalities are combined so called image registration procedures are used and it is important to understand the principles and limitations of such procedures. Copyright © 2018 Société française de radiothérapie oncologique (SFRO). Published by Elsevier Masson SAS. All rights reserved.

  18. Situational analysis and future directions of AYUSH: An assessment through 5-year plans of India.

    PubMed

    Samal, Janmejaya

    2015-01-01

    AYUSH is an acronym for Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy. These are the six indigenous systems of medicine practiced in India. A department called Department of Indian System of medicine was created in March 1995 and renamed to AYUSH in November 2003 with a focus to provide increased attention for the development of these systems. Very recently, in 2014, a separate ministry was created under the union Government of India, which is headed by a minister of state. Planning regarding these systems of medicine was a part of 5-year planning process since 1951. Since then many developments have happened in this sector albeit the system was struggling with a great degree of uncertainty at the time of 1(st)5-year plan. A progressive path of development could be observed since the first to the 12(th)5-year plan. It was up to the 7(th)plan the growth was little sluggish and from 8(th)plan onward the growth took its pace and several innovative development processes could be observed thereafter. The system is gradually progressing ahead with a vision to be a globally accepted system, as envisaged in 11(th)5-year plan. Currently, AYUSH system is a part of mainstream health system implemented under National Rural Health Mission (NRHM). NRHM came into play in 2005 but implemented at ground level in 2006 and introduced the scheme of "Mainstreaming of AYUSH and revitalization of local health traditions" to strengthen public health services. This scheme is currently in operation in its second phase, since 1(st)April 2012, with the 12(th)5-year plan. The scheme was primarily brought in to operation with three important objectives; choice of treatment system to the patients, strengthen facility functionally and strengthen the implementation of national health programmes, however, in some places it seems to be a forced medical pluralism owing to a top-down approach by the union government without considerable involvement of the concerned community. In this study, the 5-year planning documents have been reviewed, from the 1(st)plan to 12(th)plan, to enable reflection and throw some light into the future directions of AYUSH system.

  19. Mapping CMMI Level 2 to Scrum Practices: An Experience Report

    NASA Astrophysics Data System (ADS)

    Diaz, Jessica; Garbajosa, Juan; Calvo-Manzano, Jose A.

    CMMI has been adopted advantageously in large companies for improvements in software quality, budget fulfilling, and customer satisfaction. However SPI strategies based on CMMI-DEV require heavy software development processes and large investments in terms of cost and time that medium/small companies do not deal with. The so-called light software development processes, such as Agile Software Development (ASD), deal with these challenges. ASD welcomes changing requirements and stresses the importance of adaptive planning, simplicity and continuous delivery of valuable software by short time-framed iterations. ASD is becoming convenient in a more and more global, and changing software market. It would be greatly useful to be able to introduce agile methods such as Scrum in compliance with CMMI process model. This paper intends to increase the understanding of the relationship between ASD and CMMI-DEV reporting empirical results that confirm theoretical comparisons between ASD practices and CMMI level2.

  20. Land improvement as part of environmental planning

    NASA Astrophysics Data System (ADS)

    Zupanc, Vesna; Grcman, Helena; Pintar, Marina; Kammerer, Gerhard

    2017-04-01

    Agricultural land degradation and fertile soil loss occur at an alarming rate: in a year, an area of roughly twelve million hectares is lost for agricultural production worldwide. The process of land degradation is a real-world driver and amplifier of instability. Given the scope and severity of the problem, calls for large scale land and soil rehabilitation are likely to be expected. In a case study of hydropower plant construction in Slovenia, the process of land rehabilitation is described from agricultural and environmental aspect considering changing environmental policy in the past five decades. Soil protection relies on national policy, stemming from policy which originated from soil protection initiative after severe increase in sealing of most fertile areas after second World War. Environmental protection policy evolved and adapted after the accession to European Union. Under certain circumstances, agricultural land is used for environmental rehabilitation measures, and of secondary status in the remediation measures decision process.

  1. A theoretical stochastic control framework for adapting radiotherapy to hypoxia

    NASA Astrophysics Data System (ADS)

    Saberian, Fatemeh; Ghate, Archis; Kim, Minsun

    2016-10-01

    Hypoxia, that is, insufficient oxygen partial pressure, is a known cause of reduced radiosensitivity in solid tumors, and especially in head-and-neck tumors. It is thus believed to adversely affect the outcome of fractionated radiotherapy. Oxygen partial pressure varies spatially and temporally over the treatment course and exhibits inter-patient and intra-tumor variation. Emerging advances in non-invasive functional imaging offer the future possibility of adapting radiotherapy plans to this uncertain spatiotemporal evolution of hypoxia over the treatment course. We study the potential benefits of such adaptive planning via a theoretical stochastic control framework using computer-simulated evolution of hypoxia on computer-generated test cases in head-and-neck cancer. The exact solution of the resulting control problem is computationally intractable. We develop an approximation algorithm, called certainty equivalent control, that calls for the solution of a sequence of convex programs over the treatment course; dose-volume constraints are handled using a simple constraint generation method. These convex programs are solved using an interior point algorithm with a logarithmic barrier via Newton’s method and backtracking line search. Convexity of various formulations in this paper is guaranteed by a sufficient condition on radiobiological tumor-response parameters. This condition is expected to hold for head-and-neck tumors and for other similarly responding tumors where the linear dose-response parameter is larger than the quadratic dose-response parameter. We perform numerical experiments on four test cases by using a first-order vector autoregressive process with exponential and rational-quadratic covariance functions from the spatiotemporal statistics literature to simulate the evolution of hypoxia. Our results suggest that dynamic planning could lead to a considerable improvement in the number of tumor cells remaining at the end of the treatment course. Through these simulations, we also gain insights into when and why dynamic planning is likely to yield the largest benefits.

  2. Biological imaging in radiation therapy: role of positron emission tomography.

    PubMed

    Nestle, Ursula; Weber, Wolfgang; Hentschel, Michael; Grosu, Anca-Ligia

    2009-01-07

    In radiation therapy (RT), staging, treatment planning, monitoring and evaluation of response are traditionally based on computed tomography (CT) and magnetic resonance imaging (MRI). These radiological investigations have the significant advantage to show the anatomy with a high resolution, being also called anatomical imaging. In recent years, so called biological imaging methods which visualize metabolic pathways have been developed. These methods offer complementary imaging of various aspects of tumour biology. To date, the most prominent biological imaging system in use is positron emission tomography (PET), whose diagnostic properties have clinically been evaluated for years. The aim of this review is to discuss the valences and implications of PET in RT. We will focus our evaluation on the following topics: the role of biological imaging for tumour tissue detection/delineation of the gross tumour volume (GTV) and for the visualization of heterogeneous tumour biology. We will discuss the role of fluorodeoxyglucose-PET in lung and head and neck cancer and the impact of amino acids (AA)-PET in target volume delineation of brain gliomas. Furthermore, we summarize the data of the literature about tumour hypoxia and proliferation visualized by PET. We conclude that, regarding treatment planning in radiotherapy, PET offers advantages in terms of tumour delineation and the description of biological processes. However, to define the real impact of biological imaging on clinical outcome after radiotherapy, further experimental, clinical and cost/benefit analyses are required.

  3. Exceptional Financial Support for Introduction of Inactivated Polio Vaccine in Middle-Income Countries.

    PubMed

    Blankenhorn, Anne-Line; Cernuschi, Tania; Zaffran, Michel J

    2017-07-01

    In May 2012, the World Health Assembly declared the completion of poliovirus eradication a programmatic emergency for global public health and called for a comprehensive polio endgame strategy. The Polio Eradication and Endgame Strategic Plan 2013-2018 was developed in response to this call and demands that all countries using Oral Polio Vaccine (OPV) only introduce at least 1 dose of Inactivated Polio Vaccine (IPV) into routine immunization schedules by the end of 2015. In November 2013, the Board of Gavi (the Vaccine Alliance) approved the provision of support for IPV introduction in the 72 Gavi-eligible countries. Following analytical work and stakeholder consultations, the IPV Immunization Systems Management Group (IMG) presented a proposal to provide exceptional financial support for IPV introduction to additional OPV-only using countries not eligible for Gavi support and that would otherwise not be able to mobilize the necessary financial resources within the Polio Eradication and Endgame Strategic Plan timelines. In June 2014, the Polio Oversight Board (POB) agreed to make available a maximum envelope of US $45 million toward supporting countries not eligible for Gavi funding. This article describes the design of the funding mechanism that was developed, its implementation and the lessons learned through this process. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.

  4. TOPICAL REVIEW: Biological imaging in radiation therapy: role of positron emission tomography

    NASA Astrophysics Data System (ADS)

    Nestle, Ursula; Weber, Wolfgang; Hentschel, Michael; Grosu, Anca-Ligia

    2009-01-01

    In radiation therapy (RT), staging, treatment planning, monitoring and evaluation of response are traditionally based on computed tomography (CT) and magnetic resonance imaging (MRI). These radiological investigations have the significant advantage to show the anatomy with a high resolution, being also called anatomical imaging. In recent years, so called biological imaging methods which visualize metabolic pathways have been developed. These methods offer complementary imaging of various aspects of tumour biology. To date, the most prominent biological imaging system in use is positron emission tomography (PET), whose diagnostic properties have clinically been evaluated for years. The aim of this review is to discuss the valences and implications of PET in RT. We will focus our evaluation on the following topics: the role of biological imaging for tumour tissue detection/delineation of the gross tumour volume (GTV) and for the visualization of heterogeneous tumour biology. We will discuss the role of fluorodeoxyglucose-PET in lung and head and neck cancer and the impact of amino acids (AA)-PET in target volume delineation of brain gliomas. Furthermore, we summarize the data of the literature about tumour hypoxia and proliferation visualized by PET. We conclude that, regarding treatment planning in radiotherapy, PET offers advantages in terms of tumour delineation and the description of biological processes. However, to define the real impact of biological imaging on clinical outcome after radiotherapy, further experimental, clinical and cost/benefit analyses are required.

  5. 3. Photocopy of 1934 building plan adapted for use at ...

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

    3. Photocopy of 1934 building plan adapted for use at the Hornet Ranger Station. Original is on file with the Payette National Forest, Supervisor's Office, McCall, Idaho. Photograph is 8'x 10', enlarged from a 4'x 5' negative. PLAN R-4 #11, FOUR HORSE BARN, 1934. - Hornet Ranger Station, Four Horse Barn, Forest Service Road No. 50002, Council, Adams County, ID

  6. Monitoring late-successional forest biodiversity in the Pacific Northwest, U.S.A.

    Treesearch

    Thomas A. Spies; Jon R. Martin

    2006-01-01

    The era of ecosystem management for federal forest lands in the Pacific Northwest began in 1994 with the adoption of the Northwest Forest Plan. This plan was designed to maintain and restore species and ecosystems associated with late successional and old-growth forests on over 10 million ha. of federal lands in Washington, Oregon and California. The plan called for...

  7. Candidates stick to party guns. In lieu of new healthcare plans, Bush, Gore follow party reform proposals.

    PubMed

    Gardner, J; Hallam, K

    2000-07-03

    As the Democratic and GOP nominating conventions approach next month, presumptive nominees Al Gore and George W. Bush are offering no new healthcare plans, both preferring to ride the healthcare waves already set in motion by their respective party's leadership. And the really interesting thing is, the plans aren't that different. Call it creeping incrementalism.

  8. SU-G-201-01: An Automated Treatment Plan Quality Assurance Program for High-Dose Rate (HDR) Brachytherapy with a VaginalCylinder Applicator

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

    Zhou, Y; Tan, J; Jiang, S

    Purpose: Plan specific quality assurance (QA) is an important step in high dose rate (HDR) brachytherapy to ensure the integrity of a treatment plan. The conventional approach is to assemble a set of plan screen-captures in a document and have an independent plan-checker to verify it. Not only is this approach cumbersome and time-consuming, using a document also limits the items that can be verified, hindering plan quality and patient safety. We have initiated efforts to develop a web-based HDR brachytherapy QA system called AutoBrachy QA, for comprehensive and efficient QA. This abstract reports a new plugin in this systemmore » for the QA of a cylinder HDR brachytherapy treatment. Methods: A cylinder plan QA module was developed using Python. It was plugged into our AutoBrachy QA system. This module extracted information from CT images and treatment plan. Image processing techniques were employed to obtain geometric parameters, e.g. cylinder diameter. A comprehensive set of eight geometrical and eight dosimetric features of the plan were validated against user specified planning parameter, such as prescription value, treatment depth and length, etc. A PDF document was generated, consisting of a summary QA sheet with all the QA results, as well as images showing plan details. Results: The cylinder QA program has been implemented in our clinic. To date, it has been used in 11 patient cases and was able to successfully perform QA tests in all of them. The QA program reduced the average plan QA time from 7 min using conventional manual approach to 0.5 min. Conclusion: Being a new module in our AutoBrachy QA system, an automated treatment plan QA module for cylinder HDR brachytherapy has been successfully developed and clinically implemented. This module improved clinical workflow and plan integrity compared to the conventional manual approach.« less

  9. SU-E-T-628: A Cloud Computing Based Multi-Objective Optimization Method for Inverse Treatment Planning.

    PubMed

    Na, Y; Suh, T; Xing, L

    2012-06-01

    Multi-objective (MO) plan optimization entails generation of an enormous number of IMRT or VMAT plans constituting the Pareto surface, which presents a computationally challenging task. The purpose of this work is to overcome the hurdle by developing an efficient MO method using emerging cloud computing platform. As a backbone of cloud computing for optimizing inverse treatment planning, Amazon Elastic Compute Cloud with a master node (17.1 GB memory, 2 virtual cores, 420 GB instance storage, 64-bit platform) is used. The master node is able to scale seamlessly a number of working group instances, called workers, based on the user-defined setting account for MO functions in clinical setting. Each worker solved the objective function with an efficient sparse decomposition method. The workers are automatically terminated if there are finished tasks. The optimized plans are archived to the master node to generate the Pareto solution set. Three clinical cases have been planned using the developed MO IMRT and VMAT planning tools to demonstrate the advantages of the proposed method. The target dose coverage and critical structure sparing of plans are comparable obtained using the cloud computing platform are identical to that obtained using desktop PC (Intel Xeon® CPU 2.33GHz, 8GB memory). It is found that the MO planning speeds up the processing of obtaining the Pareto set substantially for both types of plans. The speedup scales approximately linearly with the number of nodes used for computing. With the use of N nodes, the computational time is reduced by the fitting model, 0.2+2.3/N, with r̂2>0.99, on average of the cases making real-time MO planning possible. A cloud computing infrastructure is developed for MO optimization. The algorithm substantially improves the speed of inverse plan optimization. The platform is valuable for both MO planning and future off- or on-line adaptive re-planning. © 2012 American Association of Physicists in Medicine.

  10. 50 CFR 648.26 - Observer requirements for the Loligo fishery.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... NMFS of the vessel name, vessel permit number, contact name for coordination of observer deployment... that does not match the Loligo trip plan that was called in to NMFS is prohibited from fishing for... numbers for trip notification calls are only valid for 48 hr from the intended sail date. (c) A vessel...

  11. 76 FR 73658 - Reopening the Call for Nominations for the Albuquerque District Resource Advisory Council

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-29

    ... Call for Nominations for the Albuquerque District Resource Advisory Council AGENCY: Bureau of Land... for the Bureau of Land Management's (BLM) Albuquerque District Resource Advisory Council (RAC) in Category 3. The Albuquerque RAC provides advice and recommendations to the BLM on land use planning and...

  12. Advanced Strategic and Tactical Relay Request Management for the Mars Relay Operations Service

    NASA Technical Reports Server (NTRS)

    Allard, Daniel A.; Wallick, Michael N.; Gladden, Roy E.; Wang, Paul; Hy, Franklin H.

    2013-01-01

    This software provides a new set of capabilities for the Mars Relay Operations Service (MaROS) in support of Strategic and Tactical relay, including a highly interactive relay request Web user interface, mission control over relay planning time periods, and mission management of allowed strategic vs. tactical request parameters. Together, these new capabilities expand the scope of the system to include all elements critical for Tactical relay operations. Planning of replay activities spans a time period that is split into two distinct phases. The first phase is called Strategic, which begins at the time that relay opportunities are identified, and concludes at the point that the orbiter generates the flight sequences for on board execution. Any relay request changes from this point on are called Tactical. Tactical requests, otherwise called Orbit - er Relay State Changes (ORSC), are highly restricted in terms of what types of changes can be made, and the types of parameters that can be changed may differ from one orbiter to the next. For example, one orbiter may be able to delay the start of a relay request, while another may not. The legacy approach to ORSC management involves exchanges of e-mail with "requests for change" and "acknowledgement of approval," with no other tracking of changes outside of e-mail folders. MaROS Phases 1 and 2 provided the infrastructure for strategic relay for all supported missions. This new version, 3.0, introduces several capabilities that fully expand the scope of the system to include tactical relay. One new feature allows orbiter users to manage and "lock" Planning Periods, which allows the orbiter team to formalize the changeover from Strategic to Tactical operations. Another major feature allows users to interactively submit tactical request changes via a Web user interface. A third new feature allows orbiter missions to specify allowed tactical updates, which are automatically incorporated into the tactical change process. This software update is significant in that it provides the only centralized service for tactical request management available for relay missions.

  13. The Planning, Implementation, and Movement of an Academic Library Collection.

    ERIC Educational Resources Information Center

    Kurkul, Donna Lee

    1983-01-01

    Discusses methodology, logistics, and time/cost study of planning, implementation, and relocation of 682,810 volume Smith College Library collection into its newly constructed and renovated facility. Call number sequence location, collection movement phasing and formulas for sequence distribution, and personnel requirements are noted. Elementary…

  14. 76 FR 80344 - Pacific Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-23

    ... Pacific Fishery Management Council (Council) will convene a meeting via conference call of the Ecosystem... the Council on the Development of a Fishery Ecosystem Plan (FEP). The EPDT will primarily address... and expand sections of the Council's developing Fishery Ecosystem Plan, discuss the content and format...

  15. Enhancing Job Performance

    ERIC Educational Resources Information Center

    Devlin, Patricia

    2011-01-01

    The impact of the Self-Determined Career Development Model (hereafter called the Self-Determined Career Model) on the job performance of four adults with moderate intellectual disability employed in competitive work settings was examined. Employees learned to set work-related goals, develop an action plan, implement the plan, and adjust their…

  16. NHEERL CONTAMINATED SEDIMENT RESEARCH MULTI-YEAR IMPLEMENTATION PLAN (2005)

    EPA Science Inventory

    ORD has developed a multi-year plan (MYP) called the Contaminated Sites MYP to address the research needs of EPA's Office of Superfund Remediation and Technology Innovation (OSRTI). One of the long-term goals of the Contaminated Sites MYP relates to contaminated sediments, and t...

  17. Developments at Polish Seismological Network

    NASA Astrophysics Data System (ADS)

    Wiejacz, P.; Debski, W.; Lizurek, G.; Rudzinski, L.; Suchcicki, J.; Wiszniowski, J.

    2009-04-01

    Polish Seismological Network of the Institute of Geophysics, Polish Academy of Sciences, currently consists of 9 stations. Six of these stations are broadband. In 2008 one of the broadband stations has been moved from Warsaw city center out to a quieter site at the Central Geophysical Observatory at Belsk, thus the data has become useful for automatic data processing. Currently broadband seismic stations are spaced out to provide information from all of the territory of Poland. Automatic Seiscomp-2.5 detecting, locating and alerting system has been set up. Earthquakes that have taken place in 2004, namely the Kaliningrad and Podhale events, have caused concern about effectiveness of the network and quality of the recording. As result, the digitizer of the seismic station NIE - near the Podhale region - has been replaced in 2005, bringing the station up to the 24-bit standard and latest plans call to have the station upgraded to broadband. In the north, a new seismic station has been organized at Hel, however the site has proven to be extremely noisy. A broadband station is planned to be deployed in the north but an alternate location must be found. Further development plans call for establishment of a new 6-station short period subnetwork in and around the Upper Silesian Coal Basin to observe and readily locate local mining-induced seismic events. The ultimate goal is to provide ready and reliable information on all recorded seismic events and particularly those events from the territory of Poland. Reaching the goal requires however that a local seismic subnetwork be organized in and around the Lubin Copper Basin while the seismic station NIE be complemented by at least two stations in the immediate area where local seismicity takes place.

  18. Verification and Validation of Flight-Critical Systems

    NASA Technical Reports Server (NTRS)

    Brat, Guillaume

    2010-01-01

    For the first time in many years, the NASA budget presented to congress calls for a focused effort on the verification and validation (V&V) of complex systems. This is mostly motivated by the results of the VVFCS (V&V of Flight-Critical Systems) study, which should materialize as a a concrete effort under the Aviation Safety program. This talk will present the results of the study, from requirements coming out of discussions with the FAA and the Joint Planning and Development Office (JPDO) to technical plan addressing the issue, and its proposed current and future V&V research agenda, which will be addressed by NASA Ames, Langley, and Dryden as well as external partners through NASA Research Announcements (NRA) calls. This agenda calls for pushing V&V earlier in the life cycle and take advantage of formal methods to increase safety and reduce cost of V&V. I will present the on-going research work (especially the four main technical areas: Safety Assurance, Distributed Systems, Authority and Autonomy, and Software-Intensive Systems), possible extensions, and how VVFCS plans on grounding the research in realistic examples, including an intended V&V test-bench based on an Integrated Modular Avionics (IMA) architecture and hosted by Dryden.

  19. Mission Planning and Decision Support for Underwater Glider Networks: A Sampling on-Demand Approach

    PubMed Central

    Ferri, Gabriele; Cococcioni, Marco; Alvarez, Alberto

    2015-01-01

    This paper describes an optimal sampling approach to support glider fleet operators and marine scientists during the complex task of planning the missions of fleets of underwater gliders. Optimal sampling, which has gained considerable attention in the last decade, consists in planning the paths of gliders to minimize a specific criterion pertinent to the phenomenon under investigation. Different criteria (e.g., A, G, or E optimality), used in geosciences to obtain an optimum design, lead to different sampling strategies. In particular, the A criterion produces paths for the gliders that minimize the overall level of uncertainty over the area of interest. However, there are commonly operative situations in which the marine scientists may prefer not to minimize the overall uncertainty of a certain area, but instead they may be interested in achieving an acceptable uncertainty sufficient for the scientific or operational needs of the mission. We propose and discuss here an approach named sampling on-demand that explicitly addresses this need. In our approach the user provides an objective map, setting both the amount and the geographic distribution of the uncertainty to be achieved after assimilating the information gathered by the fleet. A novel optimality criterion, called Aη, is proposed and the resulting minimization problem is solved by using a Simulated Annealing based optimizer that takes into account the constraints imposed by the glider navigation features, the desired geometry of the paths and the problems of reachability caused by ocean currents. This planning strategy has been implemented in a Matlab toolbox called SoDDS (Sampling on-Demand and Decision Support). The tool is able to automatically download the ocean fields data from MyOcean repository and also provides graphical user interfaces to ease the input process of mission parameters and targets. The results obtained by running SoDDS on three different scenarios are provided and show that SoDDS, which is currently used at NATO STO Centre for Maritime Research and Experimentation (CMRE), can represent a step forward towards a systematic mission planning of glider fleets, dramatically reducing the efforts of glider operators. PMID:26712763

  20. Mission Planning and Decision Support for Underwater Glider Networks: A Sampling on-Demand Approach.

    PubMed

    Ferri, Gabriele; Cococcioni, Marco; Alvarez, Alberto

    2015-12-26

    This paper describes an optimal sampling approach to support glider fleet operators and marine scientists during the complex task of planning the missions of fleets of underwater gliders. Optimal sampling, which has gained considerable attention in the last decade, consists in planning the paths of gliders to minimize a specific criterion pertinent to the phenomenon under investigation. Different criteria (e.g., A, G, or E optimality), used in geosciences to obtain an optimum design, lead to different sampling strategies. In particular, the A criterion produces paths for the gliders that minimize the overall level of uncertainty over the area of interest. However, there are commonly operative situations in which the marine scientists may prefer not to minimize the overall uncertainty of a certain area, but instead they may be interested in achieving an acceptable uncertainty sufficient for the scientific or operational needs of the mission. We propose and discuss here an approach named sampling on-demand that explicitly addresses this need. In our approach the user provides an objective map, setting both the amount and the geographic distribution of the uncertainty to be achieved after assimilating the information gathered by the fleet. A novel optimality criterion, called A η , is proposed and the resulting minimization problem is solved by using a Simulated Annealing based optimizer that takes into account the constraints imposed by the glider navigation features, the desired geometry of the paths and the problems of reachability caused by ocean currents. This planning strategy has been implemented in a Matlab toolbox called SoDDS (Sampling on-Demand and Decision Support). The tool is able to automatically download the ocean fields data from MyOcean repository and also provides graphical user interfaces to ease the input process of mission parameters and targets. The results obtained by running SoDDS on three different scenarios are provided and show that SoDDS, which is currently used at NATO STO Centre for Maritime Research and Experimentation (CMRE), can represent a step forward towards a systematic mission planning of glider fleets, dramatically reducing the efforts of glider operators.

  1. The Future of Nearshore Processes Research: U.S. Integrated Coastal Research Program

    NASA Astrophysics Data System (ADS)

    Elko, N.; Feddersen, F.; Foster, D. L.; Hapke, C. J.; Holman, R. A.; McNinch, J.; Mulligan, R. P.; Ozkan-Haller, H. T.; Plant, N. G.; Raubenheimer, B.

    2016-02-01

    The authors, representing the acting Nearshore Advisory Council, have developed an implementation plan for a U.S. Nearshore Research Program based on the 2015 Future of Nearshore Processes report that was authored by the nearshore community. The objectives of the plan are to link research programs across federal agencies, NGOs, industry, and academia into an integrated national program and to increase academic and NGO participation in federal agency nearshore processes research. A primary recommendation is interagency collaboration to build a research program that will coordinate and fund U.S. nearshore processes research across three broad research themes: 1) long-term coastal evolution due to natural and anthropogenic processes; 2) extreme events; and 3) physical, biological and chemical processes impacting human and ecosystem health. The plan calls for a new program to be developed by an executive committee of federal agency leaders, NGOs, and an academic representative, created similarly to the existing NOPP program. This leadership will be established prior to the 2016 Ocean Sciences meeting and will have agreed on responsibilities and a schedule for development of the research program. To begin to understand the scope of today's U.S. coastal research investment, a survey was distributed to ten federal agency R&D program heads. Six of the ten agencies indicated that they fund coastal research, with a combined annual coastal research budget of nearly 100 million (NSF has not responded). The priority of the three research themes were ranked nearly equally and potential research support ranged from 15-19 million for each theme, with approximately 12 million as direct contribution to academic research. Beyond addressing our fundamental science questions, it is critical that the nearshore community stay organized to represent academic interests on the new executive committee. The program goal is the integration of academic, NGO, and federal agencies.

  2. Barriers to shared decision making in mental health care: qualitative study of the Joint Crisis Plan for psychosis.

    PubMed

    Farrelly, Simone; Lester, Helen; Rose, Diana; Birchwood, Max; Marshall, Max; Waheed, Waquas; Henderson, R Claire; Szmukler, George; Thornicroft, Graham

    2016-04-01

    Despite increasing calls for shared decision making (SDM), the precise mechanisms for its attainment are unclear. Sharing decisions in mental health care may be especially complex. Fluctuations in service user capacity and significant power differences are particular barriers. We trialled a form of facilitated SDM that aimed to generate patients' treatment preferences in advance of a possible relapse. The 'Joint Crisis Plan' (JCP) intervention was trialled in four mental health trusts in England between 2008 and 2011. This qualitative study used grounded theory methods to analyse focus group and interview data to understand how stakeholders perceived the intervention and the barriers to SDM in the form of a JCP. Fifty service users with psychotic disorders and 45 clinicians participated in focus groups or interviews between February 2010 and November 2011. Results suggested four barriers to clinician engagement in the JCP: (i) ambivalence about care planning; (ii) perceptions that they were 'already doing SDM'; (iii) concerns regarding the clinical 'appropriateness of service users' choices'; and (iv) limited 'availability of service users' choices'. Service users reported barriers to SDM in routine practice, most of which were addressed by the JCP process. Barriers identified by clinicians led to their lack of constructive engagement in the process, undermining the service users' experience. Future work requires interventions targeted at the engagement of clinicians addressing their concerns about SDM. Particular strategies include organizational investment in implementation of service users' choices and directly training clinicians in SDM communication processes. © 2015 John Wiley & Sons Ltd.

  3. White House Climate Action Plan Hotly Debated in Senate Hearing

    NASA Astrophysics Data System (ADS)

    Showstack, Randy

    2014-01-01

    Emotions ran high among senators at a 16 January U.S. Senate hearing on the White House's Climate Action Plan; the hearing included administration officials and other supporters of the plan as well as opponents. The plan, which President Barack Obama presented in June 2013 (see Eos, 94(27), 239, doi:10.1002/2013EO270003), calls for cutting carbon pollution, preparing the nation for the impacts of climate change, and leading international efforts to address climate change.

  4. Navy LPD-17 Amphibious Ship Procurement: Background, Issues, and Options for Congress

    DTIC Science & Technology

    2008-05-06

    planned 313-ship fleet calls for a 31-ship amphibious force that includes 10 LPD-17s, and the Marine Corps states that a 33-ship amphibious force that...reflects responsibilities assigned to Marine Corps forces in U.S. regional war plans . The Navy’s FY2009 30-year (FY2009-FY2038) shipbuilding plan , if...extensions for existing amphibious ships, whether all the ships in the planned complementary Maritime Prepositionning Force of the Future (MPF[F

  5. Navy LPD-17 Amphibious Ship Procurement: Background, Issues, and Options for Congress

    DTIC Science & Technology

    2008-04-23

    by Reuters, “but we are incorporating the lessons from this experience into our operational plans going forward for new ships in the design, planning ...Navy’s planned 313-ship fleet calls for a 31-ship amphibious force that includes 10 LPD-17s, and the Marine Corps states that a 33-ship amphibious...officials state, reflects responsibilities assigned to Marine Corps forces in U.S. regional war plans . The Navy’s FY2009 30-year (FY2009-FY2038) shipbuilding

  6. Neural representations and mechanisms for the performance of simple speech sequences

    PubMed Central

    Bohland, Jason W.; Bullock, Daniel; Guenther, Frank H.

    2010-01-01

    Speakers plan the phonological content of their utterances prior to their release as speech motor acts. Using a finite alphabet of learned phonemes and a relatively small number of syllable structures, speakers are able to rapidly plan and produce arbitrary syllable sequences that fall within the rules of their language. The class of computational models of sequence planning and performance termed competitive queuing (CQ) models have followed Lashley (1951) in assuming that inherently parallel neural representations underlie serial action, and this idea is increasingly supported by experimental evidence. In this paper we develop a neural model that extends the existing DIVA model of speech production in two complementary ways. The new model includes paired structure and content subsystems (cf. MacNeilage, 1998) that provide parallel representations of a forthcoming speech plan, as well as mechanisms for interfacing these phonological planning representations with learned sensorimotor programs to enable stepping through multi-syllabic speech plans. On the basis of previous reports, the model’s components are hypothesized to be localized to specific cortical and subcortical structures, including the left inferior frontal sulcus, the medial premotor cortex, the basal ganglia and thalamus. The new model, called GODIVA (Gradient Order DIVA), thus fills a void in current speech research by providing formal mechanistic hypotheses about both phonological and phonetic processes that are grounded by neuroanatomy and physiology. This framework also generates predictions that can be tested in future neuroimaging and clinical case studies. PMID:19583476

  7. [Huntington's disease: molecular foundations and implications in the characterisation of the neuronal mechanisms responsible for linguistic processing].

    PubMed

    Benítez-Burraco, A

    Certain neuronal models of linguistic processing suggest that the basal ganglia play a key role in this processing, thanks to their integration within the so-called cortico-striato-cortical circuits. A comparative analysis, at a phenotypic and molecular level, of the pathologies, syndromes and disorders that entail a structural alteration and/or a dysfunction of the basal ganglia is essential for validating and optimising such models, as well as for achieving a suitable characterisation of the genetic program responsible for the development and functioning of the 'language organ'. One of the most significant pathologies in this respect is Huntington's disease, which is caused by the destruction of certain groups of neurons in the caudate nucleus. This type of analysis seems to confirm the hypothesis that, during linguistic processing, the basal ganglia would be responsible for planning and modulating the sequential tasks related to the so-called procedural (or computational or rule-applying) component of language. Equally plausible, however, is the hypothesis that, inside them, there would be regions that are specifically dedicated to processing the different (morphological and syntactical) rules that go to make up said component. Additionally, the nature of these subcortical structures and the function they perform would explain the simultaneous presence of an articulatory and a linguistic deficit in disorders in which the basal ganglia are affected. Lastly, this kind of analysis is also making it possible to characterise some of the genes that constitute the genetic program responsible for the development and functioning of this region of the brain and, by extension, of the 'language organ'.

  8. Training Community Modeling and Simulation Business Plan, 2007 Edition. Volume 2: Data Call Responses and Analysis

    DTIC Science & Technology

    2009-02-01

    services; and • Other reconstruction assistance. D-14 17. Train Forces on Military Assistance to Civil Authorities ( MACA ) Develop environments...for training in the planning and execution of MACA in support of disaster relief (natural and man-made), military assistance for civil disturbances

  9. Reconfiguring a Campus--Fast.

    ERIC Educational Resources Information Center

    Hignite, Karla

    2003-01-01

    Describes the first phase of a master plan to expand the University of Alaska-Anchorage by purchasing a shopping mall and reconfiguring campus services to take advantage of the additional space. The master plan calls for eventually moving administration to the periphery of the campus and migrating academic programs to the campus center. (SLD)

  10. Management and Planning for Small Community Wastewater

    Science.gov Websites

    Operators Small Systems Management and Planning for Small Community Wastewater The NESC has provided information below. If you have a technical question we can help. Call us toll free at (304) 293-4191. or e of Clean Water Agencies (NACWA) Achieving Environmental Excellence: An Environmental Management

  11. Student Services Revitalization/Transformation

    ERIC Educational Resources Information Center

    Pipitone, Brenda; Poirer, Wayne

    2011-01-01

    Over a two year period, a multidisciplinary team developed and implemented a plan to transform the delivery of student services at George Brown College in Toronto. It was a plan that called upon the College to fundamentally overhaul student services, but more importantly, to transform the service culture at the College through the students'…

  12. Scaffolding Mathematical Modelling with a Solution Plan

    ERIC Educational Resources Information Center

    Schukajlow, Stanislaw; Kolter, Jana; Blum, Werner

    2015-01-01

    In the study presented in this paper, we examined the possibility to scaffold mathematical modelling with strategies. The strategies were prompted using an instrument called "solution plan" as a scaffold. The effects of this step by step instrument on mathematical modelling competency and on self-reported strategies were tested using…

  13. 12 CFR 390.203 - What definitions apply to this subpart?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... not include securities issued by an investment company registered under the Investment Company Act of..., other than a put, call, straddle, option, or privilege: (i) That is traded on one or more national... operated by a registered securities association. Investment company plan means any plan under which: (1) A...

  14. 75 FR 56928 - Approval and Promulgation of State Implementation Plan Revisions; State of North Dakota...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-17

    ... typical movement of weather systems. Thus, geography, topography and meteorology of the region that... obstacles to ozone transport from North Dakota to California. Thus, geography and topography reduce the... proposing partial approval of the State Implementation Plan (SIP) revisions called ``Interstate Transport of...

  15. Language Planning and Language Policy in Australia.

    ERIC Educational Resources Information Center

    Liddicoat, Anthony, Ed.

    1991-01-01

    A five-year period of particular activity in Australian language policy and language planning culminated with the 1991 publication of the White Paper called Australia's Language, which outlines proposed government programs in languages until 1994. Many of the papers in this theme issue of the journal of the Applied Linguistics Association of…

  16. Six-Year Planning Report for Crosby Library, Gonzaga University.

    ERIC Educational Resources Information Center

    Gonzaga Univ., Spokane, WA.

    A response to a call for six-year planning documents from Gonzaga University's instructional units, this report is divided into five broad sections: (1) library collections, an assessment of Crosby Library's holdings and comparison with the overall quantitative standards established by the Association of College and Research Libraries; (2) library…

  17. The American Revolution: The Declaration and Beyond. [Lesson Plan].

    ERIC Educational Resources Information Center

    Kasper, Paula

    Based on Thomas Paine's pamphlet "Common Sense," this lesson plan presents activities designed to help students understand that as the American Revolution approached, writers created highly persuasive documents calling for separation from England. The main activity in the lesson involves students in writing a persuasive essay. It includes…

  18. NASA's future plans for space astronomy and astrophysics

    NASA Technical Reports Server (NTRS)

    Kaplan, Mike

    1992-01-01

    A summary is presented of plans for the future NASA astrophysics missions called SIRTF (Space Infrared Telescope Facility), SOFIA (Stratospheric Observatory for Infrared Astronomy), SMIM (Submillimeter Intermdiate Mission), and AIM (Astrometric Interferometry Mission), the Greater Observatories, and MFPE (Mission From Planet Earth). Technology needs for these missions are briefly described.

  19. The Future of Tennessee: Higher Education 1987-1993.

    ERIC Educational Resources Information Center

    Tennessee Higher Education Commission, Nashville.

    This master plan for higher education in Tennessee sketches a framework for the continued improvement of postsecondary institutions and emphasizes the critical links between higher education and other components of the state. A set of principles and achievement targets undergirding the master plan are outlined. Specific action is called for in…

  20. 7 CFR 1751.106 - Modernization Plan; requirements.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... be able to receive through telephone lines— (A) Conference calling; (B) Video images; and (C) Data at... described in paragraphs (i) and (j) of this section. They are grouped into short-term and medium-term... Plan. In addition to implementing the requirements described in paragraphs (a), (i), and (j) of this...

  1. 7 CFR 1751.106 - Modernization Plan; requirements.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... be able to receive through telephone lines— (A) Conference calling; (B) Video images; and (C) Data at... described in paragraphs (i) and (j) of this section. They are grouped into short-term and medium-term... Plan. In addition to implementing the requirements described in paragraphs (a), (i), and (j) of this...

  2. 7 CFR 1751.106 - Modernization Plan; requirements.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... be able to receive through telephone lines— (A) Conference calling; (B) Video images; and (C) Data at... described in paragraphs (i) and (j) of this section. They are grouped into short-term and medium-term... Plan. In addition to implementing the requirements described in paragraphs (a), (i), and (j) of this...

  3. 7 CFR 1751.106 - Modernization Plan; requirements.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... be able to receive through telephone lines— (A) Conference calling; (B) Video images; and (C) Data at... described in paragraphs (i) and (j) of this section. They are grouped into short-term and medium-term... Plan. In addition to implementing the requirements described in paragraphs (a), (i), and (j) of this...

  4. 7 CFR 1751.106 - Modernization Plan; requirements.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... be able to receive through telephone lines— (A) Conference calling; (B) Video images; and (C) Data at... described in paragraphs (i) and (j) of this section. They are grouped into short-term and medium-term... Plan. In addition to implementing the requirements described in paragraphs (a), (i), and (j) of this...

  5. Automated Cyber Red Teaming

    DTIC Science & Technology

    2015-04-01

    Artificial intelligence, Stockholm, 1999. [44] D. E. Wilkins and M. desJardins, “A Call for Knowledge-Based Planning,” AI Magazine, 2001. [45] L. P...Intelligence Center, 1975. [197] E. D. Sacerdoti, “The nonlinear nature of plans,” in IJCAI, 1975. [198] J. Sanchez, M. Tang and A. D. Mali, “P

  6. Waiting for the right time: how and why young Thai women manage to avoid heterosexual intercourse.

    PubMed

    Supametaporn, Pinhatai; Stern, Phyllis Noerager; Rodcumdee, Branom; Chaiyawat, Waraporn

    2010-08-01

    Nineteen young Thai women were purposively selected from networks of nongovernmental organizations involving children and youths in Bangkok. Our grounded theory findings indicated that these young women used the basic social process they called "waiting for the right time" in order to maintain heterosexual abstinence. Waiting for the right time involved one overarching condition, honoring parental love, and included three overlapping properties: learning rules, planning life path, and ways of preserving virginity. The findings provide information that may lead to the development of culturally competent interventions for middle-class Thai youths to remain healthy and avoid pregnancy.

  7. C formal verification with unix communication and concurrency

    NASA Technical Reports Server (NTRS)

    Hoover, Doug N.

    1990-01-01

    The results of a NASA SBIR project are presented in which CSP-Ariel, a verification system for C programs which use Unix system calls for concurrent programming, interprocess communication, and file input and output, was developed. This project builds on ORA's Ariel C verification system by using the system of Hoare's book, Communicating Sequential Processes, to model concurrency and communication. The system runs in ORA's Clio theorem proving environment. The use of CSP to model Unix concurrency and sketch the CSP semantics of a simple concurrent program is outlined. Plans for further development of CSP-Ariel are discussed. This paper is presented in viewgraph form.

  8. Software engineering and data management for automated payload experiment tool

    NASA Technical Reports Server (NTRS)

    Maddux, Gary A.; Provancha, Anna; Chattam, David

    1994-01-01

    The Microgravity Projects Office identified a need to develop a software package that will lead experiment developers through the development planning process, obtain necessary information, establish an electronic data exchange avenue, and allow easier manipulation/reformatting of the collected information. An MS-DOS compatible software package called the Automated Payload Experiment Tool (APET) has been developed and delivered. The objective of this task is to expand on the results of the APET work previously performed by University of Alabama in Huntsville (UAH) and provide versions of the software in a Macintosh and Windows compatible format. Appendix 1 science requirements document (SRD) Users Manual is attached.

  9. KSC-2012-5040

    NASA Image and Video Library

    2012-09-13

    CAPE CANAVERAL, Fla. – In Bay 2 of the Orbiter Processing Facility at NASA's Kennedy Space Center in Florida, the space shuttle Atlantis' payload bay is being configured for display at the Kennedy Space Center Visitor Complex. Plans call for the orbiter to be transferred to the Visitor Complex in November. The work is part of Transition and Retirement of the remaining space shuttles, Atlantis and Endeavour. Atlantis is being prepared for public display at Kennedy's Visitor Complex. Over the course of its 26-year career, Atlantis spent 293 days in space during 33 missions. For more information, visit http://www.nasa.gov/transition Photo credit: NASA/Jim Grossmann

  10. An online replanning method using warm start optimization and aperture morphing for flattening-filter-free beams

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

    Ahunbay, Ergun E., E-mail: eahunbay@mcw.edu; Ates,

    Purpose: In a situation where a couch shift for patient positioning is not preferred or prohibited (e.g., MR-linac), segment aperture morphing (SAM) can address target dislocation and deformation. For IMRT/VMAT with flattening-filter-free (FFF) beams, however, SAM method would lead to an adverse translational dose effect due to the beam unflattening. Here the authors propose a new two-step process to address both the translational effect of FFF beams and the target deformation. Methods: The replanning method consists of an offline and an online step. The offline step is to create a series of preshifted-plans (PSPs) obtained by a so-called “warm start”more » optimization (starting optimization from the original plan, rather than from scratch) at a series of isocenter shifts. The PSPs all have the same number of segments with very similar shapes, since the warm start optimization only adjusts the MLC positions instead of regenerating them. In the online step, a new plan is obtained by picking the closest PSP or linearly interpolating the MLC positions and the monitor units of the closest PSPs for the shift determined from the image of the day. This two-step process is completely automated and almost instantaneous (no optimization or dose calculation needed). The previously developed SAM algorithm is then applied for daily deformation. The authors tested the method on sample prostate and pancreas cases. Results: The two-step interpolation method can account for the adverse dose effects from FFF beams, while SAM corrects for the target deformation. Plan interpolation method is effective in diminishing the unflat beam effect and may allow reducing the required number of PSPs. The whole process takes the same time as the previously reported SAM process (5–10 min). Conclusions: The new two-step method plus SAM can address both the translation effects of FFF beams and target deformation, and can be executed in full automation except the delineation of target contour required by the SAM process.« less

  11. Measuring and managing radiologist workload: application of lean and constraint theories and production planning principles to planning radiology services in a major tertiary hospital.

    PubMed

    MacDonald, Sharyn L S; Cowan, Ian A; Floyd, Richard; Mackintosh, Stuart; Graham, Rob; Jenkins, Emma; Hamilton, Richard

    2013-10-01

    We describe how techniques traditionally used in the manufacturing industry (lean management, the theory of constraints and production planning) can be applied to planning radiology services to reduce the impact of constraints such as limited radiologist hours, and to subsequently reduce delays in accessing imaging and in report turnaround. Targets for imaging and reporting were set aligned with clinical needs. Capacity was quantified for each modality and for radiologists and recorded in activity lists. Demand was quantified and forecasting commenced based on historical referral rates. To try and mitigate the impact of radiologists as a constraint, lean management processes were applied to radiologist workflows. A production planning process was implemented. Outpatient waiting times to access imaging steadily decreased. Report turnaround times improved with the percentage of overnight/on-call reports completed by a 1030 target time increased from approximately 30% to 80 to 90%. The percentage of emergency and inpatient reports completed within one hour increased from approximately 15% to approximately 50% with 80 to 90% available within 4 hours. The number of unreported cases on the radiologist work-list at the end of the working day reduced. The average weekly accuracy for demand forecasts for emergency and inpatient CT, MRI and plain film imaging was 91%, 83% and 92% respectively. For outpatient CT, MRI and plain film imaging the accuracy was 60%, 55% and 77% respectively. Reliable routine weekly and medium to longer term service planning is now possible. Tools from industry can be successfully applied to diagnostic imaging services to improve performance. They allow an accurate understanding of the demands on a service, capacity, and can reliably predict the impact of changes in demand or capacity on service delivery. © 2013 The Royal Australian and New Zealand College of Radiologists.

  12. Targeting MRS-Defined Dominant Intraprostatic Lesions with Inverse-Planned High Dose Rate Brachytherapy

    DTIC Science & Technology

    2008-06-01

    brachytherapy treatment planning has been demonstrated. Using the inverse planning program IPSA , dose escalation of target regions with a higher tumor...algorithm (called IPSA ) was used to generate dose distributions for five different levels of DIL- boost, at least 110%, 120%, 130%, 140% and 150...and LDR, VI Last Generation Radiotherapy Course, São Paulo, Brazil, Oct. 19, 2006. Principles and Clinical Applications of IPSA ; Nucletron

  13. Intercultural Competency in Public Health: A Call for Action to Incorporate Training into Public Health Education

    PubMed Central

    Fleckman, Julia M.; Dal Corso, Mark; Ramirez, Shokufeh; Begalieva, Maya; Johnson, Carolyn C.

    2015-01-01

    Due to increasing national diversity, programs addressing cultural competence have multiplied in U.S. medical training institutions. Although these programs share common goals for improving clinical care for patients and reducing health disparities, there is little standardization across programs. Furthermore, little progress has been made to translate cultural competency training from the clinical setting into the public health setting where the focus is on population-based health, preventative programming, and epidemiological and behavioral research. The need for culturally relevant public health programming and culturally sensitive public health research is more critical than ever. Awareness of differing cultures needs to be included in all processes of planning, implementation and evaluation. By focusing on community-based health program planning and research, cultural competence implies that it is possible for public health professionals to completely know another culture, whereas intercultural competence implies it is a dual-sided process. Public health professionals need a commitment toward intercultural competence and skills that demonstrate flexibility, openness, and self-reflection so that cultural learning is possible. In this article, the authors recommend a number of elements to develop, adapt, and strengthen intercultural competence education in public health educational institutions. PMID:26389109

  14. Intercultural Competency in Public Health: A Call for Action to Incorporate Training into Public Health Education.

    PubMed

    Fleckman, Julia M; Dal Corso, Mark; Ramirez, Shokufeh; Begalieva, Maya; Johnson, Carolyn C

    2015-01-01

    Due to increasing national diversity, programs addressing cultural competence have multiplied in U.S. medical training institutions. Although these programs share common goals for improving clinical care for patients and reducing health disparities, there is little standardization across programs. Furthermore, little progress has been made to translate cultural competency training from the clinical setting into the public health setting where the focus is on population-based health, preventative programming, and epidemiological and behavioral research. The need for culturally relevant public health programming and culturally sensitive public health research is more critical than ever. Awareness of differing cultures needs to be included in all processes of planning, implementation and evaluation. By focusing on community-based health program planning and research, cultural competence implies that it is possible for public health professionals to completely know another culture, whereas intercultural competence implies it is a dual-sided process. Public health professionals need a commitment toward intercultural competence and skills that demonstrate flexibility, openness, and self-reflection so that cultural learning is possible. In this article, the authors recommend a number of elements to develop, adapt, and strengthen intercultural competence education in public health educational institutions.

  15. Information surfing with the JHU/APL coherent imager

    NASA Astrophysics Data System (ADS)

    Ratto, Christopher R.; Shipley, Kara R.; Beagley, Nathaniel; Wolfe, Kevin C.

    2015-05-01

    The ability to perform remote forensics in situ is an important application of autonomous undersea vehicles (AUVs). Forensics objectives may include remediation of mines and/or unexploded ordnance, as well as monitoring of seafloor infrastructure. At JHU/APL, digital holography is being explored for the potential application to underwater imaging and integration with an AUV. In previous work, a feature-based approach was developed for processing the holographic imagery and performing object recognition. In this work, the results of the image processing method were incorporated into a Bayesian framework for autonomous path planning referred to as information surfing. The framework was derived assuming that the location of the object of interest is known a priori, but the type of object and its pose are unknown. The path-planning algorithm adaptively modifies the trajectory of the sensing platform based on historical performance of object and pose classification. The algorithm is called information surfing because the direction of motion is governed by the local information gradient. Simulation experiments were carried out using holographic imagery collected from submerged objects. The autonomous sensing algorithm was compared to a deterministic sensing CONOPS, and demonstrated improved accuracy and faster convergence in several cases.

  16. Strategies for active learning in online continuing education.

    PubMed

    Phillips, Janet M

    2005-01-01

    Online continuing education and staff development is on the rise as the benefits of access, convenience, and quality learning are continuing to take shape. Strategies to enhance learning call for learner participation that is self-directed and independent, thus changing the educator's role from expert to coach and facilitator. Good planning of active learning strategies promotes optimal learning whether the learning content is presented in a course or a just-in-time short module. Active learning strategies can be used to enhance online learning during all phases of the teaching-learning process and can accommodate a variety of learning styles. Feedback from peers, educators, and technology greatly influences learner satisfaction and must be harnessed to provide effective learning experiences. Outcomes of active learning can be assessed online and implemented conveniently and successfully from the initiation of the course or module planning to the end of the evaluation process. Online learning has become accessible and convenient and allows the educator to track learner participation. The future of online education will continue to grow, and using active learning strategies will ensure that quality learning will occur, appealing to a wide variety of learning needs.

  17. Exploring the neural correlates of visual creativity

    PubMed Central

    Liew, Sook-Lei; Dandekar, Francesco

    2013-01-01

    Although creativity has been called the most important of all human resources, its neural basis is still unclear. In the current study, we used fMRI to measure neural activity in participants solving a visuospatial creativity problem that involves divergent thinking and has been considered a canonical right hemisphere task. As hypothesized, both the visual creativity task and the control task as compared to rest activated a variety of areas including the posterior parietal cortex bilaterally and motor regions, which are known to be involved in visuospatial rotation of objects. However, directly comparing the two tasks indicated that the creative task more strongly activated left hemisphere regions including the posterior parietal cortex, the premotor cortex, dorsolateral prefrontal cortex (DLPFC) and the medial PFC. These results demonstrate that even in a task that is specialized to the right hemisphere, robust parallel activity in the left hemisphere supports creative processing. Furthermore, the results support the notion that higher motor planning may be a general component of creative improvisation and that such goal-directed planning of novel solutions may be organized top-down by the left DLPFC and by working memory processing in the medial prefrontal cortex. PMID:22349801

  18. Runaway chemical reaction exposes community to highly toxic chemicals.

    PubMed

    Kaszniak, Mark; Vorderbrueggen, John

    2008-11-15

    The U.S. Chemical Safety and Hazard Investigation Board (CSB) conducted a comprehensive investigation of a runaway chemical reaction at MFG Chemical (MFG) in Dalton, Georgia on April 12, 2004 that resulted in the uncontrolled release of a large quantity of highly toxic and flammable allyl alcohol and allyl chloride into the community. Five people were hospitalized and 154 people required decontamination and treatment for exposure to the chemicals. This included police officers attempting to evacuate the community and ambulance personnel who responded to 911 calls from residents exposed to the chemicals. This paper presents the findings of the CSB report (U.S. Chemical Safety and Hazard Investigation Board (CSB), Investigation Report: Toxic Chemical Vapor Cloud Release, Report No. 2004-09-I-GA, Washington DC, April 2006) including a discussion on tolling practices; scale-up of batch reaction processes; Process Safety Management (PSM) and Risk Management Plan (RMP) implementation; emergency planning by the company, county and the city; and emergency response and mitigation actions taken during the incident. The reactive chemical testing and atmospheric dispersion modeling conducted by CSB after the incident and recommendations adopted by the Board are also discussed.

  19. Computerized Planning of Cryosurgery Using Bubble Packing: An Experimental Validation on a Phantom Material

    PubMed Central

    Rossi, Michael R.; Tanaka, Daigo; Shimada, Kenji; Rabin, Yoed

    2009-01-01

    The current study focuses on experimentally validating a planning scheme based on the so-called bubble-packing method. This study is a part of an ongoing effort to develop computerized planning tools for cryosurgery, where bubble packing has been previously developed as a means to find an initial, uniform distribution of cryoprobes within a given domain; the so-called force-field analogy was then used to move cryoprobes to their optimum layout. However, due to the high quality of the cryoprobes’ distribution, suggested by bubble packing and its low computational cost, it has been argued that a planning scheme based solely on bubble packing may be more clinically relevant. To test this argument, an experimental validation is performed on a simulated cross-section of the prostate, using gelatin solution as a phantom material, proprietary liquid-nitrogen based cryoprobes, and a cryoheater to simulate urethral warming. Experimental results are compared with numerically simulated temperature histories resulting from planning. Results indicate an average disagreement of 0.8 mm in identifying the freezing front location, which is an acceptable level of uncertainty in the context of prostate cryosurgery imaging. PMID:19885373

  20. A real options approach to clinical faculty salary structure.

    PubMed

    Kahn, Marc J; Long, Hugh W

    2012-01-01

    One can use the option theory model originally developed to price financial opportunities in security markets to analyze many other economic arrangements such as the salary structures of clinical faculty in an academic medical center practice plan. If one views the underlying asset to be the portion (labeled "salary") of the economic value of the collections made for the care provided patients by the physician, then a salary guarantee can be considered a put option provided the physician, the guarantee having value to the physician only when the actual salary earned is less than the salary guarantee. Similarly, within an incentive plan, a salary cap can be thought of as a call option provided to the practice plan since a salary cap only has value to the practice plan when a physician's earnings exceed the cap. Further, based on analysis of prior earnings, the Black-Scholes options pricing model can be used both to price each option and to determine a financially neutral balance between a salary guarantee and a salary cap by equating the prices of the implied put and call options. We suggest that such analysis is superior to empirical methods for setting clinical faculty salary structure in the academic practice plan setting.

  1. Paradigms and problems: The practice of social science in natural resource management

    Treesearch

    Michael E. Patterson; Daniel R. Williams

    1998-01-01

    Increasingly, natural resource management is seeing calls for new paradigms. These calls pose challenges that have implications not only for planning and management, but also for the practice of science. As a consequence, the profession needs to deepen its understanding of the nature of science by exploring recent advances in the philosophy of science....

  2. Missouri Advocacy for the Arts Advocacy Plan.

    ERIC Educational Resources Information Center

    Muszynski, Gary; Iman, Kyna

    1990-01-01

    Lists a time frame to assist in knowing which legislators to contact and when to contact them to advocate the arts. Offers four arguments in support of a state-level Fine Arts Supervisor. Advocates letters and phone calls as effective means of advocacy, and offers pointers on writing them. Contains a sample letter and telephone call. (PRA)

  3. Emergency Medical Services Providers' Perspective of End-of-Life Decision Making for People with Intellectual Disabilities

    ERIC Educational Resources Information Center

    McGinley, Jacqueline; Waldrop, Deborah P.; Clemency, Brian

    2017-01-01

    Background: Emergency medical services (EMS) providers are often called to rapidly determine and act upon patients' wishes for end-of-life care. People with intellectual disabilities are living increasingly longer with complex conditions leading to international calls for person-centred advance care planning. Yet, best estimates suggest that very…

  4. The R. J. Reynolds'"Smokeless Cigarette": Pancea or New Public Health Menace?

    ERIC Educational Resources Information Center

    Slade, John

    The R. J. Reynolds Tobacco Company is planning to introduce a so-called "smokeless cigarette". This product called Premier is an aluminum cylinder filled with porous alumina beads, corked with charcoal. The company has strongly hinted that the cigarette will provide the user with a dose of nicotine adequate to sustain nicotine dependence…

  5. Cost-effectiveness of strategies to enhance mammography use.

    PubMed

    Fishman, P; Taplin, S; Meyer, D; Barlow, W

    2000-01-01

    To estimate the cost-effectiveness of three strategies to increase breast cancer screening with mammography (reminder postcard, reminder telephone call, and motivational telephone call). Cost accounting for each strategy followed by cost-effectiveness analysis. DATA SOURCE FOR EFFECTIVENESS: Randomized trial of three strategies conducted at Group Health Cooperative of Puget Sound (GHC). Women 50 to 79 years of age who were enrolled in GHC's breast cancer screening program who did not schedule screening mammography within 2 months after it was recommended by letter. Health plan. Marginal cost-effectiveness of each additional woman screened. Because of its high cost (about $26 per call) and intermediate effectiveness, the motivational call was the least cost-effective strategy. If it was assumed that 50% of the women who scheduled mammography after receiving the reminder postcard would have scheduled mammography within 10 months even without it, marginal cost-effectiveness for the postcard among all women was $22 per woman screened versus $92 for the reminder call. Among women with no previous mammography, the marginal cost-effectiveness for the postcard was $70 versus $100 for the reminder call. Among women with no previous mammography, the choice between the reminder postcard and the reminder call was sensitive to assumptions about the percentage of women expected to receive mammography in the absence of other promotional strategies. A simple reminder postcard is the most cost-effective way to increase mammography. Choices about how to promote mammography will ultimately depend on plan values and willingness to invest in promotional strategies that increase participation at higher unit costs.

  6. Understanding legacy liabilities

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

    Ossi, G.J.

    2005-08-01

    Among the most immediate issues facing operations with a workforce represented by the United Mine Workers of America (UMWA) are the so-called 'legacy liabilities'. Legacy liabilities fall under two categories: retiree health care and pension. The retiree health benefit obligations fall into two categories; statutory - those created under the Coal Industry Retiree Health Benefit Act of 1992 and contractual - the 1993 Employer Benefit Plan and the Individual Employer Plans. The pension liabilities are more straightforward; there are three different retirement plans in the NBCWA; the UMWA 1950 Pension Plan, the UMWA 1974 Pension Plan and the UMWA Cashmore » Deferred Savings Plan of 1988.« less

  7. A Total Quality-Control Plan with Right-Sized Statistical Quality-Control.

    PubMed

    Westgard, James O

    2017-03-01

    A new Clinical Laboratory Improvement Amendments option for risk-based quality-control (QC) plans became effective in January, 2016. Called an Individualized QC Plan, this option requires the laboratory to perform a risk assessment, develop a QC plan, and implement a QC program to monitor ongoing performance of the QC plan. Difficulties in performing a risk assessment may limit validity of an Individualized QC Plan. A better alternative is to develop a Total QC Plan including a right-sized statistical QC procedure to detect medically important errors. Westgard Sigma Rules provides a simple way to select the right control rules and the right number of control measurements. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Translations on Environmental Quality, No. 152

    DTIC Science & Technology

    1977-11-01

    information was released during a press conference called by Manuel Diaz Dorado, under-secretary for Environmental Planning , Luis Urbano Juagueri, technical...seriousness of this threat, as well as what is being done and what plans have been made to eliminate the hazard. It is not superfluous to reiterate...the floating solids in the harbor; the use of a floating in- cinerator to collect and burn the garbage from ships anchored in the port; the planning

  9. Long Range Plan for Embedded Computer Systems Support. Volume II

    DTIC Science & Technology

    1981-10-01

    interface (pilot displays and controls plus visual system), and data collection (CMAC data, bus data and simulation data). Non-real time functions include...unless adequate upfront planning is implemented, the command will be controlled by the dynamics rather than controll - ing them. The upfront planning should...or should they be called manually? What amount and type of data should the various tools pass between each other? Under what conditions and controls

  10. Information Assurance and Information Technology: Training, Certification, and Personnel Management in the Department of Defense

    DTIC Science & Technology

    1999-08-27

    firms Infiltrate social events, like exchanging business cards at microbrewery festivals, art fairs, home & garden shows Assign candidates an in-house...E-2 Table 6. Sampling Plan for IA Data Call...F-7 Table 19. Planning and Implementation (3C3X1) ................................................................F-7

  11. Strategic Planning in U.S. Higher Education: Can It Succeed in Europe?

    ERIC Educational Resources Information Center

    Taylor, James S.; Amaral, Alberto; Machado, Maria de Lourdes

    2007-01-01

    European higher education does not have a uniform record of sustained planning. The Bologna Declaration, originally signed by 29 countries (and now 45), calls for major reforms to higher education throughout the continent. The European higher education community is diverse and heterogeneous. This article clarifies these myriad cultures in the…

  12. 75 FR 53735 - Environmental Impact Statement; Opportunity Corridor, City of Cleveland, Cuyahoga County, OH

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-01

    ... boulevard type roadway including a multi-lane urban arterial with curbs, an elevated landscape median, multi... alternatives have been born out of a previous planning study called the University Circle Access Boulevard. The.... (Catalog of Federal Domestic Assistance Program Number 20.205, Highway Planning and Construction. The...

  13. Education Business Plan 2008-11: Ministry Business Plan

    ERIC Educational Resources Information Center

    Alberta Education, 2008

    2008-01-01

    The Ministry of Education has identified one core business that is an ongoing key responsibility. It is called "Core Business One: Lead and Support the Education System So That All Students Are Successful at Learning." The core business includes three goals with specific outcomes that describe the end results the Ministry wants to…

  14. Tiered on-the-ground implementation projects for Gulf of Mexico water quality improvements

    USDA-ARS?s Scientific Manuscript database

    Both the Gulf Hypoxia Action Plan for Reducing, Mitigating, and Controlling Hypoxia in the Northern Gulf of Mexico and Improving Water Quality in the Mississippi River Basin (USEPA 2008) and the GOMA Governors’ Action Plan II for Healthy and Resilient Coasts (GOMA 2009) call for the development and ...

  15. Using Tablet Technology for Personalising Learning

    ERIC Educational Resources Information Center

    Ryan, David

    2016-01-01

    This paper begins with examining the origins of Individual Educational Plans, before taking a critical approach to the concept, to highlight the shortcomings and flaws that can now be found with the concept. The call is made to move toward Personalised Planning models, which will have a greater impact on pupil outcomes, before reporting on how the…

  16. The Concepts "Benchmarks and Benchmarking" Used in Education Planning: Teacher Education as Example

    ERIC Educational Resources Information Center

    Steyn, H. J.

    2015-01-01

    Planning in education is a structured activity that includes several phases and steps that take into account several kinds of information (Steyn, Steyn, De Waal & Wolhuter, 2002: 146). One of the sets of information that are usually considered is the (so-called) "benchmarks" and "benchmarking" regarding the focus of a…

  17. Transformation of Topic-Specific Professional Knowledge into Personal Pedagogical Content Knowledge through Lesson Planning

    ERIC Educational Resources Information Center

    Stender, Anita; Brückmann, Maja; Neumann, Knut

    2017-01-01

    This study investigates the relationship between two different types of pedagogical content knowledge (PCK): the topic-specific professional knowledge (TSPK) and practical routines, so-called teaching scripts. Based on the Transformation Model of Lesson Planning, we assume that teaching scripts originate from a transformation of TSPK during lesson…

  18. For Sale: Your Lesson Plans

    ERIC Educational Resources Information Center

    Greene, Kim

    2016-01-01

    The last several years has seen an increasingly popular trend of teachers buying and selling their lesson plans and other self-created classroom materials in online marketplaces. The leader in this space is a website called Teachers Pay Teachers, which boasts 3.8 million active users. In this article, the author examines why these sites became…

  19. 75 FR 78988 - Post-2014 Resource Pool-Loveland Area Projects, Allocation Procedures and Call for Applications

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ... Administration (Western), a Federal power marketing agency of the Department of Energy (DOE), is publishing this... allocation of Federal electric power. Subpart C of the Energy Planning and Management Program (Program... for applications, in conjunction with the Loveland Area Projects (LAP) Final Post-1989 Marketing Plan...

  20. Using Culture and Communications Theory in Postmodern Urban Planning: A Cybernetic Approach.

    ERIC Educational Resources Information Center

    Allison, Eric W.; Allison, Mary Ann

    1995-01-01

    Presents a historical perspective relating the physical construction and the symbolic interpretation of cities as places of meaning. Contends that, with changing social organization, a qualitatively new form of space has developed, called cyberspace, and that therefore urban planning must be performed in a framework that is both ecological and…

  1. Franklin School: Vandalism Prevention Through School Pride. Technical Assistance Bulletin 34.

    ERIC Educational Resources Information Center

    National School Resource Network, Washington, DC.

    Following a costly and destructive fire, Franklin Elementary School in Newark (New Jersey) developed an action plan for reducing violence and vandalism. The plan called for ongoing cooperation between all segments of the school population and of the local, largely Hispanic, community. Security measures were strengthened, but the thrust of the…

  2. Inventorying national forest resources...for planning-programing-budgeting system

    Treesearch

    Miles R. Hill; Elliot L. Amidon

    1968-01-01

    New systems for analyzing resource management problems, such as Planning-Programing-Budgeting, will require automated procedures to collect and assemble resource inventory data. A computer - oriented system called Map Information Assembly and Display System developed for this purpose was tested on a National Forest in California. It provided information on eight forest...

  3. Application of real-time cooperative editing in urban planning management system

    NASA Astrophysics Data System (ADS)

    Jing, Changfeng; Liu, Renyi; Liu, Nan; Bao, Weizheng

    2007-06-01

    With the increasing of business requirement of urban planning bureau, co-edit function is needed urgently, however conventional GIS are not support this. In order to overcome this limitation, a new kind urban 1planning management system with co-edit function is needed. Such a system called PM2006 has been used in Suzhou Urban Planning Bureau. PM2006 is introduced in this paper. In this paper, four main issues of Co-edit system--consistency, responsiveness time, data recoverability and unconstrained operation--were discussed. And for these four questions, resolutions were put forward in paper. To resolve these problems of co-edit GIS system, a data model called FGDB (File and ESRI GeoDatabase) that is mixture architecture of File and ESRI Geodatabase was introduced here. The main components of FGDB data model are ESRI versioned Geodatabase and replicated architecture. With FGDB, client responsiveness, spatial data recoverability and unconstrained operation were overcome. In last of paper, MapServer, the co-edit map server module, is presented. Main functions of MapServer are operation serialization and spatial data replication between file and versioned data.

  4. Effective dialogue: Enhanced public engagement as a legitimising tool for municipal waste management decision-making

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

    Garnett, Kenisha, E-mail: k.garnett@cranfield.ac.uk; Cooper, Tim, E-mail: t.h.cooper@ntu.ac.uk

    2014-12-15

    Highlights: • A review of public engagement in waste management decision-making is undertaken. • Enhanced public engagement is explored as a means to legitimise waste decisions. • Analytical–deliberative processes are explored as a tool for effective dialogue. • Considerations for integrating public values with technical analysis are outlined. • Insights into the design of appropriate public engagement processes are provided. - Abstract: The complexity of municipal waste management decision-making has increased in recent years, accompanied by growing scrutiny from stakeholders, including local communities. This complexity reflects a socio-technical framing of the risks and social impacts associated with selecting technologies andmore » sites for waste treatment and disposal facilities. Consequently there is growing pressure on local authorities for stakeholders (including communities) to be given an early opportunity to shape local waste policy in order to encourage swift planning, development and acceptance of the technologies needed to meet statutory targets to divert waste from landfill. This paper presents findings from a research project that explored the use of analytical–deliberative processes as a legitimising tool for waste management decision-making. Adopting a mixed methods approach, the study revealed that communicating the practical benefits of more inclusive forms of engagement is proving difficult even though planning and policy delays are hindering development and implementation of waste management infrastructure. Adopting analytical–deliberative processes at a more strategic level will require local authorities and practitioners to demonstrate how expert-citizen deliberations may foster progress in resolving controversial issues, through change in individuals, communities and institutions. The findings suggest that a significant shift in culture will be necessary for local authorities to realise the potential of more inclusive decision processes. This calls for political actors and civic society to collaborate in institutionalising public involvement in both strategic and local planning structures.« less

  5. The Belmont Forum - Facilitating International Collaboration through New Funding Opportunities

    NASA Astrophysics Data System (ADS)

    von Schneidemesser, E.

    2012-12-01

    The Belmont Forum is an international group of the world's main funders of environmental change research and international science councils, committed to 'delivering knowledge needed for action to avoid and adapt to detrimental environmental change, including extreme hazardous events.' It aims to do so by mobilizing international resources at a scale that matches this challenge 'in order to catalyze delivery of the environmental science-derived solutions that society needs.' To achieve this goal, the member countries of the Belmont Forum have formed a new working partnership that launched the International Opportunities Fund (IOF) - an open call for proposals with focus themes and the intention of new themes for a new funding round each year. The IOF effectively lowers the activation energy needed for international collaboration while preserving national control over funding monies that stay within borders. This mechanism enables international collaboration to tackle global problems, while removing barriers such as the uncertainty of multiple proposal review processes for funding when partners from multiple countries wish to collaborate. During this presentation, perspectives on the Belmont Forum process will be shared, including the development of research themes for the IOF calls, mechanisms for collaboration, methods of information dissemination to various communities, lessons learned, and plans for future cooperation.

  6. Primary Care DirectConnect: How the Marriage of Call Center Technology and the EMR Brought Dramatic Results—A Service Quality Improvement Study

    PubMed Central

    Bowman, Brent; Smith, Scott

    2010-01-01

    Of the key Health Plan patient satisfaction measures used in Kaiser Permanente Colorado, ease of contacting the physician's office with a medical question was consistently rated as the lowest quarterly patient satisfaction measure. Furthermore, medical office staff had become dissatisfied with their inability to contact patients who had previously left messages. In addition to the shear volume of messages, the return calls were often unanswered, leading to subsequent attempts to reach patients, creating additional work for medical office staff. DirectConnect—the project name for a system and set of processes focused on improving patient satisfaction with the ability to contact Primary Care delivery teams by telephone—focuses on isolating medical advice calls from the other types of calls handled by the centralized Call Center. The system identifies the patient using his/her unique electronic medical record number, then automatically routes medical advice calls directly to the appropriate Primary Care Physician (PCP) or staff. The clinician may then evaluate and respond to the patient's need quickly, thus managing more of their panel's requests in real time. How is DirectConnect different from simply having the patient contact their PCP's office directly? The primary difference is “one-number” convenience that allows all patients to dial one number to access their PCP's team. In addition, calls are routed to various staff as available to reduce long telephone queues and wait times. The DirectConnect system has resulted in statistically significant improvement in key service quality measures. Patient satisfaction improved from a pre-implementation nine quarter mean of 55.9% to a post-implementation 12 quarter mean of 70.2%. Fourteen percent to 17% of all Primary Care calls are now handled by the patient's home medical office team, creating a 54% improvement in the centralized Call Center's speed of answering calls in the first quarter post implementation—making no additions to medical office staffing levels. The efficiencies gained by directly connecting medical advice-seeking patients with their Primary Care team resulted in an estimated savings of 198 and 247 cumulative hours per week in unnecessary telephone work for Call Center and medical office staff regionwide. PMID:20740112

  7. On the role of the optimization algorithm of RapidArc(®) volumetric modulated arc therapy on plan quality and efficiency.

    PubMed

    Vanetti, Eugenio; Nicolini, Giorgia; Nord, Janne; Peltola, Jarkko; Clivio, Alessandro; Fogliata, Antonella; Cozzi, Luca

    2011-11-01

    The RapidArc volumetric modulated arc therapy (VMAT) planning process is based on a core engine, the so-called progressive resolution optimizer (PRO). This is the optimization algorithm used to determine the combination of field shapes, segment weights (with dose rate and gantry speed variations), which best approximate the desired dose distribution in the inverse planning problem. A study was performed to assess the behavior of two versions of PRO. These two versions mostly differ in the way continuous variables describing the modulated arc are sampled into discrete control points, in the planning efficiency and in the presence of some new features. The analysis aimed to assess (i) plan quality, (ii) technical delivery aspects, (iii) agreement between delivery and calculations, and (iv) planning efficiency of the two versions. RapidArc plans were generated for four groups of patients (five patients each): anal canal, advanced lung, head and neck, and multiple brain metastases and were designed to test different levels of planning complexity and anatomical features. Plans from optimization with PRO2 (first generation of RapidArc optimizer) were compared against PRO3 (second generation of the algorithm). Additional plans were optimized with PRO3 using new features: the jaw tracking, the intermediate dose and the air cavity correction options. Results showed that (i) plan quality was generally improved with PRO3 and, although not for all parameters, some of the scored indices showed a macroscopic improvement with PRO3. (ii) PRO3 optimization leads to simpler patterns of the dynamic parameters particularly for dose rate. (iii) No differences were observed between the two algorithms in terms of pretreatment quality assurance measurements and (iv) PRO3 optimization was generally faster, with a time reduction of a factor approximately 3.5 with respect to PRO2. These results indicate that PRO3 is either clinically beneficial or neutral in terms of dosimetric quality while it showed significant advantages in speed and technical aspects.

  8. Improving Comprehensive Medication Review Acceptance by Using a Standardized Recruitment Script: A Randomized Control Trial.

    PubMed

    Miguel, Alexander; Hall, Anna; Liu, Wei; Garrett, Jeremy; Ballew, Angel; Yang, Tsu-Hsaun; Segal, Richard

    2017-01-01

    The Centers for Medicare & Medicaid Services (CMS) require prescription drug plan sponsors to offer a comprehensive medication review (CMR) annually to eligible beneficiaries through the plans' Medication Therapy Management Programs (MTMPs). In 2011, the Pharmacy Quality Alliance endorsed the CMR completion rate as a quality measure for MTMPs, and CMS has adopted the measure into the 2016 CMS star ratings. CMS star ratings are used to describe the quality of plans to assist Medicare plan enrollees in choosing a plan and to determine quality bonus payments for Medicare Advantage plans. Star ratings are measured on a scale of 1 to 5, with 5 being the highest possible rating for an individual measure. Currently, the majority of plans score 2 stars or less on the CMR completion rate measure. To demonstrate the effectiveness of a standardized CMR recruitment script emphasizing the benefits of the service to increase acceptance of CMR offers among beneficiaries of a Medicare prescription drug plan. A CMR recruitment script, shaped by the Health Belief Model, was developed based on a previous pilot study. The original script described the CMR service but did not emphasize key benefits or barriers from the beneficiary perspective. The updated script aimed to enhance beneficiary understanding of the CMR service, explain the benefits from the beneficiary perspective, and address potential barriers to accepting the service. The updated script was tested during the 2012 MTMP enrollment in a randomized controlled experiment, using the original script as the control. The CMR service was offered to MTMP members via phone calls by live call agents who spoke with members who answered, using 1 of the 2 scripts. Both scripts asked members if they were willing to have a pharmacist call them back and perform a CMR at a later date. Two call attempts were made to all eligible beneficiaries. If contact was not made after 2 unsuccessful outreach attempts, a computer-generated voicemail message was left, and an informational letter regarding the MTMP and CMR was subsequently mailed. CMR acceptance rates, defined as the proportion of beneficiaries who spoke with a call agent and agreed to participate in the CMR service, divided by the total number of beneficiaries contacted who confirmed their membership with the Part D plan, were compared between those exposed to the original script and those exposed to the updated script. Multivariate logistic regression was employed to examine factors that may have influenced members' decisions regarding the offer to participate in CMRs. There were 105,701 beneficiaries in the first quarter of the MTMP 2012 enrollment who were eligible for the MTM service. Approximately 10% of eligible beneficiaries answered the live calls and listened to the scripts. On average, members who responded to calls were aged 68.9 years, prescribed 10.5 chronic medications, and had 6 different chronic conditions. Among members who answered the calls, 52.9% were exposed to the original script, and 47.1% heard the updated script. For the updated script, 48.2% of the members accepted the offer to be subsequently contacted by a pharmacist to complete the CMR, whereas 38.1% of members exposed to the original script agreed to the CMR offer. Logistic regression results indicated that members who received the updated script were 1.58 (95% CI = 1.45-1.72) times more likely to accept the CMR offer compared with those who received the original script. Among other factors, increased number of chronic medications (OR = 1.038, 95% CI = 1.020-1.057), increased number of disease conditions (OR = 1.039, 95% CI = 1.014-1.064), and previous involvement in the MTMP were positively associated with acceptance of the CMR offer. The updated script outperformed the original script in promoting member willingess to participate in a CMR by describing key components and emphasizing benefits of participation. CMR engagement remains a challenge for Medicare plan sponsors. This study demonstrates that to overcome common hurdles to CMR engagement, sponsors should seek strategies to educate members regarding MTM programs and the benefits and components of a CMR. No outside funding supported this study. Research for this study was conducted while Liu was a postdoctoral fellow at the University of Florida. Liu is currently an employee of the U.S. Food and Drug Administration (FDA). The views expressed here are those of the authors and not necessarily those of the FDA. Yang reports receiving a research fellowship funded by WellCare Health Plans at the time of this study. The authors report no other potential conflicts of interest. Study concept and design were primarily contributed by Yang, Segal, and Miguel, along with Hall, Liu, and Ballew. Miguel, Liu, Yang, Ballew, and Hall collected the data, which were analysed and interpreted primarily by Liu, along with Yang and Segal and assisted by the other authors. The manuscript was written primarily by Miguel, Hall, and Garret, along with Liu, Yang, and Ballew, and revised by Ballew, Segal, Hall, and Miguel, along with Liu and Yang.

  9. Pandemic planning in the shipping industry--lessons learnt from the 2009 Influenza Pandemic.

    PubMed

    Bunyan, Kate

    2011-01-01

    The events around the 2009 A/H1N1 Influenza Pandemic highlighted the need for better planning to ensure protection of those on vessels, protection for ports of call, and protection of business assets (business continuity). The variety of stakeholders involved in the management of a pandemic made it difficult to achieve a cohesive plan during the event itself. By considering the actions during the last pandemic, and the literature available for the shipping industry on pandemic planning, a pathway to better preparation is suggested.

  10. How inverse solver technologies can support die face development and process planning in the automotive industry

    NASA Astrophysics Data System (ADS)

    Huhn, Stefan; Peeling, Derek; Burkart, Maximilian

    2017-10-01

    With the availability of die face design tools and incremental solver technologies to provide detailed forming feasibility results in a timely fashion, the use of inverse solver technologies and resulting process improvements during the product development process of stamped parts often is underestimated. This paper presents some applications of inverse technologies that are currently used in the automotive industry to streamline the product development process and greatly increase the quality of a developed process and the resulting product. The first focus is on the so-called target strain technology. Application examples will show how inverse forming analysis can be applied to support the process engineer during the development of a die face geometry for Class `A' panels. The drawing process is greatly affected by the die face design and the process designer has to ensure that the resulting drawn panel will meet specific requirements regarding surface quality and a minimum strain distribution to ensure dent resistance. The target strain technology provides almost immediate feedback to the process engineer during the die face design process if a specific change of the die face design will help to achieve these specific requirements or will be counterproductive. The paper will further show how an optimization of the material flow can be achieved through the use of a newly developed technology called Sculptured Die Face (SDF). The die face generation in SDF is more suited to be used in optimization loops than any other conventional die face design technology based on cross section design. A second focus in this paper is on the use of inverse solver technologies for secondary forming operations. The paper will show how the application of inverse technology can be used to accurately and quickly develop trim lines on simple as well as on complex support geometries.

  11. We, the People of the World... Special Programs in Citizenship Education: Comparative Legal Systems. SPICE V.

    ERIC Educational Resources Information Center

    Hardin, Julia P., Ed.; Moulden, Richard G., Ed.

    This compilation of over 40 lesson plans on various topics in law related education was written by classroom teachers from around the United States who had participated in the fifth of an annual series called Special Programs in Citizenship Education (SPICE)--weeklong institutes devoted to learning about different cultures and laws. Called SPICE V…

  12. 76 FR 14040 - Outer Continental Shelf (OCS), Central and Western Gulf of Mexico, Oil and Gas Lease Sales for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-15

    ... Program for 2012-2017. Ten lease sales are specifically covered by this Call: five in the Central GOM... multisale Environmental Impact Statement (EIS) covering the same ten sales in the Central and Western GOM Planning Areas. For each of the ten individual lease sales associated with this Call, BOEMRE will comply...

  13. Advocates Call for a New Approach after the Era of "Abstinence-Only" Sex Education. Guttmacher Policy Review. Volume 12, Number 1, Winter 2009

    ERIC Educational Resources Information Center

    Boonstra, Heather D.

    2009-01-01

    In 1981, the first grants for what later came to be called "abstinence-only" programs were authorized under the Adolescent Family Life Act (AFLA). Sponsored by congressional family planning opponents, AFLA was promoted as a "family-centered" alternative to contraceptive counseling and services to teenagers; instead, this…

  14. 75 FR 6199 - TransCanada Alaska Company LLC; Notice of Request for Approval of Plan for Conducting an Open Season

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-08

    ... governing Open Seasons for Alaska Natural Gas Transportation Projects, TransCanada Alaska Company LLC (TC... firm natural gas transportation service and optional firm gas treatment service to be provided by TC... , or call (866) 208-3676 (toll free). For TTY, call (202) 502-8659. Please note that the review of TC...

  15. 29 CFR 2520.102-3 - Contents of summary plan description.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... users may call the federal relay service toll-free at 1-800-877-8339 and ask to be connected to 202-326... number). TTY/TDD users may call the federal relay service toll-free at 1-800-877-8339 and ask to be... certain rights and protections under the Employee Retirement Income Security Act of 1974 (ERISA). ERISA...

  16. Environmental Influences On Diel Calling Behavior In Baleen Whales

    DTIC Science & Technology

    2015-09-30

    and calm seas were infrequent and short (Figure 1b), making traditional shipboard marine mammal observations difficult. The real time detection...first use of real-time detection and reporting of marine mammal calls from autonomous underwater vehicles to adaptively plan research activities. 3...conferences: • 6th International Workshop on Detection, Classification, Localization, and Density Estimation (DCLDE) of Marine Mammals using

  17. [The concept of social marketing--potential and limitations for health promotion and prevention in Germany].

    PubMed

    Loss, J; Lang, K; Ultsch, S; Eichhorn, C; Nagel, E

    2006-07-01

    "Social marketing" is the use of marketing principles to design and implement programmes to promote socially beneficial behaviour changes. In the field of health promotion and prevention, the systematic planning process of social marketing can offer new ideas and perspectives to the traditions of social science. Major characteristics of social marketing encompass continuous market research focussing on attitudes, motives and behavioural patterns of the target group, an integrated mix of strategic key elements, and the perpetual evaluation of all procedures. So far, however, it is unclear in how far social marketing is actually more effective than other concepts of programme planning. Furthermore, it has to be discussed whether the underlying philosophy of social marketing and its implicit understanding of relationships to the public are reconcilable with health promotion principles. In Anglo-Saxon countries, the social marketing concept has achieved widespread application and is subject to controversial scientific discussions, whereas this approach is hardly considered in German health promotion research and practice. Given the increasing call for quality management and evaluation of health promotion interventions, the social marketing concept may contribute useful insights at an operational level and thus add to a discussion on effective approaches for programme planning.

  18. Development of an impairment-based individualized treatment workflow using an iPad-based software platform.

    PubMed

    Kiran, Swathi; Des Roches, Carrie; Balachandran, Isabel; Ascenso, Elsa

    2014-02-01

    Individuals with language and cognitive deficits following brain damage likely require long-term rehabilitation. Consequently, it is a huge practical problem to provide the continued communication therapy that these individuals require. The present project describes the development of an impairment-based individualized treatment workflow using a software platform called Constant Therapy. This article is organized into two sections. We will first describe the general methods of the treatment workflow for patients involved in this study. There are four steps in this process: (1) the patient's impairment is assessed using standardized tests, (2) the patient is assigned a specific and individualized treatment plan, (3) the patient practices the therapy at home and at the clinic, and (4) the clinician and the patient can analyze the results of the patient's performance remotely and monitor and alter the treatment plan accordingly. The second section provides four case studies that provide a representative sample of participants progressing through their individualized treatment plan. The preliminary results of the patient treatment provide encouraging evidence for the feasibility of a rehabilitation program for individuals with brain damage based on the iPad (Apple Inc., Cupertino, CA). Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  19. Perceiving while producing: Modeling the dynamics of phonological planning

    PubMed Central

    Roon, Kevin D.; Gafos, Adamantios I.

    2016-01-01

    We offer a dynamical model of phonological planning that provides a formal instantiation of how the speech production and perception systems interact during online processing. The model is developed on the basis of evidence from an experimental task that requires concurrent use of both systems, the so-called response-distractor task in which speakers hear distractor syllables while they are preparing to produce required responses. The model formalizes how ongoing response planning is affected by perception and accounts for a range of results reported across previous studies. It does so by explicitly addressing the setting of parameter values in representations. The key unit of the model is that of the dynamic field, a distribution of activation over the range of values associated with each representational parameter. The setting of parameter values takes place by the attainment of a stable distribution of activation over the entire field, stable in the sense that it persists even after the response cue in the above experiments has been removed. This and other properties of representations that have been taken as axiomatic in previous work are derived by the dynamics of the proposed model. PMID:27440947

  20. Educator and participant perceptions and cost analysis of stage-tailored educational telephone calls.

    PubMed

    Esters, Onikia N; Boeckner, Linda S; Hubert, Melanie; Horacek, Tanya; Kritsch, Karen R; Oakland, Mary J; Lohse, Barbara; Greene, Geoffrey; Nitzke, Susan

    2008-01-01

    To identify strengths and weaknesses of nutrition education via telephone calls as part of a larger stage-of-change tailored intervention with mailed materials. Evaluative feedback was elicited from educators who placed the calls and respondents who received the calls. An internet and telephone survey of 10 states in the midwestern United States. 21 educators in 10 states reached via the internet and 50 young adults reached via telephone. VARIABLES MEASURED AND ANALYSIS: Rankings of intervention components, ratings of key aspects of educational calls, and cost data (as provided by a lead researcher in each state) were summarized via descriptive statistics. RESULTS, CONCLUSIONS, AND IMPLICATIONS: Educational calls used 6 to 17 minutes of preparation time, required 8 to 15 minutes of contact time, and had a mean estimated cost of $5.82 per call. Low-income young adults favored print materials over educational calls. However, the calls were reported to have positive effects on motivating participants to set goals. Educators who use educational telephone calls to reach young adults, a highly mobile target audience, may require a robust and flexible contact plan.

  1. Science-based Forest Management in an Era of Climate Change

    NASA Astrophysics Data System (ADS)

    Swanston, C.; Janowiak, M.; Brandt, L.; Butler, P.; Handler, S.; Shannon, D.

    2014-12-01

    Recognizing the need to provide climate adaptation information, training, and tools to forest managers, the Forest Service joined with partners in 2009 to launch a comprehensive effort called the Climate Change Response Framework (www.forestadaptation.org). The Framework provides a structured approach to help managers integrate climate considerations into forest management plans and then implement adaptation actions on the ground. A planning tool, the Adaptation Workbook, is used in conjunction with vulnerability assessments and a diverse "menu" of adaptation approaches to generate site-specific adaptation actions that meet explicit management objectives. Additionally, a training course, designed around the Adaptation Workbook, leads management organizations through this process of designing on-the-ground adaptation tactics for their management projects. The Framework is now being actively pursued in 20 states in the Northwoods, Central Hardwoods, Central Appalachians, Mid-Atlantic, and New England. The Framework community includes over 100 science and management groups, dozens of whom have worked together to complete six ecoregional vulnerability assessments covering nearly 135 million acres. More than 75 forest and urban forest adaptation strategies and approaches were synthesized from peer-reviewed and gray literature, expert solicitation, and on-the-ground adaptation projects. These are being linked through the Adaptation Workbook process to on-the-ground adaptation tactics being planned and employed in more than 50 adaptation "demonstrations". This presentation will touch on the scientific and professional basis of the vulnerability assessments, and showcase efforts where adaptation actions are currently being implemented in forests.

  2. Knowledge assistant for robotic environmental characterization

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

    Feddema, J.; Rivera, J.; Tucker, S.

    1996-08-01

    A prototype sensor fusion framework called the {open_quotes}Knowledge Assistant{close_quotes} has been developed and tested on a gantry robot at Sandia National Laboratories. This Knowledge Assistant guides the robot operator during the planning, execution, and post analysis stages of the characterization process. During the planning stage, the Knowledge Assistant suggests robot paths and speeds based on knowledge of sensors available and their physical characteristics. During execution, the Knowledge Assistant coordinates the collection of data through a data acquisition {open_quotes}specialist.{close_quotes} During execution and postanalysis, the Knowledge Assistant sends raw data to other {open_quotes}specialists,{close_quotes} which include statistical pattern recognition software, a neural network,more » and model-based search software. After the specialists return their results, the Knowledge Assistant consolidates the information and returns a report to the robot control system where the sensed objects and their attributes (e.g., estimated dimensions, weight, material composition, etc.) are displayed in the world model. This report highlights the major components of this system.« less

  3. Conditional Allele Mouse Planner (CAMP): software to facilitate the planning and design of breeding strategies involving mice with conditional alleles.

    PubMed

    Hoffert, Jason D; Pisitkun, Trairak; Miller, R Lance

    2012-06-01

    Transgenic and conditional knockout mouse models play an important role in biomedical research and their use has grown exponentially in the last 5-10 years. Generating conditional knockouts often requires breeding multiple alleles onto the background of a single mouse or group of mice. Breeding these mice depends on parental genotype, litter size, transmission frequency, and the number of breeding rounds. Therefore, a well planned breeding strategy is critical for keeping costs to a minimum. However, designing a viable breeding strategy can be challenging. With so many different variables this would be an ideal task for a computer program. To facilitate this process, we created a Java-based program called Conditional Allele Mouse Planner (CAMP). CAMP is designed to provide an estimate of the number of breeders, amount of time, and costs associated with generating mice of a particular genotype. We provide a description of CAMP, how to use it, and offer it freely as an application.

  4. A spatial web/agent-based model to support stakeholders' negotiation regarding land development.

    PubMed

    Pooyandeh, Majeed; Marceau, Danielle J

    2013-11-15

    Decision making in land management can be greatly enhanced if the perspectives of concerned stakeholders are taken into consideration. This often implies negotiation in order to reach an agreement based on the examination of multiple alternatives. This paper describes a spatial web/agent-based modeling system that was developed to support the negotiation process of stakeholders regarding land development in southern Alberta, Canada. This system integrates a fuzzy analytic hierarchy procedure within an agent-based model in an interactive visualization environment provided through a web interface to facilitate the learning and negotiation of the stakeholders. In the pre-negotiation phase, the stakeholders compare their evaluation criteria using linguistic expressions. Due to the uncertainty and fuzzy nature of such comparisons, a fuzzy Analytic Hierarchy Process is then used to prioritize the criteria. The negotiation starts by a development plan being submitted by a user (stakeholder) through the web interface. An agent called the proposer, which represents the proposer of the plan, receives this plan and starts negotiating with all other agents. The negotiation is conducted in a step-wise manner where the agents change their attitudes by assigning a new set of weights to their criteria. If an agreement is not achieved, a new location for development is proposed by the proposer agent. This process is repeated until a location is found that satisfies all agents to a certain predefined degree. To evaluate the performance of the model, the negotiation was simulated with four agents, one of which being the proposer agent, using two hypothetical development plans. The first plan was selected randomly; the other one was chosen in an area that is of high importance to one of the agents. While the agents managed to achieve an agreement about the location of the land development after three rounds of negotiation in the first scenario, seven rounds were required in the second scenario. The proposed web/agent-based model facilitates the interaction and learning among stakeholders when facing multiple alternatives. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. Water quality decline in coastal aquifers under anthropic pressure: the case of a suburban area of Dakar (Senegal).

    PubMed

    Re, Viviana; Cissé Faye, Seynabou; Faye, Abdoulaye; Faye, Serigne; Gaye, Cheikh Becaye; Sacchi, Elisa; Zuppi, Gian Maria

    2011-01-01

    In recent years, the unregulated increase of the population in coastal areas of developing countries has become source of concern for both water supply and quality control. In the region of Dakar (Senegal), approximately 80% of water resources come from groundwater reservoirs, which are increasingly affected by anthropogenic pressures. The identification of the main sources of pollution, and thus the aquifer vulnerability, is essential to provide a sound basis for the implementation of long-term geochemically based water management plans in this sub-Saharan area. With this aim, a hydrochemical and isotopic survey on 26 wells was performed in the so-called Peninsula of Cap-Vert. Results show that seawater intrusion represents the main process affecting groundwater chemical characteristics. Nitrates often exceed the World Health Organization drinking water limits: stable isotopes of dissolved nitrate (δ¹⁵N and δ¹⁸O) indicate urban sewage and fertilizers as a major source of contamination. Results depict a complex situation in which groundwater is affected by direct and indirect infiltration of effluents, mixing with seawater and freshening processes from below. Besides the relevance of the investigation at a regional level, it represents a basis for decision-making processes in an integrated water resources management and in the planning of similar monitoring strategies for other urban coastal regions.

  6. Effect Of Telephone Calls And Text Messages On Goal Attainment In A Ehealth Coaching Service.

    PubMed

    Brivio, Eleonora; Gatti, Fabiana; Galimberti, Carlo; Gambini, Paolo; Binello, Maurizio

    2015-01-01

    Yukendu is a personal mobile coaching service that supports people in reaching good levels of psychological and physical wellbeing through the use of an app and a telephone-based relationship with a health coach. The aim of this contribution is to describe the results obtained in a sample of 171 clients (female, n=150) and investigate the main factors in attaining their health-related goals. Results show that 61,98% (n=106) of the sample attained the results they wanted totally or partially. The regression model (number of phone calls, text messages, plan duration, achieved weight loss) accounts for 56,9% of data variance in achieved weight loss. Significant predictors of achieved weight loss are average number of calls (B=.388, p<.05), texts exchange (B=.331, p<.05) and plan duration (B=.291). These results suggest therefore that in the first phase of health behavioral change, eHealth coaching efficacy lies primarily in the communication between coach and coachee.

  7. Communication Patterns in the Perioperative Environment During Epic Electronic Health Record System Implementation.

    PubMed

    Friend, Tynan H; Jennings, Samantha J; Levine, Wilton C

    2017-02-01

    In April 2016, Massachusetts General Hospital (MGH) went live with the Epic electronic health records (EHR) system, replacing a variety of EHRs that previously existed in different departments throughout the hospital. At the time of implementation, the Vocera® Badge Communication System, a wireless hands-free communication device distributed to perioperative team members, had increased perioperative communication flow and efficiency. As a quality improvement effort to better understand communication patterns during an EHR go-live, we monitored our Vocera call volume and user volume before, during and after our go-live. We noticed that call volume and user volume significantly increased during our immediate go-live period and quickly returned to baseline levels. We also noticed that call volume increased during periods of unplanned EHR downtime long after our immediate go-live period. When planning the implementation of a new EHR, leadership must plan for and support this critical communication need at the time of the go-live and must also be aware of these needs during unplanned downtime.

  8. A Health Economics Approach to US Value Assessment Frameworks-Summary and Recommendations of the ISPOR Special Task Force Report [7].

    PubMed

    Garrison, Louis P; Neumann, Peter J; Willke, Richard J; Basu, Anirban; Danzon, Patricia M; Doshi, Jalpa A; Drummond, Michael F; Lakdawalla, Darius N; Pauly, Mark V; Phelps, Charles E; Ramsey, Scott D; Towse, Adrian; Weinstein, Milton C

    2018-02-01

    This summary section first lists key points from each of the six sections of the report, followed by six key recommendations. The Special Task Force chose to take a health economics approach to the question of whether a health plan should cover and reimburse a specific technology, beginning with the view that the conventional cost-per-quality-adjusted life-year metric has both strengths as a starting point and recognized limitations. This report calls for the development of a more comprehensive economic evaluation that could include novel elements of value (e.g., insurance value and equity) as part of either an "augmented" cost-effectiveness analysis or a multicriteria decision analysis. Given an aggregation of elements to a measure of value, consistent use of a cost-effectiveness threshold can help ensure the maximization of health gain and well-being for a given budget. These decisions can benefit from the use of deliberative processes. The six recommendations are to: 1) be explicit about decision context and perspective in value assessment frameworks; 2) base health plan coverage and reimbursement decisions on an evaluation of the incremental costs and benefits of health care technologies as is provided by cost-effectiveness analysis; 3) develop value thresholds to serve as one important input to help guide coverage and reimbursement decisions; 4) manage budget constraints and affordability on the basis of cost-effectiveness principles; 5) test and consider using structured deliberative processes for health plan coverage and reimbursement decisions; and 6) explore and test novel elements of benefit to improve value measures that reflect the perspectives of both plan members and patients. Copyright © 2018 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  9. Strategic continuity planning: the first critical step.

    PubMed

    Smith, Jack

    2013-01-01

    Many companies (and business continuity professionals) believe a company needs a comprehensive, all-inclusive business continuity plan. Often they reach this conclusion after other companies or potential clients have requested to see their business continuity plan as a precondition of doing business. Companies without 'a plan' are then tempted to go out and hire a business continuity person and tell them to 'Create a plan!' This makes perfect sense to the executive team, but this approach will probably not work in a real event. This paper addresses the shortcomings of producing tactical documentation and calling it 'The Plan', and discusses ways to engage management in the development of a corporate strategy to be used during and after an event.

  10. Payment Reduction and Medicare Private Fee-for-Service Plans

    PubMed Central

    Frakt, Austin B.; Pizer, Steven D.; Feldman, Roger

    2009-01-01

    Medicare private fee-for-service (PFFS) plans are paid like other Medicare Advantage (MA) plans but are exempt from many MA requirements. Recently, Congress set average payments well above the costs of traditional fee-for-service (FFS) Medicare, inducing dramatic increases in PFFS plan enrollment. This has significant implications for Medicare's budget, provoking calls for policy change. We predict the effect of proposals to cut PFFS payments on PFFS plan participation and enrollment. We find that small reductions in payment rates would reduce PFFS participation and enrollment; if Congress reduces payments to traditional FFS levels it would cause the vast majority (85 percent) of PFFS plans to exit the market. PMID:19544932

  11. Strategic planning: a biomedical communications model.

    PubMed

    Barrett, J E

    1991-01-01

    This article describes a biomedical communications approach to strategic planning. This model produces a short-term plan that allows a department to take the competitive advantage, react to technological change, and make timely decisions on new courses of action. The model calls for self-study, involving staff in brainstorming sessions where options are identified and ideas are prioritized into possible strategies for success. The article recommends that an evaluation and monitoring schedule be implemented after decisions have been made.

  12. Documenting Living Monuments in Indonesia: Methodology for Sustainable Utility

    NASA Astrophysics Data System (ADS)

    Suryaningsih, F.; Purwestri, N.

    2013-07-01

    The systematic documentation of cultural heritage in Indonesia has been developed after the establishment of Bataviaasch Genootschap van Kunsten en Wetenschappen (1778) and De Oudheidkundige Dienst (1913) by the Netherlands Indies government. After Indonesian independent, the tasks of cultural heritage documentation take over by The Ministry of Culture (now become The Ministry of Education of Culture) with focus on the ancient and classical heritage, so called dead monument. The needed of comprehensive documentation data regarding cultural heritage become significant issues since the government and private sector pay attention to the preservation of heritage building in the urban site, so called living monument. The archives of original drawing plan many times do not fit with the existing condition, while the conservation plan demands a document such as built drawing plan to work on. The technology, methodology and system to provide such comprehensive document of heritage building and site become important, to produce good conservation plan and heritage building regular maintenance. It means the products will have a sustainable and various utility values. Since 1994, Documentation Centre for Architecture - Indonesia (PDA), has established to meet the needs of a comprehensive data of heritage building (living monuments), to utilized as basic document for conservation planning. Not only provide document of the digital drawing such site plan, plan, elevation, section and details of architecture elements, but also document of historic research, material analysis and completed with diagnosis and mapping of building damages. This manuscript is about PDA field experience, working in this subject issue

  13. Islamic logics, reproductive rationalities: family planning in northern Pakistan.

    PubMed

    Varley, Emma

    2012-01-01

    This paper explores the use of Islamic doctrine and jurisprudence by family planning organizations in the Gilgit-Baltistan region of northern Pakistan. It examines how particular interpretations of Islam are promoted in order to encourage fertility reductions, and the ways Muslim clerics, women and their families react to this process. The paper first discusses how Pakistan's demographic crisis, as the world's sixth most populous nation, has been widely blamed on under-funding for reproductive health services and wavering political commitment to family planning. Critics have called for innovative policy and programming to counter 'excessive reproduction' by also addressing socio-cultural and religious barriers to contraceptive uptake. Drawing on two years of ethnographic research, the paper examines how family planning organizations in Gilgit-Baltistan respond to this shift by employing moderate interpretations of Islam that qualify contraceptive use as a 'rational' reproductive strategy and larger families as 'irrational'. However, the use of Islamic rhetoric to enhance women's health-seeking agency and enable fertility reductions is challenged by conservative Sunni ulema (clergy), who seek to reassert collective control over women's bodies and fertility by deploying Islamic doctrine that honors frequent childbearing. Sunnis' minority status and the losses incurred by regional Shia-Sunni conflicts have further strengthened clerics' pronatalist campaigns. The paper then analyses how Sunni women navigate the multiple reproductive rationalities espoused by 'Islamized' family planning and conservative ulema. Although Islamized family planning legitimizes contraceptive use and facilitates many women's stated desire for smaller families, it frequently positions women against the interests of family, community and conservative Islam.

  14. For Work-Force Training, a Plan to Give College Credit Where It's Due

    ERIC Educational Resources Information Center

    Sander, Libby

    2008-01-01

    After nearly three years of planning, Ohio's higher-education officials are finalizing an ambitious program to grant college credit for some technical courses offered at the state's adult-education centers. The program, called the Career-Technical Credit Transfer, is the latest in a string of state efforts to more closely link work-force training…

  15. The Logic of Integrating Conventional and Nuclear Planning [Integration of conventional and nuclear: What does it mean?

    DOE PAGES

    Manzo, Vincent A.; Miles, Aaron R.

    2016-10-31

    In October 2015, Secretary of Defense Carter called for NATO to better integrate conventional and nuclear deterrence. Four months later, Assistant Secretary of Defense Robert Scher stated in Senate testimony that the DoD is "working to ensure an appropriate level of integration between nuclear and conventional planning and operations."

  16. 77 FR 77090 - Notice of Public Meeting, Las Cruces District Resource Advisory Council Meeting, New Mexico

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-31

    ... use a telecommunications device for the deaf (TDD) may call the Federal Information Relay Service... RAC advises the Secretary of the Interior, through the BLM, on a variety of planning and management... from the BLM Las Cruces District Manager, updates on ongoing issues and planning efforts, and Restore...

  17. 78 FR 79707 - Notice of Public Meeting, Gateway West Project Subcommittee of the Boise District Resource...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-31

    ... Resource Advisory Council on matters of planning and management of the Gateway West Project (sections 8 and... Interior, through the BLM, on a variety of planning and management issues associated with public land... a telecommunications device for the deaf (TDD) may call the Federal Information Relay Service (FIRS...

  18. 78 FR 70959 - Gateway West Project Subcommittee of the Resource Advisory Council to the Boise District; Public...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-27

    ... advises the Boise District Resource Advisory Council on matters of planning and management of the Gateway... the Interior, through the BLM, on a variety of planning and management issues associated with public.... Persons who use a telecommunications device for the deaf (TDD) may call the Federal Information Relay...

  19. Safety Plan for Schools: No Guns

    ERIC Educational Resources Information Center

    Shah, Nirvi

    2013-01-01

    In a pre-emptive move against a school safety proposal from the National Rifle Association that is expected to include a call for more people trained and approved to carry guns at schools, a coalition of civil rights and education groups unveiled its own safety plan last week. It seeks the creation of positive school climates, thoughtful and…

  20. New Horizons for Primary Schools in Jamaica: Inputs, Outcomes and Impact. Revised

    ERIC Educational Resources Information Center

    Lockheed, Marlaine; Harris, Abigail; Gammill, Paul; Barrow, Karima; Jayasundera, Tamara

    2006-01-01

    The New Horizons for Primary Schools (NHP) was implemented in 72 government schools in Jamaica, from 1998-2005. The program provided support to schools on the basis of needs identified through the preparation of a School Development Plan (also called a School Improvement Plan). This independent evaluation report first compares the schools in the…

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